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健忘老人應該預防腦部供血不足

妙手生春 2023-08-07 18:21:35

很多人,特別是(shi)中(zhong)老年(nian)人經常出(chu)現頭(tou)暈(yun)、頭(tou)昏(hun)重、頭(tou)痛等癥狀(zhuang),且有心煩、耳(er)鳴、急躁易怒、失眠多夢、記憶力減退、注意力不集中(zhong)、健(jian)(jian)忘。研究表明,這些都是(shi)慢性腦(nao)供血(xue)不足的結果。慢性腦(nao)供血(xue)不足是(shi)腦(nao)卒(zu)中(zhong)、癡呆等疾病發(fa)(fa)生、發(fa)(fa)展過程中(zhong)的重要環節,被稱(cheng)為(wei)危害中(zhong)老年(nian)人健(jian)(jian)康的“隱形(xing)殺手”。

2/3中老年(nian)(nian)人(ren)有(you)(you)(you)腦(nao)供(gong)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)不(bu)(bu)(bu)(bu)足(zu)(zu) ,慢(man)(man)(man)(man)性(xing)(xing)(xing)(xing)腦(nao)供(gong)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)不(bu)(bu)(bu)(bu)足(zu)(zu)是(shi)(shi)大腦(nao)的(de)(de)(de)慢(man)(man)(man)(man)性(xing)(xing)(xing)(xing)、持續廣泛的(de)(de)(de)供(gong)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)減少,引(yin)發腦(nao)部缺血(xue)(xue)(xue)(xue)(xue)(xue)(xue)缺氧而出(chu)現一系(xi)列腦(nao)部功能(neng)障礙臨(lin)床(chuang)表(biao)現的(de)(de)(de)疾(ji)病(bing)(bing)。慢(man)(man)(man)(man)性(xing)(xing)(xing)(xing)腦(nao)供(gong)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)不(bu)(bu)(bu)(bu)足(zu)(zu)的(de)(de)(de)發病(bing)(bing)率很高(gao)(gao),據統(tong)計,中老年(nian)(nian)人(ren)群中有(you)(you)(you)2/3的(de)(de)(de)人(ren)有(you)(you)(you)不(bu)(bu)(bu)(bu)同程(cheng)度(du)(du)的(de)(de)(de)慢(man)(man)(man)(man)性(xing)(xing)(xing)(xing)腦(nao)供(gong)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)不(bu)(bu)(bu)(bu)足(zu)(zu),是(shi)(shi)中老年(nian)(nian)人(ren)的(de)(de)(de)多(duo)(duo)發病(bing)(bing)。早期治(zhi)(zhi)療(liao)(liao)(liao)可(ke)(ke)(ke)逆(ni),能(neng)防(fang)腦(nao)梗(geng)發生(sheng)(sheng) ,慢(man)(man)(man)(man)性(xing)(xing)(xing)(xing)腦(nao)供(gong)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)不(bu)(bu)(bu)(bu)足(zu)(zu)病(bing)(bing)程(cheng)較長,很多(duo)(duo)患者(zhe)(zhe)做完(wan)頭顱(lu)ct檢查(cha)或(huo)核磁共振檢查(cha)無異常時(shi)就認為(wei)(wei)沒(mei)事(shi)了。其(qi)(qi)實(shi)(shi)慢(man)(man)(man)(man)性(xing)(xing)(xing)(xing)腦(nao)供(gong)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)不(bu)(bu)(bu)(bu)足(zu)(zu)是(shi)(shi)動(dong)(dong)(dong)(dong)(dong)(dong)脈(mo)(mo)粥樣硬化(hua)過程(cheng)的(de)(de)(de)一個(ge)階(jie)段,在(zai)這一階(jie)段如積極有(you)(you)(you)效地(di)治(zhi)(zhi)療(liao)(liao)(liao),有(you)(you)(you)可(ke)(ke)(ke)能(neng)阻止(zhi)腦(nao)梗(geng)塞(sai)(sai)的(de)(de)(de)發生(sheng)(sheng)。因(yin)(yin)此,患者(zhe)(zhe)應(ying)該在(zai)神經內科專業(ye)醫師指導下監測各種危(wei)險因(yin)(yin)素,如血(xue)(xue)(xue)(xue)(xue)(xue)(xue)脂、血(xue)(xue)(xue)(xue)(xue)(xue)(xue)流動(dong)(dong)(dong)(dong)(dong)(dong)力(li)(li)學、血(xue)(xue)(xue)(xue)(xue)(xue)(xue)栓前(qian)狀態指標,通(tong)過tcd(經顱(lu)多(duo)(duo)普(pu)(pu)勒)檢測顱(lu)內動(dong)(dong)(dong)(dong)(dong)(dong)脈(mo)(mo)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)流速度(du)(du)、方(fang)(fang)向(xiang)、頻(pin)譜及(ji)(ji)音頻(pin),能(neng)較準確地(di)反映腦(nao)動(dong)(dong)(dong)(dong)(dong)(dong)脈(mo)(mo)狹(xia)窄、痙(jing)攣(luan)及(ji)(ji)梗(geng)塞(sai)(sai)等(deng)(deng)情況。通(tong)過頸(jing)動(dong)(dong)(dong)(dong)(dong)(dong)脈(mo)(mo)彩色超聲檢查(cha)頸(jing)動(dong)(dong)(dong)(dong)(dong)(dong)脈(mo)(mo)粥樣斑塊(kuai)、狹(xia)窄率等(deng)(deng)判斷中風危(wei)險程(cheng)度(du)(du)。綜合(he)分(fen)(fen)析(xi)所(suo)有(you)(you)(you)危(wei)險因(yin)(yin)素后制定個(ge)體化(hua)治(zhi)(zhi)療(liao)(liao)(liao)方(fang)(fang)案,及(ji)(ji)時(shi)、有(you)(you)(you)效地(di)對(dui)(dui)相關(guan)危(wei)險因(yin)(yin)子早期干(gan)預,防(fang)止(zhi)腦(nao)梗(geng)塞(sai)(sai)的(de)(de)(de)發生(sheng)(sheng)。慢(man)(man)(man)(man)性(xing)(xing)(xing)(xing)腦(nao)供(gong)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)不(bu)(bu)(bu)(bu)足(zu)(zu)在(zai)早期是(shi)(shi)可(ke)(ke)(ke)逆(ni)的(de)(de)(de),正確治(zhi)(zhi)療(liao)(liao)(liao)往往可(ke)(ke)(ke)獲得很好(hao)的(de)(de)(de)效果。治(zhi)(zhi)療(liao)(liao)(liao)方(fang)(fang)面(mian)應(ying)針對(dui)(dui)不(bu)(bu)(bu)(bu)同的(de)(de)(de)病(bing)(bing)因(yin)(yin),如血(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)(guan)方(fang)(fang)面(mian)的(de)(de)(de)(包括(kuo)動(dong)(dong)(dong)(dong)(dong)(dong)脈(mo)(mo)硬化(hua)、動(dong)(dong)(dong)(dong)(dong)(dong)脈(mo)(mo)炎、動(dong)(dong)(dong)(dong)(dong)(dong)脈(mo)(mo)狹(xia)窄等(deng)(deng))、血(xue)(xue)(xue)(xue)(xue)(xue)(xue)液動(dong)(dong)(dong)(dong)(dong)(dong)力(li)(li)學方(fang)(fang)面(mian)的(de)(de)(de)(包括(kuo)高(gao)(gao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)壓(ya)(ya)(ya)及(ji)(ji)低(di)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)壓(ya)(ya)(ya))、血(xue)(xue)(xue)(xue)(xue)(xue)(xue)液方(fang)(fang)面(mian)的(de)(de)(de)(包括(kuo)高(gao)(gao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)脂、糖尿(niao)病(bing)(bing)、貧血(xue)(xue)(xue)(xue)(xue)(xue)(xue)等(deng)(deng)),以(yi)及(ji)(ji)其(qi)(qi)他因(yin)(yin)素(如肥胖、吸煙等(deng)(deng)),選(xuan)擇(ze)不(bu)(bu)(bu)(bu)同的(de)(de)(de)防(fang)治(zhi)(zhi)方(fang)(fang)案。藥物治(zhi)(zhi)療(liao)(liao)(liao)主(zhu)要(yao)以(yi)改善(shan)腦(nao)循環、去除危(wei)險因(yin)(yin)子為(wei)(wei)目標。早期口服(fu)小劑量(liang)(liang)阿(a)司匹(pi)林(lin)對(dui)(dui)心(xin)、腦(nao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)(guan)疾(ji)病(bing)(bing)的(de)(de)(de)預防(fang)作用已被實(shi)(shi)驗和臨(lin)床(chuang)研(yan)究證實(shi)(shi)對(dui)(dui)部分(fen)(fen)病(bing)(bing)人(ren)有(you)(you)(you)效,中醫藥的(de)(de)(de)整(zheng)體觀念以(yi)及(ji)(ji)多(duo)(duo)靶點(dian)作用使其(qi)(qi)在(zai)治(zhi)(zhi)療(liao)(liao)(liao)上具有(you)(you)(you)獨特的(de)(de)(de)一面(mian)。如今,隨(sui)著介入手術的(de)(de)(de)普(pu)(pu)及(ji)(ji),對(dui)(dui)于引(yin)起(qi)慢(man)(man)(man)(man)性(xing)(xing)(xing)(xing)腦(nao)供(gong)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)不(bu)(bu)(bu)(bu)足(zu)(zu)的(de)(de)(de)顱(lu)內動(dong)(dong)(dong)(dong)(dong)(dong)脈(mo)(mo)狹(xia)窄,可(ke)(ke)(ke)采用ptas(經皮(pi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)(guan)內支架成形術)術。對(dui)(dui)頸(jing)動(dong)(dong)(dong)(dong)(dong)(dong)脈(mo)(mo)狹(xia)窄引(yin)起(qi)的(de)(de)(de)慢(man)(man)(man)(man)性(xing)(xing)(xing)(xing)腦(nao)供(gong)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)不(bu)(bu)(bu)(bu)足(zu)(zu),可(ke)(ke)(ke)用頸(jing)動(dong)(dong)(dong)(dong)(dong)(dong)脈(mo)(mo)內膜切除術。患者(zhe)(zhe)還可(ke)(ke)(ke)采用高(gao)(gao)壓(ya)(ya)(ya)氧治(zhi)(zhi)療(liao)(liao)(liao)和高(gao)(gao)頻(pin)、超聲波等(deng)(deng)理(li)療(liao)(liao)(liao),以(yi)及(ji)(ji)推(tui)拿療(liao)(liao)(liao)法(fa)、運(yun)動(dong)(dong)(dong)(dong)(dong)(dong)療(liao)(liao)(liao)法(fa)等(deng)(deng)。保(bao)護腦(nao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)(guan),飲(yin)(yin)食運(yun)動(dong)(dong)(dong)(dong)(dong)(dong)要(yao)跟上 良好(hao)的(de)(de)(de)生(sheng)(sheng)活習慣對(dui)(dui)于保(bao)護腦(nao)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)(guan)不(bu)(bu)(bu)(bu)可(ke)(ke)(ke)或(huo)缺。患者(zhe)(zhe)可(ke)(ke)(ke)能(neng)因(yin)(yin)為(wei)(wei)得了病(bing)(bing)就害(hai)怕或(huo)減少運(yun)動(dong)(dong)(dong)(dong)(dong)(dong)。其(qi)(qi)實(shi)(shi),合(he)理(li)的(de)(de)(de)運(yun)動(dong)(dong)(dong)(dong)(dong)(dong),如老年(nian)(nian)人(ren)常練的(de)(de)(de)五禽戲、八(ba)段錦、頸(jing)椎保(bao)健(jian)操等(deng)(deng),都能(neng)改善(shan)腦(nao)供(gong)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)不(bu)(bu)(bu)(bu)足(zu)(zu)。從(cong)飲(yin)(yin)食上說,腦(nao)供(gong)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)不(bu)(bu)(bu)(bu)足(zu)(zu)者(zhe)(zhe)的(de)(de)(de)飲(yin)(yin)食應(ying)盡(jin)量(liang)(liang)清淡。假(jia)如有(you)(you)(you)飲(yin)(yin)酒的(de)(de)(de)愛好(hao),最好(hao)節制一些(xie)。再(zai)次,少吃(chi)糖分(fen)(fen)高(gao)(gao)或(huo)者(zhe)(zhe)油糖成分(fen)(fen)都高(gao)(gao)的(de)(de)(de)食物。多(duo)(duo)吃(chi)海(hai)帶、黑木耳、芹菜(cai)等(deng)(deng)一些(xie)有(you)(you)(you)“血(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)(guan)清道夫”功效的(de)(de)(de)蔬菜(cai)。

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