Imashini yo kubaga ya laser ya 980nm 1470nm TR-C
Laser ya diode ya 980nm 1470nm ni uburyo bwo kubaga bwabaye ingenzi cyane mu bijyanye no kubaga indwara zo mu myanya y'imbere muri iki gihe. Kubera ko laser ya diode ifite ingaruka zo gukata cyangwa gufungana, irakwiriye cyane mu kuvura indwara zitandukanye zo mu matwi/izuru/muhogo.
Bitewe n’iterambere ry’amasoko ya laser, uburyo bwo kubaga otolaryngology bwahindutse bitewe n’ubushobozi bwo gukora ibikorwa byo kwangiza bike, bigatuma ingingo zangirika buhoro, gukira vuba, ububabare buke kandi inkovu nkeya ugereranyije no kubagwa hakoreshejwe uburyo bwo gukata icyuho.
Imashini ya laser ya 980nm 1470nm diode ntabwo ikuraho gusa ingingo zangiritse neza, ahubwo inasiga inkovu cyangwa ubukana bwazo. Nta zindi ngorane nyuma yo kubagwa, kandi igipimo cyo kongera kugaragara ni gito.
Ku bijyanye no kubagwa mu muhogo, kubagwa akenshi biba ingorabahizi kuko bitera inkovu no gukomera bitewe n'ibisebe. Ariko fibre optique ihindagurika hamwe n'intoki zitandukanye bituma kubagwa bidakunze kwangiza umubiri byashoboraga gukata ingingo zangiritse hatabayeho kwangiza ibice biwukikije.
Muri rusange, abarwayi bakira ibikomere byabo neza kandi bakeneye ubuvuzi bworoshye bwo gukurikirana gusa. Nubwo igihe cyo gukira gitandukana bitewe n'umurwayi wese, gukira akenshi biba vuba.
Ibyiza
*Uburyo bwo kubaga hakoreshejwe microsurgical
* Ibisubizo by'amayeri bivuye kuri laserfiber
*Kuva amaraso make, isuzuma ryiza cyane mu gihe cyo kubagwa
*Hakenewe ingamba nke nyuma yo kubagwa
*Igihe gito cyo gukira ku murwayi
Porogaramu
GUTWI
Ibisebe
Auricle y'inyongera
Ibibyimba byo mu gutwi imbere
Hemangioma
Myringotomy
Kolesteatoma
Tympanite
IZURU
Impumuro y'izuru, impumuro y'urubura
Kugabanya Turbinate
Papilloma
Ibibyimba n'imitsi
Epistaxis
Stenose na Synechia
Kubaga Sinusi
Dacryocystorhinostomy (DCR)
UMUHOGO
Uvulopalatoplasty (LAUP)
Kubaga Glossectomy
Polyps z'umugozi w'ijwi
Kubaga Epiglottectomy
Imipaka
Kubaga Sinusi
Kubaga amazuru mu mazuru
Kubaga mu mazuru no mu mazuru ni uburyo bugezweho kandi bugezweho mu kuvura sinuses zo mu mazuru na paranasal.Ariko, bitewe n’uko ikibazo cyo kuva amaraso menshi mu mubiri gikunze kugaragara, kubagwa muri iki gice bikunze kugorana. Kubaga nabi bitewe no kuva amaraso akenshi bituma umuntu akora akazi katoroshye; gupfunyika amazuru igihe kirekire no gushyira imbaraga nyinshi ku murwayi no kwa muganga akenshi ntibikunze kwirindwa.
Icy'ingenzi mu kubaga endonasal ni ugukomeza ingirangingo z'umura zikikije uko bishoboka kose. Fibre nshya yakozwe ifite umutwe wihariye wa fibre ku mpera ya kure yemerera kwinjira mu mazuru mu ngirangingo za turbinate kandi vaporize ishobora gukorwa mu buryo bwo kurinda urura rwo hanze burundu.
Bitewe n'uburyo bwiza bwo guhuza imirasire n'uturemangingo tw'ubugari bwa 980nm / 1470 nm, ingingo zegeranye zirinzwe neza. Ibi bituma amagufwa yari yafunguwe yongera guhindurwa vuba. Kubera ingaruka nziza zo gusohora amaraso, hashobora gukorwa ibikorwa nyabyo kandi bireba neza agace ko kubaga. Hakoreshejwe imirasire ya laser ya TR-C® ifite umurambararo muto kandi woroshye wa 400 μm, kugera ku bice byose by'izuru ni ingenzi.
Ibyiza
*Uburyo bwo kubaga hakoreshejwe microsurgical
*Kubyimba guke kw'ingingo nyuma yo kubagwa
*Kubagwa nta maraso
* Ishusho isobanutse y'aho ibikorwa bikorerwa
*Ingaruka nke ku kubagwa
*Kubagwa hanze birashoboka ko umuntu akorerwa anesthesia munsi y'aho arwariye
*Igihe gito cyo gukira
*Kubungabunga neza ikibazo cy'umunyu muke ukikije
Imwe mu mbaga zikunze kubagwa mu gace k'umuyoboro w'amaraso ni lasertonsillotomy ku bana (Gusoma Tonsils). Mu ndwara z'abana ziterwa na tonsillar hyperplasia, LTT ni uburyo bworoshye, bworoshye kandi bufite ingaruka nke cyane aho kubaga tonsillectomy (abana bafite kugeza ku myaka 8). Ingaruka zo kuva amaraso nyuma yo kubagwa ni nke. Ububabare buke nyuma yo kubagwa bitewe n'igihe gito cyo gukira, ubushobozi bwo kubaga hanze y'umurwayi (ukoresheje anesthesia rusange) no gusiga tonsillar parenchyma ni ibyiza bikomeye bya lasertonsillotomy.
Bitewe n'uburyo bwiza bwo gukorana hagati y'uturemangingo na laser, ikibyimba cyangwa dysplasia bishobora gukurwaho nta maraso mu gihe ingingo zegereye zitagize icyo zihindura. Gucibwa igice cy'inyama bishobora gukorwa gusa munsi ya rusange.ikinya mu cyumba cyo kubaga.
Ibyiza
*Kubagwa hanze birashoboka
*Uburyo bwo kuvura butagira amaraso bushobora kwangiza cyane
*Igihe gito cyo gukira kandi ububabare buto nyuma yo kubagwa
Kubura amazi y'amarira bitewe no kuziba k'umuyoboro w'amaso, ni ikibazo gikunze kugaragara, cyane cyane ku barwayi bakuze. Uburyo busanzwe bwo kuvura ni ugufungura umuyoboro w'amaso hanze hakoreshejwe kubaga. Ariko, ubu buryo buraremereye kandi bugoye bujyanye n'ingaruka mbi nyinshi nko kuva amaraso menshi nyuma yo kubagwa no gucika intege. TR-C® ituma gufungura umuyoboro w'amaso bitagira ingaruka mbi, bigabanya ubukana. Cannula yoroshye ifite mandrel yayo ifite ishusho iteye ubwoba ishyirwa rimwe kugira ngo ikore ubuvuzi nta bubabare kandi nta maraso. Hanyuma, amazi akenewe ashyirwa mu mwanya wayo hakoreshejwe cannula imwe. Ubu buryo bushoborabikorwa hifashishijwe ikinya cyo mu gace kandi nta nkovu zisiga.
Ibyiza
*Uburyo bwo kuvura indwara ziterwa n'ihungabana
*Ingaruka mbi n'ingaruka mbi nkeya
*Indwara yo gusinziriza aho umuntu atuye
*Nta kuva amaraso cyangwa kubyimba kw'amaraso nyuma yo kubagwa
*Nta bwandu bwandu
*Nta nkovu
Ubumenyi bw'amaso
Mu rwego rwa Otology, sisitemu ya laser ya TR-C®diode yongerera uburyo bwo kuvura budatera indwara. Laser PARACENTESINi uburyo bwo kuvura budatera indwara kandi budatera amaraso, bufungura umugongo w'amatwi hakoreshejwe uburyo bumwe bwo gukoraho igisasu. Umwobo muto ufite icyuho mu mugongo w'amatwi, ukorwa na laser, ufite akarusho ko kuguma ufunguye mu gihe cy'ibyumweru bitatu.Isohoka ry'amazi riroroshye kuryihanganira, bityo inzira yo gukira nyuma yo kubyimba iba ngufi cyane ugereranije n'uburyo busanzwe bwo kubaga.Umubare munini w'abarwayi barwaye OTOSCLEROSIS mu gutwi ko hagati. Uburyo bwa TR-C®, burimo imigozi yoroshye kandi yoroshye ya mikoroni 400, buha abaganga b'amatwi uburyo bwo kuvura STAPEDECTOMY hakoreshejwe laser (ishoti rimwe rya laser ritobora igice cy'ikirenge) na STAPEDOTOMY hakoreshejwe laser (umwobo uzengurutse igice cy'ikirenge cya stirrup kugira ngo hafatwe poroteyine yihariye nyuma). Ugereranyije na laser ya CO2, uburyo bwo gufatana bufite akarusho ko gukuraho ibyago by'uko ingufu za laser zigira ingaruka ku tundi duce tw'amatwi mato yo hagati.
Indabyo zo mu nda
Icy'ingenzi mu kuvura indwara zo mu maraso ni ukwirinda ko inkovu zigira ingaruka zikomeye no gutakaza ingingo zitari ngombwa kuko ibi bishobora kugira ingaruka zikomeye ku mikorere ya fonetiki. Uburyo bwo gukoresha laser ya pulsed diode bukoreshwa hano. Muri ubu buryo, ubujyakuzimu bw'ubushyuhe bushobora kugabanuka cyane; guhumeka kw'ingingo no gukata ingingo bishobora gukorwa neza kandi mu buryo bugenzurwa, ndetse no ku ngingo zishobora kwangirika, mu gihe birinda neza ingingo ziyikikije.
Ibimenyetso by'ingenzi: guhumeka kwa kanseri, papilloma, stenosis no gukuraho polyps z'imitsi y'ijwi.
Indwara z'abana
Mu buryo bwo kubaga abana, kubaga akenshi bisaba imiterere mito cyane kandi yoroshye. Sisitemu ya laser ya TR-C® itanga ibyiza byinshi. Gukoresha imigozi ya laser yoroshye cyane, nko gukoresha microendoscope, ndetse n'iyi migozi ishobora kugerwaho byoroshye kandi ikavurwa neza. Urugero, papiloma isubira inyuma, ikimenyetso gikunze kugaragara ku bana, iba igikorwa kidaca amaraso kandi kidatera ububabare, aho ingamba zo kubaga nyuma yo kubagwa zigabanuka cyane.
| Icyitegererezo | TR-C |
| Ubwoko bwa laser | Diode Laser Gallium-Aluminum-Arsenide GaAlAs |
| Uburebure bw'umuraba | 980nm 1470nm |
| Ingufu zo gusohora | 47w |
| Uburyo bwo gukora | Uburyo bwa CW na Pulse |
| Ubugari bw'ingufu | 0.01-1s |
| Gutinda | 0.01-1s |
| Itara ry'ikimenyetso | 650nm, kugenzura ubukana |
| Fibre | 300 400 600 800 1000 (imyenda idafite ibara) |
