5/31/2023 0 Comments Olovo aquatermIn the further course of treatment it is recommended to continue rehabilitation program in stationary institutions because the best results are achieved immediately after cerebrovascular stroke. First, the early part of the rehabilitation is applied in a “stroke unit” on neurological clinic. The aim of this study is to evaluate the results of rehabilitation, to determine the prevalence of major risk factors in cerebrovascular strokes and their consequences, as well as to propose measures and procedures that will affect the better rehabilitation.Ĭerebrovascular accident or stroke is a neurological deficit of cerebrovascular cause that persists beyond 24 hours or is interrupted by death within 24 hours. Consequences after CVA may be a major cause of disability, and therefore represent a major public health problem. CB1 receptor is an important target for the blockade in an attempt to reduce body weight and waist circumference ( 10). Recent studies have identified the endocannabinoid system and the cannabinoid receptor CB1 as important in determining the energy balance and body composition. Optimizing of the body weight and glucose metabolism are obviously very important strategies to reduce the risk of stroke. The incidence of stroke increases with increasing blood glucose so that it is two times greater in diabetics than in patients with borderline blood glucose values. It has long been known that DM is associated with an increased risk of atherosclerosis, cardiovascular disease and ischaemic cerebrovascular accident, increased mortality in patients with CVA ( 8, 9). DM or abnormal glucose regulation (hyperinsulinemia and insulin resistance) denotes elevated values of blood glucose. ( 6) Persons who have HTA have a three times greater risk of stroke, the incidence of stroke increases with an increase in both systolic and diastolic blood pressure, and treatment of HTA reduces the risk of stroke by 30 % ( 7). Hypertension or high blood pressure is very common. Risk factors that influence appearance of the CVA, and ones that could be affected are: hypertension (HTA) and diabetes mellitus (DM). CVA is classified, by etiology of focal brain damage, as ischaemic and hemorrhagic stroke. CVA is the leading cause of disability in the community, and the age category of elderly people is most prone to cerebrovascular accident ( 5). According to the Institute of Public Health FBiH, considering diagnosis in period from 2008 to 2012 the leading cause of death in this population is stroke (17 % for 2012) from the group of cerebrovascular disease (52.9 % for 2012) ( 4). The latest assessment showed that in 2002, the number of deaths from CVA has reached 5.51 million worldwide, and two-thirds of these deaths occur in developing countries ( 3). In 1970 World Health Organization defined cerebrovascular accident as a “neurological deficit of cerebrovascular cause that persists beyond 24 hours or is interrupted by death within 24 hours ( 1).” According to the World Health Organization (WHO) and the statement “The global burden of disease”, CVA is the second leading cause of mortality in the world in 1990 year and the third leading cause of death in developed countries, causing about 4.4 million deaths ( 2).
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