Can someone who has had a cerebral infarction drink alcohol?

Written by Chen Ya
Geriatrics
Updated on September 03, 2024
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It is advised that individuals who have suffered a stroke should not consume alcohol. This is because strokes typically have specific causes, the most common of which include high blood pressure, diabetes, and high cholesterol. Strokes can also occur during times of emotional distress, and are often a result of unhealthy lifestyle habits and dietary patterns. Therefore, quitting smoking and alcohol is considered very important. Additionally, since many stroke patients also have high blood pressure, drinking alcohol can lead to excitement, which may cause an increase in blood pressure and potentially lead to another stroke.

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Written by Chen Ya
Geriatrics
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Nursing Measures for Patients with Cerebral Infarction

The nursing measures for stroke patients vary according to different conditions. During the acute phase, the primary concern is life-threatening infections, while during the recovery and residual stages, the focus is on preventing various complications and risks. The care measures are categorized as follows: The first is dietary care. Relatives of stroke patients should be reminded that the diet should be light, low in fat, and high in fiber, following the principle of eating small meals frequently. The second is maintaining clear airways, preventing colds, especially tuberculosis, and ensuring that someone watches over the patient at all times. The third is the prevention of bedsores, assisting and maintaining regular patient turning and moderate activity. The fourth involves preventing burns, bruises, falls, and other injuries by creating a safe and comfortable environment for the patient, ensuring their safety and that there are no hazardous objects in the room. The fifth is preventing constipation which can be aided by abdominal massage and eating foods high in fiber. The sixth is preventing urinary tract infections, timely changing diapers for those patients who can urinate independently, or ensuring sterile techniques for those with catheters. The seventh is preventing falls from the bed, especially for those who are restless; installation of bed rails and other safety measures should be considered. The eighth concerns psychological care since many patients tend to become pessimistic and disappointed post-illness. Family members should be caring and provide comfort and encouragement to the patients. The ninth general care measure involves daily oral care with saline solution or brushing teeth every morning and evening, bathing the patient once or twice a week, and daily cleansing of the genital area.

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Written by Liu Hong Mei
Neurology
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The dangers of staying up all night for cerebral infarction

The dangers of staying up late for those with cerebral infarction are significant. Staying up late can easily lead to an increase in blood pressure, which can damage the inner lining of blood vessels, cause cerebral arterial atherosclerosis, and easily lead to ischemic and hypoxic injuries in the brain tissue, resulting in new or aggravated cerebral infarctions. Long-term staying up late can reduce the ejection fraction of the heart, leading to insufficient cerebral blood supply, and easily trigger cerebrovascular diseases. For patients with cerebral infarction, it is generally advised to have regular living habits, avoid staying up late, wake up on time, and also participate in appropriate physical exercise.

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Written by Tang Bo
Neurology
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What foods should not be eaten in the case of a cerebral infarction?

Stroke refers to the necrosis of brain tissue, causing a series of neurological functional deficit symptoms. The dietary requirements for stroke must be determined comprehensively based on the patient's own condition and underlying diseases. For instance, common risk factors for stroke include hypertension, diabetes, hyperlipidemia, and elevated homocysteine levels, along with unhealthy habits such as smoking and drinking. If the patient has hypertension, a light diet should be emphasized. If they have hyperlipidemia, fatty foods should be avoided in favor of a low-fat diet. In cases of high homocysteine levels, it is advisable to consume foods rich in vitamins. Additionally, if the patient has diabetes, they must adhere to a diabetic and low-sugar diet. Therefore, what food can be consumed depends on the patient's underlying diseases and the symptoms of the stroke. If the patient has swallowing difficulties, care must be taken to avoid hard foods as this could lead to choking and potentially cause a lung infection. Thus, the patient's individual condition must be taken into account when deciding their diet.

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Written by Zhang Hui
Neurology
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Causes of Cerebral Infarction

The first reason is due to arteriosclerosis. Under the influence of risk factors such as hypertension, diabetes, and hyperlipidemia, damage occurs to the inner lining of the arteries. A large amount of lipid components are deposited on the arterial walls, eventually forming unstable plaques, leading to the narrowing and even occlusion of the cerebral arteries, thus causing the formation of cerebral thrombosis. The second reason to consider is cardiac causes; if a patient has atrial fibrillation, mural thrombi can form within the heart. These thrombi, once dislodged into the cerebral arteries, can cause cerebral embolism. The third point to note is arterial dissection, which is also a cause of cerebral infarction, and it is relatively common among young people.

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Written by Tang Bo
Neurology
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Cerebral infarction X-ray manifestations

Brain infarction generally does not involve X-rays because X-rays primarily target bone issues, not brain tissue issues. If a brain infarction occurs, a cranial CT or MRI can be performed. In acute cases of sudden onset, a cranial CT is primarily used to exclude cerebral hemorrhage, as brain infarction typically does not show up in the acute phase. However, in cases of extensive brain infarction, changes might also appear on a CT during the acute phase. Additionally, after the acute phase, about 1 day or 24 hours later, brain infarctions generally appear as low-density shadows on a CT. On an MRI, in diffusion imaging, brain infarctions generally appear as high-density, high-signal areas, while they appear as low-signal areas in T1 imaging and high-signal areas in T2 imaging. It is also suggested to perform cranial magnetic resonance angiography to examine the status of the blood vessels.