I-laser ye-1470Nm luhlobo olutsha lwe-laser semiconductor. Ineenzuzo zezinye i-laser ezingenakutshintshwa. Ubuchule bayo bamandla bunokufunxwa yihemoglobin kwaye inokufunxwa ziiseli. Kwiqela elincinane, i-gasification ngokukhawuleza ibola intlangano, kunye nomonakalo omncinci wokushisa, kwaye ineenzuzo zokuqinisa kunye nokuyeka ukuphuma kwegazi.
I-1470nm ye-wavelength ikhethwa ngokukhethekileyo ngamanzi amaxesha angama-40 ngaphezu kwe-980-nm wavelength, i-laser ye-1470nm iya kunciphisa nayiphi na intlungu emva kokusebenza kunye nokugruzuka kwaye izigulane ziya kuphila ngokukhawuleza kwaye zibuyele emsebenzini wemihla ngemihla ngexesha elifutshane.
Inqaku le-1470nm wavelength:
I-laser ye-semiconductor entsha ye-1470nm isasaza ukukhanya okuncinci kwi-tissue kwaye isasaze ngokulinganayo nangempumelelo. Inomlinganiselo owomeleleyo wokufunxa kwezicubu kunye nobunzulu bokungena obunzulu (2-3mm). Uluhlu lwe-coagulation lugxininisekile kwaye aluyi konakalisa izicubu eziphilileyo ezijikelezileyo. Amandla ayo anokufunxwa yi-hemoglobin kunye namanzi eselula, afaneleke kakhulu ukulungiswa kwemithambo-luvo, imithambo yegazi, ulusu kunye nezinye izihlunu ezincinci.
I-1470nm ingasetyenziselwa ukuqiniswa kwelungu lobufazi, imibimbi yobuso, kwaye ingasetyenziselwa imithambo-luvo, iVascular, ulusu kunye neminye imibutho emincinci kunye nokususwa kwethumba, utyando, kwayeEVLT,PLDDkunye nolunye utyando olungephi.
Iza kwazisa kuqala i-laser ye-1470nm ye-Varicuse veins:
Ukukhutshwa kwe-laser endovenous (EVLA) yenye yezona ndlela zonyango ezamkelwe kakhulu kwiimvini ze-varicose.
Izinto eziluncedo kwi-Endovenous Ablation kuNyango lwe-Varicose Vein
- I-Endovenous Ablation ayingeneleli kangako, kodwa iziphumo ziyafana notyando oluvulekileyo.
- Intlungu encinci, ayifuni i-anesthesia jikelele.
- Ukuchacha ngokukhawuleza, ukulaliswa esibhedlele akuyimfuneko.
- Inokwenziwa njengenkqubo yekliniki phantsi kwe-anesthesia yendawo.
- Ukuhonjiswa ngcono ngenxa yobukhulu benxeba lenaliti.
Yintoni iI-Endovenous Laser?
Unyango lweLaser ye-Endovenous lolona nyango lungenelelayo luncinci kunotyando lwemveli lokuhlubula imithambo ye-varicose kwaye lunika iziphumo ezingcono zokuthambisa ezinokonakala okuncinci. Umgaqo ngowokuba ngokususa umthambo ongaqhelekanga ngokusebenzisa amandla elaser ngaphakathi komthambo ('endovenous') ukuwutshabalalisa ('ablate') wona.
Injani iEVLTkwenziwe?
Inkqubo yenziwa kwisiseko sesigulane esingaphandle kunye nesigulane sivukile. Yonke inkqubo yenziwa phantsi kwe-ultrasound visualization. Emva kokuba kufakwe i-anesthetic yendawo kwindawo yethanga, i-laser fiber ifakwe kwi-vein ngokusebenzisa umngxuma omncinci wokuhlatywa. Emva koko kukhutshwa amandla e-laser afudumeza udonga lwe-vein kwaye lubangele ukuba liwe. Amandla e-laser akhutshwa ngokuqhubekayo njengoko umsinga uhamba kubo bonke ubude bomthambo onesifo, okukhokelela ekuweni kunye nokuphuma kwe-varicose vein. Ukulandela inkqubo, i-bandage ifakwe phezu kwendawo yokungena, kwaye i-compression eyongezelelweyo isetyenziswa. Izigulane ke zikhuthazwa ukuba zihambe kwaye ziphinde ziqalise yonke imisebenzi yesiqhelo
I-EVLT ye-varicose vein yahluke njani kuqhaqho oluqhelekileyo?
I-EVLT ayifuni i-anesthesia jikelele kwaye yinkqubo engaphantsi kokunciphisa i-vein stripping. Ixesha lokubuyisela lifutshane kunotyando. Izigulane zihlala zineentlungu ezingaphantsi kokuhlinzwa, ukugruzuka okuncinci, ukuchacha ngokukhawuleza, iingxaki ezimbalwa kunye nezibazi ezincinci.
Kungekudala emva kwe-EVLT ndingabuyela kumsebenzi oqhelekileyo?
Ukuhamba ngokukhawuleza emva kwenkqubo kuyakhuthazwa kwaye umsebenzi oqhelekileyo wemihla ngemihla unokuphinda uqalise ngokukhawuleza. Kwabo bangena kwimidlalo kunye nokuphakamisa okunzima, ukulibaziseka kweentsuku ezi-5-7 kuyacetyiswa.
Ziziphi iingenelo eziphambiliEVLT?
I-EVLT inokwenziwa ngokupheleleyo phantsi kwe-anesthesia yendawo kwiimeko ezininzi. Isebenza kuninzi lwezigulane kubandakanywa nezo zineemeko zonyango esele zikhona okanye amayeza athintela ukulawulwa kwe-anesthetic jikelele. Iziphumo zokuthambisa ezivela kwi-laser ziphezulu kakhulu kunokuhluba. Izigulane zixela ukugruzuka okuncinci, ukudumba okanye iintlungu ezilandela inkqubo. Abaninzi babuyela kwimisebenzi yesiqhelo ngoko nangoko.
Ngaba i-EVLT ifanelekile kuyo yonke imithambo ye-varicose?
Uninzi lwemithambo ye-varicose inokunyangwa nge-EVLT. Nangona kunjalo, inkqubo yenzelwe ikakhulu imithambo ye-varicose. Ayifanelekanga kwimithambo emincinci okanye ebuhlungu kakhulu, okanye ene-atypical anatomy.
Ifanelekile:
Umthambo omkhulu weSaphenous (GSV)
Umthambo omncinci weSaphenous (SSV)
Iintambo zabo eziphambili ezifana ne-Anterior Accessory Saphenous Veins (AASV)
Ukuba ufuna ukwazi ngakumbi malunga nomatshini wethu, ncedaQhagamshelana nathi. Enkosi.
Ixesha lokuposa: Nov-07-2022