He aha koe i whiriwhiri ai i te mīhini taiaho diode 1470nm mō te tango i ngā uaua varicose?
Te Take o ngā Uaua Varicose
Ko te nuinga o ngā uaua varicose ka puta mai i te ngoikore o te hanganga o te pakitara uaua i roto i te pūnaha uaua o runga, ka arahi ki te whānui haere. Ka whakararu tēnei huringa āhua i te kaha o ngā takirere uaua kotahi-ara, e ārai ana i te rere o te toto whakamuri i raro i ngā āhuatanga ā-tinana noa. Ko te koretake o te takirere ka hua ake te rerenga toto, inā koa i te wā e tū tika ana, ka whakanuia e ngā kaha ā-papa te rere o te toto rerekē.
Ka whakanuia e te rere whakamuri tonu te pēhanga o roto i te lumen i roto i ngā uaua e pāngia ana, ka whakatairanga i te whakawhānui ake o ngā uaua, te piko, me ngā tohu haumanu pēnei i te mamae, te pupuhi, ngā huringa kiri, ā, i ngā wā kino, te mate pukupuku. He maha ngā wā e hono ana te ngoikore o te uaua mau tonu ki tēnei rerenga pathophysiological.
Tirohanga whānui o Reera Ine-uaua Te Maimoatanga (EVLT)
Ko te Maimoatanga Taiaho Endovenous (EVLT) he tikanga iti rawa te whakaekenga, he arataki-ahua i whakawhanakehia e ngā tohunga toto hei rongoā i te reflux uaua superficial, inā koa e pā ana ki te uaua saphenous nui (GSV) me te uaua saphenous iti (SSV).
I raro i te arataki a te ultrasound, ka whakaurua he muka laser ki roto i te uaua ūnga mā te catheter. Ka puta te kino o te endothelial, te fibrosis o te pakitara o te oko toto, me te aukati i muri mai. Ko te EVLT e mahia ana i raro i te anesthesia tumescent ā-rohe i roto i te wāhi tūroro, me te roa o te mahi i waenga i te 30 ki te 60 meneti.
Ko ngā painga matua ko:
*Ngā reiti angitu hangarau teitei (>90%)
*He iti ake te mamae me ngā raruraru i muri i te pokanga, ki te whakaritea ki ngā tikanga pokanga tuku iho
*Te tere o te whakaoranga me te tīmata anō i ngā mahi o ia rā
*He iti noa te koha, ā, he pai ake ngā hua whakapaipai
Kua riro te EVLT hei rongoā tuatahi mō te ngoikore o ngā uaua mau tonu nā tōna whai huatanga, tōna haumaru, me tōna ngāwari ki te whakaputa anō.
Te Take mō te Whakamahi i te Roanga ngaru 1470nm
I roto i ngā momo roangaru taiaho e whakamahia ana i roto i te ablation endovenous, ko te taiaho diode 1470nm te mea i pai ake nā ōna āhuatanga whatu pai ake. He nui ake te tauwehenga mimiti o tēnei roangaru mō te wai i te hemoglobin, e āhei ai te tuku tika me te whakahaere i te pūngao wera ki te pakitara o te uaua.
Tikanga mahi:
*Ka mimitihia te pūngao taiaho e te kiko ā-roto me te wai o roto i ngā oko toto, ka puta he mirumiru mamaoa e whakamahana ana i te pakitara o te uaua.
*Ka whakaitihia e tēnei pānga wera ā-korekore te whara photothermal tika ki te endothelium me te whakarite kia memeha haere tonu te collagen me te katinga o te lumen.
Ngā painga haumanu:
*He iti ake te hiahiatanga pūngao katoa mō te tangohanga whai hua
*He whakaiti i te mōrearea o te whara wera ki ngā hanganga tata (hei tauira, ngā io kiri, te kiri)
*Te hekenga o te mamae i muri i te pokanga, te ecchymosis, me ngā urupare mumura
*Te whakapai ake i te whakamarie o te tūroro me te tere ake o te whakaora mahi
E tautokohia ana e ngā taunakitanga ka whakapai ake te roangaru 1470nm i te whai huatanga me te haumaru o te tukanga, me te kore e whakararu i ngā reiti aukati mō te wā roa.