Sei Uchifanira Kusarudza Dual Wavelength Laser (980 nm + 1470 nm) yeVaricose Veins (EVLT)?

Sisitimu yeV6 endovenous laser ine mawavelength maviri akaedzwa nekiriniki—980 nm uye 1470 nm—imwe neimwe ine zvakanakira zvakasiyana pakurapa mitsipa yeropa yakakuvara. Kubatanidza mawavelength ese ari maviri kunopa mhedzisiro yakanaka mukurapa kweEndovenous Laser Treatment (EVLT).

Laser ye980 nm:

Wavelength iyi inoratidza kunyudzwa kwakaringana mune zvese zviri zviviri mvura uye hemoglobin, zvichiita kuti ive chishandiso chine simba uye chinoshanda zvakasiyana-siyana chekubvisa tsvina kubva mudumbu. Iine simba rekuburitsa rinosvika Mawati makumi matatu, inopa simba rakasimba uye rakavimbika rekuvhara mitsipa zvinobudirira, kunyanya mumitsipa yakakura.

Laser ye 1470 nm:

Wavelength iyi ine kunyudzwa kwakanyanya mumvura, zvichiita kuti simba riendeswe zvakanaka uye kupararira kwekupisa kwakaderedzwa kune nyama dzakakomberedza. Izvi zvinoderedza kukuvara kwemuviri uye zvinowedzera kugadzikana kwemurwere, zvichiita kuti ive yakakodzera nzvimbo dzakatetepa dzemuviri.

Zvinokurudzirwa nekiriniki:

Kuti pave nemigumisiro yakanaka, a nzira yehurefu hwemafungu maviri (980 nm + 1470 nm) inokurudzirwa zvikuru. Musanganiswa uyu unoshandisa simba guru re980 nm uye kururama kwe1470 nm, zvichiita kuti kuvharika kwetsinga kunoshanda pasina migumisiro yakawanda uye kupora kwakavandudzwa mushure mekuvhiyiwa.

Maitiro eEVLT: Nhanho neNhanho

Laser Inoshanda Mukati Kurapa (EVLT) inzira inoshandiswa nelaser simba kuvhara mitsipa yevaricose isiri kushanda zvakanaka. Fiber yelaser inopinzwa zvakananga mutsinga yakakanganiswa—zvichireva kuti "endovenous," zvichireva mukati metsinga. Heino nzira yakajairika:

Anesthesia Yemunharaunda:

Mushonga unotindivadza wepanzvimbo unopihwa panzvimbo yekurapwa, uye tsono diki inopinzwa mutsinga yakanangana nayo.

Kuisa Waya Yekutungamira:

Waya yakatetepa inopfuudzwa nepatsono yopinda mutsinga yeropa ichitungamirirwa neultrasound.

Kuiswa kweCatheter:

Tsono inobviswa, uye catheter (chubhu yepurasitiki yakatetepa) inoiswa pamusoro pewaya yoiswa mukati metsinga.

Kuiswa kweLaser Fiber:

Fiber yelaser inoburitsa radial inopinzwa kuburikidza necatheter yoenderera mberi kusvika muromo wayo wasvika padanho repamusoro (repamusoro) rechikamu chine chirwere—kazhinji pedyo nepaburi remudumbu.

Anesthesia yeTumescent:

Mushonga weanesthetic wemunharaunda unobayiwa wakatenderedza tsinga uchishandisa nzira diki dzakawanda dzekushandisa tsono kana kuti unopinzwa nguva nenguva. inodzvanya tsinga, inodzivirira nyama dzakapoteredza, uye inoderedza marwadzo panguva yekushandiswa kwelaser.

Kushanda kweLaser uye Kubvisa Fiber:

Laser inobatidzwa, uye fiber inobviswa zvishoma nezvishoma 1 cm panguva imwe chete, ichipa simba rekupisa rinodzorwa pamadziro etsinga pamusoro Maminetsi makumi maviri kusvika makumi matatu.

Kuvharwa kwetsinga:

Zvinokonzera kupisa kuvharika kwakafanana uye kuvharika kusingaperi madziro etsinga, ichivhara tsinga yacho. Ropa rinoendeswa kutsinga dzakakomberedza dzine hutano, zvichiita kuti kutenderera kweropa kuenderere mberi zvakanaka uye kubvisa zviratidzo zvakaita sekuzvimba uye kusagadzikana.

Kupedzwa kweMaitiro:

Kana kurapwa kwapera, laser fiber necatheter zvinobviswa. Nzvimbo yekupinda inofukidzwa nejira diki.

Zvinyorwa zvePashure peKurapwa:

Maitiro ese anotora anenge Maminetsi makumi maviri kusvika makumi matatu pagumbo rimwe nerimweKuti pave nemigumisiro yakanaka yekushongedza uye kushanda zvakanaka, kusiyana kudiki kwemavara kunogona kuda mamwe ma sclerotherapy kungava panguva yeEVLT kana kuti mushure mayo.