The cold has reached how the chronically ill people can survive the winter safely

The great cold is the last festival of the year ~ after the great cold, it is another year. The great cold is an important time of the year, the transformation of yin and yang, but also the turning point of the slow end of winter, the great cold is a transition period from winter to spring is also a high incidence of acute exacerbations of chronic diseases, such as diabetes, COPD acute attacks, acute attacks of cardiovascular diseases, etc., a little carelessness can cause big problems. What kind of physical conditioning and disease prevention should be done by such people to better survive the harsh winter?

Diabetics

Adjust the dosage, warm the lower limbs, and protect the feet

1. Adjust the dosage

After entering the winter, people's appetite will increase significantly, in order to resist the cold, more inclined to eat high-calorie foods, these changes are subtly affecting blood sugar. For diabetics, it is not only necessary to pay attention to the impact of winter on blood sugar, but also to pay attention to changes in blood pressure. If glucose friends have high blood pressure, combined with other factors, the risk of cardiovascular events in the winter will be greatly increased.

2. Warm your lower limbs

30% of diabetic patients with diabetes will have lower extremity neuropathy after 5 years of diabetic age; while 60% of patients with diabetic age of more than 10 years will have lower extremity neuropathy; sugar age is more than 20 years, and its prevalence is as high as 90%. In the winter, such diabetic patients will have aggravated lower limb discomfort, such as cold limbs, numbness aggravation, etc., which seriously affect sleep.

3. Protect your feet

After entering the winter, diabetics are more likely than ordinary people to have cold limbs, afraid of cold, etc., so in the winter will use hot water bottles or soak their feet. However, due to the fact that many diabetic patients have neuropathy and lead to sensory impairment, which leads to burns when soaking feet, coupled with the basis of neuropathy and vascular lesions, the wound is difficult to heal, resulting in the serious consequences of diabetic foot and other local damage.

Cardiovascular and hypertensive patients

Take your medication on time and pay attention to keeping warm

1. Do not inject blood-activating and vascular drugs indiscriminately, and take the drugs on time and follow the doctor's instructions

Many elderly people with bad hearts are usually accustomed to going to the hospital to inject some so-called blood-activating and vascular drugs intravenously before the high incidence of cardiovascular and cerebrovascular diseases in winter, which is actually doing "useless work". The pathogenesis of cardiovascular and cerebrovascular diseases is very complex, and it needs to be treated comprehensively according to the cause of the disease for a long time, and relying on short-term medication alone cannot play a preventive role. There are even many elderly patients who think that they do not usually need to take drugs, as long as they are infused twice a year, which is absolutely undesirable.

2. Keep warm first to alleviate blood pressure fluctuations

Winter is a "bumper" for patients with high blood pressure. The average systolic blood pressure of the human body in winter is 12 mm Hg higher than in summer, the average diastolic blood pressure is 6 mm Hg higher than in summer, and for every 1 °C decrease in temperature, the systolic blood pressure rises by 1.3 mm Hg and the diastolic blood pressure rises by 0.6 mm Hg. At the same time, blood pressure fluctuations in winter are also significantly greater than in summer. The main danger of increased blood pressure fluctuations is the increase in the incidence of complications, especially cerebral hemorrhage, ischemic stroke, myocardial infarction and acute left heart failure. Every year when the wind cools down in the winter, the hospital emergency room is overcrowded with stroke patients, and the number of patients with myocardial infarction increases significantly, especially in the northern region.

Patients with COPD

Anti-smog, vaccinations, smoking cessation

1. Wear a mask to prevent smog from hurting the lungs

Winter climate is dry and cold, the lungs are easily stimulated by the outside world, coupled with the winter haze, many people's bodies will appear more or less at this time some diseases, colds, coughs are the most common. In particular, some elderly people who already have COPD will have complications such as pneumonia if they still do not pay attention to the maintenance of the lungs. Over time, the patient's respiratory tract and lung tissue will completely lose function.

2. Vaccination against pneumonia

More than half of the elderly do not know that the symptoms of pneumonia are similar to those of a cold, and fewer than 14% of those who have been vaccinated are vaccinated. Pneumonia caused by pneumococcal bacteria is most common clinically, up to 83%. When the body's immunity declines, such as colds, fatigue, chronic bronchitis, chronic heart disease, long-term smoking, etc., pneumococcus can take the opportunity to invade the human body and cause pneumonia. If the cough symptoms of the elderly cannot be relieved for more than 1 week, and there is more sputum, yellow color, as well as fear of cold and poor appetite, they should go to the hospital in time, and if necessary, perform a chest X-ray examination to confirm the diagnosis, and actively treat it under the guidance of a doctor.

3. Quit smoking to prevent COPD recurrence

COPD will not only cause damage to human lung function, but also seriously affect the patient's systemic immune system and resistance. In addition to shortness of breath, wasting, malnutrition, and weak resistance are also the main manifestations of CHRONIC obstructive pulmonary disease. If people with COPD have smoking habits, it will undoubtedly aggravate the condition. Over time, the patient's respiratory tract and lung tissue completely lose function, leading to respiratory failure and systemic multi-organ failure.

Winter is the high incidence of acute attacks in patients with chronic diseases, as long as you are careful to maintain, actively prevent and treat, and follow the rules of medical advice, you can still let patients with chronic diseases survive the winter safely.

Source: Jilin 12320