{"id":14696,"date":"2026-01-14T10:13:41","date_gmt":"2026-01-14T02:13:41","guid":{"rendered":"https:\/\/www.premierclinic.hk\/?p=14696"},"modified":"2026-01-14T10:13:41","modified_gmt":"2026-01-14T02:13:41","slug":"%e4%ba%86%e8%a7%a3%e4%b8%ad%e9%a2%a8%e5%be%b5%e5%85%86-%e7%b6%ad%e6%8c%81%e9%95%b7%e8%80%85%e8%87%aa%e7%90%86%e8%83%bd%e5%8a%9b%ef%bc%88%e4%bf%a1%e5%a0%b1%e8%b2%a1%e7%b6%93%e6%96%b0%e8%81%9e%ef%bc%89","status":"publish","type":"post","link":"https:\/\/www.premierclinic.hk\/en\/news\/%e4%ba%86%e8%a7%a3%e4%b8%ad%e9%a2%a8%e5%be%b5%e5%85%86-%e7%b6%ad%e6%8c%81%e9%95%b7%e8%80%85%e8%87%aa%e7%90%86%e8%83%bd%e5%8a%9b%ef%bc%88%e4%bf%a1%e5%a0%b1%e8%b2%a1%e7%b6%93%e6%96%b0%e8%81%9e%ef%bc%89\/","title":{"rendered":"Understanding Stroke Signs to Maintain Seniors' Self-Care Ability (Hong Kong Economic Journal)"},"content":{"rendered":"

Whenever a cold front strikes, I always remind the elderly to keep warm, because a sudden drop in temperature can cause blood vessels to constrict, leading to a spike in blood pressure, which may then trigger a stroke and cardiovascular disease.<\/p>\n\n\n\n\n\n\n\n

The terrifying aspect of stroke is the irreversible damage it causes to the brain. When a blood vessel in the brain becomes blocked or ruptures, brain cells are damaged due to lack of oxygen, affecting bodily functions. Sequelae include muscle incoordination, impaired mobility, and difficulty swallowing. If a severe stroke is not treated promptly, it can lead to permanent loss of mobility and even death. Many stroke patients are unable to care for themselves and require assistance with daily living, placing a heavy burden on caregivers.<\/p>\n\n\n\n

Why is it important to closely monitor the health of the elderly? In addition to high blood pressure, high cholesterol, and high blood sugar, as well as smoking, aging is also a risk factor for vascular diseases. For example, transient ischemic attack (TIA), which is common in the elderly, is caused by temporary blockage of blood vessels in the brain. Because the blockage is short-lived and will recover on its own, patients may mistake it for a minor problem, but it can actually significantly increase the risk of serious stroke in the future.<\/p>\n\n\n\n

Small vessel disease is not uncommon in the elderly, which refers to lesions in the small blood vessels supplying the subcortical regions of the brain. Research from the Chinese University of Hong Kong's Faculty of Medicine has found that patients with small vessel disease who experience mild cognitive impairment may develop dementia over time; even those without cognitive impairment have poorer general and executive cognitive functions than normal individuals, resulting in a weakened ability to live independently.<\/p>\n\n\n\n

This type of vascular dementia differs from the more commonly mentioned Alzheimer's disease. The former is sudden and often presents with physical symptoms in the early stages (such as difficulty walking and poor coordination); the latter is progressive and often begins with memory problems, with physical symptoms appearing later.<\/p>\n\n\n\n

If you notice any signs of unsteady gait, slowed thinking, poor memory, or increased stubbornness in an elderly family member, consult your family doctor as soon as possible. A CT scan or MRI can be used to examine the brain and diagnose small vessel disease, helping to prevent dementia or stroke. Even if a stroke does occur, early treatment and rehabilitation help maintain the patient's quality of life and allow caregivers to be better prepared.<\/p>\n\n\n\n

Dr. Yongbai Su, Fellow of the Royal College of General Practitioners<\/a><\/p>\n\n\n\n

Originally published:
https:\/\/health.hkej.com\/health\/article\/<\/a><\/p>","protected":false},"excerpt":{"rendered":"

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