Cardiovascular Disease Nizhny Novgorod
Cardiovascular Disease Nizhny Novgorod
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Cardiovascular diseases in Nizhny Novgorod: Epidemiological analysis and challenges Cardiovascular disease (CVD) is the leading cause of death and also in Germany a significant health political significance. The analysis of the epidemiological data from this Region provides insight into regional risk factors and supply deficits. According to the Reports of the regional Ministry of health, the incidence of cardiovascular diseases in the Nizhniy Novgorod region in recent years shows a slight downward trend, however, remains at a high level. In the year 2022, about 185 cases per 10000 inhabitants were registered, with the prevalence in men is significantly higher than in women (210 vs. 160 cases per 10000). The main causes are: Arterial hypertension (about 35.4% of the population above 30 years); Coronary heart disease (CHD); Heart attack; Stroke; Congestive heart failure. A special role of modifiable risk factors play: high tobacco consumption volume (approximately 42% of the male population are smokers); an unhealthy diet high in salt and fat content; low physical activity (at about 55% of adults); Overweight and obesity (prevalence of 28.7%); chronic Stress and psycho-social stress. The geographical distribution of the disease, there are differences between urban and rural areas. In the rural regions of Nizhniy Novgorod region, access to specialized cardio is limited logic supply, which leads to a later diagnosis and a worse prognosis. The mortality rate due to cardiovascular diseases in rural communities is about 15% higher than in the city of Nizhny Novgorod. Current health initiatives of the regional Ministry include: Prevention campaigns to raise awareness of a healthy lifestyle. Periodic health examinations (DISPANSER capitalization) for the early detection of risk factors. The expansion of telemedicine services for a better supply of remote areas. Training of family physicians in the diagnosis and therapy of cardiovascular diseases. Despite these measures, the fight against cardiovascular disease remains in the Nizhny Novgorod region is a great challenge. A stronger focus on primary prevention, the improvement of medical infrastructure in rural areas, and the involvement of the population in health promotion programs are needed to reduce the morbidity and mortality further.
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Isang malawak na pagpipilian ng mga gamot mismo pati na rin ng mga pamamaraan para sa pagbawas ng gamot mula sa mataas na presyon ang nagbibigay-daan sa iyo na pumili ng pinaka-komportableng programa ng paggamot – ang abot-kaya sa gastos, na may minimal na pagpapakita ng mga side effect, at isinasaalang-alang ang ibang kasamang sakit. Kapag matagal ang pag-inom ng tabletas at binabago ng doktor ang gamot, ito ay dahil ang ilang gamot ay may katangian na magdulot ng pagkagumon, na nagreresulta sa kaunting pagbaba ng bisa nito. Bukod dito, hindi lahat ng grupo ng gamot ay angkop para sa mga pasyente sa iba't ibang edad, at may mga limitasyon din sa pagiging compatible nito sa ibang uri ng gamot. Ang pagkontrol sa presyon ay isang napakahalagang gawain, dahil ang pag-inom ng mga tableta na nakakatulong sa pagpapanatili ng normal na mga indikador ay maaaring magbigay ng araw-araw na komportableng buhay, upang maiwasan ang panganib ng hypertensive crisis, atake sa puso, at stroke. Ang mga gamot para sa kontrol ng presyon ay medyo malawakang makukuha sa mga botika, pero tanging ang doktor lang ang makakapili ng tamang gamot na angkop sa therapy. Lahat ng grupo ng gamot para pababain ang presyon ay may iba't ibang mekanismo ng epekto, side effects, at may kaunting posibilidad ng pagkadepende. Ang tamang pagpili ng gamot ay nagbibigay ng mabilis at tuloy-tuloy na resulta, at ang eksperimento sa sarili sa pag-inom ng gamot ay may mataas na posibilidad ng biglaang karamdaman, sakit sa puso at daluyan ng dugo, at sa matinding kaso, maaaring magdulot ng kamatayan.