ILaseev laser iza ngamagagasi e-laser amabili- i-980nm kanye ne-1470 nm.
(1)I-laser engu-980nm nokumuncwa okulinganayo emanzini nasegazini, inikeza ithuluzi eliqinile lokuhlinza lenjongo yonke, kanye nokuphumayo okungu-30Watts, umthombo wamandla aphezulu womsebenzi we-endovascular.
(2)I-laser engu-1470nm emunca okuphakeme kakhulu emanzini, inikeza ithuluzi elinembayo elincishisiwe lokulimala okushisayo okuhambisanayo eduze kwezakhiwo ze-venous.
Ngakho-ke, kunconywa kakhulu ngomsebenzi we-endovascular ukusebenzisa ama-laser wavelengths angu-2 980nm 1470nm ahlanganisiwe.
Inqubo yokwelashwa kwe-EVLT
II-EVLT laserinqubo yenziwa ngokufaka i-laser fibre emithanjeni ye-varicose ethintekile (izindlela ze-endovenous ngaphakathi kwe-vein). Inqubo enemininingwane imi kanje:
1.Faka isibulali-zinzwa sasendaweni endaweni ethintekile bese ufaka inaliti endaweni.
2.Dlulisa ucingo ngenaliti phezulu emthanjeni.
3. Khipha inaliti futhi udlulise i-catheter (ishubhu lepulasitiki elincanyana) phezu kocingo ku-saphenous vein.
4.Dlulisa i-laser radial fiber phezulu kwe-catheter ngendlela yokuthi ithiphu layo lifinyelele iphuzu elidinga ukushiselwa kakhulu (imvamisa i-groin crease).
5.Jova isisombululo esanele sokubulala izinzwa emthanjeni ngokuhlaba izinaliti eziningi noma nge-Tumescent anesthesia.
6.Shisa i-laser bese udonsela i-radial fibre phansi ngesentimitha ngesentimitha emizuzwini engama-20 kuye kwengama-30.
7.Shisisa imithambo nge-catheter okubangela ukucekelwa phansi kwezindonga zomthambo ngokuwushwabana nokuwuvala. Ngenxa yalokho, akusekho ukugeleza kwegazi kule mithambo okungase kubangele ukuvuvukala. Imithambo ezungezile enempilo ayinawoimithambo ye-varicosengakho-ke ukwazi ukuqhubeka nokugeleza kwegazi okunempilo.
8.Khipha i-laser kanye ne-catheter bese uvala inxeba lokubhoboza inaliti ngokugqoka okuncane.
9.Le nqubo ithatha imizuzu engama-20 kuya kwengama-30 umlenze ngamunye. Imithambo emincane ingase idinge ukwenza i-sclerotherapy ngaphezu kokwelashwa nge-laser.
Isikhathi sokuthumela: Sep-04-2024