A stroke, and so-called stroke, blockage or obstruction of blood flow to one part of the brain, leads to cell damage because blood does not flow even for a short period, and if something is damaged then the organs that are controlled by these cells are affected by their function and movement to paralysis; Therefore, a stroke is more dangerous than a heart attack, and a stroke of any kind is dangerous because it leads to complete or partial damage to one or more organs of the body, and in some cases it leads to death.
A stroke occurs as a result of an artery blockage or an explosion of blood vessels, which is the most common death after heart disease and cancer, and some suffer temporary disruption of blood flow to the brain, and signs appear to indicate infection, such as paralysis or numbness in the face, arm or leg, and occurs Often on one side, headache, loss of balance during movement, difficulty in speaking and understanding.
Symptoms vary depending on the area that has been subject to a lack of blood supply, as each region of the brain is ready for a specific function, usually the symptoms begin suddenly within minutes and even seconds, with the exception of cases of spider brain hemorrhage, brain thrombosis and internal bleeding in the brain, and the headache does not accompany the stroke.
Some symptoms can help early awareness of a clot such as loss of sensation in a specific area of the body depending on the affected part of the brain, weakness in the muscles of the face and extremities or total body weakness, change in the heartbeat and breathing, curvature of the eyelid, insufficient cognitive abilities, disturbance of thinking , Amnesia.
The doctor performs a physical examination through a set of tests such as listening to the heart, measuring blood pressure, in addition to a neurological examination to know the effect of a stroke on the nervous system, and a blood test and how fast it clots, and the condition of high or low blood sugar.
The doctor also uses X-ray tomography to form a detailed image of the brain, possibly bleeding or tumor, and doctors inject a dye into the bloodstream to see the blood vessels in the neck and brain in more detail.
MRI is used to form a detailed view of the brain, to reveal its damaged tissues, and a dye is injected into the blood vessels to see the arteries and veins and focus on blood flow. Also, through ultrasound, detailed pictures of the stomach of the carotid arteries in the neck are taken, and the images also show the accumulation of fat. Plaque »and blood flow in the arteries.
The doctor sees detailed images of the arteries, through a vascular brain image, by inserting a thin tube «catheter» through a small incision and directing it towards the carotid or vertebral artery, then injecting a dye into the vessels so that the images are visible for X-ray imaging.
An echocardiogram uses ultrasound to create a detailed picture of the heart, and can find the source of clots in the heart, which may have moved to the brain and caused a stroke.
He asks the patient to extend his arms forward and turn his comfort to the top, and in the event of paralysis he cannot raise or lower them, as well as asking him to utter a sentence, if he is impotent or his voice is weak or he neglects a word from the sentence, this means that he suffers from a verbal disorder .
An ambulance should be requested immediately if he is unable to perform one of the three previous tests, and inform the doctor of what happened, but in this case it remains not to provide food or drink to the person suspected of having a stroke, as his inability to swallow can cause his suffocation.
Treatment for stroke is dependent on its type, and treatment is provided in an emergency; As an emergency requiring rapid treatment, and in the case of obstructive thrombosis, the doctor uses blood-thinning medications in the first three hours of their occurrence, and if given intravenously and the earlier the time, the better results in saving the patient, reducing complications facing him, and aspirin is given in emergencies quickly so that Reduces the possibility of another stroke.
Treatment of hemorrhagic strokes reduces bleeding and reduces pressure on the brain, using medications, to prevent spasms and vasoconstrictions. When the bleeding stops, provide supportive medical care until the body absorbs the blood.
A stroke patient realizes that his life after an injury is not the same as before, there are variables that affect his independence and lifestyle, and therefore these variables can be fully or partially treated with undergoing sessions of physical therapy and rehabilitation, so that the improvement is dependent on the severity of the injury and the areas affected in the brain .
Physiotherapy is considered one of the most important therapeutic ways to rehabilitate stroke patients, and it aims to teach the patient how to cope with his new health condition and live normally until he reaches full recovery, which is the first way to treat the effects of clot by developing the capabilities and functions of the body in many programs, and the most important The thing is that the patient has the strong will and will to help him quickly respond to natural remedies.
Stroke causes pressure on the nerves responsible for limb movement in different proportions. Hemiplegia or total paralysis can occur, and in most cases it causes loss of sensation or speech.
In cooperation with the attending physician, physicians specializing in physical medicine and rehabilitation develop a comprehensive treatment program that includes several aspects such as improving the patient’s ability to move, walk, and speech therapy, and the solidarity of the patient and his family members has positive effects on the success of the treatment plan.
When there is a temporary interruption in the blood’s reaching a part of the brain, the transient clot occurs, but this region of its cells does not die due to the return of blood to it. It is possible that a full stroke will occur if he does not initiate treatment for his condition.
Care must be taken and consult a doctor with the onset of signs of a transient thrombus, from confusion and loss of balance, dizziness and severe headache, and the condition develops into loss of consciousness, all manifestations of nervous symptoms, and weakness and difficulty occurs in the movement of the muscles of the mouth, face, or respiratory system, resulting in speech disturbance and lack of The person’s ability to express himself, and also not to understand what is directed to him, and dyslexia is a confirmation of the occurrence of a slight stroke.
The patient suffers from monocular blindness, in which the vision becomes in one eye, and the images in the eye are gray and faded, and this continues for seconds or minutes, as he feels numbness of the limbs and weakness or numbness on one side of the face, and loses a period of sense of taste and smell.
The cause of the transient thrombus is due to the hardening of the arteries, especially the carotid and vertebral arteries outside the brain or the cerebral blood arteries. Anatomy of the arteries occurs when a small rupture occurs in the inner lining of its wall. The blood enters the inner and outer layers of the blood vessel, causing the artery to narrow or become completely blocked.
Inflammation of the arteries occurs, especially in women and the elderly, caused by necrotic vasculitis, connective tissue diseases, as well as tumors such as brain cancers, and also when the blood clotting is elevated for genetic genetic reasons in most cases.
Difference in symptoms
Women are less likely to develop a stroke than men, but they are higher and more likely to die from them, and symptoms appear through a changing mental state that includes unresponsiveness, as well as confusion, a sudden change in behavior and the occurrence of hallucinations.
Symptoms of a blood clot in women are different from men, and they appear in vomiting, nausea, breathing problems, fall and fainting, loss of consciousness, general pain and weakness in the body, and although the clot for women is an emergency, it is the third disease that causes them to die.
Women can avoid a stroke by improving their lifestyle by avoiding smoking, exercising, and eating healthy food, in addition to controlling diseases such as the heart, and the need to regulate the level of cholesterol in the blood.
It increases the risk factors for infection, high blood pressure, with no knowledge of it, and sometimes it is the result of pregnancy, as well as weight gain and some diabetes, and mental health changes such as anxiety and depression, and some drugs cause stroke in women such as contraceptive drugs.