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Cardiac Rehabilitation

Cardiac Rehabilitation

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Published by Sandeep Joy

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Published by: Sandeep Joy on Apr 20, 2011
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,d v/;u tks Xokfy;j ds pqfuaUnk vLirky ds ,fUtksIykLVh ds ejhtksa e lEcfU/kr iquZokl Kku dhsa fofM;ks } f'k{kk ds izHkko dks vkad lds

g~n ;
‡ g~n; ,d ekalisf'k; vax gs tks lc izk.kh;ks esa jDrokgd raU= ds lkFk ik;k tkrk gsA ;g gekjs 'kjhj ds lHkh vaxksa esa jDr igqWpkus ds fy, mrjnk;h gsA ‡ g~n; dk lEiq.kZ Hkhrjh Hkkx 4 d{kksa esa foHkkftr gs ,oa bldk vkdkj Loa; ;kuh O;fDr fo'ks¶k dh eqVBh ds vkdkj dk gksrk gsA

mrjnk. isf'k.dksjksujh /kefu dksjksujh /kefu jDr dks g~n.k igqWapkus ds fy.h gsA .

?kkr~ dh vksj .g dksjksujh ufydk ds vUnj ds fjDr LFkku dks de ftldk ijh.c<k gqvk dksyslVjksy dk Lrj dksjksujh ufydk dh vUnj dh nhokj ij olh. FkDdks dk teko djrk gsA .kke jDrkYirk gs tks dh g~n.

fUt.ksIykLVh og rduhd gs ftles ldjh ufydk d .qc Mkydj Qqyk.fUt.d V.k tkrk gs ftlls jDr dk izo c< tkrk gsA .ksIykLVh : ..

ksIyk LVh ..fUt.

k gs ? .g~n. lEcfU/kr iquZokl D.

lEcfU/kr iquZokl g~n.kj djrk gs .d leqfpr dk.s j[krk gsA .g .oa ijkeZ'k n~kjk ejht dks mlds mre 'kjhfjd ] ekufld] O.k gs ftlesa fu.kZ . jksx nzkjk ykbZ xbZ lhekvksa ds ckotqn iq..oa lkekftd Lrj dks cuk. lEcfU/kr iquZokl .oa thoar thou thus ds fy.ke .g~n.fer O.oklkfhd .Zdze gs tks g~n. rS.d izfdz.

oRrk esa lq/kkjA 2 ejht dh visf{kr thoudky dks c<kukA . lEcfU/kr iquZokl ds mns'.g~n. 1 thou dh xq.

1 thou dh xq. jksx ds dkj.e~ dks <kyus esa ejht fd lgk.ke dk.k .oRrk esa lq/kkjA ‡ c<rs dze esa 'kjhfjd fdz.oa mipkj ds ckjs esa ejht o mlds ijhokj dks f'f{kr djukA ‡ viuh lhekavksaa .k.oa gkss jgs u.ZdzeA ‡ dksjksujh g~n.s cnykvksa ds vuqlkj Lo.rk djukA .k] jksdFkke .oa O.

oa 'kY.2 ejht dh visf{kr thoudky dks c<kukA ‡dksjksujh /kefu jksx ds tksf[keksa dks isgpkuuk . iquZokl dk. mipkj dks vuqdwy cukukA ‡ g~n.Zdze MkWaDVj ds ijkeZ'k ls gh fd.A .oa <kyukA ‡ fpfdRlk .?kkrksa dh xqUtkb'k ls ctkoA ‡tfVyrvksa ls cpusa ds fy.k tk.

k.ke~ fo¶ks'kK ‡ fQft. lEcfU/kr iquZokl ny ds ln ‡ g~n. lEcfU/kr ulZ ‡ O.ks FksjsfiLV ‡ O.olkf.g~n.d FksjsfiLV ‡ vkgkj foKku fo¶ks'kK ‡ lkekftd dk.ZdrkZ .

k & ns[kjs[k esa r~rh.k & vLirky esa n~rh. pj.k izFke pj.g~n.s j[kus dk pj.k . pj. lEcfU/kr iquZokl ds pj.k & cuk.

k] O.k esa g~n.k & vLirky esa bl dk.oa iquZoklu izfdz.Zdze dk vkjEHk rHkh gks tkrk gs tc ejht vLirky es izFke pj.d lnL.fDrxr izksrlkgu ejht ds ijhokj dks f'k{kk nsuk 'kkfey gsA .izFke pj. lEcfU/kr iquZokl ny ds . ls eq jksx dh tkudkjh .

k og n~rh. pj.n~rh. pj.k & ns[kjs[k esa ‡ ftu ejhtksss dh vLirky ls NqVh gks xbZ .oa /kj esa 2&6 lIrkg dk lokLFk ykHk fy.k dk iquZoklu ?kj ij dj ldrs g .

lEcfU/kr iquZokl fLrfFk cuk.kZ tho pyrk jgrk gsA O. pj.k.r~ lIrkg es rhu ckj j[kk tkrk gsA .r~rh.k ‡ r~rh. lkekU.s j[kus dk pj.k & cuk.k dk g~n.s j[kus dk pj. pj.k gs tks dh ejht ds iq.ke~ dk le.

O.ke~ .k.

ke~ dks csgrj <ax ls djukA ‡ iqjs thoudky~ bu O. xfr ds O.A ‡ ns[kjs[k esa gksus okys O.‡ fuf¶dz.ke~ rd /khes&/khes c<uk pkfg.keksa~ dks djrs .k. xfr ds O.ke~ ls LorUrz O.k.k.k.k.ke~ rdA ‡ fcLrj ij cSBdj [kMs gksdj dh tkusokys O.ke~ ls lfdz.k.

ke~ O.k.k O.ke~ .k.izFke pj.

ke~ . pj.n~rh. n~rh.k.k O.

pj.k O.k.ke~ .r~rh. r~rh.

af=r 'kDdj dh jDr sa ek=zkA ‡ jDr esa dksysLVjksy dh de ekrzkA ‡ jDrpki~ ij fu. .fer 'kjhfjd fdz.oa Oktu c<us ls cps .kA ‡ Oktu ?kVka.g~n.oa fu.a=. lEcfU/kr iquZokl ds v ‡ lUrqfyr Lgh vkgkj .k enn~xkj lkfcr gk vkgkjA ‡ fu.

oa vukt .Qy] lcft.ka .

dks iqjk djrs gsaA ‡ iq.oa dksysLVjksy ugh gksrk rFkk blesa vf/kd ek=k esa js'ks ik.ksx djsaA budk mi.s tkrs gsaA xasgq dh jksVh] Hkqjs pkoy iq.ksa fd rjg iq. lqpd i= i<saA larzIr olk] dksysLVjksy] lksfM.o lcft. ekWal ds vis{kk larzIr olk dh ek=k de ikbZ tkrh gsA ‡ loLFk vkgkj ds pquko esa lgk.ka dk lsou djsa ] 2000 dsyksjh dk vkgj xzg.kZ&vukt vkgkj esa Hkh larzIr olk . ekWal ds vis{kk eqxsZ] eNyh dk lsou djsaA buesa vU.oa esa lcft.kZ&vukt vkgkj dk vf/kd lsou djsa% Qy .ka .k lqjteq[kh dk rsy mi.e~ vkfn dh ek=k ns[ksaA .loLFk vkgkj ds 5 ‡ Qy .k&vukt ‡ tSrqu] jkb] eDds] .rk ds fy.ksx lhfer j[ksaA ‡ vU.o Qyksa dk jl bl y{.ka dk vf/kd ek=ky{.lsou djsa% 4&5 ckj Qy .o lcft.k djsA lcft.

ksa MCcs cU/k vkgkj esa lksfM. rktk Hkkstu djsa D. lkexzh esaa lksfM.e~ .ksa dh fuf¶dz.kj [kkn~.e~ .‡ vkgkj esa ued dh ek=k dks de djsaA ‡ MCcs cU/k vkgkj ds ctk. inzkFkksa dks ysa ftuesa de es de ued bafxr gksA ‡ viuh nokbZ.oa ued dh ek=k vf/kd gksrh gsA ‡ mu rS.

oa nqX/k nqX/k inzkFkZ ‡ olk jfgr .k de olk okyk nqX/k dk pquko djsaA ‡ mu nqX/k ls cpsa ftuesa Lokn feyk.oa dsyksjht feyhbZ tkrh gsA ‡ olk jfgr .k x.oa nqX/k .k gks tsls ouhyk] pksdysV] LV~jkscsjhA buesa lkekU.k de olk okys pht~ dk pquko djsaA .nqX/k .r 'Ddj .

Ms dh lQsnh esa dksysLVjksy ugh gksr rFkk .Ms ‡ g~~n.Ms v.Ms dh tjnh dk lsou lIrkg esa 2 ckj rd lhfer djsaA ‡ v.g izksVhu dk .v. jksx ds ejht v.d vPNk l=ksr gsA .

k Hkquh eNyh de ls de lIrkg esa 2 ckj [kkWa.ssa izksVhu vlarzIr olk ds vP j[ksa buesa dsyksjht vf/kd gksrh gas blfy. eksVs xgjs jax ds ekal iSj . irys gyds jax ds ekal Nkkfr dk pquk ctk.aA ‡ ryh gqbZ eNyh ls nqj jgsa buesa olk dh ek=k vf/kd gksrh gsA ‡ iksYV~h ekal dks [kjhnrs le.kchu .oa iksYV~h] eNyh ‡ fldh .A ‡ eNyh ds lkFk [kkus ds fy.k elqj dh nky 20 xzke iksYV~h] ekal .oa tkWa?k dsA fcuk peMh okyk e Loa. fuaEcq dk jl elkyksa dk pquko djsaAfdze lksl~ u feyk.d di idk gqbZ eVj] lse] lks. vyx dj ysaA ‡ . budk lsou lhfer #i ls js .iksYV~h] ekal .oa eNyh ds cjkcj gksrk gs ‡ cknke vknh .oa chtksa dks pqusA .

k] jkb] eDdk .oa QkQ ‡ csdjh inkFkksZ ls cpsaA de olk] de lksfM.czsM . dsd&fcLdqV ysaA .oa flds inkFkZ ‡czsM .kZ vukt] js'ksnkj c xsagqa] tb] tb dk nfy.oa flds inkFkZ& iq.

oa rsy dh [kjhn o mi.ksx lhfer djsaA ‡ vxj mi.y] eD[ku vknh ls nqj jgsaA ‡ ukWu fLVd ik= dk [kkuk idkus esa .oa U.ksx djsaA ‡ ukjh.qfure larzIr olk .rsy ‡ olk .qfure dksysLVjksy okyk rsy mi.ksx Hkh djuk gh iMs rks U.

k rksss g~n.?kkr~ gks ldrk gs ftldk eryc gs g~n.tfVyrk ‡ vxj cpko dk. dksf'kdkvksa dh LFkkbZ e~R.Zdze dk vuqlj.qA .k x.k ugh fd.

ksIykLVh ds 2ls 3 lIrkg ds ckn .ksu g~n.k dh tk ldrh gsA .?kkr ds g~n.ksu fdz.. fLrfFk esa .fUt.?kkr i'pkr~ lkekU.

g.Anti-anginal drugs e. Nitroglycerine Anti-anginal drugs can be used ‡ before facing an unpleasant situation or heavy meal ‡ Before starting a walk in cold weather or sexual relation ship .

cpko dksbZ ruko ughA 'kjkc ugh /kqeziku ugh out ?kVka. .

?kkr~ ij izHkkoA ‡ /kqeziku ds le.oa olk ds jDr ufydkvksa esa ?kql dj te tkrs gsa ftlls og ldjh gks tkrh gsA jDr ufydkvksa ds ldjs gksus ij lEiq.xs a? .oa g~n. jksxksa ls cpus dk lcls vki Fdru k ft./kqeziku dk g~n.?kkr~ g~n.kZ 'kjhj esa vkWDlhtu dk izokg de gks tkrk gs ftlesa efLr¶k .?kkr~ gqvk og lHkh /kqeziku djrs FksA ‡ g~n. u'hys inkFkZ . 'kkfey gsaA ‡ 90 izfr'kr yksx ftUgsa 40 dh mez ls ifgys g~n.

.

k.sa Come for the regular follow up care ‡ MkWDVj ds fuZns'k dk ikyu djsaA ‡ fu.fuZns'k ‡ fu.fer #i ls O.fer #i ls vLirky vk.ke~ djsaA ‡ dqN vugksuk gksus ij rqjUr lqfpr djsaA ‡ vLirky dk Qksu uEcj vius ikl j[ksaA .

cpko ges'kk mipkj ls mre~ mre~ gsA .

bZ'oj vkidks loLFk j[k .

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