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The full name of cerebral infarction is cerebral infarction, and whether it is good for patients with cerebral infarction to walk more is mainly determined according to the patient's condition and personal situation. Generally, if it is a long-term cerebral infarction, that is, if the infarction area is not large and there are not many parts, the patient has no obvious residual symptoms, such as limb hemiplegia. Generally, it is possible to walk more and move appropriately.
On the contrary, if the patient's cerebral infarction is more serious, such as in the brainstem or pontine and other parts, the patient has obvious limb disorders, such as hemiplegia, limbs, numbness, fatigue or crooked corners of the mouth, consciousness disorders, etc., it is not recommended to walk more, to rest more, stay in bed more, avoid strenuous activities, for patients with cerebral infarction, you can use a little dilation drug**, usually pay attention to avoid strenuous activities. Repeat CT or MRI of the head should be done regularly.
Cerebral infarction has become a common disease among the elderly, and its high disability rate makes patients and their families miserable.
If the patient can get better completely through ** after cerebral infarction, it is hoped that everyone will be able to do so.
There is a key element in this **, which has a direct impact on the prognosis, and that is ****.
When and how to start encountering patients with cerebral infarction has long been a profession.
The sooner the better.
The early stage has become a consensus of cerebral infarction, and the current concept is that the sooner the better, if the condition allows. There are many advantages of early **, which can restore the patient's physical function faster, and at the same time avoid severe muscle atrophy and joint deformity in the patient.
However, when it arrives early, it is generally the patient's cerebral infarction and passing through the acute stage, which generally includes the edema period after cerebral infarction, about 10 days after the onset of the disease.
However, there is a personal opinion that once the vital signs of a patient with cerebral infarction are stable and there is no life-threatening situation, the patient can be given passive **, such as massage, and move the limbs.
The principle of step-by-step.
Cerebral infarction is very professional, not as we imagined, press the massage, and help the patient to walk two steps.
Among them, it is necessary to judge the patient's condition and make a ** plan, such as language contact and exercise exercises.
Exercise** What exercises to do, how long to exercise each time, how much exercise at a time, how many times a day, etc.
But one principle cannot be violated, that is, step by step, at the beginning, start with a small amount of simplicity, otherwise it may induce ** or other diseases.
Family involvement is key.
Many people think that the patient will be fine when he goes to the department, or the hospital, but in fact, no one can replace the role of the family in the hospital.
Because the best doctors will generally formulate the best plan, how to hand over the best method to the patient's family every time, and most of the specific implementation must be done by the relatives. The effect and quality of the work, as well as the patient's comfort and encouragement, should be done by relatives.
Therefore, during the cerebral infarction, it is not that the more exercise the better, but that there should be a plan and proceed according to the plan.
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Cerebral infarction, also known as ischemic cerebrovascular disease, is a disease caused by insufficient blood supply to the brain due to blood clots, embolism, or other causes in the cerebral blood vessels. Cerebral infarction includes common cerebral arteriosclerosis thrombotic cerebral infarction (referred to as cerebral thrombosis) and cerebral embolism. In the acute phase, bed rest should be done with the head flat, and oxygen should be given if necessary.
Except for very high blood pressure, blood pressure is generally not lowered. Turn over frequently, pay attention to the patency of the respiratory tract, prevent respiratory tract and urinary tract infections, and prevent pressure sores. Medications Available:
Low-molecular-weight dextran, vasodilator, anticoagulant**, traditional Chinese medicine such as salvia, ligusticum chuanxiong, pueraria, angelica, safflower, etc. Optional. Patients with carotid artery occlusion may be treated with thrombectomy.
For patients with transient ischemic attack and occlusion of the intracranial arterial system, anastomosis of the superficial temporal artery and middle cerebral artery can be performed on the affected side. During the recovery period of cerebral infarction, it is necessary to take peripheral circulation improvers appropriately to reduce platelet aggregation, reduce blood lipids, nourish nerves, promote nerve cell metabolism, pay attention to blood pressure, etc., and pay attention to the primary disease of patients with coronary heart disease, wind heart disease, and diabetes. Food does not have the effect of stopping the formation of blood clots and dissolving them.
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Cerebral infarction generally refers to cerebral infarction. Usually people with cerebral infarction do exercises such as tai chi, walking, swimming, etc., which can relieve the patient's symptoms and will not affect the disease.
1.Tai Chi: Tai Chi is an aerobic exercise, which can move all tissues and organs of the body, and for patients with cerebral infarction, it can increase the high-density lipoprotein in the blood, which has a preventive effect on diseases and avoids coronary atherosclerotic heart disease.
2.Walking: This activity is generally not strenuous and patients with cerebral infarction can also promote the functional training of the affected limb through walking, which can promote the body's metabolism and avoid high blood pressure and blood sugar. Quietly opened.
3.Swimming: Swimming is a swimming exercise, which can promote the patient's cardiopulmonary function, is conducive to the metabolism of various tissues and organs of the body and blood circulation, and has a certain help in controlling blood pressure and blood sugar.
It is recommended that patients with cerebral infarction should also take aspirin tablets, warfarin sodium tablets and other drugs in their daily life according to the doctor's instructions, which can effectively prevent the formation of blood suppositories, and pay attention to a low-salt, low-fat, and low-sugar diet.
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Unless it is severely needed, the body rusts off and the resistance is low, which is more likely to be dangerous, and the key is to moderate it.
The main factors of cerebral infarction are: hypertension, coronary heart disease, diabetes, overweight, hyperlipidemia, liking fatty meat, and many patients have a family history. It is more common in middle-aged and elderly people aged 45 to 70 years.
First aid measures for cerebral infarction:
Cerebral infarction should be treated as soon as possible and in a timely manner, although it is not as dangerous as cerebral hemorrhage, but most of the patients are old and frail, many chronic diseases are riddled with many chronic diseases, and there are many cases of cautious medication on the **, and the infarction area can be expanded in a short time, and many complications will occur, so the mortality rate of cerebral infarction is also relatively high, and the disability rate is higher than that of cerebral hemorrhage.
**The principle is mainly to improve cerebral circulation, prevent and treat cerebral edema, **comorbidities.
1?Move appropriately.
It can play a role in improving cerebral circulation, but those who are delirious should stay in bed and strengthen nursing.
2?Improves blood circulation in the brain.
Increase cerebral blood flow deficiency bridge measurement, promote the establishment of collateral circulation, in order to reduce the infarct area. Low-molecular-weight dextran, 706 generations of plasma, Wei Brain Pathway, compound Danshen injection, ligustrazine and other drugs were used, 1 2 times a day, with an intravenous drip volume of 250 500 ml, for 7 10 days. Patients with headache, nausea, vomiting, or impaired consciousness can be dehydrated with 20% mannitol**, 250 ml twice daily.
3?Thrombolysis**.
Urokinase and streptokinase are commonly used to dissolve thrombus. Add 25,000 units of domestic urokinase to molar liters of 10% glucose solution intravenously, once a day, each course of treatment for 10 days. There are also people who use urokinase carotid artery administration ** cerebral infarction, which is generally applied within 24 hours of onset, due to the use of carotid artery puncture injection, it is difficult and must be applied in the hospital.
The reason why thrombolysis should be used early is that it is rich in water and easy to dissolve in the first day of thrombosis, so that the effect is fast and the course of treatment is short, but the condition should be closely observed to avoid serious consequences of cerebral hemorrhage.
4?Hyperbaric oxygen**.
It has been proved in practice that the effect on cerebral infarction is very poor, and it can greatly reduce the disability rate of cerebral infarction. It is suitable for early application, once a day, 10 times for 1 course of treatment, each oxygen inhalation time is 90 110 minutes, and must be carried out in a closed pressurized chamber, subject to conditions.
5?Regulates blood pressure, controls hyperlipidemia, and hyperglycemia.
The goal is to control risk factors for morbidity. If the blood pressure is too high, do not lower the blood pressure too quickly; When blood pressure is too low, it should be given to raise it appropriately. Patients with cerebral infarction often have high blood sugar, which is not good for ** and must be actively controlled.
6?Comatose patients should pay attention to keeping their airways open.
Suction sputum in time, turn over and pat the back, move the limbs, and prevent pneumonia and bedsores.
Shoulder pain around India or more rest, I think the kind of rest should be appropriate. I can't just lie down and not exercise, I think it's really painful, you can also do some witness activities, insist on more than ten minutes of exercise, I think the effect is still like this, so you can't be called to leisure and not exercise, so now the pain should also be exercised, so that you can live in his learning cycle, so as to have the effect of reducing his pain.
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