Kungani Ukhethe Umshini We-Diode Laser we-1470nm Wokususa Imithambo Ye-Varicose?
Imvelaphi yemithambo ye-Varicose
Imithambo ye-Varicose ngokuyinhloko ibangelwa ubuthakathaka besakhiwo sodonga lwemithambo ohlelweni lwemithambo engaphezulu, okuholela ekukhuleni okuqhubekayo. Lolu shintsho lokwakheka kwemithambo lubeka engcupheni ikhono lama-valve emithambo aqonde ngqo, ngaphansi kwezimo ezijwayelekile zomzimba avimbela ukugeleza kwegazi emuva. Ukungasebenzi kahle kwama-valve kuholela ekubuyeni kwemithambo, ikakhulukazi ngesikhathi sokuma okuqondile, lapho amandla adonsela phansi enza kube nzima ukuhamba kwegazi okungavamile.
Ukugeleza okuqhubekayo kwe-retrograde kwandisa ingcindezi yangaphakathi kwemithambo ethintekile, okukhuthaza ukwanda okuqhubekayo kwemithambo, ukugoba, kanye nezimpawu zemitholampilo ezifana nobuhlungu, ukuvuvukala, izinguquko zesikhumba, kanye nasezimweni ezimbi kakhulu, izilonda. Ukungakwazi ukusebenza kahle kwemithambo yegazi okungapheli kuvame ukuhlotshaniswa nalokhu kuqubuka kwezifo.
Ukubuka konke kwe I-Laser Endovenous Ukwelashwa (i-EVLT)
Ukwelashwa Nge-Laser Endovenous (EVLT) inqubo engangenisi kakhulu, eqondiswa yizithombe eyasungulwa ochwepheshe bemithambo yegazi yokwelapha i-reflux yemithambo yegazi engaphezulu enezimpawu, ikakhulukazi ehilela i-great saphenous vein (GSV) kanye ne-small saphenous vein (SSV).
Ngaphansi kwesiqondiso se-ultrasound, i-laser fiber ifakwa emthanjeni oqondiwe nge-catheter. Amandla okushisa alethwayo abangela umonakalo we-endothelial, i-fibrosis yodonga lwemithambo yegazi, kanye nokuvaleka okulandelayo. I-EVLT ivame ukwenziwa ngaphansi kwe-tumescent anesthesia yendawo endaweni yokulaliswa esibhedlela, isikhathi senqubo sisukela kumaminithi angu-30 kuya kwangu-60.
Izinzuzo ezibalulekile zifaka:
*Amazinga aphezulu empumelelo kwezobuchwepheshe (>90%)
*Ubuhlungu nezinkinga ezincishisiwe ngemva kokuhlinzwa uma kuqhathaniswa nezindlela zokuhlinzwa zendabuko
*Ukululama okusheshayo nokuqala kabusha imisebenzi yansuku zonke
*Ukunciphisa amanxeba nemiphumela emihle yobuhle
I-EVLT isibe yindlela yokwelapha yokuqala yokungasebenzi kahle kwemithambo yegazi ngenxa yokusebenza kwayo kahle, ukuphepha kwayo, kanye nokuphindaphinda kwayo.
Isizathu Sokusebenzisa Ubude be-Wavelength obungu-1470nm
Phakathi kwama-wavelength ahlukahlukene e-laser asetshenziswa ekuhlikihlisweni kwe-endovenous, i-laser ye-diode engu-1470nm ithole ukuthandwa ngenxa yezakhiwo zayo zokukhanya eziphakeme. Lo ma-wavelength ubonisa i-coefficient ephezulu yokumuncwa kwamanzi kune-hemoglobin, okuvumela ukulethwa kwamandla okushisa okunembile nokulawulwayo odongeni lwemithambo yegazi.
Indlela yokusebenza:
*Amandla e-laser amuncwa yizicubu eziphuma emithanjeni kanye noketshezi olungaphakathi kwemithambo yegazi, okwenza amabhamuza omusi abangela ukushisa okujikelezayo kodonga lwemithambo.
*Lo mphumela wokushisa ongaqondile unciphisa ukulimala okuqondile kwe-photothermal ku-endothelium ngenkathi kuqinisekiswa ukubola okuqhubekayo kwe-collagen kanye nokuvalwa kwe-lumen.
Izinzuzo zezokwelapha:
*Isidingo samandla esiphelele esiphansi ukuze kusetshenziswe kahle ukususwa kwempahla
*Ukunciphisa ingozi yokulimala kokushisa ezakhiweni eziseduze (isib., imizwa yesikhumba, isikhumba)
*Ukwehla kwesibalo sobuhlungu ngemva kwenqubo, i-ecchymosis, kanye nezimpendulo zokuvuvukala
*Induduzo yesiguli ethuthukisiwe kanye nokululama okusheshayo kokusebenza
Ubufakazi busekela ukuthi ubude be-wavelength obungu-1470nm buthuthukisa ukusebenza kahle kwenqubo kanye nokuphepha ngaphandle kokubeka engcupheni amazinga okuvaleka kwesikhathi eside.