Ibyaculaser ya diode 980nm+1470nmIshobora kohereza urumuri rwa laser ku ngingo zoroshye mu buryo bwo gukoraho no kudakoraho mu gihe cyo kubaga. 980nmlaser y'igikoresho muri rusange ikoreshwa mu gukata, gukata, gushyushya, gukuraho amaraso cyangwa gufungana kw'ingingo zoroshye mu matwi, izuru n'umuhogo no mu kubaga mu kanwa (otolaryngology), ubuvuzi bw'amenyo, indwara y'igifu, kubaga rusange, ubuvuzi bw'uruhu, kubaga pulasitiki, ubuvuzi bw'amaguru, urology, ubuvuzi bw'abagore. Ikigo gikomeje kugaragara mu gukoresha lipolysis ifashishijwe laser. Laser ya 1470nm y'igikoresho igenewe kohereza urumuri rwa laser ku ngingo zoroshye mu buryo bwo gukoraho mu gihe cyo kubaga rusange, igamije kuvura reflux y'imitsi ya saphenous ifitanye isano n'imitsi ya varicose na varicosities.
I. Ni gute sisitemu y'uburebure bubiri igera ku ngaruka z'uturemangingo?
Icyo gikoresho gikoresha uburyo bwo gupima ubushyuhe bw'amazi mu buryo bwa selective photothermolysis no gukoresha amazi mu buryo butandukanye kugira ngo kigere ku mwuka uhumeka, gukata, gukuraho, no gufungana.
| Uburebure bw'umuraba | Chromophore y'ibanze | Uburyo ingingo zikorana | Porogaramu zo kwa muganga |
| 980nm | Amazi + Hemoglobini | Kwinjira cyane, gukurura/gukata cyane | Gukuraho, gukuraho amaraso, gufunga amaraso |
| 1470nm | Amazi (afata amazi menshi) | Gushyushya hejuru, gufungana vuba | Gufunga imitsi, gukata neza |
1. Guhindura umwuka no gukata
980nm:
Ifite amazi aciriritse, yinjira mu burebure bwa mm 3–5.
Gushyuha vuba (>100°C) bituma ingirabuzimafatizo zihinduka umwuka (amazi abira mu turemangingo).
Mu buryo bukomeza/butera, bituma umuntu agabanya ibintu (urugero: ibibyimba, ingirabuzimafatizo zikabije).
1470nm:
Amazi menshi cyane (10× hejuru ya 980nm), agatuma ubujyakuzimu bugera kuri 0.5–2 mm.
Ni byiza cyane mu gukata neza (urugero, kubaga uturemangingo) kandi nta bushyuhe bwinshi buhagije.
2. Guhagarika no gufungana kw'umubiri
Uburyo buhuriweho:
980nm ihindura ingirabuzimafatizo umwuka → 1470nm ifunga imiyoboro y'amaraso (kollajene igabanuka kuri 60–70°C).
Bigabanya kuva amaraso mu buryo nko gusohora prostate cyangwa kubagwa mu mihogo.
3. Uburyo bwo gusohora amaraso mu maraso
1470nm:
Ifatana vuba imiyoboro mito (<3 mm) binyuze mu gukuraho collagen no kwangirika kw'inyuma y'uturemangingo.
II. Uburebure bwa 1470nm ku kutagira imitsi ihagije n'imitsi ya Varicose
1. Uburyo bwo gukora (Ubuvuzi bwa Endovenous Laser, EVLT)
Intego:Amazi ari mu rukuta rw'imitsi (atari ashingiye kuri hemoglobin).
Inzira:
Gushyiramo fibre ya laser: Gushyiramo igice kimwe cy'umubiri mu mutsi munini wa saphenous (GSV).
Gukoresha laser ya 1470nm: Gukurura fibre buhoro buhoro (1–2 mm/s).
Ingaruka z'ubushyuhe:
Kurimbuka kw'inyuma → gusenyuka kw'imitsi.
Kugabanuka kwa kolajeni → fibrosis ihoraho.
2. Ibyiza Birenga 980nm
Ingorane zigabanuka (kugabanuka kw'ibikomere, gukomereka kw'imitsi).
Igipimo cyo gufunga imitsi kiri hejuru (>95%, nk'uko bigaragazwa n'ikinyamakuru cy'ubuvuzi bw'imitsi).
Ingufu nke zikenewe (kubera ko amazi arushaho kwinjiza).
III. Gushyira mu bikorwa igikoresho
Guhinduranya uburebure bw'umuraba bubiri:
Guhitamo uburyo bwo gukoresha intoki/ubwikorezi (urugero, 980nm yo gukata → 1470nm yo gufunga).
Fiber Optique:
Imiyoboro y'amashanyarazi (ingufu zisanzwe ku mitsi).
Inama zo guhamagara (kugira ngo umenye neza uburyo bwo gukata neza).
Sisitemu zo gukonjesha:
Gukonjesha umwuka/amazi kugira ngo hirindwe ubushye bw'uruhu.
IV. Umwanzuro
980nm:Gukuraho uruhu mu buryo bwimbitse, gucibwa vuba.
1470nm:Gufunga imitsi mu buryo bworoshye, gufunga imitsi.
Ubufatanye:Imirongo y'uburebure ihuriweho ituma habaho "gukata no gufunga" mu kubaga.
Ku bipimo byihariye by'ibikoresho cyangwa inyigo z'ubuvuzi, tanga ikoreshwa ryabyo (urugero: urology, phlebology).
Igihe cyo kohereza: Kanama-13-2025
