How to support the heart of an elderly person in the heat. What to do with hypertension in the heat? Treating hypertension with heat

June this year has already broken temperature records and became the hottest in the last 30 years. Extreme hot weather It is poorly tolerated by a healthy person, not to mention those who have problems with the cardiovascular system. In such weather, people with heart disease “would at least be able to stand for a day and hold out for the night.”

The head of the cardiorheumatology department told Sputnik how you can help your body in the heat and how to minimize risks. medical center"Lode" Andrey Mistyukevich.

Who to watch out for

- Andrey, explain why Belarusians endure 30-degree heat so hard?

Extremely hot weather is difficult for everyone who lives in our region. The concept of heat in climatology is defined through the upper percentiles (95-99%) of the long-term distribution of average daily air temperature. The duration of a heat wave, according to the literature, is usually 2-5 days.

Any body reacts to heat by dilating blood vessels and, as a result, falling blood pressure

Genetically, we are adapted to mild summer temperatures up to +25..+27°C, so the record levels to which the thermometer can rise today are not in vain for the cardiovascular system and the body as a whole, and especially taking into account the air humidity in our region.

When the temperature rises above +28°C and lasts for more than three days, even healthy people may experience problems: the pulse quickens, shortness of breath and a feeling of lack of air appear (fumes from asphalt, exhaust gases and smog force the body to work in a chronic lack of oxygen mode), dizziness, chest tightness, etc. And in people suffering from chronic diseases of the cardiovascular system, the disease may worsen.

In most studies, the increase in mortality from CVD (cardiovascular diseases - Sputnik) during heat waves is close to 10%.

- Who is at risk in such weather?

In terms of the cardiovascular system, patients suffering from:

coronary heart disease - disease blood vessels, supplying blood to the heart muscle;
cerebrovascular disease - a disease of the blood vessels supplying blood to the brain;
peripheral artery disease - disease of the blood vessels that supply blood to the arms and legs;
rheumatic carditis - damage to the heart muscle and heart valves as a result of a rheumatic attack caused by streptococcal bacteria;
congenital heart defects - deformations of the structure of the heart existing from birth;
deep vein thrombosis and pulmonary embolism - the formation of blood clots in the leg veins that can dislodge and move towards the heart and lungs.
disturbances of heart rhythm and conduction (atrial fibrillation, extrasystole, various heart blocks).

In addition to heart patients, people with overweight (obesity) become dependent on high temperatures, which is also an additional risk for the body and, in particular, the cardiovascular system.

I would also note people suffering from functional disorders of the autonomic nervous system, so-called vegetative-vascular dystonia. As a rule, these are teenagers and young people.

Children do not tolerate heat well - the younger the child, the worse they adapt

They may also experience cardialgia, rhythm disturbances, unstable blood pressure numbers, headache, weakness, feeling of shortness of breath, etc.

Children do not tolerate heat well. How younger child, the worse it can adapt to temperature changes. Because the child’s adaptation mechanisms are not yet perfect.

Do not stop treatment under any circumstances

- Has your flow of patients increased in the heat?

We always have a lot of patients. But in the heat, the structure of requests changes somewhat. Patients with complaints, which are often associated with exposure, come first. extreme temperatures environment.

There are more patients whom we send for emergency indications to cardiology departments - with rhythm disturbances, decompensation of chronic heart failure, acute coronary insufficiency...

- Which ones? alarm bells"Should core workers pay attention?

Patients with chronic diseases should clearly understand: you cannot stop taking the drug prescribed by your doctor. Paradoxically, sometimes in hot weather the pressure becomes lower. What does the patient do? He says: “I am cured of hypertension!” And stops taking medications. After some time, an exacerbation of a chronic disease occurs - a hypertensive crisis may develop, coronary insufficiency may progress, etc. And in such situations, especially in the heat, exacerbations of chronic diseases are more severe. Therefore, if there are changes in the patient’s objective status, consultation with a cardiologist is necessary.

You should also make an appointment with your doctor if:

a person’s lower or upper blood pressure has changed while taking medications;
For some reason, your blood pressure begins to increase slightly every day;
the man noticed that his pulse was not just fast - it was also irregular. And this is accompanied by a feeling of lack of air, dizziness. Such symptoms may be a harbinger of serious heart rhythm disturbances;
shortness of breath increased;
the pain in the heart area has increased, the intensity of the pain has changed, the nature of the pain has changed, the tolerance to physical activity has decreased;
swelling of the lower extremities appeared or increased.

How to escape the heat

I always tell my patients: when it’s hot, you have to plan your day. Walking is necessary, but it needs to be reduced. You should go for a walk when there is no intense sun - it is active from 12:00 to 18:00.

With an increase in body temperature by one degree, the number of heart contractions in a person increases on average by 10 beats. If the patient's pulse becomes 20% higher than the original, this can provoke acute coronary pathology.

Therefore, in hot weather, it is better for cores to be in a ventilated area. There is a possibility - use air conditioning. But it's important not to overdo it. If it is +30°C outside, set the air conditioner to +23°C. It seems that it is not cold, but your body will get used to it, and you will be able to tolerate these changes more easily.

Even though you want to cool down, core patients should not jump into the water

I would also note that our people do not know how to dress properly in the heat. Look at the Arabs who wear closed clothes. After all, this is no accident. A protective buffer appears between the body and clothing. There is no active sun exposure to the skin. This allows the body to work more balanced. But you should use only natural fabric, for example, cotton or linen.

The opinion that in summer it is better to wear white or beige clothes, outdated. Spanish scientists from the University of Catalonia claim that rich dark colors absorb ultraviolet rays much better than light ones. The colors that protect most effectively from harmful ultraviolet radiation are dark blue and red.

As for water, all these contrast showers, dousing, jumping into cold ponds are dangerous for the core - he can easily get an angina attack.

Contrast showers and douches in the heat can lead to angina pectoris

In the heat, you cannot weed the beds by bending over and lowering your head. This position disrupts the flow of blood from the head and can cause a rise in blood pressure, including loss of consciousness and stroke.

Remember the work schedule: work for 30-40 minutes, rest for 15-20 minutes. If you experience shortness of breath, interruptions in heart function, weakness, dizziness, or even worse - chest pain, immediately stop any activities. It is best to work in the morning before 10-11 o'clock and after 16 o'clock.

Don't forget about a hat and sunglasses.

Where to escape the heat

It is best for a heart patient to spend his holidays in the latitudes to which he is accustomed. Go not to Turkey, but to the Baltic states or a Belarusian sanatorium.

But if a person has already bought a ticket to a hot resort, then you need to remember that you cannot be in direct sunlight for more than 15-20 minutes. Hats and sunglasses are required, because eye strain has an adverse effect on the entire body, including the functioning of the heart.

For those who have heart problems, it is better to rest in familiar latitudes

A sharp change in climate for the core is always bad, but if you compare the change in climate from summer to summer or from winter to summer, then the second option is worse. You also need to understand that if you are planning a vacation, you don’t need to go for seven days. At least 14 days, and even better - 21. Because the body adapts at least 5-7 days. And during this time you go there and immediately back. This double strike on immunity and cardiovascular system.

- Do men and women tolerate heat equally?

The mortality rate for men from diseases of the circulatory system is 4.7 times higher than for women, from coronary heart disease - 7.2 times, from myocardial infarction - 9.1 times, and from cerebrovascular diseases - 3.4 times.

Men have more risk factors because they smoke and drink alcohol more often. Smoking is an extremely powerful risk factor for the development of cardiovascular diseases.

What should not be in the refrigerator?

In hot weather, it is better to avoid heavy, fatty foods if possible. Prohibited are products with uncontrolled salt content, including sausages. Salt is fluid retention in the body. Any alcoholic drinks prohibited.

Include more fresh fruits and vegetables and herbs in your diet.

It is important to remember the need to replenish fluid reserves in the body - heart problems are associated with its large loss. And the higher the air temperature around, the more actively you need to replenish fluid reserves in the body. But do it right. The most comfortable temperature for the body is +20..+24°C.

The volume of fluid consumed depends on the following items: how much a person moves, how much he is used to drinking in normal weather, how long he is in the heat. That is, if a person in the heat is on fresh air and physical activity is small, then, apart from loss through the skin and lungs, water is not particularly consumed. This means that the volume of liquid can be approximately 1.5-2 liters per day. Of course, if it’s +35°C outside, then these losses may increase. If a person moves intensely, he can drink 3-3.5 liters of water so that the temperature does not affect the heart.

It is necessary to replenish fluid reserves in the body, but its amount is purely individual

Drinking too much water is also not a good idea: it can cause an exacerbation of chronic heart failure. Patients with this diagnosis are very sensitive to this. Against the background of fluid retention, an increase in blood pressure, vasospasm, etc. occur.

Usually we have to replace the water that we lose, plus 10-15%.

When to call an ambulance?

If a person experiences heart pain for the first time.
Shortness of breath appears or worsens.
The number of painful attacks has increased. For example, there was one attack a day under some kind of stress, but now there are two, three, four... Even if they are eliminated by taking nitroglycerin, this indicates that there is some kind of destabilization.
In patients with arterial hypertension, symptoms of a crisis may include high blood pressure and headaches, weakness, dizziness, shortness of breath, and heart pain.

Participants in the conference: Myasnikov Alexander Leonidovich

Summer is a real test for those who do not like heat and, of course, for people suffering from heart disease. The latter know exactly what needs to be done at this time of year special attention even for minor ailments. How to survive the heat in the city and on vacation? What precautions should not be forgotten when being in the sun, even for healthy people? What to do if the person next to you feels ill or you yourself find yourself a victim of the summer heat? We talked about this and much more with a family doctor, cardiologist, TV presenter and author of the book “How to Live Longer than 50: An Honest Conversation with a Doctor about Medicines and Medicine” - Alexander Leonidovich Myasnikov.

Answers:

Myasnikov Alexander Leonidovich 20:19 06/13/2013

Question: linaice1 18:11 05/13/2013

How to protect cores from heat?

Answers:

Myasnikov Alexander Leonidovich 20:25 13/06/2013

I have already said: do not attribute the patient’s condition to the weather and age. The weather is, of course, a provoking factor. Therefore, one thing is important for the patient - to turn on the brain. If a core person goes into the sun and sunbathes, stands in the garden with his head down in the sun, sweats, gets dizzy, and he continues to weed his garden bed, it is clear that this person is unreasonable. If there is an aggressive environment (heat), then you need to somehow escape from it. But the most important thing is to take your medications regularly. Previously, in Soviet times, there was such advice in the weather forecast: “The weather today is such and such. Advice for heart patients: take the medications your doctor prescribed for you.” It seems banal, but it's true. It’s impossible without this. You must take your medications strictly. At the dacha we forget them, skip doses, thinking that since I’m outdoors, I don’t need them. Or they didn’t take enough and forgot to buy it. This is wrong. If you left for 20 days, take medicines for 25 days with you. This is the first. Second. If you are in some unfavorable conditions, such as heat, keep an eye on dehydration. It just seems like you are drinking normally and not running to the toilet. The kidneys are the first to suffer. This is compensatory. Water disappears, the kidneys stop working, they want to retain fluid in the body. Therefore, watch your water consumption. If you have some kind of heart disease, for example, coronary heart disease, angina attacks, you can coexist with this. I once told patients this: “If you have already been diagnosed with heart disease, you should take all the prescribed medications, but remember that there is a man with an ax following you. He's behind you, and it's unclear when he'll hit you on the head. Therefore you must be careful. Don't run after a trolleybus, get on another one. Not because something will happen, most likely everything will be fine, but remember about the man with an ax in the back. If you want to sunbathe, swim, again think about whether you should do it, because, most likely, you can get away with it, but you already have altered blood vessels. Mild dehydration can increase blood viscosity and lead to a heart attack. Some kind of stress can change the functional state of platelets, they will begin to stick to each other and block the blood flow in the heart, forming a blood clot. They put a stent in you and gave you medicine, but we did our part, and you should do yours. Don’t get into trouble, because you are at risk, the same notorious man with an ax is behind you. You could get hit at any second. Therefore, think. Don’t think that if you had heart surgery or were given pills, then you are now healthy. Nothing of the kind. Do your part, because we do part of the work, the patient does part of the work. And everything else is from the Lord God.”

website Conference presenter 20:28 06/13/2013

You said about the diet that we exclude sausages. Any other dietary recommendations for heart patients in the summer?

Myasnikov Alexander Leonidovich 20:28 06/13/2013

The basis should be vegetables and fruits. Fiber must be included, which is contained in large quantities. It is advisable that the menu include seafood. If someone does not like or cannot eat fish, they can take vitamin D, it is now sold as Omega-3 (fish oil capsules). It would be good to eat a clove of garlic a day. I understand that there is a smell. In many countries it is sold in pharmacies without any odor. Garlic contains a large amount of flavonoids, which have a protective effect on the heart. It is also found in dark chocolate. Therefore, one cube of dark chocolate (at least 70% cocoa content) per day is an acceptable substitute for garlic. This also includes nuts, especially almonds, because they not only inhibit the growth of cholesterol, but even lower it. Therefore, it is believed that 70 grams of nuts per day are mandatory for the core. Any oils should be only liquid, with an emphasis on olive oil. Salo, butter, cheese, ice cream should be limited. Fat is different from fat. Roughly speaking, those fats that flow can be eaten; those that are on the table cannot be eaten. General sign for the core: what is tasty is not allowed. Cholesterol gives the product its taste.

Question: Irina t 22:48 13/05/2013

Good afternoon I constantly take pills for high blood pressure. When I go outside in the sun I immediately feel nauseous. The heat is very difficult to bear. What to do. I am 45 years old.

Question: Maria Alexandrovna 14:42 05/15/2013

Hello, please tell me what you should never do in the heat so as not to harm your health. What emergency aid can be used independently if the victim is in a pre-fainting state or has lost consciousness. Thanks in advance for your answer.

Answers:

Myasnikov Alexander Leonidovich 20:32 06/13/2013

If heart pain develops, the first thing to do is call ambulance. Second, chew an Aspirin tablet. Third. If you have already taken Nitroglycerin and you suspect that it is heart pain, then take Nitroglycerin. But keep in mind that if you have low blood pressure or heart pain for some other reason, this can only worsen the situation because it will cause a decrease in pressure. The man fainted - his blood pressure dropped sharply. "Nitroglycerin" can in such a situation lead to severe consequences. If a person simply faints, then provide him with access to air. Be sure to turn him on his side, because often the person is lying on his back, we try to give him water, which can cause aspiration, and we will only make it worse. Don't try to give him any pills. Turn it on its side and leave it that way. You can lift a person’s legs, but the most important thing is not to make the situation worse. If a person does not have a pulse or blood pressure, then the sooner you start chest compressions and artificial respiration (which all citizens of the country should be trained in), the greater the chance of saving a life. If there is a pulse, breathing, in America the police begin to twist the ear or apply some kind of painful stimulus, because the painful stimulus brings a person to his senses. You need to put the person on his side, if he suddenly develops vomiting, so that he does not choke, do not try to give him any pills, make sure that he is breathing, that he has a normal pulse, unfasten the constricting clothing, give air access and call an ambulance. 60% of people with a myocardial infarction die within the first 60 minutes. Therefore, assistance must be provided on time. The sooner the ambulance arrives, the better. Today, the ambulance ride is 10 minutes, and it will bring the patient to where there is a cardiac intensive care unit, and not through the emergency room, where they will ask: where did you pick him up, and who are the relatives, and where are the registrations, but straight to the doors of the cardiac intensive care unit, where first They will provide assistance, and then they will find out where, what and how.

Question: Alla Dmitrievna 13:31 16/05/2013

Hello! I take Niperten 2.5 mg and Prestarium 1.25 mg in the morning. Is it possible to refuse any drug, because... Does your blood pressure drop when it's hot? I am 49 years old and have had diabetes for 33 years.

Question: Shahriyor 14:32 16/05/2013

Hello, I am 36 years old and a month ago I was diagnosed with coronary artery disease, angina pectoris. Sometimes there is shortness of breath from oxygen starvation, and blood pressure rises and falls. I live in Tashkent, where in summer the temperature reaches up to + 45 degrees. How can I prevent myself from problems that may arise from the heat?

Question: Shapkarin Nikolay Vladimirovich 15:18 05/16/2013

I read about air conditioning in the comments. For example, I have air conditioning both at home and at work, most of the day and night I am in a comfortable +18 - +20 C. But the journey to work and back takes more than 4 hours a day, 2 hours or more one way by train ( which we don’t have air conditioning) and the metro is still cool, but by mid-summer it is also becoming a gas chamber. To me personally, this march to work and back seems like a real test, which would be easier to survive if the body was constantly in conditions of higher temperature and gradually adapted to it. An example is the residents of Tashkent, who during the New Year freeze at +18-+20 C and in the summer at +40 and above feel quite comfortable (I myself witnessed this).

Question: Antonina Mikhailovna 68 years old 18:36 05/16/2013

It’s very difficult to get a certificate and a medical card for a sanatorium while you’re undergoing examinations, there will definitely be a contraindication, wouldn’t it be easier to give the medical card and the doctor at the sanatorium will decide what procedures can be prescribed in Moscow, you can live in Moscow, but you can’t live in the Moscow region under the supervision of a doctor clean air and the conditions of rest are already treatment, thank you, I’m sorry, I can’t type

Question: Lyudmila and 18:44 05/16/2013

how to cope with the heat and even in another city for a heart patient and hypertensive patient who suffered a stroke 2 years ago

Question: Prokopchuk Vladimir 08:08 17/05/2013

I suffer from coronary artery disease, recently my sweating has increased sharply, this happens often, water pours from my face, head, and back. Is this related to IHD? And what to do in this case?

Question: Vladimir Prokopchuk 09:56 17/05/2013

After a heart attack I have arrhythmia. How to behave in hot weather? Can ventricular arrhythmia go away with correct selection medications?

Answers:

Myasnikov Alexander Leonidovich 20:37 06/13/2013

You wrote that you have ventricular arrhythmia, but with the right medication it can go away. But the question is how much is it necessary? Because today it is being debated whether it should be treated. Often, medications used to treat arrhythmia can provoke severe rhythm disturbances, sometimes leading to fatal outcomes. Therefore, we usually monitor the heart rate, and this is more of a symptomatic therapy, because the drugs themselves can be dangerous, and we prefer not to maintain the preventive rhythm. In hot weather, it is better to spend time in an air-conditioned room, walk less in the heat, and follow reasonable recommendations.

website Conference presenter 20:37 06/13/2013

Alexander Leonidovich, thank you very much. Friends, thank you for asking your questions! All the best!

Question: Galina Atamanova 11:16 05/17/2013

I have paroxysmal atrial fibrillation. What should I do in the heat so as not to provoke an attack? Thank you

Question: Vladimir Pudov 17:51 05/17/2013

Dear Alexander Leonidovich, I am 75 years old. I often have arrhythmia and angina. Now, in the heat, I feel very dizzy. But I have to go shopping, to the pharmacy, etc. What medications should I take with me to avoid loss of consciousness and, in general, not to fall back? Thank you!

Question: Sobolev Anatoly 20:10 17/05/2013

Good evening, Alexander Leonidovich! My mother is 83 years old, we live in the North. Caucasus - foothills (altitude 525 m above sea level). In accordance with her age, she has diseases of the cardiovascular system, brain, problems with the lower extremities (as she says, her legs bake). Our weather in summer is very changeable and recent years very hot. What lifestyle should she adhere to during this period of time? Thank you.

Answers:

Myasnikov Alexander Leonidovich 20:35 13/06/2013

We must adhere to a normal lifestyle. After all, your mother is already 83 years old. If these are, as you say, age-related problems, then they are not so acute. If a person is paralyzed, he cannot walk or speak, if he has shortness of breath, due to which he cannot move, you would probably write it wrong. Therefore, just a reasonable way of life. If your mother has been living in the North Caucasus for 83 years, then probably nothing new is happening for her this summer.

Question: Samoshina Galina Vasilievna 00:45 05/19/2013

Over the past three years, she has suffered four myocardial infarctions and three heart surgeries. The first, an attempt at stenting and angioplasty of the left coronary vessel, ended unsuccessfully. During the operation, thrombosis developed, resulting in a massive infarction on the same day. Six months later, the second attempt at stenting failed. Bypass surgery was refused. And yet, a little over a year ago, I had this heart surgery - CABG and MCS. After the operation, the recovery process was delayed, the surgical wound was not healing well. If the scar at the top of the chest has more or less healed, then below is a large kyloid scar that hurts. It’s difficult to bend over - shortness of breath, pulse 80-95, blood pressure is now often low. Because of the heat, my face sweats, I wash my face endlessly with cool water. I drink water in moderation, but the swelling does not subside despite the diuretics. I still prefer to move. do something, work as hard as you can. Maybe in the heat you need to lie down more?

I am 51 years old, in April I had a massive heart attack and PTCA of the RCA with implantation of the Coroflex Blue Neo stent. When I was discharged from the hospital, the doctor prescribed Plavix and said that substitutes should only be used if it is impossible to purchase the drug, but the doctor who sees me at my place of residence refused to prescribe this drug. What to do in this situation? It’s hot in Kuban, I often sweat, get tired easily, tingling behind the sternum and the pressure changes from 140/90 to 100/60, do I need sanatorium treatment and registration of disability, since I can’t work as a gas-electric welder? Upon discharge from the hospital, the doctor verbally recommended that another stenting operation be performed in six months. Who and how will determine the need for the operation?

Answers:

Myasnikov Alexander Leonidovich 20:34 13/06/2013

Plavix was prescribed absolutely correctly. It was not necessary to accept it less than a year. Therefore, the doctor who observed at the place of residence is wrong. The fact that you are experiencing symptoms of chest pain means that you need repeat angiography and, most likely, installation of a stent. Undoubtedly, the tactics are wrong. You need to check the patency of the stent that is already in place, and probably install other stents as well. You undoubtedly have the right to obtain disability registration. You need to do not resort treatment, but angiography and stent installation. It is necessary to understand that the stents that are in place require taking certain medications, not only Plavix, but also others, in particular those that lower cholesterol levels, etc.

Cabbage juice is a healthy life-giving drink that can provide our body with many necessary and beneficial substances. About what beneficial properties cabbage juice exists, and how to drink it correctly, we’ll talk in our article. Cabbage is one of the healthiest vegetable crops because it has very valuable properties. This product is tasty and nutritious, moreover, it is an affordable medicine that anyone can grow in their own garden. By eating cabbage, you can eliminate many health problems. Although everyone knows that due to the fiber contained in cabbage, this vegetable is difficult to digest, causing gas formation. To avoid such problems, it is healthier to drink cabbage juice, receiving the same beneficial substances contained in the vegetable.

Freshly squeezed cabbage juice contains vitamin C, which increases the body's resistance to infections. Scientists have calculated that in order to satisfy our body's daily need for vitamin C, you can eat about 200 g of cabbage. In addition, the vegetable contains the vitamin K we need, which is responsible for the full formation of bones, as well as blood clotting. Cabbage, and therefore cabbage juice, contains B vitamins and a very rich set of minerals, including iron, zinc, magnesium, phosphorus, calcium, potassium and other elements.

What is very nice for people losing weight is that cabbage juice is very low in calories (25 kcal per 100 ml). This is a diet drink that will help you lose excess weight. Cabbage juice has wound-healing and hemostatic properties. It is used externally, to treat burns and wounds, and for oral administration (to treat ulcers). Effectively use fresh cabbage juice to treat gastritis and ulcers. The effect is ensured by vitamin U contained in the juice. This vitamin helps regenerate cells in the mucous membranes of the stomach and intestines. The juice is used to treat hemorrhoids, colitis and inflammatory processes occurring in the stomach and intestines, as well as bleeding gums.

Cabbage juice is used as an antimicrobial agent that may affect some pathogens dangerous diseases, such as Staphylococcus aureus, Koch's bacillus and ARVI. Cabbage juice is also used to treat bronchitis; in particular, it can thin and remove mucus. For this treatment, it is recommended to take juice with honey to enhance the healing effect. Cabbage juice is also used to restore tooth enamel, improve the condition of nails, skin and hair. For diabetes mellitus, drinking cabbage juice can prevent the occurrence of skin diseases.

Cabbage juice should definitely be included in the diet of those wishing to lose excess weight, due to its low calorie content and high biological activity. At the same time, cabbage juice can fill you up very quickly without getting extra calories, and it also prevents the conversion of carbohydrates into fat deposits. Cabbage juice can normalize intestinal function by removing bile that has stagnated in the body, fights constipation and helps remove harmful substances from the body.

Since the juice contains folic acid, which helps conception and full development of the fetus, it is useful for expectant mothers to drink. Vitamins and minerals, contained in the juice, protect against infections and colds.

When consuming cabbage juice, you should follow the rules. Juice has contraindications and restrictions. The drink is capable of dissolving and decomposing toxins accumulated in the body, causing severe gas formation in the intestines, so you can drink no more than three glasses a day. You should start drinking it starting with one and a half glasses. For the reasons listed above, cabbage juice is not recommended in the postoperative period, if operations were performed in the abdominal cavity, and during breastfeeding, for gastritis with increased acidity, for kidney diseases and problems with the pancreas.

The world we live in often affects the state of our nervous system, since it is full of various stressful situations, chronic fatigue and systematic stress. However nervous system should be constantly monitored and not overexerted. To do this, you need to streamline your daily worries, for which you need to create and adhere to the correct daily routine, and, if necessary, attend a course of psychotherapy, yoga, auto-training and other activities. But most in a simple way relaxation is a simple cup of herbal tea, fragrant and warm. An excellent natural remedy for calming, which has a gentle effect on nerves worn out during the day, is drinking tea in the evening. Teas that relax the nervous system help eliminate irritability, nervous exhaustion and relax before going to bed, overcoming insomnia. We will talk about how tea calms the nervous system in our article.

Tea from a collection of fragrant herbs

To prepare this wonderful tea, you should take plants such as St. John's wort, peppermint, chamomile and hawthorn flowers in equal proportions. Grind the ingredients, then tbsp. l. pour boiling water over the mixture in a cup and leave for 30 minutes, covering with a lid. Strain the cooled infusion and add a small amount of honey. Drink while sleeping. This tea will easily calm your nerves, but it is recommended to drink it for no more than two months.

Linden tea

To prepare tea, mix dry linden and lemon balm flowers in equal parts, add a glass of warm water to the mixture, and boil for about five minutes. The broth is infused for 15 minutes, filtered, a spoonful of honey is added and taken for tea drinking. If you take this tea regularly, your nervous system will react more calmly to various unpleasant stimuli.

Peppermint tea with motherwort

Mix chamomile and motherwort herb 10 g each, add chopped mint 20 g, linden blossom, lemon balm and dried strawberries. Three tablespoons of the mixture should be poured into 1 liter of boiling water and left for up to 12 minutes. You need to drink the infusion throughout the day, adding a little jam or honey if desired. This infusion is not intended to completely suppress the nervous system, but only to gently calm it. This tea should be drunk for a long time, without the risk of adverse reactions that are harmful to health.

Simple soothing teas

Mix 50 g of hop cones and valerian roots, then brew a dessert spoon of the mixture with boiling water, leave for 30 minutes, filter. Drink in small portions throughout the day. It is better to drink a whole glass of this tea at night. The product quickly calms the nerves and helps in the fight against insomnia.

Mix peppermint herb and valerian roots in equal parts, then pour boiling water over a dessert spoon of this mixture, leave for half an hour and filter. We drink this tea in the morning and evening, half a glass. To enhance the effect, it is recommended to add a little anise or dill.

Melissa, valerian root and motherwort are taken in equal proportions and brewed in a cup. Then infuse and filter. You need to drink a dessert spoon of tea before meals.

Drinking half a glass of tea before meals, prepared according to the recipe below, can calm your nerves and improve digestion. To prepare it, you need to place 1 tsp in a half-liter jar. motherwort, hop cones and green tea, pour boiling water, leave for 12 minutes, strain. Add honey to taste.

Complex soothing teas

Mix peppermint, oregano, St. John's wort and chamomile in equal parts. Then brew a dessert spoon of the mixture in a cup, leave, strain and add honey. Drink a glass of this tea in the morning and before bed.

Mix peppermint, valerian root, hop cones, motherwort and ground rose hips in equal proportions. A tablespoon of the mixture should be brewed as tea, steeped and strained. This sedative should be drunk throughout the day.

Soothing teas for children

To prepare a soothing tea for children, you need to mix chamomile flowers, peppermint and fennel in equal parts. Then pour boiling water over a dessert spoon of the mixture and keep in a steam bath for about 20 minutes, strain. It is recommended to give this tea to small children in the evening before bedtime, a teaspoon, as it can soothe, relax, and normalize a healthy alternation of sleep and wakefulness.

The teas that were described in our article can calm the nervous system and normalize blood pressure. Such daily tea drinking helps improve sleep and skin condition. Medicinal plants, included in these teas, help eliminate dark circles under the eyes, improve vision, and improve the functioning of the stomach and intestines.

Previously, people could not imagine that a person’s breakfast could consist of various crispy balls with dried fruits, cereals and milk. But these days such food does not surprise anyone, because such a breakfast is very tasty and also easy to prepare. However, such food opens up a lot of controversy and discussion, since it is important for people to know the benefits and harms of breakfast cereals for human health. The very concept of dry food appeared in 1863, and it was introduced by James Jackson. The first food was compressed bran. Even though it wasn't very tasty, it was healthy food. The Kellogg brothers supported the idea of dry food already at the beginning of the twentieth century. At this time, both Americans and Europeans were seized by the idea of correct and healthy eating. At that time, the brothers produced breakfast cereals made from soaked corn kernels passed through rollers. These breakfasts were more like raw dough, torn into pieces. They were helped by an accident in which this body was placed on a hot baking sheet and forgotten about it. Thus, the first breakfast cereals were created. This idea was picked up by many companies, and the cereal was mixed with nuts. Fruits and other products.

What are the benefits of breakfast cereals?

In the last twenty years, ordinary breakfasts, which consisted of sandwiches and cereals, began to be replaced by dry ones. The main advantage of dry food is, first of all, saving time, which is very important in our time. Full and proper breakfast Few people can afford it these days. That is why the main benefit of breakfast cereals is their simple and quick cooking. These breakfasts are prepared simply. All you have to do is pour milk over the cereal. In addition, milk can be replaced with yogurt or kefir.

During the production of breakfast cereals, all the beneficial substances of cereals are preserved. For example, corn flakes are rich in vitamins A and E, while rice flakes contain amino acids important for our body. Included oatmeal includes phosphorus and magnesium. But, unfortunately, not all breakfasts are good for the human body; some of them can be harmful.

Dry breakfasts include snacks, muesli, and cereal. Snacks are balls and pillows made from rice, corn, barley, oats and rye. different sizes. These grains are steamed under high pressure, in order to preserve the maximum amount of useful microelements and vitamins. However, with additional heat treatment, for example, by frying, the product loses its benefits. When you add nuts, honey, fruits, and chocolate to the flakes, you get muesli. For the production of snacks, ground flakes, as well as various additions to them, are fried. Children often love snacks, so they are produced in the form of different figures. Some manufacturers add various fillings to snacks, including chocolate. However, after adding sugar and various additives to breakfast, it will no longer be very useful. In this regard, to maintain health and figure, it is better to choose unprocessed cereal or muesli with fruit and honey.

Why are breakfast cereals harmful?

The most harmful product is snacks, since their preparation destroys a large amount of beneficial substances. One serving of such breakfasts contains only about two grams of fiber, while our body needs up to 30 grams of dietary fiber per day. It is healthier to eat unprocessed cereals that have not been processed heat treatment. This product will fill the body required quantity fiber. Snacks are harmful due to frying as they become high in calories and fat.

It is necessary to take into account the high calorie content of breakfast cereals. For example, the calorie content of stuffed pillows is about 400 calories, and chocolate balls are 380 calories. Cakes and sweets have a similar calorie content, and this is not healthy. Various additives included in breakfast cereals cause more harm. That is why buy raw cereal for children, without various additives. Add honey, nuts or dried fruits to your breakfast cereal and avoid products that contain sugar substitutes.

Wheat, rice and corn flakes are very easy to digest because they contain simple carbohydrates. This fills the body with energy and provides nutrition to the brain, but excessive consumption of these carbohydrates leads to excess weight.

Heat-treated breakfast cereals are very harmful. During the cooking process, the fat or oil used in the cooking process can lead to cardiovascular problems and increased cholesterol levels. Breakfasts often include flavor enhancers, leavening agents and flavorings. Avoid purchasing products with such additives.

A child can be given flakes from the age of six, not earlier, since coarse fibers are difficult for the child’s intestines to absorb.

Pain that people may periodically feel various reasons, can ruin all your plans for the day, ruin your mood and worsen your quality of life. Pain can be of different nature, but to get rid of it, people resort to using painkillers. However, few people think about the fact that when using an anesthetic, we can harm our health, since each drug has side effects, which can manifest themselves in an individual organism. However, not everyone knows that some products can reduce or relieve pain, while being quite effective and without exposing the body to additional risk. Of course, when any pain appears, it is necessary to determine what it is associated with. Pain is a kind of signal from the body indicating that it has problems. Therefore, you should never ignore pain, and sometimes it is impossible to do this, since it reminds you of itself, sometimes at the most inopportune moment. In our article we will talk about what products can relieve pain, or reduce its manifestation at least for a while.

People with chronic diseases that periodically manifest themselves as pain can be put on some kind of pain-relieving diet to alleviate their condition. So, here are the foods that can soothe the pain:

Turmeric and ginger. Ginger is a proven remedy for many diseases that can effectively cope with pain. For example, in oriental medicine this plant is used to relieve toothache. For this purpose, you need to prepare a decoction of ginger and rinse your mouth with it. Pain caused by exercise and due to intestinal disorders and ulcers can be soothed with ginger and turmeric. In addition, these plants have a positive effect on kidney health.

Parsley. This greenery contains essential oils, capable of stimulating blood circulation in the human body, including blood supply internal organs. When parsley is consumed, the body's adaptive abilities increase, which speeds up healing.

Chili pepper. This is another pain reliever. Studies have shown that red pepper can increase a person’s pain threshold. The molecules of this product activate the body's immune defense and produce endorphins, which work as a pain reliever. Traditionally, this pepper is included in the menu of peoples living in complex natural conditions and those engaged in heavy physical labor.

Dark chocolate. As mentioned above, the hormone endorphin, which is also called the “hormone of happiness,” is a natural pain reliever. The production of this natural pain reliever is stimulated by eating chocolate. The ability of chocolate to bring pleasure is known to everyone, however, this product not only gives you a good mood, but can relieve painful sensations.

Whole grain products. According to some experts, the ability of foods made from whole grains to relieve pain is excessively high. These products contain a lot of magnesium, which helps relieve muscle pain. In addition, these products help relieve headaches, as they protect the body from dehydration.

Mustard. Mustard can reduce headaches that arise from overwork or other reasons. It is enough to eat a piece of bread spread with fresh mustard.

Cherry. It is very easy to eliminate headaches by eating a few ripe cherries.

Garlic. This is another burning product that can relieve pain, and this also applies to pain resulting from various inflammations.

Citrus. These fruits have pain-relieving properties, just like other foods containing vitamin C. Citrus fruits relieve pain due to various reasons. In addition, these fruits act as a general tonic. Therefore, this is the first product to be given to patients in the hospital.

Cinnamon. Another important remedy used in the fight against various inflammations and pain. Cinnamon reduces the negative effects of uric acid, high levels of which can trigger the development of many diseases, including arthritis.

People who suffer from hypertension are dependent on weather conditions. Hypertensive patients feel worse in the heat. Even a minimal increase in air temperature leads to an acceleration of the heartbeat. In hot weather, people of all ages, from young to old, feel discomfort. It is worth paying attention to this, since a persistent increase in blood pressure leads to a serious illness - hypertension with the ensuing consequences.

How does hot weather affect blood pressure?

Even healthy people do not cope well with heat, and people with high blood pressure feel especially bad. Typically, heat affects a person’s blood pressure in the following way:

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headache appears, which may be accompanied by dizziness;
heart rate increases;
feeling weak;
nausea appears;
“stars” appear before the eyes;
loss of consciousness is observed;
the breathing rhythm is disrupted.

There are a number of other symptoms that signal the manifestation of hypertension or an upcoming crisis. They should not be ignored. There are cases that with high blood pressure, a person feels absolutely normal. But if there is any deterioration in health, it is better for people suffering from this disease to consult a doctor.

How can hypertensive patients survive in hot weather?

On hot days, be sure to drink plenty of water.

First of all, you need to constantly monitor the indicators of lower and upper pressure, the difference between them. People who suffer from heart failure should be in the sun as little as possible in the heat, especially between 12:00 and 16:00. It is necessary to protect yourself from direct sunlight using hats, umbrellas, and shade. The temperature in the room also needs to be kept normal - 21-26°C.

There are several rules that help avoid exacerbation:

Before leaving home, you need to take the necessary medications to normalize your blood pressure.
Be sure to take a bottle of water with you. A person should drink at least 2 liters of water.
It is important to stock up on the necessary medications in case your health worsens while traveling.
Avoid physical labor as much as possible. For prevention purposes, you can do simple physical exercise general strengthening type.
Fatty, fried, salty foods, as well as processed foods and carbonated drinks should be excluded from the diet.
It is advisable to wear light and light-colored clothing made from natural fabrics.

Medicines

Doctors recommend the drug during temperature changes.

First of all, it is not recommended to take medications on your own initiative, as this can only worsen the situation. To prescribe treatment, you should consult a doctor. People who suffer from hypertension are recommended to always have Glycine with them. This drug does not have any effect on blood pressure, but helps to calmly tolerate changes in atmospheric pressure. "Glycine" should be taken orally, 2 tablets under the tongue 4 times a day.

Doctors may prescribe diuretics, which remove excess fluid from the body. These drugs are called diuretics. The next group is ACE inhibitors. They reduce the secretion of a hormone that causes blood vessels to constrict. Beta blockers reduce the heart rate, causing blood pressure to increase normal condition. Calcium antagonists relax the walls of blood vessels.

Folk remedies

There are a number of folk remedies for hypertension. They can both lower blood pressure and prevent it from increasing. But these methods do not always work, and if used incorrectly, they lead to deterioration. That's why You should not self-medicate, but turn to specialists. The table shows popular folk remedies for the treatment of hypertension and saving hypertensive patients from heat.

Folk remedy	Description	Directions for use
Flax seeds	Effectively lowers blood pressure, they can normalize lipid metabolism and strengthen the walls of blood vessels. This product is inexpensive and has a positive effect on the body.	Use 3 tablespoons. Can be added to various dishes, such as salads.
Tincture of red pine cones	It is considered one of the best treatments for hypertension. After just a few days of use, you can observe a decrease in blood pressure. With regular use, the walls of blood vessels are strengthened. The tincture stimulates blood movement through the vessels of the brain and spinal cord.	Take 1 teaspoon 3 times a day for 20-30 minutes. before meals in pure form or by mixing with tea or water.
Garlic	It is a good treatment for hypertensive patients. This plant thins the blood and stimulates blood movement in the vessels. With regular use, blood pressure noticeably decreases.	Consistently consume a few cloves of garlic every day. Prepare and drink garlic tincture.
Fresh juices for hypertension	This can be beet, carrot, cucumber juice, as well as celery, parsley and spinach juice. Drinks are good for hypertensive patients with fever.	Drink regularly or at the slightest deterioration.

The day is not far off when the thermometer will rise above 30 degrees. Young people, for the most part, tolerate the heat calmly. But what about elderly citizens or patients with cardiovascular diseases? Our regular author, our best friend and professional cardiologist Alexey Valerievich Yakovlev will talk about this.

Extreme heat is, first of all, a strain on the heart, and the longer the weather continues to show such “tropical” freaks, the more your “fiery engine” will suffer. There are several reasons for this:

Any body reacts to heat by dilating blood vessels and, consequently, blood pressure drops. In order to maintain normal blood flow, the heart has to work harder, almost to the limit of its capabilities.

In the heat, the body loses a lot of fluid and along with it mineral salts. Meanwhile, potassium and magnesium, for example, are necessary to maintain heart rhythm, and if the water-salt balance in the body is seriously disturbed, the human heart can simply stop.

Dehydration also causes blood to thicken. Coupled with the dilation of blood vessels, this significantly increases the risk of blood clots, and therefore all related problems. The risk of heart attacks, strokes, pulmonary embolism, etc. increases.

When it is very hot, even in completely healthy people, the pulse may increase, shortness of breath, a feeling of lack of air, and tightness in the chest may appear. All this is the result of increased stress on the heart. People with cardiovascular diseases are especially vulnerable. In the heat, hypertensive patients feel worse; patients with coronary heart disease (CHD) are more likely to experience angina attacks. High temperature causes tachycardia - the heart works in marathon mode. This condition is the impetus for the development of an attack in people with coronary artery disease. Therefore, anyone who has a pathology of the cardiovascular system should not go out from 12:00 to 16:00. Can't this be avoided? Then you are only in the shadows. Look for relatively cool areas. Direct sunlight is not your friend. Dress lightly and loosely. Let them be natural fabrics light shades. It is worth giving up collars that squeeze your throat, tight shirts, and tight belts.

« Garden disease»

This is what doctors call heart attacks that occur in summer cottages. The mentality of our citizens is this: we do not go to the dacha for relaxation and contentment - to lie in a hammock, admire the flowers and the general landscape, the goal is different - a fanatical struggle for the harvest. It often happens that an ambulance picks up people with a severe heart attack when they were working in a greenhouse. Not everyone can be saved in such cases. Do not forget that you cannot weed the beds while bending over and lowering your head. This position disrupts the flow of blood from the head - a sharp rise in blood pressure can occur, even leading to loss of consciousness and stroke. Remember the work schedule: work for 30-40 minutes, rest for 15-20. If you experience shortness of breath, interruptions in heart function, weakness, dizziness, or even worse - chest pain, immediately stop any physical activity.

It’s better to avoid working in the heat altogether. Heart patients first. Summer residents must remember: in any unforeseen situation they will have to rely only on themselves, because summer cottages are far from the city, and the ambulance will not arrive soon. Therefore, there should always be cardiac medications in your personal first aid kit. These are drugs to lower blood pressure prescribed by your doctor, valocordin, validol and nitroglycerin. Moreover, the last two medicines It’s worth keeping in your pocket - just in case you suddenly feel bad and you can’t get to the first aid kit. In your dacha and garden exploits, focus only on your own well-being, do not set super-tasks - to weed so much, dig up from top to bottom. Consider only your physical capabilities. Last accent: in summer time do not try to reduce the dosage of medications or stop taking them altogether. This should not be done under any circumstances without a doctor’s recommendation! +

Summer diet

On particularly hot days, you should reconsider your diet. Consume less meat and animal fats, more plant and dairy foods. However, in any case, you should not overeat healthy foods. The basic principle is light food, a little at a time. It is necessary to eat more greens: parsley, dill, vegetables, fruits, it is better to replace meat with fish, and refuse rich first courses. At the same time, there is a minimum of salt.

Always with you

People with pathologies of the cardiovascular system must have a tonometer with them. It happens that someone perceives the appearance of a headache as the beginning of a hypertensive crisis. Knowing about the serious consequences of this condition, but without measuring the pressure, in a panic he begins to grab one, two, three tablets. But if it turns out that the headache was not a sign of high blood pressure, but arose from overwork, stress, etc., uncontrolled use of medications will cause severe hypotension (decreased pressure) and can lead to fainting.

If a person becomes ill in the heat, help him move to the shade. Release your chest by unbuttoning your shirt and releasing the pressure of your belt, collar, or belt. Spray your face and chest with water. If he complains of chest pain, a feeling of tightness, or a stone on the chest, give a nitroglycerin tablet under the tongue. If the pain does not go away (!), you need to take aspirin - the whole tablet - not half or a quarter. This remedy is an antiplatelet agent - it “thins” the blood. Therefore, in this situation, chewing aspirin is the prevention of myocardial infarction. Call an ambulance as soon as possible! Have you felt dizzy, increased breathing and heart rate, increased sweating? These are the first signs of heatstroke. Immediately go to the shade or a cool room, sit down, drink some chilled water. +

To drink or not to drink?

In the heat, many people drink the wrong drinks and the wrong quantities. High humidity air leads to the retention of excess fluid in the body. It's harmful. If there is severe coronary heart disease, the volume of juices drunk, mineral water etc. should be reduced to 800 ml per day (provided that the person is not in the sun). Excess fluid can lead to high blood pressure. People with heart problems can be advised not to drink whenever thirst appears, but simply rinse their mouths with room temperature water acidified with lemon or sea buckthorn. If diuretics are prescribed, on especially hot days it is worth increasing their dosage, after consulting with your doctor. Healthy people need to drink enough fluid to compensate for increased sweating. Otherwise, dehydration can lead to dizziness and fainting.

What's better to drink? Just not sugary carbonated drinks. They don't quench your thirst at all. And, of course, even low-alcohol drinks, such as beer, are strictly contraindicated for people with heart disease. Many people consider it harmless, but drinking beer causes blood pressure surges for two reasons: exposure to alcohol plus excess fluid. And if you have hypertension plus coronary artery disease, a foamy drink, like other alcohol, can cause unstable angina and even an attack of cardiac asthma.

The best option in hot weather is green or black tea. During the day and at night, you can prepare a decoction of mint, linden, thyme, adding fresh or frozen berries to them. +

Do not seek relief from the heat in too cool water. It is especially dangerous for patients with ischemia to enter hot water. This can lead to additional vasospasm. And here you are only half a step away from an attack of angina pectoris and even a heart attack.

During the day, you can spray yourself with lukewarm water from a spray bottle. Exactly warm water removes a thin lipid layer from the surface of the skin, opening pores and forcing the skin to breathe. Cold water it doesn't. In rooms, be sure to turn on air conditioners and fans, and cover the windows with wet sheets.