Makina Opangira Opaleshoni a Laser a 980nm 1470nm ENT TR-C
Laser ya 980nm 1470nm diode ndi njira yopangira opaleshoni yomwe yakhala yofunika kwambiri pa opaleshoni ya ENT masiku ano. Chifukwa cha laser ya diode yomwe ili ndi mphamvu yodula kapena yotseka, ndi yoyenera kwambiri pochiza matenda osiyanasiyana a khutu/mphuno/pakhosi.
Chifukwa cha kusintha kwa magwero a laser, njira yopangira opaleshoni ya otolaryngology yasinthidwa kwambiri chifukwa cha kuthekera kochita zinthu zochepa zowononga minofu, zomwe zimapangitsa kuti minofu isawonongeke kwambiri, kuchira mwachangu, kupweteka pang'ono komanso zipsera zochepa poyerekeza ndi opaleshoni yochitidwa kudzera m'mabala otseguka.
Makina a laser a 980nm 1470nm diode samangochotsa minofu yokhudzidwayo molondola komanso sasiyanso chilonda kapena kuuma kulikonse. Palibe zovuta zina zomwe zimachitika pambuyo pa opaleshoni, ndipo kuchuluka kwa kubwereranso kwa matendawa ndi kochepa.
Ponena za pakhosi, opaleshoni nthawi zambiri imakhala yovuta chifukwa imayambitsa chilonda ndi kuuma komwe kumachitika chifukwa cha zilondazo. Koma ma fiber optics osinthasintha pamodzi ndi manja osiyanasiyana zimapangitsa kuti opaleshoniyo ikhale yosavuta kudula minofu yokhudzidwa popanda kuwononga madera ozungulira.
Kawirikawiri, odwala amachiritsa mabala awo bwino ndipo amafunikira chisamaliro chosavuta chongotsatira. Ngakhale kuti nthawi yochira imasiyana malinga ndi wodwala aliyense, nthawi zambiri kuchira kumakhala kofulumira.
Ubwino
* Kulondola kwa opaleshoni ya microsurgical
*Mayankho okhudza kugwirana kuchokera ku laserfiber
*Kutuluka magazi pang'ono, kuwunika bwino komwe kumachitika panthawi ya opaleshoni
*Pakufunika njira zochepa zochitira opaleshoni
*Nthawi yochepa yochira kwa wodwalayo
Mapulogalamu
KHUTU
Ziphuphu
Chowonjezera cha Auricle
Zotupa za khutu lamkati
Hemangioma
Kuchotsa mano m'mimba
Cholesteatoma
Matenda a tympanitis
MPHUMO
Mphuno Yam'mphuno, Rhinitis
Kuchepetsa Turbinate
Papilloma
Ziphuphu ndi Mucoceles
Epistaxis
Stenosis ndi Synechia
Opaleshoni ya Sinus
Dacryocystorhinostomy (DCR)
PAKHOSI
Uvulopalatoplasty (LAUP)
Kuchotsa Glossectomy
Ma polyps a chingwe cha mawu
Kuchotsa Epiglottectomy
Zopinga
Opaleshoni ya Sinus
Opaleshoni ya Mphuno Yamkati
Opaleshoni ya endoscopic ndi njira yamakono yodziwika bwino pochiza mphuno ndi paranasal sinuses.Komabe, chifukwa cha vuto la kuchuluka kwa magazi m'thupi, chithandizo cha opaleshoni m'derali nthawi zambiri chimakhala chovuta. Kulephera kuwona bwino chifukwa cha kutuluka magazi nthawi zambiri kumabweretsa ntchito yosalongosoka; kulongedza mphuno kwa nthawi yayitali komanso khama lalikulu la odwala ndi madokotala nthawi zambiri sikopeka.
Chofunika kwambiri pa opaleshoni ya endonasal ndikusunga minofu yozungulira mucosal momwe mungathere. Ulusi watsopano wopangidwa wokhala ndi nsonga yapadera ya conical fiber kumapeto kwakutali umalola kulowa kwa atraumatic mu minofu ya turbinate ya mphuno ndipo nthunzi ikhoza kuchitika mkati mwa njira yotetezera mucosal kunja kwathunthu.
Chifukwa cha kugwirizana kwabwino kwa laser ndi minofu ya kutalika kwa 980nm / 1470 nm, minofu yapafupi imatetezedwa bwino. Izi zimapangitsa kuti mafupa omwe adatsegulidwa abwererenso mwachangu. Chifukwa cha zotsatira zabwino za hemostatic, njira zolondola zitha kuchitika ndi mawonekedwe omveka bwino a malo ogwirira ntchito. Pogwiritsa ntchito ulusi wa laser wa TR-C® wofewa komanso wosinthasintha wokhala ndi mainchesi apakati a 400 μm, mwayi wabwino kwambiri wofikira m'malo onse amphuno ndi wotsimikizika.
Ubwino
* Kulondola kwa opaleshoni ya microsurgical
*Kutupa kochepa kwa minofu pambuyo pa opaleshoni
*Opaleshoni yopanda magazi
* Kuwonekera bwino kwa malo ogwirira ntchito
*Zotsatira zochepa za opaleshoni
*Opaleshoni yakunja ikhoza kuchitika pansi pa malo ogonera
*Nthawi yochepa yochira
*Kusunga bwino vuto la mchere wa mucosa wozungulira
Chimodzi mwa opaleshoni zomwe zimachitika kawirikawiri m'dera la oropharynx ndi lasertonsillotomy mwa ana (Kissing Tonsils). Mu matenda a ana otchedwa tonsillar hyperplasias, LTT imayimira njira yodziwikiratu, yofatsa komanso yotsika kwambiri m'malo mwa tonsillectomy (ana osakwana zaka 8). Chiwopsezo cha kutuluka magazi pambuyo pa opaleshoni ndi chochepa. Kuchuluka kochepa kwa ululu pambuyo pa opaleshoni chifukwa cha nthawi yochepa yochira, kuthekera kochita opaleshoni yakunja (ndi mankhwala oletsa ululu) komanso kusiya tonsillar parenchyma ndi zabwino zazikulu za lasertonsillotomy.
Chifukwa cha kugwirizana bwino kwa laser ndi minofu, chotupa kapena dysplasias zimatha kuchotsedwa popanda magazi pamene minofu yapafupi isakhudzidwe. Kuchotsa glossectomy pang'ono kungachitike kokha pansi pa dongosolo lonse.mankhwala oletsa ululu m'chipinda chochitira opaleshoni.
Ubwino
*Opaleshoni yakunja ndizotheka
*Njira yochepetsera kuwononga magazi, yopanda magazi
*Nthawi yochepa yochira ndi ululu wochepa pambuyo pa opaleshoni
Kutsekeka kwa madzi otuluka m'maso, komwe kumachitika chifukwa cha kutsekeka kwa njira yotulutsira misozi, ndi vuto lofala kwambiri, makamaka pakati pa odwala okalamba. Njira yachikhalidwe yochiritsira ndiyo kutsegulanso njira yotulutsira misozi m'maso mwa opaleshoni. Komabe, iyi ndi njira yayitali komanso yovuta yokhudzana ndi kuthekera kwakukulu kwa zotsatirapo zoyipa monga kutuluka magazi mwamphamvu, pambuyo pa opaleshoni komanso kuvulala. TR-C® imapangitsa kuti njira yotulutsira misozi m'maso ikhale yotetezeka, yochepetsetsa. Cannula yopyapyala yokhala ndi mandrel yake yooneka ngati yowopsa imayambitsidwa kamodzi kuti ichite chithandizocho popanda kupweteka komanso popanda magazi. Kenako, madzi ofunikira amayikidwa m'malo mwake pogwiritsa ntchito cannula yomweyo. Njirayi ikhoza kukhalakuchitidwa pansi pa mankhwala oletsa ululu am'deralo ndipo sikusiya zipsera.
Ubwino
*Njira ya Atraumatic
*Zovuta zochepa komanso zotsatirapo zake
*Mankhwala oletsa ululu am'deralo
*Palibe kutuluka magazi pambuyo pa opaleshoni kapena kutupa kwa edema
*Palibe matenda
*Palibe zipsera
Otoloji
Mu gawo la Otology, makina a laser a TR-C®diode amawonjezera njira zosiyanasiyana zochizira zomwe sizimawononga kwambiri. Laser PARACENTESI Ndi njira yochizira yomwe imatsegula darubini la khutu pogwiritsa ntchito njira imodzi yolumikizirana ndi kuwombera. Dzenje laling'ono lozungulira lomwe lili ndi mabowo m'darubini la khutu, lomwe limachitidwa ndi laser, lili ndi ubwino wokhala lotseguka kwa milungu itatu.Kutuluka kwa madzi m'thupi n'kosavuta kuthana nako ndipo chifukwa chake njira yochiritsira pambuyo pa kutupa imakhala yochepa kwambiri, poyerekeza ndi njira zachikhalidwe zochizira opaleshoni.Odwala ambiri akuvutika ndi OTOSCLEROSIS pakati pa khutu. Njira ya TR-C®, yophatikizidwa ndi ulusi wofewa komanso wofewa wa 400 micron, imapatsa madokotala opaleshoni ya khutu njira zochepetsera kufalikira kwa STAPEDECTOMY (kuwombera kamodzi kokha kwa laser kuti kuboole phazi) ndi STAPEDOTOMY ya laser (kutseguka kozungulira kwa stirrup footplate kuti mutenge prosthesis yapadera pambuyo pake). Poyerekeza ndi laser ya CO2, njira yolumikizirana ili ndi ubwino wochotsa chiopsezo chakuti mphamvu ya laser ingakhudze mwangozi madera ena m'makutu ang'onoang'ono apakati.
Mphuno
Chofunika kwambiri pakuchita opaleshoni m'dera la kholingo ndikupewa kupangika kwa zipsera zazikulu komanso kutayika kwa minofu yosafunikira chifukwa izi zitha kukhudza kwambiri ntchito za fonetiki. Njira yogwiritsira ntchito laser ya pulsed diode imagwiritsidwa ntchito pano. Mwanjira imeneyi, kuzama kwa kulowa kwa kutentha kumatha kuchepetsedwa kwambiri; kupukutika kwa minofu ndi kudula minofu kumatha kuchitika molondola komanso mowongoleredwa, ngakhale pazinthu zofewa, pomwe kumateteza bwino minofu yozungulira.
Zizindikiro zazikulu: kupopera kwa zotupa, papilloma, stenosis ndi kuchotsa ma polyps a vocal cord.
Matenda a ana
Mu njira zochizira ana, opaleshoni nthawi zambiri imakhala ndi ziwalo zopapatiza komanso zofewa. Dongosolo la laser la TR-C® limapereka ubwino waukulu. Pogwiritsa ntchito ulusi woonda kwambiri wa laser, monga pogwiritsira ntchito microendoscope, ngakhale ziwalozi zimatha kufikika mosavuta ndikuchiritsidwa molondola. Mwachitsanzo, papiloma yobwerezabwereza, chizindikiro chofala kwambiri mwa ana, imakhala opaleshoni yopanda magazi komanso yopanda ululu, ndipo njira zochizira pambuyo pa opaleshoni zimachepetsedwa kwambiri.
| Chitsanzo | TR-C |
| Mtundu wa laser | Diode Laser Gallium-Aluminium-Arsenide GaAlAs |
| Kutalika kwa mafunde | 980nm 1470nm |
| Mphamvu Yotulutsa | 47w |
| Njira zogwirira ntchito | CW ndi Pulse Mode |
| Kukula kwa Kugunda | 0.01-1s |
| Kuchedwa | 0.01-1s |
| Kuwala kosonyeza | 650nm, mphamvu yolamulira |
| Ulusi | 300 400 600 800 1000 (ulusi wopanda kanthu) |
