Today's matter, to tell the truth, as a young person, after reading the mood is relatively heavy. After all, many of their peers are staying up late...
The incident occurred in Shenzhen People's Hospital and was recorded by the 10th episode of the doctor's observation documentary program "My White Coat".
The female protagonist is Xiao Qi (pseudonym), 24 years old, engaged in sales work.
When the doctor examined, Xiao Qi lay stiffly on the hospital bed, and could only turn her head slightly to the doctor.
According to Xiao Qi, after she woke up at 9 a.m., she suddenly found that "her body was very heavy, and her left body was numb."
Chen Lihua, the attending physician of the emergency department, immediately guessed that Xiao Qi might have suffered a stroke!
Stroke is also called "stroke", and many people in the family have experienced it. But you've certainly rarely heard of young people getting this disease!
It is due to cerebral ischemia or cerebral hemorrhage, resulting in a lack of oxygen in some parts of the brain, affecting the function of the nervous system.
The most typical symptoms are "crooked corners of the mouth, numbness on one side of the limb, and slurred speech."
Due to the rapid development of the disease, once the medical treatment is not timely, the probability of death or lifelong disability is high!
Only 24 years old to have a stroke, how hard is it to do sales?
Xiao qi said that she usually does not work much overtime, but often stays up late. On the eve of the onset of illness, she stayed up until 1 a.m. to sleep.
Although we often popularize the harm of staying up late, we have heard a lot of truths, and people who are used to staying up late will still stay up late.
As everyone knows, long-term staying up late and tired, lack of sleep is not only related to sudden cardiac death, but also makes the sympathetic nerve in a state of excitement for a long time, causing peripheral vasoconstriction, myocardial contractility enhancement, and increased blood pressure [1]. In the long run, high blood pressure, stroke and other geriatric diseases may find you in advance!
In order to further clarify the diagnosis, Xiao Qi also had to do a head CT.
Soon after the CT results came out, the situation was more serious than the doctors had guessed: Xiao Qi's brain may still have an aneurysm hidden!
A cerebral aneurysm is not a "tumor" that grows in the brain, but a "small ball" that expands and bulges out of the artery that supplies blood to the brain under the impact of blood flow.
If you compare an artery to a long balloon, the aneurysm is the small drum in the middle:
(Source: Network)
Why do people grow aneurysms?
Its cause is unclear, but some people have congenital vascular dysplasia, while others have high blood pressure, arteriosclerosis, or smoking, which stimulates aneurysm formation.
As mentioned earlier, staying up late for a long time and stressing may lead to an increase in blood pressure. In the absence of genetic factors, hypertension can significantly increase the risk of cerebral aneurysms [2].
Therefore, although aneurysms are not directly caused by staying up late, there is also a certain indirect relationship.
When the aneurysm is still very small, it is a "small transparent", and the person will not have any symptoms;
However, with the passage of time, the "small ball" under the continuous impact of the blood, the blood vessel wall becomes thinner and thinner, becoming a "big ball".
At this time, the aneurysm is like a bomb buried in the brain:
Mildly, it compresses people's peripheral nerve tissues, causing people to have headaches, hemiplegia, convulsions, nausea and vomiting and other neurological symptoms;
Severe ones will eventually rupture, causing major bleeding in the brain, leading to disability or even death!
The reason why Xiao Qi suffered a stroke should also be related to aneurysms:
When the aneurysm compresses the surrounding brain tissue, it will cause cerebral infarction and partial cerebrovascular ischemia; if it is more serious, the aneurysm ruptures and bleeds, which is cerebral hemorrhage, which is also a kind of stroke.
Some people will ask: I will participate in the company's physical examination every year, can I find it early?
Unfortunately, aneurysms are generally relatively small, and ordinary physical examinations cannot be found at all!
Only advanced means such as magnetic resonance imaging (MRI), cted skull, cerebral angiography (DSA) or angiography (CTA) can make it appear in its original form.
In the general population, the incidence of intracranial aneurysms is 3.6% to 6% [3].
If you or your family members belong to the following 6 high-risk groups, it is best to pay attention to them:
1. Elderly people;
2. Female;
3. Old smoking gun;
4. Hypertension, hyperglycemia, hyperlipidemia;
5. History of excessive cystic kidney, aortic stenosis, and subarachnoid hemorrhage;
6. There is a family history, such as a history of cerebral aneurysm and subarachnoid hemorrhage in the first or second degree relatives.
Especially in Articles 5 and 6, it is best to find a doctor to evaluate. If the doctor thinks you need to do an MRI or CT screening for aneurysms, check them out early.
If you are not a high-risk group, refuse to smoke and drink, stay up less, eat less junk food, exercise more, and have regular physical examinations, these methods can keep you away from the three highs, and you will stay away from the aneurysm.
Of course, many people, like Xiao Qi, only found aneurysms because of some strange symptoms (such as severe headaches, neck pain, seeing things or not seeing in one eye, body numbness).
People who know how to be vigilant about the signals sent by the body and seek medical treatment in time are also lucky people.
Seeing her own diagnosis results, Xiao Qi couldn't help but cry.
24 years old, it is the best year for a girl, but it is really painful to meet with such a dangerous illness.
Dr. Chen Lihua quickly contacted a neurologist to come to the consultation.
After reading the CT results, they were also highly suspicious of an aneurysm in Xiao Qi's right brain. Due to Xiao Qi's complicated condition, Dr. Chen went to see a brain surgeon again.
"If you are admitted to the hospital and have a cerebral angiography (DSA) and the diagnosis is an aneurysm, you may need to have a minor operation."
Lin Pingna, a doctor in the emergency department, explained the condition simply and gently, and let Xiao Qi sign a notice of serious illness.
There are 2 main ways to treat aneurysms:
Fill it in to reduce the impact of blood flow, or pinch the root of the "small ball" so that the blood flow does not go in. The core purpose is to avoid the "small ball" from exploding.
As a last resort, the aneurysm had to be removed and the blood vessels repaired.
However, not every patient recommends surgery, and doctors need to give a treatment plan based on a variety of circumstances.
Finally, after consultation with the brain surgery department, Xiao Qi was diagnosed with a right middle cerebral aneurysm and cerebral infarction.
Fortunately, Xiao Qi recovered well after the operation and has been discharged from the hospital.
However, Xiao Qi is not just a person.
If you don't change your bad habits and still don't pay attention to your physical health, every young person may become the next "Xiaoqi".
Look around, there are already many people in their twenties and thirties who have high blood pressure, gout, fatty liver, and it is not appropriate.
As everyone knows, some diseases cannot be shaken off once they are entangled, dragging down the body and dragging down the future.
When you are young, you "exchange your life for money", and when you are old, you may not have the opportunity to exchange money for life. Don't wait for the day when you really lose your health, and then you know that health is precious!
*The content of this article is a popularization of health knowledge and cannot be used as a specific diagnosis and treatment recommendation, nor is it a substitute for face-to-face consultation by a practicing physician, for reference only.
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