Saturday, November 3, 2012

Stroke Disease


Stroke Disease



A Stroke or Cerebrovascular accident (CVA) or Brain Attack ‎ is a clinical syndrome ‎characterized by an acute loss of focal brain function lasting more than 24 hours or leading to ‎‎(earlier) death, which is thought to be due to either spontaneous hemorrhage into or over the ‎brain substance (primary intracerebral hemorrhage or subarachnoid hemorrhage respectively – ‎Hemorrhage stroke) or inadequate blood supply to a part of the brain as a result of low blood ‎flow, thrombosis or embolism associated with diseases of the blood vessels, heart or blood ‎‎(Ischemic stroke).‎

Transcient Ischemic Stroke (TIA)‎ ‎ is a mini stroke. The symptoms of TIA, and it’s ‎causes are the same like Ischemic Stroke. However, The symptoms of abnormal function of part ‎of body and brain recover completely within 24 hours. This is because the blockage of artery ‎clears itself very quickly, before the ischaemic brain tissue has died. TIA are important because ‎they notify people that they are at increased risk of a future stroke and heart attack. But, with ‎appropriate treatment their risk of having major disabling or fatal stroke pr heart attack can be ‎reduced.‎

Ischemic Stroke ‎ occurs when blood vessels that supplies blood to the brain is blocked. ‎This may happen in two ways which are Embolic Stroke and Thrombotic Stroke. Firstly, a blood ‎clot or plaque fragment forms somewhere in the body and moves through the bloodstream to the ‎brain. Once in the brain, the clot blocks the blood vessels and leads to a stroke. This is called ‎Embolic Stroke. Secondly, it is called Thrombotic stroke where a blood clot that does not travel ‎but form inside an artery that supplies blood to the brain. The clot may interrupt the blood flow ‎and caused a stroke.‎

Several diseases can cause Ischemic Stroke. The most problem is narrowing of the arteries ‎in the neck or head. This is most often caused by atherosclerosis, or gradual cholesterol ‎deposition. If the arteries become too narrow, blood cells may collect and form blood clots. ‎These blood clots can block the artery where they are formed thrombosis, or can dislodge and ‎become trapped in arteries closer to the brain called embolism. Another cause of stroke is blood ‎clots in the heart, which can occur as a result of irregular heartbeat, heart attack or abnormalities ‎of the heart valves. These are the most common causes of Ischemic Stroke. It can be also ‎happened due to use of street drugs, traumatic injury to the blood or disorder blood clotting.‎

Next is Hemorrhagic Stroke ‎. It is a stroke caused by a blood vessel in the brain that ‎burst and spills blood into the brain. This Stroke can happen in three ways, which are ‎Intracerebral Hemorrhage, Aneurysm and Subarachnoid Hemorrhage. Firstly, Intracerebral ‎Hemorrhage, caused when a burst blood vessel bleeds into the brain. Hypertension is the most ‎common cause of this type of stroke. This bleeding causes brain cells to die and part of the brain ‎where this occurs no longer works correctly. Next, Aneurysm, is a weak spot of an artery wall ‎that may balloon out, forming a thin-walled bubble. As it gets bigger, it can burst leaking blood ‎into or outside of the brain. Lastly, Subarachnoid Hemorrhage, a blood vessel burst near the ‎surface of the brain and blood pours into the area around the outside of the brain. This bleeding ‎may increase pressure in brain, injuring brain cells.‎ There are several ways on preventing stroke disease ‎. Moreover, it is important for us to ‎know how to prevent stroke. ‎

Know your blood pressure. If it is high, work with your doctor to lower it. High blood ‎pressure or hypertension is one of the most common causes of stroke. Our blood pressure is ‎expressed in two numbers, for example 120/80. For people over 18 years old, good blood ‎pressure is considered lower than 120/80. A blood pressure reading consistently higher than ‎‎120/80, up to 139/89, is considered prehypertension. High blood pressure is measurement of ‎‎140/90 and higher. Have your blood pressure checked yearly by a doctor, at health fairs, at home ‎with an automatic blood pressure machine or at your local pharmacy or supermarket.‎

Next, find out if you have atrial fibrillation (Afib). If you do, work with your doctor to ‎manage it. Afib is an irregular heartbeat that changes how your heart works and can cause blood ‎to pool in parts of your heart. This blood can form clot and cause a stroke. Your doctor can often ‎tell you if you have Afib by carefully checking your pulse or by running medical tests such as ‎electrocardiogram. If you have Afib, your doctor may choose to lower your risk for stroke by ‎having you take medicines.‎ Besides, If you smoke, stop! By smoking you may double the risk for stroke. If you stop ‎smoking today, your risk for stroke will immediately begin to drop. Within five years of quitting, ‎your stroke risk may be the same as that of someone who never smoked.‎

We also must include exercise in daily routine. Even a little bit of exercise such as brisk ‎walk, bicycle ride, swim or yard work can improve your health and may reduce your stroke risk. ‎According to the Centers for Disease Control and Prevention, adults should perform moderate ‎physical activities for at least 30 minutes for five more days a week. Before starting a vigorous ‎exercise program, check with your daughter.‎
Next, enjoy a lower-salt and lower fat diet. By cutting down on salt and fat in your ‎diet, you may lower your blood pressure and, more importantly, lower your risk to stroke. Try to ‎eat a balanced diet each day, with plenty of fruits, vegetables, whole grains, and a moderate ‎amount of protein.‎

Know your cholesterol number. If it is high, work with your doctor to control it. ‎Lowering your cholesterol may reduce your risk for stroke. Having high cholesterol puts you at ‎greater risk for heart disease, which can increase your stroke risk. Combine HIGH-Density ‎Lipoprotein (HDL) and Low Density Lipoprotein (LDL) cholesterol should fall below 200. ‎Often, high cholesterol can be controlled with diet and exercise, some people may need ‎medicine.‎

Moreover, you can ask your doctor if you have circulation problems that increase your ‎stroke risk. If so, work with your doctor to control them. A build-up of fatty deposits can block ‎the arteries, which carry blood from your heart to the brain. If left untreated, this blockage can ‎cause stroke. You can be tested for this problem by your doctor. Doctor can listen to your ‎arteries, just like they listen to your heart, or look at pictures of your arteries with the help of ‎medical equipment. Circulation problem can usually be treated with medicines. If your doctor ‎prescribes medicine, take it exactly as recommended.‎
Prevent before it’s too late. Any signs that could lead to stroke, must be take it seriously ‎and try to see the doctor to know how to work on it.  ‎

Here are true story of Taylor and Teddy Buschi who survived Stroke once and how they ‎recover from that disease.‎

Jilt Bolte Taylor ‎, author of My Stroke of Insight, share her own story and journey when ‎she was having stroke once before. She was a 37 years old Harvard-trained and published brain ‎scientist when a blood vessel exploded in the left side of her brain. A neuroanatomist by ‎profession, she observed her own mind completely deteriorate to the point that she could not ‎walk, talk, read, write or recall any of her life, all within the space of four brief hours. As the ‎damaged left side of her brain, the rational, grounded, detail and time-oriented side, swung in ‎and out of function. Taylor alternated between two distinct and opposite realties: the euphoric ‎nirvana of the intuitive and kinesthetic right brain, in which she felt a sense of complete well-‎being and peace; the logical, sequential left brain, which recognized Taylor was having a stroke, ‎and enabled her to seek help before she was lost completely. ‎

It takes eight years for Taylor to heal completely. Because of knowledge of how the brain ‎works, her respect for the cells composing her human form, and most of all an amazing mother, ‎Taylor completely repaired her mind and recalibrated her understanding of the world according ‎to the insight gained from her right brain that morning of December 10th.‎

Today Taylor convinced that the stroke was the best thing that could have happened to ‎her. It has taught her that the feeling of nirvana is never more than a mere thought away. By ‎stepping to the right of our left brains, we can all uncover the feeling of well being and peace that ‎are so often sidelined by our own brain chatter.
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Another patient of Stroke is Teddy Bruschi ‎, an athlete. Ten days after helping the New ‎England Patriots win the 2005 Super Bowl, 31-year-old middle linebacker Bruschi suffered a ‎debilitating stroke that left his future uncertain. Initially he planned to retire, but as he began to ‎recover, a process that included surgery to repair the hole in his heart that precipitated the stroke, ‎the lure of football beckoned. Bruschi learned much about stroke from doctors who treated him ‎and cleared him to play again. After serious disagreement with his wife, he won her support for ‎his return to the game only eight and a half months after suffering the stroke. His comeback ‎initially met with much skepticism from the media and fans alike, but Bruschi writes that he was ‎determined to overcome the obstacles thrown up by those ignorant of strokes. He also found a ‎new audience of fans: stroke survivors across the country, many who wrote him letters in ‎support. Bruschi, who went on to play the 2005 and 2006 seasons, is planning to be in the lineup ‎this season as well and is now a spokesman for the American Stroke Association. His story is a ‎compelling and convincing one that will appeal to both football fans and those affected by ‎strokes.‎ There are a few of scholar that master in studies of brain. We could see their perspective ‎on stroke and brain that are importance organ in our body. ‎

Liu Zhi ‎ was a well known Muslim scholar in the early Qing Dynasty. In his study of the ‎brain, he made two notable contributions. The first was his explication of the central regulation ‎by the brain. He speculated that all the perceptual and interior organs could each give rise to a ‎special psychological function, but the brain’s function was to regulate all organs, specifically in ‎two ways. One way was to store physical and perceptual objective as formless abstract objects, ‎transforming what is heard, seen, and perceived through the tactile sense into what could be ‎stored in the brain. The other way was to interconnect the concrete with the formless or the ‎abstract; that is, the channels in the brain are interconnected with all the sense organs and ‎perceptual motor organs. ‎The second contribution he made was his articulation in specifying the location of various ‎brain functions. He believed that perceptual synthesis and cognitive abilities are all functions of ‎the brain. He pinpointed five location on the brain as the loci of the perceptual and cognitive ‎functions.‎

From the point of view Al Ruhawi ‎, an Islamic Scholar, The first organ with which he is ‎concerned is the brain because of its prime importance. He states;‎ It has feeling and the notion of movement. Without the nerves and parts of the brain ‎where there are sensitive faculties. He also said that we must make sure our brain in perfect ‎condition to avoid brain diseases.‎ Wang Qingren ‎ was a Chinese medical doctor in the mid-Qing Dynasty. He was best ‎known for his theorization of brain functions based on anatomic analysis of the brain, sense, ‎organs and limbs, in addition to his close observation of patient. Based on these anatomic ‎analyses, his brain central theory offered a comprehensive description of psychological activities ‎of his day. ‎

Reviewing various Chinese concepts of the brain since the era of Spring and Autumn, ‎Wang Qingren critiqued that the heart was the center of thoughts and feelings, and advanced the ‎proposition that intellect and memory are brain-based. He begin explaining the structure of the ‎brain. He described pathways by which the ear, eye, mouth, and nose were connected to the ‎brain and by which regulated the sense organ.‎
Wang also delineated how brain disease could bring about psychological illness, His first-hand ‎observation of stroke patients’ sense organ allowed him to suggest that the two hemisphere of the ‎brain had different functions. This interpretation led to his view that the ceasing of all brain ‎activities marked one death.‎

Judging from the twelve volume of Aristotle’s ‎ complete work, “ a better translation of ‎psyche would appear to be mind” . The major reason Aristotle does not make clear that his ‎primary interest is in mind instead of religion as we presently understand these term is because ‎during his age no one understood the role of brain in mental activity. In fact, the brain in Ancient ‎Greece was believed to be merely an agent cooling for the blood, which was thought to be ‎heated by the heart. The idea of the time was mental activity suffers when the brain fails in its ‎presumed cooling function, and this is how damage from blows to the head was explained in ‎ancient time. ‎

However, even though Aristotle’s anatomy and physiology are wrong regarding the brain, there ‎seems to be no doubt that he is writing about the nature of mind.‎ From my point of view, Stroke or Brain Attack could suffer by a person when he or she ‎care less on their life’s routine and what they take daily. This most important thing on a person, ‎they need to observe their level of stress. Hypertension is the main reason that people could ‎suffer on stroke. Brain is the important part in our body that controls our movement. ‎

Besides, people who smoking are people who easily to suffer from stroke. That’s why ‎smoking is not good and should be avoid by everyone. Last but not least, people nowadays ‎refuse to go outside and have a chill time outside. Exercise must be included in everyone’s life so ‎that we can reduce the risk of having stroke.‎

Because of that, people must observe on what they are going to take and practice a ‎healthy lifestyle.‎
As a conclusion, it is very difficult to regenerate brain cells when they have died. There ‎has been a lot of work done in this area and there are glimmers of hope. Strokes damage brain ‎cells and the amount of damage and the severity can vary enormously. At one extreme it could ‎be physical movement affected, but at the other memory and reasoning are lost. The final danger ‎will always be the death of the victim from the effects of the stroke. Is it you? ‎

Keep calm! If you think you are having a stroke then you need emergency medical help ‎now to limit the long-term effects of the stroke on your brain. You may not be understood if you ‎call for emergency help. Your friends, family or co-workers may not understand you but it is ‎urgent to get help now. Realize that once you have had one stroke then there is a danger that you ‎will have another. Even if the first stroke was a warning or a mini-stroke they can never be taken ‎lightly as the next one may be far more serious. Get medical help and get it now. Is it a friend, ‎family member or co-worker? Maybe you don't recognize the symptoms. Maybe someone else ‎has had a stroke but the symptoms may be completely different this time. One may have been ‎paralyzed down one side, another may lose feeling or be unable to understand or speak properly. ‎Get properly qualified help now. ‎

A first aider should recognize the symptoms and call for emergency help. If there is no ‎first aider immediately available then call for the ambulance or paramedics yourself. Do not delay ‎as the delay may be fatal. With someone having a stroke every 3-4 minutes in the US and every 5 ‎minutes in the UK the likelihood is that this is a stroke and they need urgent medical help. The ‎long haul starts here. It will take time to recover. ‎
For people who survived the stroke, in the vast majority of cases, you will walk and talk ‎and smile again. It may not be as good as you want it but you can work within those limitations ‎and seek to limit the dangers of having another stroke by stopping smoking, changing your diet ‎and getting exercise. If you are a smoker you are probably saying it is time all these do-gooders ‎shut up and stopped nagging me to stop smoking. I enjoy it and I am not going to stop. Then ‎realize that you have decided to put yourself in danger and see where it takes you. Your family is ‎concerned for you and to clean up your clothes and their atmosphere. ‎
All of us can benefit from more exercise and a better diet. You should be eating less fats ‎and far more healthy food. So take the right steps now to limit the danger to yourself and your ‎family. If you or a member of your family suffers a stroke then you realize just how devastating ‎it can be to suffer with it. Take the right steps now to limit your danger of being the next victim.‎

By reading stroke’s patient story either who survived or still having stroke, might help us ‎to feel grateful for not having this kind of disease. As a person who having stroke, the affected ‎area of brain cannot function, which might result inability to move one or more limbs on one side ‎of the body, inability to understand or formulate speech, or an inability to see one side of the ‎visual field. A stroke is a medical emergency can cause permanent neurological damage, ‎complications and death. Besides, stroke is a second leading cause of death in worldwide. That is ‎why people need to know how to avoid from suffer stroke and practice a healthy living lifestyle.‎


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