Small Note world stroke day 2010
World commemorates the day of stroke worldwide each October 29, 2010. World Stroke Organization welcomed the day of stroke worldwide in 2010 with the theme of 'One in Six: Act Now!'. Day is celebrated worldwide stroke on 29 October each year with a message 'stroke can be prevented, and stroke can be treated'.
Stroke is the third cause of death after heart disease and cancer, and is the number one cause of disability for survivors of a stroke.
The data show that more than 60% of stroke sufferers in the world live in developing countries. Increasing incidence of stroke in some Asian countries (China, India, and Indonesia) is suspected due to the influence of lifestyle changes, pollution, and changes in food consumption patterns.
Stroke is a brain dysfunction that occurs suddenly due to circulatory disorders of the brain. There are 2 kinds of stroke, ie stroke and haemorrhagic stroke blockage. The incidence of stroke, the blockage was higher than hemorrhagic stroke (70% vs. 30%).
The incidence of stroke increases due to increased stroke risk factors such as hypertension, smoking, high blood cholesterol, and diabetes.
Stroke in Indonesia
Data Ministry of Health of the Republic of Indonesia (2008) showed that stroke is the number one cause of death in patients treated in hospital. Number of cases of hypertension, diabetes, high blood cholesterol, and smoking is increasing in Indonesia. Industrialization and pollution increases the risk of stroke.
Research shows that the incidence of stroke increases with air pollution. Increased incidence of stroke is also associated with increased emotional stress and changes in food consumption patterns.
The problems that arise in stroke services in Indonesia are:
1. The low awareness of stroke risk factors
2. Less familiar symptoms of stroke
3. Not to optimal stroke care
4. Adherence to therapy for stroke prevention program re low.
The four things that contribute to the increased incidence of new stroke and higher death rates from stroke in Indonesia and the high incidence of repeated strokes.
Westernization and stroke
Various research and studies show that the cause of the high incidence of stroke in developing countries is due to changes in lifestyle and food consumption patterns (Kaste and Norving, 2010).
Industrial advancement and improvement of economic status in developing countries associated with changes in urban lifestyle. Consumption of fast food and physical inactivity increases. Fast food linked to sodium and saturated fat content is high.
It is associated with increased incidence of hypertension, elevated cholesterol, central obesity, and hardening of the blood vessel wall (atherosclerotic) (Kilkeny, 2010).
Risk factors for stroke are often asymptomatic. Patients came for a treatment at the time of onset of symptoms was due to organ damage. This is what causes hypertension and dyslipidemia (high blood cholesterol) is known as 'the silent killer'.
Symptoms arise when the target organ damage was so severe. The campaign to continually be aware of increased blood pressure should be done. Mass-measurement of blood pressure is recommended. If a person's blood pressure is above 140/90 mmHg in figures 2 times of measurement, then the conditions are in accordance with the criteria of hypertension.
Changes in lifestyle should be done by reducing salt intake, exercise, lose excess weight, and quitting smoking. The nature of hypertension and dyslipidemia that do not cause symptoms contribute greatly to the low regularity of care and treatment of patients. Only less than 30% of hypertensive patients regularly treated and controlled blood pressure (Angeli, 2010). from [detik.com]
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