Suddenly diagnosed at the age of 22! Reminder: The first batch of post-90s have become a high-risk group! | Hot Topics

A 22-year-old guy who liked to stay up late had a cerebral infarction that led to hemiplegia; a 30-year-old white- collar worker who drank Coke as water had dizziness and numbness in his hands, and was diagnosed with a cerebral infarction... Stroke, also known as cerebral infarction or stroke, seriously endangers the lives and health of the Chinese people. During an interview at Ningbo Second Hospital recently, the reporter learned that there is a clear trend of younger stroke patients, and many tragedies could have been avoided.

The blood vessels of 30-year-old white-collar workers are older than those of 60-year-olds

Mr. Wu (pseudonym), 30, is a white-collar worker at a company in Ningbo. A few days ago, he suddenly felt dizzy and his left hand was numb. Mr. Wu didn't take it seriously, thinking it might be caused by not sleeping well the day before and it would be fine after a while.

By that afternoon, his condition had not improved. He was getting more and more dizzy and nauseous. So he went to the Department of Neurology at Ningbo Second Hospital for treatment.

"Check it out quickly, it's probably a cerebral infarction," the doctor said.

"No way, I'm only 30 years old, how could I have a stroke?" Mr. Wu didn't associate himself with a stroke at all. In his impression, a stroke is a disease that only people over 60 years old will get.

As expected by the doctor, the MRI of the head showed that Mr. Wu did have a cerebral infarction. The doctor quickly arranged for him to be hospitalized.

Cerebral angiography revealed that Mr. Wu had multiple moderate to severe stenosis of his intracranial blood vessels. It can be said that at the age of 30, his blood vessels are older than those of a 60-year-old.

Since it was Mr. Wu's first attack and he was relatively young, his symptoms of cerebral infarction were relatively mild. The doctor recommended that he strengthen conservative treatment with medication and not undergo stent surgery for the time being.

During the hospitalization, the doctor found that Mr. Wu had diabetes, with a random blood sugar level of 22mmol/L, while the normal value should be below 7.8. Mr. Wu was shocked: "I like to drink Coke, and I usually drink Coke as water. I thought I was thin, so drinking Coke was okay, but I didn't expect I had diabetes."

At present, after a period of treatment, Mr. Wu's limb numbness and dizziness symptoms have improved significantly. He said that he would adjust his lifestyle, quit carbonated drinks, control blood sugar, and reduce the recurrence of cerebral infarction.

22-year-old internet addict suffers from cerebral infarction and hemiplegia

"The youngest stroke patient I have ever treated was only 22 years old. It is a pity that he missed the golden treatment time because he was sent to the hospital late," said Dr. Fan Wei, deputy director of the hospital's Department of Neurology, regretfully.

Liu Ding (pseudonym), a 22-year-old boy, likes to play games. He believes that "going to bed before 2 a.m. is a waste of life." On that day, he played games until late at night as usual, and felt dizzy and had a headache. His hands were not as flexible as usual. However, he did not take it seriously.

The next day, Liu Ding found that he could not move half of his body, so he contacted his family again. When he was sent to the hospital, his left limbs were already paralyzed. After a few days of hospitalization, his grief-stricken family decided to take him back to his hometown for treatment.

Ms. Fan Wei lamented: "The young man was only 22 years old, in the prime of his life, but he suffered from hemiplegia due to cerebral infarction. It's such a pity. He was not very old, had been smoking for more than 10 years, loved drinking, and had an unhealthy lifestyle such as staying up late and sitting for a long time, which led to cerebral infarction at such a young age."
Liu Ding has severe atherosclerosis. This type of lesion is caused by the accumulation of lipids and the proliferation of fibroblasts, which can damage the vascular endothelium and form plaques in the arterial endothelium. When plaques rupture or fall off, they can lead to thrombosis, block blood vessels, and cause stroke.

Image of a patient with cerebral infarction. The dark gray area in the upper left corner indicates cerebral infarction. Image source: Ningbo Evening News

The first batch of people born in the 1990s have become a high-risk group for stroke

Recently, the topic #The first batch of people born in the 1990s have become a high-risk group for stroke# has become a hot search, sparking heated discussions among netizens.

Cerebrovascular epidemiological data show that globally, the lifetime risk of suffering from stroke (cerebral infarction) for people over 25 years old is 24.9%, and this figure in China is close to 40% .

With the development of social economy, the stroke prevalence among Chinese residents has increased sharply . Currently, the stroke prevalence among adults aged 40 and above in China is 2.6%. Based on this, it is estimated that the number of people aged 40 and above in China who are currently suffering from or have suffered from stroke is about 17.8 million.

Currently, the first batch of people born in the 1990s have become a high-risk group for stroke, and related identification and intervention work is urgent.

The trend of younger stroke patients is obvious. Young stroke patients have the following common characteristics

Ms. Fan Wei has been working in neurology for more than 20 years.

She said that 20 years ago, stroke patients were mostly elderly people over 60 years old, but in recent years, the trend has become younger. The department receives many stroke patients under 40 years old every month. Strokes under 40 years old are called young strokes.

She concluded that young stroke patients often have the following common characteristics: they are male, smoke, exercise little, often stay up late, have underlying diseases such as diabetes and hypertension but are unaware of it or do not intervene even if they know about it.

Stroke is not exclusive to the elderly, it can happen to people of any age. In recent years, more and more young people have been targeted by stroke. In fact, the trend of younger strokes is a global trend, and it is more obvious in my country.

1. Mental stress problems

Some young people suffer from bad mood due to stress, which leads to stress state, which is one of the risk factors for stroke.

2. Unhealthy lifestyle

Some young people have various unhealthy lifestyles, such as staying up late, irregular diet, lack of exercise, excessive drinking, smoking, etc.

Data shows that stroke occurs in people under 35 years old, accounting for 9.77% of the total number of strokes, and in people under 45 years old, accounting for 10%-14%.

It is reported that lifestyle largely determines the health of blood vessels. At any stage of the progression of vascular disease, a healthy lifestyle, life and drug intervention of risk factors such as hypertension, diabetes, and dyslipidemia are beneficial and can delay the progression of vascular disease.

Blood perfusion diagram of a patient with cerebral infarction. Image source: Ningbo Evening News

How to quickly identify a stroke

“Stroke 120” and “BE FAST” are strategies suitable for the public to quickly identify stroke and take immediate action.

01“Stroke 120” formula

See 1 face: See 1 asymmetrical face;

Check both arms: Check both arms for unilateral weakness;

(Listen) to language: Listen to see if the speech is clear.

02“BE FAST” mantra

"B" - Balance refers to loss of balance or coordination, sudden difficulty walking;

"E" - Eyes refers to the eyes, sudden changes in vision, difficulty seeing;

"F" - Face refers to the face, which is asymmetrical and has crooked corners of the mouth;

"A" - Arms refers to sudden weakness or numbness in the arms, usually on one side of the body;

"S" - Speech refers to language, speaking unclearly and being unable to understand others' language;

"T" - Time refers to time. The above symptoms indicate a possible stroke. Please do not wait for the symptoms to disappear on their own. Call 120 immediately for medical assistance.

**How ​​to prevent stroke? ** How ​​to provide first aid in case of sudden stroke?

In our country, at least 1 in every 5 deaths is caused by stroke, and there are 13 million stroke patients living with the disease.

How to prevent stroke? How to provide first aid in case of sudden stroke? Find out together!

Image source: CCTV News

Source: People's Daily Online Science, China News Service, etc.