He aha ka Endovenous Laser Ablation (EVLA)?
ʻO ka Endovenous Laser Ablation Treatment, i ʻike ʻia hoʻi he laser therapy, he kaʻina hana lapaʻau palekana a hōʻoia ʻia ʻaʻole ia e mālama wale i nā hōʻailona o nā veins varicose, akā mālama pū kekahi i ke kūlana kumu e kumu ai lākou.
ʻO ke ʻano o ka endovenous i loko o ke aʻa, kahi liʻiliʻi o ka anesthetic kūloko e hoʻokomo ʻia i loko o ka ʻili ma luna o ke aʻa a hoʻokomo ʻia kahi nila i loko. Hoʻokomo ʻia kahi uea ma o ka nila a piʻi i luna o ke aʻa. Wehe ʻia ka nila a hoʻokomo ʻia kahi catheter ma luna o ke uea, i luna o ke aʻa a wehe ʻia ke uea. Hoʻokomo ʻia kahi fiber laser i luna o ke catheter no laila e waiho ana kona wēlau ma kahi kiʻekiʻe loa e hoʻomehana ʻia (ʻo ka maʻamau kou ʻūlū ʻana). A laila hoʻokomo ʻia kahi nui o ka hopena anesthetic kūloko a puni ke aʻa ma o nā kui nila liʻiliʻi he nui. A laila hoʻā ʻia ka laser i luna a huki i lalo o ke aʻa e hoʻomehana i ka uhi i loko o ke aʻa, e hōʻino ana iā ia a e hiolo ana, e emi ana, a nalowale hope.
I ka wā o ke kaʻina hana EVLA, hoʻohana ke kauka lapaʻau i ka ultrasound e ʻike i ke aʻa e mālama ʻia. ʻO nā aʻa e hiki ke mālama ʻia, ʻo ia nā kumu venous nui o nā wāwae:
ʻO ke aʻa Saphenous Nui (GSV)
ʻAla Saphenous liʻiliʻi (SSV)
ʻO ko lākou mau lālā nui e like me nā Anterior Accessory Saphenous Veins (AASV)
Hoʻohana pono ʻia ka lōʻihi o ka nalu laser 1470nm o ka mīkini laser endovenous i ka mālama ʻana i nā veins varicose, ʻoi aku ka makemake o ka lōʻihi o ka nalu 1470nm e hoʻopili ʻia e ka wai he 40 mau manawa ma mua o ka lōʻihi o ka nalu 980-nm, e hōʻemi ka laser 1470nm i kekahi ʻeha ma hope o ke ʻoki ʻana a me ka ʻeha a e hoʻōla koke nā mea maʻi a hoʻi i ka hana o kēlā me kēia lā i ka manawa pōkole.
I kēia manawa ma ka mākeke 1940nm no EVLA, ʻoi aku ke kiʻekiʻe o ka coefficient Absorption o 1940nm ma mua o 1470nm i loko o ka wai.
Hiki i ka laser varicose 1940nm ke hana i ka hopena like meNā kukuna 1470nmme ka emi iki o ka pilikia a me nā hopena ʻaoʻao, e like me ka paresthesia, ka hoʻonui ʻia o ka palapū, ka ʻoluʻolu ʻole o ka mea maʻi i ka wā a ma hope koke o ka mālama ʻana a me ka hōʻeha wela i ka ʻili ma luna. Ke hoʻohana ʻia no ka hoʻopili ʻana o nā kīʻaha koko i nā mea maʻi me ka reflux vein superficial.
Nā Pōmaikaʻi o ka Endovenous Laser no ka mālama ʻana i nā Varicose Veins:
Minimal invasive, emi ke kahe ʻana o ke koko.
Ka hopena ho'ōla: hana ma lalo o ka ʻike pololei, hiki i ka lālā nui ke pani i nā puʻupuʻu aʻa tortuous
He maʻalahi ke hana ʻoki kino, ua hoʻopōkole nui ʻia ka manawa lapaʻau, e hōʻemi ana i ka ʻeha nui o ka mea maʻi
Hiki ke mālama ʻia nā maʻi me nā maʻi ʻoluʻolu ma ka lawelawe outpatient.
ʻO ka maʻi lua ma hope o ke ʻoki ʻana, emi ka ʻeha, ho'ōla wikiwiki.
Nani ke ʻano, ʻaneʻane ʻaʻohe ʻeha ma hope o ke ʻoki kino.
Ka manawa hoʻouna: Iune-29-2022
