"Doctor, is it okay if my dad doesn't have surgery?"
This morning, a patient came in to the emergency department. This patient was arguing with his family when he suddenly developed a headache and soon developed loss of consciousness. When the family saw that the situation was not right, they immediately took him to the hospital.
After taking a careful medical history, the receiving physician prescribed some tests. After the test results came out, it was suggested that there was a thalamic hemorrhage, and the amount of bleeding was about 20ml. When the doctor saw this, he communicated fully with the family and suggested surgery, which was estimated to cost around 150,000. After hearing this, the patient's family was more resistant to surgery, so they asked the question at the beginning of the article.
In fact, the incidence of cerebral hemorrhage has increased significantly in recent years, and once the disease is acquired, most patients will suffer from sequelae such as slurred speech and inability to walk, which in turn causes patients to be unable to take care of themselves and seriously increases the burden on families and society. In order to let you have more knowledge and understanding of cerebral hemorrhage, today the doctor will talk to you about the related knowledge.
1. There are many causes of cerebral hemorrhage, but the most important pathological change is atherosclerosis, and also combined with one or more of hypertension, diabetes mellitus, hyperlipidemia.
Later, we learned that this patient had a history of hypertension and diabetes for more than 10 years, and at first he paid more attention to his disease and took his medication strictly according to the doctor's orders. Later, this patient gradually relaxed and took some medication when he thought of it, and did not take any medication if he could not think of it.
At the same time, this patient also smoked and drank alcohol, and he did not quit smoking and drinking after he got hypertension and diabetes.
Although there are many causes of cerebral hemorrhage, the most significant pathological change is atherosclerosis. To form atherosclerosis, two major conditions need to be present, namely vascular damage and dyslipidemia. If blood pressure and blood sugar are not well controlled, then they can damage the cerebral blood vessels. After the cerebral blood vessels are damaged, lipid deposits will be deposited on them, and then after a complex immune response, atherosclerosis will eventually form.
It is possible that people do not understand the process of atherosclerosis, so here is a layman's explanation. In a way, arteries are similar to water pipes. When a blood vessel is damaged, the body will try to repair it. If the body's repair mechanism is normal, the repaired blood vessel will be exactly the same as the original. If the repair mechanism is faulty, then the repair is not so good, and a piece will stick out. This is like a broken water pipe, if the boss hired a highly skilled repairer, then the repaired water pipe will be better; on the contrary, the repaired water pipe will bulge a big bag.
When atherosclerosis occurs in the blood vessels, the blood vessels become more fragile, and at this time the blood pressure is slightly higher or fluctuates more, the cerebral blood vessels will rupture. Atherosclerosis of the cerebral blood vessels is like an aging fishing net, just a little rubbing, the net will be broken.
After listening to the above explanation of atherosclerosis, you may be more worried, but in fact there is no need at all. Atherosclerosis is not a matter of one or two days, but a long-term process, if we usually pay attention to some details of life, then we can slow down the progress of atherosclerosis.
In addition, if the blood pressure is very high, it may cause brain hemorrhage even if there is no problem with the cerebral blood vessels.
2. If there are 3 major abnormalities when sleeping, you need to be alert to brain hemorrhage.
❶ Headache.
Headache is a relatively common symptom, and many diseases can cause headache, such as high blood pressure, staying up late, brain tumor, migraine, etc.
However, it should be noted that the headache caused by brain hemorrhage is more pronounced and persistent, and generally the headache does not lessen.
Some people may not understand why a brain hemorrhage can cause headaches. In fact, this is mainly because after a brain hemorrhage, the pressure inside the skull increases and squeezes the brain tissue, which in turn causes headache symptoms.
As we all know, when the hand is cut, the next day after the injured area will have a certain degree of congestion and edema. When a blood vessel in the brain is broken, it will also become congested and edematous, but we cannot see it from the outside. When the blood vessels in the brain become congested and edematous, the pressure in the skull will increase, causing a significant headache.
❷Numbness in the hands and feet.
Numbness in the hands and feet is not really a specific symptom. There are many diseases that can cause numbness in the hands and feet, such as peripheral neuropathy in diabetes, cerebral infarction, peripheral neuritis, etc.
Many people may not understand why brain hemorrhage can cause numbness in the hands and feet. In fact, this is mainly because brain hemorrhage destroys the sensory center of the brain or disrupts the conduction pathways of the sensory center, which in turn leads to abnormal sensation.
Numbness in the hands and feet combined with headache caused by brain hemorrhage. If middle-aged or elderly people have numbness in the hands and feet combined with headache, they need to be alert to brain hemorrhage. At this time, you should go to the hospital as soon as possible to improve the cranial CT examination to clarify whether there is bleeding, so as to clarify the follow-up treatment.
❸ Limb weakness.
Although limb weakness is more common in patients with brain hemorrhage, this symptom is also lacking in specificity. Anemia, cerebral infarction, and heart failure can all cause weakness in the limbs.
People may not understand why brain hemorrhage can cause limb weakness. In fact, this is mainly because there is an area in the brain that manages movement, and if there is a problem in this area or a problem in the motor conduction pathway, then it will cause limb weakness.
The motor conduction pathway is like a wire, and a break in any point of this wire can cause abnormal conduction, which in turn can cause weakness in the limbs. #Healthy Star Program
3. How should we prevent brain hemorrhage in our life?
In fact, prevention of brain hemorrhage requires a comprehensive approach.
The reason we should pay attention to low salt, low fat and low sugar in our diet is to control the energy intake. The intake of vegetables and high quality protein should be increased appropriately.
At the same time, we should also remove some bad habits, such as smoking, drinking, staying up late, obesity, etc.
In addition, you should also pay attention to regular medical checkups in general, so that you can detect the high risk of brain hemorrhage in advance, such as diabetes, hypertension, cerebral artery malformation and cerebral aneurysm. #Health Science Competition
For those who have hypertension, diabetes, coronary heart disease, etc., care should be taken to control the relevant indicators to meet the standards.
