Stroke usually arises suddenly and can lead to death in the first hours. How to properly and quickly help the patient with suspicion of this formidable disease? Where to undergo treatment and where to see for rehabilitation?
Content
- Sudden, inexplicable, intense headache
- Dizziness, loss of equilibrium or coordination, bone or «Mushkush» In eyes
- Sudden weakness or loss of sensitivity on face, in hand or leg, especially if it is on one side of the body
- Sudden impairment of view on one or both eyes
BDI!
In men aged 40 - 60 years, stroke arises twice as much as
among women. In 60 years, the picture changes: after menopause, the ladies will graze before
this ailment and fall into the hospital with a stroke much more often than peers-
Men. The probability of complications in the beautiful half at this age
Also two times higher.
What to do before arrival «Emergency»
- Calm the patient and calm down ourselves (as far as possible)
- Put the patient, avoiding sharp movements, it is better that the head turns the side
- Open window
- Measure pressure. If the patient has increased pressure or
Hypertensive crisis, you can take one tablet Captive (Kopoten)
or Corinthra. In no case do not strive to drastically reduce the pressure:
Optimally - a decrease of 10 - 15 mm RT. Art. From the initial
- Reception of but-shops, papaverine and other vasodilatory drugs are contraindicated.
- You can give a Tablet Glycine or Nootropyl. If sick without
Consciousness, medications can be dissolved in water and drip pipette in mouth.
You have stroke? In hospital!
Active treatment must be started in the first 3 - 8 hours from the beginning
stroke - later the chances of returning a person to full-fledged life
Reduce. Failure of a patient from hospitalization and hope that «Self
It will dissolve», - signing of her own death sentence.
Ideally, hospitalization should go to the hospital where there is a department
For patients with stroke, in Moscow such hospitals 24, but only 10 have
Departments for intensive therapy of neurological patients.
In the rest
hospitals such branches do not differ from ordinary
Neurological departments. And this, given the fact that in Moscow only
Half patients with stroke are hospitalized, the rest are treated at home
Polyclinic doctors. What intensive therapy can go to these
Cases speech.
Coppers for hospitalization of patients with stroke many times less
necessary, so do not be surprised if you will be sent to the stroke
Branch of proctology or gynecology: when lacking beds in
neurological departments are common practice. BUT «Vacation» W
stroke does not happen - in the mode of Avral Neurologists work all year round.
AND
incomprehensible to the inaction of the Moscow Health Committee in this matter,
Moreover, the recharge of beds due to few used does not require
Additional financial costs.
Treatment of stroke without tomography like a lottery
The next stage is a mandatory computed tomography of the brain in
The current day after stroke. This is a global practice. Various
Types of stroke require fundamentally different approaches to treatment.
«On the
Eye» Set the accurate diagnosis is extremely difficult - I don't care what to play
in the lottery. Even a hypelance professor is not insured here from mistakes.
Without tomographic examination in half cases put erroneous
diagnosis. And tomographs are only in 8 hospitals!
Pensioners in the sanatorium do not treat for free
After a five-year experiment spent in Moscow last year
Ministry of Health Dal «good» on sanatorium fading strokes. IN
Moscow region is engaged in two beautiful sanatoriums: in Valuev and
Mikhailovsky. Free to get here, unfortunately, can only
Working Muscovites - the calculation for the treatment of the sanatorium is carried out through
Social insurance fund.
Pensioners and people with disabilities - those who can not
independently pay sanatorium treatment, in this case remain
«overboard».
To the note Muscovites
24 hospitals of Moscow have branches for patients with stroke: №№ 1, 3, 4,
6, 7, 13, 15, 20, 23, 33, 36, 40, 49, 50, 52, 54, 55, 52, 54, 55, 57, 61, 64, 67,
71, 79, 81, of which neuroreanny compartments were created in 10 hospitals
or blocks of intensive therapy of neurological patients: №№ 1, 6, 7, 13,
15, 20, 33, 36, 50, 64.
Life after stroke: Where to go for rehabilitation
Rehabilitation offices in which you can get competent assistance,
In our metropolis, just three: at the hospital of the Moscow Patriarchate,
Tenth Hospital and Rehabilitation Center.
They use the very following
Modern techniques to help restore speech, coordination
movements, gait. Lucky living with these clinics next door,
can get here in the direction of the district clinic, the rest are waiting
For several months during which the precious time goes for
Restoration of broken functions of the nervous system.
Expensive rehabilitation methods are not charged with compulsory medical insurance policies.
Only two polyclinic in Moscow - in the hospital of the Moscow Patriarchate and
Polyclinic No. 7 of reducing treatment - have the opportunity
apply modern rehabilitation methods without hospitalization of patients. AND
As a result, only 2 - 3% of the needy get in the city active
Rehabilitation treatment.
From here Such a high percentage of disabled after stroke.
