He aha i whiriwhiri ai i te Taiaho Ngaru Takirua (980 nm + 1470 nm) mō ngā Uaua Varicose (EVLT)?
E rua ngā roangaru kua whakamātauhia e te pūnaha taiaho endovenous V6—980 nm me te 1470 nm—he rerekē ngā painga o ia momo mō te rongoā i ngā uaua varicose. Mā te whakakotahi i ngā roangaru e rua ka puta he hua haumanu tino pai i roto i te Maimoatanga Taiaho Endovenous (EVLT).
980 nm Taiaho:
Ka whakaatuhia e tēnei roangaru te mimiti taurite i roto i ngā mea e rua wai me te hemoglobin, he taputapu kaha, he maha ngā whakamahinga mō te ablation endovenous. Me te mana whakaputa tae atu ki te 30 wati, e tuku ana i te pūngao kaha, pono hoki mō te katinga whai hua o ngā uaua, inā koa i roto i ngā uaua he nui ake te whānui.
1470 nm Taiaho:
Kei tēnei roangaru he nui ake te mimiti i roto i te wai, ka hua ake he tuku pūngao tika ake, ā, te whakaiti i te horapa wera ki ngā kiko e karapoti ana. Ka whakaitihia te kino āpiti, ka whakarei ake hoki i te whakamarie o te tūroro, ā, he mea tino pai mō ngā wāhi uaua o te tinana.
Taunakitanga Hauora:
Mō ngā hua tino pai, he huarahi roangaru rua (980 nm + 1470 nm) he tino taunaki. Ka whakamahia e te whakakotahitanga te mana teitei o te 980 nm me te tika o te 1470 nm, kia tino te katinga uaua whai hua me te iti o ngā pānga taha ā, kua pai ake te whakaoranga i muri i te pokanga.
Te Tukanga EVLT: Hipanga i te Hipanga
Reera Ine-uaua Ko te Whakaora (EVLT) he tikanga iti rawa te whakaekenga e whakamahi ana i te pūngao taiaho hei kati i ngā uaua varicose e kore e mahi tika ana. Ka whakaurua tika te muka taiaho ki roto i te uaua e pāngia ana—nō reira ko te "endovenous," arā, kei roto i te uaua. Anei te tikanga paerewa:
Te Whakamamae ā-Rohe:
Ka tukuna he rongoā whakamoe ā-rohe ki te wāhi e rongoatia ana, ā, ka werohia he ngira iti ki roto i te uaua e hiahiatia ana.
Whakaurunga Waea Arataki:
Ka tukuna he waea arataki angiangi mā roto i te ngira, ka nekehia ki roto i te uaua saphenous i raro i te arataki a te ultrasound.
Te Whakatakotoranga o te Catheter:
Ka tangohia te ngira, kātahi ka mirohia he catheter (he ngongo kirihou angiangi) ki runga i te waea, ka whakanohoia ki roto i te uaua.
Whakaurunga muka taiaho:
Ka whakaurua he muka taiaho radial-emitting mā roto i te catheter, ka nekehia kia tae rā anō tōna pito ki te pūwāhi proximal (teitei rawa) o te wāhanga mate—e tata ana ki te kopa o te hope.
Te Whakamamae Tumescent:
Ka werohia he otinga rongoā whakangote ā-rohe huri noa i te uaua mā te whakamahi i ngā whakaurunga ngira iti maha, i te werohanga tonu rānei. ka kōpeke i te uaua, e tiaki ana i ngā kiko e karapoti ana, ā, e whakaiti ana i te mamae i te wā e whakahohehia ana te taiaho.
Te Whakahohenga Taiaho me te Tangohanga Muka:
Ka whakahohehia te taiaho, ā, ka āta tangohia te muka 1 henemita i te wā kotahi, e tuku ana i te pūngao wera whakahaeretia i te taha o te pakitara uaua i runga ake 20–30 meneti.
Te Katinga o te Uaua:
Ka puta te wera te whakawhāiti ōrite me te aukati tuturu o te pakitara o te uaua, e hiri ana i te uaua. Ka tukuna te toto ki ngā uaua hauora e karapoti ana, ka whakahokia mai te tohanga toto pai, ka whakakore i ngā tohu pēnei i te pupuhi me te mamae.
Te Whakaotinga o te Tukanga:
Kia oti te maimoatanga, ka tangohia te muka taiaho me te catheter. Ka hipokina te wāhi whakauru ki tētahi takai iti.
Ngā Tuhipoka i Muri i te Maimoatanga:
E tata ana ki te 20 ki te 30 meneti mō ia waewaeMō ngā hua whakapaipai me ngā hua mahi tino pai, me whakamahi pea ngā varicosities iti ake te whakaora kiri tāpiri i te wā o te EVLT, i muri rānei i tēnā.
