N’chifukwa Chiyani Muyenera Kusankha Laser Yokhala ndi Mafunde Awiri (980 nm + 1470 nm) pa Mitsempha ya Varicose (EVLT)?

Dongosolo la laser la V6 endovenous limapereka ma wavelength awiri otsimikiziridwa ndi akatswiri azachipatala—980 nm ndi 1470 nm—iliyonse ili ndi ubwino wosiyana pochiza mitsempha ya varicose. Kuphatikiza ma wavelength onse awiri kumapereka zotsatira zabwino kwambiri zachipatala mu Endovenous Laser Treatment (EVLT).

Laser ya 980 nm:

Kutalika kwa mafunde kumeneku kumawonetsa kuyamwa bwino m'njira zonse ziwiri madzi ndi hemoglobin, zomwe zimapangitsa kuti ikhale chida champhamvu komanso chosinthasintha chogwiritsira ntchito endovenous ablation. Ndi mphamvu yotulutsa mpaka Ma watts 30, imapereka mphamvu yamphamvu komanso yodalirika kuti mitsempha ya m'mitsempha itseke bwino, makamaka m'mitsempha yokulirapo.

Laser ya 1470 nm:

Kutalika kwa wavelength kumeneku kuli ndi kuyamwa kwakukulu kwambiri m'madzi, zomwe zimapangitsa kuti pakhale mphamvu yokwanira komanso yolondola kufalikira kwa kutentha kochepa ku minofu yozungulira. Izi zimachepetsa kuwonongeka kwa ziwalo zina ndipo zimawonjezera chitonthozo cha wodwalayo, zomwe zimapangitsa kuti ikhale yoyenera m'malo ofooka a thupi.

Malangizo azachipatala:

Kuti mupeze zotsatira zabwino kwambiri, a njira ya kutalika kwa mafunde awiri (980 nm + 1470 nm) Ndikofunikira kwambiri. Kuphatikiza kumeneku kumagwiritsa ntchito mphamvu yayikulu ya 980 nm ndi kulondola kwa 1470 nm, zomwe zimapangitsa kuti kutseka bwino mitsempha yamagazi popanda zotsatirapo zoyipa zambiri komanso kuchira bwino pambuyo pa opaleshoni.

Njira ya EVLT: Gawo ndi Gawo

Laser Yopanda Mphamvu Chithandizo (EVLT) ndi njira yochepetsera kufalikira kwa matendawa yomwe imagwiritsa ntchito mphamvu ya laser kutseka mitsempha ya varicose yomwe sikugwira ntchito bwino. Ulusi wa laser umayikidwa mwachindunji mu mitsempha yomwe yakhudzidwa - motero "endovenous," kutanthauza mkati mwa mitsempha. Nayi njira yodziwika bwino:

Mankhwala Oletsa Kupweteka Kwam'deralo:

Mankhwala oletsa ululu amaperekedwa pamalo ochizira, ndipo singano yaying'ono imalowetsedwa mu mtsempha womwe mukufuna.

Kuyika Waya Wotsogolera:

Waya woonda wotsogolera umadutsa mu singano ndikulowa mu mtsempha wa saphenous motsogozedwa ndi ultrasound.

Kuyika kwa Catheter:

Singanoyo imachotsedwa, ndipo katheta (chubu chopyapyala cha pulasitiki) imayikidwa pamwamba pa waya ndikuyikidwa mkati mwa mtsempha.

Kuyika Ulusi wa Laser:

Ulusi wa laser wotulutsa kuwala umalowetsedwa kudzera mu catheter ndikupitilira mpaka nsonga yake ikafika pamalo apamwamba kwambiri a gawo lodwala - nthawi zambiri pafupi ndi chiuno.

Anesthesia ya Tumescent:

Mankhwala oletsa ululu am'deralo amabayidwa mozungulira mtsempha pogwiritsa ntchito singano zingapo zazing'ono kapena kulowetsedwa kosalekeza. imafinya mtsempha, imateteza minofu yozungulira, ndipo imachepetsa ululu panthawi yogwira ntchito ndi laser.

Kugwiritsa Ntchito Laser ndi Kuchotsa Ulusi:

Laser imayatsidwa, ndipo ulusi umachotsedwa pang'onopang'ono 1 cm nthawi imodzi, kupereka mphamvu yolamulira kutentha pakhoma la mitsempha pamwamba pa Mphindi 20–30.

Kutsekeka kwa Mitsempha:

Kutentha kumayambitsa kufupika kofanana ndi kutsekeka kosatha Magazi amasinthidwa mwachibadwa kupita ku mitsempha yozungulira yathanzi, kubwezeretsa kuyenda bwino kwa magazi ndikuchotsa zizindikiro monga kutupa ndi kusasangalala.

Kumaliza kwa Ndondomeko:

Chithandizo chikatha, ulusi wa laser ndi catheter zimachotsedwa. Malo olowera amaphimbidwa ndi kabati kakang'ono.

Zolemba Pambuyo pa Chithandizo:

Njira yonseyi imatenga pafupifupi Mphindi 20 mpaka 30 pa mwendo uliwonseKuti mupeze zotsatira zabwino kwambiri zokongoletsa komanso zogwira ntchito, mitundu yaying'ono yamitundu yosiyanasiyana ingafunike chithandizo china cha sclerotherapy kaya panthawi ya EVLT kapena pambuyo pake.