Preparations after the cranial brain injury. Treatment of cranial trauma principles of conservative therapy of victims of victims with ancient brain injury. Prediction of recovery at CMT varying severity
Head injury can be of different character. In most cases, the consequence of damage becomes concussion of varying degrees. The injury in itself is not a significant risk for the life of the victim, but if you do not prevent the consequences of pathology, there may be processes affecting the normal functionality of the body. In preventive as well therapeutic purposes Experts prescribe drugs when concussing the brain, the action of which is aimed at restoring the work of the blood, neural and other head systems.
Anesthetics
Preparations of this group are prescribed with patient complaints to headaches. This is the most frequent symptom after concussing the brain.
Analgesics are shown at mild and average intensity of pain syndrome. The doctor will appoint one-component or integrated funds:
- Analgin;
- Baratgin;
- Pentalgin;
- Maksigan;
- Sedalgin.
All drugs of this group are manufactured in tablet and injectable form. In strong pains are shown, with medium and light gravity - tablets.
Complex preparations take no more than 3 days in a row. The main side effects are unpleasant sensations in the gastrointestinal tract, diarrhea or constipation, violation of the clarity of vision.
In the intolerance or inefficiency of Analgesic, the doctor will appoint drugs of the NSAID group. Non-steroidal anti-inflammatory pills when concussing the brain:
- Ketorolak;
- Diclofenac;
- Meloxicam;
- Movied.
First aid to the victim
At the first symptoms of the concussion, you must call the SMP brigade. To help the victim before her arrival it is necessary to conduct the following activities:
- put the patient on the horizontal solid couch;
- rotate the head closer to the ground to prevent the varieties of vomit into breathing bodies;
- if the fractures of the limbs and the spine are excluded, put a sick side, bending his leg in the knee, put the hand under the head;
- with abrasions, treat them with antiseptic and iodine.
To provide first aid, without having medical education, it is possible only to facilitate the condition of the victim. Drinking with any drugs before the arrival of doctors can not. Treatment is assigned only after comprehensive diagnostics In the hospital's conditions.
Nootropic tools
Nootropics are preparations that have a stimulating effect on higher nerve functions. They improve memory, increase brain resistance to high loads, normalize metabolic processes.
Popular tablets when concussing brain in adults:
- Nootropyl;
- Zinnarizin;
- Pantogam;
- Cerebricsin;
- Ceurson;
- Pantokalcin.
Nootropics are released in various dosage forms. If an injection drug is appointed, then the victim should be hospitalized.
Rehabilitation of the victim after injury
Accepting drug drugs at CMT is necessary after treatment in the hospital. Prevent development possible complications After the concretection will help compliance with all the recommendations of the doctor:
- long sleep - 8-10 hours;
- room air at night;
- temperature regime: 18-20 degrees;
- refusal of heavy meal, chocolate products, caffeine, lemonade;
- drinking person must refuse alcoholic cocktails;
- light exercise: walks in the fresh air, visiting the pool;
- medical and prophylactic physical education;
- physiotherapeutic procedures;
- consumption of drugs for medical reasons;
- igloreflexotherapy.
Comprehensive therapy by shaking will be successful if the affiliated treatment has passed in a timely manner, observing all the prescriptions of the neurologist. It is also necessary to maintain the mental and emotional state of the patient, avoid stress and elevated loads.
After injury it is necessary easy nutrition
Vasotropic tools
In case of injuries, violations of the blood supply of brain tissues are possible. They are accompanied by spasm of vascular highways, the formation of thrombas.
The active substances of vasotropic drugs act directly on the vascular wall. It eliminates spasm, the composition of the blood, the functions of the erythrocytes is normalized, and metabolic processes are improved.
A list of typical vessels of this group:
- Pentoxifillin;
- Naphthidrofuril;
- Vinpocetin;
- Actovegin;
- Mexidol;
- Nicercoline.
Vasotrops, as well as nootropics are used only on the hospital base, as their dosages and the ratio are calculated individually.
The main side effects of Vasotropov are headaches, insomnia, nausea and vomiting. Preparations of this group are not used in the treatment of a shock of the brain in a child.
Treatment of children
Head injury is a damage that is often getting not only adults, but also children. Treatment of affected children begins with hospitalization in medical institution. Alone to give a child any medications are not recommended. Therapy should be carried out by drugs appointed by the doctor.
In most cases, children prescribe the same drugs as adults, however, the dosage of tablets is significantly less, and the therapeutic scheme is calculated individually. Exceeding the dose of medications taken is dangerous to the health of the child.
Removes shipping
To eliminate shipping and sleep problems, prescribe: valerian or phenazepam. Also, antihistamines are prescribed for prevention - diazoline or suprastin. Under headaches, bararalgin can be used, and at vomiting - Cerukal.
Diuretics
In the injuries of the head, contusions of the frequent symptom is an increased intracranial pressure. To relieve edema and prevent further damage to the brain tissues, the use of diuretic drugs is shown.
Medications when concussing the brain of this pharmaceutical group are often prescribed in tablet form. Solutions for infusions are shown only with severe head injuries.
What a doctor will appoint:
- Diakar;
- Aldakton.
These are short-term preparations. The main side effects of diuretics are excessive removal of salts from the body, headaches, dizziness, disorders in the gastrointestinal system. Unpleasant symptoms develop immediately after reception. With the appearance of undesirable effects, the use of diuretics is terminated.
Forecast after brain injury
In some situations, after a serious stage of damage to the "gray matter", functional disorders of memory, attention, increased irritability and anxiety, dizziness and attacks of migraine may occur. With severe forms, the CMT may have epileptic seizures, convulsions.
A light concussion of the brain, as a rule, has no consequences and in most cases does not require treatment, as well as the reception of medication drugs. The sharp forms of the pathological condition can be felt about themselves throughout the year, then this symptom is smoothed and completely passes.
Fundamental factors can be chronic diseases, complex clinical pictureFrequently brain injuries (especially severe forms of pathological condition). After the condition transferred, the doctor discharges a sheet of disability - the patient conducts treatment at home 7-14 days.
Independent concussion therapy is admissible, but subject to a preliminary comprehensive examination. The neuropathologist will prescribe a special regime, recommends how to treat the disease, which pills are better to take. From independent therapy should be abandoned, since the incorrect reception of drugs can adversely affect human health.
In case of suspected injury, you should consult a doctor
The head is an important part of our body, normal activity is impossible without systematic functioning of the brain. With the first symptoms of a serious cranial injury, it is necessary to urgently contact the doctor, take appropriate measures. In the absence of adequate proper treatment It is possible to develop different consequences that may complicate the life of the victim.
From dizziness and nausea
Nausea and dizziness is a frequent complaint after head injuries. They develop due to serotonin redundant products. Inhibit the production of hormone and reduce the unpleasant sensations in the gastrointestinal system will help:
- Olanzapine;
- Droperidol;
- Motilium;
- Cerukal;
- Betaderk;
- Vertigo;
- Valuable.
From side effects patients noted increased drowsiness, Irritation of the gastrointestinal tract, rarely dry mouth. Such symptoms do not require cancellation of drugs, but the effective dosages should be revised.
With a light shape of the brain shaking, these drugs are not shown.
Anesthetic drugs can not be abused due to the risk of the following states:
- Increased blood pressure;
- Bleeding;
- Erosion, aggravation of the stomach and duodenal ulcers;
- Deterioration of kidney function, liver;
- Medicinal hepatitis;
- The phenomenon of photodermatitis, when when staying in the sun on the skin, rash, itching, redness and other signs of allergies appear on the skin.
All drugs of this group, besides the celecoxib capsules (trade names - Kebrex, dilaks, roucoxib, celecoxib), lead to an increase in blood pressure by 10-20 units, the risk of infarction, stroke and thrombus arises.
Package tablets can not be used when bronchial asthma, acute forms of renal and liver failure, exacerbations of the stomach and duodenal diseases.
Preparations with paracetamol are contraindicated in chronic alcoholism due to the negative impact on the liver. Cancer may suffer: itching, rash, redness, peeling.
The choice of funds during injuries depends on how the heads are stuck, which symptoms accompany damage if there are accompanying diseases.
Sedatives
Preparations for sedation are prescribed with any severity of the injury of the head. The basic requirement for the means of this group is the absence of a pronounced sleeping pills, but at the same time normalization of sleep and reduce emotional stress.
Sedable tablets from the brain concussion are most often performed on a vegetable basis. The doctor will appoint:
- Valerian;
- Motherwort;
- Perrsen;
- Phytosted;
- New passion;
- Corvalol.
Plant-based drugs are released only in tablet form or in the form of droplets for oral administration. They are released from pharmacies without prescription and differ in the budget price.
They are distinguished by good tolerability, small number of contraindications and side effects. More severe drugs are not shown at such injuries.
Symptoms
According to symptoms in medicine, the following severity of damage is distinguished:
The stage 1 is due to a short-term loss of consciousness, a period of no more than 5 minutes or a faint can be absent. The victim complains of disorientation in space, time, dizziness, the feeling of "black flies" before your eyes, the skin changes the color and becomes pale.
2 Stage - a faint condition lasts from 10 to 30 minutes. The patient speaks of the bias in the eyes, a ring in the ears, headaches. There may be a pronounced loss of orientation in space, numbness of fingers.
3 Stage - the victim loses consciousness for a long period of time, there is a short-term unconsciousness - a person does not remember what was happening before injury. He complains that the head is spinning, there was noise in the ears, the attacks of nausea and vomiting, in the eyes it became dark. The limbs are neme, the operation of the vestibular apparatus is broken.
Symptoms related to medium or heavy stage may arise later, every other day or week. Therefore, even if the head injury was insignificant, you should consult a doctor. The head injury can be dangerous, there is a chance that there will be contusion and even the fatal outcome.
Tranquilizers
Tranquilizers - psychotropic drugs of artificial origin. Remove increased anxiety, phobic disorders, stop an increased convulsive state.
Preparations of this group are rarely used by shaking brain. But according to the testimony, the doctor will appoint:
- Afobazol;
- Noshets;
- Relanium.
Drugs reduce the level of daylight and the concentration of attention, improve and deepen sleep.
These are preparations of prescription leave. They take them only to appoint a doctor and according to the scheme painted. Otherwise, they can cause addictive.
Use the search
Does some kind of problem torment? Enter the "symptom" or "name of the disease" press ENTER and you will learn all the treatment of this problem or illness. CONTENT
- Recommended anesthetic
- Single-component analgesics
- Combined anesthetic
- Indication for appointment
- Contraindications and danger of use
- Injury skull and back
- Skull
- Back
- Common damage
- Possible echoes
- Epilepsy
- Rehabilitation
- Smean
- Physical activity
- First aid
- Forecast during brain injury
Vitamins
The lack of vitamins and trace elements will only aggravate the manifestation of injury. Therefore, in composition complex therapy Enter vitamin complexes. Showing both specialized drugs - most often these injectable forms of vitamin B and multi-component means.
What will the doctor suggest:
- Neurovitan;
- Foobs;
- Neurobion;
- Magnet;
- Vitrum;
- Superia.
Injectable forms of drugs are used in the initial post-traumatic period. Tableted - for daily outpatient treatment. The course of treatment with vitaminative means is long and can be carried out for several months.
Necessary actions
Upon receipt of the head of the head, the first thing should be attached to the injured location of the ice, the so-called compress. It is necessary to apply ice for 15-20 minutes, after which it periodically repeats during the day. The ice contributes to the outflow of blood from the injury site, which helps to reduce the resulting hematoma.
You can also attach a hot salt to the scene, wrapped in the bag or just welded egg. Very well helps the compress with vegetable oil.
You can use with injuries as well:
- Bodhaga;
- Heparin ointment;
- Alcohol iodine solution.
Before use, carefully read the attached instructions.
How is the concussion of the brain?
Spinal fluid - liquid, surrounds the main thinking organ from all sides. The brain can be said, swimming in it, so that the negative consequences of the strikes about the cranial box are reduced. But strong mechanical damage to the head can lead to a shock.
The phenomenon causes:
- violation of metabolic processes in organ tissues;
- injury of vessels - numerous small breaks;
- microcracks in the crust;
- difficultizing cells;
- hemorrhage (rarely).
There are no restrictions on the age or gender specimen to obtain this damage. You can provoke a concussion when falling, getting injury during sports or outdoor activities.
The pathology of this kind may even be diagnosed in an infant child, whom the too diligently diligently stacked to sleep, having a crib.
What is the concussion of the brain and the factors of its occurrence
A concussion is a light view of CMT, which is due to a temporary disorder of cerebral morphological functions of the brain. In some cases, there is an unconscious state from the fraction of seconds to half an hour. A more prolonged finding the victim in a fainted state indicates damage to the nerve tissues.
In international classification there are three degrees of injury. The first stage is considered easy and can proceed immediately immediately after the head of the head. A concussion can be in a child or an adult.
Examination of disability
According to forensic medical criteria, the concussion of the brain refers to light harms of health and the percentage of disability is usually not determined.
In medical and employment examination, temporary disability is determined from 7 to 14 days. Long I. resistant disability Usually does not occur.
However, 3% of patients after concussing the brain as a result of exacerbation and decompensation chronic diseasesAlso, with multiple re-injuries, moderate disability occurs especially in the non-compliance with the recommended treatment and behavior.
Diagnosis in symptoms
Learn your probable diseases
and to what
dr.
should go.
A concussion of the brain takes from 70 to 80% of the total number of all the injuries of the CNS. This type of injury is of great importance for social, and for the medical sphere.
Causes of increased attention to the problem of treating and diagnosing brain damage:
A wide range of human life spheres, in which there is the possibility of obtaining this injury - household, sports, children's, industrial, transport, etc.
The complexity of the diagnosis of this state due to the difficulty of differentiation with diseases similar in symptoms - osteochondrosis of the cervical spine, chronic insufficiency Brain vessels, hypertension, a combination of concussion with a reception of large doses of alcohol, lack of specific symptoms, unpredictability of the dynamics and poor manifestations. In half of the recorded cases, there is a place or reassessment, or the underestimation of the gravity of the patient's condition.
Insufficient qualifications of medical staff that does not have specialization in this direction.
Post-commercial syndrome, expressed in the symptoms of the nearest and remote effects of injury.
The World Health Organization states that those who have suffered similar injury, in 20-30% of cases feel its consequences in the form of frequent non-free headaches, increased irritability, short-term cases of disorientation in space, vascular disorders, dizziness. In some cases, there are cognitive violations - problems in intellectual activity related to perception, synthesis and analysis of the information received.
Similar manifestations are found in patients with schizophrenia, autism, Alzheimer's disease, mental disorders. The study of the structures of the brain, made using magnetic resonance imaging (MRI), recorded changes in the departments responsible for processing information, long-term and short-term memory. It has not yet been established for what reasons such changes are stated in some patients who have suffered a brain injury, and are absent from others.
According to the results of such studies, it can be concluded that not only severe injury is subject to treatment, but also an easy degree of brain damage.
What is the concussion of the brain?
Brain concussion is damage to the bones of the skull or soft tissues, such as brain tissues, vessels, nerves, brain shells. A person can occur with a person, in which he can hit his head about a solid surface, it just leads to such a phenomenon as a concussion. At the same time, there are some disorders of the brain, not leading to irreversible consequences.
There is no accurate description of the flow of all stages of this pathogenic process, but most experts argue that with a shaking, impairment of nerve cell functions arise: their nutrition deteriorates, a slight displacement of the brainstone layers appears, the connection between the brain centers is collected. As a consequence, multiple microyshiba develops, numerous smallest occasional swelling and hemorrhage. In this case, obvious morphological changes and changes to MRI are not observed.
A heavy concussion is dangerous in that a serious injury to certain parts of the brain may occur or the rupture of blood vessels inside the skull.
From such a cranial injury, a person may lose consciousness from a couple of seconds to a few minutes. According to the time spent unconscious, determine the severity of the concussion. Extreme form - coma.
When the victim comes to himself, he often does not understand where he is and what happened to him. Sometimes - does not recognize others. You can also judge the severity of injury on retrograde amnesia: the more time cut from memory, the more seriously damage. The emergence of these signs is due to the fact that the vital centers of the brain are affected - the regulation of respiration and cardiovascular activity.
In the first hours or days after the concussion, the victim is pale, complains of weakness and dizziness, noise in the ears. Headache has a pulsating character and is localized in the occipital part. Nausea and vomiting may appear, breathing, change the pulse towards participation or slowdown. After a while, these indicators are normalized. Depending on the injury itself and on the concomitant stress factors, blood pressure can both quickly return to the limits of the norm and increase. Temperature of the body remains unchanged.
Due to the violation of the functions of brain nerve cells after concussion, negative phenomena in the organs of vision are observed: the pain when moving the eyes, difficult to focus the view, narrowed or extended pupils, different pupils, the discrepancy of the eyeballs when reading.
There may be other symptoms: sweating, blood tides to face, a sense of discomfort or sleep disorders.
During the first two weeks, the overall condition of the victim improves. However, it should be borne in mind that violations of health can be kept much longer. For example, headache in those who suffer hypertensive diseaseDiffers in special intensity.
By shaking the brain, the symptoms are largely subjective. Often they define the age factor. In infants and children early age A concussion occurs without losing consciousness. During the strike, the skin is sharply pale (especially face), heartbeat is rapidly. A little later, drowsiness and lethargy appear. When feeding jeaning and vomiting, more often than usual. Sleep disorders are noted and general concern.
In children of preschool age, all manifestations of the brain are disappeared within two or three days.
People of young and middle age at the time of injury lose consciousness much more often than children and old men. At the same time, pronounced disorientation in space and time appears at representatives of the older generation.
As a rule, most people have neurological symptoms light shape Brain concussion passes in a few weeks. However, after any concussion, the energy exchange in the brain is preserved in the changed state for a long time (year or longer).
Symptoms when concussing the brain
In order to assist the victim with ancient brain trauma, which arose due to an accident, it is important to identify the symptoms accompanying the brain concussion. It should be noted that not all the following symptoms can appear immediately. It all depends on the severity of the shake, some symptoms may not appear at all.
The most common symptoms of brain concussion is:
Nausea and a vomit reflex in the case when it is not known about what happened with a person and it is unconscious;
Headache is normal after the strike of a man's head;
The victim wants to sleep or, on the contrary, hyperactive;
The violation of coordination is also evidenced about the injury of the brain, the man also spins his head;
One of the most important symptoms is a loss of consciousness. Time loss consciousness can be long or, on the contrary, short;
It is necessary to check the magnitude of the pupils: when concussing the brain, pupils of different shapes are possible;
Direct confirmation of the concussion of the brain of convulsions;
If the victim is conscious, he may experience unpleasant sensations in bright light or loud sound;
With a conversation with the victim, he may have a confusion of consciousness. Perhaps he does not even remember what happened to an accident;
Sometimes it may be not connected.
After some time, all signs of brain concussion weaken and completely disappear. If the symptoms remain a long time, this may indicate more serious violations that occurred in the work of the brain. Perhaps it speaks of the brain's edema, his injury or the hematoma of the brain.
The complexity of the diagnosis of this state in some cases leads to the underestimation of the degree of damage to the bones of the skull, as a concomitant injury. This happens when, during a fall in the case of an epileptic seizure or during alcohol intoxication, a person hits his head about a solid surface. The result of this becomes a fracture of the inner vitreous plate of the bones of the skull. External damage is made absent, only the concussion can be diagnosed with an easy degree or there are any symptoms at all.
Squeezing the brain tissues due to the exchanger hematoma obtained during the concussion is manifested by heavy symptoms only 10-14 days after injury. This complication increases stadium, its treatment requires emergency surgery, whose result is impossible to predict. Similar appearances suggest how important it is to accurately diagnose the symptoms of concussion and get timely medical care.
Causes of brain concussion
A concussion of the brain can be caused by bruises, blows or sharp movement (both acceleration and slowing). Most often, road accidents, industrial, sports or household injuries become concussion.
A negative role and criminal circumstances can play.
Mechanical causes of brain injury
The axial load on the brain, produced by the spine post with an insufficiently amortized jump or sudden fall on the buttocks, can also be a direct effect on the skull bones, lead to traumatic effects on the brain.
Having an idea of \u200b\u200bthe mechanisms of injuries of the brain, you can predict the consequences of even the most minor forms of concussion in various age categories.
The spinal fluid (liquor), filling the closed space between the brain and the bones of the skull, protects the "floating" brain in it from serious physical influences. During a sudden impact of the brain, the inertia is moving in the opposite direction. The pressure of the spinal fluid between the inner shell of the skull and the brain at this point is repeatedly rising. As a result, the brain receives a mechanical or hydraulic blow.
The opposite area of \u200b\u200bincreased pressure is shockped, creates the same force with the minus sign. Forced oscillations produced by the brain, "floating" in the liquor, subjected it to repeated damage. In addition, the brain receives additional injuries as a result of its rotary displacements around the axis, as a result of which it hits the protrusions of the cranial box. There is a direct proportional dependence - the more sudden and strong mechanical impact was, the more significant damage was the brain.
Biological reasons for brain injury
The vessels of the brain in this injury do not receive significant damage, but the concussion starts the mechanism of inadequate reactions of the vessels themselves, brain nerve cells and intracranial nervous paths. Studies conducted with the participation of animals, after modeling, their concussion showed the following results: In the study of brain tissues under a microscope, shifts of nerve cell cores were detected, damage to their elements - membranes, mitochondria, and the pathologically modified space between them, an increase in axon size (nervous fibers).
Such damage indicate that there is a traumatic brain disease.
Symptoms of traumatic disease:
The pathological expansion of the brain vessels arising after their original spasm leads to a violation of cerebral circulation. It is rapidly restored at easy shocking, but this recovery occurs unevenly in various departments. Complications of this process - slow down blood flow, overflow of vessels, intracellular swelling.
Changing the metabolism of the brain structures, colloidal equilibrium, chemical and physical properties of the brainstant, arising due to changes in intracranial pressure at the time of traumatic impact. Studies conducted with the participation of experimental animals were recorded in rodents an increased vulnerability of nerve cells, a violation of extracellular and intracellular metabolism of ions, an imbalance between the flow of energy with blood cells and the need for it.
A short-term violation of the conductivity of axons, expressed in the loss of interconnections between the nerve cells and the centers of regulating their livelihoods. At the same time, the structure of nerve tissues retains physical integrity.
The coordination violation between the important functional centers of the hemispheres of the brain (respiration, thermoregulation, cardiovascular activity) due to the rupture of the bonds between them and the rest of the brain due to the rotational displacement.
An analysis of the brain concussion mechanism makes it possible to adequately evaluate the symptoms of injury and first aid tactics.
Sleepless night is equivalent to brain concussion
According to the study conducted by Swedish scientists, the night without sleep, no matter what reason it happened (insomnia, night shifts, entertainment), equal in their consequences to the brain concussion. The sleepless night is negatively reflected in the state of health, human performance and his mood.
Their findings confirmed the experimental data conducted at the University of Uppsala, with 15 volunteers who have an excellent health condition. The results of blood samples taken from participants after a sleepless night were analyzed. The brain damage was indicated by 20% levels of protein concentration, binding calcium (S-100B), and neuron-specific enolaase (NSE). it dangerous signSince the indicators differ from the norm, but are close to similar indicators in patients after concussion.
During the sleepless night, there is no purification of the tissues of the human body at the cellular level from the toxins obtained by it during wakefulness. The violation of this physiological process leads to an increase in the biochemical indicators of blood concentration of markers, similar to the same results after the brain concussion. Symptoms, tested by those who were forced to spend the night without sleep, are similar to the symptoms of the brain shaking: headache, noise in the head, violation of memory and attention, nausea.
Toxins have a property of accumulating in the body, therefore several sleepless nights in a row are comparable to gravity effects with physical brain injury.
Did you find a mistake in the text? Highlight it and a few more words, press Ctrl + Enter
Be treated? Be sure!
After the brain shake (even in the easiest degree), it is necessary to undergo a course of regenerative treatment. He is selected by the doctor specifically depending on the severity of the injury.
Even when concussing the brain in an easy degree for 2-3 days, bedding is necessary. Best medicine In the first days - sleep. You can take soft: preparations on a vegetable basis with valerian, dyeing. In the room you need to drain the curtains on the windows or lower the blinds, do not turn on the bright light in the evening, but to use the night light. For several days, even with quite a decent well-being under the ban, the TV, computer, reading.
One of the consequences of such an injury is the emergence of edema. For their prevention, the doctor may prescribe a light diuretic with the reception of potassium preparations to prevent its losses with a fluid-leaving. In general, you need to try less drink, strong tea, coffee and other tonic drinks are categorically excluded, the best option is mineral water. Preferred milky plant diet. Very useful bananas, citrus fruits, walnuts.
Even after a light shock of the brain, at least a couple of weeks will have to forget about home affairs and any physical exertion, do not rush to the steering wheel.
If the injury turned out to be moderately or severe and you hit the hospital, a doctor, of course, will give specific recommendations after discharge, but do not forget that during the year you must be on a dispensary accounting from a neurologist.
Skushina Vera Nikolaevna
Therapist, Education: Northern Medical University. Work experience of 10 years.
Posted articles
In society, there is an opinion that the concussion of the brain is an easy injury. The sufferer will also get along and everything will pass, and at home. They say, the tablets from the concussion of the brain is a stupid waste of funds.
- Ketorolak;
- Diclofenac;
- Meloxicam;
- Movied.
The main side effect of drugs of this group is an irritating effect on the gastrointestinal system.
Diagnostics
First inspect the place of the injury and find out the circumstances of injury. To accurately diagnose the degree of concussion, a number of additional research is carried out.
Diagnostic measures include:
- X-ray. According to the results of the study, the doctor confirms or refutes the presence of cracks in the bones of the skull. It is impossible to judge the state of the brain tissue according to the results of X-ray.
- Electroencephalography. The activity of biological signals of brain cells establishes the level of activity of the organ, the presence of damage in it and foci with pathological changes.
- Ophthalmoscopy. The ebony floor veins are an indicator of the state of the brain - by shaking and increasing the intracranial pressure of veins increase in volumes.
According to radiography of the brain, the doctor will understand whether there are cracks in the cranial box
To diagnose a concussion from a child, X-ray does not - instead of it, brain ultrasound (neurosonography).
Neurovalization is recognized as the most accurate diagnostic method: computed tomography (CT) or magnetic resonance tomography (MRI).
The neurovalization method gives a complete picture of the state of the brain: the presence of hematomas, bruises and the smallest cracks in the bones, which cannot be seen with other diagnostic methods.
What complaining?
The most "typical" symptoms of brain concussion are headache, vomiting (single or repeating), dizziness, and a short-term loss of consciousness may occur. And if nothing like this? They were engaged in the repair of the apartment, they overtook from the lap, hit their heads, but it seems everything happened. Is it worth worrying? It is worth it if in a few hours you feel weak or lethargy (you should not write off on fatigue), sweating appears or the included TV is irritated, bright light, it fails to fall asleep. Do not disregard even the most minor "deviations from the norm". It is better to reinforce a hundred times and after the injury to see the doctor, than once to be mistaken and then for a long time to delete the consequences.
Vitamins and minerals for the brain in epilepsy
Reception of anti-epileptic medicines can weaken the patient's immunity, cause attacks of headaches, provoke a drop in blood sugar, constipation, cause avitaminosis. To prevent epileptic seizures, eat food 2 hours before sleep. Useful vitamins for brains are removed from epileptics attacks of nervousness, irritability, drowsiness, lethargy, muscle soreness. Vitamins for the treatment of epilepsy:
- B2 - Riboflavin, Lakoflavin;
- B5 - pantothenic acid;
- B1 - Tiamine;
- B6 - pyridoxine;
- B7 - biotin;
- B9 - folic acid;
- B2 - carnitine;
- C - ascorbic acid;
- D2 - Ergocalciferol;
- D3 - cholecalciferol;
- E is tocopherol.
Causes of concussion
Easy concussion is the result of direct or indirect mechanical exposure. When injected, the brain is sharply shifted, which leads to damage to the synoptic apparatus and the movement of the tissue fluid. As a result, characteristic features appear.
The main reasons for concussion of the brain:
- Accident most often provokes brain damage. Against the background of the impact, there is a change in the position of the head and neck and there is a heavy or lightweight concussion.
- Household injury in the form of minor heads of heads about furniture.
- Sport - Most often, this injury appears in people involved in martial arts, acrobatics or skiing.
- Work is an increased risk of obtaining CMT in people working at the factory and other production places.
- Crime - injury after a fight or beating.
Frequent concussions that may accompany a person represent a greater danger. It must be remembered that with age they give complications in the form of a constant headache, memory loss.
Indications for use
In ophthalmology, Vinpocetin is used in the pathologies of vessels in chronic form: thrombosis and an angiosphasis of veins or the central artery of the eye retina, secondary glaucoma, diabetic retinopathy, the narrowing of the lumen of the eye vessels, the degenerative damage to the yellow eye stain.
Otolaryngologists are treated vinocetin idiopathic noises in hearing agencies, the pathology of the inner labyrinth, the disease of the Menieret, the deterioration of the hearing acute, age disorders and vascular pathologies.
According to the instructions, the dosage of Vinpocetin and the duration of the reception is prescribed by a doctor and depends on the degree of clinical picture of the disease, the individual characteristics of the patient's body, individual tolerance of components, possible complications and other factors. Tablets are accepted inside, not chewing and drinking water.
Reception medication does not depend on food eating. The initial dosage of vinpocetin is 5 mg 3 times a day. If necessary, the dose increases to 10 mg by a similar method of reception. The duration of reception is at least 10-14 days. Longer therapy requires strict control of the doctor.
When interacting with other drugs, hemorrhagic complications for heparinotherapy are possible. In addition, Vinpocetin enhances the effect of antihypertensive agents.
When overdose, rinse the stomach, take activated coal, to conduct symptomatic treatment.
Vinpocetine is taken inward, after meals, five - ten milligrams three times a day, and the supporting dose is five milligrams three times a day. The duration of the course of treatment is two months.
Intravenously should be administered drip and slowly at ten or twenty milligrams of 500-1000 milliliters of the RR NaCl. If necessary, in three or four days, the dose increases to the maximum, which is one milligram per kilogram of the patient's mass per day.
Such a course of treatment lasts a half-two weeks. After this period, the internal use of ten milligrams three times per day.
Before the end of treatment, the dose is gradually reduced.
With the introduction of patients diabetes The content of glucose in the blood should be monitored.
In hemorrhagic stroke, the use of the drug is allowed only after the disappearance of acute phenomena.
Ampoules
Vinpocetin in the form of injections in / in is used, as a rule, in the presence of sharp states. At the same time, a single dose is 20 mg.
If the therapy is transferred well, three or four days later the dosage increases to 1 mg per kilogram of weight.
Pills
Vinpocetin in 5-10 mg tablets is intended for oral administration. Usually tablets take from one to three times a day.
Treatment is usually from 10 to 14 days. In the course of cancellation, the dosage of the medication decreases gradually.
Not more than two or three cuishes for Vinpocetin per year are allowed.
There is a high probability that after the transferred brain concussion, a person will suffer from pain in the head for a long time. These unpleasant sensations may have a localized nature, but if their nature does not imply vascular phenomena, migraine and neoplasms, the simplest drugs can be used for pain relief. This is Pentalgin, Analgin, Citramamon. A pill against dizziness can be accepted. For example, Belloid, Tanakan, Papaverin is used most often.
If you do not know what other drugs can be taken, the sedatives are well suited. For a healing effect, you can drink such a means as the infusion of the mother-in-law, Valerians. Sometimes this complex is successfully combined with tranquilizers. In addition to the use of medicines, a specialist often appoints neurological treatment courses in order to accelerate metabolic processes and improve regeneration of neural bonds, as well as brain recovery. Sometimes after transferred dangerous situations, the manifestations of asthenic type are formed, drugs are used to eliminate them: Pantogam (50 mg 3 r. Per day), kogitum (20 ml times per day), vasned (2 ml 2 p. / Day).
People who experienced the brain shake process are not recommended to drink strong coffee, and it is worth abandoning alcohol, nicotine. In order to prevent sclerotic phenomena in elderly people, the therapy is often appointed by a specialist aimed at suppressing sclerosis elements. If a person has had a tendency to the emergence of frequent epileptic seizures, it is necessary to leave such a person to control in a specialized medical institution. After the program passed, it is worth going on vacation.
If such a case occurred with an athlete, and he is not ready to abandon activities, they will have to forget about physical exertion for a while, and then replace professional hobby classes at all. After all, any traumatic consequences may affect the state of health with a negative way and can lead to sad results. If you like sports as a hobby, you need to prevent injuries using a protective helmet and special glasses. Carefully drive driving without breaking the rules.
So, we looked at what you need to take by concussion the brain to return the state to normal and improve overall well-being. The modern pharmaceutical sphere offers a lot of drugs, but effective funds must be selected solely by the efforts of the doctor.
According to statistical studies, the brain concussion is one of the leading diagnoses upon receipt of the head injury both in older people and in children. Doctors believe that the danger of everything in this situation is not damaged, but the consequences that appear after it. Therefore, it is recommended to be responsible to their health and in case of deterioration of well-being immediately contact a specialist.
To help a person before the arrival of doctors, you need to do the following:
- Put injured on a horizontal surface with hard base.
- Rotate the face as close as possible to the Earth to avoid the warer of the language or ingress to the respiratory organs of vomiting or other physiological fluids.
- By excluding the fractures of the spine and the lower extremities, it is necessary to put the victim to the next side, bending the right leg 90 degrees and putting his hand under the head.
- When discovering open, it is necessary to handle it with an antiseptic, and the edges additionally lubricate iodine.
It must be remembered that to help the victim with a suspicion of concussion, without being a medical worker, you can only in order to facilitate its condition. It is forbidden to give a patient any drugs before the emergency departure. Only after careful diagnosis, the neuropathologist may assign the right course of treatment.
Piracetam - analogs
This medicinal agent is released in the doctorate recipe pharmacies. Self-treatment they are prohibited! The preparation of piracetam has many analogues on the mechanism of impact on the body:
- Luceta;
- Stamine;
- PiRami;
- Cerebry;
- Memotropyl;
- Escotropyl;
- Thiotzetam;
- Nootropyl;
- Piracetam-Wal;
- Noofen;
- Aminal;
- Cortexin;
- Fesame and so on.
Diagnostic procedures
Before proceeding with improving activities, it is necessary to determine the degree of concussion.
The neurologist conducts a survey to collect anamnesis, finding out the details of injury and symptoms. If the patient is conscious and can speak, the conversation is carried out with him.
It is important that at this time there was a person who provided first aid. At the time of delivery injured in the hospital, the clinical picture may change.
It is worth knowing! Only qualified specialists should be treated, and it is not recommended to give any drugs.
When signs indicate a violation of the integrity of the cranial box, additional diagnostic procedures are required, which are directed to identify the presence of tumors, hematomas, etc.
In the process of recovery, the patient should avoid stress and physical exertion, comply with the bed mode and advice of the physician. Such measures will reduce the period of finding in stationary hospital conditions, to recover faster, minimize the threat of complications and make the rehabilitation period shorter.
Others
To other means to treat head injury include anticonvulsant drugs. They are used only during the severe shape of the brain and in the presence of cramps in the patient.
These are preparations of prescription leave. In difficult cases, the introduction of injection forms with the transition to tablets is shown. Take anticonvulsant drugs only in recommended dosages and according to the scheme proposed by the doctor.
Typical representatives of this pharmaceutical group:
- Trimetadion;
- Etosuximide.
With a light degree of injury or in the absence of convulsion with more complex damage to the head, anticonvulsants are not used.
The main side effects of drugs of this group is nausea, disorientation in space, the appearance of fears, phobias, hallucinations.
Brain concussion is a complex injury with unpredictable and remote consequences. Treat her independently dangerous to health.
No need to be interested in a pharmacy, what medicines when concussing the brain is better and how to take them. The treatment must appoint a doctor after examining the patient.
Changes with headaches of varying degrees.
Analgin can be purchased in any comfortable form: in tablets, powder, in the form of candles or injections for intramuscular administration.
The drug has a series of contraindications for use:
- intolerance to the components contained in the composition;
- pregnancy period (only in coordination with a personal gynecologist);
- diseases of the kidneys and liver;
- reduced blood pressure.
The effect of the drug is based on its soothing components,
headache passes within an hour after taking a tablet, but much faster when using analgin in another form. An adult man who survived the concussion of the brain should not take more than 2000 mg of the drug.
The price in Moscow and St. Petersburg may vary from 13 to 63 rubles, depending on the supplier.
Maksigan
Reduces pain syndrome.
You can purchase in tablets and in the form of a solution for injections. The action occurs immediately after use. Contraindications:
- problems with intestines and kidneys;
- heart diseases;
- allergy to the composition of the components;
- pregnancy.
Maximum daily dose 6 tablets or 4 ml. Injection.
In the cities of the federal significance, the cost of the drug - 23 - 423 rubles.
Sedalgin
In its composition is an analogue of analgin. It is recommended to use with a slightly pronounced or moderate syndrome.
Available only in tablet form. It has a number of contraindications:
- pregnancy;
- the intolerance to the composition;
- atherosclerosis;
- blood diseases, liver or kidney.
Take no more than three tablets per day.
Price: 120 - 210 rubles.
Pentalgin
Copes with strong headaches
and it is appointed as analgin analgin during its long-term use to prevent addiction. Tablets are contraindicated:
- pregnant women;
- children under 18;
- people with gastrointestinal diseases;
- with renal failure.
The duration of application is not more than 5 days at a maximum daily dose - 4 tab.
Price: 46 - 160 rubles.
What to drink from dizziness?
Cinnarizin
Well apply under atherosclerosis
as a result of the transferred cranial injury.
Treatment time - from week to 2 months.
Betaderk
Prescribed with persistent dizziness, headaches and noise in the ears.
Contraindications:
- asthma;
- ulcer;
- breastfeeding and first trimester of pregnancy.
During food take 8 - 16 mg. Three times a day, drinking with plenty of water. Daily dose 48mg. The course of treatment is established by a doctor.
Price: 310 - 610 rub.
Mexidol
Prescribed with violation of cerebral circulation.
The drug is contraindicated in pronounced disorders of the functions of the liver and kidneys.
Take 125 - 250 mg. 3 times a day. The duration of treatment from 2 to 6 weeks. Treatment is stopped gradually, reducing the dose of the drug within 2-3 days.
Price: 173 - 219 rub.
Trental
Prescribed with strong dizziness with a disruption of the concentration of attention.
- acute myocardial infarction;
- pregnancy;
- in case of individual intolerance.
3 times a day to take 1 to 4 tablets. Treatment is set by the doctor.
Price: 155 - 190 rub.
Soothing
Important!
All sedatives are designed to bring nervous system victim from concussion in equilibrium and calm condition.
Preparations of this action are applied without the purpose of the doctor, since they contain a safe composition that does not have contraindications. Their cost is small, from 50 to 170 rubles. Soothing:
- Novopalsit.
- Motherwort.
- Corvalol.
- Valokardin.
- Pans.
With elevated anxiety
Noshepam
It has anticonvulsant and central minelaxing activity.
Absorbed slowly, but full. Daily dose from 10 to 120 mg.
Contraindicated in glaucoma, pregnancy and renal failure.
Cost: 80 - 150 rubles.
Relanium
Sold in tablets and ampoules. Reduces anxiety, fears and anxiety.
Cannot be used alcoholic intoxication, with acute respiratory failure and pregnancy. Take 2 times a day at 5 - 10 mg, in particularly severe cases adjusted before receiving 3 times a day.
Relanium price of 5mg / ml 2ml is within 105 - 110 rubles. For 5 ampoules. Buy Relanium 10 ampoules can be for 200 rubles.
Penazepam
You can buy in tablets or ampoules. Removes any form of tension and nervous disorder.
When glauing, pregnancy and intolerance of the components, the drug is not appointed. Use no more than 2 tablets per day. Course treatment no more than 2 weeks.
Price: 80 - 190 rub.
Elnyium
It has anxiolytic, mineral, sedative, anticonvulsant, sleeping pills.
Cannot be applied at:
- chronic psychosis;
- alcohol dependence;
- pregnancy.
It is purchased only by recipe. The rate of reception 5 - 7 days at 20 - 30 mg. in a day.
Cost: 390-510 rubles.
Nootropic tools
Attention!
All nootropic funds are the mandatory basis for the treatment of people with a concussion of the brain.
They normalize metabolic processes in the brain and eliminate adverse effects from poor blood supply to nerve cells.
Produced in the form of tablets and injections. Contraindications:
- breastfeeding period;
- renal failure;
- the intolerance of the components.
The course of treatment for adults is not more than 6 weeks. The daily dose at a severe brain concussion should not exceed 12. Depending on the supplier, the price may vary from 31 to 84 rubles.
Glycine
Release form: Tablets and capsules. Perfectly suits the patients of any age, has a rapidly medicinal action.
The only contraindication is the intolerance of the components.
You can apply in any quantity depending on the testimony of the doctor.
Price - 31 - 90 rubles.
Cavinton
Produced in tablets and ampoules. It has a number of contraindications:
- pregnancy;
- lactose intolerance;
- failures in the work of the heart muscle.
The drug is applied not more than 3 months. Maximum daily dose - 30 mg.
Depending on the form of release, the price is from 170 to 350 rubles.
Cinnarizin
Plays the role of a blocker of slow calcium channels. Tablets are not recommended to use:
- during the period of tooling the child and feeding it with breasts;
- with pronounced sensitivity to components;
- in case of Parkinson's disease.
The dosage depends on the individual characteristics of the body and is established by the doctor.
Price: 25 - 40 rubles.
Diuretics
Diuretics are prescribed to remove excess water from the body and removing swelling.
Diakarian
Tablets remove excess water from the body, but are not a diuretic drug.
- suffering sugar diabetes;
- having kidney or hepatic failure;
- future mothers.
The procedure for use and dosage is established by a doctor after passing a full course of examination by the patient.
Price: 220 - 300 rubles.
Tablets have a high-speed effect, but contraindicated:
- pregnant women;
- people with renal failure.
Take one tablet per day under the supervision of the doctor.
Price: 333 - 407 rub.
Aldakton
Powerful tablets have a lot of contraindications:
- first trimester of pregnancy and lactation;
- liver and renal failure;
- diabetes;
- problems with the menstrual cycle;
- increased dairy glands.
Appointed only by the attending doctor, they are also set to receive and dosage.
Price: 3500 - 4500 rub.
Amyloride
During pregnancy and lactation, it is impossible to apply. Use 1 to 4 tablets per day, after reaching the effect - 1 - 2 after 1 to 3 days.
Cost from 200 to 350 rubles. Depending on the supplier.
Signs of traumatic discrepancies of the seams:
- High transparency (more than vascular furrows, as there is damage to all three layers of bone;
- "The symptom of the narrowness of the lumen" is taken into account with the first sign;
- Symptom of rectinity;
- The symptom of "zipper" (the line of the skull fracture is obtained by intermittent lines and if they are connected, "Lightning" is obtained. Feature - lines not on one damage and not horizontally;
- Symptom of splitting (reducing transparency in split places of the fracture line (in places where x-ray ray It does not fully coincide with the line of fracture skull. It turns out separately the fracture of the inner plate and the outer plate.
- Gray, expanding the lumen of the seam (compared with the same portion of the other side). To identify the support, comparing the parties - a direct projection is performed, which should be perfectly symmetrical. In doubtful cases, it is desirable to carry out contact or targeted radiographs. With a traumatic discrepanation of the seam, then on radiographs will be determined by the bone of the bone (more often dark or frontal).
- When evaluating post-traumatic discrepancies, you need to remember the growing seam.
- A crisp, sweat-shaped one by approximately 35 goals.
- The lambdoid, dark-gummed, the occipitous-cottage-like can neoplaw even in elderly people.
Glyatilin - instructions for use, reviews and analogs of the drug for the treatment of cranial trauma and dementia.
Ceurson - instructions for use, analogues and reviews of drugs for the treatment of stroke, CHMT and cognitive disorders.
Emoxipin - instructions for use, reviews and analogs of the drug for the treatment of hemorrhages and circulatory disorders.
Pantokalcin - instructions for use, analogues and reviews of the drug for the treatment of epilepsy, enurraw and stuttering.
Sexax - instructions for use, analogues and reviews of medicines for the treatment of brain dysfunction and encephalopathy.
News edited: admin017, 18:57
Cause: Clarification of the instructions for the drug
Aminal - instructions for use, analogues and reviews of the drug for the treatment of violations of cerebral circulation, cerebral palsy and CMT.
Nabosan - instructions for use, reviews and analogs of the drug for treatment sclerosis scarm, Press and stroke.
Noopept - Instructions for use, reviews and analogues of medication for the treatment of memory violations and attention, CMT consequences.
Cerenton - instructions for use, reviews and analogs of the drug for treatment vascular dementia, consequences of stroke and head injuries.
Medicines when concussing brain or medication treatment
Brain concussion One of the most common effects in the injury of the head. Despite the fairly calm attitude of many patients to this diagnosis, it can bring a lot of trouble. Therefore, it is imperative to understand what medicines when concussing the brain in adults and even more so children are needed to avoid complications in the present and future. But first things first…
How to determine concussion, symptoms and signs
So, the concussion of the brain is a diagnosis that do not rare doctors in various injuries of the head, falls and even sharp shakes (for example, small children). Danger is not how much in a short manifestation, but in the presence of unpleasant consequences that can show themselves in a few weeks and even months.
It is not difficult to determine the presence of a concussion of the brain and this can be made by the totality of symptoms. So, there are three stages of concussion:
Easy concussion is characteristic of the following symptoms:
These symptoms pass in the course.
The concussion of medium severity is characterized by:
These symptoms are dominant.
As for the third stage, its symptoms are similar to the symptoms of the second stage, plus the loss of consciousness is added to them. As a rule, all other symptoms begin to manifest itself after the victim returned consciousness.
In addition, the second and third stage is characterized by memory loss. If in the first case for a short period of time, then in the second to longer and can be affected by the brain sites responsible for long-term memory.
First aid
It is important to know how to provide first assistance to the victim to avoid unwanted consequences.
So, a brief memo, what to do with first aid before the arrival of doctors:
- Calm the victim if he is conscious.
- Purify his body horizontal position On a flat surface.
- Apply a cold compress to the head (package with ice, towel, moistened in cold water either any frozen product). If the incident happened on the street, you can moisten any thing in the water and attach it to the head.
- When trimming state The victim must be flipped on the side to eliminate clogging respiratory tract Ramot masses.
- With a shallow faint, try to bring a person to the feeling (patting on the cheeks, a roller with ammonia alcohol).
- The most important thing is that it is impossible to drink water to the victim, you can only make a slightly wet your lips with a wet cloth.
Medical therapy
Despite the relatively light nature of this diagnosis and lack of indications for the appointment of medicines in particularly severe cases, drug intervention is possible. Similar therapy includes the following drug groups:
Package preparations
Headaches One of the most common concomitant symptoms when shaking the brain. It is to eliminate it that painkillers are prescribed, which include:
Analgin
It helps to eliminate headaches in the case of a concussion of the brain and is a potent drug. The effectiveness of this medicine is proved by numerous studies.
- the first and last trimester of pregnancy;
- kidney and liver diseases;
- asthma;
- reduced blood pressure.
Maximum dose for an adult no more than 2000 mg.
Price from 13 to 63 rubles, depending on the supplier.
Maksigan
Alternative analgin medicinal tool that reduces pain after concussion of the brain.
- diseases of the kidneys or liver;
- intestinal obstruction;
- chronic heart failure;
- individual intolerance or sensitivity to the components of this drug;
- the first and last trimester of pregnancy, as well as a period of breastfeeding.
detailed contraindications are listed in the instructions for the use of the drug.
The maximum daily dose of 6 tablets or 4 ml of injection (the order of use by children and adults is written directly to the instructions for the medicine).
Price from 23 to 423 rubles, depending on the supplier
Sedalgin
This drug is used with moderate or weakly pronounced pain syndrome and is an analogue of analgin, including in composition.
- children's age up to 12 years;
- individual intolerance to the drug or increased sensitivity to its components;
- insomnia;
- atherosclerosis;
- diseases of the kidneys, liver or blood system.
Price from 120 to 210 rubles, depending on the supplier.
Pentalgin
An anesthetic with an auxiliary and basic components other than analgin. It is a good analogue, especially when it is necessary to replace the drug to eliminate the addictive body to another medicine.
- pregnancy and lactation period;
- children's age up to 18 years;
- some diseases of the gastrointestinal tract;
- renal failure.
full list of contraindications is indicated in the instructions for the drug
The duration of reception is not more than 5 days, the maximum daily dose of not more than 4 tablets.
Price from 46 o 160 rubles, depending on the supplier.
Nootropic tools
This drug group is the basis, when carrying out the treatment of head and concussion injury. The basis of their actions is the normalization of metabolic processes in the brain, which in turn contributes to the normalization of nutrition and blood supply to the brain.
In addition, they contribute to the elimination of adverse effects of poor blood supply to nerve cells, due to hematoma, etc.
The group of neuroprotectors (nootropic drugs) includes:
PiRsetam
- breastfeeding period;
- renal failure;
- increased sensitivity or individual intolerance to the components;
- With caution, this medicine is used during pregnancy.
The duration of treatment in children is not more than 3 weeks, in adults - no more than 6 weeks. Maximum daily dose, with severe patient's condition, may not exceed 12
Price from 31 to 84 rubles, depending on the supplier.
Glycine
- individual intolerance to the components.
Price from 31 to 90 rubles, depending on the supplier.
Cavinton
- pregnancy and lactation period;
- children's age up to 18 years;
- lactose intolerance;
- the presence of arrhythmia;
- individual intolerance to the components of the drug.
The course of treatment cannot exceed three months. Maximum daily dose of 30 mg.
Price from 170 to 350 rubles, depending on the form of release and supplier.
Cinnarizin
- Pills.
- pregnancy and lactation period;
- hypersensitivity to the components of the drug;
- parkinson's disease.
The dosage picks up the doctor individually.
Price from 25 to 40 rubles, depending on the supplier.
Vasotropic tools
In addition to nootropic drugs in the medical treatment of brain concussion, vasotropic preparations were widely used, which are primarily used to give the walls of elastic vessels. This property is necessary to counteract pressure, from the side of possible hematoma, and, accordingly, to reduce the risk of vessel rupture.
In addition, vasotropic drugs contribute to the acceleration of oxygen transportation by erythrocytes. The viscosity of blood is normalized and the metabolism in the walls of the vessels is activated.
It is important that the percentage of the ratio of vasotropic and nootropic drugs should determine the doctor, depending on the severity of the concussion of the brain, should not be independently assigned to one or another dosage, it can lead to unpleasant consequences.
Vasotropic drugs include:
Mexidol
- hepatic and renal failure:
- individual intolerance to the drug;
- childhood.
Maximum daily dose - 800 mg.
Price from 231 to 2130 rubles, depending on the form of release and supplier.
Oxybral
- pregnancy and lactation period;
- childhood;
- individual intolerance to the components;
- acute stroke;
- a brain tumor;
- convulsive states;
- violation of cardiac rhythm.
The duration of reception is the severity of violations and can be up to one year. Maximum daily dose - no more than 2 capsules.
Price from 1000 to 1500 rubles, depending on the supplier.
Aktovegin
- individual intolerance to the components of the drug;
- pulmonary edema;
- heart failure;
- do not remove fluid from the body.
Dosage and method of application is calculated by an individually attending physician.
Price from 579 to 1544 rubles, depending on the supplier and form of the release of medication.
Independently take this drug is extremely unreasonable, as even doctors, test injections are made before applying, since there is a possibility of developing anaphylactic shock.
Diuretics
This medication group wears a few names - dehydrants or diuretics. They are intended to remove excess water from the human body.
The fact is that in injuries of the head, the formation of edema in a particular place is possible that negatively affects the overall condition of the patient. It is for this that such drugs are prescribed. Naturally, in the absence of testimony, diuretics are not prescribed.
The diuretic drugs are attributed to:
Diakarian
This drug is rather not a diuretic product, but a medicine that contributes to the removal of excess fluid from the body.
- diabetes;
- first trimester of pregnancy, as well as a lactation period;
- children's age up to three years;
- renal or liver failure;
- individual intolerance or increased sensitivity to the components of the drug.
The procedure for use and dosage appoints a strictly doctor.
Price from 220 to 300 rubles, depending on the supplier.
Arifon
- increased sensitivity to the components of the drug;
- pregnancy or lactation period;
- children's age up to 18 years;
- renal failure.
The medicine is accepted on one tablet once a day, strictly under the supervision of the doctor
Price from 333 to 407 rubles, depending on the supplier.
Aldakton
- first trimester of pregnancy and lactation period;
- liver and renal failure;
- diabetes;
- impairment of the menstrual cycle;
- increased mammary glands.
This drug is treated to the discharge of strong, so the method of use and dosage is calculated only by the doctor.
Price from 3500 to 4500 rubles, depending on the dosage and supplier.
Sedatives
When concussing the brain, sedatives play an important role, since they are intended to calm the patient and bringing his nervous system into a quiet state. As a rule, the list of drug data is pretty known and some of them are available in each first aid kit. So, to sedatives include:
It makes sense to describe the listed funds, as they apply and without appointing a doctor (most importantly with the mind).
Tranquilizers
And how to treat the victim with signs of the brain, if it is in the extremely severe stage of nervous excitement? In such a situation, sedatives are powerless. The doctor may appoint stronger sedatives - tranquilizers.
Tranquilizers have a more persistent and rapid effect and in most cases cause the healing dream, remove the feeling of fear and anxious state. However, it is worth understanding that the use of tranquilizers without observation and for a long time can cause an addictive body.
Tranquilizers include:
Vitamins
When concussing the brain, besides above the listed drugs, a complex of vitamins and microelements is mandatory. The names allowed for receiving vitamins are listed below:
Any therapy, even a vitamin should pass strictly according to the graph, which is developed by an individually attending physician.
In addition to vitamins, the doctor may prescribe such a drug like magnesia. This medicine is quite controversial and its effectiveness for a long period causes questions. There is an opinion that it acts no more than an hour. However, the doctor prescribes medicines not just a naobum, but guided by the state of the patient. In addition, there is a certain standard according to which a survey is carried out and a treatment plan is drawn up.
The use of vitamins in the complex is especially important, since, for example, magnesium is much better absorbed into the intestines, if the patient takes Vitamin V. A Magnesia, in turn affects the liver. Which fruitfully affects the brain, contributing to his early recovery.
The time of reception of vitamins can be greater than outpatient treatment. Usually, the doctor appoints vitamin support with an eye on home recovery.
Ambulatory treatment is an excellent help of a weakened organism, however - the restoration after the brain concussion can last to one year, while treatment in the hospital takes no more than two weeks. And what about the rest of the time? Pass the recovery course that the doctor will appoint.
This course includes rehabilitation activities and therapeutic physical education.
Rehabilitation
Rehabilitation has several goals, and first of all - the elimination of the probability of a relapse of concussion.
- strengthening the body;
- adaptation of the body to physical exertion;
- strengthening the vestibular apparatus;
- countering the development of serious pathologies on the background of concussion.
Physiotherapy
LFC is an integral part of rehabilitation activities. These procedures are prescribed by a doctor and are not appointed independently. The main thing is not to harm the body affected by a concussion.
As a rule, on the second day after hospitalization, the patient can begin to perform some light exercises that do not disturb the bed and rest regime.
Along with physical exercises, the patient must perform respiratory gymnastics.
A month after injury, the patient can move to more active physical exercises, using shells, dumbbells, etc.
Gradually, the load should increase so that the body does not get used to.
Among other things, a special diet can be assigned a patient during the year and recommendations on abstinence from overwork and oversaturation of the brain information (restricting the time of stay on the Internet and watching TV).
So, drug treatment when concussing the brain is a serious event and should be under the control of the specialist. You should not hope for the advice of "Cognotok" on the Internet and engage in self-medication. Take care of yourself and your loved ones!
Treatment and rehabilitation after cranopy injury
One of the most common and severe forms of damage to the nervous system is the crank-brain injury. The victims are often becoming temporarily disabled or disabled for life. Therefore, in addition to the treatment, rehabilitation after the crank-brain injury is very important.
In comprehensive treatment, each method performs its tasks. The objectives of treatment are the elimination of the effects of injury, prevention of complications. The task of recovery includes: strengthening general status, elimination of muscle weakness, adaptation to physical exertion.
Head treatment after chmt
Before treating the crank-brain injury, the severity of the patient's condition and tissue damage is revealed. Distinguish open and closed damage to the skull. In turn, open injuries are penetrating and impenetrable. Closed injuries include bruises and concussions. In each individual case, patients are prescribed treatment.
When concussed, patients are shown peace, bed mode up to three days. If there are no complications, the patient is observed in an outpatient hospital for up to 6 days. Medicia treatment Heads after injury reduced to the appointment of painkillers, sedative and sleeping pills, polyvitamins, antihistamine drugs.
The solution is injected with a solution of glucose with ascorbic acid, calcium chloride, diphedrol. In stressful situations, the patient is prescribed tranquilizers. Even with a light degree of injury, it is recommended to conduct therapy with vazoactive means (Cavinton, Nootropyl, Actovegin, Gingko Biloba, Cerebrolyzin). With suspected heavier brain damage, a spinal function is shown. In the hospital, the patient is treated for about 2 weeks. Rehabilitation also passes for 2 weeks. The patient's workability is restored in a month.
When the brain injury is injected before treatment, the localization of focal lesions with MRI and CT is revealed. Patients are prescribed the same as when shaking. Therapy includes antietrobse agents and medicines that improve blood flow.
When identifying small-scale hemorrhages in patient, the treatment tasks include:
- elimination of edema;
- improving blood circulation;
- improving the energy supply of the brain;
- improving metabolic processes in brain tissues.
Patients prescribe drugs during brain injury, which effectively cope with the tasks. In severe, bruises with the destruction of cerebral tissue are treated on the same principles as the ears of moderate gravity, but with the inclusion of intensive therapy. With severe patient, artificial lung ventilation is shown. If the patient during the injury arose a brain compression, the following medical events are carried out:
- surgical intervention with increasing compression;
- restoration of the airways (intubation, lung ventilation on the IVL apparatus);
- prevention of intracranial pressure (manitol, lazis);
- anesthesia (analgin);
- fighting fever (amidopin);
- intense infusion therapy (intravenously up to 3-4 liters of solutions);
- appointment of non-corporate means;
- conducting spinal points in order to sanitation of the liquor.
In the treatment of brain injury, if the patient is in severe condition, the prevention of lung inflammation is of great importance. Patients on the IVL showing the shanction of trachea with the use of proteolytic enzymes (tripsin). Patients are in the hospital until the doctors restore acute disorders of the nervous system. In severe cases, disability is given in patients.
Methods of recovery of patients
Rehabilitation after injury is divided by periods. At an early stage, which lasts up to 5 days, limit all physical exertion. Heavy patients are shown exercises using a massage therapist or rehabilitologist. The subsequent period lasts about a month. Respiratory exercises, massage and independent movements are introduced into the complex.
Tip! The main place is occupied by independent exercises for the restoration of muscle endurance and respiratory gymnastics.
At the recovery stage, patients are taught standing and walking. Patients learn to re-properly distribute body weight on both legs, move their legs. Rehabilitols make focus on restoring the vestibular apparatus. Patients perform tilts and turns head.
In the residual rehabilitation period, patients perform a course of exercises on simulators. For the restoration of household skills is shown by work therapy, massage. The purpose of rehabilitation activities is the restoration of blood supply in parethous muscles.
Thanks to adequate treatment and rehabilitation, the restoration after the head injury passes much more efficiently and faster. Patients with disabilities are returned to household or labor processes, the personal properties after severe injuries are restored faster and adapt to new life conditions.
Features of the Treatment of CHMT, depending on its varieties
The treatment of cranial trauma (CHMT) varies from the protective regime with soothing drugs to operations on vital brain structures.
Concussion of the brain
This is a light cranopy brain injury. Its therapy is most simple:
- The main treatment of the brain concussion is to create a protective regime.
- In the first few days it is recommended to reduce the use of fluid.
- Depending on the presence and severity of pain pain, the patient is prescribed analgesics. As a rule, it is enough to use non-steroidal anti-inflammatory drugs. They render anti-inflammatory and, as a result, anti-ethnic and painkillers.
- In order to reduce the edema of the cerebral substance and reduce intracranial pressure, diuretics are used, for example, diakar.
Brain injury is a very frequent cause of headaches. Headache with head injury is felt in the first minutes or hours after injury
- The use of sedative (sedatives) is recommended.
- If necessary, antiemess are prescribed.
- If there is a seizure in history or when determining on the encephalogram of convulsive activity, it is recommended that the use of anticonvulsants prophylactically.
Brain injury
With its moderate degree, the treatment is aimed at restoring the microcirculation of the brainstant, the functions of the hematorecephalic barrier, which suffers from injury to the head, optimize the exchange of substances of neurons, stop the symptoms of inflammation and edema.
The reduction of microcirculation is achieved by bodybagging, decreasing the ability of cells to gluing, with a decrease in the increased tone of the brain vessels. For this purpose, Cavinton, Trental, Pentoxifillin are prescribed for example. It is due to the fact that the bloodstream in the microcirculatory stream normalizes, sufficient oxygen and energy supply is achieved. The permeability of the vascular wall is normal. This contributes to optimization water balance Inside and outside the vessels, which contributes to the normalization of intracranial pressure.
The correction of arterial pressure and the elimination of its jumps contribute to maintaining normal cerebral blood flow.
If the scalp is expressed, they are resorted to the use of analgesics, convulsive readiness - anticonvulsant means. If symptoms of psychomotor excitation occur, sedative treatment is used (Sibaz, Tiopental).
Anesthesia at CMT is carried out only with non-nucleic analgesics
Anti-edema treatment is carried out if the symptoms of the brain compression are determined, in the manifestations of an increase in intracranial pressure, with a rapid deterioration of the state, if neurological symptoms are growing. Diuretics are used: mannitis, Laziks.
Heavy injury therapy
Treatment of patients with severe CMT is carried out only under conditions of resuscitation. However, the initial therapeutic activities begin at the pre-hospital stage.
The severity of the general condition and the level of consciousness of the patient are determined on the scale of the Glasgow, which takes into account the ability of the patient to open the eyes, the degree of violation of speech, the ability to make movements.
The primary at CMT is to maintain the satisfactory functioning of vital functions - respiration and blood circulation. It is necessary to ensure the permeability of the respiratory tract. To start, they need to be cleaned. If there are symptoms of pronounced respiratory failure, violations of consciousness according to the type of coma, then the patient is transferred to IVL. With traumatic shock and low arterial pressure, it is maintained with vascular preparations at an optimal level.
If the state is extremely heavy, it may be necessary to conduct intensive care measures.
Antibacterial treatment begins no later than 3 hours after injury. It differs when the head injury and closed cranial injury.
Currently, the technique of operations at CMT has been developed quite fully, which allows complicated neurosurgical interventions on various structures of the brain and skull.
Symptomatic treatment lies in the fact that pathological symptoms are bought. At high arterial pressure Its decreased to optimal figures, during tachycardia, drugs are applied by normalizing heart rate. With hyperthermia, the temperature is reduced by non-steroidal analgesics, overlooking the head of the ice. The question of the need for operational intervention and the volume of preoperative preparation is immediately resolved.
Intracerebral hematomas
The need for surgical treatment depends on the severity of injury, damage to the bones of the head, the presence, localization, the size and dynamics of the hematoma, the characteristics of the accompanying brain damage, the limitation of the injury.
Surgical treatment with hematoma is recommended under certain conditions: exceeding its volume more than 30 ml, the presence of signs of its increase, squeezing the brain structures, their displacement is more than 5-7 mm. The bone trepanation of the bones of the head and removal of a part of the irretrievably damaged brain substance is carried out. The volume of operation is often definitely determined only during the very surgical intervention. Hematoma is removed. Sometimes the bleeding vessel is determined at its depth. Conduct hemostasis.
Conservative treatment is carried out at the volume of intracerebcing hematoma after HTMT no more than 40 ml in the frontal region, 30 ml - in the temporal. If the displacement of the brain structures does not exceed 5 mm, focal and general-selling symptoms are not growing.
Naturally, at this time the patient must be in the conditions of the resuscitation department, where the parameters of its state are constantly monitored, the hematoma changes.
Subdural hematoma
It is dangerous with the total squeezing of the brain by the increasing blood volume between the solid brain and the cinema shells of the brain. Operational treatment gives the best results with an earlier embodiment after injury. Perform the trepanation of head bones and gematoma's careful removal, hemostasis is carried out.
The period of gaining headaches with subdural hematoma is often accompanied by vomiting
Conservative treatment is also possible if there is a small amount of hematoma, offset middle structures Not more than 3 mm, neurological symptoms are not growing.
Epidural hematoma
It is localized between the inner surface of the skull and the solid cerebral shell. Such pathology is dangerous to continue bleeding, squeezing the brain.
Most often there are indications to implement operational treatment. It:
- symptoms of brain compression;
- progression of violation of consciousness;
- diagnosed hematoma volume more than 30 ml in localization temporal bone and more than 40 ml of other localization;
- hematoma thickness more than 1.5 cm;
- symptoms of displacement of the median brain formations more than 5 mm;
- deformation of the ventricles of the brain;
- penetrating brain injury with damage to the bones of the head and tissues of the brain;
- the hematoma of the rear cranial fossa is more than 20 ml, if the occlusal hydrocephalus is determined on the CT.
The operation lies in the trepanation of head bones, the removal of hematoma and the creation of hemostasis.
Conservative therapy is allowed at the volume of hematoma less than the above, if the symptoms of positive dynamics are determined and there are no manifestations of the brain dislocation after injuries more than 5 mm.
Surgical treatment at CMT in the field of facial skull
With cranio-coroned brain injuries, including in the fractures of the eye, frontal sinuses It is advisable to simultaneously surgical treatment with the participation of neurosurgeon, an ophthalmologist and a maxillofacial surgeon. Eliminate the focus of injury and pressure, hematomas. Then conduct the reconstruction and reposition of the bones of the facial part of the head of different types Plates and other metal devices.
The best results are achieved with urgent operations after CMT, when neurosurgical surgical treatment is carried out simultaneously with reconstructive manipulation, or with a small time difference. This is possible with a stable state of the patient after the cranial injury. It is believed that the operation within 72 hours after the injury has good results.
With severe acceleracy injury, when the patient's condition is severe and unstable, the operation is limited to the removal of the brain hematoma, the elimination of compression and bone fragments, foci of injuries after injuries.
Mandatory at all CMT and bed mode the prevention of the bedding, postoperative pneumonia is carried out.
Activising therapy
Such treatment is relevant with the restored or stable consciousness of the patient. It is contraindicated in the initial, acute period of CHMT with labile symptoms, high intracranial pressure.
After removal of post-traumatic cerebral hematomas, cerebroprotective and metabolic therapy is also carried out, measures are taken to maximize the delivery of oxygen, glucose and other necessary substances to neurons.
Cerebroprotective and metabolic preparations are prescribed: phenotropyl, riboxin, surmion, stamp, trental, cerakson, glyatilin, instenton, cavinton, eufillin, piracetam, nimodipine, cerebroleasing, cinnarizin, actovegin, solkoceril.
Medical treatment is usually reduced to drugs that improves metabolism in brain tissue and vascular drugs
Ceurson is particularly relevant when the brain is restored after the crank-brain injury. It reduces brain edema, the pathological permeability of the membranes of brain cells and vascular walls, prevents the death of brain cells, reduces neurological manifestations.
Thus, the choice of the methodology for the treatment of head injury depends on many factors. It is definitely only that with any CMT patient must be immediately provided medical care.
- Tatiana to write forecast after stroke: how long will life be?
- Musaev to record the duration of treatment of meningitis
- Yakov Solomonovich to record the effects of ONMK for life and health
Copying site materials is prohibited! It is allowed to reprint information only if you specify an active indexed link to our website.
Tablets from concussion brain
Brain concussion ranks first among the injuries of the skull not only in children, but also adults. But the danger is at the occurrence itself, and the consequences that may have revenge after a while. Prevent the development of severe diseases after injury gained and eliminate symptoms, help tablets from concussion brain, assign that only a doctor can.
Card-brain pathology, what is it?
The gray substance does not come into contact with the walls of the skull, thanks to the special protection - the liquid (liquid). As a result strong Ushiba, the brain strike interacts with the bone tissue and gets a retaliatory push from the walls located opposite the wall. As a result:
- Violates the exchange in tissues.
- Microcracks are formed in the cerebral cortex, gray matter.
- Vessels are injured.
- Nutrients stop coming to the brain.
- Perhaps hemorrhage.
Write a shock can fall on a solid surface, injuries obtained during sports, car accident. Such pathologies are diagnosed even in infants, which, with great diligence, ignited in a wheelchair.
Basic signs of injury
The pathological condition of the brain is accompanied by severe symptoms manifested immediately after injury gained, as well as secondary, which make themselves known after a few hours.
For the first time, depending on the severity of damage, the patient may have the following signs:
- blurry consciousness, ongoing 2-3 minutes;
- the loss of memory - relative to the events that occurred before injury;
- spasms extending throughout the head and creating unpleasant discomfort;
- dizziness, unbearable nausea and severe vomiting;
- flash in front of the eyes or shimmering specks;
- outsided sounds in the ears;
- disorientation in space;
- sync from 2-3 minutes, which can last up to 5 hours depending on the severity of the injury injury.
An hour later, the intensity of symptoms decreases, and relief comes. It is important to identify pathology in a timely manner to start taking tablets from concussion, brain disease. Only adequate treatment will prevent the development of late signs: weakness, elevated excitability, insomnia.
First assistance in injury
By shaking the brain, that is, the presence of explicit symptoms should be called the SPM brigade. Before the arrival of physicians, a victim, if necessary, you can provide qualified assistance:
- Put the patient on a rigid surface, only horizontal.
- Rotate the head of the side, this will prevent language swallowing, penetration of vomiting fluid into the lungs.
- If there are no fractures, bend the right leg, put a hand under the head.
- With obvious damage, a injured place to handle the antiseptic, iodine.
Promotional assistance is directed only to relief heavy condition patient. It is impossible to assign themselves to themselves for yourself, only a qualified doctor after a full-fledged survey in the hospital can say which pills better drink.
Diagnosis of cranial injury
The first disturbing signals after the brain shake can remind themselves even in a month. Due to the integrated examination, including ultrasound, CT, MRI, radiography, as well as the electroencephalogram is made an accurate diagnosis.
The severity of the obtained cranial injury is determined on the basis of several factors:
- character of consciousness;
- vital statistics;
- neurological focal signs.
Changes in the general condition of the patient and its mental, emotional perception of everything around the world in the very first days are determined every 2-3 hours.
Patient care
When concussing the brain of light shape after treatment and observation, the doctor sends a patient home through a day. For quick recovery, the patient is recommended to follow several rules:
- Bed regime.
- A room in which the patient rests should be darkened.
- From watching TV, tablet and reading will have to abandon.
- You can listen to calm music, but only without using the headset.
- Exclude stressful situations.
Reception of drugs is shown only with an average or severe degree of crank-brain injury. Therapy is carried out in the hospital under the supervision of the neurologist.
Medications when concussing the brain
The underlying condition in the treatment of skull injuries is the refusal to use aggressive drugs, since the purpose of therapy is to restore the performance of the gray matter, eliminating headaches, increased irritability, dizziness and other pathological conditions. More often prescribed medicines from a group of sedatives, sleeping pills and analgesics in the form of capsules or V / m Ukolov.
Medications to eliminate pain syndrome are written individually taking into account the general condition of the patient. The main list of drugs includes:
- medicine "Sedalgin";
- verified drug "Analgin";
- "Pentalgin";
- medicinal "Maxigan";
- "BARALGIN".
To restore the brain circulation after injuries of the head will help toning drugs and multivitamin complexes - ginseng root or Eleutherococcus.
From dizziness, the doctor may assign one of these drugs as:
- Bellaspon.
- medicine "Tanakan".
- "Betaderk" or "Papaverin".
- effective Medication "Belloid".
- "Microer".
To restore sleep, patients drink "phenobarbital" or "relators", although some patients are limited to the reception of DIMEDROL tablets.
As sedative medicines, use:
- "Corvalol" (tablets or drops);
- tincture of medicinal valerian or dyeing;
- drops "Voserina".
In parallel with the elimination of the symptoms of the concussion of the brain, additional activities aimed at the treatment of metabolic and vascular system of the body are recommended. This will not only accelerate the restoration of the gray matter, but also warns the development of possible post-compelling disorders.
The best options are "Cavinton", "Nootropyl", "Sermion", "Aminalon" or the Preparation of Starbonon.
With increased anxiety, tranquilizers are used:
To eliminate the asthenic state, the drug "Pantogam", "Kogitum" or one of the multivitamine complexes "Center", Vitamins "Yunikap-T", Vitrums can be appointed. For a total tone, a tincture of ginseng, lemongrass.
First aid for brain injuries or suspicions of them - ensuring full rest, cold bulls and compresses from ice. In the absence of severe vomiting, the reception of painkillers is shown.
Restoration after concussion
Take medicines for brain injuries follows after discharge from the hospital. To eliminate possible consequences, the patient is recommended to adhere to a specific mode:
- full sleep 8-10 hours;
- permanent influx of oxygen;
- optimal air temperature -Gradusov;
- eliminate heavy food, chocolate, coffee and carbonated drinks;
- do not drink alcoholic beverages;
- refuse smoking;
- to maintain the muscle tone, easy loads are recommended (cycling, swimming, learn).
After the brain concussion, the doctor prescribes the reception of drugs and after treatment in the hospital, as well as physiotherapy - a barocamer, manual therapy, massage, needleflexotherapy. The patient needs to abandon increased mental and physical exertion, protect itself from stressful situations.
Treatment of cranial injury, it is possible to conduct at home, but only after a comprehensive examination and advice from the neurologist. Based on the results obtained, the doctor prescribes appropriate therapy, including receiving tablets and other effective procedures aimed at restoring the brain performance, its main functions.
The head is an important part of the whole body and the whole organism as a whole, without proper work, which a person cannot lead a normal lifestyle. By the poet when the first disturbing symptoms appear after impact, injury obtained should be called as soon as possible. ambulance, Complete a full-fledged examination and proceed to competent treatment.
Thug heads easier simple. At the same time, it is not necessary for a strong impact so that the brain shake occurred. Even in winter it is easy to fall on ice and hit. I did not know that it is possible to pills from concussion. I thought only peace and tea on herbs.
Tablets from shaking quite a lot, but few are really effective and justify the money spent on them. But instead to guess which pills are better, go to the doctor, normally examine and agree with it a course of treatment.
All information on the site is provided for informational purposes. Before applying any recommendations, be sure to advocate your doctor. Self-medication can be dangerous for your health.
The development of complex pathogenetic treatment of victims with the cranial trauma is based on the study of some mechanisms for its pathogenesis and the results of conservative therapy.
The impact of the traumatic agent is a starting point for a complex of pathogenetic mechanisms, which are mainly reduced to disorders of neurodynamic processes, tissue respiratory disorder and energy metabolism, change in brainwater circulation, combined with hemodynamic recycling, homeostatic reactions of the immune system, followed by the development of autoimmune syndrome. The complexity and diversity of pathological processes arising from the CMT, which are closely intertwined with the processes of adaptation and compensation of impaired functions, are caused to carry out the conservative therapy of CMT differentiated, taking into account the clinical form of defeat, age and individual characteristics of each victim.
When concussing a brain Pathogenesis is based on temporary functional disorders of the central nervous system, in particular its vegetative centers, which leads to the development of welfare-vegetative syndrome.
The bid regime of 6-7 days is installed victims with a concussion of the brain.
Medicase therapy of the concussion of the brain should not be aggressive. Basically, therapy is aimed at the normalization of the functional state of the brain, the removal of headaches, dizziness, anxiety, insomnia and other complaints. Typically, the spectrum of the prescribed drugs includes analgesics, sedative and sleeping pills. With dizziness, Betaderk, Belloid, Bellaspon are prescribed.
Along with symptomatic treatment when concussing the brain, it is advisable to conduct coursework vascular and metabolic therapy for a faster and complete restoration of brain-function disorders and prevent various post-compelling symptoms. Preferably, the combination of vasoactive (Cavinton, stamp drone) and nootropic (nootropyl. Enefabol, aminolone, peyonal) drugs. With liquor hypertension, Laziks (Furosemid) is prescribed orally at 40 mg 1 time per day.
To overcome asthenic phenomena after concussion, they are administered orally: pantogam 0.5 three times a day, kogitam 20 ml 1 time in time, vasilaged 2 ml 2 times in time, polyvitamins 1 table. 1 per day. The toning drugs use ginseng root, Eleutherococcus extract, lemongrass fruit.
There is no need for appointment of anticonvulsants.
The criteria for the expansion of the regime and extract should be considered the stabilization of vegetative reactions, the disappearance of the headaches, normalization of sleep and appetite.
Brain bruises.
Volume, intensity and duration of pharmacotherapy and other terms conservative treatment Determined by the weight of the bruise, the severity of brain edema, intracranial hypertension. Disturbations of microcirculation and liquor, the peculiarities of the premorbid state and the age of victims.
The brain injury unlike the concussion is accompanied by morphological damage to the vessels and substances of the brain. The commozoase symptoms are more intense and remains longer than when concussing the brain, which determines the terms of drug therapy. Medical impact With brain injuries, the following main directions include:
improvement of cerebral blood flow;
improving the energy supply of the brain;
3) elimination of pathological shifts of water sectors in the cavity of the Chess;
metabolic therapy;
anti-inflammatory therapy.
Recovery of cerebral microcirculation - the most important factor determining the efficiency of others medical events. The main reception here is to improve the rheological properties of blood - an increase in its fluidity, a decrease in the aggregation ability of shaped elements, which is achieved by intravenous drip inflows of cavinton, xanthine derivatives (Eutillin, theronicic). Improving microcirculation helps to increase the energy supply of the brain and preventing hypoxia.
To relieve a vascular spasm, which, with a light cranial and brain injury, determines the transient neurological focal symptoms, is used stamp (cinnarizine), papaverine, eufillin in therapeutic doses along with hemostatic agents (dicinone 250-500 mg after 6 hours parenterally or inside). Fast elimination of vascular spasm and the removal of the washing blood reduces the exposure of brain antigens on immunocompetent blood cells, which reduces the effect of the antigenic stimulus and reduces the intensity of the immune response. Due to the fact that when the brain injury, a mechanical "breakthrough" of the hematorecephalic barrier occurs in the damage zone, and the nervous tissue is alien for the immunocompetent system, with the development of the autoimmune aggression reaction in a number of cases, it is advisable to include hyposensitizing drugs (DIDEDROL, Pipolfen, Suprastin in injections, Tueva, calcium preparations) in therapeutic dosages for 1 - 1.5 weeks.
Stabilization of membrane structures normalizes the volumetric ratios of intracellular, intercellular and intravascular water sectors, which is necessary for the correction of intracranial hypertension. As an energy substrate, glucose is used in the form of a polarizing mixture. The presence of insulin contributes not only to the transfer of glucose into the cells, but also its utilization by an energetically advantageous pentose cycle.
A specific effect on the function of the hematorencephalic barrier is provided by eufillin, papaverin, contributing to the accumulation of cyclic adenosine monophosphate, stabilizing cell membranes. Considering the multifactor effect of the euphilline on the brain blood flow, the functions of cell membranes, the permeability of the respiratory tract, that is, the processes and structures that are particularly vulnerable to acute CMT, the use of this drug in any form of brain damage is justified.
Timely and rational use of many of the above-mentioned funds with non-heavy brain bruises often prevents or eliminates water distribution disorders in various intracranial sectors. If they are still developing, then the speech usually goes on the extracellular cluster of the fluid or about moderate inner hydrocephalus. At the same time, traditional dehydration therapy gives a quick effect. Dehydration is carried out depending on the value of intracranial pressure and is to use the Lazix (0.5-0.75 mg / kg) parenterally or inside. When conducting dehydration, it is necessary to remember that in the elderly patients in 20-30% of observations in the acute period, there is a liquor hypotension. This moment emphasizes the importance of lumbal puncture to determine therapeutic tactics. Significant oscillations of intracranial pressure are bound primarily with edema-swelling brain, cause the need to use along with saluretics and osmodioretics (mannitol). Mannitol is used in the form of a 5-10% solution intravenously at no less than 40 drops per minute.
In the presence of massive subarachnoid hemorrhageverified with CT, in the healing complex include hemostatic antimenimen therapy: conficilla, trasilol, city defense. The last three drugs have a more powerful antihydolase effect, and their use blocks many pathological reactions caused by the yield of enzymes and other biologically active substances from the foci of brain destruction. Preparations are administered intravenously at 25-30 thousand. 24 times in day. Ditinon and ascorutin are also used.
Pathogenetic therapy of CT-verified subarachnoid hemorrhage includes a mandatory purpose of neuroprotectors from a group of blocks of slow Ca ++ channels - Nimotop. The nemotop is prescribed from the first hours after injury in the form of a constant intravenous infusion at a dose of 2 mg / (kHCH). Infusion therapy is carried out throughout the first two weeks after injury. Subsequently transfers to a tablet form (360 mg / day).
If, with brain injuries there are wounds on the head, subarachnoid hemorrhage and, especially, Likvorea, there are indications for antibacterial therapy, including preventive.
The medical and recreation complex usually includes metabolic therapy (nootropics, cerebrolysin, actovegin).
With brain injuries, analgesics and sedatives, sleeping pills and hyposensitizing drugs are widely used. With convulsive syndromes, indications arise to the appointment of anticonvulsants (Depakin, phenobarbital, clonazepam, carbamazepine).
The duration of inpatient treatment with an uncomplicated course of bruises of an easy degree up to 10-14 days, with high degree injeces up to 14-21 days.
Clinical picturethe injury of the brain of severe, compression of the brain and diffuse axonalyum damage It is due to the involvement in the pathological process of subcortical formations and the brain trunk, which is manifested by the predominance of diancephal and mesncephalobulbar syndrome. In this regard, the volume of therapeutic measures is significantly expanding and should be aimed primarily to eliminate pathological factors that are crucial in the pathogenesis chain. At the same time, pathogenetic therapy should be carried out simultaneously with the symptomatic correction of systemic hemodynamics and respiration. With severe bruises of a serious degree (the prospects of its substance), conservative treatment and diffuse axonial damage is carried out under conditions of intensive care departments under the control of the monitoring of the general-seater, focal and stem symptoms, the activities of cardiovascular and respiratory systems, the body temperature, the most important criteria for homeostasis, CT data, direct measurement of intracranial pressure.
The main groups of drugs used in intensive therapy of severe brain injury.
1. Dehydrates;
a) saluretics (Laziks - 0.5-1 mg per 1 kg of body weight per day intravenously);
b) osmotic diuretics (mannitol - intravenously drip in a single dose of 1 - 1.5 g per 1 kg of body weight);
c) albumin, 10% solution (intravenously drip 0.2-0.3 g per 1 kg of body weight in day).
The testimony for the appointment of corticosteroid hormones is a picture of acute adrenal insufficiency, observed in victims with severe injury.
2. Proteolyse inhibitors:{!LANG-ac4ad000cf151ac043983c82a7d76b70!}
3. {!LANG-481d286b0a93242bfd7d354a03453d96!}{!LANG-4b4b9292fbce9f26718f4f85c294eb62!}
4. {!LANG-c6ba5fe6a41edd5e178545b634cb9d10!}{!LANG-1310c8001919cf0d66711879ffb23e04!}
{!LANG-d9d0e6e65d718f020dabaa268ee60f8b!}
5. {!LANG-0c0d1d7f75559d75be46955912c14e06!}
{!LANG-ed348b1a4978cc93afa98cb663038a07!}
{!LANG-b646c6d41a0fe77a93c9418f7ecd4f2b!}
{!LANG-a8e261d04988eb7cd5aa4925308dfd3b!}
{!LANG-21462e02adb13848c1db36f328988d81!}
6. {!LANG-3c94d1baa120d4f240b054a87e190e13!}{!LANG-5353143e1ac8641646ccaa1581bcbb8a!}
{!LANG-863424505427ff3d8e4a3b07cb24dc8e!}{!LANG-1c507d5890be5206243676d96065eb73!}
{!LANG-52d50fa85daec4171fc526b2c6834c2a!}{!LANG-8abdcb72e7f3e88213c624424701e3c6!} {!LANG-1251edcfff5da5b76957ccdc4db77321!}
{!LANG-4d04d70cdd4165bff18187f9a84d82dd!}
{!LANG-c05a3fdbf0ee05a1401d460e3d75cb2c!}
{!LANG-c763d516972bbd19a091147f9d7f9c77!}
9. {!LANG-1d9104f896946d7c28cfa16a4b102fa5!}
10. {!LANG-17165923369eb97b36aa8dbbe1081354!}{!LANG-7810a8bc2123de8eaabbc8f3815d91c0!}
11. {!LANG-88b77ac669b6cbe7fcf6763bd09b022f!}{!LANG-3ea90bf435c33a64f20fe71f1ff38c15!}
{!LANG-8d955dd5868e7aafee6ba02bfdad3f62!}
{!LANG-20a07eb7605ad5fd79a425ec8dee44d8!}
{!LANG-3297a82bb9e2070c6ded877e263d246f!}
{!LANG-5096f14714a253f175b1dd6a1546577b!}
{!LANG-85c56c2db3f08eedfd7229f9422b0dcd!}
{!LANG-bdf9ab679a8a844f43f7a8ddeaef5436!}
{!LANG-b1c294b9f41ee71bc457df667ab7f350!}
{!LANG-389f30d7e0df6379e9a35e68eb442583!}
{!LANG-8a0978bdf96d4cac1a49a6e5a68cf508!}
{!LANG-d2ca1059077e4a79e9f08499f88d6c0f!} {!LANG-e2f7b5fe6cbc079e988f451f4f41509b!}{!LANG-8f02e8603ac3c9b2478cd56540fbdad2!}
{!LANG-0dd91bb18dd039c164d4b459d5369c1d!}
{!LANG-6537d2b1264abf72708ad43b6bd291a4!}
{!LANG-a25171db87e8d3e38fa60922fd50cde4!}
{!LANG-994ec2fba1f5a016a75376d1836ceb9a!}
{!LANG-1105f7fa44ece38e8d4c07618ecb6639!}
{!LANG-f8f23e7211fddc24db3afb5171676227!}
{!LANG-dc124fca53184d418d5776b479fb3b96!}
{!LANG-eb3523bca2a2111a641c86bd153edc6c!}
{!LANG-9960df029f84a148968c6aec2bf845dc!}
{!LANG-deb72848eb18c58f1b3fa412be6b0ddb!}
{!LANG-f428498cd9ac057c69b5ad68c4cb8d05!}
{!LANG-39f9985bf1b3fd5d70eb7fc62f34966d!}
{!LANG-506bad11297a0630c62388723d8aa98f!}
{!LANG-899b59b83373d6e9f439b7a71dd8ced5!}
{!LANG-8950488ea38a8a2ebf429f267c06e09a!}
{!LANG-eb100092cabd3f340a4b71d160e13d78!} {!LANG-05f62f4456971eef7597c810508b101d!}{!LANG-f40b4314af0392193213c8f8aa522a27!}
{!LANG-eaae8e8f871475985788568c19f9b22d!}
{!LANG-c728c662e85c408d1bc31d21f68f9741!} {!LANG-a201c3bf90678eec98a1551bdc1d951b!}{!LANG-9e9707879bb864e56d25262bf11f4105!} {!LANG-fa0b58c83a2849ee96951635fab2a3c0!}{!LANG-59b6d6796231921406d7bfbeb7ffca9c!}
{!LANG-b647e8a09ad9b8d408c4da4baa314d99!}
{!LANG-693060384d3968df59514d3c7cada78b!} {!LANG-4bc62a260f422841e9b7feb51d41bc17!}{!LANG-962dbc0d856eac5c42652cace4705908!}
{!LANG-f1556bd8d65950ac2437f55492ecbb6e!}
{!LANG-b8cceeb5601c44d372a20a3c36159762!}
{!LANG-a184f34eadda582252c703f061fdd8e0!}
{!LANG-e5b5fc440e35a525822d8959b94f3d62!}
{!LANG-eca6e41cab06c9300c48d3618f29210e!}
{!LANG-a999da41c5a3e314e21d55f41604f9d0!}
{!LANG-7b5684623f78f945a58207d6bb67bd5b!}
{!LANG-f4d77576e0da9e5235c94d9f3a815fbb!} {!LANG-915b15e5794a7a350e6753e15b47447e!}{!LANG-cec64d98ddc1a2b58601e9da066c464d!}
- {!LANG-0069b86375be2918c886075dc8865f3e!}
- {!LANG-30d0a086535ca34ca3da2755e6bb8635!}
- {!LANG-d61b57f7bf79a736b16b72444f67b0f8!}
{!LANG-c039d7c5ea8c5cb32e8c93ef240ed31c!}
{!LANG-c2e7a279ef15ab91d0c3d05843328609!}
{!LANG-4b58ae76d2b253224cba3dfa340ebb9e!}
{!LANG-6a4d56c2efa3a7b2d57457dcb9cb62c7!}
{!LANG-c286743bc7baec2b3de27e7e89943a1e!} {!LANG-6f8a9c651d84fbe6d00296c526051916!}{!LANG-86564062623a4633fe0dd5f85dc74da8!} {!LANG-f1de386d308944c263d908c05bdfcf66!}{!LANG-5da826d0573e3fd2b60b773b421ee725!}
{!LANG-ed36a10dc5a7898b41a062cd1e9da9fa!}
{!LANG-b6f6aa3b61c50edbff039578b1615523!}
{!LANG-1d1df7ef5922c4a627f267392fc9ef8e!}
{!LANG-1b41750e4da67fb08a790194a0909f93!}
{!LANG-846565468fd1863351a9e6d97856db55!} {!LANG-f40daa01c07cf4bcdccf17409ca952d9!}{!LANG-86a541c336252191687f081c60e53d7e!}
{!LANG-fd78ef8d171d932880084267b94da768!}
{!LANG-b0fb032dd3c2d61c9ee1385970476a51!} {!LANG-bcab556cfce0843c5e3b521825935bfe!}{!LANG-a405bb0aa24f9729da9bf5ec316526ac!}
{!LANG-d91f60949aeb36df2d1fca3ef6279d49!}
{!LANG-34720ae2eee91f497bd8c8e4d5a05850!}
{!LANG-0a545f97a89faf9e75106cbdb15021b4!}
{!LANG-76bea9bfeef0fd4a3ed14f416b21a576!}
{!LANG-8a9f1afbe14574b726728cf696400c14!}
{!LANG-806adcb55997bfee61b624ad2bea1a1a!}
{!LANG-f8a11ea0af231f1386217e61f15904d0!}
{!LANG-d0bd4a76ada2dcde23504dcc6f8d5cb3!} {!LANG-a5de0e7fb7dfc5b7956a2f37edc6041d!}{!LANG-6110dac724460d72a4c84d73972d4e98!}
{!LANG-ad005b9f226ec8825a24cc275cc839bf!}
{!LANG-5e9cffb13c095718732186281390ed69!} {!LANG-defeef0a9408c422efbe205e0909d317!}{!LANG-4b0d909a4163bd973a63bace39b4c63f!}
{!LANG-5cf56b1a9a7b3d9c63d43f0bfeb1801f!} {!LANG-01a1d16bbb866fd47c35261c1abffb3f!}{!LANG-c4d411dd1b2ed806d3e42e505b02c9ea!}
{!LANG-88cb42a90f5377da44ef6020828c50d6!}
{!LANG-e9771d2ad7a1b9146e39747c22c1e43b!}
{!LANG-0abc2aecc137e22840a817df1ac49998!}
{!LANG-b4d0ace5401fd07be462b245a88dfbd5!} {!LANG-38d861243b0abdd91f9d6c5acdbc2262!}{!LANG-138746a518f3388f412a4c8cce6efb15!}
{!LANG-9cb316037f4d5d36f3ed3512971f56a7!}
{!LANG-54044b3a531839f81f3c49238eb3be76!} {!LANG-24d2309a367ea639c63ead0d5166c887!}{!LANG-dbc286a7413d3a9562fe3e703e113ed5!} {!LANG-a160068a55dda798e9f55f3aa4c0fe6c!}{!LANG-8fcea6d1aa1f190050e34bdaad63e908!}
{!LANG-fdf9fe33f6a3b97c004c93e2ed1a044b!}
{!LANG-70df92d1d0f68e333dd859d83bfcbeed!}
{!LANG-594ea5d92c1fb89c87f926f582adeca5!}
{!LANG-1ab9152493f463cce62ccb02d4459fab!}
{!LANG-59e899c83ff0803abb5a12f31f748a3c!}
{!LANG-88dc6caa3b6fc6b233ef65b65562b220!}
