stroke, or a violation of brain circulation - one of the most frequent causes of death and disability among the population in most developed countries.In this lethal possible not only during the impact itself but also during the first few weeks after it.About 35% of patients die within three to four weeks after suffering a stroke.About 60% of those who survived, are disabled.Close
patients after cerebral stroke, need to know that recovery after a stroke - a long, difficult, but very important process.The main goal of rehabilitation - is first and foremost the restoration of the brain, motor skills and speech, social adaptation, as well as the prevention of recurrent strokes and their complications.The role of the family members can not be overestimated.Their participation, patience and right actions largely depends, will be able to go back there (and how quickly) lost functions.
recovery period after stroke - a difficult stage in the life of not only the patient but also his home.Violations are very
It should be noted that a full recovery is not always possible.Violation of brain blood circulation often leads to irreversible consequences.Therefore, we must be prepared for what will have to adapt to a defect and learn to perform domestic work in a new environment.It is important to remember that a positive attitude and persistence can reduce recovery times, eventually to return wholly or partly motor and other abilities.
With the joint efforts of doctors and relatives of the patient is able to return to the familiar life, become socially active and employable.Restore functions to a large extent depends on how soon began to host events.In addition, it is important not to be lazy and to train the affected side.Today, the services of patients and their relatives recovery centers, where they are waiting for qualified assistance.
There are three levels of recovery of hemorrhagic or ischemic stroke.
- first - the highest.This is the true restoration, in which all functions are fully return to its initial state.This option is possible if there is no total loss of nerve cells in the brain.
- second level - is compensation.Function compensates functional reorganization and the involvement of new structures.This is an early recovery period - usually the first six months after a stroke.
- The third level - a readaptation that is an adaptation to a defect.In this case, it means the use of canes, wheelchairs, walkers, orthoses.
Adverse factors for recovery:
- large lesion of the brain;
- location focus in functionally important areas (for speech and motor functions);
- poor circulation around the injury site;
- old age;
- emotional disturbances.
By favorable prognostic factors include:
- early spontaneous recovery functions;
- early onset of recovery.
main principles of recovery
- early start restoring lost functions.
- adequacy and integrated approach.
- good event organization, regularity and long-term holding.
- patient and family members should be actively involved in the rehabilitation process.
As mentioned the main burden of recovery rests on the shoulders of close relatives.We must be prepared for the fact that the improvement may not be a very long time, and the recovery time will be delayed.It is important to be patient, keep a positive attitude, to praise the patient for minor achievements.At the same time care should be dosed to stroke faster sought to become self-sufficient.The role of the family is as follows:
- holding sessions with the patient to restore the capacity for movement, speech, reading, writing, walking, household skills;
- involvement of the patient in different classes because inactivity leads to melancholy, depression and apathy;
- help re-integrate into society.
motion normalization of motor activity and muscle strength recovery after stroke is paramount.Treatment is prescribed position on the first day of illness.Its duration is set by the doctor individually.Doctor shows families how to style your affected limb is used for its fixing sandbags or splints.Treatment is carried out twice a day for half an hour after medical gymnastics.Do not lay the affected limb during a meal or immediately after a meal.When complaints of numbness and discomfort is necessary to change the position of the hands or feet.
to help the patient to recover quickly, the second day after the stroke to improve mobility in the joints make passive movements, which should be slow, smooth, and in any case does not cause discomfort and pain.Usually perform them with the instructor in physical therapy.Flexion and extension of the affected limb, assign them to the side and rotate.
Recovery of motor activity after stroke
When the patient is in the supine position, he can do such exercises as the eyes rotation, blinking, moving eyes to the side, up and down.
first put the patient on the bed for a few minutes, gradually increasing the time.Then teach him to stand while he holds on to the headboard or assistant's hand.Shoes better to buy high to stop not turned up.
soon need to move on to learning walking.Perhaps this feature will be restored soon.The patient need help when traveling and do not leave him alone.Gradually move on to walking with support.It can be a chair, playpen, cane.When progress will be noticeable, it is recommended to go out.
If the patient uses a wheelchair, you need to learn how to move his bed to chair and back.
first stroke symptoms
speech disorders often occur in patients with lesions of the brain.The patient may have difficulty describing their thoughts and understanding of another's speech.Speech functions are restored for a long time - in 3-4 years.This process requires the involvement of professional in this field.
Violations can be varied.The patient does not understand what he is told.The patient is able to understand what he is told, but can not express their thoughts.It can be used the wrong word, have difficulties with reading and writing.
In this case, you need to be patient, slow to speak, pronounce good words to use simple phrases that give the patient time to make him understand what was said.Ask questions so that he could answer in the affirmative or the negative.
In addition, after a stroke often occur disruption of language and facial muscles.At the same time it is slow and slurred, voice - deaf.Speech therapist teaches the patient exercises, coaching language and facial muscles, as well as provide a list of words to improve the pronunciation of sounds.Activities should be carried out regularly.Exercises to do better in front of a mirror.
Recovery After swallowing
acute cerebral circulatory disorders often have difficulty in chewing, swallowing, saliva production.Patients do not feel the food on one side of his mouth.
to restore swallowing function also uses special exercises that restore muscle strength, which are involved in swallowing and improve the mobility of the tongue and lips.
To facilitate swallowing, you need to choose food that is easy to chew and swallow.It should not be hot or cold, with a mouth-watering smell.Feed the patient need only in a sitting posture.
Construction of the house
changes are needed in the apartment, to the patient's life has become safer and more comfortable.The house should not be a high threshold and carpet.It is better to buy a special bed with high sides to avoid falls.Everywhere should be equipped with handrails and railings to the sick could stay.The apartment must be well lit, and the night light in the room of the patient should be included on all night.
prevention of recurrent stroke
After a stroke it is important to not only recover, but to prevent the recurrence of stroke. You need to lead a healthy lifestyle:
- regularly take medication.
- normalize weight.
- held daily pressure control.
- do gymnastics.
- completely give up smoking and alcohol.
- Controlling blood sugar and cholesterol.
- Periodically consult your doctor.
sanatorium rehabilitation after stroke
stroke may be referred for treatment in a sanatorium, where use different methods of recovery.Apply balneotherapy, mud therapy, physical therapy, massage, exercise therapy, climatotherapy, medication.
After Ischemic Stroke effective radon, hydrogen sulfide, bromine, carbonic baths, mud baths in the form of applications.
Motor activity useful after ischemic and hemorrhagic stroke after.Therapeutic exercise - it is hygienic gymnastics, dosed walking two or three times a day.
After hemorrhagic or ischemic stroke in a sanatorium apply different types of massage.Usually the procedure is performed in the morning after breakfast.
The resort stroke patients, teach life skills.To this end, equipped with mobile and stationary stands with a set of domestic and household items.Of the methods of restoration of the sanatorium also use auditory training and psychotherapy.