What is a stroke?

A stroke is a medical emergency that happens when the blood flow to your brain is interrupted. Without blood, your brain cells start to die. This can cause serious symptoms, lasting disability, and even death.

有不止一种中风。继续阅读以了解三种主要类型的中风,症状和治疗类型。

There are three main types of stroke: transient ischemic attack, ischemic stroke, and hemorrhagic stroke. It’s estimated that87 percentof strokes are ischemic.

Transient ischemic attack

医生lso call a短暂性缺血攻击(TIA)a warning or ministroke. Anything that temporarily blocks blood flow to your brain causes a TIA. The blood clot and TIA symptoms last for a short period of time.

缺血性中风

当血凝块阻止血液流向您的大脑时,会发生缺血性卒中。血凝块通常是由于atherosclerosis, which is a buildup of fatty deposits on the inner lining of a blood vessel. A portion of these fatty deposits can break off and block blood flow in your brain. The concept is similar to that of a heart attack, where a blood clot blocks blood flow to a portion of your heart.

缺血性卒中可以是栓塞的,这意味着血凝块从身体的另一部分到你的大脑行进。估计 15% of embolic strokes are due to a condition called心房颤动, where your heart beats irregularly.

A thrombotic stroke is an ischemic stroke caused by a clot forming in a blood vessel in your brain.

与TIA不同,导致缺血性卒中的血凝块不会在没有治疗的情况下消失。

Hemorrhagic stroke

Ahemorrhagic strokeresults when a blood vessel in your brain ruptures or breaks, spilling blood into the surrounding tissues.

有三种主要类型的出血式中风:第一个是一个动脉瘤,这导致一部分弱化血管向外气球并且有时破裂。另一个是一个动静脉畸形,这涉及异常形成的血管。如果这种血管破裂,它会导致出血性中风。最后,非常高的血压会导致大脑中的小血管的弱化,并导致进入大脑。

The different stroke types cause similar symptoms because each affects blood flow in your brain. The only way to determine what type of stroke you may be having is to seek medical attention. A doctor will order imaging tests to view your brain.

The 国家冲程协会 recommends the FAST method to help identify the warning signs of a stroke:

  • Face:当你微笑的时候,你的脸上有一边吗?
  • 武器:当你举起双臂时,一只手臂漂移吗?
  • Speech:Is your speech slurred? Are you having trouble talking?
  • Time:If you experience any of these symptoms, call 911 immediately.

不适合快速描述的其他症状包括:

  • sudden confusion, such as difficulty understanding what a person is saying
  • 难以走路,突然头晕,或失去协调
  • sudden, severe headache that doesn’t have any other known cause
  • difficulty seeing in one or both eyes

TIA会导致这些症状短暂的时间,通常在一到五分钟的任何地方。但是,即使他们很快就会消失,你不应该忽略卒中症状。

中风是一种医疗紧急状态的原因 - 它可以产生危及生命的后果。大脑控制人类生活的主要功能。没有血流量,你的大脑无法管理呼吸,血压等等。并发症可以根据笔划类型而变化,如果您能够成功接受治疗。并发症的例子包括:

Behavior changes:Having a stroke can contribute to depression or anxiety. You also may experience changes in your behavior, such as being more impulsive or more withdrawn from socializing with others.

言论困难:A stroke can impact areas of your brain having to do with speech and swallowing. As a result, you may have difficulty reading, writing, or understanding other people when they’re speaking.

麻木或痛苦:中风可导致身体部位的麻木和减少的感觉。这可能是痛苦的。有时对大脑的伤害也会影响您的感测温度。这种情况被称为中央冲程疼痛,并且可能难以治疗。

麻痹:由于您的大脑致力于直接运动的方式,大脑右侧的中风可能会影响身体左侧的运动,反之亦然。那些中风的人可能无法使用面部肌肉或在一侧移动手臂。

通过康复后,您可能能够重新恢复失去的电机功能,语音或吞咽能力。但是,这些可能需要时间重新获得。

Treatments for stroke depend on many factors. These include what kind it is and how long it lasted. The sooner you can seek help after a stroke, the more likely you’ll have a better recovery.

TIA

Treatments for TIA include taking medications that will help prevent future strokes. These medications includeantiplatelets and anticoagulants.

Antiplatelets降低了叫血小板的组件将粘在一起并导致凝块的可能性。Aspirinand clopidogrel (Plavix) are antiplatelet medications.

Anticoagulants are medications that reduce the buildup of clotting proteins. Several different types of these medications exist, including华法林(香豆素)和dabigatran(pradaxa)。

A doctor may also recommend a surgery called a carotid endarterectomy. This removes plaque buildup in the carotid artery of your neck, which is a major cause of stroke.

缺血性中风

The ischemic stroke treatments you receive depend on how quickly you get to a hospital. They also depend on your individual medical history.

如果你在三个小时内寻求治疗type of stroke, your doctor may be able to give you a medication known as tissue plasminogen activator (tPA). This medication, which is delivered through an IV, can dissolve the clot. However, not all people can receive tPA due to risks for bleeding. Your doctor has to carefully consider your medical history before administering tPA.

医生可以使用程序来物理地去除凝块或将凝块破坏的药物交给你的大脑。

Hemorrhagic stroke

Hemorrhagic stroke treatments involve trying to stop bleeding in your brain and reduce the side effects associated with brain bleeding. Side effects may includeincreased intracranial pressure. Surgical procedures include surgical clipping or coiling. These are designed to keep the blood vessel from bleeding further.

可以给予药物以减少颅内压力。您还可能需要血液输出来增加血液中的血液凝血材料的量,以试图停止出血。

估计one-third经历TIA的人将在一年内继续患上缺血性脑卒中。寻求治疗减少了这种情况的机会。

如果一个人有一个中风,他们的风险就会增加。它估计了 四分之一 在五年内,在中风的人将在另一个人内有另一个人。

There are many lifestyle changes you can adopt to reduce your risks of ever having a stroke or a reoccurrence. Examples include:

  • increasing physical activity
  • eating a healthy diet to maintain a normal weight for your height and build
  • 减少狂犬病饮酒和限制饮料,每天不超过一个男性每天一到两个人
  • 避免使用已知有助于卒中的非法药物,例如可卡因和甲基苯丙胺
  • 服用药物以减少血压并鼓励血糖控制
  • 如果你有连续的正气道压力面膜sleep apneato reduce the demands on your heart

Talk to your doctor about ways you can reduce your individual risk for stroke.