Kungani Kufanele Ukhethe I-Dual Wavelength Laser (980nm + 1470nm) Yemithambo Ye-Varicose (EVLT)?
Kungani Kufanele Ukhethe I-Dual Wavelength Laser (980nm + 1470nm) Yemithambo Ye-Varicose (EVLT)?
Uhlelo lwe-laser lwe-TR-B lunikeza amaza amabili e-laser ahlukile: i-980nm kanye ne-1470nm, ngalinye linezinzuzo ezihlukile ezenza zisebenze kahle kakhulu i-laser endovenous ukwelashwa (EVLT).
*I-Laser engu-980nm: Lo mkhawulo we-wavelength ubonisa ukumuncwa okulinganiselayo emanzini nasegazini, okwenza kube ithuluzi lokuhlinza elinamandla neliguquguqukayo. Ngamandla okukhipha afinyelela kuma-watts angu-30, linikeza amandla aqinile afanelekela ukususwa kwemithambo yegazi okuphumelelayo.
*1470nm I-Laser: Lo mkhawulo wesikhathi unamandla okumunca amanzi kakhulu, okuholela ekulethweni kwamandla okunembile kakhulu kanye nokusabalala kokushisa okuncishisiwe. Lokhu kunciphisa umonakalo wokushisa ohlangene ezicutshini ezizungezile kanye nezakhiwo zemithambo yegazi eziseduze, kuthuthukisa ukuphepha kanye nenduduzo yesiguli.
Njengoba kunikezwe lezi zici ezihambisanayo, ukuhlanganisa amaza obubanzi obungu-980nm no-1470nm kunconywa kakhulu ukuze kutholakale imiphumela emihle ye-EVLT. Indlela yobude obuphindwe kabili isebenzisa amandla aphezulu kanye nokusebenza kahle kwe-laser engu-980nm ngokunemba nokuphepha kwe- I-laser engu-1470nm, enikeza ikhambi eliphelele lokuvala imithambo ngempumelelo.
Ukubuka Konke Kwenqubo Ye-EVLT
Ukwelashwa Nge-Laser Endovenous (EVLT) kuhilela ukufaka i-laser fiber ngqo emthanjeni we-varicose othintekile. Le nqubo ayihlaseli kakhulu futhi ivame ukwenziwa ngaphandle kwesibhedlela. Nasi uhlaka lwesinyathelo ngesinyathelo:
*Faka i-anesthesia yendawo endaweni yokwelapha bese ufaka inaliti emthanjeni oqondiwe.
*Qondisa ucingo oluqondisayo ngenaliti bese uluhambisa ngobude bomthambo.
*Susa inaliti, ushiye ucingo lokuqondisa endaweni yalo, bese ufaka i-catheter (ipayipi elincane lepulasitiki) phezu kocingo ungene emthanjeni we-saphenous.
*Thuthukisa i-laser fiber ekhipha i-radial nge-catheter kuze kube yilapho i-top ifika endaweni yokwelashwa okuqondiwe kuyo—ngokuvamile lapho kuhlangana khona i-groin crease.
*Yenza i-tumescent anesthesia ngokufaka isixazululo sendawo esibulala izinzwa esizungeze umthambo usebenzisa ukubhoboza izinaliti eziningi. Lokhu kunikeza ukulawula ubuhlungu futhi kucindezele umthambo ozungeze i-fiber, kuthuthukise ukudluliselwa kwamandla futhi kuvikele izicubu ezizungezile.
*Sebenzisa i-laser bese uhoxisa kancane i-fiber ngendlela elawulwayo—ngokuvamile i-1 cm ngomzuzwana—ngaphezu kwemizuzu engama-20 kuya kwengama-30.
*Njengoba i-fiber ikhishwa, amandla e-laser ashisa udonga lwemithambo, okubangela umonakalo ofanayo wokushisa odilikayo futhi uvale umthambo. Igazi libe selidluliselwa ngokwemvelo emithanjeni enempilo, lisuse i-reflux futhi linciphise izimpawu ezifana nokuvuvukala nokungakhululeki.
*Uma ukwelashwa sekuqediwe, susa i-laser fiber kanye ne-catheter. Faka i-dressing encane endaweni yokungena.
*Inqubo yonke ithatha cishe imizuzu engama-20 kuya kwengama-30 ngomlenze ngamunye. Ukuze uthole imiphumela emihle, imithambo emincane ye-varicose ephuma emithanjeni ingadinga ukwelashwa okwengeziwe nge-sclerotherapy.
I-EVLT inqubo ephephile, ephumelelayo, futhi ebekezelelwa kahle enikeza ukululama okusheshayo kanye nemiphumela emihle kakhulu yobuhle.
