Just after the end of the year, Hanako received a call from a friend, her cousin had a cerebral infarction. Friends said that her cousin is only 35 years old this year, just on the day of Chinese New Year's Eve had a cerebral infarction, she asked Hanako, why is it so young that she also has a cerebral infarction, what to do in the future?
Huazi asked her friend, how is the cousin's situation now, has he dissolved the thrombolysis in time? Friends said that the cousin went to the hospital in time, it should be thrombolysis, now there is no big problem, because her cousin also robbed the New Year red envelope in the family group. Huazi told her friend that the focus of future treatment is mainly to prevent the recurrence of cerebral infarction.
First, cerebral infarction is not a "geriatric disease"
Many people think that cerebral infarction is a disease exclusive to the elderly, but in fact young people can also suffer from cerebral infarction. There are two main causes of cerebral infarction, one is atherosclerosis of the cerebral arteries, and the other is atrial fibrillation.
Now many young people have obesity, stay up late, lack of exercise problems, resulting in abnormal blood pressure, blood lipids, blood sugar, which in turn will lead to atherosclerosis.
The main cause of atrial fibrillation is heart disease, such as congenital heart disease, rheumatic heart disease, hypertensive heart disease, etc., heart disease is not age-sensitive, so young people may also have atrial fibrillation.
Second, the prevention of recurrence is the focus of treatment
After the occurrence of cerebral infarction, it is necessary to seize the time to re-open the blood vessels, and the dying brain cells can be rescued to minimize the damage to the central nervous system. However, the "golden time" of thrombolysis cannot exceed 6 hours at the longest, and the shorter the time, the better. At this time, if the doctor recommends thrombolysis, the immediate family must not hesitate, sign as soon as possible, and fully cooperate.
Drug therapy after cerebral infarction has entered a stable phase, mainly to prevent recurrence. Because the probability of recurrence of cerebral infarction is high, and the recurrence is usually more severe. If there are sequelae after cerebral infarction, the drug has no therapeutic effect, and rehabilitation exercises should be carried out as soon as possible, and it is necessary to insist on doing it for a long time to have the hope of recovery.
Third, two medication regimens to prevent the recurrence of cerebral infarction
For different causes of cerebral infarction, the drug regimen for preventing recurrence is not the same. If there is atherosclerosis, blood pressure, lipids, and blood sugar need to be controlled with medication, and statins are used to control low-density lipoprotein cholesterol (LDL-C) levels below 1.8 mmol/L. At the same time, antiplatelet drugs represented by aspirin are used to prevent thrombosis.
If it is because of atrial fibrillation, heart disease needs to be treated and reversed with anti-arrhythmic drugs. At the same time, anticoagulant drugs represented by warfarin are used to inhibit thrombosis.
It should be noted that antiplatelet drugs are different from anticoagulant drugs and cannot be substituted for each other.
Fourth, what should be done if there are sequelae
Cerebral infarction is a very serious disease, which causes brain nerve cells to die due to lack of oxygen, and once the nerve cells die, they are not regenerative, and most patients with cerebral infarction will have sequelae of varying severity. But through rehabilitation, other healthy brain nerve cells can be compensated and gradually restore their function.
Depending on the individual's constitution, age, and severity of the condition, the length of recovery varies. Generally speaking, the "golden recovery period" is within 1 year after cerebral infarction, and the earlier the rehabilitation exercise, the better the effect. Rehabilitation training for more than 1 year is also effective, but the speed of recovery will be reduced.
Some patients with severe symptoms may require longer exercise to be effective. This is a difficult time, only by persevering, do not give up, in order to establish a new life.
To sum up, cerebral infarction is a very serious disease, and it tends to be younger, and young people also need to pay attention to prevention. In people who have already had cerebral infarction, the prevention of recurrence is the focus of treatment, and there are different medication regimens according to different causes of the disease. Medications should be used under the guidance of a doctor, if you have any doubts about medication, please consult a doctor and pharmacist. I am a pharmacist Huazi, welcome to follow me and share more health knowledge.