1470 Herniated Intervertebral Disc
A: ʻO ka PLDD (percutaneous laser disc decompression) he ʻano hana ʻokiʻoki ʻole ia akā he hana hoʻopilikia liʻiliʻi loa ia no ka mālama ʻana i ka 70% o ka hernia disc a me 90% o nā protrusions disc (he hernia disc liʻiliʻi kēia i kekahi manawa he ʻeha loa a ʻaʻole pane i nā lāʻau lapaʻau conservative loa e like me nā mea pepehi ʻeha, cortisonic a me nā lāʻau lapaʻau kino a pēlā aku).
A: Hoʻohana ia i ka anesthesia kūloko, kahi nila liʻiliʻi a me kahi fiber optical laser. Hoʻomaʻamaʻa ʻia i loko o ka lumi hana me ka mea maʻi ma ke kūlana ʻaoʻao a i ʻole prone (no ka lumbar disk) a i ʻole supin (no ka cervical). ʻO ka mea mua, hana ʻia ka anesthesia kūloko ma kahi kikoʻī o ke kua (inā lumbar) a i ʻole o ka ʻāʻī (inā cervical), a laila hoʻokomo ʻia kahi nila liʻiliʻi ma o ka ʻili a me nā ʻiʻo a ʻo kēia, ma lalo o ka mana radiological, hiki i ke kikowaena o ka disc (i kapa ʻia ʻo nucleus pulposus). I kēia manawa, hoʻokomo ʻia ka fiber optical laser i loko o ka nila liʻiliʻi a hoʻomaka wau e hāʻawi i ka ikehu laser (wela) e hoʻoheheʻe i kahi liʻiliʻi loa o ka nucleus pulposus. Hoʻoholo kēia i ka emi ʻana o 50-60% o ke kaomi intra discal a no laila ke kaomi e hoʻomaʻamaʻa ai ka hernia disc a i ʻole ka protrusion ma ke aʻa nerve (kumu o ka ʻeha).
A: ʻO kēlā me kēia pldd (hiki iaʻu ke mālama i 2 mau disks i ka manawa like) e lawe ana mai 30 a 45 mau minuke a hoʻokahi wale nō kau.
A: Inā hana ʻia i nā lima akamai, ʻo ka ʻeha i ka wā o ka pldd he liʻiliʻi loa ia a no kekahi mau kekona wale nō: hiki mai ia i ka manawa e hele ai ke kui i ka anulus fibrous o ka disc (ka ʻāpana waho loa o ka disc). Pono e aʻo ʻia ka mea maʻi, ka mea e ala mau ana a e hana pū ana, i kēlā manawa e pale aku i ka neʻe wikiwiki a me ka manaʻo ʻole o ke kino hiki iā ia ke hana i ka pane ʻana i ka ʻeha pōkole like. ʻAʻole ʻeha ka nui o nā mea maʻi i ka wā o ke kaʻina hana āpau.
A: I ka 30% o nā hihia, ʻike koke ka mea maʻi i ka hoʻomaikaʻi ʻana o ka ʻeha a laila hoʻomaikaʻi hou a mālie i loko o nā 4 a 6 mau pule e hiki mai ana. I ka 70% o nā hihia, pinepine ka "ʻeha i luna a i lalo" me ka ʻeha "kahiko" a me ka "hou" i loko o nā 4-6 pule e hiki mai ana a hāʻawi ʻia kahi hoʻoholo koʻikoʻi a hilinaʻi hoʻi i ka holomua o ka PLDD ma hope o 6 mau pule. Ke maikaʻi ka holomua, hiki ke hoʻomau ʻia nā hoʻomaikaʻi a hiki i 11 mau mahina ma hope o ke kaʻina hana.
1470 Hemorrhoid
A: 2. He kūpono ka Laser no nā hemorrhoids mai ka papa 2 a i ka 4.
A: 4. ʻAe, hiki iā ʻoe ke manaʻo e hoʻokuʻu i ke kinoea a me ka neʻe ʻana e like me ka mea maʻamau ma hope o ke kaʻina hana.
A: Pono e manaʻo ʻia ka pehu ʻana ma hope o ke ʻoki ʻana. He mea maʻamau kēia, ma muli o ka wela i hana ʻia e ka laser mai loko mai o ka hemorrhoid. ʻAʻohe ʻeha o ka pehu ʻana, a e emi iho ma hope o kekahi mau lā. Hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau a i ʻole ka ʻauʻau Sitz e kōkua.
I ka hoʻēmi ʻana i ka pehu, e ʻoluʻolu e hana ia e like me nā kuhikuhi a ke kauka/kahu hānai.
A: ʻAʻole, ʻaʻole pono ʻoe e moe no ka manawa lōʻihi no ke kumu o ka hoʻōla ʻana. Hiki iā ʻoe ke hana i nā hana o kēlā me kēia lā e like me ka mea maʻamau akā e mālama i ka liʻiliʻi loa ke hoʻokuʻu ʻia ʻoe mai ka haukapila. E pale i ka hana ʻana i kekahi hana hoʻoluhi a hoʻoikaika kino paha e like me ka hāpai kaumaha a me ke kaʻa paikikala i loko o nā pule ʻekolu mua ma hope o ke kaʻina hana.
A: ʻEha iki a ʻaʻohe paha
Hoʻōla wikiwiki
ʻAʻohe ʻeha hāmama
ʻAʻohe ʻiʻo e ʻoki ʻia ana
Hiki i ka mea maʻi ke ʻai a inu i ka lā aʻe
Hiki i ka mea maʻi ke manaʻo e neʻe koke ma hope o ke ʻoki ʻana, a maʻamau me ka ʻole o ka ʻeha
Ka hōʻemi pololei ʻana o nā ʻiʻo i loko o nā kikowaena hemorrhoid
Ka mālama nui ʻana i ka continence
ʻO ka mālama maikaʻi loa ʻana o ka ʻiʻo sphincter a me nā ʻano pili e like me ka anoderm a me nā membrane mucous.
1470 ʻOihana Hoʻonaʻauao Wahine
A: He hana ʻoluʻolu ka mālama ʻana i ka diode laser TRIANGELASER Laseev no ka Cosmetic Gynaecology. ʻOiai he hana non-ablative, ʻaʻohe ʻiʻo superficial i hoʻopilikia ʻia. ʻO ia hoʻi, ʻaʻohe koi no kekahi mālama kūikawā ma hope o ke ʻoki ʻana.
A: No ka hōʻoluʻolu piha, ua ʻōlelo ʻia e hana ka mea maʻi i 4 a 6 mau kau ma kahi manawa o 15 a 21 mau lā, kahi e lōʻihi ai kēlā me kēia kau he 15 a 30 mau minuke. ʻO ka mālama ʻana o LVR he 4-6 mau noho ʻana me kahi manawa o 15-20 mau lā me ka hoʻopau ʻana o ka hoʻoponopono hou ʻana o ka vaginal i loko o 2-3 mau mahina.
A: He Lapaʻau Laser Hoʻoulu Hou Vaginal ka LVR. ʻO nā hopena nui o ka Laser:
e hoʻoponopono/hoʻomaikaʻi i ka hoʻokahe ʻana o ka mimi. ʻO nā hōʻailona ʻē aʻe e mālama ʻia: ka maloʻo o ka vagina, ka wela, ka huhū, ka maloʻo a me ke ʻano o ka ʻeha a me/ka ʻūlū ʻana i ka wā o ka moekolohe. Ma kēia lāʻau lapaʻau, hoʻohana ʻia kahi laser diode e hoʻopuka i kahi kukui infrared e komo i loko o nā ʻiʻo hohonu, me ka ʻole
ke hoʻololi nei i nā ʻiʻo ma luna. ʻAʻole ia he ablative ka lāʻau lapaʻau, no laila palekana loa. ʻO ka hopena, he ʻiʻo toned a me ka mānoanoa o ka mucosa vaginal.
1470 Niho
A: He ʻano hana wikiwiki a maikaʻi hoʻi ka hana niho laser e hoʻohana ana i ka wela a me ka mālamalama e hana i nā ʻano hana niho like ʻole. ʻO ka mea nui loa, ʻaneʻane ʻaʻohe ʻeha o ka hana niho laser! Hana ka mālama niho laser ma ka hoʻomaʻamaʻa ʻana i kahi ikaika
kukuna o ka ikehu mālamalama e hana i nā kaʻina hana niho kikoʻī.
A: ❋ He manawa ho'ōla wikiwiki.
❋ Emi ka kahe koko ma hope o ke ʻoki kino.
❋ ʻEmi ka ʻeha.
ʻAʻole paha e pono ka anesthesia.
He sterile nā lasers, ʻo ia hoʻi, ʻaʻole nui ka manawa e loaʻa ai kahi maʻi.
❋ He pololei loa nā lasers, no laila pono e wehe ʻia nā ʻiʻo olakino ʻole
1470 Nā aʻa koko ʻē aʻe
A: Ma hope o kāu scan e hoʻomaʻemaʻe ʻia kou wāwae ma mua o ka hoʻopili ʻia ʻana o kahi liʻiliʻi o ka anesthetic (me ka hoʻohana ʻana i nā nila liʻiliʻi loa). Aia kahi catherer
hoʻokomo ʻia i loko o ke aʻa a hoʻokomo ʻia ke kaula Endovenous Laser. Ma hope o kēia, a laila hoʻopili ʻia kahi anesthetic anuanu a puni kou aʻa
e pale i nā ʻiʻo a puni. A laila e koi ʻia ʻoe e komo i nā goggles ma mua o ka hoʻā ʻana o ka mīkini laser. I ka wā o ka
ke kaʻina hana e huki ʻia ka laser i hope e sila i ke aʻa koko hewa. Kākaʻikahi ka ʻike ʻana o nā maʻi i kekahi ʻeha ke hoʻohana ʻia ka laser
ke hoʻohana ʻia nei. Ma hope o ke kaʻina hana e koi ʻia ʻoe e ʻaʻahu i nā stockings no 5-7 mau lā a hele wāwae i ka hapalua hola i ka lā. Ma kahi lōʻihi
ʻAʻole ʻae ʻia ka huakaʻi no 4 mau pule. Hiki i kou wāwae ke manaʻo he mae no ʻeono hola ma hope o ke kaʻina hana. Pono kahi manawa hoʻonohonoho ma hope
no nā maʻi āpau. Ma kēia manawa, hiki ke hana ʻia kekahi lāʻau lapaʻau hou me ka sclerotherapy i alakaʻi ʻia e ka ultrasound.