Is there a chance to restore health if the right side is paralyzed after a stroke?
Stroke is always a tragedy for the patient and his relatives. The sad statistics on stroke death during the entire acute period, which lasts 3 weeks, keeps a person on the verge of life and death, including because of the threat of an increase in brain edema. During this time, the patient underwent basic therapy aimed at maintaining vital functions and specific treatment depending on the type of stroke.
According to the ICD, 10 revisions distinguish cerebrovascular diseases, among which are hemorrhagic stroke, ischemic stroke or cerebral infarction, subarachnoid hemorrhage. Any of these species has a consequence, which is expressed in the fact that the patient can refuse the hand or leg, the body can stop working half, take away speech, paralyze the face..
The age at which a person receives a stroke is younger. An elderly patient has less chance to restore impaired motor function. Nevertheless, the earlier rehabilitation is begun, the more favorable the prognosis is to cure hemiparesis.
- Causes and symptoms of right-sided paralysis
- Treatment in an acute period
- Effective recovery techniques
Causes and symptoms of right-sided paralysis
The cause of right-sided hemiparesis after a stroke is a lesion of the left hemisphere of the brain. Left-sided hemorrhagic or ischemic stroke leads to the fact that after a stroke the right arm and leg do not work. With the opposite side everything is in order, the motor and sensory innervation is not violated.
In the left hemisphere, the right-handers have speech centers, so an additional complication in the form of a speech disorder will be observed in the left hemisphere lesion.
There is a connection between the localization of lesions in the brain and the degree of motor disorders. The closer the focus is to the inner capsule of the brain, the more pronounced hemiparesis or hemiplegia. If the focus is inside the capsule on the left, then the right side is paralyzed completely, the sensitivity to the right is lost.
Left-sided localization leads to a paralysis of the right side in stroke, but this is not the only symptom. Paralysis affects the right side of the face, muscles are distorted.
The left hemisphere is responsible for the logic and mastery of the exact sciences. The perception of space is disturbed, the patient can not determine at what distance objects are from him. It is difficult for him to perform simple actions, he can not tie his laces, fasten buttons.
The patient loses his speech memory, forgets the meaning of words. Because of paralysis of facial muscles, he can not pronounce even simple words, and speech acquires a telegraphic style. The loss of memory extends even to the names of close people, perhaps to their own, too.
Treatment in an acute period
Treatment in the first 3 weeks of an acute period is carried out in a hospital and consists of 2 stages:
- basic therapy;
- specific treatment.
Basic therapy requires the involvement of the resuscitator, since it is aimed at restoring vital functions - breathing, cardiac activity, excretory system work, normalization of intracranial pressure, prevention of cerebral edema and maintenance of an exchange glucose.
Specific treatment depends on the type of stroke. With hemorrhagic stroke, the main task is to stop the hematoma. With extensive hematoma, surgical treatment is performed in a neurosurgical hospital. Small hematomas are treated conservatively with application of:
- means that improve blood clotting.
With ischemic stroke, treatment is aimed at restoring blood circulation in the affected area of the brain. To this end, in the interval of 3-6 hours from the onset of symptoms, high-tech manipulation is used - selective thrombolysis. In contrast to the usual intravenous administration of thrombolytic in selective thrombolysis, the agent is injected into the pool of a clogged vessel under X-ray control.
- from a correct assessment of the patient's condition with the appearance of the first symptoms of a stroke;
- Immediate call of an ambulance;
- correct transportation of the patient (transport with maximum sparing position of the head);
- timely computed tomography for clarification of the type of stroke.
During an acute period after an ischemic stroke with a right side paralysis, in the absence of severe consequences, recovery can begin at the 2-3 week, for example: an easy exercise of exercise therapy. Unfortunately, an extensive stroke in both hemispheres of the brain with a lesion of the trunk ends in the patient's death in the first few minutes.
It turned out that if after the stroke paralyzed the right side, then the recovery proceeds more successfully than with the left side paralyzing. This is due to the fact that right-sided paralysis is easier to diagnose due to concomitant speech disorders, and that cells of the left hemisphere die more slowly.
After discharge from the hospital, it is important to decide the question of where the measures for restoring the impaired functions will be carried out. The maximum effect is provided by specialized centers, however, only 20% of stroke survivors can undergo restorative treatment. As an option, one can consider the patient's short stay together with the person providing care for the paralyzed patient for the purpose of training and practical development of the methods.
In the complex of events use:
- Exercise therapy;
- correction of speech with a speech therapist;
- manual therapy;
The complexity, consistency and persistence of the activities is important.
Effective recovery techniques
Work with a psychologist is necessary for the patient and his relatives, since the motor impotence of the patient in combination with speech and mental disorders leads to isolation, social exclusion and even depression. To provide a positive attitude to improve the condition is an important condition on which the success of rehabilitation depends.
Persons caring for the patient must comply with the patient's hygiene requirements, starting with oral care, washing, prophylaxis of pressure sores and thrombosis. Every 3-4 hours the patient should be turned from side to side, wipe the skin with camphor alcohol, put on the feet compression compression.
The development of movements in the affected limbs is carried out in a complex manner with the use of light restorative massage in combination with physiotherapy exercises. The initial stage involves the implementation of simple movements in the prone position, then move to the position of half-sitting, sitting and standing. The first exercises can be simple extension of the limb with holding it in this position for about 30 minutes, passive flexion-extension of the arms and legs. This process is lengthy and requires perseverance and patience from the patient and his loved ones.
Recommendations for performing massage and physiotherapy after a stroke of the right side are given by the doctor, they are individual for each specific case. Thanks to gentle massage and passive movements in the limbs that start from the healthy side, the right side of the body gradually included in the recovery process, there is numbness, hypertension of muscles decreases, contracture with joints.
For the same purpose, antispasmodics and drugs that eliminate spasm from the striated muscle are used. In the complex of drug correction, drugs are used to treat the underlying disease that led to a stroke (antihypertensives, antiplatelet agents, antioxidants, neuroprotectors, vitamins). In some cases, surgical treatment is performed to remove contractures.
Kinesiology offers to eliminate the consequences of stroke and paralysis of the right side with the help of special devices that allow effortlessly to attach any position to the body by the type of suspension. You can apply the folk prescription for the treatment of "paralysis-grass". This is a tincture of the whiteness of white, 25 drops of which are diluted in a cup of water and drunk 2 times a day.
If the right side is paralyzed after a stroke and full treatment is performed, then the prognosis for life favorable, but for a long time there may be a violation of fine motor skills in the hands, which leads to invalidization of the patient. The lesion of the left brain regions is more severe than that of the right, but a person who has survived a three-week period of an acute period has a chance not to think "how much to manage" but about the quality of life... .