Umatshini weLaser wotyando lwe-ENT ongu-980nm 1470nm TR-C
I-laser ye-diode engu-980nm 1470nm yindlela yotyando ephantse yaba yinto efunekayo kwicandelo lotyando lwe-ENT namhlanje. Ngenxa yokuba i-laser ye-diode inesiphumo sokusika okanye sokujiya, ifanelekile kakhulu kwiintlobo ngeentlobo zonyango lwezifo zendlebe/impumlo/umphimbo.
Ngenxa yokuguquka kwemithombo yelaser, indlela yotyando lwe-otolaryngology iye yaguqulwa kukukwazi ukwenza utyando oluncinci, okubangela ukuba kungabikho monakalo mkhulu kwizicubu, ukuchacha ngokukhawuleza, iintlungu ezincinci kunye namanxeba amancinci kunotyando olwenziwe ngokusikwa okuvulekileyo.
Umatshini welaser we-980nm 1470nm diode awususi nje kuphela izicwili ezichaphazelekayo kodwa awushiyi naliphi na inxeba okanye ukuqina okushiyekileyo. Akukho ngxaki zimbi emva kotyando, kwaye izinga lokuphinda kuvele liphantsi.
Xa kufikwa emqaleni, utyando ludla ngokuba ngumceli mngeni kuba lubangela isilonda nokuqina okubangelwa zizilonda. Kodwa ii-fiber optics eziguquguqukayo kunye neziphatho zezandla eziguquguqukayo zenza utyando olungenabungozi kangako lube nokwenzeka ukusika izicwili ezichaphazelekayo ngaphandle kokonakalisa iindawo ezingqongileyo.
Ngokubanzi, izigulana ziphilisa amanxeba azo kakuhle kwaye zifuna unyango olulula lokulandelela. Nangona ixesha lokuchacha lahluka ngokwesigulana ngasinye, ukuchacha kudla ngokukhawuleza.
Iingenelo
* Ukuchaneka kweMicrosurgical
*Impendulo echukumisayo evela kwi-laserfiber
*Ukopha okuncinci, umbono ofanelekileyo ngexesha lotyando
*Amanyathelo ambalwa afunekayo emva kotyando
*Ixesha elifutshane lokuchacha kwesigulana
Izicelo
INDLEBE
IiCysts
I-Auricle eyongezwayo
Iithumba zendlebe yangaphakathi
I-Hemangioma
I-Myringotomy
I-Cholesteatoma
I-Tympanitis
IMPUMLO
I-Polyp yempumlo, i-Rhinitis
Ukunciphisa iTurbinate
I-Papilloma
IiCysts kunye neMucoceles
I-Epistaxis
I-Stenosis kunye ne-Synechia
Utyando lweSinus
I-Dacryocystorhinostomy (DCR)
UMQAQA
Uvulopalatoplasty (LAUP)
Utyando lweGlossectomy
Iipolyps zeNtambo yelizwi
Utyando lwe-Epiglottectomy
Izithintelo
Utyando lweSinus
Utyando lwempumlo ye-Endo
Utyando lwe-Endoscopic luyindlela esele isetyenziswa, yanamhlanje yokunyanga iimpumlo kunye neempumlo ze-paranasal.Nangona kunjalo, ngenxa yokuthambekela okukhulu kokopha kwe-mucosal, unyango lotyando kule ndawo ludla ngokuba lucelomngeni. Ukungasebenzi kakuhle kweendawo zokubona ngenxa yokopha kudla ngokubangela umsebenzi ongalunganga; ukupakisha impumlo ixesha elide kunye nomgudu omkhulu wesigulana nogqirha kudla ngokuphepheka.
Eyona nto ibalulekileyo kutyando lwe-endonasal kukugcina izicubu ze-mucosal ezijikelezileyo kangangoko kunokwenzeka. I-fiber entsha eyilwe nge-fiber ekhethekileyo ekhonkxiweyo kwisiphelo esikude ivumela ukungena kwe-atraumatic kwizicubu ze-turbinate empumlweni kwaye ukuphefumla kungenziwa ngendlela yangaphakathi ukukhusela i-mucosal ngaphandle ngokupheleleyo.
Ngenxa yokusebenzisana okufanelekileyo kwe-laser-tissue ye-wavelength 980nm / 1470 nm, izicubu ezikufutshane zikhuselwe ngokugqibeleleyo. Oku kukhokelela ekubuyiselweni ngokukhawuleza kweendawo zamathambo ebezivuliwe. Ngenxa yesiphumo esihle se-hemostatic, iinkqubo ezichanekileyo zinokwenziwa ngembonakalo ecacileyo yendawo yokusebenza. Ukusebenzisa ii-laserfibers ze-TR-C® optical ezithambileyo neziguquguqukayo ezinobubanzi obuyi-400 μm, ukufikelela ngokugqibeleleyo kuzo zonke iindawo zempumlo kuqinisekisiwe.
Iingenelo
* Ukuchaneka kweMicrosurgical
*Ukudumba okuncinci kwezicubu emva kotyando
*Utyando olungenagazi
*Imbonakalo ecacileyo yendawo yokusebenza
*Iziphumo ebezingalindelekanga ezincinci zotyando
*Utyando olunokwenzeka kwizigulane zangaphandle
*Ixesha elifutshane lokubuyela kwimeko yesiqhelo
*Ukulondolozwa ngcono kwengxaki yetyuwa ejikeleze i-mucosa
Enye yezona nkqubo zixhaphakileyo kwindawo ye-oropharynx yi-lasertonsillotomy ebantwaneni (Kissing Tonsils). Kwi-tonsillar hyperplasias yeempawu zabantwana, i-LTT imele indlela enengqondo, ethambileyo nengenabungozi kakhulu endaweni ye-tonsillectomy (abantwana ukuya kuthi ga kwiminyaka esi-8 ubudala). Umngcipheko wokopha emva kotyando mncinci kakhulu. Inani elincinci leentlungu emva kotyando ngenxa yexesha elifutshane lokuphiliswa, ukukwazi ukwenza utyando ngaphandle kwesibhedlele (nge-anesthesia jikelele) kunye nokushiywa kwe-tonsillar parenchyma ziingenelo ezibalulekileyo ze-lasertonsillotomy.
Ngenxa yokusebenzisana okufanelekileyo phakathi kwelaser nezicubu, ithumba okanye i-dysplasias zinokususwa ngaphandle kwegazi ngelixa kugcinwa izicubu ezikufutshane zingachaphazeleki. Utyando lwe-glossectomy oluyinxenye lungenziwa kuphela phantsi kwesiqhelo.i-anesthesia esibhedlele kwigumbi lotyando.
Iingenelo
*Utyando lwangaphandle lunokwenzeka
*Inkqubo engenagazi kakhulu, engenazo iintsholongwane
*Ixesha elifutshane lokuchacha kunye neentlungu ezincinci emva kotyando
Ukukhutshelwa kolwelo olunezikhalo oluthintelweyo, okubangelwa kukuvaleka kombhobho we-lacrimal, yimeko eqhelekileyo, ingakumbi kubantu abadala. Indlela yonyango yendabuko kukuvula umbhobho we-lacrimal ngaphandle ngotyando. Nangona kunjalo, le yinkqubo ende, enzima enxulunyaniswa neziphumo ebezingalindelekanga ezifana nokopha okunamandla, emva kotyando kunye nokuqhekeka. I-TR-C® yenza ukuvulwa kombhobho we-lacrimal kube ngokukhuselekileyo, inkqubo engenelelayo kancinci. I-cannula encinci ene-mandrel yayo enomfanekiso we-atraumatic ifakwa kube kanye ukuze kwenziwe unyango ngaphandle kwentlungu kwaye ngaphandle kwegazi. Emva koko, umbhobho ofunekayo ufakwa endaweni usebenzisa i-cannula efanayo. Inkqubo inokubayenziwe phantsi kwe-anesthesia yendawo kwaye ayishiyi zibazi.
Iingenelo
*Inkqubo ye-Atraumatic
*Iingxaki ezincinci kunye nemiphumo emibi
*I-anesthesia yendawo
*Akukho kopha emva kotyando okanye ukwakheka kwe-edema
*Akukho zintsholongwane
*Akukho zikrweqe
I-Otology
Kwicandelo le-Otology, iinkqubo zelaser ze-TR-C®diode zandisa uluhlu lweendlela zonyango ezingangenisi kakhulu. I-Laser PARACENTESI Lunyango olungangenisi kakhulu nolungangenisi gazi oluvula i-eardrum ngendlela yokudibanisa i-shot enye. Umngxuma omncinci ojikelezileyo kwi-eardrum, owenziwa yi-laser, unenzuzo yokuhlala uvulekile kangangeeveki ezintathu.Ukukhupha ulwelo kulula ukukuphatha kwaye ke ngoko inkqubo yokuphiliswa emva kokudumba imfutshane kakhulu, xa ithelekiswa neendlela zonyango oluqhelekileyo lotyando.Inani elikhulu lezigulana linengxaki ye-OTOSCLEROSIS kwindlebe ephakathi. Indlela ye-TR-C®, edityaniswe neefayibha ze-micron ezingama-400 eziguquguqukayo nezincinci, inika oogqirha beendlebe iindlela zonyango ezingafunekiyo ze-laser STAPEDECTOMY (i-single pulse laser shot yokugqobhoza ipleyiti yeenyawo) kunye ne-laser STAPEDOTOMY (ukuvulwa okujikelezayo kwepleyiti yeenyawo ye-stirrup ukuze kuthathwe i-prosthesis ekhethekileyo emva koko). Xa kuthelekiswa ne-laser ye-CO2, indlela ye-contact beam inenzuzo yokususa umngcipheko wokuba amandla e-laser achaphazele ezinye iindawo kwisakhiwo sendlebe esincinci esiphakathi.
Ingxolo
Eyona nto ibalulekileyo kunyango lotyando kwindawo yengqula kukuphepha ukwakheka kwamanxeba amaninzi kunye nokulahleka kwezicubu ezingafunekiyo kuba oku kunokuchaphazela kakhulu imisebenzi yefonetiki. Imo yesicelo selaser ye-pulsed diode isetyenziswa apha. Ngale ndlela, ubunzulu bokungena kobushushu bunokuncipha ngakumbi; ukufuma kwezicubu kunye nokususwa kwezicubu kunokwenziwa ngokuchanekileyo nangendlela elawulwayo, nokuba kukwizakhiwo ezinobuthathaka, ngelixa kukhuselwa ngokufanelekileyo izicubu ezijikelezileyo.
Iimpawu eziphambili: ukufuthwa kweethumba, i-papilloma, i-stenosis kunye nokususwa kwee-polyps ze-vocal cord.
IiPediatrics
Kwiinkqubo zabantwana, utyando ludla ngokubandakanya izakhiwo ezimxinwa kakhulu nezithambileyo. Inkqubo yelaser ye-TR-C® inika iingenelo ezinkulu. Ukusebenzisa iifayibha zelaser ezibhityileyo kakhulu, njengaxa zidityaniswe ne-microendoscope, kwanale zakhiwo zinokufikelelwa lula kwaye zinyangwe ngokuchanekileyo. Umzekelo, i-recurrent papiloma, uphawu oluqhelekileyo ebantwaneni, iba lutyando olungenagazi nolungenantlungu, kwaye amanyathelo emva kotyando ancitshiswa kakhulu.
| Imodeli | TR-C |
| Uhlobo lwelaser | I-Diode Laser Gallium-Aluminium-Arsenide GaAlAs |
| Ubude bamaza | 980nm 1470nm |
| Amandla okuphuma | 47w |
| Iindlela zokusebenza | I-CW kunye neModi yePulse |
| Ububanzi bePulse | 0.01-1s |
| Ukulibaziseka | 0.01-1s |
| Isibane sesikhombisi | 650nm, ulawulo lokuqina |
| Ifayibha | 300 400 600 800 1000 (ifayibha engenanto) |
