Imithambo yeVaricose esezantsi yemilenze zizifo eziqhelekileyo nezixhaphakileyo kutyando lwemithambo yegazi. Ukusebenza kwangoko kokungakhululeki kwe-asidi yemilenze, iqela elingaphantsi kwemithambo ebuhlungu, kunye nokuqhubela phambili kwesi sifo, kunokubonakala ukurhawuzelela kwesikhumba, umbala, ukususwa kwesikhumba, i-lipid sclerosis kunye nezilonda. Iindlela zonyango lwemithambo yeVaricose yemilenze esezantsi ziquka ukutshintsha indlela yokuphila, unyango ngamayeza, unyango ngepayipi yoxinzelelo, ukugoba okuphezulu kunye nokususa imithambo ye-saphenous, i-sclerotherapy njalo njalo. Utyando lwendabuko beluqhubeka kangangeminyaka engaphezu kwe-100.
Okwangoku, utyando lwemithambo ye-varicose legles esezantsi ludla ngokungangeni kakhulu, njengokususwa kwe-laser endovenous, ukususwa kwe-radiofrequency, unyango lwe-microwave, njl. Ukusetyenziswa kwe-high ligation kunye ne-dissection ye-great saphenous vein akusetyenziswa kakhulu. Ngophuhliso lweendlela ezingaphantsi kakhulu kunye nokuqokelelana kwamava oogqirha, iindlela ezingaphantsi kakhulu ziya kunceda izigulane ezininzi ezinemithambo ye-varicose esezantsi kwaye zithathe indawo yotyando lwendabuko.
Izikhokelo ze-American Society for Vascular Surgery kunye ne-American Venous Forum zoNyango lweVaricose Veins of the Lower Extremity kunye neZifo zeMingxunya eziNgapheliyo ziquka i-endovenous laser ablation (I-ELVAkunye ne-radiofrequency ablation (RFA) njengeengcebiso zeClass IB. Izifundo zibonise ukubaIlaser eyi-1470nmNge-radial fiber ineengxaki ezimbalwa kunye nokugqobhoka xa kuthelekiswa ne-ablation yendabuko okanye utyando oluqhelekileyo lwe-laser. Yindlela esebenzayo yokunyanga imithambo ye-varicose yamalungu asezantsi kwaye yenye yezona ndlela zifanelekileyo zotyando lokugqobhoka kwe-intravenous kwinqanaba elinye. Xa kuthelekiswa ne-point laser, i-ring laser output fiber ingenza amandla e-laser asasazwe ngokulinganayo eludongeni lwemithambo yegazi engama-360°, amandla asetyenziswayo aphantsi, izinga lokugqobhoka liyancipha, kwaye akukho carbonization eludongeni lwemithambo yegazi. Izinga lokufunxwa kwamanzi kunye ne-hemoglobin enobude be-1470nm liphezulu kakhulu kunele-laser eqhelekileyo, kwaye amandla asebenza ngokuthe ngqo eludongeni lwemithambo yegazi, olunokuvala ngokupheleleyo nangokulinganayo imithambo yegazi. Lilonke, i-1470nm laser enonyango lwe-radial fiber yemithambo ye-varicose yamalungu asezantsi ineenzuzo ezibalulekileyo:
1) Ukuvalwa ngokukhawuleza kunye nesiphumo esiqinisekileyo sokunyanga;
2) Ukususwa kwesiqu esityebileyo kunokusebenzisa i-radiofrequency ablation kungenziwa;
3) Isiphelo esisebenzayo se-radial fiber asiqhagamshelani ngqo nodonga lwemithambo yegazi, kwaye i-radial annular spot isebenzisa amandla ayo ngokulinganayo eludongeni lwemithambo yegazi ngaphandle kokubangela i-carbonization.
4) Ixabiso liphantsi kunezinye izixhobo zokuvala ubushushu.
Kubalulekile ukuqaphela ukuba i-laser ye-triangleas1470nm diode inoyilo olulula noluncinci, Inkqubo entsha yokucoca ubushushu kunye nefriji iphucula kakhulu ukusebenza kakuhle kokuguqulwa kwamandla kwe-laser kwaye igcina ubushushu bokusebenza buzinzile. Ngokudibeneyo ne-laser ye-triangleasifayibha yesangqangokukhanya okuphuma kwi-360°, amandla e-laser asetyenziswa ngqo eludongeni lwemithambo yegazi. I-Ecchymosis kunye nentlungu kunye nezinye iziphumo ebezingalindelekanga zincitshisiwe kakhulu, nto leyo enceda kakhulu kutyando olungenalo utyando.
Ixesha lokuthumela: Agasti-10-2023