What is hemiplegia after stroke and what are its characteristics?

Stroke hemiplegia is the most common sequelae of stroke. It refers to weakness, poor mobility, or complete inability to move one limb. Patients with hemiplegia are often accompanied by sensory disturbances in the ipsilateral limb, such as lack of awareness of heat and cold, and lack of pain.

Sometimes it can also be accompanied by ipsilateral visual field defects, which are manifested in the inability to see objects or people on the paralyzed side when looking straight ahead, and the head must be turned to the paralyzed side to see. The above three symptoms are collectively called"Three biases"。

People who are prone to stroke include:

1. Patients with high blood pressure: According to clinical statistics, 80% of stroke patients have a history of hypertension, and the probability of stroke in patients with high blood pressure is 4 times that of ordinary people;

2. Diabetic patients: The probability of stroke in diabetic patients is twice that of ordinary people, so it is very important to actively control blood sugar levels;

3. Heart disease patients: all kinds of heart disease patients are prone to stroke, especially atrial fibrillation patients, according to statistics, the risk of atrial fibrillation patients is 4 times that of ordinary people, and they need to actively heart disease;

4. Long-term smokers and drinkers: According to scientists' statistics, if the daily alcohol intake is greater than 60g, the risk of stroke is 3 times that of ordinary people;

5. Grumpy people: especially people with a type A personality who are often said to have a higher chance of having a stroke than ordinary people;

6. Patients with a family history of stroke: such as parents, brothers, sisters, grandfathers, and maternal grandparents, if they have a stroke attack, the incidence rate is about 4 times higher than that of ordinary people;

7. Patients with transient cerebral hemorrhage: that is, patients with mini-stroke, according to statistics, the probability of stroke in such patients within 1-5 years is about 30%.

Stroke can lead to hemiplegia, especially when cerebral thrombosis and cerebral hemorrhage, which can lead to hemiplegia.

Hemiplegia is due to the abnormal function of cells due to avascular necrosis of the brain tissue that innervates the limb or is squeezed by the hematoma, so there will be dysfunction of the area it innerves, so hemiplegia will appear. Therefore, hemiplegia caused by stroke is still more common in clinical practice.

Hello stroke, is a Chinese medicine term, hemiplegia is one of the most common manifestations of stroke, can cause stroke is the common cause of stroke hemiplegia. Stroke hemiplegia is the most common sequelae of stroke.

This can be a number of reasons, stroke treatment is not thorough will also cause sequelae, there will be this phenomenon, if you don't know anything about this, you can go to see a book called "Stroke for Parents in the World", this book is very inspiring, you can go to the "Sanwujiao Stroke Patient Association" ** on the free get-it-all.

Migraine is more likely to be considered. Second, there may be symptoms associated with increased intracranial pressure caused by increased blood pressure. Cerebrovascular lesions cannot be ruled out. It is recommended to go to a regular hospital for a brain CT examination to find out the cause and treat the symptoms**.

Some people also call hemiplegia wheel height, hemiplegia is called hemiplegia in medicine, and hemiplegia belongs to the cardiovascular and cerebrovascular disease department. The scientific name of stroke is stroke, which is a sudden onset of cerebral blood circulation disorder, also known as cerebrovascular accident. It refers to the acute cerebral blood circulation disorder caused by various predisposing factors in patients with cerebrovascular diseases caused by narrowing, occlusion or rupture of arteries in the brain.

Cerebral strokes include ischemic stroke, hemorrhagic stroke, hypertensive encephalopathy and vascular dementia. We usually meet such people, can cause hemiplegia ** is a lot, the most common is some brain diseases, and there is a cold caused by a cold, we should have seen such a report, a woman in the cold winter wear very little, the result of the next day up hemiplegia, since it is hemiplegia, then its early symptoms are like this?

Early manifestations of hemiplegia include:

1. Dizziness: especially sudden onset of vertigo;

2. Headache: Headache that is different from usual, i.e., sudden worsening of headache or change from intermittent headache to persistent severe headache, stroke, hemiplegia.

3. Numbness of limbs: Sudden numbness on one side of the face, hands and feet, some of which are numbness in the tongue, lips or upper and lower limbs;

4. Limb weakness or inflexibility: Sudden weakness or inflexibility of one limb, intermittent pause or involuntary twitching of one limb is a precursor to hemiplegia;

5. Unclear words: Temporary slurred speech or poor speech;

6. Fall or faint: Sudden onset of unexplained falls or fainting;

It can be divided into two types, hemorrhagic stroke and ischemic stroke, and the diseases produced by different types of stroke vary.

a) Hemorrhagic stroke.

There are two types of hemorrhagic strokes: intracerebral hemorrhage and subarachnoid hemorrhage. Intracerebral hemorrhage refers to the rupture of blood vessels in the brain, blood overflow, which mostly occurs in patients with hypertension over 40 years old, with acute onset and violent onset, first severe headache, frequent vomiting, and soon slurred speech, lethargy, coma, and hemiplegia. The severe ones snore like thunder, breathe deeply, and have incontinence.

Subarachnoid hemorrhage is a rupture of cerebral arteries caused by intracranial aneurysm, intracranial vascular malformation, hypertension and arteriosclerosis.

2) Bloody stroke.

Hemorrhagic stroke includes four diseases: cerebral thrombosis, cerebral embolism, lacunar cerebral infarction and transient ischemic attack. Cerebral thrombosis occurs more often in middle-aged and elderly people aged 55-65 years, and is more common in men than women. The incidence of this disease accounts for more than 50% of all strokes, most of them start in a quiet state, progress slowly, and with the development of the disease, hemilimb failure gradually appears, but the consciousness is clear, there will be the possibility of sequelae such as hemiplegia, and the prognosis is better than that of cerebral hemorrhage.

Cerebral embolism is different from cerebral thrombosis, which mostly occurs in young adults between the ages of 20 and 40, and its onset is caused by emboli formed by other parts of the body such as the heart and blood vessels of the limbs entering the brain with the blood and blocking the cerebral blood vessels. The onset of the disease is acute and may be accompanied by symptoms such as headache, vomiting, confusion, and hemiplegia. Lacunar cerebral infarction is the occlusion of tiny arteries in the deep brain on the basis of hypertension and arteriosclerosis, causing ischemic lesions in brain tissue.

Its symptoms are mild, only manifested by inattention and memory loss, and the prognosis is good. Transient cerebral ischemia is commonly known as small stroke, which occurs on the basis of cerebral vascular arteriosclerosis, which mostly occurs in the elderly with a history of arteriosclerosis or hypertension, mainly manifested as sudden landing of objects in the hand, monoplegia, hemiplegia, monocular vision impairment, vertigo, tinnitus and dysphagia, etc., but they all disappear quickly, lasting a few minutes to 1 hour, and the longest is not more than 24 hours. It should be noted that a mini-stroke is a precursor to cerebral thrombosis and cerebral hemorrhage, and once discovered, you should seek medical attention in time to curb the development of its course as soon as possible.

Symptoms of stroke:1Headache, dizziness.

Sudden exacerbation or change from intermittent headache to persistent, severe headache.

2.Numbness of one limb, or numbness of half of the face or tongue, purple lips.

3.Sudden loss of movement or weakness in one limb.

4.Temporary or sudden slurred speech and poor speech.

5.: Sudden onset of unexplained falls or fainting;

6.Mental changes, apathy or impatience, polyverbal or taciturn, irritability.

7.Drowsiness occurs, in which the person is groggy and always wants to sleep.

8.Sudden onset of transient blurred vision.

9.Nausea and vomiting, or fluctuations in blood pressure accompanied by lightheadedness or tinnitus.

10.Epistaxis, especially frequent epistaxis, is a recent precursor to hypertensive intracerebral hemorrhage.

What are the precursors of stroke? Severe headache, limb weakness, obvious dizziness, onset of falls, hard tongue at the base of the tongue, and confusion of things.

Stroke is a common disease that occurs in middle-aged and elderly people. For stroke, how can we quickly identify its symptoms so that we can see a doctor in time?

Stroke may cause dizziness, dizziness, sluggishness, paralysis of one limb, numbness, slurred speech, or complete inability to speak, and even convulsions of limbs, confusion, nausea, vomiting, incontinence, etc.

Today I would like to share with you a simple hand movement, which can prevent stroke.

The most common consequence of hemiplegia after stroke is that the patient will develop "three deviations", speech disorders, swallowing disorders, cognitive impairments, impairments in daily activities, and disorders of urine and urine. "Triple deviation" hemiplegia: impairment of movement of one limb.

Partial sensory: Sensory impairment on one side, which is the absence of sensation in one limb, can have serious consequences. For example, there was a patient who, when it was cold, felt sorry for him, so he poured hot water into a hospital jar and put it at his right foot to warm him.

However, this patient is hemiplegic on the right side, and he does not feel it on the right side, and the very hot water bottle is placed under his feet and does not feel hot, and the next day he finds that the soles of his feet are burned. Therefore, this sensory disorder must be vigilant. Hemiopia:

One side is visually impaired and can only see objects on one side. Cognitive impairment Inability to recognize family, place, time, etc. Whether it's winter or summer, at home or in the hospital, he doesn't know.

Speech dysfunction is called aphasia in medicine, which means the inability to speak. Patients with right-sided hemiplegia are prone to aphasia, and left-sided hemiplegia is not easy. Why?

Because in the brain, the language center of ordinary people is on the left side, and patients with hemiplegia on the right side are affected by a lesion in the left side of the brain, which will affect the language center and lead to aphasia. Impairment in daily activities Unable to wash, dress, eat, etc., and unable to take care of themselves. Dysphagia It is easy to choke when eating and drinking, and in severe cases, it can lead to aspiration pneumonia, suffocation, etc., and even cause respiratory arrest.

For patients with dysphagia, we will first insert a nasogastric tube and help him with swallowing training, and the tube can be removed after training. Fecal and urinary disorders are incontinence. Drinking winter melon soup can prevent heat stroke.