In relationship with growing problem, what the solid growth of falling ill on coronary disease is as well as the existing possibilities of the preventive treatment her pronouncement by change of style of life, subject of prophylaxis of this disease it is proper is move. The disease the niedokrwienna of heart is the wide notion, hugging on patomechanizm all states of ischaemia of muscle heart without regard. The coronary disease hugs the states of ischaemia of heart muscle connected with changes in coronary arteries.
the Disease of arrangement of circulation, in this mainly the disease the niedokrwienna of heart ( the Ischemic the Heart the Disease, IHD) the huge social costs they, make up in developed countries the the most important cause of death-rate, cause and economic. The IHD is the the most frequent illness of arrangement of circulation men living in countries developed high. In countries industrialized niedokrwienna the heart disease is the cause of deceases ok. 30% men and 25% women. It it was estimated was, that it about 100 persons' tys. drops in Poland on fall annually. It forty percentage from among these persons dies in draught of year.
net Heart be wreathed nourishing it reminding wreath vessels - from here name " coronary vessels”. Coronary disease develops, it when these arteries on internal walls were put aside was causing their narrowing cholesterol, tym more easily, if the damaging the internal wall of vessel factors act additionally ( arteriosclerosis process this be called popularly). It makes difficult then the tributary of blood to heart, which threatens total the blocking through blod clot of blood the coronary artery. To lead situation such it can to fall of heart.
the the Preventive treatment depends the coronary disease on fighting the factors of risk across popularizing in frames of primitive prophylaxis the healthy model of life ( the lowering at men the mass of body with overweight and the obesity, limitation of smoking of tobacco, treatment the hypertension and the diabetes, growth of physical activity).
the popularizing the healthy model of life Activity, realized in frames of primitive prophylaxis (that is the the preventive treatment the appearing the disease) she should in principal measure be to base on workers of protection of health. However the popularizing the healthy model of life, and it is the same exclusion the factors of risk of coronary disease the task, which to realize the dietetician can the, teachers, the politicians, employee of administration the, medias, the non - governmental organizations.
coronary Disease comes into being in result working the so called of factors of risk. We distribute on niemodyfikowalne the factors of risk of coronary disease, that is such on which have not influence (lids, sex, family predisposition), and these which be subject to modification and we can fight it in frames the strengthening the healthy model of life effectively. They to factors which can eliminate belong: raised rigor cholesterol and / or triglicerydów, arterial hypertension,, diet abounding in replete fats diabetes, obesity,, excessive smoking tobacco, small physical activity consumption liquor.
in will preventive treatment it will be coronary disease easier to achievement Full success, if many factors will will fight simultaneously. Near simultaneous coexistence many the factors of risk the change of style of life, though still necessary and desirable, it can turn out insufficient with regard on large threat with coronary disease. Necessary the włączenie the reducing the arterial pressure medicines stands up wówczas and the level of cholesterol in blood as well as the inhibitory the excessive susceptibility of blood to coagulation aspirin.
the Overweight and the the obesity enabling to pronouncement of disease niedokrwiennej of heart, they usually are the consequence of inappropriate diet and (or) the lack of physical exercises.
well-known with all surely cholesterol is, about which doctors appeal proper level and main accused in process calling out coronary disease. Cholesterol together from trójglicerydami and creates with fatty acids so called lipids which circulate in blood between tissues and organs and they make up the component part of cells. Cholesterol this the waxy substance which is indispensable to maintenance of action of nervous arrangement of, skin, muscles, liver, intestines and heart. The contained cholesterol in diet - this which consume - the only products of animal origin deliver ( the full milk, cheese the, meat, of egg). Beyond tym being in blood cholesterol be produced by liver.
Despite that cholesterol is indispensable to correc functioning organism, his excess can the free flow of blood was put aside in arteries, making difficult. The high level of cholesterol, similarly how the raised arterial pressure, it can does not inflict affection, what however does not reduce the threat, what with me carry. At chorych with arterial hypertension and the coexisting disorders of lipids, to to reduce the risk of fall of heart, apoplexy and different diseases of arrangement of circulation, you should reduce both the raised pressure, as and the raised level of lipids.
rigor total cholesterol, cholesterol LDL Usually on results of investigations be passed ( so called "bad cholesterol"), cholesterol HDL (tzw. "good") and triglicerydów. Doctors accept, that rigor in blood total cholesterol should be lower than 200 mg / dl. If rigor is this higher, hipercholesterolemii was told about so called - raised rigor in blood cholesterol. The risk of disease depends from rigor component the total cholesterol obviously. On totality rigor cholesterol LDL should be lower than 130 mg / dl, and cholesterol higher HDL than 45 mg / dl.
they With inappropriate diet be connected:
it was One should was remember, that the favourable the prophylaxis of arteriosclerosis nourishment should mark low with consumption replete fatty acids, cholesterol and soium (salt), and high consumption alimentary celluloso, vitamins and flawonidów.
it How can in scale of whole society was popularize healthy sposobić nourishment? Here several ways:
Men about large physical activity are less susceptible on coronary disease. Physical intensive exercises at working men be indicated 3 razy in week, after 30 minutes intellectually. The physical exercise exert on lipids of plasma the profitable influence ( the growth of cholesterol the HDL, reduction of content in plasma small thick LDL), the lowering the pressure of blood (particularly at men with border hypertension), the improvement of tolerance of glucose, growth of sensibility of tissues on insulin.
In aim popularizing physical activity in whole society was proposed was realization of such tasks how:
the Smoking exerts on arteries the strong atherogenic influence (across damage of śródbłonka of arteries, the enlarged thrombotic readiness of blood and the unfavourable influence on lipoproteiny of plasma). Also passive smoking cigarettes enlarges threat coronary disease.
Smoking tobacco is intensified in countries faintly developed particularly. According to investigations of World Organization of Health in 2020 year smoking the tobacco will stand up with the most serious wholesome problem.
Poland is on third place in Europe under regard the smoking of tobacco in count on occupant of country. Only Greeks more from Poles smoke and Germanys burn on our continent Spaniard, the least cigarettes and British. In Poland of pales about 41% men and 22% women. The average the number of cigarettes burnt every day by occupants our country this suitably 20 for men and 14 for women.
Smoking cigarettes enlarges the risk of pronouncement of fall of heart three times. It it if it was wanted was was to prevent the development of coronary disease, necessary it is total it will stop the smoking of tobacco!!!
Burning every cigarette joins with immediate growth of arterial pressure and the acceleration the action of heart. During it smoking of cigarettes it comes to cramp of coronary vessels. Therefore smoking cigarettes also can be the cause of fall of heart muscle in case of small atherosclerotic changes in coronary vessels even. It was can not console oneself with this, that pales oneself little or less than once. Throwing smoking, the risk of pronouncement of fall of heart gets smaller already in first year from relinquishment nałogu. In draught 5 years risk this will be comparable with risk at persons who never smoked cigarettes! To to throw smoking indispensable justification is.
In general prophylaxis of smoking of tobacco was proposed was realization of such tasks how:
the Independent factor of risk of coronary disease, influencing also on remaining factors of risk (enlarging them the unfavourable working) the diabetes of type is 2. connected with diseases of arrangement of circulation Mortality is at chorych with diabetes average 3 the razy greater than at persons without diabetes.
the Frequency of occurrence in developed countries diabetes carries out about 2 - 5% general population. It it was estimated was, that it in Poland is ill on her about two millions persons. The clear increase tendency on whole world was observed in frequency the occurrence of diabetes. The chance of falling ill on diabetes grows up from lid, therefore also the person after 45 year of life should at least to control till year once the level of sugar.
the Way on decrease the quantity of is falling ill the primitive prophylaxis ( the the preventive treatment). In this propagating the healthy model of life is diabetes type 2: the suitable diet and the growth of the physical activity which lead to providing for correc mass of body.
the demonstrative data Exist, that the undertaking the intervention of in moment of appearing already the factors of risk ( the disturbed tolerance of glucose, overweight, sitting mode of life) the pronouncement can delay the diabetics or to prevent her even. The undertaken after development of plenty of symptomatical diabetes treatment can delay appearing heavy complications, it is not however in state protect before their pronouncement entirely and restore the full normoglikemii of (proper level of sugar in krwii).
Large consumption high - grade liquor (above 70-80 g daily) threat enlarges considerably sudden decease. It regular consuming liquor, in quantity 10 g daily, it was associated was with smaller death-rate on coronary disease. However the frequent consuming the liquor joins with danger the dependence and the damage of organs.
In aim the counteraction of consumption of liquor, realization of such tasks was proposed was how:
arterial hypertension is the Next accelerating the development of coronary disease factor. Pressure takes root about value at present za upper border of norm 140/90 mm Hg.
the arterial Hypertension is the main factor of risk of coronary disease and the fall of heart. The enlarged pressure of blood is chronic, exacting long-lasting the treatment the disease of arrangement the circulation in which it in arterial vessels reigns. Arterial hypertension about 40% Poles' dorosłych has. Many nadciśnieniowców does not know about one's disease or it treats her in insufficient way. Arterial hypertension is disease which can stay rozpoznany by long time. It raised arterial pressure does not was feel was very often and it on totality uncovers oneself it accidentally.
Early diagnosing and effective treatment hypertension reduces in coronary disease mortality significantly. It it it was one should was was enlarge in basic wholesome care the detectability of arterial hypertension, widen the method of treatment of non - pharmacological hypertension, popularize on subject of factors the knowledge being with cause of hypertension, as well as the ways of eliminating the factors of risk.
Non - pharmacological (without use of medicines) the treatment hugs at persons the standardization of mass of body with overweight, the limitation of consumption of kitchen salt and the liquor as well as the regular physical effort, method the psychoterapeutyczne, elimination of smoking of cigarettes. However many chorych, simultaneously with change of behaviours, it requires the inclusion of medicines. Sposobić the treatment of hypertension it depends from doctor's decision.
the Disease of arrangement of circulation, the huge social costs in this cause the coronary disease they, make up in developed countries the the most important cause of death-rate, mainly and economic. The lowering the morbidity and the death-rate with reason of coronary disease, the prozdrowotne, popularizing the healthy model of life should be realized across influence on behaviour mainly. It was one should remember, that the influence on limitation the incidence of coronary they have the reduction of mass of body, limitation of smoking of tobacco, early detecting and the treatment the hypertension, growth of physical activity, correc treatment the diabetes. The fighting the factors of risk can have the influence on prolongation and better quality of many men's life.