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As the elderly grow older, it is inevitable that there will be various aging of the body, and the recent portrait of Grandma Li in Shanghai reflects that she feels more and more unable to walk, and her walking is often unstable. In fact, experts have given the answer, in fact, in addition to balance, the elderly should be wary of the following three aspects when walking unsteadily. Lack of vitamin B12.
Vitamin B12 deficiency can not only cause anemia, but also spinal cord diseases such as spinal deformity, resulting in symptoms such as weakness in both lower limbs and unsteady walking. Many elderly people often suffer from vitamin B12 deficiency due to inappropriate dietary habits, such as eating too light, or not eating meat, and preferring vegetarian food. The main ** of vitamin B12 is liver, fish, milk, and elderly friends can take more intake, and they can also be supplemented by vitamin B12 tablets.
Potassium deficiency. The most prominent manifestation of hypokalemia is soreness and weakness in the limbs, and the most obvious in the lower limbs. Eat less beans, vegetables, fruits, and sweating a lot in summer are easy to lead to potassium deficiency, it is recommended that elderly friends eat less sweet and salty things, and do not drink pure water in the usual drinking water to ensure the replenishment of minerals in the water.
Cerebral infarction. Many people think that cerebral infarction will cause hemiplegia, inflexibility of hands and feet, in fact, unsteady walking, frequent dizziness is also the early symptoms of cerebral infarction, so there are usually patients with high blood pressure, hyperlipidemia, diabetes, etc., the phenomenon of unsteady walking, it is best to go to the neurology department for examination, early detection and early diagnosis can be early**. Experts point out that the elderly need to pay attention to the lack of vitamin B12, potassium deficiency, and cerebral infarction have become the three major aspects that need to be vigilant.
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Parkinson's disease, a relatively common disease.
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The causes of walking instability in the elderly include ataxia, Parkinson's disease, hydrocephalus and bone and joint diseases, and the causes of ataxia that can cause unstable walking in the elderly include various cerebellar, sensory, vestibular ataxia and other diseases, cerebellar ataxia is often seen in hereditary cerebellar ataxia, primary or metastatic tumors of the cerebellum, cerebellar infarction, hemorrhage, etc., as well as cerebellar damage caused by chronic alcoholism, which can be diagnosed by head magnetic resonance.
Sensory ataxia is caused by sensory impairment, most commonly in subacute combined degeneration of the spinal cord caused by vitamin B12 deficiency, and damage to the posterior cord of the spinal cord caused by neurosyphilis, vestibular ataxia is often seen in diseases of the vestibular system, such as various injuries to the inner ear labyrinth, vestibular nerve, and vestibular nerve nucleus in the brainstem. In addition, dystonia in Parkinson's disease in the elderly can cause unsteady walking, hydrocephalus can cause unstable walking, and various bone and joint diseases, such as common osteoarthritis and other reasons cause unsteady walking.
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When there is acute cerebral infarction or cerebral hemorrhage, it may affect walking unsteadiness, so it is necessary to conduct a neurological examination in time to see if there are other concomitant signs of cerebrovascular disease.
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Hypokalemia, manifested as muscle weakness, will feel weak and weak limbs, especially in the legs, the feeling of lack of energy is more obvious, walking a little more, the legs will tremble, and the standing will be unstable. If you have dizziness, no appetite, nausea and other symptoms, you should be careful of hypokalemia.
Stroke, that is, the vascular disease of the brain, can cause symptoms of unsteady walking in the elderly, and if the disease is not controlled for a long time, there will be the possibility of hemiplegia of the limbs. Unsteady walking caused by stroke can also be combined with symptoms such as dizziness and inflexibility of hands and feet. The elderly who usually have high blood pressure and diabetes should also pay attention, because this kind of disease can easily cause cardiovascular disease and stroke, so once there is unsteady walking, it needs to be paid attention to.
Parkinsonism, which is characterized by sudden tremors in the limbs, such as the hand shaking suddenly and without warning while remaining still, is often uncontrollable. When walking, there will be unsteady walking, or it may be a broken step to rush forward.
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The elderly walk unsteadily, can consider the symptoms caused by hypokalemia or cerebral infarction, it is recommended that it is best to have a detailed examination, targeted **, cerebral infarction in many people think that cerebral infarction, hemiplegia, inflexible hands and feet, in fact, unsteady walking, often dizziness is also a pre-symptom of cerebral infarction.
Usually patients with hypertension, hyperlipidemia, diabetes and other patients have unsteady walking, it is best to go to the neurology department for timely examination and early detection, early diagnosis, in order to be early**.
The most prominent manifestation of hypokalemia is the soreness and weakness of the limbs, the most obvious lower limbs, eating less legumes, vegetables and fruits, and sweating a lot in summer, which can easily lead to potassium deficiency.
Experts point out that the elderly need to pay attention to the lack of potassium and cerebral infarction, which has become two aspects that need to be vigilant.
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1. Cervical spondylosis, cervical spine disease leading to insufficient cerebral blood supply, etc., can cause walking instability, cervical intervertebral disc magnetic resonance or CT examination is required to make a clear diagnosis.
2. Abnormal potassium metabolism can lead to unstable walking in the elderly, and electrolyte examination is required to make a clear diagnosis.
3. Abnormal glucose metabolism, resulting in unstable walking in the elderly, such as high or low blood sugar may lead to unstable walking in the elderly, and blood sugar can be checked to make a clear diagnosis.
4. Lumbar intervertebral disc herniation compresses nerves or severe osteoporosis may also cause the elderly to walk unsteadily, which is a disease.
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Walking instability is mainly seen in the following reasons: 1. Sudden unsteady walking, ask the patient whether there is weakness and numbness of one limb, dizziness, double vision, choking on drinking water, and salivation at the corners of the mouth. If the patient is middle-aged and elderly with hypertension and diabetes in the past, it is necessary to consider that the patient has acute cerebrovascular disease, and needs to go to the hospital for cranial magnetic resonance examination to find out whether there is cerebellar or brainstem infarction and hemorrhage; 2. If the patient is a middle-aged male, ask whether the patient has drunk a lot of alcohol in the past.
Some patients who drink alcohol will cause vitamin absorption disorders, are prone to subacute combined degeneration, may show sudden unsteady, accompanied by numbness and weakness of the limbs, and need to do vitamin B1, vitamin B12 identification and electromyography examination; 3. For those who show sudden unsteadiness in walking, ask whether the patient has any sleep disorders. Some patients with sleep onset disorders may show sudden unsteady walking, which can be relieved by oral administration of sleep-improving drugs.
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It may be a stroke, so go to the hospital system for a check-up.
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Unsteady walking is likely to be caused by a lack of calcium, or it may be caused by qi deficiency and blood deficiency. Unsteady walking may also be due to excessive fatigue, which may be caused by cervical spondylosis or weak and low blood pressure, which can generally be relieved in a short time.
It is best to go to the hospital for a relevant examination to judge, if the condition is deficient in calcium, it is necessary to supplement some calcium in time, if it is qi deficiency and blood deficiency, it should be adjusted in time through diet, and we must pay attention to the combination of work and rest.
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Unsteady walking can be caused by cerebral insufficiency, Parkinson's disease, alcohol consumption, or physical incoordination.
1. Insufficient cerebral blood supply: insufficient cerebral blood supply may be caused by various factors such as atherosclerosis, which will cause dizziness and other phenomena, and in severe cases, there may be unsteady walking;
2. Parkinson's: Parkinson's may be caused by factors such as aging, which will lead to abnormalities in the nervous system, which will cause resting tremor, affect normal walking, and may also cause cognitive impairment;
3. Drinking: If you drink a lot of alcohol, it may lead to nerve paralysis and balance dysfunction, so it will cause unsteady walking or falling;
4. Physical incoordination: When children just learn to walk, their body coordination is not very good, so there will be unstable walking and falling, which is a normal phenomenon, and will soon improve with the development of the body.
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