I-Varicose Vein Endovenous Laser Ablation: Inqubo, Izinzuzo, Izingozi

Imithambo ye-Varicose iyisimo sezokwelapha esivamile esithinta abantu abadala abangafika ku-40% emhlabeni wonke, okwenza i-Varicose Vein Endovenous Laser Ablation (EVLA) ibe yindlela yokwelapha ebaluleke kakhulu. Le nqubo yokwelashwa engangeneleli kancane ingenziwa endaweni yesiguli esingaphandle ngaphansi kwe-anesthesia yesifunda noma yendawo, okuvumela abantu ukuthi baphinde baqalise imisebenzi yabo evamile ngokushesha. Ngomlando wayo oqinisekisiwe kanye nezinkinga ezincane, i-EVLA isiphenduke enye indlela ekhethwayo esikhundleni sokuhlubula okungokwesiko ukuze kulawuleke ukuvuvuka kwemilenze.

Lo mhlahlandlela ophelele uhlola yonke into iziguli ezidinga ukukwazi nge-EVLA, kusukela kunqubo ngokwayo kuya ekubuyiseleni kanye nemiphumela elindelekile.

Iyini i-Endovenous Ablation?

I-Endovenous laser ablation therapy ime njengenqubo ehlasela kancane esebenzisa ubuchwepheshe be-laser ukwelapha imithambo ye-varicose eyinkinga. Itemu elithi LASER (Ukukhulisa Ukukhanya Ngokukhipha Ukukhishwa Kwemisebe Okuvuselelwe) lisho idivayisi egxilisa amandla okukhanya ekwelapheni imithambo ethintekile.

Inqubo isebenzisa ngokusobala i-tumescent anesthesia, enezinjongo eziningi:

• Yehlisa umthamo wegazi ngokuminyanisa imithambo
• Idala umgoqo ovikelayo phakathi kwe-laser nezicubu ezizungezile
• Inikeza i-anesthesia yendawo ukuze induduzo yesiguli

Kungani Ngingadinga Ukuhlinzwa Kwe-Endovenous Laser Varicose Vein?

Odokotela batusa inqubo yokukhishwa kwe-laser endovenous lapho iziguli zizwa imithambo ye-varicose enwetshiwe, noma ehlukumezayo. Inqubo isiza ngokuyinhloko labo abahlushwa izinhlungu, ubunzima bomlenze, ukulunywa, namajaqamba ebusuku.

Inqubo ye-EVLA Laser ye-Varicose Veins

Inqubo isebenzisa isiqondiso se-ultrasound ukubeka i-laser fibre emthanjeni onenkinga ngokusika okuncane. Isibulali-zinzwa sasendaweni senza indawo ibe ndikindiki, kulandele ukusebenza kwe-laser njengoba ifayibha ihoxa kancane. Ngenxa yalokho, lokhu kukhiqiza ukusabela odongeni lomthambo, okuwubangela ukuba liwe ngokuphatheka kabi okuncane.

Ukulungiswa Kwangaphambi Kwenqubo Yokuhlinzwa Kwe-Endovenous Laser Varicose Vein

Ngaphambi kokuhlela inqubo, iziguli kufanele zihlolwe ngokuphelele ngokomzimba kanye nokuhlolwa kwe-ultrasound. Ukuhlolwa kwe-ultrasound kubonisa:

• I-atomy ye-venous engavamile
• Umsuka we-venous varicosity
• Isimo sesistimu ye-venous ejulile
• Indawo kanye nesivinini se-reflux

Ngesikhathi se-Endovenous Laser Varicose Vein Surgery

Inqubo yokukhipha isisu iqala lapho isiguli silele endaweni ephansi. Ngaphezu kwalokho, ithimba lezokwelapha liqapha i-EKG kanye ne-pulse oximetry ngesikhathi sokwelashwa. Khona-ke udokotela ohlinzayo:

• Ihlonza indawo yokufinyelela yokukhanyisa, ngokuvamile ngaphansi kwedolo
• Ilungisa indawo nge-antiseptic
• Ijova izinzwa zendawo ngaphansi kokuqondisa kwe-ultrasound
• Ibeka i-catheter emthanjeni
• Iqondisa i-laser fiber endaweni yokwelapha

Ukunakekelwa Kwangemva Kwenqubo Yokuhlinzwa Kwe-Endovenous Laser Varicose Vein

Ukunakekelwa okufanele kwangemva kwenqubo kudlala indima ebalulekile ekululameni okuyimpumelelo ngemva kokukhishwa kwe-laser endovenous. 

Imikhawulo ebalulekile ngemuva kwenqubo ihlanganisa:

• Iziguli kufanele zithathe uhambo lwemizuzu engama-30 ngokushesha ngemva kwenqubo
• Akukho ukushayela amahora angu-48
• Gwema ukuvivinya umzimba okukhandlayo amasonto amabili
• Azikho izindiza ezithatha uhambo olude (ngaphezu kwamahora angu-4) amaviki angu-2
• Gwema ukugeza okushisayo noma ukubhukuda isonto elilodwa

Izinzuzo Zokuhlinzwa Kwe-Endovenous Laser Varicose Vein

Iziguli kufanele zigqoke amasokisi okucindezela isonto elilodwa kulandela inqubo.

Ukwelashwa kuletha izinzuzo eziphawulekayo:

• Izibazi ezincane kanye nemiphumela emihle yezimonyo
• Isikhathi senqubo esheshayo cishe imizuzu engama-45
• Imiphumela ebonakalayo esheshayo ngokuthuthuka okuqhubekayo
• Ukufaneleka kwazo zonke izinhlobo zesikhumba
• Amazinga aphansi okuphinda aqhathaniswe nezindlela zendabuko
• Iziguli ngokuvamile ziqala kabusha imisebenzi evamile yansuku zonke phakathi nosuku ngemva kokwelashwa.

Endovenous Laser Ablation Side Effects

Imiphumela emibi evamile ihlanganisa:

• Ukuba ndikindiki noma ukuluma eduze kwezindawo ezilashiwe
• Ububomvu noma ukuvuvukala komthambo
• Ukushintsha kombala wesikhumba phezu kwemithambo ephathwayo
• Isikhumba sisha ngenxa yokushisa kwe-laser
• Ukucasuka kwemizwa yesikhashana
• Ukwakheka kwehlule legazi ngokuyinhloko kubonakala njenge-endovenous heat-induced thrombosis (EHIT). 

Isiphetho

I-Endovenous Laser Ablation ime njengentuthuko ephawulekayo ekwelashweni kwe-varicose vein. Lokhu kuhlinzwa okungenakuhlasela kancane kunikeza iziguli enye indlela ephephile, esebenzayo ezindleleni zokuhlinza zendabuko, okusekelwe amazinga empumelelo ahlaba umxhwele.

Ubufakazi bezokwelapha bubonisa ngokucacile izinzuzo ze-EVLA ngokunciphisa isikhathi sokululama, izibazi ezincane, namazinga aphansi ezinkinga kunokuhlinzwa okuvamile. Abantu ngokuvamile babuyela emisebenzini yabo yansuku zonke phakathi namahora angu-24, nakuba ukulandela imihlahlandlela yangemuva kwenqubo kuhlala kubalulekile ukuze kube nemiphumela emihle.

Imibuzo Evame Ukubuzwa

1. Yini ongayilindela ekwelashweni kwe-laser kwe-EVLA?

Okokuqala, udokotela wakho uzokwenza i-ultrasound ye-duplex ukuze enze imephu yemithambo yakho. Ngemuva kwalokho, i-anesthetic yendawo yenza indawo. Umcu omncane we-laser ungena ngephuzu elincane, ngokuvamile eduze kwedolo. Ukwelashwa kwe-laser kwangempela kuthatha imizuzu emithathu kuya kwemihlanu, kuyilapho yonke inqubo idinga cishe ihora.

2. Ingabe I-Endovenous Laser Ablation Ibuhlungu?

Inqubo isebenzisa i-anesthesia ye-tumescent, iyenze ingabi nabuhlungu. Ezinye iziguli zingase zibe nobuhlungu obuncane noma imihuzuko ngemva kokwelashwa, okuvame ukuba ngcono phakathi namaviki ambalwa.

3. Isebenza kanjani i-EVLA?

Amandla e-laser alimaza izindonga zemithambo ethintekile, azenze zishwabane futhi zivaleke. Lokhu kushisa okulawulwayo kudala izicubu ezibomvu ngaphakathi komkhumbi, kuvale kahle umthambo onenkinga. Ngakho, igazi ngokwemvelo liqondisa kabusha ngemithambo enempilo emlenzeni.

4. Ingabe ukulahlekelwa umthambo kuyinkinga?

Ngokusobala akunjalo. Umzimba uqondisa kabusha ukugeleza kwegazi kweminye imithambo enempilo lapho umthambo onephutha usuvalekile. Le nqubo iqinisekisa ukujikeleza okufanele kuyaqhubeka ngaphandle kokuba nomthelela omubi ukugeleza kwegazi jikelele.

5. Yiziphi izinkinga ezingaba khona ze-EVLA?

Ngokuyinhloko, izinkinga zihlala zingavamile uma zenziwa odokotela abanolwazi. Nokho, izingozi ezingaba khona zihlanganisa:

• I-Deep vein thrombosis (engavamile kakhulu)
• Ukulimala kwenzwa yesikhashana nokuba ndikindiki
• Ukushiswa kwesikhumba (okungavamile ngamasu esimanje)
• Ukucasuka kwemizwa engaphezulu (ngokuvamile kuyaxazululeka phakathi namaviki)