Cerebral infarction

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Written by Chen Ya
Geriatrics
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Can people who have had a cerebral infarction eat mutton?

Patients with cerebral infarction can appropriately consume mutton, but it depends on the specific condition of each individual. It is advised that those in the acute phase with internal phlegm-heat refrain from eating mutton. However, during the recovery or post-stroke phase, if the patient is weak, malnourished, and shows symptoms of yang deficiency, consuming mutton is appropriate as it is warm in nature and can nourish the kidney and yang, and warm and strengthen the body. Nevertheless, it is important to consume it in moderation to avoid excessive internal heat.

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Written by Tang Bo
Neurology
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What to eat for lacunar infarct.

Lacunar stroke is a type of cerebral infarction caused by small vessel disease that leads to the occlusion of cerebral vessels. Therefore, the dietary recommendations for lacunar stroke are similar to those for general stroke. For patients who are overweight, it is important to control body weight. It is recommended to reduce the intake of animal liver and other organ meats, as well as foods high in cholesterol or fat. It is advisable to consume high-quality proteins such as milk, duck, fish, and soy products. The intake of pork, beef, and lamb, especially fatty cuts, should be minimized and lean meats should be emphasized. Additionally, it is beneficial to consume more vitamin-rich foods such as tomatoes and fruits, and to increase the intake of vegetables. Diets should be light and avoid excessive salt intake to prevent hypertension, which can also lead to lacunar stroke.

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Written by Chen Ya
Geriatrics
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Brain infarction refers to the condition.

A cerebral infarction, commonly abbreviated, is typically referred to in full as thrombotic cerebral infarction or cerebral thrombosis. The most common cause is the formation of a local thrombus or from distant sites, such as the heart or major blood vessels, causing ischemia, hypoxia, and other disturbances in the cerebral blood supply. This results in localized ischemic necrosis or softening of brain tissue, leading to corresponding neurological deficits and signs.

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Written by Chen Ya
Geriatrics
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How long can someone with a complete paralysis from a cerebral infarction survive?

The life expectancy of patients with total paralysis from cerebral infarction cannot be generalized, as it depends on the size and location of the stroke, as well as the treatment received. A larger affected area, especially if the stroke occurs in a critical area like the brainstem, and if treatment is delayed, may result in the patient not surviving the acute phase due to high intracranial pressure, which can be fatal. If a patient survives the acute phase and moves into the residual effects phase, the outcome will depend on the rehabilitation treatment received, as well as care from family and community nursing. Such patients are prone to complications, such as pneumonia, which can be life-threatening. The initial stroke may not be fatal, but the treatment outcomes vary significantly. Some patients, if well cared for and treated promptly without recurring episodes, can have a comparatively long lifespan.

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Written by Tang Bo
Neurology
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Is lacunar infarction hereditary?

Lacunar stroke is a type of small stroke that occurs within the brain due to the narrowing of small arteries. This narrowing is often caused by long-term hypertension or diabetes, among other risk factors, leading to the obstruction of these vessels. Some patients may not exhibit any symptoms, while others might experience mild symptoms. Regardless of the cause, both hypertension and diabetes have genetic components, suggesting that lacunar strokes are influenced by genetics but are not entirely hereditary. Furthermore, the specific location of a lacunar stroke within the brain determines the symptoms experienced, implying that the condition is not solely genetic but does have genetic factors.

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Written by Tang Bo
Neurology
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Do lacunar infarcts fear getting angry?

Lacunar stroke is caused by the occlusion of some small blood vessels in our skull due to pathological changes in the vessel walls after long-term hypertension, diabetes, or other diseases. Therefore, it usually stems from underlying conditions. Although getting angry may trigger a lacunar stroke, it's important to manage emotions as well. However, for lacunar stroke itself, the primary underlying causes are still hypertension, diabetes, and other risk factors. Thus, regardless of the situation, it's essential to avoid sudden and intense emotional changes, as such changes could potentially trigger a lacunar stroke.

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Written by Tang Bo
Neurology
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How many years can a person live with a lacunar stroke?

Lacunar stroke occurs when the small arteries within our brain undergo pathological changes due to long-term high blood pressure, leading to occlusion of the vessel lumen and consequently forming small stroke lesions. Generally, patients may exhibit symptoms, but these symptoms are usually mild. However, some patients are diagnosed during physical examinations. Regardless of the case, the prognosis is good, and lacunar stroke does not pose a life-threatening risk. Nevertheless, once a lacunar stroke occurs, it is essential to further investigate the condition of the blood vessels and check for risk factors such as high blood pressure and diabetes. Based on the situation, secondary prevention should be carried out to prevent another stroke.

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Written by Chen Ya
Geriatrics
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What should be noted for cerebral infarction?

People with old myocardial infarctions need to pay attention to their diet. A low-salt, low-fat diet is recommended. Additionally, individuals like Student Shi who have difficulty swallowing must be careful not to choke, as this can lead to aspiration pneumonia. If they really cannot eat, they may need to have a gastric tube inserted for feeding. Emotionally, it is crucial to control emotional fluctuations as they can cause blood pressure spikes, potentially leading to further progression of a cerebral infarction. Regarding medications, they must be taken on time and regularly to prevent risk factors including hyperlipidemia and hypertension. Blood pressure should also be controlled within the normal range. Furthermore, functional exercise is essential, particularly for those suffering from sequelae post-infarction, to prevent local muscle atrophy and stiffness.

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Written by Chen Ya
Geriatrics
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How should a stroke and a cold be handled?

It is recommended to actively address a cold in cases of cerebral infarction, as most people with cerebral infarction who also have motor disabilities are predominantly bedridden, making them prone to aspiration pneumonia. If a cold is not managed well and develops into pneumonia, it can further aggravate the condition, potentially worsening the perceived motor disabilities if timely functional rehabilitation is not administered, leading to further progression of the illness.

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Written by Chen Ya
Geriatrics
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How long does one need to be hospitalized for a cerebral infarction?

The duration of hospitalization for cerebral infarction varies from person to person, depending on the different conditions of the stroke patients, the different causes of the stroke, and the different treatment goals. Generally, the hospitalization time is seven to fourteen days. If the condition of the cerebral infarction is relatively mild, it is also possible to be discharged in five to seven days. However, for some patients with severe conditions, even those who are in a coma or have complications, the hospitalization time will be longer.