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A patient undergoing treatment at Thong Nhat Hospital (Tan Binh district, Ho Chi Minh City) – Photo: DUYEN PHAN
According to statistics from 115 People’s Hospital, if about 10 years ago, the percentage of stroke patients with diabetic disease in the hospital was approximately 10-15%, so far this figure represents more than 20-25%.
Murderer in silence
Associate Professor Thang analyzed that increased blood sugar in diabetics will damage blood vessels and accelerate atherosclerosis, increase the accumulation of plaques in the lumen, causing obstruction, thus causing stroke.
People with diabetes are often accompanied by high blood pressure, whose blood pressure is the main cause of stroke, so the process of atherosclerosis occurs faster, clogging blood vessels, and stroke is more likely to occur. .
Concern for diabetes often has no symptoms. Many patients do not know that they have diabetes, just by chance when they have a physical examination, a blood test.
“Diabetes is considered a silent killer. That is why we should not wait until stroke has symptoms to detect, but check when there are no symptoms,” emphasized Associate Professor Thang.
To prevent stroke in diabetics and those with underlying medical conditions, Associate Professor Thang recommends that patients should monitor blood sugar and undergo regular health checks 2-3 times a year.
For people with normal condition, they only need periodic medical check-ups once a year. Also, people need to limit smoking, alcohol, regular exercise, healthy diet …
How to know career?
Medical documents show that the risk of stroke ranges from 90 to 95% when at least 1 of 3 groups of FAST signs appear:
1. Facial paralysis: mouth is twisted to one side, nasal wrinkles – blurred cheeks.
2. Weak, paralyzed arm (arm) or leg – unable to stand, hold, walk.
3. Speech disorder: Sudden altered speech, inability to speak or speak … as was normal before.
4. Time of illness (time): When you experience the above symptoms, you should call 911 immediately. Patients should memorize the time of illness to inform medical staff.
According to the World Stroke Association (WSO) guidelines, the “golden hour” for stroke patients is 4.5 hours. Ideally, the acute stroke patient should be transferred to the hospital within 30 minutes, which is considered a “diamond” time.
Consider the exercise position
According to Dr. Phan Vuong Huy Dong, Vice President of the Ho Chi Minh City Sports Medicine Association, people can choose to exercise in many different environments, but they must ensure ventilation, safety and many people. .
Walking down the emergency stairs in apartments, high-rise buildings … unintentionally endangers the practitioner, especially those with a background condition when there are often no or very few people passing. , poor ventilation.
“If the health of the doctor is in danger, such as a stroke, the chance of saving life or even death is very low if no one finds out after a few hours of having an accident,” said Dr. Dong.
Dr. Dong said that going up the stairs from the bottom up would require more force than going the other way. If you still choose the stairs as your practice location, it should be a well-ventilated place, with lots of passersby or surveillance cameras, and prioritize your practice from top to bottom.
For the elderly, people with underlying medical conditions (blood pressure, cardiovascular disease, diabetes, osteoporosis …), walking will create great pressure on the heart, the musculoskeletal system, especially especially the knee, ankle, groin and back joints.
Therefore, when there are signs of tiredness, slightly tired or sore joints, it is necessary to stop exercising and ask for help. If you push yourself, you could have a stroke when your heart can’t handle it.
Many stroke patients are young
Mr. Mai Duy Ton, Director of the Stroke Center at Bach Mai Hospital, said that cardiovascular diseases, obesity, metabolic disorders, hypertension, cerebrovascular malformations … are also diseases. The fund easily leads to stroke in young people. Bach Mai Hospital has found stroke-related deaths in people under the age of 40.
“Currently, there are many methods of early detection of stroke by evaluating risk factors. Previously, due to the lack of conditions, it could not be done, such as genetic tests, since a relative had a relative. if you have a stroke, you can do gene testing for family members to screen for early, “said Ton.
Dr. Ton said that among the deaths caused by strokes among young people, there are also those who are doctors. The causes of many of these cases are related to cerebral vascular abnormalities, ruptured blood vessels causing subarachnoid hemorrhage, blood flow to areas of the brain in the emergency room, and cardiac arrest before reaching the hospital.
Through initial estimates, Dr. Ton said the number of stroke cases at an early age tends to increase.
LINEN
Closing your eyes, standing on one leg does not reflect the blow
Associate Professor Thang said the movement “standing with one leg balanced” comes from a study in Japan, published in the Stroke Journal in 2014 with a sample of 1,400 people, the average age of 67.
The results showed that the inability to balance on one leg for more than 20 seconds was associated with cognitive decline and asymptomatic brain damage due to damage to small blood vessels.
Scientifically, this microvascular damage cannot be considered a true stroke, but simply reflects microvascular atherosclerosis, which is almost inevitable when people are over 60 years old. , especially if accompanied by underlying hypertension or diabetes.
According to Mr. Thang, the previous study was only conducted in a group of elderly population (67) Japan with many underlying diseases, this possibility was not surveyed before, so to raise the recommended level, it is necessary to verify repositioning in groups of population other than Japan.
THUR HIEN
