Stroke Hemiplegia-What is a stroke hemiplegia?
Stroke hemiplegia is the most common sequelae of stroke.Stroke hemiplegic limb weakness, adverse activities or totally unable to. Hemiplegic patients is often accompanied by ipsilateral limb sensory disturbances such as hot and cold I do not know, such as pain feel. Sometimes can be accompanied by ipsilateral visual field defect, performance level as the front can not see the paralyzed side of the items or come to his head toward the paralyzed side to see.
Stroke hemiplegia - auraStroke hemiplegia (1) dizziness, sudden dizziness;⑵ headache weekdays headache headache suddenly increase or intermittent headache to persistent severe headache;⑶ numbness, suddenly felt the side of the face or hands and feet numbness, and some for tongue hemp lip hemp or side of the lower limb tingling;⑷ sudden unilateral weakness or activity is not flexible, when the hair stops;⑸ temporarily slurred speech, or speech is not working;⑹ sudden unexplained falls or fainting;⑺ mental changes, a brief loss of consciousness, sudden change in personality and short-term judgment or mental retardation;⑻ drowsiness, that is sleepy all day;⑼ suddenly appeared only temporary blurred vision or conscious in front a blackout, and even sudden blindness of the moment;⑽ nausea and vomiting, or hiccups, or blood pressure fluctuations accompanied by dizziness, vertigo, tinnitus;⑾ side or a limb twitching involuntarily;⑿ nose bleeding, frequent nose bleeding.Stroke hemiplegia - Disease OverviewOther risk factors of stroke hemiplegic stroke hemiplegia there are many, have a relationship with age, habits, etc.. The older, more dangerous, incidence rates increased significantly after the age of 55. Smoking, drinking and other bad habits will increase the risk of stroke.The elderly prone to stroke, but it is not only the elderly will occur stroke. Stroke can occur at any age, from children, young adults to the elderly can occur, but more common in the elderly. Why, then, would be more common in the elderly it? Understanding on this issue, we must first know the basic cause of the stroke.Generally speaking, it is the basic cause of two aspects: the hemodynamic basis of vascular disease basis and vascular flow. The former to artery atherosclerosis or (and) hypertensive small arteriosclerosis, arteritis is more common; the latter is the main change for blood components and blood pressure factors, including hemodynamic changes. When the rough wall, blood flow is slow, low blood pressure, is conducive to blood clotting, that is caused by ischemic stroke; If the flow of blood containing the emboli (emboli from the heart, artery atherosclerosis small plaques, and even tumor cell mass), they can be the same as the stopper, the corresponding diameter of blood vessel blockages in the flow process, resulting in ischemic stroke.Stroke hemiplegia - risk factors⑴ hypertension: cause of stroke risk factors, 80%? Of stroke patients have a history of hypertension. Sharp rise in diastolic blood pressure or blood pressure fluctuations and more prone to stroke.(2) heart disease: coronary artery disease often accompanied by cerebral arteriosclerosis; rheumatic heart disease could easily cause a brain embolism.⑶ diabetes: about 10% to 30% of stroke patients with diabetes? Diabetic patients with high blood viscosity, and more atherosclerosis.⑷ cerebral arteriosclerosis: the basis of the stroke. That arteriosclerotic cerebral infarction and increased blood cholesterol and elevated low-density lipoprotein.⑸: cervical disease, pregnancy, age, gender, obesity, smoking and drinking, brash, climate and seasons are all risk factors.
Stroke hemiplegia - treatment of diseaseStroke hemiplegia - treatment after suffering a stroke, most patients are left over from paralysis, not only because life can not take care of themselves also imposes a heavier burden to families and society, how to make paralyzed limbs to restore function to patients suffering patients and their families the most urgent desire. We mainly in combination therapy, and achieved satisfactory results. It includes aspects of traditional Chinese medicine dialectical theory of governance, acupuncture, massage and massage.A, Chinese dialectical therapy1, Qi and Blood: dried up do not, or numbness, both Kouyanwaixie, language disadvantage, looking minimalist, shortness of breath, weakness, purple tongue or ecchymosis, white coating, thready pulse astringent or weakness.Governing Law: Yiqihuoxue stasis meridians.Recipe: Buyanghuanwu Decoction. Astragalus, Angelica, Chuanxiong, peach, red peony root, earthworm, Cyathula, Millettia, papaya, loofah, etc.2, Yin wind Yang interference type: dizzy tinnitus, hemiplegia, Kouyanwaixie,, language incomprehensible, red tongue, yellow, pulse a few strings.Governing Law: Yuk Yin yang, promoting blood circulation network.Recipe: Tianmagouteng decoction. Tianma, abalone, Tribulus terrestris, gun turtle shell, silkworm, skullcap, gardenia, Achyranthes, Angelica, Chuanxiong, red peony root, earth elementSecond, the acupuncture treatmentNeedle body: upper extremity: shoulder Yu, Qu pool, external relations, gu, in the example of lower extremity: rank side Yanglingquan, foot Three Mile, Xie River, the Taichong new face acupuncture: District of upper limb, lower limb area, liver, spleen Scalp: contralateral motor areas of the scalpThe three of massage and massage, massage, and massagePatients prone position, press the back of the cases, liver Yu, the gall Yu, Geshu Shenshu, rank side, then roll the France release.Patients lateral position (affected side) using the rubbing method, rolling the treatment of ipsilateral site.To take France to the treatment of limb soft tissue.Acupuncture, such as knee eyes, the Committee, Cheng-shan, V rabbit, wind, Xie River and so on.Finally, twist the law and an end.Second, cerebral vascular accident (stroke) have a higher prevalence in the elderly, mostly associated with hemiplegia. Exercise therapy in the treatment of stroke, paralysis is an important means of which the toe of the exercise and training is crucial. Because the toe is the end of the entire lower extremity motor and sensory, motor and sensory recovery can affect the entire lower extremity motor and sensory extent. And stimulate the muscle response induced by dorsiflexion ankle dorsiflexion ability to speed up the recovery of lower limb motor function.Toe early training by the physician or family members to help patients toes with both hands, so that it repeatedly feel the toe flexion and extension movements, friction foot on the back muscles to stimulate the feeling of patients with right toe flexion, extension. 20 times each, 2 or 3 times daily training.When the patient can feel the toe flexor stretch position, the help of therapists or family members, and gradually promote the patients to increase the power of independent movement, completed toe stretching and ankle dorsiflexion movement, and then bring the whole foot dorsiflexion This process requires the daily insisted, step by step, patients and their families should have the patience.Stroke hemiplegic patients toe training should begin early, can be carried out after the danger period. Of course, the exercise therapy for hemiplegia to be comprehensive, not only the toe and ankle, should also include the extension of the knee joint movement and hip adduction and external rotation, and upper extremity joint movement, so that parties can make patients in a relatively the greatest degree of recovery in the short period of time.Stroke hemiplegia - diagnosis and treatmentStroke, paralysis, hemiplegia early; sent to the hospital where contention points wins the banknote, fight for thrombolysis within the validity period, lowering blood pressure, lowering blood pressure, diuretic, reducing the intracranial pressure, treatment of the primary disease, control of cerebral edema and necrosis. reduce brain tissue damage and reduce complications. Stable condition after the second stage, which takes about 2-7 days, depending on the illness.Stage II to continue the treatment of primary disease. Plus rehabilitation treatment with traditional Chinese medicine, this disease is the key to the treatment of the key, depending on the prognosis of patients with good or bad, related to the level of quality of life in patients after as soon as possible. Doctors to be highly clinically effective drugs available, the medical profession is trying to power off to solve this common problem. Heads of medical advertisements or rain, doubtful, and difficult to deal with patients and their families. Really effective drugs Quo, the people, is more beneficial to society as a whole. On the contrary, the hazards and large, the harm to patients is irreversible. Cerebral blood through oral solution used for this stage, a significant effect of rehabilitation, clinical thrombolysis blank to fill in this period, the wise man does not imitate a try, including three hospitals, 2 -6 days effective to improve the efficacy of a visible Medication 6 Sky One course of treatment, 2-6 treatment all the more self-care, reduce morbidity, improve quality of life. During this period, patients need help to stand up activity massage the joints of the paralyzed limb, to strengthen the cognitive, swallowing, language and motor function training; strengthening exercises must be able to come down to earth, but also the combination of acupuncture, physiotherapy, medicine bath comprehensive measures for rehabilitation to to cure eyesight. About 20-40 days.III: the third stage, some patients after the treatment, is leaving some of the fallout. Must adhere to continue rehabilitation, convinced that the concept of rehabilitation, strengthening physical exercise until the symptoms disappear or improve. After six months, the after-effects would be difficult to restore, but not lose confidence, so return to top condition. Must adhere to the late blood pressure, anticoagulation, regular thrombolysis (preferably every six months, each 1 - or 2 courses) to prevent recurrence.Secondly, a comprehensive and thorough rehabilitation stroke, paralysis, the the triple Zhitan from three aspects combined treatment of diseases, good to solve the problem can not be fully recovered.I wake up: stasis CROOFirst clear the brain deposition of waste, gradually resurrected the already damaged brain cells, the brain of the dominant features of the human body recovered, so to speak, express, and so the language barrier is solved;2, two-way: through the meridiansRepair it well to get through the meridian system of patients with impaired function of the movement is dominated by by meridians conduction to the meridian conduction unblocked and restored, you will be able to go active, they do not someone else side feces urine side, life will also be able to is the basic self-care;3, three broken: broken bolt clear the bloodQuickly cleared the thrombus to blood a good environmental governance, the formation of blood clots to eliminate hidden dangers, you no longer have to worry about the risk of secondary recurrence.It is precisely because [Banger health musk anti tied pill] when I wake up two pass broken special effects, and allows patients to the three-level, complete three-level, the family will also be able to completely freed.
Stroke hemiplegia - family first aidFamily emergency stroke, paralysis can occur at any place, but more common in the home, home sudden stroke hemiplegia how to do? No matter what form of stroke, family members do not panic, to realize that emergency rescue in the home is very important, handled timely and properly related to the future condition of development, so to grasp some of the primary family emergency very necessary.Once the home occurred in stroke, paralysis, to try to put the patient carried the bed, the patient propped correct handling two to three individuals at the same time lift, one boosting the patient's head and shoulders, keep your head from the shock , boosting the patient's back and buttocks of another person, a person boosting the patient's buttocks and legs department, so the patient quiet and lying down, head slightly higher and slightly backwards, if there is vomiting, then head to one side. so as not to vomit choke into the trachea. Then unlock the collar of the patient, if dentures should be removed, if snoring can hand hold the lower jaw of the patient, the patient's tongue with gauze or a handkerchief to wrap pull to the front, so that the patient's airway to maintain good ventilation condition .At this point, you can ask the doctor to come to first aid, can also be a slight improvement in stable condition timely rescue the evacuation hospital, the patient should be sent to a hospital, to avoid long bumps caused by exacerbations. Upstairs down handling patients, we must maintain the head at the top, feet below, in order to reduce the brain congestion, it is best to allow patients to lie flat on a stretcher handling. Remember that the removal action should be gentle, but also minimize unnecessary handling.Stroke hemiplegia - prevention measuresCounseling, mental activity, the performance of neural functional activity in the brain. Sudden stroke, paralysis, makes brain function by a sudden injury, often results in varying degrees of psychological reactions. One usually looks good, hand, foot and suddenly in a short period of time not to obey orders, life can not take care of themselves, to speak the people do not understand. Such drastic changes in the scene, the patient would have caused a lot of psychological trauma.Stroke hemiplegic patients are most concerned about the healthy than the paralysis of the limbs, they can all day To this end anxiety. Excessive emotional tension, a long day, do not think of tea, rice do not want to, it will cause poor nutritional status of the body's weakened immune system complications also increasing. Some patients due to paralysis of limbs, life can not take care of themselves, often depressed, low self-esteem, life of people all day long depression, sadness, young people, paralysis of limbs to worry about the breakdown of the marriage, the elderly, fear of "chronic illness dutiful son", and the sad look, saddened; treatment is not satisfactory over a period of time, some patients feel the impatience and annoyance, often a trifle angry; some patients the presence of family members, everything dependent on, would have its own cuisine, but also let others to do.Stroke hemiplegic patients to enter psychological treatment and care is very important. In psychotherapy to help patients learn to actively engage in psychological adjustment and self-control, the right to treat the disease, and establish the confidence to overcome the disease. Allow them to maintain a happy and optimistic mood, eliminate the fear and pessimism, and swing off a distracting and actively cooperate with medical treatment, and adhere to the active exercise and passive exercise.To patients in psychotherapy and psychological care, the best to create a quiet, comfortable environment, which will help to improve the patient's physical and mental health and maintain a good state of mind, emotional stability, and can increase the effect of psychological treatment.All family members should actively care, thoughtfulness, respect and understanding of patients so that patients feel the warmth and care of the family. Before the patient must not be agitated, hate or random reprimanded patients, nor dumb, ignore the patient. To treat the patient's reasonable needs, to try to try to meet it.Stroke hemiplegia patient's mental disorder is often barriers to raising activities, and further cause of mental retardation and emotional disorders. Alone can not rely on the use of drugs to restore the patient's cranial nerve function and, more importantly, according to the patients of different educational level, from simple to complex, guiding patients to carry out the analysis, summarized, judgment, reasoning, and help him to re-understanding of the surrounding things.As long as the condition, stroke patients are also encouraged to ambulation, appropriate exercise, and daily life as far as possible take care of themselves, and whatever some housework, learning, entertainment and social activities, and gradually restore the community to adapt to this patient has a positive impact on the psychological.Stroke hemiplegia - NursingHome care of stroke hemiplegiaFirst of all, psychological care to patients. Hemiplegic patients due to slow recovery, limited mobility and despair, mental depression and various psychological. Compassion and patience in the care of such patients should be respected and thoughtful care for them so that they muster the courage to live, and actively cooperate with treatment and self-exercise.Second, to prevent the occurrence of various complications. First to prevent bedsores from occurring due to the patients' physical activity is limited, prolonged bed rest, it is easy to cause hypostatic pneumonia and bone protruding parts of bedsores, so regular turning, generally once every two hours to turn over, to replace its supine .Never stand up when the drag, to prevent abrasion of skin on the bed. And bedsores prone parts such as sacral, hip, shoulder, elbow, lateral malleolus, heel, occipital and other parts of the examination, with 50% safflower alcohol massage, massage the palm of your hand or your thumb close to the skin, the pressure from light to weight from heavy to light, circular massage. Prominent bone at the available balloon or cotton ring mat, so that the protruding parts vacant, reducing pressure. Have to choose the right mattress, usually with a sponge pad or cushion bed. Incontinent patients should pay attention to maintaining skin and bedding dry. Give the patient a sponge bath with warm water on a regular basis, Cabei, local massage to promote blood circulation, improve the local nutritional status. For sweaty, wet mattresses be replaced at any time, after scrubbing the back, the sacrococcygeal rushed talcum powder.Third, we should prevent the limb muscle contractures and joint deformities. Should enable the patient to maintain good lying posture type to assist in its passive movement. Such as prevention of upper limb adduction, a pillow can be placed in the patient armpit; to prevent foot drop, splint can be given in the limb. Passive movement should be carried out as soon as possible to patients, daily passive motion of the joints 2 or 3 times, each time the direction of movement of each joint more than five times, the movement should be gentle, and should not rude, so as not to cause pain and damage tissue.The fourth, but also to prevent urinary tract infection. Sterile drainage bag of patients treated with indwelling catheter, change daily, close observation of urine color, odor, turbidity, if any, odor, compared with urinary tract infection, should be timely so that patients spend antibiotics. To encourage patients to drink more water to dilute the urine.Stroke hemiplegia Note1, create a good living room environment, so that patients feel happy and helps to stabilize the patient's mood, promote mental health.To maintain the patient's psychological balance, first to create a harmonious and warm atmosphere in the family, the lifting of patients with a variety of concerns and emotional burden and to avoid emotional stimuli.3, focusing on the prevention of the occurrence of complications. Common complication of pressure ulcers, urinary tract infections, pneumonia, limb deformities, skin burns, intensive care should be under the guidance of a doctor.4, adhere to the rehabilitation training. Stroke patients with hemiplegia paralysis of limbs, language and mental retardation, and therefore should adhere to the rehabilitation training, to prevent the patient's muscle disuse atrophy and joint stiffness. Language and intelligence training.5, shall be provided with a nutritious and digestible food, meet the supply of proteins, salts and heat the water and eat a semi-liquid food, the paralyzed patients are often afraid of the urine as little as possible to the psychology of drinking water it is not right patients early in the morning of the paralyzed patients should have sufficient water supply, drink 1-2 cups of the salt water can prevent constipation. The food can not be too fine, pay attention to the dietary fiber intake, increased gastric motility, in order to prevent the occurrence of constipation. Avoid drinking tea, wine, coffee and fortunately irritant spicy food.In addition, patients with hemiplegia need for a long time lying on beds, and the action difficult, long duration and cause many patients to despair, loss of confidence in treatment, or even refuse treatment. Thus, helping patients with hemiplegia establish confidence is very important.Stroke hemiplegia food taboos(1) low-fat. Forbidden to eat food: fat, fat duck, fat goose, poultry skin, organ meats (liver, kidney, heart, brain), egg yolk, roe, bacon, sausage, shrimp, whole milk, cheese, chocolate, Crab , preserved eggs, yellow, lard, butter, cocoa butter, olive oil, cashew nuts, etc., because its ingredients mainly containing saturated fatty acid, allows cholesterol molecules into the liver to make blood cholesterol concentrations were significantly increased.(2) avoid using sucrose, fructose, sweets, sugary drinks, control the heat, because the sweets can be converted to fat. With diabetes in particular should pay attention to.(3) salt should not be too much daily control in less than five grams.(4) should not be smoking, drinking, tobacco and alcohol can accelerate the development of cerebral arteriosclerosis, and alcohol can make blood pressure rise induced stroke.(5) should not be fed, not to eat too much. Overeating, metabolism is strengthened, so that myocardial oxygen consumption increased significantly, increasing the burden on the heart.In addition, should not eat fried, fried and spicy spicy food.
Stroke hemiplegia - hazardsStroke hemiplegia of harm can not be ignored, sensory disturbances are many.Stroke hemiplegia one of the most common is the side of the body pain and hot and cold hypoesthesia;Second, limb paresthesia, such as numbness, tingling, sense of ant line, an electric shock, heaviness, cold or burning, etc.;Third, is the pain felt over-sensitive, if the patient is gently touched will feel the pain, even without the stimulus will have the feeling of pain.In short, the variety of sensory disturbances caused by stroke, paralysis, longer duration, sometimes more so than the hands and feet paralyzed patient suffering. Severe, the patient to eat is not fragrant, sleep well, affecting the rehabilitation of the ill. Health care workers and their families must be considerate to the patient, to try to alleviate the suffering of the patients. For example, gently massage the sick limbs, talk with the patient happy topic to distract the proper use of sedative analgesics. With the improvement of stroke disease, sensory disturbances will gradually disappear.
