First, the first three months are the "golden recovery period". In the first three months after cerebral infarction, the function recovered fastest, so it is called "golden recovery period". During this period, nerve fibers are well remodeled, and the nervous system has good self-repair and response to drugs. For some mild patients, it is possible to fully recover after timely treatment during this period.
Therefore, even if the "time window" of vascular recanalization is missed, patients and their families should strive to start rehabilitation treatment within 24 to 48 hours after onset. At the beginning of the disease, the symptoms are the most serious, and many patients will show depression during this period. Therefore, at this time, we must do a good job in psychological counseling for patients, enhance their confidence in curing diseases, actively cooperate with treatment, and get the greatest rehabilitation effect.
Second, the brain cells in the cerebral infarction area are still recovering rapidly in 3~6 months, and once they die, they cannot regenerate. Its responsible function needs to rely on other normal nerve cells to compensate and re-establish nerve reflex. It's like a toddler, from crawling to walking, from running to running, it needs a skilled process.
During this period, it should be noted that rehabilitation needs to be done step by step, and we should not rush to achieve success. For example, some patients are eager to recover, so they increase the amount of training themselves, which makes the contracture of the affected limb more serious. Some patients practice walking by themselves, and there are wrong walking actions such as "swinging legs" and "turning circles".
Understand that rehabilitation exercise is not strength exercise, nor speed exercise, but functional exercise. Correct training methods should be carried out under the guidance of doctors. We must adhere to the correct rehabilitation methods in order to get the greatest recovery. If you can, you'd better go to a regular rehabilitation center to exercise. If you can't, you can do self-exercise under the guidance of a rehabilitation doctor. According to the degree of functional recovery, consult a doctor at any time and adjust the plan.
Third, the recovery period will last for a long time. Some patients with severe symptoms have not recovered for 6 months to 1 year, so they should be prepared for long-term rehabilitation. For example, if they can't walk independently, they should use wheelchairs. One arm can't move, and it needs training such as dressing and eating with one hand. This time is often the time when patients are most likely to lose confidence and feel world-weary, so relatives and friends must be prepared.
After the onset of 1 year, the recovery efficiency will gradually decrease, but there will still be progress. Many patients recover after two or three years or three or five years of cerebral infarction. Every time they go to the hospital, their state will be better than before. There was once a patient who came to the hospital for two years. Every time someone else pushed the wheelchair, but later he could walk to the hospital with crutches. Chatting with him, he said that he never stopped exercising, and every time he made a little progress, it was enough to make him feel gratified and ignite hope.
The trick to finally get him back on his feet is the word "persistence". There are other patients who have recovered and insist on continuous exercise. After a long time, persistence becomes a habit. Forming this good habit is the "secret" for them to rebuild their lives.
It should be noted that the use of drugs after cerebral infarction is only to prevent the recurrence of the disease and has little effect on improving the function. Firm confidence and correct rehabilitation training are the real "good medicine" to restore function. So don't believe those health products or "tonics" that claim to cure cerebral infarction.
To sum up, the functional recovery after cerebral infarction is related to the patient's age, physical condition and whether there are other complications. Usually, after one month of onset, the motor function will be significantly improved; After 3~6 months, motor function and cognitive function recovered; Language ability will gradually recover in 1 year, but it may take 2~3 years to fully recover. Rehabilitation is a long road, as long as you have persistence and confidence, you will certainly create a brilliant life again!
Cerebral infarction, also known as ischemic stroke, refers to ischemic necrosis or softening of brain tissue caused by cerebral blood circulation disorder, ischemia and hypoxia.
I often meet patients with cerebral infarction or their families and ask me, how long will it take for Dr. Li to fully recover before going to work?
The recovery of cerebral infarction depends on the location and scope of infarction, whether to get medical treatment at the first time, whether to recover in time, whether to be accompanied by other basic diseases, prevention and treatment of complications, etc.
Experiments show that the potential of nerve cells changes within ten seconds after complete ischemia and hypoxia, the bioelectric activity of cerebral cortex disappears after 20-30 seconds, and the bioelectric activity of cerebellum and medulla oblongata disappears after 30-90 seconds. When the blood flow of cerebral artery is interrupted for 5 minutes, nerve cells will be irreversibly damaged and cerebral infarction will occur.
Everyone is a little confused when they see this. No one can go to the hospital in five minutes! Then why emphasize the "three hours" and "six hours" of gold?
Thrombolytic therapy is coming. The focus of acute cerebral infarction consists of ischemic center and ischemic penumbra around it. The threshold of cerebral blood flow in ischemic center decreased, the ion pump of nerve cell membrane and cell energy metabolism failed, and the brain tissue was irreversibly damaged. Cerebral blood flow in ischemic penumbra is between electrical failure and energy failure. There are residual blood flow of aorta and collateral circulation in local brain tissue, and there are still a large number of surviving neurons. If the blood flow in ischemic penumbra can be quickly restored in a short time, the function of brain tissue in this area can be reversed, and nerve cells can survive and recover their functions.
Therefore, the existence of penumbra around cerebral infarction tissue is the basis of modern treatment of ischemic stroke. Restoring blood flow in time and improving tissue metabolism can save the penumbra tissue with only functional changes around the infarction and avoid necrosis. Of course, thrombolytic therapy still needs conditions. At present, it is considered that it is best to get to the hospital within 3 hours (no more than 4.5 hours) and no more than 6 hours at the latest.
After being sent to hospital for treatment, recovery is also very important. It is best to do rehabilitation treatment the next day. The first three months can be said to be a golden recovery period.
Let me remind you that the recovery of upper limb function, especially the recovery of hand function, must not be ignored in the early stage. If the hand can't move slightly and the shoulder joint can't move within 24 hours of onset, the recovery effect of upper limb and hand function will not be too good in the future.
Rehabilitation is lifelong rehabilitation, don't relax. Like speech function, fine hand function takes 1 year or even 2 years to recover. It is very important to go to a professional rehabilitation institution for professional training as soon as possible after onset. At least under the guidance of professional doctors, especially in many underdeveloped areas, the concept of rehabilitation has not been popularized, which has also caused many patients to lose their functions due to sequelae, unable to return to life, and unable to take care of themselves at work or even in life.
In short, if you want to recover as soon as possible, you must go to the hospital as soon as possible, carry out rehabilitation treatment in time, take medicine according to the doctor's advice, face it with a positive attitude and insist on rehabilitation training.
Cerebral infarction is a disease caused by various reasons, which leads to ischemic and hypoxic lesions and necrosis of brain tissue, and then leads to clinical neurological deficit. After suffering from cerebral infarction, it is easy to produce some sequelae, which brings great inconvenience to patients' health and daily life. Therefore, in daily life, we must attach great importance to the occurrence of cerebral infarction and take preventive measures in time. If it happens, seek medical attention as soon as possible.
Because each patient with cerebral infarction has different physical quality and condition, the recovery time is also different.
First, don't miss 3-6 hours of gold.
After cerebral infarction, the blood flow of cerebral artery is interrupted for more than 5 minutes, and nerve cells will be irreversibly damaged. If the blood flow in ischemic penumbra can be quickly restored in a short time, the function of some brain tissues can be reversed, so that nerve cells can survive and recover their functions. Therefore, the shorter the time to open blood vessels, the less injuries and sequelae, which is conducive to rehabilitation. At present, it is considered that it is best to be sent to the hospital within 3 hours, not more than 4.5 hours, and not more than 6 hours at the latest.
Second, rehabilitation.
1, the condition is stable and can be recovered the next day.
Make-up with stable condition can be restored the next day. Don't ignore the recovery of upper limb function, especially the recovery of hand function. If the hand can't move slightly within 24 hours after onset, it will be more difficult to recover the function of upper limbs and hands in the future.
1. Generally, we call it the acute phase within three weeks. At this time, rest and medication are the main things.
The period from three weeks to three months is called rapid recovery period. During this period, after major nerve injuries, the functional recovery stage begins. The first 3-6 months is the golden recovery period, and the functional recovery is the fastest in the first 3 months after onset. At this time, the nervous system repairs itself and responds well to drugs. For some mild patients, many patients can fully recover after timely treatment. Those who can start early must start early, no matter whether they start early or not, they should strive to start rehabilitation treatment within 24~48 hours after onset.
Then the period of 3-6 months is called chronic rehabilitation period. Then there is a small amount of neurological function that can be recovered in the chronic rehabilitation period.
Generally speaking, one year after the onset of cerebral infarction is a recovery period, and it is also a period for cerebral infarction to improve its symptoms. After a year, it will enter the sequelae of cerebral infarction. At this time, the symptoms of cerebral infarction do not recover obviously, but some functions will recover. In the sequela period, prevention and treatment are the main methods to restore the function to the maximum extent, so that patients can return to an optimistic state during the recovery period. Patients themselves and their family and friends should also pay special attention to prevent recurrence, so as not to make the body recover again.
Patients with stable cerebral infarction can start rehabilitation training within 24 hours; For most patients, within 6 months, rehabilitation training is the golden period; After one month, the motor function will be significantly improved; After 3~6 months, motor function and cognitive function recovered; 1 year, language ability will gradually recover; Some people may need longer time, which requires firm willpower; Rehabilitation exercise should be a part of life, not a burden of life!
Third, if you want to recover from cerebral infarction, you should pay attention to these points.
1, to prevent the second recurrence.
In fact, there are many factors that induce cerebral infarction, such as our living habits, hypertension, arteriosclerosis, diabetes and so on. In order to recover from cerebral infarction, the first thing is to prevent the recurrence of cerebral infarction. In order to prevent the recurrence of cerebral infarction, it is necessary to get rid of the bad habits in life and control the basic diseases according to the doctor's advice. The second recurrence rate of cerebral infarction is very high. When the second relapse occurs, the illness will be more serious and the mortality rate will be higher. Therefore, patients after cerebral infarction must pay more attention!
2. Actively cooperate with rehabilitation treatment.
While actively treating the primary disease, it is also important to insist on rehabilitation training, which is best carried out under the guidance of a doctor. For paralyzed patients, family members also need to pay special attention when taking care of them, and turn over every two hours to prevent the formation of pressure ulcers. In addition, we must take special care of the patient's emotions. Patients with cerebral infarction will have a bad temper and self-doubt. As a family member, we must give him psychological support.
Fourthly, we should usually take preventive measures:
1, reasonable diet and more exercise: advocate a light diet, eat less high-fat, high-calorie foods and high-cholesterol foods, control the intake of salt, and eat less sweets. But eating more edible fungi, onions, marine fish, garlic and other foods will help reduce blood lipids. Drink plenty of water to purify the blood.
2. Don't smoke and drink less: the smoke contains harmful substances such as nicotine, which can stimulate the patient's blood pressure to rise and damage the vascular endothelium, which is not good for preventing cerebral infarction; Limit drinking, not excessive drinking, otherwise it will easily accelerate blood flow and cause cerebral hemorrhage.
3. Drug assistance is the key: cerebral atherosclerosis is the main cause of cerebral infarction, so from the perspective of drug prevention, anti-atherosclerosis drugs such as statins such as rizzoli and suvastatin are mainly used. Stabilize plaque and delay the development of atherosclerosis; Of course, there are drugs such as anti-platelet aggregation and thrombolysis. If you have primary diseases such as hypertension and diabetes, you should also actively treat them.
4. Regular physical examination is essential: Regular physical examination can let us know our physical condition in time. If you find something wrong with your body, you should prevent and treat it in time under the guidance of a doctor. Cerebral infarction has a great influence on life. Don't think that cerebral infarction is the label of middle-aged and elderly people. In recent years, the incidence of young people is also very high! Prevention of cardiovascular and cerebrovascular diseases should start from now!
There is no standard answer to the time when cerebral infarction returns to normal, which is influenced by many factors, such as pre-hospital rescue time, infarct location, infarct area, patient's physical health and so on.
In recent years, the incidence of cerebral infarction has increased year by year, which may seriously threaten life safety if the rescue is not timely; Therefore, after suffering from cerebral infarction, we must attach great importance to it and cooperate with the doctor in time, but there is no standard answer to the time to return to normal.
Generally speaking, one year after the onset of cerebral infarction is a recovery period, and it is also a period for cerebral infarction to improve its symptoms. After a year, it will enter the sequelae of cerebral infarction. At this time, the symptoms of cerebral infarction do not recover obviously, but some functions will recover. In the sequela period, prevention and treatment are the main methods to restore the function to the maximum extent, so that patients can return to an optimistic state during the recovery period. Patients themselves and their family and friends should also pay special attention to prevent recurrence, so as not to make the body recover again.
How long will the cerebral infarction return to normal? Cerebral infarction cannot return to normal. Young people got cerebral infarction because of misdiagnosis and mistreatment of wind-cold-dampness, injection of disinfectant and anti-inflammatory chemicals, and the latent focus of wind-cold-dampness was hurt. The medicine for treatment measures is symptomatic and will leave sequelae. The skin (that is, cell tissue) of middle-aged and elderly people begins to age. Effective treatments are dialectical treatment and symptomatic treatment, as well as the treatment of chronic diseases such as detoxification. The self-healing function is limited, and it is impossible and difficult to return to normal. Because of the injury, the treatment and conditioning drugs are symptomatic. Take precautions to avoid intensification and deterioration, that is, God bless the people to stop asking for a return to normal. Because the external structure of the huge universe's natural laws is an irresistible natural change of human beings. It attacks the immune function of human structure all the time, and the balance between coordination and disorder is limited. Bone transplantation took about 12O days, and cerebral infarction returned to normal for about 3 14 months. Treat chronic diseases, recuperate and detoxify! ! !
Cerebral infarction is a common cerebrovascular disease, which is common in middle-aged and elderly people. In recent years, with the change of lifestyle, the incidence of cerebral infarction is getting higher and higher, and it is gradually showing a younger trend.
How long can cerebral infarction return to normal? The mortality and disability rate of cerebral infarction are high, which seriously threatens the life and health of patients. Generally speaking, even after acute treatment, patients often leave serious sequelae that affect their normal life and work.
1. Recovery period of cerebral infarction: Patients with cerebral infarction often have serious sequelae such as hemiplegia and aphasia, and once the sequelae appear, they will face a long recovery period, and some patients will even be unable to return to normal for life.
It is uncertain how long it will take to recover from cerebral infarction, which is related to the severity of the patient's condition, the timing of rescue, the patient's age and many other factors. Generally speaking, the earlier the patient's cerebral infarction is found, the more timely the rescue, the smaller the cerebral infarction area, and the lighter the sequelae left, so the patient may return to normal and recover quickly. And the patient's age will also affect the recovery time. If the patient is older, his physical function will decline, it will be more difficult to recover, the time will be prolonged, and even he cannot take care of himself.
In a word, it is certain that the sooner patients with cerebral infarction get rehabilitation exercise, the easier it is to recover. The basic goal of rehabilitation treatment for patients with cerebral infarction should be to restore their self-care ability, and the rehabilitation process may be long. Patients and their families should be patient enough, be optimistic about their condition and actively cooperate with doctors for follow-up rehabilitation.
2. Rehabilitation treatment of cerebral infarction: When cerebral infarction occurs, it shows that the basic pathological factors already exist, which is easy to make cerebral infarction recur. Therefore, patients with cerebral infarction should pay attention to prevent the recurrence of cerebral infarction while pursuing recovery as soon as possible. Specifically, patients should first pay attention to adhere to medication according to the doctor's advice, including the treatment of primary three-high disease, prevention of thrombosis and treatment of stable plaque. In addition, patients should pay attention to regular review, and once abnormal symptoms are found, they need to seek medical attention immediately. In life, patients should pay attention to low fat, low cholesterol, low salt, low sugar and low calorie, eat less animal food and fried food, eat more vegetables, fruits and coarse grains, and avoid overeating; Quit smoking and drinking; Strengthen exercise and insist on moderate exercise every day; Avoid overwork and staying up late to ensure adequate sleep; Avoid long-term anxiety, tension and depression, and keep a good attitude.
It depends on your infarct site and treatment plan. 17 has a cerebral infarction, and his right hand and feet are not working. My classmate asked me to go to their hospital for treatment. I didn't go, so I experimented at home, bought medicine at the drugstore and exercised myself while taking medicine. After about half a month to 20 days, I feel that my hands and feet are slowly developing and I can pick up food steadily. Continue to insist on it for a month and it will be exactly the same as normal people, without any sequelae. Then I will consolidate the treatment for three months. Until now, I still insist on taking medicine for one to three months every year to clear blood vessels. Several of my friends have used this method, and the effect is good. But I don't recommend treating myself. Based on the principle of first aid, I should go to the hospital for treatment at the first time. After leaving the hospital, I can use this medicine to recover, and I can often restore my health to the maximum extent.
How long can cerebral infarction return to normal? Cerebral infarction is called cerebral infarction, and it is not easy to generalize how long it will take to return to normal, because it is directly related to the location and area of infarction. If the infarction occurs in the non-functional area, that is to say, this part is not particularly important, and the infarct area is not large, which may not have much impact on limb function, or the symptoms are mild at first, and will soon return to normal. Many patients may return to normal within one month after small infarction. If it is lacunar infarction in some non-critical parts, there may be no symptoms, but if the infarction occurs in more critical parts or more critical parts, it will cause serious functional disability, such as hemiplegia, complete immobility, or serious influence on walking. The recovery time will be longer, it may take 3-6 months, and it may take some rehabilitation training to recover slowly in the future. It may not recover after one year, and it may leave some sequelae, so it is a cerebral infarction. If this area is very loud and there is a large area of cerebral infarction, which causes particularly serious functional disability, it should be said that it is impossible to fully recover, and in the end, it may leave more serious sequelae, such as lying in bed, unclear speech or swallowing, swallowing dysfunction and so on. So it is impossible to generalize. In fact, the most important thing is to prevent cerebral infarction. It is necessary to find out the risk factors of cerebral infarction, such as hypertension, hyperlipidemia, diabetes, smoking and so on. It is best not to get cerebral infarction after control, because once you get cerebral infarction, it is difficult to recover.
The recovery time of cerebral infarction is influenced by many factors. The shorter the first aid time, the better the rehabilitation training, and rational drug use can shorten the recovery time of patients. The best recovery period is generally 1 week -6 months.
After cerebral infarction, the brain tissue is in a state of "ischemia and hypoxia" for a period of time, which is prone to necrosis. There are many nerves in the brain, and the intersections are dense. Injury will affect some functions of the body, and the recovery of brain central nerve injury is really slow. However, after active rehabilitation exercise, other nerves will gradually strengthen and gradually replace the function of this nerve.
Several key recovery periods after cerebral infarction: acute phase: within 6 hours of onset, it is the golden period of treatment. Thrombolytic therapy is effective, and timely rescue can minimize the injury.
Early stage: from 6 hours to 1 week after onset, oral drugs can improve blood supply around brain tissue and prevent infarction area from expanding. Improve brain edema, this stage is mainly to save lives and control the disease.
Recovery period: 1 week-6 months after onset, adhere to oral medication to avoid disease recurrence and gradually restore physical function. This stage focuses on rehabilitation, and standardized rehabilitation training can reduce sequelae such as hemiplegia (limb disorder), dysphagia, numbness of speech and teeth.
Sequela period: After 6 months of treatment, the condition gradually improved. If the recovery effect is not good, the patient may lose some physiological functions.
How long can you take care of yourself after cerebral infarction? According to the severity of the patient's illness and physical fitness, generally speaking, the effect can be seen in about three months.
But three months is just a broad concept. For patients with poor physique and weak recovery ability, don't give up rehabilitation, which may take a little longer. Three months after the onset of cerebral infarction, physical therapy and functional exercise were mainly relied on. The recovery of upper limb dysfunction is relatively difficult, and the recovery of lower limb function is relatively good.
However, as long as we adhere to a healthy diet, rehabilitation training, take medicine on time, have regular physical examinations, and strengthen our physique, we can gradually restore our self-care. Drugs taken include but are not limited to statins, antiplatelet aspirin, clopidogrel, antihypertensive drugs, hypoglycemic drugs, drugs that promote nerve cell metabolism, etc. In the recovery period, when the patient's saliva secretion is too small to swallow a whole dose of medicine, it is not appropriate to take it apart. Irritant drugs are easy to burn the oral cavity and throat mucosa, and can be mixed with drugs to facilitate swallowing.
More health knowledge, pay attention to healthy and safe life! I am four months old, too. I have a speech disorder and my limbs are normal. It's been three and a half years now