Brain Stroke

Many people think stroke is a heart disease. Because of this, many people swallowed with a heart attack. In fact, the brain is affected by a stroke.

Strokes are usually of two types: obstructive blood vessel stroke or ischemic stroke and hemorrhagic stroke or hemorrhagic stroke.

Ischemic stroke: In 75% of cases, ischemic stroke is caused by obstructed blood flow. When blood vessels in the brain become narrowed, some areas of the brain are damaged.

The carotid artery transports blood to the front of the brain. It transports blood to the areas of the brain that control the ability to move, emotions, thoughts, speech and emotions. Vertrobacilla artery supplies blood to the back. It provides blood to the regulatory parts and coordinates of the brain's automatic activity (eg, heartbeat, breathing). If some of these arteries become too thin or blocked with thrombus, or blood clogged and obstructed by blood circulation, a large part of the brain no longer receives oxygen. As a result, that part is damaged and ischemic stroke.

The part of the brain that is damaged, the part that works, is disrupted. Therefore, the physical activity of people with stroke is limited.

Bleeding stroke: In this case there is bleeding inside the brain. This stroke is most often caused by uncontrolled hypertension. Due to high blood pressure, small areas of the blood vessels burst and bleed. Other causes of stroke include aneurysm rupture and arteriosclerosis malformations (where bleeding occurs due to abnormalities of the arteries).

Reasons that increase risk: high blood pressure, excess fat in the blood, smoking habits, diabetes, old age, they increase the risk of stroke. Patients with irregular heart rate and heart valve problems and vascular inflammation or vasculitis are also at risk for stroke. If there is a stroke at a young age, before the age of 50, there are other factors such as cocaine or other drug use, blood clotting problem or hereditary or genetic defects.

Symptoms:

 In the current world, more people die of heart disease and stroke after cancer. Doctors think stroke is one of the first seven causes of death, although there are no such statistics in Bangladesh. Again, 30% of those who survive a stroke suffer permanent paralysis or paralysis. As a result, the person and his entire family were affected. If immediate action is taken to understand the symptoms immediately after the stroke, then stroke-related mortality and damage can be minimized. The symptoms of a stroke depend on how many parts of the brain and which parts of the brain are damaged.

If a small area is damaged the stroke may not show any signs of it. This is called a silent stroke or a silent stroke. According to the American National Institute of Neurological Disorders and Stroke, the main five symptoms of stroke are:

  Sudden appearance of weakness on one side of the body, especially the face, hands, feet. Inability to partially or completely paralyze any part of the body and shake hands and feet. The abnormal feelings (irritation, pain, itching, etc.) also occur in the weak part.

 Suddenly getting involved, unable to speak, and the muscles of the mouth twitching on either side.

 Suddenly not seen in one or both eyes.

 Sudden mental impairment, inability to concentrate, head resting and difficulty walking.

 Sudden severe headache, accompanied by occasional vomiting.

To:

If any one or more of the above symptoms are revealed by a family member, arrangements should be made to the hospital immediately. Especially if the patient becomes unconscious, there is no chance of delay.

If the patient is unconscious, notice three factors for stroke understanding.

 Ask the patient to smile. Notice if your face is bent with a smile.

 Ask to raise two hands. See if there is any weakness in raising your hand.

 Ask to say a simple sentence. Notice what the whole sentence can say.



If the patient is unconscious, he should lengthen it so that blood supply to the brain is not disrupted. If the patient continues to vomit, lie on the floor so that the vomiting does not get stuck in the nose or mouth. Carefully lift the ambulance or the vehicle so that the patient does not feel pain.

Diagnosis:

The conventional test for stroke detection is a CT scan of the brain. In addition, MRI, magnetic resonance angiogram, carotid Doppler, etc. are also performed. In addition, heart tests like ECG, echocardiogram, 24-hour ECG monitoring, blood tests, etc. are also performed.

Disease complications:

Often the stroke causes the patient to lose control of the urine and rectum and, unknowingly, to the urine.

Stroke sufferers are unable to move in the same way as lying down or sitting in bed causes a backdoor. The wound is deep and does not want to dry easily.


The movements of the hands and feet become stagnant and the affected part becomes dry.


Often the patient is unable to swallow the food well, the food enters the airway and causes pneumonia.


In many cases, the blood vessels are tied to the blood vessels in the legs. This clogged blood can go to the lungs and cause respiration.


Due to ambiguity in the patient's communication, his participation in family and social activities diminished. As a result, the patient suffers from depression. Many times it is up to suicide.

Resistance:

Keep your blood pressure under control. Those who take blood pressure control drugs should consume it regularly.

If you have diabetes, keep it under control.

Avoid smoking and tobacco use.


Eat less fat and oil rich foods.


Aspirin can be used to keep blood fluid as advised by a doctor.

Those who have had a carotid artery and have had a heart attack or stroke before, can perform a carotid and arteriotomy operation to prevent the next stroke. In addition, controlled living, exercising daily, avoiding excess calorie intake, resting for 6 hours a day and living a tension free life reduce the risk of stroke. People who have a history of being infected with stroke should be more careful.

If the patient is unable to walk, then slip for two hours, so as not to stress a particular part for a long time. The back should not be wet. Give it with powder if needed.

Exercise that part if you have any palms. Stir each fracture regularly. Can use special type of bed.


If the patient eats in the mouth, feed them carefully with a spoon. Give it a little. Make sure that the food does not go to the lungs. After meals, wipe the mouth.

If the patient eats with a nasal tube, give a certain amount of fluid intake periodically. Do not force food into the tube. Keep the nose and tube clean.

Clean your teeth and mouth twice daily.

Do not force the patient to stay in bed all the time. Wheelchairs will be arranged if needed, so that the patient can move from house to room and participate in various tasks with everyone in the family.

If the patient wants to take part in a family and social work on his own, encourage him. Let the patient do his or her own work as much as possible.

If you have problems speaking to the patient, try to understand his words carefully. This will increase the patient's confidence. Provide speech therapy for the patient if needed.

All family members give the patient time. Spend some time with her. It will not be his sadness.


Note whether the patient's urine and discharge are regular. If the urine tube is given, change the tube at 21 days and keep it clean.

Eat all medicines regularly.

Go to the doctor twice or once a month.

Stroke does not mean the end of life, but there are many world-renowned people who have continued their meditative activity even after being attacked with a stroke. So do not lose hope if you suffer a stroke. Hold on to the power of the mind. And for those who were not attacked, beware today.