Early morning stroke

HanoiAround 3 a.m., the 80-year-old man woke up to go to the bathroom, met it cold, and suddenly collapsed on the spot, losing consciousness.

Patients with a history of hypertension, diabetes, were taken to the emergency room by family members at the National Geriatrics Hospital on the morning of December 16 with hemiplegia. Dr. Tran Quang Thang, Head of Emergency and Stroke Department, diagnosis of stroke patient, MRI scan to detect cerebral infarction. The patient is being actively cared for in the emergency room.

Sudden cold body temperature is one of the risk factors for stroke, usually between 3 and 5 a.m. This is also the leading risk for elderly patients with a history of hypertension, the risk of complications, stroke and death if not handled promptly.

Stroke is an acute medical condition that can happen at any time without warning. Every year, the Central Geriatrics Hospital receives a lot of stroke cases when the weather changes, accounting for 70-80% of the total number of patients being treated in the year.

Dr. Thang is checking and examining the patient on the morning of December 17. Image: Thuy An

The doctor said that there are many factors related to stroke including hypertension, metabolic diseases such as diabetes, obesity, hyperlipidemia, smoking, sedentary lifestyle, unhealthy, stress … These are common diseases in the elderly. Young stroke patients alone are also associated with genetic factors, having abnormal blood vessels, or blood clotting, leading to an increased risk of rupture of the blood vessel, or an increased embolism.

For early detection of stroke manifestations, it is possible to rely on the FAST sign, which stands for the words Face – facial paralysis, distorted mouth, Arm – weak or half of the body, Speech – lisp, difficult speech, Time – time the point of the stroke, which is understood as the time when the above symptoms appeared. Once a stroke occurs, the patient should be promptly admitted to the hospital in the stroke unit (center) for timely treatment to reduce the rate of death and disability.

“The golden time for cerebral infarction patients to have cerebral revascularization with drugs is within 4.5 hours of onset. Patients with major thromboembolism can intervene within 6 hours of onset, if left alone. later, the risk of serious sequelae “, Dr. Thang said.

Brain stroke is a preventable disease by measures against risk factors such as treatment for dyslipidemia, blood glucose control, blood pressure control … For the primary prophylactic group, ie never having a stroke, routine examination is required to early detection of risk factors and early control. People with diabetes, blood pressure, blood fat should go to the doctor once a month.

For the secondary prevention group, which has had a stroke, the doctor judged a high risk of recurrence. Patients need to adhere to the indications of examination, treatment, not to stop or quit drugs in the middle. Do not use supplements to replace medications. Patients should have a diet rich in vitamins and minerals, limit eating too much fat, control weight, prevent obesity.

For middle-aged and elderly people, it is important to keep the body warm when going to bed and every time out of the room, including a morning walk, to avoid sudden colds. During cold days, the elderly should practice and gently exercise with exercises such as yoga, spiritual relaxation indoors, sheltered places, if outdoors, need to wear hats, warm clothes … When practice, should be based on stamina, not strenuous exercise. Self-monitoring of blood pressure every day, controlling health, avoiding drug forgetting, stopping drugs causing serious illness.

For young people, to reduce the risk of stroke, it is necessary to periodically check for risk factors and treat them early. Build a healthy lifestyle, go to bed and wake up on time, exercise, drink plenty of fluids early in the morning, and wake up. Eat more green vegetables, fruits, soybeans, more fish, less meat. Use moderate amount of salt, fat in dishes, quit smoking, limit alcohol ..

Thuy An


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