[Voice of Hope November 24, 2022](Editor: Guo Qiang)Recently, a friend shared something that worried him. Dad suddenly had a lot of “little problems”: he often couldn’t remember what he did today, it was difficult to concentrate, he couldn’t make choices, and sometimes he couldn’t tell him twice. In a word, it is easy to be anxious… The person who was originally praised by the neighbors for his good temper suddenly changed, leaving the family members at a loss as to what to do.
When they took dad to the hospital, after the doctor’s diagnosis, they found out that it wasn’t dad’s bad temper, but that he had vascular dementia. When it comes to memory loss and temper change, Alzheimer’s disease is the first thing we usually think of, but we rarely hear about vascular dementia. What kind of disease is this?
According to the latest survey data, the number of patients with vascular dementia currently accounts for 15% to 20% of the total number of dementia patients, and the prevalence of vascular dementia among the 65-year-old population in China is about 8.7%. There are not many middle-aged and elderly people who were successfully “sneaked” by it few.
If we want to resist its sneak attacks, we must first find out its details.
Vascular dementia can be caused by brain damage caused by cerebrovascular disease or vascular risk factors. Maybe we throw out these two aspects, and everyone still doesn’t understand them very well, but you just need to simply remember, such as hypertension, diabetes, hyperlipidemia They are all vascular risk factors, and cerebral infarction and cerebral hemorrhage belong to the category of cerebrovascular disease. These diseases are very famous and can cause vascular dementia.
In particular, the three vascular risk factors are not far away from us. They are common chronic diseases in modern people, and the incidence rate is very high. Therefore, vascular dementia is not as distant as everyone thinks. It is just daily Alzheimer’s disease. The light is too strong, but it is hidden in the dark, and sometimes it is even more difficult to guard against.
Many people confuse Alzheimer’s disease with vascular dementia. After all, they all have a common feature, which makes people’s memory worse! However, it is generally impossible to determine the specific time of onset of Alzheimer’s disease, because it gradually increases with age. Moreover, it is easily overlooked in the early stage, and only manifests as mild decline in memory, reduced ability to learn and preserve new knowledge, etc.
Alzheimer’s disease is a continuous progressive development. In the later stage, it will not only cause memory loss and deterioration, but also simple daily life tasks, such as the inability to finish dressing and eating.
However, vascular dementia often occurs suddenly, such as after a stroke, so the specific time of onset can generally be determined. Such patients usually have relatively prominent executive dysfunction, such as being unable to set goals, make decisions, communicate with others, and also suffer from impairment of recent memory, but these symptoms are sometimes not prominent and are easily overlooked. At the same time, it may also be accompanied by unsteady walking, sudden or frequent need to go to the toilet, sudden apathy, anxiety, etc.
Unlike Alzheimer’s disease, vascular dementia is treatable and the only dementia that is preventable. What to do specifically, we still have to start from the root cause to reduce the occurrence of cerebrovascular diseases and vascular risk factors.
Reasonable prevention and treatment of vascular dementia, do these things well
First of all, let’s talk about the treasures left by our ancestors, the prevention and treatment of traditional Chinese medicine.
Tonifying the kidney, resolving phlegm, and expelling blood stasis are a set of powerful combination boxing in the treatment of encephalopathy in traditional Chinese medicine. How to play this set of punches well, the key is to choose the players who use this set of punches, so as to better defeat the bosses one by one.
For example, in terms of nourishing the kidney, the combination of Rehmannia glutinosa and Cistanche Herba is very effective in nourishing the kidney and strengthening essence, especially rehmannia glutinosa, which has been a long-established star player in the field of nourishing the kidney. If you want to nourish the kidney, it must be the first choice; when it comes to reducing phlegm In the first level, you can send out the reliable combination of Shichangpu and Polygala, which are proficient in a series of operations to protect the nerves and improve memory; It has a good record of increasing cerebral blood flow, and the combination is also widely acclaimed.
However, it is still difficult for ordinary people to control the amount and combine them reasonably. Therefore, at this time, you can choose Chinese patent medicines that have been verified and contain corresponding ingredients, such as Gastrodia Xingnao Capsules, which are often used clinically. It can be used in combination with conventional western medicine to treat vascular dementia, prevent the transformation of mild cognitive impairment to dementia, and improve the quality of life of patients. Physician guidance.
In addition to drugs, middle-aged and elderly people can also achieve the purpose of prevention and treatment by improving their living habits. Good control of blood pressure, blood lipids, blood sugar, and a healthy low-fat diet can reduce the risk of vascular diseases. Exercising more can improve brain function and cerebral perfusion, and reduce the risk of dementia. Quit smoking and drink less, alcohol and tobacco will cause damage to blood vessels in all parts of the body. Keep a good attitude in everything, etc. Family members can have more conversations with the patient, or listen to the patient and observe his emotions to better cope with the disease.
For people at high risk of vascular dementia, in addition to regular basic physical examinations, special cardiovascular and cerebrovascular and simple neuropsychological screening should be added to assess the degree of cerebral vascular lesions and cognitive dysfunction, so as to achieve early detection Intervene early.
Editor in charge: Li Zhi
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