{"id":10287,"date":"2020-04-01T09:26:45","date_gmt":"2020-04-01T07:26:45","guid":{"rendered":"https:\/\/bas-tv.md\/?p=10287"},"modified":"2023-06-07T19:15:34","modified_gmt":"2023-06-07T16:15:34","slug":"bolnavi-de-inima","status":"publish","type":"post","link":"https:\/\/bas-tv.md\/ro\/bolnavi-de-inima\/","title":{"rendered":"Bolnavi de inim\u0103"},"content":{"rendered":"\t\t
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Fiecare al patrulea cet\u0103\u021bean al Republicii Moldova are o boal\u0103 a aparatului circulator. Din aceea\u0219i cauz\u0103 moare fiecare al doilea. Probabil aceast\u0103 statistic\u0103 ar suna mai conving\u0103tor dec\u00e2t mesajul inspira\u021bional de la TV care ne \u00eendeamn\u0103 s\u0103 consum\u0103m zilnic minim doi litri de ap\u0103 \u0219i cinci fructe \u0219i legume.<\/div><\/div><\/div><\/div><\/div>
\u00a0<\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Acest articol a fost documentat \u00een luna februarie, c\u00e2nd \u00een Republica Moldova \u00eenc\u0103 nu exista niciun caz oficial de infec\u021bie cu coronavirus. Atunci ni s-a p\u0103rut suficient s\u0103 le vorbim cititorilor despre num\u0103rul persoanelor care mor din cauza bolilor cardiovasculare. Ast\u0103zi, am vrea s\u0103 ad\u0103ug\u0103m c\u0103\u00a0rata mortalit\u0103\u021bii<\/a>\u00a0persoanelor cu aceste boli, dar infectate cu COVID-19, reprezint\u0103 10,5%. Rata mortalit\u0103\u021bii celor cu diabet zaharat constituie 7,3%. Cei cu tensiune arterial\u0103 au o rat\u0103 a mortalit\u0103\u021bii de 6%.<\/span><\/strong><\/p>

\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\"\"<\/a>Alimenta\u021bia gras\u0103, lipsa sportului, prea multe dulciuri, fumatul, tensiunea arterial\u0103 ridicat\u0103, iar uneori chiar \u0219i o ceart\u0103 ur\u00e2t\u0103 \u00ee\u021bi pot face inima rea.<\/p>

\u00centr-at\u00e2t de rea, \u00eenc\u00e2t s\u0103 ai nevoie de internare \u0219i chiar interven\u021bii chirurgicale. La Institutul de Cardiologie sec\u021biile sunt pline.<\/p>

Pacien\u021bii interna\u021bi aici sunt cei care au \u00eencercat s\u0103 se lecuiasc\u0103 mai aproape de cas\u0103, \u00een spitalele raionale, dar doctorii din regiuni au ridicat din umeri \u0219i i-au trimis \u00een Capital\u0103.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\"\"<\/a>Ca s\u0103 ajungi la sec\u021bia Reabilitare, trebuie s\u0103 treci de un paznic pedant, s\u0103 urci \u0219ase etaje cu un lift sovietic, ce huruie de parc\u0103 \u0219i-ar lua zbor \u00een cosmos, s\u0103 \u00eencal\u021bi bahilele \u0219i s\u0103 intri. Acolo g\u0103se\u0219ti un culoar \u00eentunecos, cu dou\u0103 geamuri laterale \u0219i u\u0219ile care dau spre saloanele sc\u0103ldate \u00een lumin\u0103, de parc\u0103 au furat-o pe toat\u0103 din coridor.

Aici sunt interna\u021bi oameni care au suferit un infarct sau accident vascular cerebral, poate au hipertensiune arterial\u0103 sau poate s\u00e2ngele lor nu mai alimenteaz\u0103 inima cu substan\u021be nutritive \u0219i oxigen. Cu aceste diagnoze mor peste jum\u0103tate din cet\u0103\u021benii Republicii Moldova.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\u201eVeni\u021bi s\u0103 vede\u021bi cum este la mine \u00een salon”, ne invit\u0103 Tudor Popovici, un b\u0103rbat de 64 de ani, internat la Institutul de Cardiologie din Chi\u0219in\u0103u. Se preg\u0103te\u0219te de opera\u021bie la inim\u0103. La \u00een\u0103l\u021bimea lui de 1,66 m \u0219i greutatea de peste 100 kg, medicii i-au cerut s\u0103 r\u0103m\u00e2n\u0103 \u00een sec\u021bia de reabilitare, ca s\u0103 sl\u0103beasc\u0103 pentru opera\u021bie. \u201eAsta este\u00a0nagruzc\u0103<\/em>\u00a0(n.red. greutate) pentru inim\u0103”, spune b\u0103rbatul.<\/div><\/div><\/div><\/div><\/div>
\u00cen salon este cald. Tudor st\u0103 pe patul de l\u00e2ng\u0103 u\u0219\u0103. Patul de la fereastr\u0103 i-a revenit lui Serbian, iar \u00eentre cei doi se odihne\u0219te mo\u0219 Ion. B\u0103rba\u021bii se cunosc deja de mai mult de o s\u0103pt\u0103m\u00e2n\u0103. \u201eMo\u0219 Ion are 81 de ani. De c\u00e2nd i-au schimbat o valv\u0103 cardiac\u0103 au trecut 10 ani \u0219i medicii se \u00eentreab\u0103 dac\u0103 s\u0103-i fac\u0103 opera\u021bie. Ast\u0103zi trebuie s\u0103 fac\u0103 un examen de coronarografie. A\u0219teapt\u0103 s\u0103-l cheme la un etaj de mai jos, s\u0103-i bage camera \u00een inim\u0103, s\u0103 depisteze ce are acolo”, poveste\u0219te Tudor despre colegul de salon.<\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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B\u0103rbatul este mul\u021bumit de condi\u021biile din spital \u0219i de m\u00e2ncarea de aici. \u00cei aminte\u0219te de studen\u021bie, c\u00e2nd a f\u0103cut cursuri de milit\u0103rie \u0219i m\u00e2nca regulat acolo: \u201eDiminea\u021ba am avut ceai cu p\u00e2ine cu unt. La ora 10 am m\u00e2ncat terci cu orez. La ora 13, va fi pr\u00e2nzul \u0219i vom primi c\u0103rni\u021b\u0103. Apoi, vom avea ceva la chindii. Ca la armat\u0103”.<\/div><\/div><\/div><\/div><\/div>
Este a opta zi de c\u00e2nd se afl\u0103 \u00een spital. Sper\u0103 s\u0103 mai poat\u0103 sl\u0103bi vreo 10 kg. Ast\u0103zi \u00eei vor verifica glicemia de trei ori. \u201eTrebuie s\u0103 m\u0103n\u00e2nc mai pu\u021bin \u0219i s\u0103 aleg alimente de la care nu m\u0103 \u00eengra\u0219. S\u0103 ard\u0103 toate gr\u0103simile celea. Fructe s\u0103 m\u00e2nc\u0103m mai multe, s\u0103 nu m\u00e2nc\u0103m carne de porc, dar m\u00e2ncare u\u0219uric\u0103, a\u0219a,\u00a0c\u0103\u0219ulic\u0103<\/em>. C\u00e2t mai pu\u021bin \u0219i mai des”, poveste\u0219te b\u0103rbatul despre recomand\u0103rile primite de la medici.<\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Lui Tudor Popovici, pensionar din s. S\u0103r\u0103tenii Vechi, Telene\u0219ti, \u00eei place zeama de cas\u0103 \u0219i m\u0103m\u0103liga. A \u00een\u021beles recent c\u0103 nu este corect s\u0103 nu m\u0103n\u00e2nce toat\u0103 ziua \u0219i seara s\u0103 se ghiftuiasc\u0103. \u201eTe culci \u0219i toate gr\u0103simile se a\u0219az\u0103 pe tine\u2026”<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\u201eAcas\u0103 m\u0103n\u00e2nci f\u0103r\u0103 m\u0103sur\u0103, te scapi…”, explic\u0103 b\u0103rbatul, \u00een timp ce, culmea ironiei, la radio se aude un c\u00e2ntec al unei interprete autohtone:<\/div><\/div><\/div><\/div><\/div>
\u00a0<\/div>
Am inima fierbinte
Respir cu dragostea
Bolnav\u0103 de iubire
Este inima mea.<\/div>
\u00a0<\/div><\/blockquote><\/div><\/div><\/div><\/div><\/div><\/div><\/div>
Ceea ce l-a dus pe Tudor Popovici \u00een cabinetul medicului a fost senza\u021bia c\u0103 \u201enu-i ajunge aer”. C\u00e2nd avea de ridicat cutii la locul de munc\u0103 sau de dus ni\u0219te c\u0103ld\u0103ri cu ap\u0103 acas\u0103, b\u0103rbatul se sufoca. \u00cen\u021belegea c\u0103 nu-i ajunge aer \u0219i c\u0103 acesta nu este semn bun. \u00cel a\u0219teapt\u0103 o interven\u021bie chirurgical\u0103 peste 2-3 s\u0103pt\u0103m\u00e2ni. Pentru cazul \u00een care doctorii nu-l vor \u021bine internat, fiica i-a adus m\u00e2ncare pentru c\u00e2teva zile.<\/div><\/div><\/div><\/div><\/div>
\u00a0<\/div>
–\u00a0Fetele mi-au scris ce s\u0103 m\u0103n\u00e2nc de acum \u00eenainte, ca s\u0103 m\u0103 p\u0103zesc. Smochine la ora 7 diminea\u021ba. La ora 10 gutuie coapt\u0103 cu nuci. La 13 sup\u0103 de pe\u0219te, la ora 16:00 – 200 gr de kiwi \u0219i apoi pannacotta cu avocado.<\/em><\/div>

–\u00a0Ce-i asta pannacotta?<\/em>, \u00eel \u00eentreab\u0103 colegii de salon curio\u0219i.

– Asta e un fel de fruct.<\/em>\u00a0B\u0103rbatul continu\u0103 s\u0103 citeasc\u0103 de pe foile primite de la fiic\u0103.\u00a0La ora 7 – hri\u0219c\u0103 cu semin\u021be de bostan. La ora 10, bostan copt cu scor\u021bi\u0219oar\u0103. La ora 13, fileu de pui cu brocle, adic\u0103 varz\u0103 brocle, verzie. Apoi, nu po\u021bi s\u0103 m\u0103n\u00e2nci numai brocle, dar cu carne o m\u0103n\u00e2nci. La ora 4 br\u00e2nz\u0103 degresat\u0103. La ora 6, ragu din morcov… adic\u0103 morcov m\u0103run\u021bit cu ardei gras, v\u00e2n\u0103t\u0103, totul amestecat\u2026 Pomello, eu nu \u0219tiu cuv\u00e2ntul acesta<\/em>, spune b\u0103rbatul.<\/div><\/blockquote><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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10<\/span><\/h2>
pacien\u021bi se afl\u0103 \u00een sec\u021bia Reabilitate
a IMSP Institutul de Cardiologie<\/strong><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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450<\/span><\/h2>
pacien\u021bi au trecut tratamentul
de reabilitare \u00een anul 2019<\/strong><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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E timpul pentru recolta de s\u00e2nge, dup\u0103 care lumea merge la pr\u00e2nz. Personalul mi\u0219un\u0103 pe holurile Sec\u021biei de reabilitare, pe un fundal de\u2026 borma\u0219in\u0103. Jum\u0103tate din sec\u021bie este \u00een repara\u021bii, ceea ce \u00eenseamn\u0103 c\u0103 din cele 20 de locuri disponibile, doar 10 pot fi \u0219i sunt ocupate de bolnavi. \u00cen aceast\u0103 agita\u021bie, mo\u0219 Ion a a\u021bipit, a\u0219tept\u00e2ndu-\u0219i r\u00e2ndul la coronarografie, iar \u00een salonul de al\u0103turi dispozi\u021bia era cu totul alta.<\/div><\/div><\/div><\/div><\/div>
\u201eA\u021bi venit \u00eentr-un moment nepotrivit. Nu-i frumos. Omul \u0219i a\u0219a psihologic este jos. Noi \u0219i a\u0219a suntem obijdui\u021bi de soart\u0103”, ne \u00eent\u00e2mpin\u0103 unul dintre b\u0103rba\u021bii interna\u021bi.

Despre starea psihologic\u0103 a unor pacien\u021bi, Eleonora Vataman, \u0219efa Departamentului insuficien\u021b\u0103 cardiac\u0103 din cadrul Institutului de Cardiologie, \u0219tie. Profesoara universitar\u0103 zice c\u0103 to\u021bi pacien\u021bii sunt consulta\u021bi de medicul psiho-neurolog.<\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Eleonora Vataman,<\/em>
\u0219efa Departamentului insuficien\u021b\u0103 cardiac\u0103,<\/em>
IMSP Institutul de Cardiologie<\/em><\/div>
<\/div>
Majoritatea pacien\u021bilor au un spectru foarte larg de deregl\u0103ri psihoemo\u021bionale. Apari\u021bia unei maladii \u0219i a unei opera\u021bii este un stres foarte mare pentru pacient, care-l marcheaz\u0103 \u0219i-l urm\u0103re\u0219te tot timpul. Uneori, medicii au f\u0103cut mult pentru a-l ajuta pe pacient s\u0103 revin\u0103 \u00eentr-o stare bun\u0103, s\u0103 aib\u0103 capacit\u0103\u021bi s\u0103 se \u00eengrijeasc\u0103, chiar s\u0103 munceasc\u0103, s\u0103 fac\u0103 eforturi. Dar el este \u00eensp\u0103im\u00e2ntat de orice \u0219i nu poate trece pragul acesta ca s\u0103 se angajeze \u00een activit\u0103\u021bi. \u00cen acest fel, poate s\u0103 se izoleze, s\u0103 aib\u0103 depresie.<\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Potrivit specialistei, reabilitarea pacientului are loc din prima zi c\u00e2nd s-a produs evenimentul. \u201eReabilitarea \u00eenseamn\u0103 c\u0103 omul deja are boal\u0103. El urmeaz\u0103 s\u0103 tr\u0103iasc\u0103 cu ea \u00een continuare \u0219i trebuie s\u0103 primeasc\u0103 ni\u0219te instruc\u021biuni de comportament”, explic\u0103 doctora. Ea recunoa\u0219te c\u0103 perioada de 10-14 zile \u00een care se afl\u0103 \u00een spital nu este suficient\u0103 ca bolnavul s\u0103 schimbe ceva \u00een stilul s\u0103u de via\u021b\u0103. De aceea, \u00een spital are loc \u0219i educa\u021bia pacientului, care include informa\u021bii despre boala lui, factorii de risc, metodele de prevenire, despre medicamentele pe care trebuie s\u0103 le ia, despre reac\u021biile adverse \u0219i despre faptul c\u0103 nu trebuie s\u0103 fac\u0103 \u00eentreruperi, despre alimenta\u021bie corect\u0103, dar \u0219i despre antrenamentele fizice.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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n afar\u0103 de medicamente, alimenta\u021bie corect\u0103, consiliere psihologic\u0103, investiga\u021bii, pacien\u021bii de la Reabilitare fac sport. Unora li se recomand\u0103 s\u0103 mearg\u0103 pe coridorul sec\u021biei de dou\u0103 ori pe zi dintr-un cap\u0103t \u00een altul, altora – s\u0103 coboare \u0219i s\u0103 urce patru sc\u0103ri pe zi. \u00cen alte cazuri, pacien\u021bii frecventeaz\u0103 sala de sport unde, sub supravegherea strict\u0103 a medicului \u0219i a tehnicianului kinetoterapeut, fac exerci\u021bii aerobice \u0219i activit\u0103\u021bi la aparatele de exerci\u021bii fizice.<\/div><\/div><\/div><\/div><\/div>
La externare, speciali\u0219tii \u00eei trimit acas\u0103 cu o list\u0103 lung\u0103 de\u00a0to do<\/em>-uri: alimenta\u021bie s\u0103n\u0103toas\u0103, exerci\u021bii fizice, investiga\u021bii, eviden\u021b\u0103 la medicul de familie \u0219i la chirurgul din raion \u0219i multe altele. Printre ele: s\u0103 nu ridice greut\u0103\u021bi. Ridicarea a 10 kg este un efort fizic foarte mare.<\/div><\/div><\/div><\/div><\/div>
\u201eEu nu am f\u0103cut prea mare efort. Nu am ridicat mai mult dec\u00e2t o c\u0103ldare cu greutate. Am desc\u0103rcat o ma\u0219in\u0103 de gr\u0103un\u021be cu c\u0103ldarea. Dar eu doar cu o c\u0103ldare am lucrat”, poveste\u0219te amuzat\u0103 de situa\u021bie \u0219efa Departamentului insuficien\u021b\u0103 cardiac\u0103, Eleonora Vataman, despre unul dintre pacien\u021bii ei.<\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Iurie Ecimaev are 64 de ani.
La c\u00e2teva zile dup\u0103 Revelion, a chemat ambulan\u021ba. Dup\u0103 ce a fost instalat \u00een ma\u0219ina Urgen\u021bei, nu a mai v\u0103zut dec\u00e2t lumini\u021bele de pe podul ma\u0219inii. C\u00e2nd l-au operat, medicii au aflat c\u0103 avea vasele sangvine ale inimii \u00eengustate. Acum se simte mai bine. \u201eDar exist\u0103 o problem\u0103: nu se poate acum nici rachiu, nici \u021big\u0103ri”. \u00cenainte de infarct, b\u0103rbatul spune c\u0103 nu a avut niciun simptom.<\/p><\/blockquote>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Boala despre care vorbe\u0219te pacientul Iurie Ecimaev se nume\u0219te ateroscleroz\u0103. Ea este vinovat\u0103 de sc\u0103derea aportului de oxigen spre organe. Ateroscleroza poate duce la infarct de miocard, accident cerebral, arteriopatii periferice \u0219i alte boli. De\u0219i se declan\u0219eaz\u0103 odat\u0103 cu na\u0219terea omului, ea se dezvolt\u0103 diferit pe parcursul vie\u021bii, \u00een func\u021bie de mai mul\u021bi factori. Unul dintre factorii importan\u021bi este\u00a0colesterolul<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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40%<\/strong>\u00a0dintre moldoveni sufer\u0103 de hipertensiune arterial\u0103 arat\u0103 datele Ministerului S\u0103n\u0103t\u0103\u021bii, Muncii \u0219i Protec\u021biei Sociale.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Cel mai bun tratament – preven\u021bia<\/h1><\/div><\/div><\/div><\/div><\/div>
Totu\u0219i, pentru a evita un infarct sau alte boli cardiovasculare, este nevoie s\u0103 avem o diet\u0103 s\u0103n\u0103toas\u0103. Unul dintre factorii de risc este m\u0103rirea colesterolului \u00een s\u00e2nge. Colesterolul se con\u021bine \u00een gr\u0103simea de origine animalier\u0103. \u201eDac\u0103 m\u00e2nc\u0103m friptur\u0103 de porc de Cr\u0103ciun, nu este grav. Dac\u0103 o m\u00e2nc\u0103m \u00een fiecare s\u0103pt\u0103m\u00e2n\u0103, s-ar putea s\u0103 avem probleme”, spune Eleonora Vataman.<\/div><\/div><\/div><\/div><\/div>
S-ar putea s\u0103 avem \u0219i alte probleme de s\u0103n\u0103tate dac\u0103 m\u00e2nc\u0103m des alimente pr\u0103jite, afumate \u0219i greu de digerat. \u00cen aceast\u0103 categorie intr\u0103 \u0219i produsele de patiserie. Prea mult dulce este o sarcin\u0103 mare pentru pancreas, el nu reu\u0219e\u0219te s\u0103-l prelucreze. Dar nu este vorba doar despre dulce, ci \u0219i despre zah\u0103rul care se con\u021bine \u00een foarte multe produse alimentare. Medicii recomand\u0103, \u00een aceste cazuri, de consumat 500 de grame de fructe \u0219i legume pentru antioxidan\u021bi, du\u0219manii colesterolului.<\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Ca s\u0103 fie prevenite \u0219i depistate la timp bolile aparatului circulator, exist\u0103 un protocol standardizat pentru medicii de familie, care se nume\u0219te \u201eEvaluarea riscului cardiovascular global”. Ei utilizeaz\u0103 diagramele SCORE, propuse de Societatea European\u0103 de Cardiologie \u0219i stabilesc riscul cardiovascular. Potrivit diagramei, exist\u0103 cinci factori de risc pentru bolile cardiovasculare: sexul, v\u00e2rsta, tensiunea, nivelul de colesterol \u0219i fumatul.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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De exemplu, un b\u0103rbat de 55 de ani, fum\u0103tor, cu tensiunea de 180 mmHg \u0219i 8 mmol\/L colesterolul, prezint\u0103 un risc de boli cardiovasculare fatale de 22% \u00een urm\u0103torii 10 ani. Dac\u0103 acest b\u0103rbat \u00eentrerupe fumatul, cu aceea\u0219i tensiune arterial\u0103 \u0219i colesterol, ar \u00eenjum\u0103t\u0103\u021bi riscul. Dac\u0103 se normalizeaz\u0103 tensiunea arterial\u0103 \u0219i nivelul colesterolului, el ajunge \u00een categoria de risc de 2%.

De asemenea, medicii recomand\u0103 persoanelor sub 50 de ani, care au un factor de risc cardiovascular ridicat, fie colesterolul, fie tensiunea arterial\u0103, fie au diabet sau sunt supraponderale s\u0103 fac\u0103 investiga\u021bii medicale. De asemenea, persoanele tinere cu istoric familial de boli cardiovasculare premature (mai devreme de 55 de ani la b\u0103rba\u021bi \u0219i de 65 de ani la femei), la fel, ar trebui s\u0103 fie mai atente. Asta pentru c\u0103 bolile cardiovasculare depind, pe l\u00e2ng\u0103 stilul de via\u021b\u0103, de genetic\u0103.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\u021a\u0103rile cu risc \u00eenalt cardiovascular<\/strong><\/h4>
Albania, Algeria, Armenia, Azerbijan, Belarus, Bosnia \u0219i Her\u021begovina, Bulgaria, Croa\u021bia, Republica Ceh\u0103, Estonia, Egipt, Georgia, Ungaria, Kazahstan, Kyrgyzstan, Letonia, Lituania, Macedonia, <\/span>Republica Moldova<\/strong>, Muntenegru, Maroc, Polonia, Rom\u00e2nia, Rusia, Serbia, Slovacia, Siria,Tajikistan, Tunisia, Turcia, Turkmenistan, Ucraina, Uzbekistan.<\/span><\/div><\/div><\/div>

Sursa:\u00a0Ghidul European de Preven\u021bie a Bolilor Cardiovasculare \u00een Practica Clinic\u0103, 2016<\/em><\/div>
\u00a0<\/div><\/div><\/div><\/div><\/div><\/div>

\u021a\u0103rile cu risc sc\u0103zut cardiovascular<\/strong><\/h4><\/div>
Andora, Austria, Belgia, Cipru, Danemarca, Finlanda, Fran\u021ba, Germania, Grecia, Islanda, Irlanda, Israel, Italia, Luxemburg, Malta, Monaco, Olanda, Norvegia, Portugalia, San Marino, Sloveia, Spania, Suedia, Elve\u021bia \u0219i Marea Britanie.

Sursa:\u00a0Ghidul European de Preven\u021bie a Bolilor Cardiovasculare \u00een Practica Clinic\u0103, 2016<\/em><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Cum tr\u0103im dup\u0103?<\/h2><\/div><\/div><\/div><\/div><\/div>

Maria Velicico are 85 de ani. A ajuns de c\u00e2teva ori la Institutul de Cardiologie, a fost \u0219i la Reabilitare.<\/p>

Este n\u0103scut\u0103 \u00een s. Z\u0103zuleni, R\u00e2bni\u021ba, \u00eens\u0103 a ajuns \u00een s. Bude\u0219ti dup\u0103 ce s-a c\u0103s\u0103torit. \u00cen 1956, a devenit \u00eenv\u0103\u021b\u0103toare de clasele primare \u00een \u0219coala din sat.<\/p>

\u00cenc\u0103 atunci c\u00e2nd studia la \u0219coala pedagogic\u0103 sim\u021bea c\u0103 ceva nu este \u00een regul\u0103 cu inima ei. C\u00e2nd alergau la lec\u021bia de educa\u021bie fizic\u0103, ajungea ultima la fini\u0219 dintre fete \u0219i c\u00e2nd nu mai putea, se a\u0219eza. Atunci i s-a spus c\u0103 are o boal\u0103 cardiac\u0103 congenital\u0103. Apoi, c\u00e2nd a devenit \u00eenv\u0103\u021b\u0103toare \u0219i le ar\u0103ta copiilor cum s\u0103 sar\u0103 \u00een coard\u0103 \u0219i ce exerci\u021bii s\u0103 mai fac\u0103, sim\u021bea cum se sufoc\u0103.<\/p><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Femeia a ignorat singurul simptom pe care l-a avut \u2013 sufocarea -, timp de 35 de ani, p\u00e2n\u0103 \u00een anul 1991, c\u00e2nd a trebuit s\u0103 fie operat\u0103.<\/div><\/div><\/div><\/div><\/div>
\u00a0<\/div>
– C\u00e2t o s\u0103 fie, at\u00e2t o s\u0103 tr\u0103iesc<\/strong><\/em>, le-a spus ea medicilor.<\/span><\/div>
–\u00a0Acesta nu va fi trai, dar chin. Opera\u021bia v\u0103 va ajuta<\/strong>,\u00a0<\/em>i-au explicat doctorii<\/span>.<\/em><\/div><\/blockquote><\/div>
\u00a0<\/div><\/div><\/div><\/div><\/div><\/div>
Cuvintele medicilor au convins-o. \u00cen ’56, c\u00e2nd i-au depistat boala, doctorii nu i-au spus ce reguli trebuie s\u0103 respecte ca s\u0103 fie bine, nu au sf\u0103tuit-o ce stil de via\u021b\u0103 s\u0103 adopte. Pentru s\u0103n\u0103tate, la ini\u021biativa ei \u0219i a so\u021bului, mergeau des la sanatoriu unde mai f\u0103cea exerci\u021bii, pe l\u00e2ng\u0103 diferite tratamente. La externare, medicii \u00eei recomandau s\u0103 le repete acas\u0103. \u201eLe-am f\u0103cut eu, dar pe urm\u0103 le-am lep\u0103dat”, poveste\u0219te femeia.<\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Potrivit profesoarei universitare Eleonora Vatamanu, situa\u021bia la capitolul tratament \u0219i reabilitare a pacien\u021bilor cu boli cardiovasculare a evoluat foarte mult. Specialista poveste\u0219te c\u0103 prin anii `60-70 ai secolului trecut, pentru infarctul miocardic nu exista vreo metod\u0103 de tratament. Atunci, bolnavul era obligat s\u0103 stea doar \u00een pat, nemi\u0219cat, 45 de zile. Regimul la pat era necesar pentru a nu da efort inimii \u0219i pentru a se trata. Specialista spune c\u0103 nu era eficient deloc. Era d\u0103un\u0103tor \u00een unele cazuri, pentru c\u0103 ap\u0103reau complica\u021bii din lips\u0103 de mi\u0219care.

Apoi, \u00eencep\u00e2nd cu 1970, la ini\u021biativa Organiza\u021biei Mondiale a S\u0103n\u0103t\u0103\u021bii, Republica Moldova a participat, \u00een r\u00e2ndul \u021b\u0103rilor pe atunci sovietice, la elaborarea sistemului de reabilitare a pacien\u021bilor care au suferit de boli ale aparatului circulator. Eleonora Vataman spune c\u0103 au \u00eenceput s\u0103 fie deschise activ sec\u021bii de reabilitare \u00een spitale, dar \u0219i \u00een sanatorii. Apoi, programul de reabilitare dura 28 de zile \u00een spital \u0219i alte 28 de zile la sanatoriu. Dup\u0103 destr\u0103marea URSS, situa\u021bia a degradat.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\u201eAm umblat \u00een cizme de cauciuc, prin glod, prin ap\u0103” spune Maria Velicico, intuind c\u0103 acestea, \u00eempreun\u0103 cu reumatismul, ar fi cauzele \u00eenr\u0103ut\u0103\u021birii bolii ei de inim\u0103. Dup\u0103 opera\u021bie, a lucrat \u00eenc\u0103 doi ani la \u0219coal\u0103. Ulterior, a r\u0103mas acas\u0103 s\u0103-\u0219i \u00eengrijeasc\u0103 so\u021bul, bolnav de cancer. Cu toate acestea, \u00eei lipsea foarte mult \u0219coala. A\u0219a c\u0103 se ducea la lec\u021biile colegei ei, Vera Condratievna. Nu lipsea nici de la primul \u0219i nici de la ultimul sunet. \u00cencet-\u00eencet, lucrul din gr\u0103din\u0103 a f\u0103cut-o s\u0103 nu mai simt\u0103 lipsa \u0219colii. Aproape de sf\u00e2r\u0219itul secolului, so\u021bul ei a decedat.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Maria Velicico a fost recent la Institutul de Cardiologie din Chi\u0219in\u0103u la consulta\u021bia unui specialist. Medicul i-a ar\u0103tat fotografii cu inima ei: \u201eInima are dou\u0103 trompe care pompeaz\u0103 s\u00e2ngele. Una se \u00eenchide \u0219i alta se deschide. Ele sunt betonate \u0219i nu mai func\u021bioneaz\u0103 a\u0219a cum trebuie”. Auzind \u00een ce stare este inima ei, consternat\u0103, pacienta a vrut s\u0103 \u0219tie pe unde ajunge, totu\u0219i, s\u00e2ngele \u00een inim\u0103. \u201e\u00ce\u0219i g\u0103se\u0219te loc cumva”, i-a spus medicul. De atunci, c\u00e2nd st\u0103 uneori \u00een lini\u0219te, \u00ee\u0219i aude inima: poc-poc, poc-poc. \u201eDe parc\u0103 s-ar \u00eeneca. C\u00e2t va mai rezista…”, se g\u00e2nde\u0219te b\u0103tr\u00e2na, duc\u00e2ndu-\u0219i m\u00e2na la inim\u0103, f\u0103r\u0103 s\u0103 \u0219tie r\u0103spunsul.<\/div><\/div><\/div><\/div><\/div>
Ca inima s\u0103 func\u021bioneze mai bine, Maria Velicico spune c\u0103 trebuie s\u0103 consume stafide \u0219i c\u00e2t mai multe fructe \u0219i legume. \u00cen iarna aceasta a m\u00e2ncat multe banane \u0219i mandarine. Iar pentru ca inima, \u00een general, s\u0103 func\u021bioneze, i-au fost prescrise pentru un termen nelimitat dou\u0103 pastile diminea\u021ba \u0219i altele trei seara.<\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\"\"<\/a>Maria Velicico are dreptate c\u00e2nd spune c\u0103 trebuie s\u0103 m\u0103n\u00e2nce multe fructe \u0219i legume, la fel cum are dreptate \u201etelevizorul” c\u00e2nd ne \u00eendeamn\u0103 s\u0103 consum\u0103m mai pu\u021bin\u0103 sare, zah\u0103r \u0219i gr\u0103simi. Dar ca s\u0103 nu ajungem s\u0103 fim acel unu din patru cet\u0103\u021beni ai Republicii Moldova care sufer\u0103 de boli cardiovasculare, nu trebuie s\u0103 mi\u0219c\u0103m mun\u021bii din loc, ci s\u0103 avem grij\u0103 de alimenta\u021bia noastr\u0103, s\u0103 facem sport \u0219i s\u0103 fim aten\u021bi la nivelul tensiunii arteriale \u0219i la cel al colesterolului \u00een s\u00e2nge.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\"\"AUTOR<\/p>

Georgeta Carasiucenco<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Fiecare al patrulea cet\u0103\u021bean al Republicii Moldova are o boal\u0103 a aparatului circulator. Din aceea\u0219i cauz\u0103 moare fiecare al doilea. Probabil aceast\u0103 statistic\u0103 ar suna mai conving\u0103tor dec\u00e2t mesajul inspira\u021bional de la TV care ne \u00eendeamn\u0103 s\u0103 consum\u0103m zilnic minim doi litri de ap\u0103 \u0219i cinci fructe \u0219i legume. Acest articol a fost documentat \u00een […]<\/p>\n","protected":false},"author":3,"featured_media":10288,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[198],"tags":[],"class_list":["post-10287","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-social"],"yoast_head":"\nBolnavi de inim\u0103 - BasTV<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bas-tv.md\/ro\/bolnavi-de-inima\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bolnavi de inim\u0103 - BasTV\" \/>\n<meta property=\"og:description\" content=\"Fiecare al patrulea cet\u0103\u021bean al Republicii Moldova are o boal\u0103 a aparatului circulator. Din aceea\u0219i cauz\u0103 moare fiecare al doilea. Probabil aceast\u0103 statistic\u0103 ar suna mai conving\u0103tor dec\u00e2t mesajul inspira\u021bional de la TV care ne \u00eendeamn\u0103 s\u0103 consum\u0103m zilnic minim doi litri de ap\u0103 \u0219i cinci fructe \u0219i legume. Acest articol a fost documentat \u00een […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/bas-tv.md\/ro\/bolnavi-de-inima\/\" \/>\n<meta property=\"og:site_name\" content=\"BasTV\" \/>\n<meta property=\"article:published_time\" content=\"2020-04-01T07:26:45+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-07T16:15:34+00:00\" \/>\n<meta name=\"author\" content=\"Redactor\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Scris de\" \/>\n\t<meta name=\"twitter:data1\" content=\"Redactor\" \/>\n\t<meta name=\"twitter:label2\" content=\"Timp estimat pentru citire\" \/>\n\t<meta name=\"twitter:data2\" content=\"16 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/bas-tv.md\\\/ro\\\/bolnavi-de-inima\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/bas-tv.md\\\/ro\\\/bolnavi-de-inima\\\/\"},\"author\":{\"name\":\"Redactor\",\"@id\":\"https:\\\/\\\/bas-tv.md\\\/ro\\\/#\\\/schema\\\/person\\\/8740f45ea2eca1f1695284fc03529af0\"},\"headline\":\"Bolnavi de inim\u0103\",\"datePublished\":\"2020-04-01T07:26:45+00:00\",\"dateModified\":\"2023-06-07T16:15:34+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/bas-tv.md\\\/ro\\\/bolnavi-de-inima\\\/\"},\"wordCount\":3137,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/bas-tv.md\\\/ro\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/bas-tv.md\\\/ro\\\/bolnavi-de-inima\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"articleSection\":[\"Social\"],\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/bas-tv.md\\\/ro\\\/bolnavi-de-inima\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/bas-tv.md\\\/ro\\\/bolnavi-de-inima\\\/\",\"url\":\"https:\\\/\\\/bas-tv.md\\\/ro\\\/bolnavi-de-inima\\\/\",\"name\":\"Bolnavi de inim\u0103 - 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