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www.ErtebatUAE.com ISSUE 1098 30
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www.ErtebatUAE.com ISSUE 1098 28
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27
ISSUE 1098 www.ErtebatUAE.com
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www.ErtebatUAE.com ISSUE 1098 24
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ISSUE 1098 www.ErtebatUAE.com
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ISSUE 1098 www.ErtebatUAE.com
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www.ErtebatUAE.com ISSUE 1098 20
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ISSUE 1098 www.ErtebatUAE.com
ﺑﺎرداری
ﻟﯿﭙﻮدرﻣﺎﺗﻮﺳﮑﻠﺮوزﯾﺲ ﻟﯿﭙﻮدرﻣﺎﺗﻮﺳﮑﻠﺮوزﯾﺲ ﺑﺎﻋﺚ ﺿﺨﯿﻢ ﺷﺪن و ﺳﻔﺖ ﺷﺪن ﭘﻮﺳﺖ ﻣﯽ ﮔﺮدد.اﯾﻦ ﺿﺎﯾﻌﻪ ﮔﺎﻫﯽ ﻣﻨﺠﺮ ﺑﻪ ﺗﻐﯿﯿﺮ رﻧﮓ ﭘﻮﺳﺖ ﺑﻪ ﻗﺮﻣﺰ ﯾﺎ ﻗﻬﻮه ای ﺷﺪه و ﻣﻌﻤﻮﻻ در ﻧﺎﺣﯿﻪ ﺳﺎق ﭘﺎ ﺑﻮﺟﻮد ﻣﯽ آﯾﺪ .
زﺧﻢ ﺳﯿﺎه رﮔﯽ زﺧﻢ ﺳﯿﺎه رﮔﯽ زﻣﺎﻧﯽ ﺑﻮﺟﻮد ﻣﯽ آ ﯾﺪ ﮐﻪ ﻓﺸﺎر داﺧﻞ ﺳﯿﺎه رﮔﯽ در ﻧﺎﺣﯿﻪ ﺳﺎق ﭘﺎ اﻓﺰاﯾﺶ ﯾﺎﻓﺘﻪ و ﻣﻨﺠﺮ ﺑﻪ ﻧﺸﺖ و ﺗﺠﻤﻊ ﻣﺎﯾﻊ از داﺧﻞ ﺳﯿﺎه رگ ﺑﻪ زﯾﺮ ﭘﻮﺳﺖ ﻣﯽ ﮔﺮدد .اﯾﻦ ﻣﺎﯾﻊ ﻣﯽ ﺗﻮاﻧﺪ ﺑﺎﻋﺚ ﺿﺨﯿﻢ ﺷﺪن ﭘﻮﺳﺖ ، ﺗﻮرم و در ﻧﻬﺎﯾﺖ اﯾﺠﺎد زﺧﻢ در آن ﻧﺎﺣﯿﻪ ﮔﺮدد.زﺧﻢ ﻫﺎی ﺳﯿﺎه رﮔﯽ اﻏﻠﺐ در ﺑﺎﻻی ﻣﻨﻄﻘﻪ ﻣﭻ دﯾﺪه ﻣﯽ ﺷﻮﻧﺪ .
ﺗﺸﺨﯿﺺ ﻣﺸﺎوره ﺑﺎﯾﮏ ﭘﺰﺷﮏ ﻣﺘﺨﺼﺺ در ﺻﻮرت ﻣﺸﺎﻫﺪه ﻫﺮ ﯾﮏ ازﻋﻼﯾﻢ ﻧﻈﯿﺮ درد و ﻧﺎراﺣﺘﯽ در ﭘﺎﻫﺎ ،وﺟﻮد زﺧﻢ درﻧﺎﺣﯿﻪ ﺑﺎﻻی ﺳﯿﺎه رﮔﻬﺎ و ﯾﺎاﺧﺘﻼل در ﺧﻮاب ﺷﺒﺎﻧﻪ ﺑﺪﻟﯿﻞ وﺟﻮد درد ،ﮐﺎﻣﻼ ﴐوری اﺳﺖ . ﺳﯿﺎه رﮔﻬﺎی وارﯾﺴﯽ ﴏﻓﺎ ﺑﺎ ﻇﺎﻫﺮ آﻧﻬﺎ ﺗﺸﺨﯿﺺ داده منﯽ ﺷﻮﻧﺪ .ﭘﺰﺷﮏ ﻣﺘﺨﺼﺺ ﺷام ﺑﻌﺪ از ﭘﺮﺳﯿﺪن ﺳﻮاﻻﺗﯽ در ﻣﻮرد ﺗﺎرﯾﺨﭽﻪ و ﻋﻮارض ،ﺑﻪ ﻣﻌﺎﯾﻨﻪ ﻓﯿﺰﯾﮑﯽ ﭘﺎﻫﺎ از ﻧﻈﺮ ﺗﻮرم ،ﺗﻐﯿﯿﺮدر ﻇﺎﻫﺮ و رﻧﮓ ﭘﻮﺳﺖ و ﻣﺎﻫﯿﺖ ﮐﻠﯽ ﭘﻮﺳﺖ ﻣﯽ ﭘﺮدازد .
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ﮔﺮﻣﺎ در آب و ﻫﻮای ﮔﺮم ﯾﺎ ﻣﺮﻃﻮب ،ﺑﻪ ﻣﻨﻈﻮر ﮐﻤﮏ ﺑﻪ ﺧﻨﮏ ﮐﺮدن و ﺟﻠﻮﮔﯿﺮی از ﺑﺎﻻ رﻓنت درﺟﻪ ﺣﺮارت ﺑﺪن ,رﮔﻬﺎ ﻣﺘﻮرم و ﺑﺎز ﻣﯽ ﮔﺮدﻧﺪ . اﯾﻦ ﺗﻮرم و ﺑﺰرﮔﱰ ﺷﺪن رگ اﺟﺎزه ﻣﯽ دﻫﺪ ﺧﻮن ﺑﯿﺸﱰی ﺑﻪ آن راه ﯾﺎﺑﺪ . وان داغ و ﺣامم آب داغ ﻧﯿﺰ ﻣﯽ ﺗﻮاﻧﺪ ﻣﻨﺠﺮ ﺑﻪ ﻫﻤني اﺗﻔﺎق ﺷﻮد .
ﻋﻮارض ﭘﯿﴩﻓﺘﻪ ﺳﯿﺎه رﮔﻬﺎی وارﯾﺴﯽ ﻣﯽ ﺗﻮاﻧﻨﺪ ﻣﺸﮑﻼت زﯾﺎدی ﺑﺪﻟﯿﻞ اﻓﺰاﯾﺶ ﻓﺸﺎر ﺳﯿﺎه رﮔﯽ و ﮔﺮدش ﺧﻮن ﻧﺎ ﻣﻨﺎﺳﺐ در ﭘﺎﻫﺎ ﺑﻮﺟﻮد آورﻧﺪ .ﺑﺮﺧﯽ از اﯾﻦ ﻣﺸﮑﻼت ﻋﺒﺎرﺗﻨﺪ از
ورم
روش ﻫﺎی ﻣﺘﻔﺎوت و دﻗﯿﻘﯽ ﺑﺮای ﺑﺮرﺳﯽ ﻧﺎرﺳﺎﯾﯽ ﺳﯿﺎه رﮔﯽ وﺟﻮد دارد ﮐﻪ ﯾﮑﯽ از آﻧﻬﺎ ﺳﻮﻧﻮﮔﺮاﻓﯽ داﭘﻠﺮ ﯾﺎ داﭘﻠﮑﺲ اﺳﮑﻦ ﻣﯽ ﺑﺎﺷﺪ .
ﺗﻮرم در ﻧﺎﺣﯿﻪ ﭘﺎ و ﻣﭻ ﭘﺎ
ﺗﺼﻮﻳﺮ اوﻟﱰاﺳﻮﻧﺪ داﭘﻠﺮ /دوﭘﻠﻜﺲ
ﺗﺮوﻣﺒﻮز
ﯾﮏ روش اﺳﺘﺎﻧﺪارد و ﺑﺪون درد ،ﺟﻬﺖ ﺗﺸﺨﯿﺺ ﻧﺎرﺳﺎﯾﯽ ﺳﯿﺎه رﮔﯽ،ﮐﻪ ﺑﺎ اﺳﺘﻔﺎده ازﻓﺮﺳﺘﺎدن اﻣﻮاج ﺻﻮﺗﯽ ﺑﺎ ﻓﺮﮐﺎﻧﺲ ﺑﺎﻻ وﺗﻮﻟﯿﺪ ﺗﺼﻮﯾﺮ ،اﻃﻼﻋﺎت دﻗﯿﻘﯽ در ﻣﻮردﺟﻬﺖ ﺟﺮﯾﺎن ﺧﻮن در رﮔﻬﺎی ﺷام و ﭼﮕﻮﻧﮑﯽ ﻋﻤﻠﮑﺮد درﯾﭽﻪ ﻫﺎ ﻣﯽ دﻫﺪ . ﻫﻢ ﭼﻨﯿﻦ اﺧﺘﻼﻻﺗﯽ ﭼﻮن وﺟﻮد ﻟﺨﺘﻪ و اﻧﺴﺪاد ﺳﯿﺎه رگ از ﻃﺮﯾﻖ اﯾﻦ ﺗﮑﻨﯿﮏ ﻗﺎﺑﻞ ﺷﻨﺎﺳﺎﯾﯽ ﻣﯽ ﺑﺎﺷﺪ . اﯾﻦ ﺗﺴﺖ ﺑﻪ ﭘﺰﺷﮏ ﻣﺘﺨﺼﺺ ﺷام اﻣﮑﺎن ﺗﺸﺨﯿﺺ ﻫﺮ ﮔﻮﻧﻪ اﺧﺘﻼل و ﯾﺎ ﻧﺎرﺳﺎﯾﯽ در ﺳﯿﺎه رﮔﻬﺎ را داده ﺗﺎ ﺑﻬﱰﯾﻦ ﺑﺮﻧﺎﻣﻪ رﯾﺰی ﺟﻬﺖ ﻧﻮع درﻣﺎن و ﯾﺎ ﻣﺪﯾﺮﯾﺖ درﻣﺎن را اﻧﺠﺎم دﻫﺪ .
اﻧﻮاع ﻣﺨﺘﻠﻒ ﺳﯿﺎه رگ وارﯾﺴﯽ
ﺷﺒﮑﻪ ﻋﻨﮑﺒﻮﺗﯽ ﺳﯿﺎه رگ وارﯾﺴﯽ ﮐﻮﭼﮑﱰ از 0.5ﻣﯿﻠﯽ ﻣﱰ
در زﻣﺎن ﺑﺎرداری ﺣﺠﻢ ﺧﻮن ﺑﻪ ﻣﻨﻈﻮر ﺧﻮن رﺳﺎﻧﯽ ﮐﺎﻓﯽ ﺑﻪ ﺟﻨﯿﻦ اﻓﺰاﯾﺶ ﻣﯽ ﯾﺎﺑﺪﮐﻪ ﻣﻨﺠﺮ ﺑﻪ اﻋامل ﻓﺸﺎر ﻣﻀﺎﻋﻒ ﺑﻪ ﺳﯿﺎه رﮔﻬﺎی ﭘﺎ ﻣﯽ ﮔﺮدد . اﻓﺰاﯾﺶ ﻫﻮرﻣﻮن ﻫﺎ از ﺳﻮی دﯾﮕﺮ ﺑﺎﻋﺚ ﺷﻞ ﺷﺪن ﻋﻤﻮﻣﯽ ﻋﻀﻼت ﺑﺪن ﻣﯽ ﺷﻮد.اﯾﻦ دو ﻋﺎﻣﻞ ﺑﻪ ﮐﻤﮏ ﻫﻢ ﺧﻄﺮ اﺑﺘﻼ ﺑﻪ وارﯾﺲ را اﻓﺰاﯾﺶ ﻣﯽ دﻫﻨﺪ.ﻫﻢ ﭼﻨﯿﻦ در اﯾﻦ دوران ﻫﻢ زﻣﺎن ﺑﺎ رﺷﺪ ﺟﻨﯿﻦ و ﻓﺸﺎر ﺑﯿﺸﱰ رﺣﻢ روی ﺳﯿﺎه رﮔﻬﺎ ،رگ ﻫﺎی وارﯾﺲ اﻓﺰاﯾﺶ ﻣﯽ ﯾﺎﺑﻨﺪ . اﮔﺮ ﭼﻪ ﺑﺎرداری ﻣﻤﮑﻦ اﺳﺖ ﺧﻄﺮ اﺑﺘﻼ ﺑﻪ وارﯾﺲ را اﻓﺰاﯾﺶ دﻫﺪ ، ﺑﺴﯿﺎری از زﻧﺎن ﺑﻄﻮر ﻗﺎﺑﻞ ﺗﻮﺟﻬﯽ ﭘﺲ از زاﯾامن از ﻟﺤﺎظ ﻇﺎﻫﺮ ﺑﻬﺒﻮد ﻣﯽ ﯾﺎﺑﻨﺪ .
ﻟﺨﺘﻪ ﺷﺪن ﺧﻮن در رگ ﻫﺎی آﺳﯿﺐ دﯾﺪه
ﺧﻮن رﯾﺰی ﺳﯿﺎه رﮔﻬﺎی وارﯾﺴﯽ ﮐﻪ در ﻧﺰدﯾﮑﯽ ﺳﻄﺢ ﭘﻮﺳﺖ ﻗﺮار دارﻧﺪ ﮔﺎﻫﯽ ﺑﺮ اﺛﺮ ﴐﺑﻪ ﯾﺎ ﺑﺮﯾﺪه ﺷﺪن ﺑﻪ ﺷﺪت ﺧﻮﻧﺮﯾﺰی ﻣﯽ ﮐﻨﻨﺪ .
اﮔﺰﻣﺎی وارﯾﺴﯽ اﮔﺰﻣﺎی وارﯾﺴﯽ ﺑﯿامری اﺳﺖ ﮐﻪ ﺑﺎﻋﺚ ﺗﻐﯿﯿﺮ ﻇﺎﻫﺮ ﭘﻮﺳﺖ ﺑﻪ ﻗﺮﻣﺰی و ﭘﻮﺳﺘﻪ ﭘﻮﺳﺘﻪ ﺷﺪن ﻣﯽ ﮔﺮدد .ﻫﻢ ﭼﻨﯿﻦ ﭘﯿﺪاﯾﺶ ﺗﺎول و دﳌﻪ در ﭘﻮﺳﺖ از ﻧﺸﺎﻧﻪ ﻫﺎی اﯾﻦ ﺑﯿامرﯾﺴﺖ . ﺳﯿﺎه رگ وارﯾﺴﯽ ﺑﯿﻦ 0.5ﺗﺎ 3ﻣﯿﻠﯽ ﻣﱰ
ﺳﯿﺎه رگ رﺗﯿﮑﻮﻻر ﺳﯿﺎه رگ وارﯾﺴﯽ ﺑﯿﻦ 0.5ﺗﺎ 3ﻣﯿﻠﯽ ﻣﱰ
ﺳﯿﺎه رگ وارﯾﺲ ﺳﯿﺎه رگ وارﯾﺴﯽ ﺑﺰرﮔﱰ از 3ﻣﯿﻠﯽ ﻣﱰ
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