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VASEU DURUSHT SHUDANI SIYOHRAG

varices-venorumVASEU DURUSHT SHUDANI SIYOHRAG (Varices venorum; az lot. varix, varicis – damidani venaho), illatest, ki dar vase shudani andoza va tagyiri shaklu chandirii siyohrag (vena)-ho zohir megardad. Ba bemori beshtar siyohraghoi poy, rudai rost va tanobaki maniron giriftor meshavand. Ba inkishofi V. har guna omilho, ki harakati khunro dar siyohrag mushkil megardonand, musoidat mekunand (mas., rost istoda kor kardan dar oshpazho, peshkhidmatho, furushandaho, sartaroshon; fishurda shudani siyohraghoi kos hangomi homilagi va g.). Zaifii modarzodii devorahoi siyohrag va noqisii klapanho (darichaho)-i rag niz sababi V. meshavand. Raghoi vaseshuda az zeri pust chun torhoi pech dar pech va girehbasta ba nazar merasand.
Pusti uqdahoi varikozi az sababi ikhtiloli tagziya tunuk shuda, oseb meyobad; hangomi vusati bemori dar pust doghoi jigarrang yo siyohtob padid meoyand. Binobar ikhtiloli gizogirii pust bo mururi vaqt reshi trofiki (nosur) paydo meshavad. YAkjoya bo V. beshtar varami poyho (khususan begohi) mushohida megardad. Poyhoi bemor dar asnoi roh raftan zud bemador, hangomi bisyor rost istodan va okhiri ruz vaznin va dardmand meshavand. Minbad bemori avj girifta, varami poyho meafzoyad, roh raftan toraft mushkil shuda, mariz oqibat az poy memonad. Tagiyrot dar siyohragho va sust shudani gardishi khun boisi gazak giriftanu ba vujud omadani tromb (sudda) khohad shud (nig. Tromboflebit).
Baroi peshgirii orizahoi V. tadbirhoi gunogun meandeshand. Onho dar davrai avvali bemori (holo ki venaho chandon vase nashudaand) khele mufidand. Az in ru, har chi barvaqt ba dukhtur murojiat namudan ba manfiati kor ast. Pesh az hama boyad gardishi khuni ragho mutadil karda shavad. Agar ijroi kor vaqti ziyod nishastanro talab kunad, pas poi dardmandro daroz karda nishastan zarur ast. Har 1 – 1,5 soat kame roh gashtan va yo 10 – 15 marotiba ba nugi poy rost istodan ayni muddaost. Dar in mavrid mushakho kashish khurda, harakati khun dar ragho behtar meshavad. Ijroi chunin mashqho (badi har 45 – 50 daq.) khususan ba odamone, ki rost istoda kor mekunand, naf dorad. Az sayru gashti beshitob (badi kor, ba masofai nachandon dur) poi dardmand khub dam megirad. Poyro bo binti chandir bastan niz mufid ast. Bintro pagohi az bistari khob nakhesta mebandand (poyro boyad andake bolo bardosht, yane kafi poy bo zonu dar yak balandi boshad); onro boyad az buni panjahoi poy to seyaki ron yo to zonu bast (poshani poyro namebandand). Bandinaro yakzayl tarang kashida (gayri pechishi avval va okhir) chunon mepechonand, ki har pech nimi qabati avvalro rupush kunad. Ba joi bint jurobi yozandaro (az dorukhona mekharand) niz istifoda burdan mumkin ast.
Varzishi shifoi omili muhimest baroi peshgirii inkishofi minbadai V. Ba tufayli riyozati badan gardishi khun taqviyat yofta, beharakatii on dar siyohragho bartaraf meshavad. Harakati mudavvar bo nugi poy, khamu rost kardani soqu ron, mashqi «velosipedroni» foidabakhshand. In mashqhoro pushtnoki daroz kashida ijro mekunand. Sipas kame roh raftan va bo nugi poyho istodan lozim. Ba varzishi shifoi pagohi va begohi (badi kor) mashgul shudan mumkin ast (10 – 15 daq.).
Dar mavridi nihoyat vaznin budani V. jarrohi yo tabobat bo doru (ba siyohraghoi shakhshulu vaseshuda doruhoi makhsus meguzaronand) tavsiya karda meshavad. Badi jarrohi, odatan, binti chandirro taqriban 4 – 6 mohi digar basta megardand.

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