[Health] The "stroke, stroke" of health knowledge Moon and the moon is unknown. How much is the "cerebral infarction"?

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"Health Knowledge Moon and Moon Lecture" advocates the people to actively participate in the health activities of the people, promote reasonable nutrition, develop good health habits and civilized lifestyles, cultivate healthy psychological quality, and improve the level of health.

Don't think that the cerebral infarction is far from us, in fact, it is by our side; don't think that you will not happen, it may be germinated; to get a positive healthy life, start with understanding the cerebral infarction, knowing and knowing that he will not kill! Intersection Intersection

Concept

Is stroke, stroke, and cerebral infarction?

There are often patients with patients asking: "Do you, the old man is stroke or a cerebral infarction?"

This kind of dialogue scene is often staged in outpatient clinics. Is stroke and cerebral infarction? Let's learn in detail together!

The term "stroke" comes from the monograph on traditional Chinese medicine more than 2,000 years ago- "Yellow Emperor's Canon";

The term "stroke" comes from Europe; in fact, it is the same type of disease as stroke. The most prominent characteristic of such diseases is that the onset of the disease is suddenly.

"Cerebral infarction", in popular terms, the reduction of the blood flow of the cerebral blood vessels or interruption causes cerebral cell ischemia and dehydration.

According to statistics, the number of cerebral infarction in China accounts for 40%of the world, and the prevalence of cerebral infarction of people under 55 is 10%, and people over the age of 75 can reach 33%.

For cerebral infarction, many patients believe that "the cerebral infarction is not serious, and water hanging water to clear the blood vessels." This statement is actually inaccurate:

First of all, brain cell ischemia and hypoxia quickly necrosis, dying 1.9 million brain cells every 1 minute.

Secondly, it is difficult to use the blood vessels to use the method of hanging water to dredge blood vessels.

At present, there are only two ways to effectively open up blood vessels. One is the intravenous thrombolytic dissolved thrombolysis, and the other is mechanical embolism. It is worth noting that thrombolysis must be within 4.5 hours. Within 6 hours of the disease. If you miss these two time points, the above two methods cannot be used, because it is easy to bleed in time.

It is also reminded that patients with strokes must be rushed to the hospital for time.

Causes and Prevention

Why is it blocked?

We all say that we must know why it is why the cerebral infarction is a decrease in blood flow or interruption of cerebral blood vessels. What causes it to block it?

A Korean scholar summarizes five reasons and is recognized by most scholars in the world: large anesthesia -shaped hardening; heartogenic; small vascular type; other reasons; unknown reasons. What is worth reminding everyone is the largest proportion of the first two types, that is, the first two types, that is, the large atherosclerosis and the heartbate.

Hydalized atherosclerosis is actually long plaques of the arteries, especially the following ten types of risk factors: smoking, drinking, hypertension, diabetes, hyperlipidemia, obesity, high -salt diet, lack of exercise, schedule, schedule Irregular, hyper -cysteinemia, hyperuricemia.

In this type of stroke prevention, anti -platelet aggregation drugs arepirin or clopidogrey cannot be replaced. If the intracranial artery stenosis is needed to a certain extent, the stent is implanted to support the narrow blood vessels to truly prevent recurrence.

Heartogenicity is actually caused by the heart. The most common is atrial fibrillation. In addition, heart rate, two -pointed valve narrowing, repairing valve, infectious endometritis, non -closed eggs, and heart mucus tumors are also a common impact. factor. In this type of stroke prevention, anticoagulant drug Hua Farin or Lidshabane or Dabiaga groups are irreplaceable.

Symptom

Early identifying symptoms of cerebral infarction, keep in mind six letters!

As we all know, once a cerebral infarction occurs, it is necessary to be sent to the hospital for treatment immediately to compete for gold treatment time. So how do we know that it is a cerebral infarction? Here are the six letters "befast", which is a English phrase "be fast". Once you appear, seek medical treatment:

B = Balance's balance disorder is that walking is unstable;

E = Eye to see things again or not to see things;

F = FACE Facial Clamp and Symptoms, sensing impairment;

A = ARM's hand or feet numb and weak;

S = Speech is unfavorable to speak, speaks clearly, speaks speechless, and can't understand others;

T = Timeto Call 120

The above symptoms suddenly occur, and immediately seek medical treatment. How to treat it to neuroshists.

Healing

What is the best treatment after cerebral infarction?

At present, there are many treatment plans for cerebral infarction. Adapase venous thrombolytic and mechanical thrombolytic treatment is a first aid treatment of cerebral infarction. The purpose is to scramble the blocking blood vessels to prevent brain cells from continuing to die due to ischemia and hypoxia.

If you miss the time point of 4.5 hours and 6 hours, the blood vessels cannot be opened no matter what water hangs.

At this time, there must be a problem with many patients and family members: "Since they have lost the opportunity to open the blood vessels when they come to the hospital late, what can the medicine slices and water that the hospital give?"

It is clearly answered here: This oral pill is to prevent re -sending; the main purpose of hanging water is to keep the necrotic brain tissue not to continue to expand the impact of bad. The replenishment of the necrotic brain tissue is open.

Patients and family members have problems again: "You said that hanging water to prevent the necrotic brain tissue continued to expand the bad effect. We understand that the medicine that prevents the re -sending is necessary to give the patient immediately?" The answer is: yes.

It is necessary to immediately take the medicine for preventing reinstatement immediately, because the recurrence rate of two years after the first cerebral infarction is about 15%, and the risk of the recurrence rate of cerebral infarction after 5 years can reach 30%. In addition, there is a special cerebral infarction. Called progressive strokes, there are constantly falling off in the acute stage and constantly blocking the cerebral blood vessels. Therefore, it is very important to use the medicine for preventing reinstatement in time.

Here emphasized that the key to preventing recurrence is "aspirin/clopidogret and Attin/Ri Shuzardine/Pediacs/Putterine". In fact, the most important thing in treatment is rehabilitation treatment. The necrotic brain cell function is lacking. The main manifestation of paralysis. Paralying patients need to recover as soon as possible after the condition is stable. The effect of paralysis of activity is better than others helping activities. Rehabilitation exercise must be early, persistent, sufficient, and comprehensive, and rehabilitation within half a year is effective.

Hazard

The five endings after cerebral infarction should not be paid attention to!

Why do you "talk about changes in strokes"?

After the stroke occurs, severe death, and patients who keep their lives may also become disabled, stupid, and depressed.

About 70%-80%of patients cannot live independently due to disability; the probability of cognitive disorder within 3 months after stroke is 56.6%, and the probability of dementia is 23.2%; the probability of depression within half a year is 33%, 5 years in 5 years It is 31%. The acute period mortality of patients with cerebral infarction is as high as 5%-15%.

In fact, most people are afraid of strokes because of the high mortality rate of patients with stroke, and the disability rate is high. Most of us still do not understand depression and dementia, so we do not pay attention to it.

We hope to let everyone know today that strokes will cause cognitive dysfunction, more serious dementia, stroke will also cause emotional disorders in patients, and long -term anxiety and depression will occur seriously. On the one hand, dementia, anxiety, and depression increase the family burden on the one hand, and on the other hand, it will shorten the life expectancy of patients.

It must be paid attention to these hazards. Once you find cerebral infarction, it is very important to go to the hospital immediately.

Yang Juan

Deputy Chief physician Medical Doctor

Expert clinic: every Friday morning

Youth Member of the Shanghai Medical Association Neurology Specialty Branch

Member of the Shanghai Medical Association's Neurology Specialist Branch of Alzheimer and Cognitive Dioxide

Member of the Shanghai Medical Association's Neurological Rehabilitation Committee

Member of the Shanghai Traditional Chinese Medicine Association Slow Disease Management Branch

Excellent young talents in Pudong New District, Shanghai

Outstanding Discipline Leader in Pudong New District, Shanghai

Won the third prize of Science and Technology Award in Pudong New District, Shanghai

Prested many projects of the Shanghai Health and Health Commission project, presided over the Shanghai Pudong New District Science and Technology Commission and the Health Bureau of the Health Bureau

Winning 4 practical new patents; more than 20 papers in SCI and Chinese core journals

Writing: Yang Juan

Edit: Propaganda Division

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