26-year-old Li Jie, a typical IT otaku, usually likes to play games and eat snacks, not only does not love sports, but also especially loves to drink drinks, especially Sprite.
These bad habits also caused him to gain 272 pounds, with a BMI twice that of normal people, and he also had a history of hypertension and gout (in the extremely high-risk group).
On the night of Tanabata, he met his friends for dinner and returned to the rental house alone. After taking a shower, Li Jie was lying on the bed brushing his mobile phone, and suddenly felt a swelling pain in his head, a weak limb on his right side, and a slurred speech, much like the signs of a stroke he had just seen a few days ago.
Aware of this, in the still limited consciousness, Li Jie quickly sent screenshots of the "stroke" to colleagues, because the brain is out of control, he can only type with his left hand, but also try to send voice, but the speech is slurred, the information can not be clearly conveyed.
"I just had dinner with him and didn't expect anything to happen." Colleague Zhang Qiang recalled that he did not understand the messages sent by Li Jie, most of them were typos, and he could not hear the voice clearly.
However, seeing the words "come" and "please" on the chat record, Zhang Qiang, who realized that something was wrong, immediately rushed to Li Jie's house. At that time, Li Jie had collapsed to the ground, unconscious...
After being sent to the emergency room, CT showed that Li Jie had extensive bleeding in the left basal ganglia, lateral ventricular and temporal lobe cerebral hemorrhage. At present, Li Jie is hospitalized for hemorrhagic stroke.
First, the relationship between cerebral hemorrhage and hypertension is inseparable
Hemorrhagic stroke, also known as hypertensive cerebral hemorrhage, usually refers to non-traumatic intra-cerebral parenchymal hemorrhage, that is, spontaneous or primary cerebral hemorrhage, the vast majority of which is caused by the rupture of an artery with a sharp rise in blood pressure on the basis of hypertension and degeneration of the internal cerebral arteries.
The average person has a sudden increase in blood pressure, such as when the emotions are agitated, excessive mental and physical activity, so hypertension cerebral hemorrhage often occurs after these behaviors. In addition, forceful defecation, drinking alcohol, spring and winter are also more likely to cause the onset of the disease.
The onset of the disease is mostly sudden, often changes quickly, and can develop to a peak within a few minutes.
Second, how high is the blood pressure that may cause cerebral hemorrhage?
Hypertension is an important factor in cerebral hemorrhage, long-term blood pressure fluctuations can lead to thinning, dilation, brittleness of the wall of small blood vessels, and even bulging aneurysms at the end of these arterioles, once the blood pressure rises suddenly, it will lead to cerebral hemorrhage due to blood vessel rupture.
So, how high is the blood pressure that is prone to cerebral hemorrhage?
For this question, Dr. Zeng of the Department of Neurology of Hebei PetroChina Central Hospital said that it is difficult to give a standard answer due to the different physiques and the severity of arteriosclerosis in each person.
For example, A's blood is only 100/70 mm Hg on weekdays, but when his blood pressure suddenly rises to 150/100 mm Hg, he may suddenly have cerebral hemorrhage. B's blood pressure is high, and he is 150/90 mm Hg every day, but when his blood pressure rises to 220/110 mm Hg, he may still not have cerebral hemorrhage.
However, there is still a critical reference value in the clinic, that is, when the blood pressure exceeds 180/100 mm Hg, the probability of finding cerebral hemorrhage will be several times higher than usual, which requires vigilance.
In addition, before the cerebral hemorrhage comes, the body will also send out several signals, and it is necessary to pay attention to blood pressure in time.
1. Sudden severe headache
There is no obvious cause for this headache, and many people start with intermittent headaches, but later turn into persistent headaches.
2. Sudden blurred vision
Suddenly, the eyes are blackened, or one eye appears to be unable to see clearly, the vision is blurred, and even ghosting appears.
3. Sudden difficulty walking
Sudden dizziness, feet can not be lifted, walking difficulties, walking is also shaky, it should be noted that it may be caused by cerebral hemorrhage.
Third, high blood pressure does not want cerebral hemorrhage, 3 kinds of food is best to eat less
If you want to avoid high blood pressure and cerebral hemorrhage, "control" is the most important. Do a good job of daily hypertension management, especially the following foods, and try to eat less
1. Foods with high sodium content
Such as hot dogs, bacon, smoked foods, biscuits, cakes, potato chips, bread, etc., these delicious and convenient foods, due to repeated processing, often contain a lot of sodium.
2. Animal offal
Animal internal organs can easily lead to increased lipid blood, and high blood lipids can also cause hypertension.
3. Tobacco and alcohol
Both tobacco and alcohol can stimulate blood pressure fluctuations, and quitting smoking can reduce the risk of cardiovascular disease by half.
For patients with high blood pressure, they should eat more potassium-rich foods every day, including kale, red cabbage, kale, edamame, bamboo shoots, etc., which can help to excrete excess sodium in the body. It can also supplement grains and beans in moderation, which can supplement protein at the same time, but also play a role in dilating blood vessels and reducing blood pressure.
In addition, patients with hypertension should also pay attention to monitoring blood pressure, especially when the seasons change, pay attention to cold and heat protection; daily attention to the combination of work and leisure, reasonable arrangements for work and life, to ensure adequate sleep, moderate exercise, and develop good living habits.
Extension - How to give first aid to sudden cerebral hemorrhage?
The onset of hypertension is of different lengths, mainly occurring in patients with sudden convulsions, numbness, malignant vomiting, fatigue, aphasia and other symptoms, which should be immediately sent to the hospital:
1. Dial 120 immediately
Immediately call the emergency center to explain the patient's situation and wait for the ambulance to pick up the patient.
2. Let the patient lie on his side
Lying flat tends to cause vomit to enter the trachea and suffocate.
3. Including taking first aid drugs
If there are antihypertensive drugs at home, it is best to let the patient take them immediately under the tongue, which can not only help reduce the amount of heart blood and cerebral blood flow, but also have an auxiliary effect on protecting brain tissue.
4. Avoid head bumps
Escort patients to the hospital, we must pay attention to avoid head bumps, large vibrations can easily cause heavy bleeding, the consequences are unimaginable.
Stroke is terrible, and the slightest carelessness can kill you. Therefore, for patients with high blood pressure, the most important thing is prevention! Be sure to keep your blood pressure stable, and do not reduce or stop the drug without authorization to lay a "landmine" for stroke.
Resources:
[1] "Learn pre-hospital first aid for hypertensive cerebral hemorrhage to save your life!" 》. XJTLU Second Courtyard Shenwai .2018-09-14
[2] "Xi'an Jiaotong University Second Courtyard Shenwai". Neurology Dr. Zeng.2021-06-05
[3] What foods can I eat for high blood pressure? Which ones to eat less? A list of foods to help with blood pressure is for you". Fujian Health News.2021-10-08
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