How Not To Miss A Stroke

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How Not To Miss A Stroke
How Not To Miss A Stroke

Video: How Not To Miss A Stroke

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Stroke is a formidable disease and is on a par with myocardial infarction. Unfortunately, this disease has grown dramatically younger, which means that it is not only worth being attentive to the elderly, but also paying attention to the young.

Brain
Brain

Stroke is an acute disorder of cerebral circulation (CVA). It can occur in any part of the brain. Unfortunately, this pathology is now very much younger. If in the middle of the last century the minimum age of stroke onset ranged from fifty to sixty years, now there are cases when young people at the age of thirty became patients.

A stroke is a pathology that in one case can be easily recognized, and in another it is even impossible to suspect. It occurs suddenly and most often in the morning, when a person wakes up and begins to be active. There are two options: ischemic and hemorrhagic strokes.

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Ischemic stroke

This pathology arises as a result of oxygen starvation (from the Latin word ischaemia - lack of oxygen) of any part of the brain and is detected much more often than hemorrhagic. The most common reason is the blockage of a blood vessel by a thrombus, as a result of which blood stops flowing to a certain part of the brain, and specific symptoms occur. Their severity depends on the caliber of the vessel. The larger it is, the larger the area of ​​brain damage and the more severe the patient's condition.

Difficulties in diagnosing a stroke will not arise if it manifests itself with classic symptoms.

1. Asymmetry of the face. The lowering of the corner of the mouth on one side is noticeable. The eye on this side is visually smaller due to a decrease in muscle tone. If you ask the patient to smile or show your teeth, then on the affected side, the work of facial muscles will be less pronounced or completely absent, which will be manifested by asymmetry.

2. Motor disturbances. In the classical version, the motor activity of the limbs is disturbed on one side: the arm and the leg. The degree of violations can vary from minimal to severe. The patient will limp, complain that his arm and leg do not obey him, and in severe cases he will not even be able to get out of bed.

3. Violation of speech. In one version, speech is "blurred" ie. the patient does not speak clearly. In another, there will be a complete absence of it.

4. Violation of consciousness.

- In a clear mind, the patient is adequate and able to communicate as much as possible.

- In a stupor, the patient is adequate, but some deviations are observed: he is inhibited, and answers questions inappropriately or with a slight delay.

- In stupor contact with the patient is lost, but he will be conscious. Unconscious movements of the limbs are possible, and the patient will also feel pain.

- Coma is the most severe degree of impairment of consciousness. The patient is unconscious and does not respond to external stimuli.

Lighter options are also possible:

1. Sudden headache.

2. Sudden dizziness.

3. Sudden memory disorders, etc.

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Hemorrhagic stroke (hemorrhage)

This is the most formidable variant of a stroke. The most common predisposing factor is hypertension. The acute period usually occurs with high blood pressure. At a young age, this type of stroke is possible with hereditary diseases. For example, a vascular aneurysm (thinning and protrusion of its wall), as a result of which the integrity of the wall is violated and hemorrhage occurs in the brain.

With this type of violation, there is a "light gap". The patient feels tolerable, despite all the signs of a stroke. At this point, he can refuse hospitalization, hoping for a favorable outcome. However, within 24 hours, his condition worsens, and he may fall into a coma due to an increase in the volume of blood that has poured out.

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Treatment and prognosis

A patient with a stroke is subject to compulsory hospitalization. The first day he is under the supervision of a doctor in intensive care, and then he is transferred to the neurological department. Here, the treatment lasts from 10 to 14 days. The final diagnosis is possible only after MRI (magnetic resonance imaging). The picture will show signs of damage to an area of ​​the brain. In some cases, hospitalization to the vascular center is indicated, where doctors will try to cope with the blood clot that led to this condition.

The prognosis depends on the type of violation. In ischemic stroke, it is more favorable. After discharge from the hospital, patients are observed on an outpatient basis by a neurologist. Now the patient needs to independently monitor his blood pressure, periodically donate blood for analysis and adhere to the doctor's recommendations.

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