What should I do if I have a cerebral infarction? How to choose drugs for cerebral infarction?

Cerebral infarction greatly affects the patient's brain, and also seriously affects the patient's daily life, and it is easy to lead to death in serious cases, so it must be timely.

1.First: you can take some sodium alginate, which can help us to congratulate us very well** This disease, he is a drug that can help us lower lipids and blood pressure, but when we have lacunar cerebral infarction, it is because of our blood pressure problems.

2.Second: the second effect is cerebral prozine, this drug can help us increase blood circulation in the brain, achieve a good effect at this time, and has a direct dilation effect on vascular smooth muscle, and has a good therapeutic effect on lacunar cerebral infarction.

3.Third: Finally, it is suitable for patients with cerebral infarction, the commercial name of this drug is called methylcobalamin tablets, which can help us pass through the blood, but it is a three-point poison, this drug has a good effect and also has a definite ***, we must take it in the right amount.

Precautions. Patients with cerebral infarction should usually eat more celery, which has great benefits for the alleviation of cerebral infarction and also has the effect of dredging blood vessels.

Cerebral infarction is a very serious disease, which can lead to limb disorders, speech disorders, and death if the rescue is not timely.

There are various methods of cerebral infarction, which methods are worth recommending?

The best policy for cerebral infarction is to improve blood circulation in the cerebral ischemia area as soon as possible and promote the recovery of nerve function.

The general incidence of cerebral infarction is in the acute stage, and it is necessary to try to maintain bed rest and strengthen nursing, and pay attention to the balance of water and electrolytes of the patient. If the patient is still unable to eat independently within 48 to 72 hours of onset of illness, a nasogastric liquid diet should be given to ensure nutrition, and the patient's daily care, diet, and management of comorbidities should be given top priority.

In addition, cerebral edema**. For cerebral edema, mannitol can be routinely applied, and 20% mannitol hypertonic fluid is currently the most commonly used effective dehydrating agent. Frection glycerol 10%, or diuretic dehydrators, adrenocorticosteroids, etc., can also be used.

In addition, it is thrombolytic**. Thrombolysis in the acute phase should be carried out within 6 hours of the onset of the disease, streptokinase and urokinase can be used, and anticoagulants can be heparin and dicoumarin to prevent thrombosis and new thrombosis. Ultra-early thrombolysis**, including drug thrombolysis, commonly used urokinase, alteplase, intravenous thrombolysis with streptokinase is not recommended, which can easily lead to bleeding; Arterial thrombolysis**, etc.

In addition, it is brain protective**. It can include free radical scavengers, opioid receptor blockers, etc., to protect the function of cranial nerves.

In addition, anticoagulant ** can be used for a short period of time, and commonly used drugs include heparin.

If a patient has a cerebral infarction, there are many ways to do this, including intravenous thrombolysis, drugs to improve blood supply to the skull, drugs to nourish brain cells, and drugs to scavenge free radicals in the brain.

If the patient is within the time window, if these patients have intracranial macrovascular lesions, then arterial thrombectomy, thrombectomy, and stent implantation can also be performed, and the recanalization of blood vessels can be achieved through interventional methods, and the prognosis of patients can also be significantly improved.

In addition to these means, it is also necessary to carry out **** on the patient, for example, if the patient has limb movement disorders, he can carry out ** exercise of the limbs, and if there is abnormal speech function, he can also carry out ** exercise of language**.

**The best way for cerebral infarction is to clear the thrombus as soon as possible, dilate and dredge blood vessels, improve cerebral blood supply, reduce necrosis caused by lack of oxygen to brain cells as much as possible, restore corresponding functions, reduce sequelae, and improve the quality of daily life in the future.

1. Within 6 hours, try to be ultra-early**, at this time, the pathological changes of brain tissue are small, there is no obvious ischemic brain cell necrosis, the ischemic penumbra still exists, and it is in the time window of ischemia and reperfusion, and this period is the most critical. Thrombolysis, anticoagulation, fiber reduction, antiplatelet aggregation, blood dilution, and brain cell protection should be given based on the pros and cons**.

**The drug is: thrombolytic enzymes such as: pit viper antithrombose, urokinase, streptokinase, etc., the effect is excellent, but the drug has a fast and large reaction, which has the risk of internal bleeding, and the pros and cons of the drug should be mastered.

2. Early stage (6 72 hours): at this time, the ischemic penumbra has basically disappeared, thrombolysis** is meaningless, and fiber reduction and anticoagulation** can be tried; It is mainly anti-platelet agglutination and protection of brain cells**. Vasodilators plus blood-activating drugs such as:

Salvia japtiorrhiza needle, Chuanxiongzine needle, safflower needle, brevisanthin needle, etc., should not use vasodilators for those with increased intracranial pressure, and attention should be paid to reducing intracranial pressure.

3. Late acute phase (72 hours and 1 week): mainly antiplatelet agglutination and protection of brain cells, protection of brain cells, anti-cerebral hypoxia drugs such as: cerebral protein hydrolysate injection, hemoptixin injection, etc. and hyperbaric oxygen chamber oxygen inhalation.

4. Recovery period (1 week later 2

Year): Antiplatelet agglutination and protection of brain cells, mainly traditional Chinese medicine**: Qi deficiency and blood in the use of Brain Xuekang oral liquid, or the addition and subtraction of Yang Huanwu decoction such as:

20 40 grams of Shengqi, 12 grams of Angelica, Chuanxiong, Safflower, Peach Kernel, 12 grams of Dilong, 15 grams of Salvia, 12 grams of leech, 10 15 grams of dry stool plus rhubarb and Citrus aurantium, Qi deficiency plus Codonopsis, Rebirth Qi, and with acupuncture and functional exercise, the effect will be better.

The above content is by your netizen Dr. Fang Qingyong, if you have any questions, please ask.

Cerebral infarction (cerebral infarction, ischemic stroke) refers to avascular necrosis or cerebral malacia of localized brain tissue caused by cerebral blood disorders, ischemia and hypoxia, and the common clinical types of cerebral infarction are cerebral thrombosis, lacunar infarction and cerebral embolism, and cerebral infarction accounts for 80% of all strokes.

In the acute stage, the principle is to improve blood circulation in the cerebral ischemic area as soon as possible and promote the recovery of neurological function. 1. Alleviate cerebral edema: For patients with large and severe infarction, dehydrating agents or diuretics can be used.

2. Improve microcirculation: low-molecular-weight dextran glycosides can be used, which can reduce blood viscosity and improve microcirculation. 3. Thin the blood

Isovolemic hemodilution**: phlebotomy with an equivalent amount of fluid; High-volume hemodilution**: Intravenous injection of fluids that do not contain blood for volume expansion.

4. Thrombolysis: streptokinase. Urokinase.

5. Anticoagulation: to prevent thrombosis and new thrombosis. Heparin.

Dicoumarin. 6. Vasodilator: It is generally believed that the effect of vasodilators is uncertain, and sometimes it can aggravate the condition of severe patients with increased intracranial pressure, so it is not recommended to use them in the early stage.

7. Others: Hyperbaric oxygen**, extracorporeal counterpulsation** and optical quantum blood** can also be used for this disease. During the recovery period, the paralyzed limb function exercise and speech function training can be strengthened, and in addition to drugs, physiotherapy, physical therapy and acupuncture can be combined.

1.Intravenous thrombolysis**. Recombinant tissue plasminogen activator thrombolysis** can significantly improve patient outcomes, and the earlier the initiation,** the better the clinical outcome.

2.Antiplatelet**. Antiplatelet therapy is recommended for patients who cannot be thrombolyzed**, and clinical guidelines recommend aspirin.

3.Arterial thrombolysis**. Arterial RT-PA thrombolysis may be beneficial in stroke patients with occlusion of the main intracranial arteries, severe neurologic deficits, symptom onset of less than 6 hours, and failure to receive intravenous thrombolysis**, but it should not preclude intravenous thrombolysis** within the time window**.

Hello! Arteriosclerotic cerebral infarction refers to the narrowing and occlusion of the arterial lumen due to atherosclerosis and thrombosis in the arterial system of the brain, resulting in necrosis of local brain tissue in the arterial blood supply area. Cerebral infarction needs to be considered according to the patient's specific condition and physique, mentality and other factors, and cerebral infarction should be taken as soon as possible, so as not to miss the best opportunity and do it early.

Patients can try "cruise missile"**, which is a kind of latest ** developed on the basis of the combination of traditional Chinese medicine acupuncture and modern medical closure**, through the comprehensive way of "drug nourishment, acupuncture activation, and physiotherapy", it has significant curative effects on cerebral infarction and sequelae of cerebral infarction. It has given new hope to countless patients with cerebral infarction who have no way to seek medical treatment.

Wishing you good health!

Chen Weimin, Department of Neurology, Shanghai Deji Hospital, explained in detail what is cerebral infarction and how is cerebral infarction**?

**Method: It is recommended that you go to an expert in this area for consultation, you can go to Jinan Traditional Chinese Medicine Cerebrovascular Disease Hospital to ask, their hospital is a comprehensive hospital integrating cerebrovascular disease prevention, **, **. This is **, you can go to find out.

The best method for cerebral infarction is to comprehensively relieve the symptoms of cerebral edema with mannitol, 10% glyculose, furosemide, sodium diureate, hydrocortisone, cortisone, human blood albumin and other drugs in a timely manner. and thrombolysis with alteplase, urokinase, etc.**.

Cerebral infarction should be based on the severity of the condition to take appropriate methods. Pay special attention to be sure to go to the hospital. For more serious diseases, it is best to use surgical methods**.

For relatively mild patients, they need to be conservative with water infusion and medicine. After discharge, it is best to take medication for a long time or choose the right Chinese medicine.

The best method of cerebral infarction.

Because intravenous infusion can make the drug have an agile effect on the lesion and save the patient's life, it should be treated with infusion when the patient is in urgent condition and needs to send the drug into the body as soon as possible, or when the patient faints and other conditions cause the drug to be unable to take oral medicine, usually after a stage of infusion, oral medication should be used mainly after the acute stage.

Drink plenty of water, keep your mouth shut, and open your legs.

Studies have proved that Beijing Tong Ren Tang Angong Niuhuang Pill can improve the oxygen tolerance survival time and total antioxidant capacity of brain injury cells, indicating that it has a significant protective effect on cranial nerves. This effect is very important for patients with cerebral infarction, and it plays a key role in reducing the sequelae such as hemiplegia, speech disorder, etc.!

As for whether it can be completely cured, if it is timely and appropriate, some cerebral infarctions can be **, but it also depends on the size and severity of the cerebral infarction and the physical fitness of the patient. Daily attention should be paid to drinking more water, the increase of water in the body is conducive to diluting the blood, relieving the degree of blood viscosity, and maintaining smooth blood circulation.

The method of cerebral infarction, first of all, should arrive at the hospital as soon as possible, and you can get the best from the doctor in all aspects, such as surgical thrombectomy, dredging blood vessels, lowering blood pressure, etc., but the cells of the brain can tolerate hypoxia for up to 5 minutes, so even if you can perform surgery to remove the thrombectomy and dredge the blood vessels, there are often sequelae.

Cerebral infarction is a common disease in the elderly, and blood clots blocking blood vessels will cause inflexibility in the limbs and unclear speech, so it is recommended that you go to the hospital for treatment in time.

Cerebral infarction should always pay attention to blood pressure, blood sugar and blood lipids, blood pressure, blood sugar and blood lipids are unstable, it is easy to cause blood vessel blockage, usually drink more water to reduce blood viscosity, cerebral infarction patients can easily cause emotional instability, need many patients to persuade them.

Prevention of cerebral infarction It is necessary to go to the hospital for intravenous drip prevention in spring and autumn The high incidence season in spring and autumn.

Eat a light diet with less salt and less oil Pay attention to the elderly not to fall If it is the first time, you should seek medical examination as soon as possible Do magnetic resonance to find out the location of the blockage Don't do brain CT CT can not find out the location of the blockage.

If it is severe, a course of treatment will be effective, and those who are mild can be prescribed medicine in the hospital to go home**.

It is necessary to massage the limbs of the patient frequently, ten fingers, promote blood circulation, can be combined with traditional Chinese and Western medicine**, acupuncture can be pricked, and the effect is good.

Always pay more attention to the behavior of the elderly, and seek medical examination in time if there is any abnormality.

If you want to consume, it depends on the price of the region, there is medical cooperation, there is not much money, and a course of hospitalization is about three weeks, and after reimbursement, it is about Wu Qian.

Be sure to find the right doctor Some doctors are not in place It's very easy ** You have to find a specialist during the examination** A specialist will be very different from ordinary The last time my mother was hospitalized, I met a second-in-command Three months later**.

In the acute phase of cerebral infarction, intravenous thrombolysis should be actively given within 6 hours of onset, after the contraindications to thrombolysis are excluded and thrombolysis is indicated. Commonly used thrombolytic drugs are RT-PA and urokinase. Patients who have been treated with intravenous thrombolysis for 24 hours or for whom no thrombolysis is indicated can be given clopidogrel tablets or aspirin enteric-coated tablets for antiplatelet therapy**; Patients can also take oral statins to regulate lipids, stabilize plaques, and resist arteriosclerotic development, such as atorvastatin; To improve circulation, euriclin and butylphthalide injection can be used; Drugs that scavenge oxygen free radicals and protect brain mitochondria can choose edaravone injection.

At present, there are many methods of cerebral infarction. The traditional method is mainly to improve microcirculation, nourish brain cells, anti-platelet aggregation, lower lipids, and stabilize plaque drugs. At present, cerebral infarction is the most effective, that is, intravenous thrombolysis is recommended within the early hours**, urokinase or alteplase intravenous point, and cerebral angiography is required for arterial thrombolysis.

At the same time, the degree of intracranial vascular stenosis is analyzed according to angiography, and it is considered that endovascular thrombectomy, thrombectomy can be given**, and routine ** can be given after the condition is stabilized. At the same time, it is recommended to give drugs to promote blood circulation and eliminate blood stasis**, such as: Shuxuetong, Xuesaitong, Ginkgo biloba extract, Thrombotong, Salvia, Chuanxiongzine, vinpocetine and other drugs, combined with acupuncture**, to promote further recovery of the disease.

In patients with cerebral infarction, most symptoms are symptoms of focal neurological deficits. For example, hemilimb movement disorders, hemilimb numbness, pain and other sensory impairments, hemianopia, aphasia, dysarthria, ataxia, vertigo, nausea, vomiting, diplopia. In severe cases, there may be impaired consciousness, quadriplegia, bulbar palsy, and even coma leading to death.

Methods include medical conservative and surgical and interventional. Surgery** is mainly indicated for patients with massive cerebral infarction. Interventional** is indicated for patients with carotid artery stenosis of more than 70%.

There are many clinical manifestations of cerebral infarction, and their clinical manifestations are related to the location of infarction and the size of infarction. It is usually more common in cerebral infarction due to vascular lesions in the middle cerebral artery. It can manifest as weakness of the upper and lower limbs, hemiplegia, hemisensory impairment, sometimes homotropic hemianopia, and sometimes unsteady walking.

Sometimes the speech is slurred, the big tongue is not clear, sometimes the corners of the mouth are crooked, and if there is a large cerebral infarction, it can lead to impaired consciousness. **Method: Generally, if it is the hour of onset, thrombolysis can be performed according to the doctor's evaluation**. If it is not within the thrombolysis time window, antiplatelet aggregation, statin stabilization of plaques, improvement of circulation, etc.** can be given, and anticoagulation can also be given according to the cause of the disease**.