Treatment of stroke Treatment depend on whether the stroke is caused by a blood clot (ischemic) or by bleeding in the brain (hemorrhagic) . The damage caused by a stroke often occurs within the first few hours. Faster we receive treatment, lesser damage will occur Treatment focuses on restoring blood flow for an ischemic stroke or controlling bleeding for a hemorrhagic stroke. Treatment of ischemis stroke depends upon the cause and location of the clot.following treatment should be given 1) usually IV fluids should be given in order to prevent dehydration 2) oxygen should be given so that brain get maximum amount of it. 3) Blood pressure control: . Many different medications can be used to lower the blood pressure including pills, nitroglycerin paste, or IV injections. In case of acute stroke given a clot-dissolving medicine called tissue plasminogen activator (t-PA), which can increase chances of survival and recovery. such medicine works with the body's own chemicals and helps to dissolve the blockage in the blood vessel in the brain that may cause stroke. It is the same drug that is often used to treat heart attacks. . At some hospitals, clot-busting drugs are given through a small catheter , through an IV, is threaded up into the neck and into the artery where there is a blockage. This treatment can potentially be used up to 6 hours after onset of stroke symptoms. Hemorrhagic stroke If the bleeding is due to a ruptured aneurysm, surgery should be done to repair the aneurysm. Repair may include: a) Using a metal clip to clamp off the aneurysm to prevent renewed bleeding. b) Endovascular coil embolization In this we Insert a small coil into the aneurysm to block it off . c) In some cases, medicines may be given to control blood pressure, brain swelling,blood sugar level , fever, and seizures. d) If a large amount of bleeding has occurred , surgery should be done in order to remove the clot from the brain and decrease the pressure inside it. e) Changes in lifestyle will also be an important part of our treatment to reduce the risk of having another stroke: PREVENTION OF STROKE 1)Smoking should be avoided 2)Alcohol should be limited 3)Weight should be under control 4)Exercise should be done. Walking is very beneficial 5) Eat balanced diet that is low in cholesterol, saturated fats, and salt 6) Treat high cholesterol with diet and exercise and then medication to reduce the risk of stroke 7) increase risk for stroke and may cause the formation of artery- narrowing plaque. 8) In people with certain irregular heart rhythms, such as atrial fibrillation the use of blood thinners such as warfarian has been shown to reduce the risk of stroke. 9) Diabetes should be under control. 10) Vision problems should be maintained After a stroke, some people have problems seeing to one side. For example, people with right-sided paralysis may have difficulty seeing to the right. After a stroke some people have problems seeing to one side. For example, people with left-sided paralysis may have difficulty seeing to the left. If the problem is due to a loss of vision, most people learn to adjust by turning their head toward their affected side..
Article publié pour la première fois le 01/10/2011