- Ibicuruzwa
- Ibicuruzwa byemejwe na CE
- Laser ya Diode ya 980nm 1470nm yo kubaga ubwiza
- Laser ya Diode ya 980nm 1470nm yo kubaga imitsi n'imitsi
- Laser ya Diode ya 980nm 1470nm yo mu bwoko bwa Coloproctology
- Laser ya Diode ya 980nm 1470nm yo mu rwego rw'abagore
- Laser ya Diode ya 980nm 1470nm yo mu bwoko bwa Ent
- Laser ya Diode ya 980nm 1470nm yo kuvura amagufwa
- Laser ya Diode ya 980nm 1470nm yo kuvura indwara z'umubiri
- Laser ya Diode ya 980nm 1470nm yo kuvura amenyo
- Laser ya Diode ya 980nm 1470nm yo kuvura indwara z'amaguru
Uburyo bwo kuvura imitsi ya Saphenous Vein bwa 980nm 1470nm hakoreshejwe laser -V6
ibiranga ibicuruzwa
EVLA ni uburyo bushya bwo kuvura imitsi irwaye indwara z'imitsi idakoreshejwe ubuvuzi. Aho guhambira no gukuraho imitsi idasanzwe, ishyushywa na laser. Ishobora gukorerwa mu cyumba cyoroshye cyo kuvurirwamo aho gukorerwa mu cyumba cyo kubaga.
Igipimo cyiza cyo kwinjiza amazi mu ngirabuzimafatizo, gitanga ingufu ku burebure bwa 1470 nm. Uburebure bufite urwego rwo hejuru rwo kwinjiza amazi mu ngirabuzimafatizo. Imiterere y’umubiri w’umuraba ukoreshwa muri laser ya V6 bivuze ko agace k’umuraba kaba kari ku kigero gito kandi kagenzurwa, bityo nta ngaruka zo kwangirika kw’ingingo zegeranye.
Byongeye kandi, bigira ingaruka nziza cyane ku maraso (nta ngaruka zo kuva amaraso).
Izi ngingo zituma laser ya V6 1470 iba itekanye.
- 1. Gutobora umutsi munini wa saphenous kuri medial malleolus
- 2. Shyiramo insinga y'amazi iyobora amazi unyuze muri catheter
- 3. Pima uburebure kuva ku gice cyo gutobora kugeza ku ishusho ya fossa oval
- 4. Shyiramo catheter ifite intego nyinshi unyuze mu mugozi uyobora mu mutsi munini wa saphenous
- 5. Gusohora laser ya diode
IBYIZA BYA LASER
- Ibisubizo bihamye, bigaragara kandi byihuse
Gukoresha laser ya diode V6 byihutisha igihe cyo kuvurwa kandi bigatuma habaho umusaruro mwiza kandi muremure.
Ibyiza by'ingenzi by'uburyo bwa EVLT:
◆Ntabwo bisaba kujya mu bitaro (umurwayi ashobora kujya mu rugo nubwo yamara iminota 20 kuvurwa)
◆Indashyikirwa zo mu gace
◆Igihe gito cyo kuvurwa
◆Nta gucika cyangwa inkovu nyuma yo kubagwa
◆Gusubira vuba ku bikorwa bya buri munsi (ubusanzwe iminsi 1-2)
◆Ifite imikorere myiza cyane
◆Uburinganire bwo kuvura buhanitse
◆Impuzandengo nziza cyane y'ubwiza
Interuro
V6 ifite dose ntoya cyane iboneka kuri porogaramu ituma umukoresha udafite inararibonye atangira byoroshye, ecran yerekana ingano y'ingufu zitangwa muri Joules, bigatuma habaho kugenzura neza uburyo bwo kuvura.
IBIKORESHO BY'UBUHANGA
| Ubwoko bwa laser | Diode Laser Gallium-Aluminum-Arsenide GaAlAs |
| Uburebure bw'umuraba | 980nm 1470nm |
| Ingufu | 30W+17W |
| Uburyo bwo Gukora | CW, Pulse na Single |
| Umurabyo wo Kureba | Itara ry'ikimenyetso gitukura rishobora guhindurwa rya 650nm |
| Umurambararo wa fibre | Fibre ya 300um/400um/600um/800um |
| Ubwoko bwa fibre | Fibre yambaye ubusa |
| Igihuza fibre | Ibipimo ngenderwaho mpuzamahanga bya SMA905 |
| Impagarara | 0.00s-1.00s |
| Gutinda | 0.00s-1.00s |
| Umuvuduko w'amashanyarazi | 100-240V, 50/60HZ |
| Uburemere | 7.2KG |
Kuki twahitamo
1. Moteri ya laser yo mu Budage imara imyaka irenga 3, ingufu za laser zirenga 30w;
2. Ingaruka zo kuvura: gukora umuntu areba neza, ishami rikuru rishobora kuziba udutsi duto tw’imitsi.
3. Abarwayi bafite indwara yoroheje bashobora kuvurirwa mu bitaro by’ingoboka.
4. Kwandura ubwandu nyuma yo kubagwa, ububabare buke, gukira vuba.
5. Kubaga biroroshye, igihe cyo kuvura kiragabanuka cyane, bigabanya ububabare bwinshi bw'umurwayi.
6. Isura nziza, nta nkovu nyinshi nyuma yo kubagwa.
7. Kudatera cyane, kuva amaraso make.
Gukoresha imiyoboro ya radial itangwa na Triangel hamwe na laser ya V6 bitanga icyizere cy’uko iyi miyoboro ihuye neza n’iyi miyoboro bityo igatanga ingufu mu buryo bunoze. Ibi bivuze ko ingufu za laser, nk’uko byatangajwe n’uruganda, ziboneka ku mutwe wa fiber optique, bityo zikaba zingana n’izo zitangwa mu mubiri. Izindi laser nyinshi na fiber optique bitera igihombo kigera kuri 20%, bishobora gutuma imitsi yongera guhindagurika bitewe n’ubucucike bw’ingufu butaringaniye n’igihombo cy’ingufu mu gihe cyo gukora EVLT.
Nk'ikigo cyihariye giteza imbere kandi kigakora imirasire ya diode na fibre optique, twahuje ubumenyi bwacu bwose kugira ngo dutange igisubizo gikwiye kuri buri kintu cyose gikenewe mu kubaga kwa buri munsi.
Amahame ya tekiniki
>>Siga umuti ugabanya ububabare ku gice cyangiritse hanyuma ushyiremo urushinge aho hantu.
>> Shyira insinga mu rushinge hejuru y'umutsi.
>> Kuraho urushinge hanyuma ushyiremo katheteri (umuyoboro muto wa pulasitiki) hejuru y'insinga mu muyoboro wa saphenous.
>>Subiza fibre ya laser hejuru ya catheter ku buryo umutwe wayo ugera aho ugomba gushyushywa cyane (ubusanzwe ni aho igitsina cy'umuntu kibohoka).
>> Shyiramo umuti uhagije wo gusinziriza mu mitsi unyuze mu gukubitwa urushinge rwinshi cyangwa ukoresheje ikinya cya Tumescent.
>> Shyira laser hanyuma ukure fibre ya radial hasi santimetero kuri santimetero mu minota 20 kugeza kuri 30.
>>Shushya imitsi unyuze muri catheter bigatuma inkuta z'imitsi zisenyuka mu buryo bumwe, uyigabanya hanyuma uyifunga. Kubera iyo mpamvu, nta maraso yongera gutembera muri iyo mitsi bishobora gutuma habaho kubyimba. Imitsi mizima iyikikije nta mitsi ifite uburibwe, bityo ikaba ishobora kongera gutembera neza iyo amaraso agize uburibwe.
>> Kuraho laser na catheter hanyuma upfuke igikomere cyo gutobora urushinge
hamwe n'agapfunyika gato.
Nyuma yo kuvurwa hakoreshejwe laser, shyira igitutu ku gice cy’umuvuduko w’amaraso cyangwa ushyireho isogisi yo mu rwego rwo hejuru. Byongeye kandi, kanda kandi ufunge umwobo w’amaraso uri ku muvuduko munini wa saphenous ukoresheje igitutu cy’inyongera hanyuma uwushyireho gaze. Niba nta kibazo kidasanzwe, komeza gushyiramo igitutu cyo hejuru cyangwa isogisi yo hejuru (ku itako) iminsi 7-14 (ntuyikuremo cyangwa ngo uyikuremo). Isosi yo mu gace irongera gupfunyika hakoreshejwe laser.
INGARUKA Z'URUBANZA
IBIKORESHO BISANZWE
