Huazi talked to many patients who had suffered from cerebral infarction, and the thing they were most worried about was the recurrence of the disease. Because cerebral infarction has a relatively high recurrence rate, and most patients tend to have a second attack that is heavier than the first. The after-effects of cerebral infarction have a high rate of disability, which will seriously affect the quality of life of patients.

Prevention of cerebral infarction needs to rely on medication, and there are two main types of medication for prevention, a low-dose aspirin and a statin. The key to prevention is to stick to the medication, don't stop taking it or change it without authorization.

I. The real role of aspirin and statin

People always ask Huazi if they can stop taking aspirin when their stomach feels uncomfortable. Can I stop taking statin if my blood lipids are normalized? Huazi told them, firstly, as long as they can tolerate the side effects of the drug, they should not stop taking aspirin. Secondly, the purpose of statins is not only to lower blood lipids, but also to fight against atherosclerosis, which is the key drug to prevent the recurrence of cerebral infarction, so don't stop taking them.

The transition from atherosclerosis to blood vessel blockage is not related to the degree of stenosis of the vessel, but depends on whether the atherosclerotic plaque is stable or not.Most heart attacks and cerebral infarcts in atherosclerotic patients are caused by unstable plaques that have ruptured or dislodged.. Platelets accumulate on the surface of the broken plaque to form a thrombus; if the plaque is dislodged it travels with the bloodstream and clogs smaller caliber arteries.

Taking aspirin is "a thousand days to feed an army, but one day to use it.".. Aspirin inhibits the aggregation of platelets when plaque rupture occurs, thus preventing the formation of blood clots. However, the body produces new platelets every day, so we have to take aspirin every day in order to have a continuous effect of inhibiting the formation of blood clots.

Taking a statin is a "step-by-step, step-by-step, step-by-step.".. Statins lower blood lipids, they improve the function of the vascular endothelium, they fight the oxidative and inflammatory reactions to low-density lipoprotein cholesterol (LDL-C), and they make the lipid core of plaques denser, smaller, and firmer. In other words.Statin can make unstable plaques stable and less prone to breakout and peeling. However, these changes need to be accumulated over a long period of time, and taking statins for at least two years before the plaque-stabilizing effect occurs as described above cannot be stopped at will.

II. Control other high-risk factors

Hua Zi often said that aspirin and statins are the "two legs" of cardiovascular disease prevention, with these "two legs", atherosclerosis patients can walk healthily on the road to a happy life. However, in order to walk far and long, it is necessary to control the related high-risk factors.

1. Control of the "three highs"High blood pressure, high blood lipids and high blood sugar are high risk factors for atherosclerosis, which can also lead to direct damage to human organs. Although the "three highs" can not be cured, but can be controlled, so the "three highs" patients must adhere to the regular use of appropriate medication, blood pressure, blood lipids and blood sugar control in the normal range.

2. Treatment of atrial fibrillation: About half of all cerebral infarctions are associated with atrial fibrillation. When atrial fibrillation occurs, the atria are unable to properly pump blood into the ventricles, and the blood creates a slow-moving eddy in the auricular region of the heart, which tends to create a wall-hanging thrombus. If dislodged, it will form an embolus and block the blood vessel. Therefore, patients with atrial fibrillation should be actively treated for atrial fibrillation and need to take anticoagulant drugs for a long time.

3. Improvement of lifestyleUnhealthy lifestyle is an important cause of the "three highs". Improving lifestyle can effectively reduce the incidence of cardiovascular and cerebrovascular diseases. Therefore, we have to do in our life, low-salt and low-fat diet, quit smoking and drinking, adhere to the exercise to reduce weight, regular work and rest, as well as to maintain physical and mental pleasure.

In fact, as long as you adhere to the medication and healthy lifestyle, most of the brain infarction can be well controlled. Most of the patients who have relapsed are not very obedient, stopping the medication or replacing it with health supplements on their own initiative, or still doing their own thing in life, maintaining various bad habits.

When preventing recurrence of cerebral infarction, the medication should not be stopped as long as there are no intolerable side effects. The medication should be used under the guidance of a doctor, and if you find any problems during the use of the medication, you should consult your doctor or pharmacist in a timely manner. I am pharmacist Huazi, welcome to pay attention to me, let me become your side of the pharmacist.

Preventing recurrence of cerebral infarction is a serious issue, one that all cerebral infarction patients should pay attention to, because the risk of cerebral infarction patients having a second cerebral infarction is very high, and more than half of cerebral infarction patients will have a second cerebral infarction, which is very dangerous.

Why is this so? Because people who have a brain attack have already indicated that something is wrong with their blood vessels, and if they don't take precautions, then the likelihood of another blockage in another part of the body is extremely high.

So what can be done to prevent it?

1. Control underlying diseases, such as hypertension, hyperlipidemia, diabetes, atrial fibrillation and other underlying diseases.

High blood pressure, high blood sugar and high blood fat can cause blood vessels to suffer damage and trigger cerebral infarction. Therefore, you must insist on taking medication to control blood pressure, blood sugar, and lower blood lipids.

Patients with atrial fibrillation are susceptible to the formation of thrombus emboli in the heart area, which, once dislodged, can block the cerebral blood vessels, so patients with atrial fibrillation must deal with atrial fibrillation to avoid the formation of emboli

2. Taking aspirin and other drugs to prevent cerebral infarction

Aspirin is effective in inhibiting the formation of blood clots, so patients with brain infarcts need to take medications such as aspirin for prevention.

However, this medicine has side effects, so it should not be taken indiscriminately and must be taken under the supervision of a doctor.

3. Stop smoking and drinking

These two things are the biggest killer of cerebral blood vessels. Cigarette can lead to vasospasm, damage to the endothelium of blood vessels, resulting in narrowing and blockage of blood vessels, and alcohol can cause disorders of fat metabolism, resulting in abnormal aggregation of blood lipids in the walls of blood vessels, causing vascular atherosclerosis.

That's why you have to quit.

4. Improvement of dietary structure

Eat less fatty meat, less offal, reduce fat intake, increase the intake of high quality protein, such as lean meat, milk and so on. Eat more vegetables and ensure adequate intake of folic acid, which is good for blood vessels,,

5. Active participation in exercise

If there are no complications such as paralysis, patients should keep exercising and walking for half an hour every day. If there are sequelae such as paralysis, patients should also carry out rehabilitation exercises under the guidance of professional doctors

I wish there were fewer brain attacks.

I am a medical doctor, a resident, specializing in the popularization of medical knowledge for the benefit of human health, if you want to know more, please pay attention to me, have questions can be left a message, will respond!

How to prevent recurrence of cerebral infarction?

When it comes to cerebral infarction, I think we all have some understanding of its harmfulness, because nowadays there are quite a number of elderly people around us, and many of them have cerebral infarction, and since then they cannot speak and walk, need to stay in bed for a long period of time, and even die because of untimely rescue. The emergence of cerebral infarction has brought a heavy burden to the society and human beings, and the recurrence of cerebral infarction will greatly increase the disability rate and mortality rate, so the prevention of cerebral infarction recurrence is particularly important. Today I would like to share my knowledge about cerebral infarction.

1. What is cerebral infarction?

In fact, cerebral infarction is a pathological diagnosis, which refers to the existence of certain reasons for the formation of solid embolus in the blood vessels, it will reach the brain with the flow of blood to the flow of the brain, and encounter narrow brain blood vessels will block the blood vessels, thus resulting in the necrosis of the local brain cells, which will cause a series of symptoms such as the inability to speak, the inability to walk, crooked corners of the mouth, limb numbness and other symptoms.

2. How to prevent cerebral infarction?

We need to understand that people who have had a cerebral infarction relative to normal people, they themselves have a high risk of cerebral infarction, if you do not pay attention to some of the details of life, then the risk of cerebral infarction will be relatively large, so patients who have had a previous cerebral infarction must pay attention to cerebral infarction prevention, prevention of recurrence of cerebral infarction of the specific measures are summarized as follows.

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• Take your medication on time:For people who have had a cerebral infarction, it is very important to take medication on time. If there is no contraindication, it is necessary to take aspirin and statin drugs for a long time, which can stabilize the plaque and greatly reduce the recurrence rate of cerebral infarction. Some people may worry about the adverse effects of aspirin and statins and discontinue taking the drugs, in fact, this kind of worry is superfluous, because compared with cerebral infarction, the adverse effects of the drugs are not worth mentioning. It should also be noted that for patients with cardiovascular disease, they need to control blood lipids within the normal range is not enough, especially low-density lipoprotein and high-density lipoprotein. HDL is one of the better lipoproteins for the body, while LDL is a bad lipoprotein. For patients who have had a previous cerebral infarction, theThey should control LDL <1.88 mmol/L and HDL >1.1 mmol/L.
  
  
• Active treatment of underlying diseases:Many patients with cerebral infarction have one or more of hypertension, diabetes mellitus, hyperuricemia, etc., and need to pay attention to strict control of these indicators and active treatment of these diseases, because their presence is a high-risk factor for cerebral infarction. Blood pressure <130/80mmHg, fasting blood glucose at 4.4-7mmol/L and postprandial blood glucose <10mmol/L, and blood uric acid <360μmol/L should be controlled.
• Healthy Eating:For patients with cerebral infarction, they should try to achieve a low-salt, low-fat, low-sugar and low-energy diet, usually pay attention to the total amount of salt eaten should be <6g per day, do not eat fried or animal offal and other oily foods, do not eat candy or desserts; appropriately increase the intake of fruits and vegetables, because they are rich in vitamins and antioxidants, which can protect the endothelial cells of the blood vessels, reduce the recurrence rate of cerebral infarction; and need to pay attention to supplementing high-quality protein intake. It is also necessary to pay attention to supplementing the intake of high quality protein, which can appropriately increase the intake of high quality protein, such as eggs, fish, beef and so on.
• Stop smoking and drinking:Whether smoking or drinking, you should quit. Because nicotine, coal tar, radioactive substances in smoke and acetaldehyde after alcohol metabolism can directly damage the endothelium of blood vessels and increase the progress of atherosclerosis, which in turn increases the recurrence rate of cerebral infarction.
• Maintain a good weight:One should try to control the body mass index BMI <24 because obese individuals are prone to abnormal lipid metabolism and increased risk of cardiovascular disease.
• Stick to sports:Life lies in exercise, this is because exercise can effectively promote blood circulation and metabolism, increase the consumption of energy in the body, all these can reduce the risk of recurrence of cerebral infarction. Patients with cerebral infarction should prefer aerobic exercise, such as walking, brisk walking, jogging, etc., of which walking is the safest and easy to adhere to, and can be the first choice. They should exercise for at least 30 minutes a day and no less than 5 times a week, and should not fish for three days and sun-dry for two days, otherwise they will not achieve the effect.
• Other:Eat 8-minute full meals, ensure sufficient water intake, do not stay up late, maintain a good state of mind, and have regular medical checkups.

Final Summary: Specific measures to prevent recurrence of cerebral infarction are summarized above and will not be repeated here.

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To do a good job of preventing the recurrence of cerebral infarction, we first need to understand the causes of cerebral infarction and the triggers that induce cerebral infarction, so that we can do a good job of prevention in a targeted manner.

Cerebral infarction, is the common name for brain infarction.cerebral infarctionYesIschemic necrosis of the brain. It is a condition in which the blood vessels supplying blood to the brain tissue are blocked and the brain tissue becomes necrotic due to lack of blood. Cerebral infarction used to be called "cerebral infarction", but because of ischemic necrosis, it is now called "infarction", just as myocardial infarction used to be called "myocardial infarction".

What are the causes of cerebral infarction?

The cause of cerebral infarction is the interruption of blood supply, and there are no more than three reasons: the cerebral blood vessels themselves are diseased and blocked; there is a problem with the composition of the blood, which is embolized; and the diseased (narrowed) blood vessels meet too low a blood pressure, which is unable to supply the blood.

There's a blockage in the cerebral blood vessel itself.。most oftenYes.atherosclerotic cerebral infarctionIt's atherosclerosis of the arteries in the brain.atheromatous plaqueGrowing up.blockage of blood vessels; orAtheromatous plaque ruptureBleeding, formationthrombosis了vasculature; orAtheromatous plaque rupture后(insect) dregsdrop outclogging了vasculatureThese can cause ischemic necrosis (infarction) of the brain tissue distal to the blocked blood vessel. Rare vascular causes are can be vasculitis or vasculopathy, caused by diseases such as hereditary or autoimmune.

An embolus has blocked an artery in the brain.（cerebral artery embolism), that is.Emboli in other parts of the bodyRun into the cerebral artery.clogging了cerebrovascularCauses cerebral infarction. There are many types of emboli, the most common being theinfarction, such as atrial fibrillation (atrial fibrillationThe blood clots that form during (a type of arrhythmia), the blood clots from myocardial infarction, and the venous blood clots that pass from the right heart through the (congenital) notch into the left heart and run into the cerebral blood vessels; and, in addition, thevirusesEmbolus (endocarditis),fatEmbolism (long bone fractures, liposuction),neoplasmsBolt,atmosphereEmboli, among other things, can block brain arteries causing ischemic necrosis of brain tissue - cerebral infarction.

furthermoreOriginal stenosis of cerebral and carotid arteriesAnd then there's this.Decreased blood pressureLack of blood supply causes cerebral ischemic necrosis.

Among other things.The most common are atherosclerotic cerebral infarction and cerebral thromboembolism due to atrial fibrillation。

Then look at the triggers. Factors that can cause plaque instability and rupture, factors that make the blood easy to clot can trigger cerebral infarction, such as uncontrolled blood pressure, blood sugar, blood lipids, infections, cold, dehydration (vomiting, diarrhea, low food intake), emotional excitement and so on.

Knowing the causes and triggers, let's look at prevention (prevention of reoccurrence after a brain infarction is secondary prevention).

1.Atherosclerotic cerebral infarction

The first is anti-atherosclerotic therapy.minimum treatment是lowering of cholesterol，antiplatelet (medicine), which needs to be sustained over time.

The basis of atherosclerosis is hypercholesterolemia, so it is important to lower cholesterol and stabilize plaque. How? Take statin drugs to control blood LDL cholesterol below 2.6mmol/L, or even 2.0 or 1.8mmol/L (in combination with coronary heart disease and diabetes).

Antiplatelets can be aspirin enteric-coated tablets 100mg/day or clopidogrel 50-75mg/day. Usually a single drug is fine.

furthermoreControl of risk factors。

Hypertension, diabetes mellitus, high homocysteine, poor diet, smoking, alcohol consumption, obesity, and little exercise are all risk factors for cerebral infarction that should be controlled and treated.

If hypertension is not well controlled, cerebral atherosclerosis and cerebral infarction will occur easily, and if the antihypertensive treatment is not stable, the blood pressure will be high or low, and cerebral infarction will also occur easily. Therefore, antihypertensive treatment requires smooth lowering of blood pressure, early to reach the standard, long-term to reach the standard, the general requirements of adults is lower than 140/90mmHg. should choose the antihypertensive effect of smooth long-acting agents, blood pressure rise do not lower the blood pressure too fast and too fierce.

With diabetes, it is important to control blood glucose and lipids, but it is also important to prevent hypoglycemia.

Hyperhomocysteine, which is more common in our population and more common in patients with cerebral infarction, can be taken orally with a small dose of folic acid, 0.8 mg/day is sufficient.

Other reasonable diets, moderate exercise for weight loss, and abstinence from smoking and (limiting) alcohol are all required for a healthy lifestyle.

Avoiding Triggers: Blood pressure, blood sugar, blood lipids are not controlled, infection, dehydration (vomiting, diarrhea, eating less), emotional excitement, etc. are also triggers of cerebral infarction, usually pay attention to control, patients with atherosclerosis underlying disease in the case of other diseases should pay attention to prevent.

2. Cerebral thromboembolism due to atrial fibrillation

Cerebral infarction caused by dislodged atrial thrombus in patients with atrial fibrillation is most common in cerebral embolism. The risk of stroke in patients with atrial fibrillation is four to five times higher than in patients without atrial fibrillation. For cerebral embolism caused by atrial fibrillation, the most important prevention is toanticoagulation. (Consider anticoagulation based on risk scores even in paroxysmal atrial fibrillation)

Anticoagulation therapy to prevent cerebral thromboembolism in patients with atrial fibrillation is often overlooked. Anticoagulation therapy with anticoagulants such as warfarin, dabigatran, and rivaroxaban is not a substitute for aspirin or clopidogrel. Of course, the medication is checked and evaluated before use.

One of the most important causes of atrial fibrillation is high blood pressure. Myocardial hypertrophy and hypodiastolic function caused by high blood pressure can enlarge the atria and predispose them to atrial fibrillation, so antihypertensive treatment is also important in stroke prevention.

For unexplained cerebral infarction (embolism), it is important to look for the cause.

Do not advocate regular infusions (blood-activating drugs) to prevent cerebral infarction, because there is no research evidence that these treatments are effective in preventing cerebral infarction, and IV fluids have risks such as adverse drug reactions.

(Image from the Internet)

Shanghai Science & Technology News Q&A Moderator: Chief Reporter Wu Coix Ting

A cerebral infarction is a localized lack of blood supply to the arteries in the brain, resulting in a localized lack of oxygen, which can cause extensive necrosis of the nearby brain tissue, which can lead to hemiparesis, aphasia, and in severe cases, life-threatening injuries.

Recurrence of brain infarction is a very dangerous thing, more serious than once, more shock to the body, and the possibility of death is also rising by degrees. Therefore, patients who have had brain infarction should be extra careful. Generally speaking, patients with cerebral infarction need to take medicines to activate blood circulation and remove blood stasis such as Salvia divinorum and Panax ginseng, avoid emotional excitement in general, change their living habits, maintain a low-fat, low-sugar and low-salt diet, and control their blood pressure. In addition, we should be extra careful during the change of seasons, especially when the temperature and barometric pressure change a lot, we should take medication on time, and if we are not sure, we can also be hospitalized nearby to take precautions. In addition, if you find that there is dizziness, drowsiness, body numbness and other precursors of cerebral infarction appear, be sure to quickly go to the hospital for treatment.

Under normal circumstances, brain attacks can be well controlled with effective prevention. However, some people do tend to have a second brain attack. To better prevent the recurrence of cerebral infarction, you must know the causes of cerebral infarction recurrence.

Common causes are:

Presence of aspirin resistance

Aspirin is the most important drug for secondary prevention of brain infarction, but a small percentage of people have aspirin resistance. Aspirin resistance means that although aspirin is taken, it does not work to inhibit platelet aggregation, thus predisposing to recurrence of brain infarction. How can aspirin resistance be recognized? It can be determined by laboratory tests to check the expression of platelet proteins on the surface of the platelet membrane and by testing platelet activity. If aspirin resistance exists, it is necessary to switch to other antiplatelet drugs, such as clopidogrel.

Blood pressure control too low

Under normal circumstances, blood pressure should be controlled within the normal range. However, for some patients with cerebral infarction, too low blood pressure control may lead to recurrence of cerebral infarction. Because these patients have obvious narrowing of blood vessels in the brain, when the blood pressure is too low, it is easy to lead to insufficient blood supply to the distal end of the narrowed blood vessels, and cerebral infarction occurs. Just like in the older buildings, if the faucets in the upper floors have rusted a lot, and the water pipes are obviously narrowed internally, and then the water supply pressure is lowered, the upper floors will surely have to stop the water. So for this part of the high pressure is generally controlled at 150 on the line, generally not recommended to control below 140.

stopping medication privately

This is also a relatively common reason. There are many patients who, for various reasons, have stopped some medications, especially lipid-lowering medications, privately. As a result, the cerebral infarction recurred not long after stopping. Many of the drugs used to prevent cerebral infarction need to be taken for a long time, so don't stop taking them privately.

Uncontrolled underlying disease and related risk factors

Some people do not take it seriously when they have their first brain attack, and they still do what they want to do. Blood pressure, blood sugar is not properly controlled, the food to eat, the pump, of course, this situation is prone to another brain attack.

So to effectively prevent recurrence of cerebral infarction, in addition to taking medication regularly, you should avoid the above problems.

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This is the second brain attack ......

Any patient who has had a cerebral infarction has a significantly increased risk of having a second cerebral infarction!

Cerebral infarction is an ischemic disease of the cerebral vessels, and vascular diseases are systemic, you think about the blood flow in the blood vessels, the blood vessels are a closed circulation, and the cause of vascular damage, and not just damage to only this part of the blood vessels of the brain. Then this pathologic basis can not be completely removed, and the possibility of reoccurrence of vascular disease is higher.

Generally speaking, there are two most common causes of cerebral infarction, one is atrial fibrillation, that is, the heart beats chaotically, which is easy to form blood clots, and the blood clots fall off and fall in the brain, which forms cerebral infarction. This accounts for about 20% of clinical cerebral infarction.

Another major cause is atherosclerosis formation, which is of course directly related to hyperlipidemia, diabetes, and hypertension.

First, strokes caused by atrial fibrillation

Almost accounted for about 20%, our prevention program is simple to say, but not easy to do, the prevention of atrial fibrillation thrombotic events:Anticoagulation therapy, including warfarin, and now the new drug dabigatran, rivaroxaban. Warfarin is inconvenient to take medication needs frequent blood tests, easy to invalid or blood, need to monitor the INR between 2-3, many people are reluctant to choose, there are many people eat eat on their own discontinued. Dabigatran and rivaroxaban, on the contrary, do not always need to check the blood, but the cost is higher.

Of course, it is theoretically possible to prevent atrial fibrillation with medication, but over time, medication becomes less effective until it fails. Radiofrequency ablation can be used to cure AF, but it is expensive and has a low success rate. Left ear blockade has also been gradually used in recent years, but it is still not widely available.

So, for now, the majority of cerebral infarctions due to atrial fibrillation are still treated with anticoagulants.

Second, cerebral infarction formed by atherosclerosis

The root cause is that high risk factors like hyperlipidemia, hypertension, diabetes, smoking, obesity, and physical inactivity accelerate the progression of atherosclerosis.

Prevention of secondary infarction means taking aspirin plus statin on time, anti-platelet aggregation, anti-inflammation, and plaque stabilization. At the same time actively control the three highs, quit smoking and drinking, lose weight, exercise, and regular review. It looks like two short lines, but it's not easy to do.

First of all, on time and regular medication many people can not do, stop taking medication or listen to rumors will certainly increase the risk of second cerebral infarction.

Monitoring blood pressure, blood glucose, blood lipids, but also a lot of people can not do, most people think that eating the medicine on the line, I do not know, we take medication is the purpose of the three high to reach the standard, rather than for the sake of taking medication and take medication, we must make the drug to achieve the best results.

Third, dietary attention.

Low-salt, low-fat, low-sugar diet, with grains and cereals, fresh seasonal vegetables and fruits, vegetable oils, appropriate supplementation of fish, mainly white meat, a small amount of nuts and other healthy diet.

Cerebral infarction brings great pain to patients, especially the sequelae seriously reduce the quality of life of patients and affect the whole family life.

Therefore, the prevention of cerebral infarction should not only prevent the occurrence of second cerebral infarction, in fact, those who have had a cerebral infarction should have a deeper understanding of it, and it is more important to start from the basics to prevent cerebral infarction.

Thank you for inviting me to answer this question before the first statement: I just introduce some preventive and therapeutic methods, in the article mentioned in the therapeutic device I do not recommend others to buy and use, not to mention fooling patients to buy. I am not any manufacturer of medical home staff and advertising sales staff, cut service will be untrue hat forced to me, I do not appreciate!

Cerebral infarction is actually a kind of stroke, it is because of high blood fat, high blood viscosity caused by tibial artery vascular atherosclerosis caused by narrowing, or even blocking the cold, so that the brain severe lack of oxygen ischemia, mildly caused by the patient's dizziness and headache, loss of eyesight and dreaming, memory loss and blurred vision, etc., and in serious cases, leading to brain cells due to hypoxia and ischemia necrosis, resulting in functional disorders, or brain hemorrhage, so that the person dead and disabled.

After getting cerebral infarction, people can recover after treatment in hospitals, so that they can regain their health again. But how to prevent cerebral infarction from recurring again, I think, in order to prevent cerebral infarction from recurring again, first of all, we should try to consume more food with low oil, low fat, low salt, and animal offal, drink more water, exercise properly, quit smoking and drinking, and pay attention to more rest, which will help not to make the blood lipids rise and the blood thickening.

There is a line in the Yellow Emperor's Classic of Internal Medicine which says that the source of all diseases stems from blood pollution. What does blood pollution mean? That is, high blood fat and sticky blood! Therefore, to prevent cerebral infarction from recurring, we can use medication. If we use medication for a long period of time, it may hurt the liver, stomach or kidneys for some people, so it may not be the first choice!

Food physical therapy, it is a wide range of sources, ordinary life can be eaten at any time, and the price is not expensive, and non-toxic and harmless, you can eat for a long time. However, food physiotherapy it is slow to see the effect, physiotherapy cycle is long, maybe one day will eat tired, not the first!

Another one that is lesser known, and one that some people don't believe in and others hate with a passion, is what it really is. Namely, weak laser physical therapy. Remember! It's weak laser physical therapy, not laser physical therapy!

Weak laser physical therapy, is the use of very low power 20 mW, wavelength 650 nano red weak laser, penetrate the skin muscle and blood vessel wall (because the power is very low and is light, not X-ray, gamma rays and nuclear radiation, it will not produce burns on the skin, the muscle and red and white blood cells to produce any damage), the use of red blood cells on the absorption of red weak laser light, resulting in a photochemical reaction, decomposition of wrapped in the red blood cell lipids on the surface of the body. The surface of the lipids, through the sweat and urine out of the body. Thus, it can clean the blood, soften the blood vessels, bathe the red blood cells, solve the problem of high blood fat and high blood viscosity from the source, thus preventing and treating the cardiovascular and cerebrovascular diseases with the cooperation of medicines.

With weak laser physical therapy, that is, with weak laser irradiation of the left hand radial artery, twice a day in the morning and evening, thirty minutes each time, as long as the adherence to long-term wear treatment, you can effectively prevent blood viscosity. If there is high blood fat, high blood pressure, high blood sugar, must insist on taking lipid-lowering, antihypertensive drugs, hypoglycemic drugs, as long as adhere to a few months or longer, have very obvious effect, some can achieve the purpose of reducing or stopping drugs.

As long as the blood fat is not high for a long time, the blood is not thick for a long time, and the blood flows smoothly, why will the blood vessel wall thicken again? As long as the blood vessel wall is not re-thickened, how can the brain infarction be blocked again?

Therefore, as long as the blood is thoroughly improved, the lipids are not high and the blood is not sticky, the cardiovascular and cerebrovascular diseases will leave us, and we can have a healthy body!

According to clinical statistics, the secondary recurrence rate of cerebral infarction is increasing year by year. Cerebral infarction is a chronic disease that is formed under the combined effect of multiple risk factors, and the recurrence rate is extremely high within 5 years if no prevention is carried out.

First of all non-drug prevention, a healthy lifestyle is the basis of all disease prevention. First:Low-salt and low-salt diet, control the daily salt intake, eat less pickles and high-fat foods, eat more vegetables, fruits and other high-fiber, vitamin foods; diabetic patients need a diabetic diet, try to eat less staple foods, replace them with vegetables and protein foods. Second: quit smoking and limit alcohol, smoking can aggravate atherosclerosis and increase the recurrence rate of cerebral infarction. Third: moderate exercise, according to their own physical condition to choose the way of exercise, try to choose aerobic exercise, especially cerebral infarction left with limb activity is not favorable to patients can not be rushed, will be counterproductive, the formation of incorrect walking, need to exercise under the guidance of a physician. Fourth: maintain a relaxed mood, with a calm mind to face the things around.

The three cornerstones of the secondary prevention drugs for cerebral infarction, one is the antiplatelet aggregation drugs, if there is no bleeding tendency is required to take lifelong, pay attention to review the coagulation function during the period of taking. Second, lipid-lowering and stabilizing statin drugs, in the case of lipid or unstable platelets must be taken, review the blood lipids, according to the situation of reducing or stopping the drug, pay attention to the liver function of the drug during the drug, statin drugs, the biggest is liver damage. Third, antihypertensive drugs, acute cerebral infarction during high blood pressure does not exceed 180mmHg does not advocate taking antihypertensive drugs, acute cerebral ischemia, the body's protective elevated blood pressure to increase the blood supply to the brain, after the acute period of blood pressure is still higher than the normal range, the need for long-term oral antihypertensive drugs, blood pressure monitoring, according to the blood pressure to find the competent doctor to adjust the antihypertensive drugs, the blood pressure should not be lowered too low, which will cause hypoperfusion of cerebral infarction.

Respondent: Bao Qian, M.S.

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summarize

Initial cerebral infarction is not life-threatening in most cases, and the prognosis is often better than cerebral hemorrhage, but the high recurrence rate of 40% of cerebral infarction is even higher than cerebral hemorrhage, which is related to the cause of cerebral infarction, and also related to the degree of attention to the treatment, patients with cerebral infarction with heavy symptoms do not get sustained and effective comprehensive treatment, and patients with cerebral infarction with light symptoms cannot pay enough attention to the treatment, and then cerebral infarction will take advantage of the situation to kill a shot in the back, and clinical data show that in recent years, the mortality rate of 3-5 years due to recurrence is increasing in our country. Clinical data show that in recent years, the mortality rate of cerebral infarction within 3-5 years due to recurrence of cerebral infarction in China is increasing.

Top 10 triggers of infarct recurrence

1, interruption of drug therapy: the pathological basis of cerebral infarction is cerebral atherosclerosis. Cerebral atherosclerosis does not subside after thrombus subsides, and cerebral thrombus may still re-form. Therefore, the medication for atherosclerosis cannot be interrupted.

2. Excessive antihypertensive: Excessive antihypertensive is an important reason for inducing cerebral infarction. Therefore, antihypertensive drugs must be applied correctly. In the process of medication, we should insist on measuring blood pressure regularly and adjusting the dosage, and we should not increase the dosage casually by ourselves.

3, overwork or poor rest: overwork or poor rest can easily cause blood pressure fluctuations or hemodynamic changes, which can easily cause the formation of cerebral thrombosis.

4, irregular life: the reason is the same as overwork, is one of the triggers leading to the recurrence of cerebral infarction.

5, smoking: tobacco can damage the endothelium of blood vessels, and can cause small blood vessel contraction, lumen narrowing, and thus prone to the formation of blood clots.

6, alcoholism: a large number of references to strong alcohol, harmful to blood vessels. According to the survey, alcoholism is one of the causes of cerebral infarction.

7, anger or depression: bad mood, especially anger or long-term depression, anxiety, can cause vascular neuromodulation malfunction, or lead to cerebral vasoconstriction, is an important trigger for cerebral infarction.

8, cold: cold stimulation, not only can cause small blood vessel contraction, but also can cause blood viscosity increase, easy to induce cerebral infarction. 9, high-fat, high-calorie diet: if continuous long-term high-fat, high-calorie diet, can make the blood fat further increase, blood viscosity increases, easy to lead to cerebral infarction recurrence.

10、Dehydration caused by severe vomiting and diarrhea: since dehydration can increase blood viscosity, thus, dehydration caused by various reasons can trigger the recurrence of cerebral infarction, patients and their families should be vigilant, and if dehydration tends to occur, it should be treated as soon as possible.

Attention to prevent recurrence of cerebral infarction

1. Changing poor lifestyles

Stop smoking completely and control the amount of alcohol consumed. Control body weight. Dietary nutrition should be balanced, eat more vegetables, fruits and cereals, reduce the intake of saturated fatty acids and cholesterol; salt intake should be controlled below 6 grams per day. Adherence to exercise can reduce the risk of recurrence by 20%, at least 30 minutes a day of moderate physical activity, such as walking, jogging, tai chi, cycling, etc., 5-7 times a week. In addition, adjust your mindset, treat yourself and others correctly, and try to maintain a positive, open-minded and relaxed mood.

2. Control of risk factors

There are many risk factors for cerebral infarction, mainly hypertension, hyperlipidemia, diabetes mellitus, obesity, smoking and coronary heart disease. For patients with cerebral infarction accompanied by hypertension, blood pressure should be controlled to below 140/90mmHg. About hyperlipidemia. The higher the HDL the better, at least it should be greater than 50 mg/mL and LDL should be less than 100 mg/mL. Patients with cerebral infarction need to take relevant lipid-lowering drugs orally even if their blood lipids are normal on examination. For patients with concomitant diabetes mellitus with cerebral infarction should strictly control blood glucose at normal level, regularly test blood glucose and glycosylated hemoglobin, control glycosylated hemoglobin less than 7%.

3. Adherence to antiplatelet drug therapy

In addition to cardiac causes such as atrial fibrillation-induced cerebral embolism, which requires long-term oral warfarin to prevent re-embolism, patients with atherosclerotic cerebral infarction require lifelong oral antiplatelet drugs to prevent re-embolism. The commonly used antiplatelet drug is enteric-coated aspirin, which is taken orally once a day, preferably after dinner. Oral clopidogrel 75 mg once daily is also an option, but is more expensive. Clopidogrel is recommended for patients with coexisting hypertension, diabetes mellitus, hyperlipidemia, obesity, etc. or who are allergic to aspirin. The main side effect of aspirin is bleeding, such as gastrointestinal bleeding and nosebleeds, but the incidence is extremely low.

4. Regular check-ups and counseling

After suffering from cerebral infarction, patients should regularly check their blood pressure, electrocardiogram, blood sugar and blood lipids, etc., and consult with a neurologist based on their findings to help solve any problems encountered.

5. Not advocating regular infusion

There is no evidence that regular annual infusion can prevent recurrence of cerebral infarction, so we do not advocate regular infusion. In addition, medications should be taken in accordance with medical advice and under the direction of a doctor.

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