How much it is necessary to lie in a hospital after a stroke, the indications and stages of treatment
Stroke, or sharp disturbance of a blood flow in a brain, - a pathology which meets 3-4 times from 1000 cases. 80% of the total is in the ischemic form, about 20 - in the hemorrhagic form. Often a stroke becomes a surprise for the patient and his loved ones. Tedious waiting for the result of the operation, after which the patient is transferred to the intensive care unit, and relatives have to wonder: "How many days lie in intensive care after a stroke?"
- The main stages of treatment
- Coma condition
- Hemorrhagic form
- Ischemic stroke
- When are they transferred to a general ward?
- General factors affecting the duration of hospitalization
The main stages of treatment
Therapy for acute circulatory disorders in the brain includes several stages:
- before hospitalization in hospital;
- medical influence in the intensive care unit and intensive care unit; at this stage, there is a correction of hemodynamics, eliminating the risks of brain edema and psychomotor disorders;
- transfer to the general chamber.
It is impossible to note how much time is needed for each stage separately. This is due to the fact that every case and organism is unique. There is a regulated number of days, and the patient without serious violations can spend 21 days in the hospital, in case of failures in the work of vital functions - a month.
Usually the period of stay in resuscitation for stroke is less than 21 days. During this period, doctors try to prevent the development of complications arising from malfunctions in the functioning of the brain, in connection with this, the control of all indicators of the patient is conducted.
Disconnection of consciousness in stroke occurs in 10% of the total number of cases. In the state of coma are the elderly elderly people and patients who have a bundle in the brain vessel. In such cases, no one can make a forecast for an exit from coma and further life. The only thing the doctor can do is resuscitate the patient.
The chances of getting out of a coma state depend on how well the health care is competently provided, the individual characteristics of the organism.
The tasks of resuscitation after coma:
- maximum support of functions that ensure life;
- comprehensive prevention of complete immobilization.
To maximally prevent atrophy of the lower limbs, modern clinics use a specialized apparatus - the verticalizer.
In some severe cases, in order to prevent possible progression and to carry out surgical intervention, the doctor decides to introduce the patient into an artificial coma.
The risk of complications in a person who has undergone a hemorrhagic stroke is much higher than with ischemic form. Patients with such a stroke in intensive care in a serious condition..
Note that for such a form of the disease, the risk of disability is 80% and the death rate in half the cases..
Often a person with a hemorrhagic stroke can lie in intensive care more time, because pathology is considered more complex and can lead to unforeseen consequences, including complete paralysis or one side. Resuscitation in this form includes:
- injections of drugs with anticoagulant effect - increased blood clotting rate;
- use of drugs that prevent bleeding;
- medicines to stabilize blood pressure;
- Therapy with the help of oxybuffers, which help to eliminate violations in the work of organs.
It develops under the influence of a rupture of a vascular build-up and a blood clot. In this case, the patient experiences confusion, a sharp headache, paralysis or numbness on one side of the body, most often the lesion of the right side.
In the course of rehabilitation, doctors solve several problems at once:
- acceleration of metabolic processes;
- significant improvement of cerebral circulation;
- increase the resistance of body tissues to hypoxia.
At the same time, to answer the question posed by the patient's relatives: "How many days lie in the hospital after an ischemic stroke?" Can not be unequivocally answered.
Since the number of days that a person who has suffered a stroke will be in each department, it is impossible to predict. Everything depends on the affected scale, the individual characteristics of the organism, the age of the patient and the concomitant diseases.
When are they transferred to a general ward?
There is no given number of days that the patient should spend in intensive care. When translating into a common block, a number of indicators are taken into account:
- Restoration of breathing - the patient does not need the support of the device for artificial ventilation;
- relatively clear consciousness, the ability to understand and perceive speech, to make elementary movements if there is no paralysis;
- elimination of pressure drops and increased heart rate;
- reduced risk of recurrence.
In the event that all indicators are normal, positive dynamics are observed, then the treating specialist can transfer the patient to the general ward. Translation takes place during the day during the tour.
When placing in the general ward in the department of neurology, rehabilitation measures are carried out: drug therapy, in case of retaining motor abilities, adaptive exercises.
General factors affecting the duration of hospitalization
To understand how many patients will be in the hospital, you need to familiarize yourself with the following factors:
- development, size, scale of the lesion, if there was a massive attack, doctors keep the patient in the clinic much longer, in order to avoid the development of complications and help the patient to adapt;
- severity of clinical symptoms;
- one of the main indications is the state of vital body functions;
- no less important conditions - whether the patient becomes better or increases the risk of a recurrence;
- presence of concomitant cardiovascular diseases.
It is extremely difficult to independently forecast how many people will be in the hospital. As well as determine the chances of successful rehabilitation. Because sometimes even doctors do not know how long to take therapy to reduce the risk of complications.
Ischemic and hemorrhagic strokes are extremely dangerous pathological conditions, diagnosed, mainly, in old age. Since any kind of stroke is of a sudden nature, it is necessary to urgently call emergency medical service when it is detected. And before the arrival of specialists try to provide the patient with the maximum help: to ensure the flow of oxygen, raise the head and upper body in order to prevent cerebral edema. Timely first aid and competent medical treatment help to increase the chances of a patient who has suffered a stroke... .