A 60-year-old Taiwanese businessman with a history of stroke has been looking forward to developing his career in Northeast China for a long time in recent years. Because business often requires entertainment, he not only eats heavy oil and salt, but also smokes and drinks while socializing. In addition, the local weather is cold. Accidentally, he suffered another stroke and was paralyzed. When he returned to Taiwan for treatment, the doctor found that the Taiwanese businessman’s physical condition had deteriorated significantly. Not only was his liver function affected, but the degree of vascular sclerosis was also more serious. The experience of this second-degree stroke also made him sigh that he could no longer ignore his health.
Prevention of the first major risk factor for stroke management Long-term smoking and drinking can easily accelerate arteriosclerosis
Lin Hongsheng, director of the Department of Cerebrovascular Department of Kaohsiung Chang Gung Neurology Department, said that most of the stroke patients who came to the clinic were about 65-70 years old. This patient suffered more than 2 strokes at the age of 60, and a large part of the reason was his lifestyle. caused. In the past, many patients have suffered strokes due to poor living habits, resulting in muscle weakness and half-body paralysis. Observing stroke patients will find that most of them have bad habits of smoking and drinking, but because the health hazards do not occur immediately, they are also the most difficult to change. In fact, many cardiovascular events do not lead to immediate death, and it is more painful to survive with half paralysis after the attack. Director Lin sighed, “Although it is a bit like intimidation, it is indeed a fact.” Physicians reminded that arteriosclerosis is a systemic disease, and long-term development will lead to increased risk of angina, heart disease, stroke, etc. Therefore, its treatment should first try to reduce risk factors. Once the control is neglected, the treatment effect will be easily compromised.
Director Lin Hongsheng said that stroke risk factors can be roughly divided into three types, namely metabolic risk (such as three highs, obesity, kidney disease, etc.), behavioral risk (such as lack of exercise, smoking, alcoholism, etc.), and environmental risk (such as air pollution) , temperature difference is too large, etc.), about 90% of the causes of stroke patients can be attributed to these three categories. However, as to whether drinking will increase the risk of stroke, Director Lin further explained that some previous studies have shown that “appropriate drinking” can help reduce the risk of stroke, but there are also studies that believe that alcohol is not good for patients’ health, and there is currently no clear consensus in the medical community. However, “excessive drinking” does cause problems. Generally speaking, it is recommended that women should not drink more than 1 glass of alcohol per day (wine 120-150c.c, beer 330c.c, whiskey 30-40c.c, etc.), and men should not exceed 2 cups. If there are signs of a stroke, such as sudden numbness or weakness in one side of the hands, feet or face, or sudden blurring of vision in one or both eyes, be alert and seek medical attention as soon as possible.
Stop the drug by yourself during the epidemic, beware of a stroke and report again If you have any doubts about the drug, you should discuss it with your doctor first
At present, there is no treatment method that can directly reverse arteriosclerosis, but stroke patients can still use drugs, lifestyle changes, etc. to slow down the progression of the disease and achieve the purpose of preventing another stroke. Director Lin said that people who have had a history of stroke have a high risk of another stroke, as well as a much higher risk of peripheral arteriosclerosis or other heart diseases, and vice versa. In addition, studies have found that people who have a history of stroke but do not use prophylaxis as “secondary prevention” have a higher chance of having another stroke in the short term, or even more serious. At present, anti-platelet drugs are commonly used in clinical practice to prevent stroke. Aspirin is one of the most commonly used drugs, but long-term use may lead to side effects of gastrointestinal bleeding such as gastric ulcer and gastric bleeding. Director Lin said that based on past diagnosis and treatment experience, about 10% of patients will begin to complain of gastrointestinal discomfort after treatment. If patients have abnormalities during treatment, they can discuss with the doctor whether to arrange peptic ulcer diagnosis and change other treatment options.
In addition, Director Lin Hongsheng sighed that recently, many people are afraid of contracting the epidemic and do not return to the clinic to get medicine. If they meet again, it is often a second stroke. The number of patients who do not return to the clinic is at least 2-3 times lower than before the epidemic. In addition, during clinics, patients often encounter situations in which patients stop taking the medicine on their own due to the ineffectiveness of preventive medication, they think that epidemic prevention is more important than preventing stroke, or that the persistent muscle weakness after a stroke is not effective. “These are all misconceptions.” . Director Lin emphasized that the purpose of secondary preventive medication is not to solve the symptoms, but to prevent the recurrence of emergencies. The public can see the effect of preventive medication from the fact that they have not suffered another stroke. “In fact, nothing is a good thing.” The importance of regular follow-up visits and preventive treatment is overlooked if the disease is not known or the follow-up risks are not understood.