Hele mai ka laser Laseev i 2 mau hawewe laser - ka 980nm a me ka 1470 nm.
(1) ʻO ka laser 980nm me ka like o ka absorption i loko o ka wai a me ke koko, hāʻawi i kahi mea hana ʻoki āpau āpau, a ma 30Watts o ka puka, kahi kumu mana kiʻekiʻe no ka hana endovascular.
(2) ʻO ka laser 1470nm me ka ʻoi aku ka kiʻekiʻe o ka absorption i ka wai, hāʻawi i kahi mea hana ʻoi aku ka maikaʻi no ka hōʻemi ʻana i ka pōʻino thermal collateral a puni nā hale venous.
No laila, ʻoi aku ka maikaʻi o ka hana endovascular e hoʻohana i 2 laser wavelengths 980nm 1470nm i hui ʻia.
ʻO ke kaʻina hana no ka mālama EVLT
ʻO kaEVLT laserHana ʻia ke kaʻina hana ma ka hoʻokomo ʻana i ka fiber laser i loko o ka vein varicose i hoʻopilikia ʻia (endovenous means inside the vein). ʻO ke kaʻina hana kikoʻī penei:
1. E hoʻopili i kahi anesthetic kūloko ma luna o ka wahi i hoʻopili ʻia a hoʻokomo i kahi nila ma ia wahi.
2. E kau i ka uwea ma ka nila ma luna o ke aʻa.
3. Wehe i ka nila a hāʻawi i kahi catheter (pahu ʻilika lahilahi) ma luna o ka uea i loko o ka vein saphenous
4. E hoʻopili i kahi fiber radial laser i luna o ka catheter i ke ala e hiki ai kona piko i kahi e pono ai ka wela loa (ʻo ka maʻamau ka ʻoki ʻana).
5. E hoʻokomo i ka hoʻonā anesthetic kūloko i loko o ke aʻa ma o nā kui nila he nui a i ʻole ma ka Tumescent anesthesia.
6. E puhi i ka laser a huki i ka fiber radial i lalo kenimika ma ke kenimika i 20 a 30 mau minuke.
7. E wela i nā aʻa ma o ka catheter e hoʻopau like ʻia nā paia o ke aʻa ma ka hōʻemi ʻana a hoʻopaʻa ʻia. ʻO ka hopena, ʻaʻohe kahe hou o ke koko i loko o kēia mau aʻa e hopena ai ka pehu. ʻAʻole loaʻa nā veins olakino a puni i kavaricose veinsa no laila hiki ke hoʻomaka me ke kahe koko olakino.
8. Wehe i ka laser a me ka catheter a uhi i ka ʻeha o ka nila me kahi lole liʻiliʻi.
9. ʻO kēia kaʻina hana he 20 a 30 mau minuke i kēlā me kēia wāwae. Pono paha nā veins liʻiliʻi e hana i ka sclerotherapy ma kahi o ka hoʻomaʻamaʻa laser.
Ka manawa hoʻouna: Sep-04-2024