2024-01-26 08:02:07
[Ming Pao News](Editor’s note: About 20,000 people are hospitalized for stroke in Hong Kong every year, and the overall mortality rate of stroke is 30%. The scary thing is that it can happen without warning and catch people by surprise. The cases in this article are shared The aura, course, hospitalization, and long-term bed rest before her stroke 8 years ago led to different complications. More importantly, she had to overcome various conditions on the road to recovery… How does a patient get out of the bottom and face it optimistically?) “Oh, why did you choose me!” Audrey said excitedly. “No matter how you look at it, it shouldn’t be me! Even in my dream, you never thought I would win! It’s not a lottery, it’s a stroke!” Audrey was in her early 50s when she got sick, so she was very young. young old. She has always been in good health, leads a regular life, pays attention to her diet, and does not have much pressure at work. Moreover, she was slender and weighed about 100 pounds. She had never thought that stroke, an “old person’s disease”, would be affected by her.
A man in his early 50s who suffered a stroke without warning was found to have a crooked left side of his face and was unable to move his left hand, so he was sent to the hospital.
“The worst thing is that I didn’t even know I had a stroke.” Audrey recounted the stroke eight years ago. “Although I felt something was wrong when I woke up that morning, I ignored it and went to work as usual. When I returned to the company, my colleagues took me to the emergency room. . Because they saw that the left side of my face was crooked. When I arrived at the emergency room, the doctor asked me to raise my hands, but my left hand became a “waste” and stuck to my body. I had no feeling at all and refused to listen to the instructions. No matter how I tried, it didn’t work. It was unsuccessful. Then, I fainted on the spot and lost consciousness. Looking back now, my heart is still pounding because it was so dangerous. I should have died at that time! I was in coma for two days and two nights, but I couldn’t die. King Yama has let his eyes slip.”
The scary thing about stroke is that it can occur without warning and strike us suddenly and take us by surprise. Stroke is a major enemy of adults, especially the elderly. Starting from the age of 50, the incidence rate of stroke will increase year by year. In Hong Kong, about 20,000 people are hospitalized due to stroke every year, accounting for about 5% of public hospital bed occupancy. Stroke is both common and serious. It is the fourth killer disease in Hong Kong, and treatment is urgent.
The scary thing about stroke is that it can occur without warning and strike us suddenly and take us by surprise. (Design pictures, models have nothing to do with the cases mentioned in the article, Pornpak Khunatorn@iStockphoto)
The golden 3-hour treatment must break through the obstruction in time and reduce the damage.
Audrey is still lucky because she received prompt treatment, otherwise the consequences would have been even worse. The treatment of acute stroke is time-sensitive. The sooner treatment is given, the less adverse effects and complications may occur due to stroke. Therefore, whether it is an ischemic or hemorrhagic stroke, when a cerebral blood vessel is blocked or bursts, brain cells will die within 6 hours. Therefore, there are “golden 3 hours” after a stroke. That is, if the patient’s brain scan can be performed within 3 hours to find out the blockage, and hemolytic treatment can be given immediately, the blockage can be opened up and blood can flow back into the brain tissue. , reduce damage and promote recovery.
Of course, strokes also vary in severity. If the cerebral hemorrhage is severe, the patient must undergo surgery immediately to save his life. Therefore, the overall mortality rate from stroke is 30%. However, looking at the mortality rate alone cannot fully describe the suffering of stroke victims. Because after a stroke, scars are always left behind. More than half of the remaining 70% of patients have obvious disabilities. Although the patients are rescued, most of them will become hemiplegic or paralyzed, and the road to recovery is often slow and long.
“Yes, I didn’t know about such a “large dose” at first. I naively thought that I could be discharged from the hospital after a few days and even return to work.” Audrey continued to recall the situation of being hospitalized after a stroke. “Although I woke up, I could only lie in bed. The left side of my body was very heavy, as if it was pressed by a thousand pounds. I couldn’t move at all, and I couldn’t even sit up. I couldn’t move or stand. Even though my head pretended to be unconscious, I could not move at all. As time goes by, we have to face the fact of “hemiplegia”!”
The treatment of acute stroke is time-sensitive. The sooner treatment is given, the less adverse effects and complications may occur due to stroke. (The design pictures and models have nothing to do with the cases mentioned in the article, baona@iStockphoto)
Hospitalized for 3 months, long-term clinical bedsores, pneumonia, urinary tract infection tortured the body and mind
Being bedridden for a long time will cause different complications, the most common of which is bedsores. Because the buttocks, heels, shoulders and other parts of the body are in contact with the mattress for a long time and are put under pressure, the skin will ulcerate and even become inflamed. In addition, staying in bed all day can also cause respiratory tract infections. Due to weakened muscle strength, breathing capacity is also reduced, making it difficult to cough up phlegm and saliva, which can easily lead to pneumonia. In addition, stroke patients no longer know how to urinate due to damage to their nervous system. As a result, urine accumulates in the bladder, causing urinary tract infection and inflammation.
“You tell me, when the facts became more and more obvious, how could I not fall into the bottom of my emotions!” Audrey said with a sigh.
People who have had a stroke also often become depressed. Mild cases can be improved with encouragement from family members, psychological counseling and recovery of limb function. Symptoms of severe depression, such as insomnia, refusal to eat, bad temper, and even suicidal tendencies, require medication. These symptoms may be caused by changes in chemical transmitters in the brain after a stroke. Therefore, Audrey’s symptoms of depression are human nature.
“I was in the hospital for three months and it was really hard. I thought about dying, I wanted to climb to the window and jump off, I wanted to find a belt to strangle myself, I wanted to find a knife to cut my veins and bleed to death, I wanted to stop eating. Let yourself starve to death… But it turns out that it is not easy to die. Once, the patient in the opposite bed refused to eat and insisted on dying. Her whole family came to persuade her. When I saw her daughter kneeling on her knees and crying, I couldn’t stop crying. . I realized that one person fell ill, but the pain was borne by the whole family. My heart hurts.” Audrey shared her feelings selflessly.
Related reading:[Minor Stroke]20% of patients develop a “real stroke” within 3 months. Beware of severe headaches, dizziness and other stroke symptoms
The road to recovery is long “I feel 10 times worse when I go home from the hospital.”
For many patients, they may still be able to cope with rehabilitation while staying in the hospital. Once discharged from the hospital, recovery at home is definitely not an easy task. “Don’t ever think it’s miserable when you’re in the hospital. After you’re discharged and go home, it’s 10 times worse.” Audrey continued to explain her experience to new stroke patients.
“A simple task such as going to the toilet or picking up chopsticks to eat weighs a thousand pounds. I don’t want to trouble others, so I have to endure it. Patients are always sensitive, and no matter how close they are, sometimes they will get annoyed with each other. I can really stand up, and the biggest Support is actually a fellow traveler who has suffered a stroke! One word of encouragement from a fellow traveler is worth a thousand words from ordinary people.”
Audrey took the trouble to tell her experience to new patients, “While I was in the hospital, I met a volunteer. He also suffered a stroke. He still walked with a limp and had to hold a cane in his left hand. However, fortunately, he had experienced it. Identity advises, “Life will not end just because of a stroke. The more pessimistic you are, the harder it will be to get out of the predicament. As long as we don’t give up, don’t feel inferior, and let go of our minds, there are still many things we can do… As long as we have confidence and work hard, we will definitely succeed.” You have a chance to recover, but how much you recover is up to you.” I am able to stand up again today, thanks to his encouragement. In addition, physical therapists and occupational therapists are also very helpful. In the early stages, Physical therapy is really hard, but you have to grit your teeth and endure it, and you will definitely make progress. As the saying goes, the more you pay, the more you will gain. If you want to recover, you must be patient and work hard.”
The patient was able to stand up again thanks to the encouragement of fellow travelers and volunteers
For stroke patients, how to adapt to a new lifestyle after becoming disabled, return to the community, re-establish a new daily life, and reduce the burden on their families are issues that must be faced. If we can provide long-term community follow-up for stroke patients and form a community rehabilitation network, it will be of great benefit to the road to recovery. “Xin Xin She” is a community network self-help organization that aims to bring stroke patients and their families together to discuss how to face difficulties, develop a spirit of mutual help, actively participate in the recovery process, and reintegrate into community life. Audrey is a volunteer at Xinjian Club. She works tirelessly to visit wards and encourage fellow travelers.
Use words to comfort and accompany others to help them overcome difficulties
“I have been a beneficiary, so I deeply understand the power of understanding and support. I remember when the doctor asked me to be a volunteer, I resisted. I thought: I can’t bear or lift, how can I be a volunteer? But it turns out that talking can comfort me. People, companionship can help people tide over difficulties. Although I had a stroke and have not fully recovered, I can still do many meaningful things. As long as you are willing to contribute your own strength, the world will naturally become a better place because of you.” Audrey said optimistically.
The road to recovery from a stroke is really difficult. It requires a lot of sweat, tears and persistence, and it feels like living in hell. However, one thought of heaven and one thought of hell. Yes, as long as we can change our mindset and remain positive and optimistic when faced with challenges, I believe that hell can also become heaven. I wish all fellow travelers to welcome the second half of our golden life happily and comfortably.
One word of encouragement from a fellow traveler is worth thousands of words from ordinary people. (The design pictures and models have nothing to do with the cases mentioned in the article, tonefotografia@iStockphoto)
Related reading:[Young Old Health]Young Old’s anti-aging health care methods can make small changes in lifestyle and greatly improve the prevention of geriatric diseases (attached: 7 anti-aging health care rules)
Leong Man Fook – a specialist in geriatrics, has been engaged in geriatric medicine and gerontology research, actively participated in voluntary work, retired from the Hospital Authority, and still spares no effort to promote health education and medical services for the elderly.
Text: Liang Wanfu
Editor: Liang Xiaoling
Art: Xie Weihao
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