More than 1,000 hospitalized strokes, 4 prevention principles



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The number of stroke cases on cold days increases by 20-30%, and Bach Mai Hospital receives between 35 and 50 hospitalizations a day.

The Stroke Center at Bach Mai Hospital, after 40 days of operation, has received more than 1,000 stroke patients in emergency. Of which 10% are young patients under 44 years of age. The youngest case was 14 years old, he was transferred to the emergency room due to a severe headache. During the examination, the doctor discovered that the boy had a cerebral vascular malformation.

Adjunct Professor Dr. Mai Duy Ton, director of the Stroke Center, said that a week ago, when it was cold, the number of stroke patients continued to rise, on average, receiving 35-50 patients per day, almost increasing . 30% compared to normal days.

Cause in winter, low temperature, blood vessels reduce elasticity, easy to shrink, increase blood pressure, increase pressure in the lumen while narrowing, thus causing complications of obstruction and rupture. cerebrovascular …

Over 1,000 hospitalized strokes, 4 prevention principles

The stroke patient transferred to the Stroke Center, Bach Mai Hospital Emergency Room

Especially for the elderly, the body slowly adapts to sudden changes in temperature, if there are additional chronic diseases such as high blood pressure, the walls of the blood vessels degenerate, which will affect the circulation of the brain and arteries. Putting blood is easy to block …

Studies have shown that a 5 degree C decrease in temperature increases hospitalization for stroke by 7%. Although the number of stroke patients has increased every year, the rate of emergency patients catching up on prime time remains low.

At the Stroke Center, Hospital Central Militar 108, every day receives more than 30 strokes, of which 17% are patients under 40 years of age. The youngest stroke patient being treated at the center is only 13 years old.

Center Director Dr. Nguyen Van Tuyen said that for young people, the most common cause of stroke is cerebral vascular malformation. Stroke due to cerebral infarction in young people is rare, with only a few cases per year.

Cerebral vascular abnormalities can occur from an early age, when the lump is large enough, or an additional action factor may cause the malformation to rupture. However, this cause can be fully detected and prevented by early examination of the cerebral vessels.

The Stroke Emergency Department and the Intensive Care Department, the Central Geriatric Hospital have 100 beds, but these days they are also full of patients. The number of strokes at the Hanoi Heart Hospital also increased by about 20% compared to normal days.

Statistics show that one-third of all strokes occur after having one or more minor strokes, also known as a transient ischemic attack. Signs such as sudden loss of vision, weakness in an arm or leg may appear for a few minutes from transient ischemic attacks.

A transient ischemic attack usually occurs suddenly in a short time, usually 2 to 20 minutes after that. People with a one-time transient ischemic attack are 9 times more likely to have a stroke than others.

In Vietnam, according to statistics, each year there are more than 230,000 strokes, more than 50% of them die, 90% of all stroke cases are still alive leaving complications. Every year, the number of people who have a stroke increases by 2%.

4 notes to prevent strokes

People at high risk of stroke are often due to hypertension (which accounts for 80% of all strokes), diabetes, arrhythmia, obesity, family history of stroke …

Furthermore, due to life changes, stress, improper nutrition, smoking, environmental pollution … they are also the causes of the increase in stroke disease.

Adjunct Professor Dr. Mai Duy Ton cautions: After the first stroke, in the first week or year, the recurrence rate is up to 15-18%, so infected patients should take preventive measures. .

First, patients need to control blood pressure by following the usual medication, bingeing, avoiding sudden cold to prevent exacerbations of hypertension.

Monday, Always keep your body warm, especially limit your nights out and early in the morning. Kick the habit of exercising too early, change the time frame from 4 to 5 to. M. A 7 to 9 a. M. Or you can practice indoors in a windy place. Consider warming up before you exercise and don’t exercise vigorously.

Tuesday, ensure nutrition, increase water consumption, eat more vegetables, fresh fruits, whole grains, limit fat and reduce the consumption of alcohol, cigarettes …

Wednesday, Regular exercise according to health with an amount of 30-60 minutes per day, 4-5 times / week.

Currently, many families store burdock in their homes to prevent strokes. However, this may inadvertently make stroke patients worse, especially stroke with cerebral infarction.

“The rhino horn ingredient in the bow is not effective in preventing stroke. The tablets also contain arsenic and mercury, so patients should not be used, especially contraindicated for patients with stroke and brain hemorrhage, ”emphasized Professor Nguyen Van Thong, president of the Vietnam Stroke Association. .

In fact, burdock can only have a small effect in cases of ischemic stroke, then it can help reduce blood clotting, but patients are still at risk of bleeding in the infarction area.

On the contrary, if there is a brain hemorrhage, taking burdock is more dangerous due to increased bleeding because the blood cannot clot.

Meanwhile, to determine a stroke or brain hemorrhage, doctors need to scan and perform tests. Therefore, people should not take drugs arbitrarily.

Thuy Hanh

The First Warning Signs of a Stroke Everyone Should Know About

The First Warning Signs of a Stroke Everyone Should Know About

More than 30% of strokes have early warning signs. Therefore, people need to do early detection to have a backup plan.

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