Mudiode Laser 980nm + 1470nmna iya isar da hasken Laser zuwa laushi mai laushi a cikin lamba da yanayin rashin sadarwa yayin hanyoyin tiyata. Na'urar ta 980nmlaser gabaɗaya ana nuna don amfani da shi a cikin incision, excision, vaporization, ablation, hemostasis ko coagulation na taushi nama a kunne, hanci da makogwaro da kuma na baka tiyata (otolaryngology), hakori hanyoyin, gastroenterology, general tiyata, dermatology, filastik tiyata, podiatry, urology, gynecology. An ƙara nuna na'urar don taimakon laser lipolysis. Laser 1470nm na na'urar an yi niyya ne don isar da nama mai haske na Laser a cikin yanayin da ba a haɗa shi ba yayin ayyukan tiyata na gabaɗaya, wanda aka nuna don maganin reflux na veins na saphenous masu alaƙa da varicose veins da varicosities.
I. Ta Yaya Tsarin Tsawon Tsayin Dual-Waveleng Ya Cimma Tasirin Nama?
Na'urar tana amfani da zaɓin photothermolysis da bambance-bambancen sha na ruwa don cimma tururi, yanke, ablation, da coagulation.
Tsawon tsayi | Babban Chromophore | Sadarwar Nama | Aikace-aikace na asibiti |
980nm ku | Ruwa + Haemoglobin | Zurfafa shiga ciki, ƙaƙƙarfan vaporization/yanke | Ragewa, ablation, hemostasis |
1470 nm | Ruwa (mai yawan sha) | Dumama na sama, saurin coagulation | Rufewar jijiya, yankan daidai |
1. Vaporization & Yanke
980nm ku:
Matsakaicin shayar da ruwa, yana shiga zurfin 3-5 mm.
Saurin dumama (> 100 ° C) yana haifar da vaporization nama (tafasa ruwan salula).
A cikin ci gaba da yanayin bugun jini, yana ba da damar yanke lamba (misali, ciwace-ciwacen ƙwayar cuta, ƙwayar cuta ta hypertrophic).
1470 nm:
Matsananciyar shayarwar ruwa (10 × sama da 980nm), iyakance zurfin zuwa 0.5-2 mm.
Mafi dacewa don yanke madaidaicin (misali, tiyatar mucosal) tare da ɗan ƙaramin zafi.
2. Ablation & Coagulation
Yanayin Haɗe:
980nm vaporizes nama → 1470nm hatimi tasoshin (kollagen shrinkage a 60-70 ° C).
Yana rage zubar jini a cikin hanyoyin kamar prostate enucleation ko tiyatar makogwaro.
3. Maganin Hemostasis
1470 nm:
Da sauri yana daidaita ƙananan tasoshin (<3 mm) ta hanyar denaturation na collagen da lalacewar endothelial.
II. Tsawon tsayin 1470nm don Rawanin Venous & Jijin varicose
1. Tsarin Aiki (Endovenous Laser Therapy, EVLT)
Manufar:Ruwa a bangon venous (ba a dogara da haemoglobin ba).
Tsari:
Shigar da fiber Laser: Sanya percutaneous a cikin babban jijiya saphenous (GSV).
1470nm Laser kunnawa: Slow fiber ja baya (1-2 mm / s).
Tasirin thermal:
Rushewar endothelial → rugujewar jijiya.
Ƙunƙarar collagen → fibrosis na dindindin.
2. Amfanin Sama da 980nm
Rage rikice-rikice (ƙananan rauni, raunin jijiya).
Ƙimar ƙulli mafi girma (> 95%, kowane Jarida na Tiyatar Jijiyoyin Jiki).
Ƙananan makamashi da ake buƙata (saboda mafi girma sha ruwa).
III. Aiwatar da Na'ura
Sauyawa Tsayin Tsawon Tsawon Dual-Dual:
Zaɓin zaɓi na manual/mota (misali, 980nm don yanke → 1470nm don rufewa).
Fiber Optics:
Radial zaruruwa (uniform makamashi ga veins).
Tukwici na tuntuɓar (don madaidaicin ɓarna).
Tsarukan sanyaya:
Sanyaya iska/ruwa don hana kumburin fata.
IV. Kammalawa
980nm ku:Zurfafa zurfafawa, saurin sakewa.
1470 nm:Coagulation na sama, rufewar jijiyoyi.
Daidaitawa:Haɗaɗɗen raƙuman raƙuman ruwa suna ba da damar "yanke-da-hatimi" inganci a cikin tiyata.
Don takamaiman sigogi na na'ura ko nazarin asibiti, samar da aikace-aikacen da aka yi niyya (misali, urology, phlebology).
Lokacin aikawa: Agusta-13-2025