Treatment of a micro stroke is aimed at preventing a stroke in the future. The therapy regimen includes medications to control high blood pressure, lower cholesterol (for atherosclerosis), and blood sugar (with diabetes). And with cardioembolic TIA, anti-clotting agents are used (antiplatelet agents).
You can take Aspirin, and you can - the drug Dipiridamol (other trade names - Kurantil, Anginal, Korozan, Dirinol), which not only reduces the risk of thrombosis, but also helps reduce blood pressure, improve the basic cerebral and collateral circulation. The recommended dosage tableted form of the drug - three times a day for 25 mg.
The drug group antiagregantov Clopidogrel (Plavix, Lopirel) is taken one tablet (75 mg) once a day - in combination with Aspirin.
For normalization of elevated blood pressure, CAPTOPRES can be used with a micro stroke - by a pill (25 mg) twice a day. However, side effects of this drug are headaches, dizziness, tinnitus, nausea and vomiting, hyperthermia, as well as numbness of the extremities and the threat of stroke. So, if there are no problems with the kidneys, it is recommended to take Irbesartan (Ibertan) or Teveten (Naviten), as well as Amlodipine (Amlotop, Acridipine, Cardilopin) or Cardosal (Olmesartan medoxomil). See also - High-pressure tablets
The drug Vinpocetine (Cavinton) in a solution for injection and in tablets improves blood supply and oxygen saturation of parts of the brain that underwent ischemic attack; the drug acts not only as a vasodilator, but also improves the rheological properties of the blood. Most often with Vinpocetin and glucose put droppers with a micro stroke (in the absence of severe arrhythmia, ischemic heart disease and acute hemorrhage). Drip administration of the antihypoxant Mexidol (Elfunata) may be prescribed up to three times a day.
To increase metabolism in the central nervous system, neurologists prescribe Pirition (Cerebola, Encephabol) - 0.2 g two to three times a day (for one to three months). Its possible side effects: headache, fatigue, itching of the skin with rashes, nausea, vomiting, bile stasis in the liver, decreased appetite, pain in the muscles and joints. For the same purpose, Glycine is used in a micro stroke.
Nootropics and psychostimulants can be prescribed: Piracetam, Eurysam, Citicoline (Ceraxon, Cebreton, Neuraxon, etc.), Calcium Gopantenate, gamma-aminobutyric acid preparations (Aminalon, Ganevrin, Encephalon, etc.). Vitamins B1, B12, B15 are also recommended.
Although some medical recommendations after a micro-stroke do not have solid empirical data, most physicians believe that physiotherapy with electrophoresis (with nootropic drugs) or diadynamotherapy is necessary to activate metabolism in the brain tissues. Also useful therapeutic massage with a micro stroke.
When a transient ischemic attack is caused by stenosis of the carotid artery,
May require surgical treatment - removal of an atherosclerotic plaque that blocked the lumen of the vessel by two thirds. In extreme cases, the carotid artery is replaced or stenting (this surgery carries a potential complication that causes a stroke).
First aid for micro stroke
When symptoms of focal neurological dysfunction caused by a transient ischemic attack appear, first aid is needed for a micro stroke.
Be sure to call the ambulance (with the message of the exact time when the manifestation of symptoms began) or quickly take the person to the nearest medical institution. When a person has become ill in the street, you should find out if he has diabetes, and in the presence of this disease give a tablet of glucose or a glass of sweet drink (to urgently increase blood sugar).
While waiting for the arrival of medical care, carefully monitor the condition of the person. And to recognize a microstroke or stroke, paramedics recommend asking the person to smile (to check the changes in facial expressions) and repeat the simple sentence (verifying speech disorders).
You also need to ask a person to raise both hands or tighten your hand tight (so you can reveal the weakness of your hands). If weakness of the left arm is revealed, then the person should turn to the right side (and, conversely, vice versa) to allow the force of gravity to direct blood to the affected hemisphere of the brain.
The rest is the business of doctors, whose task is to avoid the delay between the onset of symptoms and their diagnosis. Because PLAT - a recombinant tissue plasminogen activator (Alteplase, Reteplase, Tenecteplase) - is necessary within the first three hours of the onset of signs of ischemic attack. By catalyzing the transformation of plasminogen into plasmin, the main enzyme responsible for the destruction of the clot, PLAT promotes the cleavage of blood clots in the vessels. But it is not used in case of hemorrhagic micro stroke and stroke (in which anticoagulants are necessary).
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Treatment of a micro stroke at home
Home treatment is not suitable in case of severe symptoms of TIA: for this, there simply are no suitable means that affect the pathogenesis of this condition. So, if you have had and passed the symptoms of a micro-stroke, you still need to immediately consult a doctor.
Alternative treatment can be used only as an addition to the complex therapy of hypertension, atherosclerosis and other diseases that increase the risk of cerebral circulatory disorders.
As usual, herbs include the use of decoctions of leaves of ginkgo biloba, hawthorn and hips, green tea. To strengthen the walls of capillaries is recommended decoction of St. John's wort (contraindicated in the secretory pathologies of the stomach and stones in the gallbladder). Hypertonics are useful for decoctions and infusions of crocheted swine and anchorites creeping, as well as figs (or the use of its fruits). With the propensity to form blood clots, such medicinal plants as the clover (aerial part) and dioscorea (root) help.
See also - How to lower blood cholesterol without drugs?
Recovery and rehabilitation after a micro stroke
The need for rehabilitation after ischemic attacks is difficult to assess because of the lack of available tools to detect little noticeable neurological disorders. But since there may be complications of TIA, rehabilitation after a micro stroke is carried out.
First of all, it is feasible physical exercises after a micro stroke - at least half an hour daily, with a gradual increase in physical activity (after a preliminary examination of the brain vessels, carotid and vertebral) of the arteries).
Substantial changes in food after a micro stroke should be made: reduce the amount of fat, protein and salt in the diet, increase the intake of foods high in fiber. Also, a diet with a micro stroke - if the body weight is above the norm - should be less caloric. More in the publication - Diet in stroke
The researchers found that a modified version of cardiac rehabilitation is effective in reducing some of the residual effects of transient ischemic attack (TIA). In particular, you can use the possibilities of sanatorium treatment.
In Ukraine, you can choose the sanatorium for recovery after a micro stroke:
- clinical sanatorium of the neurological profile "Avangard" (Nemyriv, Vinnytsia region);
- Sanatorium "Birch Gai" (Khmilnik, Vinnytsia region);
- Clinical sanatorium "Berdyansk" (Berdyansk, Zaporozhye region);
- Sanatorium "Arktika" (Berdyansk, Zaporozhye region);
- "Lermontovsky" (Odessa);
- "White Acacia" (Odessa);
- "Golden Field" (village Sergeevka, Odessa region);
- Clinical sanatorium "Grove" (Pesochin settlement, Kharkov region);
- Sanatorium-preventorium "Solnechny" (Verbky village, Pavlograd district, Dnepropetrovsk region);
- "Ostrech" (Mena, Chernihiv region);
- sanatorium center "Denisi" (Denisi village, Zhytomyr region);
- sanatorium "Chervona Kalina" (Zhobrin village, Rivne region);
- sanatorium "Medobory" (Konopkivka village, Ternopil region);
- sanatorium "Moshnogorye" (village of Budishte, Cherkassy region).