1. main risk factors
2. Symptoms of stroke
3. Stroke Treatment
4. rehabilitation methods
When this disease occurscerebrovascular accident.This can be a reduction or complete cessation of blood flow in a specific part of the brain.
It was after a stroke is most often the work of the brain deteriorates in adulthood.
Currently, experts distinguish between two basic types:
- ischemic stroke (blood clot blocking an artery or capillary in the brain);
- hemorrhagic stroke (bleeding due to ruptured blood vessel in the brain).
worth noting that in 80% of cases diagnosed with ischemic stroke.
These two types of stroke equally lead to a halt enrichment of brain cells with oxygen and nutrients, which in turn causes their gradual demise.
There are groups of people who in their lifetime were more susceptible to stroke:
- people suffering from hypertension (high blood pressure);
- people suffering from various diseases of the cardiovascular system;
- people suffering from diabetes;
- people are often in stressful situations;
- people with overweight and leading a sedentary lifestyle;
- people who abuse tobacco and alcohol;
- people with a hereditary predisposition.
Prevention and treatment of stroke is completely built on the prevention of the above diseases and their treatment.
In hemorrhagic stroke in the container takes place against a background of high blood pressure, this is due to uneven thinning of the walls of the arteries in atherosclerosis.The main symptom of this type of stroke is the formation of blood tumor or intracerebral hematoma (blood fills the cavity in the brain tissue).
addition to the haemorrhagic stroke can cause rupture of the aneurysm (bulging of the vessel wall), which most often occurs before the age of 40 years.In this case there is a sudden feeling as if the head was hit with a dagger, accompanied by severe headache.In some cases, people screaming in pain, loses consciousness.If a stroke is accompanied by cramps, often recovers consciousness.Seizure usually prevails on one side of the body, while noting the expansion of the pupil on the side of a stroke.When the pain in the head, in some cases, there is a feeling of nausea or even vomiting.In contrast to the side effects of stroke are distinct:
- right (speech impairment);
- left (mental health abnormalities: loss of memory and sense of space).
In contrast, the second type, hemorrhagic stroke typically does not lead to paralysis.
such symptoms in ischemic stroke clear, there is their gradual rise and decay.
In this case, a particularly pronounced tension in your neck (you can not tilt your head so that his chin touched his chest) and stiff leg muscles (lifting the straight leg of the heel is not possible).
addition, a symptom of ischemic stroke is a type of irritation of the meninges blood (meningeal syndrome).
Regardless of the type of stroke and age required emergency hospitalization.In the event that a serious condition, sent to the intensive care unit.
selection in stroke treatment primarily depends on has been moved hemorrhagic or ischemic stroke, that is, there was bleeding or closing the vessel.
Diagnosing the nature of brain lesions is carried out using a computer or magnetic resonance imaging.In this case, these methods are most informative.
In hemorrhagic stroke should consult a neurosurgeon, as should first solve the problem of removing the hematoma or clamping bleeding vessel.Carrying out such operations involves a significant risk.
stroke Treatment of ischemic type requires careful care and symptomatic therapy, during which the:
- blood pressure correction;
- normalization of the cardiovascular system;
- neuroprotection (measures to improve the biochemical properties and restoration of nerve cells);
- normalization of respiratory function;
- intake of antioxidants (mildronad, vitamin E, intravenous mexidol);
- administration of drugs whose action is directed to improvement of microcirculation.
the treatment of stroke in the first place the focus is on restoring the functioning of the affected areas of the brain (improving blood flow, prevention of postoperative complications).Therapy should be strictly carried out under the supervision of a physician, depending on the symptoms of stroke and its consequences.The most common amino acids are appointed reception courses nootropic drugs (stimulants), biogenic stimulants (ginseng tincture, aloe extract).
After stroke rehabilitation can be varied, it usually consists of a set of measures bearing the medical, psychological, social and pedagogical character.All these actions are aimed at restoring the lost functions, which in turn will allow the patient to return to normal life.
The effectiveness of the post-stroke rehabilitation depends on the following factors:
- early start of the activities for rehabilitation;
- sided focus of the activities;
- systematic ongoing procedures;
- active participation of the patient and his family.
The start of rehabilitation after stroke depends on several factors, first and foremost, it is the severity of suffering a violation of brain circulation.
matter was moved to a hemorrhagic or ischemic stroke, rehabilitation measures recommended to start almost immediately.This will prevent the development of neurological deficits in the future.Yet best to consult an expert, since in some cases, post-stroke rehabilitation is recommended after 1-2 days, and in some cases a week.
part of a comprehensive rehabilitation of stroke
In the early days after the stroke, it is recommended to eat pre-cooked pureed food.
frequent cause of ischemic stroke, atherosclerosis becomes so after a stroke is necessary to follow a diet that prevents the subsequent progression of the disease.Because the diet should exclude fatty meats, dairy products high fat content.This will reduce blood cholesterol levels.
Another limitation is the salt allowed 3-5 grams.per day.
Take recommended eating seafood, fish, fresh fruits and vegetables in general, all that it contains large amounts of fiber.
Therapeutic exercises aimed at restoring full / partial amount of motion, balance, and self-help skills.In the early period it is recommended to perform passive exercises for the prevention of pressure ulcers, initially on a sound, and then on the affected side.Next should begin active exercises, starting with simple movements and eventually complicating them.Throughout the rehabilitation assigned therapeutic massage, acupuncture, cryotherapy and hydrotherapy.
Systematic studies on the development of speech with a speech therapist recommended to start in the acute period after stroke for 15-20 minutes, then increase the time to 30-45 minutes.Relatives often recommended to communicate with the patient, should be a permanent home contact.
This article is available exclusively in the educational purposes and is not research material or professional medical advice.
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