Salto Alto e a Circulação
Salto alto e a circulaoDr Alexandre AmatoCirurgia Vascular e [email protected] 108651 RTE 106628 RTE 113348Bibliograa: Amato, ACM; Santos, RV; Amato, SJTA. Doena Venosa Crnica dos Membros Inferiores. Mdico Generalista. Ed. Roca. Cap 23. Ano 2013. No prelo.imagem: uso autorizado pela dreamstimeSalto alto no causa varizes, porm diminui a amplitude dos movimentos dos msculos da perna e p e inuencia a circulao venosa.>-B%<x#@|$=&<}%?|*G!@0P%Bl{άίӶХ:U%A">4K@]>x:Q%=pC] ?~$?.DE["=FV!>yb{:O":*>.Iy+B{.EG`!AXol}#<~H_&B(B}EY'BvUi$?Se3J}%A}*Dw'>1K'BYo$A|M^/K'B'B~&A/K'Ah}D<W3HAv(:9T3I(C~:K*=4K&C&?4M3J&C?N"@o2G+GL_`mYmYmZmZmYmYmWicq~E(E(E(E(E(E(E(E(E(E(E"4LVG, 4NVF"4LVG, 4NVF*2DQVQE4!2LVG, 4NVF *GVM1 !?W^R@1*( /HVM4 "=RUB% /K_ii`L1+IZWD.'@SQ9
8OR?( /HVM4 "=RUB&1KXQ=>QUF,&7M\XB% *FVL0 1KXQ=7BGIF>/&5?DFHP[aX@"&=NRLC<=GW`XA!3N^YI8/,-/20' 'BYegaQ8 .ITE- -ESJ1 7NQ?'$5@?73;LWN5*ESJ1 7NQ>'0JZUB.! %?RYSI=0" +GTH, #;KI9**<QVF+ 6SfkaI-.ITE,&=PO<&#;PR?*$2ELB1*3GVO8%>PO<&#;PR>&@RWO@/
(DUM3
"<QSB.-?V_VE724>LTN:(9JUUE, (DUM3 8OSC0-?TYL7'":OP; 2LTD'3LRAEVP8+CRO;'%6MWN:'#:OO: 2LTD'3LRB,%2ELB1*3GVO8$4IYYEFYWE/##->NSF/*BRSF6+%&&*7BGIF>/
->GHFC@<4#7FLLKLLH;(
*=JONLMU_dY@"-?JMLLLKC34ISSOKF9'-@MRQPOJ>+#7FLLKLLH;( $?XimbQ?6:CLPSUUM;$-@MRQPOJ>+(=F:%$=PM7 .HW[VQONLF:.FPB*%=PM7 4P^[PGEHNRM>( "7HOMGCCGNQK;&8Q[UJBACA6$ ,>NXZTE1(00-/<NYS<!2P^WC.#&5ITM5-20-/<NYS<!8NUL<.'&&$/ITE+%=PM7 6Q[Q?0,1>MTM8!2HQL>1**1>LSK6 ;U_VC3++*$ %6GU[WG0 0GXWB%2NZN5%?RP<$.FRH3#$6KTG0"+ARL3&CSK2 6O[TB1*-;MWO7
$?SR?'$=QS>&2KTD>PWQF;0"
'17970&%,,$08;93=LPMIJMOI9#.HXWNDBFNTUOGBBDIQVP>& :QZVKEDHPSK8!';INORWYR?&
*<JPOMMOQPH8$ #=VgjaUJ>- 3FOOKIKOMB--HXWNDBFNTUOGBBDIQVP>& 0DPRNIHN[ecO/*<JPOMMOQPH8$3FOOKIKOMB-":QZVKEDHPSK8 3GSURNMLE6%0LVF*0LUF0LVF*0LUF0LVF*0LUF'9FD905EUU@$-HVM4 "=RUB% !=RR<!-IZWD.3LUD(0LVF*0LUF!1JXO6 %9FD905EUU@# "=VejfX?$,IZWD.1LWI+*FVK2 %<QTA'
0IVM40LVF*0LUF0LVF*0LUF>QUF. -CV\O7',?PN<+'6MYN3 +DSRC1$ ':P[P4&BUTC/#$1GZ_N0&?RUK;.''*./'!5LUD(0LVF*0LUF,.+!3LUD(0LVF*0LUF,.+"%$# ';PWJ53JVQC4*&(,.+!2LWI+*FVK1(@RTI9,'(0>MUN:$',++2DV^Q:*1GWS?,.IRC( "=PN7
6LO>+'7NXP?5:J[^P8!&;MTQJCADLRSI5 /IYXNC;3DSI.0ERSMEABHOTO@*$5@BADNYYI3&.DVVG85BT_YD+ "6FNOLJNXcdR5'=LQNHEFMUTC';IQRRQRROE5" '<LTUSQQNG9(%7GE1 /CF6-AQ[^\WQG9*&1DQQH@AJUYP<& %<F>('<LTUSQQNG9&+AK>%$<I@7ADA<8:>>2.=EJJHE>2""16,
07-06- 0LVF*0LUF.$3M^[I7,3LUD(0LVF*0LUF,'@SQ:'CUP7 /M^[I7,0LVF*0LUF."/IZWD.
"1DTZO8$!4LUD(0LVF*0LUF,$<QTA'
0IVM3 +IZWD.(BSN6 #?SO8
#?RO7 ">QUF.!&7M\XB% 1NdmfQ4 $@TWH2!1LWI+*FVK14LUL6"(>QUF. -CV\O5!!5LUL6"(>QUF. -CV\O3 2LUD(0LVF*0LUF-'@TWH2!&7M\XC+$5LUD(0LVF*0LUF+3LUL6"(>QUF+ $@TWH2!0>MUN:#(ASN6 #?SO8
#?RO9%%9OWJ5 -APYYRD0 2LUE(4MR@''>NL@45BOP?&1KRB&4LR@2LTD'3LR@'3ISQLKNPH31KSB'4LR@ETJ4!0AQWO: #?RN7 :OP; "5@?73;LWN5 4JTK5.JZUB.!9JUUE.-<A:24BTVD(2LTD'3LR@%,,&$=PM:,1ETO<++=SZK2%,,&ETJ/ /J_hidT: 4LRA& &BSK3
+GUJ/ :Q\\\^XE* 4LTE.
&CTN9#
!5LWK/
+EUTKIRXO6 4NXO>2..+$#''$!#'$+.-'
!(-06FV\L0$+.-'
6NUI95CTUC( 4P^[PIGHF>1 ,6=@A>8.!
*8;869>B?6,'BY\M7'#,@RTB'2O^VA,"&6JVM6!#-0.,4EVZJ.'@RRD3&"+>S[M6&&-0.,4EVZJ. 8NVN=1/8HSP<"
6MTH1'<R[N24NXJ0,GYXD*4LUF*.ITE,(BVVA'2KUH-2MYL3&@SQ<$'<R[N21JUJ30JWL4 '<R[N2 'CXZL8,*3DTVE$5CJMMMNLF8' ,DQPHCDIOOJB==BHORN>(#7FLLKLLH;(+CRSKEEINNE3 $5CJMMMNLF8' 4ISSOKF9'
.@LPSUUM;$ '>OTRNJA1 "7HOMGCCGNQK;& &BVZRF@;4( $3@EEFMVXK3!=PN;00-/<NYS<"8Q\UC4,' %?QP?*(=ORC( &BW[N:* 0GXWB$!=PN8!+EVQ;# &?QP?*(=ORC( 4NXJ0,GYXD*4LUF,5O[TB1*-;MWO8# 4NZN5%?RP;#'?QP?*(=ORC, *BW[N:* 0GXWB&4MZUD2$ -GSI1
.GTJ1 5KWTG7'
$3IZYD&!=PM7&ARM5
-GSI1
.GTJ1 4MTC(#?TS=! ,GTI0$=V_VE724>LTN9%!4MVH,8NR?' /GSI1
.GTJ3!#5KWTG7' $3IZYD'(@RWO@/
1KSD1<N[ZE'!=PM7%@RL41KSDDSJ2!(@Y`VF;78<DGA0 4LUE(4MR@*$4KSD1<N[ZE(.BPTOC2 2KSD($@RN7 #5EPTN>* '23( 4LR@$:OO9'CSK13?KYftwl`TH=3" "# !"$$%''(/9<:<HW\M0 ;QQ; .>MUUH4 :PR>":PR?-/BSQ:'CUP9$%9PTA$ &CXU>! >UYE>QUF,!8OS?# &CXU>! >UYE+,EWS?,6KYU>%0>MUN:!8OS?# $ATR< ;RUC8GNQTVRF0
!<QZYSPNNJA2 #7FLLKLLH;(#=PM7!%7GNQTVRF0
/FPB*(AW[QB99CPYYPE=:?JTSB,:CDDIRYT@% &CY^VJEEKQQG35IQMD>AIOK:%%=PM8"DUM3 8OSC0-?TYL7'&>PM7 #5@?73;LWN5 &BUUD/ $4IYYE 0IUJ1&?TUA&$=PM8# 0ELB1*3GVO80HQG1/IVL7+4ELB1*3GVO8 (EVP8+CRO;'%6MWN:'&>PM8# 0ELB1*3GVO8 6LUN>0'%(,,&%FYWE/##->NSF/*BRSF6+%&F\`TD;<CMQJ8!2GSSKD??A@8*!(<MK6#$7NVL=5=N[YF-
+>MSSPONKA1!%7EKMOSRH31GSUPI>1+8JVR>&!8NVN=1/8HSP<$$=PM9&"*00-/<NYS< &=NPF7-2LTD7LR@$;PO9'CSK14LR@$&ASM:.8O^YI8/,-/20'%=PM7 !=PM7 &BSL2 9ORB//@RP<!9PTC-&6LR@$:OO9'CSK14LRA&,FSJ6 ">RP<!9PTB&$'1APSF/3LTD'3LRA%+HXS@.#1ITH, &CWVF2''0AORE-+BRQC3($'1APSF/5LR@$:OO9'CSK13NYP<,&+8HSN9" 6LUN>0'%(,,&$=PM:,1ETO<++=SZK1
*BRQC3($'1APSF. +BRUOF?<;5( $08;93 %07:=CP^`M."-5994, (499751+#"-5994, $08;93=LPMIJMOI9" /K\_XQNORQI:% (=LPMIJMOI9" 9OYVOKG@0 3DNPNMNPQM@. 3FOOKIKOMB-
&CXU?% 6N_f`O7"%?UYE"&2DSVH/.HXVF4
7PVF30CYbYI>88;@EC6"2DQVQE4 %@SP9 'CTO7 0Oa`RB:79=CE=, &CXU>! >UYE(/9<:<HW\M0 ;QQ; .>MUUH4 %6FRWP?*(@W^R@1*(
7PUE20BW^R@1*((<S[N9%%?SQ9
8OR?$
4LUL6"(>QUF+ ;PRB+3MYK/1KXQ=>QUF+ $@TWH2!&CXU>! >UYE+,EWS?, 2EQUTRQPLB0 5Sef\QMNPOF6#2EQUTRQPLB1 %7FMOPTUM:"
2CNRRQQRQK>+ '<LTUSQQNG9&
+86( '69,&7BC=88>EE;+7BGIF>/*:DGFA7' !:Tfj_K6(!0=DHHD;,&21" ,6=@A>8.!
0=EHHC7&
*8;869>B?6,'1AQVJ2'=NPF7-+8JVR?* %-0.,4EVZJ.8Q\UC4,' *EZ^N7&%6LRA&3LQ?&'BY\M7'#,@RTB(+DSRD400-/<NYS< &DYZH3$#0EY_TA.%$4JRH4! 2HSM7#"6NXJ0,GYXD*4LUF+4NXJ2"9OVH1'<R[N24MZUD2$ ;RVD*3KRA&4LR@&'BVVA'2KUH. 6MTH1#=PM7&?QP?*(=ORC+7LR@$;PO9'CSK14LR@$&ASM7!#.58;ET[P5
,=KSSG4 5MQ>#1KSB'4LR@&'ASM5&BRK4$+ASN6 !=PM7" 3KSD($@RN9(-BSM5&BRK25@?73;LWN5
(9JUUE, 5MQ>#0JTE*7OS@&'ASM5&ARK4"(>RQ<""=PM7!0ITH/ +ETL6&,BSM5&ARK3,<A:24BTVD(&BSK1,HTG+4LQ?$ &CUO9 -DRN9'%8MSG1.DSP;'#5LR@$:OO9'CSK14MUF-#9NSE1$'1APSF/5LR@$:OO9'CSK13NYP<,&+8HSN;:NSF3*4IXT>%!(CUQ>*!%5K[XA&'ASM5&ARK2-FTSE4(#"!%>PM77LSK;-%%,9ISO;%(ASM5&ARK5'/ETO<++=SZK1! "09BLV`ku{qfZPE;1#7FLLKLLH;( !<QZYSPNNJA2 .@LPSUUM;$ $=MMEAELMF7,.:GNQTVRF0
-@MRQPOJ>+(=F:%#9MQLDBFMPMF?=?EKQQG3$7GNQTVRF0
&BVZRF@;4&9CDDIRYT@% DUM3
"<QSA'$3IZYD&,IZR9 +?S\P4 .IUI0
.ITE,*CTM5 1MYK0 8OQ=#+?S\P4 #8JSSJ;DUM3 8OSB-&/<A:24BTVD(,GTH- "5@?73;LWN5 /JUJ0
.ITE,*BSK1,HTG+4LQ@($5@?73;LWN5 $4IYYF0(3ELB1*3GVO82LTD'3LRA%%?RYSI=0" <QQ=$3LYM2 4MWN:' (EVP8+CRO=,-=KI9**<QVF+,HTH, /ELB1*3GVO8 %#!
!$'
#-9FTcq~~qcTG9-# '3?M[jxxj[N?3' "-9FTbq~~qcTF9-" &2>LZixxiZL>2' *7DRao~~oaRD7+ $0<JXguugXJ<0$ (4AO^m{{m^OB4( !,9FUdrrdUG9-! %0>KZixxiZK>0% (5BQ`o}}o`QB5 (5CRbrrbRC55CRbrrbRC5( '4BQ`ppaQB4' '3AP`o~~o`PA3' &2?N^n}}n^N?2& $0>M\l{{l\M>0$ #/<KZiyyiZK</#
!-:HWgvvgWH:-!
+8FUettdUF8+ 5BQ`o}}o`QB5 %0;GTao{tfXJ=1'
!0=DHHD;, ,6=@A>8.!
$27304=B?2%%1=EHHC7& !0=DHHD;, (7BGIF>/"/8?BEHHC6"/39FLNOQVZWG.*?E7 +@D5 3CA.
5KO@'0GPC."(8HOMGCCGNQK;&"=PN;-ETN6 3KRA&4LR@&$=PM7 0HSJ:4?OP@*#1HSI1
.GTJ3#(>PM7&ARM5
+?S\P4 (DUM3
"<QSA'$3IZYD&,IZR9 +?S\P4 ;PQ=$!;PR?$ !=QQ<" -GSI1
.GTJ3!%;SWF+ $3IZYD($=QQ<" +?S\P4!;PQ=$!;PR?$ +?S\P50ITH/
%?RM5 2KRA&4LR@&$=PM7 $>QTKGNTK5! 3KSD$@RN9'*>PM7%?RL4 ".58;ET[P5 (DTL13LTE,$@RN8%&;OQ< BTO6 ".58;ET[P5&ASN5 2LUEDUM3 8OSB-&/<A:24BTVD(,GTH- "5@?73;LWN5 ">RP<!9PTB& ">RQ<" /ITH/ +ETL5"&:OP;
,<A:24BTVD*&?SR=""5@?73;LWN5#>RP<!9PTCCSO<&$9MTF. '=PM7#>SR>%3FLB1*3GVO8 (EVP8+CRO=,-=KI9**<QVF+,HTH, /ELB1*3GVO8
6MSG1.DSP:
7NUH1 BSN5.IUJ1&?TUA&$=PM7 +H_fY>! 7LSK;-%%,9ISO;$%=PM7 :QWJ6'!$.@QTF3*4IXT>$ (FYWE/##->NSF2'0ETO<++=SZK1.HTH,
7NSF3*4IXT>$ *BRQC3($'1APSF. ,FTSE4(#"!"8LSK;-%%,9ISO;$!9OO: #"!';NSF3*4IXT>%,CRQC3($'1APSG5
7NSF3*4IXT>'&<ORG4%$5KXP62DPOE?BLVVH2!4DNPPOOPNF7%!7LSD( ,CPOE?BLVVH3 0ALNKILU`bS6BRN7
*/& &4?EGHE@6( '31# %**% (FZZK:1.*$ (*&#"%! %**% !(-/-*&#"%&$"
"$'&#!
!$&3>JWdq~~reXK?3%"
!#&&#!
"$'7BGIF>/ >OTRNJA2"'8GNQTVRF0
*=JONLMU_dYA'&7GNQTVRF0
/@JORW\^WG3$$3FMICCINLB75=HNQTVRF1 ,?G<&
/BF9* -?JMLLLKC3 4DNOMLP[dcO2.@LPSUUM;$ *<MJ41GRPG>;AP^`N2 "2@EEFMVXK3
&=NRLC<=GW`X@% 5IQMD>AIOK:" $-0.,4EVZJ.
5KQG93<MYT?'#<U_VC3+++**,01.,4EVZJ0 %:OQ@&/HRG1"(>PM7 (@RRD3&"+>S[L2(00-/<NYS< 4KTL;+#%3HXU?(-DTTF6.2?OTG/ 8NVN=1/8HSP<" '@RRD3&"+>S[L2(00-/<NYS< (CTP=& 0GXWB$$ARL3&CSK24MZUD2$'<R[N2 $?SR?'$=QS?''<R[N2 :NO>;NP>&%=PM7" 3JUJ30JWK1 0GXWB$$?SR?'$=QS@*&7O[TB1*-;MWO7
'CXZL8,*3DTVE@RWO@/
+?S\P4 *FUL3
7NQ>$+?S\P4 9MM=<OO:(ETJ0 31"/ITE7BGIF>/ %1:?A@<4(/37BGIF>/ (7BGIF>/ .HW[VQONLF:#<Vfh`UI;+!&8E@+ 8E?(%=MMEAELME5*/@MMEAELME4&'5CA./ITE@RWO@/ !=V_VE724>LTN9$ 3KSC5@?73;LWN5%ASM5&ARK1$?RN7$?RN7
*FUL0,GTH- +GTH- !=PM7 /ITE9JUUE. &=TYL7'1KSC+%5@?73;LWN5
"5@?73;LWN5 6OUE,!7MTG3*5ELB1*3GVO8 'ASM5&ARK1">SR>%$=QQ=$3LYM1,GTH, +GTH, !=PM7 /ITE"'5GRO=+4BQ`o~vfWH9-!
+8ETdsscTE7* $0<KZixrcSD6* ''%$#"!
!"$&(*,-/0133566788999999::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::;<?BGLT\fo{uj`WOID@=;:::::::::::::::::::::9999998876653310/-,*(&$"! !$'!
!(1:ENXclt{~wog^ULC:2*$ !(1:DNXclu|zrjbYOF=5-& (0:DNXclu}}vne\SJA80 -APYYRD0 -APYYRD0 .;BEGKVaaN/%1:?A@<4( 2J[_XMB5&".76008@B:+ *8BGIF>/ (7BGIF>/ .ITE,"6E@+ 8E?-!'<Vfh`UI<.&+9GNQTVRF08LSOHDFLOK=( 4DNOMLP[dcO/
,=GLMMNMI@0 -@MRQPOJ>+,=GLMMNMI@08LSOHDFLOK=(#<Vfh`UI;,$,?MMEAELMF7,.:GNQTVRF0
#7GNQTVRF0
.ITE,'>NH1%@OH3#'<UddXI<0'%.;CDDIRYT@%#@W^TE;9AMTM71GRPG>;AP^`N/-AMOJDBEKPOD0 ETJ2!*ASN5 2LUEASM5&BRK1$?RL4,HUI. ".58;ET[P5 ".58;ET[P5 .ITE,&?RN7
*FUL0#?RN7"5@?73;LWN5%ASM5&ARK3 "8MP>$
0=EHHC7& "/8?BEHHC6"/3(7BGIF>/1<<98<AB<0&5?DFHP[aX@"%1:?A@<4(
*=JONLMU_dYB+&1@LPSUUM;$ .HW[VQONLF:.@LPSUUM;$
(9FLNOQVZWG.*?E7 +@D6#&7GNQTVRF0+CRSKEEINNE3
*=JONLMU_dY@#,=GLMMNMI@0 &=NRLC<=GW`XB.00-/<NYS< 7LSL=1+/=PZP6 2KRA&3LQA*$-0.,4EVZJ. 2P^WC.#&5ITM54KTL;+#%3HXU@'(=NPF7- 5NSA%+ETK7*4KZUB.! :OP; $ASM5&ARK3,<A:24BTVD(
2KTF+#?QM5 1JTE*7OSA($5@?73;LWN52LTD'3LR@(,ESJ1 7NQ@..@RP<!9PTB& #=PO<&#;PRA0/>KI9**<QVF+ 6OUE,!7MTF/"+BUUD/ 9OO: $ASM5&ARK5$BSN5.IUJ1&?TUB+%2ELB1*3GVO82LTD'3LRA'%=PO<&#;PR@+(8MSG1.DSP: 2HPI9+#%2FVTC35GTO<++=SZK1
6Q[O:("'5GRO;$ 6LUN>0'%(,,&!9OO: $ASM5&ARK5'/ETO<++=SZK2,4/ !;ORG4%$5KXP6 %07:=CP^`M/#/7<;6, !/79963.( &*&#&.55+ '17970&$08;93"3CLOPTYWJ3
3N[R:#"9R\Q7"=PM6
7NP<$&AX^S@309HX^YL>43<KVT@%!9NTM@78AMSI2$@X`VE606DRUG/*D\f^L<0%2FQPH?:;CLSPB+ #?RO8
8OR>%'BXZH0$9Q_[H1 %:PWH.-HXVF4>QUF+ ;PRB+3MYK1!4LUL6"(>QUF+ 1NdmfQ4
1KXQ=>QUF,&7M\YF32APN<+'6MYN3 #?TVD"0>MUN: /FRM>/&%.AU\L2#.EWS?,DSI.0ERSMEABHOTO@8FMOPTUM:%-?JNORURD/-BQQH@AJUYP<&2CNRRQQRQK>+ %<F>(2EQUTRQPLB0 ,AK>%$<I@79-0=CC?:9;>8(>NUSPMLH=**BMB(
3DNPNMNPQM@. :QZVKEDHPSK8!';INORWYR?&-HXWNDBFNTUOGBBDIQVP>& "7C;(%?WeaO8'$5KTE-AMOJDBEKPOD08Q[UJBACC=78?DDDIRYT@%5JTRJCA@<2%"+:CDDIRYT@%
"7HOMGCCGNQK;& 8R_XB*#5HQL>1**1>LSK6 ;U_VC3++*'#=ORC( DSJ/1KSD1<N[ZE' ;PP:(ETJ2! 2KTD$@RN7 (DSJ//ITH/ +ETL5"&:OP; 0KVJ0
,<A:24BTVD(
7MP>$!9OP; "5@?73;LWN5$?SR=""5@?73;LWN50ITH/ +ETL3 (DSJ/(CSO<&$9MTF.#:OO: *EVR>'&<KI9**<QVF+ /HQG1/IVK1!6MSG1.DSP: *=JPPOOPPK?- 1CD2
0DR[\YTLA3(+;LQJA?FRXQ>' 0@IKKJNTZVD2DPOE?BLVVH3+=JPPOOPPK?-
,5/ &4?EGHE@6(%23% .BT`aYK;*>PWQF;0"
&.232,$ %,,$08;93'ATP8
&CVR:'BTN5 3MVF* :RUC(%2GZ_N0/FUWN@/ ,I\XA% 9R\Q61KVG*+GVK0&-4=L[_N00LXI,+GVK/">RO9
1LVG, 4NVF1MWG*1LUF.$4Oa`RB:79=CE=,2LXI,+GVK2!DUO;.8MVG, 4NVF,(ASN6 $ATP8
$@SN7!4LUD( 6OUD0LVF*0LUF.$3M^[I7,ASN6 $@SO8
#?RN7"4LUD(
7PUC*!/9<:<HW\M0.>MUUH4 0JZYH2
,BU\Q9/JWJ./KXL1/BG?30=PYL00LWI+*FVK0!=RR<! .IVM4 "=RUB% 2LUD(0LVF*0LUF."/IZWD.1LWI+*FVK2 %<QTA'
0IVM43IVM4 "=RUB('ASN6 #?SO8
#?RO8"4MVF*$>RS@+&2BG?30=PYL1
0LVF*0LUF-'@TWH2!1LWI+*FVK14LUL6"(>QUF. -CV\O3 $>PN<+'6MYN4 -CV\O3 $AUS>%(?RTC+9LUOA20LVF*0LUF+3JVQC4*&(,.+!2LWI+*FVK1(@RTI9,'(0>MUN:$',++2DV^Q5 ,++2DV^Q5 $AWYK7*(/=MUM7 4KUOA2,++2DV^Q5
(=NWYUQMKKNSW[ZRC/6MUOC:9BQ^_L2#,CVVG85BT_YD+1JTF*(DSI./IYXNC;3*%,=MTQJCADLRSI5 0JRB&.ISD(.IRC'%#"!
!#$%'''(''''''''''''''''''''''(((('(((( 5j 2 Z , j^
n 8 b 8 ; *I 7 / ' 4 , k F u Ĝ 7BGIF>/-76008@B:.&(2=EHHC7& '>OTRNJA1.@LPSUUM;$+CRSKEEINNE3
%8FMPTZ^[O<+%0@E7 +@D5-?JMLLLKC3 ,=GLMMNMI@0+CRSKEEINNE3$7GNQTVRF0
*=JONLMU_dY@"
$5CJMMMNLF8' .HW[VQONLF:00-/<NYS<!2P^WC.#&5ITM52LUE(4MR@''>NL@45BOP?&1KRB&4LR@2LTD'3LR@'3ISQLKNPH31KSB'4LR@#4KSD($@RN7 5NR@$%ASN8"#.58;ET[P5 +HUI. 9JUUE.-<A:24BTVD(2LTD'3LR@%,,& *BRQC3($'1APSF1*?ORH><EPQF1/ITE"'5GRO=+2LUE(4MR@''>NL@45BOP?&1KRB&4LR@>PM7-GTH-
(CSO<&$9MTF, +?RZP:E^khV; 4MWN:' $4IYYE+$<QQ=$3LYM24MUF-#9NSD,&=PM7-GTH, 7LSK;-%%,9ISO;" (CUQ>*!%5K[XA&6LUN>0'%(,,& %>NNA1&#*=QZL1"6LUN>0'%(,,& 9UebL/,=GLMMNMI@0+?G<&
/BF9*#7FLLKLLH;(+CRSKEEINNE3/I_if[PC2,=GLMMNMI@0
*=JONLMU_dY@"
$5CJMMMNLF8' 4ISSOKF9' .HW[VQONLF:>PM7"!5P\S>+#;NP>&%=PM7"!5NXJ0,GYXD*4LUF,5O[TB1*-;MWO8# 4NZN5%?RQ<"6PWI/
3JRH4! 2HSM6 $?SR?'$=QS>%'?QP?*(=ORC, *BW[N:* 6OVF.(>QTD-!+DXZL8,*3DTVE- *BW[N:* 4MTC(#?TS=! ,GTI0%;PQ=$!;PR@'%=PPB58GRJ3#=PM7"!5MTC(#?TS=! ,GTI0$=V_VE724>LTN9%!4MVH,8NR?#1LTD( ;PQ=$!;PR?$ *FUL3
7NQ>' /GSI1
.GTJ3!#5KWTG7' 5NSA&/IUK6 -APYYRD0 BVZRF@;4%1GO>$1HN=$$=PM8" 2HO>$1HN=$8Q[UJBACC=78?DDDIRYT@% &=NRLC<=GW`XA,FZ[L:/1KRA&4LR@%!:SWF+
+?S\P4 *FUL3
7NQ>$+?S\P4 4MTC(,FTM5+?S\P4 %ARM5
$3IZYD'1LTD(
$3IZYD& &BSK1.IUH, 5MQ?1<N[ZE' &BSK1-HTG+4MQ?5@?73;LWN5#?RN7 -=A:24BTVD(
0KTE* ,<A:24BTVD( &BSK1,HTG+4LR?( 0IUJ1&?TUA&$4IYYE-!-DUQ=& .IUJ1&?TUA&$=PM8# 0ELB1*3GVO8/KVK1 /IUJ1&?TUA%!9OO: /ELB1*3GVO8 #=PO<&#;PR?*$2ELB1*3GVO8 4MUF-#9NSE1>LI9**<QVF+&BSK1,HTG+4LR?'*CUQ>*!%5K[XB($9NSF3*4IXT>$ 3NYP<,&+8HSN; -APYYRD0 BMB>NUSPMLH=+2ObaTHBDKSQC-1CLOPTYWJ3
3GSURNMLE5 *<JPOMMOQPH8$ &CXU?% 6N_f`O7"%?UYE/9<:<HW\M0 ;QQ; .>MUUH4 -IVI-0LWI+*GVK3!0KVF**FVK20BG?30=PYL1/JXO6 -IVM4 "=RUB% &CXU>! >UYE*'>PN<+'6MYN3"<QQ;" -CV\O3 -IVI-0LWI+*FVK25NWN8" 1KVF**FVL3#%$#5KUOA2DSI/4IVVOGA?=7(DSI2$,DVVG85BT_YD,,ARXUMEA?;0!%;MTQJCADLRSI5 9KI5
5IL;$"8LSMC?EPYVG2$%6EE3$7FMOPTUM:" &?J?' '69,&7BC=88>EE;+ -APYYRD0 !$'+/37;?DHMRW[`einrw{~~~~xiZK=0% !$(,037<@EINRW[`eimrv{~~|zxusrpooprux~sdUG9-!
!%(,038<@EINRW[`dilquy}~|zxusqoljhfcb```acfkqx}n_QB5(
"%*-39AKUan{ufWI</$ "%+-0134556666666543320/.-+*('%$"!
#-9FTbo}}pbTF9-# "$'(00-/<NYS< .ITE+ 8Q\UC4,' !-0.,4EVZJ."=PM8!&?W^S>, '>NPF7-'<R[N2%BVVA'2KUH.*EVQ;# &?QP?*(=ORC( 4NXJ0,GYXD*4LUF- 0GXWB$.ITE*4MZUD2$ '<R[N2"=PM76PWI/
3JRH4! 2HSM6
7R[L0 !>VZF$@RN7 4LR@$;PO9'CSK1$5@?73;LWN5%ASM5&ARK1$?RN7 0JTH/ +ETL3 4LR@$:OO9'CSK2,<A:24BTVD(.ITE9JUUE, "5@?73;LWN5"=PM70KTE*#>RP<!9PTB& &?SYQ@. '8JXXJ2-IUJ1&?TUB+%2ELB1*3GVO8 'ASM5&ARK1">SR>%+DSO<&$9MTF, 4LR@$:OO9'CSK4#(<KI9**<QVF+/ITE*+?RZP7
/ELB1*3GVO8$=PM7/KVK1!8MSG1.DSP: ,BSXSG;1+CUQ>*!%5K[XC-!%5GQPIB?AHPRJ7 ( $08;93(%07:=CP^`M/'%%' 499751+#"-5994, &*&#&.55, &--++0562'#/7<;6,$08;93;INORWYR?& ;QQ; ,HY[QGCELSQC,1CLOPTYWJ3 ,EUXSMID8% /K\_XQNORQI:% (=LPMIJMOI9"2JUQIEHMMD5,5JZ[QGCELSQC,1CLOPTYWJ39OYVOKG@0 &CXU?% 6N_f`O7"%?UYE '"&2DSVH/.HXVF4
7PVF30CYbYI>88;@EC6# 9QVD'0LXI,+GVK0&-4=L[_N0
2DQVQE4 &CXU>! >UYE(/9<:<HW\M0 ;QQ; .>MUUH4 %6FRWP? ;QQ;$-HVK0,IWK0'>RP9
9PR>$'5;;:AO[V@#;QQ; 0LWI+*GVK1/9<:<HW\M0%6FRWP?( 4NVE(
7PUE20BW^R@1*(31#(7BGIF>/!3@FFC</ .ITE'24*
/5.!#1=EHHC7&
1;:77<AA;1 %AUUA(!8PYL2 *FZZOD@BC>2(,=UddXI</!*@NPH@?DMOD.+FZZOD@BC=/%*<MJ5!4LR@$ <QP:(DSJ/ (DY^WMGDCDEIR\^Q8,HUI. $?RL41N^YI8/,-/20'/HUI. !=PM7".58;ET[P5
#5EPTN>4LR@$;PO9'CSK0
4MXQ@2*((((-7HVVD4LR@$:OO9'CSK0 %@TTB* 4KVM5-GTH, ">SR>%*CUUD/ .GTH, !=PM8# 0ELB1*3GVO8$4IYYEE^khV;#;KI9**<QVF+4LR@$:OO9'CSK0 0JVL4$>RSA*!0HTH, :QWJ6' &9LUN>0'%(,,&.HTH, !=PM8%%8NSF3*4IXT?(&* 0BG?30=PYL0$?SQ9
8OR?$
ASQ9
8OR?'',++2DV^R?6@QWJ5%$#5KUOA29GE1 /CF6"$7FMOPTUM;'&%$#"!
,CX+!!!Y-,CX+!!!Y-,CX%! !!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,CX+!!!Y-,N F#CD% F !M -,CXEdj#EiCd``F#D# F/ !!!!Y-,
C#Ce
-,
C#C-, F#pF>F#pFE: -,+%E%Ej@`%#D!!!-,+%E%Ej`%#D!!!-, +!!!-, +!!!-,CCe
-, i@a , b`+ d#da\XaY-, %EhTX%E%E`h %#D%#D% Eh #D%Eh`%#DY-,% Eh #D%Eh`%#D-, CX!CXE+G#DGzEi G#D QX+G#DGz!GzYYY-, E#Eh`D-,EjB-,/-,%%Id#Edia bj%%aF#D!F!-,%E%Ed`j%Eja %Ej e%#D%#D!!-,Eh#Eia%Eja %Ej e%#D%#D!!-,Ed#EdadB-,%C@T%C TZX% E@aDY%C T%C@TZX% E@`DY!!!!-,KRXC%E#aD!!Y-,KRXC%E#`D!!Y-,KRXED!!Y-, %#I@` c RX#%8#%e8 c8!!!!!Y-,KPXED!!Y-,%# `#-,%# a#-,% -,F#F`F# F`ab# #KKpE` PXaFY`h:-, E%FRX?!Y-, E%FPX?!Y-, CC-,KRX%%I%%Ia TX! C UXY@TX C TXY C TX%8YYYY!!!!-,KRXCe8!!Y-,KRXC8!!Y-,!! d#d@ b-,!QX d#d b @/+Y`-,!QX d#dUb /+Y`-, d#d@ b`#!-, &&&&Eh:-, &&&&Ehe:-,CXY-,CXY-,
+# <+-,(+# #+X<Y -,KS#KQZX E`D!!Y-,KS#KQZX8!!Y-,%# <-, %I8- ,K PXYD _^- , EiD`- , *!- , F%FRX#Y Id F had%F hadRX#eY/ SXi TX!@Yi TX!@eYY:- , F%FRX#Y F jad%F jadRX#Y/- ,K &PXQXD@DY!! EPXD!YY- , EiD` E}iD`- , *- ,K &SX@Y &SX&!#Y &SX#! #Y &SX%E@PX#!@#!%E#!#!Y!YD- ,KSXED!!Y- ,K PXY D _^- , EiD`- , *!- , F%FRX#Y Id F had%F hadRX#eY/ SXi TX!@Yi TX!@eYY:- , F%FRX#Y F jad%F jadRX#Y/- ,K &PXQXD@DY!! EPXD!YY- , EiD` E}iD`- , *- ,K &SX@Y &SX#!#Y &SX#! #Y &SX#!@#Y &SX%EPX#!#!%E#!#!Y!YD- ,KSXED!!Y- 9 N f ? F f \ B ^ f nV d h ? ? Z T # j 7 y N Z T j } u + y }j L u H+ T } V j 7j 7 N Tj L } m 8 3HH13HG
d6OnRo#% Dr Alexandre Amato Salto alto e a circulação Cirurgia Vascular e Endovascular www.vascular.pro [email protected] CRM 108651 RTE 106628 RTE I13348 Artérias levam sangue oxigenado para as pernas Veias trazem sangue de volta para o coração, aqui, o sangue deve subir, lutando contra a gravidade Sangue desce fácil por causa da gravidade e da força do coração Salto alto não causa varizes, porém diminui a amplitude dos movimentos dos músculos da perna e pé e influencia a circulação venosa. Quanto menos as bombas funcionam: •Mais sangue residual nas pernas A bomba da panturrilha, ou seja, a musculatura da batata •Menos retorno venoso da perna, quando contrai, bombeia o •Mais inchaço •Mais dor sangue para cima •Mais sensação de peso e cansaço A bomba plantar é estimulada pela caminhada e •Aumento da pressão venosa movimento dos pés Sintomas venosos mesmo em Quanto mais alto o salto, menos as bombas funcionam. quem não tem doença venosa VASCULAR.PRO Bibliografia:Amato, ACM; Santos, RV; Amato, SJTA. Doença Venosa Crônica do s Membros Inferiores. Médico Generalista. Ed. Roca. Cap 23. Ano 2013. No prelo. imagem: uso autorizado pela dreamstime sexta-feira, 30 de agosto de 13
Salto Alto e a Circulação
Source
Unknown. Add a sourceCategory
HealthGet a Quote