Tō mātoutaiaho taiaho 980nm+1470nmKa taea te tuku i te mārama rēseri ki ngā kiko ngohengohe i roto i te aratau whakapā me te aratau kore whakapā i te wā pokanga. Ko te rēseri 980nm o te taputapu e tohuhia ana mō te whakamahi i roto i te tapahi, te tango, te whakamakuku, te tango i te wai, te hemostasis, te whakakotahitanga rānei o ngā kiko ngohengohe i roto i te taringa, te ihu me te korokoro me te pokanga ā-waha (otolaryngology), ngā pokanga niho, te gastroenterology, te pokanga whānui, te dermatology, te pokanga kirihou, te podiatry, te urology, te gynecology. E tohuhia ana hoki te taputapu mō te lipolysis āwhina rēseri. Ko te rēseri 1470nm o te taputapu he mea hanga hei tuku i te mārama rēseri ki ngā kiko ngohengohe i roto i te aratau kore whakapā i te wā pokanga whānui, e tohuhia ana mō te maimoatanga o te reflux o ngā uaua saphenous e pā ana ki ngā uaua varicose me ngā varicosities.
I. Me pēhea te whakatutuki a te pūnaha roangaru-rua i ngā pānga kiko?
Ka whakamahia e te taputapu te photothermolysis whiriwhiri me te mimiti wai rerekē hei whakatutuki i te mimiti, te tapahi, te tango i te wai, me te whakapūmau.
| Roanga ngaru | Chromophore Tuatahi | Te Taunekeneke o te Kiko | Ngā tono haumanu |
| 980nm | Wai + Hemoglobin | Te hohonu o te urunga, te mimiti/te tapahi kaha | Te tango, te tango i te kiri, te hemostasis |
| 1470nm | Wai (te mimiti nui) | Te whakamahana o te mata, te tere o te whakapūmau | Te katinga o te uaua, te tapahi tika |
1. Te Whakamomona me te Tapahi
980nm:
Ka mimitia e te wai, ka uru ki roto i te hohonutanga o te 3–5 mm.
Ka puta te mimiti o te kiko (te koropupū o te wai pūtau) i te tere o te whakamahana (>100°C).
I te aratau tonu/pāorooro, ka taea te tapahi whakapā (hei tauira, ngā pukupuku, te kiko hypertrophic).
1470nm:
He tino teitei te mimiti wai (10× teitei ake i te 980nm), ka whakawhāiti i te hohonutanga ki te 0.5–2 mm.
He tino pai mō te tapahi tika (hei tauira, te pokanga kiriuhi) me te iti o te horapa wera.
2. Te Whakakorenga me te Whakapūpūnga
Aratau Whakakotahi:
Ka mimiti te kiko i te 980nm → Ka hiritia e te 1470nm ngā oko toto (ka heke te korāna i te 60–70°C).
Ka whakaiti i te toto i roto i ngā tikanga pēnei i te tango i te repeure me te pokanga larynx.
3. Tikanga Whakaheke Toto
1470nm:
Ka tere te whakapūpū i ngā oko toto iti (<3 mm) mā te whakakorenga o te collagen me te kino o te endothelial.
II. Roangaru 1470nm mō te ngoikore o te uaua me ngā uaua varicose
1. Tikanga Mahi (Whakaora Taiaho Endovenous, EVLT)
Whāinga:Te wai i roto i te pakitara uaua (kāore i te whakawhirinaki ki te hemoglobin).
Tukanga:
Te whakaurunga muka taiaho: Te whakaurunga kiri ki roto i te uaua saphenous nui (GSV).
Whakahohenga taiaho 1470nm: Te hoki whakamuri puhoi o te muka (1–2 mm/s).
Ngā pānga wera:
Te whakangaromanga o te endothelial → te hinganga o te uaua.
Te whakahekenga o te korāna → te mumura tuturu.
2. Ngā Painga Neke atu i te 980nm
He iti ake ngā raruraru (he iti ake te marō, te whara o te io).
Ngā reiti kati teitei ake (>95%, e ai ki te Journal of Vascular Surgery).
He iti ake te pūngao e hiahiatia ana (nā te nui ake o te mimiti wai).
III. Te Whakatinanatanga o te Pūrere
Whakawhitinga Roangaru-Rua:
Kōwhiringa aratau ā-ringa/aunoa (hei tauira, 980nm mō te tapahi → 1470nm mō te hiri).
muka whatu:
Ngā muka pūtoro (te pūngao ōrite mō ngā uaua).
Ngā pito whakapā (mō ngā tapahi tika).
Ngā Pūnaha Whakamatao:
Whakamataohia te hau/wai hei ārai i te wera o te kiri.
IV. Whakamutunga
980nm:Te tango hōhonu, te tango tere.
1470nm:Te toto totoka o waho, te katinga o ngā uaua.
Te Mahi Tahi:Mā ngā roangaru kua whakakotahitia ka taea te whai huatanga o te "tapahi-me-te-hiri" i roto i te pokanga.
Mō ngā tawhā taputapu motuhake, mō ngā rangahau haumanu rānei, whakaratohia te tono e hiahiatia ana (hei tauira, te urology, te phlebology).
Wā tuku: 13 o Ākuhata 2025