Causes, symptoms and treatment of spinal stroke
Spinal stroke – a disease that violates the circulation in the spinal cord. Patients with suspected should be immediately hospitalized in the neurological Department: the speed of aid depends on the effectiveness of treatment.
You Should note that in spinal stroke in no case be self-medicate: it makes a person handicapped for life.
First of all, you should determine the cause of the disease and to deal with them: blood clot, hernias, tumors, blood diseases.
If the stroke has evolved due to the formation of a blood clot, you need to take blood-thinning medications. If the cause is muscle spasm, the patient is prescribed muscle relaxants. In the case where the disease caused a hernia or a tumor, you have to resort to surgery. If the disease is caused by exacerbation of osteochondrosis, it is sufficient to wear a special corset to do physical therapy and to enlist the help of massage.
All patients, regardless of the type of stroke that required the use of vitamins, nootropic drugs, bio-stimulants, muscle relaxants.
In the treatment of stroke, spinal precautions should be followed for the prevention of bedsores, to avoid having to expose the fragile body of the operation to remove them. You also need to pay special attention to the proper care of patients, to prevent the occurrence of pneumonia and urinary infections.
Ways to treat stroke, spinal cord depend on its type.
Ischemic stroke is the main task of the physician is to restore blood flow to the spinal cord. This requires the use of medications, blood thinning: venotonic, vasodilator, decongestant resources.
If using drugs to achieve a goal fails, then a clot, blocking blood flow, is removed by mechanical means.
In the case of hemorrhagic stroke should also focus on restoring the integrity of blood vessels and removal of the formed clot. Basically have to resort to surgery. But, before you make a decision about the need for surgery, the doctor carefully examines all the information about the disease and about other patient's diseases.
the Main directions of treatment effect
Treatment consists of several areas:
- improve local blood circulation, increase the volume and velocity of blood flow;
- to restore normal pressure and cardiac activity;
- reduce swelling of the spinal cord.
In the event thromboembolic stroke is assigned to receive:
- anticoagulants: fenilina and heparin
- antiplatelet agents: ticlid, acetylsalicylic acid and chimes.
Compressive vascular disorders need to free ourselves from being crushed. For this purpose the best orthopaedic devices: corset, solid bed sheets, therapeutic gymnastics, massage. Perhaps the use of physiotherapy. If orthopaedic AIDS and physiotherapy have been less than expected, then the patient is prescribed the operation.
Acute stroke spinal cord treated with dexamethasone, glycerol, etakrinova acid, uregita, furosemide, mannitol. These medications help reduce swelling of the spinal cord.
Important task in treatment is to normalize blood pressure and restore your heart. To this end, the doctor recommends the use of Cerebrolysin, nootropil, sermion, ksantinola nicotinate, dipyridamole, pentoxifylline, Cavinton, reopoliglyukina, cardiac glycosides. It is also possible appointment of anticoagulants: neodikumarina, omifin, fenilina, heparin.
On the efficiency of the treatment significantly affect the causes of the disease and the degree of difficulty associated diseases: how damaged aorta, presence of metastasis, the sizes of areas of the softening. Basically, doctors are able to cope with pelvic disorders and to achieve partial recovery of sensitivity.
A Fatal outcome mostly occur, if the cause of the spinal stroke is a malignant tumor or hematoma of the aorta, and when there are complications: myocardial infarction or urosepsis.
rehabilitation is influenced by the patient's illness (the presence or absence of urination disorders, motor disturbances, bedsores) and the causes of the disease. In the recovery period the patient is prescribed the adoption of anticholinesterase agents: desoxypeganine hydrochloride, galanthamine, neostigmine.
Also in this period will be effective methodsphysical therapy:
- ozokeritovye and paraffin baths
- Dibazol and electrophoresis of potassium iodide;
- diadynamic currents.
In the period of rehabilitation the patient should be under the supervision of a physician and follow all its recommendations.