How is cerebral arteriosclerosis treated? What are the symptoms and treatment of cerebral arterioscl

First of all, attention should be paid to strengthening physical strength and physical exercise. Physical exercise is beneficial to improve blood circulation, promote the consumption of lipids, reduce the deposition of lipids in blood vessels, increase plasmin activity and reduce body weight, so we should adhere to housework and physical exercise within our ability. For those with intellectual disabilities, mental disabilities, and physical disabilities, nursing care should be strengthened to prevent accidents.

Second, pay attention to your diet. The main thing is to limit the intake of a high-cholesterol, high-fat diet to reduce the deposition of lipids in the blood vessels. For example, limit the intake of fatty meat, lard, egg yolk, fish roe and animal offal, and also pay attention to avoid high-sugar diets, because high-sugar diets can also cause fat metabolism disorders.

Eat more soy products, vegetables, fruits and foods that contain more fibre. Edible oil is mainly vegetable oil. The diet should be light, not too full, and it is best to quit smoking and avoid alcohol.

Third, drugs**. The purpose is to reduce the lipid concentration of the blood, dilate blood vessels, improve blood circulation, activate brain cells, etc., and can choose niacin inositol lipid, polyenecan, lipibital, fenofibrate, etc., to reduce blood lipid concentration. Vasodilators can be used with calcium antagonists such as cinnarazine, nimodipine, and flucinazine.

And - aminoic acid, brain renewal, Xidezhen, cerebral activin, etc., have the effect of activating nerve cells, and can also be appropriately selected.

The combination of the three, with diet control and physical exercise as the mainstay, supplemented by drugs**, the effect is better.

Xiyuan Hospital, China Academy of Chinese Medical Sciences - Department of General Internal Medicine - Zhuang Ping - Deputy Chief Physician - How to have cerebral arteriosclerosis.

Carotid artery stenosis includes risk factor control, medications, surgery, and intervention. The control of risk factors mainly includes appropriate exercise, weight control, avoiding obesity, quitting smoking, drinking less, and reasonable control of blood pressure, blood sugar, and blood lipids. Medications** mainly include drugs that stabilize plaques and antiplatelet aggregation.

Drugs** only stabilize plaque and slow the progression of atherosclerosis, but do not remove plaque at all. Endovascular intervention uses a balloon or stent to dilate the stenosis to reconstruct blood flow to the carotid artery. However, there are individual differences in patients, so the specific method should be subject to the doctor's face-to-face consultation.

The so-called cerebral arteriosclerosis refers to chronic and proliferative changes in cerebral blood vessels, which mainly occur in middle-aged and elderly people. According to statistics in the United States, half of the people who die of cerebral blood vessels are attributed to cerebral arteriosclerosis. Pathological changes can be divided into three types:

Atherosclerosis, diffuse arteriolar sclerosis, microvascular vitreosis and fibrosis are closely related to blood lipid metabolism disorders, hypertension and diabetes, but they are all related to each other, and other common ** are obesity, smoking, too little exercise, endocrine disorders, genetics, etc.

In addition to being easily complicated by the acute attack of various cerebrovascular diseases, cerebral arteriosclerosis can often cause a decrease in local or global cerebral blood flow due to severe and extensive arteriosclerosis and stenosis, resulting in ischemia and atrophy of brain tissue; The hardening of the arteries in the brain is also prone to multiple microembolism.

When brain function is widely affected and unique clinical symptoms appear, it is called cerebral arteriosclerosis.

The most common clinical manifestations of cerebral arteriosclerosis are: (1) neurasthenic syndrome: dizziness, headache, insomnia, worry, inattention, memory loss (especially recent memory), slow thinking ability, and decreased activity ability.

2) Cerebral arteriosclerotic dementia: mainly manifested as mental and emotional disorders. Unable to accurately calculate and name the time, place, and person, there are obvious personality changes, such as emotional apathy, slow thinking, childish behavior, informality, and sometimes behavior as usual"Old urchin"In severe cases, various mental disorders such as delusions, suspicions, and hallucinations may also occur.

3) Pseudobulbar palsy ("balls"Refers to the medulla oblongata of the brainstem): manifested by increased muscle tone in the limbs, uncontrollable strong crying and laughter, indistinguishable crying and laughing, dysphagia with choking cough and salivation, etc. (4) Parkinsonism:

The face lacks expression, the body bends forward when standing upright, the limbs are stiff and the elbows are slightly flexed, the fingers tremble like a rub, and the gait is small and the body rushes forward.

Treatment]: Activate blood circulation, nourish yin and nourish the kidneys.

Salvia miltiorrhizae18 Radix 15 Ophiopogon vulgaris12 Shengdi18 Acorus calamus10 Ligusticum Chuanxiong15 Angelica sinensis18 Polygonatum polygonatum 18 Hyssop10 Turmeric10 Lycium barbarum 18 Prunella vulgaris 18 [plus or minus]:

1) Limb numbness, add chicken blood vine 30

2) Waist and knee pain, plus Eucommia ulmoides 18 Chuan Duan 15

3) For those whose limbs are trembling and uncertain, add mother-of-pearl 30 (decoction first) Dragon tooth 30 (decoction first) (4) For insomnia, add sour jujube kernel 18 Yuanzhi 9

5) Twitch, plus the whole scorpion 9 Guangdi Dragon 12

Cerebral arteriosclerosis refers to chronic encephalopathy such as neurasthenic syndrome, arteriosclerotic dementia, and pseudobulbar palsy caused by multiple infarctions, softening, necrosis and atrophy of the brain after cerebral arteriosclerosis. Cerebral arteriosclerosis can cause transient ischemic attack (TIA), acute cerebral circulation disorders such as stroke, and chronic cerebral ischemic symptoms.

Drink plenty of water, also, this disease is not a minor disease, you should go to the doctor, early**, early**. Don't just deal with it.

Cerebral arteriosclerosis usually has no obvious clinical manifestations and is often a pathological change in the brain of hypertensive disease. In severe cases, thrombosis or fibrous plaque rupture can lead to serious complications such as cerebral infarction and cerebral hemorrhage. ** or risk factors are generally taken for prevention and**.

It is usually necessary to pay attention to the patient's blood pressure, blood lipids, blood glucose, and coagulation function, and treat the symptoms and actively prevent and treat them. And stop smoking, drinking, high-fat diets and other unhealthy behaviors.