Mr. Li, 67, found Mr. Li when he got up in the morning to communicate with his familyHis speech was slurred, his words were slurred, and he choked on drinking water, the muscles of the limbs are normal, and there is no other discomfort in the body.
At that time, Mr. Li did not take the matter seriously, but the family was not at ease and felt that it would be more practical to go to the hospital for a check-up.
At the time of consultation, Mr. Li informed the doctor that he had a history of hypertension and diabetes for many years, but he had been actively controlling it.
The doctor found that he was conscious, slurred speech, difficulty articulation, decreased gag reflex, and centered tongue protrusion; With grade 5 muscle strength and normal muscle tone, ischemic stroke is considered to be a high possibility, and it is recommended to further improve the intracerebral examination to confirm the diagnosis of the disease.
After the doctor communicated with Mr. Li and his family, he expressed his understanding and actively cooperated with the examination and **.
After admission, the doctor completed the cranial magnetic resonance examination and showed multiple ischemic degeneration foci in both frontoprietal lobes, so that the diagnosis can be definitively madeIschemic stroke.
Aspirin enteric-coated tablets were given to prevent platelet aggregation, atorvastatin calcium tablets were given to lower lipids and stabilize plaques, butylphthalide soft capsules were given to promote neovascularization, ginkgo biloba extract injection to improve blood circulation, and oxiracetam injection to improve brain metabolism.
Improve relevant laboratory tests, including blood routine, urine routine, stool routine, liver and kidney function, blood lipids, blood glucose, glycosylated hemoglobin, cardiac enzymes, etc., and the examination shows that blood glucose, blood lipids are high, glycosylated hemoglobin is high, and drugs to adjust hypoglycemic and antihypertensive drugs are given, and nifedipine sustained-release tablets and glimepiride tablets are added.
*On the 7th day, Mr. Li's condition was stable, his slurred speech symptoms improved compared to before, and he could clearly express short sentences, **On the 10th day, his condition improved and he was discharged from the hospital.
The doctor reminds that ischemic stroke is common in middle-aged and elderly patients, due to cerebral arteriosclerosis, or ischemic damage to brain cells caused by thrombosis, which causes signs of neurological dysfunction, which can be manifested as limb paralysis, paresthesia, slurred speech and other symptoms.
The disease seriously endangers the health of middle-aged and elderly people, and the mortality rate and disability rate are high, so it is necessary to pay close attention to it, and early detection and early intervention can help improve the quality of life of middle-aged and elderly people.
In daily life, vascular health is an issue that everyone should pay attention to, especially for middle-aged and elderly people, vascular health is a major event related to life safety.
Blood vessels are important channels that maintain the vital activities of the human bodyIt is responsible for transporting oxygen and nutrients to every corner of the body, while excreting metabolites from the body to ensure the proper functioning of the body.
However, with the influence of age and long-term poor lifestyle habits, blood vessels may become clogged, resulting in poor blood circulation, which can lead to various health problems.
If the blood vessels are blocked, the head will not "lie", and these 4 symptoms should be checked as soon as possible
Dizziness and headache
When the blood vessels in the head are blocked, it will directly affect the blood in the brain tissue**, resulting in cerebral circulation disorders, which can be triggeredHeadache and dizzinesssymptoms, and this dizziness isDizziness like a whirlwind, prone to occurSudden fallsituation.
If the blockage of the cerebral blood vessels is severe, it will also occurMore intense painand sometimes even willFaintingPast.
If the patient frequently has dizziness and headache or worsening headache symptoms, it is necessary to pay attention to it and should seek medical examination as soon as possible to clarify **.
The mouth is crooked
If the blood vessels in the head are blocked for a long time, it may cause facial paralysisThe mouth is crookedand appear when eatingDroolingsituation.
When facial nerve palsy is caused by cerebral vascular obstruction, patients may have paralysis of the lower facial muscles, that is, when baring teethThe corners of the mouth are crookedWhen you speak, you may feel that the corners of your mouth are leaking, and some patients will have itFacial twitching, unilateral droolingsituation.
Slurred speech
If the blockage of blood vessels in the head occurs in a functional area of the brain, such as the left cerebral hemisphere, it may affect the function of the speech center, resulting in:Speech disorders, thus appearingSpeech is not clear, and the tongue is numbsituation.
In addition to slurred speech, it may also manifest as:Choking on drinking water and not being able to understand what others are saying, ieSensory aphasia, andThe ability to recognize words will also deteriorateMany words that you used to know or write may not be remembered now.
Blurred vision
If the blood vessels are blocked, the optic nerve of the patient is damaged or compressed, which will affect the blood supply to the optic nerve, so that nerve conduction will be affected, resulting in the patient's appearanceBlurred vision, decreased vision, reduced visual field, diplopiaand so on, and even in severe casesBlindness
If you have three highs and have frequent blurred vision and blackening in front of your eyes recently, you should be more vigilant about the occurrence of cerebrovascular blockage.
After a blockage of a blood vessel, in addition to the head symptoms described above, it may also occurNumbness of the limbs, weakness of the limbs, chest tightness and shortness of breath, cold hands and feet, limbs, hemiplegiaand other symptoms, you should seek medical attention in time, early detection, and early intervention.
To prevent blood vessel blockage, keep these 4 points in mind
Eat a healthy diet
Eat a light diet with less oil and less saltto avoid the blood being in a high-fat, high-viscosity state, which will slow down the blood flow and form blood clots.
Avoid greasy, heavy and pickled foods, such as pig's trotters, fried chicken, pickles, smoked fish, etc., to prevent blood lipids and blood pressure from rising, the daily salt intake should be controlled3 6 gramsAdvisable.
Reduce the frequency of fast foodThere is a lot of salt in fast food, so it is recommended to eat less or not at all.
Usually possibleEat plenty of fresh fruits and vegetables, such as spinach, lettuce, water spinach, apples, kiwi, grapefruit, etc., and at the same timeQuit smoking and limit alcohol
In addition, it should:Drink plenty of warm waterBy supplementing enough water, it can dilute the blood, increase blood fluidity, improve the body's circulatory and metabolic ability, facilitate the discharge of garbage and waste in the blood vessels, avoid excessive blood viscosity, reduce blood vessel blockage, and thus play a role in protecting blood vessels.
Exercise appropriately
Be active and don't sit for long periods of time.
Increase energy expenditure with moderate exercise and reduce the deposition of lipid metabolites on blood vessels, while also improving blood circulation, especiallyAerobic exercise, which can effectively prevent blood vessel blockage.
It is recommended to stick to it every week3 5 times20 to 30 minutes each time at about moderate intensityYoga, walking, jogging, swimming, cycling, etc. are recommended.
For those who need to be "sedentary" for a long time at work, they can also choose to get up every 45 minutes to pour a glass of water, or go to the bathroom to go to the toilet, or stand up and move their muscles and bones to prevent blood vessel blockage.
In addition, life to:Maintain a happy, relaxed, and steady state of mindto avoid diseases such as cerebral infarction and cardiovascular blockage caused by bad mood.
Regular medical check-ups
Regular physical examination every year to observe blood lipids, blood glucose and blood pressure indicators, as well as the results of vascular color ultrasound, if there is any abnormality, intervention should be made as soon as possible to prevent serious consequences.
People under 40 years old:It is recommended to have a routine physical examination every 2 to 3 years, with attention to blood lipid level detection and early vascular function examination.
People aged 40 years or with metabolic syndrome:It is recommended to have a vascular examination at least once a year.
Patients with hyperlipidemia are identified: Visits to a specialist clinic every 3 to 6 months should be performed.
Medications**
Positive ** cardiovascular and cerebrovascular underlying diseases,Such as hypertension, hyperlipidemia, diabetes, hyperuricemia, etc.
If you already have such a condition, you must beFollow the doctor's instructions**, including taking antihypertensive drugs, hypolipidemic drugs, such as nifedipine, simvastatin and other drugsAll indicators are controlled within the specified range, which can prevent or reduce the incidence of cerebral infarction and cardiovascular blockage.