\u00d6zel Elit Poliklini\u011fi Hekimlerinden Prof. Dr. G\u00fcven Erdo\u011f, Erkeklerde g\u00f6r\u00fclen varislerin genellikle kad\u0131nlarda g\u00f6r\u00fclen varislere benzemedi\u011fini ve erkeklerin hormon yap\u0131s\u0131 de\u011fi\u015fikli\u011fi ve v\u00fccut yap\u0131s\u0131n\u0131n farkl\u0131l\u0131\u011f\u0131 nedeniyle de varislerin hemen hemen tamam\u0131n\u0131n b\u00fcy\u00fck varisler \u015feklinde oldu\u011funu s\u00f6yledi.<\/p>\n
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Erkek varisleri do\u011fumsal ve sonradan olmak \u00fczere ikiye ayr\u0131ld\u0131\u011f\u0131n\u0131 dile getiren Prof.Dr.G\u00fcven Erdo\u011f, \u015funlar\u0131 s\u00f6yledi; \u201cDo\u011fumsal varisler her ne kadar do\u011fu\u015ftan itibaren mevcut olsa da sonradan kendilerini belli ederler. Ortalama 20 ya\u015f\u0131na kadar ortaya \u00e7\u0131karlar. Bu tip varisler s\u0131kl\u0131kla di\u011fer baz\u0131 damar rahats\u0131zl\u0131klar\u0131 ile birlikte g\u00f6r\u00fcl\u00fcrler.<\/p>\n
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VAR\u0130SLER\u0130N BEL\u0130RT\u0130LER\u0130 NELERD\u0130R ?
\nCiltte \u015farap lekesi, varis bulunan baca\u011f\u0131n di\u011ferine g\u00f6re daha kal\u0131n olu\u015fu ve ciltteki varislerin yumaklar \u015feklinde kendini g\u00f6stermesi hastal\u0131\u011f\u0131n di\u011fer damar hastal\u0131klar\u0131 ile birlikte seyreden do\u011fumsal varis oldu\u011funu g\u00f6sterir. Sonradan ortaya \u00e7\u0131kan varisler genelde travmalardan sonra g\u00f6r\u00fcl\u00fcr. \u00d6rne\u011fin; trafik kazas\u0131 sonras\u0131 meydana gelen varisler toplardamar i\u00e7indeki kapaklar\u0131n kaza s\u0131ras\u0131nda zedelendi\u011fine i\u015faret eder. Ameliyatlardan sonra ortaya \u00e7\u0131kan varisler de sonradan beliren varisler aras\u0131nda yer al\u0131r. Ameliyat s\u0131ras\u0131nda toplardamar i\u00e7indeki kan\u0131n yava\u015flamas\u0131 toplardamar kapaklar\u0131 altlar\u0131nda p\u0131ht\u0131lar\u0131n olu\u015fmas\u0131na ve kapak yap\u0131s\u0131n\u0131n bu p\u0131ht\u0131 arac\u0131l\u0131\u011f\u0131 ile bozulmas\u0131na neden olur. Aynen travmalarda oldu\u011fu gibi kapak yetmezli\u011fi ve varis olu\u015fumu hemen ba\u015flar. Kas\u0131\u011fa gelen darbeler kapa\u011f\u0131n bozulmas\u0131na ve zaman i\u00e7erisinde varislerin g\u00f6r\u00fclmesine yol a\u00e7ar.Bel f\u0131t\u0131\u011f\u0131 olan hastalarda f\u0131t\u0131k b\u00f6lgesinin hemen \u00f6n\u00fcnden ge\u00e7en b\u00fcy\u00fck ana toplardamar\u0131n s\u0131k\u0131\u015fmas\u0131na ba\u011fl\u0131 olarak varis iki tarafl\u0131 olarak geli\u015fir.V\u00fccuda \u00e7ok a\u011f\u0131r y\u00fck bindirilmesi sonras\u0131nda toplardamarlar i\u00e7inde ortaya \u00e7\u0131kan y\u00fcksek bas\u0131n\u00e7 damar i\u00e7indeki kapak\u00e7\u0131klar\u0131n y\u0131rt\u0131lmas\u0131 ile ani ba\u015flayan varislerin g\u00f6r\u00fclmesine yol a\u00e7ar.\u201d<\/p>\n
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\u201cErkeklerde k\u0131lcal varisler hemen hemen hi\u00e7 yoktur. 4 mm.den k\u00fc\u00e7\u00fck varislere de pek rastlanmaz. Ayr\u0131ca erkekler varisleri kozmetik bir sorun olarak de\u011ferlendirmeye yatk\u0131nd\u0131rlar\u201d diyen Prof.Dr.G\u00fcven Erdo\u011f, \u201cBu nedenle bir erkek varisinden \u015fikayet ediyorsa kesinlikle a\u011f\u0131r bir problemi oldu\u011fu d\u00fc\u015f\u00fcn\u00fclmelidir.Hastan\u0131n tedaviden uzun s\u00fcre ka\u00e7mas\u0131 sonucunda en s\u0131k g\u00f6r\u00fclen bulgulardan biri de varis \u00fclserleridir. Varis \u00fclseri toplardamar i\u00e7indeki bas\u0131nc\u0131n \u00e7ok artmas\u0131 sonucu k\u0131lcal seviyedeki toplardamar bas\u0131nc\u0131n\u0131n atardamar bas\u0131nc\u0131na neredeyse yakla\u015fmas\u0131 ve bu nedenle o b\u00f6lgedeki cildin beslenememesi ve yara a\u00e7\u0131lmas\u0131d\u0131r. Tedavisi \u00f6nce yaran\u0131n kapat\u0131lmas\u0131 sonra da varisin tedavi edilmesidir.
\nTedavi s\u00fcrecinde ise Erkek varisleri genellikle travma sonucu olu\u015ftuklar\u0131 i\u00e7in ki\u015finin \u00f6ncelikle hikayesi \u00e7ok iyi dinlenmelidir. Daha sonra yap\u0131lan muayenesinde varisin bulundu\u011fu baca\u011f\u0131 \u00f6nce ayakta durarak sonra yat\u0131r\u0131larak \u00e7ok dikkatli bir \u015fekilde muayene etmek gerekir. Bu s\u0131rada Doppler cihaz\u0131 yard\u0131m\u0131 ile yap\u0131lan muayene te\u015fhisin kolayla\u015fmas\u0131n\u0131 sa\u011flar.<\/p>\n
B\u00fct\u00fcn varis t\u00fcrlerinde oldu\u011fu gibi erkek varisleri de \u00e7e\u015fitli s\u0131n\u0131flara ayr\u0131l\u0131r. D\u00f6rt s\u0131n\u0131ftan ilk ikisinde medikal tedavi di\u011fer ikisinde ise giri\u015fimsel tedavi uygulan\u0131r. Ancak varisi olan erkeklerin kad\u0131nlardan farkl\u0131 olarak b\u00fcy\u00fck kas k\u00fctleleri vard\u0131r. Bu nedenle ne kadar koruyucu tedavi yap\u0131l\u0131rsa yap\u0131ls\u0131n ilk iki seviyeden son iki seviyeye ge\u00e7i\u015fleri s\u00fcratlidir. Bunun i\u00e7in s\u0131k aral\u0131klarla kontrol edilmelidirler. A\u015f\u0131r\u0131 travmaya maruz kalmak varislerin daha fazla yay\u0131lmas\u0131na yol a\u00e7aca\u011f\u0131ndan koruyucu bir \u00e7orap kullan\u0131lmal\u0131d\u0131r. Giri\u015fimsel tedaviye ihtiya\u00e7 olan ki\u015filerde en k\u0131sa zamanda tedavinin yap\u0131lmas\u0131 ya\u015fam kalitesi i\u00e7in son derece \u00f6nemlidir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00d6zel Elit Poliklini\u011fi Hekimlerinden Prof. Dr. G\u00fcven Erdo\u011f, Erkeklerde g\u00f6r\u00fclen varislerin genellikle kad\u0131nlarda g\u00f6r\u00fclen varislere benzemedi\u011fini ve erkeklerin hormon yap\u0131s\u0131 de\u011fi\u015fikli\u011fi ve v\u00fccut yap\u0131s\u0131n\u0131n farkl\u0131l\u0131\u011f\u0131 nedeniyle de varislerin hemen hemen tamam\u0131n\u0131n b\u00fcy\u00fck varisler \u015feklinde oldu\u011funu s\u00f6yledi. Erkek varisleri do\u011fumsal ve sonradan olmak \u00fczere ikiye ayr\u0131ld\u0131\u011f\u0131n\u0131 dile getiren Prof.Dr.G\u00fcven Erdo\u011f, \u015funlar\u0131 s\u00f6yledi; \u201cDo\u011fumsal varisler her […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,14],"tags":[4992,1680],"class_list":["post-84105","post","type-post","status-publish","format-standard","hentry","category-gundem","category-saglik","tag-dikkat","tag-varis"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/84105","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=84105"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/84105\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=84105"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=84105"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=84105"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}