Cardiovascular disease (also called heart disease) is a class of diseases that involve the heart or blood vessels (arteries, capillaries and veins).
Cardiovascular disease refers to any disease that affects the cardiovascular system, principally cardiac disease, vascular diseases of the brain and kidney, and peripheral arterial disease. The cardiovascular diseases are diverse but atherosclerosis and or hypertension are the most common. Additionally, with aging come a number of physiological and morphological change that alter cardiovascular function that lead to increased risk of cardiovascular disease.

Quit smoking: If you smoke, quit. If someone in your household smokes, encourage him to quit. We know it’s tough. But it’s tougher to recover from a heart attack or stroke or to live with chronic heart disease. Commit to quit.
Choose nutrition: A healthy diet is one of the best weapons you  have to fight cardiovascular diseases. The food you eat ( and the amount ) can affect other controllable risk factors: cholesterol, blood pressure, diabetes and overweight. Choose nutrient rich foods which have vitamins,  minerals, fiber foods, fish, lean protein and fat-free or low –fat dairy products is the key. And to maintain a healty weight, coordinate your diet with your physician activity level so you are using up as many calories as you take in.

Reduce Stress: Some scientists have noted relationship between coronary heart disease risk and stress in a person’s life that may affect the risk factors for heart disease and stroke. For example, people under stress may over react or start smoking. Research has even shown that stress reaction in young adults predicts middle-age blood pressure risk.

Limit alcohol: Drinking too much alcohol can raise blood pressure and lead to heart failure or stroke. It can contribute to high triglycerides, produce irregular heartbeats and affect cancer and other diseases. It contributes to obesity to obesity, alcoholism suicide and accidents.

Lifestyle-Recommendations: A least 30 minutes of moderate intensity physical activity on most, if not all, days of the week (daily total can be accumulated e.g. three 10 minute sessions).  Advise patients of all ages become more active on reducing kilojoules intake as well as increasing physical activity.
Dietary salt restriction: <4 g/day (65mmol/day sodium).Recommend low salt and reduced salt foods as part of healthy eating pattern.

Physiotherapy role in cardiovascular disease :
Physiotherapy techniques in cardiac rehabilitation are,
1.       Relaxation
2.       Breathing exercise
3.       Relaxed passive movement
4.       Free active exercise.
Free active exercise is important for patients to learn free active exercise to improve blood pressure, maintain healthy weight and live health life.
In lying and sitting position:
·         Toes and ankle blending and stretching .
·         Knee blending and stretching
·         Hip Bending and stretching
·         Fingers of hand bending and stretching
·         Wrist bending and stretching
·         Elbow bending and stretching
·         Arm abduction and adduction
·         Deep breathing exercise
In standing position :
·         Half yard grasp standing –leg sing forward and backward.
·         Half yard grasp standing-hip and knee bending and stretching.
·         Yard stride standing-trunk bends forward to touch the left knee with right hand and repeat opposite way.
·         Yard standing –hand circling back ward .
·         And again deep breathing exercise.

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