These situations around them may be stroke!One picture breakthrough

Author:Tencent Medical Code Time:2022.06.22

Suddenly coma

Limb

Skew

Tie

Unclear

Native

If the people around you are unfortunately there is this situation

Be careful, it may be a stroke!

Stroke, also known as stroke, is a very dangerous cerebrovascular disease. Once it happens, the patient will quickly enter the critical situation like the beginning.

There are many types of stroke -ischemic stroke, hemorrhagic stroke, but no matter which one, there is a common feature:

It will leave a different range of brain tissue damage. So it is very important to identify and prevent stroke in advance.

Stroke does not suddenly happen without any reason. These people are high incidences of stroke [1]:

High blood pressure crowd

Hypertension is one of the most important risk factor for cerebrovascular disease.

Long -term hypertension has not been regulated, which will cause serious damage to blood vessels on the skull. It can not only cause cerebral infarction and cerebral hemorrhage caused by large vascular lesions, but also cause white matter, micro -bleeding, and brain atrophy caused by small vascular lesions [2].

Cigarette

Tobacco affects the whole body's blood vessels and blood systems, accelerates vascular sclerosis, and causes vascular stenosis and plaque is susceptible.

Harmic substances in tobacco promote platelets and induce thrombosis; nicotine can also stimulate sympathetic nerves, promote vascular contraction, increase blood pressure, and greatly harm cerebral vascular harm [3].

Hyperlipidemia

Hyperlipidemia, especially high cholesterol blood lipids, is recognized as risk of atherosclerosis.

The further progress of atherosclerosis of the intracranial and external blood vessels may cause vascular stenosis and plaque rupture, leading to thrombosis.

Super drinking crowd

Long -term drinking will significantly increase the risk of cerebrovascular disease, which is an important risk factor for cerebral hemorrhage [4].

Diabetic

Diabetes is a clear risk factor for cerebrovascular disease. For people with long -term high blood sugar, blood vessels are worse than normal people, and they are prone to thrombosis, so the risk of stroke increases.

Type 2 diabetes patients have higher risk of mortality, residual rate, and recurrence rate than patients with no diabetes.

Obese

Ultra -weight and obesity are often accompanied by higher proportion of "three highs", heart disease, snoring, unhealthy lifestyle can significantly increase the risk of cerebral vascular disease.

The occurrence of strokes is often very sudden. Maybe the previous second was still walking and laughing, and the next second was completely lost to exercise and language functions.

What performance descriptions have occurred? You can keep in mind this "Fast" formula [5]:

"F" refers to "FACE", that is, the face

If you find your face crooked when you make an expression on the mirror, obviously asymmetric, and the saliva flows down the corner of the mouth, then this is a very important early warning signal.

"A" refers to "ARM", that is, an arm

When raising the upper limbs of both sides, the forces on both sides were obviously inconsistent, and the possibility of stroke occurred in a high degree of stroke.

"S" refers to "Speak", that is, speaking

When speaking, the words are vague, or suddenly do not understand the meaning of others, suggesting that the stroke may affect the language center.

"T" refers to "time", emphasizing the importance of time

If you find that the people around you have such symptoms, you must call the emergency call in time, and send it to a hospital that is closest to the stroke treatment channel as soon as possible.

At present, my country's stroke treatment has been popularized, and general county -level hospitals have stroke treatment channels (most cities currently have standard primary or senior stroke centers). The treatment of the earlier one may play a key role in the quality of life in the future.

In addition to the "FAST" tactics mentioned above, there is actually the Chinese version of "120 theory":

Seeing the asymmetric face of "1", "2" only the arm is unilaterally unilateral, and listening to ("0") to hear the speech clearly.

Whether it is "FAST" or "120 Theory", it is the essentials of rapid judgment when stroke occurs. Remind the symptoms in time and seek medical treatment as soon as possible.

There is also a type of stroke called "short -term brain ischemia seizures", commonly known as "small stroke". It can be understood as slight symptoms, recovery in a short time, and most of them recover within a few minutes to 1 hour, and it is easy to be ignored.

30%of the "small strokes" will have a recent stroke, causing severe disability or life. Most "small strokes" can be treated. In order to prevent disastrous and bad endings, what needs to be done is to seek medical treatment immediately.

Control blood pressure:

Blood pressure is the most important intervention factor in stroke.

Generally, the blood pressure of patients with hypertension drops below 140/90mmHg;

Patients with diabetes, coronary heart disease, heart failure, and chronic kidney disease are accompanied by proteinuria. If they can tolerate, they can be further reduced to less than 130/80mmHg;

High blood pressure patients at 65 ~ 79 years old dropped to less than 150/90mmHg. If they can tolerate, they can be further reduced to 140/90mmHg;

Patients with hypertension at the age of 80 and above dropped their blood pressure to less than 150/90 mmHg [2].

Quit smoking:

Smoking is extremely harmful to cerebrovascular. For the health of cerebrovascular. Quit smoking is the only way out [3]. If it is difficult to quit smoking, you can also use medical and drug methods to help quitting smoking.

Control hyperlipidemia

The adjustment of lifestyle helps improve blood lipid spectrum. If necessary, you can use drugs to strictly control low-density lipoprotein cholesterol (LDL-C) as standard treatment for stable plaques and prevent recurrence of patients with cerebrovascular disease. Stop drinking:

Alcohol intake should be limited to 2 standard cups (≤50mg) per day; men drink less than 14 cups (≤350mg) per week; women drink less than 9 cups per week (≤225mg) [4]. It is best to drop wine without sticking.

Hypoglybal compliance:

Diabetes patients can significantly increase the rate of blood glucose standards through the combination of drug treatment of lifestyle. The elderly, patients with a combination of multiple drugs, and patients with insulin therapy should strengthen monitoring to avoid hypoglycemia [7].

Balanced diet:

The Mediterranean diet model is a healthy diet structure recognized by patients with cerebrovascular disease. For patients with hypertension, low -sodium diet model helps to reduce blood pressure. For patients with hyperlipidemia, a high -quality and low -fat diet can help the stability of blood lipids.

Diabetes patients with moderate control of carbohydrates help the control of blood sugar. In addition, fresh fruits, vegetables, high -quality protein, and enough drinking water are the necessary health foundations for patients with cerebrovascular disease.

Weight control:

Authoritative Health Guide Recommended Body Quality Index (BMI = Know/Height Mi 2) is at 18.5 ~ 24.9 kg/meters; women's waist circumference should be less than 80 cm, and male waist circumference should be less than 94 cm [1].

Keep exercise:

Choose the danger of reducing the stroke that is suitable for you. Such as walking (preferably fast walking), jogging, cycling, swimming or other dynamic exercise, 4-7 days a week, 30 ~ 60 minutes each time.

High -risk patients (such as elderly, heart disease patients, patients with blood pressure or blood sugar, patients with high risk of falling, and patients with bone joint diseases, etc.) shall follow the advice of the doctor and formulate a personalized exercise plan under the premise of safety. [ 1].

You should also understand these knowledge for a long time, and you must develop a healthy lifestyle from you from when you are young.

Review expert: Wang Chunxue

Director of the Department of Neuroscular Medicine and Clinical Psychology of Beijing Tiantan Hospital, Deputy Chairman of the Sleep Disorders Branch of Chinese Strokes, Deputy Editor -in -Chief of the Chinese Stroke Magazine and Director of Editorial Department

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