He aha i whiriwhiri ai i te Taiaho Ngaru Takirua (980nm + 1470nm) mō ngā Uaua Varicose (EVLT)?
He aha i whiriwhiri ai i te Taiaho Ngaru Takirua (980nm + 1470nm) mō ngā Uaua Varicose (EVLT)?
E rua ngā roangaru laser motuhake e tukuna ana e te pūnaha taiaho TR-B: 980nm me te 1470nm, he painga motuhake tō ia roangaru e tino whai hua ai mō te reera endovascular maimoatanga (EVLT).
*Taiaho 980nm: Ka whakaatuhia e tēnei roangaru te mimiti taurite i roto i te wai me te toto, ka waiho hei taputapu pokanga kaha, maha hoki ngā whakamahinga. Me te mana putanga tae atu ki te 30 watts, ka tukuna he pūngao pakari e pai ana mō te tangohanga endovascular whai hua.
*1470nm Taiaho: He nui ake te mimiti o tēnei roangaru ki te wai, ā, ka tika ake te tukunga o te pūngao, ka iti ake hoki te horapa o te wera. Ka whakaitihia te kino o te wera ki ngā kiko e karapoti ana me ngā hanganga uaua tata, ka whakarei ake i te haumaru me te whakamarie o te tūroro.
I runga i ēnei āhuatanga tautoko, he mea tino taunaki kia whakakotahihia ngā roangaru 980nm me te 1470nm mō ngā putanga EVLT tino pai. Mā te huarahi roangaru-rua ka whakamahia te mana teitei me te whai huatanga o te taiaho 980nm me te tika me te haumaru o te 1470nm te taiaho, e tuku ana i tētahi otinga whānui mō te katinga whai hua o ngā uaua.
Tirohanga Whānui mō te Tukanga EVLT
Ko te Maimoatanga Taiaho Endovenous (EVLT) ko te whakauru tika i te muka taiaho ki roto i te uaua varicose e pāngia ana. He iti noa te whakaekenga o te tikanga, ā, he tikanga ka mahia i waho o te hōhipera. Anei te whakarāpopototanga taahiraa-i-te-taahiraa:
*Whakanohoia he rongoā whakamoe ā-rohe ki te wāhi e rongoatia ana, ka werohia he ngira ki roto i te uaua e hiahiatia ana.
*Ārahihia te waea ārahi mā roto i te ngira, ka neke whakamua i te roanga o te uaua.
*Tangohia te ngira, waiho te waea ārahi ki tōna tūranga, ka whakauru i tētahi catheter (ngoi kirihou angiangi) ki runga i te waea ki roto i te uaua saphenous.
*Whakaterehia he muka taiaho e whakaputa ana i te radial mā roto i te catheter kia tae ra ano te pito ki te wāhi maimoatanga e hiahiatia ana—ko te hononga i te kopa o te hope te tikanga.
*Whakamahia te rongoā whakamoe tumescent mā te werohanga i tētahi otinga whakamoe ā-rohe huri noa i te uaua mā te whakamahi i ngā werohanga ngira maha. Mā tēnei ka taea te whakahaere i te mamae, ka pēhi hoki i te uaua huri noa i te muka, ka whakapai ake i te whakawhiti pūngao me te tiaki i ngā kiko e karapoti ana.
*Whakahohehia te taiaho, ka hoki mārire te muka ki muri i runga i te tikanga whakahaere—ko te tikanga he 1 henimita ia hekona—mō te 20 ki te 30 meneti.
*I te tangohia o te muka, ka whakamahanahia e te pūngao taiaho te pakitara o te uaua, ka puta he kino wera ōrite ka hinga, ka hiritia te uaua. Kātahi ka tukuna te toto ki ngā uaua hauora, ka whakakore i te reflux me te whakaiti i ngā tohu pēnei i te pupuhi me te kore whakamarie.
*Kia oti te maimoatanga, tangohia te muka taiaho me te catheter. Tāpirihia he takai iti ki te wāhi i tomohia.
*E 20 ki te 30 meneti te roa o te tukanga katoa mō ia waewae. Mō ngā hua tino pai, me rongoā anō pea ngā uaua varicose iti ki te sclerotherapy.
He tikanga haumaru, whai hua, e manawanuihia ana te EVLT, e tere ai te ora me ngā hua ataahua tino pai.
