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disability-adjusted  life  years  (DALYs)  lost  due  to  stroke.  Additionally,

                                multiple national health and morbidity surveys conducted since 2006 have

                                revealed a concerning increase in risk factors associated with stroke, such as
                                diabetes and obesity.


                                Notably, these risk factors have been found to contribute to a rising incidence

                                of stroke among individuals under the age of 65, with the highest increase

                                observed  in  the  35  to  39-year  age  group  (Tan  and  Venketasubramanian,
                                2022).  Specifically,  males  experienced  a  53.3%  rise,  while  females

                                experienced a 50.4% increase in stroke incidence within this age range.



                        2.1.2  Type of Stroke



                                According to research from Alrabghi et al. (2018), stroke is classified into
                                two types in clinical practise, ischemic and haemorrhagic stroke that affect

                                millions of people worldwide. Both types have distinct pathophysiology, risk
                                factors, and clinical presentations.



                                   i.   Ischemic Stroke


                                      The most common type of stroke is an ischemic stroke.  Ischaemic
                                      strokes account for nearly eighty per cent of all strokes and occur when

                                      blood flow to certain parts of the brain fails, commonly by a blood clot
                                      (Bamekhlah et al., 2019). Blood clots, which can either form in the

                                      brain's  blood  arteries  (thrombotic  stroke)  or  migrate  from  another

                                      region of the body and enter the brain's blood vessels (embolic stroke),
                                      are frequently to blame for this obstruction.


                                      The primary cause of ischemic strokes is an interruption of blood flow,

                                      which  deprives  brain  cells  of  the  nutrients  they  need  to  operate

                                      normally. Brain  cells  begin  to  experience poor  glucose and oxygen
                                      metabolism when blood flow is restricted, which eventually results in

                                      cellular malfunction and cell death. The afflicted area of the brain and




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