Sei Uchifanira Kusarudza Dual Wavelength Laser (980nm + 1470nm) yeVaricose Veins (EVLT)?
Sei Uchifanira Kusarudza Dual Wavelength Laser (980nm + 1470nm) yeVaricose Veins (EVLT)?
Sisitimu yelaser yeTR-B ine mawavelength maviri akasiyana elaser: 980nm ne1470nm, imwe neimwe ine mabhenefiti akasiyana anoita kuti ishande zvakanyanya pakushandisa laser. laser inobuda muvenous kurapwa (EVLT).
*980nm Laser: Kureba kwebvudzi uku kunoratidza kunyorova kwakaringana mumvura neropa, zvichiita kuti ive chishandiso chekuvhiya chine simba uye chinoshanda zvakasiyana-siyana. Nesimba rekuburitsa rinosvika mawatts makumi matatu, rinopa simba rakasimba rakakodzera kubvisa ropa zvakanaka muropa.
*1470nm Laser: Kureba uku kwemvura kunonyanya kupinza simba mumvura, zvichikonzera kuendeswa kwesimba kwakanyatsojeka uye kupararira kwekupisa kushoma. Izvi zvinoderedza kukuvara kwekupisa kune tishu dzakapoteredza uye tsinga dziri pedyo, zvichiwedzera kuchengetedzeka uye nyaradzo yemurwere.
Zvichienderana nehunhu uhwu, kusanganisa marefu e 980nm ne 1470nm kunokurudzirwa zvikuru kuti pave nemigumisiro yakanaka yeEVLT. Nzira iyi ye dual-wavelength inoshandisa simba guru uye kushanda zvakanaka kwe 980nm laser nekunyatsorongeka uye kuchengetedzeka kwe Laser ye1470nm, ichipa mhinduro yakakwana yekuvhara mitsipa zvinobudirira.
Ongororo yeMaitiro eEVLT
Kurapa neLaser Endovenous (EVLT) kunosanganisira kuisa laser fiber zvakananga mutsinga yevaricose yakakanganiswa. Maitiro acho haanyanyi kupindira uye anowanzoitwa pakurapwa kunze kwechipatara. Heino tsananguro yenhanho nenhanho:
*Isa mushonga wekutindivadza panzvimbo yekurapwa woisa tsono mutsinga yauri kuda kuvhiyiwa.
*Tungamira waya inotungamira nepatsono woifambisa mberi uchitevedza tsinga.
*Bvisa tsono, uchisiya waya yekufambisa iri panzvimbo yayo, woisa catheter (chubhu yepurasitiki yakatetepa) pamusoro pewaya uchipinda mutsinga yeropa.
*Fambisa fiber yelaser inoburitsa radial kuburikidza necatheter kusvika muromo wayo wasvika panzvimbo yaunoda kurapwa—kazhinji panobatana dumbu.
*Ita tumescent anesthesia nekubaya mushonga weanesthetic munharaunda yakatenderedza tsinga uchishandisa maburi akawanda etsono. Izvi zvinopa kudzora marwadzo uye zvinodzvanya tsinga yakatenderedza tsinga, zvichivandudza kutamiswa kwesimba uye kudzivirira nyama dzakakomberedza.
*Batidza laser wobvisa fiber zvishoma nezvishoma nenzira yakarongwa—kazhinji 1 cm pasekondi—kwemaminitsi anopfuura makumi maviri kusvika makumi matatu.
*Painobviswa faibha, simba relaser rinopisa madziro etsinga, zvichikonzera kukuvara kwakafanana kwekupisa uko kunodonha uye kunovhara tsinga. Ropa rinozoendeswa kutsinga dzine hutano, zvichibvisa reflux uye zvichideredza zviratidzo zvakaita sekuzvimba uye kusagadzikana.
*Kana mushonga wapera, bvisa laser fiber necatheter. Isa jira diki panzvimbo yekupinda.
*Kuvhiyiwa kwese kunotora maminetsi angangoita makumi maviri kusvika makumi matatu pagumbo rega rega. Kuti zvive zvakanaka, mitsipa midiki inoyerera inogona kuda kurapwa kwakawedzerwa ne sclerotherapy.
EVLT inzira yakachengeteka, inoshanda, uye inobvumirwa zvakanaka iyo inopa kupora nekukurumidza uye mhedzisiro yakanaka yekushongedza.
