Nā Lasers Diode Kiʻekiʻe no ka mālama ʻana i nā aʻa Varicose - 980nm & 1470nm (EVLT)
He aha ka EVLT?
ʻO ka mālama ʻana i ka laser endovenous (EVLT) kahi hana e hoʻohana ana i ka wela laser e mālama i nā veins varicose. He hana invasive liʻiliʻi ia
ke kaʻina hana e hoʻohana ana i nā catheters, lasers, a me ka ultrasound e mālama ainā aʻa varicoseHana ʻia kēia kaʻina hana i ka hapa nui
pinepine ma nā aa koko i pololei a ʻaʻole i milo.
ʻO ka Endovenous Laser Treatment (EVLT) kahi hana lapaʻau laser outpatient non-surgical nonā aʻa varicoseHoʻohana ia i ke alakaʻi ʻana o ka ultrasound
ʻenehana e hāʻawi pololei i ka ikehu laser e kuhikuhi ana i nā aʻa koko hana ʻole a hoʻoulu iā lākou e hiolo. Ke pani ʻia,
Hoʻihoʻi maoli ʻia ke kahe o ke koko i nā aa koko olakino.
- Hoʻohālikelike ʻia ke ʻano maʻalahi i ke kaiapuni hana o kēia au—a ua lawa ka liʻiliʻi e lawe ai ma waena o ka haukapila a me ke keʻena.
- Nā mana paʻi kiʻi intuitive a me nā palena mālama maʻamau.
- ʻO ka hiki ke hoʻonohonoho mua ʻia e hiki ai i nā hoʻoponopono laser wikiwiki a maʻalahi hoʻi e kūpono i nā makemake pilikino i nā hana a nā kauka he nui a me nā ʻano lapaʻau.
Ma ke ʻano he laser wai-kikoʻī, kuhikuhi ka laser 1470 Lassev i ka wai ma ke ʻano he chromophore e omo i ka ikehu laser. ʻOiai ʻo ka nui o ke ʻano o nā aʻa he wai, ua manaʻo ʻia e hoʻomehana pono ka nalu laser 1470 nm i nā cell endothelial me ka haʻahaʻa o ka pilikia o ka hōʻino collateral, e hopena ana i kahi ablation vein kūpono.
Ua hoʻolālā ʻia e hana wale me nā ʻano olonā AngioDynamics, me nā olonā NeverTouch*. ʻO ka hoʻonui ʻana i kēia mau ʻenehana ʻelua hiki ke hopena i nā hopena maikaʻi aʻe o ka mea maʻi ʻO ka laser 1470 nm e ʻae i ka ablation vein maikaʻi me ka ikehu i kuhikuhi ʻia o 30-50 joules/cm ma kahi hoʻonohonoho o 5-7 watts.
| Hoʻohālike | ʻO Laseev |
| ʻAno laser | Diode Laser Gallium-Alumini-Arsenide GaAlAs |
| Ka lōʻihi o ka nalu | 980nm 1470nm |
| Mana Hoʻopuka | 47w 77W |
| Nā ʻano hana | ʻAno CW a me ka Pulse |
| Ka laulā o ka Pulse | 0.01-1s |
| Hoʻopaneʻe | 0.01-1s |
| Kukui hōʻike | 650nm, kaohi ikaika |
| ʻO ke olonā | 400 600 800 (ʻili ʻōlohelohe) |
No ka mālama ʻana
Hoʻohana ʻia kahi ʻano hana hana, e like me ke ultrasound, e alakaʻi i ke kaʻina hana.
Hoʻokomo ʻia ka wāwae e mālama ʻia me ka lāʻau hoʻomānoino.
Ke mae wale kou wāwae, hana kahi nila i kahi lua liʻiliʻi (puncture) i loko o ke aʻa e mālama ʻia.
Hoʻokomo ʻia ka catheter e loaʻa ana ke kumu wela laser i loko o kou aa.
Hiki ke hoʻokomo ʻia aku kahi lāʻau hoʻomānoino hou aʻe a puni ke aʻa koko.
Ke kau ka catheter i ke kūlana kūpono, a laila huki mālie ʻia i hope. Ke hoʻouna ka catheter i ka wela, ua pani ʻia ke aʻa.
I kekahi mau hihia, hiki ke wehe ʻia a nakinaki ʻia paha nā aʻa varicose o nā lālā ʻē aʻe ma o kekahi mau ʻoki liʻiliʻi (incisions).
Ke pau ka mālama ʻana, wehe ʻia ke catheter. Hoʻopili ʻia ke kaomi ma kahi i hoʻokomo ʻia ai e hoʻōki i ke kahe ʻana o ke koko.
A laila hiki ke kau ʻia kahi kāʻei hoʻopili elastic a i ʻole kahi bandage ma kou wāwae.
ʻO ka mālama ʻana i nā maʻi vein me EVLT hāʻawi i nā mea maʻi i nā pono he nui, me ka holomua o ka holomua a hiki i ka 98% pakeneka,
ʻAʻohe hoʻokipa ʻia ʻana ma ka haukapila, a he ho'ōla wikiwiki me ka ʻoluʻolu ikaika o ka mea maʻi.
No ke aha e koho ai iā mākou
