I-Endovenous Laser Ablation

Iyini i-Endovenous Laser Ablation (EVLA)?

I-Endovenous Laser Ablation Treatment, eyaziwa nangokuthi i-laser therapy, iyindlela yokwelashwa ephephile, efakazelwe engagcini nje ngokuphatha izimpawu zemithambo ye-varicose, kodwa futhi yelapha isimo esiyisisekelo esizibangelayo.

I-Endovenous isho ukuthi ngaphakathi komthambo, inani elincane le-anesthetic yendawo lijovwa esikhumbeni phezu komthambo bese kufakwa inaliti kuwo. Ucingo ludluliswa ngenaliti lukhuphuke ngomthambo. Inaliti ikhishwa futhi i-catheter idluliswa phezu kocingo, phezulu emthanjeni kanye nocingo lukhishwe. I-laser fiber idluliswa phezu kwe-catheter ukuze ithiphu layo libe endaweni ephakeme kakhulu okufanele ishiselwe (imvamisa i-groin crease yakho). Inani elikhulu lekhambi lendawo lokubulala izinzwa libe selijovwa eduze komthambo ngokuhlaba izinaliti ezincane eziningi. I-laser ibe isishiswa phezulu bese idonsela phansi umthambo ukuze kushise ulwelwesi olungaphakathi komthambo, luwulimaze futhi lubangele ukuba liwe, lushwabane, futhi ekugcineni lunyamalale.

Phakathi nenqubo ye-EVLA, udokotela ohlinzayo usebenzisa i-ultrasound ukuze athole umthambo okufanele ulashwe. Imithambo engelapheka yiziqu ze-venous emilenzeni:

I-Great Saphenous Vein (GSV)

I-Small Saphenous Vein (SSV)

Ama-tributaries abo amakhulu njenge-Anterior Accessory Saphenous Veins (AASV)

I-1470nm laser wavelength yomshini we-laser endovenous isetshenziswa ngempumelelo ekwelapheni imithambo ye-varicose, i-1470nm wavelength ithathwa kakhulu ngamanzi izikhathi ezingama-40 ngaphezu kwe-980-nm wavelength, i-laser ye-1470nm izonciphisa noma yibuphi ubuhlungu ngemuva kokuhlinzwa kanye nemihuzuko kanye neziguli lulama ngokushesha futhi ubuyele emsebenzini wansuku zonke ngesikhathi esifushane.

Manje emakethe1940nm ye-EVLA, i-Absorption coefficient ye-1940nm ingaphezulu kuka-1470nm emanzini.

I-1940nm varicose laser iyakwazi ukukhiqiza ukusebenza kahle okufanayo1470nm lasersngengozi encane kakhulu nemiphumela engemihle, njenge-paresthesia, ukwanda kwemihuzuko, ukungakhululeki kwesiguli ngesikhathi nangemva kokwelashwa kanye nokulimala okushisayo esikhumbeni esingaphezulu. Lapho isetshenziselwa i-endovenous coqultion yemithambo yegazi ezigulini ezine-superficial vein reflux.

Izinzuzo ze-Endovenous Laser yokwelashwa kwe-Varicose Veins:

Ihlasela kancane, ukopha okuncane.

Umphumela wokwelapha: ukusebenza ngaphansi kombono oqondile, igatsha eliyinhloko lingavala ama-clumps e-tortuous vein

Ukuhlinzwa kokuhlinzwa kulula, isikhathi sokwelashwa sifinyezwa kakhulu, kunciphisa ubuhlungu obuningi besiguli

Iziguli ezinesifo esingatheni zingelashwa esikhungweni seziguli ezingalaliswanga.

Ukutheleleka kwesibili kwangemva kokuhlinzwa, ubuhlungu obuncane, ukululama ngokushesha.

Ukubukeka okuhle, cishe akukho sibazi ngemva kokuhlinzwa.