stroke represented by cerebral infarction is a major disease that endangers the health of people around the world. The stroke prevention and control situation in my country is particularly severe, and the lifelong risk of adults ranks first in the world.
So, almost everyone has more or less knowledge about the disease of cerebral infarction. Because a cruel reality is that almost everyone around us who suffer from lifelong disabilities due to cerebral infarction.
In fact, while God closed a door, he also opened a window...
There are 3 chances of recovery for patients with cerebral infarction.
We all understand that the implicit meaning of "opportunity" is time-oriented, and we must seize it within a limited time, because the opportunity cannot be missed, and we will not come again...
Today I will talk to you about this topic and learn about it, and be prepared for any eventuality.
What is cerebral infarction
In order for everyone to understand the three opportunities for treatment of cerebral infarction, we need to first briefly understand what is cerebral infarction.
Cerebral infarction is also commonly known as "cerebral thrombosis". It refers to the thrombus blocking the cerebral blood vessels, causing ischemia necrosis in the brain tissue. Different parts of the blockage are different, and the clinical symptoms produced are also different. Common clinical manifestations of cerebral infarction include hemiplegia , numbness, unclear speech, etc.
Knowing these, we also know that the first priority of treatment for cerebral infarction is to clear the blocked blood vessels and restore blood vessels and reopen again.
Opportunity 1: Intravenous thrombolysis
If we compare blocked blood vessels to blocked water pipes, then venous thrombolysis can be compared to the process of blocking water pipes, we use pipeline dredging agent to clear the process of blocking water pipes.
In clinical practice, intravenous thrombolysis is achieved through intravenous thrombolysis drugs, which is fast and simple. Most hospitals can currently provide intravenous thrombolysis treatment 24 hours a day.
Timely and effective intravenous thrombolysis can restore the occluded blood vessels and restore blood perfusion to ischemia brain tissue. Intravenous thrombolysis can increase the relative proportion of good prognosis in patients with cerebral infarction by 36%.
However, intravenous thrombolysis needs to be performed within a few hours after the onset of cerebral infarction. If this time window exceeds this time window, this effective opportunity for treatment will be lost forever.
needs to remind everyone 2 points:
- Not all patients with cerebral infarction are suitable for intravenous thrombolysis. Whether it is suitable requires professional judgment from a doctor.
- Intravenous thrombolysis also increases the risk of bleeding, but if it is suitable for intravenous thrombolysis, it means that the benefits of treatment outweigh the possible risks.
Opportunity 2: Mechanical thrombectomy
It can be understood that there will never be a treatment that is effective for everyone. In addition to the intravenous thrombolysis treatment introduced above, there is also a method to remove thrombus-mechanical thrombectomy.
We also take the blocked water pipe as an example. Mechanical thrombectomy is similar to the process of directly grabbing the blocked object above...
In clinical practice, we can use a sophisticated thrombectomy device to reach the blocked part of the brain through blood vessels. As shown in the animation above, the thrombectomy will be removed directly...
Timely and effective mechanical thrombectomy treatment can increase the relative proportion of good prognosis in patients with cerebral infarction by 70%.
However, current mechanical thrombectomy can only be performed within 24 hours of the onset of cerebral infarction, and this opportunity will be lost after this time window.
needs to remind everyone 2 points:
- Not all patients with cerebral infarction are suitable for mechanical thrombectomy. If the blood vessel is too small, the thrombectomy device will not be able to reach it. Whether it is suitable for mechanical thrombectomy requires professional judgment from the doctor.
- Similarly, mechanical thrombectomy also increases the risk of bleeding, but if suitable, the benefits of treatment outweigh the possible risks.
Opportunity 3: Early rehabilitation treatment
If the occlusion blood vessels are not opened in a short period of time through intravenous thrombolysis and mechanical thrombectomy, irreversible necrosis will occur in the brain tissue. The subsequent treatments such as stenting and unblocking blood vessels are only to prevent the recurrence of cerebral infarction.
After irreversible ischemic necrosis in brain tissue, the last chance of recovery is to promote compensation of surrounding brain tissue through early rehabilitation treatment.
Modern rehabilitation theory and practice have proved that effective rehabilitation after cerebral infarction can promote the recovery process, reduce functional disability, and improve neurological function.
General rehabilitation treatment can begin within a few days during the hospitalization period. The rehabilitation treatment includes: bed joint mobility exercises, maintaining good limb positions on the bed, bed sitting training, position transfer training, standing training and walking training, language rehabilitation, cognitive rehabilitation, swallowing rehabilitation, etc. ...
After the acute phase of cerebral infarction, rehabilitation treatment can be continuously carried out in a professional rehabilitation institution.
It should be noted that rehabilitation treatment also has time limits. After continuous and effective rehabilitation treatment, symptoms such as limb weakness, speech disorders, swallowing disorders, and in patients with cerebral infarction can improve significantly within 3 months. Therefore, the continuous recovery of in the first three months is very important.
After three months, the symptoms can still be gradually recovered through continuous rehabilitation treatment, but the recovery speed will gradually slow down...
END—— This article is a medical science popularization for non-professional people. The above is for sharing and popular science exchange only.
Welcome everyone to leave a message to share and communicate. Source: Wu Chuanjie said Author: Wu Chuanjie
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