A stroke is created by either a blood clot in the brain (cerebral infarction) or a hemorrhage in the brain’s blood vessels. Call 113 immediately if you suspect a stroke. Common symptoms are paralysis (face, arms, and legs) and speech difficulties.
What is a stroke?
Stroke (also known as stroke, cerebral apoplexy, apoplexy, and cerebral insult) is a condition in which one suddenly experiences a loss of brain and body function due to disturbances in the brain’s blood circulation. Stroke is caused by either a stroke (blood clot in the brain, 85-90%) or a hemorrhage in the brain’s blood vessels (10-15%). The brain mass supplied by these blood vessels can be damaged or die as a result of a lack of nutrition and oxygen. Depending on the area affected, stroke can cause paralysis, speech problems, visual disturbances, and unconsciousness.
Causes of stroke
Stroke can be caused by both heredity and lifestyle. People with close relatives with stroke have an increased risk. Stroke can also be due to congenital weaknesses in the blood vessels of the brain. About half of people who experience a stroke have high blood pressure.
Cerebral infarction can be caused by both blood clots that occur on the spot, and blood clots transported to the brain from the heart or blood vessels outside the heart. Conditions that increase the risk of blood clots, in general, will, therefore, also be able to increase the risk of stroke. Such risk factors are smoking, high cholesterol, diabetes, and obesity. Disorders of the heart rhythm (arrhythmia) and stress also increase the risk of stroke.
Incidence of stroke
It is estimated that 60,000 people in the USA live and have had a stroke. About 12,000 people have a stroke each year. The risk increases with age, and 90% of all strokes occur in the age group over 60 years.
Symptoms of stroke
The symptoms may appear suddenly within seconds, or they may appear within minutes to hours. The most common stroke symptoms are paralysis of the face, arm or leg, or speech difficulties. If you suspect a stroke, you can ask the person concerned to do the following:
Other symptoms may include blurred vision, loss of vision in one eye, lethargy, and unconsciousness. The symptoms you get, and the severity, depending on where in the brain the damage is and how significant the damage is. If the symptoms return within 24 hours, it is called TIA (transient ischemic attack) or drip. Most TIAs last less than 1 hour.
Contact a doctor immediately if a stroke is suspected.
See a doctor or hospital immediately if a stroke is suspected. If a person has one or more of the symptoms (see Symptoms), you should call the doctor as soon as possible. This also applies if the symptoms are mild and disappear quickly.
Disease course in stroke
After a stroke, there can be many sequelae, and it is estimated that 2 out of 3 stroke sufferers get some form of permanent dysfunction. However, the brain has a large reserve capacity, and many lost skills can be retrained. Most symptoms gradually improve during the first few weeks, but one can also experience enhanced function for many months and perhaps years after a stroke.
Many stroke patients recover almost completely after a stroke, but there are also many who struggle with physical, linguistic, and intellectual injuries. In addition, many also experience personality changes such as anger, irritability, and depression.
Preventive advice against stroke
Treatment of stroke
The aim of surgery is to limit the extent of brain damage and disability and protect against new strokes. It is essential to get a person with a stroke quickly for diagnosis and treatment. After a stroke, it is necessary to get started with rehabilitation and training (see next part). It is also important to prevent new strokes, and it is common to have to use blood pressure-lowering and cholesterol-lowering agents. Preventive measures concerning diet and lifestyle are also important (see previous part).
Before treating, it is important to be sure that it is a cerebral hemorrhage and nothing else. A CT scan of the head is normally performed, possibly followed by a CT angiography to understand if there are any other underlying conditions (such as blood-thinning drugs, alcohol use).
Further treatment is then considered, and the prognosis largely depends on how big the bleeding is and where it is located. Suppose one has found underlying causes that can be treated or changed on doing so. Surgery may be appropriate to remove the blood and reduce pressure in the brain, especially in heavy bleeding. In the case of minor bleeding, it is not always appropriate to operate.
In cerebral infarction, drugs that dissolve the brain’s blood clot are often used (thrombolytic treatment). If the treatment is to have an effect, it should be started as soon as possible and no next than 4.5 hours after the onset of symptoms. In other words, it is of the utmost importance that the person affected by a stroke gets to a hospital with a stroke unit as soon as possible. In some cases, the blood clot can be removed by performing a surgical procedure (thrombectomy). It is common to treat with drugs that have an antiplatelet effect, which means that the blood does not harden so easily.
After any thrombolytic treatment, the treatment is about rehabilitation and training and drug treatment to prevent new strokes.
The treatment with blood thinners usually continues after discharge from the hospital. Some drugs are usually used for a few months to a year after the stroke, while others must be used for more extended periods or for the rest of life.
Training and facilitation
Rapid rehabilitation and training after a stroke are essential. Health personnel who are responsible for the rehabilitation (doctor, nurse, physiotherapist, and occupational therapist) set realistic goals in consultation with the patient and family. The training varies from person to person and is based on the level of function after the stroke for ed in man to cure your ed use Fildena 120 and vigora 100.
Before you are released from the hospital, an assessment is made as to whether you need accommodation when you return home. Occupational therapists often play an essential role in this process and aids that can be used to make daily life more comfortable. Otherwise, it may be relevant to home nursing, home help to get help with housework, and further rehabilitation with a physiotherapist and speech therapist.
Driver’s license and stroke
After a stroke or drip, it is illegal to drive a car or other vehicle for 1-6 months, depending on the condition. The doctor must examine and assess whether it is justifiable to have a driver’s license.