Symptoms, treatment and prognosis for hemorrhagic stroke

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The modern pace of life leads to a rapid wear of the vessels. There are many serious diseases, including ischemic and hemorrhagic stroke. With ischemic injury, the disease proceeds slowly, with timely diagnosis is successfully treated.

Content:
  • Hemorrhagic stroke - what is it
  • Symptoms
  • Than one can help
  • Causes
  • Effects
  • Stroke hemorrhagic left side
  • Stroke hemorrhagic right side
  • Coma
  • Prognosis of recovery
  • Rehabilitation after hemorrhagic stroke
  • Treatment medication
  • Drug treatment during the recovery period
  • People's means
  • Collection for rapid recovery after impact
  • Sage for speech restoration
  • Pine cones
  • Lemon and garlic
  • Ointment for paralyzed limbs
Related articles:
  • Determine the signs of a stroke in men
  • All about the symptoms and treatment of ischemic stroke
  • How to provide proper first aid for stroke
  • Stroke: rehabilitation and recovery at home
  • Find out the signs of a stroke in a woman

The defeat of the hemorrhagic plan is dangerous by its suddenness, brain tissue dies extremely quickly.

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Hemorrhagic stroke - what is it

A stroke in Latin means "blow".

When hemorrhagic lesions burst the vessels of the brain, which provokes a hemorrhage. The cause is high blood pressure and unevenly thin walls of the artery or veins. With the rapid movement of blood, the brain cells are damaged, the tissue is displaced.

Under the influence of pressure, blood forms a cavity in the brain tissues and fills it, puffiness appears. In the absence of emergency care, cells begin to die, a rapid fatal outcome is possible.

With this stroke, a maximum of six hours (preferably three) should be given to the patient. Otherwise, the consequences of a stroke can not be eliminated, and a person faces death or a life-long coma.

Depending on what zone the affected hemorrhagic stroke is divided into the following types:

  • stroke of the brainstem - such a variety leads to an instantaneous lethal outcome. Because it is the brain stem that gives the command to breathe, to move;
  • peripheral - hemorrhage occurs in the thickness of brain tissue. The safest form of stroke;
  • ventricular - affects the lateral ventricles;
  • Subarahonoidal - the blood fills the space between the soft, hard and spider web of the brain.

Combined stroke is characterized by a large hemorrhage that affects several parts of the brain. Hematomas can be localized in the thalamus, subcortical nuclei, within a specific proportion of the brain.

Hemorrhagic stroke can be primary - it arises from prolonged overloads of arteries and veins due to prolonged hypertension, physical and nervous exhaustion. With secondary stroke there is a rupture of vascular deformities (aneurysms, hemangiomas). Anomalies can be congenital in nature or occur in the process of life.

Bloody tumors (intracerebral hematoma) affect people under the age of 40 years.

Important!Hemorrhagic brain damage is not a very common disease, it is much less common than ischemic. Among all the strokes, this species occupies only a fifth.

Symptoms

A hemorrhagic stroke is characterized by a sudden sharp headache. The attack ends in loss of consciousness. Need immediate medical attention.

Stroke can strike absolutely healthy people on the beach and in the workplace during a stressful situation. Thus the person falls, the head throws back. Cramps start, breathing becomes hoarse, foam may appear.

Stroke is characterized by an enlarged pupil from the side of hemorrhage. The opposite eyelid and the corner of the mouth drops. The look can not focus, it is often turned to the side where the hemorrhage occurred.

Breathing becomes noisy, the skin is cold, the pulse slows down, the pressure rises.

Knowing the main signs of a stroke will help to provide correct first aid before the arrival of physicians.

  1. In stroke, the smile becomes uneven, one half of the face loses its mobility. If the victim sticks out his tongue, his unnatural curvature will become apparent.
  2. The patient is unable to raise his hands at the same time, it is difficult for them to keep them on the same level.
  3. Speech becomes vague, as the speech apparatus paralyzes during a stroke.

These signs are typical for any type of stroke. But with hemorrhagic lesions, all symptoms are extremely rapid.

Than one can help

The victim should first be laid horizontally. The head is placed on a hill, it should turn to one side. On a man should not remain shy clothes, should provide enough air (open the windows, disperse the curious). Calling doctors should be combined with emergency interventions.

Due to the suddenness of the disease, it is necessary to recognize the pre-sultural condition in time, which can last for several hours, as well as several days.

The most common symptoms are nausea and vomiting, which do not have objective causes, there is no relief.

What else is accompanied by the condition before the stroke:

  • dizzy and constantly headache;
  • a constant sense of weakness;
  • limbs numb, skin loses sensitivity;
  • the face often turns suddenly red due to a sharp rush of blood;
  • the pulse becomes uneven and intermittent.

Important!If there are several alarms, you should immediately contact a specialist for assistance. You should always remember that a stroke leads to severe consequences, coma and death.

Causes

In addition to high blood pressure, a stroke can cause congenital vascular anomalies (aneurysms). Often a stroke occurs against the background of hypertension.

Less often stroke occurs due to:

  • atherosclerosis;
  • cerebral vasculitis - an acute disease of non-infectious origin vessels that leads to hemorrhage;
  • hemophilia, DIC syndrome;
  • amyloid angiopathy - an ailment leads to the destruction of cells and vessels of the brain. It often happens in elderly people, and in patients with Alzheimer's disease;
  • overdose of drugs that dilute the blood (aspirin, phenylin, curanthilt);
  • changes in blood vessels of the inflammatory nature (encephalopathy);
  • tumors in the brain.

The disease can develop against a background of general intoxication of the body or vitamin deficiency. Passion for fatty and meat food, bad habits, heat strokes, back and head injuries - all this can also trigger the development of the disease in the future.

Diabetics, overly full people, patients with spinal cord diseases and heart problems are at risk.

Important!In almost all cases, hemorrhagic stroke is provoked by prolonged hypertension. Any hypertensive crisis can provoke the rupture of the vascular walls in the brain.

Effects

The consequences of hemorrhagic stroke are very difficult. If the survivor managed to survive, he will have a long recovery period and a severe disability.

The reason for this is that doctors often can not perform surgery on a damaged vessel due to its deep location in the brain. External hemorrhages located between the skull shell and the brain operate more easily. But such traumas can quickly lead to irreversible consequences even before surgical intervention.

The consequences of a stroke depend on which hemisphere has been affected. In this defeat affects the opposite side of the body. If the stroke occurred in the left hemisphere - paralysis will touch the right side, and vice versa.

Stroke hemorrhagic left side

A stroke in the left hemisphere of the brain occurs in 57% of cases of hemorrhagic stroke.

Since the left hemisphere is speech and logic, then with left-sided stroke there are always problems with speech. The victim begins to talk inaudibly, often able to pronounce only a few snatches of words or sounds. At the same time, he does not perceive the information he has heard.

The patient has lost the ability to write and read, loses his speech memory. Paralysis affects the right side of the face and limbs.

Important!The consequences of the left-hander's attack are reversed.

Stroke hemorrhagic right side

With right-sided impact, there are no speech deviations. Doctors say that such an insult is more difficult to diagnose, because it has a less pronounced clinical picture.

With a stroke on the right side, precious time is often missed, which leads to irreversible death of cells in the brain. As a result of this stroke, the left side of the face and body are paralyzed.

Other consequences of right-hand impact:

  • feelings and perceptions are disturbed - it often seems to the patient that he has many immobile limbs. Or there is alienation of the body;
  • there are bright signs of amnesia, a person can not remember his actions;
  • the victim incorrectly estimates the size of objects, distances, poorly oriented in space;
  • lost the skills of properly dressing clothes and shoes;
  • depressive states, apathy.

Coma

Often the hemorrhagic stroke ends with a coma. After a stroke, the victim's consciousness begins to get confused. Then comes numbness - the eyes are open, the pupils react to stimuli. But the patient does not see anything and does not understand. It ends with a vegetative coma, in which consciousness is absent.

Coma occurs due to extensive hemorrhage, the formation of bruises in vital parts of the brain. Survive after a coma, few, the mortality rate is quite large.

Important!Rinsing with hydrogen peroxide is an excellent prevention against stroke. For this, 3% peroxide should be mixed in equal proportions with water. Rinse should be done for at least a minute.

Prognosis of recovery

At 45-75% of hemorrhages, blood breaks through the ventricles of the brain. At the same time, the patient's condition deteriorates noticeably, a coma may occur.

Every 5 survivors survive the stroke. All fatal outcomes are fixed within the first 24 hours after the stroke. If the trunk or the ventricles of the brain have suffered, the probability of death is 100%.

Also, the weighting of the condition is accompanied by bilateral pathological signs, protective reflexes. There is an increased motor restlessness of the limbs, not affected by paralysis - the patient tries to pull on a blanket, tries to hide all the time.

The victim constantly shivering, there is a cold sweat, the temperature rises considerably. With all these symptoms, the prognosis for recovery is unfavorable.

The maximum number of fatalities falls on the first two days after the impact. The cause is the destruction of cells, swelling of the brain, squeezing vital centers in the brain stem.

A favorable outcome of a stroke is characterized by a clarification of consciousness in a few days. In this case, a manifestation of neurological defects is observed.

The consequences of a coma depend on the level of brain damage and on which centers suffered the most. But a full return to a full life is impossible. Observed are mental disorders, paralysis of individual limbs. But most often the victims are doomed to continue life only in the vegetative state.

Precisely predict the consequences of a stroke is not taken by any doctor. Medicine knows cases of recovery after extensive ular. And some of the victims die after minor hemorrhages.

But there are several general criteria for forecasting:

  • unconscious patients who have all the reflexes and functions preserved most often survive;
  • lack of consciousness and reaction to external stimuli, in which the muscles retain the ability to contract, and the swallowing function is not broken - in such victims also the chances of surviving are quite large;
  • with a coma, when all vital functions are provided by the apparatus, the chance of survival is negligible.

Rehabilitation after hemorrhagic stroke

After the impact should be ready for a long recovery period. The maximum reduction in neurologic failure is observed within the first 12 months after a brain injury.

Then the rate of reduction processes decreases. After 3 years, the ailment enters the stage of residual phenomena.

The recovery process includes a set of activities that are aimed at returning the previous level of activity.

Rehabilitation work should begin even while the patient is in hospital. All activities should be regular, continuous and moderate. Do not demand fast and noticeable results from the patient.

  1. Restoration should be carried out complex, using medicines, physiotherapy, folk methods and psychological help.
  2. One of the important places in the rehabilitation process is restoration of the motor and sensitive function. The task is difficult, you should start work from the first days after the impact.

At first, it is often necessary to change the position of the patient's body, fix the limbs in certain poses with the help of longots or bags of sand. If the victim is completely immobilized, it must be turned every 2 hours. Otherwise, pressure sores are formed.

Passive gymnastics can begin as early as the second day. The physical training instructor will show the correct movements, give advice on the duration and intensity of the loads.

  1. As the condition improves, the patient can begin to sit down, increasing the time spent in such a position each day.
  2. Then you can proceed to restoring the walk.
  3. Massage, active exercises to strengthen various muscle groups leads to a gradual expansion of the volume of movements.

To restore speech, you need a speech therapist. With the patient should be spoken slowly, clearly pronouncing words. At first, questions should be simple, imply monosyllabic answers.

The process of rehabilitation is impossible without the support and love of loved ones.

Important!Often the cause of a stroke is malnutrition and prolonged diets.

Treatment medication

Initial medical care is provided in the intensive care unit. At the same time, it is necessary to start injecting stem cells as soon as possible. If the crisis has passed, the patient has survived - he is transferred to an ordinary ward for long-term rehabilitation.

The treatment is aimed at maintaining the vital functions of the body and eliminating the causes of hemorrhage. The main task is to prevent brain edema. Medications include agents for lowering blood pressure and against epilepsy.

Often used drug mannitol. It promotes the outflow of fluid from the brain. Which leads to a decrease in intracranial pressure.

Drug treatment during the recovery period

On neurons that are not affected after the impact, the load increases significantly. Therefore, they need additional support, which will help the active restoration of the functionality of brain cells.

After inpatient treatment, preventive therapy should be given every 3 months.

Preparations for preventive treatment:

  • nootropics (piracetam, actovegin, gliatilin) ​​- they are injected;
  • drugs that improve neuromuscular conduction (proserin, neuromidine);
  • vitamin complexes containing vitamin B (neurorubin);
  • drugs to maintain normal blood pressure (ramipril, losartan);
  • preparations blocking calcium channels (corinfar, amlodipine).

People's means

The use of prescriptions for alternative medicine is possible only if the patient is in a stable state. In this case, all prescribed medications are required.

Collection for rapid recovery after impact

This mixture can relieve even the severe consequences of a stroke.

  1. Mix 35 g of white mistletoe and Japanese sophora.
  2. Pour the herbs 350 ml of vodka.
  3. Remove the drug in a place that is protected from light for 30 days.
  4. Shake the medicine every other day.

The course consists of 20 days of medication and 15 days of interruption. In this case, every day should take 5 ml of medication twice a day.

Sage for speech restoration

From the grass should be prepared a thin broth - 12 grams of raw materials for a glass of boiling water. Insist for half an hour. Then give the patient three times during the day a few mouthfuls of broth.

Collecting from a stroke:

  • plantain;
  • yarrow;
  • St. John's wort;
  • leaves of walnut and strawberry;
  • the eye;
  • inflorescence of calendula and scallop.

All the ingredients must be taken in equal parts by weight. Prepare a decoction of 20 g of collection and 210 ml of water. The medicine should boil well (at least 5 minutes). Take filtered and chilled 75 ml three times a day.

Pine cones

Pine cones contain tannins, which prevent the death of brain cells. From this raw material it is necessary to prepare tincture from young cones.

  1. A container of glass with a volume of 1 liter must be filled up to the top with opened cones, pour all with vodka. The drug should be removed to a dark place for 2-3 weeks.
  2. Then the medicine should be passed several times through the gauze. Correctly prepared tincture has a deep dark red color.
  3. The daily intake consists of three 5 ml doses. The course is designed for 21 days, after which a one-week break is required.

If the alcohol tincture is strictly contraindicated, you can prepare a decoction.

Pine cones (5 pcs.) Grind, add hot water (500 ml). Boil on low heat for 5 minutes. Take 55 ml from 1 to 3 times a day after a meal.

Bumps should be collected only from the tree in March-April.

Lemon and garlic

Grind 1.5 kg of lemons together with the skin with a blender or meat grinder. Add an equal amount of sugar.

Patient before breakfast give 5 g of lemon mixture and a small piece of garlic.

Ointment for paralyzed limbs

  1. Grind individually the leaves of the laurel and pine needles.
  2. Mix 5 g of pine raw material and 30 g of laurel.
  3. Add 60 g butter butter.

The funds should be rubbed twice a day into the affected limbs.

Hemorrhagic stroke is a serious illness with frequent fatal outcomes. But the prevention of it is very simple. Refuse bad habits and replace them with useful ones, keep calm. In the presence of hypertension, problems with the heart and blood vessels in a timely manner to pass all the recommended examinations. And after any craniocerebral trauma it is necessary to undergo a complete neurologic treatment.