Stroke (medical Hirninsult stroke, obsolete or stroke) stops the part of the brain suddenly a sufficient blood supply. The cause is usually a blood clot (thrombosis), disturbance of cerebral blood flow (ischemia) or. In about 20 percent of cases destroyed in the brain, stroke hit and damaged more or less in his brain tissue function. Stroke is the country after heart disease and cancer, the third leading cause. They suffer between 150,000 and 200,000 German stroke each year, with an average of one in four died after a year. About half of patients with stroke is 70 years. Men tend to be more likely than women affected by stroke.
Several risk factors for the development of stroke, for example, in:
High blood pressure (hypertension)
lipid metabolism Storungs December
lack of exercise
Diabetes mellitus (diabetes)
Complaints: What is the shape of a stroke?
According to the area of the brain is damaged, a stroke in the brain can be expressed very differently.
Current and common stroke symptoms are:
Sudden paralysis of an arm or leg (hemiplegia)
Sudden speech disorders
Sudden blindness, usually an eye
Nausea and vomiting
The head of the sudden and severe pain ( “thundering headache”)
The failures of sensations such as touch, temperature and pain
circulatory and respiratory disorders
Diagnosis: How is a stroke diagnosed?
If the paralysis suddenly, speech problems or other possible signs of a stroke, a doctor or an ambulance should be called immediately occur. It is important for the doctor to describe symptoms in detail. If the person can not, for example, because it is difficult to speak, is confused or unconscious, others must inform the doctor. In the hospital to be examined physically and neurologically background. The doctor will check to see if the victim is conscious and if paralysis or sensory disorders are present, reflexes and other tests. Furthermore, analyzes of blood and measuring blood pressure. It is also advisable to put an electrocardiogram (ECG).
If the suspicion of a stroke is, cross-sectional images of the brain by computer tomography (CT) or magnetic resonance imaging (MRI) are produced. Bleeding in the brain can be diagnosed quickly. Ischemic strokes, ie, areas that are no longer enough blood can not be seen, however, immediately after a stroke. It takes a few hours to be represented in the CT scans. It is therefore important to remain for a possible Hirninsult in medical care for some time. In some circumstances, other studies are useful, for example, ultrasound (sonography) of cervical vessels.
Treatment: How a stroke can be treated?
During a career that makes the time between the event and the beginning of treatment, a significant role. The person concerned must be the fastest way to the hospital. In many hospitals there is a so-called “stroke unit” which takes place specially the care of patients with stroke. If more elapsed since the onset of symptoms and an hour and a half, treat clots (thrombosis) to solve (thrombolysis). The subject receives a drug which dissolves the blood clot, so that the affected area of the brain is supplied with blood again. If successful in the time to recover the brain tissue and there is little or no damage. In this treatment, it can cause bleeding because the blood loses its ability to clot temporarily. Therefore, physicians accurately weigh before thrombolysis with which it comes into question. When the clock back to a time that thrombolysis is more significant. Damage to the brain is sometimes so much that they can not be canceled.
Report: What is the prognosis of the accident?
The outcome of the race depends primarily on the extent to which the brain has been damaged. Die in the hospital up to 20 percent of those affected. A quick and effective therapy improves the chances of a full recovery, enormous. About a third that is the case. So how many people who have suffered Hirninsult but are in need of attention, and a third more to face considerable restrictions in daily life.
Prevention: How to prevent a stroke?
Since the hub “nothing” usually comes, but preceded by a series of pre-existing conditions, risk factors and vascular lesions, it is also important for the race überstandenem to do everything possible to prevent another stroke . A healthy lifestyle is the foundation. Part of it is not smoking and excessive alcohol consumption, a balanced diet and adequate exercise. It is also important to regularly take any prescription medications.