Microstroke: treatment with drugs, medication, pills, recovery, cerebral

When microinsult treatment with drugs is the method for restoring functions of the nervous system and preventing dangerous complications. In the subacute phase it is coupled with physiotherapy, physical therapy and other conservative techniques.

When possible drug therapy

Drugs in brain microstroke assigned when the following symptoms occur:

• decrease in sensitivity of the face and extremities;
• hot flashes;
• dizziness;
• blurred vision and double vision;
• muscle weakness;
• drowsiness, lethargy reactions;
• speech impairment;
• redness of the skin;
• dysfunction of the vestibular apparatus;
• facial asymmetry;
• paresis and paralysis of the limbs.

Some drugs can be used only in the first hours after the onset of microstroke. These include thrombolytic agents and antihypertensives. Others medicines, on the other hand, can not be taken into sharper and sharper attack phases. These drugs are antispasmodics.

What medications naznchayut

Drug therapy includes the following products with mini-strokes:

1. Anticoagulants (warfarin). The drug inhibits the activity of clotting factors. Started treatment with administration of minimum effective doses. If no result amount injectate gradually raised to increase prothrombin time. at
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   hemorrhagic stroke anticoagulants are contraindicated. When treating pregnant women Warfarin replace heparin.
2. Antiplatelet agents (aspirin). Formulations eliminate abnormal blood viscosity, blood clots are dissolved and dilates blood vessels. Aspirin has a minimum number of side effects. When intolerance of acetylsalicylic acid used Dipyridamole. With repeated occurrence microstroke appointed Ticlopidine.
3. Drugs that decrease the load on nerve cells (Tserestat). Drugs normalize blood circulation, prevent damage to brain tissue.
4. Thrombolytics (Alteplase). Drugs quickly dissolve blood clots, restoring blood flow to the brain. They must be administered within the first 6-12 hours after the attack. Preparations of this pharmacological group is contraindicated in hemorrhagic stroke.

nootropics

Patients who have suffered a mini stroke, it is necessary to take drugs that normalize the metabolism and blood circulation in the brain. Nootropic drugs in mini-strokes have the following:

• increase the amount of glucose penetrating the blood-brain barrier;
• normalize production of nucleic acids to nerve cells;
• stimulate the synthesis of phospholipids;
• restore the activity of the central nervous system;
• prevent excessive increase in neuronal activity;
• reduce the need for nerve cells of oxygen, allowing the brain to function normally under hypoxic conditions.

When microstroke appoint:

1. Nootropil. The drug improves memory and restores the innervation of muscle fibers. The course of treatment with this drug lasts for at least 3 months.
2. Encephabol. It contains pyridoxine, which has a pronounced anti-ischemic effect. Apply the medicine in the subacute stage of the disease. The therapeutic course lasts 1.5-3 months.

Preparations for normalizing the blood pressure

Microstroke in most cases accompanied by a sharp pressure jump. Prevent the dangerous consequences of an attack helps antihypertensive agents (cordipin, nifedipine). These drugs are used from the first day of the disease and to the normalization of blood pressure. Antihypertensives have the following properties:

• outputted excess fluid, preventing high blood pressure and intracranial;
• protect blood vessels and heart muscle damage;
• eliminate headaches caused by swelling of the brain.

Pills begin with the introduction of minimum dose. gradually increase the dose to maintenance with good tolerability.

ACE inhibitors

ACE inhibitors are used to quickly lower blood pressure. They rarely cause side effects, quickly eliminate signs microstrokeWhile preserving the patient's quality of life. ACE inhibitors may have short, medium or long-acting. The first type includes captopril, which effect is maintained for 5 hours. More prolonged effect observed with enalapril. Take 2 tablets twice daily. Ramipril operates 24 hours. You need to treat the disease as long as pressure surges will not stop.

for prophylaxis

The period of rehabilitation following means of microstroke apply:

1. Statins (atorvastatin). Ischemic lesions develop on the background of atherosclerosis, characterized by the appearance of cholesterol deposits on the walls of blood vessels. Drugs reduce levels of low density lipoprotein in the blood, dissolve existing plaques.
2. Neuroprotective agents (Pantogam). To reduce the sensitivity of nerve cells to hypoxia, preventing the death of neurons, restoring brain circulation. These medications need to be taken after minor stroke at least six months.
3. Antispasmodic (No-spa). Medicines help to prevent ischemia-induced vasoconstriction.
4. Angioprotektory (Aktovegin). Normalize blood circulation, reinforce the walls of cerebral blood vessels, prevent the occurrence of hemorrhage.

Prophylactic treatment and recovery microstroke held at home.