Umshini We-Laser Wokuhlinzwa We-ENT ongu-980nm 1470nm TR-C
I-laser ye-diode engu-980nm engu-1470nm iyindlela yokuhlinzwa ecishe ibe yinto ebalulekile emkhakheni wokuhlinzwa kwe-ENT namuhla. Ngenxa yokuthi i-laser ye-diode inomphumela wokusika noma wokujiya, ifaneleka kakhulu ezinhlobonhlobo zokwelapha izifo zendlebe/impumulo/umphimbo.
Ngenxa yokuvela kwemithombo ye-laser, indlela yokuhlinzwa ye-otolaryngology ishintshiwe yikhono lokwenza ukungenelela okuncane, okuholela ekulimaleni okuncane kwezicubu, ukululama okusheshayo, ubuhlungu obuncane kanye nezibazi ezincane kunokuhlinzwa okwenziwa ngokusikwa okuvulekile.
Umshini we-laser we-980nm 1470nm diode awususi nje kuphela izicubu ezithintekile kodwa futhi ongashiyi noma yisiphi isibazi noma ukuqina okusele. Azikho ezinye izinkinga ngemva kokuhlinzwa, futhi izinga lokuphindeka liphansi.
Uma kukhulunywa ngomphimbo, ukuhlinzwa kuvame ukuba yinselele njengoba kubangela isilonda nokuqina okubangelwa yizilonda. Kodwa ama-fiber optic aguquguqukayo kanye nezinti zezandla eziguquguqukayo kwenza ukuhlinzwa okungangenisi kakhulu kube nokwenzeka ukusika izicubu ezithintekile ngaphandle kokulimaza izindawo ezizungezile.
Ngokuvamile, iziguli zipholisa amanxeba azo kahle futhi zidinga ukunakekelwa okulula kokulandelela. Nakuba isikhathi sokululama sihlukahluka kuye ngesiguli ngasinye, ukululama kuvame ukushesha.
Izinzuzo
*Ukunemba kwe-Microsurgical
* Impendulo ethintayo evela ku-laserfiber
*Ukopha okuncane, umbono ophelele ngesikhathi sokuhlinzwa
*Kudingeka izinyathelo ezimbalwa ngemva kokuhlinzwa
*Isikhathi esifushane sokululama kwesiguli
Izicelo
INDLEBE
Ama-Cysts
I-Auricle Yesesekeli
Izimila zendlebe yangaphakathi
I-Hemangioma
I-Myringotomy
I-Cholesteatoma
I-Tympanitis
Impumulo
I-Polyp Yamakhala, I-Rhinitis
Ukunciphisa i-Turbinate
I-Papilloma
Ama-Cysts nama-Mucoceles
I-Epistaxis
I-Stenosis kanye ne-Synechia
Ukuhlinzwa Kwesinus
I-Dacryocystorhinostomy (DCR)
UMQANDO
Uvulopalatoplasty (LAUP)
Ukususwa kwe-Glossectomy
Ama-polyps e-Vocal Cord
Ukuhlinzwa kwe-Epiglottectomy
Izithiyo
Ukuhlinzwa Kwesinus
Ukuhlinzwa Kwekhala Lokuqala
Ukuhlinzwa kwe-endoscopic kuyinqubo yesimanje esungulwe ekwelapheni ama-sinuses ekhaleni nase-paranasal.Kodwa-ke, ngenxa yokuthambekela okukhulu kokopha kwenkinga ye-mucosal, ukwelashwa ngokuhlinzwa kule ndawo kuvame ukuba yinselele. Insimu yokusebenza engemihle ngenxa yokopha ngokuvamile ibangela umsebenzi ongafanele; ukupakisha amakhaza isikhathi eside kanye nomzamo omkhulu wesiguli nodokotela ngokuvamile akunakugwenywa.
Okubalulekile ekuhlinzeni kwe-endonasal ukugcina izicubu ze-mucosal ezizungezile ngangokunokwenzeka. I-fibre entsha eklanywe kahle ene-fibre ekhethekile eqondile ekugcineni kwe-distal ivumela ukungena kwe-atraumatic ezicutshini ze-turbinate ekhaleni futhi ukuhwamuka kungenziwa ngendlela yangaphakathi ukuze kuvikelwe ngokuphelele i-mucosa ngaphandle.
Ngenxa yokusebenzisana okuhle kwezicubu ze-laser nezicubu ze-wavelength engu-980nm / 1470 nm, izicubu eziseduze zivikelwe kahle. Lokhu kuholela ekubuyiselweni kabusha okusheshayo kwezindawo zamathambo ezazivuliwe. Ngenxa yomphumela omuhle we-hemostatic, izinqubo eziqondile zingenziwa ngokubuka okucacile kwendawo yokusebenza. Ukusebenzisa ama-laser fibers e-TR-C® optical acwebezelayo futhi aguquguqukayo anobubanzi obungu-400 μm, ukufinyelela okuhle kuzo zonke izindawo zamakhala kuqinisekisiwe.
Izinzuzo
*Ukunemba kwe-Microsurgical
*Ukuvuvukala okuncane kwezicubu ngemva kokuhlinzwa
*Ukuhlinzwa ngaphandle kwegazi
* Umbono ocacile wensimu yokusebenza
*Imiphumela emibi emincane yokuhlinzwa
*Ukuhlinzwa kwesiguli sangaphandle kungenzeka ngaphansi kwe-anesthesia yendawo
*Isikhathi esifushane sokululama
*Ukulondolozwa kahle kwenkinga ye-mucosal ezungezile
Enye yezindlela zokuhlinzwa ezivame kakhulu endaweni ye-oropharynx yi-lasertonsillotomy ezinganeni (Kissing Tonsils). Ezimweni ze-tonsillar hyperplasias zezingane ezinezimpawu, i-LTT imelela enye indlela enengqondo, emnene futhi ephansi kakhulu yokukhetha esikhundleni se-tonsillectomy (izingane ezingaphansi kweminyaka engu-8 ubudala). Ingozi yokopha ngemva kokuhlinzwa incane kakhulu. Inani elincane lobuhlungu ngemva kokuhlinzwa ngenxa yesikhathi esifushane sokuphulukiswa, ikhono lokwenza imisebenzi yokuhlinza ngaphandle kwesiguli (nge-anesthesia ejwayelekile) kanye nokushiya i-tonsillar parenchyma kuyinzuzo ebalulekile ye-lasertonsillotomy.
Ngenxa yokusebenzisana okuhle kwezicubu nge-laser, isimila noma i-dysplasias kungasuswa ngaphandle kwegazi ngenkathi kugcinwa izicubu eziseduze zingathinteki. Ukuhlinzwa kwe-glossectomy okungaphelele kungenziwa kuphela ngaphansi kokuvamilei-anesthesia esibhedlela egumbini lokuhlinzwa.
Izinzuzo
*Ukuhlinzwa kwesiguli sangaphandle kungenzeka
*Inqubo engenangozi kangako, engenagazi
*Isikhathi esifushane sokululama esinobuhlungu obuncane ngemva kokuhlinzwa
Ukuvinjelwa kokuphuma koketshezi lwezinyembezi, okubangelwa ukuvaleka komsele we-lacrimal, kuyisimo esivamile, ikakhulukazi phakathi kweziguli ezindala. Indlela yokwelapha yendabuko ukuvula kabusha umsele we-lacrimal ngaphandle ngokuhlinzwa. Kodwa-ke, le inqubo ende, enzima ehlotshaniswa namathuba aphezulu emiphumela emibi njengokuphuma kwegazi okunamandla, ngemva kokuhlinzwa kanye nokwakheka kwesibazi. I-TR-C® yenza ukuvulwa kabusha komsele we-lacrimal kube yingozi, inqubo engangenisi kakhulu. I-cannula encane ene-mandrel yayo ebunjwe ngendlela ebuhlungu ifakwa kanye ukuze kwenziwe ukwelashwa ngaphandle kobuhlungu futhi ngaphandle kwegazi. Ngemuva kwalokho, ukukhishwa kwamanzi okudingekayo kufakwa endaweni kusetshenziswa i-cannula efanayo. Inqubo ingabakwenziwa ngaphansi kwe-anesthesia yendawo futhi akushiyi zibazi.
Izinzuzo
*Inqubo ye-Atraumatic
*Izinkinga ezilinganiselwe kanye nemiphumela emibi
*Ukubulala izinzwa kwendawo
*Akukho ukopha ngemva kokuhlinzwa noma ukwakheka kwe-edema
*Akukho ukutheleleka
*Azikho izibazi
I-Otology
Emkhakheni we-Otology, izinhlelo ze-laser ze-TR-C®diode zandisa ububanzi bezinketho zokwelapha ezingangenisi kakhulu. I-Laser PARACENTESIUkuhlinzwa kokwelapha okungenasivikelo kakhulu futhi okungenagazi okuvula i-eardrum ngendlela yokuxhumana ngomjovo owodwa. Imbobo encane eyindilinga enezimbobo ku-eardrum, eyenziwa yi-laser, inenzuzo yokuhlala ivulekile cishe amasonto amathathu.Ukukhishwa koketshezi kulula ukukuphatha ngakho-ke inqubo yokuphulukisa ngemva kokuvuvukala imfushane kakhulu, uma kuqhathaniswa nezinketho zokwelapha ezivamile zokuhlinzwa.Inani elikhulu leziguli lihlushwa yi-OTOSCLEROSIS endlebeni ephakathi. Indlela ye-TR-C®, ehlanganiswe nemicu emincane engama-micron angu-400 eguquguqukayo, inikeza odokotela abahlinza izindlebe izinketho zokwelapha ezingangenisi kakhulu ze-laser STAPEDECTOMY (i-single pulse laser shot yokubhoboza i-foot-plate) kanye ne-laser STAPEDOTOMY (ukuvulwa okujikelezayo kwe-stirrup footplate ukuze kuthathwe i-prosthesis ekhethekile ngemva kwalokho). Uma kuqhathaniswa ne-laser ye-CO2, indlela ye-contact beam inenzuzo yokususa ingozi yokuthi amandla e-laser athinta ezinye izindawo ngengozi esakhiweni esincane sendlebe ephakathi.
I-Larynx
Okubalulekile kakhulu ekwelashweni kokuhlinzwa endaweni ye-larynx ukugwema ukwakheka kwezibazi ezinkulu kanye nokulahlekelwa yizicubu okungafuneki ngoba lokhu kungathinta kakhulu imisebenzi ye-fonetiki. Imodi yokufaka i-pulsed diode laser isetshenziswa lapha. Ngale ndlela, ukujula kokungena kokushisa kungancishiswa kakhulu; ukuhwamuka kwezicubu kanye nokususwa kwezicubu kungenziwa ngendlela enembile nangendlela elawulwayo, ngisho nasezinhlakeni ezibucayi, kuyilapho kuvikelwa kahle izicubu ezizungezile.
Izinkomba eziyinhloko: ukuhwamuka kwezimila, i-papilloma, i-stenosis kanye nokususwa kwama-polyps e-vocal cord.
Udokotela Wezingane
Ezinqubweni zezingane, ukuhlinzwa kuvame ukuhilela izakhiwo ezincane kakhulu nezibucayi. Uhlelo lwe-laser lwe-TR-C® lunikeza izinzuzo ezinkulu. Ukusebenzisa imicu ye-laser emincane kakhulu, njengokuxhumana ne-microendoscope, ngisho nalezi zakhiwo zingafinyelelwa kalula futhi zelashwe ngokunembile. Isibonelo, i-papiloma ephindaphindayo, uphawu oluvame kakhulu ezinganeni, iba ukuhlinzwa okungenagazi nokungenabuhlungu, kanti izinyathelo zangemva kokuhlinzwa zincishiswa kakhulu.
| Imodeli | I-TR-C |
| Uhlobo lwe-laser | I-Diode Laser Gallium-Aluminium-Arsenide GaAlAs |
| Ubude begagasi | 980nm 1470nm |
| Amandla Okukhipha | 47w |
| Izindlela zokusebenza | Imodi ye-CW ne-Pulse |
| Ububanzi be-Pulse | 0.01-1s |
| Ukubambezeleka | 0.01-1s |
| Isibani senkomba | 650nm, ukulawula ukuqina |
| I-Fiber | 300 400 600 800 1000 (ifayibha engenalutho) |
