Sunday , April 11 2021

Stroke: All you need to know

Stroke is a catastrophic problem
which is due to a breakdown of blood supply in a part of the brain. On
The most common cause is the formation of thrombus in one of the blood vessels that supply it
brain. These blood vessels come from the heart and are part of the dishes
which provide blood and nutrients to different parts of the body. The result is
damage to a part of the brain depending on the included artery.

The stroke leads to the loss of many bodily abilities. These abilities may include speech, movement, and memory. How the patient affects the stroke depends on where the brain stroke occurs and how much of the brain is damaged. For example, a person with a small stroke may experience only minor problems such as weakness of the arm or leg. People with bigger moves can be paralyzed on one side or lose the ability to speak. Some people are completely recovering from blows, but more than 2/3 of the survivors will have some kind of disability.

Stroke is a common cause of death after a heart attack and cancer in the general population. According to the World Health Organization, 15 million people suffer from a stroke every year. Of these, 5 million are dying and another 5 million are permanently disabled. The cumulative incidence of stroke ranged from 105 to 152 / 100,000 people per year, and the severe prevalence of stroke ranged from 44.29 to 559 / 100.000 people in different parts of the country over the past decade (ICMR data). These values ​​were higher than those in high-income countries. Every year, there are 1,44-1,64 million cases of new moves. In a study from the Kashmir Valley conducted by Dr Parks, a chess and colleague from Srinagar found that there were predispositions to strokes in men, and especially among the rural population. High blood pressure and smoking were the most common causes of this population. Internal cerebral bleeding presented in more than half of the cases, making them the highest strokes with very high mortality. A recent study from 2019 by Hakim Mohd Shafi and Ajaz Ahmad Hakim from the valley reiterated that haemorrhagic strokes were observed in 79% of their population population of 100 consecutive patients.

There were significant developments at a very early stage
managing acute stroke with the administration of blood clotting hormones after CT
Brain off bleeding, because the cause showed very good results in the vicinity
complete recovery, but unfortunately very few patients have come to hospitals in this
time window. The result is that most major moves lead to permanent disability
and become a burden on the family with little hope of a significant recovery. That
it is therefore imperative that the answer is preventing a stroke. The good one
The news is that according to epidemiological data more than 80% can be strokes

These measures are simple, but they need a periodic medical checkup
and treatment of risk factors.

High-level diagnosis
blood pressure and treatment:

High BP is a very important risk factor, but
is often not noticeable and is also called "silent killer" for this reason. On
the first symptom of high BP unfortunately can be a stroke. All adults must know
their BP and if it is more than 140/90 mm Hg, should see their doctor.
The higher the higher the risk of stroke. Effective medical treatment
it is very important to minimize the chances of getting a stroke. It should be
stressed that treatment without drugs with a better lifestyle is always necessary
accompaniment to drugs. The ideal BP should be about 130/80 mm Hg.

Fibrillation (AF) and stroke risk:

AF is an abnormality of heart attack that
increases the risk of stroke by at least 5 times. With age it increases the risk
increases exponentially. The mark of this arrhythmia is rapid and irregular
heart attack and pulse.

the upper chambers of the heart (atrium) overcome the chaotic and red thrombus
form due to stagnation of blood. Part of these clots can be removed
and to enter the blood circulation of the brain and suddenly cause a stroke. ECG
diagnoses this arrhythmia, and most AF patients need anti-coagulants. E
to mention that aspirin in this situation is ineffective and is not
anti-coagulant. It is an anti-platelet remedy that only prevents white clotting
forming, while we need to prevent the formation of red clot (thrombus). Warfarin
and newer drugs such as dabigatran, rivaraxoban and apixaban are agents. These
agents should be given under medical supervision.

Smoking cigarettes and tobacco abuse:

It is a very important risk factor
the cause of stroke, especially in people who already have risk factors
such as hypertension and a family history of stroke. It is shown
Quitting smoking significantly reduces the risk of stroke. In several patients
stroke with stroke is the only recognizable risk factor.


This disease is often hypertension
silent and is an important risk factor for stroke and heart attack. This
along with obesity and high BP that is a frequent association leads to
very high incidence of stroke. India is also called the diabetic capital of
a world with about 70 million patients with this disease.

Early detection and good treatment
always helps. New drugs for the treatment of diabetes help reduce strokes. These
agents belong to the groups of GLP1 analogues and SGLT2 inhibitors. No doubt
lifestyle management, weight reduction and treatment of other risk factors such as
high BP and high levels of cholesterol are of paramount importance.

High levels of cholesterol:

This is again a very important risk
factor. The sub-fraction of LDL cholesterol (bad cholesterol) has a very important role
a linear relationship with vascular events such as heart attacks and strokes. Higher level is more of a chance for
event. Obtaining levels measured in every adult, especially those with a family
history and risk factors such as hypertension and diabetes is very important.
Patients with high levels require the administration of drugs such as statins
appropriate doses (atorvastatin and rosuvastatin) to reduce these levels.
This can only reduce the chances of a stroke of up to 30% at high risk
individuals. Levels of LDL cholesterol in these subjects should be kept less
from 70mgs / dl.

Weight Loss and Exercise:

People with overweight (body mass index> 27 Kgs / M2 should
of body weight that helps reduce the risk of stroke. Regular exercise is
one of the most important ways of weight loss. Weight loss is clear
associated with a reduction in vascular events, including strokes. A quick walk or jog for half an hour or more a day
can help lose weight and reduce the chances of ever suffering from a stroke.

Healthy diet:

A diet rich in fresh fruits and vegetables with 4 to 5 servings a day goes a long way in reducing risk factors such as hypertension, diabetes, weight and finally reducing vascular events such as heart attacks and strokes. In addition, the reduction in salt and carbohydrate intake complements this benefit. Cooking mediums rich in monounsaturated fats such as syrup or olive oil also help to reduce vascular events. In terms of eggs, one day is good because of its overall nutritional value despite having 373 mg of cholesterol.

Stroke is a devastating event and makes life difficult for the individual and his family. Once this happens, nothing can be done to remove this misery. At best, palliation is possible. It is best to adopt measures to prevent this. It is possible to prevent and adopt simple measures. Public education campaigns for our population are of paramount importance.

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