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Stroke - prevention and recovery

Stroke - the sudden vascular accident

Stroke is the main reason why we are afraid of heart disease and high blood pressure (a major risk factor for stroke). Bluntly speaking, there are two types of stroke: the heart and brain. Doctors used to call each term a stroke. In terms of systematic pathology it is not correct, but in practice (in terms of prevention and rekonvalecence) are both a somewhat similar stroke.

Heart attack - myocardial infarction

Heart attack is a local tissue death (necrosis) due to interruption of blood supply, mostly due to artery blockage (embolism). Blockage heart (coronary) arteries and subsequent coronary heart muscle (myocardium) causes cardiac stroke syndrome. Breast pain, angina pectoris, a symptom of heart attack, but often occurs separately - physiologically exertion, or ischemic heart disease , usually caused by coronary atherosclerosis . Although atherosclerosis progresses in all arteries of the body, her heart suffer most, because it has no functional reserve - and clog small coronary arteries resulting in myocardial infarction. Thromboembolism is initially slow, due to the gradual growth of atheroma. Custom strokes gives rise suddenly, usually due to thrombosis (blood clot formation) on the surface of larger atheroma. Atheroma greater because our body perceives as a local damage to blood vessels and blood clot tries affected area "fix". This of course does not, the thrombus breaks off and is driven down the local blood vessels, and in a pinch point and jammed by the artery completely blocked. The result is a heart attack - ischemia and myocardial necrosis district, which supplied the blocked artery. Small infarcts overcomes patient often asymptomatic or with only minor pain heart, which does not ascribe particular importance. These small attacks to heal the scar. Pathologist at autopsy heart cardiac patients often these scars appear in large numbers. In about half of cardiac coronary atherosclerosis, however, he proceeds entirely asymptomatically and it is the first symptom to severe cardiac events. That's why doctors pay so much attention to the prevention of atherosclerosis .

Stroke

Even in the stroke is the leading cause of heart attack - local necrosis due to cerebral arterial blockage. Neurons are very sensitive oxygen deficiency and ischemia soon die. Symptoms of cerebral infarction depends on the function of dead and may be different - from slight memory impairment, paralysis through to a quick death in disability vital centers. Another type of a stroke is a brain haemorrhage (haemorrhagic stroke), which leads to pressure damage bruising. Brain (non- Alzheimer's Disease ) has the consistency of a soft jelly so bruised partly stretches and tears brain tissue compresses the veins leading from the outlet of the cranial cavity, and a mechanism not unlike the erection of penis increases the pressure in the whole cranial cavity. There is a deadly condition, which is called brain swelling (cerebral edema).

Differences and similarities heart and stroke

The heart and brain are the organs that are similar to each other that operate continuously and are highly functionally optimized. While other organs (muscle, liver, skin, ...) have a reserve of blood supply, power supplies, dual innervation, energy supplies and other redundant equipment, heart and brain are optimized for performance, like a sports car without a spare tank parts and supplies . In the heart in order to optimize the performance of the arterial missing connections, so that any clogging of coronary arteries causing ischemia necessarily larger or smaller portion of the heart muscle. Similarly to the brain. Arterial jumpers there is little. The brain can tolerate only very small failure tepniček and also has a high oxygen consumption. The essential difference between the heart and the brain but in the delicacy of the cells: As brain cells die during anoxia first (cerebral death) muscle fibers can withstand even the longest (the so-called death completes. Total death of the organism). Cardiac muscle fibers do not deny their origin and without oxygen alive last very long. If the heart attack does not lead to immediate death, cardiac arrest, for up to 2 hours may be restoring the blood supply of heart attack (eg. Surgery) to achieve full recovery without sequelae. Otherwise, the affected part of the heart dies. As a rule, if the patient survives the first heart attack several hours, he has a good chance of survival and recovery. Myocardial scar is healed and the remaining heart muscle loss as far as possible compensate hypertrophy.

The protective effect of adaptogens in stroke

The sudden vascular accident (stroke) comes just from nowhere. It is the result of lifestyle diseases ( atherosclerosis , hypertension , diabetes ...), the procedure can slow down a more natural lifestyle and using natural remedies - adaptogens. In addition to preventing some adaptogens widely used in the treatment of acute stroke cases. At the stroke applies neuroprotective effects of adaptogens and convalescence also at their restorative effects on blood vessels and very healing and convalescence effects .

Prevention and recovery

In the prevention of stroke and recovery after adaptogens can not be ignored ( Liu2011cat , Bu2010neh ). The two main types of stroke, myocardial (clogged arteries) and vascular hemorrhagic stroke (bleeding from a ruptured artery). Since the attack is most commonly caused trombotizující atherosclerosis, prevention of cardiac lies mainly in the prevention of atherosclerosis. Prevention of haemorrhagic events in turn is related to the prevention of elevated blood pressure . The ability to slow the progression of atherosclerosis has been found in ginseng ( He2007peg , Xu2011egr , Li2011gpc etc.) Notoginseng ( Liu2010pns , Joo2010isp , Liu2009tpn etc.), Rhodiola ( Zhang2006msc , Zhang2012sda ) and Japanese sedoulku ( Zhang2011mdi ). The prevention of atherosclerosis You can read more here . In short, eating cholesterol is no longer a terror, so butter and eggs are healthy again ( Fernandez2012rdc , Trapani2012rdc ), vitamins and antioxidants slightly lose their luster , excessive exercise can be harmful ( Meeusen2013pdt ), the usual recommendation attend. As a downright harmful remaining thickness (especially abdominal fat) and smoking. Abdominal fat in an excessive amount increases the overall susceptibility of the organism to inflammation ( Mangge2013afs , Bertin2010ovf , Winer2014loa ) and thus atherosclerosis. Smoking and Nicotine harms the arteries increases the risk of high blood pressure, atherosclerosis, though nicotine itself is slightly nootropic ( Meguro1994nic , Hiramatsu1994nen ). Alcohol harms science today by less than 20 years ago, in small doses can be beneficial ( Okeefe2014ach ). This is related to the prevention of stress , which aggravates hypertension and immune health . And its effect against mental stress adaptogens can contribute to the prevention of stroke.

Ginseng for stroke

Wearer of the protective effect of ginseng (Panax ginseng) , as well as ginseng Notoginseng (Panax notoginseng) in cerebral and cardiac strokes are mainly ginseng saponin - panaxosidy . Ginseng protects against stroke in two main ways:

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

Direct protective effect of ginseng against stroke is now well researched ( Karmazyn2011tpg , Zhou2014grp , Ye2013gra , Gao1992eps , Ning2012pnp etc.) It is not clear if the most important vasodilatation ( Yi2010tgi , Kim2006seg , Lim2013gai ) or the anticoagulant effect ( Jin2007aaa , Yu2006aaa , Yun2001ekr ) or the protection of affected cells from cell death ( Radad2011gtc , Varjas2009cep , Ye2013gra , Sakanaka2007iid ) or possibly harmful effect ( Chamorro2012ias ) local inflammation which can in stroke wreak greater damage than the actual lack of oxygen. Ginseng panaxosidy this suppresses inflammation and hence protects the surviving cells from unnecessary further damage ( Zhu2009grp , Zhu2012sli , Han2013eai , Park2004grr , Park2012amc , Chu1990app and others). In cases of acute stroke doctors have ginseng available in the form of injections with a standardized content panaxosidů - eg. Shen-mai injection ( Lu2014aos ) shen-fu injection ( Zhu2013esi ), etc. These injections are but the Western Hemisphere little known, our medicine for acute heart attack highly recommended aspirin applied to similar biochemical pathways as panaxosidy.

Overall, it is best if patients with the threat of stroke receiving prolonged low to moderate doses of ginseng , or other effective adaptogens. This will not only help in the prevention and recovery, but also to some extent protect in the event that a stroke after all come. The specific prescription and dosage must choose a doctor or a TCM doctor. The recovery after a stroke also apply healing and restorative effects of ginseng ( Ahn2011rge ) and its effect against fibrosis (excessive scarring) of the heart muscle after a heart attack ( Zhang2013grp ). Ginseng is harmless and safe .

Other adaptogens protective effect on stroke

We should not also forget even for ordinary, non-exotic plants underestimated as mere vegetables and spices. Among them are valuable medicinal plants that frequent use zprofanovali so when we started to think that mandatory "eating vegetables" can dismiss cabbage and lettuce. Today we go back to the wild and forgotten to vegetables - non-exotic adaptogenům vymizelým of our tradition. Parsnips, rutabaga, turnips, snake Mord, extinct species and garlic bulbs, coriander, excellent purslane, nettles, plants of miraculous families of the mint, mint, sage, Marrubium, catmint, Černohlávek, basil and basil sacred (Indian adaptogen Tulsi) , alfalfa sprouts, soy, lentil and other legume, watercress, Carlina acaulis (related to classical adaptogen dandelion Biebersteinově), artichokes, asparagus, dandelion, chicory root, and burdock young shoots, all contribute to vascular health important for the prevention of stroke.

| 10.3.2009