Te hītori whanaketanga o ngā karuārai pokanga

Ahakoangā karu hikokua whakamahia i roto i ngā mara rangahau pūtaiao (taiwhanga) mō ngā rautau, tae noa ki te tekau tau atu i 1920 i te wā i whakamahia ai e ngā tohunga otolaryngology Huitene ngā taputapu karuārai nui mō te pokanga laryngeal ka tīmata te whakamahinga o ngā karuārai i roto i ngā tikanga pokanga. 30 tau i muri mai (1953), i hangaia e Zeissngā karuārai pokanga, ā, mai i taua wā, kua tino tipu haere te pokanga moroiti: i Haina,ngā karuārai pokanga orthopedici whakamahia mō te pokanga whakato peka i te tīmatanga o te tekau tau atu i 1860; I waenganui o te tekau tau atu i 1960,ngā karuārai roroi whakamahia hoki i roto i ngā pokanga anastomosis vascular me te nerve o te ringa i te United States; I te tau 1970, i whakamahia e Yasargil hekaruārai roromō te pokanga kōpae hope. I muri mai, ka whakaputa a Williams rāua ko Caspar i ā rāua tuhinga mō te maimoatanga moroiti o te mate kōpae hope, ā, i muri mai ka whakahuatia whānuitia. I ēnei rā, ko te whakamahinga oNgā karu hiko whakahaerekei te piki haere te rongonui. I roto i te mara o te pokanga whakato anō, te pokanga whakawhitinga rānei, ka taea e ngā tākuta te whakamahingā karuārai pokanga rorohei whakapai ake i ō rātou pūkenga tirohanga. Ā, mō ētahi atu momo pokanga, pērā i te pokanga niho, te pokanga kanohi, te pokanga otolaryngology, me ētahi atu, e rite anangā karuārai pokangakua whakawhanakehia hoki.

Kua roa ngā taote pokanga e mōhio ana ki te hiranga o ngā taputapu whakanui me te whakamārama pai kia mārama ake ai te tirohanga. I roto i te ao o te pokanga tuaiwi, he maha ngā taote pokanga e whakamahi ana i ngā karu whakanui pokanga me te whakamārama rama hei whakapai ake i ngā pānga tirohanga. Ki te whakatauritea ki te whakamahi i tekaruārai pokanga, he maha ngā ngoikoretanga o te whakamahi i te karāhe whakanui pokanga me te rama mua. Waimarie,ngā karuārai mahie whakamahia whānuitia ana i roto i te mara o te pokanga roro (neurosurgery), ā, e pai ana rātou ki te tonongā karu hikoki te pokanga tuaiwi. Heoi, ko te nuinga o ngā tākuta i te mara o te orthopedics kāore e pai ki te whakarērea ngā karu whakanui me te huri kiNgā karuārai pokanga orthopedic, me ngā taote pokanga wheua me ngā taote pokanga roro kua whakamahi kē ingā karuārai wheuamō te pokanga tuaiwi kāore e mārama ki tēnei. I te mea kei te piki haere te mahi a ngā taote wheua ki te pokanga moroiti o te ringa me te io taha, kua wātea wawe ngā tākuta noho ki te hangarau karuārai, ā, kua ngāwari ake te whakamahi.Ngā karuārai roromō te pokanga tuaiwi. Me mōhio tātou, ki te whakaritea ki te pokanga moroiti i ngā ringaringa me ētahi atu kiko o waho, ka mahi tonu te pokanga tuaiwi i roto i te kōhao hohonu. Nō reira, mā te whakamahi i teKaruārai pokanga kirihouka taea te whakarato i te whakamārama pai ake, me te whakanui ake i te papa pokanga, kia taea ai te pokanga iti rawa te whakaekenga.

Ko te taputapu whakanui me te whakamārama o tētahikaruārai pokangaHe maha ngā whai wāhitanga mō te pokanga, ā, ko te mea nui, ka taea te whakaiti i te tapahi o te pokanga. Nā te pikinga ake o te pokanga iti rawa te whakaekenga "kī kōhao" kua akiaki i ngā taote pokanga ki te tātari tika ake i ngā take tuturu o te pēhanga io, me te whakatau tika ake i te tūranga o te mea pēhanga i roto i te awa tuaiwi. Ko te whanaketanga o te pokanga kī kōhao me tere hoki te hiahia ki tētahi huinga mātāpono hou o te hanganga tinana hei turanga.

Nā te mea e ono ngā whakanuinga o te tirohanga pokanga, me ata mahi ngā taote pokanga i ngā kiko io, ā, ko te māramatanga e whakaratohia ana eKaruārai mahihe pai rawa atu i ngā pūtake mārama katoa, he mea tino pai ki te whakaatu i ngā āputa kiko i te wāhi i pokangahia. Nō reira, ka taea te kī he pai ake te haumaru o te pokanga moroiti!

Ko ngā tāngata tino whai hua o ngā painga oNgā karuārai pokangahe tūroro.Karuārai Pokangaka taea te whakaiti i te wā pokanga, te whakamamae i te mamae o te tūroro i muri i te pokanga, me te whakaiti i ngā raruraru i muri i te pokanga. He rite te pai o te pānga pokanga o te microdissection ki te pokanga discectomy tuku iho.Te Mahi Karuāraika taea hoki te whakahaere i te nuinga o ngā pokanga discectomy i ngā wāhi o waho, ā, ka whakaitihia ngā utu pokanga.