Stroke, also known as "stroke", is the loss of human function caused by acute cerebrovascular disease, known as "the number one killer of human health". Surveys show that stroke has become the number one cause of death from disease in mainland China and the leading cause of disability among adults. One person dies of stroke every 21 seconds in mainland China, the average age of stroke onset is 66 years old, and patients under 45 years old are currently close to 1/5 of the total number of patients.
What are the characteristics of stroke?
Stroke is a "four-high" disease.
High incidence: The World Health Organization has come up with a 1/6 concept. Regardless of ethnicity, race, gender, 1 in 6 people, there will be one stroke in a lifetime.
High mortality: The cause of death in mainland China ranks first, higher than tumors and cardiovascular diseases.
High disability rate: 60% to 70% of patients will have some disability symptoms, severe bedridge paralysis, mild leg and foot disability or speech impairment.
High disease burden: the cost of medical rehabilitation for stroke sequelae is high, patients are often incapacitated, and the burden of disease is heavy.
What exactly causes stroke?
Stroke is an acute cerebrovascular disease that is generally divided into two broad categories:
1. Hemorrhagic stroke, cerebral infarction caused by rupture of blood vessels in the brain.
2. Ischemic stroke, due to arterial vascular blockage, causing cerebral ischemia. Patients account for 70%-80%.
Most strokes are caused by cerebral ischemia, and ischemic stroke has many causes:
Arteriosclerosis of the cerebral vessels;
Atrial fibrillation, valvular disease, the formation of blood clots along the blood vessels to the brain, blocking blood flow caused by cerebral ischemia;
There is a problem with the blood itself, which is easy to form a blood clot, which appears to block the blood vessels on the arterioles of the brain.
Why is stroke getting younger?
According to statistics, patients under the age of 45 account for nearly 20% of the total number of strokes. The reason is that in recent years, chronic diseases such as hypertension and diabetes are getting younger and younger, patients usually ignore blood pressure and blood sugar problems, when the body appears on one side of the limb weakness, dizziness, language disorders and other signs, did not seek medical treatment in time, missed rescue treatment time led to cerebral infarction.
Why is neck massage a stroke risk?
There are four arterial blood vessels in the neck of the human body, two carotid arteries in the front and two vertebral arteries in the back, and the vertebral arteries walk through the cervical vertebrae. The human arterial blood vessels are divided into three layers: the inner membrane, the middle membrane and the outer membrane. When doing neck massage, if repeatedly rubbed by severe external forces, the vascular membrane structure is torn open, the tube wall is ruptured, forming an arterial dissection, and the blood enters the middle of the dissection and gradually blocks the blood vessel, resulting in ischemia in the blood supply area of the brain. Dizziness, speech weakness, visual and physical problems will appear accordingly.
Why is face filler surgery a stroke risk?
Facial blood vessels belong to different blood supply systems than brain blood vessels, but there are some anastomosis branches between them. Normally, facial blood vessels run on the face and cerebral blood vessels run in the skull.
If the face is filled with some substances, accidentally hit the filling material into the arterial blood vessels, when the pressure is relatively large, the blood will flow backwards, squeezed into the blood vessels in the skull, resulting in abnormal blood supply to the brain. Fat and hyaluronic acid are difficult to dissolve, and surgery is not easy to remove, and it is difficult for patients to get treatment.
Can eating peanut rice prevent stroke?
Peanut rice contains unsaturated fatty acids, coagulation factors and other nutrients, which have a certain protective effect on our blood vessels and even the brain. However, peanuts are high in fat and need to be eaten in a controlled amount.
Blood pressure is no problem, stroke does not need to be mentioned?
Among the risk factors for stroke, hypertension ranks first. But poor lifestyle can also lead to stroke, such as smoking, obesity, anxiety, emotional instability, lack of sleep, and so on.
When smoking, harmful substances will enter the human blood and damage blood vessels, which is more serious than blood sugar and blood lipids.
When a poor lifestyle leads to large fluctuations in blood pressure, it is easy to form aneurysms, causing blood vessels to rupture. Hyperlipidemia: blood lipids are prone to form plaques in blood vessels, resulting in narrowing of blood vessels, causing hypotension, hypoperfusion ischemia in the brain, leading to stroke.
Carotid artery examination equals stroke screening?
Normally, the primary cause of stroke is atherosclerosis. The blood vessels in the human brain are divided into neck blood vessels and intracranial blood vessels, and carotid artery examination cannot detect intracranial blood vessels.
High-risk screening for stroke: cerebrovascular intracranial ultrasound, CT, MRI.
Vascular screening can be done for people with risk factors in the early physical examination, or for people with a family history.
Stroke onset suddenly and unprofitable?
Risk factors for stroke are divided into variable factors and immutable factors.
Immutable factors: age, family genetic history, higher incidence in men than in women, higher incidence in older people than in young people.
Variables: hypertension, diabetes, hyperlipidemia, heart disease. These diseases, if well controlled, can greatly reduce the incidence of stroke.
Special attention: transient ischemic attacks, crooked corners of the mouth, limb weakness and numbness, dizziness, sudden headache, walking instability, these transient symptoms may be precursors to stroke, should be immediately examined. According to statistics, after transient symptoms, 1/3 of patients will turn into cerebral infarction.
Can stroke be cured?
In ischemic stroke, 20% to 30% of patients can be cured, but the disability rate is 70% to 80%.
If the treatment is timely, through thrombolysis and thrombolysis, 50%-60% of patients will heal well.
Although stroke is dangerous, it can be prevented and treated, and the most critical thing in the treatment process is time. The golden rescue time of stroke is within 4.5 hours after the patient develops symptoms, and the shorter the thrombolytic drug is used, the higher the cure rate.
Cure rate of 80% within 0.5 hours
Cure rate of 60% within 3 hours
Cure rate of 40% within 4.5 hours
Key points: Stroke patients quickly seek medical treatment, must choose a hospital with a stroke green channel, patients can complete the examination within 0.5-1 hours, rapid administration.
The first aid principle for stroke is fast in English
F-Face face drooping
A- Arm is weak in the arm
S-Speech speech disorder
T-Time time
If you experience symptoms of sagging face, arm weakness, or speech impairment, call 120 emergency services as soon as possible.
(Source "Workplace Health Class") Proofreading Lou Hao