Diet yak eat ibs that radish. Physical activity in ischemic heart disease
3.5. Ischemic heart disease (IBS)
Ischemic heart disease - severe or chronic damage to the heart mass due to lack of blood circulation in the myocardium through pathological processes in the crown arteries.
Clinical forms of ischemic heart disease: atherosclerotic cardiosclerosis, angina pectoris, myocardial infarction.
In the middle, the disease of the cardiovascular system of the IXC is the most extensive, accompanied by a significant second praxis and high mortality.
The blame for this disease is taken by the officials themselves, as in atherosclerosis. Particularly unfriendly is the presence of a number of risk factors at once. For example, a low-grade way of life and a chicken reduce the risk of illness in 2-3 times. Atherosclerotic changes in the crown arteries of the heart are aggravated by a rush of blood, which is the reason for the growth of happy tissue and the decrease in the amount of m'yazovy, the remains of the remains are more sensitive to the lack of eating. Partial replacement of the m'yazovoi tissue of the heart is called cardiosclerosis.
Atherosclerosis of the crown arteries - atherosclerotic cardiosclerosis- lowering the short-lived function of the heart, causing a decrease in work efficiency, slowness in the presence of physical work, ass, heartbeat. There are pains behind the sternum and in the left half of the thoracic cavity.
Angina pectoris
Angina pectoris - clinical form of ischemic ailment, in case of attacks of rapt pain in the chest, acute insufficiency of blood circulation in the heart meat.
The most common angina pectoris is the latest atherosclerosis of the crown arteries. The pains are localized behind the sternum or levoruch in it, spread in the left hand, under the left shoulder blade, in the neck and may have a squeezing, pressing or baking character.
Separate angina pectoris, if the pain is blamed for physical distress (e.g. walking, walking, going through a serious illness), and calm angina pectoris, if the pain is blamed for not being physically dependent (for example, for an hour of sleep).
Dependently, in case of illness, there are different variants (forms) of angina pectoris: mild attacks, stable angina pectoris (commence blame in the same minds), unstable angina pectoris (partial attacks, which are blamed for less, lower, earlier, earlier, earlier, , the intensity of the attack and the trivality of the attacks; angina pectoris is quiet).
In case of angina pectoris, regulation of the rukhovy regime is important: it is necessary to unify the physical pressures that lead to an attack. In case of unstable and pre-infarction angina pectoris, the rukhovy regimen is surrounded - right up to bedtime.
At the diet, eating is due to the exchange of the quantity and calorie content of the zhzhi. Necessary medication to reduce the blood flow and increase the emotional stress.
Head of exercise therapy for angina pectoris:
Stimulation of neurohumoral regulatory mechanisms for the restoration of normal vessel reactions during meat work;
Polypshenya functions of the cardiovascular system;
Activation of speech exchange (fight against atherosclerotic processes);
Polypshennya emotional-psychic I will become ill;
In the minds of a hospital with unstable angina pectoris and a pre-infarction camp, to take up jubilant gymnastics, after inflicting strong attacks - on bed rest; for other variants of angina pectoris - on a ward regimen. Step by step, the rukhova activity of the ailing person is expanding and all the offensive modes are being developed.
Exercise therapy technique the same as with myocardial infarction. The transition from one regime to another is subject to more early terms. The other positions, sitting and standing, are the first to be taken without forward protective adaptation. On the ward regime, walking starts from 30-50 m-code and progressively increases to 200-300 m-code; in the free mode, the walking distance grows up to 1-1.5 km. The pace of walking is slower, with pauses to step back.
At the sanatorium stage of out-patient treatment, the dry regime is assigned to fallow in the functional class, which is known to be ill. At the same time, it is necessary to consider the method of assigning a functional class on the basis of tolerance of ailments to a physical challenge.
Determination of tolerance to physical challenge (TFN) and the functional class of the sick on IXC
Follow-up is carried out on a bicycle ergometer, sitting in position, under electrocardiographic control. Ailments vikonuє stretching 3-5 min. II stage - 300 kgm / min; Stage III - 450 kgm / min. - Until the end of the borderline transferable ambition.
When TFN is prescribed, clinical and electrocardiographic criteria for the pretension are determined.
Before clinical criteria it can be seen: reaching submaximal (75-80%) temporal heart rate; angina attack; a decrease in AT by 20-30% or a decrease in the number of advances; significant increase in arterial pressure (230/130 mm Hg); breath attack, pronounced backside; severe weakness; vidmova of an ailing remote trial.
Before electrocardiographic criteria it can be seen: decrease or decrease in the ST segment by electrocardiograms by 1 mm or more; parts of the extrasystole and other damage to myocardial alertness (paroxysmal tachycardia, migratory arrhythmia, damage to atrioventricular or internal mucosal conduction, a sharp decrease in R-wave values). The sample is pripinyat at the time if you want one of the listed more signs.
Pinned test on the cob itself, on the 1st-2nd quill of the I stage of stress (150 kgm/hv and less), to confirm the marginally low functional reserve of coronary blood flow, which indicates IV functional class. The pinning test at the ІІ-ІІІ stage (300-450 kgm/hv) is also indicative of the small reserves of the crown blood flow, which indicates III functional class. Pinned sample in the boundaries of 600-750 kgm / hv - tse II functional class; 750 kgm/hv and more - I functional class.
Krim TFN for assigning a functional class of a sick person to IXC may be significant and clinical data.
Before I functional class one can see ailments with rare attacks of angina pectoris, which are blamed for supra-world physical preoccupations, well compensated by the camp of blood loss.
Before IIfunctional class ailments are seen with rare attacks of angina pectoris (for example, when going uphill, gatherings), with a back when walking fast.
Before III functional class ailments can be seen with partial attacks of angina pectoris, which are blamed for extreme pressures (walking on a flat surface), with a lack of blood circulation of the 1st and 2nd A stages, with disruption of the heart rhythm.
Before IV functional class I can see ailments with partial attacks of angina pectoris, calm or strain, with a lack of blood circulation of the IIB stage.
Illnesses of the IV functional class do not require rehabilitation in the minds of a sanatorium or a polyclinic - they are shown the treatment of rehabilitation at a hospital.
Exercise therapy technique for ailments of I-III functional classes at the sanatorium stage
Diseases of the I functional class are engaged in the training program. At the exercise therapy sessions of the Crimea, the right to moderate intensity is allowed 2-3 short hours of great intensity. Training in dosing walking begins with a passage of 5 km; then the distance gradually increases up to 8-10 km (with walking speed 4-5 km/year). Under the hour of walking, they are quickened; Okremі dіlyanki distances can mother pіdёm 10-15 °. After that, as if it were good to master the distance of 10 km, the stench can start to run like a puffball at the treadmill with walking. For the presence of the pool, swimming lessons are held; їhnya trivalіst gradually increased from 30 to 45-60 min. There are also wacky sports games (volleyball, table tennis and others).
Heart rate per hour can take up to 140 bpm.
Illnesses of the II functional class are engaged in the program of sparing-training mode. At the exercises of exercise therapy, the pursuit of moderate intensity is observed, although short-hour physical exertion of great intensity is allowed.
Dozovannaya walking starts from 3 km; then the distance gradually increases to 5-6 km. Speed of walking on the back to become 3 km/year, later - 4 km/year. Deyakі d_lyanki distances can mother pіdёm 5-10 °.
At the lessons near the pool, the hour of rebuking by the water gradually increases; trivality of employment to become 30-45 min.
Walking on licks takes place at a reasonable pace.
Maximum damage to heart rate - up to 130 beats / min.
Ills of the III functional class are engaged in the program of sparing regime. For whatever forms to take vicory, there are only a few low-intensity physical adventures. Training for dosing walking begins at 500m; Today the distance is increased by 200-500m and gradually increased to 3km (speed of walking 2-3km/year).
When swimming near the pool, the way of bras is used. To be carried out the training of the correct breathing by lifting the vidikha near the water. Trivality of employment - 30 min.
Maximum damage to heart rate - up to 110 beats / min.
It should be noted that the ability to take exercise therapy in different sanatoriums can be significantly improved - depending on the open minds, equipping with the necessary equipment and possessions, equal to the preparation of instructors-methodologists from exercise therapy.
A lot of sanatoriums in Denmark at the hour are running different simulators - for example, bicycle ergometers and treadmills, on which it is easy to dose the tension with electrocardiographic control. The presence of natural water and chovnovo stantsii allows you to successfully beat the dose of sounding. At the winter hour, for the presence of the lizhny equipment, miraculously after the rehabilitation, walking on the lizhs was strictly dosed.
The method of exercise therapy for ailments in the IV functional class
Until recently, we were ill with IXC IV of the functional class of likuvalna physical education was little recognized: it was important that it could be more complicated. Prote successes in medical therapy and rehabilitation of ailing patients on ІХС allowed us to develop a special method of exercise therapy for this contingent of ailments.
Head of exercise therapy:
1) seek complete self-care for the sick;
2) acceptance of the adaptation of the ailing to the buttiness of the vanity of small and peaceful intensity (mitt utensils, cooking zhі, walking on the equal mass, transferring small vantazhіv, pidyom on one over);
3) change the reception of liqiv;
4) improve the mental state of the sick.
Occupations with physical rights can be carried out only for the minds of a cardiological hospital. Precisely, the individual dosing of the tension can be used for the help of a bicycle ergometer with electrocardiographic control.
The technique to take the offensive. On the back, an individual TFN is indicated: in patients with IV functional class, it does not sound more than 200 kgm / hv. Restore 50% gain rate: for times - 100kgm/min. Tse navantazhennya and є trenuyuchim. Trivality of employment - on the back of the 3rd century. Classes are held under the supervision of an instructor 5 times per day.
With a stably adequate reaction of the body to the price of the challenge, the trivality of employment increases by 2-3 mins and step by step (for a larger less trivaly term) reaches 30 mins.
After 4 days, the TFN is re-calculated. At її increase, a new 50% profit rate is set. The activities last until 8 days. Before training on an exercise bike, or after her ailments, the complex is right for judicious gymnastics at V. n. sitting. At the lesson, it is right to turn on for other and middle groups of m'yaziv; number of repetitions - 10-12 times and 4-6 times; zagalna kіlkіst right - 13-14.
Exercise on an exercise bike is associated with the appearance of one sign of a worsening of coronary blood flow, about which it was said more.
To consolidate the achieved effect, it is recommended to take at the hospital in an ailing home training in an accessible form.
For those who, having stuck training at home, in 1-2 months I will become afraid of becoming worse.
At the polyclinic stage of rehabilitation, the program to take for ailments with angina pectoris is more similar to the nature of the outpatient program to take for ailments after myocardial infarction, and even more we will increase the obligation and intensity of the need.
myocardial infarction
myocardial infarction - Tse ischemic necrosis of the heart mucosa, brain damage to coronary insufficiency. The most common etiological cause of myocardial infarction is coronary atherosclerosis.
A number of the main factors of acute insufficiency of coronary blood flow (thrombosis, spasm, ringing of the lumen, atherosclerotic snake of the coronary arteries) play a large role in the development of myocardial infarction, insufficiency of collateral blood flow in the crown arteries, trival hypoxia,
Myocardial infarction is a polyetiological disease. In yoga, the blameless role is played by factors of risk: hypodynamia, improper eating, supra-world vaga, stress and other.
Rosemir and localization of myocardial infarction lie in the form of caliber and topography clogged or sounded arteries.
Separate:
great myocardial infarction- great fire, which attacks the wall, the partition and the top of the heart;
fungal infarction- vrahayucha part of the wall;
microinfarction- the middle of the infarction is less visible under a microscope.
At intramural myocardial infarction necrosis affects the inner part of the mucosal wall, with transmural'nom- I'll use all the walls. The necrotic mastic masses are dissipated and replaced with granulation tissue, as if step by step transforming into scar tissue. Reconstruction of necrotic masses and the elimination of scar tissue is three times 1.5-3 months.
Illness begins to sound from the appearance of intense pain behind the sternum and in the heart; the pain lasts for years, and sometimes 1-3 days, it calms down properly and passes dull bіl at trivals. The stench is squeezing, crushing, tearing apart the character and sometimes the floorings are intense, which screams shock, which is accompanied by a fall in the arterial pressure, a sharp fall in the skin of the face, cold sweat and inspire a second witness. After a longer stretch of the first year (maximum 1-2 years), acute heart-vascular insufficiency develops. On the 2nd-3rd day, the temperature rises, neutrophilic leukocytosis develops, and the number of erythrocyte counts (SHOE) increases. Already in the first year, the development of myocardial infarction is characterized by characteristic changes in electrocardiograms, which allow clarifying the diagnosis and localization of the infarction.
Drug treatment during this period is directed towards the elimination of pain, cardiovascular insufficiency, as well as the prevention of recurrent coronary thrombosis (anticoagulants stop - make sure that blood clotting is reduced).
Early rukhova activation of ailments contributes to the development of collateral hemorrhage, pleasantly spills into the physical and mental state, shortens the period of hospitalization and does not increase the risk of a fatal outcome.
Treatment and rehabilitation of ailments with myocardial infarction are divided into three stages: inpatient (medical), sanatorium (or in a rehabilitation cardiological center) and polyclinic.
The method of exercise therapy at the stationary stage of rehabilitation
At this stage of the physical it is right to be of great importance not only for the realization of the physical abilities of the sick, but also for the significant world for the psychological injection, which instills in the ailing the faith in the wearer that possibility of turning to the practice of a normal life in the confinement.
To that earlier (naturally, with the improvement of individual features of illness) will be busy with jubilant gymnastics, the effect will be greater.
Physical rehabilitation at the stationary stage is aimed at reaching such a level of physical activity of a sick person, with some faults, you can serve yourself, go up one over the gatherings, take walks up to 2-3 km (2-3 days long) without any delays.
The task of exercise therapy during the period of bed rest:
Prevention of possible complications (thromboembolism, congestive pneumonia, intestinal atony, etc.);
Polypshenya of the functional state of the cardiovascular system (for example, the training of peripheral blood flow with sparing pressure on the myocardium);
The creation of a sick person has positive emotions, which tone the infusion on the body;
Training of orthostatic stamina and renewal of simple rukhovyh tufts.
At the stationary stage of rehabilitation in the fallow, due to the severity of the illness, the sick are taken to chotiri class. At the basis of this podіlu lie the differences between the main indications of the features of the illness: the extent and depth of myocardial infarction; obviousness and complexity to the character; virulence of coronary insufficiency.
Classify the severity of ailments for myocardial infarction
The program of physical rehabilitation of the ailing will be with the improvement of the dependency of the ailing one of the four classes of severity.
The class of severity is determined on the 2-3rd day of illness, after the elimination of the pain syndrome and such complications, such as cardiogenic shock, congestion of the lungs, severe arrhythmias.
Tsya program transfers recognition to the ailing on the way of the singing character, busy with the jubilant gymnastics for the singing technique that is acceptable for the new form of carrying out the allowance.
Fallow due to the severity of the disease, the stationary stage of rehabilitation is three (with a dribno-inferior uncomplicated infarction) to 6 (with a great transmural infarction) tyzhniv.
Numerical studies have shown: the effectiveness of likuvannya is within reach, as if busying with likuvalny gymnastics, early terms begin. Licuval gymnastics is prescribed after the onset of a pain attack and the elimination of serious conditions (heart failure, significant damage to the heart rhythm and in.) on the 2nd-4th day of illness, if the illness is on bed rest.
During the whole period on the first lesson, in p.p. lying on their backs, actively winnowing in other and middle swamps; static stress m'yazіv nіg; right at the relaxed mind; right with the help of an instructor of exercise therapy of great suglobiv kіntsіvok; dyhalnі right without the destruction of the dyhannya; elements of massage (stroking) of the lower limbs of the back with passive turns of the ailing person to the right side. On the other side of the activity, active developments are being made near the great swamps of kіntsіvok. Rukhs kick with their feet on the cheeks (legs are shoveled with a lie). The sick man is taught an economical, without zusil, turn to the right side and lowering the pelvis; after which you are allowed to independently turn to the right side. Mustaches have the right to win at a reasonable pace. The number of repetitions is right: for other groups of m'yaziv - 4-6 times, for great ones - 2-4 times. Between the rights of obov'yazkovimi є pauses for repair. Trivality to take - 10-20 min.
After 1-2 days, in the sessions of the LG, a sitting of a sick person with lowered legs for 5-10 mins is carried out - for the assistance of an exercise therapy instructor or a nurse. To the right it is repeated 1-2 times a day.
Occupation of LH is carried out at the outer positions, lying on the back, on the right leg and sitting. The number of rights increases for other, middle and great m'yazovyh groups. The hand-drawn ruhas are beaten with their feet with their feet above the lizhkom. The amplitude of the ruhіv gradually increases. In the wild ones: the right to zastosovuyutsya zastosovuyutsya pogiblennya that podovzhennya vidihu. The tempo of the victor is right - more and more average. Trivality of employment - 15-17 min.
After 3-4 days after a heart attack (with 1st-2nd severity classes) and after 5-6 or 7-8 days (with 3rd-4th severity classes); transfer the sick person to the ward regimen
Head of exercise therapy for the period of the ward regime:
Preceding the naslіdkіv hypodynamії;
Sparing exercise of the cardiorespiratory system;
Preparation of the ailing before walking along the corridor, pidyom gatherings and pobutovim vanity.
It is right to watch at the exit positions lying down, sitting and standing. Increases the number of rights for m'yazyv tububa and nig, changes - for other m'yazovyh groups. Dihalni right and right in the relaxed m'yazіv zastosovuyutsya like a repair after important rights. For example, the main part of the occupation is learning to walk. On the first day of the sick person, they lift it from the bed with insurance, interfacing with yoga adaptation to a vertical position. Starting from the 2nd day, youma are allowed to walk 5-10m, on the day they walk more 5-10m. The first part of the busyness is busy. n. lying down and sitting, in the other part - sitting and standing, in the third part - sitting. Trivality of employment - 15-20 min.
If the sickness is afraid of walking at 20-30m, they start with special occupations by dosed walking at a small distance, while increasing it by 5-10m and gradually bringing it up to 50m.
In addition, ailments are treated for rank hygienic gymnastics (UGG), including the right ones with a complex of cuval gymnastics (LG). On a ward regimen, 30-50% of an hour of illness is spent in sitting and standing positions.
After 6-10 days after a heart attack (with 1st class of severity), or after 8-13 days (with 2nd class), or after 9-15 days (with 3rd class), or individually (with 4- mu m class) ailments transfer to a free regime.
The task of exercise therapy in the period of the free regimen:
Preparation of the sick person to full self-service;
Preparation before going for a walk to dosed walking in the training mode.
There are such forms of exercise therapy: UGG, LH, walking is dosed, training in walking.
On the lessons of LH and UGG, active physical rights for all m'yazovyh groups are established. They are turned on right with light objects (gymnastic chick, maces, ball), folding for the coordination of movements. So, just like in the previous period, the dychalny right and right have a relaxed mind. The number of people is right, that they stand at the standing position. Trivality of employment - 20-25 min.
Dozovannaya walking (on the back of the corridor) starts from a distance of 50m; temp - 50-60 krok / min. Every day you get better, so that an ailment can go through the corridor 150-200m. Let's let the sick go out into the street. Until the end of the rebuvannya in likarni vin is guilty of passing 2-3 km per day (2-3 priyomi). The pace of walking gradually increases: on the back to 70-80, then up to 90-100 croc / min.
Training at pidyomi gatherings is done more carefully. At the first lesson, it is necessary to take 5-6 steps (with a repair on the skin). Under the hour of the repair, it is carried out in the air, under the hour of the pidyoma - the vidy. At another busy hour for seeing ailments, go through 2 gatherings, for an hour in the air - indulge. On the upcoming occupations of the wines, switch to normal walking in gatherings (with a start after the passage of the gathering march). Until the end of the period, ailments mastered on one over.
The adequacy of the physical challenge to the possibilities of the diseased control is based on the reaction of the heart rate. In bed rest mode, the increased heart rate can be increased by 10-12 beats / min per day; in ward and vil modes, the heart rate is not guilty of overshooting 100 beats / min.
The method of exercise therapy at the sanatorium stage of rehabilitation
Heads of exercise therapy at this stage:
Reinforcement of the physical practice of the sick;
psychological readaptation;
Preparation of a sick person to independent life and virobnic activity.
Occupation with likuvalnaya physical culture begins with a sparing regimen, which is rich in why I repeat the program of a free regimen at a hospital and three days (for example, ailments vikonav tsyu program at a hospital). In that case, as if I had no ailments, I didn’t get through the program, or after I wrote to the hospital, it took a lot of time, the sparing regime lasted 5-7 days.
Form exercise therapy on a sparing regimen: UGG, LH, exercise walking, walks, training in walks. The technique of LH is little challenged by the type of technique, as it is stagnant in the case of a free regimen in the clinic. At the lessons, the number of right and right repetition increases step by step. Trivality to occupy LH grows from 20 to 40 min. At the lesson, simple and easy walking (on toes, with high knees), different throws are included.
Competitive walking is carried out after a specially equipped route, starting from 500m, with a start (3-5 minutes) at the middle of the distance; walking pace - 70-90 krok / min. The daily distance increases by 100-200m and is brought up to 1km.
Walks start at 2 km and reach 4 km at a calm, accessible pace. Today, training is carried out at the pidyomi gatherings - get used to the pidyom on two surfaces.
When mastered, the programs of ailments are shifted sparing training mode. Forms of exercise therapy are expanding - for the inclusion of the mountain, the increase in distance (up to 2 km per day) and the pace (up to 100-110 krok / min) of training walking. Progulyankova walking to become 4-6 km per day; її the rate increases from 60-70 to 80-90 krok/min. Pidyom gatherings zdijsnyuetsya on 2-3 surfaces.
At the lessons of the LG, there are various exercises in the right without subjects and with subjects, and also in the right on gymnastic equipment and short-hour running.
On the training mode Exercise therapy is translated into illnesses less than 1st and 2nd class of severity. At the same time, in the lessons of the LG, the folding of the right is moving (the right is tight, right with the support of those others.); the number of repetitions is right. Trivality of employment increases until 35-45 min. The challenging effect reaches beyond the rahunka of the trival work and the peaceful intensity. Training walking at a distance of 2-3 km (tempo 110-120 krok/min), progulyanka walking 7-10 km per day (tempo 90-100 krok/min), walking down 4-5 surfaces.
The program to take exercise therapy at the sanatorium is rich in why lie in the minds of that possession. At the same time, a lot of sanatoriums are equipped with simulators: bicycle ergometers, treadmills, power simulators, which allow you to control heart rate (EKG, AT) during the process of victoring physical training. In addition, the vzimka can be beaten by walking on licks, and the vlіtka can be played.
Followed by an allowable heart rate disruption: sparing regime peak heart rate 90-100 bpm, trivality pik - 2-3 min; at sparingly training mode peak heart rate 100-110 beats/min, trivality peak - up to 3-6 mins (4-6 times a day); at training mode peak heart rate 110-120 beats / min, trivality of the peak - 3-6 mins (4-6 times per day).
The method of exercise therapy at the outpatient stage
Illnesses who suffered a myocardial infarction, at the outpatient stage suffer from chronic ICS with postinfarction cardiosclerosis.
Head of exercise therapy at this stage:
Reinvention of the function of the cardiovascular system and the inclusion of mechanisms for compensation of cardiac and extracardial character;
Advancement of tolerance to physical vanity;
Secondary prevention of IXC;
Reinforcing that saving of practice, turning to professional practice;
Chastkova or povna vіdmova vіd medicaments;
improvement of the life of the sick.
The authors divide the polyclinic stage of rehabilitation into three periods: the first is sparing, the other is sparing-training, the third is training. In other words, add another quarter pіdtremuyuchy.
The optimal form of exercise therapy is trival training training. Stinks are contraindicated in: aneurysms of the left duct; parts of the attack of angina pectoris small zusil i calm; serious disruption of the heart rhythm (flickering arrhythmia, often polytopic or group extrasystole, paroxysmal tachycardia, arterial hypertension with a stable increase in diastolic pressure (more than 110 mm Hg); scaling to thromboembolic complications).
In case of myocardial infarction, it is allowed to start 3-4 months after the illness until a trivial physical challenge.
For functional capabilities, which are assigned for additional veloergometry, spiroergometry, or clinical data, ailments are classified as I-II functional classes (“strong” group) or up to III functional class (“weak” group). If occupations (group, individual) are carried out under the supervision of an exercise therapy instructor, medical personnel, then stinks are called control or frequent control and are carried out at home according to an individual plan.
Effective results of physical rehabilitation after myocardial infarction at the polyclinic stage are given by the technique, developed by L.F. Nikolaev, D.A. Aronovim and N.A. Bila. The course of trivalih control training is divided into two periods: preparatory(trivality 2-2.5 months) and Basic(trivality 9-10 months).
In the preparatory period, classes are carried out by the group method at the hall (3 ten days a day, 30-60 minutes each). The optimal number of sick people in a group is 12-15 people. The methodologist is responsible for the process of taking over the control over the camp, which they are engaged in: for obvious signs, subjective sensations, the magnitude of the heart rate, the frequency of breathing and that in.
With positive reactions to the challenge in the preparatory period of illness, move on to the main period of training (trivality of 9-10 months), which consists of three cycles.
The first cycle of the main period lasts 2-2.5 months. Before you take it, turn it on right.
1. Right in the training mode (the number of repetitions is about right, which are beaten at an average pace, - 6-8 times).
2. Walking is made easier (on scarves, heels, on the inner and outer sides of the feet) - 15-20 s each.
3. Dozovannaya walking: at an average pace - 4 min (introductory and final part of the lesson); at the Swedish tempo - 120 croc / min (dvіchі in the main part).
4. Dosing big - 1 min (at a pace of 120-130 krok / min) or walking is complicated - 1 min ("lower krok", walking with high knees).
5. Exercise on a bicycle ergometer with dosing of physical tension per hour (5-10 minutes) and tension (75% of individual threshold tension). For the presence of a bicycle ergometer, you can beat the skhozhennya to a gathering of those trivality.
6. Elements of sports games.
Heart rate for an hour of vanishing can become 55-60% of the threshold in patients with functional class III (“weak” group) and 65-70% in patients with functional class I (“strong” group). At this peak, heart rate can reach 135 beats / min, with colivans from 120 to 155 beats / min.
In cases of “plateau” type urges, heart rate can be reached in the “weak” group - 100-105 beats / min and 105-110 beats / min - in the “strong” group. Trivality of the drive for the pulse rate - 7-10 minutes.
Another cycle lasts 5 months. The training program is getting more complicated, the intensity and the trivality of the adventure are increasing. Stop dosing at a reasonable and average pace (up to 3 minutes); work on a bicycle ergometer (up to 10 minutes) with tension up to 90% according to the individual threshold level; play volleyball through the mesh (8-12 mins) from the fence stribkiv and pauses in the back (1 min) through the skin 4 mins gry.
Heart rate in the case of “plateau” type urges reaches 75%, while the threshold in the “weak” group is 85% in the “strong” group. Peak heart rate reaches 130-140 beats / min.
In this cycle, the role of mercantile gymnastics is changing and the significance of cyclical rights and igor is increasing.
The third cycle lasts three months. The intensification of the advancement is observed - with the help of an increase in the “peak” advancement, and the trivality of the advancement of the “plateau” type (up to 15-20 min.). Heart rate at the peak of ambition reaches 135 beats / min in the “weak” group and 145 beats / min in the “strong” groups; with this increase in heart rate, it should be over 90% in terms of resting heart rate and 95-100% - in terms of reaching threshold heart rate.
Ischemic disease of the heart is brought to the category of illness, as it affects the way of life in general. The patient is to blame for getting rid of the squeaky sound, to correctly develop the physical need.
Eating with ischemic heart disease is one of the main factors that should be injected into the whole organism. The patient is guilty of a special diet for IHS.
IXC () - chain damage in the system of coronary blood flow and myocardial damage. Іsnuyut on the treatment of ischemic ailments. But it’s not right to eat with IXC, not until the diet leads to bad results, and I’ll become a healthy patient.
- One of the main developments of IXC is the contamination with tsukrom and products from high yoga mix.
- Provoking the development of IXC, a large number of fats of creaturely adventures in hedgehogs.
- Since IXC sounds like developing on aphids of hypertension, then force is more likely to be indicated, so it’s like water out, which leads to an increase in pressure, which is itself a factor of additive pressure on the judge.
- Under the hour of rejoicing and dotrimannya children doctors are happy to get used to the products of a boiled or steamed one. You can't grease meat and vegetables too much.
- The diet is to blame for the same, the diet with IXC is guilty of including cereals, legumes, peas, honey, fresh vegetables and fruits.
Stіl at ІХС is guilty of admitting the presence of produktіv, scho vengeance, zinc and other vitamins.
Diet with IHS transfers the inclusion of such products:
- tsukor at any kіlkostyakh;
- jami;
- zukerki and confectionery breads;
- licorice gassed;
- frosty;
- all products with fat content over 20 g per 100 g (including cowbass and meat products);
- fatter m'yaso (including fatter chicken m'yaso);
- m'yasnі abo ribnі fat broth);
- Salo;
- by-products (liver, meat);
- top oil;
- margarine;
- strength in be-yakikh kіlkostyakh;
- salted riba, m'yaso;
- salted vegetables.
Diet with IHS can include German kava with ischemia of the heart, but with additional milk. Also, a diet with IXC is allowed to be used in small quantities of cocoa without a new fence.
Prevention of ischemic heart disease
Diet for IHS
Eating with ischemia can be full, small portions and skin three years. The total mass of bread is taken in, before the diet of IXC, no more than 250 g per day. Perevagu is better to see life or with hangings. With a pretreatment diet of IXC, it is not possible to implant eggs due to the high level of cholesterol in them. Under the hour of the child with IXC, the hedgehogs have less whites.
Menu for the day with approved products
Monday
8.00
- Porridge on water made from white plastics from adding a spoonful of honey.
- 2 slices of wholemeal bread from 50 gr. syrup with low fat content.
- A cloud of green tea and a fresh apple.
- Salad with fresh 1 tomato and 1 green stump, dressing with olive oil.
- 200 UAH vіvaru fruits of shipshini or compote from dried fruits without zucru.
- A bowl of soup with meatballs and turkey meat.
- 150 g of stewed vegetables (cabbage, zucchini, carrots, eggplant, tomatoes).
- A bottle of tea or natural vegetable juice.
- 200 g kefir.
- Fruit (1 pear chi apple, banana).
- A small piece of boiled ribi.
- 100 UAH boiled rice without salt.
- A piece of bread.
- Grated fresh carrot.
- Tea without zucru or apple compote.
Tuesday
8.00
- Omelette from 2 egg whites from greens.
- A pair of pancakes from a boroshn.
- Chicory from the addition of low-fat milk or green tea.
- 150 g of syrup with additional sprats of dried apricots or prunes.
- Soup from vegetables.
- A small piece of boiled bird meat.
- 100 g of steamed green kvass.
- Skibochka bread from the grain boar.
- 1 bottle of kefir or compote from apples.
- Green tea or black tea without zucru, a sandwich made with low-fat syrup and wheat bread.
- Apple.
- 150 gr. boiled chicken breast.
- 100 UAH boiled buckwheat.
- Fresh ogirok.
- Skibochka of life bread.
- 1 bottle of tea or compote.
Wednesday
8.00
- 2 boiled eggs (white).
- Salad with cucumber and tomato from greens, dressing with lemon juice or olive oil.
- Sandwich with turkey liver pate with reduced fat.
- 200 UAH hot vіdvaru fruits of hunger or shipshini.
- 150 grams of stewed on olive oil.
- Banana.
- Down with green tea.
- Yushka from pike perch and ribi no more than 150 gr.
- 100 g stewed white cabbage.
- Compote from dried fruits.
- Green chi black tea without zucru.
- Risotto with rice and seafood (mussels, shrimp, squid).
- Fresh berries are not big.
- Sіk zі fresh ovočіv.
Thursday
8.00
- Wheat porridge on the water with the addition of hairy peas and a teaspoon of honey.
- Sandwich made from canned tuna in wet juice without salt from greens.
- A bottle of chicory with milk.
- 2 boiled eggs without chewing.
- Salad with fresh cabbage and greens.
- Bottle of kefir.
- Soup from fresh vegetables that 70 gr. turkey breasts.
- 150 grams of steamed carrots, cauliflower and broccoli.
- Compote from fresh apples or pears.
- 100 UAH low-fat yogurt.
- Zhmenya yagid.
- 150 grams of chicken breast stewed with vegetables.
- Half serving of pea puree.
- Salad of half a grated fresh apple, half a fresh beetroot and half a fresh carrot, seasoned with lemon juice.
- Fresh orange juice without zucru.
List of products that can help reduce cholesterol
Friday
- 150 grams of syrup with dried apricots and a spoonful of honey.
- 2 pancakes from rice or boar boar.
- Green tea.
- Omelette from 2 whites from greens.
- Orange.
- Compote from dried fruits.
- A plate of soup with kvassoli and 70 grams of boiled yalovichi meat.
- Corn porridge on the water.
- 100 UAH stewed on olive stoves.
- A couple of skewers of bread.
- Kisil with rhubarb without zucru.
- Sandwich with low-fat tuna pate.
- Salad made from fresh scallop and white cabbage, seasoned with lemon juice.
- A bottle of green black tea.
- 100 grams of boiled yalovichoy pulp.
- 100 g of boiled rice.
- Salad from half of grated radish.
- Bottle of kefir.
Saturday
8.00
- Rice porridge with low-fat milk.
- A sandwich with low-fat cheese.
- 150 g stewed white cabbage.
- Compote from dried fruits.
- Shrimp soup with tomato and greens.
- Naval macaroni with rice vermicelli and minced meat.
- Fresh ogirok.
- Morse from crane without tsukru.
- 150 gr. Syrah from rodzinkami and dried apricots.
- Compote from apples.
- Stew with vegetables rabbit meat.
- Salad with fresh tomato and greens and olive oil.
- Morse from sea buckthorn without zucru.
week
8.00
- Greek porridge with low-fat milk.
- Apple.
- Green tea.
- Chicory from milk.
- Sandwich with fresh tomato and canned salmon in wet juice.
- Orange.
- Rice soup with yalovichini.
- Cooked for a couple of broccoli, cauliflower, green sour kvass.
- A couple of skewers of bread.
- Morse from sea buckthorn.
- Salad with fresh tomato and ogirka, dressings with olive oil.
- Green tea.
- 2 steamed cutlets with soft turkeys.
- Lettuce salad, tomato and cooked shrimp 150 grams.
- Banana.
- A piece of gray bread.
- Kefir.
With a strong feeling of hunger, until the age of 22, until the age of 22, it is allowed to eat three fruits (for example, 1 apple), dried fruits, drink a bottle of kefir or milk.
Tse zrazkove menu of diet with IXC for a day, deyakі products can be replaced by other permitted until the vzhivannya. Diet in case of IXC for a long period of time before transferring not less than 1.5 liters of purified drinking water per day. Also, diet with IXC does not include the use of herbal infusions. Vzhivannya rіdini pіd іdієti ієti spryає vyvedenniu zayvih salts іz organіzmu. It is not allowed to live the product in a lubricated looking person for an hour of diet with IXC.
Korisne video
This video tells the doctor-cardiologist how to eat properly, how you have ischemic heart disease:
Visnovok
- Eating with IHS is low-calorie, but through the frequent intake of food and the balance of products, people do not suffer from hunger.
- Diet with IHS transfers a rich style, but without transferring that large amount of fat content in products.
- Introduced more diet to make a difference, to revenge a different set of products. A person under the hour of the diet can win the products, choosing them for the improvement of their advantages.
- It is necessary to remember that an organism with a weakened heart will require special support from the side of a grub diet and dotreatment of a diet with IXC - obov'yazkova umova.
- Diet in case of ischemia of the heart helps to reduce the work of the circulatory system and the cardiovascular system as a whole.
- The complex of vitamins and minerals, which are taken from the skin, absorbs the generated energy and increases the efficiency of the organism.
- Diets with IHS varto add special respect.
The coronary arteries sound clear (by 30-70%) with the help of plaques, which causes atherosclerosis. It is not necessary to bring on attacks of angina pectoris and ischemic ailments of the heart meat in a link with a lack of sour, which are delivered by blood. IXC and operations on the cardiac vessels often lead to complications: heart failure and myocardial infarction. To help relieve attacks of angina pectoris and IXC, a diet is administered with ischemic heart disease No. 10c.
Dietary eating, which should be administered, in case of ischemic heart disease (IXC) and angina pectoris, there is an offensive exuberant infusion:
- improves the development of atherosclerosis;
- changes blood lipid profile and global metabolism;
- prevent spasm of the coronary arteries and advance of AT;
- change in viscosity and density of blood;
- saves the tone of the heart.
Products for the improvement of the lipid profile
Important. Before the diet of eating, include products for the elimination of cholesterol and intermingle with high cholesterol levels. The body is not guilty of having more cholesterol, lowering the egg at the egg - 200-300 mg / dobu.
To see the cholesterol, the diet should be replenished:
- Low-fat fish products: they have little cholesterol, but they have fish fat. The polyunsaturated fatty acids omega-3 and omega-6, which strengthen the walls of the arterial vessels and produce cholesterol, enter into the new one. Sometimes it is allowed to include stewed, boiled or baked fatty ribey in the menu: mackerel, halibut and flounder.
- Vegetables, berries and fruits. Carbohydrate hedgehog, rich in protein, promoting the motor function of the intestine, actively excreting cholesterol and metabolic products. Potatoes avenge starch, which adds calories to food, increases body weight, and it is surrounded by it.
- Groats: wheat, buckwheat and buckwheat.
- Visіvkami: when added to porridge and supi visіvki (1-3 tbsp. l. / doba), superfluous cholesterol and carcinogens are removed.
It depends on the level of cholesterol in the next products:
- in fats: vershkovy oil, cowbass with fat, lard, animal fats. The defecation of dewy olive is necessary in case of increased level of triglycerides.
- in meat products: yalovichi, pork, mutton, meat, turkeys and chickens (more in the region of homils and krill, less in the brisket). By-products: nirki, liver and brain were switched off through high cholesterol.
- in eggs, fish and shrimp caviar, and shrimp, cholesterol is necessary for the growth and development of bird embryos and underwater organisms.
- in dairy products: sour cream, cheese (40-60% fat), cheese from fat milk.
- in alcohol: it has a lot of calories, increases appetite and blood triglyceride levels.
- at white bread and health, cakes and pastries. High-calorie products in the mix from the mixed fats, eggs and zucru.
With the method of exaltation of ischemia of the heart and angina pectoris, as well as prevention for diet No.
- broths: chicken, meat, fish and mushroom;
- with smoked meats, radishes, radishes and beans;
- from healthy dough, malt;
- from sorrel, spinach, legumes, lubricated mushrooms;
- buttered meat and fatty ribeye;
- from by-products and rib ribs, meat and egg zhovtkiv.
How to prevent spasm of the coronary vessels and the advancement of AT?
Spasms of the arteries manifest IXC and attacks of angina pectoris and call out squeezing, pressing, burning pain in the heart. To reduce spasm, take nitroglycerin (nitrAt), and also include food products (food supplements) with the presence of nitrites, which sound like judges. And to itself: cowbass products, conservation and other beverages.
In rich ready-made products and finished products of swedish preparation of rich salt. If you want to calm down, you want to drink, and a sharp increase in blood pressure in the body overwhelms the cardiovascular system and leads to hypertension. In lovers of salty water, constant AT advances are blamed for attacks of angina pectoris and a possible rupture of plaques and vessels: the heart and brain.
To prevent spasms and reduce arterial pressure, take up to 5 g of sea or table salt, which should be 1 tsp. without top. Under the hour of cooking, you can replace it with various aromatic spices and aromatic roses, even if you don’t get fresh.
How to change the viscosity and density of blood?
The cream of medicinal preparations, which are prescribed by the doctor, is supplemented by the nutritional regimen. It is supposed to drink 1.5-2 l / dob and up to 3 l at the baker: pure drink water, blackened with non-licorice milk drinks, compotes, juices: vegetable, fruit and yagіdnimi. Followed by gassed drinks and beer.
How to preserve the tone of my heart?
The attack of angina pectoris and ischemic heart disease can be cured by the introduction of the recommended products for diet No. 10c:
- wheat bread of the 2nd grade, with hangings and black chili;
- olive oil with mixed monounsaturated fatty acids (5-10 g/dobu), unrefined dewy olive: sonia, rapak, mustard with Omega-6 polyunsaturated acids (1 tbsp.);
- sea ribi: sardine, sardine and mackerel with omega-3 polyunsaturated fatty acids (100 g/dobu);
- vegetarian soups with vegetables, cabbage soup, beetroot, dairy, cereals and fruit;
- meat and poultry, steamed, baked and cooked;
- low-fat ribi: boiled, baked steamed chi;
- low-fat boiled milk and fermented milk products;
- scrambled eggs 1 egg or boiled egg - 1 time per day;
- vegetable salads, including mushrooms, legumes, sorrel and spinach;
- cereal porridge and boiled pasta, including casseroles and puddings;
- fresh fruits and yagid;
- kisseliv, musiv, compote, krim sik grapes;
- be-like mountains: hairy, almond, lіshchini and іn;
- drink: German tea, infusion of spices, fruit juices, diluted with boiled water
Treat the heart in a tone to the normal release of vitamins with the presence of antioxidant powers: folic acid, E, A and C, mineral resources: sodium and magnesium, potassium, calcium and sulfur, phosphorus and chlorine. And also microelements: manganese and selenium, molybdenum, chromium and cobalt, zinc, midi, iodine and zinc. Everything is worth fresh berries and fruits. The most vitamins and macro- and microelements are found in carrots and beetroots, radishes and rips, selery (roots), sea kale, hazelnuts and dormouse, peas.
To live without angina pectoris and IXC, you should switch to 5-6 meals a day. Portions of wine are small, including cold or hot drinks.
Important to know. With hot water, or with drink, you can obpekti the mucous membrane of an empty mouth, pharynx, stravokhod that slug. The mucus membrane swells and swells, which causes the natural process of forging to break down and change the tone of the voice, spasm for the walker, buttocks and vomit.
The rest of the portion is given 2 years before bedtime. A fractional meal regimen is easy to organize, supplementing the main meals with fermented milk products, juices, fruits or salads, 1 egg or yagidka with honey (1 tsp).
As the products of the bdzhіlnitstva call for an allergy, even licorice berries live without zucru, and sour - stick a small amount of zucru (no more than 1 tsp).
Follow the memory! Zukor and licorice products, including tsukerki, are low-calorie carbohydrates. The stench will scatter the appearance of a hare ballast near the body.
To supply the blood of the great body, the heart needs kisen for a strong work, and in case of ischemia of the heart, it is so deficient. Add 20 g more cholesterol to the skin for a kilo of weight, lower the sound of the liver. Therefore, atherosclerosis in the coronary arteries is progressing. For healthy vessels, the following should be observed in refined carbohydrates, or the speed of their recovery to a minimum.
Choice of products for a normal work heart
The rhythmic work of the heart meat will be saved when implanted:
- Dried fruits
Curazy (and fresh apricots) and rodinkas have potassium present. Tonіzuyuchi power prunosliva pіdvishchuyut pratsezdatnіst. Supplement the heart with a sum of dried apricots, rodzinok, prunes and peas, lemon with scissors and honey in the same proportions. Everything needs to be detailed at the meat cutter. - Apple
Flavonoids in the warehouse of apples reduce cholesterol, and the phytoelement quercetin is a powerful antioxidant, which prevents inflammation and the formation of blood clots. - green salad
Lettuce and Beijing cabbage have the main microelements and vitamins of group B, as well as vitamin K, which is necessary for blood pharynx. Vegetables take part in the production of cholesterol. - Orikhiv
With hairy, cedar peas and an amygdala, the heart takes omega-3 fatty acid, potassium, magnesium, vitamins B, C and PP. - Liver
Yalovichi and chicken livers have coenzyme Q10. Speech helps to function all the m'yazam and tissues of the body, including the heart. After 50 years, the body will support the production of coenzyme Q10, then it will be taken from it. - Avocado
Yogo melancholy in polyunsaturated fatty acids, which take part in fat metabolism. The fruit promotes "good" cholesterol and prevents atherosclerosis, improves the heart with potassium, middling and saliva, vitamins of groups B, E, C, beta-carotene and lycopenes. - bitter chocolate
The bark to bring chocolate from mixed cocoa is not less than 70%. With yoga, the work of the heart and vessels is normalized, AT and cholesterol in the blood are reduced. Chocolate with a great amount of zucru and other components is valued by "filthy" salmons, which helps to get rid of obesity, which is negatively signified on the robotic heart.
Heart- A unique human organ, it takes on itself a nameless vanity: only for one year pumping 630 liters of blood, for production - 15,120 liters!). The assistants of anatomy call yoga “a mucky empty organ, a pump for pumping blood.” But the poets do not bother to fold about the new verse and song, but in the Bible it is said about the heart as if it were about life, and you need to take care of it the most. Adzhe heart takes on all the joys and blessings of the life of a person. And that is why it hurts the most - it is the main cause of death of the population in the whole world. Ale ... If you want to control the main factors of risk (chicken, improper eating, and a low-quality way of life), up to 80% of deaths can be saved.
And why work, because your heart already fell ill, because your doctors diagnosed ischemic heart disease (IXC), have you suffered a myocardial infarction? How can you help your heart in the situation that has developed?
The current medical bulk of the house is large in number of factors that can help to develop IHS. To the most "aggressive" one can include chicken, alcohol abuse, depression, chronic stress, overeating, improper eating, physical inactivity. І Yakschko Zmіniti Spadkovіst unfortunately, the vanity of stressing, often, interspersed, then the Corcortsia method of Life, is hidden at Usuenny Shkіdlivih Zvicchka (Nasampeed Vіdmova Vіd Klinnya), Optim_zatiya Charchuvnya character, the fesichna actor Tsіlki "Pіd strength" people, Orієnd good health.
Infinite greed in the form of taking physical rights does not deprive of the desired sumnivu. Mabut, Jodna Pubelikatsіya about Fіzichnaya Culture Do not do without Salovnya hopefully, Shaho, Scho attributes to іnodі rіzimnaya authors, Ala actually rushing Moso: "Fізичний привить провить волінити Беліч Ліків, аль сліні и ізичні.
What is the severity of physical activity?
With regular physical activity, a person is in good physical shape.
Physical activity promotes the promotion of "good" lipids in the blood, which also helps fight atherosclerosis.
Physical activity reduces blood flow to thrombosis.
Physical activity contributes to the normalization of arterial pressure and reduces the risk of cerebral stroke.
Physical activity contributes to the normalization of the vagi and to the development of circulatory diabetes.
Physical activity protects against stress, improves mood and sleep.
Physical activity reduces the risk of osteoporosis, and also, fractures in people of a frail age.
Ideally, the skin of a person, saving regular physical activity on a flat surface, can spare a whole range of ailments. In real life, it is often less common to blame health problems for people to reconsider their way of life, to correct the “ruh stereotype”.
But for patients with ischemic heart disease, not all kinds of vanity are suitable.
If an atherosclerotic plaque sounds like an artery that cares for the heart, the rush of blood changes, richly sour, to the heart m'yaza. Starvation begins to sour, ischemia develops. Intensive work of the heart becomes unbearable, and the heart gives a dashing signal, a pain attack develops - angina pectoris.
An attack of angina pectoris signifies the physical activity of a person. You need medication and, often, surgical treatment to get rid of painful attacks. How about the worst heart attack - myocardial infarction? A lot of patients show fear of adventurousness, stench tries to “save” the heart, sometimes inspired to walk.
In this way, physical stress in patients with angina pectoris, including those who suffered a heart attack, may have two meanings:
Superworldly activity and the urge for high intensity of unsafe things that can provoke painful attacks; їх trace uniqueness;
Pomіrnі іzichnі nіvantazhennya, yakі nebhіdno vykonuvati regularly (stretch 30-40 quills 3-5 times per day), є korisnimi. The stench can not only increase the level of "good" cholesterol (important for the prevention of further development of atherosclerosis), but also significantly improve the state of the heart-vascular system and prevent the rapid progress of heart failure. Regular aerobic training positively affects the functioning of the collateral blood flow (reserve between the arteries, which allows you to redistribute the blood stream if necessary), improving the eating of the heart. For the sake of medical records, patients, who are physically active after a heart attack, are more likely to endure repeated heart attacks in 7 times, and die in 6 times more likely, similarly to patients, as they significantly speeded up the advancement after a heart attack.
Patients, who have suffered a heart attack, are obligated to perform their own duties (to serve themselves, to do light daily work around the house). Even better, as soon as the discharge from the hospital of the patient will be directed to rehabilitation in a sanatorium of a cardiological profile, it will be possible to undergo physical rehabilitation under the supervision of doctors.
However, even if you didn’t go to the sanatorium, physical rehabilitation can and should be carried out on an outpatient basis under the supervision of a cardiologist.
Possibly vikoristano kіlka rіznykh types vprav. When tsimu optimal vvazhayutsya, pіd h vykonannya yakіh robot include large groups of m'yazіv (m'yazi nіg). To reconcile the adventures, 30-minute walking, free cycling, work in the garden, as well as free dancing are important. Easiest day to go pishki. It is necessary to choose a rhythm that is comfortable for you, more or less calm, and go for walks at least 5 times a day for 30-60 minutes. If you saw that, or weakness - sit down, or turn around home. Already for a few days you can go more. The cob and change in the intensity of physical training should be discussed with a cardiologist or an exercise therapy doctor who will guard you.
Zagalna trivality of physical rights - from 25 to 60 min. Of these, 5-10 mins fall on a warm-up, 20-40 mins - without interruption for tension, and 5-10 mins for relaxation (“cooling”). Chim older patient or less training, Tim trivalіshoy may be the stage of warm-up. Sufficient for maintaining health, the situation is important, if the patient is victorious in physical fitness with a frequency of not less than 3-4 times per day. In order to escape the appearance of a strong automy, pain in the m'yazah or the cause of injuries, it is not recommended to spend a few days sleeping.
It is not guilty to cause anxiety to develop an attack of angina pectoris, or a strong ass and a heart attack, a slightly light ass is acceptable. Follow the pulse, under the hour of adventitiousness, the frequency of the heart may soon increase. The optimal increase in heart rate in case of physical urge is determined by the doctor individually, depending on the severity of the disease, the nature of the accompanying pathology. At the first stage, achieve a small increase - by 20-30% (for example, by 15-20 hits on the whip). Nadal, with good tolerability of navantage, continue to follow the pulse and do not allow overestimation 200 - Your age (for example, you are 56 years old: an unrecovered heart rate is 200 - 56 = 144).
What type of physical activity is suitable for patients after a heart attack
most?
Particularly important is the occupation that develops vibrancy. Ale, for the full effect, it is necessary to victorious and deyakі see physical activity, scho develop strength and flexibility.
Activity that develops vibrancy: walking, swimming, cycling, dancing, tennis, housework.
Activity that develops strength: walking with a puffed-up mind, transferring shopping, walking uphill gatherings, digging the earth, housework.
Activity that develops flexibility: swimming, dancing, gymnastics, garden work.
Remember that the beginning of physical ambition can be acted upon. Self-superior expansion of the circulation regime after acute coronary heart disease (myocardial infarction, unstable angina pectoris, heart surgery, progression of coronary or cardiac insufficiency) can worsen the illness, lead to complications. Povnotsіnna rehabіlіtаtsіya іn such situations mаіn іn uvazi іn іnfluence (drug therapy, surgical correction іn demand, іndivіdualі іndivіdіvіdіnі аnіdіvіdіаnі іnіdіvіdіаnі іїchіchnі tіdnovlennya aktіvіnostі) under the supervision of a qualified specialist.
So that your physical activity has brought real mischief, do your best the rules of the three "P" and the brown ones:
ü Progressiveness: increase the vanity properly. Such great adventures without preparation can cause damage to the robotic heart-vascular system.
ü Postiynost: try to keep up the regularity in activities, better than during the day. The effect is better not for three times a day, but for a couple of 30-45 pieces.
ü Correct cherguvannya navantazhennya and vіdpochinku - obov'yazkova umova to achieve high efficiency to take.
Dekіlka of brown joys:
ü Choose those types of physical activity that will bring you satisfaction. Let your friends and relatives keep you company - it's more fun at once!
ü Try to lift the bunks at the same time, if you want to go on top, step by step increase the number of surfaces, on the way you go up without an elevator.
ü Explore opportunities for increased physical activity. Get out one step earlier and go pishki.
ü How walking on your own is not a good idea for you - to get a dog. Virniy and Viddany friend will always be able to accompany you on walks and bring additional positive emotions!
Petrichko Tetyana Oleksiivna - Head of the Department of General Medical Practice and Preventive Medicine of KDBOU DPO "Institute for the Advancement of Qualifications of Specialists in Health Care" of the Ministry of Health Care of the Khabarovsk Territory, Doctor of Medical Sciences
Literature:
- Arutyunov, G.P. Therapy of factors in the risk of cardiovascular diseases. - M.: Vidavnicha group "GEOTAR-Media", 2010. - P. 91.
- Bubnova, M.G. Provision of physical activity among the population, yakі mаyut obezhennja at the camp of health: a method. river. / M.G. Bubnova, D.M. Aronov, S.A. Fighters. - M., 2015. - P. 5.
- DeBakey, M. New life of the heart / M. DeBakey, A. Gotto. - M: GEOTAR Medicine, 1998.
- Helper for the rehabilitation of ailments for ischemic heart disease after aorto-coronary bypass surgery / V.Є. Malikov and in. - M.: Type of NTSSG im. A. N. Bakulova, RAMS, 1999.
- Oganov, R.G. Prevention of heart disease”, M.: Vidavnicha group “GEOTAR-Media”, 2009. – P. 95.
20.09.2017
With unbalanced eating in the blood-bearing arteries, atherosclerotic plaques are established and atherosclerosis is established. Illness gives relief from attacks of angina pectoris and ischemic heart disease. The volume of blood flow changes, it is bad for the body to get acid.
Operations on the heart and ischemic disease can cause complications: heart failure or myocardial infarction.
Causes of IXC
We can see the factors that call for ischemic disease of the heart:
- tyutyunopalinnya;
- diabetes;
- seated robot;
- zaiva vaga;
- damage to lipid metabolism;
- atherosclerosis;
- filthy is the quality of drinking water and other reasons.
Іsnuє impersonal factors that call for ischemic heart disease
For the treatment of ischemia of the heart, people prescribe therapy with medicinal preparations, recommend a special diet - style number 10.
Should I prescribe a diet?
A diet was prescribed for IXC, angina pectoris, this effect on the body:
- Galmuє the process of ailments that are developing, atherosclerosis.
- Stabilization of exchange processes and lipid profile of blood.
- Reduces the risk of movement and spasm of blood vessels.
- Rozrіdzhuє krov, pіdtrimuє sertsevy m'yaz in tone.
Which products change the lipid profile?
At the menu, it is necessary to add products to help remove cholesterol from the body. At the same time, change the number of ailments from high cholesterol. In the case of eating a child, the amount of cholesterol can be increased by 300 milligrams.
Vivesti cholesterol to help:
- Pisna fish. At її fat there are speeches that mark the walls of the vessels. In some cases, the likar allows fatty varieties of ribi. You can extinguish, cook, zapkati.
- Fruits, vegetables and berries. The stench is rich in cellular tissue and carbohydrates, to improve the work of the intestines. Cream of cholesterol stink is removed from the body and the products of metabolism. A handful of potatoes is necessary to surround, її starch is added to the body fat.
- Buckwheat, wheat and wheat groats.
- Korisno add whiskers to the soup or porridge, but no more than three tablespoons for doba. The stench will help to relieve the body of carcinogens and cholesterol.
E products that have high cholesterol levels:
- Creatures fat and Vershkov oil. As soon as the hour of obstezhennya, a high amount of triglycerides was revealed, the patient should be taken in the fat.
- Meat. Rich offal cholesterol.
- Eggs, ribeye and shrimp caviar.
- Milk, sour cream, cheese and cheese.
- Alcohol. Take out calories and eat more.
- Licorice, boroshnyane. Through those that produce eggs, zukor and fat, stench are high-calorie.
Licorice and Boroshnyan are contraindicated
Diet in case of ischemic heart disease, after attacks of angina pectoris, it is due to include the disease:
- Steep broth cooked on rib, meat or mushrooms.
- Stravi from legumes, instead of radish, radish or smoked products.
- Malt and health.
- Gravi from mixed mushrooms, spinach and fresh sorrel.
- I'll smear riba and m'yaso.
Stravi not guilty but smeared
How to reduce the risk of spasm?
Ischemic disease of the heart is characterized by spasms of the blood vessels, the person feels a strong pain in the heart. The stench can be pungent, to press or squeeze. Spasm can be relieved with nitroglycerin. Include cowbass, drink and canned food in the diet.
Buy a drink and add a lot of salt, if people want to drink after living. The number of natives in the body increases, which creates an interest in the work of the heart-vascular system. After the appearance of hypertension, angina pectoris, the walls of blood vessels may rupture.
Change the arterial pressure and prevent spasms of the vessels, you can use the salt, enough to drink a teaspoon. Cooked herbs do not take fresh, as if adding spices to them.
What work in the viscosity of the blood?
Krim medicamental benefits to supplement the drinking regimen. On a day, a person can drink close to two liters of water, as if it’s smoky on the street, about three liters. You can win pure water, milk, compote, various juices. You can't drink beer and soda water.
Preservation of heart tone
Ischemic disease of the heart, and also angina pectoris does not appear, as in eating, eat diet number 10c and live such products:
- Khlib.
- Olive oil (10 g per doba), unrefined roslinna (one tablespoon).
- Sea fish (one hundred grams per doba).
- Soupi cooked on vegetables, beetroot, milk.
- M'yasnі that ribnі stravi have be-yakom vglyadі, kіm obsmazhuvannya.
- Dairy products.
- Omelet on one egg without a chew, or once on this day one boiled an egg.
- Salad with vegetables.
- Making pasta, various cereals, casseroles.
- Fresh fruits in season, berries.
- Compote without grapes and jelly.
- Different peas.
- Weakly brewed tea, nasty from herbs, sik from fruits (dilute with water).
Bread and sea fish are included in the diet of the sick
Dodatkovo take vitamins, folic acid, sodium, magnesium, chlorine phosphorus. Microelements, for example, manganese, zinc, salt, iodine and others, are included in the warehouse.
If polyvitamins are not suitable, then natural products will come to the rescue: beetroot, carrot, selery root, seaweed, peas, sonyashnikova or harbuzi.
Rehabilitation period after myocardial infarction, after attacks of angina pectoris and IXC, may be on the verge of a sudden death, recognized by the doctor. Diet therapy will help patients to become more or less healthy.
Eating regimen with IXC
On the day of maє buti no less, nіzh іst priyomіv їzhі. Portion size is small. You can't eat hotter or colder.
Reception їzhi not less than two years before bedtime. You can eat fruits, salads, fermented milk products, juices.
Їst is necessary for offal, but more often
Sour fruits can be watered with honey, as if for a new allergy, as well as vicarious tsukor in a small quantity. You give weight to your body, through your heart it is even more important to cope with your work. One zayviy kilogram adds twenty grams of cholesterol to the body.
Diet No. 10s
Livelihood in diagnosing IXC can be suvorim, for a quick recovery of health. The patient is assigned a style number 10c, this diet is considered healthy. It helps to normalize the pressure, lose weight, stabilize blood viscosity, reduce cholesterol and normalize fat metabolism.
Such a pathology can be blamed on various illnesses, and the drug is prescribed to that diet on an individual basis.
Dotrimuyuchis diet, you can normalize the vice
The healthy diet menu number 10 looks like this:
First snidanok:
- Vіdvarene lean meat - 50 grams.
- Vegetable salad with additional olives - 60 grams. Vegetables can be cooked.
- Weakly brewed tea, diluted with milk - 200 milligrams.
Other reference:
- Salad - 150 grams. You can have it in other meals: apples, cabbage (marine or white cabbage), cucumbers, carrots, boiled eggs.
- Sleepy vegetable soup - 200 milligrams.
- Riba abo m'yaso - 70 grams.
- Zapikanka or mashed potatoes - 150 grams.
- Jelly - 130 grams.
- Fresh apple - 1 piece.
- Compote - 200 milligrams.
- Steamed fresh fish, baked in oven or aspic ‒120 grams.
- Vegetable boiled, with additional olive oil (180 grams), or licorice casserole with jam - 250 grams.
- Compote, diluted with water, tea - 200 milligrams.
Afternoon supper:
- Sour-milk drink (kefir) - 200 ml.
- Rusks - 100 grams.
For the whole day, you can pick up 150 grams of whiskers, or you can replace them with 100 grams of white fresh bread. Zukor is allowed at a quantity of troch more than fifty grams.
At ІХС є i rozvantazhuvalny days, illness is accompanied by zayvimi kilograms. Conduct their follow-up only for the doctor's recommendation.
It is not possible to rule the rozvantazhuvalny days on your own, because it is necessary to protect the functioning of the herbal, blood-bearing and nervous system, and it is possible to build only a medical fahivets.
Also, ischemic heart disease and atherosclerosis are diagnosed more often. In the main pathology, they blame it on the rotten eating and unsatisfactory life. Adzhe smeared, smoked, boroshnyanі herbage will spoil our lives. Ale, yakscho dotremuvatisya diet, your health can be trohi podtrimati.
