Stroke, acute cerebral circulation disorder (bleeding), which causes brain tissue necrosis.
Stroke can be caused by brain nurturing of a vascular (blood vessel) suppressed (ischemia), or rupture (haemorrhage – haemorrhage).
There are 2 types of stroke look:
Hemorrhagic, caused by haemorrhage and ischemic vascular galleria and that the vessel is due to suppressed. Stroke is the most likely to develop such diseases such as hypertension and heart disease (atrial fibrillation, disease, paroxysmal tachycardia), heart failure, cerebral vascular disease. Suppression of vascular ischemic stroke can be caused by: neck large blood vessels and heart valves from atherosclerotic Tartar tore parts; Thrombi arising from harassment on the ground of the blood vessels (vascular spasm long).
Hemorrhagic stroke is different from that in the ischemic, hemorrhagic stroke that develops high blood pressure, in which a blood vessel bursts, as the wall of an artery atherosclerosis uneven thickness and in some places gatkhelebulia. Blood pressure because of the large distance between the brain tissue, blood flows into emerging areas of the hematoma and the like are formed. Haemorrhage, also can occur when an aneurysm. Often the blood spill in the brain tissue, which is called subarachnoid haemorrhage. Such bleeding usually occurs before the age of 40. Patients have the feeling of hitting the back, which caused sudden pain like hitting daggers. A severe headache may develop seizures, but, as a rule, people do not lose consciousness. The patient feels weakness, pain, sighing, on top of shemochdobili hands, often marked by nausea, vomiting, hemorrhagic stroke but, unlike this patient, did not develop paralysis.
Ischemic stroke with hemorrhagic more treacherous. At first signs of ischemic stroke is not sharply defined, they will develop gradually. Hemorrhagic stroke is stronger manifestations: blood pressure crisis in the wake of the stronger headache, which celebrated its first one and a half later, the patient has become unconscious, the face becomes greyish or reddish, noisy breathing, frequent vomiting. Such a stroke often occurs during seizures, pathological process of developing the body to one side, the side of the eye’s pupil dilated haemorrhage. When patients come to their senses, his limbs to paralysis or paresis. If it’s on the right side of the limbs, disturbed speech (aphasia), if the left – there is a mental disorder (do not remember the age, where he is unable to recognise relatives, considers himself to be in good health, and so on). Ischemic stroke at the time of his muscular rigidity – not his ankle so that the chin warrant breast (neck muscle rigidity) and because of leg muscle rigidity – foot rise is impossible (because of tension in the leg muscles). This phenomenon is caused by the brain tissue haemorrhage, this syndrome is called meningeal syndrome.
If bleeding occurs in the brain stem of people die without regaining consciousness approximately 2 days. Subarachnoid haemorrhage, mostly develops after exercise: weight lifting, knee and attempts to break a stick nervous time, accompanied by an increase in blood pressure.
Cerebrovascular damage transition more dangerous. Depending on which side of the injury, is developing weakness or hands, or hands and feet at the same time. One side is marked by slurred speech, aphasia, vision, partial, or total loss. These effects disappear within a few minutes, 1 hour or less, which is working days can be repeated many times. Ambulance calls in the case of a doctor may find it there has been “healthy” patients, who could not speak for 10-15 minutes ago and no movement of the limbs. Because the clinical manifestation of the disease at the time of the attack, mostly, does not occur, the patient is not taking them to the hospital and stays at home, and waking up in the morning and a total apatite unilateral paralysis. Brain damage during transient sick, surely, must be placed in a hospital. This situation has not yet had a stroke, but there is a danger that stroke patients develop and, therefore, should be under constant surveillance.
The diagnosis of acute cerebral circulation violation das amelia easy in the case, when we are faced with a pronounced paralysis, slurred speech and consciousness. Diagnosis is more difficult when the clinic is not clearly defined, but the treatment of choice, in both cases, to be one – hospitalisation (if not the very sick and the elderly is not in a coma).
First aid stroke
First of all ava MQ Ovi conveniently be placed in bed, and it is possible to have clean air released binding clothes. Protest mouth and pirn agh Ebi masses released. Head and shoulders should be placed gently on the pillow, in order not to worsen the blood flow of the vertebral artery and moikharos neck. … Stroke, the most important development of the disease in the first minutes and hours of operation, that’s the time the aid is most effective.
During the transfer always happens in a stroke patient lying, if it is not the third stage of coma. Patients rarely die of stroke, stroke is often attached to the development of pressure sores and pneumonia. Such complications should be made to prevent the patient overturn one place after the other. To protect hygienic norms. Regulated to be fed, it is necessary to clean the bowel and held chest vibrating massage.
Treatment includes stroke, vascular therapy, the use of drugs, which provide metabolic processes in the brain, oxygen therapy, rehabilitation treatment, or rehabilitation (exercise therapy, physiotherapy, massage).
First, monitoring of blood pressure, pulse and the time to be taken all the recommended drugs. Should be temperature control, attention should be paid the amount of urine and gastrointestinal action. All of this should be to control the diary – it is necessary to correct the current therapy. If the action of the stomach for three days does not occur, it is necessary to be done to clean up the enema. If the urinary retention, or a fever to be notified to the doctor. The patient must lie clear, noise protected room. Room needed to wet processing 1-2 times a day and regularly ventilated, but in a way that does not get to the Orpin patient. Temperature optimum quantity + 18-22C
The bed should be straight and cool. If the patient can not control his physiological need for him to cheats van Pampers. If necessary to replace the linen (VAD MQ OPI Invert carefully to one edge of the bed. Davakhvevt dressing sheet in bandages, in its place, construct new bed linens (Dressing Like a twisted mass of the first), and then we distribute gadmovabrunebt patient.
Patient breathing exercises several times a day. This exercise has to do with all patients regardless of disease severity. In order to not develop pressure ulcers and pneumonia patients needed to turn over the page for 2-3 hours. Alien to light shock patient exercises, pages and under the neck.
If the patient is not capable of independent movement, required 2-3 times a day valet, wash, we should contemplate what condition the skin and mucous membrane. Sick regularly clean moist towel and then gavamshralot. If necessary, it is possible to use studios. Special attention should be paid to oral hygiene and the perineum. Conjunctivitis prevention of 2-3 times a week in the eyes of lab cut Sidi Chava SV tot.
We must realise that such patients often change character. They may be crying, passive, or vice versa, aggressive. Often deteriorating memory, which is why it is difficult for current events to Remember. Many egg HV Eva speeches. The people around the patient in such a condition should be treated with understanding, not because of the complaints got angry and kept away from conflicts. Have to talk to her wishes, to read newspapers, books and read her to repeat. Often reminded that the names of existing objects. The healthy psychological situation of the family will greatly facilitate its functions.
During the rehabilitation of the patient is important to proper nutrition. Calorie diets should be reduced to the 2200-2500 CC-day, mostly carbohydrates and animal fat reduction. Flour and sugar consumption should be reduced dramatically. To try to give more vegetables and fruits. Food rations to avoid salty, spicy and fried food. Preferably, the patient eats 4-5 times a day and high-calorie foods in the morning and daytime.
By any case, if the stroke, we must remember that part of the brain cells die, and the full restoration of lost functions (despite the large compensatory capacity of the brain), very problematic. Cells to restore lost functions and needs more time and appropriate medication are needed and the patient’s desire to live a full life with good care. A thorough study of the treatment’s success is linked to the process, just like in school: we may find the willing and less industrious, active and passive patient. Study of patient care – this is the main task of the medical staff, but we must remember that only the patient’s active life position, the patient and the medical personnel action sequence of the disease can reduce the residual negative effects to a minimum.