Stroke is a paralysis of part of the body due to blockage in
the brain vessels or sudden bleeding. Also called cerebrovascular accident or
serabrovascular disease (SVO). Stroke can occur due to blockage in the brain
vessels or clotting from another part of the body (heart) to the brain, sudden
bleeding into the brain. Stroke caused by a blockage in the brain vessel is
called an ischemic stroke, a stroke caused by a brain hemorrhage is called a
hemorrhagic stroke. The main mechanism that causes stroke is the malnutrition
of a region's brain. It is an emergency that needs to be treated urgently.
Temporary developing stroke conditions are called transient
ischemic attack (TIA), where a temporary and short sudden stroke occurs. In
TIA, the symptoms are short-lived and usually resolve on their own.
In the case of a stroke (cerebrovascular accident), there are
symptoms such as sudden weakness on one side of the body, numbness in the arm
and leg, severe headache, sudden visual impairment, inability to speak, and
inability to understand what is spoken. Although it is sometimes accompanied by
a coma in the case of a stroke, it is not always seen.
Factors
that increase the risk of stroke in pregnant or non-pregnant:
- Cigaret
- alcohol
- Cocaine
- Hypertension
- Heart valve diseases
- Having had myocardial infarction
- Endocarditis
- Atrial fibrillation
- Thrombophilia
- Diabetes
- Hypercholesterolemia
- Obesity, unhealthy diet, sedentary lifestyle
- Pregnancy
- Birth control pill use
Stroke in
Pregnancy and Postpartum Period:
Stroke, seen in non-pregnant women at a rate of 1 in 10
thousand, is more common in pregnant women to be 2-3 in 10 thousand. The reason
for the increase in the risk of stroke during pregnancy is thought to be the
susceptibility to hypercoagulability during pregnancy, hemoconcentration,
cardiovascular system changes, and hypertensive conditions such as
preeclampsia.
The most common cause of ischemic and hemorrhagic stroke
during pregnancy is preeclampsia, eclampsia, HELLP syndrome. Hemorrhagic stroke
may occur during pregnancy due to aneurysm, arteriovenous malformation,
preeclampsia; Ischemic stroke may occur due to cerebral venous sinus
thrombosis, heart valve diseases and preeclampsia. Causes such as trophoblastic
embolism and amniotic fluid embolism are pregnancy-specific but very rarely
seen causes of stroke.
The postpartum period, ie postpartum period, is also
characterized by a significant risk increase in terms of stroke, about half of
the strokes related to pregnancy are seen in this period. Hypertension and
cesarean increase the risk of stroke in pregnancy-postpartum period. Postpartum
infection and bleeding are also factors that increase the risk of stroke.
Diagnosis and treatment of stroke during pregnancy are
similar to people who are not pregnant. If there is severe preeclampsia or
HELLP, specific treatment is given. Although CT (computed tomography) is
generally used as the first step in the promotion, it is the advantages of MR
being safe during pregnancy and being more sensitive in some small infarcts.
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