Stroke Or Stroke Ego

Dylan: Hello Sir, I am very nice Cha today are looking for believe? Men are good, and you're looking good!Leanne: (* react awkwardly *) Yes, man that shit is sexy. Hold on. Do you like 15?Mary: Leanne don't buy this trash in search of an ego blow. That's not great looking! It seems that he ran the ice cream truck, says the watch for kids everywhere. Stroke (Strōk) [MIM * 601367] 1. It doesn't matter what acute clinical event tied to the weakening of the cerebral circulation, hard more than 24 hours. See also: strokes. Synonym (s): an attack of apoplexy, brain attack2. Maliciously discharge of lightning, a man are particularly affected. See also: strokes. 3. a pulse. See also: strokes. (4) in order to change the hand or an instrument is gently on a surface. See also: strokes. (5) a motion of sliding on a surface. [A. S. Strāc] acute neurological deficit on cardiovascular disease, that resolves within 24 hours is called a transient ischemic attack (TIA). Later aunts 15-20 minutes. On the other hand, a stroke causes irreversible damage to brain, type and severity of symptoms depending on the location and extent of brain tissue, that traffic is at risk. Onset of coma range then quickly by death the result of a stroke of minimal damage and rapid. Stroke ranks third as a cause of death in adults in the United States, after cancer and heart disease. About 600000 people a year experience in this country, a quarter of which are fatal. The population is about 3 million stroke survivors at one point. The cost to the US economy by more than $40 billion per year. The incidence of stroke decreases gradually in the course of the last generation. Risk factors for stroke are hypertension, valvular heart disease, or the presence of a prosthetic valve, atrial fibrillation, left ventricular dysfunction, diabetes, hyperlipidaemia, smoking, obstructive sleep apnea, a history of stroke or has a family history of stroke and. Estrogen therapy had extended even a boost of plasma homocysteine, low blood levels of folic acid and pyridoxine (vitamin B6), periodontal disease and chronic bronchitis are all independent risk factors. Ischaemic incident, which accounts for 85 percent of all strokes, is usually by embolism of cerebral artery or causes. Less common causes of stroke include vascular disease Sebaceous Cyst and disorders of blood coagulation. Severe acute ischemia in the nervous tissue causes cell changes (influx of calcium, activation by Proteases), which may cause rapidly irreversible damage (myocardial infarction). To the heart, a so-called Penumbra is electrically silent tissue ischemic, which can be obtained by rapid reperfusion. Ischemic stroke mortality is 15-30% within 30 days. Hemorrhagic stroke, which accounts for 15%, has a poorer prognosis, with a mortality rate at 30 days from 40 to 80%. The allele e2 or e4 of the apolipoprotein E (APOE) gene are high risk of intracerebral haemorrhage. Approximately 30% of all ischemic infarction, including most of the women with severe impairment of cerebral blood flow and tissue death, may develop a haemorrhagic component. The diagnostic evaluation of patients with the race includes the history, physical examination, blood studies profile of coagulation, blood chemistry, electrocardiogram and imaging studies. Although the cranial CT without contrast enhancement the procedure of their choice is, ischemic and hemorrhagic stroke, which identify to distinguish a subarachnoid haemorrhage, MRI is a sensitive indicator of the parenchyma bleeding as the first ischemia and myocardial infarction and particularly suitable for the assessment of the brainstem and cerebellum, and in identifying the underlying vascular lesions. Approximately 20% of people before a timer program had a disability, and that 20% of strokes are the initial assessment of the doctors lost. Early and aggressive treatment is essential to limit the damage of the tissues of the brain and to achieve optimal results. Ischemic stroke, intravenous administration Activator which blocking must dissolve thrombus are reported by Tissue plasminogen (TPA) within the first 3 hours, to improve the overall result in 90 days. Factors, which is the use of thrombolytic therapy the need, tip, a hemorrhagic stroke (sometimes difficult with available imaging techniques) and the fact that the treatment and cause bleeding. , Except the TPA can be not only less effective, but also more bleeding lead intravenous thrombolytic agents. During the acute phase of stroke attention to the balance of fluids and electrolytes and nutrition and respiratory and circulatory support are essential. Hypothermia and intravenous administration of heparin and magnesium improve also results in specific cases. Long-term consequences could the aggression and the continued existence of the physiotherapy and rehabilitation depend. About 40% of stroke survivors a depression, to develop a complication that relaxation and cognitive delays exacerbated the shortage. Effective measures include to prevent incidents of racial Hyperlipidemia (30-40%) and diabetes mellitus; support for hypertension (relative risk, 30-50% discount), Dynamics; and chemoprophylaxis for high-risk patients to leave. Prophylactic administration of aspirin (acetylsalicylic acid) inhibits platelet aggregation, thromboxane A2. Meta-analysis of clinical studies with in total more than 50 trials. 000 people showed that low doses of aspirin (81-325 mg per day) reduces the risk of ischemic stroke stroke or stroke ego by 39 events 10000 inhabitants, but increases the risk of hemorrhagic stroke 12 events of 10000 inhabitants. Other studies show that aspirin at higher doses (1.3 g / day dose) the men but does not protect for women after ischemic stroke, because aspirin for women eliminates also prostacyclin, a natural inhibitor of platelet aggregation. Prevention with antiplatelet drugs (clopidogrel, Ticlopidine) is also for men and women effectively and at least as protective as aspirin. In the non-valvular atrial fibrillation prevention takes warfarin the risk of stroke by two-thirds. Significantly reduced, people suffer from more than 70% carotid artery stenosis, carotid endarterectomy, the risk of stroke. National Stroke Association has recommended that the location of the lesion and the urgency of the need for investigation and treatment is the adoption of the concept of race time, by analogy with the family, attack, to emphasize the public. See also tissue Activator plasminogen. .