Cerebral infarction used to be a patent for the elderly, but after entering the 21st century, people's living standards have been greatly improved, followed by an increase in the incidence of cerebral infarction, and there is a trend of rejuvenation.
There are not a few people around 45 who suffer from cerebral infarction. Many people have doubts about it. Why? Today, I will analyze this problem from a medical point of view. 1. Increased incidence of chronic diseases:
At present, the prevalence of chronic diseases in China is very high, and the number of people diagnosed with both hypertension and diabetes in China exceeds 1%. Because hypertension, coronary heart disease, hyperuricemia and other diseases are chronic diseases, the progress of the disease is relatively slow, and many people don't realize its harm. They all take some drugs to control when the index rises, and don't take medicine when they return to normal.
At present, chronic diseases cannot be cured, which requires long-term oral medication. This is not only to control the indicators within the normal range, but also to prevent complications. However, many people don't realize the harm of chronic diseases, take medicine intermittently, and don't often monitor blood pressure, blood sugar, blood uric acid and other indicators.
Some friends take drugs intermittently, mainly because they are worried about the adverse reactions caused by taking drugs for a long time. In fact, this is a bit worrying, because the purpose of taking drugs is to reduce the probability of disease complications. Compared with the complications of chronic diseases, the adverse reactions caused by drugs are really dwarfed.
If these chronic diseases are not well controlled, they will damage blood vessels and aggravate the process of atherosclerosis. Under the action of some incentives, such as emotional excitement, high blood pressure, overeating, etc., blood vessels are easily blocked, thus causing cerebral infarction. 2. Changes in living habits:
I don't know if you have noticed that in the past, the pace of life was slow and people didn't have much pressure in life. But now not only the pace of life has accelerated, but also various pressures, such as buying a house, studying, getting married and working. Being in this state of tension for a long time will obviously increase the risk of stroke.
In addition, many people have bad habits, and now many people are smoking and drinking. I have noticed in neurology before that most of the 45-year-old patients with cerebral infarction have bad hobbies of smoking and drinking. Long-term smoking and drinking will also damage blood vessels and accelerate the progress of atherosclerosis, and even if people around 45 do not have these bad habits, blood vessels have already aged to a certain extent. Of course, I'm not trying to argue here. There are indeed some people who have never smoked or drunk and got cerebral infarction, but we can't think that smoking and drinking have nothing to do with cerebral infarction.
In addition, there is another important factor, that is, few people insist on exercising. You should know that life lies in exercise. Long-term exercise can not only enhance cardiopulmonary function, but also slow down the aging of blood vessels. The reduction of exercise will also make many people obese, and obesity not only increases the risk of hyperlipidemia, but also increases the incidence of hypertension and diabetes in such people, and the combined effect is still easy to get cerebral infarction.
I have seen more than a dozen patients with cerebral infarction and cerebral hemorrhage at the age of 3, which are closely related to the genetics of eating habits and life rhythm.
Middle-aged people between 45 and 5 really love cerebral infarction and cerebral hemorrhage. I am 48 years old, and my classmate died of cerebral hemorrhage during the Spring Festival this year. Another good friend was also taken to the hospital this year after a sudden cerebral hemorrhage, and is still in the recovery stage. To be honest, in our northeast. This age is really the age when cerebrovascular diseases are very easy to break out. Because our life is not regular, we always drink and stay up late. Therefore, people who commit this kind of disease are much more special. Sometimes I can often see some in the park next to my community. People around the age of 5 stumble. At first glance, it is a patient with cerebral infarction or cerebral hemorrhage. Therefore, some people give that road a name of thrombus road.
The real case I introduced today will give you a definite answer!
master feng, 45, was having dinner and drinking a little wine when suddenly his glass fell to the ground. Master Feng also slipped out of the chair, and his family helped him, but neither of them helped him up and asked him what was wrong, but he didn't speak. I only saw Master Feng's mouth crooked, and his mouth kept drooling ...
Even if you don't have any medical knowledge, you know that you have a stroke. 12 rushed to the hospital to do a CT scan, suggesting a large area of cerebral infarction.
Master Feng's daughter came with her. Her daughter hasn't started school yet. When her father rescued her, she asked the doctor, "My dad, there's nothing wrong at ordinary times. Why do you say that a cerebral infarction is a cerebral infarction?" My family doesn't have this disease either? "
We introduced Xiao Feng first. At present, he is in critical condition, so he should be mentally prepared. At the same time, tell her that her father came with blood pressure of 2/12, blood sugar of 17, and low-density lipoprotein of 7.6; This is a typical three highs. When doing CT, the nurse couldn't lift it at all. Finally, she found a doctor and four young men from her family to lift it to the CT bed. The weight must be completely overweight.
So, the doctor told Xiaofeng, "Your father has hypertension, diabetes, hyperlipidemia and obesity; It can be said that it is a typical four highs. And you said that your father is usually fine and there is nothing wrong with him, which means that these diseases have not been found. "
Xiao Feng said, "But he doesn't feel anything at ordinary times. He doesn't have dizziness, headache or numbness!"
The doctor said, "Most people with" three highs "have no performance at the beginning. Only one person will feel uncomfortable. If you don't check it, you won't find the three highs until you develop into cerebral infarction and myocardial infarction. "
Long-term uncontrolled "three highs" will lead to more vascular waste, which will lead to the formation and aggravation of atherosclerosis. When the plaque aggravates to a certain extent, unstable plaque will rupture, and thrombosis will form after plaque rupture. Thrombosis is blocked in the cerebral blood vessels, and cerebral infarction will occur. After cerebral infarction, hemiplegia, aphasia, hemiplegia and so on will occur. Some people can recover, but some people will have sequelae, and severe cases will die.
So, Xiao Feng said that her father was fine at ordinary times, but suddenly he had a cerebral infarction. In fact, he was not good at ordinary times, but he was wrong and felt good. The bomb will be calm before it explodes, and once it explodes, it will go up in smoke.
But there is no cardiovascular disease in Master Feng's family. Why did he have the "three highs" quietly?
Later, the truth happened to Feng Dao. Her father started smoking when he was less than 2 years old, with at least 2 packs a day. He usually loves to drink at least half a catty a day, and he loves to eat meat, especially braised pork. When he was less than 3 years old, he was very fat. Usually I don't like to go out and walk around. I just lie on the sofa and watch TV when I have nothing to do.
think about it, people who like to eat fatty and salty food, smoke and drink a lot, and sit for a long time and never exercise. These habits will all lead to obesity, leading to hypertension, diabetes and hyperlipidemia. Master Feng didn't have a physical examination, and he didn't even have the habit of measuring blood pressure on his face. He didn't know when he was three years old.
All unhealthy living habits+three highs uncontrolled will lead to the aggravation of cardiovascular garbage, that is, the aggravation of atherosclerosis. With the aggravation of atherosclerosis, the risk of cardiovascular and cerebrovascular diseases will increase. The risk of cerebral infarction will increase significantly. No matter how old you are, the more unhealthy lifestyles you have, the more likely you are to have cerebral infarction.
Most of the cerebral infarction we see in the hospital will have some bad habits, such as hypertension, diabetes, hyperlipidemia, smoking, alcoholism, inactivity, obesity, unhealthy diet and so on.
These are the main causes of cerebral infarction in middle-aged people, but now more middle-aged people are willing to choose this kind of life because they think it is a kind of enjoyment and a kind of enjoyment.
But it's true that one day, when you are lying on the bed in the hospital intensive care unit with all kinds of instruments, you can't move yourself, and when you can't say anything, you even have to be served when you eat, drink, shit and pee. Do you still think this is a kind of enjoyment and enjoyment?
If you feel that lying there eating and drinking Lazarus is taken care of, even if you are enjoying yourself, then you can really choose the same life as Master Feng.
I think Master Feng is speechless, but he regrets it, very much. If God can give him another chance, he will definitely not choose this life from the age of 2.
He will definitely choose what Dr. Wang suggests every day: stay away from alcohol and tobacco, keep exercising, eat healthily, control weight, work and rest on time, avoid staying up late, be in a good mood and so on.
But Master Feng has no choice! Because God won't give him another chance!
For those of us who don't have three highs and cardiovascular and cerebrovascular diseases, God has been giving us opportunities, and the key depends on how we choose!
Don't let us regret it like Master Feng today after many years!
Many people think that cerebral infarction is a senile disease, and people will have cerebral infarction only when they are old. Yes, cerebral infarction is indeed a common disease in the elderly. We also call it "stroke", but you may not know that it is not uncommon for middle-aged people to have cerebral infarction.
In the past, Dr. Wu treated a patient, who was very young, just about 4 years old. Only one day when riding a motorcycle, he felt that his hands and feet were not so comfortable. At first, he thought he was too tired and didn't care too much. Later, his symptoms became more and more serious, so he came to the hospital. I suggested that he check his head CT to rule out cerebral infarction. He still has some doubts. How could he get cerebral infarction when he is so young? Later, it turned out that it was really a cerebral infarction. Fortunately, the patient recovered well after treatment. Later, he continued to adhere to the secondary prevention of cerebral infarction according to my suggestion, and the follow-up was quite normal.
Middle-aged cerebral infarction is indeed a problem that we should pay attention to. In 214, World Stroke Day named the theme "Pay attention to the stroke risk of middle-aged people", which shows how serious the problem of middle-aged cerebral infarction is! Then, why do so many middle-aged people have cerebral infarction?
1. There are many high-risk diseases
Hypertension, diabetes, hyperlipidemia, atrial fibrillation and other diseases have always been high-risk diseases of cerebral infarction. If hypertension, diabetes and hyperlipidemia are not controlled for a long time, they will lead to atherosclerosis, which will lead to the occurrence of cerebral infarction. Now there are many people with hypertension, diabetes and hyperlipidemia in their forties and fifties, so it is not surprising that cerebral infarction occurs in their forties and fifties.
Second, unhealthy lifestyles
Smoking, excessive drinking, little exercise, heavy life pressure, irregular daily routine, overeating and so on are all unhealthy lifestyles that exist in many people now, and these unhealthy lifestyles are all risk factors for cerebral infarction.
In order to avoid cerebral infarction in middle age, Dr. Wu has something to remind everyone: if there are high-risk diseases such as hypertension, diabetes and hyperlipidemia, it must be treated as early as possible and strictly controlled. Patients with hypertension should control their blood pressure below 14/9mmHg; Diabetic patients should control their blood sugar smoothly through diet control, exercise and rational application of hypoglycemic drugs; Patients with hyperlipidemia should control the blood lipid levels such as low-density lipoprotein and triglyceride steadily, especially the low-density lipoprotein level should be reduced below 1mg/dL, and patients with coronary heart disease and diabetes should control the low-density lipoprotein level below 8mg/dL. Pay attention to correct bad living habits: no smoking, less drinking, more exercise, less weight loss, regular daily routine, going to bed early, getting up early and staying up late less, having three meals a day on time, evenly matching meat and vegetables, and not working too hard and under too much pressure ... < P > It's not enough to understand these, but we also need to know the symptoms of a stroke, so that we can find and treat it early in case of a stroke, and strive to lose money.
If there are signs of stroke, such as skewed mouth, numbness and weakness in one limb, and slurred speech, you should go to the hospital as soon as possible, so as not to miss the best treatment opportunity. Never think that your stroke is far away just because you are in good health!
With the improvement of living standards, our diet structure has undergone great changes, and at the same time, we are facing great mental pressure, so many diseases are no longer the patents of the elderly.
If we carefully observe the people around us, we can find that the incidence of cerebral infarction is gradually increasing in both urban and rural areas, and the limb dysfunction left by cerebral infarction has not only affected our quality of life, but also brought a heavy economic burden to many families.
The voice of cerebral infarction is related to many factors, such as hyperlipidemia, hyperglycemia, hypertension, obesity, severe arrhythmia, rapid drop of blood pressure (excessive antihypertensive drugs, shock, etc.) caused by various reasons, arteritis, etc. Patients may have dizziness, headache, numbness of limbs, crooked mouth, unclear speech, and even disturbance of consciousness. If the area of cerebral infarction is too large or not treated in time, they will still leave limb movement disorders.
Therefore, in order to reduce the incidence of cerebral infarction, we should start from life. First, we should eat a low-salt low-fat low-sugar diet, don't overeat and give up smoking and alcohol. Secondly, to develop the habit of exercise, many people are busy with work, but they are lazy to exercise except for eating, drinking and sleeping. For the sake of health, they must make changes. Finally, regular physical examination is the only way to find and treat early.
Cerebral infarction is also called ischemic stroke. Due to various reasons, the blood supply to the brain is blocked, which leads to ischemia, hypoxia and necrosis of brain tissue, and there will be corresponding neurological deficit. Why are there so many patients with cerebral infarction around 45 years old? This is mainly caused by the following reasons.
1. Atherosclerosis, which is the most basic cause of cerebral infarction when you are over 45 years old, often leads to hypertension. If you have hyperglycemia and hyperlipidemia, you can accelerate the formation of atherosclerosis, which will lead to cerebral atherosclerosis and the formation of lumen stenosis plaques. If you are in any part of the internal carotid artery and vertebrobasilar artery, you may also have the occlusion of the initial end.
2. Long-term irregular eating and living habits, no good living habits at ordinary times, and no attention to the body will lead to cerebral artery ischemia and hypoxia, and serious functional defects and neurological changes may occur.
3. Long-term smoking and drinking, especially smoke, is serious to the defect of vascular atherosclerosis, and a small amount of nicotine may aggravate the formation of atherosclerosis and make blood vessels ischemic and hypoxic, which will induce insufficient blood supply at this time.
4. The formation of microthrombus mainly comes from the rupture and shedding of plaque and abdominal wall thrombus when atherosclerosis is unstable, and the blockage of arterioles by cholesterol crystal microthrombus will cause hypoxia in the blood supply brain tissue. When the embolus is broken or