Kuyini Ukususwa Kwe-Laser Endovenous (I-EVLA)?
Ukwelashwa kwe-Endovenous Laser Ablation, okwaziwa nangokuthi ukwelashwa nge-laser, kuyindlela yezokwelapha ephephile neqinisekisiwe engagcini nje ngokwelapha izimpawu zemithambo ye-varicose, kodwa futhi yelapha nesimo esiyisisekelo esibangela lokho.
Izindlela ezizimele ngaphakathi komthambo, inani elincane lomuthi wokubulala izinzwa wendawo lifakwa esikhumbeni phezu komthambo bese kufakwa inaliti kuwo. Kudluliswa ucingo ngenaliti bese kunyuka umthambo. Inaliti iyasuswa bese kudluliswa i-catheter phezu komthambo, phezulu komthambo bese kususwa ucingo. I-laser fiber idluliselwa kwi-catheter ukuze isiphetho sayo sibe sendaweni ephezulu kakhulu ukuze ifudunyezwe (ngokuvamile ukugoba kwe-groin yakho). Inani elikhulu lesisombululo sokubulala izinzwa sendawo bese sifakwa emthamboni ngokusebenzisa izinaliti eziningi ezincane. I-laser bese idonswa phansi komthambo ukuze kushiswe ulwelwesi olungaphakathi komthambo, luwulimaze futhi lubangele ukuthi ubhidlike, unciphe, futhi ekugcineni unyamalale.
Ngesikhathi senqubo ye-EVLA, udokotela ohlinzayo usebenzisa i-ultrasound ukuthola umthambo ozolashwa. Imithambo engelashwa yimithambo eyinhloko yemilenze:
Umthambo Omkhulu We-Saphenous (GSV)
Umthambo Omncane We-Saphenous (SSV)
Imifula yabo emikhulu efana ne-Anterior Accessory Saphenous Veins (AASV)
Ububanzi be-laser obungu-1470nm bomshini we-laser ongaphakathi busetshenziswa ngempumelelo ekwelapheni imithambo ye-varicose, ubude be-1470nm bumuncwa amanzi ngokuphindwe ka-40 ngaphezu kobubanzi be-980-nm, i-laser engu-1470nm izonciphisa noma yibuphi ubuhlungu kanye nokushayeka ngemva kokuhlinzwa futhi iziguli zizolulama ngokushesha futhi zibuyele emsebenzini wansuku zonke ngesikhathi esifushane.
Manje emakethe engu-1940nm ye-EVLA, i-Absorption coefficient engu-1940nm iphakeme kune-1470nm emanzini.
I-laser ye-varicose engu-1940nm iyakwazi ukukhiqiza ukusebenza okufana nokwe-Ama-laser angu-1470nmngengozi encane kakhulu kanye nemiphumela emibi, njenge-paresthesia, ukwanda kokuminyana, ukungakhululeki kwesiguli ngesikhathi sokwelashwa nangemva nje kokwelashwa kanye nokulimala kokushisa esikhumbeni esingaphezulu. Uma isetshenziselwa ukugoqa imithambo yegazi engaphakathi ezigulini ezine-reflux engaphezulu kwemithambo yegazi.
Izinzuzo ze-Endovenous Laser Yokwelapha Imithambo Ye-Varicose:
Ayihlaseli kakhulu, ukuphuma kwegazi okuncane.
Umphumela wokwelapha: ukusebenza ngaphansi kokubona okuqondile, igatsha eliyinhloko lingavala ama-clumps emithambo egobile
Ukuhlinzwa kulula, isikhathi sokwelashwa sifushane kakhulu, kunciphisa ubuhlungu obukhulu besiguli
Iziguli ezinezifo ezincane zingelashwa enkonzweni yeziguli zangaphandle.
Ukutheleleka kwesibili ngemva kokuhlinzwa, ubuhlungu obuncane, ukululama okusheshayo.
Ukubukeka okuhle, cishe akukho sibazi ngemva kokuhlinzwa.
Isikhathi sokuthunyelwe: Juni-29-2022
