Головокружение, потеря сознания, рвота, головная боль, это первые признаки наступления инсульта, это нарушение мозгового кровообращения.
Диета
Это достаточно важная составляющая периода реабилитации, необходима молочно-растительная диета: творог, каши, кефир, протертые ягоды и фрукты, желе. Через некоторое время, в зависимости от состояния добавляется отварная рыба и мясо. Не следует забывать и о витаминах, наиболее необходима аскорбиновая кислота.
Строгое соблюдение диеты — неотъемлемая часть реабилитации
При этом следует следить, что бы стул у больного был регулярным. Так же следует как можно больше уделять больному внимание, дать возможность слушать радио, смотреть телепередачи, общаться с родными.
Как лечить дома
Для восстановления имеет значение положение ног и рук, как правило, нога прямая с отвисшей стопой, а рука со сжатой кистью согнута и прижата к груди. Так как в этом положение рука и нога может находиться достаточно долго, то мышцы закостеневают и для восстановления движения в них может потребоваться значительно больше времени.
Чтобы избежать данных последствий следует несколько раз в сутки делать лечебную гимнастику и массаж, это назначается на вторую или третью неделю.
Народные средства
При лечение инсульта в домашних условиях можно применять лекарственные травы. Вот несколько рецептов: 2 чайные ложки сушеного Марьина корня залить 200 гр. кипятка и настаивать 4-5 часов, после процедить, и употреблять три раза в день по две столовых ложки.
Мумие, небольшой кусочек размером со спичечную головку разводиться в 50-60 граммах кипяченой воды, принимается один раз.
Настой из лавровых листьев, для его приготовления берем три столовых ложки молотого лаврового листа, после этого залить 200 граммами масла (нерафинированного). Настаиваем неделю, потом процеживаем и два раза в день мажем пострадавшие места.
Травяные сборы
Софора японская, омела белая, необходимо 50 грамм омелы белой и такое же количество софоры японской. Смешиваем эти травы и мелко измельчаем, после этого заливаем 0,5 литра водки или разведенного медицинского спирта и настаиваем 30 дней. Настойку необходимо регулярно перемешивать, и хранить в темном месте.
Через месяц полученную смесь процеживаем и употребляем два раза в сутки по две чайных ложки, принимать необходимо 20 дней потом необходим интервал в приеме на 15 дней, после чего прием возобновляется.
Настойка из переступня белого
30 грамм мелко нарубленных корней заливаем 0,4 грамм водки или разведенного медицинского спирта, настаиваем в течение семи дней, процеживаем и принимаем два раза в день, после еды 25 капель с водой. Результат станет очевиден через несколько недель.
Мазь втирается в парализованные конечности, дважды в день. Способ приготовления чайная ложка сосновых иголок и шесть чайных ложек лаврового листа измельчается в пыль, после добавляем пять столовых ложек домашнего сливочного масла, перемешивается.
Смесь чеснока и лимона
Сто грамм чеснока, измельчаем, добавляем мелко протертый лимон, в том же количестве, и 100 гр. меда. Тщательно перемешиваем, в течение недели настаиваем, после этого данную смесь даем больному два раза в сутки после еды по столовой ложки.
Чистотел
Берем одну 10 гр. Измельченного чистотела, заливаем одним 200 гр. кипятка, настаиваем 15 минут после этого необходимо процедить и по одной столовой ложки принимать до трех раз в сутки до еды.
Настой из бобов
Для лечения инсульта в домашних условиях на востоке достаточно широко применяется настой из бобов. Для его приготовления необходимо нарвать бобы, причем берется все растение полностью, заливается кипятком, при этом все должно быть покрыто водой.
Плотно укрывается и на несколько часов ставиться в теплое место, употреблять данный настой можно в неограниченном количестве, первые положительные результаты будут уже заметны по пришествию нескольких недель.
Настой из сосновых шишек
Пять, шесть полностью созревших сосновых шишек, в которых обязательно находятся семена, заливаем стаканом разведенного медицинского спирта до крепости в 35%, после этого необходимо дать настоятся в течение 15-20 дней. Процеживаем и даем больному чайную ложку, разведя в стакане не крепкого чая один раз в день.
Лимон и апельсин
Очищаем лимон с апельсином, вынимаем косточки, измельчаем в блендере, добавляем мед, настаиваем сутки в тепле. После можно принимать 2-3 раза в сутки по одной столовой ложки, с любой жидкостью. Необходимо 300 грамм лимона и столько же апельсина меда сто грамм.
Пролежни
Достаточно часто после инсульта у больных появляются пролежни, это связано с ограниченной подвижностью. Для борьбы с пролежнями используются следующие способы. Необходим специальный матрас, можно изготовить самим, для этого необходимо сделать матрас наполненный просом, толщина слоя должна быть более одного сантиметра. Так же можно использовать и матрас набитый сеном.
Можно с уверенность сказать, что лечение инсульта в домашних условия вполне возможно, для этого необходимо все использовать разнообразные лекарственные настои и отвары, делать лечебные мази и при этом соблюдать все рекомендации и предписания лечащего врача.
Не следует пренебрегать лечебной гимнастикой и массажем, только регулярный массаж позволяет поддерживать мышцы в рабочем состояние и ускоряет период реабилитации.
ЛЕЧЕНИЕ ИНСУЛЬТА В ДОМАШНИХ УСЛОВИЯХ
Оказывая помощь больному, не переусердствуйте . Восстановление после инсульта в домашних условиях — это не полная подмена физических действий больного! Помогайте. но не мешайте развитию. освоению мозгом самостоятельного действия! В каких-то случаях Вам придется "провоцировать" больного. Отодвинуть чуть дальше стакан с водой, чтобы надо было чуть интенсивней потянуться, чтобы его взять. "Неудобно" положить пульт от телевизора, чтобы, для выздоровления, больному пришлось дать своему мозгу дополнительную работу. нагрузку, тренировку.
До момента, когда перенесший инсульт человек, начнет самостоятельно двигать ногой или рукой, рекомендуем применять тренажер для восстановления после инсульта в домашних условиях. Это даст возможность сохранить Вам Ваши физические силы, которых потребуется ох как много! Для победы в борьбе с такой коварной болезнью как инсульт .
Инсульт — реабилитация в домашних условиях
Инсульт представляет собой либо кровоизлияние в мозг, либо прекращение нормального кровоснабжения мозга. Это крайне опасное явление, которое является частой причиной смерти людей. Часто после инсульта люди становятся инвалидами или бывают вообще прикованы к постели. Таким образом, правильная и эффективная реабилитация после такого страшного явления как инсульт, очень важна. Особенно хорошо, если она будет проходить в домашних условиях, поскольку, как говорится, дома и стены лечат.
Рецепты народной медицины при лечении инсульта
Народная медицина может предложить массу лекарственных препаратов, которые помогут значительно облегчить жизнь человека, перенесшего инсульт, а также поспособствовать заметным улучшениям в его здоровье.
Лечение с помощью апельсинов и лимонов
Для приготовления лекарственного средства из лимонов и апельсинов Вам необходимо взять каждый из этих фруктов в количестве двух штук, очистить их, извлечь косточки, а затем прокрутить в мясорубке. После этого добавьте в полученную массу две столовых ложки меда и тщательно перемешайте. Вещество переместите в стеклянную банку и оставьте на сутки настаиваться при комнатной температуре. Далее средство необходимо хранить в холодильнике. Эту смесь следует принимать по столовой ложке в 2-3 подхода в сутки, запивая ее чаем.
Еще одно народное лекарственное средство, направленное на борьбу с последствиями инсульта, состоит из лимонов и чеснока. Необходимо взять 5 лимонов, очистить их от кожуры и прокрутить их в мясорубке вместе с двумя с половиной головками чеснока. В полученную смесь добавьте 500 миллилитров меда и дайте средству настояться в течение месяца в прохладном месте. Препарат необходимо периодически встряхивать. После этого приступайте к лечению: употребляйте средство по одной чайной ложке за полчаса до каждого приема пищи. Данный бальзам необходимо рассасывать.
Лечение сосновыми шишками
Шишки также могут помочь справиться с последствиями инсульта. Необходимо взять пять сосновых шишек, обязательно зрелых и с семенами. Их следует залить 200 граммами воды и оставить на две недели настаиваться в темном месте. Через 14 дней процедите настойку и можете начинать употреблять ее по одной чайной ложке, растворенной в стакане слабенького чая, после приема пищи. Употребляйте средство один раз в сутки.
Сосновые шишки обладают чудесным свойством, очень важным при инсульте: они не дают погибнуть клеткам мозга в связи с содержащимися в этих шишках фитонцидами, танинами и витаминами.
Средство против пролежней
Что касается людей, прикованных к постели после инсульта, то очень важно не усугубить ситуацию с заболеванием возникновением пролежней. Ниже приведено несколько советов насчет того, как избежать такого осложнения:
Изготовьте матрац, наполненный просом. Толщина такого матраца должна быть буквально 1 сантиметр.
Также эффективно использовать для профилактики пролежней матрац, наполненный сеном.
Желательно также протирать спину пострадавшего камфорным маслом, после чего смазывать ее маслом касторки.
В случае, когда проводить профилактику пролежней уже поздно, они образовались и их нужно срочно лечить – используют следующий народный метод лечения.
Возьмите две луковицы, очистите их и измельчите. Затем поместите их в кастрюльку, залейте двумя столовыми ложками растительного масла и поставьте на огонь. Лук необходимо продержать на очень медленном огне в течение получаса. После этого из препарата необходимо достать лук, чтобы в кастрюльке осталось только масло, пропитанное луковым соком. В этом масле растопите четверть церковной свечки из воска. В результате у Вас должна получиться мазь, которой следует смазывать пролежни дважды в сутки.
Трава чистотела против рубцов
Чистотел можно использовать для рассасывания рубцов в мозгу. Необходимо взять одну столовую ложку травы этого растения, поместить ее в термос и залить 200 миллилитрами кипятка, после этого закройте термос и дайте средству настояться в течение четверти часа, затем процедите. Следите за временем, настойка получится чересчур крепкой, если Вы продержите чистотел в воде больше 15 минут. Употребляйте это средство по одной столовой ложке трижды в день перед приемом пищи.
Реабилитация после инсульта
Человеку, перенесшему инсульт, пойдет на пользу ежедневная утренняя гимнастика, а также прогулки на свежем воздухе. Разумеется, режим должен быть щадящим. Пострадавший должен все делать медленно, осторожно, постоянно останавливаясь, чтобы передохнуть.
Дома необходимо создать приемлемые условия для больного. Если пострадавший прикован к кровати – обустройте его комнату так, чтобы к постели можно было подойти в любой стороны, а матрац больного должен быть обязательно ровным и жестким.
Необходимо регулярно проветривать помещение, где находится больной, но при этом следить за тем, чтобы в комнате было тепло.
Больной также должен иметь возможность в любой момент позвать к себе кого-то из домашних. Можно использовать для этих целей обычный колокольчик, который должен всегда находиться рядом с пострадавшим и располагаться таким образом, чтобы его можно было не напрягаясь достать.
Если человек, перенесший инсульт, может перемещаться по комнате, то следует убрать всю мебель и предметы, о которых можно пораниться. Стоит учесть, что больной может в любой момент упасть, ведь координация после перенесенного инсульта, как правило, существенно нарушена.
Желательно, чтобы у пострадавшего было свое кресло, с которого ему легко подниматься на ноги.
Одним из серьезных заболеваний, часто возникающих вследствие гипертонической болезни, а также атеросклероза сосудов головного мозга, является инсульт. Лечение этой болезни при условии его успешности может продлить жизненную активность человека. Опасность инсульта заключается в большой вероятности негативных последствий, т.к. довольно часто следствием становится инвалидизация человека.
Среди людей пожилого возраста именно инсульт становится наиболее часто регистрируемой причиной смерти.
Инсульт характеризуется острым нарушением кровообращения коры головного мозга, следствием которого становится повреждение и гибель нервных клеток.
Инсульт — это ряд иных патологических состояний, среди которых:
Кровоизлияние в мозг;
Инфаркт мозга;
Субарахноидальное кровоизлияние.
Существует два вида инсультов:
Они не только различаются по происхождению, но и лечится каждый из них по разной схеме.
Особенность ишемического инсульта заключается в нарушении кровоснабжения определенных участков в коре головного мозга вследствие закупорки артерии тромбом или атеросклеротической бляшкой.
Геморрагический инсульт возникает при разрыве артерии и последующем кровоизлиянии. Причиной этого вида болезни становится разрыв на расширенном участке артерии вследствие врожденной патологии сосуда, называемой аневризмой, либо разрыва артерии, фоном для которого может быть высокое артериальное давление.
Виды инсультов
При инсульте любого вида требуются срочные меры, медицинская помощь и лечение. Клиническая картина при кровоизлиянии развивается настолько стремительно, что возможность вылечить недуг оказывается ограничена временем. Только при своевременном оказании квалифицированной помощи повреждения головного мозга можно свести к минимуму, не допуская проявления осложнений в дальнейшем.
Этапы лечения
Для того чтобы знать как лечить инсульт, необходимо представлять последовательность основных этапов этого процесса, состоящего из:
Неотложной помощи;
Стационарного лечения;
Реабилитационной или санаторной терапии.
Признаки инсульта
Для того чтобы вовремя распознать симптомы опасного недуга у человека, необходимо их твердо помнить.
Признаками инсульта являются:
Внезапная слабость;
Паралич или частичное онемение мышц лица или конечностей (чаще всего только с одной стороны);
Нарушения речи;
Ухудшение зрения;
Появление сильной и резкой головной боли;
Головокружение;
Потеря равновесия и координации, нарушения походки.
Инсульт часто застает человека врасплох и в этот момент очень важно, чтобы окружающие люди проявили внимание и оказали первую помощь.
Заметив на улице прохожего, ведущего себя не естественно, не следует думать, что он пьян до того, как будет выполнена проверка на инсульт по следующему плану:
Предложить помощь, от которой человек скорей всего откажется, не понимая, что с ним происходит. Первое подозрение на инсульт в этом случае должно появиться, если речь будет затрудненной.
Попросить улыбнуться, внимательно оценивая положение уголков губ относительно друг друга и линии улыбки, которая в случае инсульта будет больше похожа на искривленный оскал.
Пожать руку, проверяя силу рукопожатия, или попросить поднять обе руки вверх. При слабом пожатии руки или самопроизвольном опускании одной из рук из положения подъема вверх можно окончательно убедиться в развитии инсульта и необходимости срочной госпитализации.
Действия до приезда скорой помощи
Если возникло подозрение на инсульт, который может застать человек в любой момент – дома или на улице, следует как можно быстрее выполнить следующие действия:
Положить больного на спину, стараться не прикасаться к его голове;
Обеспечить свободный доступ свежего воздуха, источником которого может быть открытое окно или вентилятор. С этой же целью нужно исключить любое сдавливание организма от тугого галстука или воротничка, пояса;
Если у больного появляются признаки рвоты, нужно развернуть его голову в любую сторону во избежание попадания рвотных масс в область бронхов;
При имеющейся возможности поможет холодный компресс, положенный на голову или грелка со льдом;
Пациента, если он находится в сознании, можно спросить об имеющейся у него гипертонии и дать ему таблетку под язык (нередко гипертоники держат нужные лекарства в кармане);
Предварительное измерение артериального давления – одно из полезных действий, которое может быть выполнено при имеющемся под рукой специальном аппарате;
Отвлекающей процедурой, которая может быть выполнена в домашних условиях, является размещение горчичников в области икр на ногах.
В первые минуты после приезда к месту нахождения пострадавшего человека от инсульта специалисты бригады «Скорой помощи» оценивают степень тяжести состояния больного. Их главной задаче является транспортировка пациента в стационар, оборудованный отделением интенсивной терапии.
Во время транспортировки производятся:
Замеры артериального давления;
Ввод препаратов, корректирующих работу сердечной и дыхательной систем.
Не производится транспортировка больных, которые:
Были обнаружены в состоянии комы;
При имеющихся у них нарушениях кровообращения в мозге в терминальных состояниях разных патологий внутренних органов или опухолях.
Пациентам, имеющим подобные отклонения, оказывается симптоматическая помощь, после чего вызов передается в поликлинику.
В какое отделение кладут с инсультом?
После госпитализации пострадавшего лечение инсульта мозга в больнице начинается с его размещения в отделении реанимации, либо интенсивной терапии. Для этого требуется наличие в клинике соответствующего подразделения, оснащенного специальным оборудованием и квалифицированным персоналом.
Осмотр пациентов проводится неврологом. Может потребоваться консультация нейрохирурга. Схема лечения, а также в каком отделении будет находиться пациент, определяется врачом в зависимости от установленного вида и степени тяжести заболевания. Основные задачи стационара зависят от вида данного заболевания.
Лечение в стационаре. Препараты.
Лечение при геморрагичеком инсульте.
Для лечения головного мозга при развитии геморрагического инсульта терапия должна включать в себя ряд определенных задач, это:
Ликвидация отечности в тканях мозга;
Снижение внутричерепного и артериального давления;
Лечение, направленное на повышение свертываемости крови и плотности сосудистых стенок.
При всех действиях медперсонала соблюдается определенное положение больного на постели. Для этого используется функциональная кровать с приподнятым изголовьем. На голову пациенту кладется лед, а к ногам – согревающие грелки. Расслабление мышц поможет обеспечить созданные подколенный изгиб. С этой же целью можно подложить валик под колени.
Медикаментозное лечение включает в себя применение следующих препаратов для внутривенного капельного использования:
Сернокислая магнезия;
Дибазол;
Аминазин;
Пентамин.
В связи с повышенной опасностью снижения свертываемости крови могут быть введены медикаменты, активизирующие тромбоз в сосудах. Данный вид терапии должен осуществляться под контролем лабораторного анализа крови на коагулограмму.
В первые 2-3 дня прописываются:
Хлористый кальций;
Викасол;
Аминокапроновая кислота.
В случаях, когда на третий день после инсульта имеются выраженные признаки атеросклероза и субарахноидального кровоизлияния могут быть назначены протеолитические ферменты:
Их прием может быть рекомендован с совмещением малых доз Гепарина во избежание нежелательной тромбэмболии.
Одним из эффективных современных средств, применяемых при лечении инсульта мозга, является Этамсилат. Оно позволяет приостановить кровопотери, улучшить микроциркуляцию в поврежденных участках мозга, нормализовать проницаемость сосудов. Одновременно служит отличным антиоксидантом.
Если отек мозга имеет выраженные менингеальные симптомы, должна быть с осторожностью проведена спинномозговая пункция, при которой в небольших количествах производят извлечение ликвора.
Лечение при ишемическом инсульте
При втором виде инсульта мозга действия специалистов будут направлены на решение следующих задач:
Улучшение кровоснабжения тканей;
Формирование повышенной устойчивости к недостатку кислорода;
Введение лекарственных средств для улучшения обмена веществ в уцелевших клетках.
Положение пациента в постели должно быть удобным, но его голову не поднимают также высоко, как это должно быть сделано при геморрагическом инсульте.
При ишемическом инсульте лечение должно обязательно включать средства, расширяющие сосуды. В большей степени используются коллатерали, представляющие собой вспомогательные капилляры, которые могут частично заменить естественные.
С этой целью применяются следующие средства в виде растворов для внутривенного капельного ввода:
Эуфиллин;
Но-шпа;
Папаверин;
Никотиновая кислота;
Компламин.
Используется лекарство для улучшения гемодилюции – Реополиглюкин, позволяющий улучшить кровоснабжение способом снижения свертываемости крови.
Врачебный контроль и лечение включает тщательное измерение объема введенной жидкости, которая в избыточных количествах может представлять опасность усилением отека тканей. Осторожности требует и применение мочегонных средств, в особенности, если имеется гипертоническая болезнь.
Одновременно с фибринолитическими средствами применяются антикоагулянты. В методике терапии инсульта используется важный термин «золотой час». Он служит указателем максимальной эффективности ввода лекарств для снижения свертываемости крови, а также для прогноза недуга.
По причине слишком долгой транспортировки в клинику установить разницу между разными видами инсульта и оказать правильную помощь при лечении становится затруднительно, и его оптимальное время оказывается упущено.
В первый день ишемический инсульт лечат путем ввода раствора Фибринолизина с Гепарином.
После этого схема терапии включает:
Внутримышечный ввод Гепарина;
Через 3-5 суток рекомендуется переход на Фенилин и Дикумарин.
При лечении молодых пациентов и лиц среднего возраста используют Пентоксифиллин, помогающий улучшить густоту крови.
Больным пожилого возраста для лечения прописывают:
Медициной было установлено, что при ишемическом инсульте совмещенный прием Курантила и Аспирина поможет снизить риск повторного развития патологии.
Синдром возбуждения у больного может быть излечим путем назначения барбитуратов. Сбой обмена веществ должен лечиться с помощью препаратов класса метаболитов (Пирацетам, Аминалон, Церебролизин), способствующих также повышению устойчивости клеток к недостатку кислорода.
Хирургические методы
Иногда победить инсульт можно с помощью хирургического вмешательства. Если у пациента был выявлен геморрагический инсульт, то хирургические методы лечения могут применяться только при условии молодого или среднего возраста, а также, если были диагностированы боковые гематомы и кровоизлияния в области мозжечка.
Подозрения на возможность повторного кровоизлияния в области ствола мозгла или полушарий.
Лучшим временем для операции являются 1-2 сутки. Производится вскрытие и удаление гематомы. Если были обнаружены разрывы аневризмы мозга, производят перевязку сосуда.
Хирургические методы лечения при ишемии применяются в редких случаях. Показаниями к операции является диагностика сужения сонной, позвоночной или подключичной артерии, вызывающих патологию.
Уход за больным
Для того чтобы вылечиться после инсульта, очень важно обеспечить правильный уход за пациентом.
Меры ухода во время стационарного лечения включают:
При коматозном состоянии питание осуществляется с помощью зонда;
Профилактику застойных явлений в легких и пролежней, для чего больного переворачивают через каждые 2-3 часа, кладут в область крестца резиновый круг, а под пятки плотные кольца;
Следят за чистотой постельного белья, не допускают повышенной влажности;
Кожу нужно обрабатывать слабым раствором марганца, камфорного спирта или солкосериловой мазью;
Обработку полости рта производят борной кислотой;
Применяется катетер для вывода мочи, при запоре даются слабительные и ставится клизма.
Реабилитация
Благополучно устранить последствия инсульта можно при грамотно организованной реабилитации.
Помощь пережившему инсульт мозга должна включать в себя следующие меры и действия:
Осторожный массаж конечностей со второй недели болезни;
Лечебная физкультура, способствующая восстановлению двигательных функций с постепенным наращиванием интенсивности.
Кинезотерапия, развивающая мелкие кистевые движения, помощь пациенту в самообслуживании в новых условиях;
Водные процедуры, направленные на растяжения мышц, кислородные ванны, гидромассаж.
При правильно принятых лечебных мерах при инсульте, а также грамотно организованной реабилитации до 70% людей, перенесших инсульт мозга, возвращаются к самостоятельной жизни.
Более подробнее про реабилитацию после инсульта
Наилучшим периодом для реабилитационных мер и помощи являются первые три года, на протяжении которых необходимо запастись терпением и верой в успех.
Лечение и восстановление больных после инсульта – довольно длинный и постепенный процесс, при котором врачи как правило соблюдают последовательность действий для скорейшего выздоровления больного. Этапы восстановления:
Лечение в реанимационном отделении, где врачи возвращают пациента к жизни
В неврологическом стационаре, восстанавливают пораженные клетки.
Часто медикаменты не могут полностью восстановить неврологический дефицит после разрушения многочисленных клеток мозга. Чтобы человек смог восстановиться после инсульта за счет неповрежденных нейронов, может пройти довольно много времени.
Восстановление в реанимации
Когда жизненные показатели человека восстановились, начинают реабилитацию прямо в реанимации, только так можно предоставить максимально возможную помощь пациенту. Когда эмоциональное состояние пациентов плохое, нарушен сон, это состояние так и называется синдром постинтенсивной терапии.
Бригада реабилитологов должна предоставлять помощь пациенту в восстановлении уже на следующий день после инсульта прямо в отделении реанимации.
Реабилитация оказывает помощь даже самым тяжелым пациентам, в том числе и определяет перспективу восстановления.
Нельзя отчаиваться, если одна команда реабилитологов не дает результат, необходимо показать пациента более квалифицированным специалистам, которые смогут предоставить помощь.
При постоянных головных болях невролог назначает медикаментозное лечение, которое оказывает помощь и снимает головные боли. Если последствия после инсульта доставляют проблемы в повседневной жизни также подключается и реабилитолог.
Есть единственное противопоказание для реабилитации – это отсутствие мотивации оказывать помощь или отсутствие собственного желания выздороветь. Во всех других ситуациях, когда человек хочет выздороветь, когда есть поддержка близких подбирается индивидуальная реабилитационная программа, по которой работают врачи, чтобы успешно восстановить утраченные функции мозга.
У человеческой жизни нет цены, но иногда люди относятся к своему здоровью так, как будто есть что-то более ценное. Врачи настаивают, что необходимо уделять должное внимание профилактике заболеваний, чтобы избежать тяжелого реабилитационного периода.
Реабилитация после инсульта
Реабилитация начинается уже в отделении реанимации. Сначала проводится мобилизация, которую еще называют вертикализацией, пациента начинают поднимать в вертикальное положение.
Если пациент не может ходить, но он удерживает равновесие, его заставляют выполнять хотя бы минимальные движения: переминаться с ноги на ногу, топтаться на месте. В сложных случаях в реабилитационную работу подключают роботизированные устройства, которые имитируют ходьбу.
Человек должен вставать сразу после инсульта, так как это естественное его состояние. Другим не менее естественным состоянием является то, что пациент должен разговаривать и есть самостоятельно. Если пациент лишен этих возможностей, реабилитация проходит сложно.
Самостоятельное питание после болезни
Прежде всего восстанавливают возможность самостоятельно питаться, так как это важнее всего. Восстановлением речевого аппарата занимаются логопеды, эти члены команды привлекаются на ранних этапах реабилитации.
У врачей в арсенале все больше и больше средств, которые позволяют отрабатывать технику правильного глотания. Специалисты научились подбирать специальную консистенцию еды, чтобы пациент мог проглотить её.
Врачи помогают вспомнить человеку такие элементарные навыки, как глотание. Если питание обычным способом невозможно, устанавливается зонд, через который поступает пища. Также логопеды учат пациентов общаться.
Даже если нет возможности восстановления речи, пациента учат пользоваться карточками. При помощи карточек пациент может привлекать к себе внимание окружающих, чтобы каким-то образом объяснить то, что им хочется в данный момент.
Восстановление симметричности лица
Это способность общаться и быть эффективным в обществе. Есть еще одна проблема после инсульта – это восстановление симметричности лица.
Логопед проводит работу индивидуально с каждым пациентом. Проводится специальный массаж, который восстанавливает мимику и возможность артикуляции, параллельно идет стимуляция речевого аппарата. Пациент во время упражнений чувствует себя комфортно и самое главное – это дает результаты.
В каждой области есть достаточное количество реабилитационных отделений, чтобы получить направление необходимо обратиться к неврологу. Нужно заниматься с пациентом до тех пор, пока есть результат. Реабилитация может продолжаться через 6 месяцев, через год, через полтора года.
Если от занятий есть результат, значит, реабилитация должна продолжаться. С пациентами в вегетативном состоянии также работает команда врачей, которая пытается вертикализировать человека, контактировать с ним также разрабатывается индивидуальная система питания. В клинике родственников учат, как правильно обходиться с таким пациентом. Также назначается специализированная медикаментозная терапия.
Занятия с логопедом
Часто после инсульта человеку трудно говорить, от этого состояния больные начинают сильно нервничать, поэтому процесс реабилитации идет трудно. Пациенты нервничают, потому что им трудно выразить свою мысль. Люди рассчитывают, что сразу после занятий с логопедом они заговорят, но этого может не происходить длительное время.
Также потерпевшие после инсульта могут нервничать от неопределенности за свое будущее. Однако нужно помнить, что занятия с логопедом – это не волшебная таблетка, нужно прикладывать большие усилия, чтобы добиться хорошего результата.
Логопедическая работа очень тяжелая, в которой должен принимать участие пациент, родственники, часто эта работа растягивается на месяцы. Если есть положительная динамика, необходимо продолжать.
Нет определенных сроков, когда должно произойти полное восстановление речи. Может понадобиться 3 месяца или полгода, сроки восстановления после инсульта всегда индивидуальны.
Успех не может прийти быстро. В среднем пациент уже через 6 месяцев при условии активных занятий достигает 80% своего реабилитационного потенциала. Это не означает, что на 7 месяце не будет результата. Результат может произойти и через полтора года, но основные 80% он набирает в течение первых 6 месяцев.
Необходима постоянная психологическая поддержка, в сложных психологических состояниях помогает обращение к клиническому психологу.
Восстановление самостоятельности в быту
Реабилитологи учат, как правильно себя обслуживать, если парализована половина тела. Необходимо взять все функции на здоровые конечности или научиться помогать парализованной рукой и ногой в бытовых ситуациях.
В реабилитационных центрах пациентов вновь учат одеваться, ходить в туалет, готовить и многое другое. Для эффективного восстановления врач выполняет поиск моторного центра парализованной руки и ноги. Если будет найден моторный центр, это значит, что функция может восстановиться.
Именно после поиска моторного центра врачи могут определить реабилитационный прогноз. Пациента нужно показать разным специалистам для составления более точного прогноза. Для каждого конкретного случая можно подобрать индивидуальную программу реабилитации.
Восстановление всех функций может не произойти, но при качественной реабилитации происходит коррекция для самостоятельной жизни пациента. Если не проводить реабилитацию в первые месяцы после инсульта, можно лишить его шанса на выздоровление.
Современная программа реабилитации рассчитана на то, чтобы помощь пациенту предоставляли уже в сосудистом отделении. Пациент имеет возможность восстановиться, если на одну чашу положить возможность восстановления и на другую возможность полежать и отдохнуть первые несколько месяцев, человек будет в отчаянии оттого, что невозможно выполнить привычные бытовые действия.
Нельзя даже допускать мысль о том, что человеку лучше отдохнуть первое время после приступа. Реабилитация должна начаться как можно раньше, а упражнения проводятся как можно чаще, чтобы помощь пациенту была максимально возможной.
Восстановление памяти
После инсульта память может сильно ослабнуть и пациенты не могут вспомнить или запомнить информацию. 80% пациентов после инсульта жалуются на ухудшение памяти, снижение работоспособности, плохой сон.
Что делать в этой ситуации, как предоставить помощь человеку?
Память восстановится, однако, будет период, когда человек испытывает неудобства.
Совет. Необходимо максимально сосредоточиться на вспомогательных способах поддержания памяти: записывать, вести органайзеры.
Для восстановления памяти необходимо придерживаться правильно режима дня и высыпаться. Клинические психологи помогут определить наличие проблемы и способы её устранения. В крайних случаях, чтобы восстановить память назначают специальное медикаментозное лечение.
Заключение и выводы
Лечение инсульта в домашних условиях может быть очень успешным, при правильных реанимационных действиях врачей. Очень важно при лечении придерживаться четкого плана по реабилитации.Чтобы достичь хороших результатов в восстановлении в домашних условиях, нужно заинтересованность пациента в самостоятельной реабилитации и помощь близких.
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