GEROPHARM pays considerable attention to the regulation of drug safety. Currently, the company has the pharmacovigilance system which functions in accordance with international requirements and regulatory requirements for the Russian Federation. Employees collect data on the found adverse reactions that occur when taking medicinal preparations, the marketing authorization holder of which is GEROPHARM.
It must be remembered that the principal task is not only to restore the lost function, but also to prevent the recurrent stroke. For this purpose, the patients need to follow doctor’s recommendations strictly.
Blood pressure levels must be monitored. Arterial hypertension needs a respective therapy selected by a therapist or cardiologist. It is necessary to take antiplatelet agents (medicines that inhibit the formation of blood clots). It must be understood that the agents will be taken for life. That’s why discuss the desirable intake and dosage regimen with your treating physician.
Patients who survived a stroke need to control the levels of blood cholesterol and sugar. If the values are increased, nutrition must be corrected. In case of no progress drug management is required.
Remember that bad habits are detrimental to your health. Smoking and drinking must be avoided as they, among other things, result in atherosclerosis. Food must be rich in vitamins and microelements. Limit sodium chloride, fats, easily digestible carbohydrates (sugar, confectionery) and have more vegetable food.
A patient’s wish and help of relatives will make restoration more effective. It is known that maximum improvement of motor functions in the paralyzed limbs is optimal within the first 6 months. Exercise therapy must be continued at home daily. More elaborated methods can be selected in specialized rehabilitation institutions. Different types of physiotherapy (electrostimulation of the paralyzed limb, neurofeedback provided when using gamified computer programs and implemented as sound or visual signals) and massage are possible.
It takes 2–3 years to restore speech following a stroke. It is impossible to restore speech without communication. So, relatives will have to talk to the patient much even if he/she doesn’t comprehend the meaning of the words at some stage. A specialist (aphasiologist) will select an individual program and assign drug therapy if needed.
Restoration of the intellectual activity and mood normalization are also important in stroke-related rehabilitation. It is necessary to restore memory and confidence and struggle depression in order to lead normal social (and labor) life again. It is depression that often prevents from restoration. Psychotherapeutic rehabilitation is aimed at overcoming depression with the help of a psychotherapist and special agents.
Walking though the past day events, learning new words, rhymes and different intellectual games are useful for memory restoration.
Bed-bound patients must have even mattresses, seamless and unfolded bedlinen. Change the patient’s position, place rollers under bony prominences and air pillow under the sacrum. Wash the patient’s skin regularly, clean it daily with warm water and baby soap and soak thoroughly with a cotton towel. This is how decubitus can be avoided.
To prevent pulmonary engorgement, respiratory gymnastics and preventive massage of the chest must be done regularly.
Oral care is especially important in swallowing disorders.
Those predisposed to constipation need to have more vegetable food. Purgative agents will make the diet more effective.
Timely and well-organized rehabilitation of patients who survived a stroke promotes health restoration, return to a productive life and reduces the risk of recurrent strokes.
K. R. Badalyan
Department of Neurology, Faculty of Additional Professional Education
of Pirogov Russian National Research Medical University