给心脏“修路”,更要“护路”
如果把心脏比作发动机,冠状动脉就是为发动机供油的管道。当管道因“生锈”(动脉粥样硬化)变窄、堵塞,心肌就会缺血缺氧,这就是冠心病。胸痛、胸闷、活动后气短是最常见的信号,有人形容像“胸口压了块石头”,也有人仅表现为牙疼、左肩酸——别忽视,这可能是心脏在“报警”。
为什么会“生锈”?
三高(高血压、高血脂、高血糖)是头号元凶;抽烟让血管痉挛;久坐、肥胖、熬夜、情绪紧张则像催化剂,加速斑块形成。斑块一旦破裂,血小板蜂拥而至,几分钟内就能堵死血管,引发心肌梗死。
“修路”三步曲
急救:胸痛持续15分钟不缓解,立即拨打120。黄金120分钟内开通血管,可挽救大量心肌。
药物:心悸明显者,医生有时会加用稳心颗。
手术:支架或搭桥,把狭窄处撑开或另建“高架桥”,但术后仍需终身服药,防止再堵。
护路”日常守则
• 饮食:餐盘一半蔬菜、四分之一全谷物、四分之一优质蛋白(鱼、豆、鸡胸),每天一把坚果,限盐≤5克。
• 运动:每周150分钟快走或游泳,强度以“微微气喘但能说话”为准。
• 戒烟:戒烟1年,冠心病风险下降50%。
• 心理:每天10分钟深呼吸或正念冥想,降低交感神经兴奋。
• 监测:三高人群每月查血压、每3个月查血脂、每半年查糖化血红蛋白,指标异常及时调整。
记住,冠心病可防可控。给心脏修路重要,护路更重要。从今天开始,少抽一支烟、多走一站路、早睡一小时,就是对血管最好的“养护剂”。

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