මම නම් මේක අනුමත කරන්නේ නෑ. සිංහල බේත් කරන්න ඕනි නම් කරන්න , හැබැයි ඔය දීපු බේත් නවත්තන්න එපා.
All patients should be placed on the following medications:
Aspirin
This is an anti-platelet drug. If the patient is hypersensitive, then consider clopidogrel. Some patients may be put on aspirin and clopidogrel in the acute phase after an MI; but they should not be on this combination for more than 12 months.
In patients with dyspepsia, you should also consider giving a PPI with aspirin to reduce the risk of ulceration.
β – blocker
this has antihypertensive effects, by encouraging peripheral vasodilation, and it also reduces cardiac output, by reducing the rate and contractility of the heart. It also reduces renin secretion.
ACE inhibitor (or alternative anti-aldosterone drug)
Not only does this drug help to reduce blood pressure and reduce the risk of chronic renal failure, but it also helps to reduce/delay the onset of heart failure, by preventing remodelling of the left ventricle.
Statin
This is useful even in patients with a normal cholesterol level! Some trusts treat all MI patients with a statin, others only treat those with total cholesterol >4mmol/L
Long term management
(Secondary Prevention measures)
Cardiac rehabilitation programs
All patients should be offered places on these programs, and programs should always involve an exercise component. You should not exclude a patient from any part of the program if they chose not to attend any individual parts
These programs generally offer support to achieve the goals listed below:
Smoking cessation
Increase in exercise – encourage regular daily exercise, and at least 30 minutes, 3x/week strenuous exercise
Sex – Should avoid for 1 month after MI
Travel – avoid air travel for 2 months
Reduction in weight
Reduction in alcohol intake
Dietary modification (reduced fat intake) – diet should be:
High in – oily fish, fibre, fresh fruit and veg
Low in – saturated fat
මේවා තේරෙන්නේ නැත්තම කියන්න ... සිංහල typing අමාරුයි
පෝරිසාදයා;17084713 said:
මමනන් හිතන්නේ කයට වඩා මනස රෙස්ට් එකේ තියන්න ඕනේ මේ වෙලාවේ.ඒක නිසා තාත්තට හිත කලබල වෙන දේවල් වලින් ඈත් කරලා තියෙන එක තමා ලොකුම දේ.ටී වී,රේඩියෝ එහෙම වැඩිය අහන්න බලන්න දෙන්නත් එපා.ඇඟ මහන්සි නොවෙන,මනස නොවෙහෙසෙන ඕනෙම දෙයක් කරන්න දෙන්න.ඒක තමා මම හිතන විදිහට හොඳ.තාත්තට නිදුක් නීරෝගී සුව පතනවා....
Jeewath wenakota minissunta eka eka prasha enawa ban,api ewata muna denna oni
dad ta poddak therum karala deepan,oya case eka gena echarama danne na machan,mona wunath ikmanata suwa wenna kiyala prarthana karanawa,dad wa kenthi gassana weda ehema ubala karanna epa
පොඩ්ඩක් ඩොකාගෙන් අහපන් මොනවගේ exercise ද කරන්න ඕනේ කියලා
