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Gimhae News Mobile Site, Stroke, Treatment and Rehabilitation Important Gold Time



▲ President Gyung-hwan Roh of Gimhae Good Morning Hospital is treating patients.

Cerebrovascular blockage or popping disease
Death or severe sequelae
"Prevention and essential comprehensive care"

Stroke is one of the major diseases that need to be taken care of these days. Strokes, commonly known as strokes, are more likely to develop as the temperature changes. Obviously, & # 39; spill & # 39; in oriental medicine and & # 39; stroke & # 39; in western medicine they are not necessarily the same disease.

Roh Kyung-hwan, President and CEO of Gimhae Good Morning Hospital, said: "Stroke is a disease that causes blood clots to block or burst blood vessels that supply oxygen and nutrients to the brain." This can lead to 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 blockage of cerebrovascular vessels and cerebral hemorrhage (hemorrhagic stroke) caused by blood leakage in brain tissue due to cerebrovascular rupture.

More than 100,000 stroke patients appear each year, and the number is constantly growing.
Statistics show that over 80% of all stroke patients have cerebral infarction.

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

Cerebral infarction is usually caused by clogged brain vessels due to atherosclerosis, or clots caused by heart disease or carotid arteries in the neck, which flow through the bloodstream to the cerebrovascular vessels (embolism).

Cerebral hemorrhage is known to be caused by high blood pressure, cerebral aneurysm, cerebral arteriovenous malformation and moyamoya disease. When blood vessels from cerebrovascular bleeding block the blood supply to the affected area as well as damage to the brain nerves as blood accumulates in the brain, compressing or damaging brain tissue causes brain damage.

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

If you suspect symptoms, see a doctor as soon as possible

Sudden blows are suspected if your body suddenly becomes numb or if you feel uncommon and lose strength. △ paralysis of the face or limbs △ very simple words that you cannot pronounce well or do not understand understand one or both eyes suddenly fall or vision loss △ unbalanced body falls, very severe dizziness △ If hands and feet cannot move good.

If these symptoms suddenly appear, you should see a doctor immediately for a diagnosis. In some cases, these symptoms may subside on their own in minutes or hours. This is called a transient cerebral ischemic attack and is a powerful warning of an upcoming stroke.

Stroke is a fight against time. It is important to get treatment in a hospital equipped with a stroke treatment facility as soon as possible as this can cause death or severe disability.

At this time, you need to go to the hospital within 3 hours (golden hour) to get thrombolytic treatment through the blocked blood vessel. In hospitals, thrombolytics, medications, and surgical treatments are administered according to symptoms and conditions.

The key to treatment is to minimize damage to brain tissue. Treatment should be started as soon as possible before further brain damage can progress. For this reason, it is important to call 119 immediately if a stroke is suspected and to come to a hospital that can treat it.

Rehab is also important for Golden Time

For stroke, golden time is also important for rehab.

The medical community calls the three months after the stroke the golden moment for rehabilitation.

Absolute incompatibility, speech impairment, paraesthesia, facial nerve palsy, etc. It is the absolute time to stop the serious side effect and restore the previous condition.

Roh said: "The timing of rehabilitation aimed at restoring the patient's previous condition is determined through cooperation between neurology, neurosurgery and rehabilitation medicine. It usually begins immediately after the emergency has ended." Do it. "

If paralysis occurs, exercise therapy is performed to improve the patient's strength and endurance. Headboard, wheelchair training, walking treatment and balance training are also provided.

A swallowing disorder is a problem with food swallowing, which occurs in 30-50% of stroke patients. For this reason, when food enters the airways, pneumonia, malnutrition, dehydration, etc. may appear, so rehab must be restored to work.

Occupational therapy should be given to patients with difficult daily lives. In the space decorated like a royal house, it improves the function of the hands and movements, performing the necessary actions for daily life, such as filling buttons, chopsticks, brushing and combing hair. In addition, cognitive training and speech therapy are performed, as rehabilitation required for patients, the recovery process is up to two years.

Roh said, "Stroke is more important than prevention," he said. "It is essential to improve lifestyles such as weight management, diet, constant exercise and quitting smoking. Stressed.

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


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