Diet taboos for cerebral infarction

Never eat a diet high in salt, oil, or sugar for a long time, and avoid the habit of drinking a lot of alcohol. At the same time, adjust your diet according to the medicines you take, and avoid conflicts between food and anticoagulant and lipid-lowering drugs. There are no foods that cannot be eaten at all, only options that cannot be eaten in excess or indiscriminately.

Last month, I accompanied my aunt who had a 10-year history of cerebral infarction to a follow-up consultation in Shennei. In the office of Director Zhang, I happened to meet an old man who had relapsed and was hospitalized. He was 62 years old. After being discharged from the hospital last time, his blood pressure and blood lipids had been very stable. So he rushed to his hometown to hold a birthday party. For three days in a row, he ate braised pork and pickled fish, and drank sweet cola on the table when he was thirsty. As a result, half of his body was numb right after the party. When he was sent for a checkup, it was found that there was a small blockage in the cerebral blood vessels. Director Zhang sighed at that time and said that he encountered five or six patients every month who could not control their words and relapsed.

The first thing many people think of is salt control. In fact, salt is the most misunderstood. Don’t think that skipping two tablespoons of salt in cooking is enough. Director Zhang even calculated the calculation for us: a 100g pack of meili contains nearly 3g of salt, which is just enough for the recommended daily intake of cerebral infarction patients, not to mention the layer of white frost in the noodles, sliced ​​bread, salad dressing, and even the jars used to pickle pickles, all of which are easily overlooked invisible salts. There are now two different practical suggestions for salt intake in the industry: One group advocates a strict upper limit of 3g per day, including invisible salt, which can minimize the risk of blood pressure fluctuations. ； Some clinicians also remind you that if you often go out for walks in the summer and sweat a lot, or take antihypertensive drugs with diuretic ingredients, don't be too stuck. Take blood regularly to measure the blood sodium level. If the level is low, it's okay to eat a few more bites. Otherwise, hyponatremia will cause you to faint, and the risk of falling is more terrible than slightly higher blood pressure.

As for the oil issue, don’t just focus on the saturated fats on the surface such as fat meat and animal offal. If you go to the supermarket and pick up a peach cake or shortening bread, the shortening and margarine in the ingredient list are all trans fats, which are more harmful to blood vessels than lard. When I buy processed food for my family now, I first scan the ingredient list and put anything with these words directly back on the shelf. Regarding fat intake, it is not just a vegetarian diet: there has been a view that patients with cerebral infarction should eat more deep-sea fish to supplement Omega 3, which is good for blood vessels. However, some doctors remind you that if your triglycerides have exceeded more than 2 times, don’t eat deep-sea fish all the time. Eat 1-2 times a week, and a big piece each time is enough. Otherwise, the rise in blood lipids will be more than worth the loss. There is no need to be vegetarian. My aunt heard others say that it is good to be vegetarian. After eating it for half a year, her albumin dropped a lot and her immunity was very poor. Later, the doctor asked her to eat one egg white a day and lean pork twice a week, and then she slowly made up for it.

Many elderly people are most likely to fall into the trap of high sugar. They always think that I will be fine if I don’t drink milk tea or eat cakes. I usually make honey water, make porridge with rock sugar, and even the sucrose-free biscuits my children buy are all places where sugar is hidden. There used to be an aunt in the same ward. Her children were afraid that she would be hungry, so she bought a box of sucrose-free soda biscuits. She ate four or five pieces every afternoon. During the reexamination, her fasting blood sugar rose from 5.8 to 7.9. The doctor was dumbfounded. They said they were sucrose-free because no sucrose was added.

What many people don’t know is that the medicines you take are different and the dietary taboos are also different. For example, many patients with cerebral infarction have to take warfarin for anticoagulation for a long time. In the past, the old saying was to completely avoid foods with high vitamin K content, such as spinach, broccoli, and pork liver, for fear of affecting the efficacy of the medicine. Now the new guidelines have long been changed. It is not necessary to completely avoid these vegetables, as long as you eat a roughly fixed amount of these vegetables every week. For example, if you eat broccoli twice a week, half a bowl each time, then keep this frequency. Don't eat nothing this week and eat every next week, which will cause fluctuations in coagulation indicators. If you are taking new oral anticoagulants, you don’t need to avoid these. You can just take them normally. Don’t listen to other people’s nonsense about this. Just ask your doctor in advance what kind of medicine you are taking.

The most frequently asked question is about drinking. Let me be honest here. Many people hold on to the old concept of "drinking a small amount of alcohol to activate blood circulation." Current global clinical studies have confirmed that drinking even a small glass of liquor every day will increase the risk of recurrence of cerebral infarction. The so-called blood-activating effect is simply not worth the damage of alcohol to blood vessels. But that doesn’t mean that elderly people who have been drinking for decades must quit drinking immediately. If they suddenly experience withdrawal reactions such as panic, insomnia, and soaring blood pressure, they are more likely to get into trouble. You can slowly reduce the amount of alcohol you drink, for example, from drinking two ounces a day to one ounce, and then to half a ounce. It takes two or three months to quit slowly, which is much safer.

In fact, to put it bluntly, the dietary taboos for cerebral palsy are not as strict as everyone thinks. It doesn’t mean that you can’t touch braised pork or eat pickled vegetables in this life. My aunt will occasionally take a bite of the sauced pork made by my uncle when she is greedy. It’s just a small piece to satisfy her cravings, and the indicator does not fluctuate. The key point is not to be greedy for too much, don’t just eat it once with the mentality of “you’ll be fine”, and don’t just eat whatever others say is good. Every time you have a review, take a small book and ask the doctor, and adjust it based on your own blood pressure, blood lipids, and coagulation indicators. This is more effective than dozens of lists of taboos listed on the Internet.~