Stroke is an acute disorder of cerebral circulation, characterized by the appearance of neurological symptoms that persist for more than 24 hours or lead to the death of the patient at an earlier date.
Stroke ranks third in the mortality rate of the population.
There are 2 types of stroke - ischemic and hemorrhagic.
The cause of ischemic stroke is thrombus formation, clots of blood substances enter the vessels of the brain and cause clogging. The cause of hemorrhagic stroke in 80% of cases is arterial hypertension.
Stroke is easier to prevent than to deal with complications and death, and for this it is necessary to fight risk factors:
- Arterial hypertension is the most significant risk factor for stroke. You should try to reach a blood pressure level below 140/90 mm Hg. In patients with diabetes or renal insufficiency - below 130/90 mm Hg. Therapy is selected by a general practitioner, cardiologist. It is necessary to constantly take antihypertensive therapy and regularly monitor blood pressure. It is better to keep a diary, then it will be easier for you and your doctor to adjust the dose of the drug.
- Atrial fibrillation is a risk factor for stroke and is the most common rhythm disorder hearts. For atrial fibrillation, aspirin or oral anticoagulants are recommended to prevent stroke.
- Diabetes mellitus - increases the risk of stroke by 1.5 times. Strict control of blood sugar, adherence to diet, in combination with antihyperglycemic drugs or insulin is necessary.
- Lipid disorders - statin use reduces the risk of stroke by 24%. Currently, statins are recommended for all patients with coronary artery disease and dyslipidemia.
- Smoking - increases the risk of stroke by 1.5-2 times. Stopping smoking leads to a decrease in the risk of stroke after 2-4 years. Now there is an active promotion of a healthy lifestyle and a life without smoking. Cigarette packs are printed with horrifying pictures, BUT don't forget about secondhand smoke. One hour in a smoky room is equal to smoking 10 cigarettes. And one hour of hookah smoking is equal to smoking 100 cigarettes. It's never too late to quit smoking, think about it!
- Alcohol abuse - alcohol restriction has been proven to reduce systolic and diastolic blood pressure by 3 and 2 mm Hg, respectively. A complete rejection of alcohol in a month by 7.3 / 6.5 mm Hg.
- Fight obesity - Eat a healthy, balanced diet. It has been proven that abdominal obesity is considered the most dangerous. Avoid drastic weight loss. Proper nutrition should be a way of life.
- Physical inactivity - regular exercise reduces the risk of stroke. The loads should be dynamic (swimming, walking, jogging). Exercise should be started with a minimum load, gradually increasing it. The regularity of classes and the instructor's control are important, at least in the first 5-10 classes. When increasing the load, you should pay attention to health, sleep, appetite, body weight.
- Get medical check-ups annually - don't self-medicate!
In prevention, medical literacy of the population is important, because danger often lies in wait for us when we are at home, at work or just walking down the street.
What to look out for if a stroke is suspected?
There is a simple text FACE-HAND-SPEECH.
If:
- The patient cannot smile. The corner of the mouth is down.
- The patient cannot raise two hands
- The patient cannot pronounce his name
Call an ambulance urgently, it is important to hospitalize the patient in the first 3-4 hours after the onset of stroke symptoms.
Doctor-neurologist Makieva K.S.
Hungry for a rest, after two months of inactivity forced a break in work, my colleagues and I are ready to provide new programs of rehabilitation and treatment.
Many people in his life experienced a sense of fear. Millions of people around the world experience a panic fear of the coronavirus and are taking unprecedented security measures and precautions. Person captured the fear of Contracting mers are struggling to evaluate and establish which situations are dangerous and life-threatening.
Where to find help?
to cope with bouts of fear of this new coronavirus infection is almost impossible.
Many make the right decision. In order to break the vicious circle of thoughts and worries, and at least for a while to get out of the situation - going out of town closer to nature, to the resort. This allows you to disconnect from worries and improve your health.
the Sanatorium "Beautiful", balneo – climatic resort, located in the heart of the Belgorod land. Pine boron, crystal water of the river Vorskla, sandy beach, squeaky clean the air, saturated with oxygen – all this creates an unforgettable atmosphere of natural harmony and man-made beauty.
Psychotherapy is the beauty that cheer up, and back down the disease is not just a slogan, it is practiced in the sanatorium method.
Not surprisingly, improvement of patients with diseases of the heart, bronchi, lungs, and nervous system occurs in the first days of stay in a sanatorium. Customers who suffer from fear of Contracting coronavirus, in the REGIONAL "Sanatorium "Beautiful" is doctors and psychologists.
Terms of our resorts ensure the best use of therapies and successfully implement psychological intervention programmes. In addition, tourists included additional factor – the place of the usual situation that gives a new resource and the opportunity to get out of the "vicious circle" of thoughts and concerns significantly increases the efficiency of the methods of psychotherapy and psychocorrection.
We consider the active nature of psychotherapy, a combination of her holiday factors.
the resort has several well-equipped offices for psychotherapy and psycho-correction work with the tourists. The room of psychological unloading, a sensory room, allow psychocorrection group sessions with different groups of people, including those with kovalevojj and fear of Contracting coronavirus.
Offices for individual work with the client is always ready to welcome tourists with its comfort and coziness. Experienced and competent professionals develop and implement psychotherapeutic and psycho-correction programs for different groups of people. But in today's reality, special attention is paid to the vacationers with diseases of the respiratory and fear of getting sick.
One of the best methods of increasing stress resistance and counteraction of cavitatii is psychological self-regulation. It is based on the use of various psychological techniques to achieve a state of neuromuscular relaxation, relaxation. The most famous are: progressive muscle relaxation, autogenic training, breathing relaxation training. From our experience we can say that the complex effect of these methods gives excellent results, which is very important to prevent stress and fear of Contracting coronavirus, choke and stop breathing.
Breathing – relaxation method will include elements of meditation techniques that help to reduce the level of anxiety and tension among tourists.
auditory training is an effective alternative to tranquilizers and sleeping pills drugs. It not only helps in a great way the treatment of any chronic condition, but also is one of the most effective "antidote" from stress and sex.
the resort operates a sensory room, which resembles a "life raft". Psycho sessions in the sensory room to remove the disturbing neurotic experiences, fears, to create an emotionally calm state, to intensify tourists, to cause a pleasant and even aesthetically significant experiences.
In the sanatorium "Beautifully" perfectly built system of education with the tourists. Each camper should take away from sanatorium precious gift – the knowledge and skills of caring for their welfare.
guests of the institution systematically psychologists and doctors give lectures on healthy lifestyle and disease prevention. Conducted interviews, regular roundtable meeting with doctors and psychologists, organized a psychological lecture.
the Sanatorium "Beautiful has a wonderful cinema room where you can view and discuss popular science, documentary films about health. And in a situation coronavirus infection we picked up a quality lineup of popular scientific and documentary films on human health that will expand the horizons tourists and will help to cope with kovalevojj.
health resort Wellness programs significantly enhance the therapeutic effect of conventional medical procedures and prescriptions, which allows travelers in the short term to deal effectively with the problems of fear coronavirus infection.
the Search for peace of mind and enjoyment of life and oneself is achievable as for a person.
Vasilchenko, Lydia V.,
psychologist, of REGIONAL "Sanatorium "Krasivo"
Coming cold season is a traditional time of growth in the incidence of ARI and INFLUENZA.
Flu – acute respiratory viral infection that has a worldwide distribution, affects all age group people.
the Flu and SARS are 95% of all infectious diseases.
How do you get infected?
Getting on the mucous membrane of the upper respiratory tract, the virus is introduced in their epithelial cells, enters the bloodstream and causes intoxication. The conditions for activation of other types of bacteria, and penetrate from the outside, the new bacteria that cause secondary infection – pneumonia, bronchitis, otitis, aggravation of chronic diseases can affect the heart, joints.
Who is the source of the infection?
the Only source and distributor of infection is a sick person. The main way of the spread of flu viruses from person to person is droplet infection when talking, coughing, sneezing. The spread of influenza viruses may occur and contact-household by failure to comply with the sick person and the surrounding individuals the rules of personal hygiene, including the use of care items (towel, handkerchiefs, utensils, etc.), not subjected to treatment and disinfection. It must be remembered that the infection is easily transmitted through dirty hands. Special observations have shown that the hands up to 300 times contact with discharge from nose and eyes, with saliva. When shaking hands, using doorknobs, and other objects moving on the hands healthy and thence to him in the nose, eyes, mouth.
what is the flu?
In typical cases the disease begins abruptly: fever up to 38-40 degrees, there is a fever, severe headache, dizziness, pain in the eyeballs and muscles, watery eyes, and pain in the eyes.
What to do if you got sick?
At the first symptoms should consult a doctor. Rest and follow all the doctor's recommendations. Self-treatment for the flu is unacceptable. Indeed, to predict the course of influenza is impossible, and complications can be very different.
HOW to PROTECT YOURSELF FROM the FLU?
the Most effective means in preventing influenza is vaccination. The vaccine everyone needs people who care about their health and the health of others. 70-80% of Teens were vaccinated employees in the team create immune layer, which protects against flu. Timely vaccination reduces the incidence of influenza several times, softens the disease, shorten its duration, prevent complications. A flu shot is best done in October-November, when the epidemic had not yet begun. The immune system is produced in about 2 weeks. Vaccinating during the epidemic also effective, however, in the period before the development of immunity (7-15 days after vaccination) should be prevented by other means.
it Must be remembered that any drug in the treatment of flu side effects, which are not comparable to the allowable reactions to the vaccine. In addition, prophylactic antiviral medication must be taken during the whole period of the epidemic that prolonged use reduces their effectiveness and contributes to the formation of resistant forms of the virus.
- it is Recommended to increase the protective forces of the body: physical exercise, eat right, on time and to get enough rest, take vitamin-mineral complexes.
- Regularly and carefully to wash hands with soap and water, especially after coughing or sneezing. Alcohol for cleaning hands also effective.
- Avoid touching your hands to your nose and mouth. The infection spreads in this way.
- Cover your mouth and nose with a disposable handkerchief when sneezing or coughing. After use throw the handkerchief into the wastebasket.
- Use individual or disposable towels.
- try to avoid close contact with people with flu-like symptoms (possible to keep them at a distance of approximately 1 meter).
- Regularly ventilate the room, do wet cleaning.
- how to avoid hypothermia and overheating.
- During an epidemic of influenza and SARS, it is not recommended to use public transport and walk-in guests.
- in the flu and colds, stay home, call a physician. To avoid possible contact with other family members, wear a medical mask, follow the rules of personal hygiene. It is necessary not to infect others or spread any viral infection.
it Should be remembered that the observance of all the measures of prevention will protect against flu and its adverse effects.
Always and at all times the problem with nutrition was relevant. From time to time in magazines, TV, the Internet is increasingly dredge up too many new-fangled diets, the effectiveness of which is supported by interviews or photographs of famous personalities. In fact, diet is only a temporary restriction in the diet, which was sure to happen sooner or later breakdown. To avoid this make far more sense just to go to a proper and healthy lifestyle. What is proper nutrition? the number of the rules, in the observance of which , not only can achieve the desired results in the transformation, as well as to prevent many diseases such as coronary heart disease, diabetes mellitus type 2, obesity, hypertension, arthritis, gastritis and many other diseases.
the basics of proper nutrition following:
- the Food should not be a cult. Food is a way to sustain the body, but neither a source of joy and even more happiness.
- Products should be fresh and natural. Should try to eat only freshly prepared foods.
- Balanced diet. the Diet should include all the available food groups (proteins, fats, carbohydrates), it's best to replace and not to exclude any of the groups.
- Frequent meals in moderate amounts. the Best feeding schedule is three main meals and two snacks. You need to eat every three to four hours, and preferably at the same time and same amount of servings. For a snack it is better to prefer fruits, dried fruits. Not snacking on chips, crackers, sweet biscuits, sandwiches or chocolates.
- Correct drinking regime. A day on average we should consume at least 1.5-2 liters. it is Also very important when you're drinking water. Best of all, if it is for 20-30 minutes before meal or an hour or two after eating.
- dietary Restrictions. Should be possible to eat low fat, limit or eliminate the consumption of sugar, alcohol, salt, to give up chips, soda, mayonnaise, ketchup, sausages and pastry products.
- Variety in food. There is no one universal product, which would contain all necessary for our body nutrients. Therefore, the variety of products ensures that the body receives all necessary nutrients.
- Seasonal food. Try to consume seasonal products, they have more benefits and vitamins.
- Method of cooking. first eliminate fried, spicy, smoked food. Better if it is boiled or steamed food. Also a good option — the food is baked in the oven. And, of course, the best option is a fresh food which has not undergone heat treatment.
- Read the labels on products in supermarkets. Be careful, pay attention to the composition of the products and their shelf life. Try to choose more natural products, without additives and artificial flavor.
- Daily caloric. Follow calorie a day diet – calories consumed must be exactly as many "burned" by the body per day.
- And, of course, physical activity. This is very important! If you have no time for gym or any physical exercise, just start to move more! Walk often, walk the stairs, do Nordic walking. Daily loads must be at least 40 minutes.
Keeping these simple rules, You'll not only feel comfortable and cheerful, but also increase his health. Eat right!
"Rules of recognition of disabled persons", approved by decree of the Government of the Russian Federation of 20.02.2006 №95.
Medico-social examination of the citizen is held to the Bureau of residence (by place of residence, at the location of pension business of the invalid who have left for permanent residence outside the Russian Federation).
Medical-social examination can be carried out home in the case that a citizen cannot be at the Bureau of health, which supported the conclusion of the organisation providing therapeutic care, or in hospital where a person is on treatment, or in absentia by the decision of the appropriate office.
Medico-social examination is carried out at the request of a citizen (his legal representative).
the Application is submitted to the Bureau in writing with a direction on mediko-social examination, issued by the organization that provides therapeutic care (body responsible for the provision of pensions, body of social protection of the population), and medical documents confirming the violation of health.
Medico-social examination is carried out by specialists of the Bureau by examination of the citizen, studying of the submitted documents, analysis of social, vocational, psychological and other data of the citizen.
the Decision on recognition of the citizen the invalid or about refusal in recognition of its disabled by a simple majority of votes of the specialists who conducted medico-social examination, on the basis of the discussion of results of medico-social examination.
In cases requiring necessary additional tests in the medical, rehabilitation organizations, obtaining the opinion of the chief of the Bureau, request the necessary information, examination conditions and character of professional activity, social situation of a citizen, can be accounted for by a programme of additional surveys, which are communicated to the citizen in an intelligible form.
After receiving data provided by the program additional tests, experts shall decide on the recognition of the citizen by the disabled person or the refusal of the recognition it invalid.
In case of failure of the citizen (his legal representative) of additional examination and submission of the required documents, the decision on recognition of the citizen by the disabled person or the refusal of recognition its invalid is accepted on the basis of the available data.
For the citizens recognized as disabled, specialists of the Bureau conducting medico-social examination, an individual program of rehabilitation or habilitation (INRA), which is approved by the head of the relevant Bureau.
the Citizen recognized as the invalid (its lawful representative), issued the certificate confirming the fact of establishment of disability, as well as YPRES disabled person (a disabled child).
the Citizen are not recognized as disabled at his request issued a certificate of results of medico-social examination.
Computerization and automation of all spheres of life, sedentary lifestyle, lack of exercise, leads to the fact that a person gradually gains weight. This may be related to metabolic disturbances in the body and this nutritional factor (overeating).
Treatment of obesity in the conditions of sanatorium provides the whole complex of therapeutic measures. The first thing you should pay attention to is nutrition in a sanatorium. Diet guests with obesity is fractional and distinctive. So, completely eliminated fatty and high-calorie meals, and salty, spicy and fried foods, which can contribute to reduction in the rate of weight reduction and water retention in the body.
Also highlighted physical therapy and active rest. Good results are swimming in the pool, water aerobics and other water treatments, they are not really exhausting loads contributed to the intensification of metabolic processes. The increased metabolism minimaliseren deposition of body fat.
an Effective method is the use of therapeutic massage, the impact on the problem areas it helps to eliminate excess fluid from the intercellular space, thus reduces the manifestations of "orange peel".
in Addition to proper diet and exercise, for best results, the program weight loss supplemented with some physical factors.
Among them:
Ozonoterapiya, which has antihypoxic and immunomodulating, helps to drop those extra pounds and positive effect on General health of the patient;
Electrostimulated that influence on the fatty tissue by electric current, resulting in aktiviziruyutsya metabolic processes;
Hydrotherapy, during which the colon cleanse to prevent reverse suction of toxic products in the blood;
Lymphatic drainage massage aims to provide the best lymph drainage patency, because lymph removes from the body toxins, toxins, excess water.
Hydrotherapy treatments to help improve the metabolism and normalize the functioning of the Central nervous system, helps to lower cholesterol;
mineral water Treatment that allows to excrete excess fluid and normalize metabolism.
obesity Treatment in the sanatorium is not only interesting and effective but also as comfortable as possible. Active rest has a greater load on the lower limbs and body in General. For this purpose the sanatorium is a complex of techniques and relaxing activities. SPA treatments, phytotherapy, physiotherapy, reflexology, aromatherapy, speleotherapy will help You relax and rejuvenate after an active day.
Proper nutrition and the procedure can be combined with the following types of physical activity:
- Long walks;
- Tourism and hospitality;
- Sports exercises (swimming, water aerobics, Cycling)
- Mobile sports games (badminton, tennis, volleyball).
Regular physical activity not only help to lose weight, but also improve overall health. If you do it constantly and consistently, the desired result will not keep itself waiting long.
dietitian, Panasenko G. G.
