Matsayin Wavelengths na 980nm da 1470nm a cikin Percutaneous Laser Disc Decompression (PLDD)

Rage Matsi a Faifan Laser na Percutaneous (PLDD)ya kafa kansa a matsayin madadin tiyata ta yau da kullun don maganin faifan intervertebral herniated da ke ɗauke da ƙwayoyin cuta. Babban ƙa'idar PLDD ta ƙunshi saka wani zare na gani na musamman a cikin ƙwayar diski, sannan a biyo baya da isar da makamashin laser don cire ƙaramin adadin ƙwayar pulposus (NP). Wannan tururin yana ƙirƙirar ramin ciki mai sarrafawa, yana rage matsin lamba na ciki kuma daga baya yana rage matsi akan tsarin jijiyoyi da ke kusa. Daga cikin tsarin laser daban-daban da ake da su, lasers na diode da ke fitowa a 980nm da 1470nm sun nuna ingantaccen aiki saboda yanayin sha na musamman a cikin kyallen halitta.

Tsawon tsawon 980nm yana nuna daidaiton sha a cikin ruwa da haemoglobin. Wannan siffa tana ba da damar haɗa ƙananan tasoshin jini a lokaci guda da kuma kawar da NP mai inganci a yanayin zafi. Duk da haka, ƙarfin 980nm yana sha wani ɓangare ta hanyar kyallen da ba a yi niyya ba, wanda ke buƙatar dabara mai kyau don guje wa lalacewar zafi ga farantin ƙarshen cartilaginous.

Sabanin haka, tsawon tsayin 1470nm yana kusa da kololuwar shan ruwa. Saboda haka, makamashinsa kusan ana sha shi ne kawai ta hanyar NP mai ruwa, wanda ke tabbatar da tasirin zafi mai iyaka. Ingancin cirewar laser na 1470nm ya fi girma sosai - kusan sau 20 zuwa 30 fiye da na tsarin 1064nm Nd:YAG na baya - yana ba da damar ɗan gajeren lokacin fallasawa da rage yaduwar zafi zuwa ga annulus fibrosus da jijiyoyi da ke kewaye. Ana isar da dukkan raƙuman raƙuman biyu ta hanyar Optical Fiber, wanda ke jagorantar hasken a cikin tsarin harbi gaba. Tsarin Optical Fiber yana da mahimmanci ga PLDD, saboda yana bawa likitan tiyata damar kai hari ga tsakiyar ɓangaren NP daidai yayin da yake rage haɗarin toshe bangon diski.

Fa'idodin asibiti na hanyar 980nm/1470nm mai tsawon zango biyu sun haɗa da rage matsin lamba nan take a cikin diski, murmurewa cikin sauri bayan tiyata, da kuma kiyaye sassan motsin kashin baya. Marasa lafiya galibi suna ba da rahoton rage yawan ciwon radicular cikin awanni 24 zuwa 48. Yawan rikitarwa yana da ƙasa idan aka yi amfani da hanyar fluoroscopy kuma an iyakance shi ga herniations na diski da ke cikinsa.

A ƙarshe, haɗin gwiwa tsakanin tsawon wavelength 980nm (haɗin jijiyoyin jini) da tsawon wavelength 1470nm (shaƙar ruwa mai yawa) ya sa fasahar laser diode ta dace sosai da PLDD. Wannan hanyar tana ba da magani mai aminci, mai dacewa da marasa lafiya don cututtukan diski na lumbar masu alama, yana rage girman NP yadda ya kamata ba tare da lalata ginshiƙin kashin baya ba. Ana buƙatar ƙarin nazarin da za a yi nan gaba don inganta sigogin makamashi da kwatancen sakamako na dogon lokaci.