How is cerebral ischemia treated, and what are the causes of cerebral ischemia?

Sexuality: Ruan Ying must pay attention to sex, and you mentioned sex for you to answer as follows. Hello, the ** of lacunar cerebral infarction ** is mainly symptomatic**, and it is recommended to use the drug ** after a detailed examination by the doctor.

Guidance: Lacunar cerebral infarction is mostly caused by a combination of factors such as hyperlipidemia, high blood viscosity, and hypertension, and long-acting antihypertensive drugs can be used for hypertension. Hypertriglyceridemia can be treated with bezafibrate.

Hypercholesterolemia can be treated with simvastatin. Aspirin enteric-coated tablets have the effect of preventing thrombosis and can be taken. Use under the guidance of a physician.

If you are talking about symptoms of myocardial ischemia that are not from the Internet, but you describe them yourself, then it is best to go to a nearby hospital immediately. An ECG is done. Because once myocardial ischemia leads to a myocardial infarction, you won't be able to smoke for a few days.

Cerebral ischemia is mainly related to cerebral artery stenosis or occlusion, cerebral artery embolism, hemodynamic factors, and hematological factors, and is more likely to occur in patients with hypertension, cardiovascular diseases, and long-term contraceptive pills. In addition, bad habits can induce cerebral ischemia.

First, the main **.

1. Cerebral artery stenosis or occlusion: the brain is supplied by the internal carotid artery and vertebral artery on both sides, and the blood supply of the internal carotid artery on both sides accounts for 80 90 of the total blood supply to the brain, and the vertebral artery accounts for 10 20. If collateral circulation is poor, or if there is a narrowing of multiple arteries that affects blood flow, cerebral blood flow to the local or whole brain is reduced, and cerebral ischemia symptoms occur when cerebral blood flow is reduced below the critical level at which cerebral ischemia occurs.

2. Cerebral artery embolism: In addition to causing arterial lumen narrowing, atherosclerotic plaques often have platelet clots, walled thrombis and cholesterol fragments attached to the ulcer surface of the plaque. These attachments are washed away by the bloodstream and form embolism, which is carried into the intracranial artery by the bloodstream, blocking the distal artery and causing cerebral embolism and ischemia in the blood supply area.

Embolism caused by rheumatic valvular heart disease, subacute bacterial endocarditis, congenital heart disease, prosthetic valves, and heart surgery can be caused by blood flow into the brain. Rare emboli such as septic emboli, fat emboli, and air emboli can also cause cerebral embolism.

3. Hemodynamic factors: transient hypotension can cause cerebral ischemia, if there is severe stenosis of cerebral vessels or multiple cerebral artery stenosis, so that cerebral blood flow is in a state of low blood, mild blood pressure reduction can cause cerebral ischemia, such as myocardial infarction, severe arrhythmia, shock, carotid sinus allergy, orthostatic hypotension, subclavian artery steal syndrome, etc.

4. Hematological factors: cerebral ischemia can occur due to oral contraceptives, blood hypercoagulability caused by pregnancy, postpartum, surgery and thrombocythemia, as well as increased viscosity caused by polycythemia, sickle cell anemia and macroglobulinemia.

2. Predisposing factors.

1. Bad habits: long-term heavy smoking, drinking, staying up late, irregular work and rest, sedentary lifestyle, overeating, etc. will induce cerebral ischemia.

2. Microembolism: The contents of the aortic and cerebral atherosclerotic plaques and the fragments of the attached wall thrombotic clots when ulceration occurs can be scattered in the bloodstream to become microembolism, which is composed of microembolism composed of cellulose, platelets, white blood cells and cholesterol crystals, and circulatory blood flow into the arterioles, which can cause microembolism and cause ischemic symptoms. The microemboli are decomposed by the action of enzymes, or due to the ischemic dilation of the blood vessels distal to the embolus, the embolus moves to the blood endings, and the blood supply is restored and the symptoms disappear.

3. Heart disease: various heart diseases such as rheumatic heart disease, coronary atherosclerotic heart disease, hypertensive heart disease, congenital heart disease, and various heart damage that may be complicated by such as atrial fibrillation, atrioventricular block, cardiac insufficiency, left heart hypertrophy, bacterial endocarditis, etc., these factors increase the risk of cerebrovascular disease, especially the risk of ischemic cerebrovascular disease, through hemodynamic impact and embolic detachment.

Suggestions: Hello.

Cerebral ischemic attack should be carried out aggressively, reduce blood viscosity, adjust blood hypercoagulability, control and maintain blood pressure within the normal range, terminate and reduce transient ischemic attack, and prevent or delay the occurrence of cerebral infarction.

1) Antiplatelet aggregation** It mainly inhibits platelet aggregation and release, so that it cannot form microthrombosis. These drugs are safe, simple, and easily accepted by patients.

2) Expansion **.

3) Anticoagulation** If the patient has frequent seizures, the effect of other drugs is not good, and there is no contraindication to bleeding diseases, anticoagulation** can be used.

4) Vasodilator**.

5) The effect of traditional Chinese medicine to improve microcirculation and reduce blood viscosity is to have a certain effect on cerebral ischemia and can be used.

Surgery may be considered in patients with intracranial artery stenosis confirmed by cerebral angiography or Doppler and when drugs are ineffective.

Transient intracerebral hemorrhage attack refers to the transient loss of local brain function, which is caused by the transient insufficiency of blood supply to the vascular system of some brain tissues, and the symptoms are completely relieved within 24 hours, but often reversed. About 20% of patients develop cerebral infarction, intracerebral hemorrhage, subarachnoid hemorrhage, or myocardial infarction about 5 years after initial onset.

Transient ischemic attack is mostly related to atherosclerosis, which is characterized by the onset of transient symptoms, often with a sudden loss of some nerve function, and the symptoms do not spread from one part of the body to another, which lasts for a short time, and does not leave serious neurological deficits. The vast majority of patients are unconscious. Transient ischemic attack in the internal carotid artery system, the most common symptoms are transient blindness, aphasia, hemiplegia, paresis, etc.

The most common symptoms of transient ischemic attack in the vertebral basilar artery system are vertigo, vomiting, diplopia, tinnitus, stuttering, transient confusion, and syncope. The diagnosis of the disease is not difficult, and those with hypertension and arteriosclerosis in middle-aged and elderly people with the above symptoms should consider the possibility of transient ischemic attack and immediately send them to the hospital for cranial or magnetic resonance imaging examination.

Transient ischemic attacks generally do not require special **, and it is important to prevent their reverse**. It is necessary to prevent and correspondingly target the risk factors of the disease: people with hypertension, atherosclerosis, hyperlipidemia, diabetes and obesity should actively develop their primary diseases; Quit bad habits, do not smoke or drink too much; Mental happiness, regular life, reasonable nutrition, moderate exercise, such as walking, tai chi, qigong, goalball, etc., have a positive effect on the prevention of the disease; Regular physical examination, blood rheological examination, pay attention to whole blood viscosity, red blood cell deformability, red blood cell electrophoresis and plasma fibrinogen, etc.; Usually take small doses of antiplatelet drugs, such as aspirin, dipyridamole, etc., especially during or after a transient ischemic attack.

Guidance: You can use drugs such as ozagrel, shuxuening, and xuesaitong**, and pay attention to whether blood pressure, blood sugar, and blood lipids are abnormal.

Hello, considering that it is related to cerebral insufficiency, it is recommended to test blood pressure, whether it is accompanied by hypertension, in the transcranial Doppler, and cervical spine, to make a diagnosis, and then oral cibilin, nimodipine, Buchang Naoxintong capsule **.

In the early stage, cerebral ischemia is manifested as: dizziness, headache, tinnitus, blackness in front of the eyes, facial numbness, weakness of limbs, choking on drinking water, slurred speech and other symptoms, which belongs to slight cerebral ischemia, which will be ** in a few minutes or hours, and if there are hemiplegia, hemiplegia, hypoesthesia, visual impairment and other symptoms, it is a more serious symptom, and you must seek medical attention in time, but generally speaking, it should be cured within 24 hours. If this happens, it is easy to cause cerebral infarction, and it is necessary to prevent cerebral infarction in time.

It is recommended to combine the doctor's specific examination to clarify the symptoms**.

Vasodilators alone have limited effects, and occult cerebral infarction may even occur in the case of medication. 2.In life, you should quit smoking and alcohol, avoid overeating, reduce the intake of greasy food, and exercise moderately.

If conditions permit, do oxygen inhalation ** for about 1 hour a day. 3.Peanuts can be eaten, but they should be eaten peeled, because peanut skin has a procoagulant effect and may increase the chance of cerebral infarction.

4. Properly control the intake of fat, and avoid too salty and sweet diet. Further testing is recommended.

Cerebral ischemic foci, which are manifestations of cerebral infarction, are severe brain damage. Thrombolytic drugs must be used early**.

Hello Xu Youzhong, this is a condition caused by neurasthenia, pay attention to the general symptoms of no energy during the day, insomnia and dreams at night, **There is no very special targeted method, generally to the acupuncture department acupuncture and moxibustion with massage**, drugs with gamma oryzanol, schisandra granules, eleutherococcus senticosus, Liuwei Dihuang pills, brain and kidney pills and other drugs can be tried, Eat more fresh fruits and vegetables, high-protein food, drink more water, replenish the water needed by the body, participate in various sports and exercises, strengthen physical fitness, Don't stay up late often, so as not to disrupt the normal physiological laws.

If there is transient cerebral ischemia, you must go to the hospital in time for relevant examinations**, because this situation may lead to ischemia and necrosis of brain cells, which is a more serious condition, so it is recommended that the patient do a comprehensive examination to find out**In order to be able to deal with the symptoms**, the patient usually needs to drink more water in life, adopt a low-salt and low-fat diet, eat some fresh vegetables and fruits with appropriate structure, and exercise properly.

Patients with transient cerebral ischemia, if not controlled in time, may make the condition aggravate serious conditions and cause cerebral thrombosis, etc., transient ischemic attack is mainly on the basis of cerebral arteriosclerosis, due to some hemodynamic changes, cerebral vasospasm, small embolism caused, patients need to go to a regular hospital for treatment**.

1.A handstand for a few minutes before going to bed every day helps blood circulation throughout the body.

2.Replenish blood in moderation.

3.Massage the scalp and soles of the feet frequently.

4.Eat Chinese medicine, salvia tablets, blood plugging.

Try the above for reference.

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