In the UK, the average age of with stroke is much younger than 10 years ago. The survey shows that the onset age of men was 71 years old in 2007, and 68 years old in 2016, and the women also dropped from 75 to 73 years old, and the average age of onset is decreasing. In addition, compared with the data of the same period, the number of people suffering from stroke in the 40-69 years old increased by 33-38%. The data tells us that the onset of stroke is gradually becoming younger.
There is no common standard in the world for the definition of stroke in young people, usually referring to young people under 45 years old. The incidence of ischemic stroke in young people is 2 to 4%, and about 1% in the 20-year-old age group. There are many reasons for the disease in young people, some of which are the same as those in the elderly, some are different from those in the elderly, and some are genetic factors and congenital abnormalities. However, due to different causes and different response methods, it is important to find the cause of the disease.
The causes of stroke in young people include: ① Studies have shown that smoking can increase the risk of disease in young people by 2.6 times. The proportion of young stroke patients smoking is also very high, nearly 1.7 times higher than that of elderly stroke patients. ② According to a meta-analysis report of migraine patients, people with aura migraine have doubled their risk of stroke, which suggests that it is related to hypocerebral perfusion at the onset, cerebral artery dissection and patent foramen ovale . ③Influences such as blood hypercoagulation and vascular reactivity changes during pregnancy and puerperal periods. ④ Contraceptive estrogen will increase the risk by 2 to 4 times, but progesterone has no effect. ⑤Drugs can stimulate sympathetic nerve , increase blood pressure, activate platelet , and cause vasculitis , etc. ⑥ anti-phospholipid antibody syndrome . ⑦ smoke disease , etc.
Some young people have the same causes of stroke as those in the elderly, which are smoking, drinking a lot of alcohol, diabetes , hypertension , hyperlipidemia, etc. Unfortunately, there are many reasons that are unknown. Therefore, the difference from stroke in the elderly is that some of them have difficulty finding the cause. If the symptoms at the onset are mild, the possibility of delaying diagnosis and treatment will also increase, which are the characteristics of stroke in young people.
The size and severity of stroke, as well as the occurrence of complications and sequelae, have a great impact on the patient's life expectancy. Someone conducted a general survey and showed that the average remaining life of patients with stroke had occurred, both men and women, were 10 years less than the actual survival age. Simply put, if you have stroke, your life span will be shortened by about 10 years.
The prevention of stroke is from "zero-level prevention" to "second-level prevention". The early "zero prevention" means that good living habits should be maintained from young age. Secondly, the treatment measures for underlying diseases such as hypertension, diabetes and hyperlipidemia are called level 1 prevention, followed by further prevention from level 1 prevention to level 1.5. At this stage, due to arteriosclerosis, white dot-shaped "white matter lesions" will appear in various parts of the brain, including changes such as thickening and stenosis of the neck and brain. Therefore, in the prevention stage of level 1.5, regular examinations and dynamic observations of blood vessels in the brain and neck, as well as cardiac blood vessels should be performed on the basis of level 1 prevention. Level 2 prevention is the recurrence prevention after stroke. Therefore, the section between level 1.5 and level 2 is a risk warning area for stroke.
What needs to be correctly recognized here is that stroke is closely related to daily life habits. Usually, family members have many consistent eating habits and living habits, and over time, they will dissatisfied with many of the same bad living habits. In addition, if one of the parents has a history of stroke, it should be taken seriously since he was young, and the risk of stroke will increase. Especially when both parents have diabetes, 75% of people are prone to diabetes.
Living habits disease can be prevented by improving diet, moderate exercise habits, good sleep, quitting smoking and drinking.However, if signs of early arteriosclerosis have been found, it should be better to start preventing by changing one's daily life.
