Real Life Issues

Real Life Issues (3)

Stroke: It’s Not Just the Age

Yesterday, I visited my friend at the hospital, he was diagnosed of a stroke. John was up and going at his place of business about a week ago, when, in his words, “I suddenly felt a dizzy spell sweep through my body, and I instantly felt like throwing up”.  He got a sit, did the needful into a bucket and blacked out.

He lost his speech for 2 days, and could not walk or move. Fortunately, he had a proactive workforce, who got him immediate and efficient medical services, he is now able to move a little, and speak. John is barely 39 and was always quite serious about eating healthy, sports and fitness. He also runs a business that seems to be doing great financially, and has a happy family life. To say that I was quite shocked is an understatement, and it got me wondering what else we can do to prevent a stroke.

First of all, what is a Stroke?

The Stroke Centre defines A stroke, as a sudden interruption in the blood supply of the brain. Most strokes are caused by an abrupt blockage of arteries leading to the brain (ischemic stroke).  Other strokes are caused by bleeding into brain tissue when a blood vessel bursts (hemorrhagic stroke). Because stroke occurs rapidly and requires immediate treatment, stroke is also called a brain attack. When the symptoms of a stroke last only a short time (less than an hour), this is called a transient ischemic attack (TIA) or mini-stroke.

The effects of a stroke depend on which part of the brain is injured, and how severely it is injured. Strokes may cause sudden weakness, loss of sensation, or difficulty with speaking, seeing, or walking. Since different parts of the brain control different areas and functions, it is usually the area immediately surrounding the stroke that is affected. Sometimes people with stroke have a headache, but stroke can also be completely painless. It is very important to recognize the warning signs of stroke and to get immediate medical attention if they occur.

What can you do to prevent stroke?

Several studies have shown that age makes us more susceptible to having a stroke, as well as having a relative who has had a stroke.  And while we may not be able to reverse our years or change our family history, there are many other stroke risk factors that we can control.

The first step is getting to know what they are, if you know that a particular risk factor is sabotaging your health, you can take steps to alleviate the effects of that risk. Let’s take a look at 7 important things you can do to prevent a stroke published by Harvard Women's Health Watch.

LOWER BLOOD PRESSURE. High blood pressure is a huge factor, doubling or even quadrupling your stroke risk if it is not controlled. "High blood pressure is the biggest contributor to the risk of stroke in both men and women," Dr. Rost says. "Monitoring blood pressure and, if it is elevated, treating it, is probably the biggest difference people can make to their vascular health."

Your ideal goal: Maintain a blood pressure of less than 135/85. But for some, a less aggressive goal (such as 140/90) may be more appropriate.

How to achieve it:

  • Reduce the salt in your diet to no more than 1,500 milligrams a day (about a half teaspoon).
  • Avoid high-cholesterol foods, such as burgers, cheese, and ice cream.
  • Eat 4 to 5 cups of fruits and vegetables every day, one serving of fish two to three times a week, and several daily servings of whole grains and low-fat dairy.
  • Get more exercise — at least 30 minutes of activity a day, and more, if possible.
  • Quit smoking, if you smoke.
  • If needed, take blood pressure medicines.

LOSE WEIGHT. Obesity, as well as the complications linked to it (including high blood pressure and diabetes), raises your odds of having a stroke. If you're overweight, losing as little as 10 pounds can have a real impact on your stroke risk.

Your goal: While an ideal body mass index (BMI) is 25 or less, that may not be realistic for you. Work with your doctor to create a personal weight loss strategy.

How to achieve it:

  • Try to eat no more than 1,500 to 2,000 calories a day (depending on your activity level and your current BMI).
  • Increase the amount of exercise you do with activities like walking, golfing, or playing tennis, and by making activity part of every single day.

Exercise more. Exercise contributes to losing weight and lowering blood pressure, but it also stands on its own as an independent stroke reducer.

Your goal: Exercise at a moderate intensity at least five days a week.

How to achieve it:

  • Take a walk around your neighborhood every morning after breakfast.
  • Start a fitness club with friends.
  • When you exercise, reach the level at which you're breathing hard, but you can still talk.
  • Take the stairs instead of an elevator when you can.
  • If you don't have 30 consecutive minutes to exercise, break it up into 10- to 15-minute sessions a few times each day.

IF YOU DRINK — DO IT IN MODERATION. Drinking a little alcohol may decrease your risk of stroke. "Studies show that if you have about one drink per day, your risk may be lower," says to Dr. Rost. "Once you start drinking more than two drinks per day, your risk goes up very sharply."

Your goal: Don't drink alcohol or do it in moderation.

How to achieve it:

  • Have no more than one glass of alcohol a day.
  • Make red wine your first choice, because it contains resveratrol, which is thought to protect the heart and brain.
  • Watch your portion sizes. A standard-sized drink is a 5-ounce glass of wine, 12-ounce beer, or 1.5-ounce glass of hard liquor.

TREAT ATRIAL FIBRILLATION. Atrial fibrillation is a form of irregular heartbeat that causes clots to form in the heart. Those clots can then travel to the brain, producing a stroke. "Atrial fibrillation carries almost a fivefold risk of stroke, and should be taken seriously," Dr. Rost says.

Your goal: If you have atrial fibrillation, get it treated.

How to achieve it:

  • If you have symptoms such as heart palpitations or shortness of breath, see your doctor for an exam.
  • You may need to take an anticoagulant drug (blood thinner) such as warfarin (Coumadin) or one of the newer direct-acting anticoagulant drugs to reduce your stroke risk from atrial fibrillation. Your doctors can guide you through this treatment.

TREAT DIABETES. Having high blood sugar damages blood vessels over time, making clots more likely to form inside them.

Your goal: Keep your blood sugar under control.

How to achieve it:

  • Monitor your blood sugar as directed by your doctor.
  • Use diet, exercise, and medicines to keep your blood sugar within the recommended range.

QUIT SMOKING. Smoking accelerates clot formation in a couple of different ways. It thickens your blood, and it increases the amount of plaque buildup in the arteries. "Along with a healthy diet and regular exercise, smoking cessation is one of the most powerful lifestyle changes that will help you reduce your stroke risk significantly," Dr. Rost says.

Your goal: Quit smoking.

How to achieve it:

  • Ask your doctor for advice on the most appropriate way for you to quit.
  • Use quit-smoking aids, such as nicotine pills or patches, counseling, or medicine.
  • Don't give up. Most smokers need several tries to quit. See each attempt as bringing you one step closer to successfully beating the habit.
  • Identify a stroke F-A-S-T

Too many people ignore the signs of stroke because they question whether their symptoms are real. "My recommendation is, don't wait if you have any unusual symptoms," Dr. Rost advises. Listen to your body and trust your instincts. If something is off, get professional help right away."

The National Stroke Association has created an easy acronym to help you remember, and act on, the signs of a stroke. Cut out this image and post it on your refrigerator for easy reference.

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Meet the In-laws

Oftentimes during courtship, ladies try too hard to please, they try too hard to please the man and his extended family and most times, they are taken for granted. Maybe once in a while we should ask ourselves if we are courting or auditioning for a role in a Hollywood movie. Here's a real life story I found on Nora's page, and I thought to share; many "fiancees" could learn something from this lady.

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