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ISSUE 1095 www.ErtebatUAE.com
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!"#$%&$'!(#)$*+,./*0$1&)*2$3456$.78 $9:;)/$1<2!=6$>,$'!?;-$/ ﺳﯿﺎه رگ وارﯾﺴﯽ ﺳﯿﺎه رگ وارﯾﺴﯽ ﺗﻨﻬﺎ ﺷﺎﻣﻞ ﺳﯿﺎه رگ ﻫﺎی ﺑﺮﺟﺴﺘﻪ,ﭘﯿﭻ ﺧﻮرده و ﺗﻐﯿﯿﺮ رﻧﮓ داده ﺷﺪه در اﻧﺪام ﺗﺤﺘﺎﻧﯽ ﻧﯿﺴﺘﻨﺪ ,ﺑﻠﮑﻪ ﺷﺒﮑﻪ ﺳﯿﺎه رﮔﯽ ﻇﺮﯾﻒ ﻗﺮﻣﺰ ,ﺑﻨﻔﺶ ﺗﯿﺮه و ﮔﺎﻫﯽ آﺑﯽ ﻣﺎﯾﻞ ﺑﻪ ﺳﺒﺰﻧﯿﺰ ﺟﺰو ﺳﯿﺎه رگ وارﯾﺴﯽ ﻣﺤﺴﻮب ﻣﯽ ﮔﺮدﻧﺪ .
اﮔﺮ اﯾﻦ ﻣﮑﺎﻧﯿﺴﻢ ﺑﻪ ﻫﺮ دﻟﯿﻠﯽ ﻣﺸﮑﻞ ﭘﯿﺪا ﮐﻨﺪ ,ﺑﻄﻮر ﻣﺜﺎل درﯾﭽﻪ ﻫﺎ ﮐﻨﺪﺗﺮ ﺑﺴﺘﻪ ﺷﻮﻧﺪ و ﯾﺎ ﮐﺎﻣﻞ ﺑﺴﺘﻪ ﻧﺸﻮﻧﺪ,ﻣﻨﺠﺮ ﺑﻪ ﺑﺎزﮔﺸﺖ ﺧﻮن ﺑﻪ ﺳﯿﺎه رﮔﻬﺎی اﻧﺪام ﺗﺤﺘﺎﻧﯽ ﻣﯽ ﮔﺮدد.اﯾﻦ ﻧﻘﺺ ﺑﻪ دﻟﯿﻞ ﻓﺸﺎر ﻣﻀﺎﻋﻒ ﺑﻪ ﺳﯿﺎه رﮔﻬﺎ,ﻣﻨﺠﺮ ﺑﻪ ﺗﻐﯿﯿﺮ ﺷﮑﻞ و ﻇﺎﻫﺮ آﻧﻬﺎ ﻣﯽ ﺷﻮد ﮐﻪ ﺑﻌﻨﻮان وارﯾﺲ ﺷﻨﺎﺧﺘﻪ ﻣﯽ ﺷﻮﻧﺪ .
درﯾﭽﻪ ﻫﺎی ﺳﯿﺎه رﮔﯽ ﺑﺎز ﺷﺪه و ﺧﻮن را ﺑﻪ ﺳﻤﺖ ﻗﻠﺐ ﻫﺪاﯾﺖ ﻣﯽ ﮐﻨﻨﺪ
ﻇﺎﻫﺮ درﯾﭽﻪ ﻫﺎ در وﺿﻌﯿﺖ ﺳــﻼﻣﺖ
ﮔﺸﺎد ﺷــﺪﮔﯽ ﺳﯿﺎه رﮔﻬﺎ ﮐﻪ ﻣﻨﺠﺮ ﺑﻪ ﻧﻘﺺ ﻋﻤﻠﮑﺮد آن ﻣﯽ ﺷــﻮد
درﯾﭽﻪ ﻫﺎی ﺳﯿﺎه رﮔﯽ ﺑﺴﺘﻪ ﺷﺪه و از ﺑﺮﮔﺸﺖ ﺧﻮن ﺑﻪ ﺳﻤﺖ ﭘﺎﻫﺎ ﺟﻠﻮﮔﯿﺮی ﻣﯽ ﮐﻨﻨﺪ
ﺑﻄﻮر ﮐﻠﯽ ﺟﺮﯾﺎن ﺧﻮن از ﻗﻠﺐ ﴍوع ﻣﯽ ﺷﻮد ,در ﮐﻞ ﴎﺧﺮگ ﻫﺎی ﺑﺪن ﺟﺮﯾﺎن ﻣﯽ ﯾﺎﺑﺪ و از ﻃﺮﯾﻖ ﺳﯿﺎه رﮔﻬﺎ ﺑﻪ ﻗﻠﺐ ﺑﺎز ﻣﯽ ﮔﺮدد.ﺳﯿﺎه رﮔﻬﺎی ﭘﺎ در اﯾﻦ ﻣﯿﺎن ﻫامﻧﻨﺪ ﯾﮏ ﺟﺎده ﯾﮏ ﻃﺮﻓﻪ ﻋﻤﻞ ﻣﯽ ﮐﻨﻨﺪ.ﺑﺪﯾﻦ ﻣﻌﻨﯽ ﮐﻪ ﺑﺎﺑﺴﺘﻪ ﺷﺪن درﯾﭽﻪ ﻫﺎی ﮐﻮﭼﮏ ﻣﻮﺟﻮد در آﻧﻬﺎ ,ﺧﻮن ﺑﻪ ﺳﻤﺖ ﻗﻠﺐ ﻫﺪاﯾﺖ ﺷﺪه و ﻣﺎﻧﻊ از ﺑﺮﮔﺸﺖ ﺧﻮن ﺑﻪ ﺳﻤﺖ ﭘﺎﻫﺎ ﻣﯽ ﺷﻮد .
اﺧﺘــﻼل در ﺟﺮﯾﺎن ﺧﻮن ﺳــﯿﺎه رﮔﯽ ﺑﺪﻟﯿﻞ ﻧﻘــﺺ در ﻋﻤﻠﮑﺮد درﯾﭽﻪ ﻫﺎ
ﻧﺸﺎﻧﻪ ﻫﺎ
ﻋﻮاﻣﻞ رﯾﺴﮏ
وارﯾﺲ ﻫﺎ اﻟﺰاﻣﺎ ﻗﺎﺑﻞ روﯾﺖ ﻧﯿﺴﺘﻨﺪ.متﺎم ﻋﻼﯾﻢ زﯾﺮ ﻧﺸﺎﻧﯽ از اﯾﻦ ﺑﯿامرﯾﺴﺖ . • ﺳﻨﮕﯿﻨﯽ و اﺣﺴﺎس ﻧﺎراﺣﺘﯽ در ﭘﺎﻫﺎ ﺑﻌﺪ از اﯾﺴﺘﺎدن ﻃﻮﻻﻧﯽ ﻣﺪت • ﺗﻮرم در ﭘﺎﻫﺎ و ﻣﭻ ﭘﺎ • اﺣﺴﺎس ﺳﻮزش و ﮔﺮﻓﺘﮕﯽ در ﻧﺎﺣﯿﻪ ﻗﺪم و ﺳﺎق ﭘﺎ • اﺳﭙﺎﺳﻢ ﻋﻀﻼت ﭘﺎ ﺑﺨﺼﻮص در ﺷﺐ • ﭘﻮﺳﺖ ﺧﺸﮏ و ﻧﺎزک ﺑﻪ ﻫﻤﺮاه ﺧﺎرش درﭘﺎ
ﺟﻨﺴﯿﺖ
اﺿﺎﻓﻪ وزن
ﺧﺎﻧﻢ ﻫﺎ ﺑﻪ ﻧﺴﺒﺖ آﻗﺎﯾﺎن در ﻣﻌﺮض ﺑﯿﺸﱰی از اﯾﻦ آﺳﯿﺐ ﻗﺮار دارﻧﺪ.ﺗﺤﻘﯿﻘﺎت ﻧﺸﺎن داده ﺑﺪﻟﯿﻞ وﺟﻮد ﻫﻮرﻣﻮن ﻫﺎی زﻧﺎﻧﻪ ,ﻣﯿﺰان ﮔﺸﺎد ﺷﺪﮔﯽ ﺳﯿﺎه رگ و در . ﻧﺘﯿﺠﻪ ﻧﻘﺺ در ﻋﻤﻠﮑﺮد درﯾﭽﻪ ﻫﺎ ﺑﯿﺸﱰ اﺳﺖ .
اﺿﺎﻓﻪ وزن ﺑﺎﻋﺚ ﻓﺸﺎر ﺑﻪ ﺳﯿﺎه رﮔﻬﺎ ﻣﯽ ﮔﺮدد.ﺑﺪﯾﻦ ﻣﻌﻨﯽ ﮐﻪ ﺳﯿﺎه رﮔﻬﺎ ﻧﯿﺎز ﺑﻪ ﺗﻼش ﺑﯿﺸﱰ ﺟﻬﺖ ﺑﺮﮔﺮداﻧﺪن ﺧﻮن ﺑﻪ ﺳﻤﺖ ﻗﻠﺐ دارﻧﺪ.اﯾﻦ ﻓﺸﺎر ﻣﻀﺎﻋﻒ روی ﺳﯿﺎه رﮔﻬﺎ ﻣﻨﺠﺮ ﺑﻪ ﻧﺸﺖ ﺧﻮن از آﻧﻬﺎ ﺑﻪ ﻓﻀﺎی ﺑﯿﻨﺎﺑﯿﻨﯽ ﻣﯿﮕﺮدد .
اﮔﺮ اﻗﻮام درﺟﻪ ﯾﮏ ﺷام ﻣﺒﺘﻼ ﺑﻪ اﯾﻦ ﺑﯿامری ﺑﺎﺷﻨﺪ اﺣﺘامل وﻗﻮع آن ﺑﺮای ﺷام ﺑﯿﺸﱰ اﺳﺖ .
ﺷﻐﻞ
ً
ﻣﻌﻤﻮﻻ اﯾﻦ ﻋﻼﯾﻢ در ﴍاﯾﻂ آب و ﻫﻮاﯾﯽ ﮔﺮم و ﻫﻤﭽﻨﯿﻦ در ﻣﺸﺎﻏﻞ وﯾﮋه ﮐﻪ ﻧﯿﺎز ﺑﻪ اﯾﺴﺘﺎدن و ﯾﺎ ﻧﺸﺴنت ﻃﻮﻻﻧﯽ ﻣﺪت دارﻧﺪ ﺑﯿﺸﱰ دﯾﺪه ﻣﯽ ﺷﻮد .
وراﺛﺖ
ﺳﻦ
ﻋﻮاﻣﻞ رﯾﺴﮏ
ﻫﻢ زﻣﺎن ﺑﺎ اﻓﺰاﯾﺶ ﺳﻦ ,ﻗﺎﺑﻠﯿﺖ اﻧﻌﻄﺎف ﭘﺬﯾﺮی ﺳﯿﺎه رﮔﻬﺎ ﮐﺎﻫﺶ ﯾﺎﻓﺘﻪ و ﮐﯿﻔﯿﺖ ﻋﻤﻠﮑﺮد درﯾﭽﻪ ﻫﺎ ﭘﺎﯾﯿﻦ ﻣﯽ آﯾﺪ .
ﺗﺤﻘﯿﻘﺎت ﻧﺸﺎن داده ﮐﻪ ﻣﺸﺎﻏﻠﯽ ﮐﻪ ﻧﯿﺎز ﺑﻪ اﯾﺴﺘﺎدن ﻃﻮﻻﻧﯽ ﻣﺪت دارﻧﺪ ﺧﻄﺮ اﺑﺘﻼ ﺑﻪ ﺳﯿﺎه رگ وارﯾﺲ در آﻧﻬﺎ اﻓﺰاﯾﺶ ﻣﯽ ﯾﺎﺑﺪ ﺑﺪﻟﯿﻞ اﯾﻨﮑﻪ ﻋﻀﻼت ﭘﺎ در ﺣﯿﻦ اﯾﺴﺘﺎدن منﯽ ﺗﻮاﻧﻨﺪ ﺑﻪ ﻋﻨﻮان ﯾﮏ ﭘﻤﭗ ﻓﺸﺎر ﻋﻤﻞ ﮐﻨﻨﺪ .
ً
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