Continuous high -temperature weather how the elderly should deal with chronic disease experts to support: diet, living, method, method and timing

In the past few days, Xi'an has entered the high temperature mode again. In the hot summer, patients with chronic diseases such as hypertension, diabetes, and heart disease, especially patients with middle -aged and elderly patients, may induce or aggravate the original chronic disease due to poor physiological regulating functional regulatory function. So how can the elderly with chronic diseases maintain their own conditions in high temperature weather, and what do you need to pay attention to in daily life? In response, the reporter interviewed Professor Ren Yanping, deputy director of the elderly in the first hospital of Xi'an Jiaotong University. Professor Ren particularly reminds that chronic patients or elderly basic conditions and elderly basic conditions, poor tolerances, poor self -coordination ability, and poor self -environmental impact. We must do a good job of self -health monitoring. In order to improve the success rate of treatment.

■ The increase in temperature of patients with hypertension affects blood pressure

Suggestion: You can adjust the treatment plan for the treatment plan to eat more water and eat less salt

Professor Ren Yanping said that as the summer temperature gradually increases, the blood pressure of many patients with hypertension may decrease to a certain extent, and the decrease in blood pressure in individual patients will even be obvious. If the blood pressure is only mild fluctuations, the treatment plan is generally not required. As the human body gradually adapts to the temperature, the blood pressure can be restored to stability. If the blood pressure is reduced too obvious, for example, as if lower than 120/70mmHg or having dizziness, hacking in front of the eyes, you need to go to the doctor in time to adjust the treatment plan appropriately under the guidance of a doctor.

If the blood pressure continues to be lower than 100/60mmHg, it is necessary to temporarily stop taking the medicine once or twice. After the blood pressure rises, the antihypertensive treatment is restarted under the guidance of the doctor, and the medicine is used from a smaller dose. Summer temperature rises, vascular dilatation and a lot of sweating. Calcium antagonists with certain vascular dilation and diuretics that improve capacity load are the main drugs that need to be adjusted in summer. "For the elderly, especially the elderly over 80 years of age, the possibility of positioning hypotension in summer is more likely to cause falling and falling." Professor Ren Yanping believes that it is mainly due to hotness and vascular expansion. The time and degree of time will be extended. For the elderly who take pressure -lowering medicines, blood pressure is easy to decrease at this time. In particular, the self -regulating ability of the elderly has decreased, and more hypotension will occur. Some elderly people will fracture due to sudden standing.

The impact of blood pressure in summer varies from person to person. Some patients with severe, aged, and atherosclerotic lesions do not rise and reflect the blood pressure at high temperatures at high temperatures, and even cardiovascular and cerebrovascular incidents occur. "I suggest that you must replenish more water, eat less salt, and eat light diet." Professor Ren Yanping said that the water loss of the human body in summer, and patients with hypertension need to pay special attention. The blood viscosity is too high to prevent the occurrence of cardiovascular and cerebrovascular events. Pay attention to a small amount of hydration and avoid a large amount of water at one time, causing the heart and kidney to be too heavy. Patients with hypertension should be limited to salt, but should not be excessive salt, especially patients with diuretics. At the same time, they should increase fresh fruits and vegetables rich in potassium and calcium.

"High temperature weather is inseparable from the air conditioner, but it must be avoided." Professor Ren Yanping believes that the air conditioner temperature should be avoided in summer. Entering the cold room from the hot outdoor, the blood vessels will change from a state of relaxation to a contraction state, and the increased blood pressure will also cause cardiovascular and cerebrovascular accidents such as stroke and angina pectoris. In the air -conditioned room, the teasing time is long. As soon as you go out, you will roll the waves, and the blood vessels will expand again, so that the blood pressure will fluctuate up and down. In addition, the amount of exercise in summer should be reduced appropriately, and the exercise time should be shortened. Summer's physical activity suitable for patients with hypertension include Taijiquan, qigong, walking, jogging, swimming, etc. "These activities are conducive to relaxing the spirit, regulating nerves, and expanding blood vessels."

■ Diabetic patients' lifestyle habits change blood sugar fluctuations

Suggestion: Adjust sleep pay attention to diet hygiene exercise, pay attention to the timing

"The blood sugar of patients with diabetes in summer will also fluctuate, which is mainly related to changes in living habits." Professor Ren Yanping said that hotness will affect patients' sleep. Insomnia not only affects blood pressure, but also has adverse effects on blood sugar. It is recommended that patients create a good sleeping environment at night to avoid overheating and too cold. If the air conditioner is blowing at night, avoid cold winds to people, and should be covered with appropriate quilts. In addition, some elderly diabetic patients may have hypoglycemia at night, manifested as humid pajamas after getting up, thinking that it is hot and sweating, causing the conditional changes in time, thereby delaying treatment. This also needs to pay attention.

Many people's dietary habits have also changed in summer. Some people have delayed dinner time, or they have increased supper. "On the one hand, the patient may need to adjust the hypoglycemic plan after the regular diet. In addition, there are more fruits in summer. Many diabetic patients will unknowingly add the intake of fruits and decrease in carbohydrates. Low changes. "When people eat cold drinks or cold foods, they need to pay special attention to food hygiene. If you accidentally cause acute gastrointestinalitis, you need to seek medical treatment in time. Otherwise High blood glucose. If the hypoglycemic plan is not adjusted in time, it may cause acute complications such as keto acid poisoning.

Professor Ren Yanping reminded that sweating in summer, and diabetic patients should replenish water in time. If you drink too little water, the blood concentration will also increase the blood sugar value.

At the same time, although exercise is important for patients with diabetes, summer exercise still needs to pay attention to methods, methods and timing. Many elderly people will choose to get up early in the morning at 5 or 6 o'clock in the morning because of the hot weather during the day. In addition, some people like to exercise after three meals, but they should not choose to exercise at noon. At this time, the temperature is the highest and easy to heatstroke. Some elderly people have a decrease in the original three -meal exercise due to the hot weather, which will lead to the increase in blood sugar in the past in the past. "The high temperature environment in summer will cause our metabolism to slow down, the activity of some tissues and organs will decrease, as well as the gastrointestinal and intestines. It will make many people feel that they have no appetite, weak body, and weakness. Eating cold and blowing air conditioners will stimulate the stomach and intestines. In this case, normal people are still prone to acute gastrointestinal diseases. For the elderly with a variety of chronic diseases, it is the cause of acute seizures of chronic diseases. " Professor Ren Yanping said that in summer, people are prone to poor sleep and poor diet. Family members may think that the elderly are dizziness, loss of appetite, and poor spirit. , A non -special manifestation of merging infection, the elderly's heart failure. Therefore, for the elderly who have had a history of chronic diseases in the past, it is necessary to monitor blood pressure and blood sugar in summer, and be alert to these typical symptoms.

Text: Zhang Lina, full media reporter of Xi'an Newspaper: Yang Xue

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