A speech with a patient suffering from the chronic heart failure.

 By Muharljamov , Professor, Krol, candidate for medical science.

And healthy heart is not ability with an main over loading, fewer  possibles in ache changed heart, which   and on calm, working  with high load. And this heart need in everyday full rest. Thus,  he will not be coping  with an own function, thus a small any physical loading is not capability for him will be. Slowly increasing weak for heart activity and calling chronic heart failure, or decompensation, and having in heart defect, atherosclerotic cardio sclerosis, hypertension on third stage, in infarcts endured, myocarditis, lung heart. About a beginning of heart  failure are dyspnoea, as  in work, or cal, edemas on the legs, in the evening, that shoes feeling tight. And a time to doctor visit and begin active cure, but a not an all doing this, and half patients are not right rating an own condition, these  are young with rheumatic heart defects, they are always over capabilities and own forces, and in acuting heart failure are not paid attention on the signs, and bad feeling, that keeping working, studying, that not affecting for weakness, these are leading to bad resaults. In heart failure, when heart is tires, suffering an all organism, tissues, and  organs not getting needing for vital activity  quantity for nothing substances and oxygen. Heart failure having light form, middle, hard, that doctors rating as 1,2,3 her stages , and our advices are for 1-2 stages a heart failure, that improves depending on from patients.In first stage you are keeping work capacity, in second is a frequently loosing her an needing in half bed regime, this means for 3-4 hours/day he need to lie in bed, sleeping night time are 8 hours, and after doing not hard work home at, but if dyspnoea not increasing.By clinical practise, heart failure keeping for many years, improving times from time to time leading to worsening. And this chronic condition needing in not stopping curing, if in heart failure base lie rheumatic defect, thus here cure is rheumatism, as on autumn, spring in patient regularly using courses for specific   preventing curing, decompensation rare displaying. And base cure here in heart glycosides as they are stimulating work for myocard and diuretics, and in regular taking they are effectivity, when you are feeling better, doctor will decrease dose, select a supporting, thus not systematically taking, if its rule not used, thus hard complications waiting you. And let s check one example. Patient, 26 y.old,at stationary visited, at home cured for month, why remedies not worked? And he felt nausea, rhythms wrongs for heart shortenings. And he is not used remedies regularity, when felt better, stopped used theirs. Thus, its not wondering, that dyspnoea increased, legs are edemas. And without prescription, used digoxin, prescribed him earlier. And kept worked, rest less, liquid not limited, after such cure heart failure begun increased, dyspnoea felt on night, in a week such not control using for big dosages digoxin ,  which use by doctor s advices, he entered in our hospital. Diuretic use with a doctor s control, when theirs dosage   insufficient are edemas,  dyspnoes increased, and abundant using leading to weakness, dizziness, they are removing from organism importance mineral salts as importance for metabolism in heart muscle, as natrium, calium.

 And next case, that for student on a cure at hospital selected individual dose for digoxin, and constant use need. A cure is burdensome, but keeping satisfaction condition and work capacity, but after he felt good, used remedy in heart beating , he decided to rest from a remedy, in 2 weeks condition worsened, and symptoms displayed, which are before removed, again acute heart failure. Every new acuting is worsening condition,  and heart failure is hard curing. What is preventing for edemas? A  right water and salt regime keeping, if edemas not had, as liquid quantity of tea, soups, compotes, first dishes is not rises on 1-1.2 l/day , salt limiting till 5-6 gr/day not full tea sp, in edemas liquid shortening till 800 ml, salt on  3-4 gr, from ration avoiding salted snacks, spicy dishes.In decompensation needing a vegetable-milk diet, sometimes first dishes changing on juice, as benefit are apricot, peach. On autumn, summer eat vegetables as beet, cabbage, cauliflower, fruits are apples, peas, berries. Boil meat, slightly fry, strong fish, meat broths , fish are on acuting time better avoiding.