Today, let’s talk about how to build a line of defense, especially if we have a stroke, we need to be prepared to take up weapons to win the battle of stroke prevention in the face of numerous attacks of many risk factors as if they were enemies.
Weapon one: blood pressure control – the sword of longevity
It is well known that hypertension is an important risk factor for cerebrovascular disease, and there is now sufficient evidence that good blood pressure control in patients without a history of stroke will greatly reduce the incidence of stroke. There is a wide range of antihypertensive drugs, but in general, long-acting and stable antihypertensive therapy to make blood pressure “reach the standard” is an important weapon in our hands for long life.
Weapon 2: Anti-atherosclerosis – bully gun
This weapon is the statin class of drugs that we often use in the clinic, whether atorvastatin, pravastatin, resevastatin, simvastatin, fluvastatin …… are members of this family.
Why is it necessary to use “bully guns” for anti-atherosclerosis?
That is because there is a “dominant standard” for lipid-lowering anti-atherosclerosis. If there are multiple risk factors and unstable vulnerable plaques, the requirement for LDL is no longer the normal range on the lab sheet, but needs to be reduced to 2.6mmol/dl or even 1.8mmol/dl with a cut. We also need to pay attention to an important examination item, namely carotid ultrasound, which can directly show the plaque and the nature of atherosclerosis, and lay the foundation for us to understand the “enemy” and “know yourself and your enemy”.
Weapon 3: Anti-platelet aggregation – Jasper knife
Aspirin, clopidogrel and pentoxifylline are the most important elements of stroke treatment and prevention. A pill a day, a stroke away from me, what a wonderful idea!
But is it really possible to prevent stroke by taking antiplatelet medication all the time?
For example, the thromboelastography test conducted by Peking University Third Hospital can help guide the selection of antiplatelet drugs to a certain extent.
Weapon 4: Correction of bad habits – leave the hook
Smoking, alcoholism, staying up late, stress, anxiety …… Get out of these bad habits! For the sake of health, let’s say goodbye to smoking and alcohol!
Weapon 5: Healthy diet – polyamorous ring
Although we do not require every patient can understand what is the “Mediterranean” diet, but I think we can at least do nutritious, coarse and fine, staple foods – vegetables – fruits – meat, eggs and milk, a ring, but not overemphasize the various so-called “supplements” But rather “balance”, each meal as a grateful enjoyment.
Weapon six: reasonable exercise – fist
Life is exercise, the “fist” does not have to be a tiger, “exercise” is also not too intense. Depending on age and underlying disease, each person can have their own “exercise prescription”.
But in general, walking (especially brisk walking), water activities are suitable for most people, of course, for the elderly, playing tai chi is also not bad.
Remember, exercise is a long-term and regular, do not fish for three days and two days, it is important to adhere to.
Weapon 7: Prevention and prevention, seize the time to seek medical treatment for stroke – peacock plume
Peacock plume is a kind of concealed weapon that no one has ever seen in the jungle, but even the most delicate concealed weapon has certain traces to follow. For stroke symptoms, it is also necessary to grasp some traces.
The FAST assessment method is recommended. This method is relatively simple and allows early identification of whether you or a family member is suffering from stroke, and timely consultation and treatment can save the lives of stroke patients and may also improve quality of life.
The main elements of FAST are shown in a vivid chart
Tips
F (Face): Can you (he/she) smile? Do you feel weakness or numbness on one side of the face?
A (Arm): Can you (he/she) lift both hands smoothly? Does one hand feel weak or unable to lift it at all?
S (Speech): Can you (he/she) answer fluently? Is there difficulty in speaking or slurred speech?
T (Time): If any of the above three items are present, please call the emergency number 120 immediately.
Time is life, one less delay, one more recovery!
Please immediately send the patient to a hospital that has experience in thrombolysis treatment and has the conditions and ability to treat the patient for treatment.
Well, we now have seven weapons, I believe we will not be helpless in the face of the enemy of stroke, so let us use these weapons well and build an effective line of defense for ourselves.