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Stroke sign
Common stroke has 2 types: cerebral infarction and cerebral hemorrhage. Symptoms of a stroke that occur suddenly include: distorted mouth, weakness in the body, trouble speaking or inability to speak.
Dr Ha Tan Duc, Head of the Stroke Department (Can Tho Central General Hospital) examined stroke patients for treatment in the department. |
Cerebral stroke
This is a disease that accounts for almost 80% of all strokes. The cause is a blocked cerebral blood vessel, usually due to a lumen-blocking blood clot (a blood clot that can be blocked from the heart or formed at the site). The vascular lumen at the site of the obstruction can be normal or narrow (the degree of stenosis varies, from mild to very severe).
A form of brain disease with symptoms that resemble a stroke is called a transient ischemic attack (which is not classified as a stroke).
This is due to constriction of the cerebral vessels (which may be accompanied by a narrowing of the cerebral vessels at the spasmolytic site). The transient ischemic attack will be completely restored. However, this is one of the signs that people are at very high risk of having a real stroke in the near future.
Cerebral haemorrhage
It accounts for almost 20% of all strokes. Common causes include: rupture of a blood vessel, rupture of an aneurysmal sac (a blood vessel has a weak point, swelling, and rupture).
In the form of a brain hemorrhage, a ruptured brain aneurysm is extremely dangerous, because the death rate before reaching the hospital is very high. The disease can occur at any age.
The mortality rate before going to the hospital is very high (15-50%). For prevention, a brain aneurysm sac should be examined if the following risk factors are present: history of brain aneurysm sac, family history of subarachnoid hemorrhage (due to ruptured brain aneurysm sac), have genetic diseases such as Marfan syndrome, polycystic kidney, Ehlers-Danlos syndrome type 4.
Image of cerebral vessels of a patient before and after the intervention that obstructed the aneurysm |
However, not all bulky bags will break. In the case of small bulky bags, 50 – 80% will not break during its life. Therefore, not everyone needs a brain scan to detect an aneurysm. Because if the scan has a little bulging bag, do anything else, most will not interfere. But at that time, the patient was not eating well and was sleeping very well due to the bulging bag.
Risk of stroke
Risk factors for stroke include: low birth weight, older age, family history of stroke, increased blood pressure, history of transient ischemic attack, atrial fibrillation (a type of arrhythmia). ), dyslipidemia, diabetes mellitus, sleep apnea, smoking, alcohol abuse, obesity, sedation, use of oral contraceptives, psychological stress. The best way to prevent the disease is to prevent symptoms from appearing by minimizing risk factors for the disease.
What to do when there is a risk of stroke?
If you have high blood pressure, you should consult a doctor and use the drug regularly as prescribed by your doctor. Patients should consult their treating physician to find out their blood pressure level and how to self-monitor at home. Avoid salty foods and physical activity can also partially lower your blood pressure.
If there is a transient ischemic attack, the patient’s family members need to know the symptoms of the disease (such as a stroke) so that the disease can be detected quickly. When symptoms suggest a stroke, the patient should immediately take him to the medical center with the stroke intervention unit for treatment as soon as possible.
If you have atrial fibrillation (a type of arrhythmia), a specialist should examine you and give you medicine to prevent blood clots from forming in the heart. If a blood clot forms in the heart, the risk of embolism is very high (including the cerebral blood vessels).
If you have a blood fat disorder, you should be active, avoid eating fat and fried foods, eat a lot of vegetables. As for protein, you can eat fish, eat less meat. If the above changes do not improve your dyslipidemia, your doctor may consider medication.
The image of a giant brain aneurysm bag threatening to rupture was quickly discovered and handled by doctors. |
If you have diabetes, this is a disease that requires general long-term treatment. The most common complications of diabetes are vascular complications, most commonly myocardial infarction, stroke, brain hemorrhage.
Treatment measures include lifestyle changes toward more exercise, a healthy lifestyle, and a healthy diet. Combined with medication. The goal is to control blood sugar, control blood pressure, control fat in the blood, and minimize risk factors for vascular disease.
If you have sleep apnea. This is a common condition in obese people (people who are not obese can see it too). At night, when sleeping, patients often snore very loudly, alternate breathing stops. A respiratory specialist will examine and treat any sleep apnea. When it comes to birth weight, there is no other way to guarantee adequate prenatal check-ups, adequate maternal nutrition, pregnancy monitoring and adequate vaccination during pregnancy.
Furthermore, stroke can also be caused by other risks such as smoking, alcohol abuse, obesity, inactivity, use of oral contraceptives, and psychological stress. These are factors that can be minimized or eliminated. Eliminating these risk factors requires determination and long-term implementation.
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