Ukwelashwa Nge-Laser Endovenous (EVLT) Kwemithambo Ye-Saphenous

Ukwelashwa nge-laser endovenous (EVLT) yomthambo we-saphenous, okubizwa nangokuthi i-endovenous laser ablation, kuyindlela encane yokwelapha umthambo we-varicose saphenous emlenzeni, ngokuvamile okuwumthambo oyinhloko ongaphezulu ohlotshaniswa nemithambo ye-varicose.

Ukususwa kwe-laser kwe-endovenous (ngaphakathi kwe-vein) kwe-saphenous vein kuhilela ukufaka i-catheter (ithubhu elincane eliguquguqukayo) elixhunywe nomthombo we-laser emthanjeni ngokubhoboza isikhumba okuncane, nokwelapha ubude bonke bomthambo ngamandla e-laser, okubangela ukususwa (ukubhujiswa) kodonga lwe-vein. Lokhu kubangela ukuthi umthambo we-saphenous uvale futhi kancane kancane uphenduke izicubu zesibazi. Lokhu kwelashwa komthambo we-saphenous kusiza futhi ekubuyiseleni kwemithambo ye-varicose ebonakalayo.

Izinkomba

I-laser engapheliUkwelashwa kuhloswe kakhulu ekwelapheni imithambo yegazi emithanjeni yegazi ebangelwa kakhulu umfutho wegazi ophezulu ngaphakathi kwezindonga zemithambo yegazi. Izici ezifana nokushintsha kwama-hormone, ukukhuluphala, ukuntuleka kokuzivocavoca umzimba, ukuma isikhathi eside, kanye nokukhulelwa kungandisa ingozi yemithambo yegazi emithanjeni yegazi.

Inqubo

I-laser engapheli Ukususwa komthambo we-saphenous kuvame ukuthatha isikhathi esingaphansi kwehora futhi kwenziwa esigulini esingalalisiwe. Ngokuvamile, inqubo izohilela izinyathelo ezilandelayo:

• 1. Uzolala etafuleni lenqubo ubheke phansi noma ubheke phezulu kuye ngokuthi ukwelashwa kukuphi.
• 2. Indlela yokuthwebula izithombe, njenge-ultrasound, isetshenziswa ukuqondisa udokotela wakho kuyo yonke inqubo.
• 3. Umlenze ozolashwa unikezwa umuthi oqeda izinhlungu ukuze kuncishiswe noma yikuphi ukungakhululeki.
• 4. Uma isikhumba sesiphelelwe amandla, kusetshenziswa inaliti ukwenza imbobo encane yokubhoboza emthanjeni we-saphenous.
• 5. I-catheter (ithubhu elincane) elihlinzeka ngomthombo wokushisa nge-laser lifakwa emthanjeni othintekile.
• 6. Imithi eyengeziwe yokunciphisa izinhlungu inganikezwa eduze komthambo ngaphambi kokususa (ukubhubhisa) umthambo we-varicose saphenous.
• 7. Kusetshenziswa usizo lokuthwebula izithombe, i-catheter iqondiswa endaweni yokwelashwa, bese kuthi i-laser fiber ekugcineni kwe-catheter ivuthelwe ukushisa lonke ubude bomthambo bese iwuvala. Lokhu kuphumela ekumiseni ukugeleza kwegazi emthanjeni.
• 8. Umthambo we-saphenous ekugcineni uyancipha futhi unyamalale, uqede ukuvuvuka kwemithambo emthonjeni wawo futhi uvumele ukujikeleza kwegazi okuphumelelayo ngeminye imithambo enempilo.

I-catheter kanye ne-laser kuyasuswa, bese imbobo yokubhoboza imbozwa ngebhandeji elincane.

Ukususwa kwemithambo ye-saphenous nge-laser kuvame ukuthatha isikhathi esingaphansi kwehora futhi kwenziwa esigulini esingalalisiwe. Ngokuvamile, inqubo izobandakanya izinyathelo ezilandelayo:

• 1. Uzolala etafuleni lenqubo ubheke phansi noma ubheke phezulu kuye ngokuthi ukwelashwa kukuphi.
• 2. Indlela yokuthwebula izithombe, njenge-ultrasound, isetshenziswa ukuqondisa udokotela wakho kuyo yonke inqubo.
• 3. Umlenze ozolashwa unikezwa umuthi oqeda izinhlungu ukuze kuncishiswe noma yikuphi ukungakhululeki.
• 4. Uma isikhumba sesiphelelwe amandla, kusetshenziswa inaliti ukwenza imbobo encane yokubhoboza emthanjeni we-saphenous.
• 5. I-catheter (ithubhu elincane) elihlinzeka ngomthombo wokushisa nge-laser lifakwa emthanjeni othintekile.
• 6. Imithi eyengeziwe yokunciphisa izinhlungu inganikezwa eduze komthambo ngaphambi kokususa (ukubhubhisa) umthambo we-varicose saphenous.
• 7. Kusetshenziswa usizo lokuthwebula izithombe, i-catheter iqondiswa endaweni yokwelashwa, bese kuthi i-laser fiber ekugcineni kwe-catheter ivuthelwe ukushisa lonke ubude bomthambo bese iwuvala. Lokhu kuphumela ekumiseni ukugeleza kwegazi emthanjeni.
• 8. Umthambo we-saphenous ekugcineni uyancipha futhi unyamalale, uqede ukuvuvuka kwemithambo emthonjeni wawo futhi uvumele ukujikeleza kwegazi okuphumelelayo ngeminye imithambo enempilo.

Ukunakekelwa Ngemva Kwenqubo

Ngokuvamile, imiyalelo yokunakekelwa ngemva kokuhlinzwa kanye nokululama ngemva kokwelashwa nge-laser endovenous kuzobandakanya izinyathelo ezilandelayo:

• 1. Ungase uzwe ubuhlungu nokuvuvukala emlenzeni olashwe. Imithi inikezwa uma kudingeka ukuze kulungiswe lokhu.
• 2. Kunconywa futhi ukusebenzisa amaphakethe eqhwa endaweni yokwelapha imizuzu eyi-10 ngesikhathi izinsuku ezimbalwa ukuze kulawulwe ukushaqeka, ukuvuvukala, noma ubuhlungu.
• 3.Uyalulekwa ukuthi ugqoke amasokisi okucindezela izinsuku ezimbalwa kuya emavikini ngoba lokhu kungasiza ekuvimbeleni ukuhlangana kwegazi noma ukujiya, kanye nokuvuvukala komlenze.