A catastrophe in the head: why strokes occur and how to avoid them

Marina Vladimirovna Sidorovich


If the person is conscious, take him to a safe place and sit him down. If unconscious - try to ensure safety, but do not touch it.

Urgently call for emergency help. Tell the operator that you see signs of a stroke in a person and state the address. Stay with the victim until the doctors arrive.

Sometimes people wake up in the morning and see that their relative cannot get up, does not answer questions. Or they call a relative - and he picks up the phone, but is not able to answer the question or does not understand what he is being asked.

To act in this situation you need to do the same: urgently call a doctor.

The best way to prevent a stroke is

to identify your personal risk factors

. Yes, it’s impossible to cope with some of them - but others are quite manageable if we are involved in prevention and health promotion.

Follow the principles of healthy eating . You probably know them: more colorful fruits and vegetables in the diet, less fast food and prepared foods with added sugar. The best sources of protein are seafood, lean meat, poultry, eggs, legumes, nuts and seeds.

Move more . Ideally, if you will be doing exercises of medium intensity 2.

5 hours a week: walking fast, cycling, swimming. In general, any activity is suitable: walking, sports, dancing.

Try to quit smoking . If you have risk factors for a stroke, it is necessary to tie with cigarettes - smoking increases blood clotting, increasing the risk of blood clots. About how to get rid of cravings for nicotine, we wrote in our ultimate guide.

Try to reduce your alcohol consumption . Of course, it’s better not to drink at all. But if it doesn’t work out, try to drink alcohol moderately during the holidays: no more than two drinks per day for men and one drink for women. (One alcoholic drink is 0.35 liters of beer, a glass of wine, 45 ml of liquor.


Monitor blood pressure . The ideal pressure is 120/80. Healthy people staying within these boundaries helps a healthy diet and physical activity. People with vascular diseases should regularly take medications that a doctor should prescribe.

Monitor atrial fibrillation .

Atrial fibrillation is an irregular heartbeat. Most often, this problem occurs in people with diabetes, high blood pressure, heart disease, and also in people over 65 years old. With atrial fibrillation, it is important to take medications prescribed by your doctor regularly.

Monitor your cholesterol . In healthy people who eat right and move a lot, cholesterol is usually normal, that is, does not exceed 5.

0 mmol / L. People with diseases (for example, with atherosclerosis) have their own norms, a doctor should help to keep cholesterol in your individual norm. Sometimes with the help of drugs that are important to take according to the established scheme.

Control diabetes . In diabetics, strokes are four times more common.

To reduce the risk, it is especially important for people with diabetes to eat, move and control their blood insulin levels with medication.

Stroke affects people in different ways. Someone will notice a significant improvement even in the hospital, but usually months or even years

are needed to fully recover


Marina Vladimirovna Sidorovich


Recovery from a stroke goes to several stages. There are two recovery periods: early and late.

The early period begins from the first days after a stroke, while still in the hospital, and the late period continues in the rehabilitation center and at home. The late recovery period can last up to two years.

In the rehabilitation center, the patient is helped to re-master the speech and return to social life: they are taught to independently move and serve themselves.

Often a stroke patient needs help not only from a neurologist, but also from a psychologist, speech therapist, kinesiotherapist. Recovery can be more expensive than treatment.

But even after the completion of rehabilitation, it is important to take preventive measures so that after 3-6 months there will be no repeated stroke.

Secondary prevention of stroke includes:

  • maintaining optimal pressure;
  • monitoring glucose and cholesterol levels in the blood;
  • maintaining a healthy lifestyle : balanced diet, optimal exercise, giving up alcohol and smoking, reducing stress;
  • taking medications that normalize heart rhythm and blood circulation.

The treatment and method of rehabilitation depend on the type of stroke. As a rule, with an ischemic stroke, the patient is taught to sit down almost from the first day. With a hemorrhagic patient, on the contrary, bed rest is required.

Nevertheless, without the help of relatives a stroke patient can not do.

Marina Vladimirovna Sidorovich


When a disaster happens to a person, we, neurologists, we work not only with him, but also with his relatives. We teach loved ones how to properly care for the patient: we explain how to wash, turn, sit, put on his feet.

Often, a patient after a stroke responds better to a loved one, and not to the attending physician. Therefore, the help of relatives is very important - not only in the early days, but also later, after discharge, when the patient will be treated and restored at home.



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