Cerebrovascular Disease & Free Siddha Energy Remedies

• Hypertension
• Smoking
• Obesity
• Diabetes

Controlling these risk factors can reduce the incidence of atherosclerosis and stroke. Atrial fibrillation is also a major risk factor for strokes. Atrial fibrillation causes blood clots to form within the heart, which may travel to the arteries within the brain and cause an embolism. The embolism prevents blood flow to the brain, which leads to a stroke.

There are various hereditary disorders associated with intracranial aneurysms, such as:

• Ehlers-Danlos syndrome
• Autosomal dominant polycystic kidney disease
• Familial hyperaldosteronism type I

However, individuals without these disorders may also obtain aneurysms. The American Heart Association and American Stroke Association recommend controlling modifiable risk factors including smoking and hypertension.

Idiopathic (???????????)

Idiopathic diseases are those that occur spontaneously without a known cause. Moyamoya is an example of an idiopathic cerebrovascular disorder that results in narrowing and occlusion of intracranial blood vessels. The most common presentation is a stroke or transient ischemic attack, but cognitive decline within children may also be a presenting symptom. 

Cerebrovascular diseases Pathophysiology (????????? ?? ?????????????? ?? ??? ?? ???????????????)

Mechanism of brain cell death (???????? ?????? ?????? ?? ?????)

When a reduction in blood flow lasting seconds occurs, the brain tissue suffers ischemia or inadequate blood supply. If the interruption of blood flow is not restored in minutes, the tissue suffers infarction followed by tissue death. 

An ischemic cascade occurs where an energetic molecular problem arises due to lack of oxygen and nutrients. The cascade results in decreased production of adenosine triphosphate, or ATP, which is a high-energy molecule needed for cells in the brain to function. 

Consumption of ATP continues in spite of insufficient production, this causes total levels of ATP to decrease and lactate acidosis to become established. The downstream mechanisms of the ischemic cascade thus begin. 

Types of stroke (??????? ?? ??????)

There are two main divisions of strokes: ischemic and hemorrhagic. An ischemic stroke involves decreased blood supply to regions of the brain, while hemorrhagic stroke is bleeding into or around the brain.

Ischemic (????????)

• Ischemic stroke, the most common is caused by a blockage of a blood vessel in the brain, usually caused by thrombosis or emboli from a proximal arterial source or the heart, that leads to the brain being starved of oxygen. 
• Transient ischemic attack (TIA) also called a mini-stroke. This is a condition in which the blood flow to a region of the brain is blocked, but blood flow is quickly restored and the brain tissue can fully recover. The symptoms are only transient, leaving no sequelae, or long-term deficits. 

Hemorrhagic (??????????)

• Subarachnoid hemorrhage occurs when blood leaks out of damaged vessels into the cerebrospinal fluid in the subarachnoid space around the brain. 
• Intracerebral hemorrhage is bleeding directly into the brain rather than around the brain. Causes and risk factors include hypertension, blood-thinning medications, trauma, and arteriovenous malformations.

Cerebrovascular diseases Diagnosis (????????? ?? ?????????????? ?? ??? ?? ?????)

Diagnosis of cerebrovascular disease is done by:

• Clinical history
• Physical exam
• Neurological examination
• Acute stroke imaging is generally performed insignificant symptoms of new-onset

It is important to differentiate the symptoms caused by a stroke from those caused by syncope (fainting) which is also a reduction in cerebral blood flow, almost always generalized, but they are usually caused by systemic hypotension of various origins: cardiac arrhythmias, myocardial infarction, hemorrhagic shock, among others.

Cerebrovascular diseases Treatment (????????? ?? ?????????????? ?? ??? ?? ?????)

Treatment for the cerebrovascular disease may include medication, lifestyle changes and/or surgery, depending on the cause.

Examples of medications are:

• Antiplatelets (aspirin, clopidogrel)
• Blood thinners (heparin, warfarin)
• Antihypertensives (ACE inhibitors, beta-blockers)
• Anti-diabetic medications

Surgical procedures include:

• Endovascular surgery and vascular surgery (for future stroke prevention).

Cerebrovascular diseases Prognosis (????????? ?? ?????????????? ?? ??? ?? ?????)

Prognostics factors: Lower Glasgow coma scale score, higher pulse rate, higher respiratory rate, and lower arterial oxygen saturation level is prognostic features of in-hospital mortality rate in acute ischemic stroke.

Cerebrovascular diseases Epidemiology (????????? ?? ?????????????? ?? ??? ?? ??????? ???????)

Worldwide, it is estimated there are 31 million stroke survivors, though about 6 million deaths were due to cerebrovascular disease (2nd most common cause of death in the world and 6th most common cause of disability).

The cerebrovascular disease primarily occurs with advanced age; the risk for developing it goes up significantly after 65 years of age. CVD tends to occur earlier than Alzheimer’s Disease (which is rare before the age of 80). In some countries such as Japan, CVD is more common than AD.

Geographically, a “stroke belt” in the US has long been known, similar to the “diabetes belt”, which includes:

• Mississippi
• Alabama
• Arkansas
• Florida
• Georgia
• Kentucky
• Louisiana
• North Carolina
• Ohio
• Pennsylvania
• South Carolina
• Tennessee
• Texas
• Virginia
• West Virginia

Cerebrovascular disease & Free Siddha energy remedies (?????????

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1. Siddha preventive measures (????? ?????? ????)