What should I pay attention to in intracerebral hemorrhage, and what should patients with intracereb

Don't get angry, eat less greasy.

Intracerebral hemorrhage is divided into acute phase and chronic recovery phase, and patients at different stages have different precautions. In the acute stage, attention should be paid to observing the patient's blood pressure and consciousness, keeping the stool smooth, and paying attention to nursing. During the recovery period, attention should be paid to controlling blood pressure and strengthening functional exercises.

The specific precautions mainly include the following aspects:

1. Precautions for patients in the acute stage.

1. Pay attention to the patient's consciousness and blood pressure: after cerebral hemorrhage, the patient will gradually develop symptoms of cerebral edema and intracranial hypertension, manifested as headache, nausea, vomiting and other symptoms, in addition to drowsiness, lethargy, and even coma. It is necessary to pay attention to observe whether the patient is irritable, and regularly observe the blood pressure, pupils, breathing, and consciousness.

If you find that your blood pressure is getting higher and higher, your breathing is irregular, and your pupils are not the same, you may have brain herniation at this time, and you should notify your doctor for emergency treatment;

2. Keep the stool smooth: patients with cerebral hemorrhage may have the risk of rebleeding within a few days after bleeding, and patients with constipation can follow the doctor's instructions to take oral laxative drugs or increase the intake of fruits and vegetables to keep the stool smooth, so as to avoid holding breath and exerting force during constipation, increasing the risk of rebleeding;

3. Pay attention to nursing: patients in the acute stage of cerebral hemorrhage may need bed rest, pay attention to turning over, patting the back, scrubbing the body, etc., to prevent the occurrence of infection and pressure ulcers;

4. Keep the respiratory tract unobstructed: increased intracranial pressure can easily lead to frequent vomiting, it is necessary to clean up the vomit in time, pat the back to promote the patient's vomiting when the consciousness is clear, and use a sputum aspirator and other devices to suck out the foreign body when the consciousness is unconscious, so as not to cause aspiration pneumonia and even cause suffocation;

5. Positive: The doctor should formulate a reasonable plan, such as internal medicine conservative, using hemostatic drugs and intracranial pressure lowering drugs to control cerebral edema, reduce intracranial pressure, or perform surgery to improve prognosis.

2. Precautions for convalescent patients.

1. Control blood pressure: patients with cerebral hemorrhage are mainly caused by long-term uncontrolled hypertension, and controlling blood pressure is the most fundamental measure to prevent bleeding in the future.

2. Strengthen functional exercise: Exercise as soon as possible after the condition of patients with cerebral hemorrhage is stable, which is helpful for the recovery of hemiplegic limbs, and can be carried out under the guidance of doctors.

3. Reasonable diet: patients with coma and swallowing dysfunction can be given nasogastric liquid diet. Patients who eat by mouth can eat more foods rich in dietary fiber, such as various vegetables and fruits, and supplement high-quality protein;

4. Others: When the conscious patient is lying in bed, the head of the bed can be raised by 15-30 degrees, which is conducive to intracranial venous return. Encourage patients to cough and pass sputum to prevent pulmonary complications.

Intracerebral hemorrhage, as a sudden disease, refers to non-traumatic intraparenchymal hemorrhage, also known as spontaneous intracerebral hemorrhage, in patients with cerebral hemorrhage, about 80% of the patients bleeding site in the cerebral hemisphere, the remaining 20% is brainstem and cerebellar hemorrhage The mortality rate of intracerebral hemorrhage is as high as more than 50% one month after the onset of cerebral hemorrhage, which is the type of stroke with the highest mortality rate. <>

Matters needing attention in the daily life of patients with cerebral hemorrhage First, if in the case of acute stage, the patient needs a comfortable and quiet environment, absolutely bedridden within two weeks The other four can be given a small passive exercise by his family members Strengthen the turn over and pat the back to prevent lung infection The occurrence of pneumonia Second, promote the patient's blood circulation through the movement of the limbs, and also allow the patient's limb function to gradually recover Third, we must pay attention to a light diet and try to keep the patient's stool, usually in ** You can give him some gastrointestinal motility drugs to avoid straining to increase intracranial pressure when the stool is dry, and it can aggravate cerebral hemorrhage. <>

Patients with cerebral hemorrhage should have a light diet, not too salty food, nor too high fat food, eat more foods containing high vitamins and fiber, eat more fresh vegetables and fruits, smoke, drink alcohol, these bad habits must be changed. <>

It is very important to maintain the emotional stability of patients with cerebral hemorrhage, the greater the emotional fluctuations, the greater the probability of recurrence of cerebral hemorrhage During the illness, it is necessary to maintain a stable mood and avoid all kinds of bad emotions Don't be sad, but at the same time, don't be too angry, otherwise it is easy for the blood vessels of the intellectual department to rupture again.

Tobacco and alcohol are very bad for the body, too much nicotine inhaled into the body, will cause the deterioration of cerebral hemorrhage, will affect the permeability of blood vessels, and alcohol will also affect the normal elasticity of blood vessels, prone to cerebral hemorrhage.

Patients with cerebral hemorrhage should pay attention to their diet, especially when drinking water and eating liquids, they should pay attention not to choke on cough, because they are prone to pneumonia after choking, and patients with cerebral hemorrhage should also pay attention to heavy taste when eating.

In life, we should pay attention to rest, cooperate with a healthy diet, and do exercise to strengthen metabolism and promote digestion, so that the body can get better.

In terms of the diet of cerebral hemorrhage, liquid and semi-liquid are the main ones, and the dietary composition is mainly a low-fat and low-salt diet, with less salt and less high-fat and greasy food. After cerebral hemorrhage, patients often have speech dysfunction, crooked corners of the mouth, salivation, or limb paralysis and dysfunction, at this time, it is necessary to strengthen functional exercises, cramps, recovery of the patient's speech function and limb activities, and help the patient's basic life recovery to be able to manage.

Intracerebral hemorrhage is a very common disease, it is very damaging to the cranial nerves of the human body, and the symptoms of the patient are related to the location of the bleeding and the amount of bleeding, and the damaged cranial nerve cells are non-renewable. For patients who need to pay special attention to blood pressure and rest well after being discharged from the hospital, they cannot stay up late and be tired, and they can improve their limbs and memory.

Oily, fatty foods are contraindicated.

Eat small, frequent meals and eat fresh fruits and vegetables, legumes, and legumes that are rich in vitamin C.

1. It is recommended to have a light diet, less oil, less salt, less sugar, more fiber, more vegetables, more fruits, etc.;

2. Live a regular life, avoid overeating, and exercise appropriately;

3. Pay attention to joint control of blood pressure and blood sugar to reduce risk factors;

4. In winter, the elderly should pay attention to keeping warm to prevent constipation and violent cough, so as not to induce hypertensive cerebral hemorrhage.

5. Concentrated deep-sea fish oil, 1-3 times a day, 1 capsule each time, should be eaten with meals, suitable for patients with thrombosis, cerebral hemorrhage or stroke, etc., which can effectively prevent cerebral hemorrhage.

Bleeding from the rupture of a blood vessel in the brain parenchyma is called intracerebral hemorrhage, also known as cerebral hemorrhage. Excluding traumatic intracerebral hemorrhage, it is more common in middle-aged and elderly people, and is more common in men than women.

A common cause of intracerebral hemorrhage is high blood pressure. Data show that more than 80% of patients with intracerebral hemorrhage have a history of hypertension. Due to long-term hypertension, the small arterioles in the brain form miliary-sized aneurysms and dilate, and when the blood pressure rises suddenly, the small aneurysms will rupture and cause cerebral hemorrhage.

Long-term hypertension can also cause damage to the intima of cerebral arterioles, lipid deposition, hyaline-likeness, enhanced fragility of the tube wall, and more prone to rupture and bleeding. In addition, cerebral arteriosclerosis and cerebrovascular malformations are also common causes of cerebral hemorrhage. All factors that can cause a sudden increase in blood pressure, such as emotional agitation, strenuous activity, excessive drinking, and straining in stool, are all triggers for intracerebral hemorrhage.

Intracerebral hemorrhage can occur anywhere in the brain parenchyma and can be single or multiple. However, most hypertension and cerebral arteriosclerotic intracerebral hemorrhage are mostly solitary. The most common sites are the internal capsule and basal ganglia, followed by the external capsule and frontal lobe. The brainstem and cerebellum are less common.

Intracerebral hemorrhage usually occurs suddenly, progresses rapidly, and worsens within minutes or hours when severe. The patient presents with impaired consciousness, hemiplegia, vomiting, and incontinence. Headache and elevated blood pressure may also occur.

The clinical manifestations of intracerebral hemorrhage can be roughly divided into two types: (1) whole brain symptoms, which are mostly caused by intracerebral hemorrhage, edema and increased intracranial pressure. Symptoms include headache, vomiting, drowsiness, coma, etc.

2) Focal symptoms, which are localized symptoms caused by blood breaking into the brain parenchyma, such as central hemiplegia, facial paralysis, aphasia and hemiplegia.

The clinical prognosis varies depending on the amount of bleeding and the location of bleeding. If the amount of bleeding is large, the bleeding spreads to the ventricles and forms cerebral herniation, or when it is complicated by central high fever and stress gastrointestinal bleeding, the consequences are serious and the mortality rate is high. Therefore, when encountering the above situation, we should attach great importance to it and actively carry out rescue to reduce the mortality rate and disability rate.

Be careful not to eat greasy food, and also to be active appropriately.

In the early stage of intracerebral hemorrhage, bed rest should be maintained, the ward should be quiet, head movement should be reduced, and it is best to defecate and defecate in bed (this problem can be solved with a diaper hoe); Patients maintain positive emotions on their own and avoid mood swings; In terms of diet, it is mainly light and easy to digest liquids to keep the stool smooth. Wait for all vital signs to be stable for 48-72 hours before performing limb function exercises.

In the acute phase of intracerebral hemorrhage, immobilization should be required, and bed rest should be absolute. Keep your blood pressure in the appropriate range and keep your stools smooth. If there is high intracranial pressure, the intracranial pressure should be lowered**, and if necessary, the craniotomy should be used to decompress.

Prevention and treatment of various complications and water and electrolyte imbalances. Functional exercises should be done early after saving lives. After the acute phase, control blood pressure and other factors that may induce recurrence, and strengthen the exercises of the affected limb.

Exercise in moderation and try to avoid getting angry. Do not shake your head violently. If it is a bed change, massage is necessary.

Most patients with intracerebral hemorrhage are accompanied by hypertension, so the first thing to do is to control hypertension and prevent high blood pressure from causing bleeding again; Second: patients with cerebral hemorrhage should be absolutely bed rested and given a quiet and comfortable environment. 3：

Keeping the stool smooth and avoiding violent coughing and emotional agitation can cause a sudden increase in blood pressure and the risk of cerebral hemorrhage. 4: Cerebral hemorrhage should also pay attention to the training of limbs during bed rest, supplement sufficient nutrition, increase the speed of **, high-protein diet, eat small and frequent meals, and eat more vegetables and fruits.

Drugs** then don't talk about it, that's the most basic**. There is also a regular review to see the bleeding absorption, and adjust the ** plan in time. Good luck soon**!

1. Control high blood pressure 2. Absolute bed rest to give a quiet and comfortable environment. 3: Keep your stool smooth.

4. Avoid getting emotional. 5. Head braking. 6. During the period of bed rest, give limb training.

7. If the condition is stable, you can do hyperbaric oxygen, which has a very good effect.

You should pay attention to rest, do not eat fried things, and be less emotional...Rest, rest, rest, if there is no deterioration, it will be good to brake...