Yintoni i-Endovenous Laser Ablation (Ukususwa kweLaser)I-EVLA)?
Unyango lwe-Endovenous Laser Ablation Treatment, olukwaziwa ngokuba yi-laser therapy, luyinkqubo yezonyango ekhuselekileyo neqinisekisiweyo enganyanga nje kuphela iimpawu zemithambo yegazi erhabaxa, kodwa ikwanyanga nemeko ebangela ezo mpawu.
Iindlela ezizimeleyo ngaphakathi komthambo, inani elincinci le-local anaesthetic lifakwa eluswini phezu komthambo kwaye inaliti ifakwe kuwo. Intambo idluliselwa ngenaliti ize inyuswe kumthambo. Inaliti iyasuswa kwaye i-catheter idluliselwa phezu komthambo, inyuswe kumthambo kwaye intambo isuswe. I-laser fiber idluliselwa kwi-catheter ngoko incam yayo ikwindawo ephezulu ukuze ifudunyezwe (ngesiqhelo i-groin crease yakho). Emva koko kufakwe isisombululo esikhulu se-local anaesthetic esijikeleze umthambo ngeenaliti ezininzi ezincinci. I-laser iyatshiswa ize itsalwe kumthambo ukuze kufudunyezwe ulwelo olungaphakathi komthambo, luwonakalise kwaye lubangele ukuba luwe, lunciphe, kwaye ekugqibeleni lunyamalale.
Ngexesha lenkqubo ye-EVLA, ugqirha usebenzisa i-ultrasound ukufumana umthambo oza kunyangwa. Imithambo enokunyangelwa yimiqolo ephambili yemithambo yemilenze:
Umthambo Omkhulu weSaphenous (GSV)
Umthambo Omncinane We-Saphenous (SSV)
Iingcambu zazo eziphambili ezifana ne-Anterior Accessory Saphenous Veins (AASV)
Umatshini we-laser osebenzisa i-laser endovenous osebenzisa i-laser ongama-1470nm usetyenziswa ngokufanelekileyo kunyango lwemithambo ye-varicose, ubude be-1470nm bufunxwa ngamanzi ngokuphindwe kangama-40 ngaphezu kobude be-980-nm, i-laser engama-1470nm iya kunciphisa nayiphi na intlungu emva kotyando kunye nokukrweleka kwaye izigulana ziya kuphila ngokukhawuleza kwaye zibuyele emsebenzini wemihla ngemihla ngexesha elifutshane.
Ngoku kwimarike ye-1940nm ye-EVLA, i-Absorption coefficient ye-1940nm iphezulu kune-1470nm emanzini.
I-laser ye-varicose ye-1940nm inako ukuvelisa ukusebenza okufanayoIileyiza ze-1470nmkunye nemiphumo emibi embalwa kakhulu, efana ne-paresthesia, ukwanda kokugruzuka, ukungonwabi kwesigulana ngexesha nasemva nje konyango kunye nokwenzakala kobushushu kulusu oluphezulu. Xa isetyenziselwa ukugoba imithambo yegazi engaphakathi kwizigulane ezine-reflux engaphezulu kwemithambo yegazi.
Iingenelo zeLaser Endovenous zonyango lweVaricose Veins:
Ayingeni kakhulu, ukopha kancinci.
Isiphumo sokunyanga: ukusebenza phantsi kombono othe ngqo, isebe eliphambili livalwe ngamaqhekeza emithambo erhabaxa
Utyando lulula, ixesha lonyango lifutshane kakhulu, nto leyo enciphisa iintlungu ezininzi zesigulana.
Izigulana ezinezifo ezincinci zinokunyangelwa kwinkonzo yokulaliswa ngaphandle.
Usulelo lwesibini emva kotyando, iintlungu ezingaphantsi, ukuchacha ngokukhawuleza.
Inkangeleko entle, phantse akukho silonda emva kotyando.
Ixesha lokuthumela: Juni-29-2022
