Sei Uchifanira Kusarudza Muchina weLaser we1470nm Diode wekubvisa Varicose Veins?

Etiology yeVaricose Veins
Mitsipa yeropa inokonzereswa nekuderera kwemadziro eropa mutsinga dzeropa dziri pamusoro, zvichikonzera kukura kwakanyanya. Kuchinja uku kwechimiro chemuviri kunokanganisa kugona kwemavharuvhu eropa ari mutsinga imwe chete, ayo pasi pemamiriro ezvinhu akajairwa emuviri anodzivirira kuyerera kweropa. Kusagona kwemavharuvhu kunoguma nekudzokera kweropa mutsinga, kunyanya panguva yekumira kwakamira, uko simba regiravhiti rinowedzera kuyerera kweropa kusingawanzoitiki.

Kuyerera kwenguva refu kweropa kunowedzera kumanikidzwa kweropa mukati metsinga dzakakanganiswa, zvichikurudzira kuwedzera kukura kweropa, kusimba kweropa, uye zviratidzo zvekurapa zvakaita sekurwadziwa, kuzvimba, kuchinja kweganda, uye muzviitiko zvakakomba, kuva nemaronda. Kusakwana kweropa kwenguva refu kunowanzobatanidzwa nedambudziko iri rezvirwere.

Pfupiso ye Laser Inoshanda Mukati Kurapa (EVLT)
Kurapa neLaser Endovenous (EVLT) inzira isinganyanyi kukuvadza muviri, inotungamirwa nemifananidzo yakagadzirwa nenyanzvi dzetsinga dzeropa kuti irape zviratidzo zve surface venous reflux, kunyanya inosanganisira great saphenous vein (GSV) uye small saphenous vein (SSV).

Pasi pekutungamira kweultrasound, fiber yelaser inopinzwa mutsinga inotarirwa kuburikidza necatheter. Simba rekupisa rinounzwa rinokonzera kukuvara kwe endothelial, fibrosis yemadziro emidziyo yeropa, uye kuvharika kunotevera. EVLT inowanzoitwa pasi peanesthesia yemudumbu munzvimbo yekunze, uye nguva yekurapa inotangira pakati pemaminitsi makumi matatu kusvika makumi matanhatu.

Zvakanakira zvikuru zvinosanganisira:

*Kubudirira kwepamusoro kwehunyanzvi (>90%)
*Kuderedza marwadzo nematambudziko mushure mekuvhiyiwa zvichienzaniswa nenzira dzechinyakare dzekuvhiya
*Kukurumidza kupora uye kutangazve mabasa ezuva nezuva
*Kukuvadzwa kushoma uye kuvandudzwa kwezvishongedzo

EVLT yave nzira yekutanga yekurapa kusashanda zvakanaka kwetsinga kwenguva refu nekuda kwekushanda kwayo, kuchengetedzeka kwayo, uye kugona kwayo kuberekana.

Chikonzero chekushandisa 1470nm Wavelength
Pakati pemawavelength akasiyana-siyana elaser anoshandiswa mu endovenous ablation, 1470nm diode laser yave kufarirwa nekuda kwehunhu hwayo hwepamusoro hwe optical. Wavelength iyi inoratidza mwero wepamusoro wekunyudzwa kwemvura kupfuura hemoglobin, zvichibvumira kuendeswa kwesimba rekupisa kumadziro etsinga nenzira yakanyatsojeka uye inodzorwa.

Maitiro ekuita:

*Simba relaser rinotorwa nenyama inoyerera uye mvura iri mutsinga, zvichigadzira mabubbles emhepo anokonzera kupisa kwemadziro etsinga.
*Kupisa uku kunoderedza kukuvara kwe endothelium zvakananga ne photothermal ukuwo kuchivimbisa kuti collagen inoshanduka nguva dzose uye kuvharika kwe lumen.

Mabhenefiti ekiriniki:

*Kuderedza simba rose rinodiwa kuti kubvisa kushande zvakanaka
*Kuderedza njodzi yekukuvara kwekupisa kune zvivako zviri pedyo (semuenzaniso, tsinga dzeganda, ganda)
*Kuderera kwehuwandu hwekurwadziwa mushure mekuita, ecchymosis, uye mhinduro dzekuzvimba
*Kunyaradzwa kwemurwere uye kupora nekukurumidza

Humbowo hunotsigira kuti kureba kwe1470nm kunovandudza kushanda zvakanaka kwemaitiro uye kuchengetedzeka pasina kukanganisa mwero wekuvharika kwenguva refu.