892. Cerebral infarction
"Grandpa he, grandpa his brain, it's not good. ”
As soon as Yang Mingjue opened his mouth, it was such a powerful sentence, and Zhou Fangyuan was shocked a lot.
Encephalopathy?
No kidding.
As the most delicate organ of the human body, any lesion in the brain should not be taken lightly. In other words, even the smallest brain disease is much more serious and harmful than many other diseases in the body.
Brain diseases can be broadly divided into three categories.
The first type of hemorrhagic cerebrovascular disease, the most common of which is cerebral hemorrhage, is mainly caused by hypertension, cerebral arteriosclerosis, cerebral infarction, brain tumor, blood disease, arteritis, vascular malformation, etc., and sometimes the use of anticoagulant or thrombolytic drugs can also be caused. The second is subarachnoid hemorrhage: it is mostly caused by congenital abnormalities of cerebral blood vessels. Epidural and subdural hemorrhage: mostly caused by trauma.
The second is ischemic cerebrovascular disease, in which cerebral infarction is the most common ischemic cerebrovascular disease, including cerebral thrombosis, cerebral embolism, lacunar cerebral infarction, etc. There are also transient ischemic attacks, which are transient episodes of cerebral ischemia and can completely return to normal within 24 hours, but recurrent patients can have cerebral infarctions.
The third is other encephalopathy, such as cerebral arteriosclerosis, various cerebral arteritis, cerebral artery ischemic syndrome, intracranial venous sinus or venous thrombosis, etc.
In addition to this, there are some other classifications.
For example, inflammatory diseases, including various types of central nervous system infections, autoimmune encephalitis, neuromyelitis optica, multiple sclerosis, etc. Degenerative diseases: including Alzheimer's disease, frontotemporal dementia, dementia with Lewy bodies, multiple system atrophy, Parkinson's disease, etc. Toxic or metabolic diseases: alcoholic toxic encephalopathy, ischemic-hypoxic encephalopathy, etc. Hereditary metabolic diseases: mitochondrial encephalomyopathy, leukodystrophy, etc.
There are also some rare diseases, such as paraneoplastic syndromes, or hepatic encephalopathy, renal encephalopathy, pulmonary encephalopathy and other medical system diseases.
The above-mentioned types of encephalopathy have different etiologies and pathogenesis. The clinical manifestations, principles of treatment, and prognosis vary greatly.
Yang Mingjue came up with a sentence of encephalopathy, which can really scare people to death.
Because even if it is serious such as encephalopathy, the period is divided into three, six, nine and so on, such as degenerative encephalopathy, although it is harmful, but usually not life-threatening in a short period of time, so it cannot be regarded as serious. On the other hand, vascular diseases such as vascular diseases are basically fatal diseases, and once they are treated, they are either cured quickly and then recover slowly, or they are finished on the spot.
There is a big difference here, which can be explained clearly by a sentence of encephalopathy?
"Calm down, what's going on?"
Zhou Fangyuan has also seen the big winds and waves, and compared to Yang Mingjue, he is much calmer.
"Yes, it's a cerebral infarction, grandpa he has a cerebral infarction. ”
Yang Mingjue said with a sob.
Through her narration, Zhou Fangyuan probably knew the whole story. Yang Mingjue's grandfather, that is, his fourth grandfather, suddenly fell ill a few days after the eighth day of the lunar month, because he didn't want to trouble them, so no one was notified, but the family knew. After treatment in the hospital, I have been recuperating for half a month, and there is no major problem in itself. Yang Mingjue didn't know it before, because no one told her that she didn't see her grandfather's situation until she followed her mother to pay New Year's greetings, and then she was sad and sad.
After Zhou Fangyuan figured out the whole story, he couldn't help but breathe a sigh of relief.
Although the heart is not very comfortable, but how to say, cerebral infarction, as long as it is not fatal on the spot, after treatment and proper maintenance, the patient is likely to live for many years.
For example, his grandfather, a few years after graduating from college in the previous life, calculated the time, it was about 10 years, and he also suffered from cerebral infarction, not to mention cerebral infarction, and he also had a myocardial infarction in the later stage, and he was very serious when he got sick, but as long as he could insist on receiving treatment, and leave the hospital safely, if he was properly maintained in the later stage, until the two years before he was reborn, the old man's physical fitness recovered a lot, and the amount of food was greater than that of young people. Except for Wei Wei, who walked a little tremblingly, it looked exactly the same as before he got sick.
Cerebral infarction, also known as cerebral infarction, also known as ischemic stroke, refers to the avascular necrosis or softening of localized brain tissue caused by blood supply disorders, ischemia and hypoxia to the brain.
The common clinical types of cerebral infarction include cerebral thrombosis, lacunar infarction and cerebral embolism, and cerebral infarction accounts for 80% of all strokes. Diseases closely related to it are: diabetes, obesity, hypertension, rheumatic heart disease, arrhythmia, dehydration of various causes, various arteritis, shock, rapid and excessive blood pressure drop, etc. The main clinical manifestations are sudden fainting, unconscious, hemiplegia, speech impairment, and intellectual disability.
Cerebral infarction not only poses a great threat to human health and life, but also brings great pain and heavy burden to patients, families and society.
Cerebral infarction is a sudden brain disease that can occur at any age, and the degree of necrosis varies depending on the location and size of the thrombus. It is more common in middle-aged and elderly people aged 45~70 years. The onset is acute, most of them have no prodromal symptoms, focal neurological signs reach their peak in minutes to hours, and most of them show complete stroke, clear consciousness or mild impairment of consciousness, embolism of the main trunk of the internal carotid artery or middle cerebral artery leads to large-scale cerebral infarction, severe cerebral edema, increased intracranial pressure, and even cerebral herniation and coma, and rarely, epileptic seizures are rare; embolism of the vertebrobasilar artery system often causes coma, and in some cases, focal signs are stable or aggravated after a time of improvement, indicating recurrence of infarction or secondary hemorrhage.
Cerebral infarction, you say it's fatal, it's really fatal, but you have to say that he is not a threat, sometimes it is really not a threat.
It is true that there are many patients with a poor prognosis, with recurrent symptoms in the later stage, and finally walking very painfully. But there are also people, such as Zhou Fangyuan's grandfather, who had little brain damage when he was sick, and his self-care ability remained good after recovery, coupled with proper maintenance, after a few years of recovery, he was almost the same as before he got sick. So it's really hard to say about this thing, it's basically a person, there are those who have recovered well, and naturally there are those who have recovered less than satisfactory.
Zhou Fangyuan comforted Yang Mingjue for a while, then turned around and came outside the living room.
The third uncle, the eldest son of the fourth grandfather, was smoking at the door of the living room.
Seeing Zhou Fangyuan coming, he threw a cigarette over.
"How is the fourth grandfather?"
"Can't die. ”
The third uncle grinned, but how ugly the smile was, "I went to the hospital to see it, and the doctor also prescribed medicine, saying that it was mainly for recuperation, but the old man was old, and this time it was quite a big trouble, and I don't know how many years I can live......."
The more the third uncle said it, the more ugly his face became, and in the end, he almost looked like he was about to cry.
Zhou can say that he is very good, and he can only smoke with the third uncle.
"Let's go to the capital. ”
"Huh?"
"Let the fourth grandfather go to the capital to see a doctor, I will find someone, find the best expert to take a good look at the old man, the medical skills of the experts in the capital are still better than our doctors here, maybe the old man can get a better recovery." ”
Zhou Fangyuan said.
"Is that appropriate? Won't that bother you too much......
In fact, if he can, of course the third uncle is willing, let alone going to the capital, he even wants to take the old man abroad, but the conditions at home do not allow it, and going abroad to see a doctor is basically a fantasy. You can go to the capital, but the problem is that the experts in the capital, which are all patients from all over the country are trying to pursue, it doesn't matter, you have to queue up for a long time, and it is also troublesome.
"What's the trouble here, the fourth grandfather, my relatives, and my elders, treat the elderly, there is no trouble or trouble. "Finding someone can only be regarded as a gesture for Zhou Fangyuan, and it is nothing at all.
If finding the right person can make the old man's old age more comfortable, even if it costs something, he is willing.
Looking at the fourth grandfather lying on the bed, Xu Ruiou couldn't help but think about the other party's sound like a flood a year ago, Zhou Fanyuan sighed more than once.
There is no way, people are old, and other organs begin to decline to varying degrees, until a certain critical point arrives, and then there will be various pathologies in the body, and cerebral infarction is just one of them.
Surveys have shown that with the aging of China's social population, there are more and more patients with vascular diseases, and according to incomplete statistics, there are about 4 million patients with cerebral infarction. Cerebral thrombosis is the most common type of cerebral infarction, accounting for about 60%, and cerebral thrombosis has the characteristics of high incidence, high mortality, high recurrence rate, and high disability rate.
Cerebral thrombosis mostly occurs in middle-aged and elderly people over 50 years old, and is recognized as the health "killer" of this group of people, mostly accompanied by hypertension, hyperlipidemia, hyperglycemia, obesity and other diseases. Cerebral thrombosis has a lower mortality rate than intracerebral hemorrhage but a higher disability rate. Therefore, once you have a cerebral thrombosis, you must take medication for life to prevent recurrence, and you must take medication under the guidance of a professional doctor.
Cerebral thrombosis is the formation of blood clots in the cerebral blood vessels, blocking the cerebral blood vessels, causing ischemia, hypoxia, softening, and necrosis of the brain cells supplied by it. Its occurrence is not only related to the progression of hypertension and arteriosclerosis, but also closely related to the increase of blood viscosity in middle-aged and elderly people. Arteriosclerosis can make the blood vessel wall uneven and not smooth, and the blood components are easy to be deposited and form blood clots.
Cerebral thrombosis generally has a slow onset, from onset to the peak of the disease, and takes tens of hours to several days, often occurring during sleep or quiet rest. Some patients do not have any aura symptoms at bedtime and wake up in the morning with hemiplegia or aphasia. However, some patients who develop during the day have a prodrome of dizziness, numbness and weakness of the limbs, and transient ischemic attack. Some patients have mild symptoms at first, and then gradually worsen, and some even reach a peak 2~3 days after illness.
The golden time window for cerebral thrombosis is 3-6 hours, and symptoms of different parts and degrees of neurological deficits often appear in the early stage. Symptoms include hemiplegia of limbs, slurred speech, supply disorders, unsteady walking, choking on drinking water, etc., and some patients will also have symptoms such as confusion, memory loss, and dizziness. There is a gradual process of cerebral thrombosis, there will be some precursor symptoms in the early stage, if it can be detected early and sent to the hospital for treatment within the golden time window, the patient can get a very good treatment effect.
Cerebral thrombosis is treated in stages according to the acute phase and the convalescent phase. In the acute stage, in order to improve cerebral circulation, prevent and treat cerebral edema, and treat comorbidities, measures such as blood thinning, thrombolysis, anticoagulation, and vasodilation can be used. During the recovery period, it is necessary to continue to strengthen the paralyzed limb function exercise and speech function training.
Patients with hyperlipidemia, diabetes, transient ischemic attack and a history of coronary heart disease should be treated with long-term prophylaxis, regular re-examination in the hospital after discharge, and long-term use of antiplatelet aggregators such as dipyridine or aspirin to prevent recurrence. It is necessary to take the specific medicine and how to take it under the guidance of a professional doctor, and do not blindly follow the advice of advertisements or traveling doctors.
If cerebral thrombosis recurs, the greater the number of recurrences, the greater the number of cerebral thrombosis, and the larger the emboli, the worse the prognosis. Therefore, patients with cerebral thrombosis often recur once and their condition is aggravated once, and many patients have mental and intellectual disabilities, and even life-threatening. Therefore, patients with cerebral thrombosis should adhere to treatment and actively prevent recurrence.
In general, cerebral infarction is not the devil, but if it is not taken seriously, the lethality of cerebral infarction is definitely no worse than that of any kind of fatal disease.
And to put it bluntly, cerebral infarction, nine out of ten are rich and noble diseases, just like Zhou Fangyuan's grandfather, who is so old, wants to eat meat all of a sudden, and prefers big fat meat. This thing is high in calories, high in fat, and high in cholesterol, and it is very harmful to the body. But the old man loves to eat, what can you do? Can you stop people from eating?
Especially the old people in the grandparents, they all experienced a particularly difficult era back then, and it was not a new thing to starve to death at that time. The old man who was brought over from that year, now that his life is better, and he finally wants to eat whatever he wants, can you not let Lan Ze eat it? Because the body is no longer young, what he eats cannot be digested or excreted. Over time, it accumulates in the body, increasing the burden on the body, affecting and destroying the body's own immune system, and the endocrine balance in the body.
Therefore, the best way is to prevent, eat less greasy and fishy food, move more, exercise more, and keep your body in a healthy state for as long as possible, especially the body fat rate, which must be strictly controlled, of course, it does not have to be like an athlete, it must be controlled at a few percent, but as long as you ensure that you are within the scope of a normal person, keep your mouth shut and open your legs, and it is basically not very difficult to prevent this kind of disease.
Of course, if it is the age of the fourth grandfather, there is nothing to say, they are already that age, and it is not new to get any diseases, what the family can do is to serve the elderly wholeheartedly after they get sick.