The consequences of a stroke on the right side of the brain and how long do they live after it? Hemorrhagic stroke left and right side

Among the most common diseases in the field of neurology is a stroke, characterized by impaired blood circulation in the human brain. If timely medical care is not provided, the pathology in most cases ends in death.

A repeated stroke after the first ischemic attack is quite common, which can also end unfavorably for the patient.

What it is

The second stroke is a dangerous condition for human health. Not only incorrectly carried out therapeutic measures, but also their incomplete course can provoke circulatory disorders.

According to statistics, a second attack occurs in 30 percent of cases of a first stroke during the first year. At the same time, the probability of a lethal outcome increases several times, which can be influenced by numerous factors.

Types of stroke

In medical practice, there are two main types of blood flow disorders in the brain:

Ischemic stroke. It is an acute circulatory disorder resulting from complete or partial obstruction of blood vessels in the brain. This type of stroke is diagnosed in most cases. In connection with this pathological condition, there is a violation or complete cessation of blood flow to the brain cells. As a result, tissues are affected, necrosis develops.
hemorrhagic stroke. It is considered a more severe, but rare pathology. Its difference from ischemia lies not in the clogging of the vessels, but in the fact that their integrity is violated, in other words, they simply break. This condition is accompanied by cerebral hemorrhage, which entails more severe consequences, in which survival rates are significantly reduced.

If we talk about a secondary stroke, then the first form of the pathological condition is most often manifested. However, even if after the first attack there was a complete recovery of the patient, it will be much more difficult to transfer the second one.

Causes

As mentioned above, after the first brain injury, the risk of a second brain injury increases significantly, which leads to more serious complications, as well as a reduction in life expectancy.

Among the most common provoking factors are:

hypertension, its development and rapid progression;
vascular dystonia;
diseases of the liver, kidneys and lungs;
excessive physical activity;
frequent drops in blood pressure.
frequent stressful conditions;
the formation of atherosclerotic plaques;
pathology of the heart and blood vessels;
large body weight;
unbalanced diet, non-compliance with a therapeutic diet;
forced inactivity, which may be due to paralysis or paresis;
violation of metabolic processes;
increased irritability, which can provoke a hypertensive crisis;
drinking alcohol and smoking.

It is also worth noting that people in old age often experience strokes, which are caused by changes in the body associated with old age.

Symptoms

The development of a recurrent ischemic stroke may be accompanied by the following characteristic symptoms, such as:

pallor of the skin of the face;
gradual increase in the feeling of weakness;
periodic tingling or numbness in the cheeks, head in the hair growth zone, forehead, upper and lower extremities;
decreased visual acuity;
headaches in the morning;
lowering blood pressure;
unexpected fainting;
difficulty in pronunciation of words.

In addition, angina pectoris, acute infarction may indicate a secondary attack.

Hemorrhagic stroke can be recognized by signs such as:

redness of the patient's face;
convulsive attacks;
increase in pressure;
loss of consciousness with impaired respiratory function;
uncontrolled excretion of urine;
different pupil sizes.

If a cerebral hemorrhage occurs, the symptoms will be much more severe. As a result of ruptures of blood vessels, blood circulation and respiration are disturbed, which leads to a rapid death.

With a left-sided stroke, there are problems with the right side of the body; with a right-sided stroke, problems with the left side.

To determine the appearance of a second stroke in a bedridden patient, you must ask him:

smile - during an attack, he will not be able to do this;
show the tongue - there should not be its curvature;
make a simple sentence.

If there are problems even with one of the tasks, then immediate medical attention is required. It is also important to pay attention to the accompanying symptoms that were described above.

First aid

In the presence of characteristic signs, first of all, you need to call an ambulance. Next, the person who happened to be nearby should do the following:

Make the patient take a horizontal position. When vomiting opens, his head must be tilted to the side.
If the patient's consciousness has not been disturbed, then it is necessary to ask if he has medications prescribed by the attending physician. It is strongly not recommended to use extraneous agents, which can provoke even more serious problems.
To make breathing easier, you need to unbutton your clothes. This will ensure a normal supply of oxygen.
If the attack occurred at home, then give 2 aspirin tablets and 300 milligrams of glycine.
It is important to maintain a conversation with the victim at all times. His breathing should be deep.

If possible, you need to attach something cold to the frontal part of the head.

What is the difference between rehabilitation after a second stroke

In the event of a second blow, doctors adhere to the same tactics as with the first defeat. It is mandatory that the patient be hospitalized in a clinic, where he is placed in an intensive care unit or intensive care unit.

If it is necessary to lower blood pressure, antihypertensive drugs are administered intravenously or intramuscularly. Magnesium sulphate is used to prevent cerebral edema..

In case of recurrence of a hemorrhagic type stroke, all necessary measures are taken to stop the bleeding. The patient is administered Vikasol, Aminocaproic acid or Etamzilat.

In the event of a recurrent ischemic stroke, treatment will include:

the appointment of vasodilators;
the introduction of vitamin PP;
taking Papaverine, Nosh-Py, Complamin and Eufillin;
the use of a solution of Reopoliglyukin intravenously, which will normalize the viscosity of the blood fluid;
the appointment of Cavinton and Vinpocetine to restore vascular tone.

When diagnosing a secondary symptom, the rehabilitation period lasts a little longer. After the patient is discharged home, he should be regularly monitored by a neurologist.

In addition, the recovery period requires constant monitoring by a psychotherapist. Patients who are aware of their condition often become depressed, which contributes to a slower recovery.

What could be the consequences

Repeated stroke can lead to the development of most complications. The most common include:

Decreased memory. The patient may not remember even the usual things. He forgets the names and images of close relatives, cannot name ordinary objects.
Violation of motor activity. It is difficult for the patient to control the musculoskeletal system. In most cases, ischemic damage leads to loss of movement, inability to hold objects. In addition, complete bedriddenness is possible.
Complete or partial speech impairment. It is possible that after an attack the patient will have difficulty with pronunciation. This is due to a violation of the corresponding parts of the brain. With a serious lesion, the conversational function is lost for a sufficiently long period.
Mental disorders. Aggression, apathy to everything that happens, depression are diagnosed.
Depression of intellectual abilities.
Falling into a coma.
Dementia.
Loss of sensation.

It is possible to restore disturbed functions only in 20 percent of cases, and even then not completely.

Which people are at particular risk

An increased susceptibility to relapse occurs in people who:

suffered a hemorrhage after 45 years;
do not adhere to the recommendations of specialists (cessation of smoking, alcohol and drugs);
have not completed a full course of therapy and rehabilitation;
do not follow the rules of dietary nutrition;
often exposed to stressful situations and emotional overwork;
do not receive support from relatives.

To prevent a second stroke, it is necessary to adhere to preventive measures.

Statistical data

The prognosis for life with a secondary attack is not very comforting. How long a person will live, it is definitely difficult to say. According to statistics, in 70 percent of cases the disease ends in death.

For patients who were diagnosed with a stroke over the age of 45 years, the likelihood of a recurrence is increased by 15 times. About 30 percent of recurrences occur within the first year.

In addition, men are slightly more likely to have a stroke than women.

What can be done to prevent

How to avoid a second stroke, tell your doctor. First of all, you need to reconsider the diet. It is important to immediately abandon animal products and fast carbohydrates.

It is forbidden to use:

eggs;
liver;
pork;
caviar;
spicy dishes and preserves;
smoked meats;
sausages;
confectionery.

The menu should include:

poultry meat;
skimmed dairy products;
cereals;
fresh fruits and vegetables;
lean fish.

It is important to monitor physical activity, especially when restoring performance:

do not work at night;
fully rest;
monitor sleep patterns;
spend more time outdoors
do not expose the body to active loads, including at their summer cottage.

No less attention should be paid to the control of blood pressure, it is recommended to measure indicators about three times a day.

To restore vascular activity, a specialist can prescribe Trental or acetylsalicylic acid. To normalize the energy balance of cells, regular courses of treatment with Cerebrolysin and Piracetam are prescribed.

The development of a second stroke reduces all chances of a full life to a minimum. It is much easier to take all measures to prevent the disease than to treat it.

In the broad sense of the word, a stroke is a sharp violation of blood circulation in a certain part of the brain. The consequences of a hemorrhagic stroke of the left or right side lead to irreversible impairment of brain function. It is difficult to predict how long a person will live after, it depends on many factors. But in 70% of cases they cause death.

According to the ICD-10, stroke has the code I60 (subarachnoid hemorrhage) or I61 (intracerebral hemorrhage) and belongs to the category of cerebrovascular diseases - affecting the blood vessels.

It is customary to distinguish between two types of stroke: and hemorrhagic.

A hemorrhagic stroke is an outpouring of blood from a vessel into the medulla, ventricles, or under the lining of the brain with the formation of a hematoma. This is an acute condition that develops very quickly - literally in minutes. The immediate cause is a rupture of the blood vessel wall.

Due to the high rate of development of the process and injury to the brain tissue by a foreign body, which, in essence, is a hematoma, hemorrhagic stroke is much more severe than ischemic stroke. It has a higher probability of death, and its consequences are much more difficult to correct.

The manifestations of a stroke are directly related to which of the cerebral hemispheres the hemorrhage occurred:

with damage to the right hemisphere - violations in the left half of the body up to paralysis, memory and the ability to abstract thinking deteriorate, the perception of the body is disturbed (for example, there may be a feeling of multiple limbs - "extra" fingers, arms, legs, or alienation of one's own parts of the body);
with damage to the left hemisphere, the functions of the right half of the body are disturbed, paralysis and paresis are frequent; speech worsens, reading and writing skills are lost.

Classification

Hemorrhagic strokes are of two types:

when a hematoma (compact effusion of blood) is formed;
when the blood is evenly distributed over a large area of brain tissue (hemorrhagic impregnation). The consequences of a stroke of this type are much easier than the first.

Depending on the localization, there are:

parenchymal hemorrhages - in which blood enters the medulla. This is the most severe type of stroke, leading to irreversible brain damage;
subarachnoid - blood flows into the so-called subarachnoid membrane of the brain;
arachnoid - blood is also poured into the subarachnoid membrane when the previously existing cystic formations are ruptured. This type of stroke is extremely rare;
verticular - blood enters the ventricles of the brain;
mixed - in a situation where there are several foci of stroke.

Hematomas

Hematomas formed as a result of hemorrhage are also classified depending on the affected area:

subdural hematoma - occurs as a result of damage to the veins and is located between the hard and arachnoid membranes of the brain;
epidural - occurs when an artery located between the skull and the dura mater is damaged, it is localized there;
intracerebral - located in the very substance of the brain.

According to localization, the following types of hematomas are distinguished:

lobar - located in one of the lobes of the brain, does not affect the cortex;
medial - affects the thalamus;
lateral - affects the subcortical nuclei in the white matter of the brain.

stages

There are several stages in the development of hemorrhagic stroke.

Stage name	Characteristic features	Duration
sharpest	Acute headache, confusion (up to coma), impaired perception and speech	First 24 hours after hemorrhage
Acute	For a short time, brain function can recover, but then there is a sharp deterioration. Violation of cognitive functions, memory impairment, clouding of consciousness (if it did not occur at the first stage)	24 hours to 3 weeks
subacute	Severe, non-progressive impairment of brain function	3 weeks to 3 months
early recovery	The work of the cerebral vessels is restored, and brain functions are also partially restored	3 to 6 months
late recovery	The work of all areas of the brain is normalized, except for the affected	6 months to a year

Causes

A cerebral hemorrhage can be caused by various reasons - from a sharp increase in pressure to a head injury, so no one is immune from it. However, the main risk group is people aged 50 to 60 years.

Important! Another risk group is newborns and children under one year old. Contrary to popular belief, even a baby can have a stroke.

If a child has congenital problems with the cardiovascular system or blood diseases (leukemia, anemia, hemophilia, etc.), they can cause cerebral hemorrhage. However, in the process of growth, the risk of stroke gradually decreases.

There are two primary causes leading to a violation of the integrity of the walls of blood vessels:

- high pressure on the vascular walls leads to the formation of microcracks through which blood seeps into the brain or causes a simultaneous severe hemorrhage during a hypertensive crisis;
vascular deformity - abnormal structure of blood vessels, the presence of expansions (aneurysms) and narrowings (stenoses). The presence of a defect of this kind creates strong stress in different parts of the vessel, which can lead to rupture of its wall.

There are certain diseases that can lead to these conditions:

atherosclerosis, often causing aneurysms;
amplodic angiopathy - a condition similar to atherosclerosis, in which protein deposits appear on the walls of blood vessels;
inflammation of various parts of the brain (encephalopathy);
brain tumors;
diabetes mellitus, in which thinning of the walls of blood vessels occurs.

These diseases can be triggered by factors such as:

traumatic brain injury;
spinal injury;
combining alcohol with anticoagulants - alcohol dilates blood vessels, anticoagulants thin the blood; The combination of these effects causes a strong load on the vessels;
smoking;
stress;
hard physical work.

Symptoms

Hemorrhagic stroke is characterized by an acute sudden onset, accompanied by severe headaches. Sometimes pain can begin hours or even days before the stroke itself.

This condition is characterized by the following general cerebral symptoms:

headache;
dizziness;
nausea, vomiting;
depression of consciousness up to coma.

Depending on which area of the brain is affected, focal symptoms can be observed, such as:

with the defeat of one of the hemispheres - paresis or paralysis of the opposite side of the body;
with medial hematoma - epileptimorphic seizures;
with damage to the cerebellum - impaired coordination of movements;
with damage to the areas responsible for vision and hearing - violations of the corresponding functions;
with damage to the right hemisphere - memory impairment;
with damage to the left hemisphere - violations of speech functions up to a complete loss of speech.

First aid

With a cerebral hemorrhage, it is extremely important to quickly provide first aid and send the victim to the hospital. The chances of recovery are highest in those patients whose treatment was started in the first 3 hours after the attack.

If a person is conscious, a simple test can detect a stroke.

Ask the person to smile. With a stroke, one corner of the mouth will remain down.
Ask the person to say their name. If the brain is damaged, his speech will be difficult and unintelligible, or he will not be able to understand the request.
Ask to raise both hands. With a stroke, one arm will drop down faster than the other, or remain motionless.

If you find any of the described abnormalities, call your doctor immediately.

Before the ambulance arrives, do the following:

lay the victim horizontally, with his head slightly raised;
free his neck from clothing and any accessories that may interfere with breathing;
remove dentures from the victim's mouth;
if the victim is unconscious, turn his head to the side to ensure an unimpeded outflow of saliva.

Do not try to bring the patient to consciousness on your own - there is a great risk of worsening his condition.

Coma with stroke

Hemorrhage in the brain is often accompanied by a state of coma - depression of brain activity, the severity of which depends on the size and location of the hematoma.

There are four degrees of severity of coma.

Degree	Symptoms
First	Stupefaction, inhibition of reactions, muscle tone increases, skin reflexes decrease. Often there is strabismus, disturbances in the movement of the eyes, but the reaction of the pupils to light remains normal. Swallowing reflexes are preserved, which allows the patient to eat independently. Pain reflexes are also preserved
Second	Sopor, depression of consciousness, uncoordinated chaotic movements, a sharp decrease in pain reflexes. The reaction of pupils to light is weakened. Skin reflexes are absent. Pathological types of breathing are often observed (rhythm and depth disturbances, such as Cheyne-Stokes breathing).
Third	Consciousness is completely absent, skin reflexes disappear. Blood pressure and body temperature are reduced, breathing is weakened.
Fourth	Reflexes and muscle tone are completely absent, body temperature is greatly reduced, blood pressure drops to a critical level. The fourth degree of coma often ends in death.

The heavier the coma, and the longer a person stays in this state, the less likely it is to get out of it. The minimum duration of a coma is an hour, the maximum can be more than a dozen years.

Diagnostics

Timely accurate diagnosis plays a crucial role in the treatment of stroke. For its implementation, the following methods are used:

Computed tomography is an X-ray examination of the brain. Helps to determine the location and size of the hematoma;
magnetic resonance imaging - a study of the brain using a magnetic field. Allows you to visualize the structures of the brain and get a more accurate and detailed picture than with an X-ray examination. This method, together with the previous one, is used for the differential diagnosis of hemorrhagic stroke with ischemic;
transcranial dopplerography - a study of brain vessels located under the skull. Helps to determine the presence of deformations and ruptures;
magnetic resonance angiography - visualization using a magnetic field of cerebral vessels;
electroencephalogram - a study of brain activity.

Also, for additional information, a coagulogram can be prescribed - a blood coagulation test and a biochemical blood test for glucose and lipid levels.

Treatment

With hemorrhagic stroke, medical and surgical treatment is possible. The principle of therapy depends on the location and volume of the hemorrhage. So, surgery is indicated:

with large hematomas;
with subarachnoid hemorrhage;
cerebellar hematoma.

In other cases, medications are used.

Medical

Drug treatment is primarily aimed at stimulating hemostasis and treating vasospasm. For this, the following drugs are used:

stimulation of hemostasis - Dicinon, Aminocaproic acid, Tranexamic acid;
spasm relief - Nimodipine, Magnesium sulfate.

Surgical

The main indication for surgical intervention is an extensive hemorrhage (40 or more ml of blood) in the cerebellum. Surgical reconstruction of blood vessels is also used to avoid recurrence. Today, the following types of surgical intervention are used:

removal of a hematoma by craniotomy - this method is effective, but often leads to associated injuries and is considered obsolete;
removal of a hematoma with an endoscope;
clipping of the aneurysm - isolation of the aneurysm from the general blood flow, which prevents its rupture;
removal of an arteriovenous malformation (a site of vessel deformity) is an effective way to prevent hemorrhages, but it is used only with a small size of the malformation.

Rehabilitation

During rehabilitation after a stroke, special drugs are used that improve cerebral blood supply, and procedures that help restore brain function and restore muscle tone.

In post-stroke rehabilitation, the following medications are used:

Piracetam, Phenotropil, Noopept - to improve the blood supply to the brain;
Encephabol - to normalize metabolism in brain tissues;
Choline, Actovegin, Cytoflavin - to stimulate metabolic processes.

The following procedures apply:

Orthosis therapy is the restoration of the function of the musculoskeletal system with the help of orthoses - devices that change its structural characteristics, as a rule, immobilize any muscle group or joint. These include tires, collars, etc.;
kinesitherapy - physiotherapy exercises aimed at restoring motor functions;
mechanotherapy - performing restorative exercises with the help of special tools (devices, simulators);
physiotherapy is a method of restoring body functions with the help of physical factors such as heat, electric current, magnetic field, etc.

Diet plays an important role in rehabilitation after a stroke. Its main principles are as follows:

moderate calorie content - no more than 2500 kcal per day;
fragmentation - you need to eat often, but in small portions;
a large amount of fiber in the diet, which is found in vegetables and fruits;
the use of complex carbohydrates that can be obtained from cereals.

Forecast

It should be remembered that in most cases the prognosis is unfavorable. Mortality due to stroke is high at 70%. After an attack, only 35% survive for more than a year, and the main reason for this is the complications that develop after an attack, such as cerebral edema and heart failure. The risk of relapse is also high - especially in the first year after the attack. According to statistics, almost 30% of registered cases of hemorrhagic stroke are repeated.

The most serious consequences of a stroke are:

swelling of the brain;
paralysis of the limbs;
impaired memory and cognitive functions;
violation of sensory sensitivity;
speech disorder.

Prevention

Preventive measures to prevent stroke are aimed primarily at lowering blood pressure and strengthening blood vessels. For this, various medicines are used:

to normalize pressure - Enalapril, Liprazide, Furosemide, Metoprolol;
to strengthen the vascular walls - Askorutin, Atorvastatin;
to reduce nervous excitability - Valerian, Fitosed, Gidazepam.

Also, with high blood pressure, it is recommended to follow a diet with a minimum content of animal fats, avoid excessive physical activity (in no case abandoning such in principle), monitor cholesterol levels, in case of glucose metabolism disorders and diabetes, control blood sugar levels.

In the article we will talk about hemorrhagic stroke, what it is, treatment and diagnosis, symptoms and consequences. As well as its types and classification. You will also find out how many people live after such a stroke.

Hemorrhagic stroke of the brain

It is worth saying that cerebrovascular diseases are in the first place among all causes of death and disability in patients over 40 years of age. The incidence in women reaches from 30 to 49 years, in men - from 70 to 75 years. Knowledge about the prevention and treatment of hemorrhagic stroke helps to avoid severe complications.

What is hemorrhagic stroke

This is a clinical variant of impaired blood supply to the brain. It runs sharp. It is accompanied by rupture of blood vessels and the penetration of blood into the brain. This leads to focal and cerebral symptoms.

Classification

Here is the main classification of hemorrhagic stroke:

Parenchymal- vascular damage due to the parenchyma. A very serious illness. It is divided into the following types:
- right-sided - damage to the right hemisphere of the brain
- left-sided - damage to the left hemisphere
- cerebellar
- pavement
- stem
- subcortical - often manifested at the point of contact of the parietal and temporal lobes. Occurs as a result of long.
Subarachnoid- occurs due to rupture of an aneurysm of blood vessels. Traumatic brain injuries are common.
Arachnoid- the same as the previous one, only differs only in the cause of the hemorrhage. Mostly due to rupture of benign cystic tumors.

There are certain stages of hemorrhagic stroke. All of them differ in the duration of the flow.

In order to carry out preventive measures, it is advisable to identify which risk group a person belongs to and select individual preventive measures.

Causes of hemorrhagic stroke

Let's look at the main causes of hemorrhagic stroke of the brain:

High blood pressure (hypertension, kidney disease, and so on).
Atherosclerosis
Vascular aneurysms
Blood diseases
skull injury
Drug overdose
Neuropsychiatric disorders
Overheating
Alcohol and cigarette poisoning
Increased physical stress

It could also be a ruptured aneurysm. More often saccular structure. Especially located at the base of the skull. It mostly affects young men.

It manifests itself with an increase in blood pressure and physical activity. And also during sports, sex and due to increased body weight.

The pain first appears in the occipital region, and then spreads throughout the head. She has an unbearable and tearing character. Can shoot in the neck and between the shoulder blades. Sometimes the patient has a sensation that he has a hot fluid flowing in his head.

Periodically there are symptoms of agitation, convulsions, hyperthermia 40, increased respiration and heart function. Occasionally, there are dizziness, flies “fly” before the eyes and make noise in the head.

Hemorrhagic stroke and symptoms

Below we consider hemorrhagic stroke and its symptoms. We will talk about different types of hematomas. This is an accumulation of blood in various injuries of organs and tissues with rupture of blood vessels. The result is a cavity filled with fluid or blood.

Depends on the area of accumulation of blood. It is manifested by a violation of muscle tone and their weakness on the other side of the intracerebral hematoma. Visual symptoms occur and speech suffers.

There may be various autonomic precursors of a stroke. For example, a rush of blood to the face, blurry images and a change in the color of familiar objects.

There are generalized convulsive seizures or psychomotor agitation. It also develops an oppression of the level of consciousness. Large hemorrhages are complicated by respiratory depression, heart function, muscle tone and consciousness.

With deep hemorrhages - hemiplegia, hemianesthesia on the other side. Violated visual functions, speech, paralyzed face.

If the non-dominant hemisphere (left for left-handers) is affected, the perception of the body is disturbed. There are false ideas about the size and shape of individual parts of the body. The patient has no criticism of his illness. He does not feel the existing speech and motor deficit.

With hemorrhage in the posterior cranial fossa, the functions of coordination, memory and attention suffer. There is dizziness, apathy, drowsiness, nausea and vomiting, pain in the head and neck.

Stem strokes are manifested by a violation of vital functions, visual and swallowing disorders.

The volume of hematomas formed is from 5 to 150 ml. Their shape is usually in the form of a ball or ellipse with swelling around. Fresh hematomas are blood in clots, which resolves after 2-3 weeks. And after 1-2 months a cyst is formed, with the condition that the patient survived.

Subdural and epidural hematoma

The accumulation of blood in the subdural or epidural space, which was not preceded by trauma, is due to a complication of anticoagulant treatment.

The clinical picture of these hemorrhages does not differ from that of traumatic hematomas of similar localization.

Hemorrhagic stroke in children

Hemorrhagic stroke in children occurs only from 28 weeks of fetal life and up to 7 days after birth. All subsequent cases are explained by the presence of arteriovenous malformations and endocarditis.

At the birth of a child, hemorrhages develop when blood vessels rupture and are classified as in adults. The most difficult is the breakthrough of blood into the ventricles. They occur with a frequency inversely proportional to the age of onset.

There is a clinical picture of a period of imaginary well-being. In children, intraventricular hemorrhage is a fairly rare occurrence. With this pathology, there is a very high mortality - in the first day up to 90% of cases.

Now we will touch on such a subtopic as a hemorrhagic stroke on the left side of the consequences and how long they live. Such a stroke is more acute than the others. About 60% of patients reach a fatal outcome. And for those who are more fortunate, they become disabled for life.

Left sided stroke

The problem itself appears due to rupture of the walls of blood vessels. As a result, a large hemorrhage occurs in the tissues of the left hemisphere of the head, followed by the formation of hematomas.

Consequences of a left-sided stroke

All the consequences of hemorrhagic stroke depend on the lesion. Here are the main consequences:

stress and depression of a person - read,
limbs, mimic and respiratory muscles fail
strong pain
paralysis or cut on the right side with various disorders (difficulty swallowing, very low level of general sensitivity and low muscle tone)
impossible to think logically
limited work of facial muscles
Difficulty orienting in space

How long do people live after a hemorrhagic stroke?

Many may have such a question, but how many people live after a hemorrhagic stroke of the brain. It should be said right away that the statistics here are not comforting.

Literally in the first month after a stroke, about 35% of patients die. And even more (this is 50%) die within a year.

It should be noted that pensioners and those who have chronic diseases of the cardiovascular system are at a very high risk.

Now let's analyze such a problem as a stroke, hemorrhagic right side of the consequences and how long they live. As in the previous type, this one also does not proceed in the best way. The only differences are the consequences.

Right sided stroke

If, with the defeat of the left side, a person has problems with thinking and speech. Then with the defeat of the right side, there will be problems with the perception and processing of information from the environment.

Consequences after a right-sided stroke

Below I want to list you the main consequences after a right-sided hemorrhagic stroke. As a rule, all of them have a very bad effect on the left side of the entire human body. These are the consequences:

high blood pressure
lack of coordination
loss of consciousness and fainting
cramps in the left side of the body
numbness
weak activity of the left limbs
loss of vision in the left eye
tilt of the eyes and head to the left
no sensation on the left side of the body

How many live

As a rule, right-sided stroke most often occurs in people aged 35-50 years. Very often, people suffering from hypertension are susceptible to this disease.

How long do people live after a right-sided hemorrhagic stroke?

Yes, about the same as with the left side. The forecasts here are also not encouraging. About 60% of cases end in death. Those who survived live after a stroke for about a year and a half. Moreover, 70% of the survivors are already disabled for life.

Diagnosis of hemorrhagic stroke

Let's look at what activities are carried out to diagnose hemorrhagic stroke in humans:

ECG to assess the efficiency of the heart muscles
X-ray of the spine
Blood test for glucose and cholesterol, erythrocyte, leukocyte, platelet, ESR, leukocyte formula
Blood pressure control
duplex vessels

Doctors also carry out other activities.

Doppler ultrasound- a technique that allows you to diagnose the presence or absence of spasm of the arteries. Due to the ease of implementation and safety, it is performed in dynamics to assess the state of cerebral blood flow.

Spiral computed tomography(SKT) - has a decent specificity. Thanks to SCT, the doctor sees the accumulation of blood, its prevalence, and whether there is blood in the CSF pathways. If an aneurysm with hemorrhage is suspected, CT scan with intravenous contrast is performed, or CT angiography is additionally examined.

Magnetic resonance imaging(MRI) - informative for searching for sources of hemorrhage, small, hidden or deeply located hematomas. And also for the differential diagnosis of primary hemorrhage or tumor nature.

Provides the most information selective cerebral angiography(SCAG). But it is performed only as a preoperative method of examination. Usually to clarify the location of an aneurysm or arteriovenous malformation.

Performance skull radiography if there is no indication of the fact of injury.

How to suspect a hemorrhage? Here are some options:

cerebral symptoms
oppressed consciousness
bradycardia or increased heart rate
respiratory failure
indomitable vomiting
hiccups
specific reflexes and synkinesis (friendly movements of the limbs)
hormetonic convulsions, appearing more often from the 2nd day

Hemorrhagic stroke treatment and recovery

Now let's talk about hemorrhagic stroke treatment and recovery. After all, the speed of assistance greatly affects the life expectancy of a person.

First aid

In case of any serious suspicion of a stroke, an ambulance should be called. After that, you need to carry out a number of measures for first aid:

lay the person on their back with their head up
open the window for fresh air
turn the head to the side so that in the event of vomiting, aspiration of gastric contents into the upper respiratory tract does not occur
control blood pressure and pulse

When a stroke is suspected, the patient should be immediately placed in a specialized hospital, in the intensive care unit or in the angioneurology department with an intensive care unit. In such conditions, additional examination and treatment should be carried out.

Initial treatment for hemorrhagic stroke

How is a hemorrhagic stroke of the brain treated? In general, the doctor faces several tasks. For starters, it's about bleeding.

Initially, during treatment, it is necessary to focus on the vital functions of the body and carry out the following activities:

Restoration of breathing, mechanical ventilation, breathing with humidified oxygen
Normalization of the heart rate
With epileptic seizures, anticonvulsants (Relanium, Seduxen) are administered intravenously. The risk of seizures persists for 24 hours after a stroke. With long-term non-stopping seizures, anesthesia is given. Moreover, anticonvulsant therapy continues for a month after the patient is discharged from the hospital under the control of electroencephalography.
Partial reduction in pressure by no more than 10-15% of the original, because at unusually low pressure, hypoxia in the brain develops even faster.
If swallowing is disturbed, a probe is placed through which the patient is fed.
Control of pressure in the cranial cavity - diuretics (Mannitol, Diakarb).
Be sure to put a catheter in the bladder to control the excretory function of the kidneys.
Treatment of the sacrum area with camphor alcohol to avoid bedsores.
Specific measures, neuroprotectors (Encephabol), antioxidants (Actovegin, Lubeluzole), calcium channel blockers (Nimodipine), nootropic substances (Nootropil, Cerebrolysin, Semax), vasoactive agents (Cavinton).
Thromboembolism of the pulmonary artery - for prevention, elastic bandaging of the legs is mandatory.

Surgery for a stroke

The operation for hemorrhagic stroke is aimed at removing the hematoma and saving the life of the patient. Surgical treatment of intracerebral hemorrhage is one of the most discussed and controversial areas of neurosurgery. It is carried out taking into account the age, neurological status, location and volume of the hematoma.

There are the following types of surgical interventions:

Classical trepanation of the skull with intracerebral hematomas. Unfortunately, it additionally injures brain tissue and negatively affects the functional outcomes of treatment.
Removal of a blood clot with minimal side effects has been extended to minimally invasive interventions and removal of a hematoma through a small hole using video endoscopic techniques.

Rehabilitation after hemorrhagic stroke

The next equally important task of medical personnel in the treatment of a patient is his rehabilitation after a hemorrhagic stroke at home and in a hospital.

Currently, there are a large number of robotic rehabilitation systems that significantly improve the efficiency of the work of rehabilitation doctors and exercise therapy instructors.

A typical recovery session lasts about 30 minutes. During it, the patient takes about 4-5 steps. And with the help of robotic rehabilitation systems, the patient takes about 500 steps during the same session.

Good funds

After discharge from the hospital, the following remedies show a good effect:

Drugs that improve the blood supply to the brain and its cognitive functions (piracetam, fenotropil, noopept).
Encephabol - normalizes metabolic processes occurring in brain tissues. Enhances the uptake of glucose and its use by tissues. Promotes the release of acetylcholine in the area of synoptic communication and normalizes the exchange of nucleic acids.
Choline, actovegin, cytoflavin - normalize metabolic processes. Endowed with an antioxidant effect.

Rehabilitation treatment programs

All rehabilitation treatment is individual. Therefore, it is advisable to start it in a hospital. Then the patient will have a good result. It is necessary to continue such treatment even after discharge from the hospital.

Here is a list of rehabilitation and recovery activities that should be given special attention in hemorrhagic stroke:

Learn how to serve yourself, eat and drink
Physiotherapy
Kinesiotherapy
Special suits for recreating reflexes
Restorative speech classes with a speech therapist
Balneotherapy
Massage
Manual therapy
Physiotherapy
Classes with a psychoneurologist for rapid social adaptation

Another component of success is the help of relatives and close people. They must maintain the patient's mood and monitor his regular and correct implementation of the doctor's recommendations.

To return a person to a full life, special conditions must be met. Namely: consult a doctor in time, be treated in a hospital using modern means in combination with rehabilitation therapy.

Serious, disabling complications develop in 75-80% of cases. Unfortunately, a large number of patients still have functional disorders of varying severity.

If the whole complex of measures is carried out correctly, then the patient can continue a full life with full restoration of function.

Postoperative management of elderly patients

After the end of the operation and before the patient returns to work, it is necessary to go through the postoperative period. It can be near and far. The first period begins immediately after surgery and lasts until the patient is discharged from the hospital.

The second continues outside the walls of the medical institution until all general and local disorders have passed.

The main feature in elderly patients is a pronounced decrease in the function of the respiratory and cardiovascular systems. As well as lowering the body's resistance to infection.

Plus, there is a deterioration in reparative processes during the healing of postoperative wounds. This significantly complicates the course of the postoperative period in the elderly compared to young patients.

In old age, there is a decrease in the vital capacity of the lungs, a decrease in their maximum ventilation and a violation of the drainage function of the bronchial tree. This in turn leads to pneumonia.

Therefore, great attention should be paid to breathing exercises, massage, early activation of patients and the use of bronchodilators.

Almost the vast majority of elderly patients have atherosclerosis and cardiosclerosis. With age, there is a tendency to hypercoagulability, which increases after surgery. Therefore, great attention should be paid to cardiac pathology, blood thinning and activation of patients.

Given the reduced acid-enzymatic and motor function of the gastrointestinal tract, it is advisable for patients in this group to prescribe easily digestible, sparing and high-calorie foods.

Also, in old age, purulent complications develop more often, so you need to carefully monitor all wounds.

Prevention of hemorrhagic stroke

Now we will touch upon such a question as a good prevention of hemorrhagic stroke in humans. It is not in vain that one of the tasks of treatment includes various preventive measures aimed at preventing the recurrence of a stroke.

It is worth saying that in the presence of atrial fibrillation, it is necessary to take anticoagulants as directed by a doctor. And with hypertension and lipid metabolism disorders, do not neglect the appointment of lipid-lowering agents.

Also take basic precautions.:

Prevent weight gain
Do not allow pressure to rise above 140/90 mm Hg. Art.
Lead an active lifestyle
Enjoy life and avoid stress
Observe healthy
To refuse from bad habits

Particular attention should be paid to the last point. The harmful effect of the same alcohol is explained by the expansion of the vascular bed and then by its rapid spasm. This increases the likelihood of recurrence.

Remember that a second stroke does not allow you to return to a socially active life and often ends in death.

Nicotine is a vascular poison. Under its influence and other toxic substances contained in tobacco smoke, the rheological properties of the blood change and the viscosity increases. All this leads to stasis of blood cells and the progression of the disease.

Smoking itself provokes a spasm of the vascular bed in the periphery and an increase in pressure. It is also an excellent mediator of relapses.

Hemorrhagic stroke and consequences

In the end, let's touch a little on such a problem as a hemorrhagic stroke and the consequences. The sad statistics these days is that 35-45% of patients suffer a second stroke within the next calendar year.

The stroke itself is very predictable. The vast majority of patients after it say goodbye to life. And those who survived suffer severe neurological deficits.

The main criterion for the outcome of the disease is the timely and high-quality provision of medical care. It should be noted that after hemorrhage there are more defects in the patient's life than after ischemia. And they are very rough.

Consequences of hemorrhagic stroke of the brain:

movement disorders
minimal brain dysfunction
resistant forms of epilepsy
mental retardation

Treatment with folk remedies

It is worth mentioning a little about hemorrhagic stroke and treatment with folk remedies. The use of herbal remedies is permissible only when the threatening period has passed and nothing harms the patient's condition.

The points of application of the drugs will be the consequences of the stroke itself. They stimulate nervous tissue and regeneration in cells.

Give excellent results monastic fees of Father George:

Nettle - has an antitoxic, anti-inflammatory, hemostatic effect.
Sage - its anti-inflammatory and antimicrobial effects are associated with a large number of trace elements. It is a plant antibiotic. Contains chromium, zinc, manganese, nickel and magnesium.
Immortelle is a choleretic agent. Protects the liver and lowers blood cholesterol.
Rosehip - immunostimulating effect. Contains vitamins and microelements.
A series - normalizes the coagulation properties of blood.
Bearberry is a great natural antioxidant.
Yarrow and dried flowers - anti-inflammatory, choleretic and restorative effect.
Wormwood, thyme and birch buds - anti-inflammatory and antimicrobial effect.
Buckthorn - has a good effect on the functioning of the thyroid gland, normalizes blood pressure.
Linden flowers, swamp cudweed, chamomile and motherwort are involved in hematopoiesis and inhibit the action of adverse factors on the nervous system. It has a beneficial effect on the pituitary gland, immune and cardiovascular systems.

The above funds improve the results of treatment of the consequences of circulatory disorders and restore the lost abilities of a person.

Conclusion

Now you know everything about hemorrhagic stroke, what it is, how it is treated, what are the consequences and how long they live. We examined its classification, as well as the causes and symptoms of this disease. Much has been said about diagnostics and recovery.

Hemorrhagic stroke of the left side of the brain refers to acute diseases. They affect up to 20 percent of patients with disorders of the circulatory system of the brain. As a result of the disease, according to statistics, up to 60 percent of patients die, and most of the survivors become disabled. The chance of death increases with age.

As a result of rupture of the walls of blood vessels, an extensive hemorrhage occurs in the tissues of the left hemisphere of the brain with the formation of hematomas. The breakdown products of blood components cause edema, inflammation and necrosis of the nervous tissue in the area of hemorrhage, compression of brain tissues and increased intracranial pressure, which leads to disruption of its functions.

The main cause of the disease is hypertension. It causes sclerotic disorders in the small blood vessels of the brain - their lumen and elasticity decrease. A sharp increase in blood pressure leads to their rupture.

Less common are blood diseases (for example, poor clotting), tumors, inflammation in the blood vessels of the brain. Also, the cause may be the reaction of the vascular system to infectious and allergic diseases, hemorrhagic diathesis, head injuries, uremia and sepsis.

Symptoms

Severe damage to the left hemisphere of the brain as a result of a hemorrhagic stroke is accompanied by characteristic signs - partial or complete paralysis of the right side of the body and Broca's aphasia - incoherence and speech defects caused by paralysis of the facial muscles.

Important! can be seen before it occurs. If you apply medication during this period, you can avoid its onset.

First, headaches appear, recurring with increasing force. Then there are bouts of vomiting, blood rushes to the face, the pulse drops, sweating increases. A person's vision deteriorates sharply, visual hallucinations begin. Memory lapses and loss of orientation in space are possible. Soon there is numbness of the muscles of the right side of the body.

You can diagnose a stroke on the left side of the brain based on the results of simple tests offered to the victim:

raise your hands in front of you at the same time - the right hand will obey the commands of the brain much worse;
make an attempt to smile - the right corner of the mouth will be beveled down due to paralysis;
show the tongue and move it - the tip of the tongue will sink to the right, and the tongue itself will have an asymmetrical "humped" appearance;
pronounce your last name, first name and patronymic - the speech will be weaving and incoherent.

In patients under 45 years of age, the disease may be the result of a hematoma that occurs when a hemorrhage occurs in the space between the arachnoid and pia mater. In this case, the symptomatology of the disease coincides with a brain aneurysm and disorders in the development of the circulatory system. To exclude them, instrumental diagnostic methods are used - cerebral angiography, computed tomography, echo encephalography.

Consequences

Damage to health from hemorrhagic stroke depends on the lesion and resembles the consequences of ischemic stroke. The most common complications are:

violations of the speech apparatus - the work of the facial muscles is difficult;
loss of ability to logical reasoning;
paralysis or paresis of the right side of the body with clearly expressed disorders - weak muscle tone and a low level of general sensitivity, swallowing reflex is difficult;
severe pain;
paralysis of limbs, respiratory and facial muscles;
anxiety and depression.

As a result of a hemorrhagic stroke, more than 70% of surviving patients become disabled.

How long do people live after a stroke

After a severe stroke, up to 35 percent of patients die in the first month and about 50 percent die during the first year. Mortality after hemorrhagic stroke is high among pensioners and people suffering from chronic diseases of the cardiovascular system.

Treatment

Treatment includes first aid, surgical treatment during and after an attack, and measures aimed at restoring the patient's motor and speech functions.

If necessary:

put the victim in a reclining position, raising the upper body at an angle of at least 30 degrees - to reduce the rate of blood flow to the brain;
turn the head of the victim to one side - to prevent death from ingestion of vomit into the respiratory system;

Provide good ventilation of the room - to prevent lack of oxygen and reduce the risk of hypoxia.

Surgical treatment

Operative treatment includes surgical intervention. It is necessary in the presence of extensive hematomas in the brain tissues. In most cases, a hematoma is punctured through a small burr hole - it makes up about 70 percent of operations. Open brain surgery is performed with superficial hematomas or in case of extensive hemorrhages in deep areas of the brain, accompanied by the patient's most difficult condition - up to 30 percent of the number of surgical interventions. Also, in the course of surgical treatment, in case of violation of the respiratory reflex, oxygen inhalations and artificial ventilation of the lungs are used.

Treatment in the acute phase and after it

It is aimed at stabilizing the condition and eliminating complications. The general treatment plan includes:

A decrease in blood clotting in the first hours after a stroke significantly reduces the likelihood of paralysis. Actovegin is successfully used for these purposes.
Decreased blood pressure. Arterial pressure should not exceed 150/90 mm. rt. Art. For this, drugs of non-prolonged action are used - clonidil, magnesium sulfate, captopril. If the pressure on the contrary falls, then vasopressor drugs are used - for example, mezaton and caffeine, norepinephrine.
The alignment of the heart rhythm is carried out with the help of cardiac glycosides - corglycol, erizimide, strophanine.
Decreased general swelling and elimination of cerebral edema. For this, diuretics are used - mannitol, furosemide, hormonal drugs with antihistamine action - for example, dexamethasone.
Prevention and elimination of pulmonary edema and infectious pulmonary diseases. Antibiotics are injected, jars are placed, mucus is sucked out of the lungs, and the patient is turned from side to side every 2 hours. This measure also prevents the formation of bedsores.
Normalization of body temperature - with the help of standard drugs - amidopyrine, analgin, ibuprofen, paracetamol.
Maintaining water-salt metabolism and preventing blood clotting. For this purpose, up to 2.5 liters of isotonic sodium chloride solution and about 0.5 liters of plasma-substituting solutions are administered daily to the patient.
Prevention of cerebral hypoxia with the help of antispasmodics - no-shpy, stugeron, papaverine hydrochloride.
Carbohydrate nutrition. In case of violation of the swallowing reflex - special intravenous solutions or feeding with a nasogastric tube.
Stabilization of blood glucose levels in the range from 2.8 to 10 mmol / l. To reduce use insulin, to increase - 10% glucose solution.
Removal of pain with the help of injections of analgesics - analgin, tramal, baralgin.

Revitalizing treatment

Many patients who have had a hemorrhagic left-sided stroke in the absence of rehabilitation procedures become disabled. Therefore, after discharge of patients, therapy is aimed at restoring the affected areas of the brain, strengthening its circulatory system, motor and speech functions.

Attention! Relatives and friends of patients should understand that a complete recovery after a stroke does not occur, and the duration of the recovery period and the completeness of the restoration of body functions entirely depends on their perseverance and patience.

In addition to drug treatment, patients are prescribed classes with a speech therapist and psychologist, physiotherapy, special massage and physiotherapy exercises. Patients learn to lie, sit, stand and walk again with the help of special simulators. The recovery process often takes several months.

Complexes of physical therapy exercises are developed individually. The main principles of exercise therapy are a gradual increase in load and the alternation of passive exercises with active ones.

Hemorrhagic stroke of the left side of the brain has clear diagnostic signs - paralysis of the limbs and muscles of the right side of the body, speech disorders. It proceeds mainly acutely, overtakes hypertensive patients and people of retirement and pre-retirement age and is characterized by high mortality. The disease can be prevented if the signs preceding it are noticed in time. Treatment is aimed at eliminating foci of hemorrhage, eliminating the consequences of its action on brain tissue. How quickly recovery will occur and how long the patient will live depends on the implementation of restorative therapy after discharge.

Stroke is a common neurological disease. About 5 million people around the world suffer from it every day. The consequences are of particular severity, because people who have had this disease become disabled. The prognosis in these cases is disappointing. The whole body and neurology suffer. A stroke is a sudden damage to an area of the brain due to blockage of blood vessels or hemorrhage. How long can a person diagnosed with a stroke live? No matter how long life lasts, even if it is 10 years, it will not be possible to completely restore the body.

Two types of stroke (apoplexy) are defined: ischemic, as a result of which a nerve is pinched or a vessel is blocked; hemorrhagic (accompanied by bleeding in the brain due to rupture of the vessel). As a result, this leads to partial (left or right side of the body) or complete paralysis.

The main causes of apoplexy:

cerebral thrombosis - neurology, clogging of a blood vessel supplying the brain by a blood clot. It develops as a result of chronic diseases of the arteries of the muscular-elastic type, provoked by a violation of lipid-protein metabolism;
internal bleeding into the brain occurs due to the fact that the artery of the brain, being under the influence of the disease, can break and stop the supply of blood and oxygen to the vital elements of the brain.

In simple terms, the causes of stroke are neurology, damage to nerve cells located in the brain. Violation of this kind is caused by a violation of blood circulation in one of the head sections, due to the fact that the cells no longer receive proper nutrition. The prognosis in this case is disappointing. Often this type of hemorrhage affects people who take drugs with a high content of anticoagulants, as well as abuse drugs, cocaine or amphetamines.

ICD-10 classification

The classification of the disease and its symptoms are clearly visible in the International Classification of Diseases (ICD-10). Hemorrhagic stroke code according to ICD-10:

I60 subarachnoid hemorrhage;
I61 intracerebral hemorrhage;
I62 other non-traumatic intracranial hemorrhage;
I63 cerebral infarction;
I64 stroke, unspecified as hemorrhage or infarction;
I65 blockage and stenosis of the precerebral arteries, not leading to cerebral infarction;
I66 blockage and stenosis of the cerebral arteries, not leading to cerebral infarction;
I67 other cerebrovascular diseases;
I68 damage to cerebral vessels in diseases;
I69 consequences of cerebrovascular diseases.

Each code in the ICD-10 system has its own severity, disability, stages of treatment and prevention. This code is needed solely for the understanding of medical personnel, in order to minimize and save time for writing a diagnosis. Since medical terminology and diagnostics are often quite cumbersome, it is generally accepted to classify the disease, putting the code according to the ICD-10 system. So is the ICD-10 system, and each disease code ensures uniformity and similarity of medical approaches and materials to certain diseases.

Coma and neurology in the development of apoplexy

To cure a patient with hemorrhagic apoplexy is much more difficult than to cure after an ischemic stroke. The consequences of an ischemic stroke are less complex than with a hemorrhagic stroke, especially on the left side. If you do not pay attention to the symptoms for a long time, the prognosis can be disappointing. One of the unpleasant consequences of neurology is a prolonged coma of a protracted nature. Coma occurs due to the necrosis of the affected brain cells, and can last for several months or even years. The coma can last from 10 days to 6 months, the percentage of improvement in the condition while in a coma decreases sharply. Coma is the case when time decides a lot, because the longer the body stays in this state, the more difficult it is to recover from it. A special risk zone for a patient is considered to be coma after a second stroke.

Coma is an extremely unfavorable prognosis for the central nervous system. The reasons for the patient to be in this state are a violation of the central nervous system and neurology in general. Neurology is the branch of medicine that deals with damage to the central nervous system. Neurology should be checked regularly at the slightest suspicion of the possibility of a stroke.

Classification of types of stroke

It should be noted that the symptoms of hemorrhagic stroke develop much less frequently than ischemic stroke, the percentage is from 10 to 20%. But damage to the brain stem carries a very sad prognosis, practically does not give hope for at least a partial recovery of the body, and in most cases ends in death.

The main classification of types of hemorrhagic apoplexy according to the mechanism:

intracerebral hemorrhage due to arterial hypertension or amyloid angiopathy. Hemorrhage occurring with impaired consciousness, affecting the region of the leading hemisphere. Consciousness may be active and undisturbed, but compression of the brainstem may result in instant death;
subarachnoid hemorrhage resulting from a ruptured saccular aneurysm. Often associated with rupture of the saccular aneurysm - damage to the inner elastic membrane of the arterial wall. Such a gap, in many cases, affects people over the age of 35 years. The appearance of severe, sudden pain in the head should cause suspicion and the need for urgent computed tomography. Severe attacks of headache can lead to loss of consciousness, in some cases coma occurs.

It is necessary to pay special attention to the symptoms, and in case of sharp pain or visual disturbances, contact the clinic for a check.

Classification of ischemic stroke can be divided into:

atherothrombotic;
embolic;
lukarny.

By the place of localization, it is possible to determine the impact: extensive, acute, early, late. At the initial stage of both hemorrhagic stroke and ischemic stroke, although the disease is difficult to diagnose, it is easier to treat than after its onset.

Harbingers of hemorrhagic stroke

It is known that hemorrhagic apoplexy occurs only in 10-15% of cases, in contrast to ischemic stroke, the frequency of which ranges from 30% to 40%. Hemorrhagic stroke is much more difficult with its consequences, it is difficult to tolerate, the likelihood of death increases. Therefore, it is necessary to diagnose diseases in a timely manner.

Symptoms that may indicate the development of a hemorrhagic stroke:

rapid loud breathing with hoarseness;
intense pulsation of blood vessels in the neck;
the eyeball can mow in the direction of the focus of inflammation, or in exceptional cases in the opposite direction;
paralysis of the opposite side;
the appearance of nausea, vomiting;
sharp, severe headache of a long nature;
with extensive hemorrhage, spontaneous movement of intact limbs occurs.

Symptoms of ischemic stroke:

loss of consciousness or sudden agitation;
disorientation;
headache;
nausea, vomiting;
fever, sweating.

If you find signs of a hemorrhagic stroke, you should immediately contact a medical institution. The initial period of development of apoplexy lasts for 21 days. Medical workers have the concept of a therapeutic window, which is 6 hours from the moment a stroke is detected. During this period, the therapeutic course is most effective. Symptoms play an important role in the diagnosis and detection of neurological diseases. Since from the first minutes it is possible to block the focus of inflammation, it is required to stop bleeding at the cellular level and provide the necessary prevention in order to avoid cerebral edema.

Diagnosis of hemorrhagic stroke, differential in relation to, can be made without special equipment. The patient is invited to simultaneously speak, raise his hands and smile. In one of the cases, the patient has a smile distortion, in the other, a violation of pronunciation.

Consequences and first aid

As you know, by nature, the human body is arranged in such a way that the right hemisphere of the brain is responsible for the performance of the left side, while the left hemisphere of the brain is responsible for the right side. There are a number of differences between right and left stroke. For example, a stroke on the left side in medical practice is much more common. Since the left hemisphere is responsible for such functions in the body as logical thinking, remembering names and dates, time sequence, written and oral speech, if this hemisphere is disturbed, there is a problem with speech and writing recognition. In some cases, the patient cannot build a logical chain, reproduce this or that date from the past.

A stroke of the left hemisphere leads to partial or complete paralysis of the right side, up to paralysis of the right side of the tongue and larynx. People with this diagnosis often experience inconvenience in swallowing water and food.

The consequences and treatment of a left-sided stroke depend solely on its severity and the timing of diagnosis. In the case of treatment in the early stages, it is possible to begin the restoration of movements within the first two weeks. The consequences of a left-sided stroke are more severe than apoplexy of the right side. Complete recovery of the body, speech and movement in most cases does not occur.

Since the disease is quite widespread, each person should be able to correctly and timely provide first aid for a stroke. The first step is to call an ambulance. After that, gently place the patient on his back, and in case of vomiting, slightly turn his head, and stay close to the patient until the arrival of medical personnel. If the symptoms of apoplexy were fleeting, the patient needs emergency medical care, inpatient observation and treatment, in order to avoid a recurrence of an attack.

Treatment of a stroke is a lengthy and lengthy process. The quality of treatment and recovery after a stroke on the left side depends on the intensity of diagnosis. Prevention of hemorrhagic stroke is one of the important components of recovery. It is timely necessary to pay attention to the symptoms of hemorrhagic stroke, and how extensive they are, this will help to start the examination on time and improve the prognosis. As medicines, vasodilating and strengthening agents are prescribed, as well as a complex of physiotherapy.

The pathogenesis of hemorrhagic stroke is a serious disease that requires immediate action. Reviews of people who have experienced the symptoms of the disease say that life after suffering apoplexy is possible. It's hard to say how long it will take to fully recover. Tests show that many people take the rest of their lives to relearn lost functions.