Strokes
Part 1: Definition and Recognizing Stroke Symptoms
Stroke is a “brain attack”. There are two known types of stroke, namely ischemic stroke (blockage of cerebral blood vessels) and hemorrhagic stroke/bleeding of cerebral blood vessels.
Who can have a stroke?
Stroke can affect anyone. Stroke can occur at any age, from babies to the elderly.
Characteristics of Stroke patients (Riskesdas, 2018)
|
Characteristics |
Strokes (%) |
|
Age |
|
|
15-24 |
0.6 |
|
25-34 |
1.4 |
|
35-44 |
3.7 |
|
45-54 |
14.2 |
|
55-64 |
32.4 |
|
65-74 |
45.3 |
|
75+ |
50.2 |
|
Gender |
|
|
Man |
11 |
|
Woman |
10.9 |
|
|
|
|
Residence |
|
|
Urban |
12.6 |
|
Rural |
8.8 |
Recognize the symptoms of Stroke!
Remember: Go to GK immediately
- Crooked smile, asymmetrical, choking
- The movement of the limbs is weakened
- Talk sloppy
- To bass or numb
- Balance disorders
- Eyes sight Blurry
Part 2: Why do you need immediate treatment?
The damaged area of the brain is divided into the ischemic core (brain tissue that is definitely dead) and the penumbra (the area that has not died and can be saved). The longer the brain does not get oxygen, the more extensive the brain damage. As time goes by, the area of the brain damaged increases, So getting prompt treatment will improve recovery.
IMMEDIATE TREATMENT MUST BE CARRIED OUT WITHIN 4.5 HOURS
First aid that can be done at home if the family experiences a stroke is
- Secure the patient to a comfortable place
- Elevate your head 15-30 degrees (1 pillow)
- Make sure your head and neck are straight, not bent
- Do not give food or drink by mouth to prevent the patient from choking

Part 3: Get to know rt-PA (alteplase) and how it works for the treatment of ischemic stroke
Alteplase is drug which can dissolve blocked blood clots. Often used after a heart attack and is now known can break down various
blood clot size because they vary in size and strength. The sooner alteplase is given, the better the outcome of recovery from stroke. Administration of alteplase must be carried out immediately, starting internally 4.5 hours after the appearance of stroke symptoms .
Alteplase is given via drip infusion in the arm vein. All patients who choose to use alteplase will be monitored very closely and the brain will be re-scanned 24-36 hours after the drug is administered. Otherwise, the patient's treatment will be the same as anyone else who has had a stroke
Part 4: Strokes can be prevented
Physical activity and stroke prevention
Physical activity is any body movement that increases energy expenditure a 30 minutes per day, 150 minutes per week, at moderate intensity (60-80% increase in heart rate during exercise). Let's start from 5 minutes of exercise per day!
Quit smoking
Control blood pressure and blood sugar
Carry out inspections at any time, check up

