On the questions of our correspondent answers a maim science employee for Republican scene-practice centre for neurology and surgery, doctor of medical science, professor, award for a state prize RB G.K. Nedzved.
1.What provoking displaying for stroke? Arterial pressure is first, but these are heart diseases with heart arrhythmia, ischaemic heart diseases, endured infarcts for myocard, atherosclerosis cardio sclerosis, cardiomyopathies. Destroying for heart activity leading to blood thrombus ,which are breaking away, and entering in the vessels of brain as blockading theirs. Its cardio embolic variant for stroke meeting on 20-22 cases. And still factor of risk is atherosclerosis, for vessels of head brain, sugar diabetes affecting of the atherosclerosis developing, and thus for ischaemic vessels of head brain . Combination of sugar diabetes with hypertension are very dangerous. And factors playing with quality life mode in patient as meal regime, habits, smokings, increasing risk for stroke for doubled, as addictions of alcohol , hypodynamic, obesity, eating cholesterol food, fats, also affecting and doing an own dirty process.
2. A how to define ,that stroke happened and which help is to add?
Haemorrhagic stroke and subarachnoidal haemorrhage is usually acuting beginning with acute headache, vomiting, sense lost, cramps, daily cramps on, after physical loading or emotional stress.For ischaemic stroke charactered is constant or by stepped formed begin, on the nighttime ,with numbness, weakness in leg, hand, swaying in walk, destroying speech, changing in behaviour.
3.What offers a modern medicine for stroke cure?
All medic tactic directed on the stroke characterising putting is haemorrhagic or ischaemic and his reason. In finding in brain inside haemorrhage, patient entering to neurosurgeries, which adding cure. In ischaemic stroke for patient hospitalizing in stroke region. Every patient adding individual cure course, by his condition and diseases having, age.
4. How a rehabilitation using ,who endured stroke.
And in brain stroke endured, patients not ability in own service, hard mobility, speech, after stationarum patients staying under home or ambulatory checking, or helping keeping restoring are by SPA. On 5-7 days of diseases within an improving a common condition, is beginning activity restoring curing. A when patient ability to sit in bed with legs down, in a complex for healing gymnastic adding exercises for strengthening legs muscles. And with exercises for restoring leg function and doing training for hand. An importance stage is learning for walk and staying, and on the staying position is training for reaction of balance, without which for future not possible a free walking. And needing mobility in the bed limits. Active transfer in siting position from a lie position. Such stages transferring for restoring everyday skills:on begin this learning for simple skills , as self-service , self eating meal, private toilet, and self wearing. Restoring therapy for speech disorders on acute period of stroke doing neurologist and logopedic. After recovering a patient in a hard form of stroke is not possible.
5. A how to save from stroke? Attention paying on an own risks factors and removing theirs, its about hypertension and diabetes. Adults are keeping physical activity on a limits right, on the morning doing breath gymnastic with complexes of exercises with checking working all joints of hands, legs. Everyday walk on 30-45 min, and limiting physical loadings in your garden, on spring, autumn. And on adult year adding more fibers , as vegetables, greens, fruits, as not fat veal, bird, cod, hake,pike-perch, vegetable fats are sunflower, olive oils. 1 time in 3-6 months visit therapeutist and neurologist.
6. A how to avoid a repeating stroke?
If a reason for initial stroke as in transient for destroying brain blood circulation as transitory ischaemic stroke as put a stenosis of sleep arteries, narrowed on 70 perc of space vessel, thus visit angio-surgeries for a surgery doing as carotid angioplastic and stenting . And to and after surgery patient using aspirin and clopidogrel. And patients endured an other ischaemic stroke kinds also constantly using aspirin , clopidogrel, dipiridamol, under control for coagulo-gramma, controlling arterial pressure, heart work/ECG, sugar and blood cholesterol.
