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How is stroke or bleeding treated? Immediate hospitalisation
Treatment of vascular brain events depends on the mechanism of creation, and therefore from that or is ischemic, or hemorrhagic origin.
In ischemic CMP, oxygen is administered and vital signs are monitored. Treated, the cause of the form, and thus blocked blood vessel. In Depending on the duration of the last seven it was found later neurological deficit.
General care :
- Vol ýšená position in prone, torso and head elevated about 30 to 40 °
- respiratory support, oxygen as needed
- update the values of blood pressure - professional and careful
- adjustment of sugar value, glycemia
- control of body temperature
- monitoring of vomiting, for the risk of aspiration ( inhalation of a foreign object, vomiting )
The longer stroke lasts and untreated is, by the damage to the brain more.
Subsequently it will be the worse neurological condition of man, thus neurological deficit. Early treatment is supposed to protect still undamaged brain tissue.
The most effective is the treatment of 3, however, up to 6 Hours of. This time period is referred to as the therapeutic window.
When early treatment within 3 hours is a high probability, that the afflicted person heals and does not have any neurological problem. If the problem and CMP lasts more than 12 hours, it can not be cured. The brain is damaged and treatment is focused on the consequences, which will be affected.
Treatment is acute and must be timely, methods of treatment of ischemic CMP are listed in the table
| Name | Description |
| Medication | chemical - thrombolytic treatment also referred to as intravenous IVT thrombolysis preferably within 3 - 4.5 hours from the onset of the first symptomssonothrombosis - a combination of IVT and USG |
| Endovascular | intravascular intervention, chemical and thrombolytic treatment is performedalso referred to as intravenous IVT thrombolysispreferably within 3 - 4.5 hours from the onset of the first symptomssonothrombosis - a combination of IVT and USG inside the vesselfor example PTA - intracranial percutaneous angioplastyendovascular thromolectomy, embolectomylaser recanalizationendovascular USGpreferably within 8 hourshigher risk over the age of 80 |
| STENT | is the insertion of a STENT into a problematic vessel that expands, restoring its patencywith a combination of PTA |
| Combined | combines several methods of medication with endovascular |
| Carotid endarterectomy | in carotid arteries |
Hemorrhagic CMP is more severe and difficult to treat.
In the first phase, it is important to lower your blood pressure. Following CT, the neurosurgeon evaluates the treatment option. Either conservative or surgical treatment is chosen. In subarachnoid hemorrhage as the first surgical treatment. In severe conditions, sedation, intubation and controlled breathing.
Complement is the therapy of brain swelling, ie anti-edematous treatment. For headaches analgesics, opiates. Subsequently, long-term treatment, rehabilitation, spa, speech therapy, psychology continues. It is important to prevent recurrence, ie the return of the disease, a new stroke.
Long-term prevention includes the treatment of risk factors as well as other chronic diseases. In case of an ischemic event, also the administration of antiplatelet drugs against blood clotting. Stroke cannot be treated at home, with home recipes or with natural remedies. Early professional help and intervention is needed. If suspected, immediate examination is necessary.
