Brain hemorrhage coming, sleep or prophet? Reminder: If three signs appear, seek medical screening as soon as possible
Intracerebral hemorrhage refers to hemorrhage caused by rupture of blood vessels in the non-invasive brain parenchyma, accounting for 20% to 30% of all strokes, and the acute mortality rate is 30% to 40%.
How is a brain hemorrhage caused?
The main cause of cerebral hemorrhage is high blood pressure. The small arteries in the brain harden under the action of long-term hypertension, the elasticity of the small arterial walls is weakened, and even microaneurysms are formed. When blood pressure suddenly rises, blood vessels are prone to rupture and bleed.
Other causes are less common than hypertension, including cerebral arteriovenous malformation. Cerebral amyloid angiopathy. Abnormal vascular network disease of the brain base. Cerebral arteritis. One of the main causes of cerebral hemorrhage in young people. Because the abnormal blood vessels walk very irregularly, there are often segmental expansion, discontinuous elastic fibers, and smooth muscle dysplasia.
- Thrombolysis or anticoagulation therapy is also one of the main causes of cerebral hemorrhage. When patients with acute cerebral infarction are treated with thrombolysis or anticoagulation, the emboli that block the blood vessels will be dissolved. Vascular recanalization, proximal vascular reperfusion, long-term ischemia and hypoxia necrosis, vascular wall integrity damage, collateral circulation formation, The new blood vessels are imperfect and easy to rupture and bleed, which is called hemorrhagic transformation.
Brain hemorrhage is coming, sleep or prophet? Reminder: If there are three signs, seek medical screening as soon as possible
Before cerebral hemorrhage, there are also signs in the body. Once found, you should pay great attention to it, especially if the following signs appear during sleep, I hope you will seek medical screening as soon as possible without delay, otherwise the condition will become more and more serious.
--【Headache】
Headaches are a common symptom, and many diseases can cause severe headaches, such as high blood pressure, staying up late with brain tumors, etc., which may aggravate your headaches.
Headaches caused by cerebral hemorrhage are more persistent. Generally, headache symptoms don't get better, and they feel worse and worse.
Some friends do not understand why cerebral hemorrhage can cause severe headache? The main reason is that after a cerebral hemorrhage, the pressure on the head increases significantly, which squeezes the brain tissue and causes headache symptoms.
We all know that after the hand is cut off, there will be a certain degree of hyperemia and edema at the injured part the next day, and the rupture of the cerebral blood vessels will also cause hyperemia and edema, but it cannot be observed with the naked eye.
Congestion of the blood vessels in the brain can increase pressure on the head, causing significant pain. If you notice that your migraine symptoms are getting worse and persistent while you sleep, seek medical attention right away.
- numbness of hands and feet
Numbness of hands and feet is not a special symptom, many diseases can cause numbness of hands and feet, such as diabetic peripheral neuropathy and cerebral infarction peripheral neuritis.
Some friends do not understand why cerebral hemorrhage can cause numbness in the hands and feet. In fact, it is mainly because cerebral hemorrhage can damage the brain, the sensory center or the conduction path of the sensory center, and then lead to paresthesia.
Numbness of the hands and feet due to cerebral hemorrhage accompanied by headache. If the hands and feet of a middle-aged and elderly friend are numb, it is necessary to prompt the signs of cerebral hemorrhage.
If the hands and feet are numb, the symptoms are getting worse, and the numbness of the hands and feet is aggravated when sleeping, you must seek medical attention as soon as possible to check the head CT to determine whether there is bleeding.
- physical weakness
Limb weakness is more common in patients with cerebral hemorrhage, but this symptom is also lack of specificity, such as anemia, cerebral infarction, heart failure, etc., which may cause limb weakness symptoms.
Why does cerebral hemorrhage cause limb weakness? The main reason is that there are areas of the brain that manage movement. If there is a problem with this area or abnormal motor conduction pathways, it can cause weakness in the limbs and fatigue even during sleep.
The motor conduction path is like a "wire". Any point of the wire is "broken", which can cause conduction abnormalities, which in turn can cause symptoms of limb fatigue.
If this symptom often occurs during sleep, you must seek medical attention as soon as possible, so as to ensure that the blood vessels in the body work normally and avoid serious problems.
What is the test for cerebral hemorrhage?
Physical examination: First, evaluate the patient's vital signs, complete the airway, respiratory and circulatory function evaluation, then carry out general physical examination and nervous system physical examination. The stroke scale can be used to evaluate the severity of the disease, determine the prognosis and guide the treatment.
Imaging examination:
(1) CT: CT plain scan can quickly and accurately display the location of the hematoma, the amount of bleeding, the mass effect, whether it has broken into the ventricle or the subarachnoid space and the surrounding brain tissue damage. It is the preferred imaging method for patients with suspected stroke.
(2) MRI and MRV: help to find structural abnormalities and clarify the etiology of cerebral hemorrhage. Brain stem detected. .Cerebellar hemorrhage and monitoring the evolution of cerebral hemorrhage are better than CT scanning, and the diagnosis of acute cerebral hemorrhage is inferior to CT.
(3) Cerebrospinal fluid examination: Patients with cerebral hemorrhage generally do not need lumbar puncture to avoid the formation of brain herniation. Caution should be exercised to exclude intracranial infection and subarachnoid hemorrhage.
(4) DSA: Patients with cerebral hemorrhage generally do not need DSA examination unless suspected vascular malformation. Vasculitis, which requires surgery or vascular interventional treatment can be considered. DSA can clearly show abnormal blood vessels and ruptured vessels and sites of contrast leakage.
- Laboratory tests: Peripheral white blood cells can be temporarily increased, and blood sugar and blood urea nitrogen levels can also be temporarily increased. Abnormal thromboplastin and partial thromboplastin times indicate coagulation disorders.
Extend - What are the foods that protect the blood vessels of the brain?
First of all, garlic and garlic essential oil contain a mixture of sulfur compounds, which have obvious preventive and therapeutic effects on hyperlipidemia and can cause thrombosis.
Second, dark chocolate has antioxidant properties that protect the body against a range of diseases and reduce the effects of aging.
Third, ginger has always been regarded as a health care, has a certain protective effect on the blood vessels, can dilate the blood vessels, make the veins smooth, and the supply is normal.
Fourth, the content of aspartic acid in asparagus is as high as 1.826%, accounting for 13.23% of the total amino acid. The content of calcium, phosphorus, potassium, and iron is also very high, so trace elements such as zinc, copper, manganese, tin, and chromium are abundant. , is very important for the treatment of cardiovascular and cerebrovascular diseases;
Fifth, marine fish foods are low in cholesterol and rich in unsaturated fatty acids. Unsaturated fatty acids can reduce triglyceride and low-density lipoprotein cholesterol and reduce the occurrence of cardiovascular and cerebrovascular diseases;
Sixth, whole grain food contains a variety of vitamins, minerals, antioxidants, and a large amount of water-soluble dietary fiber, which can lower cholesterol, regulate blood pressure, and reduce the occurrence of cardiovascular and cerebrovascular diseases.
Seventh, apples contain a variety of vitamins, which can effectively protect blood vessels. Eating apples regularly can also bring benefits to the body and improve constipation.
Eighth, eggplant can reduce serum cholesterol levels, which is beneficial to the prevention and treatment of cardiovascular and cerebrovascular diseases. Especially eggplant skin is rich in anthocyanins, which can remove free radicals in the body, but it is best to steam eggplants.