Understanding ischemic stroke
• Ischemic stroke, also known as cerebral infarction, is a disease caused by ischemia, hypoxia and necrosis of local brain tissue due to blockage of blood vessels in the brain, resulting in corresponding neurological dysfunction.
Common symptoms include sudden weakness or numbness of one side of the limbs, slurred speech, mouth deviation, dizziness, blurred vision and so on. If these symptoms occur, seek immediate medical attention, as early diagnosis and treatment are essential for prognosis.
How does
ischemic stroke occur?
• “Bad” cholesterol is one of the important culprits of ischemic stroke morbidity. It slowly deposits in the inner wall of arteries, forming atherosclerotic plaques, narrowing or even blocking blood vessels. These plaques are like “bombs” in blood vessels. Once exploded, they will trigger acute
ischemic stroke.
• Deposition of “bad” cholesterol in the vessel wall → plaque formation, rupture, thrombosis → ischemic stroke
Is it over after the
blood vessel is recanalized?
After morbidity of
ischemic stroke, is it the end of treatment to go to the hospital to eliminate the thrombus blocking the blood vessel and let the cerebrovascular blood flow return to normal?
Achieving cerebrovascular recanalization is only the short-term goal of ischemic stroke treatment, while preventing the recurrence of cardiovascular and cerebrovascular events such as stroke and myocardial infarction is the long-term goal of treatment!
• Ischemic stroke has the characteristics of high disability rate and high mortality rate. In order to avoid death and residual disability of patients, it is
essential to open the blood vessels as soon as possible and save the ischemic penumbra.
After morbidity of
ischemic stroke, every minute should be taken to eliminate thrombus and achieve vascular recanalization
.
• Ischemic stroke has the characteristics of high disability rate and high mortality rate. In order to avoid death and residual disability of patients, open the blood vessels as soon as possible to save the ischemic penumbra. Sleep lysis and mechanical thrombectomy
In order to prevent the recurrence of stroke, dealing with the “culprit” is the key
.
“Bad” cholesterol promotes the occurrence and development of atherosclerosis, which is the “culprit” leading to ischemic stroke. In order to prevent the recurrence of stroke, the key
is to reduce “bad” cholesterol and make atherosclerosis lose its “raw material”.
How low does
“bad” cholesterol go?
• Stroke patients are at very high cardiovascular risk! Stroke patients are at very high cardiovascular risk! Stroke patients belong to the population
with extreme cardiovascular risk.
• Their “bad” cholesterol needs to be controlled more strictly! It’s not that there is no arrow on the test sheet to indicate that the cholesterol is up to standard. Their correct standard value should be: < 1.8mmol/ (70mg/dL)
• Adhere to this target value, long-term lipid-lowering therapy to reduce the risk of cardiovascular and cerebrovascular events, and achieve better clinical benefits
Lifestyle adjustment
1. Reasonable diet
• Follow a low-salt, low-fat, low-sugar diet. Reduce the intake of high-fat foods such as animal fat and fried food, and control the intake of salt and sugar.
• Increase intake of fresh vegetables, fruits, whole grains, low-fat dairy products and other foods rich in dietary fiber, vitamins and minerals.
• Eat a moderate amount of high-quality protein, such as lean meat, fish, beans, etc.
2. Moderate exercise
• Insist on moderate aerobic exercise, such as walking, jogging, swimming, cycling, etc., for at least 150 minutes a week.
• Exercise intensity should be gradually increased according to your own situation to avoid overwork. If you feel uncomfortable during exercise, stop immediately and consult a doctor.
3. Quit smoking and limit alcohol
.
• Smoking is one of the important risk factors for ischemic stroke, so we should resolutely quit smoking.
• Limit alcohol consumption to no more than two drinks per day for men and one drink per day for women. Excessive alcohol consumption increases the risk of stroke.
4. Weight
control
• Maintaining a reasonable weight can reduce the risk of stroke. Through reasonable diet and moderate exercise, the weight can be controlled within the normal range.
5. Work and rest regularly
• Get enough sleep, seven to eight hours a day.
• Avoid staying up late and overwork, and develop good living habits.
Regular review
1. Go to the hospital regularly for review, including blood routine, liver and kidney function, blood sugar, blood lipid, blood pressure and other examinations, as well as head CT or MRI and other imaging examinations.
2. According to the results of the review, the doctor will adjust the treatment plan to ensure that the patient’s condition is effectively controlled.
VI. Emergency handling
1. If there are symptoms of recurrence of stroke, such as sudden weakness of one side of the limbs, slurred speech, mouth deviation, etc., they should seek medical treatment immediately.
2. Keep the patient quiet and avoid excessive tension and activity while waiting for emergency personnel.
3. If the patient has coma, vomiting and other conditions, the patient’s head should be tilted to one side to prevent asphyxia caused by aspiration of vomit.
In a word, patients with ischemic stroke need to understand the disease knowledge, adjust their lifestyle, strictly abide by the drug treatment plan, actively carry out rehabilitation training, and regularly review. Comprehensive management can improve the quality of life of patients and reduce the risk of recurrence.
