Kutheni Ukhetha Umatshini weLaser weDiode we-1470nm wokususa iVaricose Veins?

Imvelaphi yemithambo yeVaricose
Imithambo yeVaricose ngokuyintloko ibangelwa kubuthathaka kwesakhiwo sodonga lwemithambo kwi-venous system, nto leyo ekhokelela ekukhuleni okuqhubekekayo. Olu tshintsho lwe-morphological lubeka emngciphekweni ubuchule beevalvu zemithambo ezijikelezayo, ezithi phantsi kweemeko eziqhelekileyo zomzimba zithintele ukuhamba kwegazi okungasemva. Ukungakwazi kweevalvu kubangela i-venous reflux, ngakumbi ngexesha lokuma nkqo, apho amandla omxhuzulane abangela ukuba ukuhamba kwegazi kungenzeki ngendlela engaqhelekanga.

Ukuhamba kwemithambo ebuyela umva okuqhubekayo kwandisa uxinzelelo lwangaphakathi kwimithambo echaphazelekayo, nto leyo ekhuthaza ukwanda kwemithambo, ukudumba, kunye neempawu zeklinikhi ezifana neentlungu, ukudumba, utshintsho lolusu, kwaye kwiimeko ezinzima, izilonda. Ukungakwazi ukusebenza kakuhle kwemithambo engapheliyo kudla ngokunxulunyaniswa nale nkqubo ye-pathophysiological.

Isishwankathelo se I-Laser Endovenous Unyango (EVLT)
Unyango lweLaser oluyi-Endovenous (EVLT) luyinkqubo engaphantsi kakhulu, ekhokelwa ngumfanekiso eyenziwe ziingcali zemithambo yegazi ukunyanga i-overalf venous reflux eneempawu, ingakumbi ebandakanya i-great saphenous vein (GSV) kunye ne-small saphenous vein (SSV).

Phantsi kwesikhokelo se-ultrasound, i-laser fiber ifakwa kumthambo ojoliswe kuwo nge-catheter. Amandla obushushu aziswayo abangela umonakalo we-endothelial, i-fibrosis yodonga lwemithambo yegazi, kunye nokuvaleka okulandelayo. I-EVLT idla ngokwenziwa phantsi kwe-tumescent anesthesia yendawo kwindawo yokulaliswa ngaphandle, ixesha lenkqubo liqala phakathi kwemizuzu engama-30 ukuya kwengama-60.

Iingenelo eziphambili ziquka:

*Amanqanaba aphezulu empumelelo kwezobugcisa (>90%)
*Ukunciphisa iintlungu kunye neengxaki emva kotyando xa kuthelekiswa neendlela zotyando zesintu
*Ukubuyela esiqhelweni ngokukhawuleza kunye nokuqalisa kwakhona imisebenzi yemihla ngemihla
*Ukuncitshiswa kwamanxeba amancinci kunye neziphumo eziphuculweyo zobuhle

I-EVLT iye yaba lunyango lokuqala lokungasebenzi kakuhle kwemithambo yegazi ngenxa yokusebenza kwayo kakuhle, iprofayili yokhuseleko, kunye nokuphindaphinda kwayo.

Isizathu sokusebenzisa Ubude beWavelength ye-1470nm
Phakathi kwee-wavelengths ezahlukeneyo ze-laser ezisetyenziswa kwi-endovenous ablation, i-1470nm diode laser ifumene ukhetho ngenxa yeempawu zayo eziphezulu ze-optical. Le wavelength ibonisa i-coefficient ephezulu yokufunxa amanzi kune-hemoglobin, okuvumela ukuhanjiswa kwamandla obushushu ngokuchanekileyo nangokulawulwayo eludongeni lwemithambo.

Indlela yokusebenza:

*Amandla elaser afunxwa zizicubu ezingaphakathi kwevenous kunye nolwelo olungaphakathi kwemithambo yegazi, nto leyo evelisa amaqamza omphunga abangela ukufudumala okujikelezayo kodonga lwemithambo.
*Esi siphumo sobushushu esingathanga ngqo sinciphisa ukwenzakala kwe-photothermal ngqo kwi-endothelium ngelixa siqinisekisa ukuguquka rhoqo kwe-collagen kunye nokuvalwa kwe-lumen.

Iingenelo zonyango:

*Imfuneko ephantsi yamandla apheleleyo ukuze kukhutshwe ngokufanelekileyo
*Umngcipheko oncitshisiweyo wokwenzakala kobushushu kwizakhiwo ezikufutshane (umz., imithambo-luvo yesikhumba, ulusu)
*Ukwehla kweziganeko zentlungu emva kwenkqubo, i-ecchymosis, kunye neempendulo zokuvuvukala
*Intuthuzelo ephuculweyo yesigulana kunye nokuchacha ngokukhawuleza kokusebenza kakuhle

Ubungqina buxhasa ukuba ubude be-1470nm buphucula ukusebenza kakuhle kwenkqubo kunye nokhuseleko ngaphandle kokubeka emngciphekweni amazinga okuvaleka kwexesha elide.