Myths and Facts About Stroke

Stroke is the leading cause of major disability and death. Stroke is a neurological dysfunction (paralysis of limbs, speech impairment, impairment of consciousness) that occur suddenly due to circulatory disorders of the brain stroke Data from the Organization of the world (World Stroke Organization) states that the incidence of stroke increased sharply in developing countries.
The study also showed that mortality and disability were also higher in developing countries. High incidence of new stroke and disability in developing countries (like Indonesia) can not be separated from the development of the myth is wrong on the people about stroke. Here is a myth that is often encountered on the people :

1. Stroke only occurs in the elderly
Fact: stroke can affect all ages. The most frequent incidence of stroke was at age above 50 years, but a stroke can affect all ages. Incidence of stroke in children is generally caused by abnormalities of blood components and blood vessels are taken from birth, and not related to lifestyle (high blood cholesterol, obesity, and smoking) as in the adult population. 

2. Stroke is more common in males 
Fact: stroke affects women and men with the same proportion. A large epidemiological study by Seshadri (2007) even suggested that stroke is more common in women. Incidence of stroke is 1 in every 5 women and 1 in every man. The incidence of stroke increased more than 2-fold in women who have blood pressure> 140/90 mmHg. Incidence of stroke in women increases sharply in post-menopausal age. It is associated with loss of vascular protective effects of the hormone estrogen. 

3. Stroke can occur only in patients with hypertension
Fact: risk factors for stroke are multifactorial. Risk factors for stroke that can not be changed is the old age, gender, race, and family history of stroke. There is also a risk factor for stroke that can be controlled are: hypertension, diabetes, smoking and high blood cholesterol levels. One can have a normal blood pressure, but have other stroke risk factors (diabetes, smoking, and family history of stroke). In such cases, a stroke can still occur. Hypertension is a major risk factor for stroke, but not the only risk factor for stroke. 

4. Stroke can not be prevented
Fact: stroke can be prevented. Stroke prevention starts with knowing the risk factors for stroke. Control of major stroke risk factors is to lower blood pressure, quitting smoking, normalizing blood cholesterol levels, and lose excess weight. Changes in lifestyle with more fruits and vegetables, avoiding smoking, exercising, and reducing the stree is highly recommended. In cases of specific interventions are needed drugs to achieve blood pressure and blood cholesterol is normal. 

5. Stroke can not be treated 
Fact: stroke can be treated. The optimal treatment of stroke is a race against time. The sooner get adequate help, the more likely it is spared from death and disability caused by stroke. Problems that arise are less familiar symptoms of stroke. The deadline for the optimal treatment of stroke is 3 to 4.5 hours after the attack. Stroke should be suspected in cases of nerve function impairment (paralysis, difficulty speaking, facial weakness, and decreased consciousness) that occurs suddenly. Treatment of stroke is optimally adapted to the type of pathology of stroke (stroke blockage or bleeding stroke), then stroke patients should be treated in hospitals with adequate imaging facilities (CT Scan head at least). RS shall provide adequate stroke care 24 hours a day, 7 days a week. Stroke patients should be treated in a multi-disciplinary stroke unit by a trained health worker study showed that stroke patients treated in the stroke unit had a mortality and disability rates are less. 

6. Stroke is the end of everything
Fact: stroke is not the end of everything. The death rate from stroke varies between 20% -30%. This means that there will be 70% of the survivors of a stroke. Survivors of stroke is known as "the stroke survivors'. The stroke survivors had varying degrees of disability, from mild to severe. Treatment of these defects requires a good rehabilitation measures. Research shows the concept of neuroplasticity that allows improved neurological function of up to 6 months post stroke. 6 months is what must be pursued to achieve optimal recovery. The stroke survivors also have to continuously improve the lifestyle and taking medication regularly to prevent a stroke back.

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