It is important to protect the cerebral blood vessels and control blood pressure and blood sugar

It is important to protect the cerebral blood vessels and control blood pressure and blood sugar


As the temperature drops, many physiological indicators of our body will change, such as vasoconstriction, increased blood pressure, and poor blood flow, making cerebral hemorrhage or cerebral infarction more likely to occur. Cold weather reduces people’s activity, which can easily increase blood sugar and increase the risk of stroke. Which group of people are more likely to suffer from stroke?

One category is middle-aged and elderly people. As age increases, plaques will appear on the inner walls of arteries; on the basis of atherosclerosis, thrombosis will form; elderly people are also prone to atrial fibrillation, which can cause thromboembolism.

The other type is people who have many risk factors for cerebrovascular disease. For example, in people with high blood pressure, long-term high blood pressure can lead to hyaline degeneration of intracranial arterioles, which can easily rupture, bleed or form thrombosis. People with other risk factors, such as smoking, alcoholism, diabetes, obesity, etc., have a much higher probability of developing cerebrovascular disease than normal people.

With changes in the social environment and lifestyle, traditional “geriatric diseases” such as stroke and coronary heart disease are becoming more likely to occur at a younger age. Quite a number of contemporary young people work at a fast pace, have high mental pressure, live indoors for a long time, have little exposure to sunlight, stay up late and get up late, lie down without exercising, eat irregularly, often eat takeaways, lower their heads to browse mobile phones, and sit for long periods of time, which leads to The increase in underlying diseases accelerates atherosclerosis. Therefore, young people should increase their awareness of prevention and try to avoid bad living habits.

In addition, genetic factors also affect the probability of stroke. Some young people with a family history of cerebrovascular disease or a family history of risk factors should pay attention to the prevention of cerebrovascular disease, pay attention to their various health indicators at any time, conduct regular health examinations, and timely detect some early factors for intervention and treatment.

To protect the cerebrovascular health of the elderly, we must first maintain good overall health. With good overall health, you have a strong ability to resist various diseases. For example, maintain a balanced diet, reduce the intake of high-fat, high-cholesterol, high-sugar, and high-salt foods, limit the intake of processed foods, and increase the intake of vegetables, fruits, whole grains, and foods rich in healthy fats, such as fish, nuts, and Legumes. At the same time, moderate physical activity helps promote blood circulation and enhance the function of the vascular system. However, it should be noted that in winter, the exercise time should not be too early, but should be chosen after the sun rises and the temperature rises. You can choose the aerobic exercise that suits you.

Controlling hypertension and diabetes is an important measure to protect cerebrovascular health. In winter, blood pressure will rise due to vasoconstriction, and blood sugar will rise due to reduced activity. Blood pressure and blood sugar should be monitored regularly, and antihypertensive and hypoglycemic drugs should be adjusted as directed by your doctor. When playing chess and cards, you should avoid emotional excitement and excessive tension, maintain a happy mood, and reduce mental stress.

Since stroke is an acute disease, the sooner the patient receives treatment, the better his recovery will be. Therefore, it is particularly important to gain valuable treatment time for the patient. This requires us to quickly identify the early symptoms of stroke. How to identify? We can refer to the “BE FAST” principle.

When a person suddenly develops B – difficulty in balancing, unsteady walking; E – difficulty in seeing clearly, difficulty in seeing; F – incorrect face, crooked corners of the mouth; A – uneven arms, weak limbs on one side; S – speech If you are unable to speak properly, have slurred speech, or cannot understand the meaning of others, you need to call the emergency hotline for help as soon as possible (Time). In one sentence, sudden weakness of one limb, crooked mouth, and slurred speech may be a stroke. It’s time to go to the emergency room for medical treatment. If the patient arrives at the hospital soon after the onset of the disease and is judged by the doctor to have an acute cerebral infarction and is suitable for thrombolysis or thrombectomy, then he is expected to achieve a better recovery after receiving treatment.

Many people report “lacunar infarction” after receiving CT or MRI examinations. What does it mean? is it serious? “Lunar cerebral infarction” is mostly just an imaging description, not a strict diagnosis of the disease. This description means that the examination revealed some slight changes in the brain tissue deep in the brain. If there are no corresponding symptoms, it may be an aging change, not a disease. If there are corresponding symptoms, it may be a real cerebral infarction. A rigorous approach should be for the doctor to make a comprehensive judgment based on the patient’s clinical manifestations and imaging results, and then provide a follow-up treatment plan.

People suffering from chronic diseases such as high blood pressure, hyperlipidemia, and diabetes should undergo regular examinations and treatments to control the development of the disease. When symptoms of stroke occur, they should seek medical treatment immediately and do not take medication at home. (Author: Du Wanliang, deputy director of the Emergency Department of Beijing Tiantan Hospital)



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