Every year about 200 000 people in Germany a stroke, also known as cerebral infarction or stroke. Half of those affected are older than 75 years but also young adults and even children can be affected. The stroke is caused either by acute hypoperfusion of the brain (ischemic stroke) or bleeding in the brain (hemorrhagic stroke). Stroke is this country after heart disease and cancer the third most common Cause of death.
decisive for the survival and reduce later lasting effects of a stroke is immediate medical attention. This also applies to a hemorrhagic stroke, which goes back in two thirds of all cases of hemorrhage that were caused by ruptured blood vessels in the brain. The parties have almost always had long inflated high blood pressure, often associated with atherosclerosis. Thus, the vessels are so stressed that they burst one day. One third of hemorrhagic stroke is based on a specific form of brain hemorrhage, which occurs particularly in young people: the subarachnoid hemorrhage. It is, therefore, bleeding on the brain surface, which is caused by the bursting of an aneurysm, a sac-like enlargement of a blood vessel. This is done mostly by a sudden rise in blood pressure caused by heavy lifting, heavy pushing or straining at stool, vomiting or by sexual intercourse. Hemorrhagic stroke occurs in about three percent of the population and is significantly less than the ischemic.
It is caused by insufficient blood supply, resulting from a blocked blood vessel leading to the brain. Is it completely blocked, connect neurological disorders in all its forms and degrees of balance, unilateral visual and hearing impairments, speech and swallowing problems, one-sided paralysis, dizziness and disorientation to unconsciousness. The effects of stroke are usually so severe that they can not be returned or are only partially offset by rehabilitation measures.
Since the attack to a lack of oxygen to the body will go, often large amounts of lost brain cells. In hemorrhagic stroke, it is usually very fast, while for ischemic attack lack of oxygen spread in stages. A portion of the tissue can therefore be rescued by timely onset of treatment. However, die every hour in which a stroke left untreated, from as many neurons in the brain, proceed as lost during normal aging in 3.6 years. Per second corresponds to the cell loss that occurs otherwise in 8.7 hours. If a stroke completely untreated, the brain loses as much tissue as before in 36 years. Quick action in emergencies is essential to save using an adequate method of treatment as many brain cells. Stroke patients who arrive within three hours in hospital and are supplied in accordance with, have significantly improved survival and rehabilitation opportunities than later admitted patients.
With a small test emergency, people can tell if people just suffer a stroke. Moreover the test helps to distinguish the symptoms of a much more innocent poor circulation. The attack can be, for example the reason why when a person suddenly loses balance and for no apparent reason and crashed. The first failure is a common phenomena in a looming stroke. In this case, the affected should be asked to smile, to lift the arms or a short phrase such as 'It is now very nice' to say. 'If he only has problems with one of these calls, any delay must be avoided and immediately called the emergency doctor with a suspected stroke, "advises Dr. Curt Beil from the Professional Association of German Neurologists (BDN). Another sign of cerebral infarction is a curved tongue slithering from side to side.
Can not talk right people with balance problems, smile and raise his arms, once the emergency number is to call 112 to get help. Until the ambulance arrives, one should take care of those affected by tight clothing loosened and dentures must be removed. Then the patient in the recovery position is to be brought. It helps if he is calmed down and talked to him. Under no circumstances should he be left alone or him something to eat or drink will be given. If unconscious, is the heartbeat check and cardiac arrest are attempts at resuscitation perform with heart massage and mouth-to-mouth resuscitation.
The first arriving emergency physician has to ensure the maintenance of breathing and heartbeat. Infusions to improve the flow properties of blood have been previously used routinely, but are not appropriate in all cases and are therefore currently used only when necessary. The patient is then delivering them to a hospital as quickly as possible, where are diagnosed with imaging procedures such as computed tomography (CT) or magnetic resonance imaging (MRI), the exact cause and the effect of stroke. The survival rate and the reduction of the effects of stroke have been shown to be higher if the patient treated as quickly as possible in a so-called 'stroke unit' is a specialist stroke clinic department.
source and quote: Silke Koppers / mp
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© 2007 Global Press
