Saturday, November 14, 2009

My Dad attacked by Stroke....

Sharing is caring...
Kali pertama dalam family aman yang kena serangan strok. Dan yang merisaukan ialah ayah yang kena. Strok pada tangan kanan and muka kiri. Bayangkan ayah aman baru 55 thun, dan sungguh x sangka dia yang Alhamdulillah sihat tanpa sebarang penyakit tiba2 kena strok. Semuanye berpunca dari Tekanan Darah Tinggi. Maybe ayah banyak fikir tentang urusan harta pusaka di Negeri Sembilan. Kejadian bermula bila along call bagitau ayah kena strok, bila dengar aman aman risau sangat...terus drive balik umah parents.. Tp Alhamdulillah selepas 4 hari.. kelmarin aman dapat mesej dari my mum yang mengatakan ayah dah sembuh...
Amin.... Terima Kasih YA ALLAH.... Maha puji-pujian bagi NYA...

Sebenarnya masa ayah kena strok. Pengetahuan Aman tentang Strok ini kosong... NAsib baek aman sempat call Dr. Danail..KPJ Penang.. Thanks Doctor sebab tolong aman Guide masalah ini.. And pada Klinik Kesihatan Bandar Tenggara yang cekap dan pantas.. Thanks alot.. Semoga ALLAH S.W.T akan membalas segala budi baik kalian...

So kali ini Aman nak Share Tentang Strok.. ( Sharing is Caring)...

Stroke in Malaysia

What is a stroke?
Functions of the brain

Stroke is the third largest cause of death in Malaysia. Only heart diseases and cancer kill more. It is considered to be the single most common cause of severe disability, and every year, an estimated 40,000 people in Malaysia suffer from stroke. Anyone can have a stroke, including children, but the vast majority of the cases affect adults.

A stroke is a brain attack and occurs when the blood supply to the brain is disrupted. The brain is the nerve center of the body, controlling every thing we do or think, as well as controlling automatic functions like breathing.

In order to work, the brain needs a constant blood supply which carries vital oxygen and nutrients. When a blood vessel in your brain bursts or gets clogged, the blood supply stops and the brain cells are deprived of oxygen and nutrients. That part of the brain starts to die. You have a stroke. Very quickly. Very silently.

Brain damage affects your senses, your speech and understanding of language. One side of your body may be paralyzed, your behavior, thought and memory patterns are altered.

Transient Ischaemic Attack (TIA)

Ischaemic Stroke:
When a build-up of plaque forms in the artery, it blocks the blood flow, causing blood clots to form disrupting blood supply to the brain.

A significant sign of an impending stroke is a Transient Ischaemic Attack (TIA), sometimes called a 'mini stroke'. It occurs because of temporary disruption of blood supply to parts of the brain. The symptoms are very similar to a full stroke but unlike a full-blown stroke, the symptoms last under 24 hours and afterwards there is full recovery.

A TIA is an indication that part of the brain in not getting enough blood and that there is a risk of a stroke occurring. A TIA should never be ignored and should be reported to a medical professional as soon as possible.

What causes a stroke?

There are two main types of stroke, and each has different causes. The first type, an ischaemic stroke, occurs when a blood clot blocks an artery serving the brain, disrupting blood supply. Very often an ischaemic stroke is the end result of a build up of cholesterol and other debris in the arteries (atherosclerosis) over many years.

An ischaemic stroke may be due to:

Blood clot:
A blood clots get stuck in an artery and blocks the blood flow.

  1. A cerebral thrombosis, in which a blood clot (thrombus) forms in a main artery leading to the brain, cutting off body supply.
  2. A cerebral embolism, in which a blood clot forms in a blood vessel elsewhere in the body, for instance in the neck or the heart, and is carried in the bloodstream to the brain.
  3. A lacunar stroke, in which in the blockage is in the small blood vessels deep within the brain.

The second main type of stroke is a haemorrhagic stroke, when a blood vessel in or around the brain bursts, causing a bleed or hemorrhage. Long-standing, untreated high blood pressure places a strain on the artery walls, increasing their risk of bursting and bleeding.

A haemorrhagic stroke may be due to:

Haemorrhagic stroke:
When an artery bursts blood is forced into the brain tissue, damaging cells so that area of the brain can't function.

  1. An intracerebral haemorrhage, in which a blood vessel bursts within the brain itself.
  2. A subarachnoid haemorrhage,in which a blood vessel on the surface of the brain bleed into the area between the brain and the skull, known as the subarachnoid space.

Who is at risk?

A number of different factors increase the risk of stroke, including:

  1. Untreated high blood pressure (hypertension). This damages the walls of the arteries.
  2. Diet. A diet high in salt is linked to high blood pressure, while a diet high in fatty, sugary foods is linked to furring and narrowing of the arteries.
  3. Diabetes. People with diabetes are more likely to have high blood pressure and atherosclerosis, and so are at much higher of stroke.
  4. A previous TIA. Around one in five people who have a first full stroke have had one or more previous TIAs.
  5. Atrial fibrillation. This type of irregular heartbeat increases the risk of blood clots forming in the heart, which may then dislodge and travel to the brain.
  6. Smoking. This has a number of adverse effects on the arteries and is linked to higher blood pressure.
  7. Regular heavy drinking. Over time this raises blood pressures, while an alcohol binge can raise blood pressure to dangerously high levels and may trigger a burst blood vessel in the brain.
  8. Certain types of oral contraceptive pill. These can make the blood stickier and more likely to clot. They may also raise blood pressure.

What are the symptoms?

Stroke does not just happen. Often, there are warning signs. By recognizing these signs and taking prompt action to get medical attention, you can avoid an impending stroke or reduce it severity.
The key symptoms are:

Sudden weakness or numbness on one side of the body. Signs of this may be a drooping face, a dribbling mouth, weakness in the arm or leg.

Sudden blurred vision of one eye or both eyes.

Difficulty in speaking or understanding speech, or slurred speech.

Dizziness, loss of balance, confusion

Sudden severe headache

Nausea or vomiting

Reducing the risk of a subsequent stroke

Adopting a healthy lifestyle
For people who have suffered a stroke or a transient ischaemic attack (TIA), there is always the fear of another stroke. But even though the risk is greater than someone who has never had a stroke you can modify your lifestyle to reduce the risk of another stroke.

(See What You Can Do to the Reduce the Risk of Stroke)

How medication can help
If you have had a stroke you are most likely taking some form of medication prescribed by your doctor to reduce the risk of a subsequent stroke.

The drugs prescribed are mainly those that:

  • lower blood pressure
  • reduce the risk of blood clots
  • lower ‘bad' cholesterol levels

It is important to take your medicine as prescribed by your doctor. Some people stop their medication as soon as they feel well – not knowing that they are putting themselves at risk.

You should ask your doctor to explain what the drugs are and why you should take them.
Also ask you doctor if there are any side effects of the drugs and should you develop any
unpleasant symptoms such as giddiness or nausea you must let your doctor know.

Types of drugs

Blood pressure drugs
High blood pressure is the most common cause of stroke. There are several types of drugs to treat this condition. Some of the most common types of drugs are:

  1. Diuretics – rid the body of excess fluids and salt (sodium)
  2. Beta-blockers – reduce the heart rate and the heart's output of blood
  3. Sympathetic nerve inhibitors – sympathetic nerves go from the brain to all parts of the body, including the arteries. They can cause arteries to constrict, raising blood pressure. This class of drugs reduces blood pressure by inhibiting these nerves from constricting blood vessels.
  4. Vasodilators – these can cause the muscle in the walls of the blood vessels to relax, allowing the vessel to widen.
  5. Angiotensin-converting enzyme (ACE) inhibitiors – these interfere with the body's production of angiotensin, a chemical that causes the arteries to constrict.
  6. Angiotensin II receptor blockers – block the effects of angiotensin.
  7. Calcium antagonists – can reduce the heart rate and relax blood vessels.

Anti-platelet drugs and aspirin to prevent blood clots
If you had an ischaemic stroke (caused by blockage of a blood vessel by a blood clot) your doctor would likely prescribed a drug to make your blood less sticky and less likely to form clots. These drugs include asperin, ticlopidine and clopidogrel, are called anti-platelet drugs. They work by preventing blood cells known as platelets from sticking together to form a blood clot – which can limit or completely stop the flow of blood to part of the brain to cause a stroke.

Anti-platelet drugs are, however, not suitable for people whose strokes were caused by bleedling due to rupture of a blood vessel.

Drug for atrial fibrillation (irregular heartbeat)
Atrial fibrillation is an irregular heartbeat that can cause blood clots to form easily in the heart. The blood clot may break off and travel to an artery in the brain to cause a stroke. To prevent this from occurring doctor may prescribe an anticoagulation drug usually wafarin. This drug inhibits clotting proteins, ‘thins' the blood, making it less likely that a clot will form.

Cholesterol-lowering drugs
A high level of ‘bad' cholesterol in the blood increases the risk of stroke. If a change of diet ie cutting down on red meat and food with high fat content does not reduce the cholesterol level in the blood, your doctor will probably prescribe cholesterol-reducing drugs which are designed to lower the levels of fats (lipids) in the blood, which include cholesterol and triglycerides.

Drugs for Diabetes Mellitus
Diabetes contributes to the building up of plaques inside the walls of arteries which
eventually blocks the flow of blood. If not enough blood gets to the brain cells stroke will occur.
If you are a diabetic, it is important to have your blood sugar level check regularly so that your doctor can prescribe the appropriate drugs.

Regular Medical Check-Up
If you had had a stroke it is important to attend regular medical check-ups so that you have your blood pressure, cholesterol level and weight are monitored.

All the types of drugs mentioned above can only be obtained from a doctor's prescription. You should always ask your doctor for a full explanation of the benefits and possible side-effects of drugs prescribed to you.

  1. Become more physically active. Exercising helps to lower blood pressure (high blood pressure is the single biggest risk factor for stroke), controls weight, helps create a healthy balance of blood fats and improves your body's ability to handle insulin. Aim to do some kind of moderate physical activity for 30 minutes for at least five days of the week.
  2. Eat a healthy diet. Fresh fruit and vegetables are rich sources of antioxidant vitamins and minerals, which research has found, reduces the risk of stroke. A high consumption of salt has been linked to high blood pressure, while too much saturated fat can lead to atherosclerosis (furring of the arteries).
  3. Stay a healthy weight. Being overweight is a risk of a stroke.
  4. Don't smoke. Smoking increases your risk of stroke because it causes atherosclerosis (furring of the arteries) and makes the blood more likely to clot.
  5. Drink sensibly. Watching your alcohol intake can help you avoid stroke. Avoid heavy drinking, especially drinking large amounts of alcohol in one go, as this can cause blood pressure to soar. Don't drink every day. Try to have at least a couple of alcohol-free days a week.
  6. Get your blood pressure checked. All adults should have their blood pressure checked at least once every five years (more often is they have high blood pressure), are taking medication or have other underlying conditions.
  7. Seek advice from your doctor before taking contraceptive pill or going for HRT.

Sunday, November 8, 2009

ABis da Exam... menceburkan diri dalam peperiksaan...
huhu....lama x menduduki exam..seingat kali terakhir 3 tahun lepas maklumlah..da tua la kan... 7November 2009 tarikh untuk meduduki exam... rasa janggal sangat bila lama x amik exam ni. lagi2 exam yang kita ambik ni xde wat sebarang preparation pun..

MUET - Malaysian University Ebglish Test...
1st time amik exam ni tanpa sebarang pengenalan...just register and amik paper...
1st day datang, exam mula 8.00pg tp aku sampai 8.30 sebab tngguk en.zul dtg sekali..
lewat bangun mamat nie...

pastu 1st paper ada objective....makna buat tanda hitam la...
masalah pada aku sebab aku dtg tanpa sebatang pensil. tp nasib baik en.zul asda pensil tekan2,
dgn berbekalkan sebatang pensil picit2 and separuh batang ubat. soalan paper 1 - 45 soalan berjaya dijawab...huhu

paper 2 - writing...boleh la tahan soalan ada perkara yang kurang bagus disini,, ketika aku meminta kertas tambahan..aku pun angkat tangan tp tiada seorang pun pegawai penjaga yg datang..kecik hati lalu aku tulis kat belakang paper tue......

da paper akhir jam 1200. Listening---
exam paling mudah sekali....hooray....abis da... sekarang tunggu result jer la...