Ntchito Zazikulu za The 980nm 1470nm Diode Laser

Zathudiode laser 980nm + 1470nmimatha kubweretsa kuwala kwa laser ku minofu yofewa munjira yolumikizana komanso yosalumikizana panthawi ya opaleshoni. Chipangizo cha 980nmlaser nthawi zambiri chimasonyezedwa kuti chigwiritsidwe ntchito pocheka, kuchotsa, kutulutsa mpweya, kutulutsa magazi, kutaya magazi kapena kugwirizanitsa minofu yofewa mu khutu, mphuno ndi mmero ndi opaleshoni ya m'kamwa (otolaryngology), njira zamano, gastroenterology, opaleshoni, dermatology, opaleshoni yapulasitiki, podiatry, urology. Chipangizocho chimasonyezedwanso kwa laser assisted lipolysis. Laser ya 1470nm ya chipangizochi idapangidwa kuti ipereke minofu ya laser tosoft m'njira yosalumikizana panthawi ya opaleshoni yanthawi zonse, yomwe imasonyezedwa pochiza reflux ya mitsempha ya saphenous yokhudzana ndi mitsempha ya varicose ndi mitsempha.

I. Kodi Dongosolo la Dual-Wavelength System Limakwaniritsa Bwanji Tissue Effects?

Chipangizochi chimagwiritsa ntchito mayamwidwe osankhidwa a photothermolysis ndi mayamwidwe osiyanitsira madzi kuti akwaniritse vaporization, kudula, kutulutsa, ndi coagulation.

1. Mpweya & Kudula

980nm:

Amodzi odzipereka ndi madzi, likulowerera 3-5 mm kuya.

Kutentha kofulumira (> 100 ° C) kumapangitsa kuti minofu ikhale yotentha (kuwira kwa madzi a m'manja).

Mumayendedwe opitilira / ogunda, amathandizira kudula kolumikizana (mwachitsanzo, zotupa, minofu ya hypertrophic).

1470nm:

Mayamwidwe apamwamba kwambiri (10 × apamwamba kuposa 980nm), kuchepetsa kuya kwa 0.5-2 mm.

Oyenera kudula mwatsatanetsatane (mwachitsanzo, opaleshoni ya mucosal) ndi kufalikira kochepa kwa kutentha.

2. Ablation & Coagulation

Mawonekedwe Ophatikiza:

980nm imaphwetsa minofu → 1470nm zosindikizira ziwiya (collagen shrinkage pa 60-70 ° C).

Amachepetsa kutuluka kwa magazi m'njira monga prostate enucleation kapena opaleshoni ya laryngeal.

3. Njira ya Hemostasis

1470nm:

Imangirira mwachangu ziwiya zazing'ono (<3 mm) kudzera pakuwonongeka kwa collagen ndi kuwonongeka kwa endothelial.

II. 1470nm Wavelength ya Venous Insufficiency & Varicose Veins

1. Njira Zochita (Endovenous Laser Therapy, EVLT)

Zolinga:Madzi mumtsempha wamagazi (osadalira hemoglobin).

Njira:

Kuyika kwa ulusi wa laser: Kuyika kwa percutaneous mu mtsempha waukulu wa saphenous (GSV).

1470nm laser activation: Slow fiber pullback (1-2 mm / s).

Thermal zotsatira:

Kuwonongeka kwa Endothelial → kugwa kwa mitsempha.

Collagen contraction → fibrosis yokhazikika.

2. Ubwino Wopitilira 980nm

Kuchepetsa zovuta (kuvulala kochepa, kuvulala kwa mitsempha).

Kutsekedwa kwakukulu (> 95%, pa Journal of Vascular Surgery).

Kuchepetsa mphamvu kumafunika (chifukwa cha kuyamwa kwakukulu kwa madzi).

III. Kugwiritsa Ntchito Chipangizo

Kusintha Kwapawiri-Wavelength:

Kusankha pamanja/magalimoto (mwachitsanzo, 980nm yodula → 1470nm posindikiza).

Fiber Optics:

Ma radial fibers (mphamvu zofananira m'mitsempha).

Maupangiri olumikizana nawo (kuti adziwe bwino).

Makina Ozizirira:

Kuziziritsa kwa mpweya/madzi kuti khungu lisapse.

IV. Mapeto

980nm:Kuchotsa kwakuya, kuchotsa mwachangu.

1470nm:Kuthamanga kwapamwamba, kutsekedwa kwa mitsempha.

Synergy:Mafunde ophatikizika amathandizira "kudula-ndi-kusindikiza" kuchita bwino pa opaleshoni.

Pazida zinazake kapena maphunziro azachipatala, perekani zomwe mukufuna (mwachitsanzo, urology, phlebology).