How should a stroke and a cold be handled?

Written by Chen Ya
Geriatrics
Updated on September 11, 2024
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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 Tang Bo
Neurology
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Lacunar Infarct Nursing Issues

Lacunar stroke is caused by the blockage of small blood vessels in our skull due to long-term risk factors such as hypertension, diabetes, or hyperlipidemia, leading to a stroke. Generally, the area of infarction is relatively small, typically less than 1.5 to 2 centimeters. Symptoms may or may not be present. In either case, the symptoms are usually mild and the prognosis is generally good. There are no special strict nursing requirements. If patients are active and can take care of themselves, they do not need special care. Furthermore, it is crucial to focus on secondary prevention, which is to prevent further occurrence of stroke, and to seek further treatment from a neurologist.

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Written by Tang Bo
Neurology
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Do you need to take medication for a long time for cerebral infarction?

Brain infarction generally requires long-term medication, and the specific medications to be taken can vary from person to person. Moreover, the choice of medication should be determined by a doctor based on the patient's condition and past risk factors. Brain infarction is a disease caused by multiple factors, with common causes including hypertension. In the case of hypertension, the choice of antihypertensive medication and the duration of treatment should be based on the patient's blood pressure to maintain it within a normal range. There is also a possibility that the condition is due to diabetes, as some diabetic patients are also prone to brain infarction. Such patients may need to use long-term antidiabetic drugs or insulin to control blood sugar. Additionally, antiplatelet medications might be necessary for brain infarction, but whether to use them should also be determined by the doctor based on the patient's specific circumstances. Since medications can have side effects, a comprehensive decision must be made on what drugs to use. (Note: The use of medications should be carried out under the guidance of a professional doctor.)

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Written by Zhang Hui
Neurology
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Imaging manifestations of cerebral infarction

For patients with cerebral infarction, in addition to collecting medical history and clarifying symptoms and signs, imaging examinations are also very important for the diagnosis and differential diagnosis of cerebral infarction. They are indispensable tools in clinical examinations. Cerebral infarction primarily requires cranial CT and MRI scans. On cranial CT, cerebral infarction lesions mainly appear as low-density areas and are easily distinguishable from cerebral hemorrhage. The lesions may cause swelling and have a certain mass effect. In cranial MRI, the appearance of cerebral infarction is primarily seen in diffusion-weighted imaging as a distinctly high signal, making it very easy to identify the responsible lesions. In T2-weighted images, the high signal is also clearly visible and easier to differentiate.

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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 Chen Ya
Geriatrics
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How long can one survive after a stroke?

The lifespan after a stroke depends on the location and area of the stroke, the treatment received, and subsequent complications. Some patients with severe acute strokes are at risk of life-threatening conditions, and not everyone survives this acute phase. Those who do survive and enter the recovery and post-effects phases can extend their lifespan by controlling risk factors for stroke, delaying or preventing recurrence. Early rehabilitation, such as acupuncture during the early recovery phase, does not affect the normal lifespan in mild cases. However, recurrent strokes can shorten the lifespan, especially if complications like aspiration pneumonia occur afterward.