PACHARA LEEMINGSAWAT, M.D.
General Neurology, Vascular Neurology
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Beyond heart disease and cancer, stroke ranks among the most common and serious health conditions worldwide. Today, stroke is no longer a condition affecting only the elderly; it is increasingly found in individuals under the age of 45. This issue is closer to home than many realize. If it were to happen to us, what should we do? And if it does, what steps should we take?
Stroke occurs when a blood vessel in the brain becomes narrowed, ruptured, or blocked, leading to brain damage. Common symptoms include numbness, weakness in one side of the body, facial drooping, or slurred speech. Collectively, these symptoms are often referred to as paresis or paralysis.
Diet is a key factor in reducing the risk of stroke. Limiting consumption of sweet, fatty, sour, and salty foods—and opting instead for steamed, boiled, or grilled dishes—can significantly improve health. Eating fruits and vegetables low in sugar helps manage blood pressure, blood sugar, and cholesterol, which are major risk factors for stroke and many other diseases.
Trimethylamine N-oxide (TMAO), a substance derived from the digestion of red meat, dairy products, and fats, is associated with an increased risk of stroke. Reducing intake of these foods and maintaining a balanced diet can help mitigate this risk.
Engaging in physical activity for at least 30 minutes, three times per week, not only helps eliminate excess fat but also strengthens both the body and the brain. Varying your exercise routine or location stimulates the brain with new experiences, which can also help lower the risk of cognitive decline.
Cigarettes contain nicotine, which causes blood vessels to narrow and become fragile, increasing the risk of stroke and paralysis. However, quitting smoking can reduce this risk by 40–50% within 2 to 5 years. It is also recommended to quit alcohol consumption alongside smoking cessation.
Stress prompts the body to release chemicals that increase heart workload and blood pressure, raising the risk of stroke. Understanding your emotions and relaxing can help relieve stress and promote mental and physical well-being.
Many serious illnesses, including stroke, are silent and invisible to the naked eye. Annual health check-ups provide insight into your overall health, while specific stroke screening tests allow doctors to detect early neurological signs before symptoms manifest.
General Neurology, Vascular Neurology