Unfortunately, the more or less pronounced paralysis - a trouble vast majority of strokes in the world. Without prejudice to the motor and tactile relationship with the brain or other parts of the body muscles costs rarely, in exceptional cases. Picture of muscle damage at each specific site may seem strange: some muscles hang flabby, lacking sensitivity pieces of meat, while others are constantly tense, tend to shrink to the limit, maddening aching, sharp pain typical spasm.
By this around quickly added secondary pathology of the joints - the joints that health depends on the rules of the state of the muscles. And just before it we are now far away as ever. Result: The first joints begin to ache, and then - to swell. And then their mobility is severely limited - perhaps more mobility of paralyzed muscles. In the hands of more and more likely hurt the shoulder joints, the feet - hip joint and knee, writes renowned heart surgeon Nikolai Amosov in his book "A stroke: symptoms, first aid, recovery techniques."
Work on the restoration of the crust.
She has, as we see, has its own characteristics - they are embedded in the initial difficult conditions. However, to cope with all possible - especially if you want. With the greatest difficulty in this case faced by those who have a stroke as a result there was a change of mentality. Natural moodiness patient a surprise, as the stroke - is one thing. A bark of a reaction to the defeat of the centers that regulate mental activity - is quite another. With such a depression and apathy to cope very difficult - as the patient and those who were with him in the role of makeshift nurses.
Perhaps we need antidepressants - and how if a stroke victim, we have become, and if we suffer together with someone else, helping him in further rehabilitation. And it may well be the case only limited to persuasion. How to come to an understanding at a critical moment for every human being - this is a topic to which there is no general recommendations. However, psychologists give caregivers some universal tips to help you avoid the most common pitfalls of such a plan:
1. Goodwill and infinite patience should be the basis on which to build all communication with the patient. Very important is a positive attitude - in this case not only the patient but also his assistant.
2. Therefore, each new success must be marked -. Compliment, smile, etc. One should not "overdo" - strained courtesy still sickened both patients and healthy.
3. Do not fawn and fawn in the treatment of a patient - especially when we want to get him something. It is necessary to look for any reasonable arguments and motives that might remind him of the importance and necessity of this particular action. It is possible that the patient really has forgotten about them. Or maybe not even generate a simple idea independently.
4. If we are willing to be broken - it is quite normal and not at all shameful. But it would be very embarrassing to do so in the presence of the patient, spout all accumulated on the soul directly at him. Perhaps it makes sense to us at the time to disengage from the process by hiring an experienced health worker to help yourself or someone connecting from their home. break week can significantly improve the climate of the relationship between the patient and his assistant. By the way, this week is usually advisable to carry on light sedatives and antidepressants, with a full bed and favorite activities.
5. Finally, the patient, in addition to natural medical care associated with bed rest, should be regularly cut, shave, cut nails regrown. We should not once again to emphasize in his eyes and his position where he is now - complete isolation from the society and the need to comply with a neat appearance. If he suddenly require change out of his shirt from a special to a regular home clothes, it should not be prevented in any case. It is a very important binding - in this case, changing thinking from a forced position of the patient in the past and, therefore, the future position of the healthy person. The only thing - it will be necessary to purchase a spacious clothing, made from natural materials. It is advisable to secure the Velcro, with ties, zippers - just not on the lace and buttons. In short, take into account all the wishes of comfort that would express ourselves, being able to move only one half of the body, and even then not as usually required.
On the one hand, we remember that the brain has its own resource for recovery. Yes, its cells updated slowly - usually for years. Nevertheless, the surviving neurons in the cortex of the brain and the body has the ability to easily switch to other duties, replacing dead cells.
In fact, the very crust absolutely indifferent to what portion thereof and in which hemisphere is primarily responsible for processing the signals of a particular type.
As we understand it, all the bark is woven from the same "gray" cells. Because theoretically, they can all perform the same job as the cells in the neighborhood.
Experience has shown that the variability of the location in the bark of certain centers really exist as a phenomenon. That is to say that the work of the brain can be restored completely - no matter when they grow new neurons instead of the victims and whether it will grow.
Another question is how to do it quickly and efficiently. Because, face it honestly, before that accident with the occlusion, we somehow did not reflect any of the principles of the brain, or of its regulation. Worse, even if we think about it now, and very hard, we find that the methods at hand are not too many, and those that have, entirely circumstantial.
But early to panic. We can not help our bark of readjust to work directly under the new scheme - this is true. But we can definitely encourage it, so to speak, the desire to do what is necessary, and as soon as possible.
When we make the crust to form new (permanent or temporary) path of the pulse? The correct answer is - when developing something new. For example, new for us knowledge or skills. At such times, we put our brains to the task for which solutions it does not have a ready algorithm - finished pulse processing circuit. So he just has to use to solve new ways, other centers, synchronous operation of both hemispheres And so - until you find the optimal solution.
Well, something new - it is certainly good. But we should remember the old - like brushing your teeth, how to tie shoelaces, the name of this piece, in which the heated water on the stove Do not worry - help one another. Medicine has long developed some standard circuit recovery of certain skills and physical activity. They suggest daily sessions with a speech therapist, exercises for flexion-extension legs, massage the muscles working before and after school to regulate the fiber flexibility.
All of these exercises teach us in the hospital. The first few months of the initiators of the work we have to act completely - the patient's assistants. In the future, it is assumed that the process to connect and good will of the patient. This will certainly happen if the positive results will be available by that time. If we have not adapted to the work, in fact, school teachers, nothing wrong there - the talent to teach others anything given from birth is not all. And its application - even a smaller number of people living on earth. In this case, the patient can be gradually prepared to believe that it would be better to spend a few sessions with a professional. Here - with a specialist rehabilitation center.
But it's not that we offer people, who returned to the life of hundreds, if not thousands of patients. The point is how to find this particular approach, so to speak, the brain. After innate intellectual ability, the development of motor connections throughout the central nervous system at everyone. For example, an engineer they are alone and have the athlete - very different. With the same picture after the first stroke recover faster speech and writing, and the second will be faster for certain paralysis.
So, in addition to a program developed by a physician, we ourselves need to consider the following:
1. Professional skills of the patient and their features always have value - even if the patient is already some time in retirement. Interests of the patient area of expertise - this is where to begin rehabilitation. For example, a representative of a certain profession in the first month should choose for the pronunciation of the words not only of goods but also of his "native element". Words evocative of not only personal, but also work experience, remind him some pleasant moments, which we ourselves can not know anything. In other words, a certain patient at their own expense to restore the disturbed pathology of consciousness much more information than we can imagine. Of course, in such cases, you must always refer it to the true interests of the person. And if the professional work with them the same little /not at all the same as on the scope of his interests should rely more often than expertise.
2. Among the exercise paralysis must be such that will target the muscles to contract rhythmically, relax repeatedly. They are good because of all muscles of the body, in addition to the bark control, there are strong personal relationship.
If quite simply, we are talking about the ability of a single muscle tone and tell the muscle motor activity is quite different, situated nearby. Moreover, regardless of the very bark, its condition and requirements.
Muscles - flexors and extensors of extremities not perform a much different job, as we may seem. In fact, they always have to work in unison - in any normal movement.
Because the bark - it is, of course, beautiful. But in the case of reconstitution with paralysis muscle tone in the failed significantly depends on muscle spasm exposed. Spasm of us here is not an assistant - a pathological, excessive tone, tells them bark. But thanks to him, these muscles can contract. So much so long as we still develop them, it is better if these movements will occur over a period of time - let's crust fix the way of normal transmission of impulses. And may they show a kind of rhythm to it is partially spread system of local nerve connections to neighboring fibers. Buda patient will vary some of these movements (for example, stretch your right hand is not straight forward, and expanding the brush upwards or sideways), the options available must also be repeated three to five times, at regular intervals.
3. Each action, a skill which is beginning to recover, you need to perform as accurately as possible. It is desirable - with a few repetitions during the day. Many patients helps represent exactly how they perform an action - closing his eyes, concentrating, trying to imagine with the action itself and the sensations accompanying it. For example, if the patient is working on the restoration of skill toothbrushing (paralysis - one of the main problems), it may be advisable not to forget to think of the taste of toothpaste. And also, of course, rustling brush on the surface of teeth, the sequence in which it normally cleans upper and lower teeth, the right and left sides of the dentition, rear, bottom and front surface -, Etc., etc.
4. When working on a kind of action, at a stage when the patient carries his own already or almost alone, you need a little complicate the task of his brain, but not the muscles. For example, even when walking, he performs an exercise "in the tracks" - that is held for the first time on the surface, on which there are traces of his shoes. And then - the second and subsequent times, trying to step exactly in the footsteps left by the first time. When restoring writing skills translucent tracing paper superimposed on the patient written once at the hands of any text can also be useful to completely scribbled scribbles paralysis notebooks.
5. The tastes and preferences of the patient in relation to the surrounding objects of everyday life after a stroke can change ourselves. But the interior design - it is a question with which we will deal without the Council. But changes of this kind, such as color and shape of the cup, toothbrush, towels can we both help and harm. Nothing in the patient's life should not be changed suddenly, without warning. After all, he is so disoriented, experiencing a lot of difficulty in dealing with the long-familiar objects and actions. However, for this reason, external, partial renewal of some of them can refresh and handling skills with them in the brain of the patient.
It will certainly offer the patient a cup to use a different color, take it off the shelf on which it transposed to the usual place. It is necessary to create more frequently (with his consent!) Select the condition that he wear today, how to use a towel and dishes, where to get them. The location of some personal belongings of the patient is allowed to change - with his consent, of course. And without the effect of "hidden so that now we find ourselves." But it should not offer him master everyday objects with a completely unfamiliar design or unclear purpose.
6. Regardless of the scope and extent of violations of the skin, muscle sensitivity in paralysis patient will be helpful to practice with textures to restore it. That is, to explain to him the meaning of the exercise, it can be oglazhivaet objects with different surface - Smooth, rough, hard, soft, etc. It should be a single movement to affect a sensitive and non-sensitive /sensitive areas with altered skin. At the same time, if he has hypersensitivity sites (the slightest touch is felt as pain), they should be avoided.
As a counterpart, the exercises on the development of tactile sensations complement the independent work of the patient with this kind of items. For example, when he kneads them in his fingers, stroking his hand. After a thorough acquaintance with the selected objects the same set can also try to grope blindly. In this case the patient should be called and /or describe each assistant fed him into the hands of the object from memory.