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Stroke (sudden stroke)

Stroke (sudden stroke) is the main reason why we are afraid of heart disease and high blood pressure (the main risk factor of stroke). Unusually, there are two types of stroke: heart and cerebral. Physicians once called the term " crowd ." From the point of view of systematic pathology, it is not the right one, but practically (in terms of prevention and reconvolution), both strokes are somewhat similar.

Heart Stroke - Myocardial infarction

Infarction is a local necrosis of the tissue ( necrosis ) due to disruption of the vascular supply, mostly due to artery blockage ( embolism ). Clogging of the coronary artery and subsequent cardiac infarction ( myocardial ) causes stroke. Breast pain, angina pectoris , is a symptom of heart stroke, but it often occurs on its own - physiologically during exertion or ischemic heart disease , mostly due to coronary atherosclerosis . Although atherosclerosis progresses in all body arteries, the heart suffers the most because it has no functional reserve - and the blockage of the small coronary artery results in a myocardial infarction. Clogging of vessels is at first gradual, caused by gradual growth of atheromas. The actual stroke then occurs suddenly, mostly due to thrombosis (formation of a blood clot) on the surface of a larger atheroma. Larger atheromas perceive our body as local damage to the blood vessel, and the blood clot tries the affected site to "repair". This, of course, is not possible, the thrombus breaks and is driven downstream of the local bloodstream until it gets stuck in a narrowed position, blocking the artery completely. The result is a heart attack - myocardial ischaemia and myocardium, which supplies the blocked artery. Small heart attacks often overwhelm the patient asymptomatically, or only with less pain in the heart, which does not attach any special meaning. These small heart attacks are scarred by the scar. A patologue at cardiac heart disease often finds such scars. In about half of the cardiac arteries, atherosclerosis of the coronary arteries progresses completely asymptomatically and its first symptom is a severe heart attack. That is why doctors pay so much attention to the prevention of atherosclerosis .

Stroke

Even in stroke, the most common cause is a heart attack - local necrosis due to obstruction of the cerebral artery. Neurons are very sensitive to oxygen deficiency and die soon after ischemia. Symptoms of cerebral infarction depend on the function of the dead part, and may vary from mild memory impairment, to paralysis to rapid death when afflicted by vital centers. Another type of stroke is brain haemorrhage (hemorrhagic stroke), where bruising is impaired. The brain (not affected by Alzheimer's Disease ) has soft jelly consistency, so the blood bruises both stretch and tear the brain tissue, compresses the drain veins leading from the cranial cavity, and the mechanism of non-dissimilar erection increases the pressure throughout the cranial cavity. There is a fatally dangerous condition known as brain edema (brain edema).

Differences and similarities of heart and stroke

The heart and the brain are organs that are similar to one another by being constantly functioning and being highly functionally optimized. While other organs (muscles, liver, skin ...) have blood supply reserves, energy supplies, dual innervation, energy supplies and other redundant equipment, the heart and brain are optimized for performance, perhaps as a sports car without a reserve tank and spare parts supply . In the heart, because of performance optimization, arterial junctions are missing, so clogging of any coronary artery necessarily causes ischemia of a larger or smaller part of the heart muscle. Similarly, there is a brain. There are few arterial jumpers. The brain can tolerate the failure of only very small arteries and, in addition, has high oxygen consumption. A significant difference between the heart and the brain is, however, in the tendency of the cells: While the brain cells die in the first anoxia (brain death), the muscle fibers last at long last (their death culminates in so-called total body death ). Heart fibers do not deny their muscular origin, and without oxygen they can last for a long time. If a heart stroke does not lead to immediate death by heart block, for up to 2 hours, recovery of the blood supply in the infarcted area (eg by surgical intervention) can achieve full recovery without consequences. Otherwise, the affected part of the heart will die. The rule is that if a patient with a heart attack survives the first few tens of hours, he has a great chance of survival and recovery. Infarction is healed with scar, and the remaining cardiac muscle loss, as far as possible, compensates for hypertrophy.

Protective effect of adaptogens in stroke

Sudden stroke (stroke) is not just about anything. It is a consequence of civilization diseases ( atherosclerosis , high blood pressure , diabetes ...) whose progress can be slowed down by a more natural lifestyle and by the use of natural medicines - adaptogens. In addition to prevention, some adaptogens are widely used in the treatment of acute stroke. The neuroprotective effects of adaptogens are applied in cerebral stroke, and in their recovery, their regenerative effects on the vessels and the healing and convalescence effects themselves.

Prevention and convalescence

In the prevention of stroke and convalescence, adaptogens can not be ignored ( Liu2011cat , Bu2010neh ). The two main types of stroke are heart attack (artery blockage) and haemorrhagic stroke (cracked artery bleeding). Since heart attack is most often caused by thrombotic atherosclerosis, prevention of heart attacks is mainly in the prevention of atherosclerosis. Prevention of hemorrhagic events is associated with the prevention of elevated blood pressure . The ability to slow the progression of atherosclerosis was found in ginseng ( He2007peg , Xu2011egr , Li2011gpc , etc.), notoginsengu ( Liu2010pns , Joo2010isp , Liu2009tpn , etc.), stapler ( Zhang2006msc , Zhang2012sda ) and Japanese sedan ( Zhang2011mdi ). You can read more about the prevention of atherosclerosis here . In short, dietary cholesterol is no longer a scourge, so butter and eggs are healthy again ( Fernandez2012rdc , Trapani2012rdc ), vitamins and antioxidants are slightly losing , exaggerated workouts can hurt ( Meeusen2013pdt ), the usual recommendations are coming. Thickness (mainly abdominal fat) and smoking are clearly damaging. Abdominal fat in excessive amounts increases the overall susceptibility of the organism to inflammation ( Mangge2013afs , Bertin2010off , Winer2014loa ) and hence atherosclerosis. Smoking and nicotine damage the vessels, increases the risk of high blood pressure and atherosclerosis, although nicotine itself is slightly nootropic ( Meguro1994nic , Hiramatsu1994nen ). Alcohol is less harmful to science today than 20 years ago, and can also be beneficial in small doses ( Okeefe2014ach ). This is related to the prevention of stress that exacerbates hypertension and immune health . Even their effects against mental stress can adaptogens to contribute to stroke prevention.

Ginseng in stroke

The protective effect of ginseng right as well as ginseng notoginsengu in cerebral and cardiac strokes are mainly ginseng saponins - panaxosides . Ginseng protects against stroke in two main ways:

  1. Improving blood supply.
  2. Protect cells from dying.

The immediate protective effect of ginseng from the stroke is well explored today ( Karmazyn2011tpg , Zhou2014grp , Ye2013gra , Gao1992eps , Ning2012pnp , etc.). It is not clear, however, whether vascular expansion ( Yi2010tgi , Kim2006seg , Lim2013gai ) or anticoagulant effect ( Jin2007aaa , Yu2006aaa , Yun2001ekr ) , Or to protect the affected cells from cell death ( Radad2011gtc , Varjas2009cep , Ye2013gra , Sakanaka2007iid ), or perhaps an effect against the local ( Chamorro2012ias ) local inflammation, which can cause more damage than a deficiency of oxygen in the stroke. Panaxosides have been relieved of this inflammation , thereby protecting survivors Cells from unnecessary further damage ( Zhu2009grp , Zhu2012sli , Han2013eai , Park2004grr , Park2012amc , Chu1990app and others). For cases of acute stroke, ginseng doctors have injections with standardized panaxoside injections - for example, shen-mai injections ( Lu2014aos ), Shen -fu injections ( Zhu2013esi ) etc. These injections are not well known in the Western Hemisphere, Heart stroke high recommends aspirin acting on similar biochemical pathways as panaxosides.

Overall, it is best to use long-term low to medium doses of ginseng or possibly other effective adapters for stroke patients. This will not only help in prevention and convalescence, but will also protect to a certain extent if the stroke still occurs. The prescription and dosage should be decided by a physician or a physician. In the convalescence after the stroke, the healing and regenerative effects of ginseng ( Ahn2011rge ) and its effect on fibrosis (exaggerated scarring) of the heart muscle after the heart attack ( Zhang2013grp ) are applied. Ginseng is harmless and safe .

Other adaptogens with stroke protection

We should also not forget ordinary, non-exotic plants underestimated as mere vegetables and spices. There are valuable medicinal plants among them, which became so frequent that we began to think that the mandatory "eating of vegetables" could be done with cabbage and ice salad. Today we are returning to the wild and forgotten vegetables - the exotic adaptogenes that have disappeared from our tradition. Pasta, turnips, turnips, snake mord, extinct kinds of garlic and onions, coriander, exquisite cabbage, nettle, plants of the miraculous family of moth, mint, sage, cobbler, , Alfalfa, soybean, lentils and other peppercorns, cress, vulgare-like puppies (artichokes, asparagus, dandelion, chicory, root, and young shoots of burdock), contribute to vascular health important for stroke prevention.

| 10.3.2009