The brain blocks up

The brain blocks up
It refers to necrosis to happens because the obstacle of blood supply of brain causes the brain to organize ischemic, oxygen deficiency, softens and forms the vascular disease of brain of infarction that the brain blocks up. The most common type is thrombosis of brain and cerebral embolism on clinic, its wall of artery of midbrain is caused by atherosclerosis or other factors and in charge of narrowly, even stop up and cause the brain of cooking stove of the office to block up, is called the thrombosis of brain. Lossed by the embolus of body other positions, the thrombus chip or superfluous living beings which enclose chip or heart valve that the thrombus of the wall losses of the heart loss as a kind of plaque of porridge of the artery wall losses outside the cranium, enter the brain to circulate, cause a certain brain blood vessel to block and form the office cooking stove brain to extremely fill in calling cerebral embolism. Chinese medicine is called apoplexy, because general consciousness is clear after having illness coming on, belong to more collateral channels in apoplexy.


The brain blocks up and sees more the middle-aged and elderly people of 45- 70 years old. Mainly cause the cause of disease and have: Essential hypertension, coronary heart disease, diabetes, overweight, high lipoprotein blood disease of weight, like to eat the fat, a lot of patients have family's history.


Cause of disease that the brain blocks up

Mainly have thrombosis and two kinds of thromboembolism.

First, it is not the cause of disease that the thromboembolism brain blocks up yes

1,Arterioslerosis forms the thrombus on the foundation of a kind of plaque of porridge of artery in the artery blood vessel wall.

2,Arteritis the intersection of cerebral artery and inflammation change more can make the intersection of blood vessel and wall change, in charge of narrow and forming the thrombus.

3,The ones that can cause the artery wall in hypertension are transparent to change the sex, the membrane breaks, make the blood platelet easy to adhere to and gather and form the thrombus in the artery.

4,Thrombus incident such as disease of increasing of blood disease erythrocyte.

5,Mechanical oppression receives the oppression in factors such as nearby tumour,etc. cerebrovascular outside, change that can stop up the blood vessel.

Often solid, liquid, or gas embolus that blood flow is brought into the cranium stop up the blood vessel of a certain brain for the cause of disease that second, thromboembolism brain block up. Its cause of disease is numerous, it is mainly heart source and source two kinds hearts:

1,Heart source

Membrane inflammation in the acute or sub-acute heart, generally happen on the basis of heart disease. Because inflammation forms the superfluous living beings on the inner membrane of pathological change, cerebral embolism happens to take off and lag behind to follow and enter the cranium with the blood. For example wind worry, myocardial infarction, congenital heart disease, heart tumour, openheart surgery,etc. are apt to cause the embolus to loss. Especially the heart disease, it is apter to loss the embolus when being quiver that appear in the room, can cause cerebral embolism.

2,It is not a heart source

The reason it is not source cerebral embolism of heart that angry thromboembolism, fat thromboembolism, lung venous embolism, brain venous embolism at the time of the long bone fracture are. Sources of finding embolus of some are called the brain with unidentified source and blocked up.


Symptom that the brain blocks up

Omen symptom that first, brain block up

There are many patients whose brain blocks up to have illness coming on during quiet rest, some patients wake up from a sleep, find facial hemiparalysis, hemiplegia, slobber, eat and lose the rice grain, can not move the chopsticks, this is to block up, often make people make no adequate defense. Only some patients had a numb sense of limb before having illness coming on, could not speak clearly, the crossing turns black at the moment, dizzy or dizzy, disgusting, blood pressure fluctuation (can rise or on the low side) Wait for symptom which is short of blood of the transient brain. Symptom generally very slight omen the, duration brief, often ignore.

The clinical manifestation that second, brain block up:

Position and block up area to be to some extent different that block up, manifestation that appear easily most is as follows:

(1)Get up disease, suddenly, have illness coming on on quiet rest or at the sleep often. A disease peaks within several hours or 1- 2 day.

(2)Have a headache, dizzy, tinnitus, hemiplegia, can single limb or side limb, can be the upper limbs are heavier than the lower extremities or the lower extremities are heavier than the upper limbs, and swallow the difficulty, it is not clear to speak, many kinds of situations such as nausea, vomiting, the serious one remains unconscious quickly. Each patient can have several kinds in the above-mentioned clinical manifestation.

(3)The meaning in which the brain CT checks: The brain CT checks to reveal the brain blocks focal size and 66.5% - 89.2% of rate of accuracy of the position, reveals 100% of rate of accuracy of the initial cerebral hemorrhage. So, it contributes to differential diagnosis that early CT checks, get rid of pathological changes such as cerebral hemorrhage,etc.. This is very important, there are completely different places in the thrombotic treatment of early cerebral hemorrhage of the onset and brain. As the brain blocks up to have illness coming on within 24 hours, or it is smaller than 8 millimetres to block up in the cooking stove, or pathological change locates in brain stem and cerebellum, the brain CT is checked and often can't be offered and diagnosed correctly. Should reexamine in a short time if necessary, so as not to delay treating.

(4)One kind is called " One of crack brains blocks up " Disease,can symptom to be or slight in symptom, be done patient because of other diseases, brain CT checked to last disease, some have already been the outmoded venereal disease cooking stove. This kind of situation is seen more with the elderly, the patient is often with chronic disease such as essential hypertension, arteriosclerosis, high lipoprotein blood disease, coronary heart disease, diabetes. One of crack brains can break out to block up repeatedly, some patients have brains of symptom to block up to develop into finally, some patients have steady condition, has not changed for many years. So to the elderly " Do not have symptom apoplexy of brain " Should cause the attention, hold a positive attitude in preventing.


Diagnosis that the brain blocks up

1,Take a photograph of scene and monitor blood pressure etc. in electrocardiogram, ultrasonic heart cardon, chest X-ray, can offer and send the sign of disease, such as essential hypertension and different kinds of heart diseases,etc. originally.

2,Head X-ray take a photograph of slice, sometimes can find internal capsule siphon department there is calcification shadow; Infarction range can appear centre line transfer, sustain about 2 weeks by wave after having illness coming on 2 - 3 day while being getting wide.

3,The cerebral angiography can find artery stopping up or narrow position, the blood vessel due to brain edema is situations such as pressing, shifting and collateral circulation,etc..

4,Brain CT and nuclear magnetic resonance check the position, size, and hydropic situation of brain around that can reveal infarction of brain and having bleeding signs etc., do not most reliable have achieving diagnosis means.


The rescue measure that the brain blocks up:

The brain should be treated in time as soon as possible while blocking up, though not so critical as cerebral hemorrhage, most of patients get old and weak, a great deal of chronic disease is burdened with, there is situation that a lot of carefulness uses medicine in treating, in addition the block area can expand within short time, a lot of amalgamation diseases will take place, so the mortality that the brain blocks up is higher, and the disabled rate is higher than cerebral hemorrhage.

It is mainly to improve the brain to circulate, prevent and cure the brain edema, treat and amalgamate disease to treat the principle.

1,Activity appropriately

Can play and improve the function that the brain circulates, but there is the clouded in mind one that should stay in bed, strengthen and attend to.

2,Improve the blood circulation of brain

Increase the blood flow volume of brain, promote the collateral circulation to be set up, in order to pursue to narrow and block the area. Select medicines such as low molecular dextrose anhydride, 706 generations of blood plasma, link open, compound root of red-rooted salvia parenteral solution of brain way, Rhizoma Chuanxiong piperazine,etc. for use, 1-2 times a day, quiet drip amount is 250- 500 ml, use together for 7- 10 days. The person who has headache, disgusting, vomiting or consciousness obstacle, can dehydrate treating with 20% mannitol, 2 times a day, 250 ml each time.

3,Dissolve the thrombus treatment

Daily urine kinase, chain kinase dissolve the thrombus. Add into 0.56 Moles one liter of 10% of the glucose liquid quietly and drip with the Wan 's of kinase 20,000- 5 of domestic urine, 1 times a day, every course of treatment is 10 days. Also someone adopt the intersection of urine and the intersection of kinase and arterial carotis give medicine treat brain, block up, employ within having illness coming on 24 hours generally, because of adopting the arterial carotis to puncture note medicine, the difficulty is relatively large, must be in the application of hospital. Dissolve the reason why the bolt treatment should be employed in early days, because in thrombotic the first day, rich in the moisture, apt to dissolve, with instant effect like this, the course of treatment is short, but should observe the condition closely, so as not to cause the serious consequence of cerebral hemorrhage.

4,Hyperbaric oxygen treatment

Proved that it is very effective to block up in treating the brain by practice, can reduce the invalid rate that the brain blocks up greatly. Suitable early application, once a day, 10 1 course of treatment, each 90- 110 minute such as time such as oxygen intake, must in airtight to add the ballast, go on, limit by the condition.

5,Regulate blood pressure, control hyperlipemia, hyperglycemia

The purpose is to control the dangerous factor having illness coming on. But blood pressure is too high don't step down too fast; Improve appropriately when blood pressure is too low. The brain blocks high patient's often blood glucose, to treating unfavorably, must control actively.

6,Go into a coma the patient pays attention to keeping the respiratory tract unobstructed

Suck the phlegm in time, stand up and strike carrying, move limbs, prevent pneumonia and bedsore.


The precautionary measures that the brain blocks up:

The prevention that the brain blocks up is divided into first class prevention, second prevention, tertiary prevention, first class prevention means the patient prevented without having illness coming on, second prevented from meaning the patient prevented recuring after having illness coming on, tertiary to prevent from, prevent brain from block up complication, among them second of great significance prevention, it is apt to recur that the brain blocks up, and is generally getting more serious time by time.

Recommend low dose of aspirin and take orally, it is 0.1- 0.3 grams every day. But find clinically there is 47% resisting rate in aspirin, see whether to resist by oneself before that is to say that takesing. Otherwise take not only come to naught, will cause gastrorrhagia instead.

Traditional Chinese medicine because its side effect is small, prevent the brain from having advantages to recur more than Western medicine to block up, others can would rather select the intersection of it and happy safe the intersection of thrombus and the intersection of heart and pulse for use block, resist bolt pill, Thebe efficacious linking the intersection of brain and the intersection of way and medicine such as being put through, take for a long time, taking time had better be selected after the meal.

When present omen symptom, it is quiet to select low molecular dextrose anhydride, compound root of red-rooted salvia parenteral solution, 4% carbonic acid hydrogen sodium parenteral solution for use to drip, 1 times a day, use together for 7- 10 days. Treat essential hypertension, diabetes, coronary heart disease actively, keep the optimistic and optimistic life attitude, it is excited to avoid, overtired. Limit sodium salt, control the weight, avoid the tobacco and wine. It is apt to inspire the situation that the brain block up to pay attention to preventing and curing feverish, dehydrating, diarrhoea, profuse sweating,etc..


The brain blocks the patient's diet attentive matters

The brain can get the prompt treatment at first while blocking a patient, cooperate with the food therapy on this basis, have greatly produce effects, diet its should pay attention to, offer easy digest, high the intersection of vitamin and diet. Can cut the end thinly for some fresh vegetables, the fruit presses the juice to obey frequently. If the brain blocks the persons who can't take food of a patient in over 24 hours, can maintain nutrition for the nastal feed. The daily diet should be paid attention to:

1)Limit the fat intaking amount. Reduce total fat quantity in the daily meal, reduce the animal fat, does not use the animal oil while cooking, and use the vegetable oil, for instance soya-bean oil, peanut oil, corn oil,etc., should limit cholesterol in the diet, can eat 3 egg yolks every week in other words in less than 300 milligrams every day

2)Control the total amount of heat. If has controlled the absorption of the total fat in the meal, the fat of blood will drop.

3)Increase protein in right amount. Because the fat quantity decline in the meal, will increase protein appropriately soon. Can be by the red meat, the skinless poultry offer, can eat more fish, especially ocean fishes, eat a certain amount of soyfood every day, such as the bean curd, dried tofu, it is favorable to glue to reducing cholesterol of blood and blood stagnatly.

4)Limit the refined sugar and sweet food containing carbohydrate, including the absorption of pastry, candy and beverage.

5)The consumption with salt of the patient whose brain blocks up should be small, should adopt the diet of less salt, salt of every solar eclipse is 3 grams, can add the salt to mix thoroughly after cooking.

6)Pay attention to the cooking materials. In order to increase the appetite, can add some vinegar, tomato ketchup, sesame paste in the stir-fry. Eating the vinegar can be flavoured outside, can accelerate dissolution of the fat, promote and digest and absorb, the sesame paste is high in calcium, often eat and can supplement calcium, there are certain advantages on preventing cerebral hemorrhage.

7)The patient whose brain blocks up should drink the water frequently, especially in early morning and night. So can dilute the blood, prevent the forming of the thrombus.


The brain blocks up
|