Yintoni iEndovenous Laser Ablation (EVLA)?
I-Endovenous Laser Ablation Treatment, eyaziwa ngokuba yi-laser therapy, yinkqubo yonyango ekhuselekileyo, eqinisekisiweyo enganyangi kuphela iimpawu ze-varicose veins, kodwa iphinda iphathe imeko ebangela ukuba ibangele.
I-Endovenous ithetha ngaphakathi komthambo, inani elincinci le-anesthetic yendawo litofwa esikhumbeni phezu komthambo kunye nenaliti efakwe kuyo. Ucingo lugqithiswa ngenaliti lunyuke ngomthambo. Inaliti iyasuswa kwaye i-catheter idluliselwe phezu kocingo, phezulu komthambo kunye nocingo lukhutshwe. Ifiber yelaser igqithiselwa kwi-catheter ukuze incam yayo ilale kweyona ndawo iphakamileyo ukuze ifudunyezwe (ngokuqhelekileyo igroin yakho iyakuqandusela). Isixa esikhulu sesisombululo se-anesthetic sasekhaya siye sitofwe sijikeleze umthambo ngokuhlatywa iinaliti ezininzi ezincinci. I-laser ke iyakhutshelwa phezulu kwaye itsalwe phantsi i-vein ukuze ishushubeze i-lining ngaphakathi kwe-vein, iyonakalise kwaye ibangele ukuba iwe, inciphe, kwaye ekugqibeleni iphele.
Ngethuba lenkqubo ye-EVLA, ugqirha usebenzisa i-ultrasound ukufumana umthambo ukuba uphathwe. Imithambo enokunyangwa zezona ziqu zemithambo yemilenze:
Umthambo omkhulu weSaphenous (GSV)
Umthambo omncinci weSaphenous (SSV)
Iintambo zabo eziphambili ezifana ne-Anterior Accessory Saphenous Veins (AASV)
I-1470nm laser wavelength yomatshini we-laser endovenous isetyenziswa ngokufanelekileyo kunyango lwe-varicose veins, i-1470nm ubude be-wavelength ithathwa ngokukhethwa ngamanzi amaxesha angama-40 ngaphezu kwe-980-nm yobude be-wavelength, i-1470nm laser iya kunciphisa nayiphi na intlungu emva kokusebenza kunye nokulimala kunye nezigulane buyela ngokukhawuleza kwaye ubuyele emsebenzini wemihla ngemihla ngexesha elifutshane.
Ngoku kwi-market1940nm ye-EVLA, i-Absorption coefficient ye-1940nm iphezulu kune-1470nm emanzini.
I-1940nm varicose laser iyakwazi ukuvelisa ukusebenza okufanayoI-laser ye-1470nmkunye nomngcipheko omncinci kakhulu kunye neziphumo ebezingalindelekanga, ezinje nge-paresthesia, ukwanda kokugruzuka, ukungakhululeki kwesigulana ngexesha kwaye ngokukhawuleza emva konyango kunye nokwenzakala okushushu kwisikhumba esingaphezulu. Xa isetyenziselwa i-endovenous coqultion yemithambo yegazi kwizigulana ezine-reflux ephezulu ye-vein.
Izinto eziluncedo zeLaser Endovenous kuNyango lweVeins yeVaricose:
Ukuhlasela kancinci, ukopha kancinci.
Isiphumo sokunyanga: ukusebenza phantsi kombono othe ngqo, isebe eliphambili liyakwazi ukuvala i-tortuous vein clumps
Utyando lotyando lulula, ixesha lonyango lifutshane kakhulu, ukunciphisa intlungu eninzi yesigulane
Izigulana ezinesifo esinganyangekiyo zinokunyangwa kwinkonzo yezigulana ezingaphandle.
Usulelo lwesibini lwe-Postoperative, intlungu engaphantsi, ukubuyisela ngokukhawuleza.
Imbonakalo entle, phantse akukho siva emva kotyando.
Ixesha lokuposa: Jun-29-2022