I-laser ye-Laseev iza ngamagagasi amabili e-laser - i-980nm kanye ne-1470 nm.
(1) I-laser engu-980nm emunca ngokulinganayo emanzini nasegazini, inikeza ithuluzi lokuhlinza eliqinile elisebenza kuzo zonke izinjongo, futhi ngama-Watts angu-30 okukhipha, umthombo wamandla aphezulu womsebenzi we-endovascular.
(2) I-laser engu-1470nm enokumuncwa okuphezulu kakhulu emanzini, inikeza ithuluzi elinembile kakhulu lokunciphisa umonakalo wokushisa ohambisana nezakhiwo zemithambo yegazi.
Ngakho-ke, kunconywa kakhulu emsebenzini we-endovascular ukusebenzisa amaza amabili e-laser angu-980nm angu-1470nm axutshwe.
Inqubo yokwelashwa kwe-EVLT
II-laser ye-EVLTinqubo yenziwa ngokufaka i-laser fibre emthanjeni we-varicose othintekile (izindlela zokungena ngaphakathi komthambo). Inqubo eningiliziwe imi kanje:
1. Faka umuthi wokubulala izinzwa wendawo endaweni ethintekile bese ufaka inaliti endaweni.
2. Dlulisa ucingo ngenaliti phezulu emthanjeni.
3. Susa inaliti bese udlulisela i-catheter (ipayipi elincane lepulasitiki) phezu kwentambo ungene emthanjeni we-saphenous
4. Dlulisa i-laser radial fibre phezulu kwi-catheter ngendlela yokuthi isiqongo sayo sifinyelele eqophelweni elidinga ukufudunyezwa kakhulu (ngokuvamile ukwakheka kwe-groin).
5. Faka isixazululo sokubulala izinzwa esanele endaweni ethile emthanjeni ngokusebenzisa izinaliti eziningi noma nge-Tumescent anesthesia.
6.Vuthela i-laser bese udonsa i-radial fibre phansi ngesentimitha ngesentimitha ngemizuzu engama-20 kuya kwengama-30.
7. Fudumeza imithambo nge-catheter okubangela ukubhujiswa okufanayo kwezindonga zomthambo ngokuwunciphisa bese uwuvala. Ngenxa yalokho, akusekho ukugeleza kwegazi kule mithambo okungase kuholele ekuvuvukeni. Imithambo ephilile ezungezile ayinayo i-imithambo ye-varicosefuthi ngenxa yalokho ikwazi ukuqhubeka nokugeleza kwegazi okunempilo.
8. Susa i-laser kanye ne-catheter bese umboza inxeba lokubhoboza inaliti ngebhandeji elincane.
9. Le nqubo ithatha imizuzu engama-20 kuya kwengama-30 ngomlenze ngamunye. Imithambo emincane ingadinga ukwelashwa nge-sclerotherapy ngaphezu kokwelashwa nge-laser.
Isikhathi sokuthunyelwe: Septhemba-04-2024
