xov xwm

Ntshav siab tseem yog qhov tseem ceeb ntawm kev pheej hmoo rau kab mob plawv thiab mob stroke.Cov kev cuam tshuam tsis yog tshuaj noj xws li kev tawm dag zog zoo heev hauv kev txo cov ntshav siab.Txhawm rau txiav txim siab qhov kev tawm dag zog zoo tshaj plaws rau kev txo cov ntshav siab, cov kws tshawb fawb tau ua qhov loj-loj-rau-pair thiab network meta-kev tshuaj ntsuam ntawm 270 randomized tswj kev sim nrog tag nrho cov qauv loj ntawm 15,827 tus neeg, nrog cov pov thawj ntawm heterogeneity.

Qhov kev pheej hmoo loj tshaj plaws ntawm kev kub siab yog tias nws yuav ua rau mob plawv thiab mob hlab ntsha tawg, xws li mob hlab ntsha hauv hlwb, mob hlwb infarction, myocardial infarction, angina pectoris thiab lwm yam.Cov kab mob plawv thiab hlab ntsha no yog tshwm sim sai, mob me me lossis txo lub cev muaj zog, hnyav tuag, thiab kev kho mob nyuaj heev, yooj yim rau rov qab.Yog li ntawd, kev mob plawv thiab mob hlab ntsha hlwb tsom rau kev tiv thaiv, thiab kub siab yog qhov kev txhawb siab loj tshaj plaws ntawm kev mob plawv thiab mob hlwb.

Txawm hais tias kev tawm dag zog tsis txo cov ntshav siab, nws muaj txiaj ntsig zoo rau kev tswj ntshav siab thiab ncua kev loj hlob ntawm cov ntshav siab, yog li nws tuaj yeem txo qhov tshwm sim ntawm cov hlab plawv thiab cov hlab ntsha.Muaj cov kev tshawb fawb soj ntsuam loj hauv tsev thiab txawv teb chaws, thiab cov txiaj ntsig tau zoo ib yam, uas yog, kev tawm dag zog tsim nyog tuaj yeem txo qhov kev pheej hmoo ntawm kev mob plawv thiab mob hlwb los ntawm 15%.

Cov kws tshawb fawb tau txheeb xyuas cov pov thawj uas txhawb nqa cov ntshav siab txo qis (systolic thiab diastolic) cuam tshuam ntawm ntau hom kev tawm dag zog: aerobic exercise (-4.5/-2.5 mm Hg), dynamic resistance training (-4.6/-3.0 mm Hg), kev cob qhia ua ke. (aerobic thiab dynamic resistance kev cob qhia; -6.0/-2.5 mm Hg), kev kawm siab siv sij hawm (-4.1/-2.5 mm Hg), thiab isometric ce (-8.2/-4.0 mm Hg).Hais txog kev txo cov ntshav siab, isometric ce yog qhov zoo tshaj plaws, ua raws li kev cob qhia ua ke, thiab hais txog kev txo cov ntshav siab diastolic, kev kawm tiv thaiv yog qhov zoo tshaj.Systolic ntshav siab poob qis heev hauv cov neeg mob ntshav siab.

Qhov kev tawm dag zog zoo li cas rau cov neeg mob ntshav siab?

Nyob rau lub sijhawm ntawm kev tswj ntshav siab ruaj khov, ua raws li 4-7 lub cev qoj ib ce hauv ib lub lis piam, 30-60 feeb ntawm kev siv lub cev muaj zog txhua lub sijhawm, xws li dhia, taug kev ceev, caij tsheb kauj vab, ua luam dej, thiab lwm yam. sib txawv ntawm ib tug neeg mus rau ib tug neeg, noj daim ntawv ntawm aerobic thiab anaerobic ce.Koj tuaj yeem noj aerobic ce yog qhov tseem ceeb, kev tawm dag zog anaerobic ua ntxiv.

Kev siv zog ntawm kev tawm dag zog yuav tsum sib txawv ntawm ib tus neeg mus rau lwm tus.Txoj kev siab tshaj plaws ntawm lub plawv feem ntau yog siv los kwv yees qhov kev siv zog ntawm kev tawm dag zog.Qhov kev siv zog ntawm kev siv zog nruab nrab yog (220-hnub nyoog) × 60-70%;Kev tawm dag zog siab yog (220- hnub nyoog) x 70-85%.Kev siv zog nruab nrab yog tsim nyog rau cov neeg mob ntshav siab uas muaj lub luag haujlwm cardiopulmonary.Cov tsis muaj zog tuaj yeem tsim nyog txo qhov kev siv zog ntawm kev tawm dag zog.