Cerebral hemorrhage is a serious neurological disorder that can have a significant impact on the physical and mental health of patients. If you or someone around you unfortunately suffer from cerebral hemorrhage, it is particularly important to know how to recover. Through scientific rehabilitation training and lifestyle adjustments, patients can gradually recover their physical functions and improve their quality of life. So, how to recover from cerebral hemorrhage?
1、 What is cerebral hemorrhage?
Cerebral hemorrhage refers to non traumatic hemorrhage in brain parenchyma, with an annual incidence rate of 60-80 per 100000 people, accounting for about 30% of acute cerebrovascular diseases in China, and a mortality rate of 30-40% in the acute phase, which is the highest among acute cerebrovascular diseases. In cerebral hemorrhage, cerebral hemisphere hemorrhage accounts for about 80%, while brainstem and cerebellar hemorrhage account for about 20%. Brain CT scan is the most effective and rapid method for diagnosing cerebral hemorrhage.
2、 The main premonitory manifestations of cerebral hemorrhage
1. Headache and vomiting: Cerebral hemorrhage is a hemorrhagic cerebrovascular disease, which usually occurs rapidly and can easily cause an increase in intracranial pressure after bleeding, leading to the premonitory manifestations of headache and vomiting.
2. Unclear speech: Some patients with cerebral hemorrhage occur in the left dominant hemisphere, and bleeding can easily cause damage to the speech center, resulting in premonitory manifestations of unclear speech.
3. Numbness and weakness of one limb: Cerebral hemorrhage is a hemorrhagic cerebrovascular disease that can cause brain tissue damage, so early symptoms of sudden numbness and weakness of one limb may occur.
4. Consciousness disorders: Due to the rapid onset of cerebral hemorrhage, if the amount of bleeding is large, there are usually signs of consciousness disorders, and patients are prone to sudden loss of consciousness.
3、 How to recover from cerebral hemorrhage?
1. Patients with cerebral hemorrhage need to pay attention to many things during the rehabilitation process, as well as many dietary precautions. Pay attention to eating small meals, chewing slowly, eating three, four, five meals, about 70-80% full, not overeating, low sugar, low salt and low-fat, eat more foods that clean blood vessels, eat more coarse grains, and eat less refined rice and flour. Dietary taboos include spicy, greasy, raw and cold foods. It is recommended to choose foods high in phospholipids to promote brain health, such as egg yolks, fish, shrimp, walnuts, peanuts, etc. Eating seaweed, river fish, and fish oil regularly can reduce the rate of brain cell death. In terms of diet, it is advisable to consume high protein, high vitamin, low-fat, light and easily digestible foods that are rich in nutrients, such as fish, soy products, grains, soybeans, etc. Avoid spicy and greasy foods (such as strong tea, coffee, fried foods), and consume more vegetables and fruits to maintain a smooth bowel movement. Quit smoking, drink less alcohol, and avoid spicy foods.
2. Some drugs with blood activating effects should not be used in the early stage of cerebral hemorrhage patients, as it may lead to recurrent cerebral hemorrhage.
3. Position of good limbs: The correct position can prevent spasms, joint dislocations, contractures, and promote the occurrence of separation movements. Regularly change the patient's position, mainly keeping the affected limb on top. Generally, maintain a lateral position, give good support to the head, and keep the upper neck bent.
4. Exercise therapy
Passive movement: Passive movement of various joints in the affected limb, especially the shoulder, hand, hip, and ankle joints, following the principle of movement from proximal to distal, with a range of movement from small to large, and reaching the maximum range of movement within the patient's painless range as much as possible. Attention should be paid to movements that are light and gentle, moving each joint one by one to ensure full range of motion for all joints. Active exercise: After the patient's condition stabilizes, appropriate limb exercises can be guided, mainly relying on the patient's own strength for exercise, including bed turning training, sitting up training, sitting balance training, standing training, etc. When the patient can stand on crutches or against a wall, they can move out of bed and start indoor and outdoor activities.
5. Language therapy
Language training is essential after cerebral hemorrhage. Before training, the patient's language disorder type should be determined based on their language condition and the location of the lesion. Multiple stimuli such as auditory, visual, and tactile can be used to trigger and strengthen the patient's correct language response.
6. Daily living ability training
When the patient's condition allows, guide the patient to engage in various daily activities such as dressing, eating, combing hair, brushing teeth, etc., to improve the patient's self-care ability. Family members should assist patients more during this process and help them carry out their daily activities normally.
7. acupuncture and moxibustion Therapy of Traditional Chinese Medicine
Recent studies on the treatment of cerebral hemorrhage by traditional Chinese medicine show that traditional Chinese medicine is also effective in the treatment of cerebral hemorrhage. Traditional Chinese medicine can prevent and treat brain edema, promote the absorption of hematoma, speed up the repair of brain tissue damage, and improve neurological function. Acupuncture and moxibustion can dredge the meridians, run qi and blood, expand cerebral vessels, increase blood flow, thus promoting the recovery of patients' limb functions and improving the prognosis of patients. So the rational use of traditional Chinese medicine therapy has a good effect on the rehabilitation treatment of patients with cerebral hemorrhage.
8. Hyperbaric oxygen therapy
Hyperbaric oxygen can increase arterial oxygen content and partial pressure of oxygen, increase the diffusion distance of cerebral tissue capillaries, improve cerebral tissue supply, reduce cerebral vascular permeability, alleviate cerebral edema, improve brain cell function, promote the recovery of consciousness, language, and limb function, significantly improve treatment efficacy, and improve prognosis.
9. Psychological care
The rehabilitation treatment process after cerebral hemorrhage is very long, and patients are prone to psychological disorders such as anxiety, impatience, pessimism, and disappointment during this process, which greatly reduces the effectiveness of rehabilitation treatment. So, it is crucial to provide psychological care to patients, helping them to have a correct understanding of the disease, treat the sequelae caused by the disease correctly, understand the significance of pulmonary rehabilitation treatment, and actively and persistently carry out rehabilitation treatment. The commonly used psychological care methods include focused psychological care, music therapy, cognitive therapy, psychological counseling, etc.
May every breath be filled with strength, may every step be steadfast, and may every smile be filled with confidence and hope. We are well aware that the road to recovery is not easy, but we firmly believe that as long as there is light in our hearts, we can find a direction to move forward no matter when or where. May patients not only regain physical health, but also find inner peace and strength on the road of rehabilitation.