ʻO nā hana nui o ka 980nm 1470nm Diode Laser

ʻO kā mākoulaser diode 980nm + 1470nmHiki iā ia ke hāʻawi aku i ke kukui laser i ka ʻiʻo palupalu ma ke ʻano pili a me ke ʻano pili ʻole i ka wā o ke kaʻina hana. Hōʻike ʻia ka 980nmlaser o ka hāmeʻa no ka hoʻohana ʻana i ka incision, excision, vaporization, ablation, hemostasis a i ʻole coagulation o ka ʻiʻo palupalu ma ka pepeiao, ka ihu a me ka ʻāʻī a me ke ʻoki waha (otolaryngology), nā kaʻina niho, gastroenterology, ʻokiʻoki maʻamau, dermatology, plastic surgery, podiatry, urology, gynecology. Hōʻike hou ʻia ka mea hana no ka lipolysis kōkua laser. Hoʻolālā ʻia ka laser 1470nm o ka mīkini no ka hāʻawi ʻana i ka kukui laser i ka ʻiʻo palupalu ma ke ʻano non-contact mode i ka wā o ke kaʻina hana maʻamau, i hōʻike ʻia no ka mālama ʻana i ka reflux o nā veins saphenous e pili ana i nā veins varicose a me nā varicosities.

I. Pehea e loaʻa ai i ka Pūnaehana Wave-lōʻihi ʻelua i nā hopena o ka ʻili?

Hoʻohana ka hāmeʻa i ka photothermolysis koho a me ka hoʻoheheʻe wai ʻokoʻa e hoʻokō i ka vaporization, ʻoki, ablation, a me ka coagulation.

1. Vaporization & Oki

980nm:

Hoʻopili ʻia e ka wai, komo i ka hohonu 3-5 mm.

ʻO ka hoʻomehana wikiwiki (> 100°C) e hoʻoulu i ka vaporization o ke kino (hoʻolapalapa wai kelepona).

Ma ke ʻano hoʻomau/pulsed, hiki iā ia ke ʻoki pili (e laʻa, nā maʻi ʻaʻai, hypertrophic tissue).

1470nm:

Kiʻekiʻe kiʻekiʻe loa o ka wai (10× kiʻekiʻe ma mua o 980nm), e kaupalena ana i ka hohonu i 0.5-2 mm.

He kūpono no ka ʻoki pono ʻana (e laʻa, ʻokiʻoki mucosal) me ka laha wela liʻiliʻi.

2. Ablation & Coagulation

ʻAno hui ʻia:

980nm vaporizes kiko → 1470nm sila moku (collagen shrinkage ma 60-70°C).

Hoʻemi i ke koko ma nā kaʻina hana e like me ka prostate enucleation a i ʻole ka laryngeal surgery.

3. Hemostasis Mechanism

1470nm:

Hoʻopili wikiwiki i nā moku liʻiliʻi (<3 mm) ma o ka denaturation collagen a me ka pōʻino endothelial.

II. ʻO 1470nm ka lōʻihi o ka hawewe no ka lawa ʻole o nā vena a me nā veins varicose

1. Mechanism of Action (Endovenous Laser Therapy, EVLT)

Pahuhopu:ʻO ka wai i loko o ka paia venous (ʻaʻole pili i ka hemoglobin).

Kaʻina hana:

Hoʻokomo ʻia ka fiber laser: Hoʻokomo ʻia i loko o ka vein saphenous nui (GSV).

1470nm laser activation: Hoʻihoʻi hou i ka fiber lohi (1-2 mm/s).

Nā hopena wela:

Endothelial luku → vein collapse.

Hoʻopaʻa kolagen → fibrosis mau.

2. Pono Ma luna o 980nm

Hoʻemi ʻia nā pilikia (emi ʻia ka ʻeha, ʻeha nerve).

ʻOi aku ka nui o ka pani pani (>95%, no ka Journal of Vascular Surgery).

Pono ka ikehu haʻahaʻa (no ka hoʻonui ʻana i ka wai).

III. Hoʻokō Mea Hana

Hoʻololi ʻelua-lōʻihi hawewe:

Koho lima/aunoa (e laʻa, 980nm no ka ʻoki ʻana → 1470nm no ke sila).

Fiber Optik:

ʻO nā lālā Radial (ka ikehu like no nā veins).

Nā ʻōlelo aʻoaʻo pili (no nā ʻoki pololei).

Pūnaehana hoʻoluʻu:

ʻO ka hoʻoluʻu ʻana i ka ea/wai no ka pale ʻana i ka wela o ka ʻili.

IV. Ka hopena

980nm:ʻO ka ablation hohonu, ka wehe wikiwiki.

1470nm:ʻO ka hoʻopaʻa ʻana i luna, ka pani ʻana o ka vein.

ʻO ka hui pū ʻana:ʻO nā lōʻihi hawewe hui ʻia e hiki ai i ka "cut-and-seal" maikaʻi i ka hana ʻana.

No nā ʻāpana hāmeʻa kikoʻī a i ʻole nā ​​noiʻi lapaʻau, e hāʻawi i ka noi i manaʻo ʻia (e laʻa, urology, phlebology).