Ziziphi iimvavanyo zokuhlola ezifunekayo ukwenzela ukukhusela ngokubanzi? Ukuba sithetha nge-mass prophylaxis, ngokokuqala, kufuneka uhlalutye rhoqo uxinzelelo lwegazi. Akukho ziqulatho eziqhelekileyo eziqhelekileyo: ukuba uxinzelelo luqhelekile kwaye alukhathazeki - unokulilinganisa ngexesha elide, ukuba uxinzelelo luyaguquka - ngoko, ngokwemvelo, kaninzi. Ngoku ezi zixhobo - i-tonometers - zithengiswa ngokukhululekile. Okwesibini yintliziyo yesantya (i-pulse). Ngomntu onempilo, i-pulse ayifanele idlule i-70-75 beats ngomzuzu (ngokuphumla). Ukuba isibonakaliso siphezulu, kufuneka uqikelele, misela isizathu. Kwakhona kubalulekile ukuba izinga lentliziyo libe yinto efanayo. Ukuba kukho iziphazamiso, eli lihlandlo yokutyelela ugqirha. Okwesithathu yinqanaba le-cholesterol. Ukufunda okulula kukuvumela ukuba ufumane umgangatho we-cholesterol epheleleyo. Ukuba ilula - iqukethe amaqhezu amabini. Iyokuqala i-lipoprostin ephantsi, ebizwa ngokuba yi "cholesterol" embi. Okwesibini i-lipoproteins ephezulu ("okuhle" ye-cholesterol).
Ekubeni isibonakaliso se "cholesterol" sizinzile, ukuba i-cholesterol iyonke iphakanyisiwe, inokwenzeka ngenxa ye "cholesterol" embi. Uphononongo oluchanekileyo lunceda ukucacisa oko kuthiwa "kathathu": zombini i-cholesterol fractions and triglycerides. Ukongezelela, kubalulekile ukulawula ubunzima bomzimba kunye nokulinganisa kwinqanaba leso. Apha ezi zikhombisi-mgaqo ngokusekwa komfanekiso jikelele wesimo sempilo ngokwaneleyo. Ngokubhekiselele kumgangatho we-glucose egazini, okokuqala, abantu abasengozini yokufumana isifo sikashukela: kunye nobunzima obunzima, ngokugqithiseleyo okanye ukukhuluphala, kufuneka balandele. Kwaye kwimeko yokubonakaliswa kweengxaki zentliziyo - ekubeni izifo zentliziyo (CVD) zihlala zidibene nokuphulwa kwe-carbohydrates metabolism. Kwaye, ngokubanzi, kuyimfuneko ukuhlukanisa iintlobo zeemviwo zokuthintela: kukho inkqubo jikelele yoviwo lwezonyango kunye neentlobo zokhenketwa okumelwe zenziwe ngezinye izibonakaliso. Ukongezelela, abafazi kufuneka bahlolisiswe rhoqo ngumjobi wezilwanyana, ukuba bahlole imeko yeentlanzi zamathambo. Ingxaki ebalulekileyo yoviwo lwezonyango, kwimbono yam, kukuba ukuba kukho nayiphi na utshintsho emzimbeni, kodwa ayikho isifo esicacileyo, ngoko akukho nto ichazwe ngokucacileyo inkqubo yezenzo ezongezelelweyo. Kwaye, ngokuqinisekileyo, isikhundla somntu sibaluleke kakhulu - ukuba akabonakalisi umdla, akayinyamekeli impilo yakhe, ngoko akukho oogqirha abanokubanceda.
Uninzi lweentlobo zeemviwo zabantu "ezivela kwisitrato" kaninzi azikwazi ukungena kwi-polyclinic kwindawo yokuhlala (azifumaneki iingcali, izixhobo zokuxilonga ukuba ubhalisele ukufumana mahhala kwinani leengcali, umzekelo, kufuneka udibanise inyanga yokulinda) ... Kuthiwani ukuba akukho ndlela yokuthenga umgaqo we-VHI? Ezi zifundo ziyakwenziwa kwiklinikhi rhoqo, kulula kwaye ifikeleleke. Yaye ukuba unqabe ukuhlolwa kobugcisa obukhululekile (i-ultrasound okanye i-MRI)? Kutheni, njengokuba umkhuba ubonisa, umrhumo ungadlulisa uviwo ubuncinane ngoku, kodwa ngokukhululeka ... kwirekhodi, emva kweeveki ezininzi zokulinda? Iindidi zophando oluyimfuneko kufuneka zichongwe ngugqirha. Awukwazi nje ukufuna ukuba une-ultrasound okanye i-tomography mahhala-ezi zixabiso ezibi kakhulu. Kodwa ukuba ugqirha wafumanisa nayiphi na utshintsho, ukugula, ngoko-mthetho, kufuneka ufumane uphando olunjalo mahhala, enye into kukuba, inokwenzeka ukuba, ayiyi kuyenza ngokukhawuleza ... Kuyo yonke indawo ngeendlela ezahlukeneyo - konke kuxhomekeke izixhobo kunye neemeko kwiziko lempilo. Ngoku uMnyango wezeMpilo uzama ukusombulula iingxaki ezinjalo-ngenxa yale njongo Iziko lezeMpilo ziye zadalwa kwaye ziyaqhubeka zenziwa. Injongo yabo kukuhlola, ukuchonga izingozi zokuthintela ukuphuhliswa kwezifo. Amaziko anjalo enempilo adalwa ngokusebenza ngokusemgangathweni kumaziko ogqirha - kunye neekliniki, amaziko okuthintela, izibonelelo zemidlalo, njl njl. Ingcamango ilungile-ukunyamekela abantu abangagulayo okwamanje, kodwa kukho izinto ezisemngciphekweni. Kubantu bonke abagulayo bayacacile - kufuneka baphathwe. Kodwa ukuba umntu usemngciphekweni, baninzi abantu abanjalo, baya kuba namaziko ezempilo.
Indlela yokuqinisekisa abantu abancinci, abakhulileyo kwimfuneko yokukhusela? Kukho imimiselo emibini efunekayo: kuqala, imfundo, ukuqaphela kwaye, ngokuqinisekileyo, umnqweno womntu ngokwakhe. Okwesibini, ukudala iimeko eziyimfuneko ukukholisa impilo enempilo kwakulula. Ukuze singabikho ukulwa nempilo yokuphila, njengoko silwela ukuvunwa. Yaye loo macebiso aluncedo, umzekelo, uya kusebenza ngebhayisekile, ayenokubuyiselwa - kwiidolophu zaseYurophu zikhona iindlela ezikhethekileyo kulo, kwaye kuphi na apho eMoscow unako ukukhwela ibhasikidi? Ngaphambi kweSikhungo se-Sklifosovsky, ngaphandle ... Kodwa kufuneka siqonde ukuba ukuthintela kufuna ixesha elide kwaye ukubuyela kungekudala. Ngokomzekelo, amaMelika athathe iprophylaxis ngokususela ekuqaleni kwee-1950, kwaye izinga lokufa kwabantu liye laphela emva kweminyaka engama-20. Ngoko ke, sinethemba lokuba amaziko empilo siya kutshintsha into ethile ngomso, ayiyi kusebenza. Kodwa kakhulu - kakhulu! - kuxhomekeke kuthi ngokwethu, ngendlela yethu yobomi.
Ngoko, ngaba kunjalo ukuba indlela yobomi iyathintela impilo yethu ngokugqithiseleyo ngaphezu kokufa? Ewe, ngokuqinisekileyo, ubufebe budlala indima, kodwa nangona kunjalo, ukuxhaphaka okukhulu kwezifo zentliziyo, esiye sisibetho sethu, kuxhomekeke kwindlela yobomi. Njengomzekelo, sinokukuchazela ezi zinto zilandelayo: amaJapan anesifo esiphantsi kwisifo senhliziyo, kuba besidla intlanzi, ivenkile zasemanzini, njl. Kodwa xa amaJapan ehambela e-US, emva kwexesha aqala ukugula-kwaye afe, njengamaMerika. Okanye amaTaliyane - abo bahlala kummandla kwaye banamathela ekudleni kweMedithera, ukufa okuvela kwi-CVD kuncinci kakhulu. Kodwa amaTaliyane atshelela eUnited States aya kubambisana nabemi basekuhlaleni kulezi zikhombisi. Kwaye nakubantu abanelungelo lokufa kwizinto ezi okanye ezi zifo, ukuba zikhokelela, njengokuba sisithi, indlela yokuphila enempilo, amathuba okuba inkqubo yokufa izalisekile iyinto encinci. Impilo yabantu ngokubanzi isekelwe kwiintsika ezintathu. Okokuqala kukutya okunengqiqo, oko kukuthi, i-calorie content, ehambelana neendleko zamandla. Indlela yokuchonga ukuba udla kakuhle?
Kufuneka uthathe isentimitha kwaye ulinganise umqolo wesikhumba. Ukuba landa - indoda isifikile kwi-102 cm, ibhinqa linama-88 cm, kwaye oku kukubonakalisa ukunyamezela kwesisu, xa i-fat egcinwe kwisisu, kwaye le yimeko engathandekiyo, ingozi ebalulekileyo ye-CVD kunye nesifo sikashukela. Kule meko, kufuneka ukuba unciphise umxholo wekhalori okanye wandise umsebenzi. Ukongeza, ukutya kufuneka kulawulwe yimveliso yemifuno, kwaye kufuneka udle imifuno neziqhamo. WHO ikhuthaza ubuncinane ama-400 g ngosuku. Intlanzi efanelekileyo kakhulu, ungadla ioli yezityalo, kodwa ungakulibali ukuba oku kunamanqatha. I-"whale" yesibini yinto efanelekileyo yokusebenza. Ndiyithetha ukuthini igama elithi "ingqiqo"? Akunandaba nokuba yintoni uhlobo lomsebenzi okwenziwe ukugcina nokugcina impilo. Iyakwazi ukusebenza, ukumba kumyezo, inokubhukuda, iimimulators - into ephambili kukuba umntu usebenza ngokusemzimbeni, kodwa ngokumodareyitha.
Ngokuqhelekileyo, kukholelwa ukuba ukulondoloza impilo yomntu kufuneka kwenzeke ngomhla wee-10 ezili-awaka amanyathelo - ukusuka kwi-3 ukuya kwi-5 km. Ngokuhleka ngamanye amaxesha ndicebisa, ndiphendule umbuzo othi "njani ukwandisa umsebenzi wokwenyama?", - fumana inja, kungcono kakhulu. Kabini ngosuku kufuneka usebenze ikhilomitha eziliqela - kuya kwenza ukuba wenze. Kwaye, nangakumbi, ngokuthetha ngokuzikhandla, kubalulekile ukugcina umgaqo wokuphucula. Indlela yokujonga ukuba umthwalo ulungile kuwe? Umlinganiselo ophambili uphumelele? Ewe, kwaye umlinganiselo wesibini intlawulo yenhliziyo. Kulo minyaka yobudala kukho izinga eliphezulu lentliziyo. Oku kubalwa, ukuba ungangeni kwiinkcukacha, ngale ndlela ilandelayo: ukusuka ku-220 ubudala ususwe. Ukuba umntu uneminyaka engama-50 ubudala: 220 - 50 - umthwalo wakhe ophezulu ufumene - 170 beats ngomzuzu. Kodwa ungagxininisi kwiphondo - umthwalo ophezulu ngowama-60-70% wezinga eliphezulu lentliziyo. Kwaye kule ngqungquthela kufuneka usebenze iikhompyuthela ezingama-20 ukuya kwezi-3 ngeveki, kodwa ubuncinane ubuncinane imihla ngemihla. Kwaye i-"whale" yesithathu iyanqanda ukutshaya. Ukuba ngamanye amaxesha sithetha ngotywala okwenza amanani amancinci - igrlasi yewayini - yonakalise ukuphuhliswa kwe-atherosclerosis, ngoko akukho zibonakaliso zokutshaya. Nantsi imigaqo emithathu eyisiseko umntu oqhelekileyo kufuneka ayenze ukuze agcine impilo. Yaye ayifuni iindleko ezikhethekileyo - kuphela intando nomnqweno womntu ngokwakhe.
Ukufumana i-check-ups rhoqo
Uviwo lokukhusela lunokudlula bonke abasebenzi, kunye nabaxhasi bemali kunye nabaselula abaphethe i-MHI (inqubomgomo ye-inshorensi yempilo).