Stroke, which is very common in advanced ages, is a condition that often occurs as a result of hypertension and atherosclerosis or diabetes mellitus (Diabetes). Stroke in young people is most common in congenital or acquired heart diseases. The patient has mild or severe paralysis in one half of the body, which is caused by blockage in the cerebral arteries. In the first hours of obstruction, the patient has high blood pressure. The blockage that occurs in any of the brain vessels starts to cause damage in the brain region that is left without blood within minutes.
It is most commonly related to hardening of the arteries called atherosclerosis. In atherosclerosis, it occurs when the particles that break off from the sediments formed in the vessel wall with a rise in blood pressure travel and block one of the brain vessels
The most common cause of arm and leg weakness, known as paralysis among the people, is vascular occlusion due to atherosclerosis (vessel stiffness) in old age. After occlusion, 3 types of course occur.
1- Within hours or days, paralysis regresses and gets better. (Transient ischemic attack): If the obstruction is cleared within hours with treatment or spontaneously, this picture is seen
2-The resulting paralysis continues permanently without any change. The vein is clogged. Despite treatment, there is no change in occlusion.
3- Mild paralysis becomes severe within hours or days. While it is a small vessel that is initially blocked, it occurs with the growth of the clot in the vessel and the progression of the obstruction towards larger vessels.
Because of these three different courses, intravascular anticoagulant treatment should be started immediately in the first hours. If the occluded vessel is the main vessel of the brain, the clot is removed by intravascular interventions within the first 4 hours, and the vessel is opened and the paralysis condition returns within hours or days.
Who is a candidate for stroke.
-People with a family history of arteriosclerosis
-High blood pressure patients
-Heart patients
-Diabetic patients
-Smokers
-Highly stressful occupations
Measures to be Taken for Stroke
-Using aspirin, especially for those at risk after middle age
-To maintain normal blood cholesterol and lipids ( diet-medication)
-Using anti-depressants if necessary to eliminate the stress factor
-Keeping blood pressure within normal limits (Restricting salt)
– Normal blood sugar
– Losing weight if the body weight is high
– Not smoking
– Opening when stenosis is detected over 50% by vascular examinations in risky patients
