Ibikoresho bya Laser bya 30W 980nm byo kubaga amagufwa y'amenyo no kuvura indwara z'uruhu zo mu myanya y'imbere

IBISOBANURO BY'IGICURUZWA

Sisitemu ya laser na fibre yo muri Kanama 1470 ifite imiterere mito kandi idasaba kwitabwaho kugira ngo ikoreshwe neza kandi mu mutekano mu kubaga indwara z'amaso. Iyi sisitemu igezweho, yakozwe ku buryo bwihariye, itanga amahirwe menshi yo kuvura indwara z'amatwi, izuru n'umuhogo mu buryo bwa laser. Haba muri OR, mu ivuriro ryigenga cyangwa mu buryo bw'ibanga, urwego rw'ikoreshwa rushobora kongerwa bitewe n'ibyo umuntu akeneye ku giti cye.

Ikora neza, ifite ubuziranenge, kandi idahungabanya cyane hamwe n'ibisubizo byihariye muri ibi bikurikira:
Kubaga inda z'inda
Oropharynx
Dacryocystorhinostomy (DCR)
Ubumenyi bw'amaso
Indabyo zo mu nda
Indwara z'abana

Gukoresha urutoki gusa mu gukaraba amenyo. Ibi bituma ibikorwa byizewe kandi binonosoye bikorerwa hafi y’imiterere yoroheje mu gihe birinda ingingo zikikije.

IBYIZA BYA LASER

Ibyiza by'ingenzi byo gukoresha uburyo bwo kuvura indwara:

Interuro
Kanama 1470 ifite igipimo gito cyane cy’imikorere gitangwa na porogaramu, ibyo bigatuma umukoresha udafite inararibonye atangira byoroshye.
Ecran igaragaza ingano y'ingufu zitangwa muri Joules, bigatuma habaho kugenzura neza uburyo bwo kuvura.

Ugereranyije na laser ya CO2, iyi seti yihariye y'uburebure bw'umuraba igaragaza uburyo bwo kuva amaraso neza cyane kandi ikarinda kuva amaraso mu gihe cyo kubagwa, ndetse no mu bice by'amaraso nka polyps zo mu mazuru na hemangioma. Hamwe na sisitemu ya laser yo muri Kanama 1470, gukata neza, gukata no gusohora umwuka mu mubiri wa hyperplastic na tumour bishobora gukorwa neza nta ngaruka mbi zigaragara.

■Uburyo bwo kubaga hakoreshejwe microsurgical
■Ibitekerezo byo gukoraho bivuye kuri fibre ya laser
■Kuva amaraso make, isuzuma ryiza cyane mu gihe cyo kubagwa
■Hakenewe ingamba nke nyuma yo kubagwa
■Igihe gito cyo gukira ku murwayi

- Ibisubizo bihamye, bigaragara kandi byihuse
Gukoresha laser ya diode yo mu kwezi kwa 1470 byihutisha igihe cyo kuvurwa kandi bigatanga umusaruro mwiza kandi mu gihe kirekire ariko bigagabanya ingaruka mbi.

IBIKORESHO BY'UBUHANGA

UBUVUZI BW'IHINDUKA

Ubumenyi bw'amaso

Mu rwego rwa Otology, sisitemu ya Tazlaser® igezweho yo muri Kanama 1470 ya diode laser yongereye uburyo bwo kuvura budatera indwara cyane.

Uburyo bwo kuvura hakoreshejwe laser PARACENTESIS ni uburyo bwo kuvura bukoresha uburyo bworoshye kandi butarimo amaraso, bufungura umugongo w'amatwi hakoreshejwe uburyo bumwe bwo gukoraho igisasu. Umwobo muto ufite icyuho mu mugongo w'amatwi, ukorwa na laser, ufite akarusho ko kuguma ufunguye mu gihe cy'ibyumweru bitatu. Isohoka ry'amazi ryoroshye kuryifatamo, bityo inzira yo gukira nyuma yo kubyimba iba ngufi cyane, ugereranije n'uburyo busanzwe bwo kubaga.
Umubare munini w'abarwayi barwaye indwara ya OTOSCLEROSIS mu gutwi ko hagati. Uburyo bwo muri Kanama 1470, hamwe n'imigozi yoroshye kandi yoroshye ya mikoroni 200, butanga uburyo bwo kuvura abaganga b'amatwi butari bunini bwa STAPEDECTOMY (ishoti rimwe rya laser yo gutobora igice cy'ikirenge) na STAPEDOTOMY ya laser (umwobo uzengurutse igice cy'ikirenge cya stirrup kugira ngo hafatwe poroteyine yihariye nyuma). Ugereranyije na laser ya CO2, uburyo bwo gufatana bufite akarusho ko gukuraho ibyago by'uko ingufu za laser zigira ingaruka ku tundi duce tw'imiterere y'ugutwi guto.

Kubaga amazuru mu mazuru

Kubaga mu mazuru no mu mazuru ni inzira igezweho kandi igezweho mu kuvura sinuses zo mu mazuru na paranasal. Ariko, bitewe n'uko amaraso menshi ava mu gice cy'umuyoboro w'amaraso, kubaga muri iki gice bikunze kugorana.

Ubuhanga bwo kutabona neza bitewe no kuva amaraso akenshi butuma habaho akazi gake; gufunga amazuru igihe kirekire no gushyira imbaraga nyinshi ku murwayi na muganga akenshi ntibikunze kwirindwa.
Icy'ingenzi mu kubaga endonasal ni ugukomeza ingirangingo z'umura zikikije uko bishoboka kose. Fibre nshya yakozwe ifite umutwe wihariye wa fibre ku mpera ya kure yemerera kwinjira mu mazuru mu ngirangingo za turbinate kandi vaporize ishobora gukorwa mu buryo bwo kurinda urura rwo hanze burundu.
Kubera ingaruka nziza zo kuva amaraso mu mazuru, inzira zinoze zishobora gukorwa hamwe n’aho umuntu akorera. Hakoreshejwe imigozi ya laser ya August® optique kandi yoroshye ifite umurambararo wa minini wa 400 μm, kugera ku mazuru yose ni ingenzi.

Indabyo zo mu nda

Icy'ingenzi mu kuvura indwara zo mu maraso ni ukwirinda ko inkovu zigira ingaruka mbi ku mubiri no kubura kw'ingingo kuko bishobora kugira ingaruka zikomeye ku mikorere y'amajwi.

Uburyo bwo gukoresha laser ya pulsed diode bukoreshwa hano. Muri ubu buryo, ubujyakuzimu bw'ubushyuhe bushobora kugabanuka cyane; guhumeka kw'imitsi no gukata ingingo bishobora gukorwa neza kandi mu buryo bugenzurwa, ndetse no ku ngingo zishobora kwangirika, mu gihe birinda neza imitsi iyikikije. Ibimenyetso by'ingenzi: guhumeka kw'imibyimba, papilloma, stenosis no gukuraho polyps z'imitsi.

IBIKORESHO BISANZWE