Problem description: Condition description (time of onset, main symptoms, symptom changes, etc.): The patient is 50 years old. It has been more than four months and 10 days since the date of onset. Now the right limb is inconvenient and her legs Muscle strength level 4, able to walk about 10 meters in short distances, the knee is sometimes weak, the right upper limb muscle strength is level 3, the elbow joint cannot move down, the fingers can be clenched, but cannot be opened, the thumb is slightly reaction. There is a slight numbness in the right limb. Speaking is not a little unfavorable, the language organization ability is biased, and the words often fail to convey the meaning. Have you ever gone to the hospital for treatment: Haven’t been to the current medication Description: No medication, previous medical and surgical history: None
Question date: 2021-03-12
Patient information :Age: 49 years old, Gender: Female
Problem analysis: The patient has had cerebral hemorrhage for more than 4 months and currently has sequelae of cerebral hemorrhage.
Medications do not have much meaning and effect anymore.
The most effective treatment is to do rehabilitation exercises.
Cerebral hemorrhage refers to bleeding caused by non-traumatic rupture of blood vessels in the brain parenchyma.
The common causes of this disease are related to hypertension and arteriosclerosis, microaneurysm or microvascular aneurysm rupture.
General symptoms include headache, vomiting, drowsiness, coma, hemiplegia, aphasia, facial and tongue paralysis, difficulty swallowing, and coughing when drinking water.
Cerebral hemorrhage often causes different degrees of brain tissue damage, causing different degrees of movement disorders, cognitive disorders, and speech and swallowing disorders. The golden period of recovery is 6-12 months, and the recovery effect of more than 12 months is not obvious!
Guidelines: Strict control of blood pressure can effectively prevent the recurrence of cerebral hemorrhage!
Active rehabilitation exercises can help functional recovery.
include:
Physical exercises: ①transfer training; ②passive joint movement; ③inducing active movement of patients; ④hand function training; ⑤balance and coordination ability training; ⑥walking function training, etc.
2. Swallowing function training
3. Language function training
4. Physiotherapy: Including acupuncture and moxibustion.
The diet should be based on low-fat, low-protein, and light foods. Avoid coffee, strong tea, etc.
To encourage active exercise, effectively prevent muscle atrophy and joint stiffness.
Remember: To do rehabilitation exercises, you must go to the rehabilitation department of a formal national public hospital.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed inspection