Endovasal laser coagulation nke veins

Mara mma ụkwụ - bụ nrọ nke nwaanyị ọ bụla. N'ụzọ dị mwute, ọtụtụ n'ime ndị ngosi mmekọahụ na-emepe emepe varicose veins. Nke a daa ọrịa na-ebilite bụghị naanị na ndị inyom ndị tọrọ, ma ụmụ agbọghọ. Dị ka a N'ihi ya nke ọrịa varicose ụkwụ ịkwụsị. N'ezie, ha na-egosi bulging agbagọ veins. Nke a na-eduga ná okụre banyere otú ha dị, ọtụtụ ndị inyom.

Na mgbakwunye na psychological akụkụ, varicose veins ize ndụ na ahụ ike. Ná mmalite nkebi nke ọrịa na-akara ọgwụgwụ na ụkwụ mgbe ogologo ije, jiri nwayọọ nwayọọ na-amalite iputa na erughị ala na-ezu ike. Ọ bụrụ na ị na-emeso ndị ọrịa, ihe ize ndụ nke thrombosis egosi. Nke a sikwuoro na-, n'aka nke ya, pụrụ iduga ọnwụ nke inweta ọbara ala ụkwụ, na ọbụna ọnwụ n'ihi nnukwu nri ventricular ọdịda.

Nkà mmụta ọgwụ ọgbara na-aga n'ihu ngwa ngwa. N'ihi na n'oge gara aga afọ ole na ole, laser usoro na n'ọtụtụ ebe, na-eji maka ọgwụgwọ nke varicose veins. Ha na-fọrọ nke nta kpamkpam dochie emeghe ịwa. Otu nke agwọ ọrịa bụ endovasal endovenous laser ọgwụgwọ. Nyocha nke ọma a na usoro. Ọrịa n'ịnwụ ọgwụgwọ, kwuru ọtụtụ uru usoro.

The akụkọ ihe mere eme nke eji laser photocoagulation

On mbụ ngwa nke laser ngwaọrụ maka ọgwụgwọ nke vaskụla pathologies kwuru na 1981. The usoro dabeere na ike nke ahụ na nsụkọrọ amiri ìhè. The wavelength nke mbụ laser bụ 577 nm. Ọ na a hụrụ na n'ebe ìhè ike pụrụ iduga nhọrọ mbibi nke ọbara arịa nke anụ. Na ọzọ afọ iri na ọ echepụta ihe kọmpat laser usoro.

Na mbubreyo 90s e kwuru banyere ojiji nke intravascular ngwaọrụ. Iji na-emeso pathologies nke venous eji diode lasers na a wavelength nke 810 nm. Na 2001, pụta nọ na-bipụtara. N'ihi na oge mbụ a laser e ji mee ihe maka ọgwụgwọ nke oké saphenous akwara. Na oge site na 1996 ka 2000 na ọ e rụrụ 252 endovascular n'ịwa ahụ. Na n'ihu ụzọ nke ọgwụgwọ endovasal mma. Ọ na-e chọpụtara na-abawanye na ike nke ìhè ike belata ihe ize ndụ nke nsogbu nke intravascular aka.

Gịnị na-emetụta endovasal coagulation?

Endovasal laser photocoagulation - nke a bụ otu n'ime agwọ ọrịa maka varicose veins. Ọ na-eji dị ka onye ọzọ ịwa ahụ na sclerotherapy. Dị ka a maara, varicose veins emee ruru malfunction nke valves. N'ihi na eziokwu na ha na-emecha gharazie isi ike, na-agbanwe agbanwe nkịtị oruru ọbara. Na varicose veins nwere ike na-emetụta ọ bụla arịa. Dị ka a N'ihi ya nke-adịgide adịgide obibi na ụkwụ na-enwekarị nsogbu na nnukwu na obere saphenous veins, emi odude ke ala nsọtụ. Endovasal laser photocoagulation bụ akara nke na-emetụta arịa. N'ihi ya, ọbara ike igbasa site na ọ na-aga n'ime ahụ ike veins.

The usoro nke laser ikpughe awụnye

Olee otú endovasal endovenous laser ọgwụgwọ? Nke a na usoro dabeere na thermal mmetụta nke okpomọkụ na endothelium. Ihe kachasi mkpa ọgwụgwọ bụ na e nwere na-ndim nke ọbara n'okpuru nduzi nke laser ibé. Egbukepụ agbanwe oge etinye obi gị dum site na pụrụ iche na mkpụrụ ndụ - mkpụrụ ndụ ọbara uhie. N'ihi na nke a ka ụzarị na-converted n'ime okpomọkụ. The laser ikpughe akpata thermal Burns endothelium, ọbara uzuoku egosipụta-egosi. Site ndị a usoro, ọ Nleta a clot - a ọbara clot. Ọ obliterans a akwara. Dị ka a N'ihi ya, arịa glued na ekemende kpamkpam anọkwasị. Mgbe a afọ na saịtị nke apa a kpụrụ connective anụ ahụ.

Egosi maka laser coagulation

Ọ bụ uru na-arịba ama na ọ bụ nanị ụfọdụ ikpe rụrụ endovasal laser coagulation nke veins. Nyocha nke ọrịa na-ata ahụhụ site na varicose veins, na-egosi na usoro a na-bụghị mgbe niile ekwe. E nwere ọnụ ọgụgụ nke ndị na-egosi maka vaskụla laser ọgwụgwọ. Ndị a gụnyere ndị na-esonụ mgbe:

1. Mmụba nke oké saphenous akwara na mpaghara ahụ na n'ọnụ 1 cm ma na-erughị.
2. A obere ego nke ọbara arịa.
3. Hà N'ezie oké ma ọ bụ obere saphenous akwara.
4. Ọbara ọrịa nke ala ụkwụ.

Endovasal endovenous laser ọgwụgwọ na-eji na ndị ọzọ ikpe. Otú ọ dị, tupu i kpebie na-ebu a ọgwụgwọ, dọkịta aghaghị ịtụle "Uru" na "cons." Ọ bụrụ na wellhead ndọtị akwara bụ ihe karịrị 1 cm, coagulation nwere ike ọ gaghị chọrọ mmetụta. Nke a ga-achọ ugboro ugboro ịwa ahụ aka. Ọnụnọ nke enweghị nchịkwa bends tinyere veins, kwa, a na-agaghị na-atụle onye zuru contraindication. Mgbe ụfọdụ na nke a endovasal laser photocoagulation a rụrụ. N'otu oge ahụ, dọkịta na-awa na-akpọzi onye eji nke abụọ ngwa anya emep uta eri kama otu.

Ọ bụrụ na e nwere ọnụ ọgụgụ buru ibu nke varicose veins, usoro a ga-eji Otú ọ dị, na omume, ọ ga-eme ka ndị chọrọ mmetụta. Bụrụ na nke mebiri trophism shin endovasal laser photocoagulation bụ nke kasị kwesị ekwesị usoro ọgwụgwọ. Ọ bụrụ na ọ dị mkpa, na usoro nwere ike ugboro ugboro.

Uru endovasal coagulation

Kemgbe afọ 10 nke laser coagulation arịa ya eguzobewo onwe ya dị ka onye nke kasị mma ụzọ nke ọgwụgwọ. Ọ na-arụsi ọrụ eji na mba ọzọ na-emejuputa atumatu na anụ ụlọ ọgwụ. EVLT (endovasal laser coagulation) nwere ọtụtụ uru n'elu omenala ụzọ nke ọgwụgwọ nke varicose veins. Ndị a gụnyere:

1. Enweghị n'ichihịa mgbe usoro. N'adịghị ka na-emeghe ịwa ahụ, laser photocoagulation bụ a minimally invasive mkpachapụ. Ya mere, mgbe ndị EVLT na-adịghị hụrụ nnukwu bruises na scars.
2. Ịrụ a anestetiiki. Open ịwa ahụ na arịa bụ ihe na-egosi izugbe ná Nkụnwụ. Dị ka a maara, nke a na ụdị ná Nkụnwụ ike rụrụ ma ọ bụrụ na onye ọrịa nwere oké somatic ọrịa. Ke adianade do, na mgbake nke obodo Nkụnwụ bụ ọtụtụ ihe ngwa ngwa na mfe.
3. Enweghi mgbu. Erughị ala bụ kpam kpam na-anọghị n'oge usoro ma ọ bụ ala. The otu na-emetụta ndị postoperative oge.
4. Ịchekwa nkwarụ. Endovasal laser coagulation nke varicose ọbara arịa nwere ike rụrụ ke ihe outpatient ọnọdụ. The usoro anaghị oge, na-enwe ndidi ngwa ngwa laghachi na-arụ ọrụ.
5. Ekwe omume nke nd-coagulation nke veins.
6. Low likelihood nke nsogbu.
7. Ekwe omume nke laser coagulation n'iru venous ọnyá nke ala na nsọtụ.

Uru nke a ọgwụgwọ na Usoro bụ doro anya. Otú ọ dị, ọ bụ uru na-echeta na e nwere contraindications ịrụ laser photocoagulation. Ya mere, tupu ị na-ekpebi na usoro ọgwụgwọ kwesịrị ịbịa na-achọpụta ọrịa usoro.

Contraindications mmejuputa usoro

Contraindications intravascular laser ọgwụgwọ-apụghị ileghara anya. N'agbanyeghị na ọchịchọ siri ike nke onye ọrịa ọgwụgwọ ike rụrụ na-esonụ mgbe:

1. Ọrịa nke ọbara bụ nke a elu n'ihe ize ndụ egbochi mkpụkọ nke ọbara.
2. Mbufụt nọ n'ógbè ihe.
3. Pathology, n'ihi na nke a ndidi tụfuru ike n'ọrụ ije. Otu n'ime ha - a ọrịa nke ọkpụkpụ na nkwonkwo, mkpọnwụ nke aka na ụkwụ.
4. Ọnụnọ nke nnukwu mkpali Filiks ke idem.
5. Ischemic mmerụ nke ala na nsọtụ.
6. Oké ibu.

Ọnụnọ nke mkpali foci na-efe efe na-atụle onye ikwu contraindications ịrụ laser coagulation. N'ọnọdụ dị otú ahụ, ndị aghụghọ a rụrụ mgbe ọgwụgwọ nke nnukwu ọrịa. E nwekwara a ikwu contraindications na-agụnye: akara nditat na tortuosity nke saphenous veins. The mkpebi na-arụ laser coagulation The dọkịta na-awa mgbe n'ihu nchọpụta.

Nkwadebe maka usoro

Tupu laser coagulation mkpa na-ata na-achọpụta ọrịa usoro dị ka zuru ezu ọbara ọnụ na urinalysis, coagulation, ECG, nnyocha na nje HIV na ịba ọcha n'anya. The pụrụ iche ụzọ na-agụnye ultrasound nke ala N'ịdị veins na Doppler. Nke a na-amụ ga-amata ihe bụ ọnọdụ ndị valves, na iji mata ọrịa ọbara ekesa.

Tupu laser coagulation ga tufuo ntutu na ụkwụ. Tupu ịmalite usoro, a dọkịta anamde a marking na akpụkpọ. Ọ na-rụrụ n'okpuru akara nke ultrasound. N'ụzọ bụ isi dọkịta n'egosi ntụpọ reflux (laa azu ugbu a) ọbara na nnukwu ma ọ bụ obere saphenous akwara. Mgbe ahụ akara ebe nke na arịa mgbapu na rụrụ. Ọ na-emi odude na 3-4 cm n'okpuru mbụ akara. Mgbe nke ahụ gasịrị, ndị dọkịta na-awa n'egosi n'ọnụ niile ọbara eruba na varicose.

ịrụ coagulation ngwá

Endovasal laser coagulation nke ala na nsọtụ na rụrụ n'okpuru obodo Nkụnwụ. Mgbe ejide ná Nkụnwụ akwara mgbapu a rụrụ na a catheter. The arịa banyere ìhè ndu. The laser na-eduzi ndị venous anastomosis. Mgbe nke ahụ gasịrị, ndị tumescent ná Nkụnwụ - Nkụnwụ gburugburu enweghị nchịkwa na-elekwasị anya. N'ihi nke a, iji saline gbakwunyere na lidocaine na epinephrine. N'ụzọ dị otú a ọ bụ ike nweta bụghị nanị ihe mgbu enyemaka, ma iji gbochie Burns na ike anụ ahụ.

Mgbe tumescent ná Nkụnwụ na rụrụ endovasal laser coagulation nke veins. N'okpuru nduzi nke ìhè doo mebiri emebi akụkụ nke arịa obliterans. Mgbe ahụ, na akwara wetara a pụrụ iche bandeeji. Ọzọkwa, ị ga-ozugbo na-etinye na mkpakọ sọks.

Agbake site laser coagulation

Duration nke endovasal coagulation bụ banyere 40 nkeji. Mgbe laser usoro, ị ga na-eje ije gburugburu ugw 1 hour. Mgbe ahụ onye ọrịa nwere ike ịhapụ ụlọ ọgwụ. Control ultrasonography nke ala na nsọtụ a rụrụ 2-3 ụbọchị. Mkpakọ sọks apụghị wepụrụ n'ime 5 ụbọchị. N'oge ehihie, eyi ha kwesịrị erughị 2 ọnwa. Ọrịa ga-dị iche iche na ụkwụ ma zere ikike mmega. Ọ bụghị na-atụ aro maka a ogologo oge na-anọdụ ala ma na-eleta ndị baths, nakwa dị ka na-ewere a-ekpo ọkụ saa ke akpa ọnwa mgbe ịwa ahụ.

Gịnị nsogbu nwere ike ịzụlite?

The ize ndụ EVLT (endovasal laser coagulation)? Nleba na-egosi na nsogbu a ọgwụgwọ usoro bụ nnọọ obere. Ndị a gụnyere:

1. Thrombophlebitis.
2. Paresthesia - a tingling sensashion tinyere akwara.
3. Mbufụt na necrosis nke arịa.

Nta erughị ala mgbe na-akpụ akpụ na mmetụta nke erughị ala nkịtị na-akwụsị n'ime 2-3 ụbọchị. Ọzọkwa ke akpa ụbọchị nwere ike ichegbu subfebrile ahu okpomọkụ.

Endovasal endovenous laser ọgwụgwọ: ndidi reviews

Im multiple reviews nke ndị wara aka, ọ bụ uru arịba ama na elu arụmọrụ na a ọnụ ọgụgụ buru ibu nke uru nke usoro n'elu ụzọ ndị ọzọ nke ọgwụgwọ. N'etiti ọghọm nke laser coagulation nke ọrịa na-egosi a elu na-eri nke usoro na-ekwe omume nke nlọghachite. All ndị inyom bụ ndị nwere nke a ọrụ, mara na-anọghị nke ịchọ mma ntụpọ na akpụkpọ ụkwụ.

Endovasal laser coagulation: reviews nke dọkịta

Dị ka dọkịta, endovasal vaskụla coagulation na a laser - ọ bụ onye nke kasị mma agwọ ọrịa maka varicose veins. N'agbanyeghị elu na-eri, ọ bụ na ina n'etiti ọrịa. Otú ọ dị, ndị dọkịta na-atụ aro na na elu mgbe na-eduzi endovasal coagulation na-ekwesịghị ekwesị.