Why are the drugs for preventing cerebral hemorrhage and cerebral infarction recurrence similar?

An elderly friend told Huazi that after his cerebral hemorrhage, the doctor prescribed a bunch of drugs for him to take, saying that it was to prevent the recurrence of the disease, but he found a neighbor with cerebral infarction and he took the same medicine to prevent the recurrence of the disease. So he doesn't understand, isn't cerebral hemorrhage and cerebral infarction antagonistic? Why are the drugs used to prevent recurrence the same?

Hanako told him that cerebral hemorrhage and cerebral infarction are collectively referred to as "stroke" in traditional medicine and "stroke" in modern medicine. Although the forms of diseases are different, the pathogenic factors are the same, and the probability of recurrence of cerebral infarction after cerebral hemorrhage is very high, so the drugs used to prevent recurrence are similar.

The occurrence of cerebral hemorrhage is closely related to hypertension. The main reasons are cerebral arteriosclerosis, microaneurysms, amyloidosis and other diseases. When blood pressure rises sharply, blood vessels are easy to rupture and bleed, which will oppress nearby brain tissue and lead to nerve cell necrosis.

There are two main reasons for cerebral infarction. One is atherosclerosis, which leads to the rupture of atherosclerotic plaques and induces platelet aggregation to form thrombosis. The second is left atrial fibrillation, and the blood in the left atrial appendage is rapid, forming a wall-hanging thrombus on the atrial wall, which falls off and runs to the brain to block the cerebral artery, leading to the death of nerve cells due to ischemia and hypoxia.

Although cerebral hemorrhage and cerebral infarction have different forms, they have the same pathological basis and are related to hypertension and arteriosclerosis. For the prevention of cerebral hemorrhage, it is mainly to control blood pressure to reach the standard. However, patients with cerebral hemorrhage have a high probability of recurrent cerebral infarction and need drug prevention, so the drug prevention of cerebral hemorrhage and cerebral infarction is very similar.

Hypertension is the direct cause of cerebral hemorrhage, which can also lead to atherosclerosis and increase the risk of cerebral infarction. Therefore, people with hypertension, whether cerebral hemorrhage or cerebral infarction, need to take antihypertensive drugs.

Atherosclerosis is the main cause of cerebral infarction. People with cerebral hemorrhage will also have atherosclerosis because of their high blood pressure, so anti-atherosclerosis statins are also commonly used drugs.

In order to inhibit platelet aggregation and avoid thrombosis when sclerotic plaque ruptures, antiplatelet drugs such as aspirin are also commonly used as preventive drugs.

If there are chronic diseases such as hyperlipidemia and diabetes, as well as bad living habits such as smoking, obesity and lack of exercise, whether it is cerebral hemorrhage or cerebral infarction, there will be similar medication and health management programs.

No matter cerebral hemorrhage or cerebral infarction, it will eventually lead to brain cell necrosis, dysfunction and similar clinical symptoms. Only by going to the hospital for CT examination can we confirm what happened and take different first aid measures, but the first aid measures outside the hospital are the same.

There are usually three ways to simply judge whether a stroke has occurred:

1, see if one side of the face is drooping, and if there are symptoms of crooked mouth and drooling.

2, arms stretched horizontally, whether one side is weak and numb.

3. Whether the speech is ambiguous.

If one of the symptoms occurs, call the emergency number "120" immediately to see a doctor quickly. The sooner you get to the hospital, the more nerve cells are rescued and the less sequelae will appear.

If there are sequelae, the rehabilitation process of the two is the same, and they all need rehabilitation exercise under the guidance of rehabilitation doctors.