Coronavirus can also cause a stroke!

 Faculty of Health Sciences, Department of Neurology, Faculty Member and Vice President of BEYİNDER Assoc. Dr. Füsun pointing Mayda Domaç stroke is the third largest cause of death and disability in the world "Every year on the second Tuesday of May ' Stroke Awareness Day' has been set. On this occasion, we wanted to point out that the Covid-19 pandemic may also cause an increase in stroke cases. "

Assoc. Dr. Domaç made the following warnings: “In addition to the common symptoms such as fever, cough, sore throat, shortness of breath, and muscle pain, symptoms indicating neurological involvement such as headache, dizziness, changes in consciousness, paralysis or It was understood that it could begin.

Stroke can occur due to obstruction in brain vessels and brain bleeding. As a result of the fact that people with temporary vascular occlusion and mild stroke findings do not go to the hospital because of their concerns in social isolation and admission to the hospital, we do not know exactly the percentage of people who have had a stroke.

 In a study conducted in Italy, the rate of stroke due to cerebrovascular obstruction was 2.5 percent in patients with Covid-19. It was stated that it was seen mostly in patients at an advanced age and with a risk factor for stroke. But later in publications from different countries, it was observed that young people with Covid-19 infection developed a stroke even if there was no risk factor.

4he first symptom in young people may be direct paralysis

Domaç said that the obstruction and clot formation were seen in the cerebral vessels or large vessels such as the vein carrying blood to the brain is one of the most important reasons for the occlusion of an obstructive stroke:

        

During the inflammatory coronavirus infections occurring in the vessel wall (inflammatory) events are thought to increase the tendency to thrombus formation or improvement in vascular occlusion.

People with high disease severity have a 2.5-fold higher risk of developing cerebral vascular occlusion. Especially in patients with high parameters called D-dimer in the blood and people who need basic life support, it is thought that brain vascular diseases will accompany the current picture in the advanced phase of the disease.

 Therefore, it is important to give blood-thinning treatment in those with high D-Dimer level. However, in the case of presentations, it has also been seen that coronavirus infection may occur with stroke in young people who do not have classic signs of coronavirus disease, such as fever, cough, and shortness of breath.

How ! the coronavirus affects us in our daily life?

Since the detection of the COVID-19 epidemic in Wuhan in China, it has not only taken center stage, but has generated an impact that is difficult to quantify in most areas of human life. From everyday interpersonal relationships to the global economy to major religious events, the shadow of the epidemic is felt everywhere.

SARS-CoV-2 has demonstrated exceptional transmission capacity and has rapidly infected people on all continents, more than 110,000 positives, and more than 3,820 deaths. In Costa Rica, the number increased to 314 positive local cases and 2 deaths, according to data provided by the Ministry of Health this Sunday.

The absence of effective vaccines or treatments results in a strong feeling of lack of protection for humans. However, health officials at all levels demand calm and warn that fear of the disease itself may have more ill effects than the virus itself.

Perhaps the most immediate and notable change for everyone has to do with precautions to minimize the risk of infection and the latest measures are taken by the Executive Power such as the sanitary vehicle restriction (on weekends from 8 pm to 5 am ). Of course, not all have adopted them, but a large majority of Costa Ricans have followed it to lower the incidence of the virus.

These measures are derived from the recommendations made by the Ministry of Health. These are small changes in customs that are as deeply embedded in our culture as the type of greeting (previously greeted with a kiss, handshake, or hug) or even covering your elbow with a sneeze instead of a hand.

A few days ago, the German Ministry of the interior left Chancellor Angela Merkel with her outstretched hand. During a State visit by the Kings of Spain to President Macron in France, it was the same way. They did not shake hands but bowed. Similarly, several viral videos have shown some original greetings developed by citizens of the affected areas, such as the "Wuhan Shake," which is to salute.

Obviously, one of the main threats to the spread of the virus is the crowd. As a result, numerous massive events were canceled, postponed, or at least subject to strict security measures. Sports competitions or concerts are some of the events affected, but the effects go even further: like religious celebrations, which will have to adapt to future risks.

Fear of infection has led many people in our country to buy health products, especially gel alcohol and face masks. The fever for these goods has reached such a level that their prices have increased considerably and there has been a shortage in some supermarket chains and even many of these have imposed restrictions on the number of items that can be purchased per person.

However, the authorities insist: these items must be used correctly and unnecessary purchases should be avoided. The most important thing is to constantly wash your hands with soap and water and avoid touching your face, mouth, eyes, and nose, otherwise, you have washed your hands frequently.

Another possible source of contagion in the workplace, where human risk is compounded by economic damage from a massive coronavirus outbreak can cause the workforce. This risk has caused many companies or businesses to close by their own decision or some by sanitary order. Those who continue to operate have dispensed alcohol gel until they frequently remember the habits that prevent contagion. Some have implemented teleworking for their collaborators. Perhaps this trend persists: teleworking has become increasingly common in recent years, so it is not surprising that pressure on the current situation becomes standard practice (it is already the law of the Republic and our legislation allows it.

Until now, the virus has had an undeniable impact on the global economy, putting companies, governments, and institutions like the IMF on alert. Stock markets around the world have entered an alarming dynamic that is difficult to break, and there have been troubling declines in some of the world's leading stock indices. In Costa Roca it has meant the total or temporary closure of many companies, thus the loss of jobs.

The effects of the virus can also be felt in the industrial sector, whose production chain has been severely affected since the first case appeared, which has led to an unprecedented shutdown of industrial engines.

At the same time, oil prices have fallen (mainly due to falling demand in the worst affected countries). Overall, the OECD warned that the epidemic could halve the global growth forecast for this year to 1.5%.

Perhaps one of the earliest and most notable effects of the coronavirus outbreak was the discomfort it has caused many travelers. Over time, these difficulties have multiplied and restrictive isolation measures are used to protect the spread of the virus. Initially, these inconveniences (mainly in the form of flight cancellations and entry restrictions for certain countries) particularly affected citizens and travelers around the world.

Consequently, government authorities have recommended companies to cancel or postpone work trips and citizens as much as possible to avoid traveling as long as possible.

The result is notable in tourist reservations, practically empty in recent weeks, and with multiple cancellations. Many hotels in the country have ceased their staff.