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Gimhae News Mobile Site, Stroke, Care and Rehabilitation of Important Golden Time



▲ President Gyung-hwan Roh from Good Morning Gimhae Hospital treats patients.

Cerebrovascular Blockage or Popping Disease
Death or severe sequelae
"Prevention and overall care is very important"

Stroke is one of the main diseases that need to be careful today. Scars, commonly known as strokes, are more likely to develop with temperature changes. Of course, 'stroke' in oriental medicine and 'stroke' in western medicine is not necessarily the same disease.

Roh Kyung-hwan, President and CEO of Good Morning Gimhae Hospital, said, "Stroke is a disease that causes blood clots to block or destroy blood vessels that supply oxygen and nutrients to the brain." "Stroke is a leading cause of death in Korea along with cancer and heart disease. This can cause serious sequelae, so prevention and careful management are important."

Divided into cerebral infarction and cerebral hemorrhage

Stroke is divided into cerebral infarction (ischemic stroke) caused by cerebrovascular vessel blockage and cerebral hemorrhage (hemorrhagic stroke) caused by leakage of blood into the brain tissue due to cerebrovascular rupture.

More than 100,000 stroke patients appear every year, and the number continues to grow.
Statistics show that more than 80% of all stroke patients experience cerebral infarction.

Brain infarction develops rapidly with age. The prevalence is around 6% in the 60s and 8% in the 70s.

Cerebral infarction is usually caused by cerebral vessels that are blocked due to atherosclerosis, or clots caused by heart disease or carotid artery disease in the neck, which flows through the bloodstream to cerebrovascular vessels (emboli).

Brain hemorrhage is known to be caused by high blood pressure, cerebral aneurysms, cerebral arteriovenous malformations, and moyamoya disease. When cerebrovascular bleeding blood vessels block the blood supply to the affected area, as well as nerve damage to the brain, when blood accumulates in the brain, pressing or damaging brain tissue causes brain damage.

Stroke symptoms vary depending on the area of ​​the brain tissue that is damaged. Facial paralysis, paraplegia, speech disorders, gait disturbance, dizziness, headaches, numbness, vision problems and diplopia are common symptoms. In some cases, it may be accompanied by loss of consciousness.

If you suspect the symptoms, see a doctor

A sudden stroke can be suspected if your body suddenly feels numb, or you feel unusual and lose strength. Wajah facial or limb paralysis △ very simple words that you cannot pronounce properly or don't understand △ one or both eyes suddenly droop or lose vision △ unbalanced body falls, very severe dizziness, very severe dizziness △ If the hands and feet cannot move properly.

If these symptoms appear suddenly, you should immediately see a doctor for diagnosis. In some cases, these symptoms can go away on their own in a few minutes or hours. This is called a temporary cerebral ischemic attack and is a strong warning of impending stroke.

Stroke is a fight against time. It is important to get treatment at a hospital equipped with stroke treatment facilities as soon as possible because it can cause death or serious disability.

At this time, you must go to the hospital within 3 hours (Golden time) to get thrombolytic treatment through blocked blood vessels. In hospitals, thrombolytics, drugs, and surgical treatment are given according to symptoms and conditions.

The key to treatment is minimizing brain tissue damage. Treatment must begin as soon as possible before further brain damage can develop. For this reason, it is important to call 119 immediately if you are suspected of having a stroke and go to a hospital that can treat your stroke.

Rehabilitation is also important for the Golden Age

For strokes, the golden period is also important for rehabilitation.

The medical community refers to three months after a stroke as a golden period for rehabilitation.

Absolute incompatibility, speech disorders, paresthesia, facial nerve palsy, etc. This is the absolute time to stop serious side effects and restore the previous condition.

Roh said, "The rehabilitation time aimed at restoring the patient's condition was previously determined through cooperation between neurology, neurosurgery, and rehabilitation medicine. Usually it starts immediately after the emergency situation is over." Do it. "

If paralysis occurs, sports therapy is carried out to improve the strength and endurance of the patient. Bedside, wheelchair movement training, walking therapy and balance training are also provided.

Swallowing disorders are problems with swallowing food, which occurs in 30-50% of stroke patients. Therefore, when food enters airways, pneumonia, malnutrition, dehydration, etc. Can appear, so rehabilitation must be restored to function.

Occupational therapy must be given to patients with difficult daily lives. In a room that is decorated like a real home, it enhances the functions of the hands and the functions of the movement by performing actions necessary for daily life such as filling buttons, chopsticks, brushing and combing hair. In addition, cognitive training and speech therapy, such as rehabilitation needed for patients, is carried out, the recovery process is up to two years.

Roh said, "Stroke is more important than prevention," he said. "It's important to improve lifestyles, such as weight management, diet, regular exercise, and stopping smoking. Depressed.

By Gimhae News Reporter Lee Kyung-min min@gimhaenews.co.kr
Help = President Gyung-Hwan Roh from Good Morning Gimhae Hospital


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