Signs of stroke - Causes, Symptoms and Treatment .MF .
None of us is eternal, but in the world of daily life leave the people to whom you could still help if the surrounding correctly recognize the signs of impending disaster inner - stroke, and provided emergency care ...
stroke may be hemorrhagic (with hemorrhage in the brain) and ischemic (when restricted blood supply), both symptoms of life-threatening conditions are very similar.
Common signs of stroke
- movement Violations: shakiness, the patient sways and may fall.Violation of movement in the limbs or a complete cessation, reduction in force. Ask the person to raise both arms up - he can not do it as a healthy person.
- facial expressions: Mimicry unnatural, asymmetry may occur. Ask the person to smile - he can not do it properly;
- Ask poke language - if the language is bent, rotated - it is also a sign of a stroke.
- Speech Disorders: Slurred, unclear speech, or complete inability to speak or understand speech. Ask the patient to say a simple sentence, he will not be able to repeat it correctly.
- Sensory Disorders: Decrease or loss of pain perception, the temperature is usually most noticeable in the limbs.
- Violation of consciousness from drowsiness to complete loss of consciousness.
If you are near someone with MDM observed at least one feature of the above, it is necessary to put it conveniently and immediately call an ambulance.Giving the patient any medication or not.The patient should not be left lying on his back, reduced muscle strength, the language may close in the respiratory and throat man dies of suffocation.Human unconscious is always necessary to keep on his side, so that his mouth could leak saliva and tongue could not impede breathing.
Signs of ischemic stroke
Most likely, when a stroke patient is not able to tell you what he's feeling, so the following indications are suitable only for self-diagnosis, and it is better to be aware of this issue, so that at the slightest suspicion of a stroke to aYou can quickly see a doctor, or at least provide guidance to others to call an ambulance.
These signs include:
- numbness and / or weakness in the part of the body, the limbs of the same name.
- Strong golovnayay pain.
- shakiness, dizziness, nausea and vomiting, speech disorders.
stroke it is important to provide rapid diagnosis and care.For this important early hospitalization for 2 hours with the first signs of stroke in specialized departments equipped intensive care departments or intensive care later in the neurological department.
50% of stroke develops within the first 90 minutes of the disease, 70 - 80% - within 360 minutes.Thus, there is a "therapeutic window" - 2 hours, within which may be the most effective therapeutic measures to rescue neurons penumbra zone.Therefore it is very important as soon as possible to ask for help.This can not only save on disability, but also to save lives.
Signs of hemorrhagic stroke
development of acute hemorrhagic stroke, with the rapid increase in neurological symptoms.
rapidly increasing headache - especially strong, with nausea and vomiting, "ebb and ripple" in the head, pain in the eyes when looking at bright lights and eye rotation on the sides, red circles before the eyes, respiratory disorders, palpitations, paralysis of the same namelimbs - right or left hand, disturbance of consciousness of varying severity - stunning, stupor or coma.Here's the scenario of hemorrhagic stroke.
Perhaps the sudden onset of the disease with the development of an epileptic seizure.On the beach the background of overall health during strong emotions at work, while injury to a person cry falls, throws back his head, beating in convulsions, breathing hoarsely, his mouth foams (possibly with blood by biting his tongue).Looking faces the hemorrhage, the patient as it looks on the affected side of the brain, bleeding on the side of a pupil (mydriasis) may exotropia, eyeballs make "floating" movement, the look is not fixed;on the opposite side of the hemorrhage develops atony (drooping) of the upper eyelid drooping corner of the mouth, cheek while breathing air does not hold ( "sail" sign).
appear meningeal symptoms - it is impossible to tilt the head forward and to get the chin to the chest, it is impossible in the supine position, and bending the leg at the hip joint to straighten it in the knee.
Current extensive hemorrhages in the cerebral hemispheres can be complicated by a secondary stem syndrome.Grow disordered breathing, heart activity, consciousness, izmeneniyaetsya muscle tone according to the type of periodic tonic spasms, with a sharp increase in tone in the extremities (gormetoniya) and increased tone of extensor muscles (extensors) and the relative relaxation of the flexor muscles (decerebrate rigidity) may develop alternating hemiplegia (syndromes that combine the damage of the cranial nerves on the side of hemorrhage focus with movements and sensitivity disorders on the opposite side).
43-73% of blood hemorrhages end breakthrough in the ventricles of the brain.When blood breakthrough in the ventricles of the patient's condition dramatically heavier - develops a coma, having bilateral pathological signs, protective reflexes, hemiplegia combined with restlessness is not paralyzed limbs (violent movement while seem aware (patients pull the blanket, as if want to escape a blanket)gormetoniya, deepening symptoms of autonomic nervous system (there are chills, cold sweats, high fever) The appearance of these symptoms prognostically unfavorable
At the first sign of stroke need immediate help -.. you need to call an ambulance and hospitalize the patient
* Japanese scientists have invented a simple test to predict stroke risk. Those who can not stand on one leg longer than 20 seconds, have an increased risk of stroke and reducing the intelligence in old age, say Japanese scientists.
average age of volunteers in their study was 67 years.841 woman and 546 men had to stand on one leg with your eyes open as long as possible, but not more than 60 seconds.The work of vessels of the brain was assessed using MRI.
addition, the researchers collected information on patients' diseases, their weight and level of life.After taking into account all the factors it was found that those who could not stand on one leg longer than 20 seconds, 15.3% were found most often microbleeds in the brain.Those who survived the two cases of cerebral circulation, balance problems were observed more often - 30% of cases.In addition, the inability to stand for long on one leg often went hand in hand with a decrease in mental abilities.
If a person observed imbalance, it also has, and disturbances in the brain.The researchers recommend that all elderly, ill keep a balance, to visit a neurologist.