中風後的治療 Treatment of Stroke

由Grace Tom撰文

 

 

 

  • 緊急治療 - 立刻電召911
  • 保持冷靜及保持病人夠暖,若發覺病人跌倒在地上請千萬不可移動他,直至到救護人員抵達現場。 
  • 抵達急症室後,經醫生診斷過後及照完腦電腦圖証實是中風,而腦內有血塊,緊急治療是在中風後四小時內注射血管針藥 – IV tPA,或其他治療是注射或口服薄血藥。這是其中之一種中風情況,還有其他種類,如爆血管、腦血管狹窄、及腦腫瘤(良性或惡性) ,各有不同的處理,有內科或外科治療。
  • 中風後,病人需要入院,會被送到急性中風治療病房。
  • 在急性中風治療期間,病人除了有醫生的醫療及護士的護理外,還有物理治療師、職業治療師、言語治療師及營養師提供中風後的治療。
  • 物理治療師會指導中風受損的手腳做運動,職業治療師會指導做日常生活的需要,例如梳洗、沐浴、更衣、及要用手操作的日常活動,言語治療師會指導言語、講說話及吞嚥,營養師會指導言語治療師所提供適當的營養餐。
  • 當中風情況穩定後,出院計劃護士會指導出院計劃,或需要回家有家居護理,或需要去康復治療中心接受康復治療。
  • 經過數星期的康復治療,病人或會回家繼續做運動,日常生活需要及適合營養餐的指導,若病人家屬不能在家照顧病人,他/她便要去護理院。
  • 有些病人在中風後會完全康復,關鍵在中風的嚴重性,他/她或會繼續他/她的以往日常生活。
  • 中風後,最重要的治療處理是立刻尋求以上提供的治療方法。

Treatment of Stroke

by Grace Tom

  • Emergency treatment – to call 911 immediately
  • Keep patient calm and warm and do not move patient if he/she fell on floor until paramedic staff arrives.
  • After arrival to emergency room and being seen by doctors and had the brain CT scan to confirm patient had a stroke, with blood clots in the brain, emergency treatment of IV tPA will be given the patient within four hours of the onset of the stoke, or the other treatment is to give anticoagulant, either intravenous (IV), injection or oral medication to anti-coagulate the blood.  This is one kind of strokes, there are other kinds, e.g. ruptured brain blood vessels, narrowing of brain blood vessels, and brain tumor (benign or cancerous ). All have different kinds of treatment, either medical or surgical treatment.
  • After a stroke, patient will be admitted to a specialized unit for acute stroke care.
  • During the acute care period, Physical Therapist (PT), Occupational Therapist (OT), Speech Pathologist (SP), and Dietitian will all be giving treatment to patient, besides doctors giving medical care and nurses giving nursing care.
  • Physical Therapist will instruct about exercising of affected extremities, Occupational Therapist ill instruct on activities of daily living (ADL) e.g. washing, bathing, feeding, dressing, and using f hands and arms to do daily activities, Speech Pathologist will instruct on language, talking and wallowing, and dietitian will instruct on the appropriate diet recommended by Speech Pathologist.
  • When stroke condition is stable, the discharge planning nurse will instruct on discharge planning, either to go home with home care or go to acute rehabilitation center for acute rehabilitation.  
  • After several weeks of rehabilitation, patient either goes home and continues with instructions on exercises, ADL activities, and appropriate diet, or go to nursing home if family is unable to care for patient at home.  
  • Some patients may have complete recovery after a stroke. It depends on the severity of the stroke condition, and he/she may continue with his/her usual daily life.  
  • The most important treatment after a stroke is to seek treatment immediately as above.
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