for Looking after your - British Heart Foundation

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p¡Eb H¢nu¡ecl SeÉ abÉ. (in Bengali) ph¡C ¢j− m q¡ − VÑl Ap¤M fÊ¢aqa Ll− h¡. Looking after your heart. wKfv‡e nv‡U©i hZœ ‡bqv hvq ...
p¡Eb H¢nu¡ecl SeÉ abÉ (in Bengali)

wKfv‡e nv‡U©i hZœ ‡bqv hvq Looking after your heart

ph¡C ¢j−m q¡−VÑl Ap¤M fÊ¢aqa Ll−h¡

HC f¤¢Ù¹L¡ pÇf−LÑ ¢LR¤ Lb¡ RxebhvÎv cÖbjx‡Z mvaviY wKQz cwieZ©b G‡b wK fv‡e Avcwb Avcbvi nv‡U©i hZœ wb‡Z cv‡ib Ges nv‡U©i wKQz mgm¨v, †hgb K‡ivbvix nv‡U©i AmyL (G¨vbRvBbv I nvU© G¨vUvK), ‡÷ªvK BZ¨vw`i SuywK Kgv‡Z cv‡ib, GB cyw¯—Kvq Zv Av‡jvPbv Kiv n‡q‡Q| nv‡U©i GB me mgm¨v‡K ejv nq nv‡U©i AmyL| hy³iv‡R¨ g„Zy¨i me‡P‡q eo GKUv KviY n‡jv nv‡U©i AmyL| GwU cÖwZ wZbwU‡Z GKwUiI †ewk g„Zy¨i KviY| hy³iv‡R¨ emevmiZ `w¶b Gkxq es‡kv™¢~Z ‡jvK‡`i we‡kl K‡i GB †ivM nIqvi AvksKv †ekx| GB cyw¯—KvwU Zv‡`i Rb¨ hv‡`i GL‡bv nv‡U©i mgm¨v nqwb| Avcbvi hw` BwZg‡a¨ nv‡U©i mgm¨v n‡q _v‡K Z‡e nv‡U©i †ivMMÖ¯— †jvK‡`i Rb¨ we‡kl K‡i †jLv 46 c„ôvq ZvwjKvf~³ eB¸‡jv cov Avcbvi Rb¨ AwaKZi Dc‡hvMx|

HC f¤¢Ù¹L¡u B−m¡¢Qa ¢hou…−m¡ •

nv‡U©i AmyL wK



‡Kvb †Kvb welq nv‡U©i Amy‡Li SzuwK evovq



Avcbvi Wv³vi hw` Avcbvi nv‡U©i Amy‡Li SzuwK wbY©‡qi cix¶v K‡ib Z‡e cix¶vi djvdj †_‡K wK eySv hv‡e, Ges



wK fv‡e Avcwb Avcbvi nv‡U©i hZœ †b‡eb Ges nv‡U©i Amy‡Li SzuwK Kgv‡eb|

HC f¤¢Ù¹L¡l abÉ¡hm£ Bfe¡l X¡š²¡l ¢k¢e Bfe¡l AhØq¡ pð−å S¡−ee a¡yl Ef−c−nl ¢hLÒf euz HC f¤¢Ù¹L¡ Cw−l¢S, …Sl¡a£, ¢q¢¾c, f¡¾S¡h£ J Ec¤Ñ i¡o¡u f¡Ju¡ k¡u z ®k ph †ivMxi BaÈ£u-üSe, ®ph¡c¡eL¡l£ h¡ ü¡ØqÉ-®fn¡S£¢h Iph i¡o¡ fs−a S¡−ee e¡ a¡y®cl SeÉ HC f¤¢Ù¹L¡ fËL¡¢na q−u−R h¡wm¡ i¡o¡u z

2 | Looking after your heart

p§Q£fœ nv‡U©i AmyL wK?

4

nv‡U©i AmyL †Kb nq?

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Avgvi nv‡U©i Amy‡Li SzuwK Av‡Q wK bv wKfv‡e eyS‡ev?

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Avwg wKfv‡e SuywK Kgv‡Z cvwi?

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a~gcvqx n‡j a~gcvb Z¨vM Ki“b

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¯^v¯’¨ wewa m¤§Z IRb I †`nvK…wZ eRvq ivLyb

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AwaK kvixwiK cwikªgx ‡nvb

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¯^v¯’¨ m¤§Z Lvevi Lvb

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cÖwZw`b Kgc‡¶ cuvP fvM dj I mewR Lvb

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Pwe©, we‡kl K‡i m¤ú„³ Pwe© Kg Lvb

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mßv‡n GK fvM ˆZjv³ gvQ Lvb

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Kg jeb Lvb

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g`¨

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Avcbvi e−vW †cÖmvi wbqš¿‡b ivLyb

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Avcbvi Wvq‡ewUm wbqš¿‡b ivLyb

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cvwievwiK BwZnvm

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gvbwmK Pvc wK nv‡U©i Amy‡Li Kvib n‡Z cv‡i?

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AwaK Z‡_¨i Rb¨

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Z_¨m~Î

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cwifvlv

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wbN©›U

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nv‡U©i AmyL wK? nv‡U©i AmyL ej‡Z K‡ivbvix nv‡U©i AmyL (G¨vbRvBbv I nvU© G¨vUvK), †÷ªvK mn me ai‡Yi nvU© I i³ mÂj‡bi AmyL‡K †evSvq| hy³iv‡R¨ cÖwZ PviR‡b GKRb cyi“l I cÖwZ QqR‡b GKRb gwnjv K‡ivbvix nv‡U©i Amy‡L gviv hvb| fviZxq, evsjv‡`kx, cvwK¯—vbx Ges kªxjsKvb, hy³iv‡R¨ emevmiZ GBme `w¶b Gkxq †jvK‡`i nv‡U©i Amy‡Li SzuwKi cwigvb AwaKZi †ekx| 1

nvU© wKfv‡e KvR K‡i nvU© n‡”Q gywóe× nv‡Zi mgvb GKwU gvsm‡ckx| Bnv wgwb‡U 70 evi ¤úw›`Z n‡q mviv kix‡i cv¤ú K‡i i³ mÂvwjZ K‡i| i³ Aw·‡Rb msMÖn Kivi Rb¨ nvU© †_‡K dzmdz‡m hvq| Aw·‡Rb mg„× n‡q i³ nv‡U© wd‡i Av‡m Ges agbxZ‡š¿i gva¨‡g mÂvwjZ n‡q kix‡ii me A‡½ mÂvwjZ nq Aw·‡Rb mieivn K‡i| i³ wkivi gva¨‡g Avevi nv‡U© wd‡i Av‡m Ges AveviI dzmdz‡m mÂvwjZ nq| GB cÖwµqv‡K i³ mÂvjb e‡j|

4 | Looking after your heart

agYx

nvU©

agYx

nvU©

Wvb K‡ivbvix AvU©vix ev agbx

evg K‡ivbvix AvU©vix ev agbx

K‡ivbvix AvU©vix ev agbxi gva¨‡g nv‡U©i gvsm‡ckx wb‡Ri Rb¨ i³ mieivn †c‡q _v‡K| K‡ivbvix AvU©vix n‡”Q nv‡U©i c„‡ó Aew¯’Z i³ bvwjKv|

K‡ivbvix nv‡U©i AmyL ax‡i ax‡i G¨v‡_‡ivgv bvgK Pwe©RvZxq c`v_© Øviv agbxi †`qvj Av”Qvw`Z n‡q †h‡Z cv‡i| Gi d‡j agbx mi“ n‡q nv‡U© i³ mieiv‡n evav m„wó n‡j K‡ivbvix nv‡U©i AmyL nq| G‡Z G¨vbRvBbv (ey‡K e¨v_v) n‡Z cv‡i| A_ev hw` †Kvb K‡ivbvix agbx cy‡ivcywi eÜ n‡q hvq Z‡e nvU© G¨vUvK n‡Z cv‡i|

agbx‡Z Pwe© RvZxq c`v_© Rg‡j wK N‡U

agbxi †`qvj

G¨v‡_‡ivgv Rgv n‡”Q

G¨v‡_‡ivgv Rgv n‡”Q

G¨v‡_‡ivgv agbxi †fZi i³ cÖev‡n evauv m„wó Ki‡Q|

hLb Pwe© RvZxq c`v_© agbx‡Z mwÂZ nq, ZLb agbx mi“ n‡q hvq Ges agbxi ga¨ w`‡q i³ cÖevwnZ nIqv AZ¨š— KwVb n‡q c‡o|

Looking after your heart | 5

‡óªvK i³ gw¯—‡¯‹i Rb¨ cÖ‡qvRbxq cywó I Aw·‡R‡bi †RvMvb †`q| Nv‡oi ‡fZ‡i agbx‡Z G¨v‡_‡ivgv mwÂZ n‡j gw¯—‡¯‹ i³ mieiv‡n evavi m„wó nq| hLb gw¯—‡Ki †Kvb As‡k i³ mieivn eÜ n‡q hvq, †hgb- i³ RgvU †eu‡a hw` gw¯—®‹ i³ mievivnKvix agbx‡K eÜ K‡i †`q, ZLb †÷ªvK nq| i³ mieivn bv n‡j gw¯—‡¯‹i †Kvl¸‡jv ¶wZMÖ¯— ev aŸsm n‡q †h‡Z cv‡i| gw¯—¯‹ kix‡ii me Kg©KvÛ wbqš¿b K‡i, Kv‡RB †÷ªv‡Ki Kvi‡Y Avgv‡`i kixwiK ev gvbwmK ¶gZv e¨vnZ n‡Z cv‡i| ‡÷ªv‡Ki m¤ú‡K© AwZwi³ Z‡_¨i Rb¨ †hvMv‡hvM Ki“b|

The Stroke Association Stroke Helpline 0845 3033 100 www.stroke.org.uk

6 | Looking after your heart

nv‡U©i AmyL †Kb nq? Avcbvi †Kvb †Kvb Ae¯’v Ges Rxeb hvcb c×wZ Avcbvi nv‡U©i Amy‡Li SzuwK evov‡Z cv‡i| G¸‡jv‡K ejv nq SuywKc~Y© Dcv`vb| wKQz wKQz SuywKc~Y© Dcv`v‡bi e¨vcv‡i Avcwb wKQz Ki‡Z cv‡ib, wKš‘ wKQz SuywKc~Y© Dcv`vb Av‡Q Zv‡K Avcwb e`jv‡Z cvi‡eb bv|

†hme SzuwKc~Y© Dcv`vb m¤ú‡K© Avcwb wKQz Ki‡Z cv‡ib Zvn‡jv:



a~gcvb



D”P gvÎvi i‡³i †Kv‡j‡÷v‡ivj



nvB e−vW‡cÖmvi



AwZwi³ IRb



Wvq‡ewUm



h‡_ô kvixwiK cwikªg bv Kiv

13-43 c„ôvq G m¤ú‡K© Av‡iv e¨L¨v †`Iqv n‡q‡Q|

8 | Looking after your heart

‡hme SuywKc~Y© Dcv`vb Avcwb cwieZ©b Ki‡Z cv‡eb bv wKQz wKQz SuywKc~Y© Dcv`vb Avcbvi wbqš¿‡bi evB‡i, †m¸‡jv n‡PQ:

• nv‡U©i Amy‡Li cvwievwiK BwZnvm| cvwievwiK BwZnvm ej‡Z eySvq 55 ermi eq‡mi c~‡e© hw` Avcbvi evev ev fvB‡qi wKsev 65 eQi eq‡mi c~‡e© hw` Avcbvi gv ev †ev‡bi nv‡U©i AmyL aiv c‡o| •

Avcbvi G_wbK (RvwZMZ cwiPq) e¨vKMÖvD›W| hy³iv‡R¨ emevmKvix Ab¨vb¨ Rb‡Mvwôi †P‡q `w¶b Gkxq †jvKR‡bi 69 ermi eq‡mi c~‡e© g„Zz¨i cwigvb wظb ch©š— n‡q _v‡K| 2 cvwK¯—vbx cyi“l I gwnjv Ges evsjv‡`kx cyi“l‡`i SzuwK Ab¨vb¨ `w¶b Gkxq‡`i †P‡q †ekx| 2

• Avcbvi eqm| eqm hZ evo‡Z _vK‡e nvU© wWwR‡Ri AvksKvI ZZ cÖej n‡e|

Avcbvi nvU©‡K myiw¶Z ivLyb SuywKc~Y© Dcv`vb Avcbvi hZ †ekx _vK‡e, nvU© wWwRR nIqvi AvksKvI ZZ cÖej n‡e| nv‡U©i Amy‡Li AvksKv ˆkke †_‡KB ïi“ nq| GKUv wkï wK Lvq, wK cwigvb ˆ`wnK kªg K‡i, Ges Ab¨vb¨ Dcv`vb, me wKQzi Dci nv‡U©i AmyL n‡e wKbv Zv wbf©i K‡i| Kv‡RB wkï ‡_‡K cÖvß eq¯‹ I cwiev‡ii meviB nv‡U©i myi¶vi Rb¨ Rxeb hvcb cÖbvjx cwieZ©b Kiv ¸i“Z¡c~Y© |

Looking after your heart | 9

Avgvi nv‡U©i AmyL nevi SuywK Av‡Q wKbv wK fv‡e eyS‡ev? Avcbvi Wv³vi ev bvm© Avcbvi nv‡U©i AmyL nIqvi SuywK Av‡Q wKbv wbY©q Kivi Rb¨ GKwU cix¶v Ki‡Z cv‡ib| nv‡U©i Amy‡Li SuywK cwigvcK G cix¶v †_‡K Avcwb nvU©‡K my¯’ ivLvi Rb¨ wK Ki‡Z cv‡ib †m e¨vcv‡i g~j¨evb Z_¨ †c‡Z cv‡ib| Gi †_‡K Avcbvi nv‡U©i myi¶vi e¨vcv‡i wPwKrmv, †hgbJla `iKvi wKbv ZvI w¯’i Ki‡Z cv‡ib| GB cix¶vi mgq Wv³vi I bvm© hv Ki‡eb• Avcbvi Rxeb hvcb cÖYvjx, †hgb-Avcwb a~gcvb K‡ib wKbv , Avcwb wK cwigvb kvixwiK kªg K‡ib Ges wK ai‡Yi Lv`¨ MÖnb K‡ib, Gme e¨vcv‡i cÖkœ Ki‡eb| •

Avcbvi IRb, ‰`N©¨ I †Kvg‡ii gvc †b‡eb|



Avcbvi e−vW †cÖmvi gvc‡eb|



Avcbvi †Kv‡j‡÷‡ivj gvÎv gvcvi Rb¨ cix¶v Ki‡eb|



Avcbvi G_wbK (RvwZMZ cwiPq) e¨vKMÖvD›W m¤^‡Ü Rvb‡Z PvB‡eb|

• Avcbvi nv‡U©i Amy‡Li cvwievwiK BwZnvm m¤ú‡K© Rvb‡Z PvB‡eb|

nv‡U©i Amy‡Li SyuwK wbY©‡q †KejgvÎ GKUv welq, †hgb- Avcbvi †Kv‡j‡÷‡ivj gvÎvi Dci ¸i“Z¡ bv w`‡q me¸‡jv Dcv`vb‡KB Avg‡j Avb‡Z n‡e| KviY, Avcbvi SuywKc~Y© Dcv`vb hZ †ekx _vK‡e, Avcbvi nv‡U©i Amy‡Li m¤¢vebv ZZ ‡ekx n‡e| (nv‡U©i AmyL n‡q‡Q e‡j ZLbB aiv n‡e hLb Avcbvi K‡ivbvix nv‡U©i AmyL kbv³ n‡e, nvU© G¨vUvK ev †÷ªvK n‡e|)

10 | Looking after your heart

nv‡U©i Amy‡Li SuywK wbY©‡qi Rb¨ AvRKvj †ek wKQy Kw¤úDUvi †cÖvMÖvg cvIqv hvq| Avcbvi nv‡U©i Amy‡Li SuywK wbY©‡qi cix¶v Kivi mgq Wv³vi ev bvm© Avcbvi KvQ †_‡K cÖvß me Z_¨ Kw¤úDUvi †cÖvMÖv‡g XyKv‡eb| †cÖvMÖvgwU ZLb AvMvgx 10 erm‡ii g‡a¨ Avcbvi nv‡U©i Amy‡Li AvksKv Av‡Q wKbv wbY©q K‡i †`‡e| hw` †`Lv hvq AvMvgx 10 erm‡ii g‡a¨ Avcbvi nv‡U©i Amy‡Li AvksKv Av‡Q ZLb Wv³vi SuywK Kgv‡bv Ges nv‡U©i myi¶vi Rb¨ Jla, †hgb- ó¨vwUb (hv †Kv‡j‡÷‡ivj gvÎv Kgv‡Z mvnvh¨ K‡i) w`‡Z cv‡ib| Avcbvi SuywK gvSvix ev Kg n‡jI hw` †Kv‡jv÷‡ivj gvÎv †ekx nq ev e−vW †cÖmvi hw` †ekx _v‡K Z‡e Wv³vi Avcbv‡K †Kv‡j‡÷‡ivj gvÎv Kgv‡bvi Rb¨ ó¨vwUb ev e−vW †cÖmvi Kgv‡bvi Jla w`‡Z cv‡ib| GB Jla¸‡jv SzuwK Kgvq Ges nv‡U©i myi¶v K‡i| Avcbvi Ilya ïi“i Av‡M Avcbvi Wv³vi ev bvm© Ab¨ ‡Kvb w`b AveviI Avcbvi e−vW †cÖmvi gvc‡Z cv‡ib ev Avev‡iv GKUv †Kv‡j‡÷‡ivj cix¶v Kiv‡Z cv‡ib| Wv³vi ev bvm© Avcbvi SuywKc~Y© Dcv`v‡bi cwigv‡bi Dci wfwË K‡i SzuwK Kgv‡bvi Rb¨ Avcbvi RxebgvÎvq wKQz ¯^v¯’¨m¤§Z cwieZ©b Avb‡Z civgk© w`‡Z cv‡ib| Rxebhvcb cÖYvjxi cwieZ©‡bi ci- Avcbvi SuywK K‡g‡Q wKbv wbY©‡qi Rb¨ Av‡iKUv nv‡U©i Amy‡Li SuywK wba©viY cix¶v Kiv‡Z ej‡Z cv‡ib| hw` Avcbvi nv‡U©i Amy‡Li SuywK KgI nq ZeyI Rxeb hvcb cÖYvjxi Dci bRi w`‡j GUzKz DcK…Z n‡eb †h Avcwb wb‡R‡K Ges Avcbvi nvU©‡K my¯’ ivL‡Z cvi‡eb|

Looking after your heart | 11

Avwg wKfv‡e SuywK Kgv‡Z cvwi? nv‡U©i Amy‡Li SuywK Kgv‡Z Avcwb †ek wKQz Ki‡Z cv‡ib|



aygcvqx n‡j a~gcvb Z¨vM Ki“b|



¯^v¯’¨m¤§Z IRb I †`nvK…wZ eRvq ivLyb|



AwaK kvixwiK kªg Ki“b|



¯^v¯’¨m¤§Z Lv`¨ MÖnb Ki“b|

Avgiv Gme welq wb‡q Av‡iv Av‡jvPbv KiwQ|

Looking after your heart | 13

a~gcvqx n‡j aygcvb Z¨vM Ki“b m¤¢eZt Avcwb Rv‡bb †h a~gcvb Ki‡j dymdy‡mi K¨vÝvi n‡Z cv‡i Ges ZvgvK wPev‡bv †_‡K gyL Mne‡ii K¨vÝvi n‡Z cv‡i| aygcvb Avcbvi nv‡U©i Amy‡LiI SuywK evovq| aygcvb nv‡U©i Amy‡Li GKUv cÖavb KviY| 1hviv K‡Lv‡bv aygcvb K‡iwb Zuv‡`i †_‡K aygcvqx‡`i nvU© G¨vUvK nIqvi AvksKv wظb| nvU© G¨vUv‡Ki SzuwK Kgv‡bvi Rb¨ Ges `xN© Rxeb jv‡fi Rb¨ aygcvb Z¨vM Kiv GKgvÎ ¸i“Z¡c~Y© c`‡¶c|

a~gcvb wKfv‡e nv‡U©i ¶wZK‡i? aygcvb agbxi †fZ‡ii †`qvj‡K ¶wZMÖ¯— K‡i, hvi d‡j G¨v‡_‡ivgv bvgK Pwe© RvZxq c`v_© Rgv mnR nq (5 c„ôvq †`Lyb ) i³ nvU© I kix‡ii Rb¨ As‡M Aw·‡Rb enb K‡i wb‡q hvq, wKš‘ wmMv‡i‡Ui a~uqvi Kve©b g‡bv·vB‡Wi Kvi‡Y GB Aw·‡R‡bi NvUwZ N‡U| wmMv‡i‡Ui wb‡KvwUb kix‡i G¨v‡Wª‡bBwjb Drcv`‡b mnvqZv K‡i| G‡Z nv‡U©i ¤ú›`b `ª“Z nq Ges e−vW †cÖmvi †e‡o hvq| Gi d‡j nvU©‡K †ekx cwikªg Ki‡Z nq| aygcv‡bi Kvi‡Y i³ RgvU evaviI m¤¢vebv _v‡K| G me wKQzB K‡ivbvix nv‡U©i AmyL, nvU© G¨vUvK ev †÷ªv‡Ki SuywK evovq|

c‡iv¶ a~gcvb wK? c‡iv¶ ev wbw®Œq aygcvb ej‡Z eySvq, Aa~gcvqx e¨w³ A‡b¨i aygcvb †_‡K m„ó ‡auvqv wbtk¦v‡mi ms‡M MÖnb Kiv| c‡iv¶ aygcvbI ¶wZKi| M‡elYvq †`Lv †M‡Q, aygcvqx‡`i ms‡M evm K‡i Ggb Aa~gcvqx e¨w³‡`i nv‡U©i AmyL nIqvi AvksKv, hviv a~gcvqx‡`i ms‡M evm K‡i bv Zv‡`i †P‡q A‡bK †ekx| 1

14 | Looking after your heart

a~gcvb Z¨v‡M mnvqZv hw` a~gcvb Z¨v‡Mi †Póv K‡i AveviI a~gcvb ïi“ K‡ib Z‡e Avcbvi Wv³vi ev dvg©vwm‡÷i KvQ †_‡K a~gcvb Z¨v‡M mnvqK `ªe¨vw` m¤ú‡K© †R‡b wb‡Z cv‡ib| G¸‡jvi g‡a¨ Av‡Q wb‡KvwUb wfwËK wRwbl †hgb, wb‡KvwUb PzwqsMvg, gvB‡µvU¨vem, j‡RÝ Ges Z¡‡Ki c¨vP A_ev wb‡KvwUb wenxb `ªe¨ †hgb weD‡cÖvwcIb Ges f¨v‡iwb K¬vBb (eZ©gv‡b hvBevb Ges P¨vw¤úm bv‡g wewµ n‡PQ)| Wv³v‡ii †cÖmK…ckb wb‡q G¸‡jv †c‡Z cv‡ib|

Avcbvi Wv³vi ev dvg©vwm÷‡K a~gcvb e†Ü mnvqK `ªe¨vw` m¤ú‡K© wR‡M¨m Ki“b|

a~gcvb e‡Üi Rb¨ ev¯—e m¤§Z wUcm aygcvb e‡Üi Rb¨ GKUv w`b wVK Ki“b Ges GUv‡Z AUj _vKz„b| Avcbvi jvBUvi, G¨v‡÷ª Qz‡o †d‡j w`b| Kv‡Ri GKUv cwiKíbv Ki“b| wK wK Avcbv‡K aygcvb †_‡K weiZ ivL‡Z cvi‡e Zv wb‡q fveyb, †hgb- wb‡KvwU‡bi weKí `ªe¨ e¨envi| †hw`b aygcvb Z¨vM Ki‡eb Zvi Av‡MB G¸‡jv cÖ¯‘Z ivLyb| gb †_‡K wmMv‡i‡Ui fvebv `yi Kivi Rb¨ e¨¯— _vKzb| Avcbvi i“wUb e`jv‡Z †Póv Ki“b Ges †h †`vKvb †_‡K mvavibZ wmMv‡iU wK‡bb Zv‡K Gwo‡q Pjyb| mn‡hvwMZv wbb| cwievi I eÜz‡`i Rvbvb ‡h, Avcwb a~gcvb †Q‡o w`‡”Qb| †KD †KD †`‡L‡Qb †hme AvZœxq I eÜz a~gcvb †Q‡o‡Qb Zv‡`i ms‡M K_v ejv mnvqK nq| wb‡R‡K Avc¨vwqZ Ki“b| hw` cv‡ib Z‡e aygcvb Z¨v‡Mi d‡j ‡e‡uP hvIqv UvKv w`‡q wb‡Ri Rb¨ we‡kl wKQz wKbyb|

16 | Looking after your heart

hw` a~gcvb Z¨v‡Mi Rb¨ AwaKZi mvnv‡h¨i cÖ‡qvRb nq hw` Avcbvi evowZ mvnv‡h¨i `iKvi nq Z‡e KzBU jvBb (Quitline ®) A_ev Gb GBP Gm a~gcvb msµvš— Ô†ní jvBbÕ (NHS Smoking Helpline) G Kj Ki“b| KzBU jvBb (Quitline ®) Bs‡iwR: 0800 00 22 00 evsjv: 0800 00 22 44. †mvgevi Acivý 1 †_‡K 9 ch©š— †Lvjv _v‡K| ÔKzBU jvBbÕ n‡jv a~gcvb Z¨vM Ki‡Z B”QyK e¨w³‡`i Rb¨ †Uwj‡dv‡b mnvqZv`vbKvix jvBb| Kj¸‡jv webv cqmvi| Avcwb GKRb cÖwk¶Y cªvß civgk©‡Ki ms‡M K_v ej‡Z cvi‡eb whwb mvnvh¨ Ki‡Z cvi‡eb:

• hw` Avcwb a~gcvb Z¨v‡Mi cÖ¯‘wZ wb‡Z Pvb, • hw` Avcwb a~gcv‡b Z¨v‡M mnvqK we‡kl †Kvb `ªe¨ m¤ú‡K© Rvb‡Z Pvb ev a~gcv‡b Z¨v‡Mi m¤ú‡K© †Kvb wKQ~ Rvb‡Z Pvb, Ges • hw` Avcbvi KwVb mgq¸‡jv‡Z mvnvh¨ I Aby‡cÖiYv Pvb|

Gb GBP Gm a~gcvb msµvš— Ô†ní jvBbÕ (NHS Smoking Helpline) Bs‡iwR: 0800 169 0 169 wb‡gœv³ '‡ní jvBbÕ ¸‡jv g½jevi Acivý 1 †_‡K 9 ch©š— †Lvjv _v‡K| evsjv: 0800 169 0885 Ô‡ní jvBbÕ a~gcvb Z¨vM m¤úwK©Z Z_¨ w`‡Z cv‡i Ges hvuiv a~gcvb Z¨vM KwVb g‡b K‡ib Zv‡`i mvnvh¨ Ki‡Z cv‡i|

18 | Looking after your heart

kxkv †meb wK ¶wZKi? n¨vu, Bnv ¶wZKi| mv¤cÖwZK M‡elYvq †`Lv †M‡Q, kxkvi †auvqvq Ggb me ivmvqwbK `ªe¨ eûj cwigv‡b i‡q‡Q hv †_‡K nv‡U©i AmyL, K¨vÝvi n‡Z cv‡i Ges wmMv‡iU †mebKvix‡`i Avmw³ evov‡Z cv‡i| 3 wmMv‡iU cv‡bi †P‡q kxkv †me‡bi wZbwU evowZ ¶wZKi w`K i‡q‡Q| • GK N›Uv kxkv †me‡bi Avm‡i kxkv †mebKvixiv wmMv‡i‡Ui †P‡q 200 ¸b †ekx a~quv wbk¦v‡mi ms‡M MÖnb K‡ib| • myMwÜhy³ ZvgvK Kqjvi Dci †i‡L †meb Kiv nq| ¶wZKi a~qvi ms‡½ Kqjvi ‡auvqv hy³ K‡i bZzb Uw¯‹b ev wel| †KD †KD Kqjv e¨envi bv K‡i ˆe`y¨wZK kxkv †meb K‡ib| wKš‘ ˆe`y¨wZK kxkvI ¯^v‡¯’¨i c‡¶ ¶wZKi| • ‡hme e¨w³ kxkvi Avm‡i e‡m _v‡Kb, Zuviv kxkv †meb bv Ki‡jI D”P gvÎvi ¶wZKi c‡iv¶ a~gcvb K‡ib| Kv‡RB kxkv †mebKvix I Av‡kcv‡ki †jvKRb AZ¨š— SuywKi gy‡L _v‡Kb| 4 hw` Avcwb eÜz‡`i mv‡_ †`Lv Ki‡Z kxkvi Avm‡i hvb Z‡e Zv‡`i wb‡q evB‡i nuvU‡Z hvb bv †Kb?

Looking after your heart | 19

¯^v¯’¨m¤§Z IRb I †`nvK…wZ eRvq ivLyb Avcbvi IRb Avcbvi IRb hZ †ekx n‡e, e−vW ‡cÖmvi I Wvq‡ewUm nIqvi AvksKv I ZZ †ekx n‡e| `yB-B nv‡U©i Amy‡Li SyuwK evovq| hw` Avcwb h‡_ó cwigvY Pwe©hy³ Lvevi, wgwó Lvevi I wPwbhy³ cvbxq Lvb, Avcbvi IRb evovi m¤¢vebv †ekx n‡e| KviY Gme Lv‡`¨ K¨v‡jvixi cwigvb †ekx _v‡K| hw` Avcbvi kix‡ii MÖnb Kivi gZ K¨v‡jvixi †P‡q †ekx MÖnb K‡ib Z‡e evowZ K¨v‡jvix Pwe© wn‡m‡e mwÂZ n‡e Ges AwZwi³ Pwe©i Kvi‡Y IRb †e‡o hv‡e| hw` Avcwb kvixwiK kªg Kg K‡ib Z‡e Avcbvi IRb AwaKZi †ekx nIqvi m¤¢vebv|

Avcbvi †`nvK…wZ Avcbvi †`nvK…wZ I ¸i“Z¡c~Y©| †hme †jv‡Ki kix‡ii ga¨fv‡Mi IRb †ekx Zv‡`i K‡ivbvix nv‡U©i AmyL, nvB e−vW †cÖmvi I Wvq‡ewUm nIqvi AvksKv †ekx| hy³iv‡R¨i Ab¨vb¨ RbM‡bi †P‡q `w¶Y Gkxq †jvK‡`i gvsm‡ckx Abycv‡Z Pwe©i cwigvY †ekx Ges Zv‡`i GB Pwe© kix‡ii ga¨ fv‡M †ekx| Kv‡RB hy³iv‡R¨i Ab¨vb¨ †jvK‡`i †P‡q `w¶Y Gkxq‡`i K‡ivbvix nv‡U©i AmyL nIqvi AvksKv †ekx|

Looking after your heart | 21

Avcbvi wK IRb Kgv‡bv cÖ‡qvRb? IRb Kgv‡bvi `iKvi wKbv Zv †ei Kivi Rb¨ mnRZg Dcvq n‡jv wdZvi mvnv‡h¨ Avcbvi †Kvg‡ii gvc †bIqv| wKfv‡e †Kvg‡ii gvc †b‡eb:

1.

Avcbvi wn‡ci nv‡oi DcwifvM Ges cuvR‡ii nv‡oi wb‡Pi Ask wPwýZ Ki“b|

2.

¯^vfvweK fv‡e wbtk¦vm ‡djyb|

3.

GB wPwýZ ¯’vb `yBwUi wVK gvSvgvwS ¯’v‡b wdZv a‡i kixi c¨uvwP‡q Avbyb|

4.

gvcwU Uz‡K ivLyb| GUvB Avcbvi †Kvg‡ii gvc|

bx‡Pi Q‡K cÖ`Ë wb‡`©‡ki Av‡jv‡K Avcbvi gvc m¤^‡Ü avibv wbb| 5, 6

Avcbvi †Kvg‡ii gvc hw` 90 †mw›UwgUvi (35½ BwÂ)-i †ekx nq Z‡e Avcbvi ¯^v¯’¨ AZ¨š— SuzwKi g‡a¨ i‡q‡Q|

`w¶b Gkxq cyi“l

`w¶Y Gkxq gwnjv

Avcbvi †Kvg‡ii gvc hw` 80 †mw›UwgUvi (31½ BwÂ)-i †ekx nq Z‡e Avcbvi ¯^v¯’¨ AZ¨š— SzuwKi g‡a¨ i‡q‡Q|

22 | Looking after your heart

Avcwb wK Ki‡Z cv‡ib hw` Avcbvi †`nvK…wZ Ges †Kvg‡ii gvc †_‡K eySv hvq †h, Avcbvi IRb †ekx, Z‡e Avcbvi `iKvi IRb Kgv‡bv| IRb Kgv‡bvi m‡e©vËg cš’v n‡jv:



Avcbvi Lv‡`¨i Pwe© Kgv‡bv (33 c„ôvq †`Lyb)



wPwb, wgwó Lvevi Ges wPwbhy³ cvbxq MÖnb Kgv‡bv Ges



kvixwiK fv‡e AwaK mwµq nIqv (25 c„ôvq †`Lyb)

Lye ZvovZvwo IRb Kgv‡bvi †Póv Ki‡eb bv| ax‡i ax‡i Ges wbqg K‡i mßv‡n 1 ev 2 cvDÛ (0.5 †_‡K 1 wK‡jv) IRb Kgv‡bv AwaKZi ¯^v¯’¨m¤§Z Ges G‡Z wPiw`‡bi Rb¨ IRb Kgv‡bvi m¤¢vebv †ekx| w`‡b GKevi bv wb‡q mßv‡n GKevi IRb wbb| cÖwZevi w`‡bi GKB mg‡q GKB IRb gvcvi hš¿ w`‡q h_vm¤¢e Kg Kvco c‡i IRb wbb| GUv GKwU mymsev` †h, M‡elYvq †`Lv †M‡Q, mvgvb¨ IRb Kgv‡bvI ¯^v‡¯’¨i Rb¨ DcKvix| 7

Looking after your heart | 23

AwaK kvixwiK kªg Ki“b hy³iv‡R¨ huviv wbqwgZ ˆ`wnK kªg K‡ib Zv‡`i †P‡q huviv ˆ`wnK kªg K‡ib bv Zuv‡`i nvU© G¨vUvK nIqvi m¤¢vebv wظb| 8

kvixwiK kªg wKfv‡e nv‡U©i DcKvi Ki‡e wbqwgZ kvixwiK kªg Avcbvi nv‡U©i DcKvi Qvov ¯^v‡¯’¨iI DcKvi Ki‡e| 8 GwU:



Avcbvi nv‡U©i KvR AwaKZi `¶Zvi m‡½ m¤úb Ki‡Z mvnvh¨ Ki‡Z cv‡i|



Avcbvi †Kv‡j‡ó‡ivj gvÎv wbqš¿b Ki‡Z mvnvh¨ K‡i|



i³ RgvU euvav cÖwZ‡iva K‡i|



nvB e−vW †cÖmvi Kgvq|



IRb ¯^v¯’¨m¤§Z ch©v‡q iv‡L|



Wvqv‡ewUm †ivMx‡`i e−vW myMv‡ii gvÎv wbqš¿‡Y iv‡L|



†Kvb †Kvb ai‡bi K¨vÝv‡ii SzuwK n«vm K‡i|

kvixwiK kªg Avcbv‡K AwaKZi Kg©kw³ †`q Ges gvbwmK Pvc †_‡K gy³ iv‡L| Bnv Avcbv‡K ms‡e`bkxj, mej K‡i Ges Aw÷I‡cv‡ivwmm (f½yi nvo) †_‡K i¶v K‡i|

Looking after your heart | 25

ÒAvwg wK ai‡Yi KvR Ki‡ev?Ó Avcbvi nvU©‡K my¯’ ivLvi Rb¨ Avcbvi DwPZ mßv‡n Aš—Z: cuvPw`b ˆ`wbK 30 wgwbU K‡i gvSvwi ai‡Yi kvixwiK kªg Kiv| gvSvwi ai‡Yi kªg ej‡Z ÔGgb kªg ‡evSvq hvi d‡j Avcbvi Mig †eva n‡e Ges wKQyUv `g eÜ fve n‡e| hw` Avcwb G ai‡Yi kª‡g Af¨¯— bv nb Z‡e wKQy mgq wb‡q Avcwb G ch©v‡q ‡cuŠQvi Af¨vm Ki“b| Avcwb 30 wgwb‡Ui kªg GKUvbv Ki‡Z cv‡ib A_ev 10 wgwbU K‡i †f‡½ †f‡½ Ki‡Z cv‡ib| nuvUv DËg kvixwiK kªg| GUv Kiv mnR| Gi Rb¨ we‡kl †Kvb †cvkvK `iKvi nq bv Ges ‰`bw›`b i“wUb Kvh©µ‡gi m‡½ GUv‡K mgwš^Z Kiv hvq| Ab¨vb¨ DËg kixiPP©v n‡jv muvZvi KvUv, mvB‡Kj Pvjv‡bv, N‡ii fvix KvR Kiv, bvPv Ges †Ljvayjv Kiv| ‰`wnK kªg evov‡bv ¯^v‡¯’¨i Rb¨ DcKvix| Avcbvi ¯^v¯’¨ ev eqm †h †Kvb ch©v‡qiB †nvK bv †Kb Avcwb AwaK kªg Ki‡j DcKvi cv‡eb| ïi“ Kivi e¨vcv‡i Ò‡`ix n‡q †M‡QÓ e‡j ‡Kvb K_v †bB|

ÒAvgvi nv‡oi wMu‡U, nuvUz Ges †Mvovjx‡Z mgm¨v Av‡Q, Avgvi Rb¨ wK ai‡Yi ˆ`wnK kªg DËg? Avcbvi Ab¨vb¨ kvixwiK mgm¨v m¤^‡Ü †R‡b Avcbvi Wv³vi Avcbvi wK ai‡Yi ˆ`wnK kªg Kiv `iKvi G e¨vcv‡i civgk© w`‡Z cv‡ib| Aw¯’mwÜi mgm¨vMÖ¯— A‡bK †jv‡Ki Rb¨ muvZvi KvUv, Rjµxov DËg kixiPP©v| cvwb‡Z Avcbvi nvUz I †Mvovjxi IRb K‡g hv‡e A_P Avcbvi nvU© DcK…Z n‡e| A‡bK myBwgs cy‡j gwnjv‡`i Rb¨ Avjv`v †mkb _v‡K| Avcbvi ¯’vbxq myBwgs cy‡j G e¨vcv‡i AbymÜvb Ki“b|

26 | Looking after your heart

kixiPP©v m¤ú‡K© hyw³m¤§Z Dc‡`k •

Avcbvi hw` †Kvb ai‡Yi Amy¯’Zv _v‡K Z‡e kixiPP©v ïi“i Av‡M Avcbvi wRwci civgk© wbb|



hLb †Kvb kixiPP©v ev †Ljvayjv Ki‡eb ZLb cÖg K‡qK wgwbU ax‡i ax‡i ïi“ Ki‡eb Ges ax‡i ax‡i MwZ evov‡eb, †kl I Ki‡eb ax‡i ax‡i|



hw` †Kvb e¨_v nq, gv_v Ny‡i, Amy¯’ ev K¬vwš— †eva nq Z‡e kixiPP©v _vwg‡q †`‡eb|



ax‡i ax‡i Avcbvi kixiPP©vi gvÎv evovb|



fi‡cU Lvev‡ii ci kixiPP©v Ki‡eb bv|



Amy¯’ Ae¯’vq kixiPP©v Ki‡eb bv|



Avb›` cvIqvi Rb¨ wewfbœ ai‡Yi kixiPP©v Ki“b Ges Ggb kixiPP©v †e‡Q wbb hv Avcwb Dc‡fvM K‡ib|

Looking after your heart | 27

¯^v¯’¨ m¤§Z Lvevi Lvb ¯^v¯’¨ m¤§Z Lvevi MÖnb Avcbvi nv‡U©i Amy‡Li SzuwK A‡bKvs‡k Kwg‡q Avb‡Z cv‡i| Avcbvi IRb, e−vW myMvi I †Kv‡j‡ó‡ivj Kgv‡ZI mvnvh¨ K‡i|

Avcwb hv Ki‡Z cv‡ib•

cÖwZw`b cuvPfvM dj I mewR Lvb|



Pwe©, we‡kl K‡i m¤ú„³ Pwe© Kg Lvb|



mßv‡n GK ev `yB fvM gvQ Lv‡eb, Gi GK fvM nIqv DwPZ ˆZjv³ gvQ|



jeb Kg Lvb|

Gme welq cieZ©x‡Z Av‡jvPbv Kiv n‡q‡Q| Aek¨ Avcwb Avcbvi wcÖq Lvevi¸‡jv ‡L‡Z cvi‡eb| Avcbvi cÖ‡qvRb ax‡i ax‡i Aí Aí K‡i Lvev‡i cwieZ©b Avbv| Avcwb Ò‡njw` wgj&m, †njw` nvU©Ó (46 c„ôvq †`Lyb) GB Gkxq iÜb eB‡q wKQy ¯^v¯’¨m¤§Z iÜb cÖYvjx cv‡ebÓ|

28 | Looking after your heart

Òwbivwgl Lv`¨ wK Avwg‡li †P‡q fvj?Ó mylg n‡j Avwgl wbivwgl DfqB ¯^v‡¯’¨i c‡¶ fvj| wbivwgl †fvRx‡`i †`L‡Z n‡e Zuv‡`i Lvev‡i †hb h‡_ó cwigvY †cÖvwUb, †hgb- exbm, Wvj _v‡K| G¸‡jv‡Z Pwe© Kg _v‡K Ges Avuk _v‡K| Gme Lvev‡ii m‡½ mylg Lv‡`¨i Aš—M©Z djg~j I mewR Lv‡eb| G‡Z me ai‡Yi cywó MÖnb wbwðZ nq Ges nvU©I fvj _v‡K| wbivwgl †fvRx‡`i Kg Pwe©hy³, we‡kl K‡i m¤ú„³ Pwe©hy³ Lvevi, Kg wPwb I jeb (33-38 c„ôvq †`Lyb) LvIqvi wb‡`©k gvb‡Z n‡e| A‡bK wbivwgl‡fvRx Zuv‡`i ivbœvq A‡bK gvLb I wN e¨envi K‡ib hv †_‡K A‡bK m¤ú„³ Pwe© †hvM nq| Gi cwie‡Z© mvgvb¨ Awjf A‡qj, ‡iBc mxW A‡qj e¨envi Ki“b| †Zj mivmwi cv‡Î bv †X‡j PvgP w`‡q †g‡c w`b| A‡bK wbivwgl‡fvRx Lv`¨ ¯^v` MÜhy³ Kivi Rb¨ jeb e¨envi K‡ib| je‡bi cwie‡Z© Lv‡`¨i ¯^v` MÜ evov‡bvi Rb¨ †jeyi im, gwiP, †flR`ªe¨ ev gkjv e¨envi Ki‡Z cv‡ib|

‰`wbK cuvP fvM dj I mewR Lvb dj I mewR mg„× Lv`¨ nv‡U©i Amy‡Li SuywK Kgvq| ˆ`wbK Kgc‡¶ cuvP fvM dj I mewR Lvb| wewfbœ ai‡Yi dj I mewR †L‡Z †Póv Ki“b| G¸‡jv UvUKv, wngvwqZ ev wUbRvZ n‡Z cv‡i| ïKbv I Rym Kiv dj Pj‡Z cv‡i, Z‡e GUv n‡e w`‡b GKevi|

GK fvM ej‡Z eySvq? GLv‡b dj I mewRi cwigvY †`Iqv n‡jv:

1 fvM =

• mewR - DuPz K‡i fiv wZb †Uwej PvgP • mvjv` - GKwU †WRvU© evwU fwZ© • †MÖBc d«zU ev G¨v‡f‡Kv‡Wv - A‡a©K dj • Av‡cj, Kjv, wcqvR, Kgjv Ges mgvb AvKv‡ii Ab¨vb¨ dj - 2 • c−vg ev Gai‡Yi dj - 2 • Av½yi, †Pwi Ges Rvg - 1 Kvc ev 1 gy‡Vv • UvUKv d‡ji mvjv` - DuPz K‡i fiv 3 †Uwej PvgP • ïKbv dj - DuPz K‡i fiv 1 †Uwej PvgP • d‡ji Ry¨m -1 M−vm (150 wg.wj)

Looking after your heart | 31

Pwe©, we‡kl K‡i m¤ú„³ Pwe© Kg Lvb Lvev‡ii Pwe© mvaviYZ: `yB ai‡Yi- m¤ú„³ I Am¤ú„³| Lvev‡i m¤ú„³ Pwe© Kg _vK‡j Avcbvi i‡³i †Kv‡j‡ó‡ivj gvÎv Kgv‡Z, IRb e„w× †iva Ki‡Z Ges nv‡U©i Amy‡Li SuywK Kgv‡Z mnvqK n‡e|

m¤ú„³ I Am¤ú„³ Pwe© cÖv_©xRvZ Lvevi, †hgb- Pwe©`vi gvsm Ges `y»RvZ Lvevi, †hgb- gvLb, wN, cwbi, bbx Ges c~Y© bbxhy³ `ya| Gme †_‡KB mvaviYZt m¤ú„³ Pwe© cvIqv hvq| cvg A‡qj, bvi‡Kj †Zj, bvi‡K‡ji µxg I `y‡aI †ekx gvÎvq m¤ú„³ Pwe© _v‡K|

Am¤ú„³ Pwe© mvaviYZ : Dw™¢R ˆZ‡j, †hgb- Kb© A‡qj, m~h©gyLx †Zj I †iBcmxW A‡q‡j cvIqv hvq|

ÒwN m¤^‡Ü wK e‡jb?Ó wN `yB cÖKv‡ii- gvLb †_‡K ˆZix Ges LuvwU †fwR‡Uej A‡qj| `yÕwU‡ZB m¤ú„³ Pwe© _v‡K| Avcbvi K‡ivbvix nv‡U©i Amy‡Li SzuwK Kgv‡Z mvgvb¨ cwigvY Awjf A‡qj ev †iBc mxW A‡qj e¨envi Ki“b|

Looking after your heart | 33

Avcbvi KiYxq: • †h cÖKvi †ZjB e¨envi Ki“b bv †Kb, Kg e¨envi Ki‡Z †Póv Ki“b| †Zj mivmwi cv‡Î bv †X‡j Pvg‡Pi mvnv‡h¨ †g‡c w`b| ax‡i ax‡i cwigvY Kgvb| • m¤ú„³ Pwe©hy³ †Z‡ji †P‡q ‡h †Z‡j D”P gvÎvi Am¤ú„³ Pwe© Av‡Q Zv e¨envi Ki“b| (33 c„ôvq †`Lyb) •

fvRvi †P‡q MÖxj, óxg ev †cvP Ki“b|



mgyPv I cv‡Kvov fvRvi †P‡q †eK Ki‡Z †Póv Ki“b|

• Pwe© wenxb gvsm Lvb Ges gvs‡m †j‡M _vKv Pwe© †Qu‡U †djyb| gyiMxi Pvgov wQ‡j wbb| •

ZiKvix I evwU †_‡K evowZ †Zj PvgP w`‡q Zz‡j †djyb|

• gvLb I gvR©vwi‡bi cwie‡Z© Kg Pwe©hy³ †¯cÖW e¨envi Ki“b Ges cvZjv K‡i Qwo‡q w`b| • c~Y© bbxhy³ `y‡ai cwie‡Z© Aa© bbxhy³ ev bbxwenxb `ya e¨envi Kib|

A`„k¨ Pwe© A‡bK Lvev‡i Pwe© A`„k¨ Ae¯’vq _v‡K| †hgb- mgyPv, †ev‡¤^ wg·, cv‡Kvov, wµmc RvZxq cÖwµqvRvZ ev c~‡e© iÜbK…Z Lvev‡i Ges wgwó Lvevi, †hgb- nvjyqv, ¸jve Rvgyb Ges eiwd‡Z Pwe© †hvM Kiv nq| Kv‡RB G¸‡jv Lvevi gv‡S g‡a¨ Lv‡eb|

34 | Looking after your heart

‡Kv‡j‡ó‡ivj wK? m¤ú„³ Pwe© hy³ Lvevi LvIqv gv‡b Avcbvi i‡³ ¶wZKi †Kv‡j‡ó‡iv‡ji gvÎv †e‡o hvIqv| Gi d‡j Avcbvi nv‡U©i AmyL nIqvi AvksKv †e‡o hv‡e| ‡Kv‡j‡ó‡ivj n‡jv GKwU Pwe© RvZxq c`v_© hv Avcbvi kix‡iB ‰Zix nq| †cÖvwUb Øviv GB †Kv‡j‡ó‡ivj kix‡ii cwievwnZ nq| †cÖvwUb Avi †Kv‡j‡ó‡iv‡ji GB mgš^q‡K e‡j wj‡cv‡cÖvwUb| G¸‡jv `yÕai‡Yi nq-

• Gj wW Gj (Kg Nb‡Z¡i wj‡cv †cÖvwUb) n‡”Q ¶wZKi †Kv‡j‡ó‡ivj| G‡K Gj wW Gj †Kv‡j‡ó‡ivjI ejv nq| • GBP wW Gj (AwaK Nb‡Z¡i wj‡cv †cÖvwUb) n‡”Q myi¶vKvix wj‡cv‡cÖvwUb| G‡K GBP wW Gj †Kv‡j‡ó‡ivj ejv nq|

Avgv‡`i kix‡ii Kg©Kv‡Û †Kv‡j‡ó‡ivj GKwU ¸i“Z¡c~b© f~wgKv iv‡L| wKš‘ i‡³ †Kv‡j‡ó‡iv‡ji gvÎv AwaK n‡j nv‡U©i Amy‡Li SuywK †e‡o hv‡e| SzuwK we‡kl K‡i †e‡o hv‡e hw` Avcbvi D”P gvÎvi Gj wW Gj †Kv‡j‡ó‡ivj Ges wbægvÎvi GBP wW Gj †Kv‡j‡ó‡ivj _v‡K| Lv‡`¨ D”P gvÎvi m¤ú„³ Pwe© MÖnb Kivi d‡j A‡b‡Ki D”P gvÎvi †Kv‡j‡ó‡ivj _v‡K, G Kvi‡b m¤ú„³ Pwe© LvIqv Kgv‡bv ¸i“Z¡c~Y©| A‡b‡Ki Rb¥MZfv‡eB †Kv‡j‡ó‡iv‡ji gvÎv †ekx _v‡K| G Ae¯’v‡K ejv nq d¨vwgwjq¨vj nvBcviwjwc‡Wwgqv (Gd GBP)| GUv eskRwbZ Ae¯’v (Rb¥MZ) Ges Gi gv‡b ¯^vfvweK Dcv‡q GB †Kv‡j‡ó‡ivj †_‡K †invB cvIqv hv‡e bv| Gd GBP nv‡U©i AmyL nIqvi SuywK evwo‡q †`q| hw` Lv`¨ ev Gd GBP Gi Kvi‡Y Avcbvi †Kv‡j‡ó‡iv‡ji gvÎv †ekx nq Z‡e Avcbvi Wv³vi GUv‡K Kgv‡bvi Rb¨ U¨ve‡jU w`‡Z cv‡ib| Avcbvi U¨ve‡jU †L‡Z n‡e Ges m¤ú„³ Pwe© MÖnb Kgv‡Z n‡e| kvixwiK kªgI †Kv‡j‡ó‡ivj Kgv‡Z mvnvh¨ K‡i| (25 c„ôvq †`Lyb).

Looking after your heart | 35

UªvB wM−mvivBW&m: UªvB wM−mvivBW&m i‡³i g‡a¨Kvi Av‡iKwU Pwe© RvZxq c`v_©| †hme †jv‡Ki IRb AZ¨waK †ekx, hviv eûj cwigvY Pwe©hy³ I wPwbhy³ Lvevi Lvb Ges AZ¨waK g`¨cvb K‡ib Zuv‡`i UªvB wM−mvivBW‡mi gvÎv †ekx nIqvi m¤¢vebv| D”P gvÎvi UªvB wM−mvivBW&m hv‡`i Av‡Q Zuv‡`i nv‡U©i AmyL nIqvi m¤¢vebv wbgœgvÎv m¤úbœ †jvK‡`i †P‡q AwaKZi †ekx|

ÒAvgvi wK †Kv‡j‡ó‡ivj gvÎv Kgv‡bvi Rb¨ Jla MÖnb Kiv `iKvi?Ó Avcwb †Kv‡j‡ó‡ivj gvÎv Kgv‡bvi Rb¨ Jla Lv‡eb wKbv Zv †Kej †Kv‡j‡ó‡ivj gvÎvi Dci wbf©i K‡i bv, eis Avcbvi nv‡U©i AmyL nIqvi mvwe©K SzuwKi Dci wbf©i K‡i| Avcbvi hw` †Kv‡j‡ó‡ivj gvÎv †ekx bvI nq, wKš‘ Avcbvi hw` nv‡U©i AmyL nIqvi mvwe©K SzuwK _v‡K Z‡e Avcbvi nv‡U©i myi¶vi Rb¨ †Kv‡j‡ó‡ivj gvÎv Kgv‡bvi Jla, †hgb- ó¨vwUb †_‡K DcKvi †c‡Z cv‡ib|

ÒHwZn¨evnx Lvevi wK ¯^v¯’¨m¤§Z?Ó HwZn¨evnx Gkxq Lvev‡i _v‡K bvbviKg mewR, Wvj hv fvZ I PvcvwZi m‡½ LvIqv nq| GUv Avuk, †cÖvwUb, wfUvwgb Ges wgbv‡ij mg„× ¯^v¯’¨m¤§Z Lvevi| wKš‘ Lv‡`¨ AwZwi³ Pwe© †gkv‡bv ev MÖxj bv K‡i fvRvi Rb¨ Lvevi Kg ¯^v¯’¨cÖ` n‡q D‡V| ‡Kvb †Kvb HwZn¨evnx Lvev‡i cÖPzi m¤ú„³ Pwe© _v‡K| ZiKvix I Wvj ivbœvi mgq Lye Aí †Zj e¨envi Ki‡eb Ges mivmwi cv‡Î †Zj bv †X‡j PvgP w`‡q †g‡c †`‡eb A_ev ïKbv Kveve Ges Z›`yix Lvevi †e‡Q †b‡eb| mgyPv, cv‡Kvov, cyix, c‡ivUv I †Kvg©vq AwZwi³ †Zj e¨envi Kiv nq| mgyPv I cv‡Kvov fvRvi cwie‡Z© †eK Kivi †Póv Ki“b| c‡ivUv Wy‡ev †Z‡j bv †f‡R Aí †Z‡j fvRyb| c‡ivUv wbqwgZ bv ‡L‡q gv‡S gv‡S Lvb|

36 | Looking after your heart

mßv‡n GKevi GKfvM gvQ Lvb wbqwgZ ˆZjv³ gvQ †L‡j K‡ivbvix nv‡U©i Amy‡Li AvksKv K‡g| gv‡Qi †Z‡ji †h we‡kl `ªe¨wU DcKvix, Zv‡K I‡gMv-3 e‡j| GUv cÖavbZ- UªvDU, m¨vjgb, †nwis, g¨vK‡ij A_ev ZvRv Uzbv gv‡Q cvIqv hvq| mßv‡n Aš—Z: GKw`b ˆZjv³ gvQ †L‡Z †Póv Ki“b| hw` ˆZjv³ gvQ bv ‡L‡Z Pvb Z‡e I‡gMv-3 Av‡Q Ggb wKQy mewR Avcbvi Lvev‡ii Aš—©f~³ Ki“b| wZwmi †Zj, †iBcmxW A‡qj, wZwm, †iBcmxW Ges AvL‡iv‡U GUv Av‡Q| Z‡e GUv wbwðZ bv †h GB I‡gMv-3 gv‡Qi I‡gMv-3 Gi mgvb|

Kg jeb Lvb AwZwi³ jeb LvIqvi m‡½ nvB e−vW †cÖmvi, nv‡U©i AmyL I †÷ªv‡Ki m¤úK© i‡q‡Q| AwaKvsk jebB Avgiv MÖnb Kwi cÖwµqvRvZ Ges c~‡e© iÜbK…Z Lv‡`¨ A`„k¨ Ae¯’vq Ges G¸‡jv gv‡S gv‡S AZ¨š— jebv³ _v‡K| evQvB Kivi mgq Ggb Lvevi †e‡Q †b‡eb hv‡Z Kg jeY ev n«vmK…Z jeb Av‡Q Ges cÖK…ZB Bnv‡Z Kg jeb ev n«vmK…Z jeb Av‡Q wKbv †j‡ej †`‡L hvPvB K‡i †b‡eb| ivbœvq ev †Uwe‡j jeb e¨envi Gwo‡q Pjyb| gkjv, †flR `ªe¨ ev †jeyi im e¨envi K‡i Lv`¨ myNÖvYhy³ Ki“b|

‡ekx jeY I Kg jeb wK? ‡ekx jeY (cÖwZ 100 MÖvg Lv‡`¨) :

Kg jeY (cÖwZ 100 MÖvg Lv‡`¨):

1.5 MÖvg A_ev Zvi †ekx jeY A_ev 0.6 MÖvg ev Z‡ZvwaK †mvwWqvg

0.3 MÖvg jeY ev Zvi †P‡q Kg A_ev 0.1 MÖvg †mvwWqvg ev Zvi †P‡q Kg

†mvwWqvg Kg jeY

38 | Looking after your heart

g`¨ AZ¨waK g`¨cvb ‡_‡K nv‡U©i AmyL n‡Z cv‡i| GUv nvB e−vW †cÖmvi, †÷ªvK ev wjfv‡ii Amy‡Li I SzuwK evov‡Z cv‡i|

hyw³m½Z gvÎvq g`¨cvb Kiv| hyw³m½Z gvÎvq g`¨cvb Kiv| cyi“l‡`i ˆ`wbK 3 †_‡K 4 gvÎvi AwaK Ges mßv‡n 21 gvÎvi AwaK g`¨cvb Kiv DwPZ bq| gwnjv‡`i ˆ`wbK 2 †_‡K 3 gvÎvi AwaK Ges mßv‡n 14 gvÎvi AwaK g`¨cvb Kiv DwPZ bq|

1 x unit Gj‡Kvnj =

cyi“l

GKwU †QvU NÔ¡p (100 Gg Gj) IqvBb (10% Gj‡Kvnj)|

ˆ`wbK 3 †_‡K 4 gvÎvi g‡`i AwaK bq A_ev Aa© cvB›U (300 Gg Gj) exqvi, exUvi, j¨vMvi ev mvBWvi (AvqZ‡bi 3% †_‡K 5% g`)|

gwnjv ˆ`wbK 2 †_‡K 3 gvÎvi g‡`i AwaK bq

A_ev cv‡ei GK gvÎv (25 Gg Gj) g`, †hgb-Rxb, f`Kv, ûBw¯‹, ivg|

gvSvix ai‡Yi g`¨cvb, †hgb- ˆ`wbK 1 gvÎv †_‡K 2 gvÎv Pwj−‡kva© cyi“l Ges †gv‡bv‡cvR nIqv gwnjv‡`i nv‡U©i AmyL nIqv †_‡K i¶v Ki‡Z cv‡i| wKš‘ ZvB e‡j nv‡U©i AmyL ‡_‡K i¶v cvIqv hv‡e GUv g‡b K‡i Kv‡iviB g`¨cvb ïi“ Kiv DwPZ bq|

Looking after your heart | 39

e−vW †cÖmvi wbqš¿‡Y ivLyb e−vW †cÖmvi n‡jv agbx‡Z i‡³i Pvc| nvU© cÖmvwiZ I msKzwPZ n‡q agbxi gva¨‡g kix‡ii me©Î i³ cwievwnZ K‡i| hLb nvU© msKzwPZ nq ZLb i³ agYxi w`‡K avweZ nq| GBmgq i‡³i Pvc †_‡K D”P©Zg gvÎvq Ges GUv‡K wm‡÷vwjK †cÖmvi e‡j| ür¯ú›`‡bi gvSLv‡b nvU© hLb wkw_j Ae¯’vq _v‡K ZLb i‡³i Pvc _v‡K me©wbgœ gvÎvq| GB `yBUv †cÖmvi‡K `yBwU msL¨v w`‡q †jLv nq, †hgb- 120/80mmHg (‘mmHg’) ej‡Z cvi‡`i wgwjwgUvi eySvq| cÖ_g msL¨vwU wm‡÷vwjK †cÖmvi Ges wØZxqwU Wvqv‡÷vwjK †cÖmvi| nvB e−vW †cÖmv‡i gvbyl K`vwPr Amy¯’ ‡eva K‡i, wKš‘ GUv nvU© G¨vUvK ev †÷ªv‡Ki SuywK evovq Ges Kvjµ‡g Bnv nv‡U©i gvsm‡ckx‡K Kg Kvh©¶g K‡i w`‡Z cv‡i| Avcbvi nvB e−vW †cÖmvi n‡j GUv‡K wbqš¿b Kiv DwPZ| Avcbvi j¶¨ nIqv DwPZ e−vW †cÖmvi 140/85mmHg Gi bx‡P ivLv| hw` Avcbvi Wv‡q‡ewUm _v‡K ev K‡ivbvix nv‡U©i AmyL aiv c‡o, Z‡e j¶¨gvÎv nIqv DwPZ 130/80mmHg| 9

Looking after your heart | 41

‡jv‡Ki †Kb nvB e−vW †cÖmvi nq? cÖwZ `kR‡bi g‡a¨ bqR‡biB nvB e−vW †cÖmv‡ii ‡Kvb mywbw`©wó KviY _v‡K bv| Aek¨ wb‡gœv³ welq¸‡jv wKQz f~wgKv ivL‡Z cv‡i|



h‡_ó cwikªg bv Kiv|



IRb AwZwi³ nIqv|



Lv‡`¨ AwZwi³ jeb MÖnb Kiv|



AwZwi³ g`¨cvb Kiv|



h‡_ó dj I mewR bv LvIqv|

eskMwZI Ab¨Zg KviY| hw` Avcbvi wcZv gvZvi GKR‡bi ev Df‡qi nvB e−vW †cÖmvi wQj ev _v‡K Z‡e AvcbviI Zv nevi m¤¢vebv i‡q‡Q| Avcbvi KiYxq: ‡KD †KD IRb Kwg‡q, AwaKZi ˆ`wnK kªg K‡i, jeY LvIqv Kwg‡q, e−vW †cÖmvi wbqš¿‡b ivL‡Z cv‡ib (21-27 I 38-39 c„ôvq †`Lyb)| Aek¨ A‡b‡KiB Jla MÖn‡Yi cÖ‡qvRb nq| e−vW †cÖmv‡ii Jla m¤^‡Ü AwaK Z‡_¨i Rb¨ Avgv‡`i cyw¯—Kv Ò‡UBwKs †gwWwmb di B‡qvi nvU© Ó (46 c„ôvq †`Lyb)|

42 | Looking after your heart

Wvq‡ewUm wbqš¿‡Y ivLyb huv‡`i Wv‡qwewUm bvB Zuv‡`i †P‡q Wv‡q‡ewUm †ivMx‡`i nv‡U©i AmyL nIqvi SuywK †ekx| hy³iv‡R¨ emevmiZ `w¶b Gkxq †jvK‡`i g‡a¨ GUv GKUv mvaviY †ivM| Avcbvi Wvq‡ewUm nIqvi AvksKv Kg _vK‡e hw`-



Avcwb kvixwiK kªg K‡ib,



Avcbvi IRb I †`nvK…wZ wbqš¿‡Y iv‡L, Ges



Avcbvi e−vW ‡cÖmvi wbqš¿‡Y _v‡K|

Wv‡q‡ewUm wK? mvaviYZ: Lvevi nRg Kivi mgq Avgv‡`i kixi M−y‡KvR ˆZwi K‡i _v‡K| kw³ msMÖ‡ni Rb¨ Avgv‡`i kixi GB M−y‡KvR MÖnb K‡i| Bbmywjb bvgK GKwU ni‡gvb GB M−y‡KvR‡K †`n‡Kv‡l †cŠQv‡Z mvnvh¨ K‡i| Ges i‡³i M−y‡KvR gvÎv‡K wbqš¿b Ki‡Z mvnvh¨ K‡i| hLb kixi h‡_ô cwigvb Bbmy¨wjb ˆZix Ki‡Z e¨_© nq ev Bbmywjb `¶Zvi ms‡M KvR Ki‡Z bv cv‡i ZLb Wv‡q‡ewUm nq| Gi d‡j i‡³ M−y‡Kv‡Ri gvÎv A¯^vfvweK fv‡e †e‡o hvq| hy³iv‡R¨ emevmKvix Ab¨vb¨ †jvK‡`i †P‡q `w¶b Gkxq‡`i Wvq‡ewUm nIqvi AvksKv †ekx| `w¶b Gkxq‡`i g‡a¨I Avevi †Kvb †Kvb Rb‡Mvwô, †hgb- fviZxq‡`i Wvq‡ewUm nIqvi SuywK MocoZv hy³iv‡R¨ evmx‡`i †P‡q wظb Ges cvwK¯—vbx gwnjv‡`i AvovB¸b †ekx| 1 Wv‡q‡ewUm m¤ú‡K© AwaKZi Z‡_¨i Rb¨- ÒWv‡qwewUm G¨vÛ nvD BU G¨v‡d±m B‡qvi nvU©Ó cyw¯—KvwU †`Lyb (46 c„ôvq)|

Looking after your heart | 43

cvwievwiK BwZnvm hw` Avcbvi nv‡U©i Amy‡Li cvwievwiK BwZnvm _v‡K Z‡e AvcbviI GB AmyL nIqvi SuywK †e‡o hv‡e| cvwievwiK BwZnvm ej‡Z eySvq 55 ermi eq‡mi c~‡e© hw` Avcbvi evev ev fvB‡qi wKsev 65 eQi eq‡mi c~‡e© hw` Avcbvi gv ev †ev‡bi nv‡U©i AmyL aiv c‡o| wKQz SuywKc~Y© welq, †hgb- IRb †ekx nIqv, Rxebhvcb cÖYvjxi ms‡M m¤úwK©Z nq, †hgb¯^v¯’¨wewa ewnf~©Z LvIqv `vIqv aygcvb Kiv G¸‡jv GK cyi“l †_‡K cieZ©x cyi“‡l AwZµvš— nq| Aek¨ nv‡U©i AmyL eskvbyµwgKI n‡Z c‡i| eskMwZi Kvi‡Y nvB e−vW †cÖmvi Ges Ab¨b¨ mgm¨v, †hgb- DPygvÎvi †Kv‡j‡÷‡ivj n‡Z cv‡i Ges Dfq welqB nv‡U©i Amy‡Li SuywK evovq| cvwievwiK BwZnv‡mi Kvi‡Y nv‡U©i Amy‡Li SuywK cwieZ©b Kiv hvq bv| Z‡e G Amy‡Li cvwievwiK BwZnvm _vKv m‡Ë¡I Avcwb Ab¨vb¨ SuywKc~Y© welq¸‡jv wbqš¿b K‡i DcKvi †c‡Z cv‡ib Ges h_vm¤¢e SuywK n«vm Ki‡Z cv‡ib|

gvbwmK Pvc wK nv‡U©i Amy‡Li KviY n‡Z cv‡i ? gvbwmK Pvc D‡ØM, Aemv` nv‡U©i AmyL evauv‡Z cv‡i Ggb wKQz cÖgvb Av‡Q| Av‡eMRwbZ Pv‡ci Kvi‡Y gvby‡li a~gcvb evov, e−vW †cÖmvi nIqv, IRb †e‡o hvIqv, AwZwi³ g`¨cvb Kiv Gme NU‡Z c‡i| Gi me¸‡jvB nv‡U©i Amy‡Li SuywK evovq|

44 | Looking after your heart

wKQz cwigvb gvbwmK Pvc ˆ`wbK Rxe‡bi GKUv Ask| wKš‘ D‡ØM ev Pvc hw` A‡bK gvm ev ermi a‡i Pj‡Z _v‡K Z‡e Avcbvi nvU© ¶wZMÖ¯— n‡Z cv‡i| cvwievwiK mgm¨v ev Avw_©K mgm¨vi mgvavb mnR bq; Z‡e wb‡gœv³ welq¸‡jv gvbwmK Pv‡ci gvÎv Kgv‡Z mvnvh¨ Ki‡e|



kvixwiK kªg Kiv, †hgb- nvuUv, mvuZvi KvUv ev mvB‡Kj Pvjv‡bv| e¨vqvg Kiv D‡×M †_‡K gyw³i GKUv Dcvq|



‡hvM e¨vqvg Kiv|



a¨vb Kiv|



cªv_©bv Kiv|



kixi gb wkw_j ivLv|



Mfxi k¦vm cÖk¦vm †bqv|



AwZwi³ Pvc MÖnb bv Kiv Ges ÒbvÕ ej‡Z †kLv|

nv‡U©i Amy‡Li SuywKi cwigvb wbav©iY KivAvcbvi Wv³vi‡K Avcbvi nv‡U©i Amy‡Li SzuwKi cwigvb wbav©ib Ki‡Z ejyb: • hw` Avcbvi eqm 40 Gi Dci nq, A_ev • hw` 8 c„óvq ewb©Z g‡Z Avcbvi nv‡U©i SzuwKcyb© wKQz welq _vKvi Kvi‡Y hw` Avcbvi g‡b nq Avcbvi nv‡U©i Amy‡Li AvksKv †ekx Av‡Q| hw` Avcbvi Gd GBP (35 c„ôvq †`Lyb) _v‡K Avcbvi cwiev‡ii mK‡ji hv‡Z cix¶v Kiv nq Zv wbwðZ Ki“b| 10 c„ôvq nv‡U©i Amy‡Li SzuwK cix¶vi e¨vcv‡i Av‡iv Av‡jvPbv Kiv n‡q‡Q|

Looking after your heart | 45

A¢dLal a−bÉl SeÉ hª¢Vn q¡VÑ g¡E−äne J−uhp¡CV bhf.org.uk L−l¡e¡¢l q¡−VÑl Ap¤M, ¢h HCQ| Hg Hhw Hl ®ph¡ pÇf−LÑ p¡ÇfТaL a−bÉl SeÉ z

q¡VÑ ®qmf m¡Ce 0300 330 3311 q¡−VÑl ü¡ØqÉ pwœ²¡¿¹ ¢hou SeNZ Hhw ü¡ØqÉ ®fn¡S£¢h−cl abÉ plhl¡−ql p¡¢iÑp z HC −ph¡ −Lhm Cw−lS£ i¡o¡u −cJu¡ qu z

f¤¢Ù¹L¡ pj§q ¢e−jÁl f¤¢Ù¹L¡…−m¡ h¡wm¡, …Sl¡¢a, ¢q¢¾c, f¡¾S¡h£ J Ec§Ñ−a f¡Ju¡ k¡uz • • • • • • •

hÔ¡X ®fËp¡l - HÉ¡ä q¡J V¥ Le−VÊ¡m CV ®L¡m−ØV−l¡m - HÉ¡ä ®q¡u¡V LÉ¡e CE X¥ Hh¡EV CV X¡u−h¢Vp - q¡J CV HÉ¡gƒp q~−u¡l q¡VÑ q¡VÑ ®gC¢mJl ¢m¢iw ECb HÉ¡eS¡Ce¡ HÉ¡ä q¡VÑ ¢X¢SS m¤¢Lw A¡gV¡l C−u¡l q¡VÑ ®V¢Lw ®j¢X¢pe gl C−u¡l q¡VÑ

¢e−jÁ¡š² f¤¢Ù¹L¡…−m¡ −Lhm Cw−lS£ i¡o¡u f¡Ju¡ k¡uz • • • • •

C¢Vw gl C−u¡l q¡VÑ −qm¢b ¢jmp, −qm¢b q¡VÑ ¢g¢SLÉ¡m HÉ¡L¢V¢i¢V HÉ¡ä C−u¡l q¡VÑ ®Øj¡¢Lw HÉ¡ä C−u¡l q¡VÑ ®p¡ CE Ju¡¾V V¥ m¤S J−uV ..... gl …X

46 | Looking after your heart

¢X¢i¢X ¢X¢i¢X…−m¡ Ec§Ñ, ¢q¢¾c, …Sl¡¢a, f¡”¡h£ J h¡wm¡ i¡o¡u f¡Ju¡ k¡uz H…−m¡ ¢heÉ¡j§−mÉ ®cJu¡ qu ¢L¿º fТa ¢X¢i¢Xl SeÉ 5 f¡Eä c¡e p¡c−l NËqZ Ll¡ q−hz • • • • •

¢m¢iw V¤ ¢fÐ−i¾V q¡XÑ ¢X¢SS ®NV ¢gV, ¢Lf ¢gV - ¢fÐ−i¾V q¡VÑ ¢X¢SS L¡¢XÑu¡L p¡SÑ¡l£ L¡¢XÑu¡L ¢l−q¢h¢m−Vne HÉ¡−gu¡pÑ Ag ¢c q¡VÑ

jÉ¡N¡¢Se q¡VÑ HÉ¡ä pEm p¡Eb H¢nu¡e−cl SeÉ HL¢V jÉ¡N¡¢Se z HC jÉ¡N¡¢S−e l−u−R ü¡ÙÛÉ pÇja S£he k¡fe pÇf−LÑ e¡e¡ abÉ¡hm£, ¢e−S−cl ü¡ÙÛÉ ¢e−u −p¢mhË¢V−cl B−m¡Qe¡, jS¡c¡l M¡h¡l l¡æ¡ Ll¡l fËZ¡m£ Hhw paÉ L¡¢qe£ z ¢he¡j§−mÉ HC jÉ¡N¡¢S−el L¢f −f−a q−m 0870 600 6566 −V¢m−g¡e L−l −k¡N¡−k¡N Ll¦e z ÔnvU© g¨vUvimÕ hv‡`i nv‡U©i mgm¨v Av‡Q ev mgm¨v nIqvi AvksKv Av‡Q ev hviv nv‡U©i mgm¨vMÖ¯— †jv‡Ki †`Lv‡kvbv K‡ib Ggb †h †Kvb e¨w³i Rb¨ GKwU webv g~‡j¨i cwi‡lev | m`m¨iv e¨w³MZ fv‡e Z_¨ cv‡eb Ges †dvb ev B-‡gD‡ji gva¨‡g KvwW©q¨vK bvm© ev nvU© †nj_ G¨vWfvBRv‡ii Kv‡Q †_‡K we‡kl‡Ái mnvqZv cv‡eb| GQvov Zviv wbqwgZ nvU© †nj_ g¨vMvwRb cv‡eb hv‡Z AwZ mv¤cÖwZK wPwKrmv M‡elYv Ges nv‡U©i ¯^v¯’¨ msµvš— Z_¨ _v‡K| nvU© g¨vUvim G †hvM w`‡Z n‡j Avgv‡`i I‡qemvBU bhf.org.uk/heartmatters G †iwR‡óªkb Ki“b A_ev 0300 330 3300 (GKwU ¯’vbxq †iB‡Ui b¤^i) G Kj Ki“b| GB cwi‡lev ‡KejmgvÎ Bs‡iwR‡Z cvIqv hv‡e|

¢Li¡−h AXÑ¡l Ll−he hª¢Vn q¡VÑ g¡E−äne e¡e¡ lLj ¢nr¡ p¡jNË£ fËL¡n L−l b¡−L z H…¢m pÇf−LÑ S¡e−a h¡ q¡VÑ −qmb LÉ¡V¡mN −f−a h¡ ¢h¢iæ fËL¡ne¡ AXÑ¡l Ll−a ¢h HCQ Hg Hl AXÑ¡l m¡Ce 0870 600 6566 eð−l −V¢m−g¡e Ll¦e z HR¡s¡ Bf¢e HSeÉ Juhp¡CV bhf.org.uk/publications −k−a f¡−le Abh¡ [email protected] ¢WL¡e¡u −jCm Ll−a f¡−le z Bf¢e Bj¡−cl J−uhp¡CV bhf.org.uk/publications −b−L ¢h¢iæ fËL¡ne¡ X¡Ee−m¡X Ll−a f¡−le z Bj¡−cl fËL¡¢na pLm ¢LR¥C ¢he¡j§−mÉ ¢halZ Ll¡ qu a−h −k −L¡e c¡e p¡c−l NËqe Ll¡ q−h z

Looking after your heart | 47

Z_¨m~Î 1

Allender S, Peto V et al. 2007. Coronary Heart Disease Statistics. London: British Heart Foundation.

2

Harding S, Rosato M, Teyhan A. 2008. Trends for coronary heart disease and stroke mortality among migrants in England and Wales, 1979-2003: slow declines notable for some groups. Heart; 94: 463-70.

3

WHO Study Group on Tobacco Product Regulation. 2005. Waterpipe Tobacco Smoking: Health Effects, Research Needs and Recommended Actions by Regulators. Geneva: WHO.

4

American Lung Association. 2007. An Emerging Deadly Trend: Waterpipe Tobacco Use. American Lung Association. http://slati.lungusa.org/alerts/Trend%20Alert_Waterpipes.pdf

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International Diabetes Federation. 2005. The IDF Consensus Worldwide Definition of the Metabolic Syndrome. Brussels, Belgium: International Diabetes Federation.

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National Institute for Health and Clinical Excellence (NICE). 2006. Obesity: The Prevention, Identification, Assessment and Management of Overweight and Obesity in Adults and Children. London: NICE.

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Miller WC, Koceja DM, Hamilton EJ. 1997. A meta-analysis of the past 25 years of weight loss research using diet, exercise or diet plus exercise intervention. International Journal of Obesity; 21: 941-47.

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Department of Health. 2004. At Least Five a Week. Evidence on the Impact of Physical Activity and Its Relationship to Health. A Report from the Chief Medical Officer. London: Department of Health.

9

British Cardiac Society, British Hypertension Society et al. 2005. Joint British Societies’ guidelines on prevention of cardiovascular disease in clinical practice. Heart; 91: 1-52.

48 | Looking after your heart

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50 | Looking after your heart

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