Around us, the "three highs" seem to be becoming more and more common, and the most well-known of them is high blood pressure. Many people think that everyone has high blood pressure and will mistake this for a very common thing.
But in fact, the impact of high blood pressure on blood vessels is continuous, and there may be no harm in the short term, but in the long run, the harm to the cardiovascular system is difficult to estimate, and may even cause cerebral hemorrhage, which is life-threatening.
1. If I have high blood pressure, how far is it from cerebral hemorrhage?
Intracerebral hemorrhage, also known as hemorrhagic stroke, is a form of stroke, accounting for 20%~30% of all stroke cases, and the mortality rate in the acute stage is as high as 30%~40%.
With the increase of age, the incidence will gradually increase, and the peak age is between 45~60 years old, and the proportion of young people suffering from cerebral hemorrhage has also increased year by year in recent years.
Long-term hypertension can cause structural abnormalities in the tiny arteries of the brain, vitreous degeneration and fibrinous necrosis, which will cause the blood vessel walls to lose their elasticity. When blood pressure rises suddenly, these fragile blood vessels can easily rupture and cause bleeding.
In intracerebral hemorrhage caused by hypertension, the most common site is the basal ganglia, mainly because the blood vessels in this area are supplied by right-angled branches, which are more likely to rupture and bleed due to the pressure of the blood flow on the basis of the original lesion.
However, not all high blood pressure progresses to the level of intracerebral hemorrhage. Clinically, some people do not have cerebral hemorrhage at 220mmHg, but some people have intracerebral hemorrhage at 160mmHg, and the influencing factors of hemorrhage are related to the body and environment, and there is no fixed value.
Currently, the ideal blood pressure criteria are systolic blood pressure less than 120 mmHg and diastolic blood pressure less than 80 mmHg. Depending on the individual, different groups of people have different blood pressure warning lines and need special attention:
(1) In young people, blood pressure of 120/80 mmHg or more is alarming. According to a study by the Guangdong Provincial People's Hospital and the First Affiliated Hospital of Sun Yat-sen University, a long-term survey of 500,000 residents in mainland China showed that for every 10 mmHg increase in systolic blood pressure above 120 mmHg, the risk of intracerebral hemorrhage increased by 61 percent compared with those with normal blood pressure.
(2) For the elderly, it can be slightly relaxed, but blood pressure over 139/89mmHg should also cause vigilance.
Professor Li Hao of West China Hospital of Sichuan University reminded that when systolic blood pressure ≥ 220mmHg and/or diastolic blood pressure ≥ 140mmHg, regardless of whether symptoms appear, it should be regarded as a hypertensive emergency and immediate intervention is required to reduce the damage to the brain and other vital organs caused by persistent hypertension.
2. Before the onset of cerebral hemorrhage, will the body have 4 signals?
Intracerebral hemorrhages usually come on suddenly, often during the day when you are emotional, overstrained, or highly stressed. In addition, some cases occur after drinking alcohol or when straining to stool.
Qu Jingdong, deputy chief physician of the Department of Critical Care Medicine of the Second Affiliated Hospital of Harbin Medical University, reminded that the body will send out some warning signals before the incident, but it is ignored by many people.
1. Sudden, severe headache
Headache is usually the first symptom of intracerebral hemorrhage and is usually located on the side of the bleeding in the head. Dizziness is also often associated with headaches, especially with hemorrhage in the cerebellum and brainstem.
2. Abnormal consciousness
May present with drowsiness or lethargy, depending on the location, volume, and speed of intracerebral hemorrhage. When a large amount of bleeding occurs in a deeper part of the brain over a short period of time, consciousness is usually impaired.
3. Twitching of muscles on one side
Many people with intracerebral hemorrhage experience limb mobility impairment before the attack, and may suddenly develop numbness, weakness, or difficulty holding things in one side of the body.
4. Nausea and vomiting
About half of people with intracerebral hemorrhage experience nausea and vomiting, which may be related to factors such as increased intracranial pressure, episodes of vertigo, and blood irritation of the meninges.
3. If you don't want to have a cerebral hemorrhage due to high blood pressure, you should touch less of 4 kinds of food
After the first intracerebral hemorrhage, the risk of recurrence is about 2.1%~3.7%. Therefore, blood pressure monitoring should be performed in patients with intracerebral hemorrhage, and it is recommended that a blood pressure control target of less than 140/90 mmHg be set to prevent recurrence.
The sudden occurrence of cerebral hemorrhage and its high mortality rate are closely related to people's poor lifestyle habits. Here are four common foods that can easily trigger intracerebral hemorrhage, and try to avoid them:
1. Smoke
Long-term heavy smoking can cause blood vessels to constrict, rapid heartbeat, and increased blood pressure, increasing the risk of intracerebral hemorrhage. Studies have shown that the more you smoke, the more likely you are to develop a brain hemorrhage.
2. Wine
Alcohol consumption is another risk factor for intracerebral hemorrhage. Alcoholism, in particular, may lead to increased blood pressure or changes in coagulation mechanisms, as well as accelerated cerebral blood flow, which can lead to intracerebral hemorrhage.
3. Mustard
Tong Qiguang, chief physician of the Heart Center of Beijing Chest Hospital, said that it is best for patients with high blood pressure to eat less mustard. Because mustard is a spicy food, it can stimulate blood circulation and heartbeat, which can increase blood pressure. Therefore, patients with high blood pressure should try to avoid excessive consumption.
4. Yuzu
Han Pan, a pharmacist at the Department of Pharmacy of Wuhan Central Hospital, pointed out that patients with high blood pressure should be cautious about eating grapefruit during oral antihypertensive drugs.
Grapefruit has a significant effect on felodipine, nifedipine, and nicardipine antihypertensive drugs, which may lead to an increase in blood concentration, and then hypotensive symptoms such as dizziness.
In summary, through continuous health management and blood pressure monitoring, we can effectively reduce the risk of cerebral hemorrhage and protect the health of ourselves and our families.
Resources:
[1] "How high is blood pressure, will induce cerebral hemorrhage?These 3 "red lines" need to be vigilant!6 major risk factors, early avoidance is safer.I am a big doctor official WeChat.2022-11-29
[5] "These foods are the "accelerator" of disease, and doctors advise you to hold back no matter how hungry you are!.Health Times.2023-04-13
[3] "Doctor: 8 Manifestations of Cerebral Hemorrhage to Pay Attention to!", Health Inner Mongolia Official WeChat.2023-10-18
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