Endovasal Laser coagulation na jijiyoyinmu

Beautiful kafafu - ne mafarki da kowace mace. Abin baƙin ciki, mutane da yawa daga cikin adalci jima'i aka tasowa varicose veins. Wannan Pathology taso ba kawai a cikin mazan mata, amma kuma 'yan mata matasa. A matsayin sakamako na cutar varicose kafafu rasa su roko. Lalle ne sũ, ya bayyana bulging da Twisted jijiyoyinmu. Wannan take kaiwa zuwa gidaje game da bayyanar, da yawa mata.

Bugu da kari ga m al'amari, varicose veins hatsari da kuma ta jiki kiwon lafiya. A farkon matakai na cutar da ake alama gajiya a kafafu bayan wani tsawon tafiya, sannu a hankali ta fara fito fili da kuma rashin jin daɗi a sauran. Idan ba ka yi wa cutar, hadarin thrombosis bayyana. Wannan wahala ne, bi da bi, za a iya kai ga asarar jinin samar da ƙananan wata gabar jiki, har ma da mutuwa saboda m dama na ramin zuciya gazawar.

Modern magani aka inganta da bunkasa. Domin baya 'yan shekaru, Laser dabaru ana amfani da ko'ina domin lura da varicose veins. Suna kusan gama maye gurbin bude tiyata. Daya daga cikin jiyya ne endovasal endovenous Laser jiyya. Sharhi kan wannan kyau hanya. Marasa lafiya da jurewa magani, ya lura da yawa amfanin Hanyar.

A tarihin na yin amfani da Laser photocoagulation

A farko aikace-aikace na Laser na'urorin domin lura da jijiyoyin bugun gini pathologies da aka ambata a shekarar 1981. A Hanyar da aka bisa ga ikon da jikin kyallen takarda zuwa sha haske. A zango na farko Laser ya 577 nm. An gano cewa, daukan hotuna zuwa haske da makamashi zai iya kai ga zabe halakar jini daga cikin fata. A cikin shekaru goma da aka ƙirƙira mafi m Laser tsarin.

A cikin marigayi 90s na farko ambaci amfani da intravascular na'urorin. Domin mu bi pathologies na venous used diode lasers da wani zango na 810 nm. A 2001, sakamakon da aka buga. A karo na farko a Laser an yi amfani da magani daga cikin manyan saphenous jannayẽnsa. A lokacin daga shekarar 1996 zuwa 2000 shi da aka za'ayi 252 endovascular tiyata. A kara da hanyoyin magani endovasal inganta. Yana da aka samu daga abin da karuwa a cikin ikon hasken makamashi zuwa rage hadarin rikitarwa na intravascular baki.

Abin da ya shafi endovasal coagulation?

Endovasal Laser photocoagulation - wannan shi ne daya daga cikin jiyya ga varicose veins. Ana amfani da matsayin madadin su tiyata da sclerotherapy. Kamar yadda aka sani, varicose veins auku saboda matsalar aiki na samfur na bawuloli. Saboda gaskiya cewa sun ƙarshe raunana, canza al'ada kwarara daga jini. Tare da varicose veins iya shafi da wani tasoshin. A matsayin sakamako na dindindin zama a kan ƙafãfu sau da yawa da matsaloli tare da manyan da kananan saphenous jijiyoyinmu, located a cikin ƙananan extremities. Endovasal Laser photocoagulation ne sealing na shafa jirgin ruwa. A sakamakon haka, jini ba zai iya kewaya ta hanyar da shi da kuma gudana a cikin lafiya jijiyoyinmu.

The inji na Laser daukan hotuna matattarã

Ta yaya ne endovasal endovenous Laser magani? Wannan hanyar dogara ne a kan thermal sakamako zafi a kan endothelium. Jigon da magani ne da cewa akwai aka kauri da jini a ƙarƙashin rinjayar Laser bim. Bayyanãwa juyi tunawa da musamman Kwayoyin - ja jini Kwayoyin. Saboda wannan haskoki ana tuba a cikin zãfi makamashi. A Laser daukan hotuna sa thermal konewa endothelium, kuma a cikin jini tururi kumfa bayyana. Ta hanyar wadannan sunadaran, shi Forms gudan jini - a jini gudan jini. Ya obliterans a jannayẽnsa. A sakamakon haka, da jirgin ruwa ake gam da baya gaba daya shãfe haske. Bayan shekara a kan site na kuna an kafa connective nama.

Alamomi ga Laser coagulation

Shi ne ya kamata a lura da cewa kawai a wasu lokuta ya yi endovasal Laser coagulation na jijiyoyinmu. Sharhi kan marasa lafiya fama da varicose veins, nuna cewa wannan hanya ba ko da yaushe a yarda. Akwai da dama da alamomi na jijiyoyin bugun gini Laser jiyya. Wadannan sun hada da wadannan lokuta:

1. Fadada daga cikin manyan saphenous jijiya a cikin yankin na bakin 1 cm da kuma kasa.
2. A kananan adadin da jini.
3. Daidai Hakika babban ko kananan saphenous jannayẽnsa.
4. Sistem sakulasan cuta daga cikin ƙananan kafa.

Endovasal endovenous Laser magani da ake amfani a wasu lokuta. Duk da haka, kafin ka yanke shawarar gudanar da wannan magani, da likita dole ne ku auna nauyi da "ribobi" da "fursunoni." Idan wellhead tsawo jannayẽnsa ne fiye da 1 cm, coagulation iya ba da ake so sakamako. Wannan zai buƙaci maimaita m baki. A gaban pathological bends tare da veins, ma, ba a dauke mai cikakkar contraindication. Wani lokaci a cikin wannan hali endovasal Laser photocoagulation aka yi. A lokaci guda, likitoci sun koma ga yin amfani da biyu Tantancewar zaruruwa maimakon daya.

Idan akwai babban adadin varicose veins, wannan hanya za a iya amfani da shi, duk da haka, a yi, shi ba zai fitar da ake so sakamako. A hali na take hakkin trophism shin endovasal Laser photocoagulation ne mafi dace Hanyar magani. Idan ya cancanta, da hanyar da za a iya maimaita.

Amfanin endovasal coagulation

A cikin shekaru 10 da shekaru na Laser coagulation na tasoshin shi ya kafa kansa a matsayin daya daga cikin mafi kyau hanyoyin magani. An rayayye a yi amfani da} asashen waje da kuma aka aiwatar a cikin gida magani. EVLT (endovasal Laser coagulation) yana da yawan abũbuwan amfãni a kan gargajiya da hanyoyin da magani daga varicose veins. Wadannan sun hada da:

1. Babu scarring bayan hanya. Ba kamar bude tiyata, Laser photocoagulation ne minimally cin zali magudi. Saboda haka, bayan da EVLT ba ya lura manyan bruises da scars.
2. Yin wani gida m. Open tiyata a tasoshin ne mai nuni ga general maganin sa barci. Kamar yadda aka sani, irin wannan maganin sa barci ba za a iya yin haƙuri idan yana da tsanani somatic cututtuka. Bugu da kari, da dawo da maganin sa barci da yawa sauri da kuma sauki.
3. M. Rashin jin daɗi ne gaba daya ba ya nan a lokacin hanya ko low. Haka ya shafi cikin postoperative zamani.
4. Ajiye tawaya. Endovasal Laser coagulation na varicose jini za a iya yi a cikin wani outpatient saitin. A hanya ba ya dauki lokaci mai yawa, da kuma haƙuri da sauri koma aiki.
5. Yiwuwar sake coagulation na jijiyoyinmu.
6. Low alama na da rikitarwa.
7. The yiwuwar Laser coagulation a gaban venous ulcers daga cikin ƙananan extremities.

A abũbuwan amfãni daga wannan warkewa dabara ne bayyananne. Duk da haka, yana da daraja tuna cewa akwai contraindications yin Laser photocoagulation. Saboda haka kafin ka yanke shawara a kan hanyar magani ya kamata sha bincike hanyoyin.

Contraindications don aiwatar da hanyoyin

Contraindications zuwa intravascular Laser magani ba za a iya watsi da. Ko da tare da karfi so na haƙuri magani ba za a iya da za'ayi a cikin wadannan lokuta:

1. Cututtuka na jini a cikinsa akwai wani babban hadarin da jini clots.
2. Kumburi a shafa yankin.
3. Pathology, saboda abin da wani haƙuri hasarar da ikon aiki motsi. Daga cikin su - wata cuta daga cikin ƙasusuwansa da gidajen abinci, inna da wata gabar jiki.
4. A gaban m kumburi tafiyar matakai a cikin jiki.
5. Ischemic rauni daga cikin ƙananan extremities.
6. M kiba.

A gaban mai kumburi foci da kuma cututtuka suna dauke zumunta contraindications yin Laser coagulation. A irin haka ne, magudi ne da za'ayi bayan da magani daga m cutar. Akwai kuma zumunta contraindications sun hada da: alama kara girma da kuma tortuosity na saphenous jijiyoyinmu. The yanke shawara a kan dauke da fitar Laser coagulation da likita bayan gudanar da bincike.

Shiri ga hanya

Kafin Laser coagulation bukatar sha bincike hanyoyin kamar cikakken jini count da urinalysis, coagulation, ECG, bincike a kan HIV da kuma hepatitis. The musamman da hanyoyin hada da duban dan tayi na ƙananan reshe jijiyoyinmu da Doppler. Wannan binciken da za su tantance yanayin bawuloli, da kuma gano cuta da jini wurare dabam dabam.

Kafin Laser coagulation kamata rabu da gashi a kan kafa. Kafin fara hanya, likita ya aikata wani alama a kan fata. An yi karkashin iko na duban dan tayi. Da farko likita kiwon tabo reflux (baya halin yanzu) jini a kan babban ko kananan saphenous jannayẽnsa. Sa'an nan alama yankin a cikin abin da jirgin ruwa huda da aka yi. An located a 3-4 cm a kasa na farko lamba. Bayan nan, Likita kiwon bakin dukan jini ya kwarara da kuma varicose.

yi coagulation kayan aiki

Endovasal Laser coagulation na ƙananan extremities aka yi a karkashin maganin sa barci. Bayan rike da maganin sa barci jannayẽnsa huda da aka yi tare da catheter. A jirgin ruwa shigar da haske mai shiryarwa. A Laser ne directed zuwa venous anastomosis. Bayan nan, da tumescent maganin sa barci - maganin sa barci a kusa da pathological mayar da hankali. A saboda wannan dalili, yi amfani da Saline supplemented da lidocaine da epinephrine. A wannan hanya shi ne zai yiwu a cimma ba kawai zafi taimako, amma kuma su hana konewa don lafiya nama.

Bayan da tumescent maganin sa barci da aka yi endovasal Laser coagulation na jijiyoyinmu. Ƙarƙashin rinjayar da haske katako lalace sassa na jirgin ruwa obliterans. Sa'an nan, a cikin jijiya gabatar da wani musamman bandeji. Har ila yau, dole ne ka nan da nan ya sa a kan matsawa safa.

Murmurewa daga Laser coagulation

Duration na endovasal coagulation ne game da minti 40. Bayan da Laser hanya, dole ne ka yi tafiya a kusa da unguwa for 1 hour. Sa'an nan da mãsu haƙuri iya barin asibiti. Control ultrasonography daga cikin ƙananan extremities ne da za'ayi a cikin kwanaki 2-3. Matsawa safa ba za a iya cire a cikin kwanaki 5. A lokacin da rana, sa su kasance ba kasa da 2 watanni. Marasa lafiya tafii da tafiya a kan ƙafãfu da kuma kauce wa m motsa jiki. Ba da shawarar na dogon lokaci zuwa zauna da kuma ziyarci baho, kazalika da shan zafi wanka a cikin watannin farko bayan tiyata.

Abin da rikitarwa zai iya ci gaba?

A hatsari EVLT (endovasal Laser coagulation)? Shedu nuna cewa rikitarwa wannan magani Hanyar ne musamman rare. Wadannan sun hada da:

1. Thrombophlebitis.
2. Paresthesia - a tingling abin mamaki tare da jannayẽnsa.
3. Kumburi da kuma necrosis da jirgin ruwa.

Kadan rashin jin daɗi a lokacin da motsi da kuma ji na tashin hankali ne na al'ada da kuma bace a cikin kwanaki 2-3. Har ila yau a ranar farko na iya ta da subfebrile yanayin jiki.

Endovasal endovenous Laser jiyya: haƙuri reviews

Karatu mahara sake dubawa na mutanen da suka yi mashi na shiga tsakani ba, shi ne ya kamata a lura da high dace da babban adadin abũbuwan amfãni daga cikin Hanyar kan wasu hanyoyin magani. Daga cikin disadvantages na Laser coagulation da marasa lafiya nuna wani babban kudin da hanya da kuma yiwuwar komowa. All mata da suka yi wannan aiki, ka lura da rashi na kwaskwarima lahani a kan fata na ƙafafunsa.

Endovasal Laser coagulation: reviews likitoci

A cewar likitoci, endovasal jijiyoyin bugun gini coagulation da Laser - shi ne daya daga cikin mafi kyau jiyya ga varicose veins. Duk da babban kudin, shi ne a bukatar tsakanin marasa lafiya. Duk da haka, likitoci bayar da shawarar cewa a cikin m lokuta da za su gudanar endovasal coagulation da bai dace ba.