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Stroke

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									                                     Stroke




A defect sudden blood supply to the brain by one or more of the blood vessels
that feed the brain and cause an imbalance or lack of for the brain to oxygen,
causing damage or disruption to brain cells, and the more she returned blood
supply to the brain faster to normal results are chances of recovery further.



Strokes may be transient and will last up to 24 hours, and may continue more
than that is complete and result in motor impairment.



There are many reasons increase the incidence of exposure to blood clots and
stroke, including:

High pressure.



Diseases of the heart and arteries and irregular heart action.



Diabetes.



Increase in fat, weight and lack of movement.



Smoking.



Use of contraceptives.
Brain tumors.



The main cause of cerebral clots are clots and bubbles vessels in the brain,
brain hemorrhage.



Stroke usually affects middle age and may be developed during sleep or work.
It is natural that the entrance of pharmacological therapy depends on the type
of stroke is it brain hemorrhage or lack of blood supply, but in both cases the
resulting lack of oxygen and therefore congestion and edema, or the so-called
cerebral edema and this is a bad stroke.



In the case of stroke with the exception of clinical tests, we need to confirm its
kind by CT, MRI, EEG to determine the site of infection, cerebrospinal fluid
examination, examination of blood vessels, eye examination.




In treatment should consider the following:

Drugs against epilepsy in the event of it.



Laxatives to prevent constipation, which may increase pressure in the brain.



Painkillers to ease the headache.



Steroid treatment to reduce cerebral edema.
In the case of cerebral hemorrhage prevents the use of aspirin.



In addition to the above it is important to pay attention to the quality of the
food, to avoid tract infections because of the tube urine or lack of control urine
and stool, may accompany infection difficulty in swallowing, which requires
feeding through a tube in the nose, in the case of eating natural attention must
be paid cavity mouth, teeth and clean.



The physical therapy and rehabilitation should be an integrated program of
medical works by the neurologist, a specialist physical medicine and
rehabilitation, physiotherapist, nurses and parents.



This is necessary to the success of the rehabilitative process.



Physical therapy in this case starts since the first days of infection where
permitted:



Wizard starts by moving the parties to the normal patient's upper and lower
in the absence of active movement of the patient, and takes into account that
the movements of all joints, including large and small.



If the movement began in the patient we are working to increase and improve
assistance and later resistance.



Must be patient sitting in bed or on a chair and gradually lost even to two
hours a day if it does not happen after equilibrium.



Work to stop the patient on his feet until the feeling of balance and stimulate
the injured party.



Turn the patient in bed from side to side which reduces the incidence of
ulcers, particularly to the lower back and legs and heels in favor of the use of
air brush for this purpose.



Protect the foot from landing by a pillow or supportive of the foot.



The patient may need to carriers of the shoulder in the first period of injury.



Should motivate the patient to serve the same food and drink, and the training
of the injured party by the right after three weeks to a month period ending
almost inactive, and starts or tensile stiffness in the joints so you should take
advantage of this period in order to get better movement.



Begin teaching the patient to move from bed to chair and vice versa.



In the case of the ability to stand up to start the process of walking on the
parallel which is a key part in the process of rehabilitation.



Is to be noted here that the improvement in the movement begins in the lower
limbs and upper thigh of any movement, knee, foot first and then show the
movement in the shoulder, elbow and finally the hand.



As well as it should be noted that the patient is improving mobility in the first
three months, an average of nearly 80% and continues to improve, but slowly
after that.



Nothing to do with a sense of movement and the extent of the injury.



Brain injury may be accompanied by weight of non-speech or speech,
difficulty swallowing, or rejection of the infected and attention deficit or
depression.



All these problems can be overcome associated with coordination and
cooperation among the medical staff (doctor, physical therapy, nursing) and
encouragement from friends and family.

								
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