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For patients with heart failure, they need to be in the family for a long time, pay attention to maintenance and nursing, the first is to control the amount of exercise of the patient, no, fatigue, or excessive exercise, can not appear overwork and other conditions can be carried out appropriately, sub-medium, light physical exercise, but no, physical activity, overload, under the guidance of the teacher, it is possible to improve the endurance of activities, second, to always control the diet, to achieve a low-salt, low-fat and low-sugar diet, especially to limit the input of liquid and salt, Avoid the formation of sodium and water retention that leads to high blood pressure, thirdly, it is necessary to pay attention to the infection of bacteria, viruses, or other pathogenic microorganisms, to avoid colds, otherwise it will induce heart failure, and fourth, patients with heart failure are recommended. Take lifelong medications such as nitric acid, ester medications, diuretics, ace i ar b, or anne medications, and visit the hospital regularly for follow-up. For patients with acute heart failure, priority should be given to relieving severe dyspnea, hypoxia, etc., life-threatening symptoms, goals, to improve symptoms, stability, hemodynamic status, and maintenance of organ function, for patients with chronic heart failure, the goal is to alleviate clinical symptoms, delay disease progression, improve long-term prognosis, reduce mortality rate and wishes, green through, and improve the quality of life of patients as much as possible.
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Different from ordinary heart diseases, because the essence of heart failure is cardiac diastolic dysfunction, resulting in weakened heart ejection ability, on the one hand, it is necessary to increase the contractility of the heart so that it has the ability to pump more blood out; On the one hand, blood volume should be minimized while maintaining vital organs from ischemia. Therefore, for patients with heart failure, in order not to increase the workload on the heart, it is necessary to control the intake of water, sodium, etc., in addition, patients with heart failure should also exercise reasonably to avoid muscle atrophy caused by lack of exercise, and more importantly, long-term bed rest or lack of exercise will increase deep vein thrombosis. Of course, some drugs can also increase exercise endurance, such as Qili Qiangxin Capsule, which has the effect of increasing cardiac contractility, increasing the heart's ejection fraction per minute, providing sufficient blood supply for the exercise of skeletal muscles, helping to increase exercise endurance, and improving the patient's 6-minute walking distance.
However, if patients with heart failure do not have acute heart failure, they should exercise reasonably according to their tolerance to increase their exercise tolerance.
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Heart failure is the most serious manifestation of heart disease, medically called "heart failure" or "cardiac insufficiency", which can be seen in heart disease caused by various causes, including congenital heart disease and acquired heart disease, heart valve disease, myocarditis, pericarditis, etc. In addition, there are some non-cardiac diseases that can also cause heart failure, such as acute nephritis, stubborn hypertension, chronic lung disease, etc.
Normally, the "compensatory capacity" of the heart is very strong, that is, the "potential" is great. Even if the burden is increased for a long period of time or a large burden for a short period of time, failure will not occur. Therefore, heart failure is more common in more severe heart disease or heart disease with a longer course of disease.
Acute heart failure occurs in a short period of time, and chronic heart failure occurs over a long period of time. Chronic heart failure is the most common manifestation of the heart, and the main manifestations are: irritability, difficulty sleeping, weakness in sucking, refusal to eat, wheezing when moving, and bruising; Older children can complain of conditions such as chest tightness, breathlessness, difficulty breathing, inability to lie flat, cough, hemoptysis, swelling of the lower limbs and face, enlarged liver, and lack of urine.
If heart failure is found, it is necessary to rescue it in time, otherwise the consequences are very dangerous. At this time, parents should be particularly calm and calm, let the sick child be quiet, move lightly, open doors and windows, and make the indoor air fresh. And patiently comfort the sick child, do not let him be nervous or afraid, and should immediately ask a doctor to come or go to the hospital, without a moment's delay.
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What dietary problems should patients with heart failure pay attention to At the same time as medication**, by controlling the diet and controlling the sodium and water in the patient's body, it is one of the common measures for clinical patients. How can we not only ensure the needs of patients, but also achieve the purpose of controlling the disease and promoting the best of the disease? Since the digestive process and high-calorie diet will increase the workload of the heart, in the beginning stage of heart failure, patients should eat easily digestible, low-calorie light food, mainly liquid and semi-liquid, eat small and frequent meals, and eat 4 to 6 times a day.
Limit sodium intake. In general, the daily sodium chloride intake of patients with mild heart failure should be controlled at about 5 grams, the daily sodium chloride intake of patients with moderate heart failure should be controlled at about 1 gram, and the daily sodium chloride intake of patients with severe heart failure should be controlled at about 1 gram. Since the sodium chloride content in the recipes generally not cooked with salt is 2 4 grams, it is not suitable for severe patients to have a diet with low salt content, such as porridge, noodles, soy milk, freshwater fish, and fresh meat.
However, in order to ensure the patient's appetite and nutritional needs, low-sodium salt, unsalted soy sauce, sugar and other condiments can be used. In addition, when diuretics are used for large amounts of diuresis, sodium intake can not be restricted because of the loss of large amounts of sodium ions. Water intake is generally not strictly restricted.
For patients with chronic heart failure, the following principles should also be followed: 1Eat small, frequent meals, strictly prohibit overeating, and divide food into 4 to 5 times a day.
2.Choose foods that are low in calories, salt, rich in vitamins, easy to digest, and less prone to gas. 3.
The patient does not eat pickled foods, and preferably foods made with alkali or baking soda. 4.If you are deficient in potassium, you can eat kelp, seaweed, lean meat, oranges, etc., which are high in potassium.
5.Proper supplementation of vitamin B1 and vitamin C is beneficial to protect the heart muscle. 6.
Proper control of total calories, as well as proper control of protein. The above explains what heart failure patients should pay attention to in terms of diet, I believe you have understood, I hope it can help you. Experts remind you that if you find any discomfort in your body, you must go to the hospital for a check-up in time and do not delay**.
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Salt-free. Low sodium, the sodium content of the staple food throughout the day is less than 500 mg, causing serious consequences. Limit water intake.
Therefore, patients who have been using diuretics for a long time should be encouraged to eat more foods and fruits with high potassium content to prevent and reduce edema: patients with heart failure should pay attention to the following points in their diet, which mainly occurs due to insufficient intake.
2. It is easy to induce digitalis poisoning, respiratory paralysis, etc., the sodium content of non-staple food should be less than 1500 mg throughout the day, and the intake of liquid can promote urination and reduce subcutaneous edema, so as to maintain the balance of osmotic pressure in the body, or use potassium excretion with potassium-sparing diuretics. Potassium intake: no salt and soy sauce are added during cooking, severe arrhythmia, dates, and no salt.
In fact: water retention in congestive heart failure is mainly secondary to sodium retention, orange: one of the most common electrolyte imbalances in congestive heart failure when potassium balance is out of balance
That is, in addition to not adding salt and soy sauce during cooking, foods containing sodium should be used. Potassium should be supplemented if necessary**. Low salt should be used depending on the condition.
Potassium deficiency can cause intestinal paralysis, so when taking a low-sodium diet, low-sodium diet, papaya, etc., it is necessary to retain 1 liter of water, such as malnutrition. Low salt. Potassium deficiency is most commonly encountered in clinical practice.
3. For example, bananas. While retaining 7 grams of sodium chloride in the body, that is, no more than 2 grams of salt per day during cooking
1.Limit the intake of sodium salt, or with diuretic herbs with higher potassium content, or equivalent to 10 ml of soy sauce, and the sodium content of staple foods throughout the day is less than 70 mg, which can be compared with strictly restricting water intake. In the case of large diuresis, the amount of salt should be appropriately increased to prevent hyposodium syndrome, anorexia and malabsorption.
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Hello: Patients with heart failure should pay attention to the following points in terms of diet:
1.Limit sodium intake to prevent and reduce edema. A low-salt, salt-free, and low-sodium diet should be chosen.
Low salt, i.e. no more than 2 grams of salt per day or equivalent to 10 ml of soy sauce during cooking, and the sodium content of non-staple food throughout the day should be less than 1500 mg. Salt-free: No salt and soy sauce are added during cooking, and the sodium content of the staple food is less than 70 mg throughout the day.
Low sodium: In addition to not adding salt and soy sauce during cooking, foods containing sodium should be used, and the sodium content of staple and non-staple foods throughout the day should be less than 500mg. In the case of large diuresis, the amount of salt should be increased appropriately to prevent hyposodium syndrome.
2.Restriction of water intake: water retention in congestive heart failure is primarily secondary to sodium retention.
While retaining 7 grams of sodium chloride in the body, it is necessary to retain 1 liter of water to maintain the balance of osmotic pressure in the body, so it is better to strictly limit the amount of water intake when adopting a low-sodium diet. In fact, fluid intake can promote urination and reduce subcutaneous edema.
3.Potassium intake: one of the most common electrolyte abnormalities in congestive heart failure when potassium balance is out of balance.
Potassium deficiency is most commonly encountered in clinical practice, which mainly occurs due to insufficient intake, such as malnutrition, anorexia and malabsorption. Potassium deficiency can cause intestinal paralysis, severe arrhythmia, respiratory paralysis, etc., and easily induce digitalis poisoning, causing serious consequences. Therefore, patients who have been using diuretics for a long time** should be encouraged to eat more foods and fruits with high potassium content, such as bananas, oranges, dates, papaya, etc.
Potassium supplementation should be given if necessary**, or potassium excretion should be used in combination with potassium-sparing diuretics, or with a diuretic herb with a high potassium content.
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1.Rest is an important measure to reduce the workload on the heart. Life, work and rest should be appropriately arranged according to the condition.
Ensure proper mental rest and adequate sleep, and take some sleeping pills under the guidance of a doctor if necessary. After cardiac function improves, moving around as soon as possible can prevent the formation of venous thrombosis.
2.Sodium salt intake can be appropriately controlled, generally sodium salt (salt, soy sauce, yellow sauce, pickles, etc.) can be limited to less than 5 grams per day, and in severe cases, it can be limited to no more than 3 grams per day. Appropriate restriction of sodium intake can reduce fluid retention and reduce the burden on the heart.
3.The diet should be light, mainly digestible food, eat small and frequent meals, supplement some eggs, lean meat and fish in moderation, eat more fresh fruits and vegetables and crude fiber foods, and keep the stool smooth.
4.Learn to record the daily intake and output, and in the acute stage, the intake is greater than the intake, and the basic balance of intake and intake is conducive to preventing or controlling heart failure.
Output: All urine output, stool volume, drainage volume, and respiration and evaporation volume are about 600 800 ml per day.
Intake: diet, water, fruits, infusions, etc., the total daily intake is about 1500 2000 ml.
5.Measure your weight daily. If there is rapid weight gain within 1 to 2 days, water retention should be considered, and the amount of diuretics can be increased. After the application of diuretics, urine output increases significantly, edema subsides, and body weight decreases to normal, at which point weight is also called dry body weight.
6.Patients with heart failure first present with edema in both lower extremities or sacrococcygeal. It is necessary to pay attention to the care of ** and avoid compressing one position for a long time. When applying a hot water bottle, the water temperature should not exceed 50, and it is necessary to observe the **change** to avoid **scalding**.
7.When diuretics are used for a long time, potassium and chlorine supplements should be taken intermittently to maintain electrolyte balance (potassium, sodium, chloride, etc.). If you have loss of appetite, nausea and vomiting, fatigue, etc., you should go to the hospital to check the electrolytes.
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Heart disease must be noted: smoking, alcohol, all meat, all eggs should not be eaten. In particular, the yolk in eggs contains the highest cholesterol, heart disease is the most afraid of cholesterol, and salt, so you must not eat it in the morning and evening.
And be sure not to catch a cold!! The patient's diet should preferably consist of soy products as the staple food, vegetables and fruits. These can be eaten at 25 degrees or more, including fruits.
It is strictly forbidden to stay up late! "Shen Family Heart Disease**".
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Reasonable adjustment of the diet of patients with heart failure plays a very important role in alleviating the clinical symptoms caused by heart failure. First of all, a low-salt diet is needed, due to heart failure and weakened cardiac contractility, if you enter a high-salt diet, it will cause an increase in blood volume, which will increase the burden on the heart and cause the aggravation of heart failure. Patients with heart failure should choose foods that are easy to digest and rich in nutrients, such as lean meat, eggs, milk, fish and shrimp, and soy products.
It can not only provide the high-quality protein that the human body needs, but also increase the contractility of the heart. Eat more fresh vegetables and fruits to supplement the vitamins, trace elements, and dietary fiber needed by the human body, and can also relieve constipation and thus alleviate heart failure.
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Heart failure diet is to pay attention to dietary hygiene in accordance with the doctor's blessing, so that patients can recover faster and better.
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