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When you find someone with a stroke, take them to the hospital as soon as possible. If you try to delay retention at home for treatment, you will lose your golden opportunity to cure.
Serious complications due to misunderstandings about stroke
In recent weeks, the number of patients transferred to the Bach Mai Hospital Stroke Center for emergencies has increased by 30% compared to normal days, on average 35-50 cases / day. In particular, most patients are hospitalized after the golden hour.
For example, in the case of a 60-year-old male patient in Thai Binh, transferred to the hospital at the 26th hour. The patient has such a subjective healthy history, after lunch, the left half suddenly falls asleep.
The patient who thought he had suffered a stroke had to lie still to rest his brain; However, going to bed for more than a day did not help, so she told her son to take him to the hospital.
Adjunct Professor Dr. Mai Duy Ton Visits Stroke Patients
Or the case of a 60-year-old patient in Hanoi, transferred to the hospital after more than 1 day of stroke. One morning when she woke up early to go to the gym, she suddenly felt weak and numb in her right half, her mouth distorted.
Guessing that she was hit by the wind, she went to bed to rest. On the same day, her daughter called an acupuncturist to treat her and help her practice, but after 24 hours she still wasn’t getting better. After the meeting, the family decided to take her to the hospital.
Associate Professor Dr. Mai Duy Ton said that the two cases mentioned above came too late, lost the golden time to “save the brain”, and suffered a disability for life.
Every year Vietnam has around 230,000 new cases of stroke, of which almost 50% of all strokes will die and 90% will leave after-effects because most stroke patients arrive at the hospital after the golden hour. .
The rate of stroke patients arriving before 6 am in our country averages only about 3.5%, especially in large hospitals like Bach Mai, this rate is 5-7%.
Associate Professor Ton said the golden time to use blood fibrinolytics is 4 to 5 hours from the start. The opportunity to intervene to remove blood clots only in the first 6-8 hours, except in some special cases up to 24 hours.
Brain cells will die within minutes without a supply of blood or oxygen. For ischemic stroke, when a large blood vessel in the brain is blocked, for every second that passes, 32,000 brain cells die, and for every minute that passes, 1.9 million brain cells “disappear” every hour. After his death, the corresponding death of brain cells lost 3.6 years of life of the normal person.
“The sooner I go to the hospital, the higher the treatment success rate. Symptoms to think about immediately for a stroke are one-sided distortion, lisp, muteness, weakness or numbness of the extremities on one side, sudden loss of vision in one or two eyes … We are not allowed to lose a moment of immobile rest awaiting self-healing or self-treatment according to the popular oral method, ”recommended Professor Ton.
Three mistakes must be eliminated immediately
Associate Professor Ton emphasized that when detecting a stroke patient, it is forbidden to give the patient any medication, including aspirin.
Aspirin works to thin the blood, but blood clots are just one of the myriad causes of stroke. In addition to cerebral infarction, stroke is also caused by cerebral vascular rupture (cerebral hemorrhage). To determine exactly, doctors must carefully scan and test. Therefore, people should not take drugs arbitrarily.
In fact, there have been many very unfortunate incidents when family members voluntarily gave the patient an arowana drink which made the bleeding worse and the patient fell into danger.
Second, stroke patients often have a distorted mouth, unilateral paralysis, swallowing disorder. Therefore, do not give the patient anything to eat or drink to avoid suffocation, suffocation in the airways leading to respiratory failure, pneumonia and even death.
Steps to revitalize the patient’s heart and lungs.
Third, do not allow the patient to go to the hospital alone. Symptoms of stroke are difficult to recognize early on, making the patient subjective. If vigorous exercise continues, the patient may fall and become worse.
When detecting stroke, make sure there is ventilation in the airways, if dentures need to be removed, check for phlegm in mouth, if necessary remove, and let patient lie on side to avoid suffocation and help Better blood flow to the brain.
People should avoid massages, acupressure, blood injections. It is best to call 911 immediately to refer patients to the nearest medical center as soon as possible.
Note that when calling 115, it is necessary to clearly state that the patient has a “stroke.” The 115 ambulance staff will prepare the appropriate medical facilities and choose a hospital that specializes in stroke treatment before transferring patients.
While waiting for the ambulance to arrive, ask the patient as much information as possible. Ask about all the medications the patient is taking, health problems, and allergies. Record all the symptoms including: The time of the stroke, the patient’s medical history such as hypertension, heart disease, sleep apnea, diabetes … This information is very useful for the doctor. treatment.
If the person is sitting or standing, encourage them to lie on their side with their head high.
When the patient is unconscious, if you cannot take his pulse, start CPR to reactivate the heart and lungs. Try to stay calm and inhale and press the patient while waiting for the 115 ambulance to arrive.
Thuy Hanh
More than 1,000 hospitalized strokes, 4 prevention principles
The number of stroke cases on cold days increases by 20-30%, and Bach Mai Hospital receives between 35 and 50 hospitalizations a day.
