Complications of stroke to be aware of – VnExpress

Brain edema, pneumonia, epilepsy, depression… are unexpected complications of stroke.

Stroke (cerebral vascular accident) is a dangerous disease, often leaving many serious complications for the patient. Depending on whether the stroke is caused by ischemic stroke or bleeding in the brain and the time the patient is treated for emergency treatment, complications will also vary.

Doctor, Doctor Nguyen Thi Minh Duc – Head of Neurology Department, Center of Neurology, Tam Anh General Hospital in Ho Chi Minh City, said that stroke is becoming more and more common among young people. However, the vigilance about the disease has not been paid enough attention by everyone. A stroke has many complications that are difficult to predict.

According to Dr. Minh Duc, the most common complication is paralysis or, more seriously, death. A stroke can lead to complications that many people may not be aware of, including:

Cerebral edema: Brain swelling inside the skull affects the flow of oxygen and blood to the brain. This dangerous complication can cause brain failure, causing the patient to die quickly, so it should be treated immediately.

Pneumonia: Due to the patient lying in one place for a long time with complications that are easy to swallow, they are prone to pneumonia, manifested by shortness of breath, cough with phlegm, fever, chills… This is a common infection in stroke patients. .

Urinary tract infections: People after a stroke are at risk for urinary tract infections with symptoms such as cloudy or bloody urine, pain or burning sensation when urinating, pain in the lower abdomen, cramps in the lower abdomen .. Patients who have a stroke or have difficulty urinating must have a urinary catheter.

Epileptic: A stroke can damage brain cells, leading to seizures and convulsions. Convulsions easily deprive the brain of oxygen and cause more brain damage…

A stroke can cause mobility difficulties. Image: Shutterstock

Spasticity of limbs: Spasticity is also common in people who have had a stroke. The muscles of the arms and legs are shortened, spastic, causing pain and loss of mobility. Therefore, patients should be exercised soon after stroke.

Deep vein thrombosis: Deep vein thrombosis can occur before a person has a stroke and is the cause of the stroke. Deep vein thrombosis can also occur after a stroke due to bed rest. This condition can cause life-threatening complications. The blood clot moves to the lungs, heart, and brain, causing blockage, making it possible for the patient to have a pulmonary infarction, a myocardial infarction, or an early recurrence of cerebral infarction.

Heart attack: People who have had a stroke caused by atherosclerosis in the brain are also at increased risk of a heart attack.

Depression: In addition to physical health, people who have a stroke also have mental health problems, easily worrying excessively leading to depression. Common symptoms of depression after a stroke include feeling empty, sad or anxious for a long time (more than 2 weeks), loss of interest in daily activities; feel useless, tired, low energy, always in a sluggish state… Even, they may try to commit suicide.

Difficulty swallowing: Another complication after a stroke is having problems swallowing, feeling food stuck in the throat, difficulty chewing, difficulty breathing when swallowing, food backing up after swallowing… Patients often have difficulty swallowing substances. liquid than viscous food.

People who have had a stroke may also experience other complications such as nausea, vomiting, vision loss, memory loss, bowel and bladder problems, etc. Language loss is also a common complication. . Brain damage after a stroke can make it difficult for patients to communicate, not be able to speak, speak poorly, not understand other people’s words, lose the ability to express themselves…

Actively visit and screen for stroke periodically to prevent disease.  Photo: Shutterstock

Actively visit and screen for stroke periodically to prevent disease. Image: Shutterstock

Dr. Minh Duc shared, stroke can happen transiently. The danger is that after a mild stroke, within a few hours or days (usually within the first week), the disease progresses gradually, which can cause hemiplegia, unable to move or fall into a coma. Patients should not be subjective.

The sooner you recognize the signs of a stroke or stroke symptoms and treat them promptly, the better your survival rate will be. Signs to keep in mind such as sudden severe headache, weakness in limbs, slight facial distortion… Build a healthy lifestyle, limit alcohol, don’t smoke, limit saturated fat, increase strength supplement the necessary nutrients and exercise regularly. Periodic health check-ups, treatment of related diseases that can lead to stroke such as hypertension, diabetes, cardiovascular disease… are necessary preventive measures.

Dung Nguyen


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