Today, stroke is a common pathology, affecting every fourth person out of a thousand. Moreover, 80% of cases are ischemic and 20% are hemorrhagic strokes. For the patient and his loved ones, the diagnosis is always unexpected. In this case, natural questions arise - what is a stroke, how many days does hospital treatment last, what is the rehabilitation process?
Stroke. How long are they in the hospital?
Poor blood circulation in the brain, in other words, stroke, treatment involves three stages:
- prehospital;
- stay in the intensive care unit;
- treatment in a general ward.
The length of stay of a patient in a hospital, according to treatment standards, is 21 days, provided the patient has no violations of vital functions, and 30 days in case of serious violations. When the length of a patient’s stay in a hospital is insufficient, a medical examination is carried out followed by the development of an individual course of rehabilitation.
The Yusupov Hospital employs highly qualified doctors, and after being treated by them, most of even the most severe patients return to a full life. The professionalism of doctors plays a huge role in the effectiveness of therapy and rehabilitation. Neurologists at the Yusupov Hospital develop an individual treatment plan for each patient.
Patients stay in the intensive care unit as long as they need to fully recover. During this period, doctors strictly monitor the patient’s vital functions in order to avoid serious complications caused by damage to brain tissue.
All patients diagnosed with stroke are subject to hospitalization. The length of stay in intensive care depends on a number of factors, including:
- depression of vital functions;
- degree of damage to brain tissue. With a major stroke, patients stay in intensive care longer;
- the need for constant monitoring if there is a high risk of recurrent stroke;
- severity of the clinical picture;
- level of depression of consciousness and others.
Hemorrhagic stroke
Patients who have suffered a hemorrhagic stroke will benefit from the following recipes:
- Prepare bay oil to rub into areas that have lost sensitivity after stroke. To do this, add 30 g of bay leaf to a glass filled with vegetable oil, leave in a warm place for 2 months, and stir constantly. After the specified time has passed, filter and bring to a boil, then cool and use.
- Every day before breakfast and dinner, the patient eats a clove of garlic and a teaspoon of honey.
- The patient takes pine baths.
- For breakfast there is only sprouted wheat.
- Celandine in the amount of 1 tbsp. The spoons are placed in a glass of boiling water and left for a quarter of an hour. Consume 2 tbsp. spoons 3 times a day before meals. This needs to be done for 2-3 weeks.
- Instead of tea, brew black elderberry and drink.
- You can prepare a soothing herbal tincture from peony roots. To do this, take 300 g of vodka and a teaspoon of dry roots, leave for a week and take 25 drops 3 r. per day.
Basic and differentiated therapy
Treatment of a patient in the intensive care unit involves basic and differentiated therapy.
Basic treatment is aimed at:
- fight against cerebral edema;
- restoration of normal functioning of the respiratory system;
- patient nutrition;
- maintaining hemodynamics at an acceptable level.
Differentiated therapy involves:
- normalization of arterial and intracranial pressure, elimination of cerebral edema after hemorrhagic stroke. In the first two days, a decision is made regarding the need for surgery. Neurosurgeons at the Yusupov Hospital daily perform surgical interventions to eliminate the consequences of stroke and save the lives of hundreds of patients. All manipulations are carried out using modern medical equipment using effective proven techniques;
- accelerating metabolic processes, improving blood circulation and increasing the resistance of brain tissue to hypoxia when diagnosed with ischemic stroke. The length of stay in intensive care directly depends on the timely and adequate course of treatment.
In most cases, young people recover much faster than older patients.
It is possible to transfer a victim from the intensive care unit to a general ward after meeting a number of criteria:
- the patient can breathe independently, without the support of devices;
- the patient is able to call a nurse or doctor for help;
- there is a stable level of heart rate and blood pressure;
- the possibility of bleeding is excluded.
Only after the patient's condition has stabilized can the doctor transfer the patient to the ward. In a hospital setting, various rehabilitation procedures are prescribed to quickly restore lost functions.
In the neurology department of the Yusupov Hospital, patients are not only developed an individual course of rehabilitation therapy, but also given psychological support.
If necessary, psychologists work with loved ones and relatives of the patient to teach them the basics of caring for a person who has suffered a stroke.
Popular folk recipes
When starting treatment with folk remedies, inform your doctor. Modern medicine does not prevent an integrated approach.
Diet, gymnastics, herbal medicine - all this is excellent for restoring or preventing diseases such as stroke or micro-stroke.
However, the doctor will double-check traditional recipes, suggest dosages, and most importantly, help make sure that the patient is not allergic to the components. After all, the main law of any treatment is to do no harm. For the most part, traditional methods are absolutely safe. They have been used by healers for many centuries:
- Wormwood helps restore mental abilities.
A teaspoon of juice mixed with honey is given three times a day before meals. As a preventative measure (for example, to prevent a micro-stroke), only one spoon is drunk per day.
- “Paralysis-grass” quickly gets you back on your feet after a stroke.
This is what people call the white step. The tincture can be purchased at a pharmacy or prepared at home. One tablespoon of chopped herb is poured into two glasses of alcohol and infused for 7 days in a dark place. The strained medicine is added 20 drops per glass of drink twice a day.
- There is an old recipe for recovery after a stroke using peony root. One teaspoon of the plant is poured with one glass of alcohol. It is also used as a tincture of white footfoot.
Sick leave after a stroke
All patients temporarily lose their ability to work after a stroke. The length of sick leave depends on the extent of damage to brain tissue, the speed of restoration of lost functions, as well as the effectiveness of the treatment. For each patient, the length of stay on sick leave is purely individual.
You can get a consultation with a neurologist or make an appointment at the Yusupov Hospital by phone.
Author
Andrey Igorevich Volkov
Neurologist, Candidate of Medical Sciences
Stroke remedies
Traditional medicine for stroke are not complete substitutes for medications, but they help cleanse blood vessels, increase immunity, and improve blood circulation. Mainly used:
- bee products;
- conifer cones;
- decoctions of medicinal herbs;
- herbal infusions;
- hirudotherapy;
- beaver stream;
- Ayurvedic methods.
Application of coniferous tree cones
Spruce cones are able to normalize metabolism, destroy microbes in the body, have a diuretic effect, and stimulate the immune system.
Spruce oil is added to bathing water, used for aromatherapy, and dripped into an aroma lamp. The oil has a sedative effect and destroys microorganisms.
A tincture of ethyl alcohol or vodka, as well as a decoction of cones, will help control blood pressure, thanks to them, tissues are restored. Congestion of hemorrhagic type is eliminated.
The use of pine cones can eliminate the consequences of a stroke. Tincture of pine fruits with alcohol is especially important. It contains biologically active substances that directly affect damaged brain tissue. Thanks to this remedy, you can control blood pressure and blood pressure, eliminate congestive pneumonia, which often appears after a stroke.
Cedar cones help replenish the lack of vitamins in the human body; they are useful for getting rid of colds. Cedar oil allows you to eliminate congestive pneumonia after stroke and significantly improve respiratory function. A vodka tincture of cedar cones is useful. Its use allows you to control blood pressure, it is useful as a wound healing agent, as well as an expectorant. If you use it regularly, the blood will become thinner and, accordingly, blood flow will improve. If the walls of blood vessels are fragile, they can be strengthened with tincture. Remedies from the fruits of coniferous trees are useful for both hemorrhagic and ischemic stroke.
The fruits of coniferous trees are used because they contain the maximum number of useful substances. It is even possible to use pine cone jam.
Rosehip for stroke
Rosehip is able to heal wounds and is used as a diuretic. Many people know that rose hips contain a maximum of vitamin C; also, products from this plant can normalize blood pressure, dissolve blood clots and make this important biological fluid rarer.
Rosehip decoction has all of the above properties. It’s as easy as possible to prepare; just brew it like tea and drink as much as you want. In high concentrations and in excessive quantities, such a decoction is harmful to the kidneys, this should be taken into account.
Sophora japonica and white amela from stroke
Green Sophora and white Amela are actively used to get rid of the consequences of stroke. They make the walls of capillaries strong, dissolve cholesterol deposits on the walls, expand the cavities of blood vessels, and extracts from these plants are useful.
If a stroke is caused by atherosclerosis of blood vessels, heart disease, or tumor, then the use of green Sophora tincture is advisable. It will not be difficult to purchase ready-made Sophora tincture at the pharmacy.
Hawthorn against stroke
The fruits and leaves of hawthorn contain a huge amount of substances that will help cope with the consequences of a stroke. There is:
- hyperoside, which saturates the blood with oxygen, improves glucose absorption, and increases myocardial contractility;
- quercitrin, which improves vascular elasticity and fights tumors;
- vitexin, which can dilate blood vessels and also activate metabolic processes in the body;
- Quercetin, which can activate blood circulation in the brain, helps cope with heart ailments.
You can use onion peel and hawthorn in combination. It is quite possible to prepare a tincture or decoction at home or buy a ready-made one at a pharmacy, which is cheap.
Horse chestnut in the fight against stroke
Horse chestnut contains special biologically active substances that fight the consequences of stroke:
- flavonoids strengthen blood vessels;
- Vitamin C helps improve nutrition of brain tissue;
- escin eliminates inflammatory processes in capillaries and increases their tone.
At home, you can use the following recipe: take 10 peeled chestnuts, chop them and pour half a liter of water, place in a jar and cover, leave for a week in the cold, but the place should be dry.
Red clover in the fight against stroke
Red clover tincture will help get rid of cerebral atherosclerosis and eliminate thrombosis. But the tincture or extract from this plant should be used with caution, especially if you have heart disease or thrombophlebitis.
St. John's wort against stroke
St. John's wort has an antiseptic effect. The substances contained in it are able to fight microorganisms. The plant also has wound-healing, astringent, analgesic, diuretic, and choleretic properties.
The astringent component of St. John's wort can increase blood pressure, so the alcohol tincture of the plant should not be used by hypertensive patients. But it is good for the heart because it contains quercitins, rutin and helps improve the functioning of the cardiovascular system.
After a stroke, the first six hours are important
Employees of the Stroke Research Institute tell you how you can prevent most of the unpleasant consequences of one of the most unexpected diseases for people - stroke.
Our brain cells are very sensitive to lack of oxygen and quickly die without it. To maintain life in them, a constant flow of oxygenated arterial blood to the head is necessary. Nature has created an extensive network of cerebral arteries that provide intensive blood circulation. When these vessels become blocked or ruptured, a stroke occurs. “The disturbance can occur in the vessels of the anterior surface of the neck - the carotid arteries, and less often - in the vertebral vessels on the posterior surface of the neck,” explains Galina Ivanova, Doctor of Medical Sciences, Head of the Department of Medical and Social Rehabilitation of the Research Institute of Stroke of the Russian State Medical University for Infox.ru.
Types of stroke
There are two main types of stroke: hemorrhagic, which occurs when blood vessels rupture (cerebral hemorrhage), and ischemic, which occurs when blood vessels are blocked - thrombosis of cerebral blood vessels. “If nothing is done with the patient in the first hours, then the possibilities for his further recovery melt away, and melt away with the hours. This is a fairly short period of time,” Vladimir Lelyuk, Doctor of Medical Sciences, Chief Researcher at the Research Institute of Stroke of the Russian State Medical University, tells Infox.ru .
Possible complications
A stroke causes the death of brain cells and entails severe and very dangerous vascular damage to the central nervous system: impaired speech, consciousness, coordination of movements, vision, sensitivity and paralysis. When a circulatory disorder affects the right hemisphere of the brain, paralysis and sensory disturbances occur in the left side of the body. When the left side of the brain is damaged, the same phenomena are observed in the right side of the body. “The patient is examined by a neuropsychologist at the very beginning of the disease and during treatment. This allows us to understand whether there is any dynamics of those disorders that appeared for the first time, whether the mistakes he made when performing tasks are decreasing or whether they have remained,” explains neuropsychologist, Doctor of Psychology, leading researcher at the Department of Neuroscience to Infox.ru. and Pathopsychology, Faculty of Psychology, Moscow State University Yuri Mikadze .
Stroke treatment
A person who has suffered a stroke is not able to adequately assess the situation. No other disease is capable of instantly destroying everything in a person: consciousness, memory, intellect, and the ability for free independent movement. Post-stroke existence can last for years and even decades.
Stroke is not a domestic disease. It can only be treated in a hospital. At the first symptoms, you should urgently call an ambulance service. Patients in a deep unconscious state with impaired vital functions should not be transported to the hospital. As a first-priority measure, a person is given an injection: a drug is injected that improves cerebral circulation or stimulates metabolic processes in the brain and normalizes blood pressure. Patients with stroke must be urgently hospitalized in the neurological department, where there are intensive care units. “The patient undergoes a set of studies, which allows one to very quickly determine the subvariant or at least the type of stroke - hemorrhagic or ischemic,” says Vladimir Lelyuk. “Then the patient is admitted to a specialized intensive care unit.”
The Stroke Research Institute operates on the basis of the central clinical city hospital No. 31. The clinic is equipped with the most modern diagnostic equipment and operates around the clock. “A round-the-clock service is important,” says diagnostician, candidate of medical sciences Leonid Gubsky, “since patients arrive in large numbers at night and in the early morning. The fact is that, as a rule, a person wakes up after a night’s sleep and suddenly it turns out that he has neurological disorders that suggest the development of a stroke, and it is necessary to urgently examine him and regulate treatment issues.”
First six hours
The patient is admitted to the intensive care unit, bypassing the emergency department. This significantly saves time, which is so necessary for effective treatment. You need to act quickly and accurately. Six hours from the onset of a stroke is called the therapeutic window. During this time, you can prevent the death of brain cells without surgery. Then the consequences of a stroke will be minimal. Neurologist, Candidate of Medical Sciences, Head of the Department of Diagnostics and Treatment of Stroke Nikolai Shamalov comments: “If the patient is admitted in the first three hours after the disease, he is given the systemic platelet method, when a drug that dissolves the blood clot is injected into the blood. If the patient arrives within three to six hours, then the patient undergoes an angiographic examination, and the same drugs are injected directly into the area of the thrombus - into the artery that was blocked, and the damage to which caused the ischemia pattern.”
The prognosis for the course of a stroke depends on the speed of recovery of consciousness: if it returns to the patient after a few minutes or even hours, the outcome is likely to be favorable. If consciousness does not return within three days or more, the outcome can be sad. “In the intensive care unit, patients are connected to tracking equipment and cardiac monitors, with the help of which all basic vital functions are monitored,” explains Nikolai Shamalov.
The recovery time is individual for each patient. It all depends on the care, treatment, general physical condition, intensity of the blow, as well as the patient’s own mood.
Cost of hospitalization in medical institutions
| Calling a medical doctor (by profile) to your home | Transportation by ambulance in Moscow within the Moscow Ring Road | Diagnosis, treatment and hospital stay |
| 3,000 - 5,000 rub. | 7,000 rub. | check with operators |
The cost of hospitalization is calculated individually depending on the severity of the patient’s condition and the hospital.
You can choose a good hospital, find out about the approximate cost and duration of hospitalization from our service specialists by calling our hotline (24 hours a day)
