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ABCD of Management: Management of Stroke

B.N. Dastur At this rate our brain weighs 135 grams, accounting for 2% of the total body weight. Yet it consumes 20% of the total oxygen and blood pumped by the heart. The brain that controls our body has not become a computer. Never going to happen. Designing artificial intelligence, using it will also require brains. There are thirty billion (1 billion=100 crore) glial cells in the brain and 5 to 10 times more neurons. The brain must receive sufficient blood to perform its most demanding duties. Oxygenated blood is delivered to the brain by five large arteries. Apart from this, if there is a disturbance in the system, 'stroke' occurs. For example, if an artery supplying blood to the brain becomes blocked, 'cerebral thrombosis' occurs. Such a block is called 'cerebral embolism'. An 'intracerebral haemorrhage' occurs when a blood vessel breaks in the brain. Mostly, this happens due to very high blood pressure. A 'sub-arachnoid haemorrhage' occurs when there is haemorrhage in the membranes of the brain and spinal cord. Due to these and similar reasons, if there is a disturbance in the amount of blood going to and circulating in the brain, in its circulation pattern, a stroke occurs. A person with very high blood pressure is five times more likely to have a stroke than a person with normal, normal blood pressure, even very low blood pressure can cause a stroke. For this reason, caution is required in using Viagra (Sildenafil Citrate), which is used to improve sexual performance. Actually Viagra is a blood pressure lowering drug. Individuals who smoke and consume gutka have a greatly increased risk of stroke. Other causes include diabetes Myocardial infarction Bradycardia- slow heart rate, pulse rate Narrowing of the artery that supplies blood to the brain- carotid artery stenosis Inflammation of the inner lining of the heart, endocarditis Heart valve defects Heart rhythm disorders- atrial fibrillation Irregular heart beat, dysrhythmias in the arteries Fat deposits, atheroma Excess blood cholesterol and unsaturated fats Gout Control blood pressure for reduction in red blood cell count and hemoglobin Control diabetes Control smoking and gutka completely. Implement it immediately. Do not allow weight gain. Exercise regularly Take care that blood cholesterol does not increase Manage anger, rage, depression, anxiety, frustration, depression, stress, keep doing it. Get your heart checked once a year. Wednesday's Bodh Jewelers the price of diamonds. A glass bangle seller can't (Tell the boss after resigning.)

Image Credit: (Divya-Bhaskar): Images/graphics belong to (Divya-Bhaskar).

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