Stroke is not a "patent" for the elderly
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Why do people have a stroke?
Stroke, also known as stroke, is an acute cerebrovascular event. Stroke is a group of diseases that cause brain tissue damage due to the sudden rupture of blood vessels in the brain, or the blockage of blood vessels that prevents blood from flowing into the brain, and is divided into ischemic stroke and hemorrhagic stroke.
Ischemic stroke, also known as cerebral infarction, is more common than hemorrhagic stroke, accounting for 60% to 70% of the total number of strokes. Narrowing or occlusion of carotid and vertebral arteries can cause ischemic stroke. Patients are more than 40 years old, more men than women, and in severe cases can cause death.
The survey shows that stroke has become the number one cause of death for the mainland population and the leading cause of disability for adults. In our country, on average, one person has a stroke every 12 seconds, and on average, one person dies from a stroke every 21 seconds.
After stroke, patients with mild diseases present with numbness and weakness, crooked corners of the mouth, and slurred speech, and severe patients can appear comatose, resulting in severe disability and even death. Different types of strokes, different treatments. Stroke is preventable and treatable, so it is important to prevent the onset of the disease.
Is a stroke a disease of old age, and young people will not have a stroke, right?
Strokes do occur more often in the elderly population, but young people can also develop the disease, and the disease has a tendency to become younger!
The risk factors for stroke in young people differ from those in older people, and carotid artery dissection caused by trauma or rough neck massage, heart disease (such as foramen oval oval, valvular heart disease and endocardial lesions), and autoimmune diseases (such as arteritis, antiphospholipid syndrome) can increase the risk of stroke in young people. Bad living habits, such as staying up late, eating a high-energy diet, not exercising, stress, drinking a lot of alcohol, etc., can lead to a great increase in the probability of high blood pressure, diabetes, coronary heart disease and other diseases. These diseases are all major risk factors for cerebrovascular disease, so the prevalence of stroke also increases.
I heard that I always have a stroke in overtime, is it true?
The data shows that if young people work overtime every day, the incidence of stroke will increase by 10% to 33%. The high risk factors for stroke were mentioned earlier, so why does overtime increase the risk of stroke? This is because if overtime becomes the norm of work, often sedentary and irregular exercise, after work to drink beer, eat barbecue, physical discomfort and ignore, not only stroke, I am afraid that many diseases will come to you!
Multiple intracranial ischemic foci do not equal stroke
How can stroke be detected early?
If you suddenly feel that there is something wrong with your body one day, to determine whether you have a stroke, you can do the following three simple actions in front of the mirror: first, smile with your teeth and see if there is a crooked mouth angle; second, raise your hands to move to see if one side of the limb is weak; third, say a few words to see if there is no slurred speech. If any of these anomalies are anything, a stroke may have occurred!
Detect the intracranial ischemic lesion, is it a stroke?
Often patients come to the outpatient clinic with imaging reports, they find a lot of ischemic lesions in the brain, worry that it is a stroke, and ask whether taking medicine can make the ischemic foci disappear.
With the popularity of head imaging examination in routine physical examination, asymptomatic patients often find some imaging manifestations of small vascular diseases when doing head CT/MRI examination, such as ischemic lesions, white matter lesions/hyperinflorality, lacunar infarction foci, etc., which are often diagnosed as cerebral infarction, and even lead to overtreatment, increasing the psychological burden of patients.
In fact, the emergence of these imaging markers of cerebral small blood vessel disease is closely related to age growth and stroke risk factors, and whether treatment is needed requires neurologists to comprehensively judge in combination with clinical information. We must not mistake the image markers of cerebral small blood vessel disease for stroke.
What should I do after a stroke?
Within 6 hours after a stroke (especially within 4.5 hours), it is called the golden time for rescue. If patients are not treated within this golden rescue time, they may cause disability or even death.
So, if you or someone in your family suddenly has the above symptoms and there is a high suspicion of stroke, please call "120" immediately and send it to the hospital emergency department!
The following misunderstandings, we must try to avoid: it seems that the body is a little wrong, but recently too busy, wait until after work to talk about it; today look in the mirror and find that the mouth is a little crooked, but this morning there is an important meeting, after the meeting and then go to the hospital; feel that the hand is a little unable to lift up, is not last night to sleep was pressed ...
Stroke really can't wait! Especially friends with high blood pressure, heart disease, and over the age of 40, when there is an abnormality, they should be highly vigilant against the possibility of stroke, and the doctor must race against the clock!
Most stroke patients have symptoms that are not obvious at the beginning of the onset of the disease, or the symptoms are a little heavier for a while and then return to normal again. Don't take any chances because of this, beware of missing the most precious rescue time!
If a patient can see a doctor within 6 hours of a stroke, the doctor can take the most active and effective treatment measures. In the case of ischemic stroke, which has the highest incidence, doctors can take thrombolytic or thrombotic treatment to eliminate blood clots that are clogged in blood vessels.
Thrombolysis: Within 4.5 hours of the onset of the disease, intravenous injection of thrombolytic drugs, the plasminogen on the thrombus is converted into plasmin, thereby dissolving the thrombus.
Thrombosis: within 6 hours of onset, puncture from the aorta is performed mechanically to thrombosis that causes occlusion of the aorta by means of interventional minimally invasive method.
Please do not hesitate for treatment
Stroke treatment is risky, and the informed consent form does not dare to sign how to "break"?
Clinically, it is often encountered that patients are indeed sent to the hospital in the golden time, but family members often begin to hesitate when signing the informed consent for thrombolysis and thrombolysis.
"Oh, doctor, there are so many side effects and dangers, it's scary!" "Can this be done in the outpatient clinic, and not reimbursed in the emergency medical insurance?" "Doctor don't panic, I have to wait for everyone in the family to come before I can decide." I'll consult my doctor relatives first! ”
In the face of such families, doctors often feel helpless, but the rescue time is delayed minute by minute. You know, tens of thousands of nerve cells die every second due to ischemia. That's a life that hovers on the line of disability and death!
Here solemnly tell everyone that in this case, hurry up and sign the consent, as soon as possible treatment is the only correct choice!
If you have a stroke, is it not good to go to the nearest hospital?
Not all hospitals can perform thrombolysis or thrombolysis treatment. If a stroke or symptoms of a stroke are suspected, they should be taken to the nearest hospital with stroke center and green pathway immediately. There are two criteria for choosing a hospital: first, proximity; second, stroke rescue qualifications.
When a family member or friend suddenly has a stroke, we may be overwhelmed for a while, and how can we still care about searching the stroke center and green channel of the hospital? In this case, it is recommended that you dial "120" to transport patients, or to the nearest large tertiary hospital, most of which can get timely treatment.
For stroke, however, prevention is far more important than treatment. We must pay attention to the "five cornerstones" of stroke prevention: reasonable diet, moderate exercise, smoking cessation and alcohol restriction, psychological balance, and treatment of chronic diseases. Only in this way can you really stay away from stroke.