Why do you still have a cerebral infarction in your 40 s? What should I pay attention to?

As a doctor, I really find that patients with cerebral infarction are getting younger and younger. In the past, it was really rare to find that people in their 40 s and 50 s had cerebral infarction, cerebral hemorrhage or myocardial infarction. In recent years, the diseases that occurred frequently in the elderly have become younger and younger. Not only people in their forties, but also people in their twenties and thirties have sudden cerebral infarction. So why do these diseases suddenly advance? Let me tell you about it.

Cerebral infarction is a nervous system disease caused by cerebral vascular occlusion, and it is also a very common acute cerebrovascular disease, including cerebral vascular occlusion, cerebral hemorrhage, cerebral blood supply deficiency and so on. Careful observation shows that the incidence of cerebral infarction is increasing in both urban and rural areas. From the age of onset, most patients with cerebral infarction are concentrated in the middle-aged and elderly people over 50 years old, and only about 10% appear in the people under 40 years old. From the trend, young patients are increasing, and most of them are people aged 30-40. Cerebral infarction not only has a certain risk of death, but also has a high risk of disability. The sequelae of cerebral infarction, such as physical dysfunction and psychological personality changes, have not affected our quality of life, but also brought heavy economic burden to many families. So why are there so many patients with cerebral infarction after 40 years old? What should we pay attention to in order to reduce the risk of cerebral infarction? Next, I will analyze it for you.

Then why do you still have a cerebral infarction at the age of 40? Because cerebral infarction has a certain risk of death and disability, even if it is cured, it may leave motor and sensory dysfunction, so prevention is the key, so we need to pay attention to how to change the bad lifestyle, and the most important thing is to start with the details of life. First of all, we must adhere to a reasonable and healthy lifestyle, with a light diet, low salt, low fat, low cholesterol and low sugar, moderate relaxation and nutritional collocation; Obese people who smoke and drink should pay attention. Only by insisting on quitting smoking and limiting alcohol, insisting on physical exercise that suits you and actively losing weight can we significantly improve blood pressure, blood sugar, blood lipid and other indicators. In addition, female friends should pay attention to drug abuse and protect themselves. Young people who often stay up late to play games should go to bed early and get up early to learn from old cadres. I hope my suggestion can attract your attention and provide some help for our health.

Young people don't get cerebral infarction? In fact, there is an understanding in our minds that diseases such as myocardial infarction and cerebral infarction are diseases of the elderly, and young people will not get this disease. In fact, according to Dr. Zhang's clinical experience for so many years, our understanding should be changed. Myocardial infarction and cerebral infarction are becoming more and more common among young people. Dr. Zhang has seen cases of cerebral infarction, some of which are only in their twenties. Two days ago, Dr. Zhang just treated a 35-year-old boy. It's a pity that he has suffered from myocardial infarction and cerebral infarction, that is, both diseases. So what Dr. Zhang wants to tell you is that myocardial infarction and cerebral infarction are no longer the patents of the elderly, and it is also common for young people to get cerebral infarction and myocardial infarction.

Why do young people also get cerebral infarction? In fact, we used to call cerebral infarction cerebral infarction. I think the main reason is that everyone doesn't want to see the word death. But as medicine becomes more and more standardized, we still use the word cerebral infarction. I think, because of the word death, people can pay more attention to this disease. Of course, not all cerebral infarction will definitely lead to death, only a few patients will die after cerebral infarction. So why do young people get cerebral infarction?

First of all, what Dr. Zhang wants to tell you is that the hospitalization reason of cerebral infarction is the formation of atherosclerosis. So we mainly discuss some reasons related to atherosclerosis.

Dr. zhang believes that the first reason is that young people don't pay attention to their physical condition. Young people always think they are young. Maybe their blood pressure or blood lipids have already increased, but they don't know it, let alone standardized treatment. Of course, they will not regulate their own lives. After a long time, they will eventually get myocardial infarction or cerebral infarction. By this time, they had already regretted it.

The second reason is mainly related to the lifestyle of young people. Young people are full of energy and like to stay up late. The damage to their health caused by staying up late is obvious to all. In addition, there are too many takeaways. In order to cater to the tastes of young people, merchants will increase the amount of salt and sugar, and eat too salty or too sweet, which prepares the conditions for the occurrence of hypertension and diabetes. Of course, some young people still like smoking. Dr. Zhang won't elaborate on the harm of smoking to the body, but Dr. Zhang stressed that smoking can obviously promote myocardial infarction and cerebral infarction. There are also lack of exercise, obesity, alcoholism, stress and so on. These unhealthy lifestyles are indeed closely related to the occurrence of cerebral infarction.

These are the reasons why some young people think of frequent cerebral infarction. I hope I can help you, and I hope that after reading this popular science essay, you can regulate your life and prevent the occurrence of cerebral infarction.

Why do you still have a cerebral infarction in your 40 s? What should I pay attention to? Nowadays, with the improvement of people's living standards, hypertensive cardiovascular and cerebrovascular diseases, including cerebral infarction, are also the most common diseases that seriously affect people's life span and quality of life. If young people are more likely to get cerebral infarction, the main reason is fatigue and poor rest after staying up late for a long time. After the function of plants is damaged, they induce cerebral blood flow and blood supply disorder, which leads to ischemia, hypoxia and necrosis of brain tissue, and then the corresponding neurological deficit occurs. Most of this is caused by cerebral arteriosclerosis, which may be related to vascular stenosis and local neurological dysfunction caused by long-term hypertension atherosclerosis. However, once you have cerebral infarction, you can adjust your diet and lifestyle if you have no typical clinical symptoms. If there are typical symptoms such as hemiplegia and localized neurological deficit, there may also be abnormal cerebral blood supply artery, cerebral artery defect, hemiplegia aphasia and so on. In this case, it is necessary to consider antithrombotic.

Atherosclerosis is the most common cause of this disease. Atherosclerosis is usually accompanied by hypertension, and the two are mutually causal. Some people may be complicated with hypermetabolic syndrome, such as diabetes and hyperlipidemia, which also increases the occurrence of joint cerebral arteriosclerosis formed by arteriosclerosis. Stenosis and thrombosis can induce insufficient blood supply, dizziness, nausea, vomiting, hemiplegia and limb aphasia, with typical symptoms.

Some people may have connective tissue disease, Takayasu's arteritis, viral infection, syphilis, sexual infection and spirochete infection, all of which will lead to Takayasu's arteritis, block the lumen that eats blood vessels and induce acute cerebral infarction.

Drug-induced causes mostly occur, such as hematological diseases, such as thrombocytosis, thromboembolism, thrombocytopenia, purpura, moyamoya disease, myofibrodysplasia, vertebral artery stenosis, dissecting aneurysm, etc., which can induce acute cerebral ischemia attack.

If you are diagnosed with cerebral infarction, you need to adjust your eating habits, stop eating, don't stay up late, and actively control the primary disease. If you have hypertension, diabetes, hypertension and hyperlipidemia, you need to control all the indicators within the normal range, and appropriate exercise will increase the low blood volume and monitor the changes of indicators.

I believe that after telling these two cases, you will be very familiar with the cause of cerebral infarction and know how to prevent it. Both patients are about 40 years old.

The cause of cerebral infarction is simply that thrombus blocks cerebral vessels, but thrombus can be divided into two types according to its source: one is the rupture of atherosclerotic plaque and the formation of thrombus; One is cardiogenic blood vessels, arrhythmia and atrial fibrillation lead to thrombus shedding.

Case 1:38-year-old fat girl, suddenly hemiplegia aphasia (cerebral infarction caused by atherosclerosis)

My 38-year-old fat sister, the owner of a restaurant, likes eating very much, so she opened a restaurant. Of course, her name is not Fat Sister, but because she is a foodie, she became fat at an early age, so everyone called her Fat Sister, so that she later named her restaurant Fat Sister Restaurant.

At the beginning of the year, when the fat sister was eating, she suddenly fell to the ground, unable to speak and unable to move her right body. She was taken to the hospital for diagnosis of acute cerebral infarction. It is rare for such a young woman to have a cerebral infarction. So why is the fat sister so young that she has a cerebral infarction before she is 40 years old?

After admission, I found my fat sister, blood pressure190/10mmhg, blood sugar 17mmol/L, cholesterol 8.5mml, and triglyceride 7.8mmol/L, which are typical three highs. But the fat sister has never had a physical examination, and she never knew that she had high blood pressure, diabetes and hyperlipidemia.

This is the main cause of fat sister's cerebral infarction. Long-term uncontrolled hypertension will lead to atherosclerosis, plaque aggravation, vascular stenosis, and eventually plaque rupture to form thrombosis, which will lead to cerebral infarction. Long-term hypertension and diabetes will aggravate arteriosclerosis, aggravate the inflammatory reaction of the inner wall of blood vessels, cause the inner wall of blood vessels to be blocked, and easily lead to the accumulation of lipid substances; Hyperlipidemia will accelerate the accumulation of lipids in blood vessels on the uneven inner wall of blood vessels. This is vascular plaque, a precursor to thrombosis.

So why is fat sister so young that she has three highs? Let's take a look at the life of Fat Sister:

I love to eat fried food and drink carbonated drinks since I was a child. This habit has not changed until now. Not only that, she also likes to eat all kinds of foods with heavy oil, salt and sugar, so she later opened a restaurant. Fat sister never exercises. In recent years, the hotel business has stayed up late surfing the Internet because of the bad epidemic. Long-term unhealthy diet, obesity, sedentary and staying up late will all increase the risk of "three highs", increase the risk of atherosclerosis and eventually lead to cerebral infarction.

Therefore, to prevent cerebral infarction, young people should start from a healthy life, eat a low-salt low-oil low-sugar diet, stay away from alcohol and tobacco, keep exercising, control their weight, and don't stay up late. At the same time, they should know their blood pressure, blood sugar and blood lipid. If they find the three highs, they should actively and formally control them. Only in this way can they effectively prevent cerebral infarction.

Case 2: 43-year-old Angkor suddenly suffered from hemiplegia (cerebral infarction caused by cardiogenic thrombus shedding)

Angkor, a 43-year-old alcoholic, drinks almost every day, with at least 1 kg of wine every day. A year ago, he was diagnosed with fatty liver and alcoholic hepatitis, and his electrocardiogram showed atrial fibrillation.

The doctor advised him not to drink any more, which really killed him, but Angkor couldn't quit. He can skip meals every day, but he can't stop drinking. The doctor said that you can't quit, drink less and take medicine, or you will have a cerebral infarction or cirrhosis one day.

Angkor simply can't remember what the doctor said. Angkor can forget everything except drinking, so Angkor didn't take medicine to control his illness.

Two months ago, Angkor was suddenly paraplegic and was taken to the hospital for diagnosis of cerebral infarction. Angkor is only 43 years old. Why does he have a cerebral infarction? Angkor's cerebral infarction is different from fat sister's, which is caused by atherosclerosis. Angkor's cerebral infarction is caused by arrhythmia and atrial fibrillation.

The normal heart is sinus rhythm. Angkor's long-term heavy drinking leads to arrhythmia, which is atrial fibrillation. After atrial fibrillation, the heart can't deliver all the blood to the whole body, and some blood will stay in the heart, so the blood can't circulate smoothly, which is prone to thrombosis. After atrial fibrillation forms thrombus, it will flow with blood vessels to the cerebral vessels, which will block the cerebral vessels and cause cerebral infarction.

So Angkor's cerebral infarction is caused by long-term alcoholism and atrial fibrillation thrombosis.

There are many reasons for atrial fibrillation, besides alcoholism, there are hypertension, coronary heart disease, pulmonary heart disease, lung disease, rheumatic heart disease, heart failure, hyperthyroidism and other diseases, so once atrial fibrillation is found, it must be treated regularly, mainly with anticoagulant therapy, which is the only way to prevent atrial fibrillation from turning into cerebral infarction.

In short, the incidence of cerebral infarction among young people is getting higher and higher. In the final analysis, young people's lives are getting unhealthy. In order to prevent cerebral infarction, we must first learn to live a healthy life. Only in this way can cerebral infarction be effectively prevented.

Otherwise, when you are in your forties, you will be paralyzed, aphasia, hemiplegia, lying in bed, leaning on crutches and sitting in a wheelchair ... What should you do for the rest of your life?

It's a pity that I'm over forty now. One morning in May this year, I suddenly felt that my right hand was boring and I couldn't do anything. It is very difficult to eat with chopsticks after getting up. I suddenly realized if I had a cerebral infarction. Immediately ran to the hospital, after the examination is undoubtedly a cerebral infarction!

Actually, I have this hunch. Before that, I would drool unconsciously when I slept every night. I have a premonition that something may happen, because I saw in an article that drooling may be a precursor to cerebral infarction and needs attention. People are always like this, because they are afraid that bad things will happen to them, so they always don't want to face the reality, but choose to escape, but often it backfires, and what should come will always come.

Why do I get a cerebral infarction? In fact, they are all caused by their own reasons. I am obese, with high blood pressure and diabetes. The doctor has long told me to pay attention to diet and exercise more. But I didn't listen, and I didn't manage my medication at ordinary times. I usually eat whatever I want. The most important thing is lack of exercise. I usually sit all day. Nothing is more honest than me.

Therefore, people will not get sick for no reason, and diseases will not come to you for no reason. When measuring blood pressure in the hospital, the high pressure is 200, and the low pressure is 140. The doctor said that your cerebral infarction is directly related to your high blood pressure. After half a month's treatment, the symptoms basically disappeared. The doctor said that cerebral infarction usually has a recovery period of half a year. If there are no symptoms in the recovery period, it is considered to be cured. If there are symptoms, they are sequelae and cannot be cured.

When I was about to leave the hospital, the doctor gave me a list of things I should pay attention to in my diet and told me to exercise properly to lose weight. I am still young, and the combination of exercise and diet is still well controlled.

In many people's minds, cerebral infarction is an senile disease, and only the elderly will suffer from it, but this is not the case in reality.

Everyone is equal before illness, and the occurrence of illness will never change because of wealth, fatness, age and other factors. Only depends on the number of pathogenic factors. In the past ten years, countless patients died of cerebral infarction every year, among which the age distribution is wide, not to mention middle-aged people in their 40 s and 50 s, and even young patients with cerebral infarction in their 20 s and 30 s are no longer rare. Interested friends can go to search:

1, 16-year-old boy suffered from cerebral infarction because of surfing the internet all night.

2. A 26-year-old boy had a sudden cerebral infarction due to neck massage.

3. A severely obese 19-year-old boy was paralyzed by a cerebral infarction.

This is just the tip of the iceberg for many young patients with cerebral infarction. There are about 2 million new cases of cerebrovascular disease in China every year. Behind this huge data, it is difficult to estimate the number of young patients with cerebral infarction. After all, in recent years, many diseases have gradually shown a trend of younger age.

So what causes the younger age of cerebral infarction? 1, activity decreased.

With the rapid development of science and technology, distance is no longer a problem that restricts human communication. The appearance of various means of transportation has greatly reduced the amount of human activities. In the past, people had to climb up and down stairs by themselves, but now they want to take the elevator on the first floor. No matter how far you go out, you are used to driving; In the past, we needed to find a restaurant to eat, but now more people choose to order takeout. Everyone knows that life lies in exercise. With the decrease of exercise, our health is getting worse and worse.

2, mental stress is too great.

Mind and body seem to be two disjointed levels, but they are inextricably linked. In modern society, young people are under unimaginable pressure every day (mortgage, car loan, taking care of their families, etc.). ), so they often have to work overtime and have endless entertainment. This kind of life not only overdraws their bodies, but also affects their emotions. The persistence of negative emotions will make them nervous, causing vasospasm and cardiovascular and cerebrovascular diseases.

3. Bad eating habits

Many sticky people are used to take-away, barbecue, cakes and other foods. These foods have one thing in common: "they contain a lot of lipids and starch". Long-term consumption will increase blood viscosity, accelerate the formation of thrombotic plaques and cause cerebral infarction; Except some people who have to work overtime for work reasons, some young people also habitually stay up late and enjoy nightlife. This kind of staying up late will also keep the nerves excited, destroy the normal function of the nerves and cause cerebral infarction.

4. Wrong posture habits

With the gradual enrichment of the functions of computers and mobile phones, people's life and work focus has become cheaper, and more and more people are working at their desks with their heads down in our lives. If this happens for a long time, it will destroy the normal physiological curvature of the spine, compress and stimulate the sympathetic nervous system, and affect the blood flow in blood vessels. When oxygen is not enough to perfuse various organs and brain tissues, ischemic necrosis will occur, which will induce cardiovascular and cerebrovascular diseases.

Cerebral infarction is the abbreviation of ischemic stroke and a common cerebrovascular disease. The occurrence of cerebral infarction is influenced by many factors. In our impression, many people think that cerebral infarction is the "patent" of the elderly, but in fact, the incidence of cerebral infarction is getting younger and younger, and some people in their forties or even younger have cerebral infarction, which we should pay enough attention to.

Cerebral infarction is a cerebrovascular disease caused by occlusion of cerebral arteries for various reasons, which leads to ischemia, hypoxia and necrosis of brain tissue. The main causes of cerebral infarction are:

1, cerebral thrombosis, that is, on the basis of cerebral atherosclerosis, thrombosis gradually forms on vascular endothelium, leading to cerebral infarction;

2. Cerebral embolism, namely cardiogenic embolism, is caused by atrial fibrillation, atrial flutter, valvular heart disease, artificial heart valve, infective endocarditis, myocardial infarction, cardiomyopathy and other heart diseases. , causing thrombosis, and then the thrombus flows with the blood flow to the cerebral artery to cause infarction;

3. Others: hypertension, diabetes and other diseases cause intracranial arteriole occlusion, leading to cerebral infarction; Intracranial artery hypoperfusion caused by arterial stenosis or hypotension leads to cerebral infarction.

In order to prevent the occurrence of cerebral infarction, we should pay attention to: ① reasonable diet, mainly low in salt, fat and sugar, and eat more fresh vegetables, fruits and coarse grains; 2 Quit smoking and limit alcohol. To strictly quit smoking, it is best not to drink alcohol. Those who are difficult to give up drinking must strictly limit the amount and frequency; ③ Proper exercise, mainly aerobic exercise, emphasizing gradual progress; 4 control weight, obese people pay attention to lose weight; ⑤ Regular work and rest, keeping a good attitude; ⑥ Actively treat chronic diseases such as hypertension, diabetes and hyperlipidemia; ⑦ Actively treat basic diseases such as atrial fibrillation; ⑧ Monitor the change of illness and pay attention to regular review.

People in their forties are likely to have a cerebral infarction.

Cerebral infarction, also known as ischemic stroke, refers to the clinical syndrome of cerebral blood circulation disorder caused by various reasons, which leads to ischemic and hypoxic necrosis of local brain tissue and corresponding neurological deficit. Cerebral infarction is the most common type of cerebrovascular disease, accounting for about 70% of all acute cerebrovascular diseases.

What causes cerebral infarction? Many high-risk factors may increase the risk of cerebral infarction. In addition to uncontrollable factors such as gender, age, family history and past medical history, the potential high-risk factors of cerebral infarction are hypertension, dyslipidemia, diabetes, heart disease, obesity or overweight, smoking, heavy smoking and lack of exercise.

Therefore, although the age may be only over 40 years old, if one or more of the above high-risk factors exist for a long time, it is very likely to induce cerebral infarction.

So how should we prevent cerebral infarction? Primary prevention. Mainly refers to the prevention before the onset, that is, by changing the unhealthy lifestyle at an early stage and actively screening and controlling various risk factors, so as to achieve the purpose of preventing or delaying the occurrence of cerebral infarction. Mainly includes: prevention and treatment of hypertension; Prevention and treatment of heart disease; Prevention and treatment of diabetes; Prevention and treatment of dyslipidemia; Quit smoking and limit alcohol; Control weight; Prevention and treatment of atherosclerosis; Proper physical exercise and reasonable diet.

Secondary prevention. It refers to the treatment of risk factors that can be intervened in patients with stroke or transient ischemic attack to reduce the risk of recurrence of stroke. It mainly includes: controlling risk factors; Control hypertension; Treating dyslipidemia; Treating diabetes; Treat heart disease and so on.

Conclusion: As long as there are high-risk factors for a long time, people of any age may have cerebral infarction. Therefore, it is suggested that everyone develop healthy living habits, actively screen and control various risk factors, and avoid the occurrence of cerebral infarction. Speaking of cerebral infarction, the first impression may be that the elderly are ill. Indeed, the most common cerebral infarction is the elderly over 60 years old, but in recent years, cerebral infarction has shown a trend of youthfulness. More and more young people are suffering from cerebral infarction, especially those aged 30-45. At present, the prevalence rate of this age group accounts for 6%, which is already a very high proportion.

Why do you get cerebral infarction at the age of 30-45? Next, Dr. Wu will talk to you about the reasons for the rejuvenation of cerebral infarction. 30-45 years old is in the prime of life, but the life pressure of this age group is the greatest, with the old and the young, and the burden of life is on them. They have to work hard day and night and participate in various social activities, and many of them are infected with the bad hobby of alcohol and tobacco. Because of mental stress, irregular work and rest, uncontrolled diet and no time for exercise, most of these people are obese and have one or more problems of hypertension, hyperglycemia and hyperlipidemia. Because men are under great pressure, most of them have cerebral infarction at this age.

In short, the rejuvenation of cerebral infarction is the result of many factors, including mental stress, uncontrolled diet, lack of exercise, irregular work and rest, overweight, tobacco and alcohol, and "three highs". These factors lead to their cerebral atherosclerosis, and finally lead to cerebral infarction.

In his thirties and forties, he is in the golden age of his life, and at this time he is already the pillar of his family. If there is a cerebral infarction at this time, the consequences will be very serious and it will be a huge blow to the whole family. Therefore, those friends who run for their lives should also pay attention to their health. You can prevent cerebral infarction by the following measures. Thirty or forty years old is the golden stage of life, and everyone needs our support. At this time, we should pay more attention to our health. Once you have symptoms of cerebral infarction such as dizziness, blackness, skewed mouth, numbness of limbs and weakness of limbs, you must go to the hospital as soon as possible. Time is the brain, and the sooner you treat it, the better!

Dr. Xiaomei in God;

The answer is for reference only;

This is not only the improvement of our diet, but also related to the environment, daily life, personal habits and many other factors;

In view of this problem, in fact, everyone knows what to do, but it is often impossible to insist; Of course, everyone will have different reasons or "difficulties";

But what I want to tell you is:

Therefore, it is suggested that today's "young people":

The above only represents personal views, I hope my answer will be helpful to you!