Kutheni Ufanele Ukhethe I-Dual Wavelength Laser (980 nm + 1470 nm) kwiVaricose Veins (EVLT)?

Inkqubo yelaser endovenous V6 inee-wavelengths ezimbini eziqinisekisiweyo ngokwezonyango—980 nm kunye ne-1470 nm—nganye ineengenelo ezahlukeneyo zokunyanga imithambo yegazi erhabaxa. Ukudibanisa zombini ubude be-wavelength kubonelela ngeziphumo ezilungileyo zeklinikhi kwi-Endovenous Laser Treatment (EVLT).

I-Laser ye-980 nm:

Olu bude be-wavelength lubonisa ukufunxwa okulinganayo kuzo zombini amanzi kunye ne-hemoglobin, nto leyo eyenza ukuba ibe sisixhobo esinamandla nesisebenziseka lula sokukhupha umoya ngaphakathi. Inamandla okukhupha afikelela kwi Iiwatts ezingama-30, inika amandla aqinileyo nanokuthenjwa ukuze kuvalwe kakuhle imithambo yegazi, ingakumbi kwimithambo emikhulu.

Ileza eyi-1470 nm:

Olu bubanzi bomphezulu lune ukufunxwa okuphezulu kakhulu emanzini, nto leyo ekhokelela ekunikezelweni kwamandla ngokuchanekileyo kunye ukusasazeka kobushushu okuncitshisiweyo kwizicubu ezingqongileyo. Oku kunciphisa umonakalo obalulekileyo kwaye kuphucula intuthuzelo yesigulana, nto leyo eyenza ukuba ifaneleke kwiindawo ezibuthathaka zomzimba.

Ingcebiso yezonyango:

Ukuze ufumane iziphumo ezilungileyo, indlela yobude begagasi obuphindwe kabini (980 nm + 1470 nm) iyacetyiswa kakhulu. Le ndibaniselwano isebenzisa amandla aphezulu e-980 nm kunye nokuchaneka kwe-1470 nm, ukuqinisekisa ukuvalwa kwemithambo okusebenzayo kunye neziphumo ebezingalindelekanga ezincinci kunye nokuchacha okuphuculweyo emva kotyando.

Inkqubo ye-EVLT: Inyathelo ngeNyathelo

I-Laser Endovenous Unyango (EVLT) yinkqubo engaphantsi kakhulu esebenzisa amandla elaser ukuvala imithambo ye-varicose engasebenzi kakuhle. Ifayibha yelaser ifakwa ngqo kumthambo ochaphazelekayo—ngoko ke "endovenous," oko kuthetha ngaphakathi komthambo. Nantsi inkqubo eqhelekileyo:

I-Anesthesia Yasekuhlaleni:

Kufakwa i-anesthetic yendawo kwindawo yonyango, kwaye kufakwa inaliti encinci kumthambo ekujoliswe kuwo.

Ukufakwa kweNtambo yeSikhokelo:

Intambo ebhityileyo yesikhokelo idlula kwinaliti ize idlulele kwimithambo yesaphenous phantsi kwesikhokelo se-ultrasound.

Ukubekwa kweCatheter:

Inaliti iyasuswa, kwaye i-catheter (ityhubhu yeplastiki encinci) ifakwe intambo phezu kwentambo ize ibekwe ngaphakathi komthambo.

Ukufakwa kweFayibha yeLaser:

Ifayibha yelaser ekhupha i-radial ifakwa nge-catheter ize iqhubeke ide ifikelele kwinqanaba eliphezulu (eliphezulu) lecandelo elinesifo—ngokuqhelekileyo kufutshane nomphezulu wesinqe.

I-Tumescent Anesthesia:

Isisombululo se-anesthetic yendawo sifakwa emthanjeni kusetyenziswa iinaliti ezininzi ezincinci okanye i-infusion eqhubekayo. icinezela umthambo, ikhusela izicwili ezingqongileyo, kwaye inciphisa iintlungu ngexesha lokusebenza kwelaser.

Ukusebenza kweLaser kunye nokuKhutshwa kweFiber:

I-laser iyasebenza, kwaye ifayibha irhoxiswa kancinci kancinci 1 cm ngexesha, inika amandla obushushu alawulwayo eludongeni lomthambo phezu Imizuzu engama-20–30.

Ukuvalwa kwemithambo:

Ubushushu bubangela ukufinyela okufanayo kunye nokuvaleka okungapheliyo udonga lomthambo, uvala umthambo. Igazi lidluliselwa ngokwendalo kwimithambo ephilileyo ejikelezileyo, libuyisela ukujikeleza kwegazi okusebenzayo kwaye lisuse iimpawu ezifana nokudumba kunye nokungonwabi.

Ukugqitywa kwenkqubo:

Nje ukuba unyango lugqityiwe, i-laser fiber kunye ne-catheter ziyasuswa. Indawo yokungena igqunywe nge-dressing encinci.

Amanqaku Emva Konyango:

Lonke eli qhinga lithatha malunga Imizuzu engama-20 ukuya kwengama-30 ngomlenze ngamnyeUkuze ufumane iziphumo ezilungileyo zokuhombisa nokusebenza kakuhle, ii-varicosities ezincinci ze-collateral zinokufuna i-sclerotherapy eyongezelelweyo nokuba ngexesha okanye emva kwe-EVLT.