At the Urology Department of Xuyen A General Hospital in Vinh Long, medical staff promptly detected the signs of acute ischemic stroke in patient NTT and immediately requested an urgent consultation with the Stroke Unit. After reviewing and evaluating the patient's symptoms, the doctors ordered a brain MRI, which revealed that the patient had acute ischemic stroke in the brainstem and pons, with disseminated intrahepatic involvement in both hemispheres, within the first hour.
On January 11th, Dr. Lu Huu Tuan, Head of the Neurology Department at Xuyen A General Hospital in Vinh Long , stated that thanks to early detection within the first hour of stroke symptom onset, the patient was prescribed thrombolytic drugs to dissolve blood clots and clear narrowed or blocked cerebral blood vessels.
One hour after administering rTPA, the patient was fully conscious, no longer felt dizzy, and the weakness on the right side of the body improved significantly. Within just 24 hours, the patient had fully recovered and was able to walk and carry out normal daily activities independently.
Similarly, patient HTH (56 years old, from Hau Giang ) is being monitored and treated at the Endocrinology Department of Xuyen A General Hospital in Vinh Long, with a history of hypertension and diabetes. One morning, after waking up and performing personal hygiene, she suddenly experienced slurred speech, headache, and weakness on the right side of her body. Fortunately, her family and the doctors in the Endocrinology Department detected the symptoms early and immediately held an urgent consultation with the Stroke Unit.
Clinical examination revealed symptoms of a stroke, prompting a brain MRI to provide the most accurate diagnosis. The MRI showed acute ischemic stroke in the left hemisphere, within the first hour. Immediately afterward, the patient received thrombolytic therapy. Following treatment, the patient regained full consciousness, spoke more clearly, experienced reduced right-sided weakness, and improved muscle strength. Currently, the patient has fully recovered, can walk and carry out normal daily activities, and has been discharged from the hospital.
Patients recovering after stroke treatment
People with underlying medical conditions who are undergoing treatment are still at risk of stroke.
Dr. Tuan stated that people with underlying conditions such as hypertension and diabetes, even while undergoing treatment, are still at risk of stroke. Therefore, patients need to control their blood pressure and blood sugar well to minimize the risk of stroke, and if they experience signs of stroke such as sudden facial drooping, difficulty speaking, weakness or paralysis of the limbs, etc., they should immediately go to the nearest hospital for timely emergency treatment within the "golden hour".
Currently, there are two common methods for stroke emergency treatment: thrombolytic therapy and thrombectomy (surgical removal of the blood clot). Thrombolytic therapy works by dissolving blood clots that block blood flow in the brain (the cause of stroke). Thrombolytic drugs (rTPA) have been shown to play a crucial role in stroke emergency treatment, reducing the rate of disabling complications caused by stroke. However, for thrombolytic therapy to be most effective, patients need prompt emergency care and should be given the medication within the first 4.5 hours of stroke symptom onset.
Source: https://thanhnien.vn/benh-nhan-an-sang-o-benh-vien-thi-bi-dot-quy-18525011116254365.htm
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