As people's health awareness increases, more and more people begin to pay attention to managing their own health. So one of the first things to do is a physical examination. How will you deal with the problems found during the physical examination?
Does abnormal physical examination results mean that there is a problem with some aspect of our body? At this time, seizing the time to treat is the first choice for many people.
In fact, there are some problems discovered during physical examination. patients should not panic too much. Excessive treatment will cause damage to the body. . Next, let us listen to the advice given by the doctor.
1. Lacunar cerebral infarction is not equal to cerebral infarction !
When the words "cerebral infarction" appear on the physical examination report, I believe few people can treat it calmly. In fact, the "lacunar infarction" detected during the physical examination is not a true cerebral infarction, but a concept in imaging.
Lacunar infarction is generally discovered by CT. When CT examines the human brain, it is limited by the resolution and imaging principles. X-rays will show small "black spots" when they pass through the low-density tissue of the brain. Lacunar cerebral infarction will also appear on CT in the form of "little black dots" during CT examination. Therefore, the lacunar cerebral infarction appearing in the brain CT report may not really be "cerebral infarction".
A true lacunar infarction is a small infarction within 15mm in diameter that occurs deep in the brain. It usually appears on the capillaries in the brain. Research shows that a large part of the reason why causes lacunar infarction is the aging of the body.
The arterial system of the human body will gradually age as people age. During this process, some capillaries will undergo degenerative changes. At this time, capillaries will be blocked. This situation is classified as lacunar infarction.
If these capillary lesions do not cause substantial symptoms, do not affect the functional areas of the human brain, and do not appear hemiplegia , hemiplegia, slurred speech, etc., then this situation is likely to be old asymptomatic lacunar cerebral infarction.
And this situation is more common among the elderly over 69 years old, accounting for about 20%.
Therefore, when lacunar infarction is found during a physical examination, don't panic. You can do an in-depth examination first. If there is no intima-media thickening, carotid artery plaque, and other conditions, you don't need to undergo treatment.. This group of people should pay attention to controlling their weight, blood pressure and blood sugar in their daily lives, and abandon some unhealthy lifestyles. Regular cerebrovascular examinations will be carried out, and systemic treatment will be provided if secondary problems are found.
2. Arachnoid cyst , don’t worry, most of them are benign!
If information such as arachnoid cyst is found in the physical examination report, the patient should not worry too much. Why do you say this? Although arachnoid cyst sounds scary, it is actually just a benign brain cyst lesion . Next, let’s take a closer look at arachnoid cyst.
First of all, let’s understand what arachnoid is. The arachnoid membrane is a protective membrane covering the brain and spinal nerves of the human body. The protective film outside the brain nerve is divided into three layers, namely pia mater, arachnoid mater and dura mater. These three layers of protective film can protect the brain nerve and spinal nerve to varying degrees.
Among them, the arachnoid membrane plays the most important protective role. The formation structure of the arachnoid membrane is related to the working principle of cerebrospinal fluid circulation . The arachnoid membrane is mainly composed of arachnoid granules and the choroid. It can promote cerebrospinal fluid circulation during normal operation, and The circulation of cerebrospinal fluid can prevent the external impact on the brain nerves to a large extent, thereby protecting the brain nerves.
In addition, the arachnoid membrane also has an important role, that is, can take away , the metabolite produced by metabolism of the nervous system, which will keep the nerves and brain in a state of dynamic balance.
Secondly, let’s take a look at how arachnoid cysts are formed? The formation of
arachnoid cyst is due to the abnormal division of arachnoid during the development period, resulting in . When the arachnoid divides abnormally during the developmental stage, cysts containing cerebrospinal fluid will be formed. Most of these cysts will appear on the surface of the brain or in the cerebral fissures and cisterns. The size of the cyst has a certain relationship with the division of cells into when it begins to form.
Finally, will this cyst in the brain of affect our health?? After all, the structure of the brain is very special and very fragile. Inadvertent damage to the cranial nerves can easily cause major problems.
The location of an arachnoid cyst generally does not harm the brain parenchyma, and arachnoid cysts rarely have multiple cysts appearing at the same time. Patients with arachnoid cysts generally have no substantial symptoms. Unless the cyst is too large, it will compress the brain nerves, and this disease will not cause malignant lesions. When
conducted a follow-up survey on people with arachnoid cysts, they found that 78.4% had no change in arachnoid cysts within 3 years, 11.7% had a decrease in arachnoid cyst volume, and 9.9% had an increase in arachnoid cyst volume. Whether further treatment is needed after the arachnoid cyst increases in size depends on whether the arachnoid cyst has caused substantial symptoms to the patient.
Therefore, when the word arachnoid cyst appears in the physical examination report, you can first ask the doctor about the size of the arachnoid cyst and whether it has caused substantial symptoms to the patient. If there are no symptoms, just review it regularly!
3. Physiological brain atrophy, don’t worry, it is not a precursor to Alzheimer’s disease !
What does physiological brain atrophy mean?? Most people take all issues involving the brain very seriously, not to mention brain atrophy .
From a medical perspective, physiological brain atrophy is a normal physiological phenomenon . It occurs mostly because the human brain gradually ages with age. At this time, the size of the human brain tissue will become smaller, but this phenomenon of smaller brain tissue will not have a substantial impact on the overall function of the brain.
Physiological brain atrophy can generally be found through CT scanning. CT is an imaging technology with relatively large resolution, which can directly observe the anatomical structure of the living brain during the examination. research shows that most physiological brain atrophy will appear after the age of 70.
In a survey of physiological brain atrophy in people over 30 years old, it was found that the probability of physiological brain atrophy before the age of 70 is negligible. Therefore, when the elderly find physiological brain atrophy during physical examination, they do not need to be too nervous. This is likely to be a natural phenomenon of physical aging.
4. Where does prostate calcification come from?
The problem of prostate calcification often appears on the physical examination sheets of middle-aged and elderly men. So whether prostate calcification is serious and whether immediate treatment is needed has become a big problem for these men. Some people have almost no symptoms before discovering prostate calcification. So how should men who find prostate calcification deal with prostate calcification?
First of all, we should first understand the causes of prostate calcification. Prostate calcification is mainly caused by two reasons.
Prostate calcification may occur because urine refluxes into the prostate. Long-term reflux will cause calcium salts in urine to be deposited in the prostate. can cause chronic prostatitis . At the same time, this deposition can also cause prostate calcification.
Another possibility is that the prostate ducts and acini have abnormal expansion. This expansion of will cause prostatic fluid accumulation.At this time, the shed epithelial cells in the prostate, amyloid bodies in the cysts, and other secretions will accumulate in the prostate, causing prostate calcification.
During physical examination, B ultrasound, , X-ray or CT can detect prostate calcification. Most prostate calcification is a benign disease, so patients do not need to worry too much and can communicate with the doctor according to their own situation.
If the patient himself suffers from prostatic inflammation and has symptoms such as urgency of urination, frequency of urination, painful urination, etc., attention should be paid to the next step of treatment. If the patient does not have the above symptoms and the possibility of prostatic hyperplasia has been ruled out, then no treatment is required for the time being.
For patients who have discovered the problem of prostate calcification, they should pay attention to regular physical examinations, because long-term calcium salt accumulation may cause prostate stones . In addition, this group of patients should also pay attention to eating less foods with high oxalic acid content in their diet, because oxalic acid will increase the calcium salt content in the urine, thereby aggravating prostate calcification.
Conclusion
Health examination is an activity that is particularly beneficial to human health. The increase in the overall physical examination rate of the population shows that the overall health level of the population is constantly improving. We should face some problems discovered during physical examination rationally. The process of human body from childhood to old age is a process of continuous aging, and during the aging process, the body's organs will naturally undergo some changes. While taking preventive measures, we should not panic too much. Don't be "scared" by the physical examination form to get sick!
References:
[1] CT diagnostic characteristics and clinical correlation analysis of lacunar cerebral infarction Zhang Hecheng, Zhu Jiangang (corresponding author), Kong Linggang, Kang Qing, Lu Chunlei, Ma Junhao, Wang Zhongyu, Wang Jinyu (Department of Radiology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700
[2] Quantitative analysis of ventricular volume CT in physiological brain atrophy Research on the application value in diagnosis Bian Hongyu, Cheng Yao, Zhang YijunPeople's Military Medical Medicine October 1, 2010 No. 53
[3] Don't let asymptomatic prostate calcification disturb Zheng JinmeiChinese Journal of Andrology 2022 7 Arachnoid cyst was found in month
[4] Don’t panic Deputy Chief Physician of Neurosurgery of Nanjing Brain Hospital Hu Xinhua 2018.3
