Anyịdiode laser 980nm + 1470nmnwere ike ịnye ọkụ laser na anụ ahụ dị nro n'ime kọntaktị na ọnọdụ enweghị kọntaktị n'oge usoro ịwa ahụ. A na-egosipụtakarị 980nmlaser nke ngwaọrụ ahụ maka mbepụ, mpụ, vaporization, ablation, hemostasis ma ọ bụ coagulation nke anụ ahụ dị nro na ntị, imi na akpịrị na ịwa ahụ ọnụ (otolaryngology), usoro eze, gastroenterology, izugbe ịwa ahụ, dermatology, plastic ịwa ahụ, podiatry, urology, gynecology. A na-egosikwa ngwaọrụ ahụ maka lipolysis enyere laser aka. Ezubere laser 1470nm nke ngwaọrụ ahụ maka ịnyefe anụ ahụ ọkụ laser na-enweghị kọntaktị n'oge usoro ịwa ahụ n'ozuzu, egosipụtara maka ọgwụgwọ reflux nke veins saphenous jikọtara ya na veins varicose na varicosities.
I. Kedu ka Sistemu-wavelength Dual si enweta mmetụta anụ ahụ?
Ngwa ahụ na-eji photothermolysis ahọpụtara na nnabata mmiri dị iche iche iji nweta vaporization, ịkpụ, ablation, na coagulation.
Ogologo ogologo | Chromophore nke mbụ | Mmekọrịta anụ ahụ | Ngwa ụlọ ọgwụ |
980nm | Mmiri + Hemoglobin | Ntinye miri emi, vaporization/igbupu siri ike | Ọkpụkpụ, ablation, hemostasis |
1470 nm | Mmiri (oke nnabata) | Igwe ọkụ dị elu, coagulation ngwa ngwa | Mmechi vein, nkenke ịkpụ |
1. Vaporization & Ịcha
980nm:
Na-etinye obi nke ọma na mmiri, na-abanye n'ime omimi 3-5 mm.
Igwe ọkụ ngwa ngwa (>100 Celsius) na-ebute vaporization anụ ahụ (esi mmiri cellular).
Na ọnọdụ na-aga n'ihu / pulsed, na-enyere aka ịkpụ kọntaktị (dịka ọmụmaatụ, etuto ahụ, anụ ahụ hypertrophic).
1470nm:
Mmụba mmiri dị oke elu (10 × dị elu karịa 980nm), na-amachi omimi ka ọ bụrụ 0.5-2 mm.
Ọ dị mma maka ịkpụ nkenke (dịka ọmụmaatụ, ịwa ahụ mucosal) na-agbasa obere okpomọkụ.
2. Ablation & Coagulation
Ụkpụrụ ejikọtara:
980nm vaporizes anụ ahụ → 1470nm akàrà arịa (collagen shrinkage na 60-70°C).
Na-ebelata ọbara ọgbụgba na usoro dị ka prostate enucleation ma ọ bụ ịwa ahụ laryngeal.
3. Usoro Hemostasis
1470nm:
Na-agbakọ ngwa ngwa obere ụgbọ mmiri (<3 mm) site na denaturation collagen na mmebi endothelial.
II. Ogologo ogologo 1470nm maka ụkọ nri Venous & veins Varicose
1. Usoro nke Action (Endovenous Laser Therapy, EVLT)
Ebumnuche:Mmiri na mgbidi venous (ọ bụghị hemoglobin dabere).
Usoro:
Ntinye eriri Laser: Ntinye a na-ahụ anya n'ime nnukwu akwara saphenous (GSV).
1470nm laser ịgbalite: eriri azụ azụ azụ (1-2 mm / s).
Mmetụta okpomọkụ:
Nbibi endothelial → vein ida.
Mkpịsị nke collagen → fibrosis na-adịgide adịgide.
2. Uru karịrị 980nm
Mbelata nsogbu (obere ọnya, mmerụ ahụ akwara).
Ọnụego mmechi dị elu (> 95%, kwa Journal of Vascular Surgery).
Obere ike achọrọ (n'ihi nnabata mmiri dị elu).
III. Mmejuputa ngwaọrụ
Mgbanwe Ogologo Ogologo Dual:
Nhọrọ ntuziaka / akpaaka (dịka ọmụmaatụ, 980nm maka ịkpụ → 1470nm maka akara).
Fiber Optics:
Radial fibers (ike n'ụdị maka veins).
Ndụmọdụ kọntaktị (maka ebe mgbakasị ahụ ziri ezi).
Sistemu jụrụ oyi:
Ikuku / mmiri jụrụ oyi iji gbochie akpụkpọ ahụ ọkụ.
IV. Mmechi
980nm:Ablation miri emi, ntughari ngwa ngwa.
1470nm:Coagulation elu, mmechi vein.
Mmekọrịta:Ogologo ebili mmiri jikọtara ọnụ na-enyere aka ịrụ ọrụ nke ọma n'ịwa ahụ.
Maka ngwa ngwaọrụ akọwapụtara ma ọ bụ ọmụmụ ụlọ ọgwụ, nye ngwa echere (dịka, urology, phlebology).
Oge nzipu: Ọgọst-13-2025