Author/Editor | Žvan, Bojana; Grad, Anton | |
Title | Preprečevanje možganske kapi | |
Translated title | Prevention of stroke | |
Type | članek | |
Source | Med Razgl | |
Vol. and No. | Letnik 39, št. 4 | |
Publication year | 2000 | |
Volume | str. 401-6 | |
Language | slo | |
Abstract | In developed countries, also in Slovenia - cerebrovascular diseases are the third most common cause for death, and are on the top of the list of diseases that cause disablement. Epidemiological researches show that by undertaking preventive actions development of cerebrovascular diseases can be largely prevented. It has been observed that in Slovenia the age of those effected has gone, up, although in young people leading an unhealthy life severe forms of the decease can develop. Main risk factors are the same for both cerebrovascular diseases, aterosclerosys and ischemic heart desease, heart disease being itself an additional risk factor. In primary prevention of cerebrovascular diseases directions, methods and goals are the same as those concerning ischemic heart disease. It is most important that the lifestyle of entire population be changed, risk factors effecting each of the risk group assessed and removed. We would also recommend the postmenopausal estrogen and anticoagulant therapy, thus preventing certain heart diseases. In treating cerebrovascular diseases secondary prevention includes changing ones lifestyle, removement of risk factors and anticoagulant, antiagregational, surgical and radiointerventional treatment. This article speaks of newest directions in primary and secondary prevention of cerebrovascular diseases. | |
Summary | Možganskožilne bolezni so po pogostnosti v razvitih deželah kot tudi v Sloveniji tretji vzrok smrti in najpogostejši vzrok invalidnosti. Epidemiološke raziskave kažejo, da je možno s preventivnimi akcijami pomembno zmanjšati pojavnost možganskožilnih bolezni. V Sloveniji opažamo premik teh bolezni v starejše obdobje, a še vedno tudi težje oblike bolezni pri mladih, ki so popolnoma zanemarili zdrav način življenja. Glavni dejavniki tveganja za možganskožilne bolezni so isti kot dejavniki tveganja za aterosklerozo in ishemično bolezen srca z dodatkom, da so lžolezni srca same po sebi tudi dejavnik tveganja. Cilji, metode dela in tudi priporočila primarne preventive možganskožilne bolezni so enaki kot pri preventivi ishemične bolezni srca. Predvsem je trebna v celotni populaciji spremeniti življenjski slog, oceniti ogroženost posameznih skupin in energično odstranjevati dejavnike tveganja. Priporočamo tudi postmenopavzalno nadomeščanje estrogerxov in antikoagulantno zaščito pri nekaterih srčnih boleznih. Sekundarna preventiva možgansokožilnih bolezni zahteva ukrepe, ki so usmerjeni v spremembo življenjskega sloga, v zdravljenje dejavnikov tveganja in v specifične ukrepe, kot so antiagregacijsko, antikoagulantno, kirurško in radiointervencijsko zdravljenje. V članku so navedene najnovejše,smernice za primarno in sekundarno preprečevanje možganskožilnih bolezni. | |
Descriptors | CEREBROVASCULAR DISORDERS CEREBRAL INFARCTION CEREBRAL ISCHEMIA PLATELET AGGREGATION INHIBITORS ANTICOAGULANTS ANGIOPLASTY, BALLOON STENTS VERTEBROBASILAR INSUFFICIENCY |