A man in his 40s has cerebral infarction! Don't do these things in the summer. A bowl of mung bean soup will keep you hydrated | chilled | mung bean soup
Mr. Zheng, who is in his 40s, returned home after sweating profusely from work at night, drank a bowl of chilled mung bean soup, and then fell asleep. He never imagined that when he woke up, his body was not agile on one side and he couldn't speak fluently. When he was sent to the hospital, it turned out to be a stroke!
Drinking mung bean soup and waking up feeling bad
"When the patient arrived at the hospital, their mouth was unclear and their left hand and foot were not obedient. Based on the symptoms and medical history, they understood about 80-90% at that time," said Shao Yanqi, the attending physician of the Department of Neurology at Zhejiang Provincial People's Hospital.
Mr. Zheng works in sales and is very busy running around in hot weather. A few nights ago, when he returned home, he immediately took out chilled mung bean soup from the refrigerator and drank a bowl of it, which was very refreshing. Not long after, for some reason, I started to have a stomachache, pulling several times in a row, feeling like I was about to collapse. After a day of fatigue and diarrhea, he weakened his body and turned on the air conditioning to sleep.
The next day when he woke up, Mr. Zheng felt that he was feeling unwell, with weak hands and feet, and unstable walking. Gradually, he couldn't lift his hands and legs, and even spoke with unclear words... His family quickly took him to the People's Hospital of Zhejiang Province.
Head CT, blood tests, and other examinations determine that the patient has a cerebral infarction, commonly known as a stroke. "Generally speaking, having the opportunity to receive intravenous thrombolysis treatment within 4.5 hours of onset is the most effective method for treating acute cerebral infarction. However, it occurs while asleep, and the exact onset time cannot be determined. However, it is certain that it has exceeded 4.5 hours, which means missing the opportunity for regular thrombolysis," said Dr. Shao Yanqi.
Never give up on a glimmer of hope. The doctor arranged for Mr. Zheng to undergo magnetic resonance imaging, and through the comparison of different sequence signals, it was found that his ischemic brain tissue was not completely necrotic, and there was still a chance for thrombolysis. After obtaining agreement through communication, the doctor decisively performed thrombolysis. Currently, Mr. Zheng's condition is gradually improving and further treatment is underway.
"In most cases, stroke is caused by both internal and external factors, which is a combination of internal and external factors!" Zhang Sheng, Deputy Director of the Neurology Department of the hospital, analyzed that Mr. Zheng's sweating caused his body to lose water, and his diarrhea worsened, making his blood sticky. A bowl of chilled mung bean soup and sleeping in an air-conditioned room caused vasoconstriction. Upon inquiring about his medical history, it was found that he had hypertension and smoking for decades, and multiple factors combined led to the occurrence of a cerebral infarction. Iced mung bean soup, as the culprit, is an important reason for Mr. Zheng's cerebral infarction this time.
Taking a shower immediately after running can also be dangerous
Zhang Sheng has previously treated patients who immediately took a shower after running, and this is a similar situation.
Mr. Wang, who is in his early 50s, feels stuffy staying at home on hot days and wants to exercise and sweat, so he chooses to go for a run in a nearby park. After a few laps, his whole body was soaked. When he returned home, he turned on the air conditioning, took a quick cold shower, and lay down on the sofa, falling asleep. After waking up, one side of the body suddenly became limp and was diagnosed with cerebral infarction after being taken to the hospital
The doctor immediately underwent intravenous thrombolysis treatment and conducted thorough examinations to determine the cause of cerebral infarction.
After thrombolysis, Mr. Wang's hands and feet basically returned to normal, and his speech became fluent. Recalling the process of his onset, he was puzzled: he had neither high blood pressure nor diabetes, and was only in his early fifties. How could he have suffered a stroke?
The doctor analyzed that Mr. Wang's stroke is related to excessive sweating after exercise, failure to replenish fluids in a timely manner, using air conditioning, and taking cold showers. After sweating, the body experiences a large amount of dehydration, a decrease in blood volume, blood concentration, and thickening, which can easily lead to the formation of blood clots; In addition, Mr. Wang often smokes, which leads to high blood lipids and mild narrowing of blood vessels. With so many risk factors, intracranial blood vessels can become blocked and blood flow cannot pass through, leading to ischemic necrosis of brain cells.
"Many middle-aged and young people don't pay much attention to physical examinations and think that they are young. If there is no obvious pain here, it is healthy. In fact, staying up late, eating a high oil diet, smoking and drinking, etc., can also make young people targeted by the 'three highs', causing problems with blood vessels, such as gradually narrowing. Once stimulated by external factors, it may trigger cerebrovascular accidents," said Zhang Sheng.
Received over 10 stroke patients per week
Director Zhang Sheng introduced that stroke is more common in winter, and in fact, there will be a small climax on hot days in summer. In the past week, more than 10 stroke patients have been treated, so it is very important to take preventive measures.
Sweating is frequent in summer, so it is important to ensure sufficient daily intake of water to avoid an increase in blood viscosity. At the same time, it is important to prevent exposure to the cold and avoid staying indoors with low air conditioning for extended periods of time, especially when sleeping with the head air conditioning constantly blowing or being stimulated by excessive temperature differences between indoors and outdoors. Especially for patients with underlying cerebrovascular diseases, poor vascular regulation ability may trigger cerebrovascular diseases.
Also, it is important to avoid consuming large amounts of cold drinks when sweating profusely, and taking a cold shower immediately after exercising. In the scorching summer heat, it is also necessary to ensure sufficient sleep and exercise as much as possible in the morning or evening.
Hyperlipidemia, diabetes, arteriosclerosis and coronary heart disease are the root causes of stroke. According to clinical medical statistics, 70% to 80% of stroke patients suffer from hypertension. If there is a history of the above-mentioned diseases in the family, one should be vigilant and actively prevent them. After diagnosis, medication should be taken on time and regular examinations should be conducted.
One important aspect of first aid for cerebral infarction is to be fast. Patients need to open blocked blood vessels as soon as possible, so if a stroke is detected, they should be sent to the hospital as soon as possible. "Once there is unclear speech, numbness or weakness in one limb, sudden visual impairment or blindness, sudden headaches or dizziness, timely medical attention should be sought, and early detection and treatment should be sought."
Director Zhang Sheng stated that due to technical limitations, in the past, for cases where the onset time was unknown, such as developing symptoms during sleep or having no witnesses, only the last normal time could be traced, and the onset time could be calculated from that time on. As a result, many people missed the opportunity for thrombolysis. Nowadays, advanced imaging techniques such as magnetic resonance imaging and CT perfusion can more accurately determine the status of cerebral tissue ischemia, thereby helping these patients regain the opportunity for thrombolysis and improve prognosis.
