He mate noa, he mate hoki e puta pinepine ana ngā uaua varicose o ngā peka o raro i roto i ngā mahi pokanga toto. Mēnā ka tere te puta o te mamae o te waikawa o te peka, te uaua pāpaku e piko ana, me te haere whakamua o te mate, ka puta te kiri mākūkū, te tae parauri, te tango i te kiri, te sclerosis lipid me te mate pukupuku. Ko ngā tikanga rongoā mō ngā uaua varicose o ngā peka o raro ko te whakarerekētanga o te momo noho, te rongoā rongoā, te rongoā ngongo pēhanga, te herenga teitei me te tango i te uaua saphenous, te sclerotherapy me ētahi atu. Neke atu i te 100 tau te mahi pokanga tuku iho e haere tonu ana.
I tēnei wā, ko te pokanga mō ngā uaua varicose o raro o te waewae he iti noa te whakaekenga, pērā i te endovenous laser ablation, te radiofrequency ablation, te microwave therapy, me ētahi atu. Kua iti haere te whakamahinga o te herenga teitei tuku iho me te tapahi i te uaua saphenous nui. I te whanaketanga o ngā tikanga iti te whakaekenga me te kohikohinga o ngā wheako o ngā tākuta, ka whai hua ngā tikanga iti te whakaekenga ki te nuinga o ngā tūroro he uaua varicose o raro o te waewae, ā, ka whakakapia hoki te pokanga tuku iho.
Kei roto i ngā aratohu a te American Society for Vascular Surgery me te American Venous Forum mō te Maimoatanga o ngā Uaua Varicose o te Pokanga o raro me ngā Mate Uaua Mau tonu te tango i te laser endovenous (ELVA) me te ablation auau irirangi (RFA) hei taunakitanga Akomanga IB. Kua whakaatuhia e ngā rangahau1470nm te taiahoHe iti ake ngā raruraru me ngā pokanga o te muka radial ki te whakataurite ki te ablation tuku iho, ki te pokanga laser noa rānei. He tikanga whai hua tēnei mō te rongoā i ngā uaua varicose o ngā pito o raro, ā, ko tētahi o ngā tikanga tino pai mō te pokanga intravenous kotahi-wāhanga. Ki te whakataurite ki te laser ira, ka taea e te muka whakaputa laser mowhiti te tohatoha ōrite i te kaha laser i te pakitara o ngā oko toto 360°, he iti ake te kaha e whakamahia ana, he iti ake te tere pokanga, ā, kāore he waro o te pakitara o ngā oko toto. He nui ake te tere mimiti o te wai me te hemoglobin me te roangaru 1470nm i te laser noa, ā, ka mahi tika te kaha ki te pakitara o ngā oko toto, ka taea te kati katoa me te ōrite i ngā oko toto. I te nuinga, he nui ngā painga o te laser 1470nm me te muka radial hei rongoā mō ngā uaua varicose o ngā pito o raro:
1) Katinga tere me te hua whakaora tuturu;
2) He matotoru ake te tinana i te mea ka taea te mahi tango i te aho irirangi;
3) Kāore te pito mahi o te muka radial e pā tika ki te pakitara oko toto, ā, ka whakamahia te kaha o te ira porowhita radial ki te pakitara oko toto me te kore e whakapūmau i te waro.
4) He iti ake te utu i ērā atu taputapu kati wera.
He mea tika kia mōhiotia he hoahoa māmā, he kiato hoki te taiaho diode TRIANGELASER1470nm. Mā te pūnaha whakamatao me te whakamatao wera hou kua whakapai ake ka tino whakapai ake i te whai huatanga o te hurihanga pūngao o te taiaho, ā, ka mau tonu te pāmahana whakahaere. I te taha o temuka radialMā te mārama e puta ana i te 360°, ka pā tika te kaha o te taiaho ki te pakitara o ngā oko toto. I tino whakaitihia te ecchymosis me te mamae me ētahi atu pānga taha, ā, he pai ake te pokanga iti rawa te whakaekenga.
Wā tuku: 10-Ākuhata-2023