Overview Of A Stroke

October 31, 2023

A stroke is a condition that occurs due to a blocked or busted blood vessel in the brain. When blood vessels fail to deliver oxygen-rich blood to the brain, parts of the brain start to die. Within minutes of the impaired blood vessel, brain damage can begin, and the parts of the body controlled by the impacted area of the brain will stop working. A stroke is considered a severe medical emergency, and if one is suspected, immediate medical treatment is crucial. Early treatment can minimize brain damage and other complications.

Types Of Stroke

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There are two major types of strokes: ischemic and hemorrhagic. An ischemic stroke occurs due to narrowed or blocked arteries to the brain, which results in significantly reduced blood flow (called ischemia). There are two subtypes of ischemic strokes: thrombotic and embolic. The former occurs when a blood clot, also referred to as a thrombus, develops in one of the arteries supplying blood to the brain. Embolic strokes occur when a blood clot (in this case called an embolus) or similar debris forms away from the brain, most commonly in the heart, and then traveled through the bloodstream to then lodge itself in narrowed or blocked arteries that travel to the brain. Approximately eighty percent of all strokes are ischemic and occur mostly in older adults.

A hemorrhagic stroke occurs when an artery located in the brain bursts or leaks. Although they are less common than ischemic strokes, hemorrhagic strokes are more dangerous. The subtypes of hemorrhagic strokes include intracerebral and subarachnoid hemorrhages. In the former, the blood vessel in the brain will burst and subsequently spill into the brain tissue surrounding the vessel and damaging brain cells as a result. Subarachnoid hemorrhages occur when an artery on or quite close to the brain’s surface burst and then spill into the space between the brain’s surface and the skull.

Symptoms

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The best way to limit the damage done to the brain is to know the symptoms of a stroke and act quickly. With this in mind, some of the symptoms to watch for include difficulties speaking (slurred speech) and understanding speech; sudden dizziness and loss of balance or coordination; difficulties in vision in one or both eyes, including blurred, blackened, or double vision; and a sudden, severe headache, often accompanied by vomiting or dizziness.

One of the classic symptoms of a stroke is sudden numbness or paralysis in the face, arms, or legs. The paralysis and numbness associated with a stroke are markedly different than the occasional ‘pins and needles’ feeling many individuals experience in their arms and legs. In a stroke, the numbness, paralysis, or weakness will occur on one side of the body. Patients can test this by attempting to raise both arms or legs simultaneously. If one arm or leg suddenly drops, but the other doesn’t, it may be an indicator or a stroke. Facial paralysis when associated with a cialis canada online stroke often means one side of an individual’s mouth will droop when they attempt to smile.

Risk Factors

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Health factors associated with strokes include obesity, being physically inactive, heavy drinking or binge drinking, illicit drug use, high blood pressure, and smoking cigarettes or being exposed to secondhand smoke. Some significant medical risk factors include chronic high blood pressure (over 120/80), high cholesterol, sleep apnea, diabetes, as well as heart conditions such as cardiovascular disease, heart failure, heart defects, and arrhythmias. Other factors that may influence the likelihood of a stroke include age (over fifty-five), race, gender (men are more at risk for strokes than women), and the use of hormones. With hormones, it specifically appears to be the use of birth control pills or other therapies including estrogen.

It is also crucial to note a family medical history of stroke, heart attack, or transient ischemic attack, all increase an individual’s risk of suffering a stroke. Finally, those who have experienced one stroke are at a much higher risk of experiencing another stroke.

Treatment

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Treatment for a stroke depends on the type of stroke a person has suffered. Patients who suffered from an ischemic stroke will go through a treatment focused on restoring blood flow to the brain. Medications are available to dissolve blood clots that may occur as a result of an ischemic stroke. The medications work best if administered within ninety minutes of the first symptoms.

Treating a hemorrhagic stroke can include surgery or other methods to stop the bleeding in the brain, and medications that control blood pressure and brain swelling may also be administered. Stroke rehabilitation is available to help patients regain skills they may have lost during the stroke, such as getting dressed or bathing. Treatment options after a stroke typically shift towards preventing further strokes from occurring.

Prevention

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Patients looking to prevent a stroke from occurring, whether a first stroke or additional strokes, there are quite a few lifestyle prevention tips they can undertake. To lower their risk, patients should focus on maintaining a healthy blood pressure or lowering high blood pressure, losing any excess weight through regular exercise, reducing alcohol intake, and quit smoking. Where it applies, patients may also want to take a blood thinner daily, and treat diabetes and atrial fibrillation.

Regarding diet, to reduce stroke individuals should consume a healthy, balanced diet with fewer processed and fast foods, and focus on lean meats, whole grains instead. They should also consume lots of fruits and vegetables. Diet plays a significant role in weight loss as well as lowering high blood pressure.

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