保健 - 第75期 - page 13

11
शषԣ ط
ᖞ ؿผኒߎ ᗲࠇ Г϶Ꭶؿଐ́cᎶʥࣂ໤˨ˋʗ՗ᜤ
ʗe
3. ʹஷʈՈٙ፯኿
ʃӛԓࣚБj
Ꮄᓃj ੣پ Էپࡼپ Է͌ؿΔ۰پ€ڏؿઆࣁϷcˮ
ଊਐᕀࣂ˿፭෮৤ӹe
ॹᓃj ٽபࣁϷ ၇ܫਜ਼Ɍ௜ୃcʮԯܰ੩ّݯ ቝቛّ
ࣂe
׀ѓj߬τሬ๫ؿͤࢠࣂංe
ຫҚj ߗቝቛّ ੩ݯّ̯Ɂcԯ̡ࣂ੒ΐʶ϶ဳञ຤
੒ೕ́፾ท̖ઁ೩ट رc ڬञɁɺॶቝቛe
˦ԓࣚБj
Ꮄᓃjᄖ࿑c˿ॎ͓c˿Њၠcτణֺஉܪ e
ॹᓃjȹ̭ˮଊਐᕀɺמ ৤ӹe
ऎɪࣚБj
Ꮄᓃj༖̡ᖇdഒሬe
ॹᓃj ஫ʗञɁ˿ॶˮଊท୛टرc೶׮ཻ΅Ԛԯ̖
ˋcɌɺॶ ܘࣂ רɎ̡ࣂר͂ ؿᖞ ذe
׀ѓj ࣵɐٽ பࣁϷɺ˿Յeτท୛ّ̌ຑ
ҀࣵɐࣁϷe
٤ʕࣚБj
Ꮄᓃj҄આc௖ሬփٽபࣁϷe
ॹᓃj ࠘ђّߗኪʶ၇ਜ਼Ϥರᄬcڬผ႖ೕ
ʶ܁̖੒ֶʶ೵೎e
ЩԚܰ਽۬ዀጛc࣪ਜ਼Ɉɖੀࠌϭ 75mmHǵ̡̞ࣵ
ݯࠍ103mmHg€c˿ኒߎ৽ॵ϶࣪ཙ՗ɺӷc஛ྦྷᗲ
ࠇْझ੩dͱʨֲʶᚺञτॠّ࣪€dʶɈঞေdʶ
೵೎੩ّɺСeͅ כ ዀጛي ංτࠉ c ٽ ࣂංؿ ɺ ݠ
৽cऋПܰɎٔ୮כɎ ۍϽcמೕ́૯፷ॵ϶ࣣcȹ
̭ࣣɥ୓ໃ˿ೕ́՜ߎֲْࣣ෌e
׀ѓj ٽ பࣁϷࣂc੩ّᎶցࣂΕ࢔Ͻ୮АɎٔݠ
৽c̦߬ࣂ˿Εጛʑ೟АӶ৽c˞ᑷЛ૯፷ॵ϶ࣣѼ
ιeτؿਿࡼۺ ᘪτ϶૖ঢ়ቷرྸ˿ॶ੩ؿّΣڥʶ
ञdঢ়϶Ꭶdঢ়϶७dָᛌdɎٔ፷ॵςਜ਼dঢ়ᙍ
೩€cۺ ᘪ೔ዀک ͊Ɏ؇ࢂ
ȹʻГʗɥ൴ӥॖ˿
ᑷЛ϶ࣣѼιeϭ
כɟ ځר̇ʞ׳
˿Яདԉ፷ॵ
϶ ࣣ ؿ ೕ
́c ٶ α ؿ
ޢ ӠɰʀЯ
ցe
BEFORE THE TRIP:WHAT SHOULD CARDIO-VASCULAR DISEASE PATIENTS PAY ATTENTIONTO?
Coronaries and those up to 6 weeks after any operation on the heart should avoid trips. Those with angina should take beta-
blockers (e.g., Metoprolol, Bisoprolol, etc. as appropriate) and long-acting nitrate ester medications; hypertensives or those on
aspirin or Warfarin for blood thinning must remember to bring their medications. Pre-mature heart beat is usually not a
contraindication to trips but elderlies with complicated coronaries should avoid trips. Heart failure patients with exercise tolerance
limited to 100 metres should avoid trips but those patients with congenital heart anomalies (without cyanosis) may go. Secondly,
choose medium to large cities with convenient traffic arrangements to reasonably equipped hospitals. For those on anti-
hypertensives (Captopril, Enalapril, Losartan, Valsartan, Irbesartan, Telmisartan, etc.), or diuretics, too warm a climate may lead
to low blood pressure due to excessive salt and water loss. Lastly, small group traveling is preferred – may stop as required;
when flying, remember to exercise legs; a sub-cutaneous jab of low-molecular weight heparin just before flying helps to prevent
clots. Above all, have adequate rest.