Successful recovery after a stroke depends on a number of factors, so it is almost impossible to predict the outcome. Nevertheless, if the focus of brain damage is not extensive, is not localized in critical areas, and rehabilitation began on time, then the prognosis is quite favorable. At the same time, properly designed rehabilitation therapy is a very important component of success.

The greatest chances for a full recovery after a microstroke, but even with more complex lesions, do not despair. There are many rehabilitation programs, thanks to which one can hope not only for the restoration of speech and motor functions, but also for a return to a socially active life.

In modern neurology, physiotherapeutic rehabilitation procedures, medications and psychological assistance are used to restore stroke patients. Various techniques and exercises are aimed at regaining lost abilities to the maximum extent.

Basic rehabilitation methods

What specific methods are indicated for recovery in the post-stroke period depends on the type of stroke, the location of the lesion, the patient's condition, his age, and psychological state. The main thing is to start rehabilitation measures as early as possible, preferably in the first days after the attack, if the general condition allows it. The earlier medical assistance is provided and rehabilitation measures are started, the more chances there are to recover from a stroke.

Physical rehabilitation

Physical rehabilitation is aimed at restoring motor activity and includes various methods to achieve results. The recovery complex is selected individually, depending on the severity of the condition and specific goals.

• Physiotherapy exercises are used already on the first day after a stroke. Different types physical exercises will help to eliminate neurological disorders at any stage. They allow you to reduce the tone and increase the motor amplitude of the affected limbs, restore movement and prepare for walking.
• If the patient can already move independently, then walking is necessarily included in the complex of daily activities.
• Of great benefit can bring various simulators designed specifically for recovery purposes. Classes on simulators help to develop muscles, but with a spastic syndrome, they may be contraindicated.

Kinesiotherapy

Kinesitherapy is an important part of physical rehabilitation. It includes a whole range of treatment procedures designed to improve joint mobility, strengthen muscles and reduce their spasticity. For these purposes, in particular, apply:

• gymnastics (active and passive);
• massage;
• position fixation;
• physiotherapy, etc.

Medical and phytotherapy

Treatment of a post-stroke state involves the use of medications that not only improve the patient's well-being, but also help accelerate recovery processes.

Drugs prescribed in the post-stroke period are designed to improve the blood supply to the brain and metabolism in brain cells. They are taken strictly according to the prescribed scheme. Some medications are taken only if an ischemic stroke has been suffered (in particular, blood thinners). After a hemorrhagic lesion, they are categorically contraindicated, since they can provoke a second hemorrhage.

Tablets can also be used to reduce muscle tone, reduce the excitability of the nervous system, antidepressants. Folk remedies have proven themselves well in this regard. Herbal teas, tinctures, decoctions enhance the effect of medicines. They can be used as a tonic, tonic or, conversely, a sedative medicine. There are also many recipes. traditional medicine for outdoor use.

However, before starting treatment with any folk remedies consultation with a doctor is vital, since uncontrolled use of herbal preparations in the post-stroke period can cause irreparable harm.

Psychological rehabilitation

Recovery time after a stroke largely depends on the psychological attitude. The range of emotions that a patient can experience in a post-stroke state is extremely wide. Very often depression develops, there is a decrease in mental activity. Reduced emotional background accompanied by irritability, irascibility, tearfulness.

The condition of patients who developed apathy as a result of the disease improves especially slowly. They become indifferent to their condition, may refuse medical procedures. It is important to understand that a person in the post-stroke period can experience great suffering from his helplessness, so you need to show maximum patience. Perfect option- this is when a professional psychologist works with a patient. Special exercises and techniques used in this situation will help you get out of vicious circle. You may also need to take antidepressants.

Speech restoration

For patients with impaired speech, fine motor skills, cognitive processes, neuropsychological rehabilitation programs are individually selected. To restore speech, you will need classes with a speech therapist-aphasiologist. The exercises in these classes will also help restore the ability to read, write, and count if they have been lost. To improve results, relatives should constantly talk with the patient. This is especially useful if a lack of understanding of someone else's speech is added to the inability to express thoughts verbally.

Memory recovery

Memory loss after a stroke in patients varies and can have a wide variety of manifestations:

• verbal violation, in which the patient cannot remember the names of loved ones, the names of objects in the environment;
• visual impairment when memory for faces is lost;
• false memories - the patient "remembers" events that never happened to him in reality;
• general memory loss, in which the patient cannot remember almost anything.

Daily training (memorizing poems, viewing old photographs, etc.) helps to restore memory, but sometimes this process can take a long time even with minor violations.

Additionally, the doctor may prescribe the use of nootropic drugs in large doses and long courses.

Ergotherapy

Occupations in ergotherapy adapt the patient to life with lost physical abilities. This makes it possible to quickly return to self-service and work. With the help of an ergotherapist, specific problems of a particular patient are solved. For example, they are trained in how to hold a spoon, fasten buttons, and dial a phone number.

Mental physical education

Mental physical education is an important part of the physical rehabilitation complex. Mind exercises train muscle memory. This technique, among other things, contributes to the restoration of the speech apparatus, since the patient mentally pronounces commands for the muscles.

Post-stroke consequences

Both ischemic stroke and hemorrhagic stroke can lead to very unpleasant consequences. The most dangerous are coma, complete hemiplegia and paralysis of the eye. Adverse signs include urinary incontinence, which is usually accompanied by genitourinary infections. Possibly impaired kidney function. Quite often, cardiac complications develop, especially in patients with coronary heart disease, epilepsy, cerebral edema. Pneumonia is lethal during this period, as well as vascular thrombosis, which usually develops unnoticed.

Among the milder secondary complications that do not pose a threat to life, the following are most often noted:

• bedsores;
• contractures;
• convulsive syndrome;
• muscular dystrophy.

Typical for the post-stroke state are motor, speech disorders, amnestic aphasia. Patients may lose the ability to write and read.

The degree of severity of post-stroke complications is affected by the extent of the lesion and the type of attack. Ischemic stroke, especially in mild form, has less severe complications than hemorrhagic stroke.

But even if a complex stroke has been suffered, the consequences can be prevented (at least partially) with the right therapy and quality care. Therefore, it is extremely important to do everything in the initial period to prevent complications.

For this, various procedures and medicines are used. For example, to prevent increased spasticity, massage, heat treatment, and muscle relaxants are prescribed. With changes in the joints, along with analgesic procedures (acupuncture, laser therapy, etc.), procedures are used to improve tissue trophism - hydroprocedures, applications with paraffin or ozocerite.

Terms of rehabilitation

Recovery time after a stroke depends on the type of stroke and the extent of the injury. Small lesions after an ischemic stroke (such as dizziness, mild paralysis, and incoordination) will take two to three months to fully recover. But already in the first or second month, the functions are partially restored and a general improvement is noticeable.

Severe neurological deficit (discoordination, severe paralysis) with any type of disease requires at least six months for partial recovery. The possibility of a full recovery is limited, and the process may take an indefinite time.

The recovery period after a hemorrhagic stroke is generally longer. But with massive brain damage, regardless of the type of stroke, the recovery time is calculated in years, and it is no longer possible to completely return the lost functions.

Sometimes rehabilitation measures cannot be carried out due to the patient's condition. There are a number of contraindications in which classes need to be postponed or replaced. In particular, for physical rehabilitation, these are kidney failure, acute inflammatory diseases, disorders in the functioning of the cardiovascular system.

If patients have impaired intellectual activity or have mental abnormalities, difficulties may arise with both psychological and motor rehabilitation. However, in any case, you can choose a recovery scheme that will help improve the condition in the post-stroke period.

But it is important to remember that no matter what type of stroke is suffered, and whatever the prognosis, you should not stop rehabilitation procedures. After all, each organism has different resource capabilities, and it is sometimes possible to restore lost abilities in seemingly completely hopeless situations. In addition, such work on oneself is the best prevention of new stroke attacks.

Stroke is a cardiovascular accident.

Each of us can make efforts to minimize the likelihood of its development, but no one can completely eliminate the disease.

The leading risk factor for stroke is age, and, alas, it is impossible to influence it.

But there is also optimistic information: for at least 70% of patients, a stroke does not become fatal.

And this is where rehabilitation comes into play. What does its result depend on?

Three Predictions

Stroke is a disease, the prognosis of which is very difficult to give. Most doctors shy away from promises and unequivocal statements, and they are right.

The development of events depends on many factors, including those that can neither be foreseen nor estimated. The human nervous system is plastic and can literally be capable of miracles of self-healing, including in the case of the most massive lesions. Nevertheless, according to the type of stroke, one can still assume the severity of the consequences.

In an ischemic stroke, there is a blockage of blood vessels in the brain or spinal cord, usually by a blood clot. This leads to oxygen starvation of the part of the brain that is supplied by the affected artery.

The brain reacts sharply to hypoxia - within a few minutes after the catastrophe, cells deprived of oxygen can die. If you inject a drug that dissolves a blood clot in a short time, you can quickly restore blood supply and get by with "little blood".

And yet, even with an optimistic development of events, irreversible ischemic damage to a part of the brain occurs, and the patient will need both time and strength to recover.

Hemorrhagic stroke, in which there is a rupture of the vessel with subsequent hemorrhage, is much more severe than ischemic. His prognosis is more hazy and less encouraging..

However, it does not develop so often: according to statistics, hemorrhagic stroke occurs only in 10-17% of cases.

A transient ischemic attack (TIA) can be mistaken for a stroke, but it is not. The mechanism of TIA development is indeed similar to the pathogenesis of ischemic stroke: it is also based on impaired blood supply to the brain.

However, with TIA, foci of irreversible damage do not form in the brain, which is why it is called a microstroke. In this case, the patient does not need rehabilitation, unlike the two types of real stroke.

When to start and how long to continue?

It is important to start rehabilitation as early as possible: ideally, from the moment the situation stabilizes, when there is no longer a threat to life. As a rule, this happens within 24-48 hours after the disaster.

Starting from this moment up to 6 months after the stroke, the early recovery period continues.

This is the most important time. It is in the first six months that there is a maximum of opportunities for neurorehabilitation.

Often, the functions that could not be returned within these 6 months remain partially or completely lost. Nevertheless, this does not mean that a further recovery program does not make sense. From 6 months to 1 year after the disaster, the late recovery period lasts.

The speed of recovery is purely individual. It depends on age, comorbidities, severity of brain damage, speed and quality of medical care, etc.

The only pattern - the fastest recovery occurs in the first months after a stroke.

So, in about half of cases of ischemic stroke, which led to paralysis of one half of the body, there is a complete or partial restoration of motor function even before discharge from the clinic.

According to statistics, after a stroke:
10% of patients recover completely;
25% after complete rehabilitation have minor problems that generally do not affect the quality of life;
40% of patients have moderate and severe disorders after the recovery period;
· 10% of patients need long-term rehabilitation and care.

Recovery complex

Our body has amazing, sometimes inaccessible to the mind, possibilities.

A few years ago, the results of a resonant study were published. According to them, we can "reconfigure" the brain in such a way that one part of it begins to perform the functions that were "assigned" to the damaged area. And while scientists are not yet able to clearly describe how the “redistribution” occurs, this ability of the brain is certainly good news for both doctors and patients.

Nevertheless, one cannot rely only on the capabilities of the body: after a stroke, the patient will need comprehensive rehabilitation with the participation of several specialists and a combination of restorative techniques.

The specific rehabilitation plan depends on which part of the brain is damaged and how badly. It may include:

・Physical exercises various groups muscles. Their goal is to increase muscle strength and coordination.
Massage, osteopathy and other techniques aimed at normalizing muscle tone and restoring motor function.
Physiotherapeutic techniques that increase muscle tone, for example, electromyostimulation.
· Speech therapy exercises. Speech disorders, which occur in 20% of people who have had a stroke, require intensive sessions with a speech therapist (at least 5 hours a week).
· Psychological support. According to statistics, during the first year after a stroke, 25-40% of patients develop depression. In such situations, both drug therapy and psychological help are needed.

And, of course, every person who has suffered a stroke needs the support and love of loved ones, which are subject to real miracles, sometimes surpassing the results of the most modern recovery techniques.
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1. Dobkin B. H. Rehabilitation after stroke // New England Journal of Medicine. 2005; 352(16): 1677-1684.
2. Zeiler S. R. et al. Medial premotor cortex shows a reduction in inhibitory markers and mediates recovery in a mouse model of focal stroke // Stroke. 2013; 44(2): 483–489.

Marina Pozdeeva

Photo depositphotos.com

A stroke takes you by surprise and makes adjustments to a person's life. Often the patient has to learn to walk again, talk and adapt to changes in the body. Most people, faced with the consequences of a stroke, feel helpless and think about what their life will be like after a stroke.

How to live a full life with a stroke

Cerebrovascular disease is a change in cerebral vessels and impaired blood flow in the brain. The consequence of these diseases is a stroke.

Stroke affects people in different ways. In 100% of cases, rehabilitation of the patient is required, regardless of the level of brain damage. It is important not to give up and start rehabilitation as soon as possible. A complete cure is not always possible, but patience, help and support from loved ones can help you adapt and gain some independence.

With minor brain damage, the patient will have to give up bad habits and hard work, change the diet, but this will not significantly affect his life.

In case of severe injuries, patients will have a long and difficult rehabilitation. In such cases, a person sometimes loses some of the skills and functions of the body. Even if a person cannot return to the previous level, with the help of proper rehabilitation it is possible to adapt to changes in life.

Hemorrhagic and ischemic strokes: which one is more dangerous?

Hemorrhagic stroke accounts for about 20% of all cases of stroke and is the most severe and dangerous, since it causes rupture of cerebral vessels, hemorrhage into the cranial cavity, development of hematoma and cerebral edema. The death of brain cells occurs in a matter of minutes.

This type of stroke is fatal in 50-60% of cases. About 70% of survivors are at risk of becoming disabled. With this type, the entire period from the moment of impact to 2 weeks after it is considered critical days. During this period, the probability of death is the highest.

Ischemic stroke is the most common type of stroke. It accounts for about 80% of cases. It is a violation of blood flow in any part of the brain due to blockage of blood vessels (the vessels remain intact). Due to blockage, there is an acute shortage of oxygen and nutrients in the brain cells, due to which the cells die. This type leads to the death of patients in 20% of cases.

Stroke periods:

1. Acute: first 4-5 hours.
2. Acute: 14-20 days.
3. Early recovery period: 3 to 6 months.
4. Late recovery period: from 6 months to a year.
5. Long-term action period: 12 months from the onset of the attack.

The help and support of relatives is an important factor for recovery

A stroke dramatically changes the life of the patient, his family, companion and friends. A person is physically limited, cannot express his feelings, it is difficult or impossible for him to speak. A patient who has had a stroke is like a child - he has to re-learn many things: take care of himself, walk, pronounce words.

Home care focuses on recovery and prevention of re-strike. Be patient and kind to the patient. Approve and support him. The help of relatives is important for a person.

Involve other family members and friends who can help. Remember, that:

• Excessive guardianship and care become a hindrance - it is important that a person try his hand, even if at first it does not work out well for him.
• Show a person that he is still important, consult with him, talk, include him in family life, make plans for the future.
• Speak slowly and calmly.
• Do not avoid issues that concern him, such as life and death.
• Monitor the patient's condition: he should eat right, diet, exercise and take medication.
• Stay optimistic, even if it's hard for you.

Depression after an illness

Post-stroke depression (PID) is the most common psychoneurological consequence of a stroke. Between 30 and 50% of survivors suffer from some degree of PID, which is characterized by lethargy, irritability, sleep disturbances, and low self-esteem.

Depression reduces motivation, slows recovery, and reduces survival. Some have mild emotional instability, but most suffer from severe depression. Emotional problems after a stroke may be due to damage to brain cells or due to difficulties in adapting to new conditions.

A stroke can lead to long-term or complete disability. This is especially true for the elderly. Some of the physical handicaps that can result from a stroke, including muscle weakness, pneumonia, difficulty doing daily activities, mean a loss of independence and need for caregiving for a person, which can lead to depression.

The main reasons for the appearance of PID:

• an initial predisposition to depression, which the stroke only exacerbates;
• reaction to the changes that have occurred - the patient has a feeling of helplessness and uselessness;
• damage to brain cells due to oxygen starvation or the consequences of a brain hemorrhage, a violation of the nervous system;
• lack of support from family and friends.

Exercises for the Stroke Survivor

A person who has had a stroke should try to do the exercises on their own, because. his future life depends on it. Muscles and joints need movement to stay in shape. And mental exercises will help the brain recover faster.

Exercises for a person who has had a stroke:

1. Train your facial muscles in front of a mirror: puff out your cheeks, push air from one cheek to another, stick out your tongue, show your teeth, smile, laugh, wrinkle your forehead.
2. Flexion-extension, rotation of the limbs, clenching the hand into a fist, swinging the arms and legs. Be careful and do not overwork the person.
3. If a person used to love to sing, then try to sing along with him. Some people can sing after a stroke even if they can't speak, because singing and speaking are in different parts of the brain.
4. Breathing exercises. Exhale air through closed lips or through a tube into the water. As your strength grows, you can try blowing up balloons.
5. Talk and discuss the news, ask for his opinion.

Life expectancy after a stroke

While treatment and rehabilitation options are improving every year, stroke is still one of the top three causes of death worldwide. A stroke survivor is still at risk due to the risk of another stroke.

Factors affecting life expectancy:

• patient's age;
• focus and site of brain damage;
• giving up bad habits, healthy eating, pressure control, exercise;
• the formation of blood clots and blockage of blood vessels, which is especially common in patients with paralysis;
• stress.

Rehabilitation

You need to start rehabilitation as soon as possible. The severity of stroke complications and each person's ability to recover varies greatly. People who participate in a targeted rehabilitation program feel much better than people who do not have it. The recovery program is compiled taking into account the specifics of the case, so it is impossible to talk about the exact timing.

The main goal of rehabilitation is to improve the patient's condition and prevent re-stroke.

Rehabilitation includes:

1. speech therapy: speech rehabilitation program;
2. physiotherapy: exercises to strengthen muscles and coordinate movement;
3. occupational therapy: helps a person improve the ability to perform routine daily activities such as bathing, cooking, dressing, eating, and reading;
4. support from friends and family;
5. proper nutrition.

Healthy approach to nutrition

The diet includes consumption a large number fruits, vegetables, whole grains and nuts. There is a restriction of intake of cholesterol and saturated fats. You need to minimize your salt intake to maintain healthy blood pressure.

Must be eaten:

• Lots of vegetables and fruits contain antioxidants that can help reduce damage to blood vessels. They also contain potassium, which helps control blood pressure. Fibers from fruits and vegetables lower cholesterol levels. Folic acid, found in greens, reduces the risk of a second stroke.
• High-fiber cereals such as rice, pasta, oats, and barley.
• Lean meat and poultry, fish, eggs, nuts, seeds, legumes.
• Milk, yogurt, low-fat cheese are a source of potassium along with calcium.

Limit consumption:

• Foods high in saturated fat - cookies, cakes, pastries, pies, meat products, pizza, fried foods, potato chips.
• Foods that contain mostly saturated fats are butter, cream, coconut and palm oils.
• Salty foods that increase blood pressure.
• Drinks containing sugar: soft drinks and liqueurs, sodas and energy drinks. Too much sugar can damage blood vessels.
• alcohol.

Sometimes it is difficult for the patient to swallow or chew food. Food should be easy to swallow and soft. Do not cook viscous food for the patient, such as jam, jelly, bananas - they can choke. Food should be cut into small pieces and not given in solid form. Chew on the healthy side of your mouth. Cups and cutlery should have thick handles to make them easier to handle.

Withdrawal from medication

Some patients refuse to take medication. There may be several reasons for this:

• the person feels well and does not see the need for medicines;
• the medicine caused a side effect;
• laziness, unwillingness to change habits and follow the routine;
• disappointment from the lack of a quick result.

No matter what form of stroke a person has suffered, their brain is faced with irreversible consequences that can lead to a second attack in the future. The purpose of taking medications is to prevent the spread of the lesion to healthy brain cells, to prevent a recurrence of a stroke, and to restore damaged areas of the brain.

It is necessary to explain to the person that without taking medication, his life is in danger. Some drugs do not have a visible clinical effect, but keep the body normal (for example, drugs that reduce blood pressure). Recovery is a long process that requires patience and perseverance.

Statistics of life after a stroke

Stroke is one of the three most common causes death of people.

Every year, about 12 million strokes are recorded in the world, of which 6.2 million end in death. The United States accounts for 795,000 cases, in Germany 270,000 have been registered. In Russia, this figure is 450,000 people, of which 35% die.

Mortality largely depends on the type of stroke. With hemorrhagic, up to 60% of people die. In the case of ischemic, this figure is 20%.

Women are less likely to experience this disease than men, but the percentage of deaths in women is higher. Men are 30% more likely to have a stroke, but die less often than women.

How younger man, the higher his chances of survival and recovery. Elderly and elderly people have the lowest chances of recovery. According to statistics, after 80 years, almost 70% of patients die. 50% of the survivors die within a year, because the cells of their body are no longer able to quickly recover. Stroke is one of the leading causes of long-term disability in the adult population.

Dementia is diagnosed in 10-30% of stroke survivors.

It is important to try to exclude a second stroke, because. the mortality rate from re-strike is 70%. Secondary stroke affects 10-15% of people within a year. In the first 5 years, it is diagnosed in 25% of women and 45% of men.

A stroke at any age requires recovery, much depends on its type, extent and localization.

After a stroke, the patient often experiences memory problems. His eyesight deteriorates, the ability to navigate in space and move around is lost.

Your attention is an article about the timing and measures for recovery after a stroke, how rehabilitation is going on in a hospital and at home, and how much time is needed for this.

Recovery can proceed in different ways, the main secret lies in the regularity of the recovery activities. In this case, the supervision of a doctor is mandatory, only he can prescribe drugs, regulate the level of physical activity and change the rehabilitation program.

In big cities there are departments at hospitals, special rehabilitation centers, sanatoriums of a cardiological or neurological profile.

How long does it take, how long does it take

How long does rehabilitation after a stroke take? Recovery can take place in different ways, some patients take a couple of months, but in most cases the process takes much longer, sometimes it lasts several years. A person should be result oriented it is recommended to start rehabilitation measures as early as possible.

The maximum effect is observed in the first three months, daily exercise will help to avoid a second stroke.

Rehabilitation - what is included in it

Recovery requires the involvement of a large number of specialists and the use of various means. This is due to the fact that it can affect any part of the brain, as a result, a person loses important functions. The patient may lose memory, hearing, vision, he may be struck by complete or partial paralysis, there is a high probability of dementia.
The recovery process requires the participation of the following specialists:

• physiotherapist- helps to restore movement skills;
• occupational therapist- helps with eating, dressing, bathing and other daily activities;
• speech therapist- Responsible for the restoration of speech and swallowing function.

If necessary, other specialists can be involved, regular communication with the doctor will ensure that the rehabilitation plan after the stroke is adjusted.

After a stroke, such important skills of swallowing, speech, vision, movement, etc. are lost. It is very important not to despair, but to regularly follow the doctor's instructions.

Resumption of swallowing

After a violation of blood circulation, there may be problems with chewing, saliva production, and swallowing. As part of rehabilitation therapy, special exercises involving special muscles. In order to simplify the process, food that is easy to chew and swallow should be selected.. All meals must be normal temperature not too hot/cold.

Speech

The larger the affected area of ​​the brain, the more difficult it is to restore speech. Throughout the year, positive results are still achievable, but over time, the processes slow down.

Relatives should treat the patient with maximum attention, he should not be left to himself, communication is very important.

Classes to restore speech should begin as early as 1-2 weeks, when the patient will be able to endure emotional and physical stress.

In the classroom, the specialist works with cards and primers, the patient learns to pronounce letters and words again.

Vision

As part of the recovery, special gymnastics is widely used, special preparations will also help restore vision.

Memory

Memory recovery it is recommended to exercise after the likelihood of a recurrent stroke is removed. In addition to taking medications (nootropics), functional and restorative treatment is indicated, within the framework of which memorization skills are constantly trained.

The patient can memorize poems, phone numbers, high efficiency is also shown board games puzzle type.

motor functions

As part of the recovery, methods such as electrophoresis, massage and other procedures are used to prevent stagnation of blood circulation and muscle atrophy. Physical therapy plays an important role many exercises the patient can do even lying down. First, with the help medical workers learns to turn from side to side, lower and raise hands, perform other manipulations.

Watch a video about the resumption of motor functions after an illness:

fine motor skills

With high mobility, it is recommended to develop fine motor skills, for this you need to turn over cards, write, draw, solve puzzles, play the piano, collect change, fasten buttons, play checkers, wring out washcloths, print texts, etc.

Depression

After the loss of basic skills, the patient often becomes depressed, especially if this happened at working age. The support of loved ones is often not enough, the help of a psychologist or psychiatrist is required.

Help improve mood physical activity, doing household chores, communicating with grandchildren, children. The patient should not feel like a burden, a hobby is a good motivation.

Preparations

Taking medications plays an important role, the following medications help to restore the body:

• improving cerebral blood supply- cerebrolysin, cavinton, pentoxifylline;
• affecting metabolic processes in the brain- cortexin, ginkgo-fort, cinnarizine, solcoseryl, actovigen, ceraxon;
• nootropics- lucetam, noofen, piracetam;
• combined- thiocetam, neuro-norm, phezam;
• other- andidepressants, herbal teas, medicinal plants, sirdalud, glycine.

Home improvement

Changes need to be made in the apartment, which will help to increase safety and comfort, there should be no carpets and high thresholds in the room. It is recommended to purchase a special bed with sides to avoid falls. Handrails and railings are necessary so that the patient can move around, important role playing good lighting.

Description of all stages

Recovery consists of three stages

resuscitation period

In the first few days after a stroke, the patient should be in intensive care until the threat to life disappears. During this period, bed rest is indicated, any motor activity is prohibited..

The menu should include dairy products, fruits and vegetables. The patient must be under constant supervision.

Stationary

In the first month, inpatient treatment is recommended, rehabilitation is aimed at returning activity. The patient must take drugs, physical exercises, massage are indicated. During this period, the patient should begin to realize that scientific methods will help him recover. At this stage, you have to re-learn to smile, nod, move your leg and arm.

After discharge

The patient begins to recover according to the method developed for him, at this stage the help of loved ones is indispensable. They should monitor the correctness and regularity of the exercises performed, provide psychological support.

, indications, contraindications and rules for preparing for the procedure. All details in a separate article.

Did you know? that magnetic resonance angiography of the brain makes it possible to learn about the state of the vascular ring of the cerebral hemispheres, regional arteries in the cerebral cortex, cranial sinuses and veins? About it - .

And what is coronary angiography of the heart - you will find out by clicking.

After a relapse

With a repeated stroke, medical practice does not differ, the patient is admitted to the hospital, if necessary, antihypertensive drugs are administered intramuscularly or intravenously.

Recurrent hemorrhagic stroke requires hemorrhage to stop, the patient is given etamsilat, vikasol, aminocaproic acid.

In case of recurrence of ischemic stroke, vasodilating drugs (complin, papaverine, aminophylline) are prescribed.

Recovery from a repeated stroke takes longer, after discharge, a neurologist's observation is mandatory.

A psychotherapist should be involved in rehabilitation, as patients often fall into depressive states.

The recurrent stroke patient should be trained in relaxation techniques. Special classes are aimed at recovery psycho-emotional state which helps speed up recovery.

Otherwise, the recovery period is practically the same, breathing exercises play an important role, their implementation helps to reduce pressure and treat hypertension. A simple exercise will also help restore the body, special attention should be paid to nutrition. Peppered, salty and spicy dishes should be excluded from the diet, with a stroke, it is recommended to steam.

At the end of your attention an interview with a rehabilitation doctor: