Suddenly blocked cerebrovascular, Golden Time is Important...How do you deal with first aid?
Dec 21, 2024
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In particular, if your pronunciation suddenly becomes dull, you can't speak, or you have headaches, dizziness, and visual impairment, it can be a precursor to stroke.
When patients with emergency cerebrovascular diseases such as cerebral infarction and cerebral hemorrhage occur, the golden time gunner has a great influence on the prognosis to the extent that it determines the life and death of the patient as well as future life.
In particular, in the case of acute cerebral infarction, where blood vessels are clogged, blood flow must be supplied by drilling blocked blood vessels within a short period of time, and thrombolysis can be performed if the emergency room is found quickly.
Professor Jang Yoon-kyung of the Department of Neurology at Ewha Womans University Mokdong Hospital (Director of Stroke Center) explained, "Thrombotic dissection is the most effective way to cope with acute cerebral infarction, and by injecting blood clot-melting drugs into veins, it opens blocked blood vessels and prevents brain tissue from dying."
The reason why golden time is important in cerebral infarction is that once damaged brain tissue does not regenerate. If you have a stroke such as a cerebral infarction and you do not receive quick treatment, the brain damage area gradually grows from the center to the surroundings over time.
Therefore, it is most important to arrive at the hospital as soon as possible after the onset of symptoms of cerebral infarction. If you need to move to a hospital where thrombolysis is possible, you should report it to 119 with information and visit the hospital.
Professor Jang said "It can be injected within four and a half hours after the occurrence of symptoms of acute cerebral infarction and the treatment should be started as soon as possible, so the prognosis of treatment is good, so you should arrive at the hospital as soon as possible to deal with it."," he stressed.
Thrombolysis is not the only treatment for acute cerebral infarction. The risk of bleeding increases when using intravenous thrombolytic agents, so some patients take medication without performing thrombolytic surgery and are admitted to the stroke intensive care unit, where experts carefully observe the patient's condition and respond.
Professor Jang advised that "other treatment options, such as intra-arterial thrombectomy or emergency vascular bypass surgery, may be considered in addition depending on the occluded blood vessel area or the size of cerebral infarction after the hemolytic release injection."
Cerebral infarction, which causes damage to the brain due to poor blood supply to the brain, is at greater risk in the season when temperature changes during the day and night are large. Therefore, people with underlying diseases or those with high probability of cerebrovascular disease need special measures.
Professor Jang said "When the temperature changes rapidly, blood vessels contract, heart rate increases, and the risk of blood clots increases. You should pay attention to cold weather, control underlying diseases such as blood pressure, diabetes and hyperlipidemia, and take care of your condition by eating healthy and exercising regularly so as not to cause sudden changes in body temperature," he said.
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