Endovenous laser therapy (EVLT) ya mtsempha wa saphenous, womwe umatchedwanso kuti endovenous laser ablation, ndi njira yochepetsera pang'ono, yomwe imatsogoleredwa ndi zithunzi pofuna kuchiza mitsempha ya varicose saphenous m'mwendo, yomwe nthawi zambiri imakhala mtsempha wapamwamba kwambiri wokhudzana ndi mitsempha ya varicose.
Endovenous (mkati mwa mtsempha) laser ablation ya mtsempha wa saphenous imaphatikizapo kuyika catheter (chubu chopyapyala) chomangika ndi gwero la laser mumtsempha kudzera pakhungu laling'ono, ndikuchiritsa kutalika kwa mtsempha ndi mphamvu ya laser, ndikuyambitsa kutulutsa. (kuwonongeka) kwa khoma la mtsempha. Izi zimapangitsa kuti mtsempha wa saphenous utseke ndipo pang'onopang'ono usinthe kukhala minofu yamabala. Kuchiza kwa mitsempha ya saphenous kumathandizanso kuchepetsa mitsempha ya varicose.
Zizindikiro
Endovenous lasermankhwala makamaka anasonyeza zochizira varicosities mu saphenous mitsempha makamaka chifukwa cha kuthamanga kwa magazi mkati mtsempha makoma. Zinthu monga kusintha kwa mahomoni, kunenepa kwambiri, kusachita masewera olimbitsa thupi, kuyimirira nthawi yayitali, komanso kukhala ndi pakati zingawonjezere chiopsezo cha mitsempha ya varicose.
Ndondomeko
Endovenous laser kuchotsedwa kwa mtsempha wa saphenous nthawi zambiri kumatenga nthawi yosachepera ola limodzi ndipo kumachitika mwachipatala. Kawirikawiri, ndondomekoyi idzaphatikizapo zotsatirazi:
- 1.Mudzagona pansi pa tebulo la ndondomekoyi ndikuyang'ana pansi kapena kuyang'ana mmwamba malingana ndi malo opangira chithandizo.
- 2.Njira yojambula zithunzi, monga ultrasound, imagwiritsidwa ntchito kutsogolera dokotala panthawi yonseyi.
- 3.Mwendo woti uchiritsidwe umagwiritsidwa ntchito ndi mankhwala osokoneza bongo kuti achepetse vuto lililonse.
- 4.Pamene khungu liri dzanzi, singano imagwiritsidwa ntchito popanga kabowo kakang'ono mumtsempha wa saphenous.
- 5.Catheter (chubu chochepa) chopereka kutentha kwa laser chimayikidwa mumtsempha womwe wakhudzidwa.
- 6. Mankhwala owonjezera a numbing akhoza kuperekedwa mozungulira mtsempha musanayambe kuchotsa (kuwononga) mitsempha ya varicose saphenous.
- 7.Pogwiritsa ntchito chithandizo chojambula zithunzi, catheter imatsogoleredwa kumalo ochiritsira, ndipo laser fiber kumapeto kwa catheter imawotchedwa kuti itenthe kutalika kwa mtsempha ndikusindikiza kutsekedwa. Izi zimapangitsa kuti magazi asiye kuyenda mumtsempha.
- 8.Mtsempha wa saphenous pamapeto pake umachepa ndikuzimiririka, ndikuchotsa kuphulika kwa mitsempha komwe kumayambira ndikupangitsa kuti magazi aziyenda bwino kudzera m'mitsempha ina yathanzi.
Catheter ndi laser zimachotsedwa, ndipo dzenje loboola limakutidwa ndi chovala chaching'ono.
Endovenous laser ablation of the saphenous venous nthawi zambiri amatenga nthawi yosakwana ola limodzi ndipo amachitidwa mwachipatala. Kawirikawiri, ndondomekoyi idzaphatikizapo zotsatirazi:
- 1.Mudzagona pansi pa tebulo la ndondomekoyi ndikuyang'ana pansi kapena kuyang'ana mmwamba malingana ndi malo opangira chithandizo.
- 2.Njira yojambula zithunzi, monga ultrasound, imagwiritsidwa ntchito kutsogolera dokotala panthawi yonseyi.
- 3.Mwendo woti uchiritsidwe umagwiritsidwa ntchito ndi mankhwala osokoneza bongo kuti achepetse vuto lililonse.
- 4.Pamene khungu liri dzanzi, singano imagwiritsidwa ntchito popanga kabowo kakang'ono mumtsempha wa saphenous.
- 5.Catheter (chubu chochepa) chopereka kutentha kwa laser chimayikidwa mumtsempha womwe wakhudzidwa.
- 6. Mankhwala owonjezera a numbing akhoza kuperekedwa mozungulira mtsempha musanayambe kuchotsa (kuwononga) mitsempha ya varicose saphenous.
- 7.Pogwiritsa ntchito chithandizo chojambula zithunzi, catheter imatsogoleredwa kumalo ochiritsira, ndipo laser fiber kumapeto kwa catheter imawotchedwa kuti itenthe kutalika kwa mtsempha ndikusindikiza kutsekedwa. Izi zimapangitsa kuti magazi asiye kuyenda mumtsempha.
- 8.Mtsempha wa saphenous pamapeto pake umachepa ndikuzimiririka, ndikuchotsa kuphulika kwa mitsempha komwe kumayambira ndikupangitsa kuti magazi aziyenda bwino kudzera m'mitsempha ina yathanzi.
Kusamalira Post Procedure
Nthawi zambiri, malangizo a chisamaliro cha postoperative ndikuchira pambuyo pa endovenous laser therapy idzaphatikizapo izi:
- 1.Mutha kumva kuwawa ndi kutupa pa mwendo wamankhwala. Mankhwala amaperekedwa ngati akufunika kuthana ndi izi.
- 2.Kugwiritsira ntchito madzi oundana pa malo ochiritsira kumalimbikitsidwanso kwa mphindi 10 panthawi imodzi kwa masiku angapo kuti athetse kuvulaza, kutupa, kapena kupweteka.
- 3.Mukulangizidwa kuti muzivala masitoni oponderezedwa kwa masiku angapo mpaka masabata chifukwa izi zingathandize kupewa kuphatikizika kwa magazi kapena kutsekeka, komanso kutupa kwa mwendo.
Nthawi yotumiza: Jun-05-2023