Paralysis of the right side after a stroke

A stroke is a pathological condition, accompanied by an acute violation of the blood supply to the brain, which in the future leads to irreversible consequences, including death. Paralysis of the right side of the patient's body is the most common complication of stroke. This condition means that the focus of the brain lesion is in its left hemisphere. Recovery after a stroke, after which the right side was paralyzed, is considered a feasible task. However, the success of rehabilitation depends on the timeliness of the diagnosis and the patient's compliance with the doctor's recommendations.

Manifestations of paralysis of the right side

If a person has paralysis of the right side of the body, then this condition is manifested by the following symptoms:

• the right limbs have a pronounced weakness, and the patient himself uncertainly owns them;
• the right side of the face becomes less sensitive, and this is due to damage to the nerve endings;
• there are speech disorders and memory problems, and with a severe lesion of the left hemisphere, the patient has to learn to speak and write again;
• the muscles of the right side of the face are in a strong tone, because of which the person has problems with chewing and swallowing food.

If the patient's right side is paralyzed after a stroke, the prognosis of the further state of the body and the restoration of lost functions depends on the extent of the damage to the left hemisphere. Therefore, the duration of the rehabilitation period can be different - from several months to several years. If you take a set of measures to rehabilitate the patient, you can achieve the resumption of the lost functions of the body.

How to recover from paralysis?

The recovery program after paralysis of the right side depends on the type of stroke. If an ischemic stroke occurs, accompanied by blockage of a cerebral vessel with an atherosclerotic plaque or thrombus, then the tactics of therapy are aimed at eliminating the mechanical obstruction in the vessel and normalizing blood flow.

Hemorrhagic stroke occurs when a vessel that provides blood supply to the brain ruptures, and this phenomenon is accompanied by the appearance of a hematoma. The latter presses on the brain tissue, which causes their swelling. Therapy in this case is aimed at eliminating the hematoma and restoring the functions of neurons.

Elimination of the negative consequences of right-sided paralysis begins with an accurate diagnosis and a thorough assessment of the possible consequences of a stroke. Rehabilitation of a patient who has suffered an acute violation of cerebral blood supply consists of the following stages:

1. Removing the root cause: involves treating the disease that triggered the stroke. It can be hypertension, atherosclerosis or congenital pathology of the brain vessels.
2. Normalization of blood supply to the brain: in case of hemorrhagic stroke, measures are taken to reduce the intensity of blood flow, and in case of cerebral ischemia, blood-thinning drugs are used.
3. Prevention of swelling of the tissues of the organ: the use of diuretics (diuretic drugs) allows you to avoid swelling of the brain.
4. Normalization of body functioning indicators: measures are being taken to normalize blood pressure, lower blood cholesterol levels and eliminate vascular hypertonicity.

All of the above actions are performed in a hospital setting. The length of stay in a medical institution depends on the degree of brain damage and the general condition of the patient. After discharge from the hospital, which occurs after the relief of an acute condition, rehabilitation is carried out at home or in a rehabilitation center. The recovery of the patient after paralysis of the right side is carried out under the supervision of a rehabilitation doctor.

Right side recovery program after a stroke

When the right side of the body is paralyzed after a stroke, any rehabilitation measures begin no earlier than 3 weeks after the relief of an acute condition. Recovery after discharge includes:

• drug therapy;
• exercise therapy and massage;
• physiotherapy;
• work with a psychologist and speech therapist.

Drug therapy is aimed at resuming the full functioning of brain cells. With paralysis of the right side, the following pharmacological preparations are prescribed to the patient:

• drugs of neurotrophic action (nootropics): "Piracetam", "Nootropil";
• angioprotectors: Phlebodia, Aescusan, Troxerutin;
• vasoactive drugs: Nicergoline.

Also, a patient with paralysis is shown vitamin therapy, which involves taking multivitamin complexes, which include B vitamins, as well as polyunsaturated fatty acids. The diet of the patient must be organized so that these vitamins and trace elements are present in the composition of the food that the patient consumes.

Exercise therapy and massage after a stroke and paralysis plays a special role in the process of recovering a patient after an illness. A set of exercises is selected individually, and it depends on the degree of brain damage. Exercise therapy for paralysis of one side of the body begins in the hospital, and physical education includes passive types of physical activity to avoid the appearance of bedsores. Passive exercises are also performed, aimed at relaxing the affected muscles and preparing them for subsequent active loads.

At the first stage of recovery after relief of an acute condition, before all exercises, massage of the limbs, back and chest is performed according to the rules developed by the rehabilitation doctor. Massaging allows you to relieve muscle tension and prepare them for physical exertion. Therapeutic exercise is performed daily several times a day. After the patient can successfully perform exercises in a standing position, walking at a moderate speed is included in the list of daily activities.

Physical therapy for paralysis after a stroke includes:

• magnetic stimulation;
• kinesitherapy;
• neuromyostimulation.

A stroke is a strong shock not only for the body, but also for the psycho-emotional state of a person. Partial or complete loss of working capacity, impaired speech, changes in appearance due to paralysis of the muscles of the face - all this can provoke severe depression in the patient. Regular work with a psychologist will help minimize emotional shock. Also, the success of psychological rehabilitation is influenced by the support of the patient from loved ones.

After rehabilitation

Paralysis of the right side after a stroke may require regular treatment in sanatorium-resort complexes specializing in the rehabilitation of patients who have suffered an acute violation of the blood supply to the brain of varying severity.

All patients who have experienced a stroke complicated by paralysis should regularly visit a doctor, as well as undergo examinations prescribed by a specialist. These measures will allow not only to avoid the recurrence of the disease, but also to track the complications that have arisen after suffering an acute violation of the blood supply to the brain in time.