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Paralysis of the lower limbs due to spinal cord injury may not be good, depending on the cause of the injury.
1. Pyramidal fracture: If it is a spinal cord injury caused by a pyramidal (such as lumbar vertebrae) fracture, and the spinal cord injury is in a reversible state, the fracture can be relieved of the compression of the spinal cord in time after surgery, and the paralysis of the lower limbs can be cured after the neurological function is gradually recovered. If the spinal cord damage caused by a fracture is irreversible, it is difficult to recover from surgery.
2. Spinal cord injury: If the spinal cord injury is severe, such as complete spinal cord transverse trauma and spinal cord tumor, resulting in loss of muscle strength and muscle tone, at this time, complete paralysis of the lower limbs is difficult to cure.
3. Spinal cord vascular malformation: acute bleeding caused by vascular malformation factors tears the nerve conduction tract in the spinal cord, and a hematoma will be formed to compress the spinal cord, resulting in paralysis of the lower limbs and even quadriplegia (different manifestations of different spinal cord segments), which are also difficult to cure.
Nerve damage and quadriplegia generally do not**. Nerve damage** needs to be judged according to the specific site of damage, if the patient has traumatic nerve damage, the nerve can be surgically surgified**, and then the relevant drugs ** are used. However, if the nerves in the brain are damaged, it needs to be conservative with medication**.
Patients are advised to exercise appropriately and to eat a light diet.
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Peripheral nerve damage can cause severe limb dysfunction and even lifelong disability. Peripheral nerve injuries are mainly due to trauma, birth trauma, bone dysplasia, lead and alcohol poisoning, etc., which cause sensory disorders, movement disorders, and nutritional disorders in the innervated areas. Peripheral nerves refer to nerves other than the central nervous system (brain and spinal cord).
It includes 12 pairs of cranial nerves, 31 pairs of spinal nerves, and autonomic nerves (sympathetic, parasympathetic). These include:
1) Olfactory nerve injury Ethmoid fracture or frontal base cerebral contusion is often present, such as cerebrospinal fluid leakage, partial or complete loss of olfactory sense on one or both sides.
2) Optic nerve injury is often accompanied by anterior and middle fossa fractures involving the orbital apex and optic canal. The patient experienced vision loss or even blindness immediately after the injury, and the direct light reflex was absent, while the indirect light reflex was normal. If the optic chiasm is damaged, binocular vision is impaired and the visual field is defected.
3) Oculomotor, trochlea, abduction, and ophthalmic branch injuries of the trigeminal nerve often present with sphenoid winglets, petrous temporal bone, and maxillofacial fractures. In oculomotor injuries, diplopia, ptosis, mydriasis, loss of light reflexes, and outward and inferior eyeball deviation may be seen in oculomotor injuries; trochlear nerve injury may show diplopia with downward gaze; Abducens nerve injury can lead to limited abduction and inward oblique of the affected eyeball; Trigeminal nerve injury may include loss of corneal reflexes, facial sensory deficits, weakness in chewing, and occasionally trigeminal neuralgia.
4) Facial and auditory nerve injuries often have petrous and foramen fractures of the temporal bone, and facial paralysis, ipsilateral anterior 2 3 loss of taste, keratitis, tinnitus, vertigo, and neurological deafness occur at different times after injury.
5) Glossopharyngeal, vagus, accessory, and hypoglossal nerve injuries rarely occur. Occipital fractures are common. Manifestations include dysphagia, loss of the gag reflex, loss of taste in the postlingual 1 3, hoarseness, shoulder drop, atrophy of the tongue muscles on the injured side, and tongue protrusion on the affected side.
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Minor nerve damage can recover in about half a year, but if there is no recovery for a long time, the possibility of further recovery is small, and the specific needs to be combined with clinical analysis and judgment, and it needs to be standardized under the guidance of neurologists.
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If it's not very serious, it can be recovered.
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Yes, first of all, it is necessary to remove the triggers for spinal cord nerve injury to create conditions for nerve recovery, and later need to apply drugs to nourish nerves ** to promote nerve recovery.
Suggestions: Attention can be combined with acupuncture and other physiotherapy methods to promote nerve recovery, and then it is necessary to move joints and muscles to prevent joint stiffness and muscle atrophy, and actively cooperate with nursing to prevent complications. In this case, it is best to go to the hospital for a check-up, which is more reassuring.
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There is hope for recovery.
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This depends on the degree of paralysis and the patient's willpower.
If the paralysis is not so severe, the patient's mentality is better, the condition can be controlled, and the first training can be carried out in time, so that the symptoms can become better, and even be able to walk, these are no problems, but in this case, it is necessary to pay a lot of effort, so it should be hoped that the patients can persevere.
Paralysis of the lower limbs generally refers to the loss of certain sensation or movement ability in the legs, which can be determined through certain examinations, for paralysis of the lower limbs, it may cause other diseases, we should pay attention to it, it may cause brain diseases, and it may also cause muscle or joint damage.
People with paralysis of the lower limbs should pay attention to the following precautions in daily life:
1. Patients should take medicine in time, follow the doctor's advice or instructions, and take medicine regularly to prevent the occurrence of other diseases.
2. In terms of diet, it should be noted that you can eat some high-protein foods, preferably semi-liquid foods, eggs, lean meat, bone broth, goose eggs, these foods are edible, by eating these foods, patients can get a better recovery, because these foods contain crude fiber, which can promote gastrointestinal peristalsis and improve the body's immunity.
3. Because patients with paralysis of the lower limbs basically lose the function of urinating or stool, they should eat more fresh fruits and vegetables and drink more water, so as to promote the absorption of the stomach and intestines, so as to help their ability to defecate. Massage can also be given to patients to help them have a bowel movement.
4. Daily should learn to exercise properly, should try to carry out physical exercise, before exercising, should wear a more comfortable clothes, looser clothes, so that it can be more comfortable, convenient for people to exercise. Leg massages can also be performed for the patient, which will also help the patient recover.
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Will definitely recover. In life, you should do some ** actions, and you can recover if you persist for a long time.
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If you still have some strength in your lower limbs, I believe you can stand up and walk through daily **.
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Whether the paralysis of the lower limbs can be recovered mainly depends on the degree of spinal cord injury and whether the compression of the spinal cord is relieved in time. If you say that after paralysis of the lower limbs, the compression of the spinal cord is relieved by active surgery, and through active **. Generally, 30% of patients can recover, especially within three months after surgery, it is the first period of nerve recovery, during this period, we must actively perform acupuncture, physiotherapy and neurotrophic drugs on the affected limb, as well as dehydration drugs and hyperbaric oxygen to create repair conditions for the damaged spinal cord.
After passing **, nearly 30% of patients will recover gradually, if you miss the ** period, the recovery of the spinal cord in the later stage is relatively slow, and the possibility of recovery is not large. If the patient's symptoms do not recover significantly after half a year, then the recovery of paralysis of the lower limbs is unlikely.
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Spinal cord injury leads to paralysis of the lower limbs, first of all, to avoid the complications of long-term bed rest, that is, to turn over frequently, pat the back, cough more, and cough up the sputum accumulated in the airway to prevent respiratory infections, such as falling pneumonia and lung infections.
At the same time, it is necessary to massage the areas with protruding bones frequently, using talcum powder or alcohol to apply, because these areas are pressed for a long time, and it is easy to form bedsores and ulcers. Nutritional nerve drugs, such as methylcobalamin tablets, vitamin B1, vitamin B2, and vitamin B6, should also be used to nourish the nerves and restore nerve function.
Paralysis of the lower limbs is the most common symptom in people with spinal cord injury. The specific processing is as follows:
1. Seek the best advice and suggestions from the best teacher, and be able to seek the best as soon as possible professionally to avoid misunderstandings;
2. Traditional Chinese medicine and acupuncture can be taken to treat internal and external treatment and acupuncture, and it is emphasized here that traditional Chinese medicine and acupuncture have a very good effect on limb paralysis;
3. Use long lower limb braces, walkers, and double axillary crutches to carry out step-by-step standing and walking training inside and outside the parallel bars;
4. Stand independently and train independently from a wheelchair;
5. Training up and down stairs;
6. Those with superior physical conditions should practice safe fall and re-rise training, which is very important for patients who walk with the help of braces and crutches, so as to avoid injuries during falls and inability to get up on their own after falling to the ground;
7. Those who still have muscle strength in the lower limbs can also carry out muscle strength training through sandbags, machines, etc., and the last point that needs to be emphasized is that the whole training process is very hard, and it requires perseverance and endurance and strong will to complete these trainings.
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After spinal cord injury, it is usually necessary to take the best method, first go through the corresponding clinical examination, as well as the necessary auxiliary examinations, to determine the extent, scope and location of the injury, and then carry out targeting**.
**Mainly includes surgery** and non-surgery**, surgery ** mainly depends on the condition of the injury, whether there are indications and contraindications for surgery, and whether the patient can tolerate it.
Non-surgical**, there are drugs**, you can give some drugs to nourish the nerves, such as vitamin B1 and B12, and non-surgical** should also include postoperative ****, which is also very important.
To actively repair the nerves, the damaged nerves, including the tissues of the spinal cord and some corresponding soft tissue injuries, can promote the recovery of the patient's nerve function after active ****.
Like muscle injury, after training, it can prevent muscle atrophy and increase muscle tone, which is of great help for returning to life as soon as possible and taking care of oneself in life.
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First, the condition is caused by trauma or a tumor that requires surgery. In general, nerve decompression or surgical exploration is performed during the operation to understand the condition of spinal compression, and then the state of spinal cord compression is corrected to improve the state of hypoxia and ischemia.
Secondly, paralysis of the lower limbs due to vitamin B12 insufficiency, such as subacute combined degeneration of the spinal cord in patients undergoing gastrectomy surgery, requires patients to take neurotrophic drugs rich in vitamin B12 to improve symptoms such as anemia. At the same time, patients also need to do acupuncture and functional exercises of the lower limbs to prevent thrombosis or bedsores in the deep veins of the lower limbs.
Finally, paralysis of the lower limbs due to cauda equina nerve injury can only restore the diameter of the spinal canal and avoid re-damage to the spinal nerve, but not the nerve. Patients can improve the blood circulation in the spinal cord by taking Chinese medicine, so that the sufficient amount of blood** can damage the nerves. Patients are advised to take neurotrophic drugs at the same time to prevent ischemia, degeneration, and necrosis of damaged nerves.
Functional exercises are also required, such as the use of autonomous passive exercise braces to achieve exercise results. If the patient wants to resume bowel and bowel movements, he or she needs to continue to do bladder training under the professional guidance of the doctor.
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Paraplegia is a common and serious disease in clinical practice, and the recovery of this disease is mainly dealt with from the following two aspects.
First, the symptomatic treatment of drugs requires the use of drugs to promote blood circulation and eliminate blood stasis and nutrition nerves, such as drugs such as Xuesaitong and methylcobalamin, infusion ** or oral drugs to treat the symptoms, and drugs ** are essential.
Second, if the patient's condition is stable, it should be intervened as soon as possible, and the improvement effect of clinical symptoms should be the best, so the best can not be less, acupuncture, massage, acupoint injection Xiangjiao, paraplegic limb function training, standing training, balance function training, etc., comprehensive treatment, so that the best can be effective. The recovery of paraplegia will be relatively slow, and it is necessary to adhere to the **, and the positive ** clinical symptoms can still be improved, so there is still a necessity, but the recovery is still slower than the finch attack, so you need to adhere to the **, you can go to the neurology department or **department of the local tertiary hospital**.
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**Do not imitate voluntary strength training, at least 2 times a day, each time for 15 to 20 minutes, and the patient should hold the relevant position for 10 to 15 seconds before making adjustments during each exercise. In addition to the above two spring methods, some balance training can be carried out for amputees with poor balance. We know that the visual system, the labyrinthine system, and the deep sensory system are key to our ability to balance properly.
However, after amputation, the patient's balance is mainly caused by the weakness of the deep sensory system and muscles, so appropriate balance training can improve the patient's balance ability. **Do not imitate at will, but it should be noted that patients must have a professional doctor to guide them when doing balance training, so as not to cause secondary damage to the body. Fourth, all the limbs after amputation have gone to **?
First of all, for amputation caused by tumors, diseases, etc., after amputating the limb, the doctor will provide the amputated limb to the hospital for medical research, so as to facilitate the patient's further diagnosis in the later stage. In addition, some limbs with special pathological causes will be made into medical specimens and displayed in medical museums after being amputated.
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