This article will show you the symptoms and care of "cerebral thrombosis", the killer of hemiplegia

Cerebral thrombosis refers to ischemic necrosis or softening of localized brain tissue due to cerebral blood circulation disorders, such as ischemia and hypoxia. It is the most common type of cerebrovascular disease. When a thrombus forms in a cerebral blood vessel, it may cause obstruction of blood circulation and affect the blood flow to the brain. This may cause cerebral ischemia (insufficient blood supply) or cerebral infarction (blockage of cerebral blood vessels), resulting in damage to nerve tissue and symptoms such as headache, paralysis, and speech disorders.

1. Typical symptoms of cerebral thrombosis

The symptoms of cerebral thrombosis vary and often occur suddenly, mainly including the following:

Limb weakness or numbness: Usually affects one side of the body, such as an arm or leg, and hemiplegia is its prominent sign.

Facial distortion: People may have a crooked mouth, an inability to close their eyes, or problems with one side of their face moving properly when they smile.

Language disorders: slurred speech, difficulty understanding what others say, or even complete loss of language ability.

Vision problems: Sudden vision loss or even blindness.

Headache: Severe headache with no apparent cause, accompanied by nausea and vomiting.

Loss of balance and coordination: unsteady gait, dizziness, and in severe cases, falls.

Loss of consciousness: ranging from confusion to coma.

2. Nursing points for patients with cerebral thrombosis

1. Daily life care

Change of body position:

Help the patient change his position every 2-3 hours to prevent the occurrence of bedsores.

Use pillows to support the patient's head and neck to avoid increased intracranial pressure.

Diet management:

Provide foods rich in protein, vitamins, and minerals to support body repair.

Avoid high-salt and high-fat foods, and control blood pressure and cholesterol levels.

Ensure adequate water intake to prevent dehydration.

Rehabilitation training:

Perform moderate exercise training according to the advice of your doctor and rehabilitation therapist.

Including muscle strength training, balance training and gait training.

Psychological support:

Create a positive, comfortable environment where patients are encouraged to express their emotions.

Providing psychological assistance through counseling, family support, and community resources.

2. Symptom monitoring and treatment

Vital Signs Monitoring:

Monitor the patient's temperature, pulse, respiration, and blood pressure daily.

Pay attention to the stability of heart rate and blood pressure, and report abnormal conditions promptly.

Neurological assessment:

Pay attention to the patient's state of consciousness, language ability, vision and hearing functions, etc.

Promptly record any changes in neurological function and report them to your doctor.

Prevent complications:

Pay attention to oral hygiene to prevent oral infections.

Avoid prolonged bed rest to prevent lung infections and deep vein thrombosis.

Symptomatic treatment:

For pain, convulsions or other uncomfortable symptoms, give appropriate medication according to the doctor's advice.

3. Medication management and education

Make sure you take your medication correctly:

Give the medication exactly as prescribed by your doctor, paying attention to the dosage and timing of the medication.

Avoid drug interactions and regularly evaluate drug efficacy and side effects.

Drug knowledge education:

Help patients understand the name, purpose, dosage, and possible side effects of their medications.

Improve patients' compliance with drug treatment and encourage them to take medication on time.

Avoid sudden discontinuation of medication:

Do not stop or change your dose of this medicine unless directed by your doctor.

Note on drug storage:

Store the medication in a dry, cool place away from children and pets.

Pay attention to the expiration date of medicines and discard expired medicines promptly.

4. Observation and recording of the condition

Watch for changes in condition:

Pay attention to changes in the patient's consciousness, limb mobility, and language ability.

Record any abnormalities promptly and report them to your doctor.

Create a nursing log:

Record the patient's temperature, pulse, respiration, blood pressure and other vital signs every day.

The patient's diet, activity, and medication use were also recorded.

Strategies for preventing cerebral thrombosis

As the saying goes, prevention is better than cure. The key to preventing cerebral thrombosis is to improve lifestyle and manage chronic diseases:

Healthy diet: Eat a balanced diet and limit the intake of high-salt and high-fat foods.

Exercise regularly: Maintain regular physical activity, such as brisk walking, swimming, or cycling.

Control weight: avoid obesity and maintain an ideal body mass index (BMI).

No smoking and limited alcohol consumption: Smoking and excessive drinking are both risk factors for cerebral thrombosis.

Regular physical examinations: Monitor blood pressure, blood lipids and blood sugar levels to detect and manage chronic diseases in a timely manner.

The harmfulness of "cerebral thrombosis" cannot be ignored. Therefore, early identification and timely treatment of cerebral thrombosis are crucial. In short, the nursing work of patients with cerebral thrombosis is a complex and important task, which requires nursing staff to have solid professional knowledge and meticulous attention. Through scientific and reasonable nursing measures, nursing staff can provide patients with the best nursing services and promote the recovery process of patients. This article summarizes several nursing points for patients with cerebral thrombosis for reference only. From ensuring the safety and comfort of patients' daily lives to meticulous symptom monitoring and timely treatment, every detail is related to the health and future of the patient. At the same time, we must also realize that each patient is a unique individual, and their needs and responses may vary greatly. Therefore, personalized care plans and humane care are also indispensable.

Author of this article: Liu (Ming) Li, Lingshou County People's Hospital, Shijiazhuang City, Hebei Province