Cold Windy Autumn 'Stroke'Caution Symptoms such as arm and leg weakness and paralysis of one side of the face
Nov 03, 2024
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◇ If you feel tired in your arms and legs and one side of your face is paralyzed, visit a hospital
A large temperature difference causes an increase in blood pressure, increases blood clotting factors, raises blood cholesterol, worsens heart arrhythmia, and promotes stroke in winter. Stroke is a disease in which neurological damage occurs suddenly due to abnormalities in cerebrovascular vessels, and is largely divided into cerebral infarction and cerebral hemorrhage.
Cerebral infarction is caused by clogged blood vessels that block blood supply to brain tissue, and cerebral hemorrhage causes blood to accumulate in brain tissue, causing brain damage. If the timing of treatment is missed, it can lead to serious disability or death, so it is important not only to treat it within the optimal time but also to prevent it.
Stroke often has no precursor symptoms, but if early symptoms appear, you should go to the hospital quickly. Accurate diagnosis and appropriate treatment can prevent worsening of symptoms and prevent sequelae.
Typical initial symptoms include △ limb weakness or sensory abnormalities to the extent that it is dropped while holding things, △ face paralysis or sensory abnormalities, △ severe headache, and △ dizziness when pronunciation is poor or speechless. In particular, if you are old or have underlying diseases such as high blood pressure, diabetes, hyperlipidemia, smoking, alcohol overwork, or sleep disorders, you should quickly visit a hospital for examination and treatment.
According to data from the Health Insurance Review and Assessment Service, the number of stroke patients increased 6.4% from 613,824 in 2019 to 653,409 in 2023. Compared to 2019, the number of men aged 80 or older increased 30% from 55,857 to 72,927 in 2023, while the number of women increased 19% from 86,502 in 2019 to 102,999.
◇ Brain hemorrhage caused by ruptured brain aneurysm, 1 in 3 deaths
In both cerebral infarction and cerebral hemorrhage, surgery may not be necessary if the initial symptoms are not serious. However, if the symptoms are severe or the amount of cerebral hemorrhage is large, measures such as craniotomy are needed to lower brain pressure and remove bleeding.
Among cerebral hemorrhages, subarachnoid hemorrhage is caused by rupture of a brain aneurysm in which a part of the brain artery swells like a twist, which requires surgery to prevent re-destruction. Brain aneurysm rupture is fatal, with a mortality rate of 30%, so caution is needed. If symptoms such as headache, nausea, and vomiting of pain like being beaten with a hammer are accompanied, you should go to the emergency room as soon as possible. Intravascular treatment has recently become an essential treatment method for acute cerebral infarction and cerebral aneurysm, and more than 60% of cerebral aneurysms are performed by intravascular surgery.
◇ Brain infarction, rapid blood vessel reopening is important...Management of chronic diseases such as high blood pressure and arrhythmia is essential
The recovery rate after stroke surgery depends on the size and location of the lesion. In the case of cerebral infarction, it is important to administer thrombolytic agents within 4 hours and 30 minutes of onset. However, if vasolytic agents are not administered or blocked blood vessels are not breached even if administered, intraarterial thrombectomy can be performed to increase the rate of vascular reopening. It is a method of treating the groin by incising the blood vessels of the groin for 2-3mm and inserting a conduit into the femoral artery.
After stroke surgery, prevention of recurrence is paramount, and for this, continuous management of chronic diseases such as high blood pressure, diabetes, and hyperlipidemia is necessary. Appropriate medication and regular imaging tests should be used to ensure that patients remain healthy.
Professor Shin Hee-seop said, `We should be careful that stroke patients in winter have rapid changes in blood pressure due to indoor and outdoor temperature differences" he warned. In addition, it is important to exercise lightly during the day because less external activity can increase cholesterol. It is also recommended to wear a mask and wash hands to prevent infectious diseases, and to get a pneumonia shot if necessary.
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