From the Department of Physical Medicine and Rehabilitation, Assoc. Dr. Sena Tolu stated that approximately 17 million people worldwide have a stroke every year. Assoc. Dr. Tolu said that besides smoking, sedentary life, obesity and unhealthy diet, uncontrolled hypertension, heart diseases, diabetes, high cholesterol level and Kovid-19 infection are risk factors that can cause stroke.
Assoc. Dr. Tolu stated that stroke occurs as a result of the decrease or interruption of the blood flow to the brain and the inability of the brain tissue to receive oxygen and nutrients. “A normal adult needs 75-100 mg of glucose and 500-600 ml of oxygen per minute to maintain brain functions.
For this reason, the pause in the cerebral blood circulation lasting for 2 minutes stops all activities of the brain, and irreversible changes occur after 5 minutes. For this reason, the brain cells that the blood cannot reach begin to die within minutes and temporary or permanent losses develop in the person according to the functions of the affected area of the brain, ”he said.
Noting that stroke is the third most common cause of death in adults after cardiovascular diseases and cancer, Assoc. Dr. Tolu continued his words as follows:
“In a year, 17 million people have a stroke in the world, and 6 million people die from stroke. In our country, stroke ranks second after ischemic heart disease with a frequency of 15 percent among total deaths; It ranks third among the top ten diseases that cause disability, with 6 percent. It is thought that 80 thousand to 100 thousand acute stroke cases can be encountered in Turkey annually.
In addition to smoking, sedentary life, obesity and unhealthy diet, uncontrolled hypertension, heart diseases, diabetes, high cholesterol level and Kovid-19 infection are risk factors that can cause stroke. Avoiding these factors reduces the incidence of stroke. 70 percent of the patients are over 65 years old and it is more common in men than women. “
Pointing out the importance of emergency intervention in stroke, which is a treatable disease, Tolu said, “While 50 to 70 percent of patients gain functional independence after stroke, 15 to 30 percent live with permanent sequelae and 20 percent become in need of care.
Common symptoms of stroke are numbness in the face, arm or leg in one half of the body, weakness, trouble speaking or understanding, impaired balance, inability to walk, vision problems, dizziness, nausea, vomiting, severe headache and sudden loss of consciousness. Even if these symptoms are short-term, the patient should apply to a health unit in the most appropriate way and as soon as possible and be evaluated by a neurology physician.
Stating that the most important factor in the treatment of stroke is access to treatment as soon as possible, Tolu said, “Every minute lost means the death of millions of cells in the brain. A rehabilitation program should be planned for every patient whose condition becomes stable with early intervention. “To move, to minimize the disability, to provide a successful return to home, family and community life, to rebuild a livable, meaningful and satisfying life.”
Stating that with the developing technology, robots are also included in rehabilitation programs, Assoc. Dr. Sena Tolu stated that robotic systems increase the motivation of the patient in the post-stroke period and provide the opportunity to perform the movements in a repetitive, intensive and safe manner.
Assoc. Dr. Tolu explained the things to be considered in order to prevent stroke as follows:
“Especially in people who have not had a stroke before but have risk factors, blood pressure, blood sugar and fats should be kept under control, smoking and alcohol should be avoided, and regular exercise should be paid attention. As a result, the basis of prevention of stroke is the elimination of all risk factors. “