Mīhini Taiaho Pokanga ENT 980nm 1470nm TR-C
Ko te taiaho diode 980nm 1470nm he tikanga pokanga kua tata kore e hiahiatia i roto i te ao o te pokanga ENT i ēnei rā. Nā te mea he pānga tapahi, he pānga whakapūmau rānei te taiaho diode, he tino pai mō te whānuitanga o ngā maimoatanga mō ngā mate taringa/ihu/korokoro.
Nā te whanaketanga o ngā pūtake taiaho, kua tino hurihia te huarahi pokanga otolaryngology nā te mea he iti noa te whakaekenga, he iti ake te kino o te kiko, he tere ake te whakaoranga, he iti ake te mamae me te iti ake o te koha i ērā o ngā pokanga e mahia ana mā roto i ngā tapahi tuwhera.
Ehara i te mea ka tangohia tika noa e te mīhini taiaho diode 980nm 1470nm te kiko e pāngia ana, engari kāore hoki e waiho he koha, he pakari rānei. Kāore he raruraru kē atu i muri i te pokanga, ā, he iti te auau hokinga mai.
Mō te korokoro, he uaua te pokanga i te nuinga o te wā nā te mea ka puta he koha me te pakari i puta mai i ngā whara. Engari mā te muka whatu ngāwari me ngā taputapu ringaringa rerekē ka taea e ngā pokanga iti rawa te whakaekenga te tapahi i te kiko e pāngia ana me te kore e kino ki ngā wāhi e karapoti ana.
I te nuinga o te wā, ka ora pai ngā patunga o ngā tūroro, ā, he māmā noa iho te tiaki i muri mai. Ahakoa he rerekē te roa o te whakaoranga i ia tūroro, he tere tonu te whakaoranga.
Ngā Painga
*Te tika o te pokanga moroiti
*Urunga pā mai i te muka taiaho
*He iti noa te toto, he tirohanga pai rawa atu i te wāhi i te wā o te mahi
*He iti noa ngā mahi e hiahiatia ana i muri i te pokanga
*He wā poto mō te whakaora i te tūroro
Ngā tono
TARINGA
Ngā pūkahukahu
Ārai Āpiti
Ngā pukupuku o te taringa o roto
Hemangioma
Te miringotomi
Kore-te-mate
Taimpanitis
Ihu
Polyp ihu, Rhinitis
Te Whakaiti i te Turbinate
Papiloma
Ngā Pūngāwerewere me ngā Mucocele
Te epistaksis
Te Stenosis me te Synechia
Pokanga Sinus
Te tango i te tākihi (DCR)
KOROKORO
Te Uvulopalatoplasty (LAUP)
Te tango i te kiriuhi kanohi
Ngā Polyps o te Taura Reo
Te tango i te epiglottectomy
Ngā Whakaiti
Pokanga Sinus
Pokanga ihu endo
He tikanga hou, kua roa nei te pokanga endoscopic mō te rongoā i ngā sinuses ihu me te paranasal.Heoi, nā te kaha o te toto e puta mai ana i te kiko o te kiriuhi mucous, he uaua te pokanga i tēnei wāhi. Nā te toto, he maha ngā wā ka kore e tika te mahi; he roa te wā e pupuhi ana te ihu me te nui o te mahi a te tūroro me te tākuta.
Ko te mea nui i roto i te pokanga endonasal ko te pupuri i te kiko mucosal e karapoti ana i te mea ka taea. Mā te muka hou kua hoahoatia me te pito muka kōniko motuhake i te pito tawhiti ka taea te uru atu ki roto i te kiko turbinate ihu, ā, ka taea te whakamakuku i roto i te huarahi interstitial hei tiaki katoa i te mucosa i waho.
Nā te taunekeneke pai o te taiaho-kikokiko o te roanga ngaru 980nm / 1470 nm, ka tiakina pai te kiko tata. Ka tere te whakahokinga mai o ngā kiriuhi o ngā wāhi wheua kua tuwhera. Nā te pānga pai o te hemostatic, ka taea te whakahaere i ngā tikanga tika me te tirohanga mārama ki te wāhi mahi. Mā te whakamahi i ngā muka taiaho whatu TR-C® pai, ngāwari hoki, me te diameter matua iti rawa 400 μm, ka whakamanahia te urunga pai ki ngā wāhi ihu katoa.
Ngā Painga
*Te tika o te pokanga moroiti
*He iti noa te pupuhi o te kiko i muri i te pokanga
*Te mahi kore toto
*Tirohanga mārama o te mara whakahaere
*He iti noa ngā pānga taha o te pokanga
*Ka taea te mahi i waho i raro i te mate whakamoe ā-rohe
*He wā whakaora poto
*Te tiaki pai rawa atu i ngā kiko o te mucosa e karapoti ana
Ko tētahi o ngā mahi tino noa i te rohe oropharynx ko te tango i te tonsillitis laser i roto i ngā tamariki (Kissing Tonsils). Mō ngā tamariki e pāngia ana e te hyperplasia tonsillar, ko te LTT te huarahi ngāwari, ngāwari, me te iti rawa o te mōrearea hei whakakapi i te tango i te tonsillitis (mō ngā tamariki tae atu ki te 8 tau te pakeke). He iti noa te mōrearea o te toto i muri i te pokanga. Ko te iti o te mamae i muri i te pokanga nā te poto o te wā whakaora, te kaha ki te mahi i ngā pokanga i waho (me te mate whakamoe whānui) me te waiho i te parenchyma tonsillar he painga nui o te tango i te tonsillitis laser.
Nā te taunekeneke pai o te taiaho-kiko, ka taea te tango toto i te pukupuku, i te dysplasia rānei, me te kore toto, me te kore e pāngia te kiko tata. Ka taea anake te tango i te glossectomy wāhanga i raro i te whānuite rongoā whakamoe i roto i te rūma pokanga o te hōhipera.
Ngā Painga
*Ka taea te mahi i waho o te hōhipera
*He tikanga iti rawa te whakaekenga, kāore he toto
*He wā whakaora poto, he iti noa te mamae i muri i te pokanga
Ko te aukati i te rerenga wai roimata, nā te aukati i te awaawa wai, he āhuatanga noa, inā koa i waenga i ngā tūroro kaumātua. Ko te tikanga maimoatanga tuku iho ko te whakatuwhera anō i te awaawa wai ki waho mā te pokanga. Heoi, he tukanga roa, uaua hoki tēnei e pā ana ki te nui o ngā pānga taha pēnei i te toto kaha i muri i te pokanga me te hanganga o ngā whara. Mā te TR-C® ka whakatuwhera anō te awaawa wai hei tukanga haumaru, iti rawa te whakaekenga. Ka whakaurua te cannula angiangi me tōna mandrel āhua whara kotahi kia kore ai e mamae, e toto rānei te maimoatanga. Kātahi ka whakatūria te rerenga wai e hiahiatia ana mā te whakamahi i te cannula kotahi. Ka taea te mahi i te tukanga.ka mahia i raro i te mate whakamoe ā-rohe, ā, kāore he koha e waiho ana.
Ngā Painga
*Tukanga atraumatic
*He iti noa ngā raruraru me ngā pānga taha
*Te rongoā whakamoe ā-rohe
*Kāore he toto, he pupuhi rānei i muri i te pokanga
*Kāore he mate urutā
*Kāore he whara
Te rongoā o te niho
I roto i te mara o te Otology, ka whakawhānui ake ngā pūnaha taiaho TR-C®diode i te whānuitanga o ngā kōwhiringa maimoatanga iti rawa te whakaekenga. Ko te Laser PARACENTESIS he mahi maimoatanga iti rawa te whakaekenga, kāore he toto e whakatuwhera ana i te tarau taringa mā te tikanga pa kotahi. Ko te kōhao porowhita iti i roto i te tarau taringa, e mahia ana e te taiaho, he painga ki te noho tuwhera mō te toru wiki pea.He māmā noa te whakahaere i te putanga mai o te wai, nō reira he poto ake te tukanga whakaora i muri i te mumura, ki te whakaritea ki ngā kōwhiringa maimoatanga pokanga tuku iho.He nui ngā tūroro e pāngia ana e te OTOSCLEROSIS i te taringa waenga. Mā te tikanga TR-C®, me ngā muka angiangi, ngāwari hoki, 400 micron te matotoru, ka taea e ngā taote taringa te whakamahi i ngā whiringa maimoatanga iti rawa mō te STAPEDECTOMY laser (he werohanga laser kotahi hei poka i te pereti waewae) me te STAPEDOTOMY laser (he whakatuwheratanga porohita o te pereti waewae hei tiki i te prosthesis motuhake i muri mai). Ki te whakatauritea ki te TAIHERA CO2, ko te painga o te tikanga hihi whakapā ko te whakakore i te mōrearea ka pā kino te kaha TAIHERA ki ētahi atu wāhi o te hanganga taringa waenga iti.
Larynx
Ko te mea nui i roto i ngā maimoatanga pokanga i te rohe o te korokoro ko te karo i te hanganga o ngā koha nui me te ngaronga o ngā kiko kāore e hiahiatia ana, nā te mea ka pā kino tēnei ki ngā mahi oro. Ka whakamahia te aratau tono taiaho diode pulsed i konei. Mā tēnei, ka taea te whakaiti ake i te hohonutanga o te urunga wera; ka taea te whakahaere i te mimiti kiko me te tango kiko i roto i te huarahi tika me te whakahaere, ahakoa i runga i ngā hanganga tairongo, me te tiaki pai i ngā kiko e karapoti ana.
Ngā tohu matua: te mimiti o ngā pukupuku, te papilloma, te stenosis me te tango i ngā polyps o te taura reo.
Ngā Tākuta Tamariki
I roto i ngā tikanga tamariki, he maha ngā wā ka uru ngā hanganga whaiti me ngā hanganga ngawari ki te pokanga. He nui ngā painga o te pūnaha taiaho TR-C®. Mā te whakamahi i ngā muka taiaho tino angiangi, pērā i te hononga ki te microendoscope, ka taea te toro atu ki ēnei hanganga me te rongoā tika. Hei tauira, ko te papiloma recurrent, he tohu tino noa i roto i ngā tamariki, ka noho hei pokanga kore toto me te kore mamae, ā, ka tino whakaitihia ngā mahi i muri i te pokanga.
| Tauira | TR-C |
| Momo taiaho | Taiaho Diode Gallium-Aluminium-Arsenide GaAlAs |
| Roanga ngaru | 980nm 1470nm |
| Mana Putanga | 47w |
| Ngā aratau mahi | Aratau CW me te Pātene |
| Whānuitanga o te Pānga | 0.01-1s |
| Whakaroa | 0.01-1s |
| Rama tohu | 650nm, mana whakahaere kaha |
| muka | 300 400 600 800 1000 (muka tahanga) |
