According to the World Health Organization and National Stroke Association, stroke is one of the top 10 diseases, which causes death. In 2/3 of the surveyed countries, stroke is one of the top three causes of death. If it is detected and treated early, the stroke patients will be saved and prevented from serious sequela.
Stroke (also called cerebrovascular accident, bleeding in the brain) is a condition of neurological dysfunction, such as coma, hemiplegic rigidity, swallowing choking … These expressions occur rapidly, suddenly and often last more than 24 hours. Based on the progression of the disease in the first 2-3 weeks, stroke experts divided into five categories. Firstly, the local cerebral transient ischemic attacks happen and the patients will get over completely before 24 hours. However, the patients of stroke may fall in cerebral vascular accident if they are not really interested in the treatment and prevention. Secondly, anemia of the brain can be recovered but after 24 hours being paralyzed, the victim could get over completely. Thirdly, the patients of stroke may run a prolonged sequela. As a consequence, the forth category must be no sign of the recovery or keeping worse. The death leading will be the end for this chain.
Within a few hours after cerebral vascular accident occurs, the symptoms of stroke appear suddenly which turn the patients into pains. These patients may feel paralyzed or numbed in the face, arms, or legs areas, especially on one side of the body (just an arm, or a leg). Confusion, disorder or speech understanding difficulties ( the patients find hard to use the words or utterance to express their ideas) are also normal symptoms of stroke. Besides, it is hard for them to walk by due to loss of balance, dizziness or difficulty in coordinating movements. Several headaches without unknown causes may indicate the symptoms of stroke.
In some cases, the patient is still awake but with the majority of impaired consciousness such as lethargy, drowsiness, etc.
When the symptoms occur, the family or relatives of the stroke patients must immediately pay attention to the very first movements of contacting the emergency center or the nearest hospital where treatment facilities for cerebral vascular accident are well equipped, reassuring the patients as well as tracking frequent perception and the patient’s condition. Most patients and their families do not recognize stroke is happening, or do not know is that as soon as the onset emergencies. Therefore, they take a long time to wind folk methods such as shaving, cutting le … That this would have no effect, but also reduce the chance of cure for patients. The ability to treat brain stroke is very limited, difficult, and expensive. The drug can dissolve blood clots overcome blockages in the heart and blood vessels in the brain when a stroke appears but very expensive (nearly 20 million / nose). Patients taking these drugs should be monitored by the modern and expensive techniques such as SPECT or MRI with contrast injection.
Therefore, for stroke, it is best to prevent and avoid relapse by the following methods of stopping smoking because smoking is considered the very main risk of cerebrovascular disease and it is common knowledge that people who smoke regularly can get stroke in their middle age; paying attention to the prevention and treatments of diabetes since it is the really risk factors for large artery atherosclerosis leading to the lack of blood flowing in the brain as well as polycythemia for it can lead to severe ischemic or duct brain; finding good high blood treatments for the top cause of stroke of high blood pressure and overcoming high blood cholesterol along with triglycerides as well.
Parents’ Early Stroke Multiplies Kids’ Risk
If your parents had a stroke by age 65, you’re more likely to have an early stroke, too, a new study suggests. The study looked at data on 3,443 people in the long-term Framingham Heart Study. They were all children of the original study participants. Researchers also looked at data on their parents. Among the parents, 106 people had strokes by age 65. Among the children, 128 had strokes during a 40-year period. Researchers then adjusted the numbers to account for other factors, such as high blood pressure, that increase stroke risk. People whose parents had early strokes were nearly 3 times as likely as others to have strokes themselves. They were 4 times as likely to have strokes by age 65. The study was published online by the journal Circulation. HealthDay News wrote about it March 8.
What Is the Doctor’s Reaction?
Doctors have long suspected that genes play an important role in a person’s risk of having a stroke. But studies that looked at this have had confusing results. So this paper, from the famous Framingham Heart Study group, is very informative. It clearly shows that if your parent had a documented stroke before age 65, then you have a greatly increased risk of having a stroke as well.
The study does not tell us whether the increased risk is the result of genes or something in the family environment. It is probably a combination of both. Family members often share bad habits and poor diets, as well as genes. But this study does help us define a group of people who may have an increased risk of stroke.
We can’t change stroke risk based on family history. But we can target people at risk for stroke and try to improve the factors that increase their risk of stroke that can be changed. It makes sense to try aggressively to change these risk factors in people with the highest risk of stroke.
This study also shows once again how much useful information can come from the Framingham Heart Study. This ongoing research looks at the causes of heart disease and stroke. It has followed families in Framingham, Mass., since 1948. Three generations have been studied. This research has identified major factors that increase the risk of heart and blood vessel disease. From this work, prevention strategies and treatments have been developed.
What Changes Can I Make Now?
Stroke is a medical emergency. Signs of stroke usually occur suddenly. Get medical help right away if you experience any of the following:
- Sudden severe headache
- Weakness or numbness on one side of the body
- Loss of vision or a sudden change in vision
- Sudden confusion
- Loss of balance
- Slurred speech
- Difficulty in communicating
These can be warning signs of stroke. So can a “TIA” (transient ischemic attack, or mini-stroke). With a TIA, someone has a short-lived episode of stroke-like symptoms, lasting 5 to 20 minutes. A TIA can be a warning that you soon may have a stroke. See a doctor right away.
Strokes can be very disabling, but they often can be prevented. If you have a family history of stroke, especially if one of your parents had a stroke before age 65, then you have about a 3-fold increase in your risk of having a stroke. So you should work with your doctor to reduce your stroke risk factors.
What can you do to reduce your risk of having a stroke?
If you have high blood pressure, see your doctor to try to get it under control. If your doctor gives you medicines for high blood pressure, take them as prescribed. Eat a healthy diet and maintain a good weight.
Watch your salt intake. Too much salt can make high blood pressure worse. Cutting down on salt can lower your blood pressure and reduce the risk of a stroke.
Eat more fish. Eating two to four servings of fish a week can lower your risk of stroke.
Don’t smoke. If have trouble quitting, seek help. Your doctor might be able to prescribe medicine to help you.
Get your cholesterol checked. If you have high cholesterol, you have an increased risk of having a stroke. See your doctor. Find out if you should change your diet or take medicines.
If you have an abnormal heart rhythm called atrial fibrillation, or a heart condition called congestive heart failure, ask your doctor if you should take blood thinners. Both of these conditions can increase your chances of having a stroke. Blood thinners, such as warfarin (Coumadin), can dramatically lower this risk.
Some people at high risk for strokes should take anti-platelet drugs, most commonly aspirin. They reduce the clumping together of platelets in the blood. This hinders blood clot formation and helps to prevent strokes. Check with your doctor.
What Can I Expect Looking to the Future?
As a result of this and other studies, I think doctors will look at new ways to evaluate and measure stroke risk in individuals. They probably will develop new scoring systems to compare people’s risk for stroke. Then we will be able to focus on risk reduction measures for those at high risk. We do this now with breast cancer and heart disease risk scores.
The Framingham Heart Study continues to make important contributions in our understanding of heart disease and stroke. The study has blood samples saved from 60 years of study. They can be used in future research. I am sure that researchers will continue to focus on the genetics of high blood pressure and stroke.
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