In China, the prevalence of cerebrovascular disease is generally on the rise, with a decrease in cities and a significant increase in rural areas. 20 13 China's survey statistics show that cerebrovascular disease is the first cause of death for men and women in China. The leading cause of death in 27 provinces in China is cerebrovascular disease, and 5 provinces are ischemic heart disease. Among them, the mortality of hemorrhagic stroke decreased (by 37.7%), but the mortality of ischemic stroke increased by 28.8%. Due to the aging of the population, the number of deaths from cerebrovascular diseases has increased by 47.7%. According to the national statistics in 20 15 years, 52 people died of cerebral hemorrhage and 42 people died of cerebral infarction in every100000 population in cities. The rural population is more, with 72 people dying of cerebral hemorrhage and 47 people dying of cerebral infarction per100000 people.
Cerebral hemorrhage and cerebral infarction are the most common acute cerebrovascular diseases. The main causes of cerebral hemorrhage and cerebral infarction are hypertension and cerebral atherosclerosis (of course, there are other diseases, but a few).
Epidemiological investigation shows that the prevalence rate of hypertension in China has generally increased, and the prevalence rate of hypertension over 20 15 years 18 years old is 25.2%. The prevalence rate of hypertension in children increased by 0.47% every year, and the statistical prevalence rate in 20 10 was 14.5%. The prevalence of hyperlipidemia (including children and adolescents) has also increased significantly. Hypertension and hyperlipidemia are the main risk factors of atherosclerosis.
Hypertension and atherosclerosis are the main causes of acute cerebrovascular disease. About two-thirds of cerebral hemorrhage is hypertensive cerebral hemorrhage. Cerebral infarction includes atherosclerotic cerebral infarction and cerebral embolism. The former is mainly cerebral atherosclerosis, while the latter is the most common embolus from the heart (hypertension and myocardial infarction also cause the increase of atrial fibrillation).
Cerebral atherosclerosis can cause vascular stenosis or aneurysm. Vascular stenosis, occlusion, plaque rupture and thrombosis can block blood vessels and cause cerebral infarction, and can also cause cerebral hemorrhage due to aneurysm rupture.
Why are hypertension and atherosclerosis increasing and younger? This has a lot to do with the change of people's lifestyle in modern society. In modern society, the pace of life is fast, the pressure of survival is great (although life has improved, people's desires have increased, and the pressure of competition has increased), eating habits have changed (plant food has decreased, animal food has increased, and oil and salt have been eaten more), physical activity has decreased (modern life has cultivated our laziness while bringing convenience), and sleep time has decreased (multimedia, Internet, all kinds) These unhealthy lifestyles and unhealthy psychological and behavioral factors (nervousness, anxiety, depression, etc.) will affect the neurohumoral regulation in our body. In this way, the excitability of sympathetic nervous system is increased, the hormone secretion in the body is increased and disordered, the metabolism and function of human body are also disordered, people are fat, and hypertension, hyperglycemia, hyperlipidemia, hyperuricemia and homocysteine appear and increase. These are the reasons and risk factors that promote the high incidence of atherosclerotic cardiovascular diseases (including cerebrovascular diseases), which leads to the occurrence of diseases in our body, cerebral hemorrhage and cerebral infarction.
Therefore, to prevent cerebral hemorrhage and cerebral infarction in middle-aged people, we should start from controlling risk factors and start from dolls.
Just like a 48-year-old middle-aged man who just received a brain stem hemorrhage at noon today, it can basically be said that there is no hope of treatment. The onset process of this person is very simple, that is, suddenly fainting at home, then nausea and vomiting, immediately taken to the hospital, the whole process does not exceed two hours.
But looking back on the whole life, you will find that it is very effective.
First of all, I know that I have high blood pressure, but because I don't have any clinical symptoms, I don't control my life and death. It is obvious that my family has bought him oral antihypertensive drugs, but he still doesn't take oral drugs, regardless of his blood pressure. Therefore, the blood pressure of 236/ 120mmhg was measured immediately after the brainstem hemorrhage, and it could not be lowered at all by using ordinary drugs. Only by pumping a large amount of antihypertensive drugs intravenously can it be effective.
Therefore, illness is not controlled, which is a chief culprit of many middle-aged people's diseases. You can also say that you are doing the right thing with fate. But many times fate wins and you lose.
The second point is smoking and drinking, and he just had a big drink last night, and today he is still in a relatively drunk state. Drinking doesn't mean you can't, smoking doesn't mean you can't, but you must be temperate, don't drink too much, and drink a little more or less. This is a relatively good thing, but if you drink every day or get drunk at every meal, it will definitely hurt your health. When the time comes, all kinds of vascular diseases will appear, which will eventually lead to brain stem bleeding.
Secondly, the character is very strong. To put it mildly is strong, and to put it mildly is stubborn. He never listens to his good advice, and always thinks he is right. To paraphrase a classic saying, I eat more salt than you do, and I am better than you. But it is such a strong person who, in the end, did not listen to the advice of professionals and formed a state of illness.
Therefore, many middle-aged people feel that they don't have any clinical symptoms, and they don't check their bodies. They know that they are sick, but they don't control it. They always feel fine, and they don't listen to the opinions of professional doctors. They also think that some doctors are purely trying to make money, and they always feel that their family business is successful, and they have two spare money in their hands, and they live more smartly than anyone else. God, my second child, you are all third children.
Under the blessing of these hearts, many people are completely ill. Anyway, no matter what others say, he will never listen.
So in the end, there will be all kinds of middle-aged people who come to the hospital with all kinds of diseases, and they are really convinced when they get there, but it is too late. Many people are disabled, and even their lives are terminated.
I sincerely hope that you can listen to the opinions of professional doctors, even if you don't listen to all of them, you can listen to some of them. Alas!
Eating, drinking, smoking and being lazy are ten words that cause cardiovascular and cerebrovascular diseases, diabetes and youthfulness.
1, Rome wasn't built in a day, and you will get a stroke, which is not caused by one day or two, nor by hypertension alone. It is often caused by smoking, drinking, staying up late, poor diet, lack of exercise, impatient personality and so on when you are young, followed by hyperlipidemia, hyperglycemia, arteriosclerosis and so on. Let's make another metaphor. Is it a day or two for a person to become poor? (except for gambling and family changes), it is often that the ability to spend money is greater than the ability to earn money, which gradually leads to poverty.
Generally speaking, do not attach importance to, pay attention to, and let yourself go!
2. When hypertension has been diagnosed, few people will believe that they have hypertension for the first time, and it will take a while to accept it. Basically, they will not accept the treatment plan of taking medicine immediately, because hypertension is basically asymptomatic, but I don't know that hypertension has slowly damaged your cardiovascular and cerebrovascular diseases, and the blood vessel elasticity has decreased and atherosclerosis has finally led to blood vessel blockage or rupture, and this time is just middle age.
It is very important to know hypertension correctly.
3. Patients with hypertension have poor control over their blood pressure. According to relevant statistics, the awareness rate of hypertension is over 95%, but the control rate is less than 30%. A large group of hypertensive people let their blood pressure develop, and even if they take medicine, they take it intermittently. If their blood pressure is high, they will not accept it, which will lead to high and low blood pressure, which will eventually lead to serious consequences of stroke.
It is found that hypertension needs to be controlled and cannot be cured at present.
4. Most patients are not prone to cardiovascular and cerebrovascular accidents when their blood pressure is stable, for example, blood pressure 160/90mmHg. This blood pressure generally does not cause obvious discomfort, but have you ever thought that when the patient is exercising and emotional, the blood pressure may suddenly rise above 200mmHg, and the chance of stroke will increase by dozens of times at this time, because your basic blood pressure is high, and the risk is great, because there is no safe buffer period.
In the past, I heard that the elderly had cerebral hemorrhage and cerebral infarction. Why do many middle-aged people get cerebral hemorrhage and cerebral infarction now?
To understand this problem, we must first know what is called "cerebral infarction and cerebral hemorrhage". What caused it?
Cerebral infarction is an ischemic disease caused by cerebral vascular occlusion or stenosis, which causes cerebral ischemia and human dysfunction. Usually caused by atherosclerosis.
Cerebral hemorrhage refers to the dysfunction of brain nerve cells caused by the rupture of brain blood vessels. Usually seen in hypertensive cerebral hemorrhage.
There are many similarities between the two diseases, both of which show different degrees of hemiplegia and slurred speech.
Now the living standard has improved, the intake of sugar, fat and protein food is too sufficient, and cigarettes and alcohol are constant; Lifestyle changes, people's activities are reduced, social competition pressure is high, emotional tension and so on, all of which are inducing factors of hypertension and atherosclerosis. Causes hypertension, coronary heart disease, and the onset is getting younger and younger.
Fat people were rarely seen before, especially centripetal obesity. Now fat people are everywhere among young and middle-aged people.
Therefore, everyone should pay attention to a healthy diet, less salt, less oil and more exercise. Don't eat big fish and meat for a long time, and keep drinking and smoking. After eating, lie down and play with your mobile phone and watch TV.
Many middle-aged people with hypertensive cerebral hemorrhage are paralyzed when they suddenly faint. Sent to the hospital to ask if you have high blood pressure at ordinary times, you often say no or don't know.
Therefore, the general population should have routine physical examination for one or two years, find physical abnormalities early and actively intervene and treat them.
Pay attention to healthy diet and healthy lifestyle, and cerebral hemorrhage and cerebral infarction can be prevented.
Every day, we are faced with patients with cerebral infarction and cerebral hemorrhage, except that the elderly gradually have chronic diseases and arteriosclerosis. These strokes. There are many middle-aged people, especially those in their thirties and forties who suffer from cerebral infarction and cerebral hemorrhage. These patients are partly related to heredity. Most of them can be summed up in one word: "Zuo"!
In more than 20 days from October 1st to today. I have contacted no less than 25 patients with light bleeding, and the basic average is one a day. Except for patients with a small amount of bleeding in four or five basal ganglia, the recovery is better. Everything else is serious. A few of them were dragged to the hospital for brain Ct, and three of them had craniotomy, and one of them saved his life. But I still can't even sit.
Among these patients, two are women with a history of hypertension and long-term insomnia. Most of the others are men. There are three or four people in their thirties. Although young, they all have a history of hypertension, and two have a history of diabetes. So young with metabolic diseases. Almost all have the same hobby:
1 Smoking and drinking 2. Staying up late 3. Obesity 4. Eating in restaurants all the year round, socializing more 5. Never taking the initiative to exercise 6. Having a basic illness, never taking medicine or checking, and feeling young, that's all trivial. 7. Busy making a living, under great pressure, seldom taking a rest.
A week ago, a 33-year-old man had high blood pressure for three years, and his blood pressure was 220 high and 220 low 130 without any feeling. He never took antihypertensive drugs and suddenly suffered from brain stem bleeding. After brain Ct, he could not do it.
Blood vessels are not fragile originally, and it is necessary to have long-term external stimulation to gradually form plaques and arteriosclerosis. For a long time, blood vessels are either blocked or broken. It's better to be self-disciplined for yourself and your family.
There are more and more reasons why middle-aged people have cerebral hemorrhage or cerebral infarction now:
1, the living standard has improved, and the number of people suffering from basic diseases has increased.
A careful diet leads to the state of human nutrition from malnutrition to overnutrition in the last century, resulting in more and more people with hyperlipidemia and hyperglycemia, which will make the cerebral vessels more fragile and pathological.
2, lack of exercise, or sedentary
Especially indoor white-collar workers, who sit all morning at work, are unwilling to take physical exercise after work, which is not conducive to the activity of cardiovascular and cerebrovascular systems.
3, the spiritual level, such as excessive mental stress, irritability, etc., will accelerate the occurrence of cerebral hemorrhage or cerebral infarction.
4, bad habits, such as irregular work and rest, often staying up late, smoking and drinking every day.
5. Health awareness needs to be improved. I have not checked my health every year to assess whether there is a risk of cerebral infarction or cerebral hemorrhage.
The phenomenon mentioned by the subject does exist. Cerebral hemorrhage and cerebral infarction are both cerebrovascular problems. The former is cerebral vascular rupture, and the latter is cerebral vascular blockage. Moreover, the people before and after the onset are completely different, which makes the people feel that the occurrence of this disease is very unexpected. It seems that there is no warning, so it is also called cerebrovascular accident. In fact, careful observation of the affected population and other normal people can still find the difference between the affected population, that is, the law.
Intracerebral hemorrhage is caused by the rupture of the capillary wall of the brain, which causes the blood in the blood vessel to overflow into the brain tissue and oppress the brain tissue around the bleeding site, so that the distal cells supplied by the ruptured blood vessel have no blood supply, thus causing the cells to starve to death, and the locally compressed brain tissue cells are also damaged, resulting in ischemia and hypoxia, resulting in a series of symptoms, such as headache and coma. Why do cerebral vessels rupture? One reason is that the pressure of blood flowing in blood vessels on the wall of blood vessels increases, which leads to the unbearable pressure on the wall of blood vessels, thus rupturing, which is also the problem of hypertension that ordinary people say;
Another reason is that the capillary wall of this local brain tissue is damaged, which is not strong enough, and there is a sign of trouble, which leads to the rupture of blood vessels and cerebral hemorrhage. The reasons for the damage of cerebrovascular wall are often related to the quality of blood, such as the erosion of vascular endothelial cells by hyperlipidemia, hyperglycemia and high uric acid, and the oxidation of vascular endothelial cells by the accumulation of free radicals in the body, which leads to the damage of vascular endothelial cells, and then these components precipitate at the damaged parts, forming lipid plaques and calcification.
Because of these, the local wall of the blood vessel becomes hard, and when the blood vessel is under certain pressure, it is often the soft-hard joint that is the easiest to break, which leads to bleeding. Therefore, patients with cerebral hemorrhage caused by cerebral vascular rupture are often accompanied by basic diseases such as hypertension, hyperlipidemia, diabetes and hyperuricemia.
Cerebral infarction is a disease with symptoms because the cerebral vessels are partially closed and the blood in them can't flow to the distant segment, which leads to the starvation of brain cells supplying blood to the distant segment. Why the local cerebral vessels are closed? One reason is that there is an embolus in the blood, which causes the thrombus embolus to stay in the cerebral vessels and block the cerebral vessels to produce symptoms. Another reason is that the local cerebral vessels become thinner or are inherently thinner, which leads to vasospasm, instantaneous occlusion and blood cut-off, which leads to a series of symptoms caused by starvation. This is cerebral infarction.
Thrombosis often occurs when the blood flow rate is slow and the blood is sticky, and this is often caused by hyperlipidemia and diabetes, and it is also caused by sedentary. Of course, there are many hot sweats in summer, and the blood is not replenished in time. Become sticky; Sudden vasospasm is often accompanied by dramatic changes in mood, such as anxiety, fear, excitement and other emotions, which is also one of the factors that cause hypertension.
Therefore, through the above analysis, both cerebral hemorrhage and cerebral infarction have basic diseases, such as hypertension, hyperlipidemia, diabetes, etc., so it is very important to prevent and treat these three highs! The "three highs" are lifestyle diseases, which are closely related to our living habits. For example, eating habits, like heavy tastes, like fat and thick, big fish and big meat, like cooking and putting more oil, and less is not fragrant;
Those who don't know whether they are hungry or not often eat until they are hungry, those who stay up late at night and don't sleep, those who like to lie flat and seldom exercise, young and middle-aged people who feel pressure on society, have long-standing anxiety, and resent all kinds of bad emotions of cynics ...
These are lifestyle habits that easily lead to "three highs" basic diseases, so how many years of lifestyle habits lead to what kind of physique you have after many years, and what kind of physique you have determines what kind of symptoms you will have. People over the age of 55 learn to eat from the beginning, and enter the society from the beginning. All kinds of entertainment and pressures follow. After decades of living habits have accumulated to a certain extent, they can't hold back any more, and they have begun to have a high incidence of diseases. Therefore, it is not surprising that middle-aged people are prone to cerebral hemorrhage and cerebral infarction. This also reflects improving our health literacy, cultivating healthy concepts, practicing healthy lifestyles, and cultivating positive optimism in daily life.
Lvkelin professional nutritionist
The causes of cerebral hemorrhage and cerebral infarction in many middle-aged people are actually very simple, which are directly related to people themselves. There are the following aspects, which the nutritionist will analyze for you:
1, bad eating habits, many people don't eat on time, eat more foods such as carbohydrates and fats, and eat less vitamins, dietary fiber, minerals and high-quality proteins, which will lead to the accumulation of fat in the body, increase the incidence of chronic diseases such as cardiovascular and cerebrovascular diseases and diabetes, and gradually increase the occurrence of cerebral infarction and cerebral hemorrhage.
2, eating is not balanced, middle-aged people are old and young, leaving little time for themselves, either taking care of the elderly or taking care of the children at home, and there is no time for exercise by themselves. Many people have no habit of physical exercise, and lack of physical exercise will lead to a lot of gradual decline and increase the incidence of chronic diseases. Academician Zhong Nanshan has very good exercise habits.
3, the pressure is relatively large, work pressure, family pressure, emotional pressure, economic pressure, etc., will lead to cerebral hemorrhage and cerebral infarction.
How to prevent cerebral hemorrhage and cerebral infarction? The dietitian has the following suggestions:
1, try to form a good eating habit, often go home to eat, eat less out, and learn the dietary guidelines of China residents to make reasonable arrangements for three meals a day.
2, often participate in physical exercise, so as to eat balance and maintain a healthy weight.
3, physical examination 1-2 times a year, early detection, early treatment.