2023-06-18 18:57:38
Risk factors for stroke include high blood pressure, high blood sugar, and high cholesterol. Those who have had a stroke or minor stroke, those who smoke and drink alcohol, or the elderly with atrial fibrillation are all high-risk groups. In addition, heart valve problems, rheumatic heart disease, and previous radiation therapy to the neck all increase the risk of stroke. At present, there are several sets of simple formulas to teach the general public to identify strokes, such as “FAST”: F (Face) facial coordination, A (Arm) flexibility of hands and feet, S (Speech) language ability, T (Time) tight time. It means that if patients with vascular embolism can grasp the symptoms in time and seek medical treatment as soon as possible, proper treatment can reduce the degree of disability caused by stroke.
Many people equate the feeling of numbness with a stroke. In fact, body paralysis is not necessarily a stroke. For example, paralysis of facial nerve lines can be caused by virus infection, and the feeling of numbness can also be felt when the nerve lines of the arms are pressed for a long time during sleep. Therefore, observing whether the speech ability and the strength of half of the body is normal is a more credible indicator. The treatment of stroke must be a race against time. After the patient sees a doctor, the clinician will judge whether the patient has stroke symptoms, and then determine whether it is a hemorrhagic stroke or an ischemic stroke through computerized tomography.
If it is diagnosed as ischemic stroke, there is a so-called “golden three hours” or “golden four and a half hours” treatment window, doctors will fight for time to administer intravenous thrombolytic injections for patients. In addition to minor strokes that do not require thrombolysis, there are several situations where thrombolytic injections are not suitable. For example, the stroke has already formed, and the purpose of thrombolytic therapy is to save brain cells. If the stroke is formed, there is no point in administering thrombolysis. It is not advisable to administer the stroke if the scope of the stroke is too large. The risk of hemorrhagic transformation after thrombolysis in such patients is too high. The patient is taking blood-thinning drugs, has a high degree of anticoagulation, suffered a head injury during a stroke, suffered a fracture, or has just undergone surgery before, etc. These conditions are not suitable for thrombolytics because of the increased risk of bleeding.
Shi Mingyao
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