Brain hemorrhages are among the top three diseases that cause the most death and disable the most in the world. If we leave aside the post-traumatic and congenital defects, the most common causes are hypertension and heart diseases. From this perspective, most of them are preventable. Therefore, the elimination of risk factors and periodic controls will be effective in preventing these diseases and the brain hemorrhages they cause. Hypertension and arteriosclerosis are not diseases that come on suddenly, sometimes they start with birth and their findings appear from the age of 40. The main pathology is the accumulation of cholesterol-containing fat in the arterial vessels, sometimes adding calcium to these areas and loss of vascular flexibility. As a result of this, with each beat of the heart, the vascular walls are stretched more, the heart tries to deliver the blood to the end organs with higher pressure, and it gets more tired. If this process continues, blood pressure will increase further, and damage due to malnutrition in the organs and, perhaps, serious damage will occur after ruptures in the vessel wall, depending on where it is located. If this occurs in the brain, it causes serious damage depending on its location and the amount of bleeding. The distinguishing feature of the brain from other organs is that it is in a closed box and every cell has vital functions. Therefore, bleeding and damage may be life-threatening or cause severe damage. So we need to identify the factors that cause hypertension.
These factors roughly;
Genetic Factors
Environmental Factors.
Genetic factors include familial predisposition and vascular anomalies present in the person at birth, which can be counted as bubbles and vascular balls in the brain vessels. What we mean by familial predisposition is those with a family history of cardiovascular diseases and those with high cholesterol. Since this disorder exists in the genetic structure of the person, it is not possible to change it. So we need to minimize the environmental risk factors in these people. On the other hand, congenital defects such as bubbles (aneurysms) and vascular tangles (AVMs) detected in the brain should be treated quickly due to high bleeding risks and surgical removal when necessary.
Many factors such as our eating habits, stress, smoking and alcohol use, weight, our interest in sports, and our profession can be counted among environmental factors. . To summarize briefly, a lifestyle that is plant-based, free from smoking, at ideal weight, and having active sports 3 days a week, plays a very serious protective role against cardiovascular diseases and cerebral hemorrhages.
In our country, traumas, especially traffic accidents and work accidents, which are among the causes of brain wedges, take the first place. Among these, speed and seat belt use have an effect far beyond what is expected and known in the prevention of loss of life and disability in traffic accidents. Therefore, one must be very sensitive and careful in this regard.
