Knowing the cause of cerebral infarction, we know how to prevent it.
For patients with atherosclerotic cerebral infarction, secondary prevention should be carried out according to the risk factors. Smokers quit smoking, which is the best way to benefit. It is self deception to talk about preventing stroke if you can't quit smoking. Because even if you fully follow the doctor's advice, the probability of recurrence of cerebral infarction is only greatly reduced, not reduced to zero - vascular damage has caused such a bad situation in the past 10 or 20 years. With a few words from the doctor and a few tablets of medicine, you can rest easy? According to the doctor's advice, there is no guarantee that there will never be a second stroke, but it is almost certain that there will be a stroke if you do not follow the doctor's advice! Hypertension patients should spend a few yuan every day to take long-term antihypertensive drugs. The blood pressure control should reach the standard (usually<140/90mmHg). They should have a lifelong plan to take antihypertensive drugs - the vast majority of the people who have accidents are those who do not take drugs well. Tens of millions of people have taken antihypertensive drugs for decades, and none of them died because of the side effects of hypertension drugs! Don't underestimate the effect of statins, which are cholesterol lowering drugs. Only when LDL is reduced below the normal reference value, can the process of atherosclerosis be slowed down to the greatest extent. When taking statin, it is important to recheck the muscle enzyme and liver function every 3 months. A few patients have rhabdomyolysis and liver function damage. Diabetes should be treated in a standardized way. HbA1c should be checked every 3 months. If it is less than 6.5%, your blood sugar is well controlled. Exercise must be carried out when the blood pressure reaches the standard without a lot of albuminuria. Fruits and vegetables must be your main dishes. People with high homocysteine also need to take folic acid and vitamin B tablets every day. After cerebral infarction, antiplatelet drugs must be taken for a long time. Clopidogrel may be more effective than aspirin. Prices are very expensive. It is important to emphasize that taking medicine can not improve your health. Therefore, it is also very important to exercise, eat properly and control weight under the guidance of doctors!
For patients with cardiogenic cerebral embolism, lifelong anticoagulation treatment is inevitable. Warfarin is cheap, but for the first few months, blood should be drawn every week to check the blood coagulation function (INR). The new anticoagulant rivastaban is only 30 yuan a day, which is much safer than warfarin, and you can also consider it without monitoring the blood coagulation function. If patients with atrial fibrillation have indications, radiofrequency ablation can be considered.
It is necessary to control blood pressure in patients with small artery occlusive cerebral infarction, and antiplatelet drugs cannot be dispensed with.
Other types of cerebral infarction need to be prevented according to their causes.
