Eski\u015fehir \u00d6zel G\u00fcrLife Hastanesi Kalp ve Damar Cerrahisi Uzman\u0131 Op. Dr. Muharrem \u015eenel, son y\u0131llarda s\u0131kl\u0131kla g\u00f6r\u00fclen varis hastal\u0131\u011f\u0131 belirtilerine dikkat \u00e7ekti. \u015eenel, toplumun en az y\u00fczde 40\u2019\u0131n\u0131n bacaklar\u0131nda varis g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirterek, kad\u0131nlar\u0131n erkeklere oranla daha fazla risk ta\u015f\u0131d\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n
Varis; toplardamarlar i\u00e7inde, kalbe d\u00f6nmekte olan kirli kan\u0131n geri ka\u00e7mas\u0131n\u0131 engelleyen kapak\u00e7\u0131klar\u0131n bozulmas\u0131, i\u00e7indeki kan\u0131 geri ka\u00e7\u0131rmas\u0131 ve bunun sonucunda toplardamarlar i\u00e7inde bas\u0131nc\u0131n art\u0131p y\u00fczeysel damarlar\u0131n belirgin hale gelmesidir. Toplumun hemen her kesimi ilgilendiren bu hastal\u0131k dikkat edilmedi\u011fi takdirde, hem sa\u011fl\u0131k hem v\u00fccut esteti\u011fi a\u00e7\u0131s\u0131ndan sorun meydana getiriyor. Eski\u015fehir \u00d6zel G\u00fcrLife Hastanesi Kalp ve Damar Cerrahisi Uzman\u0131 Op. Dr. Muharrem \u015eenel, varis hastal\u0131\u011f\u0131n\u0131n olu\u015fmas\u0131n\u0131 sa\u011flayan etmenlere dikkat \u00e7ekti.<\/p>\n
\u201cKad\u0131nlarda erkeklere oranla daha fazla olu\u015fmakta olup, bu durum daha \u00e7ok \u00f6strojen hormonuna ba\u011flanmaktad\u0131r\u201d<\/p>\n
Op. Dr. \u015eenel, varis hastal\u0131\u011f\u0131n\u0131n kad\u0131nlarda daha s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcne i\u015faret ederek, \u201cToplumun en az y\u00fczde 20-40\u2019\u0131nda bacaklarda varis g\u00f6r\u00fclmektedir. Bacaklarda varis olu\u015fumunun en \u00f6nemli nedeni, toplardamarlar i\u00e7inde var olan, g\u00f6revi kalbe d\u00f6nmekte olan kirli kan\u0131n (yer\u00e7ekimi etkisinden dolay\u0131) geri ka\u00e7mas\u0131n\u0131 engellemek olan kapak\u00e7\u0131klar\u0131n bozulmas\u0131, i\u00e7indeki kan\u0131 geri ka\u00e7\u0131rmas\u0131 ve bunun sonucunda toplardamarlar i\u00e7inde bas\u0131nc\u0131n art\u0131p y\u00fczeysel damarlar\u0131n belirgin hale gelmesidir. Kad\u0131nlarda erkeklere oranla daha fazla olu\u015fmakta olup, bu durum daha \u00e7ok \u00f6strojen hormonuna ba\u011flanmaktad\u0131r. Gebelikte hormonal de\u011fi\u015fimler ve anne karn\u0131ndaki bebe\u011fin giderek b\u00fcy\u00fcmesi ve kar\u0131n i\u00e7i ana toplardamarlara bask\u0131 yapmas\u0131 sonucunda bacaklardaki toplardamarlar i\u00e7indeki bas\u0131n\u00e7 artmakta ve bu da damar i\u00e7i kapak\u00e7\u0131klar\u0131n geriye kan ka\u00e7\u0131rmas\u0131na sebep olarak y\u00fczeysel toplardamarlar\u0131n belirginle\u015fmesine yol a\u00e7maktad\u0131r. Her 100 gebenin 60\u2019\u0131nda de\u011fi\u015fik derecelerde varis g\u00f6r\u00fclmekte olup, genellikle do\u011fum sonras\u0131 bu durum d\u00fczelmekte, varisler \u00e7o\u011fu zaman kaybolmaktad\u0131r. Varis geli\u015fmi\u015f her 100 gebenin 5 ila 10\u2019unda do\u011fum sonras\u0131 varisler kal\u0131c\u0131 olmaktad\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n
\u201cAyakta fazla kalmay\u0131, oturmay\u0131 ve uzun s\u00fcre hareketsiz kalmay\u0131 gerektiren i\u015flerde \u00e7al\u0131\u015fanlarda daha \u00e7ok g\u00f6r\u00fcl\u00fcr\u201d<\/p>\n
Ayr\u0131ca \u015eenel, genetik olarak ailesinde varis g\u00f6r\u00fclen insanlar\u0131n bu hastal\u0131\u011f\u0131 g\u00f6rme olas\u0131l\u0131\u011f\u0131n\u0131n 3-4 kat olu\u011funu belirterek, \u201cAilesinde, \u00f6zellikle anne ve babas\u0131nda varis hikayesi olanlarda varis g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131, olmayanlara g\u00f6re en az 3-4 kat y\u00fcksektir. Baz\u0131 mesleklerde, \u00f6zellikle ayakta fazla kalmay\u0131, oturmay\u0131 ve uzun s\u00fcre hareketsiz kalmay\u0131 gerektiren i\u015flerde \u00e7al\u0131\u015fanlarda (hem\u015fire, doktor, cerrah, kuaf\u00f6r, berber, \u00f6\u011fretmen, bankac\u0131, sekreter, fabrika i\u015f\u00e7isi ve benzeri) varisler daha \u00e7ok g\u00f6r\u00fcl\u00fcr. Fazla kilolularda, dar kot, tayt giyenlerde, topuklu veya d\u00fcz sert tabanl\u0131 ayakkab\u0131 giyenlerde de varis geli\u015fme olas\u0131l\u0131\u011f\u0131 y\u00fcksektir. \u0130lerleyen ya\u015fla birlikte toplardamar duvar\u0131 elastikiyetinin azalmas\u0131, geni\u015flemesi ve kapak\u00e7\u0131klarda g\u00f6receli yetersizlik olu\u015fmas\u0131yla varis olu\u015fma olas\u0131l\u0131\u011f\u0131 artmaktad\u0131r. Bu nedenle 50 ya\u015f\u0131n \u00fczerindekilerin y\u00fczde 50\u2019sinde, 70 ya\u015f \u00fczerindekilerin en az y\u00fczde 70\u2019inde varis g\u00f6r\u00fclmektedir\u201d \u015feklinde konu\u015ftu.<\/p>\n
\u201cAyakta fazla kal\u0131nca \u00f6zellikle ayak bileklerinde \u015fi\u015fme, \u00f6dem olu\u015fabilir\u201d<\/p>\n
\u00d6te yandan Op. Dr. Muharrem \u015eenel, varislerin g\u00f6zle g\u00f6r\u00fcn\u00fcr hale gelmesi v\u00fccudun esteti\u011fini de bozdu\u011funu s\u00f6yleyerek, \u201cVarisler g\u00f6zle g\u00f6r\u00fcn\u00fcr hale geldiklerinde, \u00f6zellikle bayanlar\u0131 ba\u015flang\u0131\u00e7ta kozmetik olarak rahats\u0131z ederler. \u00c7o\u011fu kad\u0131n etek giyemez; denize, havuza giremez hale gelir. Bu safhada erkekler ise bu durumu fazla umursamazlar. Zamanla ven\u00f6z yetersizli\u011fin (Kapak yetersizli\u011fi) ilerlemesi ve toplardamarlar i\u00e7i bas\u0131nc\u0131n artmas\u0131 ile di\u011fer yak\u0131nmalar olmaya ba\u015flar. Ayakta fazla kal\u0131nca \u00f6zellikle ayak bileklerinde \u015fi\u015fme, \u00f6dem olu\u015fabilir. Bald\u0131rlarda gece kramplar\u0131, yine ayakta fazla kal\u0131nca bacaklarda yorgunluk, a\u011f\u0131rl\u0131k hissi olabilir. Diz alt\u0131 b\u00f6lgelerde zaman zaman ka\u015f\u0131nt\u0131lar, bazen de egzema benzeri lezyonlar olu\u015fabilir. Bacaklardaki ven\u00f6z (toplardamar i\u00e7i) bas\u0131nc\u0131n iyice artmas\u0131 ve buna paralel \u00f6zellikle diz alt\u0131, ayak bilekleri \u00e7evresinde derinin \u00f6deme, bas\u0131nca ba\u011fl\u0131 sertle\u015fmesi, kal\u0131nla\u015fmas\u0131, morumsu, kahverengimsi renk de\u011fi\u015fikli\u011fine u\u011framas\u0131 ve cilt b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fcn bozulmas\u0131 yani yara a\u00e7\u0131lmas\u0131yla art\u0131k varis hastal\u0131\u011f\u0131n\u0131n ad\u0131 Kronik Ven\u00f6z Yetersizlik olmu\u015f demektir. Varis \u00fclseri denilen ve daha \u00e7ok ayak bile\u011fi i\u00e7 k\u0131s\u0131mda olu\u015fan yaralar, tedaviye olduk\u00e7a diren\u00e7li, bir t\u00fcrl\u00fc iyile\u015fmek bilmeyen y\u0131llarca s\u00fcrebilen; hastalar\u0131 ve toplumu maliyet, i\u015f g\u00fcc\u00fc kayb\u0131 a\u00e7\u0131s\u0131ndan ekonomik- sosyopsikolojik a\u00e7\u0131dan maddi manevi zararlara u\u011fratmaktad\u0131r\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
ESK\u0130\u015eEH\u0130R \u00d6ZEL G\u00dcRL\u0130FE HASTANES\u0130 KALP VE DAMAR CERRAH\u0130S\u0130 UZMANI OP. DR. MUHARREM \u015eENEL, SON YILLARDA SIKLIKLA G\u00d6R\u00dcLEN VAR\u0130S HASTALI\u011eI BEL\u0130RT\u0130LER\u0130NE D\u0130KKAT \u00c7EKT\u0130. \u015eENEL, TOPLUMUN EN AZ Y\u00dcZDE 40\u2019ININ BACAKLARINDA VAR\u0130S G\u00d6R\u00dcLD\u00dc\u011e\u00dcN\u00dc BEL\u0130RTEREK, KADINLARIN ERKEKLERE ORANLA DAHA FAZLA R\u0130SK TA\u015eIDI\u011eINI S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":134604,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[5209,5509,15632,30963,9367,16585,482],"class_list":["post-134603","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-ayakta","tag-cikariyor","tag-davetiye","tag-durmak","tag-hastaliga","tag-sure","tag-uzun"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/04\/uzun-sure-ayakta-durmak-bu-hastaliga-davetiye-cikariyor_34a7f98.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-z11","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/134603","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=134603"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/134603\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/134604"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=134603"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=134603"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=134603"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}