Ịmeghe Mkpuchi Kachasị Elu, Mgbu Obere Mgbe Awachara Ahụ, na Mgbake Ngwa Ngwa Maka Ndị Ọrịa Na-anaghị Apụta n'Ọgwụgwọ Oge A
Ọrịa akwara na-adịghị ala ala (CVI) na akwara varicose dị n'okpuru ụkwụ na-emetụta ọtụtụ narị nde mmadụ n'ụwa niile, na-akpata oke ibu ụkwụ na-adịghị ala ala, ọzịza, ihe mgbu, stasis dermatitis, na ọnya akwara na-aga n'ihu. Ọ bụ ezie na iwepụ ihe ndị a na-ahụkarị (ịdọpụ aka na iwepụ ihe ndị a na-ewepụ) bụ ọgwụgwọ mbụ, ịwa ahụ akwara nke oge a agbanweela nke ọma gaa na mbelata okpomọkụ endovenous nke na-adịghị emerụ ahụ. Taa,Ọgwụgwọ Laser Endovenous (EVLT / EVLA)na-anọchite anya ọkọlọtọ ọlaedo nke nkwekọrịta mba ụwa kwadoro - na-enye ọnụego mkpuchi dị elu, nsonaazụ ịchọ mma pụrụ iche, na ihe fọrọ nke nta ka ọ bụrụ enweghị ọnụnọ ụlọ ọgwụ.
Iji dozie oke mgbochi ndị na-adịgide adịgide nke laser monochromatic mbụ - dị ka ecchymosis mgbe ịwa ahụ gasịrị, ihe mgbu nke okpomọkụ kpatara, na ihe egwu nke ịmegharịghachi - TRIANGEL na-ewebata ihe ngosi ya kachasị elu.Sistemụ Laser Diode Surgical Diode nke V6 Dual-Wavelength (980nm + 1470nm),Emebere ya kpọmkwem na njikọta ya na teknụzụ Radial Optical Fiber 360° nke nwere ikike maka mmechi endovascular zuru oke.
1. Njikọta Chromophore Abụọ: Ike Biophysical nke 980nm + 1470nm
Ihe ịga nke ọma dị mkpa nke EVLT dabere na mkpọchi fotothermal ezubere iche: ibufe ike anya n'ime ike okpomọkụ iji dena matrix collagen nke mgbidi akwara (intima na media), na-ebute mkpụkọ akwara na-adịgide adịgide na mkpochapụ eriri afọ na-esote. Ikpo okwu TRIANGEL V6 na-eji ogologo ebili mmiri abụọ na-arụkọ ọrụ nke ọma iji mee ka mmiri na hemoglobin dịkwuo mma:
*1470 nm — Ntinye mmiri ahọpụtara maka iwepụ ihe dị nro, nke na-adịghị omimi:Mmiri bụ chromophore kachasị na endothelial lining na vein wall. Ogologo 1470nm na-egosi ọnụọgụ nnabata na mmiri ihe dị ka ugboro 40 karịa nke 980nm, yana usoro nha dị elu karịa 810nm ma ọ bụ 1064nm. Nke a na-enye ohere ka ike okpomọkụ dị na mpaghara ablation dị oke obere, nke a na-achịkwa nke ọma n'ime mgbidi vein. N'ihi ya, a na-ebelata mmepụta afụ uzuoku, a na-ezere mgbakasị akwara perivascular, a na-ebelatakwa ecchymosis (ọnya) mgbe ịwachara ahụ gasịrị.
*980 nm — Mbubata Hemoglobin dị elu maka njikọta ngwa ngwa na hemostasis:Ọ bụ ezie na 1470nm na-agbanwe usoro nhazi nke collagen nke mgbidi arịa ọbara, 980nm na-adakọ na oke mmịpụta nke oxyhemoglobin na deoxyhemoglobin. Nke a na-enye fotocoagulation ozugbo n'ime akwara ọbara, na-emechi ihe ndị na-abanye n'ime akwara ọbara ma na-egbochi mmịpụta na ọbara ọgbụgba n'ime ịwa ahụ.
★ Uru Ahụike: Ike dị ala, Nkasi Obi Karịrị
Nkwekọrịta Ahụike: Njikọta njikọta nke 980nm na 1470nm na-enye ndị dọkịta aka ịrụ ọrụ na obere mmetụta zuru oke (Joules/cm) ma e jiri ya tụnyere otu 980nm nkeji otu-wavelength, na-enweta otu 100% mkpuchi akwara ozugbo ebe ọ na-ebelata akara mgbu ndị ọrịa (VAS) karịa 65%.
2. Eriri anya Radial 360°: Mwepụ gburugburu otu otu
Nnukwu ihe ọhụrụ na EVLT nke oge a bụ mgbanwe site na eriri ndị a na-anaghị ahụkarị gaa na eriri Radial Optical pụrụ iche. Eriri ndị a na-anaghị ahụkarị na-agba ike laser n'ihu n'akụkụ akwara, nke na-akpatakarị okpomọọkụ na-adịghị mma, mmụba okpomọkụ kachasị elu, na ihe egwu a maara nke ọma nke mgbawa mgbidi akwara. N'ụzọ dị iche, TRIANGEL Radial Optical Fiber na-ewebata obere prism silica refractive nke nwere onwe ya na nsọtụ anya:
*Ezigbo Nnyefe Gburugburu 360°:A na-eme ka ike na-enwu n'otu ụzọ ahụ n'ime silinda ogo 360 zuru oke nke kwụgidere n'akụkụ mgbidi arịa ahụ, na-eme ka collagen dị n'otu nhata gbadaa gburugburu akwara niile ka eriri ahụ na-adọghachi azụ.
*Mwepụ nke Mgbawa na Kabọn:Site n'izere mmekọrịta kpọmkwem n'etiti eriri na-agba ọkụ nke ukwuu na akwara intima, mwepụta radial na-egbochi ọkụ nke mgbidi akwara focal na hyperpigmentation nke akpụkpọ ahụ.
*Nkwa Njikọ Anya (<20% Mfu Ike):Ọtụtụ eriri ndị dị n'ahịa na-enwe mfu nnyefe njikọ anya karịa 20%, nke na-ebute nnyefe ike na-adịghị mma na mgbanwe akwara ogologo oge. Sistemụ TRIANGEL LASEEV na-ekwe nkwa njikọ SMA905 ziri ezi, na-eme ka 100% nke ike aha a na-ahazi agbanwee gaa n'ọhịa ahụike.
3. Usoro Ọgwụgwọ Ndị Ọrịa Na-anaghị Apụ Apụ: Nlekọta Ịbanye n'Ụlọ, Nlekọta Ịgagharị n'Ụlọ
A na-emepụta usoro TRIANGEL V6 EVLT maka ime ka a na-agagharị agagharị nke ọma site na iji ọgwụ mgbochi ọrịa tumescent mpaghara. Usoro a na-ejikarị eme ka a na-ewepụ akwara saphenous na-ewe naanị nkeji iri abụọ na ise ruo iri anọ ma na-agbaso usoro ọgwụgwọ siri ike nke ọkwa ise:
• Nzọụkwụ nke 1: Mgbawa nke Ultrasound na-eduzi:Site na ntuziaka Duplex ultrasound, a na-eji agịga 18G nke nwere ike ịpịa akụkụ ahụ ma ọ bụ n'okpuru ikpere.
• Nzọụkwụ nke 2: Ntinye Waya Ntuziaka Mmiri:A na-eme ka waya nduzi hydrophilic nke dị sentimita 0.035 na-aga n'ihu nke ọma site na lumen catheter ruo na nnukwu akwara saphenous (GSV).
• Nzọụkwụ nke 3: Nha anya ruo SFJ:A na-ahazi ogologo site na ebe a na-agbapu ruo na ntughari nke njikọ saphenofemoral (fossa ovalis) site na ultrasound.
• Nzọụkwụ nke 4: Nhazi kateta na eriri radial nwere ọtụtụ ebumnuche:A na-etinye ihe mkpuchi nnyefe ahụ n'ebe dị anya site na 1.5–2.0 cm ruo na njikọ akwara epigastric, a na-ebukwa eriri radial 360°.
• Nzọụkwụ 5: Tumescent Anesthesia & Laser Ablation:A na-etinye mmiri oyi na-akpọ "cold tumescent" n'ime akwara iji mepụta ihe mkpuchi mmiri nchebe ma gbajie mgbidi akwara ahụ n'elu eriri ahụ. A na-arụ ọrụ laser diode V6 n'ụdị ebili mmiri na-aga n'ihu (CW) ka a na-adọghachi eriri ahụ azụ n'usoro na 1–2 mm/sekọnd (njupụta ike Linear Endovenous: 50–70 J/cm).
Nlekọta Mgbe Usoro A Gasịrị: A na-etinye bandeeji mkpakọ ma ọ bụ sọks mkpakọ ahụike nke klas nke abụọ ozugbo n'ụkwụ a gwọrọ. A na-agba ndị ọrịa ume ka ha na-agagharị ozugbo ruo nkeji iri abụọ ma nwee ike ịlaghachi ozugbo. A na-anọgide na-eme mkpakọ ahụ ruo ụbọchị asaa ruo iri na anọ. Nyocha Duplex nke na-esote na-egosi na akụkụ fibrosis, ụda olu dị ala, enweghị mkpakọ, na enweghị reflux kpamkpam.
Oge ozi: Ọktoba-28-2026