Cov kev ntsuam xyuas twg yog tsim nyog rau kev tiv thaiv? Yog tias peb tham txog cov tshuaj prophylaxis, ces, ua ntej, koj yuav tsum tau ntsuas ntshav siab. Tsis muaj kev cai nruj heev: Yog tias qhov siab yog qhov tsis zoo thiab tsis thab - koj tuaj yeem ntsuas nws txij li ib ntus mus, yog tias lub siab ua haujlwm hloov - ces, ib txwm, ntau zaus. Tam sim no cov cuab yeej - tonometers - yog muag dawb. Qhov thib ob yog lub plawv dhia (pulse). Nyob rau hauv ib tug neeg noj qab nyob zoo, tus mem tes yuav tsum tsis pub tshaj 70-75 neeg ntaus ib feeb (thaum so). Yog tias qhov ntsuas no ntau dua, koj yuav tsum to taub, txiav txim qhov ua rau. Nws tseem ceeb heev uas lub plawv dhia tsis tau zoo. Yog tias muaj kev cuam tshuam, qhov no yog lub sijhawm rau kev mus ntsib kws khomob. Qhov thib peb yog qib ntawm cov roj cholesterol. Qhov kev sim yooj yim tso cai rau koj los txiav txim siab txog qib ntawm cov roj (cholesterol) tag nrho. Yog hais tias simplified - nws muaj ob feem me. Thawj zaug yog qis lipoproteins, qhov sib txawv "roj" roj (cholesterol). Qhov thib ob yog qhov lipoproteins ("roj" zoo "cholesterol").
Vim tias qhov qhia tau tias "roj" zoo "cholesterol" yog qhov ruaj khov, yog tias muaj roj cholesterol tag nrho, nws yuav yog vim "roj" tsis zoo. Ib txoj kev tshawb fawb ntau yog pab txiav txim siab tias "triple": muaj feem ntawm cov zauv feem cholesterol thiab triglycerides. Tsis tas li ntawd, nws yog ib qho tseem ceeb uas tswj lub cev qhov hnyav thiab ntsuas cov kab hauv lub duav. Ntawm no cov yeeb yam no hauv kev hauv paus rau kev tsim ntawm ib daim duab ntawm lub xeev ntawm kev noj qab haus huv yog txaus. Raws li rau theem ntawm cov ntshav qab zib, thawj zaug, tag nrho cov neeg uas muaj feem yuav mob ntshav qab zib mellitus: nrog kev nyuaj siab, nrog rog lossis rog, yuav tsum ua raws li nws. Thiab tseem nyob rau hauv cov ntaub ntawv ntawm manifestations ntawm plawv mob - txij li ntawm cov kab mob plawv (CVD) yog feem ntau ua ke nrog ib tug ua txhaum ntawm carbohydrate metabolism. Thiab, feem ntau, nws yuav tsum paub qhov txawv ntawm cov kev kuaj mob tiv thaiv: muaj ib qho kev ntsuam xyuas kev kho mob thiab hom kev kuaj xyuas uas yuav tsum tau ua tiav rau qee yam kev qhia. Tsis tas li ntawd, cov poj niam yuav tsum tau soj ntsuam xyuas tsis tu ncua los ntawm ib tus kws kho mob poj niam, kom kuaj xyuas cov mob ntawm lub hauv siab qog. Qhov teeb meem tseem ceeb ntawm kev kuaj mob, hauv kuv lub tswv yim, yog tias yog tias muaj kev hloov hauv lub cev yog kuaj tau, tiam sis tsis muaj kab mob zoo li, ces tsis muaj ib qho kev qhia tseeb ntawm kev ua. Thiab, ntawm chav kawm, qhov chaw ntawm tus neeg yog tseem ceeb heev - yog tias nws tsis qhia kev txaus siab, tsis saib xyuas nws kev noj qab haus huv, ces tsis muaj kws kho mob yuav pab tau.
Ntau yam ntawm cov neeg kuaj mob "ntawm txoj kev" feem ntau tuaj yeem tsis tau nyob hauv chaw nyob (tsis muaj cov kws kho mob tshwj xeeb, cov cuab yeej tshuaj ntsuam xyuas kom tau txais kev pabcuam dawb rau ntau tus kws tshwjxeeb, piv txwv li, koj yuav tsum qhib rau lub sijhawm tos) tsis muaj ib txoj hauv kev yuav mus VHI txoj cai? Cov kev tshawb fawb no muaj peev xwm ua tau nyob hauv ib lub chaw kuaj mob, nws yooj yim thiab pheej yig. Thiab yog tias koj tsis kam txais ib qho kev kuaj mob pub dawb (ultrasound lossis MRI)? Yog vim li cas, qhov kev xyaum ua, qhia rau tus nqi, koj tuaj yeem xeem dhau qhov kev ntsuam xyuas tsawg kawg tam sim no, tab sis dawb ... nyob rau cov ntaub ntawv, tom qab ntau lub lim tiam ntawm kev tos? Cov hom kev tshawb fawb tsim nyog yuav tsum tau txiav txim los ntawm tus kws kho mob. Koj tsis tuaj yeem thov tias koj muaj ultrasound lossis tomography dawb - cov no yog cov hom kev tshawb fawb ntau heev. Tab sis yog thaum tus kws kho mob pom muaj kev hloov, kev mob, ces, raws li txoj cai, koj yuav tsum tau txais xws li ib daim ntawv ntsuam xyuas dawb, lwm yam yog tias, feem ntau yuav, nws yuav tsis ua tam sim ntawd ... Txhua qhov nyob rau hauv txoj kev sib txawv - txhua yam nyob ntawm khoom siv thiab cov mob hauv lub tsev kho mob. Tam sim no Ministry of Health sim daws cov teeb meem xws li - rau lub hom phiaj no Cov Chaw Kho Mob tau tsim thiab tsim kom muaj ntxiv mus. Lawv lub hom phiaj yog kev tiv thaiv kev tiv thaiv, txheeb xyuas cov kev pheej hmoo kom tsis txhob muaj kev tiv thaiv kab mob. Cov chaw kho mob zoo li no yog tsim los ntawm cov koom haum kho mob - nrog cov chaw kho mob, kev tiv thaiv cov chaw, cov chaw ua si, thiab lwm yam. Lub tswv yim zoo - pab them rau cov neeg uas tsis muaj mob, tab sis muaj cov teeb meem pheej hmoo. Nrog rau cov neeg mob tag nrho yog qhov tseeb - lawv yuav tsum tau kho. Tab sis yog tias ib tug neeg muaj qhov teeb meem, muaj coob tus neeg zoo li no, lawv yuav tsum tau koom nrog cov chaw kho mob.
Yuav ua li cas convince cov neeg ntawm cov tub ntxhais hluas, ua haujlwm hnub nyoog nyob rau hauv kev xav tau rau kev tiv thaiv? Muaj ob txoj kev tsim nyog: ua ntej, kev kawm, kev paub txog thiab, tau kawg, qhov kev ntshaw ntawm tus neeg ntawd nws tus kheej. Thiab secondly, tsim kom tsim nyog cov neeg mob ua rau kev noj qab haus huv txoj kev ua neej tau yooj yim. Yuav kom tsis txhob muaj kev sib ntaus rau kev noj qab haus huv txoj kev ua neej, raws li peb tau tawm tsam kev sau qoob loo. Thiab cov lus qhia tseem ceeb, piv txwv, mus ua haujlwm ntawm lub tsheb kauj vab, muaj kev ua neej - nyob hauv European lub nroog muaj cov kev tshwj xeeb rau qhov no, thiab qhov twg thiab nyob qhov twg hauv Moscow koj caij tau caij tsheb kauj vab? Ua ntej mus rau Sklifosovsky lub koom haum, tshwj tsis yog ... Tab sis peb yuav tsum to taub tias kev tiv thaiv yuav tsum tau ntev thiab qhov kev xa rov qab yuav tsis ntev. Piv txwv li, Neeg Asmeskas tau siv cov lus tshaj tawm txog txij thaum xyoo 1950, thiab cov neeg tuag tsawg tshaj li ntawm 20 xyoo xwb. Yog li ntawd, peb cia siab tias ua tsaug rau cov chaw kho mob peb yuav hloov ib yam dab tsi tag kis, nws yuav tsis ua hauj lwm. Tab sis ntau heev - ntau heev! - nyob ntawm peb tus kheej, ntawm peb txoj kev ua neej.
Yog li ntawd, puas muaj tseeb tias txoj kev ntawm lub neej muaj feem xyuam rau peb kev noj qab haus huv ntau tshaj heredity? Ntawm cov hoob kawm, heredity yeej plays lub luag hauj lwm, tab sis txawm li ntawd los, qhov loj prevalence ntawm plawv kab mob, uas tau ua ib tug nplua nuj ntawm peb lub sij hawm, nyob ntawm txoj kev ntawm lub neej. Raws li tus piv txwv, peb tuaj yeem hais cov lus tseeb nram qab no: cov lus Nyablaj muaj cov kabmob plawv mob plab, vim lawv noj feem ntau ntses, nqaij nruab deg, thiab lwm yam. Tiamsis thaum cov Japanese tsiv mus rau Teb Chaws Asmeskas, tom qab ib ntu lawv pib mob - thiab tuag, raws li Americans. Los yog Italians - cov neeg nyob ntawm ntug dej hiav txwv thiab ua raws li Mediterranean kev noj haus, kev tuag ntawm CVD yog qhov tsawg heev. Tab sis cov Italians uas tau tsiv mus rau Tebchaws Asmeskas tau ntes nrog cov pejxeem hauv cov cim no. Thiab txawm nyob hauv cov neeg uas muaj kev mob siab rau cov tsiaj los yog lwm cov kab mob, yog tias lawv ua, raws li peb hais, kev noj qab haus huv txoj kev noj qab nyob zoo, qhov yuav tshwm sim rau qhov kev pabcuam pejxeem yog qhov tsawg. Tib neeg kev noj qab haus huv feem ntau yog los ntawm peb tug ncej. Thawj yog kev noj zaub noj haus, uas yog, calorie ntsiab lus, sib thooj rau cov nqi zog. Yuav ua li cas los txiav txim yog tias koj noj zoo?
Koj yuav tsum noj ib centimeter thiab ntsuas lub duav circumference. Yog hais tias nws nce - ib tug txiv neej tau mus txog 102 cm, tus poj niam muaj 88 cm, ces qhov no yog ib qho kev qhia tias yog mob plab rog, thaum muaj roj nyob hauv plab, thiab qhov no yog qhov tsis zoo tshaj plaws, qhov yuav raug rau CVD thiab ntshav qab zib. Hauv qhov no, koj yuav tsum tau txo cov ntsiab lus caloric los yog ua rau kom muaj kev ua ub no. Tsis tas li ntawd, kev noj haus yuav tsum yog dominated ntawm cov zaub keeb kwm, thiab koj yuav tsum noj ntau zaub thiab txiv hmab txiv ntoo. LEEJ TWG pom zoo tsawg kawg 400 g ib hnub. Nqaij zoo heev, koj tuaj yeem haus zaub roj, tab sis tsis txhob hnov qab tias qhov no kuj yog rog. Qhov thib ob "whale" yog lub cev tsim nyog. Kuv txhais li cas los ntawm lo lus "tsim nyog"? Nws tsis muaj dab tsi los ntawm kev siv lub cev ua ub no yog tswj hwm thiab tswj kev noj qab haus huv. Nws tuaj yeem khiav, khawb hauv lub vaj, nws tuaj yeem ua luam dej, simulators - qhov tseem ceeb tshaj plaws yog tias tus neeg muaj lub cev ua haujlwm, tab sis nyob rau hauv kev coj cwj pwm.
Nyob rau hauv dav dav, nws yog ntseeg hais tias kom khaws cia noj qab haus huv ntawm ib tug neeg yuav tsum muaj qhov chaw nyob rau hnub ntawm 10 txhiab ruam - los ntawm 3 mus rau 5 km. Hauv kuv lub tsho kuv qee zaum qhia, teb cov nqe lus nug "yuav ua li cas ntxiv rau kev siv lub cev ua ub no?", - tau txais aub, nws loj dua. Ob zaug ib hnub koj yuav tsum khiav ob peb kauj ruam - nws yuav ua rau nws ua. Thiab ntau ntxiv, hais txog kev mob lub cev, nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas txoj hauv paus ntsiab lus. Yuav ua li cas los txiav txim tias tus load yog zoo rau koj? Lub hauv paus ntsiab lus yog kev noj qab haus huv? Tau, thiab qhov ntsuas thib ob yog lub plawv dhia. Rau txhua lub hnub nyoog muaj ntau lub plawv dhia siab. Qhov no yog muab xam, yog tias koj tsis mus rau cov ntsiab lus, raws li nram qab no: txij hnub nyoog 220 yog rho tawm. Yog hais tias tus neeg muaj hnub nyoog 50 xyoo: 220 - 50 - nws qhov siab tshaj plaws tau txais - 170 neeg ntaus tauj ib feeb. Tab sis tsis txhob nyuab siab ntawm lub ncov - qhov siab tshaj plaws yog 60-70% ntawm lub siab kawg nkaus lub siab. Thiab nyob rau hauv no atherosclerosis koj yuav tsum tau xyaum rau 20-30 feeb 3 zaug ib lub lim tiam, tab sis koj muaj peev xwm tsawg kawg txhua hnub. Thiab qhov thib peb "whale" yog ib qho kev tsis kam haus luam yeeb. Yog tias peb qee zaum hais txog kev haus dej caw me me - ib khob caw - hamper kev loj hlob ntawm atherosclerosis, ces tsis muaj cov yeeb yam li no rau kev haus luam yeeb. Nov yog peb lub hauv paus ntsiab lus uas tus neeg zoo tib yam yuav tsum tau saib xyuas kom muaj kev noj qab haus huv. Thiab nws tsis tas yuav siv nyiaj tshwj xeeb - tsuas yog lub siab nyiam thiab kev xav ntawm tus neeg ntawd xwb.
Tau txais kev kuaj mob tsis tu ncua
Kev tiv thaiv kev tiv thaiv muaj peev xwm dhau tag nrho kev ua hauj lwm, nrog rau cov neeg laus thiab cov tub ntxhais hluas uas muaj MHI (yuav tsum tau ntawv kho mob txoj cai).