English for medical students посібник з англійської мови


STROKE Exercise 1. Topic Vocabulary



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STROKE



Exercise 1. Topic Vocabulary:

altered, adj

[ˈɒltərd]

змінений

aphasia, n

[æˈfeɪzɪə]

афазія, порушення мовлення

anti-platelet drugs, n

[drʌɡz]

антитромбоцитарні препарати

atrial fibrillation, n

[fɪbrɪˈleɪʃən]

миготлива аритмія

cerebrovascular accident, n

[ˈæksɪdənt]

порушення мозкового кровообігу

cholesterol, n

[kəˈlɛstərɔl]

холестерин

consciousness, n

[ˈkɒnʃəsnɪs]

свiдомiсть

disturbance, n

[dɪˈstɜːbəns]

порушення

interruption, n

[ˌɪntəˈrʌpʃn]

порушення, переривання

modifiable, adj

[‘məʊdɪfaɪəbl]

такий, що можна змінити

neurosurgery, n

[ˌnjʊərəʊˈs3ːdʒərɪ]

нейрохiрургiя

pressure, n

[ˈpreʃə(r)]

тиск

stroke, n

[strəʊk]

iнсульт

suffer a disease, v

[ˈsʌfə(r)]

перенести захворювання

transient ischemic attack, n

[ˈtrænziənt ɪˈskiːmɪk əˈtæk]

швидкоминуче порушення мозкового кровообігу, «міні-інсульт»

visual field, n

[ˈvɪʒuəl fiːld]

поле зору



Exercise 2. Read the word combinations and sentences with the new words and translate them into Ukrainian:
Accident: cerebrovascular accident; car accident. She died in an accident. Try to avoid having an accident. We never planned to have a third child – it was a happy accident.
Damage: neurological damage; cartilage damage from a sports injury. The storm did considerable damage to the crops. Taking regular doses of antimalarial drugs can have long-term side effects such as hearing loss and liver and kidney damage.
Factor: risk factors; lifestyle factors; environmental factors; factor of time; factor of safety.
Hemorrhage: subarachnoid hemorrhage; hemorrhagic stroke; hemorrhagic shock; internal hemorrhage.
Consciousness: loss of consciousness; nature of human consciousness. The word is a thing in our consciousness.


Exercise 3. Complete the table with the missing words (you may need a dictionary):

VERB

NOUN

ADJECTIVE




loss




to disturb













intended

to formulate













affected




speech






Exercise 4.Translate the following word combinations into Ukrainian:
Rapid loss of brain function, disturbance in the blood supply to the brain, inability to move one or more limbs, altered taste, inability to understand or formulate speech, an inability to see one side of the visual field, the most important modifiable risk factor of stroke, interruption of the blood supply, to result from rupture of a blood vessel, the increased intracranial pressure, the leaking blood compressing the brain, an embolic stroke.


Exercise 5. Do you know that:

  1. Statins are a class of drugs used to lower cholesterol levels.

  2. Anti-platelet drugs are intended to prevent and/or reverse platelet aggregation in arterial thrombosis, most prominently in myocardial infarction and ischemic stroke.

  3. Clot busting medications break up blood clots. During a heart attack or stroke, clot busters, also called thrombolytics, dissolve the blood clot that is blocking the artery and help to restore blood flow. These medications are injected into the arm through an intravenous (IV) line.

  4. Carotid endarterectomy (CEA) is a surgical procedure used to prevent stroke, by correcting stenosis (narrowing) in the common carotid artery. Endarterectomy is the removal of material on the inside (end-) of an artery.



Exercise 6. Read and translate the text:
STROKE
A stroke, or cerebrovascular accident (CVA), is the rapid loss of brain function due to disturbance in the blood supply to the brain. This can be due to ischemia (lack of blood flow) caused by blockage (thrombosis, arterial embolism), or a hemorrhage. As a result, the affected area of the brain cannot function, which might result in an inability to move one or more limbs on one side of the body (paralysis), inability to understand or formulate speech (aphasia), an inability to see one side of the visual field, or altered taste, smell, hearing.
A stroke is a medical emergency and can cause permanent neurological damage and death. Risk factors for stroke include old age, high blood pressure, previous stroke or transient ischemic attack (TIA), diabetes, high cholesterol, tobacco smoking and atrial fibrillation. High blood pressure is the most important modifiable risk factor of stroke. It is the second leading cause of death worldwide.
An ischemic stroke is occasionally treated in a hospital with thrombolysis (also known as a "clot buster"), and some hemorrhagic strokes benefit from neurosurgery. Prevention of recurrence may involve the administration of anti-platelet drugs such as aspirin and dipyridamole, control and reduction of high blood pressure, and the use of statins. Selected patients may benefit from carotid endarterectomy and the use of anticoagulants.
Strokes can be classified into two major categories: ischemic and hemorrhagic. Ischemic strokes are those that are caused by interruption of the blood supply, while hemorrhagic strokes are the ones which result from rupture of a blood vessel or an abnormal vascular structure. About 87% of strokes are caused by ischemia, and the remainder by hemorrhage. Some hemorrhages develop inside areas of ischemia ("hemorrhagic transformation"). It is unknown how many hemorrhages actually start as ischemic stroke.
Stroke symptoms typically start suddenly, over seconds to minutes, and in most cases do not progress further. The symptoms depend on the area of the brain affected. The more extensive the area of brain affected, the more functions that are likely to be lost.
Loss of consciousness, headache, and vomiting usually occurs more often in hemorrhagic stroke than in thrombosis because of the increased intracranial pressure from the leaking blood compressing the brain.
If symptoms are maximal at onset, the cause is more likely to be a subarachnoid hemorrhage or an embolic stroke.




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