nkhani

Hypertension imakhalabe chiwopsezo chachikulu cha matenda amtima komanso sitiroko. Njira zopanda mankhwala monga kuchita masewera olimbitsa thupi zimathandiza kwambiri kuchepetsa kuthamanga kwa magazi. Kuti mudziwe njira yabwino yochitira masewera olimbitsa thupi kuti muchepetse kuthamanga kwa magazi, ochita kafukufukuwa adachita kafukufuku wambiri pawiri-to-pawiri ndi ma network meta-analysis of 270 randomized controlled trials with a total sample size of 15,827 people, with umboni wa heterogeneity.

Chiwopsezo chachikulu cha matenda oopsa ndikuti chidzawonjezera kwambiri ngozi zamtima ndi cerebrovascular, monga kukha magazi muubongo, infarction ya ubongo, infarction ya myocardial, angina pectoris ndi zina zotero. Ngozi zamtima ndi cerebrovascular izi zimachitika mwadzidzidzi, kulemala pang'ono kapena kuchepetsa kwambiri mphamvu zathupi, kufa kwambiri, ndipo chithandizo ndizovuta kwambiri, zosavuta kubwereranso. Chifukwa chake, ngozi zamtima ndi cerebrovascular zimayang'ana kwambiri kupewa, ndipo kuthamanga kwa magazi ndizomwe zimayambitsa ngozi zamtima ndi cerebrovascular.

Ngakhale kuchita masewera olimbitsa thupi sikuchepetsa kuthamanga kwa magazi, ndikofunikira kwambiri kukhazikika kwa kuthamanga kwa magazi ndikuchedwetsa kukula kwa matenda oopsa, kotero kumatha kuchepetsa mwayi wa ngozi zamtima ndi cerebrovascular. Pali maphunziro akuluakulu azachipatala kunyumba ndi kunja, ndipo zotsatira zake zimakhala zofanana, ndiko kuti, kuchita masewera olimbitsa thupi moyenera kungachepetse chiopsezo cha ngozi zamtima ndi cerebrovascular ndi 15%.

Ofufuzawa adapeza umboni womwe umathandizira kwambiri kutsika kwa magazi (systolic ndi diastolic) zotsatira zamitundu yosiyanasiyana yolimbitsa thupi: masewera olimbitsa thupi (-4.5 / -2.5 mm Hg), maphunziro olimbana ndi mphamvu (-4.6 / -3.0 mm Hg), maphunziro ophatikiza (aerobic ndi dynamic resistance training; -6.0 / -2.5 mm Hg), high-intensity. (-8.2/-4.0 mm Hg). Ponena za kuchepetsa kuthamanga kwa magazi a systolic, masewera olimbitsa thupi a isometric ndi abwino kwambiri, otsatiridwa ndi maphunziro ophatikizana, ndipo ponena za kuchepetsa kuthamanga kwa magazi a diastolic, maphunziro otsutsa ndi abwino kwambiri. Kuthamanga kwa magazi kwa systolic kunatsika kwambiri mwa anthu omwe ali ndi matenda oopsa.

Ndi masewera otani omwe ali oyenera odwala matenda oopsa?

Mu nthawi ya khola kulamulira kuthamanga kwa magazi, kutsatira 4-7 zolimbitsa thupi pa sabata, 30-60 mphindi zolimbitsa thupi zolimbitsa thupi nthawi iliyonse, monga kuthamanga, kuyenda mofulumira, kupalasa njinga, kusambira, etc., mawonekedwe a thupi akhoza zimasiyana munthu ndi munthu, kutenga mawonekedwe a aerobic ndi anaerobic thupi. Mutha kutenga masewera olimbitsa thupi ngati gawo lalikulu, masewera olimbitsa thupi a anaerobic ngati chowonjezera.

Kuchuluka kwa masewera olimbitsa thupi kumafunika kusiyanasiyana munthu ndi munthu. Njira yopambana kwambiri ya mtima imagwiritsidwa ntchito poyerekezera kukula kwa masewera olimbitsa thupi. Kuchuluka kwa zolimbitsa thupi zolimbitsa thupi ndi (220-zaka) × 60-70%; Kuchita masewera olimbitsa thupi kwambiri ndi (220- zaka) x 70-85%. Kuthamanga kwapakati ndi koyenera kwa odwala omwe ali ndi matenda oopsa omwe ali ndi vuto la mtima. Ofooka amatha kuchepetsa kulimbitsa thupi moyenerera.