Edema of the feet after stroke treatment


My father is 67 years old. Recently, he suffered a stroke. Please advise how to help your father recover from a stroke?

T. Akhatyeva,
Cheboksary, Chuvashia

After a stroke a person has to study againwalk, talk, perform simple daily housework. Recovery usually takes a long time and is very difficult, it requires the patient close to a great patience and goodwill.

If patients are passive, therapeutic gymnasticsare engaged only in compulsion, spend hours in bed without movement, they have poor recovery even slight violations of motor functions. But this behavior should not be considered a manifestation of the patient's laziness, as relatives are often considered: with extensive lesions of the right hemisphere, along with violations of movements in the left arm and leg, mental activity also decreases. Such a patient needs to patiently persuade to move, walk, but not to force him to climb at any price, if he is not feeling well or not in the mood.

A person who is used to life "before the stroke" himselftake decisions, live actively, extremely hard experiencing the present helplessness. Because of this, many patients develop depression, apathy, and at this point the moral support of relatives and friends is so important.

After discharge from the hospital, the patient mustrealize that at home you need to learn to go to bed, sit, get up, walk, not sparing the sick side while moving. Recovering will come gradually, every day will give new results.

If you can not walk by yourself, after allthe muscles are constrained, stiff, do not obey, and the move is painful, the patient still has to walk every day - with support, but trying to lean on the assistant as little as possible. It is no coincidence that doctors urge such patients to take a hundred steps every day and add one more per day.

And if walking is absolutely impossible, then you needcrawl one lap around the apartment and add to it one meter per day. Or wiggle fingers and toes, gradually increasing the load and involving the hands and feet. Slowly and persistently move forward.

Paralyzed after a stroke people will helpinfusion of the root of barberry, It must be taken immediately after the stroke occurred. 2 tbsp. Spoons of crushed barberry root pour 2 cups of boiling water in a thermos, insist overnight. Infusion drink a few sips throughout the day. The course of the course is 21 days, then take a break for 21 days and repeat the course again.

S. Zaitseva,
Altai region

In the recovery process after a strokeit is necessary to use apitherapy, mummies, medicinal plants. These adaptogens such as ginseng, eleutherococcus (if the pressure is not too high), peony, aralia (tincture of these plants should drink 20-30 drops in the morning and evening). The plants-assistants include licorice root, valerian, crochet-grass, elecampane high, hawthorn and red mountain ash (the last two plants have anti-spasic action).

In the diet of a patient who suffered a stroke,include products of vegetable origin (minimum 0.5 kg per day), rich in fiber and pectin: raw grated vegetables (carrots, beets, cabbage, radish, horseradish), fruits (apples, plums, apricots, grapes) and dried fruits (raisins, dried apricots ), shredded walnuts. Very useful lemons (especially with honey), grapefruits, strawberries, cranberries, cranberries, raspberries.

Deepening of blood clots, scar formation inthe location of the stroke and the regeneration of cells speed up the mummy. 5 g of mummy must be dissolved in a cup (150 ml) of aloe juice. Take 1 teaspoon before breakfast and overnight for 10 days. Repeat the course after 10-15 days. Between courses it is useful to the patient to drink propolis tincture for 20-30 drops a day.

Apitherapy after a stroke is also effective. "Apilak" is a biological stimulant with tonic and trophic properties. It increases the tone of tissues. normalizes the pressure. Take "Apilac" should be 1 tablet 2 times a day in the morning and in the afternoon, keep the tablets under the tongue until complete resorption. The course of treatment is 20 days. After a month's break, repeat the course.

Simultaneously with "Apilakom" it is necessary to takeflower pollen for 1 tsp 2-3 times a day before meals. Pollen stimulates the growth and regeneration of damaged tissue, normalizes the activity of the nervous and endocrine systems, strengthens the capillaries, reduces the cholesterol in the blood, stimulates the immune system, mental activity.

And be sure to eat 100 grams of honey per day (for 3-4 meals).

How to cope with depression after a stroke?

I am 55 years old. Three years ago, I suffered an ischemic stroke with a paralyzed left side of the body. Two years he was treated in the neurological department of the regional hospital, as well as in the rehabilitation center. I go with a wand, my hand practically does not work. In the rehabilitation center, patients were advised to take cortexin, amino acids. Also suggested a recipe with mummies and aloe. Will these funds bring any positive results? It's very hard for me now: the disease destroyed my whole life.

G. KOZLOV,
Velichi, the Smolensk region

The letter is answered by a neurologist of the highest category Lyudmila Evgenevna VORONINA.

- Ischemic stroke is a defeat of the headThe brain, caused by a sharp narrowing of the blood vessel. As a result, the supply of blood to a specific area of ​​the brain is disrupted. Strokes are small and extensive. Extensive strokes are difficult. Patients very often remain confined to bed due to paralyzed limbs. After the stroke, memory is broken, a person can not read, write, communicate with others.

I believe that your body coped with a serious illness. You stand on your feet, walk, communicate normally.

Your paralyzed hand should eventuallyto restore its function to some extent. The main treatment is therapeutic gymnastics. And in rehabilitation centers, you need to take periodic courses of restorative treatment. Principles of treatment in all these centers are the same.
Medications improve metabolic processes in the headbrain. This contributes to the restoration of lost functions. These agents include cortexin and amino acids. Mummy and aloe stimulate metabolic processes. But remember that self-medication is unacceptable.

Of the additional methods can be used acupuncture, which is conducted by a neurologist, hirudotherapy (treatment with leeches), homeopathic treatment.

For the sake of peace of mind, one must change one's ownattitude towards the disease. How to do it? It is necessary to cope with depression. This will help drugs, which are called antidepressants. Appoints them as a neurologist or psychotherapist.

What is their effect? Each person's body contains a substance called serotonin. Under the influence of various diseases, its content in the body decreases. It causes depression, a bad mood. Antidepressants return serotonin to normal.

But even the most effective drug will not solve allproblem. It is necessary to change the attitude to the world around - to communicate with friends, with the family. Instead of walls of alienation, if they exist, build bridges of communication. Take on some obligations, set yourself affordable tasks. Active participation in life will help to defeat the disease.

If you optimistically evaluate yourself and your own problems, then sad thoughts will go away.

Improve the spirits of water procedures,proper nutrition (eat less fat, sweets and more vegetables). And physical activity stimulates the production of endorphins in the body - natural substances that make us happier.

If you suffer from high blood pressure and heart disease, do not rush to take tablets with handfuls. Try to heal a salad of garlic.

In the evening, rub 3-4 cloves of garlic with 100 gramsgrated parsley root, season with olive oil, salt, add any other spices as desired and taste. In the morning put a little salad on a piece of bread and eat. It's tasty and very useful.

Helpful advice
To avoid a second stroke, starta dog or a cat. Experts believe that a person after a stroke is very helpful contact with pets. Care to care for them is not too burdensome and fully pays off with the devotion and love of a four-legged friend.

That the stroke did not happen again

What measures need to be taken to avoid a second stroke in my 70-year-old father?

N. Tsarenko,
Perm

Unfortunately, the risk of recurrent stroke is high(especially in the elderly). According to statistics, almost half of those who have suffered a stroke experience it repeatedly. To prevent a second stroke, you need to know what causes led to acute impairment of cerebral circulation, determine your risk factors.

They are known, but there are some details that are often underestimated.

The main risk factor is high blood pressurepressure. But not everyone knows that in half the cases, strokes occur and with a slight increase in pressure. If a person has had a low blood pressure all his life (for example, 100/60 mm Hg), then an increase to 140/90 mm Hg. Art. will be too large for its blood vessels, it must be reduced.

Hypotensive (pressure-lowering) drugsare selected individually, and it is better that this happens not in a hospital, but outpatient. At the patient of the hospital, in the absence of usual worries and loads, the pressure usually returns to normal, but once a person returns to the previous regime, pressure jumps again.

It is known that even in a healthy personblood pressure changes during the day, and the pressure of a person who has had a stroke should be controlled regularly: during the selection of antihypertensive medications - daily, morning and evening, in the future it is desirable to do this 2-3 times a week.

Hypertension is associated with hypertensionencephalopathy. Because of the increased pressure, the walls of blood vessels that feed the brain lose their elasticity and become thinner. During a hypertensive crisis, blood plasma can penetrate through altered walls and cause swelling of the adjacent brain tissue, small aneurysms (protrusions) are formed in the brain vessels, which can burst with a sharp increase in blood pressure, causing hemorrhage in the brain-hemorrhagic stroke.

Diseases of the heart disturb the total blood flow in thearteries, promoting the formation of blood clots. The most frequent cardiac causes of ischemic stroke are the active rheumatic process affecting the heart valves, and heart rhythm disturbances, atrial fibrillation.

The cause of a stroke may become overweight. Weight loss is usually accompanied by a lowering of blood pressure, which is very important to know to prevent a second stroke.

If a hemorrhagic stroke affects a person instantly, then the symptoms of an ischemic stroke increase gradually. It is possible to suspect its initial manifestations at least for two of the following symptoms:

headaches, increasing in frequency and intensity in recent months;
- Increased dizziness;
- noise in the head;
- frequent dips in the memory;
-Stable tendency to increase blood coagulability.

A person who has suffered a stroke and his family should try to reduce the effect of risk factors. How can this be done?

In addition to taking medications prescribed by a doctor, one must counteract the risk factors of their own protection measures. This is primarily proper nutrition and adequate physical activity.

Nutrition after a stroke should not be excessive in volume and calorie. The main requirement: dramatically reduce the number of animal fats and salt.

Useful oily fish (also in small quantities). Unsaturated fat contained in it, helps to lower the level of cholesterol in the blood, has a beneficial effect on blood vessels.

In a day it is desirable to receive not less than 50-100 mgVitamin C (black currant, sea buckthorn, rosehip, lemon), 2.4 mg of vitamin B, 3 mg of vitamin B2 (they are contained in cereals, meat, rye bread, legumes), 1.5 mg of vitamin A (red and orange vegetables) , 14 mg of vitamin PP (carrots, red peppers, spring onions, lettuce, sea buckthorn, tomatoes, fish, eggs, dairy products).

Instead of rich soups, prepare fish soup and vegetable soups. So you can reduce the level of cholesterol in the blood, and at the same time and weight, which is very important for the prevention of a second stroke.

When stroke often paralysis or paresis occurs(partial paralysis) of the limbs. To restore functions, special exercises are needed, which individually for each patient is selected by a physician-physiotherapist. Such gymnastics with the patient is then spent by relatives. This requires both the victim himself and his family's great patience.

But a few months after the motor functions are fully or partially restored, we can not neglect the exercises.
How to choose the suitable complex for yourself?

Stand in front of a mirror, look at yourself anddecide which muscles you need to strengthen in the first place, which fatty deposits to get rid of, the mobility of which joints need to be restored. After such an analysis, it will not be difficult for you to pick up some of the simplest daily exercises for different muscle groups.

And one half-hour daily walk can not only improve a person's condition, but also halve the risk of a second stroke.