I-microdebrider ekuqaleni yayinelungelo lobunikazi ngo-1969 ukuze lisetshenziswe ekukhipheni izicubu nxazonke ze-acoustic. Kusukela ngaleso sikhathi, ukusetshenziswa kwe-microdebrider kwamukelwa njengesisetshenziswa sokuhlinzwa emathambo we-orthopedics bese kuba ukuhlinzeka ngezono zangasese nezokuphela esikhathini sama-1990. Le nsimbi mhlawumbe ingenye yezindlela ezibaluleke kakhulu eziye zafakwa emkhakheni we-rhinology.
I-microdebrider iyisitjhi se-cylindrical esinesitja esingenalutho esinengxenye yangaphakathi nangaphandle. Ekupheleni kwe-tube, izingxenye zangaphakathi nezangaphandle ze-tube zinomzila osika izicubu njengoba izinsimbi zihamba phambili. I-catheter isetshenziswe ngokuqhubekayo kudivayisi ukuze ukusika izicubu kuthathwe futhi kususwe endaweni yokuhlinzwa. Ngokushesha ama-blades ashukumisa izingcezu ezincane, kuyilapho izinsimbi zihamba kancane, zikhudlwana izingcezu. Ikhwalithi yokusikeka kuhle kakhulu ukuba isetshenziswe yi-pathology uma umdlavuza noma olunye uhlaziyo oluqondene nesifo kudingeka lenziwe.
Ezinye izindlela
Ngaphambi kokusetshenziswa kwama-microdebriders, ukuhlinzwa kwesiniso kuvame ukufaka ukusetshenziswa kwendabuko ye-curettes kanye ne-forceps. Le ndlela yayiyindlela yokubamba amathambo nezicubu emithonjeni yama-nasal nesinus. Amandla okugaya amandla futhi ayithuluzi lamandla elithile elingasetshenziswa ekulungiseleleni okuhlinzekwayo.
Sizohlola izinzuzo zokusebenzisa i-microdebrider uye waletha emhlabeni wokuhlinzwa. Noma kunjalo, ngokusebenza, odokotela abahlinzayo bavame ukusebenzisa inhlanganisela ye-curettes, ama-microdebriders, ne-forceps.
Izinzuzo
Ama-Microdebriders anenzuzo eminingi. Okokuqala kuhlanganisa izinhlobonhlobo zamathiphu angasetshenziswa. Kuye ngokuthi uhlobo lwenqubo lwenziwa kanjani, ezinye imikhiqizo etholakalayo ingafika ngamathiphu angaphambi kwe-bent, okuvumela ukufinyelela okulula ezindaweni ezilukhuni zokuhlinzwa (njengezinsana ze-paranasal).
Amanye amathiphu futhi avumela ukuzungeza okungu-360-degree (njenge-Straightshot M4 esithombeni esingenhla), okuvumela izindlela eziqonde kakhulu kwezicubu ezidingeka zisuswe.
Ama-blades nawo angalungiswa ne-microdebrider. Amacembe ahlangene aqondile kakhulu futhi angase ahlasele kancane kunamanye ama-blade. Ngenkathi izinsimbi ezifakiwe zihlinzeka kangcono ngodokotela ohlinzayo. Lezi zibazi zingaba nesivinini esishintshile ukuze sivumele ukucaca okujulile kokusika kanye nokusika amathambo. Izinqubo ezivamile ezingase zisebenzise lokhu ngezinjongo zamathambo zihlanganisa:
- I-Septoplasty ehlobene ne- septum ephukile
- I-Septal yenza isiphakamiso sokuthengiswa
- I-dacryocystorhinostomy ehambisana nokuvinjelwa kwama-nelamalmal obstruction
Ngesikhathi ukusetshenziswa kwe-microdebrider ngeke kuncishise ingozi yokuphuma, ukuhlushwa okuqhubekayo kuvumela ukuthi abahlinzayo bakho umbono wesayithi yokuhlinzeka bahlale becacile isikhathi eside. Lokhu kunganciphisa isikhathi sokuhlinzwa esiphezulu esidingekayo ukwenza ukuhlinzeka kwakho ngokunciphisa isikhathi sokuthi udokotela ohlinzayo udinga ukushintshanisa izinsimbi. Abanye abakhiqizi be-microdebrider bangeze ikhono lokukhipha insimbi efanayo ukuthi ibuye ivumele ukulahlekelwa kwegazi okuncane nokushintshwa kancane kwezinsimbi.
Ukungalungi
Enye ingozi encane ehlobene nokusetshenziswa kwe-microdebrider ekuhlinzekeni okuhlinzekwayo izindleko ezihambisana nendawo eyodwa kanye nezinsimbi ezithathelwanayo uma kuqhathaniswa namathuluzi angokwenkolo.
Kodwa-ke, empilweni yangempela, lokhu akukhathazeki kakhulu njengesiguli. Amathuluzi wamandla avumela ukuzwa okuncane okuthintana nodokotela ohlinzayo okwenza ukuhlinzwa kwakho. Lokhu kwenza kube nzima ukucacisa izici ezithile zezicubu ezithambile ezizungeze isikhumba saso. Lokhu kuba okuncane kokukhathazeka lapho kukhishwa amathambo nge-microdebrider.
Izinkinga ezihlobene nokusebenzisa i-microdebrider azivamile; Nokho, kubalulekile ukuthi uqonde noma yiziphi izingozi ezingase zihlotshaniswe nokuhlinzwa kwakho. Ngenxa yokusetshenziswa okune-high-powered power, kunezinye imibiko yomonakalo okwenzekile.
Kube khona amacala angu-2 abikwa ngokulimala kwamehlo okuhloswe ukuthi ahlobene namandla okutshala kumbhanana omncane kanye necala elilodwa lokuqeda kwamaphaza angaphansi komhlaba (ukuphaphaza isikhala esizungeze ubuchopho). Lezi zinhlobo zemibiko zivame kakhulu futhi ama-microdebriders asetshenziswa emhlabeni wonke nsuku zonke. Ngokuvamile ama-microdebriders amathuluzi aphephile asetshenziselwa ukuhlinzwa kwesine.
Umthombo:
Bruggers, S. & Sindwani, R. (2009). Imitholampilo ye-Otolaryngologic yaseNyakatho Melika. 42 (5), 781-787