Treatment of ischemic stroke Stroke - a serious brain injury   It should be a long and gradual. Only with this approach to treatment can rely on the complete or partial (depending on the severity of the disease) restoration of central nervous system function and performance.

Stages of treatment of ischemic stroke

Treatment of ischemic stroke should be differentiated depending on the patient and the nature of changes in the brain.

The first stage of medical aid ambulance at home by the patient. The phenomena of acute stroke require hospitalization in an intensive care unit or in the neurological department of intensive care, so the second stage of treatment is conducted on the basis of these offices. After acute stroke events will take place, the patient is transferred to the neurological department of the hospital, in a general ward - the third stage of treatment. The fourth stage of the treatment is carried out in the neurology department of rehabilitation treatment, and the fifth stage - on an outpatient basis in a clinic or in a spa treatment.

The first and second phases

Emergency doctor provides the patient intensive care, which can then continue to provide in the ICU or in the intensive care neurological department of the hospital (depending on the patient's condition). This assistance is aimed at addressing the expressed violations of the vital organs.

The first is the treatment of acute cardiovascular and respiratory disorders, including maintained airway. For this purpose, change the position of the patient, using special nasal and oral air ducts, suctioned mucus, vomit and other secretions from the mouth and nose. If necessary to intubation - is inserted into the trachea breathing tube and carry out artificial respiration.

Restored and maintained at a constant level of water and electrolyte balance and acid-base balance in patients who are unconscious. To this end, various intravenously administered drug solutions. In order to avoid the swelling of the damaged brain tissue appointed diuretics. Introduce drugs to reduce the temperature.

Simultaneously, treatment aimed at improving blood supply to the brain. Once the patient is stabilized, he was transferred to the neurological department of the hospital.

Third step

In the neurology department continued treatment aimed at improving blood supply to the brain tissue. For this purpose, appointed drugs that restore heart function and blood pressure Blood pressure - dangerous if his swing? . Assign also drugs, increases blood flow to the brain by expanding the blood vessels, reduce spasm, the development of new branches of collateral vessels (bypassing the injury site) circulation.

If necessary, restored blood clotting ability (it is a little lower in order to prevent blood clots). Prescriber, improves metabolic processes in the cells of the brain, as well as drugs that increase the brain's ability to tolerate the lack of oxygen supply.

If there was a thrombosis Thrombosis - the cause of heart attack and stroke   receptacle assigned treatment promotes dissolution of thrombus. To reduce platelet aggregation properties (the ability to stick with the subsequent formation of blood clots) as part of a treatment prescribed drugs containing acetylsalicylic acid (eg cardiomagnil).

When violations of blood flow in large vessels (carotid or vertebral arteries) can be carried out surgical treatment of ischemic stroke. Most often in such cases, the clot is removed from the vessel (thrombectomy).

The fourth and fifth stages

At these stages the treatment is carried out in the offices of neurological rehabilitation treatment in the clinic and in the sanatorium. Rehabilitation of patients after ischemic stroke is carried out individually and depends on what kind of changes have occurred in the patient's body during a stroke.

In addition to medical treatment in the complex treatment includes physiotherapy, reflexology Reflexology - a policy of non-drug therapies , Physiotherapy, massage. Spa Treatment Policy Pay only when the patient's condition is stable and does not bode recurrent strokes. In order to restore health in sanatoriums such patients prescribed water and mud treatments, exercise stress, widely used climatotherapy.

Treatment of ischemic stroke for a long period, but to restore health in most cases still possible.

Galina Romanenko

Treatment after microstroke should start as early as possible in order to prevent the development of full-scale stroke. But the problem is that the symptoms microstroke often goes unnoticed, or they simply do not pay enough attention.

The main therapeutic measures after microstroke

A patient with minor strokes, if you managed to fix the symptoms of the disease should be immediately hospitalized and examined, after which he must be assigned adequate (in line with the abuses and primary diagnosis) treatment.

The objectives of such treatment includes therapy of microstroke consequences and prevention of possible development of a full stroke. For this purpose, it appointed medical treatment, if necessary - physiotherapy, reflexology Reflexology - a policy of non-drug therapies . As soon as possible and try to enter the complex of medical gymnastics. But most importantly - patients are encouraged to completely change the lifestyle and dietary patterns.

Medication

Drug treatment is aimed at treating the underlying disease that caused the cerebral circulation. Atherosclerosis appointed vasodilators (they increase the blood flow to the brain), nootropics (the main action of these drugs is aimed at improving the metabolism in the brain cells and a decrease in their oxygen demand, which leads to improvement of higher brain function), drugs that reduce rolling capacity of the blood (prevention of blood clots).

To restore the normal blood flow in the brain is also required to identify and treat a variety of disorders in the cardiovascular system - primarily cardiac arrhythmias and high blood pressure (BP).

Microstroke often accompanied by emotional and motor excitation, which requires the appointment of sedatives. In the presence of depression Depression - a little more than a bad mood   prescribe antidepressants. Of great importance is a dream - it is governed by a walk in the fresh air before going to bed Dreams: how to understand our dreams   and if it is ineffective, - hypnotics.

Drug-free treatment

If after microstroke were minor residual effects in the form of a weakness of limbs, blurred speech, and so on used techniques such as reflexology (a special effect on the point on the surface of the body associated with the various organs and tissues) and physiotherapy. But this treatment is more related to the reduction.

Changing your lifestyle and daily routine after microstroke

When microstroke it is no less important than medication. Once the patient's condition improves, that is, the main symptoms are not just minor stroke but the disease calling it (such as lower blood pressure), patients are encouraged to gradually increase physical activity. This is vital, since it is a sedentary lifestyle contributes to increased thrombosis and cerebrovascular accidents.

At first it can be a leisurely short walks several times a day in conjunction with the rest. Especially recommended such a walk before bedtime to improve sleep. Over time, added to walk various complexes of therapeutic exercises.

In the day of moderate exercise must be combined with good rest, including at night.

Changes in the diet

No less important is the change of the regime and diet. This is especially important in atherosclerosis, when the body is impaired cholesterol metabolism. As is known, cholesterol - a substance vital to the human body for proper metabolism Metabolism: The basis of life of all living things As it participates in many biochemical reactions. This so-called "useful" cholesterol, which body receives from vegetable oils rich in unsaturated and polyunsaturated fatty acids.

But there is also the "harmful" cholesterol, which is formed in the body of the saturated fatty acids contained in the fat meat. It is from this form of cholesterol plaques are deposited on the walls of blood vessels and reduce their lumen.

Patients after microstroke recommended to replace animal fats in the fats found in vegetable oils. In addition, such patients should eat more vegetables and fruits, low-fat dairy products, including sour milk, cottage cheese.

Matters and diet: eat more and better in small portions - so food is better digested and absorbed by the body. The best is eating 4-5 times a day.

Treatment after microstroke - it's basically a survey, detection and treatment of the underlying disease, which led to the cerebral circulation. Therefore, a healthy lifestyle is part of the comprehensive treatment of this disease.

Galina Romanenko