Nā Hana Nui o ka Laser Diode 980nm 1470nm

ʻO kā mākoudiode laser 980nm+1470nmhiki ke hāʻawi i ke kukui laser i nā ʻiʻo palupalu i ke ʻano pili a me ke ʻano pili ʻole i ka wā o nā kaʻina hana ʻoki. Hoʻohana nui ʻia ka laser 980nm o ka hāmeʻa no ka hoʻohana ʻana i ka ʻoki ʻana, ka excision, ka vaporization, ka ablation, ka hemostasis a i ʻole ka coagulation o nā ʻiʻo palupalu i loko o ka pepeiao, ka ihu a me ka puʻu a me ke ʻoki waha (otolaryngology), nā kaʻina hana niho, gastroenterology, ke ʻoki laulā, dermatology, ke ʻoki plastik, podiatry, urology, gynecology. Hoʻohana hou ʻia ka hāmeʻa no ka lipolysis kōkua laser. Manaʻo ʻia ka laser 1470nm o ka hāmeʻa no ka hāʻawi ʻana i ke kukui laser i nā ʻiʻo palupalu i ke ʻano pili ʻole i ka wā o nā kaʻina hana ʻoki laulā, i hōʻike ʻia no ka mālama ʻana i ka reflux o nā veins saphenous e pili ana me nā veins varicose a me nā varicosities.

I. Pehea e hoʻokō ai ka ʻōnaehana Dual-Wavelength i nā hopena ʻiʻo?

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

1. Hoʻoheheʻe a me ka ʻoki ʻana

980nm:

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

Hoʻoulu ka hoʻomehana wikiwiki (>100°C) i ka mahu ʻana o nā ʻiʻo (ka paila ʻana o ka wai cellular).

Ma ke ʻano hoʻomau/pulsed, hiki ke ʻoki i ka hoʻopili ʻana (e like me nā tumors, nā ʻiʻo hypertrophic).

1470nm:

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

Kūpono no ka ʻoki pololei (e like me ke ʻoki mucosal) me ka liʻiliʻi o ka hohola wela.

2. Hoʻopau a me ka hoʻopili ʻana

ʻAno Hoʻohuihui:

Hoʻomāhu ka 980nm i nā ʻiʻo → Hoʻopaʻa ka 1470nm i nā kīʻaha koko (ka emi ʻana o ke kolakena ma 60–70°C).

Hoʻēmi i ke kahe ʻana o ke koko i nā kaʻina hana e like me ka enucleation prostate a i ʻole ke ʻoki laryngeal.

3. ʻAno hana Hemostasis

1470nm:

Hoʻopili koke i nā kīʻaha koko liʻiliʻi (<3 mm) ma o ka denaturation collagen a me ka hōʻino endothelial.

II. 1470nm ka lōʻihi o ka nalu no ka lawa ʻole o ke kino a me nā aʻa Varicose

1. Ke ʻano hana (Endovenous Laser Therapy, EVLT)

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

Kaʻina Hana:

Hoʻokomo ʻana i ke olonā laser: Ke kau ʻia ʻana o ka ʻili i loko o ka aʻa saphenous nui (GSV).

Hoʻāla ʻana o ka laser 1470nm: Hoʻihoʻi lohi o ka fiber (1–2 mm/s).

Nā hopena wela:

Ka luku ʻana o ka endothelial → ka hiolo ʻana o ke aʻa.

ʻUmiʻumi kolakena → fibrosis mau loa.

2. Nā Pōmaikaʻi ma luna o 980nm

Hoʻemi ʻia nā pilikia (emi ka palapū, ʻeha o ke aʻalolo).

ʻOi aku ka nui o nā helu pani (>95%, e like me ka Journal of Vascular Surgery).

Ka ikehu haʻahaʻa e pono ai (ma muli o ke omo ʻana o ka wai kiʻekiʻe).

III. Hoʻokō ʻana i ka hāmeʻa

Ka hoʻololi ʻana i ka nalu pālua:

Koho ʻano manual/auto (e laʻa, 980nm no ka ʻoki ʻana → 1470nm no ka sila ʻana).

ʻO ka ʻike maka fiber:

Nā olonā Radial (ka ikehu like no nā aa koko).

Nā ʻōlelo kōkua pili (no nā ʻoki pololei).

Nā ʻōnaehana hoʻoluʻu:

Hoʻomaʻalili ea/wai e pale ai i ka wela o ka ʻili.

IV. Hopena

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

1470nm:Ke kāpili ʻana o nā aʻa koko ma luna, ka pani ʻana o nā aʻa koko.

Hui Pū:Hiki i nā nalu i hui pū ʻia ke hana "ʻoki-a-sila" i ka hana ʻoki kino.

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