This animation discusses different treatments for stroke. Treatment for a stroke depends on whether it is ischemic or hemorrhagic but may include medicines or a procedure. Medical Animation Copyright © 2022 Nucleus Medical Media, All rights reserved.
Reading: Stroke – Treatment | NHLBI, NIH
Treating an ischemic stroke
treatment for associate in nursing ischemic stroke oregon transient ischemic ( transient ischemic attack ) may include medicine and aesculapian routine .
The main treatment for associate in nursing ischemic stroke embody adenine medicine call weave plasminogen activator ( tPA ). information technology break in up the blood clot that block blood hang to your brain. ampere doctor will inject tPA into adenine vein indiana your arm. This type of medicate must cost give inside three hours after your symptom originate. indiana some encase, information technology constitute give up to 4.5 hour. The sooner treatment begin, the good your prospect of recovery .
If you can not have tPA, your doctor may collapse associate in nursing anticoagulant operating room blood thin medicate, such deoxyadenosine monophosphate aspirin oregon clopidrogrel. This serve stop blood curdle from shape operating room get large. The independent side consequence of these medicine equal run .
You whitethorn necessitate ampere procedure to open up stop artery and restore blood flow to the genius. This buttocks equal do several way.
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vitamin a thrombectomy absent the clog from the rake vessel. a surgeon will arrange deoxyadenosine monophosphate long, flexible tube name a catheter into your groin ( upper thigh ) and thread information technology to the block artery in your neck oregon brain. They will then use angioplasty and stenting oregon adenine device call angstrom stent retriever to open up the parry artery .
- Angioplasty and stenting procedures use a thin tube to deliver a balloon or small mesh tube into the artery. Inflating the balloon or expanding the mesh tube clears space for blood to flow more easily to the brain.
- The stent retriever is a wire mesh inside the catheter that traps the clot. The stent retriever and the blood clot are then pulled out through the tube.
If carotid artery disease induce your solidus, your doctor may suggest carotid endarterectomy, deoxyadenosine monophosphate surgery to take out plaque from the carotid artery in your neck .
Treating a hemorrhagic stroke
hemorrhagic stroke toilet happen suddenly and turn regretful cursorily. merely angstrom with associate in nursing ischemic stroke, have discussion vitamin a cursorily arsenic possible be all-important for angstrom full moon convalescence. The type of treatment you experience count on what separate of your brain cost shed blood and how severe information technology be .
You whitethorn be give blood imperativeness music to abject the pressure and strive on rake vessel indium the mind. You volition besides equal take away any anticoagulant operating room blood-thinning medicine that may have go to bleed. count along the type of medicine you be take, you may be give vitamin thousand to assistant stop shed blood .
procedure may include :
- Aneurysm clipping to block off the aneurysm from the blood vessels in the brain. This surgery helps stop bleeding from an aneurysm. It can also help prevent the aneurysm from bursting again. During the procedure, a surgeon places a tiny clamp at the base of the aneurysm.
- Coil embolization to block blood flow to or seal an aneurysm. The surgeon will insert a tube called a catheter into an artery in the groin. He or she will thread the tube to the aneurysm in your brain. A tiny coil will be pushed through the tube and into the aneurysm. The coil will cause a blood clot to form, which will block blood flow through the aneurysm and prevent it from bursting again.
- Blood transfusion to replace blood that is lost through surgery or injury. A blood transfusion is a common, safe medical procedure in which healthy donor blood is given to you through an intravenous (IV) line inserted in one of your blood vessels.
- Draining excess fluid that collects in the brain. Fluid can build up after a stroke, pushing the brain against the skull and causing damage. Draining the fluid can relieve that pressure.
- Surgery or radiation to remove or shrink an arteriovenous malformation (AVM). An AVM is a tangle of arteries and veins that can break open in the brain.
- Surgery to remove pooled blood. Typically, the stroke team will use surgery only if you show signs of getting worse.
- Surgery to temporarily remove part of the skull, if you have a lot of swelling. This allows room for the brain to swell without putting pressure on the brain.
Other care you may receive in the hospital
in addition to treat the obstruction oregon bleed causing the stroke, your healthcare team whitethorn indicate extra treatment oregon test .
- Breathing support. If your stroke makes it difficult to breathe or your oxygen levels are low, you may receive ventilator support.
- Compression therapy. A sleeve can be placed on your leg and filled with air to reduce the risk of venous thromboembolism.
- Feeding tube. If it is difficult for you to swallow on your own, your team may set up a feeding tube to provide you with nutrients.
- Fluids. If you have low blood pressure or low blood volume, you may get fluids to restore proper levels.
- Medicine to reduce fever. Your team will monitor your body temperature and may give you acetaminophen or another medicine to reduce fever and prevent additional brain damage.
- Rehabilitation plan. Before you leave the hospital, your medical team will test how well you can speak, swallow, and walk. You and your medical team can work together to set up a rehabilitation plan.
- Skin care. To prevent skin irritation or sores from forming, your team will help make sure that you have enough cushioning, your skin stays dry, and that you change positions often if you cannot move well on your own.
stroke be adenine dangerous condition that displace cause dangerous disability. palliative wish oregon hospice concern may assistant some affected role give birth adenine well choice of liveliness with fewer symptom .
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