Kungani Kufanele Ukhethe I-Dual Wavelength Laser (980 nm + 1470 nm) Yemithambo Ye-Varicose (EVLT)?

Uhlelo lwe-laser oluyi-V6 olune-endovenous lunikeza amaza amabili aqinisekisiwe ngokwezokwelapha—980 nm kanye no-1470 nm—ngalinye linezinzuzo ezihlukile zokwelapha imithambo ye-varicose. Ukuhlanganisa womabili amaza okukhanya kunikeza imiphumela emihle kakhulu yezokwelapha ku-Endovenous Laser Treatment (EVLT).

I-Laser engu-980 nm:

Lo mkhawulo we-wavelength ubonisa ukumuncwa okulinganiselayo kokubili amanzi kanye ne-hemoglobin, okwenza kube ithuluzi elinamandla neliguquguqukayo lokukhipha umoya ongaphakathi. Ngamandla okukhipha afinyelela ku Ama-watts angu-30, inikeza amandla aqinile, athembekile okuvala imithambo ngempumelelo, ikakhulukazi emithanjeni enobubanzi obukhulu.

I-Laser engu-1470 nm:

Lo mkhawulo we-wavelength une ukumuncwa okuphezulu kakhulu emanzini, okuholela ekulethweni kwamandla okunembe kakhudlwana kanye ukusabalala kokushisa okuncishisiwe ezicutshini ezizungezile. Lokhu kunciphisa umonakalo obalulekile futhi kuthuthukisa induduzo yesiguli, okwenza kube kuhle ezindaweni ezibucayi zomzimba.

Isincomo Sezokwelapha:

Ukuze uthole imiphumela emihle kakhulu, indlela yobude obuphindwe kabili (980 nm + 1470 nm) Kunconywa kakhulu. Le nhlanganisela isebenzisa amandla aphezulu angu-980 nm kanye nokunemba okungu-1470 nm, okuqinisekisa ukuvalwa kwemithambo okusebenzayo okunemiphumela emibi emincane kanye nokululama okuthuthukisiwe ngemva kokuhlinzwa.

Inqubo ye-EVLT: Isinyathelo Ngesinyathelo

I-Laser Endovenous Ukwelashwa (EVLT) inqubo engavamile kakhulu esebenzisa amandla e-laser ukuvala imithambo ye-varicose engasebenzi kahle. I-laser fiber ifakwa ngqo emthanjeni othintekile—ngakho-ke "endovenous," okusho ngaphakathi komthambo. Nansi inqubo ejwayelekile:

I-Anesthesia Yendawo:

Kunikezwa umuthi wokubulala izinzwa wendawo endaweni yokwelashwa, bese kufakwa inaliti encane emthanjeni oqondiwe.

Ukufakwa Kwentambo Yomhlahlandlela:

Intambo encane yokuqondisa idlula ngenaliti bese iqhubekela phambili iye emthanjeni we-saphenous ngaphansi kokuqondiswa yi-ultrasound.

Ukubekwa kwe-Catheter:

Inaliti iyasuswa, bese kufakwa i-catheter (ipayipi elincane lepulasitiki) phezu kwentambo bese ifakwa ngaphakathi komthambo.

Ukufakwa Kwefayibha Yelaser:

I-fiber ye-laser ekhipha i-radial ifakwa nge-catheter bese iqhubekela phambili kuze kube yilapho isiqongo sayo sifinyelela endaweni eseduze (ephezulu) yengxenye enesifo—ngokuvamile eduze komphetho we-groin.

I-Tumescent Anesthesia:

Isixazululo se-anesthetic yendawo sijovwa sizungeze umthambo kusetshenziswa izinaliti eziningi ezincane noma ukumnika okuqhubekayo. icindezela umthambo, ivikela izicubu ezizungezile, futhi inciphisa ubuhlungu ngesikhathi sokusebenza kwe-laser.

Ukusebenza kwe-Laser kanye nokuhoxiswa kwe-Fiber:

I-laser iyavulwa, futhi i-fiber ikhishwa kancane kancane 1 cm ngesikhathi, ukuletha amandla okushisa alawulwayo odongeni lomthambo phezu Imizuzu engama-20–30.

Ukuvalwa Kwemithambo:

Ukushisa kubangela ukufinyela okufanayo kanye nokuvaleka okuhlala njalo udonga lwemithambo, ukuvala umthambo. Igazi lidluliselwa ngokwemvelo emithanjeni enempilo ezungezile, libuyisele ukujikeleza kwegazi okusebenzayo futhi lisuse izimpawu ezifana nokuvuvukala nokungakhululeki.

Ukuqedwa Kwenqubo:

Uma ukwelashwa sekuqediwe, i-laser fiber kanye ne-catheter kuyasuswa. Indawo yokungena imbozwe nge-dressing encane.

Amanothi Ngemva Kokwelashwa:

Yonke inqubo ithatha cishe Imizuzu engama-20 kuya kwengama-30 ngomlenze ngamunyeUkuze uthole imiphumela emihle kakhulu yobuhle nokusebenza, ukuhlukahluka okuncane kwe-collateral kungadinga ukwelashwa okwengeziwe kwe-sclerotherapy kungaba ngesikhathi noma ngemva kwe-EVLT.