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 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 Zhang Hui
Neurology
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Can people with cerebral infarction eat eggs?

For patients with cerebral infarction, it is acceptable to eat egg whites. Egg whites contain abundant amino acids which can enhance the body's resistance and ensure adequate nutrition for the patient. For cerebral infarction, it is advisable to consume fewer egg yolks. Additionally, egg yolks have a relatively high cholesterol content, which is not conducive to controlling blood lipids in patients. Thus, egg whites can be consumed, but egg yolks should be eaten in moderation. Moreover, patients with cerebral infarction should also consume plenty of fresh vegetables and fruits, which are rich in folic acid and can help fight arteriosclerosis. Additionally, it is beneficial to eat foods rich in unsaturated fatty acids, such as some deep-sea fish and olive oil.

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Written by Xie Wen
Neurology
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Stroke rehabilitation exercise

In the early stages of a stroke, for bedridden patients, passive limb exercises can be conducted at the bedside. This includes joint loosening exercises and passive flexing of knee and elbow joints to prevent joint contractures. When not exercising, proper limb positioning is needed; sandbags can be placed on the inside of the upper limbs to avoid internal rotation, and the legs should be placed in stiff cloth shoes or T-bar shoes to prevent external rotation. Once the patient enters the recovery phase, they can gradually begin standing and walking exercises, while also receiving treatments such as medications, hyperbaric oxygen therapy, and acupuncture. (The use of medications should be under the guidance of a professional doctor.)

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Written by Wang Bo Min
Neurology
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Can lacunar infarction recur?

Lacunar stroke is a common disease in clinical practice, mainly caused by the blockage of capillaries in the brain, leading to the necrosis of some brain cells. Lacunar strokes often occur in middle-aged and elderly people over the age of 50. The main causes of lacunar stroke are hyperlipidemia and abnormal blood components, such as high blood sugar, high blood lipids, and high blood viscosity. At the same time, there is concurrent cerebral arteriosclerosis. The occurrence of lacunar stroke indicates that the degree of arterial sclerosis has reached a certain level, hence the recurrence rate of lacunar stroke in clinical practice is relatively high. Once a lacunar stroke occurs, it is recommended that patients take statins to lower blood lipids and medications like aspirin to prevent cerebral vascular blockage, to prevent further incidents.

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Written by Chen Ya
Geriatrics
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Is a cerebral infarction a stroke?

Brain infarction is a type of stroke, and in traditional Chinese medicine (TCM), stroke is categorized as an illness, differentiated as external and internal wind. External wind, as discussed in "Treatise on Cold Pathogenic Diseases," occurs due to external evil invasions, also referred to as the Gui Zhi soup proof. Internal wind belongs to diseases caused by internal injuries, also termed brain stroke or sudden stroke. Commonly, stroke refers to the type caused by internal injuries involving disorders such as the chaos of qi and blood, obstruction of cerebral vessels, or blood overflow in the brain. It is a cerebral neurological disease identified mainly by sudden fainting, hemiplegia, numb limbs, difficult speech, facial distortion, and unilateral numbness. This condition is characterized by a sudden onset, rapid changes, and is akin to the pathogen of wind favoring rapid and multiple changes. The type of stroke discussed here is akin to a brain stroke. Brain infarction refers to the obstruction in a brain artery caused by various emboli such as intracardiac mural thrombi, atherosclerotic plaques, tumor cells, fibrocartilage, or air traveling with the bloodstream. When collateral circulation fails to compensate, it leads to ischemic necrosis of the brain tissue in the supplied area, causing focal neurological deficits. Cerebral hemorrhage, on the other hand, refers to bleeding within the brain tissue not caused by trauma but due to the rupture of intracerebral vessels. Both cerebral hemorrhage and brain infarction often result in varying degrees of motor deficits, cognitive impairments, and speech and swallowing difficulties, collectively referred to in stroke cases. Hence, brain infarction is considered a type of stroke.