Cerebral hemorrhage is coming, do you know before going to bed? The doctor called directly: there are 3 situations in sleep, and the screening should be done as soon as possible
Cerebral hemorrhage refers to primary non-traumatic intracerebral hemorrhage, also known as spontaneous cerebral hemorrhage. The most common cause is high blood pressure that causes hardening of the arterioles. Other reasons include cerebral arterial and venous malformation, aneurysm, blood disease, hemorrhage after infarction, cerebrovascular amyloidosis, anticoagulant or thrombolytic therapy, primary or metastatic brain tumor invading blood vessels, etc.
Long-term high blood pressure can lead to hyaline degeneration and fibrinous necrosis of small arteries, which weakens the elasticity of the vessel wall. When blood pressure suddenly rises, blood vessels are prone to rupture and bleeding. Under the influence of blood flow, lesions in the vessel wall can lead to the formation of tiny aneurysms. When blood pressure fluctuates wildly, tiny aneurysms can rupture and cause brain hemorrhages.
Causes of brain hemorrhage usually include:
Atherosclerosis: It is common for blood lipids to deposit on damaged blood vessel walls, eventually leading to plaque formation and gradual hardening. Calcification will eventually affect the stability of blood vessels. When blood pressure fluctuates violently, the blood vessel wall will rupture and bleed, which can prevent and treat diseases;
Coagulation dysfunction: some patients suffer from blood diseases, and cerebral hemorrhage may also occur due to low platelets;
Cerebrovascular diseases: For example, Moyamoya disease, that is, moyamoya disease, such as arteriovenous malformation, is also prone to rupture and bleeding. There are also cavernous hemangiomas, where blood vessels grow chaotically and cause bleeding;
Special diseases: such as tumors, tumors will undergo tumor hemorrhagic transformation;
Cerebral infarction: If the volume of the local cerebral infarction is too large, bleeding will also appear in the case of blood perfusion, which is called hemorrhagic transformation of cerebral infarction;
Vasculitis: such as amyloid angiopathy, cerebral hemorrhage will also occur.
Cerebral hemorrhage is coming, do you know before going to bed? The doctor said directly: there are three kinds of sleeping situations, and they should be screened as soon as possible
--【Headache】
Tongtong is a common symptom in life. Many diseases can cause headaches, such as high blood pressure, hyperlipidemia, and brain tumors; of course, if you stay up late all year round, it can also cause severe headaches.
Sleep is a very pleasant thing, but if it occurs during sleep and cannot enter a normal sleep state, you should improve and be alert to headaches caused by cerebral hemorrhage. Significant symptoms are persistent.
Some people don't understand why a brain hemorrhage can cause a headache. This is mainly because intracranial pressure increases after cerebral hemorrhage, and squeezing brain tissue can cause headaches, just like wounds in our body, and congestion and edema may appear the next day.
After a cerebrovascular hemorrhage, it increases the pressure on the head, resulting in a noticeable headache. If your headaches are getting worse and can't be relieved even for several days, please seek medical attention immediately, and don't wait until the condition is serious to regret it.
- numb hands and feet
Numbness in hands and feet is not a specific symptom. Some diseases can cause numbness in hands and feet, such as diabetic peripheral neuropathy and peripheral neuritis after cerebral infarction.
Some friends don't understand why cerebral hemorrhage can cause numbness in hands and feet. This is mainly because cerebral hemorrhage can damage brain tissue, sensory centers or conduction pathways in sensory centers, resulting in abnormal blood flow in the human body.
The numbness of hands and feet caused by cerebral hemorrhage is accompanied by headache symptoms, especially during sleep. If not pressed by gravity, blood circulation is likely to be abnormally affected. When this symptom occurs, it is recommended that you seek medical attention as soon as possible without delay.
- Weakness of limbs
Patients with cerebral hemorrhage have obvious limb weakness, but this symptom also lacks specificity, such as anemia and cerebral infarction. Symptoms of limb weakness may lead to heart failure.
We don't understand why a hemorrhage in the brain can cause weakness in a limb. In fact, it's mostly because of areas in the brain that manage movement. If there is a problem in this area or an abnormality in the transmission path, it can cause weakness and fatigue.
The movement conduction path is like a "wire" If at any time this wire becomes faulty or breaks, it will cause conduction abnormalities and cause fatigue throughout the body. Even after you've slept through the night, you still wake up feeling weak in the morning.
How to prevent cerebral hemorrhage?
Stabilize blood pressure. Hypertension must be detected early and treated in time, regularly checked, and medication must be adhered to after diagnosis.
Flirt. Stay optimistic and avoid getting overly excited.
Quit smoking and alcohol.
Choose your diet. Pay attention to low-fat diet. Low salt. Low sugar. Eat less animal brains and offal, and eat more vegetables and fruits.
Avoid fatigue, overload work can induce cerebral hemorrhage.
Prevent constipation. To prevent constipation, eat more fiber-rich foods, such as vegetables, celery, leeks, and fruits.
The elderly need to prevent falls. There is a risk of a ruptured blood vessel in the brain during a fall.
Move your left hand. It can reduce the burden on the left hemisphere of the brain and exercise the right hemisphere of the brain.
Drink enough water. Keep your body hydrated, dilute your blood, and maintain blood volume. Usually to develop the habit of drinking plenty of water.
Treatment of patients with cerebral hemorrhage - conservative medical treatment
Dehydration: Commonly used dehydration drugs include mannitol. If there is hypoproteinemia or mannitol contraindications, albumin infusion can be used, and if restlessness is obvious, sedatives can be given;
Hemostasis: Hemostatic drugs can be used appropriately, such as 6-aminocaproic acid, aminomethylbenzoic acid, etc.;
Nerve nutrition: the application of neurotrophic drugs, such as deproteinized calf blood extract, oxiracetam, etc., has a certain effect on the functional repair of damaged cells after cerebral hemorrhage;
Blood pressure control: When systolic blood pressure > 2000mmHg or mean arterial pressure > 150mmHg, intravenous antihypertensive drugs are used to control blood pressure, but the blood pressure should not be lowered too fast to prevent blood pressure from falling too fast to cause cerebral hypoperfusion;
Bed rest: Keep the surrounding environment quiet, reduce external stimuli, absolutely stay in bed for 2-4 weeks, avoid emotional agitation, and pay attention to monitoring the patient's vital signs.