Laser Endovenous

ʻO ka laser endovenous kahi lāʻau lapaʻau minimally invasive no nā veins varicose i emi iki ka invasive ma mua o ka unuhi ʻana o nā vein saphenous kuʻuna a hāʻawi i nā mea maʻi i kahi hiʻohiʻona makemake ʻia ma muli o ka emi ʻana o ka scarring. ʻO ke kumumanaʻo o ka lāʻau lapaʻau, ʻo ia ka hoʻohana ʻana i ka ikehu laser i loko o kahi vein (intravenous lumen) e luku i ke kīʻaha koko i pilikia mua ʻia.

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

Hoʻokomo mua ke kauka i kahi anesthetic kūloko i loko o ka ʻūhā o ka mea maʻi a hana i kahi 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 ma waena o ke aʻa maʻi, hoʻopuka ka fiber i ka ikehu laser e puhi i ka paia o ke aʻa. Hoʻemi ia, a i ka hopena ua ablated ke aʻa holoʻokoʻa, e hoʻoponopono piha ana i ka pilikia o nā aʻa varicose.

Ma hope o ka pau ʻana o ka lāʻau lapaʻau, e kāʻei 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 a me nā hana maʻamau.

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

1. ʻO ka laser 980nm me ka omo like ʻana i ka wai a me ke koko, hāʻawi i kahi mea hana ʻokiʻoki paʻa no nā kumu āpau, a ma 30/60Watts o ka hoʻopuka, kahi kumu mana kiʻekiʻe no ka hana endovascular.

2.ʻO kaKukuna 1470nmme ka omo ʻana o ka wai i ka wai, hāʻawi i kahi mea hana pololei loa no ka hōʻemi ʻana i ka pōʻino wela collateral a puni nā ʻano venous. No laila, ua ʻōlelo nui ʻia no ka hana endovascular.

ʻO ka nalu laser 1470, ma ka liʻiliʻi he 40 mau manawa ʻoi aku ka maikaʻi o ka hoʻopili ʻia ʻana e ka wai a me ka oxyhemoglobin ma mua o ka laser 980nm, e ʻae ana i ka luku koho ʻia o ke aʻa, me ka ikehu liʻiliʻi a me ka hoʻemi ʻana i nā hopena ʻaoʻao.

Ma ke ʻano he laser wai-kūpono, kuhikuhi ka laser TR1470nm 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.

Hāʻawi pū mākou i nā olonā radial.
ʻO ka fiber Radial e hoʻopuka ana ma 360° e hāʻawi i ka ablation thermal endovenous kūpono. No laila hiki ke hoʻokomo mālie a like i ka ikehu laser i loko o ka lumen o ke aʻa a hōʻoia i ka pani ʻana o ke aʻa ma muli o ka luku photothermal (ma nā mahana ma waena o 100 a me 120°C).ʻO ke kaula radial triangelua lako me nā māka palekana no ka kaohi kūpono o ke kaʻina hana huki hoʻi.