Laser Endovenous

ʻO ka laser Endovenous kahi lapaʻau liʻiliʻi liʻiliʻi no nā veins varicose i ʻoi aku ka liʻiliʻi o ka invasive ma mua o ka lawe ʻana i nā vein saphenous kuʻuna a hāʻawi i nā mea maʻi i kahi hiʻohiʻona i makemake nui ʻia ma muli o ka liʻiliʻi o ka scarring. ʻO ke kumu o ka mālama ʻana, ʻo ia ka hoʻohana ʻana i ka ikehu laser i loko o kahi vein (intravenous lumen) e luku ai i ka moku koko pilikia.

Hiki ke hana i ke kaʻina hana lapaʻau endovenous i loko o ke keʻena keʻena, ua ala piha ka mea maʻi i ka wā o ke kaʻina hana, a e nānā ke kauka i ke kūlana o nā kīʻaha koko me nā mea hana ultrasound.

Hoʻokomo mua ke kauka i kahi lāʻau anesthetic kūloko i loko o ka ʻūhā o ka mea maʻi a hana i ka puka ma ka ʻūhā i ʻoi aku ka nui ma mua o ka pinhole. A laila, hoʻokomo ʻia kahi catheter fiber optic mai ka ʻeha i loko o ke aʻa. I kona hele ʻana i loko o ka vein maʻi, hoʻopuka ka fiber i ka ikehu laser e hoʻopaʻa i ka paia vein. Hoʻemi ia, a hoʻopau ʻia ka vein holoʻokoʻa, hoʻopau loa i ka pilikia o nā veins varicose.

Ma hope o ka pau ʻana o ka mālama ʻana, e hoʻopaʻa pono ke kauka i ka ʻeha, a hiki i ka mea maʻi ke hele e like me ka mea maʻamau a hoʻomau i ke ola maʻamau a me nā hana.

Ma hope o ka mālama ʻana, hiki i ka mea maʻi ke hele ma ka honua ma hope o ka hoʻomaha pōkole, a ʻaʻole i hoʻopilikia ʻia kona ola i kēlā me kēia lā, a hiki iā ia ke hoʻomaka i nā haʻuki ma hope o ʻelua pule.

1. ʻO ka laser 980nm me ka like like o ka absorption i ka wai a me ke koko, hāʻawi i kahi mea hana hoʻomaʻamaʻa ikaika a pau, a ma 30 / 60Watts o ka hoʻopuka, kahi kumu mana kiʻekiʻe no ka hana endovascular.

2. Ka1470nm laserme ka ʻoi aku ka kiʻekiʻe o ka absorption i loko o ka wai, hāʻawi i kahi mea ʻoi aku ka pololei no ka hōʻemi ʻana i ka pōʻino thermal collateral a puni nā hale venous.

ʻO ka lōʻihi o ka hawewe laser 1470, ma ka liʻiliʻi loa, he 40 mau manawa ʻoi aku ka maikaʻi o ka lawe ʻana i ka wai a me ka oxyhemoglobin ma mua o ka laser 980nm, e ʻae ana i ka luku koho ʻana i ka vein, me ka liʻiliʻi o ka ikehu a me ka hōʻemi ʻana i nā hopena ʻaoʻao.

Ma ke ʻano he laser kikoʻī wai, hoʻohālikelike ka laser TR1470nm i ka wai ma ke ʻano he chromophore e komo i ka ikehu laser. No ka mea he wai ka nui o ka vein, ua manaʻo ʻia ʻo ka 1470 nm laser wavelength e hoʻomaʻamaʻa maikaʻi i nā cell endothelial me ka haʻahaʻa haʻahaʻa o ka pōʻino collateral, e hopena i kahi ablation vein maikaʻi loa.

Hāʻawi pū mākou i nā fiber radial.
ʻO ka fiber Radial e hoʻopuka ana ma 360 ° e hāʻawi i ka ablation thermal endovenous maikaʻi loa. No laila hiki ke hoʻokomo mālie a kūlike i ka ikehu laser i loko o ka lumen o ka vein a hōʻoia i ka pani ʻana o ka vein ma muli o ka luku photothermal (ma nā mahana ma waena o 100 a me 120 ° C).TRIANGEL RADIAL FIBERua lako me nā māka palekana no ka mana maikaʻi loa o ke kaʻina hana huki.