Spring, beware of a stroke and kill a "returning carbine". Rehabilitation should not stop.
Release date: 2016-03-15
The famous performance artist Ge Cunzhuang died of heart failure due to cerebral infarction. The famous musician Susie was also taken away by the brain stem. In the spring when the warmth is still cold, the temperature difference between morning and evening is large. Experts reminded that it is necessary to guard against strokes in the spring to kill a "returning carbine", especially for patients who are recovering from stroke at home, the family must pay attention to the recurrence of stroke patients. "Clinically, some patients have progressed well in hospital rehabilitation. After returning from the Spring Festival for a while, they are now returning to the hospital but have regressed, and even relapsed. The big reason is that home rehabilitation treatment is not in place."
Home rehabilitation, a critical period from six months to one year
According to statistics, the number of people who die from cerebral infarction (stroke) in China is close to 2 million each year. The surviving 75% have lost their ability to work to varying degrees, and 40% have been severely disabled.
Lan Yue, director of the rehabilitation department of the First People's Hospital of Guangzhou, said that after stroke, patients often have dysfunctions such as hemiplegia, speechlessness, and swallowing function. If rehabilitation treatment is not involved, these dysfunctions will not recover themselves, or even There is a possibility of deterioration. Lan Yue said that patients who have had a stroke should take active drug prevention measures to avoid recurrence. Hypertension is the main risk factor for stroke. Prevention of stroke recurrence, blood pressure compliance is the key, and lipid-lowering and antiplatelet therapy are needed.
Rehabilitation of stroke is a critical period within six months to one year. "Patients after stroke are not treated with rehabilitation exercise, but they are lying in bed all day. The risk of osteoporosis and pneumonia will increase greatly, and it is easy to have the risk of recurrence. Through rehabilitation exercise, not only can the brain be effectively reduced. The risk of stroke recurrence also helps to restore action and self-care ability and reintegrate into previous social roles.†According to relevant data, rehabilitation therapy is still effective for patients who have two years after stroke, even for 10 years after stroke. Patients with motor dysfunction also have the opportunity to correct gait through rehabilitation, so it is not too late for rehabilitation.
Standardized training does not allow rehabilitation results to “regressâ€
Early rehabilitation of stroke patients is usually performed in a hospital. In the clinic, it was found that some patients with post-stroke motor dysfunction progressed well in hospital rehabilitation and could do some basic hand movements. However, after returning to the Spring Festival for a period of time, they returned to the clinic and “regressedâ€. Lan Yue said that after the early recovery period, the patients will return to their homes to recover. Many patients will be like "little children". They love to be spoiled and do not want to move. At this time, family members must help patients to adhere to rehabilitation training, and they should not let patients develop "dependence". Psychology. On the other hand, some family members see that patients are more struggling to do certain actions. If they don't have the heart, they will help patients to pack all the big and small things. In fact, it is not conducive to the recovery of patients. Family members must be patient and appropriate. "Heart", let the patients do something they can do.
Patients with motor dysfunction after stroke can perform some simple rehabilitation exercises at home. For example, let the patient sit on the edge of the high bed, with his feet hanging, and the calf tied to a sandbag to practice lifting the leg and increase the strength of the quadriceps. A patient with weak leg strength can support the stable table and practice standing and standing up; while the elderly with walking ability must insist on going out for activities and walking. Lan Yue stressed that the above-mentioned rehabilitation training should be carried out under the care and escort of the family, and the activities should also pay attention to the moderate amount of exercise.
Some patients have experienced a series of changes in their mental dysfunction after suffering from stroke changes. They have not accepted, contradicted, or even confronted emotions at first, and later found themselves sick, they are easy to fall into emotions. The idea of ​​being low, giving rise to self-destruction, and even thinking that rehabilitation training is useless. Lan Yue reminded that at this time, family members should pay attention to persuasion skills. Some patients are suitable for encouraging law. Medical staff, family members, etc. need to sigh with whispers and sensibility. Some patients are suitable for "exciting the law" and so on. The purpose is to allow patients to increase their confidence in rehabilitation, so that rehabilitation training can be carried out on schedule.
Lan Yue stressed that patients should be reviewed once every 3-6 months after discharge, and they should consult regularly. They should be rationally used under the guidance of professional doctors to effectively prevent disease recurrence.
Source: Network
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