What should I do if I have lacunar infarction

What should I do if I have lacunar infarction

Lacunar infarction is actually a type of cerebral infarction. For these patients, if they want to solve it effectively, they should pay attention to alleviating the phenomenon of cerebral edema, improve microcirculation, and consult a professional doctor on treatment and medication.

1. Relieve cerebral edema: For patients with large and severe infarction areas, dehydrating agents or diuretics can be used.

2. Improve microcirculation: Low molecular weight dextran can be used to reduce blood viscosity and improve microcirculation.

3. Dilution of blood: ① Isovolumetric hemodilution therapy: blood is drawn from the vein and an equal amount of fluid is replaced at the same time; ② Hypervolumetric hemodilution therapy: intravenous injection of fluid that does not contain blood to achieve the purpose of volume expansion.

4. Thrombolysis: ① Streptokinase. ②Urokinase.

5. Anticoagulation: used to prevent thrombus extension and the occurrence of new thrombus. ①Heparin. ②Dicoumarin.

6. Vasodilator: It is generally believed that the effect of vasodilators is uncertain. For patients with severe increased intracranial pressure, it can sometimes aggravate the condition, so it is not recommended to use them in the early stages.

7. Others: This disease can also be treated with hyperbaric oxygen therapy, extracorporeal counterpulsation therapy and photon blood therapy, etc.

8. Traditional Chinese Medicine: Traditional Chinese medicine includes compound salvia miltiorrhiza, chuanxiongqin, Tianxintai Thrombosis Xinmaining Tablets, Shengxi Thrombosis Xinmaining Capsules, etc. Acupuncture, moxibustion and massage are also used as treatments.

9. Avoid high-fat, high-calorie foods: If you continue to eat high-fat, high-calorie foods for a long time, it can further increase blood lipids, increase blood viscosity, and easily form atherosclerotic plaques, eventually leading to the recurrence of the sequelae of lacunar cerebral infarction. Avoid eating fatty meat, animal offal, fish eggs, etc.; eat less peanuts and other foods that are high in oil and cholesterol; avoid or use less whole milk, cream, egg yolks, fatty pork, fatty lamb, fatty beef, liver, offal, butter, lard, tallow, mutton fat, and coconut oil; do not use frying, stir-frying, or grilling for cooking.

10. Avoid foods that are too fatty, sweet, salty, stimulating, or that increase fire and produce phlegm: consume less sweet drinks and cream cakes; avoid eating too much sauce, pickles, etc.

11. Avoid raw, cold, spicy and irritating foods: such as white wine, pepper, spicy hot pot, etc., as well as hot foods such as strong tea, mung beans, lamb, dog meat, etc.

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