Recovery after ischemic stroke
Recovery after an ischemic stroke is a lengthy procedure that requires the right approach. This is a disease that develops with local or general vascular damage. The causes of the development of pathology are diabetes mellitus, hypertension, blood diseases, atherosclerosis, heart failure, etc.
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Complications
Pathology is a serious disease that leads to persistent neurotic and psychological complications. People do not have the opportunity to serve themselves and communicate in society. After pathology, there are violations in the coordination of movements of certain muscle groups. Some of them are paralyzed, which leads to the impossibility of performing movements.
Pathology leads to violations of the emotional-speech and cognitive spheres. Speech is impaired in patients, so they cannot express their thoughts, which leads to the development of depressive conditions. The pathological process causes violations of sensitivity and vision. Patients are diagnosed with the development of the syndrome of lesions of the nerves of the skull. Patients have epileptic seizures. After pathology, the occurrence of pathologies of the pelvic organs is diagnosed. The patient often falls, which is accompanied by soreness, which occurs if the ventral nucleus of the thalamus is damaged.
Persistent neurological defects lead to impaired abilities. A person cannot talk, walk, and take care of himself. A person cannot independently dress, eat, maintain personal hygiene, use the toilet and bath.
The consequences and recovery after ischemic stroke are interrelated concepts. When choosing the tactics of renewal, the degree and characteristics of the lesions are determined.
Features of the post-stroke period
Rehabilitation after an ischemic stroke in a hospital is carried out to restore motor, speech, and psychological disorders. It is recommended for the prevention of complications, which include bedsores. Patients are diagnosed with reduced mobility in the joints. Pathology is accompanied by acute blockage of blood vessels in the lower extremities. Against the background of an attack, inflammation of the lungs or infectious processes in the urinary tract develop.
Recovery after ischemic stroke of the brain should be carried out according to the therapeutic regimen, which is developed for patients individually. When developing it, the nature of the pathology, the presence of clinical symptoms, the age of the patient and the presence of concomitant diseases of a somatic nature are taken into account. There are such stages of recovery of the body after an ischemic stroke:
- Spicy. Its duration is 21-30 days after the attack.
- Early. Duration - six months.
- Late. 6 months - 1 year.
- Residual. Begins after a year after the attack.
Recovery and treatment after an ischemic stroke consists in teaching the patient to talk, walk, and take care of himself. It requires not only the restoration of impaired functions, socio-psychological readaptation, symptomatic therapy and prevention of relapses.
Diagnosis, treatment, rehabilitation and prevention of ischemic stroke should be comprehensive, which will reduce the likelihood of a recurrent attack. Whether it is possible to fully recover from an ischemic stroke depends on how systematically and step by step the techniques are applied. Also, this factor depends on the participation of relatives and friends in this process.
Rehabilitation after ischemic stroke requires the coordinated work of specialists from various industries. Doctors hold a meeting at which they jointly develop an effective treatment regimen. This takes into account the severity and area of the lesion, as well as the individual characteristics of the patient, which will ensure the earliest possible resumption.
Recovery of movements
Rehabilitation after an ischemic stroke of the brain is aimed at eliminating the passivity of the muscles and their numbness. With these pathologies, strength is reduced and mobility in the arms and legs is limited, sensitivity and tone are disturbed. It requires adequate and timely treatment of neurological defects. Before recovering from an ischemic stroke, which will allow you to choose a technique. Patients are prescribed physiological methods of therapy:
- Physiotherapy;
- Kinesiotherapy;
- Reflexology;
- Manual therapy;
- Massage;
- Biological management.
Recovery after an ischemic stroke at home and in a hospital requires the use of physical gymnastics or physiotherapy exercises. Patients are prescribed drugs for recovery after ischemic stroke - neuroprotectors, vasoactive drugs. With their help, psychogenic disorders are excluded - depressive states.
Due to the complex of physical exercises, the volume of movements increases, the increased muscle tone normalizes, and the ability of voluntary muscle movements increases. After that, a person is taught to stand, walk, serve himself in everyday life. Acute and early recovery after ischemic stroke on the left side require passive movements that stimulate the appearance of active movements. This helps to prevent contractures, improve lymph and blood circulation, and reduce muscle hypertension. Gradually, active movements are added. During these periods, the patient begins to be taught to sit, stand, walk, serve himself.
Rehabilitation after ischemic stroke at home in the late recovery period, exercises are performed that improve walking skills. The patient exercises a stable upright posture. During this period, balance therapy is carried out.
Correction of speech disorders
Restoration of speech after ischemic stroke is an important aspect, as it contributes to full social adaptation. In order to restore the emotional and psychological state of the patient, he needs to learn the skills of communicating with other people.
Restoration of speech should begin only after an accurate diagnosis has been made. Changes may manifest as sensory aphasia or motor dysfunction. How to restore speech after an ischemic stroke depends on the form of violations and is determined by the doctor on an individual basis.
Carrying out neurotherapy
The recovery period after an ischemic stroke consists in the use of neurotherapy. After an attack, a person develops serious brain disorders. This body has a flexible structure and is capable of renewal. This is a long period, therefore, after a hospital, rehabilitation after an ischemic stroke is carried out at home. The uniqueness of HB is that healthy cells replace the functions of the affected ones.
In order to avoid deep disability after ischemic stroke, recovery requires early neurotherapy. This procedure provides a gradual return of a person to a normal life. During therapy, skills are relearned and new ones are taught. The technique allows you to restore abilities, adapt to the appearance of physical, emotional, social consequences.
Restoration of vision
In a pathological condition, circulatory disorders are observed in different parts of the brain, which are responsible for the work of various organs and systems. After an attack, only part of the optic nerve is diagnosed. For example, the patient does not see objects that are to the right or left of him. In some cases, strabismus develops. Patients complain of a feeling of sand in the eyes. After an attack, the movement of the eyeballs is disturbed, which leads to double vision.
Restoring vision after ischemic stroke requires an individual approach. The patient is prescribed drug therapy, surgery, gymnastics and eye exercises. If the patient's accommodation and focus are disturbed, then this is subject to full renewal. When visual fields fall out, it is often not possible to correct this, but over time, people stop noticing this defect.
Features of psychological and social therapy
How much you need to recover from an ischemic stroke depends on the patient's condition. He is recommended to select a set of therapeutic measures that include the psychological and social sphere. Recovery and the consequences of ischemic stroke are interrelated concepts. That is why, after treatment in the clinic, rehabilitation after an ischemic stroke continues in a sanatorium or at home.
Experts believe that most patients with the right approach can be returned to a full life. Recovery after an ischemic stroke on the left side requires providing a favorable psychological environment, which will accelerate physical and emotional-psychological recovery.
During the recovery period after an ischemic stroke on the right or left side, the use of appropriate methods of socio-psychological therapy is recommended:
- Group therapy. This method consists in communicating the patient with people who are also recovering from an attack. When communicating, patients look for methods to solve emerging problems and are inspired by each other's achievements.
- individual psychotherapy. It consists in working with a patient by a qualified specialist who selects a method for eliminating a traumatic situation. They help patients change their attitude to the situation, the disease itself and the changes in his body that occur against its background.
- Autogenic training. The psychologist uses special techniques, thanks to which a person gains self-confidence and the desire to recover intensively.
- Family therapy. Psychologists help to establish intra-family relationships. They advise all family members and give recommendations on how to behave with the patient.
On the part of relatives and friends, there should be a gentle and patient attitude to eliminate depressive states and crises. When communicating with the patient, you need to tell him that, despite the deterioration in the quality of life, nothing threatens her. A positive attitude speeds up the healing process.
Treatment of comorbid disorders
Only a doctor who preliminarily determines the patient's condition using modern diagnostic techniques knows how to quickly recover from an ischemic stroke. After an attack, therapy of the whole body should be carried out. It is not recommended to ignore any violation in the human body.
The focus of infarction in the region of the cerebellum and the bridge is diagnosed with an acute disorder in the cerebral circulation, the cause of which is an embolism of the superior or inferior cerebellar artery. With this type of pathology, there is:
- Paresis of mimic muscles;
- Dizziness;
- Noise in ears;
- Nausea;
- Vomit;
- Cerebellar ataxia.
Whether recovery from ischemic cerebellar stroke is possible depends on the techniques chosen. If the focus of infection is located in the cerebellum, then in the course of therapy, impaired coordination of movements is restored, walking function is normalized, and defects in facial muscles are restored. This type uses individual kinesitherapy complexes, biofeedback method, selective massage, balance training.
After an attack, the appearance of astheno-depressive syndrome is diagnosed, which combines depression and loss of appetite, increased fatigue, exhaustion, inability to withstand physical and mental stress for a long time.
With asthenia and depressive disorders, recovery from an ischemic stroke on the left side requires individual therapeutic exercises. At the same time, additional breaks are taken. Astheno-depressive disorders are restored with the help of massage, work with psychologists. Patients are prescribed Piracetam, nootropics, antidepressants.
The passage of an early recovery period is recommended in stationary conditions. After that, a neurological sanatorium is recommended, in which all disorders are restored - motor, vestibular, neuropsychopathic syndromes, as well as sensitivity disorders. For this, physiotherapy, exercise therapy, drug treatment, reflexology, mud therapy are used.
Whether full recovery from an ischemic stroke is possible depends on the extent of the injury and the health of the individual. The choice of methods used is carried out by the doctor in accordance with the indications. Recovery time after ischemic stroke also depends on these factors. It can last several months or 2-3 years. A person must strictly adhere to his recommendations, which will positively affect the effectiveness of therapy.