ʻO nā aʻa Varicose o nā lālā haʻahaʻa he mau maʻi maʻamau a pinepine i ka hana ʻoki vascular. ʻO ka hana mua no ka ʻeha o ka distension acid limb, ka hui tortuous vein shallow, me ka holomua o ka maʻi, hiki ke ʻike ʻia ka ʻili pruritus, pigmentation, desquamation, lipid sclerosis a me ka ulcer. ʻO nā ʻano mālama ʻana o nā aʻa varicose o nā lālā haʻahaʻa e pili ana i ka hoʻololi ʻana i ke ʻano o ka nohona, ka lāʻau lapaʻau, ka hose therapy pressure, ka ligation kiʻekiʻe a me ka saphenous vein stripping, sclerotherapy a pēlā aku. Ke hana nei ke ʻoki kuʻuna no nā makahiki he 100 a ʻoi.
I kēia manawa, ʻo ke ʻoki ʻana no nā aʻa varicose o nā lālā haʻahaʻa ua maʻamau ka liʻiliʻi o ka invasive, e like me ka endovenous laser ablation, radiofrequency ablation, microwave therapy, a pēlā aku. ʻO ka ligation kiʻekiʻe kuʻuna a me ka dissection o ka aʻa saphenous nui e emi iki ana ka hoʻohana ʻia. Me ka hoʻomohala ʻana o nā ʻano hana liʻiliʻi invasive a me ka hōʻiliʻili ʻana o ka ʻike o nā kauka, e pōmaikaʻi nā ʻano hana liʻiliʻi invasive i nā poʻe maʻi me nā aʻa varicose o nā lālā haʻahaʻa a hiki ke pani i ke ʻoki kuʻuna.
ʻO nā alakaʻi o ka American Society for Vascular Surgery a me ka American Venous Forum no ka mālama ʻana i nā Varicose Veins o ka Lower Extremity a me nā maʻi Venous mau loa e komo pū me ka endovenous laser ablation (ʻElva) a me ka radiofrequency ablation (RFA) e like me nā ʻōlelo paipai o ka Papa IB. Ua hōʻike ʻia nā haʻawina eKukuna 1470nmme ka fiber radial he emi iki nā pilikia a me ka perforation i hoʻohālikelike ʻia me ka ablation kuʻuna a i ʻole ke ʻoki laser maʻamau. He ʻano hana kūpono ia no ka mālama ʻana i nā veins varicose o nā ʻaoʻao haʻahaʻa a ʻo ia kekahi o nā ʻano hana intraoperative kūpono loa no ka perforation intravenous hoʻokahi pae. Ke hoʻohālikelike ʻia me ka laser kiko, hiki i ka fiber output laser apo ke hoʻolaha like i ka ikehu laser ma ka paia o ke kīʻaha koko 360°, ʻoi aku ka haʻahaʻa o ka ikehu i hoʻohana ʻia, ua hoʻemi ʻia ka helu perforation, a ʻaʻohe carbonization o ka paia o ke kīʻaha koko. ʻOi aku ka kiʻekiʻe o ka helu omo o ka wai a me ka hemoglobin me ka wavelength 1470nm ma mua o ka laser maʻamau, a hana pololei ka ikehu ma ka paia vascular, hiki ke pani piha a like i nā kīʻaha koko. Ma keʻano holoʻokoʻa, he mau pono koʻikoʻi ka laser 1470nm me ka radial fiber therapy no nā veins varicose o nā ʻaoʻao haʻahaʻa:
1) Pani wikiwiki a me ka hopena ho'ōla maopopo;
2) Hiki ke hana ʻia ka ʻōpala mānoanoa ma mua o ka radiofrequency ablation;
3) ʻAʻole pili pololei ka hopena hana o ke olonā radial i ka paia vascular, a hoʻopuka like ka wahi annular radial i kona hiki ma ka paia vascular me ka ʻole o ke kalapona ʻana.
4) ʻOi aku ka hoʻokele waiwai ma mua o nā mea hana pani wela ʻē aʻe.
He mea kūpono ke hoʻomaopopo ʻana he maʻalahi a liʻiliʻi hoʻi ka hoʻolālā ʻana o ka laser diode TRIANGELASER1470nm, ʻO ka ʻōnaehana hoʻoheheʻe wela a me ka hoʻomaʻalili hou i hoʻomaikaʻi nui ʻia e hoʻomaikaʻi nui i ka pono hoʻololi ikehu o ka laser a mālama i ka mahana hana paʻa. I ka hui pū ʻana me kaolonā radialme ka mālamalama e hoʻopuka ana he 360°, ua hoʻopili pololei ʻia ka ikehu laser i ka paia o ke kīʻaha koko. Ua hoʻemi nui ʻia ka ecchymosis a me ka ʻeha a me nā hopena ʻē aʻe, ʻoi aku ka maikaʻi o ke ʻoki kino minimally invasive.
Ka manawa hoʻouna: ʻAukake-10-2023