A stroke (आघात) is a medical condition in which poor blood flow to the brain results in cell death. There are two main types of stroke: ischemic, due to lack of blood flow, and hemorrhagic, due to bleeding. Both result in parts of the brain not functioning properly. Symptoms of a stroke may include an inability to move or feel on one side of the body, problems understanding or speaking, dizziness, or loss of vision to one side. Being this problem of more concern, including children and women, Siddha Spirituality of Swami Hardas Life System appeals to our valuable readers to know everything about stroke by going through this article.
Stroke Meaning (आघात का अर्थ)
A sudden loss of brain function caused by an interruption in the supply of blood to the brain. A ruptured blood vessel or cerebral thrombosis may cause a stroke, which can occur in varying degrees of severity from temporary paralysis and slurred speech to permanent brain damage and death.
Stroke Survival rate (आघात जीवन रक्षा दर)
In 2015, stroke was the second most frequent cause of death after coronary artery disease, accounting for 6.3 million deaths (11% of the total). About 3.0 million deaths resulted from an ischemic stroke while 3.3 million deaths resulted from hemorrhagic stroke. About half of people who have had a stroke live less than one year. Overall, two-thirds of strokes occurred in those over 65 years old.
Stroke Definition (आघात की परिभाषा)
The sudden death of brain cells due to lack of oxygen, caused by blockage of blood flow or rupture of an artery to the brain. Sudden loss of speech, weakness, or paralysis of one side of the body can be symptoms. A suspected stroke may be confirmed by scanning the brain with special X-ray tests, such as CAT scans. The death rate and level of disability resulting from strokes can be dramatically reduced by immediate and appropriate medical care. Prevention involves minimizing risk factors, such as controlling high blood pressure and diabetes. Abbreviated CVA. Also known as a cerebrovascular accident.
Stroke Classification (आघात का वर्गीकरण)
Strokes can be classified into two major categories:
- Ischemic stroke, and
- Hemorrhagic stroke
Ischemic strokes are caused by interruption of the blood supply to the brain, while hemorrhagic strokes result from the rupture of a blood vessel or an abnormal vascular structure. About 87% of strokes are ischemic, the rest being hemorrhagic. Bleeding can develop inside areas of ischemia, a condition known as “hemorrhagic transformation.” It is unknown how many hemorrhagic strokes actually start as ischemic strokes.
Ischemic stroke (इस्कीमिक आघात)
In an ischemic stroke, the blood supply to part of the brain is decreased, leading to dysfunction of the brain tissue in that area. There are four reasons why this might happen:
- Thrombosis – obstruction of a blood vessel by a blood clot forming locally
- Embolism – obstruction due to an embolus from elsewhere in the body
- Systemic hypoperfusion – general decrease in blood supply, e.g. in shock
- Cerebral venous sinus thrombosis
A stroke without an obvious explanation is termed cryptogenic; this constitutes 30–40% of all ischemic strokes.
Hemorrhagic stroke (रक्तस्रावी आघात)
There are two main types of hemorrhagic stroke:
- Intracerebral hemorrhage, which is basically bleeding within the brain itself i.e. when an artery in the brain bursts, flooding the surrounding tissue with blood
- Subarachnoid hemorrhage, which is basically bleeding that occurs outside of the brain tissue but still within the skull, and precisely between the arachnoid mater and pia mater
The above two main types of hemorrhagic stroke are also two different forms of intracranial hemorrhage, which is the accumulation of blood anywhere within the cranial vault; but the other forms of intracranial hemorrhage, such as epidural hematoma and subdural hematoma, are not considered “hemorrhagic strokes”.
Stroke symptoms (आघात के लक्षण)
Stroke symptoms typically start suddenly, over seconds to minutes, and in most cases do not progress further. The symptoms depend on the area of the brain affected. The more extensive the area of the brain affected the more functions that are likely to be lost. Some forms of stroke can cause additional symptoms.
For example, in intracranial hemorrhage, the affected area may compress other structures. Most forms of stroke are not associated with a headache, apart from subarachnoid hemorrhage and cerebral venous thrombosis and occasionally intracerebral hemorrhage.
Early recognition (प्रारंभिक मान्यता)
Various systems have been proposed to increase the recognition of stroke. Different findings are able to predict the presence or absence of stroke to different degrees. Sudden-onset faces weakness, arm drifts i.e. if a person, when asked to raise both arms, involuntarily lets one arm drift downward and abnormal speech are the findings most likely to lead to the correct identification of a case of stroke, increasing the likelihood by 5.5 when at least one of these is present.
Subtypes (उप प्रकार)
If the area of the brain affected includes one of the three prominent central nervous system pathways—the spinothalamic tract, corticospinal tract, and the dorsal column–medial lemniscus pathway, symptoms may include:
- Hemiplegia and muscle weakness of the face
- Reduction in sensory or vibratory sensation
- Initial flaccidity (reduced muscle tone), replaced by spasticity (increased muscle tone), excessive reflexes, and obligatory synergies
In most cases, the symptoms affect only one side of the body. Depending on the part of the brain affected, the defect in the brain is usually on the opposite side of the body.
In addition to the above CNS pathways, the brainstem gives rise to most of the twelve cranial nerves. A brainstem stroke affecting the brainstem and brain, therefore, can produce symptoms relating to deficits in these cranial nerves:
- Altered smell, taste, hearing, or vision (total or partial)
- Drooping of the eyelid (ptosis) and weakness of ocular muscles
- Decreased reflexes: gag, swallow, pupil reactivity to light
- Decreased sensation and muscle weakness of the face
- Balance problems and nystagmus
- Altered breathing and heart rate
- Weakness in sternocleidomastoid muscle with an inability to turn head to one side
- Weakness in the tongue (inability to stick out the tongue or move it from side to side)
If the cerebral cortex is involved, the CNS pathways can again be affected, but also can produce the following symptoms:
- Aphasia (difficulty with verbal expression, auditory comprehension, reading, and writing; Broca’s or Wernicke’s area typically involved)
- Dysarthria (motor speech disorder resulting from neurological injury)
- Apraxia (altered voluntary movements)
- Visual field defect
- Memory deficits (involvement of temporal lobe)
- Hemineglect (involvement of parietal lobe)
- Disorganized thinking, confusion, hypersexual gestures (with the involvement of frontal lobe)
- Lack of insight of his or her, usually stroke-related, disability
If the cerebellum is involved, ataxia might be present and this includes:
- Altered walking gait
- Altered movement coordination
- Vertigo and or disequilibrium
Associated symptoms of a stroke (आघात के संबद्ध लक्षण)
- Loss of consciousness
If symptoms are maximal at the onset, the cause is more likely to be a subarachnoid hemorrhage or an embolic stroke.
Stroke Causes (आघात के कारण)
Thrombotic stroke (थ्रोम्बोटिक आघात)
In a thrombotic stroke, a thrombus i.e. blood clot usually forms around atherosclerotic plaques. Since the blockage of the artery is gradual, the onset of symptomatic thrombotic strokes is slower than that of a hemorrhagic stroke. A thrombus itself can lead to an embolic stroke if the thrombus breaks off and travels in the bloodstream, at which point it is called an embolus. Two types of thrombosis can cause stroke:
- Large vessel disease involves the common and internal carotid arteries, the vertebral artery, and the Circle of Willis
- Small vessel disease involves the smaller arteries inside the brain: branches of the circle of Willis, middle cerebral artery, stem, and arteries arising from the distal vertebral and basilar artery
Sickle-cell anemia, which can cause blood cells to clump up and block blood vessels, can also lead to stroke. A stroke is the second leading cause of death in people under 20 with sickle-cell anemia. Air pollution may also increase stroke risk.
Embolic stroke (प्रतीकात्मक आघात)
An embolic stroke refers to an arterial embolism i.e. a blockage of an artery by an embolus, a traveling particle or debris in the arterial bloodstream originating from elsewhere. An embolus is most frequently a thrombus, but it can also be a number of other substances including fat e.g. from bone marrow in a broken bone, air, cancer cells or clumps of bacteria.
Causes of stroke-related to the heart can be distinguished between high and low-risk:
High risk (भारी जोखिम)
Atrial fibrillation and paroxysmal atrial fibrillation, rheumatic disease of the mitral or aortic valve disease, artificial heart valves, known cardiac thrombus of the atrium or ventricle, sick sinus syndrome, sustained atrial flutter, recent myocardial infarction, chronic myocardial infarction together with:
- Ejection fraction <28 percent
- Symptomatic congestive heart failure with ejection fraction <30 percent
- Dilated cardiomyopathy
- Libman-Sacks endocarditis
- Marantic endocarditis
- Infective endocarditis
- Papillary fibroelastoma
- Left atrial myxoma and coronary artery bypass graft (CABG) surgery
Low risk/potential (कम जोखिम / क्षमता)
Calcification of the annulus of the mitral valve, patent foramen ovale (PFO), atrial septal aneurysm, atrial septal aneurysm with patent foramen ovale, left ventricular aneurysm without thrombus, isolated left atrial “smoke” on echocardiography, complex atheroma in the ascending aorta or proximal arch.
Cerebral hypoperfusion (सेरेब्रल हाइपोपरफ्यूजन)
Cerebral hypoperfusion is the reduction of blood flow to all parts of the brain. The reduction could be to a particular part of the brain depending on the cause. It is most commonly due to heart failure from cardiac arrest or arrhythmias, or from the reduced cardiac output as a result of myocardial infarction, pulmonary embolism, pericardial effusion, or bleeding.
Venous thrombosis (शिरापरक घनास्त्रता)
Cerebral venous sinus thrombosis leads to stroke due to locally increased venous pressure, which exceeds the pressure generated by the arteries. Infarcts are more likely to undergo hemorrhagic transformation i.e. leaking of blood into the damaged area than other types of ischemic stroke.
Intracerebral hemorrhage (इन्ट्रासेरेब्रल रक्त का निकलना)
It generally occurs in small arteries or arterioles and is commonly due to hypertension, intracranial vascular malformations including:
- Cavernous angiomas or arteriovenous malformations
- Cerebral amyloid angiopathy, or
- Infarcts into which secondary hemorrhage has occurred
Other potential causes are trauma, bleeding disorders, amyloid angiopathy, illicit drug use e.g. amphetamines or cocaine.
Silent stroke (मूक आघात)
A silent stroke is a stroke that does not have any outward symptoms, and the patients are typically unaware they have had a stroke. Despite not causing identifiable symptoms, a silent stroke still damages the brain and places the patient at increased risk for both transient ischemic attack and major stroke in the future.
Conversely, those who have had a major stroke are also at risk of having silent strokes. The risk of silent stroke increases with age but may also affect younger adults and children, especially those with acute anemia.
Hemorrhagic strokes are classified based on their underlying pathology. Some causes of hemorrhagic stroke are hypertensive hemorrhage, ruptured aneurysm, ruptured AV fistula, the transformation of prior ischemic infarction, and drug-induced bleeding.
Stroke Diagnosis (आघात का निदान)
Stroke is diagnosed through several techniques:
- Neurological examination
- CT scans or MRI scans
- Doppler ultrasound
The diagnosis of the stroke itself is clinical, with assistance from the imaging techniques. Imaging techniques also assist in determining the subtypes and causes of stroke.
Physical examination (शारीरिक परीक्षा)
A physical examination, including taking a medical history of the symptoms and a neurological status, helps giving an evaluation of the location and severity of a stroke. It can give a standard score on e.g., the NIH stroke scale.
For diagnosing ischemic (blockage) stroke in the emergency setting:
- CT scans (without contrast enhancements)
- MRI scan
For diagnosing hemorrhagic stroke in the emergency setting:
- CT scans (without contrast enhancements)
- MRI scan
For detecting chronic hemorrhages, an MRI scan is more sensitive.
For the assessment of stable stroke, nuclear medicine scans SPECT and PET/CT may be helpful. SPECT documents cerebral blood flow and PET with FDG isotope the metabolic activity of the neurons.
CT scans may not detect an ischemic stroke, especially if it is small, of recent onset, or in the brainstem or cerebellum areas. A CT scan is more to rule out certain stroke mimics and detect bleeding.
Misdiagnosis of stroke (आघात का गलत निदान)
Among people with ischemic strokes, misdiagnosed occurs 2 to 26% of the time. A “stroke chameleon” is a stroke that is diagnosed as something else.
People not having a stroke may also be misdiagnosed as a stroke. Giving thrombolytics (clot-busting) in such cases causes intracerebral bleeding 1 to 2% of the time, which is less than that of people with strokes. This unnecessary treatment adds to health care costs.
Stroke Prevention (आघात की रोकथाम)
Given the disease burden of strokes, prevention is an important public health concern. Primary prevention is less effective than secondary prevention as judged by the number needed to treat to prevent one stroke per year. Recent guidelines detail the evidence for primary prevention in stroke. In people who have had a myocardial infarction or those with a high cardiovascular risk, it provides some protection against a first stroke.
Stroke Risk factors (आघात के जोखिम कारक)
The most important modifiable risk factors for stroke are high blood pressure and atrial fibrillation although the size of the effect is small with 833 people have to be treated for 1 year to prevent one stroke. Other modifiable risk factors include:
- High blood cholesterol levels
- Diabetes mellitus
- Cigarette smoking
- Heavy alcohol use
- Drug use
- Lack of physical activity
- Processed red meat consumption
- Unhealthy diet
Smoking just one cigarette per day increases the risk of more than 30%.Alcohol use could predispose to ischemic stroke, and intracerebral and subarachnoid hemorrhage via multiple mechanisms e.g. via hypertension, atrial fibrillation, rebound thrombocytosis, and platelet aggregation and clotting disturbances.
Drugs, most commonly amphetamines and cocaine, can induce stroke through damage to the blood vessels in the brain and acute hypertension. Migraine with aura doubles a person’s risk for ischemic stroke. Untreated, celiac disease regardless of the presence of symptoms can be an underlying cause of stroke, both in children and adults.
Nonetheless, given the large body of circumstantial evidence, the best medical management for stroke includes advice on diet, exercise, smoking and alcohol use. Medication is the most common method of stroke prevention; carotid endarterectomy can be a useful surgical method of preventing stroke.
Blood pressure (रक्त चाप)
High blood pressure accounts for 35–50% of stroke risk. Blood pressure reduction of 10 mmHg systolic or 5 mmHg diastolic reduces the risk by ~40%. Lowering blood pressure has been conclusively shown to prevent both ischemic and hemorrhagic strokes.
Blood lipids (रक्त लिपिड)
High cholesterol levels have been inconsistently associated with ischemic stroke. Statins have been shown to reduce the risk by about 15%. Since earlier meta-analyses of other lipid-lowering drugs did not show a decreased risk, statins might exert their effect through mechanisms other than their lipid-lowering effects.
Diabetes mellitus (मधुमेह)
Diabetes mellitus increases the risk by 2 to 3 times. While intensive blood sugar control has been shown to reduce small blood vessel complications such as kidney failure and damage to the retina of the eye it has not been shown to reduce large blood vessel complications such as stroke.
Anticoagulation drugs (एंटीकोआग्यूलेशन दवाएं)
Oral anticoagulants include:
- Warfarin has been the mainstay of stroke prevention for over 50 years
- Thienopyridines (clopidogrel, ticlopidine) might be slightly more effective than aspirin and have a decreased risk of gastrointestinal bleeding but are more expensive
- Clopidogrel has fewer side effects than ticlopidine
- Dipyridamole can be added to aspirin therapy to provide a small additional benefit, even though headache is a common side effect
Surgery is most efficient when not delayed too long—the risk of recurrent stroke in a patient who has a 50% or greater stenosis is up to 20% after 5 years, but endarterectomy reduces this risk to around 5%.
Nutrition, specifically the Mediterranean-style diet, has the potential for decreasing the risk of having a stroke by more than half. It does not appear that lowering levels of homocysteine with folic acid affects the risk of stroke.
Stroke in Women (महिलाओं में आघात)
A number of specific recommendations have been made for women including taking aspirin after the 11th week of pregnancy if there is a history of previous chronic high blood pressure and taking blood pressure medications during pregnancy if the blood pressure is greater than 150 mmHg systolic or greater than 100 mmHg diastolic. In those who have previously had preeclampsia, other risk factors should be treated more aggressively.
Stroke & Free Siddha energy remedies (आघात और नि:शुल्क सिद्ध ऊर्जा उपचार)
1. Siddha preventive measures (सिद्ध निवारक उपाय)
Everybody must practice Siddha preventive measures, whether a person is affected with stroke or not, but preventive measures are the primary steps for switching on to any other Siddha energy remedies, and hence they are important. It helps in one’s capability, effectiveness, and productivity, decision making power, intellectuality and removing minor health problems. There are three types of preventive measures:
- Earthing – performed for earthing the negativity of our body
- Field Cleaning – cleans energy field (Aura) of our body
- Siddha Brain Exercise/Energizing – energizes our brain for proper functionality
Everybody’s tendency is to get attracted to the word ‘free‘, however, don’t neglect even these Siddha preventive measures are free. Avail the benefits by practicing them sincerely, and regularly. For the ease of understanding Siddha preventive measures, please watch a video for a live demonstration.
2. Siddha Shaktidata Yog (सिद्ध शक्तीदाता योग)
This unique Siddha Shaktidata Yog of Siddha Spirituality can solve the problems related to stroke with free Siddha energy remedies. There is no compulsion of training of ‘Swami Hardas Life System’ methods. This not only gives benefits to self but also it can be used for other affected persons, whether a person is in the same house, distantly available in the same city, same nation or might be in any corner of the world, however, both the procedures have been explained here.
3. Siddha Kalyan Sadhana (सिद्ध कल्याण साधना)
Recite this Sadhana with a Sankalp “My problems of stroke are solved as early as possible and I should gain health”, which should be repeated in mind 3 – 3 times every after each stanza. Any person irrespective of caste, creed, religion, faith, sex, and age can recite this Sadhana for free, which should be repeated at least twice in a day. To know more, please click on this link.
4. CCPE products (CCPE उत्पाद)
These products work on the concepts of ‘Conceptual Creative Positive Energy’ (CCPE) within the provisions of the ‘CCPE Life System’ and the theory of Quantum Technology to a certain extent. However, the products get activated only whenever touched by a human and then they become capable of solving the problem and achieving health. However, please use these products for stroke as mentioned below:
CCPE Extractor: The CCPE Extractor should be gently moved over the Agya Chakra in a circular motion at least for 30 to 60 seconds, thereafter, follow the same process on the head, heart, and naval for another 30 to 60 seconds, which finishes within almost 2 – 4 minutes.
CCPE Booster: Keep one Booster over the Agya Chakra and another one each over the head, heart, and naval for 3 minutes. You may need to have 4 Boosters, which establishes positivity.
5. A daily routine (एक दैनिक दिनचर्या)
- Carry out all medical checks as suggested above and follow the advice of your doctor
- Have regular screening
- Adopt a healthy lifestyle and a Sattvic diet
- Do aerobic exercises regularly
- Apply free Siddha energy remedies minimum 3 times a day, as explained above
- Perform Swayamsiddha Agnihotra daily, if feasible
- In case, if someone wishes to learn advanced methods of Swami Hardas Life System, undergo unique training
Ensure to sprinkle in some fun during the day, however, don’t forget to relax and laugh in between. Laughing is a great way to boost your immune system and help you.
Along with all the above activities, apply above explained free Siddha energy remedies minimum 3 times a day, the more is good. Just try the methods of Siddha Spirituality of Swami Hardas Life System. I am confident that you will surely find improvements within 15 days.
Training of Swami Hardas Life System (स्वामी हरदास लाइफ सिस्टम का प्रशिक्षण)
Any problem with regard to health, peace, and progress can be solved independently without money and medicines by undergoing training of Swami Hardas Life System. Any person irrespective of religion, caste, creed, faith, sex, and age can undergo this unique training.
In view of the above, I am confident that you have learned about stroke, meaning, definition, types, risk factors, symptoms, causes, diagnosis, and treatments. You also learned free Siddha energy remedies. Now, you have become self-sufficient, hence its right time to use your acquired knowledge for solving problems as per the provision available in Siddha Spirituality of Swami Hardas Life System.
After reading this article, what are your thoughts? Infact, I believe in sharing knowledge. Can I expect you to let me know your precious thoughts.
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