Endovenous Laser Ablation

He aha ka Endovenous Laser Ablation (EVLA)?

ʻO ka Endovenous Laser Ablation Treatment, ka mea i kapa ʻia ʻo ka laser therapy, kahi hana lapaʻau palekana, hōʻoia ʻia ʻaʻole wale e mālama i nā hōʻailona o nā veins varicose, akā mālama pū kekahi i ke ʻano kumu i kumu.

ʻO ka endovenous ke ʻano o loko o ka vein, ua hoʻokomo ʻia kahi ʻano anesthetic kūloko i loko o ka ʻili ma luna o ka vein a hoʻokomo ʻia kahi nila i loko.Hoʻokomo ʻia kahi uwea ma ka nila a piʻi i luna o ke aʻa.Wehe ʻia ka nila a kau ʻia kahi catheter ma luna o ka uea, ma luna o ka vein a wehe ʻia ke uea.Hāʻawi ʻia kahi fiber laser i luna o ka catheter no laila e waiho kona piko ma kahi kiʻekiʻe loa e wela ai (ʻo ka maʻamau o kou ʻāʻī).Hoʻokomo ʻia ka nui o ka hoʻonā anesthetic kūloko a puni ka ʻaʻa ma o nā kui nila liʻiliʻi.A laila puhi ʻia ka laser a huki ʻia i lalo i ka vein e hoʻomehana i ke kaula i loko o ke aʻa, e hōʻino ʻia a hāʻule, emi, a nalowale.

I ka wā o ke kaʻina hana EVLA, hoʻohana ke kauka lapaʻau i ka ultrasound e ʻike i ka vein e mālama ʻia.ʻO nā veins hiki ke mālama ʻia ʻo ia nā kumu venous nui o nā wāwae:

Nui Saphenous Vein (GSV)

Liʻiliʻi Saphenous Vein (SSV)

ʻO kā lākou mau tributaries nui e like me ka Anterior Accessory Saphenous Veins (AASV)

Hoʻohana maikaʻi ʻia ka 1470nm laser wavelength o ka mīkini laser endovenous i ka mālama ʻana i nā veins varicose, ʻoi aku ka maikaʻi o ka nalu ʻana o 1470nm e ka wai 40 mau manawa ma mua o ka hawewe 980-nm, e hōʻemi ka laser 1470nm i nā ʻeha post-operative a me ka ʻeha. e ola koke a hoʻi i ka hana o kēlā me kēia lā i ka manawa pōkole.

I kēia manawa ma ka mākeke1940nm no EVLA, ʻoi aku ka nui o ka absorption coefficient o 1940nm ma mua o 1470nm i ka wai.

Hiki i ka laser varicose 1940nm ke hana i ka pono like1470nm lasersme ka liʻiliʻi loa o ka pilikia a me nā hopena ʻaoʻao, e like me ka paresthesia, ka hoʻonui ʻia ʻana o ka ʻeha, ka ʻeha o ka poʻe maʻi i ka wā a ma hope koke o ka mālama ʻana a me ka ʻeha wela i ka ʻili ma luna.Ke hoʻohana ʻia no ka coqultion endovenous 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 veins varicose:

Ka liʻiliʻi invasive, emi ke koko.

Ka hopena curative: ka hana ma lalo o ka ʻike maka, hiki i ka lālā nui ke pani i nā ʻāpana vein tortuous

He maʻalahi ka hana ʻokiʻoki, hoʻopōkole nui ʻia ka manawa mālama, hoʻemi i ka ʻeha nui o ka mea maʻi

Hiki ke mālama ʻia ka poʻe maʻi me ka maʻi maʻi ma ke keʻena maʻi maʻi.

ʻO ka maʻi ma hope o ka hana ʻana, ka emi ʻana o ka ʻeha, ka hoʻōla wikiwiki.

ʻO ka hiʻohiʻona nani, ʻaneʻane ʻaʻohe ʻala ma hope o ke ʻoki ʻana.