دوالي الساقين

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دوالي الساقين

مشاركةبواسطة دكتور كمال سيد » الخميس سبتمبر 18, 2014 11:14 pm

الصلاة ودوالي الساقين

في بحث علمي حديث تم إثبات علاقة وطيدة بين أداء الصلاة وبين الوقاية من مرض دوالي الساقين،:

يقول الدكتور توفيق علوان الأستاذ بكلية طب الإسكندرية أنه بالملاحظة الدقيقة لحركات الصلاة وجد أنها تتميز بقدر عجيب من الانسيابية والانسجام والتعاون بين قيام وركوع وسجود وجلوس بين السجدتين
وبالقياس العلمي الدقيق للضغط الواقع على جدران الوريد الصافن عند مفصل الكعب كان الانخفاض الهائل الذي يحدث لهذا الضغط أثناء الركوع يصل للنصف تقريبا
أما حال السجود فقد وجد أن متوسط الضغط قد أصبح ضئيلا جدا وبالطبع فإن هذا الانخفاض ليس إلا راحة تامة للوريد الصارخ من قسوة الضغط عليه طوال فترات الوقوف
إن وضع السجود يجعل الدورة الدموية بأكملها تعمل في ذات الاتجاه الذي تعمل به الجاذبية الأرضية فإذا بالدماء التي طالما قاست في التسلق المرير من أخمص القدمين إلى عضلة القلب نجدها قد تدفقت منسكبة في سلاسة ويسر من أعلى إلى أسفل
وهذه العملية تخفف كثيرا من الضغط الوريدي على ظاهر القدم من حوالي (100 - 120 سم/ماء) حال الوقوف إلى (1.33 سم/ ماء) عند السجود وبالتالي تنخفض احتمالات إصابة الإنسان بمرض الدوالي الذي يندر فعلا أن يصيب من يلتزم بأداء فرائض الصلاة ونوافلها بشكل منتظم وصحيح.
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Re: دوالي الساقين

مشاركةبواسطة دكتور كمال سيد » الخميس سبتمبر 18, 2014 11:21 pm

آلية ظهور دوالي الساقين:


في حالة السير فإننا نضغط على الأوردة الدموية الموجودة في أخمص القدمين، وبذلك ندفع الدم بطريقة ميكانيكية إلى القلب،
وفي الوقت نفسه فان تقلص بطني الساقين يلعب دور المضخة التي تساعد على صعود الدم، وهذه العملية لا تتم بصورة فعالة إلا إذا كانت الدورة الدموية في حالة جيدة، والجدران الداخلية للأوردة مبطنة بطيات تسمى صمامات أو حواجز تمنع انحصار الدم وتسمح له بالصعود إلى أعلى باتجاه القلب وعدم رجوعه بالاتجاه العكسي،

وفي حال كانت جدران الأوردة تشتكي من عيب ما، فان هذه الطيات تتمدد وتختفي الحواجز، فتنتفخ الأوردة وتأخذ اللون الأزرق بشكل تدريجي،
وهذه العملية تتطلب سنوات، ولكن من الممكن أيضاً أن تظهر في مرحلة النضوج، ومن هنا ضرورة يجب أن نوقف عملية ظهور الدوالي منذ الإشارة الأولى، أي انتفاخ القدمين، ولكن في حالات أخرى تحدث مضاعفات وأعراض مؤلمة للشخص وقد تزداد الحالة خطورة وتؤثر بشكل كبير علي وظائف أخرى بالجسم.


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أنواع دوالي الساقين:

ظهور دوالي الساقين قد ينتج إما بسبب أولى أي نتيجة وجود مشكلة في أوردة الساق نفسها، وعادة ما يكون ضعفاً في جدار الأوعية الدموية الوريدية، وليست الشريانية (Weakness in the Walla of the Veins)، والتي من وظيفتها ضخ الدم من الأرجل والقدمين إلى الأعلى، لتصل إلى الوريد الرئيسي المتصل بالقلب،
وبسبب ضعفها يحدث اضطراب في هذه الوظيفة فيتراكم الدم فيها وتنتفخ، ثم تبدأ بالتعرج والبروز في المراحل المتأخرة لذا فإن العلاج يتوقف على شدة الحالة ومرحلة العلاج نفسه،

وقد تنتج هذه الحالة بسبب ثانوي نتيجة لمرض آخر كأورام الحوض أو البطن، وكذلك أيضا تظهر بشكل واضح خلال فترة الحمل لدى السيدات،
وعلاج دوالي الساقين الثانوية يتلخص بعلاج السبب الأساس، أما الدوالي الأولية فيتم فيها علاج الجزء الذي يعانى من المشكلة حسب حالتهن وهناك تدخلات جراحية وفقاً للحالة التي يراها ويشخصها طبيب الأوعية الدموية.

وبالإضافة إلى هذا، فإن هناك بعض الحالات البسيطة من دوالي الساقين لا يلزمها إلا بعض الإجراءات المساعدة لتحسين الحالة، ومن الأمور التي تزيد من سوء حالة دوالي الساقين والألم المصاحب لهما، الوقوف لفترات طويلة، وكذلك الجلوس لفترات طويلة دون تمارين لتحريك القدم والكاحل بغية تنشيط الدورة الدموية بهما.

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Re: دوالي الساقين

مشاركةبواسطة دكتور كمال سيد » الخميس سبتمبر 18, 2014 11:25 pm

أعراض دوالي الساقين

دوالي الساقين
Varicose Veins


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أظهرت الدراسات أن الإنسان هو الوحيد بين المخلوقات الذي يعاني من مرض دوالي الساقين، والدوالي هو خلل شائع في أوردة الساقين يتمثل في ظهور أوردة غليظة ومتعرجة وممتلئة بالدماء المتغيرة اللون على طول الطرفين السفليين وهو يصيب نسبة ليست بضئيلة من البشر بين عشرة إلى عشرين بالمائة من مجموع سكان العالم، ونسبة النساء المصابات به هي ضعف نسبة الرجال


تعريف دوالي الساقين:
يمكننا تعريف دوالي الساقين بأنه عبارة عن ضحالة في الحركة أو عدمها في جزء من الوريد السطحي للقدمين.


أعراض دوالي الساقين:
- قبل ظهور دوالي الأوردة يشعر المريض بوخز (شكة)، وثقل وقد يعاني كذلك من شد عضلي أو تضخم في أسفل الساق.
- زيادة الشعور بالألم في الساق في حالة الجلوس أو الوقوف لفترة طويلة.
- تظهر دوالي الأوردة بوضوح تحت جلد الساق.
- تغير في لون الكاحل إلي اللون الرمادي.
- حك حول منطقة الوريد.
- ظهور قرح بالجلد ويتطلب المريض عناية فورية في هذه الحالة.
- بالإضافة إلى أن الدوالي تسئ للشكل الجمالي للساق.
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Re: دوالي الساقين

مشاركةبواسطة دكتور كمال سيد » الخميس سبتمبر 18, 2014 11:28 pm

نصائح للمصاب بدوالي الساقين

أولاً: تحريك القدمين باستمرار، خاصة أثناء الجلوس الطويل (يمكن مد الساقين إلى الأمام وأداء التمرين بوضعية الجلوس) فهذا يساعد على تحريك العضلات كي تقوم بدفع الدم إلى أعلى.
ثانياً: عدم الوقوف بلا داع لفترات طويلة، حاول دائماً أن يكون المشي بديلاً للوقوف، حتى لو كان المشي في المكان نفسه.
ثالثاً: ممارسة التمرينات باستمرار مهمة للحفاظ على قوة عضلات الساقين وبالتالي تحسين وظيفة المضخة العضلية للدم، وأعنى بها ضغط العضلات على جدران الأوردة لأعلى في اتجاه القلب، ومنع تراكمه في الساقين مسبباً الدوالي أو جعل حالتها أكثر سوءاً.
رابعاً: عند وجود احتمالات للوقوف فترة طويلة في يوم ما، يفضل استخدام الجوارب الطبية، وطريقة استخدام هذه الجوارب مهمة جداًن لأن استخدامها بصورة خاطئة قد لا يعين على أداء مهمتها، وهذه الجوارب تستخدم كالأتي:
يتم رفع الرجلين ولمدة طويلة (حوالي نصف ساعة) على وسادة عالية، ثم يلبس الجوارب قبل النزول من السرير والأرجل مرتفعة.
خامساً: الحرص الشديد على عدم حدوث إمساك لأنه يزيد الحالة سوء ومن الأفضل استخدام الإعشاب الملينة وأفضلها السنا، وذلك بنقع السنامكي مساءً مع قليل من النانخة (النخوة) والتمر الهندي (الحُمر)، وفي الصباح يسخن المنقوع قليلاً دون درجة الغليان ومن ثم يصفى ويشرب، ويمكن تكرار العملية كل عشرة أيام.
سادساً: التحكم في وزن الجسم، فزيادة وزن الجسم تعمل على الضغط علي الأوردة وبالتالي تزيد فرصة إصابة الأوردة بالدوالي.
سابعاً: يجب تجنب ارتداء الأحذية ذات الكعب العالي، فالأحذية المنخفضة تساعد علي تحريك عضلات الساق بشكل أكبر.
ثامناً: يفضل أيضاً عدم ارتداء الملابس الضيقة علي الفخذين أو الساق وذلك لأن هذه النوعية من الملابس تحد من سلاسة عملية الدورة الدموية، وفي الشتاء من المفضل ارتداء الملابس الصوفية فهذا يمنع من إبطاء حركة الدورة الدموية في الأعضاء السفلية.
تاسعاً: تجنب التغير المفاجئ في درجات الحرارة كالتدفئة القوية في المنزل وبرودة الطقس في الخارج

دكتور محمد سمير الجزار

أخصائى العلاج الطبيعى والتأهيل.

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Re: دوالي الساقين

مشاركةبواسطة دكتور كمال سيد » الجمعة سبتمبر 19, 2014 6:50 am

Varicose veins

http://www.mayoclinic.org/diseases-cond ... n-20043474


Varicose veins are , enlarged veins. Any vein may become varicose, but the veins most commonly affected are those in your legs and feet. That's because standing and walking upright increases the pressure in the veins of your lower body.

For many people, varicose veins and spider veins — a common, mild variation of varicose veins — are simply a cosmetic concern.
For other people, varicose veins can cause aching pain and discomfort. Sometimes varicose veins lead to more-serious problems.
Varicose veins may also signal a higher risk of other circulatory problems. Treatment may involve self-care measures or procedures by your doctor to close or remove veins.

symptoms

Varicose veins usually don't cause any pain. Signs you may have varicose veins include:

Veins that are dark purple or blue in color
Veins that appear twisted and bulging; often like cords on your legs
When painful signs and symptoms occur, they may include:

An achy or heavy feeling in your legs
Burning, throbbing, MUSCLE CRAMPING and swelling in your lower legs
Worsened pain after sitting or standing for a long time
Itching around one or more of your veins
Skin ulcers near your ankle, which can mean you have a serious form of vascular disease that requires medical attention
Spider veins are similar to varicose veins, but they're smaller. Spider veins are found closer to the SKIN'S surface and are often red or blue. They occur on the legs, but can also be found on the face. Spider veins vary in size and often look like a spider's web.


Self-care — such as exercise, elevating your legs or wearing compression stockings — can help you ease the pain of varicose veins and may prevent them from getting worse. But if you're concerned about how your veins look and feel and self-care measures haven't stopped your condition from getting worse, see your doctor.


Causes

Arteries carry blood from your heart to the rest of your tissues. Veins return blood from the rest of your body to your heart, so the blood can be recirculated. To return blood to your heart, the veins in your legs must work against gravity. MUSCLE contractions in your lower legs act as pumps, and elastic vein walls help blood return to your heart. Tiny valves in your veins open as blood flows toward your heart then close to stop blood from flowing backward.

: Causes of varicose veins can include

: Age
As you get older, your veins can lose elasticity causing them to stretch.
The valves in your veins may become weak, allowing blood that should be moving toward your heart to flow backward.
Blood pools in your veins, and your veins enlarge and become varicose.
The veins appear blue because they contain deoxygenated blood, which is in the process of being recirculated through the lungs.

:Pregnancy
Some pregnant women develop varicose veins. Pregnancy increases the volume of blood in your body, but decreases the flow of blood from your legs to your pelvis
This circulatory change is designed to support the growing fetus, but it can produce an unfortunate side effect — enlarged veins in your legs
Varicose veins may surface for the first time or may worsen during late pregnancy, when your uterus exerts greater pressure on the veins in your legs
Changes in your hormones during pregnancy also may play a role
Varicose veins that develop during pregnancy generally improve without medical treatment within three months after delivery
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Re: دوالي الساقين

مشاركةبواسطة دكتور كمال سيد » الجمعة سبتمبر 19, 2014 7:04 am

Risk factors


: These factors increase your risk of developing varicose veins

Age
The risk of varicose veins increases with age. Aging causes wear and tear on the valves in your veins that help regulate blood flow. Eventually, that wear causes the valves to allow some blood to flow back into your veins where it collects instead of flowing up to your heart

Sex
Women are more likely to develop the condition. Hormonal changes during pregnancy, premenstruation or menopause may be a factor. Female hormones tend to relax vein walls. Taking hormone replacement therapy or birth control pills may increase your risk of varicose veins

Family history
If other family members had varicose veins, there's a greater chance you will too

Obesity
. Being overweight puts added pressure on your veins

Standing or sitting for long periods of time
. Your blood doesn't flow as well if you're in the same position for long periods


Complications

: Complications of varicose veins, although rare, can include

Ulcers
Extremely painful ulcers may form on the SKIN near varicose veins, particularly near the ankles. Ulcers are caused by long-term fluid buildup in these tissues, caused by increased pressure of blood within affected veins. A discolored spot on the skin usually begins before an ulcer forms. See your doctor immediately if you suspect you've developed an ulcer.

Blood clots
Occasionally, veins deep within the legs become enlarged. In such cases, the affected leg may swell considerably. Any sudden leg swelling warrants urgent medical attention because it may indicate a blood clot — a condition known medically as thrombophlebitis


Tests and diagnosis
To diagnose varicose veins, your doctor will do a physical exam, including looking at your legs while you're standing to check for swelling. Your doctor may also ask you to describe any pain and aching in your legs

You may also need an ultrasound test to see if the valves in your veins are functioning normally or if there's any evidence of a blood clot. In this noninvasive test, you lie on an examination table. A small amount of warm gel is applied to your SKIN. The gel helps eliminate the formation of air pockets between the transducer and your body. During an ultrasound, a technician trained in ultrasound imaging (sonographer) presses a small hand-held device (transducer), about the size of a bar of soap, against your skin over the area of your body being examined, moving from one area to another as necessary. The transducer transmits images of the veins in your legs to a monitor, so a technician and your doctor can see them.


Treatments and drugs
Fortunately, treatment usually doesn't mean a hospital stay or a long, uncomfortable recovery. Thanks to less invasive procedures, varicose veins can generally be treated on an outpatient basis.

Self-care

Self-care — such as exercising, losing weight, not wearing tight clothes, elevating your legs, and avoiding long periods of standing or sitting — can ease pain and prevent varicose veins from getting worse.

Compression stockings

Wearing compression stockings is often the first approach to try before moving on to other treatments. Compression stockings are worn all day. They steadily squeeze your legs, helping veins and leg muscles move blood more efficiently. The amount of compression varies by type and brand.

You can buy compression stockings at most pharmacies and medical supply stores. Prices vary. Prescription-strength stockings also are available.

When purchasing compression stockings, make sure that they fit properly. Using a tape measure, you or your pharmacist can measure your legs to ensure you get the right size and fit according to the size chart found on the stocking package. Compression stockings should be strong, but not necessarily tight. If you have weak hands or arthritis, getting these stockings on may be difficult. There are devices to make putting them on easier.

Additional treatments for more-severe varicose veins

If you don't respond to self-care, compression stockings, or if your condition is more severe, your doctor may suggest one of these varicose vein treatments:

Sclerotherapy. In this procedure, your doctor injects small- and medium-sized varicose veins with a solution that scars and closes those veins. In a few weeks, treated varicose veins should fade. Although the same vein may need to be injected more than once, sclerotherapy is effective if done correctly. Sclerotherapy doesn't require anesthesia and can be done in your doctor's office.
Laser surgeries. Doctors are using new technology in laser treatments to close off smaller varicose veins and spider veins. Laser surgery works by sending strong bursts of light onto the vein, which makes the vein slowly fade and disappear. No incisions or needles are used.
Catheter-assisted procedures. In one of these treatments, your doctor inserts a thin tube (catheter) into an enlarged vein and heats the tip of the catheter. As the catheter is pulled out, the heat destroys the vein by causing it to collapse and seal shut. This procedure is usually done for larger varicose veins.
Vein stripping. This procedure involves removing a long vein through small incisions. This is an outpatient procedure for most people. Removing the vein won't adversely affect circulation in your leg because veins deeper in the leg take care of the larger volumes of blood.
Ambulatory phlebectomy (fluh-BEK-tuh-me). Your doctor removes smaller varicose veins through a series of tiny skin punctures. Only the parts of your leg that are being pricked are numbed in this outpatient procedure. Scarring is generally minimal.
Endoscopic vein surgery. You might need this operation only in an advanced case involving leg ulcers. Your surgeon uses a thin video camera inserted in your leg to visualize and close varicose veins, and then removes the veins through small incisions. This procedure is performed on an outpatient basis.
Varicose veins that develop during pregnancy generally improve without medical treatment within three to 12 months after delivery.

Be a cautious consumer

When it comes to treatment options for varicose veins, it pays to be a cautious health consumer. Advertisements claiming "unique," "permanent" or "painless" methods to remove varicose veins may be appealing, but they may not actually measure up to those claims. Before having any procedure, ask your doctor about any health risks and possible side effects.

You may want to inquire about treatment costs, as well. Many insurance policies don't cover the expense of elective cosmetic surgery for varicose veins. However, in many cases if you have signs or symptoms, such as swelling and bleeding, insurance may cover the treatment.

Current treatments for varicose veins and spider veins are effective. However, it's possible that varicose veins can recur.
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Re: دوالي الساقين

مشاركةبواسطة دكتور كمال سيد » الجمعة سبتمبر 19, 2014 7:07 am

Risk factors


: These factors increase your risk of developing varicose veins

Age
The risk of varicose veins increases with age. Aging causes wear and tear on the valves in your veins that help regulate blood flow. Eventually, that wear causes the valves to allow some blood to flow back into your veins where it collects instead of flowing up to your heart

Sex
Women are more likely to develop the condition. Hormonal changes during pregnancy, premenstruation or menopause may be a factor. Female hormones tend to relax vein walls. Taking hormone replacement therapy or birth control pills may increase your risk of varicose veins

Family history
If other family members had varicose veins, there's a greater chance you will too

Obesity
. Being overweight puts added pressure on your veins

Standing or sitting for long periods of time
. Your blood doesn't flow as well if you're in the same position for long periods


Complications

: Complications of varicose veins, although rare, can include

Ulcers
Extremely painful ulcers may form on the SKIN near varicose veins, particularly near the ankles. Ulcers are caused by long-term fluid buildup in these tissues, caused by increased pressure of blood within affected veins. A discolored spot on the skin usually begins before an ulcer forms. See your doctor immediately if you suspect you've developed an ulcer.

Blood clots
Occasionally, veins deep within the legs become enlarged. In such cases, the affected leg may swell considerably. Any sudden leg swelling warrants urgent medical attention because it may indicate a blood clot — a condition known medically as thrombophlebitis


Tests and diagnosis
To diagnose varicose veins, your doctor will do a physical exam, including looking at your legs while you're standing to check for swelling. Your doctor may also ask you to describe any pain and aching in your legs

You may also need an ultrasound test to see if the valves in your veins are functioning normally or if there's any evidence of a blood clot. In this noninvasive test, you lie on an examination table. A small amount of warm gel is applied to your SKIN. The gel helps eliminate the formation of air pockets between the transducer and your body. During an ultrasound, a technician trained in ultrasound imaging (sonographer) presses a small hand-held device (transducer), about the size of a bar of soap, against your skin over the area of your body being examined, moving from one area to another as necessary. The transducer transmits images of the veins in your legs to a monitor, so a technician and your doctor can see them.


Treatments and drugs
Fortunately, treatment usually doesn't mean a hospital stay or a long, uncomfortable recovery. Thanks to less invasive procedures, varicose veins can generally be treated on an outpatient basis.

Self-care

Self-care — such as exercising, losing weight, not wearing tight clothes, elevating your legs, and avoiding long periods of standing or sitting — can ease pain and prevent varicose veins from getting worse.

Compression stockings

Wearing compression stockings is often the first approach to try before moving on to other treatments. Compression stockings are worn all day. They steadily squeeze your legs, helping veins and leg muscles move blood more efficiently. The amount of compression varies by type and brand.

You can buy compression stockings at most pharmacies and medical supply stores. Prices vary. Prescription-strength stockings also are available.

When purchasing compression stockings, make sure that they fit properly. Using a tape measure, you or your pharmacist can measure your legs to ensure you get the right size and fit according to the size chart found on the stocking package. Compression stockings should be strong, but not necessarily tight. If you have weak hands or arthritis, getting these stockings on may be difficult. There are devices to make putting them on easier.

Additional treatments for more-severe varicose veins

If you don't respond to self-care, compression stockings, or if your condition is more severe, your doctor may suggest one of these varicose vein treatments:

Sclerotherapy. In this procedure, your doctor injects small- and medium-sized varicose veins with a solution that scars and closes those veins. In a few weeks, treated varicose veins should fade. Although the same vein may need to be injected more than once, sclerotherapy is effective if done correctly. Sclerotherapy doesn't require anesthesia and can be done in your doctor's office.
Laser surgeries. Doctors are using new technology in laser treatments to close off smaller varicose veins and spider veins. Laser surgery works by sending strong bursts of light onto the vein, which makes the vein slowly fade and disappear. No incisions or needles are used.
Catheter-assisted procedures. In one of these treatments, your doctor inserts a thin tube (catheter) into an enlarged vein and heats the tip of the catheter. As the catheter is pulled out, the heat destroys the vein by causing it to collapse and seal shut. This procedure is usually done for larger varicose veins.
Vein stripping. This procedure involves removing a long vein through small incisions. This is an outpatient procedure for most people. Removing the vein won't adversely affect circulation in your leg because veins deeper in the leg take care of the larger volumes of blood.
Ambulatory phlebectomy (fluh-BEK-tuh-me). Your doctor removes smaller varicose veins through a series of tiny skin punctures. Only the parts of your leg that are being pricked are numbed in this outpatient procedure. Scarring is generally minimal.
Endoscopic vein surgery. You might need this operation only in an advanced case involving leg ulcers. Your surgeon uses a thin video camera inserted in your leg to visualize and close varicose veins, and then removes the veins through small incisions. This procedure is performed on an outpatient basis.
Varicose veins that develop during pregnancy generally improve without medical treatment within three to 12 months after delivery.

Be a cautious consumer

When it comes to treatment options for varicose veins, it pays to be a cautious health consumer. Advertisements claiming "unique," "permanent" or "painless" methods to remove varicose veins may be appealing, but they may not actually measure up to those claims. Before having any procedure, ask your doctor about any health risks and possible side effects.

You may want to inquire about treatment costs, as well. Many insurance policies don't cover the expense of elective cosmetic surgery for varicose veins. However, in many cases if you have signs or symptoms, such as swelling and bleeding, insurance may cover the treatment.

Current treatments for varicose veins and spider veins are effective. However, it's possible that varicose veins can recur.
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