Each year stroke or paralysis that we are familiar with after seeing suffering of acquaintance or loved ones recently has tendency of higher death rate and disabilities than the past. It frequently affects people until there is WORLD PARALYSIS DAY on October 29th. The day is set to active and raises awareness in people. According to many disabled patients, now have become long-term burden of family and also confront with worse quality of life. Therefore, if people learn about the cause as well as risk factors of this disease then they can perceive ways to avoid the paralysis condition.
In 2009, the number one death cause disease of Thai population both in males and females was ischemic stroke which caused disability to patients. There is 70-80% of patients suffering from the ischemic stroke while 20-30% of them suffering from cerebral hemorrhage. However, hypertension is a major factor of the Ischemic Stroke.
Medical Director from Phyathai1 Hospital Stroke Center, DR.Surat Boonyakarnkul explained that the cause of stroke starts from deterioration of blood vessel walls deriving from fats that attach to the arterial walls, found in the brain and neck. As a result, the arterial holes then become narrowed causing blood flow obstruction and being unable to apply to the brain. This symptom is usually found in the elderly including people with high blood pressure, diabetes, high blood lipids and those who smoke.
Apart from that, this disease can also happen to those who have heart disease and a risk for blood clot which the clot then spreads to the bloodstream and it can obstruct the cerebrovascular as well as blood supply of the brain.
From these two reasons show that there is not enough blood supplying in the brain or there is large blood clot that blocks the blood from flowing to the brain. However, the brain cells in that area later lack of the blood including ability to function organs in the body, a condition is known as “Paralysis”
Even though there are many risks contribute to the disease, the main categories can be identified as follows;
The doctor added that symptoms of stroke depend on severity of brain damage or where the damage occur inside the brain according to each part of human brain works differently.
Abnormal Symptoms are:
These abnormalities usually occur immediately. Some patients suffer from them temporarily. This condition called Mini stroke. Certain patients have one or more symptoms. However, as soon as you find yourself or people in a family suffer from the symptoms even disorders are temporary patients still must be sent to a hospital promptly.
It is important that a doctor has to perform multiple diagnostic tests as this following process helps the diagnosis being more precise as well as supporting an appropriate plan for further treatment :
However, results from diagnostic methods above can lead to appropriate treatment guidelines which relevant to the symptoms in each patient. The doctor then will select the safest and most appropriate method for patients as well as the best results.
The doctor explained about guidelines treatment that the goal of treating is to make the blood being able to flow to support the brain as usual according to following process as follows.
Carotid arteries locate on the left or right area of your neck ,they help transferring the blood from your heart to the brain. In case if there is plaque attached to the inner blood vessel walls causing the hole of blood vessels or size being small until the blood supply cannot be provided to the brain fully according to that, this case certainly results in cerebral infarction after. However, according to the blood function which is always served the brain regularly. The treatment is made by enlarging the hole of blood vessels to support the flowing of blood as follows:
During surgery, a surgeon may give anesthesia or local anesthesia and starts operating on your neck where the carotid arteries are located after, later, the blood vessels will be opened for plaque removal procedure then are closed by suture. Patient may need to rest in a hospital about 1 – 2 days for recovery.
Complications from surgery are cerebral infarction and death, fortunately the death rate is low on account of receiving the surgery from experienced surgeons with high standard of medical facility can save the patient from death .
The doctor gave further explanation that after treatment some patients with cerebral infarction due to ischemic stroke are healed and cure by the process, however, some may have disability. Therefore, physical therapy becomes an important way to cure or help them especially those having paralysis so that they can return back to their normal life.
There are various ways of physical therapy depending on specific patients for example:
Apart from regular exercise,at present there is new innovation for physical therapy by using the robot as a major training aid. This robot is part of body rehabilitation especially legs, arms and hands. It helps patients with weak muscles learning to provide themselves what they want and have a better quality of life.
The advantages of Physical Therapy by Innovative Robotics Trainer
After the treatment for ischemic stroke patients is finished. Those with paralysis condition requires to be treated properly. Accordingly, the doctor then recommends some guidelines for paraplegic care as follows:
When the patients have some physical deficiencies, a situation can drive them to stress and feel like they are problems. Some of them introvert from people, while another may be aggressive and stop eating food. Accordingly family must observe such symptoms including understand them and support them to do some favourite activities along with setting atmosphere to make them calm. Expressing your love toward them is a must as well as stop complaining about difficulties, in fact, try communicating with them by applying different ways of message sending such as writing or using picture etc.
The doctor added that although the ischemic stroke is dangerous and causes death or disability to people. However, there is way to prevent us from the disease as well as risks of paralysis as follows:
Finally, the protection mentioned above is a way to avoid paralysis and death from stroke. In addition it is a process accredited by The Ministry of Health and The World Health Organization in order to make people know how to promote their quality of life, happiness, family responsibility and socializing.
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