Cerebrovascular diseases are high and dangerous. How should they be prevented and controlled?

Cerebral hemorrhage, cerebral infarction, hemiplegia… You have heard of these, and even seen them with your own eyes. Cerebrovascular diseases are around us. Ask the people around us, especially the elderly. Many people suffer from cerebrovascular diseases, greatly reducing the quality of life.

The incidence rate of cerebrovascular diseases is so high and the impact is so bad, but there are many misunderstandings in people’s cognition of such diseases, which cannot be correctly prevented and treated, resulting in delays in the disease.

1. How can we predict such a dangerous situation?

If these situations happen to you or your family, you must be on guard and seek medical treatment as soon as possible:

Weakness, heaviness or numbness of one limb; One side of the face is numb or the mouth angle is skewed; Can’t speak clearly or have problems understanding the language; Two eyes staring at one side; Loss or blurring of vision on one or both sides; Seeing things spin and walking unsteadily; Rare severe headache and vomiting.

Do you know these misunderstandings?

Myth 1: Mistakenly believing that hyperactivity is definitely good for health,

Fact: Improper games have more risks,

When we admitted patients clinically, we found that many elderly people suffered from sudden hemiplegia during morning exercises. Many elderly people suffer from chronic diseases such as hypertension, diabetes and hyperlipidemia, and the high incidence of cerebrovascular diseases is from early morning to morning.

Cold weather is easy to cause cerebral infarction. If the elderly get up too early to exercise and exercise vigorously, the distribution of blood in limb muscles will increase and the blood supply to the brain will decrease, which is more likely to cause cerebral infarction.

Therefore, the elderly should not exercise too early, the degree should not be intense, and should exercise moderately.

Myth 2: Excessive Superstition of Health Products

Fact: Standardizing medication is the right way,

The composition and quality of health care products still need to be regulated. Even high-quality health care products are only therapeutic aids, not drugs, and cannot be used as the only and main means to prevent diseases.

Myth 3: It is mistakenly believed that traditional Chinese medicine has no side effects and western medicine has large side effects.

Fact: The clear indication of side effects of western medicine only indicates the possibility of occurrence, and the composition and efficacy of traditional Chinese medicine need to be verified.

People often think that Chinese herbal medicine is [pure natural] and has no toxic or side effects, so they are more willing to use Chinese herbal medicine to treat diseases, such as hypertension and diabetes. However, the really effective antihypertensive drugs and hypoglycemic drugs (or insulin) are rejected by people because there are a large number of definite side effects on the instructions of western medicine, while Chinese herbal medicine has no [side effects].

In fact, it is not the case. Serious side effects (heart failure, renal failure, etc.) are not rare when applying traditional Chinese medicine, especially those with unknown components. However, the side effects [so many] of western medicine are still being applied, which shows that its curative effect is certain.

A western medicine must go through animal experiments, toxicological tests, clinical verification and other steps when entering the market, and all the side effects must be written into the drug instructions. Unfortunately, many patients in life are too scared to take medicine when they see so many possible side effects. In fact, this only represents [possibility], and the real occurrence rate is especially low.

At present, the toxicological research of many traditional Chinese medicines is not sufficient, which makes the drug instructions of traditional Chinese medicines look less [scary], but this does not mean that there is no danger.

Myth 4: The faster and lower the blood pressure, the better the effect.

Fact: Hypotension Should Be Moderate,

Hypertension is easy to cause cerebral infarction, but lowering blood pressure too fast and too low also has the risk of cerebral infarction.

The brain tissue of patients with chronic hypertension has adapted to the high blood pressure level. If the blood pressure drops to the normal level too quickly, it will promote cerebral ischemia and lead to cerebral infarction.

Therefore, lowering blood pressure should not be too fast or too low, and large fluctuations in blood pressure should be avoided.

Myth 5: Ignoring Rehabilitation Treatment for Acute Cerebrovascular Disease

Fact: Treatment is as important as rehabilitation.

For a long time, China’s general hospitals have paid attention to drug treatment for patients with acute cerebrovascular diseases, and have hardly really carried out rehabilitation treatment, thus missing the best opportunity for rehabilitation. Many patients only saved their lives, but left behind serious disabilities and low quality of life.

Myth 6: Ignore the Concept of Long-term and Regular Medication

Fact: Medication specifications can treat and prevent

The treatment of cerebrovascular diseases is long-term and systematic, It is not limited to single hospital treatment. Patients who continue treatment after discharge need to establish the awareness of long-term medication, such as long-term low-dose aspirin treatment, anticoagulant treatment for patients with atrial fibrillation, long-term application of antihypertensive, hypoglycemic, plaque stabilizing and lipid-regulating drugs, attention to post-stroke rehabilitation treatment, regular review of neck color Doppler ultrasound, intracranial blood vessels (TCD or MRA), etc.

Hypertension, diabetes, arterial stenosis and the like require long-term medication, In the face of diseases that cannot be cured, To learn to coexist with disease, Long-term medication, A considerable number of patients think that they do not need to take antihypertensive drugs if their blood pressure is not high or take antihypertensive drugs only when their blood pressure is high, and they do not need antihypertensive drugs if their blood sugar is not high. What’s more, Stop using antihypertensive and hypoglycemic drugs without consulting a doctor. In the long run, patients will suffer from heart, brain, kidney and retinal complications, systemic vascular diseases, and it is too late to control complications.

3. Three Bits of Stroke

First, nip in the bud

Healthy people advise them to quit smoking, avoid excessive drinking and eat healthily. Actively prevent and treat arteriosclerosis, hypertension, diabetes, heart disease, hyperlipidemia and other risk factors.

Understand the misunderstanding mentioned above and actively prepare.

Second, prevent resurgence

If patients with cerebral infarction who have had transient ischemic attack, they should be more cautious and take active actions to avoid the second attack. Treatment should be standardized and carried out as soon as possible.

But at the same time, we should prevent cheats from taking this opportunity to cheat. For example, it has been circulating among cerebrovascular disease patients for a long time that infusion must be carried out every spring and autumn. There is no scientific basis, cheating money and cheat people.

Third, once the attack occurs, it should be treated as soon as possible.

Cerebrovascular disease, like heart attack, should be regarded as an emergency, treated within a few hours after stroke, and the concept of “time is life” should be established.

Responsible Editor: Painting