Edema of the right side of the body
A common consequence of a stroke isparalysis of the right or left half of the body. The side, controlled by the damaged hemisphere of the brain, is affected. As you know, each hemisphere is responsible for the opposite part of the body. The right side is paralyzed if the focal point of the stroke is in the left hemisphere of the brain. It is believed that paralysis of the right side is better tolerated by patients and has a more favorable prognosis. This is also due to the fact that the cerebral stroke with localization in the left hemisphere is more quickly recognized, since speech is violated in this case. It is clear that early diagnosis makes it possible not to waste precious time and timely start treatment, which is very important in this disease.
Signs of strokes with paralysis of the right side
Stroke with a focus in the left hemisphere of the brain leads to the fact that full or partial paralysis of the right side occurs. At the same time there is a persistent violation of the sensitivity and tone of the muscles.
After a stroke with a hearth in the left side of the brainlogical thinking and speech are violated, a tendency to depression may appear. In addition, there are symptoms such as headache, vomiting, dizziness, impaired consciousness. Paralysis of the right side of the body is usually quite pronounced. Distribution and severity of paralysis is due to the location of the lesion and its size.
If damage occurs in the inner capsuleleft part of the brain, then during the acute period the syndrome of three gemis can develop. This is a complete right-sided paralysis, or hemiplegia, when there are no movements in the right leg and arm. It is usually combined with hemihepesthesia, in which all kinds of sensitivity on the paralyzed side are violated, and with hemianopsia - half blindness, or loss of half the field of vision in each eye. A stroke with a lesion on the right side of the body gives a pronounced paralysis in combination with neurological signs in the form of an asthenic-depressive condition.
The further the source of a stroke from an internalcapsules of the left hemisphere, the less pronounced impellent disorders. Only certain parts of the upper or lower extremities, proximal or distal, are affected, that is, those that are located closer to the center of the body or, conversely, are removed from it. In this case, paralysis predominates in the right leg or arm.
When the lesion is localized in white matterIn the place of the central gyri of the brain, paresis usually develops in the distal (remote from the center) sections of the right arm or leg. Such violations are often more pronounced in the arm than in the leg.
Therapy with right-sided paralysis
The outcome of the treatment is more favorable the earlier the patient was hospitalized. A stroke in which the right side is paralyzed requires the following measures:
- Emergency correction of violations of such important functions as breathing, movement of blood through blood vessels, swallowing. This includes the interruption of the status epilepticus.
- Regulation of water-electrolyte balance and prevention of cerebral edema.
- Neuroprotective therapy aimed at protecting the brain from metabolic disorders.
Treatment for ischemic stroke
When the blood supply to the brain as a result ofVascular occlusion is an ischemic stroke. Treatment is primarily to eliminate the cause of blockage, which is often caused by thrombosis of the brain arteries or thromboembolism.
In ischemic stroke with right-sided paralysis, neuroprotective drugs, anticoagulants, antiaggregants, thrombolytic agents, defibrinizing enzymes are prescribed.
Treatment for hemorrhagic stroke
Hemorrhagic stroke is ahemorrhage into the brain due to rupture of the vessel wall, which occurs under the influence of high blood pressure. Therapy of the hemorrhagic form is more intense. Such a stroke is considered to be the most severe and often leads to death.
Recovery after paralyzing the right side of the body
With left-side cerebral hemorrhagepronounced paralysis of the right side of the body. The paramount task of physicians in this case is to normalize the hemostasis, to prevent the formation of plasmin, to reduce the permeability of the walls of the vessels. With significant bleeding surgical intervention is not excluded.
With right-sided paralysis, the cause of whichbecame a hemorrhagic stroke, from drugs antifibrinolytic agents and coagulants are shown. It is necessary to limit the appointment of antiplatelet agents (indomethacin, aspirin), corticosteroids, calcium antagonists, antispasmodics, barbiturates.
Rehabilitation after a stroke with right-hand paralysis
Restorative measures after any stroke start not earlier than three weeks after the acute condition was managed to be quenched. Rehabilitation depends on the localization of the focus, the severity of the lesion, the patient's well-being, the presence of other pathologies.
Patients who paralyzed the right side,The complex therapy is shown, which includes medical treatment, massages, physiotherapy, physical therapy, conversations with a psychologist and a speech therapist.
According to statistics, recovery from a stroke with paralyzing the right side of the body occurs faster because the death of cells in the left hemisphere is slower than the right side.
Yuri - October 19, 2014 - 14:06
Took away the right hand. Sensitivity preserved. But I can not do anything with a brush. the brush just hangs. I will be transferred to another department for the rehabilitation of the brush. than and how I do not know. And what do you advise? I am an artist. Do I have a chance to restore the brush? I have diabetes of the second degree. Medication stopped taking several months ago, sugar keeps at level 10. I will be grateful if you answer. Yuri.60 years.
Lyudmila - consultant serdec.ru - December 1, 2014 - 14:26
If the paralysis of the right hand is associated with a stroke, thenlong-term rehabilitation is required. The chance of recovery is certainly there. Perhaps the movement will not be fully implemented. All the necessary methods of therapy will be prescribed to you in the rehabilitation department.
In vain did you abandon the medication. Decompensated diabetes mellitus worsens the situation, reduces the ability of tissues to recover. Consult an endocrinologist and take care of the diabetes treatment in parallel.
Alexander. - Dec. 7, 2014 - 17:09