Sequelae of cerebrovascular complications in elderly old

  One tool he is sick Stroke (TBMMN), hypertension (CHA) of 2, ischemic heart disease was 5 years ago, this time, Hurricane CHA 220/110 mmHg (normal blood pressure is between 90 / 60 mmHg to 139/89 mmHg) had severe stroke engine, the left half of the weak and aphasia. After the catastrophe, particularly strenuous physical therapy practice but not significantly improve muscle strength right hand and right foot, said only a few inarticulate words, be signaled by hand. Currently specific to walk with a cane, or helped someone in a wheelchair. This time he was hospitalized due to specific constipation, do not go for 5 days.

According to the woman - his wife: 5 days even though he was still eating normal activities but does not go for is (normally every 2-3 days, he went for a time), I have bought two phials anal pump, easy going for him, but this does not work should take him to the hospital. The doctor examined him and diagnosed with constipation - TBMMN sequelae, conduct distributed with warm water enema, after 1 hour he went for it.

Causes of constipation in people who TBMMN is due in this area of the brain that control bowel and anus hurt losing the expansion and contraction of the smooth muscle in the colon and anal sphincter . In addition, the weakness of the abdominal muscles and the pelvic area as the passage of stool in the colon is also difficult.

TBMMN (or called stroke) is a condition that occurs when the blood supply to part of the brain is suddenly stalled, can cause sudden death or hemiplegia, aphasia, mental disorders.

Cause: due to cerebral embolism: blood clots in place, embolism due to atherosclerosis (eg derived from the carotid artery), blood clogging heart disease (atrial fibrillation, myocardial infarction).

- Do burst cerebral hypertension, trauma, cerebral aneurysm rupture.

- Cause uncommon: hypotension (low blood pressure over 40 mmHg suddenly), arteritis, thrombophlebitis, venous sinus thrombosis.

- In the young: the platelet disease, subarachnoid bleeding, carotid artery malformations.

Complications, sequelae: pneumonia, depression, cramps, constipation, ulcers is long, paralyzed. To reduce the sequelae and relapse prevention, upon returning home after the emergency phase, patients still have to be cared for and treated under a special regime.

Activities, workouts

- In severe cases, patients are not self-movement, one may need to help them change positions every 3 hours to prevent ulcers. Every time you flip the need rubbing alcohol, alcohol or talc on the back, buttocks and spleen were weighed another location. As for dining, the cushion behind the patient to hold their positions in half lying, half-sitting.

- For milder cases, depending on the level of cell paralysis, to set out a specific plan for patients with daily exercise. Try to do them at the maximum, the only people who support or help when patients are unable to do. During exercise requires perseverance of both the patient and the instructor. This work should be continued even when the sequelae have been restored.

Diet

Need to ensure adequate diet and physical balance. Should take the form of soft food, easy to digest, such as porridge, soup, milk, fresh fruit juice. Diets use fats and stimulants (wine, beer, specialty tea, coffee); salt restriction.

Implement measures to prevent relapse

- Treat the cause TBMMN such as hypertension, atherosclerosis, diabetes, heart diseases (heart valve disease, myocardial ischemia, atrial fibrillation), peripheral vascular disease, history of ischemic Local transient.

- Be careful when the weather keeps changing as temperatures drop in the winter and when the air pressure is higher in the summer.

- Avoid bathing place late at night or in drafty, especially for people with CHA. Avoid stress state, strong emotion.

- Avoid insomnia.

- Avoid constipation: foods high in fiber, drink plenty of water, sports, and bowel habit every day. If that fails, you can use a stool softener type, but as directed by your doctor.

- Abstinence from alcohol and stimulants.

- Avoid excessive physical activity such as heavy lifting, running fast

Treatment
Maintenance therapy prescription from a physician. In case of patients with CHA, antihypertensive medication use and maintained at 140 - 150/90 mmHg.