Endovenous laser therapy (EVLT) ya mtsempha wa saphenous, yomwe imatchedwanso endovenous laser ablation, ndi njira yocheperako yowononga mitsempha ya varicose saphenous yomwe ili m'miyendo, yomwe nthawi zambiri imakhala mtsempha waukulu wakunja wogwirizana ndi mitsempha ya varicose.
Kuchotsa mitsempha ya saphenous pogwiritsa ntchito laser (mkati mwa mitsempha) kumaphatikizapo kuyika catheter (chubu chopyapyala chosinthasintha) cholumikizidwa ndi gwero la laser mu mitsempha kudzera mu kubowola pang'ono pakhungu, ndikuchiza kutalika konse kwa mitsempha ndi mphamvu ya laser, zomwe zimapangitsa kuti khoma la mitsempha liwonongeke. Izi zimapangitsa kuti mitsempha ya saphenous itsekeke pang'onopang'ono ndikusintha pang'onopang'ono kukhala minofu ya zipsera. Chithandizo ichi cha mitsempha ya saphenous chimathandizanso kuchepetsa mitsempha ya varicose yomwe ikuwoneka.
Zizindikiro
Laser yokhazikikaChithandizochi chimagwiritsidwa ntchito makamaka pochiza mitsempha ya varicosity yomwe imayamba chifukwa cha kuthamanga kwa magazi m'makoma a mitsempha. Zinthu monga kusintha kwa mahomoni, kunenepa kwambiri, kusachita masewera olimbitsa thupi, kuima kwa nthawi yayitali, komanso kutenga mimba zitha kuwonjezera chiopsezo cha mitsempha ya varicose.
Ndondomeko
Laser yokhazikika Kuchotsa mtsempha wa saphenous nthawi zambiri kumatenga nthawi yosakwana ola limodzi ndipo kumachitika kwa wodwala wosapita kuchipatala. Kawirikawiri, njirayi imafuna njira zotsatirazi:
- 1. Mudzagona patebulo la opaleshoni molunjika kapena molunjika kutengera malo omwe mwalandira chithandizo.
- 2. Njira yojambulira zithunzi, monga ultrasound, imagwiritsidwa ntchito kutsogolera dokotala wanu panthawi yonse ya opaleshoniyi.
- 3. Mwendo woti ulandire chithandizo umaperekedwa ndi mankhwala ochepetsa ululu kuti uchepetse kupweteka kulikonse.
- 4. Khungu likayamba dzanzi, singano imagwiritsidwa ntchito kupanga dzenje laling'ono loboola m'mitsempha ya saphenous.
- 5. Katheta (chubu chopyapyala) chomwe chimapereka gwero la kutentha kwa laser chimayikidwa mu mtsempha wokhudzidwa.
- 6. Mankhwala ena owonjezera mano angaperekedwe mozungulira mtsempha musanachotse (kuwononga) mtsempha wa varicose saphenous.
- 7. Pogwiritsa ntchito chithandizo chojambula zithunzi, catheter imatsogozedwa kumalo ochizira matenda, ndipo ulusi wa laser womwe uli kumapeto kwa catheter umayatsidwa kuti utenthe utali wonse wa mtsempha ndikutseka. Izi zimapangitsa kuti magazi asiye kuyenda kudzera m'mitsempha.
- 8. Mtsempha wa saphenous pamapeto pake umachepa ndikutha, zomwe zimapangitsa kuti mitsempha ituluke komwe imachokera ndikulola kuti magazi aziyenda bwino kudzera m'mitsempha ina yathanzi.
Katheta ndi laser zimachotsedwa, ndipo dzenje loboola limaphimbidwa ndi chopondera chaching'ono.
Kuchotsa mtsempha wa saphenous pogwiritsa ntchito laser nthawi zambiri kumatenga nthawi yosakwana ola limodzi ndipo kumachitika kwa wodwala wosapita kuchipatala. Kawirikawiri, njirayi imafuna njira zotsatirazi:
- 1. Mudzagona patebulo la opaleshoni molunjika kapena molunjika kutengera malo omwe mwalandira chithandizo.
- 2. Njira yojambulira zithunzi, monga ultrasound, imagwiritsidwa ntchito kutsogolera dokotala wanu panthawi yonse ya opaleshoniyi.
- 3. Mwendo woti ulandire chithandizo umaperekedwa ndi mankhwala ochepetsa ululu kuti uchepetse kupweteka kulikonse.
- 4. Khungu likayamba dzanzi, singano imagwiritsidwa ntchito kupanga dzenje laling'ono loboola m'mitsempha ya saphenous.
- 5. Katheta (chubu chopyapyala) chomwe chimapereka gwero la kutentha kwa laser chimayikidwa mu mtsempha wokhudzidwa.
- 6. Mankhwala ena owonjezera mano angaperekedwe mozungulira mtsempha musanachotse (kuwononga) mtsempha wa varicose saphenous.
- 7. Pogwiritsa ntchito chithandizo chojambula zithunzi, catheter imatsogozedwa kumalo ochizira matenda, ndipo ulusi wa laser womwe uli kumapeto kwa catheter umayatsidwa kuti utenthe utali wonse wa mtsempha ndikutseka. Izi zimapangitsa kuti magazi asiye kuyenda kudzera m'mitsempha.
- 8. Mtsempha wa saphenous pamapeto pake umachepa ndikutha, zomwe zimapangitsa kuti mitsempha ituluke komwe imachokera ndikulola kuti magazi aziyenda bwino kudzera m'mitsempha ina yathanzi.
Chisamaliro Pambuyo pa Opaleshoni
Kawirikawiri, malangizo a chisamaliro cha pambuyo pa opaleshoni ndi kuchira pambuyo pa chithandizo cha laser cha endovenous chidzaphatikizapo njira zotsatirazi:
- 1. Mutha kumva kupweteka ndi kutupa mwendo womwe wachiritsidwa. Mankhwala amaperekedwa ngati pakufunika kuti athetse vutoli.
- 2. Kupaka ma paketi a ayezi pamalo ochiritsira kumalimbikitsidwanso kwa mphindi 10 nthawi imodzi kwa masiku angapo kuti muchepetse kuvulala, kutupa, kapena kupweteka.
- 3. Mukulimbikitsidwa kuvala masokisi opondereza kwa masiku angapo mpaka milungu ingapo chifukwa izi zingathandize kupewa magazi kusonkhana kapena kutseka magazi, komanso kutupa kwa mwendo.
Nthawi yotumizira: Juni-05-2023
