How to treat cerebral infarction, how to treat cerebral infarction

The fastest method of cerebral infarction is thrombolysis or thrombectomy, which can effectively unblock the occluded blood vessels.

In the case of cerebral infarction, it is necessary to solve the embolus blocking the blood vessels, re-unblock the blood vessels, and restore the blood of brain cells**.

The optimal rescue time is very short, no more than an hour from the onset of cerebral infarction.

This hour is very important and is the key for the doctor to choose the best regimen and the first drug.

Intervention**: A hole is made in the thigh, the instrument is inserted into the hole, and with the assistance of imaging, the doctor operates the instrument along the artery until it reaches the location of the blood clot.

This device can be a stent that can grasp the thrombus and directly complete the task of thrombectomy, which is called mechanical thrombectomy.

This device can also simply spray medicine into the blood clot to let the blood clot dissipate, which is called arterial thrombolysis.

Intravenous thrombolysis: Thrombolytic drugs are injected intravenously and travel through the bloodstream to various parts of the body, including blood clots.

Blood clots dissipate quickly under the action of drugs, which is known as intravenous thrombolysis.

Brain cells are fragile and die after a few minutes of ischemia and hypoxia.

Once a cerebral infarction occurs, brain cells can last for up to a few hours.

If the blood and oxygen supply is restored before the brain cells die, the brain cells will be reborn.

If the blood supply is not supplied until the brain cells die, the brain function will be impaired, and the serious consequences of disability and death will occur.

Cerebral infarction** is mainly divided into the following types:

1. Drugs**: According to the cerebral infarction caused by different diseases, choose different drugs**, such as atherosclerosis, and use alteplase or urokinase thrombolysis in the acute stage, that is, within the ultra-early hour**. If the optimal time is exceeded without thrombolysis, antiplatelet aggregation**, statins, and blood pressure, blood glucose, and lipids should be controlled.

If it is a cardiogenic stroke, such as caused by atrial fibrillation, anticoagulant drugs** should be chosen, such as warfarin, rivaroxaban, etc.;

2. Surgery**: If the patent foramen ovale causes cerebral infarction, it can be sealed by foramen ovale**. For larger cerebral infarctions, the patient's impaired consciousness may require neurosurgical intervention and decompression;

3. ****: If there is limb movement disorder, hemiplegia and other conditions, you need to do ** exercise.

The plan for cerebral infarction is determined according to different pathogenesis, clinical types, onset time, etc., and the implementation is based on the principle of individualization. On the basis of general medical support**, measures such as improving cerebral circulation, brain protection, anti-cerebral edema, and lowering intracranial pressure can be used as appropriate.

Cerebral infarction, also known as cerebral infarction and cerebral infarction, is a relatively common cerebrovascular disease, which is generally caused by a variety of reasons, as follows

1. Drugs**: drugs need to be used under the guidance of doctors, including anticoagulant drugs, antiplatelet coagulation drugs, vasodilator drugs, drugs to improve nerve function and relieve brain pressure, drugs to dissolve blood clots, and drugs to stabilize plaques and other drugs to control the development of the disease and promote the recovery of cerebral blood vessels and nerve functions;

2. ** Training: Mainly through active or passive limb movements, language exercises, etc., the physical dysfunction caused by cerebral infarction is gradually improved, and the quality of life is improved;

3. Improve living habits: such as quitting smoking, limiting alcohol, paying attention to rest, avoiding fatigue, ensuring adequate sleep, avoiding staying up late, etc.;

4. Adjust diet: mainly choose low-salt, low-fat, high-protein, high-vitamin foods, and avoid spicy and greasy foods.

Hello, cerebral infarction refers to the avascular necrosis or softening of localized brain tissue caused by blood disorders, ischemia and hypoxia in the brain. Common clinical types include cerebral thrombosis, lacunar infarction and cerebral embolism.

Cerebral thrombosis is caused by the gradual formation of blood clots in the lumen of blood vessels and eventually blockage of arteries;

Lacunar infarction refers to a small perforating artery in the cerebral hemisphere or deep part of the brainstem, and on the basis of long-term hypertension, the blood vessel wall is diseased, resulting in lumen occlusion and the formation of small infarct foci;

A cerebral embolism is caused by an abnormal substance in the bloodstream called an embolus blocking an artery, such as an embolus in the heart chamber of some heart diseases.

In the acute phase of cerebral infarction**, thrombolysis** such as ultra-early thrombolysis**, brain protection**, anticoagulation** and fiber lowering**, etc., as well as symptomatic **, such as cerebral edema**, various supports**, etc. In the convalescent period**, continuous antiplatelet ** (aspirin or clopidogrel, etc.), lipid-lowering** (Ruizhi, etc.) are required. In addition, it can also be supplemented with Chinese patent medicine conditioning such as ginkgo biloba leaves, leeches Tongluo capsules, etc., to promote blood circulation and blood stasis, and promote the convalescent cerebral infarction patients.

In addition, the diet also needs to pay attention to light, low salt, low fat and low calorie, actively adjust emotions, do not be irritable, happy and sad, especially avoid staying up late, quit smoking and drinking, and assist by improving various lifestyles.

Cerebral infarction is a common brain disease, and this disease can be **. The first day of cerebral infarction cannot be generalized, and a highly targeted plan should be determined according to different types, pathogenesis, clinical types, and time of onset, and individualized treatment with type and staging as the core should be implemented. On the basis of general internal medical support**, measures such as improving cerebral circulation, brain protection, anti-cerebral edema and lowering intracranial pressure can be selected as appropriate.

Usually according to the course of the disease, it can be divided into acute phase (1 2 weeks), recovery phase (2 weeks and 6 months) and sequelae phase (after 6 months), 3 6 hours is also called ultra-early. The focus is on thrombolysis** and classification in the acute phase within a <6-hour time window**. Lacunar cerebral infarction should not be dehydrated, mainly to improve circulation; Large and medium infarcts should actively resist cerebral edema and reduce intracranial pressure to prevent the formation of cerebral herniation.

1. Thrombolysis**.

Time is the brain" - acute cerebral infarction, time is of the essence, and the time window for thrombolysis of acute cerebral infarction is very narrow, the key to treatment is whether you can get the correct thrombolysis within the first 3 6 hours of the onset of the disease ** (called ultra-early thrombolysis within the onset of 3 6 hours), which can save the ischemic brain tissue, avoid ischemic brain tissue necrosis, and prevent ** and complications.

There is conclusive evidence that intravenous thrombolysis with recombinant tissue plasminogen activator (RT-PA)** within 3 hours of onset not only significantly reduces the risk of death and severe disability, but also significantly improves the quality of life of survivors. For patients with acute ischemic stroke who have no obvious hypodense changes on brain CT and are conscious, it is relatively safe and effective to use intravenous thrombolysis with urokinase** within 6 hours of onset.

Urokinase: 1,000,000 IU 1,500,000 IU, dissolved in 100 200ml of normal saline, continuous intravenous infusion for 30min.

RTPA: dose (maximum 90 mg) with 10% intravenous bolus (1 min), the remaining dose is sequentially intravenous instilled in 60 min.

Although the efficacy of thrombolysis** is obvious, it is not suitable for all patients, and the indications should be noted: age 18 to 75 years; Onset is less than 6 hours, signs of brain impairment persist for more than 1 hour, and are severe; CT brain has ruled out intracranial hemorrhage. and intracranial hemorrhage; History of myocardial infarction in the past 3 months; Has taken oral anticoagulant and has an INR >; Receipt of heparin** within 48 hours (apTT outside the normal range); Platelet count < 100,000 mm3, blood glucose <; and blood pressure systolic blood pressure of 180mmHg, or diastolic blood pressure of 100mmHg are contraindicated.

Anticoagulants and antiplatelet agents are generally not used within 24 hours after thrombolysis**, and aspirin 300 mg daily for 10 days after 24 hours without contraindications can be used, and then the maintenance dose is 50 100 mg daily.

Hello! The condition of your grandmother you mentioned is that cerebral thrombosis infarction has cerebrovascular infarction, and she has diabetes, which is due to the lesions of microvascularity and macrovascular caused by diabetes, which aggravates the probability of cerebral infarction, and cerebral infarction is due to atherosclerosis that narrows or occludes the cerebral vascular lumen, and then forms thrombosis, resulting in interruption of blood flow in the local blood supply area of the brain, cerebral ischemia and hypoxia. High blood pressure further aggravates the occurrence of cerebral infarction.

The focus of this type of patient is to control blood pressure and blood sugar on the basis of cerebral infarction, and to take medication as soon as possible to prevent secondary treatment when it does not cause serious physical impairment or language impairment. Diabetic patients have strict contraindications to the use of medicine, the effect of traditional Chinese medicine is very good, you must choose water pill preparations, the drug also has the effect of dispersing stasis, awakening the brain, breaking the thrombosis and clearing the blood, and the effect of activating the meridians has the best effect on your grandmother's condition, and the symptoms of dizziness can be improved.

Good luck to your grandma soon**!

If you have any questions, you can continue to ask me.

Chen Weimin, Department of Neurology, Shanghai Deji Hospital, explained in detail what happened to cerebral infarction? How to do it**.

Hello, the key to cerebral infarction is to unblock blood vessels and clear blood circulation disorders. It is necessary to know the specific infarction site and the degree of infarction, and then determine the ** plan according to the specific situation.

Stroke, also known as stroke or cerebrovascular accident, is a disease characterized by brain ischemia and hemorrhagic injury

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.

Cerebral infarction itself is a disease with a high morbidity, a high disability rate, a high mortality rate, and a high rate. Objectively speaking, cerebral infarction is almost unachievable, but we don't have to worry too much, because there is a conceptual deviation between the medical "**" and the "**" we understand.

Different **, the ** approach taken is also different.

1.Ultra-early.

Refers to the fact that within an hour, the ischemia of cranial nerve cells has not completely died, and it is not more than an hour, (if it is nocturnal, it is calculated from the time when he falls asleep) thrombolysis can be used. The effect is relatively good. You can get the effect of seeing the effect of the pole, 2Acute phase.

In the acute stage, there is no specific drug available, and it mainly relies on its own nervous function to compensate for it in the future, and the recovery of limb function is relatively slow. The main purpose of this stage is to prevent the further expansion and recurrence of thrombosis, eliminate the conditions for the longevity of thrombosis, and promote the thawing of thrombus. Maximum protection of brain cells that have not died due to damage to cranial nerve cells due to ischemia.

Medications and surgeries are taken according to the patient's condition**. Hua'an Brain Hospital affiliated to the School of Clinical Medicine of Anhui Medical University is equipped with a 5G unit car, which can carry out preliminary thrombolysis on patients.

3.Convalescence.

After two to three weeks**, the patient enters the recovery period. Even the more severe cerebral infarction, hemiplegia, aphasia, limb tremor, or restlessness and other neurological functions have also begun to recover to a certain extent, and with the passage of time, language, swallowing difficulties, choking on drinking water, the recovery of limb function gradually accelerated. During this period, the patient can do limb function training, not to walk more.

Instead, it is necessary to start with a correct posture and movements, and carry out strength training, mainly for standing balance and basic muscle strength recovery training. Prevents later recovery of deformities in limb function. During this phase, blood pressure can be gradually lowered to 150 to 90 mmHg, and if tolerated, it can be reduced to normal.

There is hemiplegia with traditional Chinese medicine, acupuncture, and **training for **.