I-microdebrider kwasekuqaleni yayinelungelo lobunikazi ngo-1969 ukuze lisetyenziswe ngokususa izicubu malunga neentsimbi ze-acoustic. Ukususela ngelo xesha, ukusetyenziswa kwe-microdebrider kwamukelwa njengesixhobo sokugqithisa ekusebenzisweni kwamathambo kwaye emva kokuhlinzwa okwenziwe nge-nasal and endoscopic kwi-1990s. Esi sixhobo mhlawumbi esinye sezinto ezibaluleke kakhulu eziye zaziswa kwintsimi yobunzima.
I-microdebrider iyisitrandi esinesigxina esinombhobho ongezantsi kunye nesahlulo sangaphandle. Ekupheleni kwiphubhu, zombini ngaphakathi nangaphandle kwiphubhu ine-blade eyanqumla izicubu njengoko i-blades ihamba phambili nangaphezulu. I-catheter isetyenziswe ngokuqhubekayo kwisixhobo ukuze iinqununu zithathwe kwaye zisuswe kwindawo yokucanda. Ngokukhawuleza ama-blades ahambisa amancinci amaqhekeza, ngelixa i-blades ihamba ngokukhawuleza, ikhudlwana loo maqhekeza. Umgangatho wokwehla ulungele ukusetyenziswa sisifo xa umdlavuza okanye olunye uhlalutyo oluthile lufuneka luyenze.
Ezinye iindlela
Ngaphambi kokusetyenziswa kwamancinci, i-sinus ukuhlinzwa ngokuqhelekileyo yayiquka ukusetyenziswa kwemveli yonyango kunye ne-forceps. Le ndlela yayiyindlela yokwenza i-bone kunye nezicubu ezivela kumathambo angasese kunye nesinus. Izixhobo zokugaya amandla nazo zixhobo ezongezelelweyo zamandla ezingasetyenziselwa ukucandwa.
Siza kuhlola iingenelo zokusebenzisa i-microdebrider iye yazisa kwihlabathi lokugada. Nangona kunjalo, ngokusebenza, oogqirha baya kusebenzisa udibaniso lwee-curettes, i-microdebriders kunye ne-forceps.
Inzuzo
Ama-Microdebriders anemivuzo eninzi. Iyokuqala iquka uluhlu lweengcebiso ezinokusetyenziswa. Ngokuxhomekeke kwindlela yokwenziwa komsebenzi, ezinye iimveliso ezikhoyo ziza kunye namacebiso angaphambili, okuvumela ukuba kube lula ukufikelela kwiindawo ezinobungozi ezinjenge-paranasal sinuses.
Ezinye iingcebiso nazo zivumela ukujikelezwa kwee-360-degree (njengeStraightshot M4 esithombeni esingentla), evumela iindlela ezichanekileyo kwiimpawu ezifunekayo ukuba zisuswe.
Iibhanki nazo zinokulungiswa kunye ne-microdebrider. Amacangca anqambileyo acacile kwaye angabandezeleka kakhulu kunamanye amaqabunga. Nangona iiliti ezinamanzi zibonelela ngokugqithiseleyo ugqirha. Ezi zitshixo zinokuthi isantya sitshintshwe ukuba sivumele ukuchaneka ngokukhawuleza kokusika kunye nokunquma amathambo. Iinkqubo eziqhelekileyo ezingasebenzisa oku kwinjongo yethambo ziquka:
- I-Septoplasty ehambelana ne- septum ekhethiweyo
- Septal ukukhupha i-resection
- I-Dacryocystorhinostomy ehambelana nokukhutshwa kwamathambo angenawo
Nangona ukusetyenziswa kwe-microdebrider akuyi kunciphisa umngcipheko wokuphuma kwegazi, ukunyamezela okuqhubekayo kuvumela ukuba oogqirha babone ngendawo yokucoca ukuba bahlale becace ixesha elide. Oku kunokunciphisa ixesha elipheleleyo lokupasa elifunekayo ukwenza utyando lwakho ngokunciphisa inani lexesha logqirha kufuneka atshintshe izixhobo. Abanye abakhiqizi be-microdebrider baye bongeza amandla okukhuphaza kwisixhobo esifanayo esivumela ukuba ilahlekelwe phantsi kwegazi kunye nokutshintshwa kwezinto ezincinci.
Iingxaki
Enye into engeyona inzuzo ehambelana nokusetyenziswa kwe-microdebrider kwimeko yokucinywa yindleko ehambelana kunye neyunithi kunye nezitya zokutshintsha xa kuthelekiswa nezinye izixhobo zendabuko.
Nangona kunjalo, okwenzeni, oko akukhathazeki kancinci kuwe njengesigulane. Izixhobo zamandla zivumela ukuvakalelwa kwengqondo engaphantsi kogqirha owenza utyando lwakho. Oku kwenza kube nzima ukucacisa iinkalo ezithile zezicubu ezithambileyo ezungeze kwisigxina se sinus. Oku kuya kuba yinkxalabo encinci xa ukhankanya ithambo nge-microdebrider.
Iingxaki ezinxulumene nokusebenzisa i-microdebrider azinqabile; Nangona kunjalo, kubalulekile ukuba uqonde nayiphi na ingozi engase idibene nokuhlinzwa kwakho. Ngenxa yokusetyenziswa kwamanzi aphezulu, kukho ezinye iingxelo zomonakalo ezenzekile.
Kukho iimeko ezi-2 ezichazwe ngengozi yesohlo ecatshangelwe ukuba inxulumene nombane wokutshatyalaliswa kwe-microdebrider kunye necala elilodwa lokuqhwala kwesisu (ukuphaphaza indawo ejikeleze ingqondo). Ezi ntlobo zeengxelo ziqabile kwaye ama-microdebriders asetyenziswa kwihlabathi lonke imihla ngemihla. Ngokubanzi i-microdebriders zixhobo ezikhuselekileyo ezisetyenziselwa ukuhlinzwa okwenziwe ngesono.
Umthombo:
Bruggers, S. & Sindwani, R. (2009). Iikliniki ze-Otolaryngologic zaseNyakatho Melika. 42 (5), 781-787