ACCIDENTUL VASCULAR CEREBRAL
Accidentul vascular cerebral se produce atunci cind o parte a creierului nu mai poate beneficia de aportul de singe si oxigen. Exista doua moduri prin care se produce: prin blocarea unei artere de catre un cheag de singe (accident vascular cerebral ischemic – cca 80% din cazuri) sau prin ruptura vasului de singe (accident vascular cerebral hemoragic). Cind are loc un accident cerebral vascular, o parte din celulele nervoase din creier inceteaza sa mai functioneze.
AVC este o conditie medicala grava, ce poate fi tratata numai in spital.
Incidenta acestei afectiuni este deosebit de ridicata: ea afecteaza 25% din barbatii si 20% dintre femeile de peste 45 de ani. 75% dintre accidentele AVC sunt intalnite la persoane de peste 65 ani, dar exista si cazuri sub 30 de ani.
AVC este o conditie “tacuta” datorita naturii creierului. In cazul inimii, boala este adeseori precedata de o durere caracteristica in piept sau in brat (angina) sau insuficienta respiatorie, simptome ce ne arata ca alimentarea cu sange a inimii este temporar redusa. In cazul creierului, receptorii de durere lipsesc, asa incat episoadele temporare de ischemie nu cauzeaza durere. Desi pot exista multe semnale alarmante, totusi atacul vascular cerebral poate fi primul semnal pentru bolnavul cu ateroscleroza la nivelul creierului.
Accidentele vasculare cerebrale sunt atat de temute datorita consecintelor extrem de grave:
- Paralizie, slabiciune si oboseala – cele mai comune. Pot afecta fata, mana sau piciorul, uneori chiar o jumatate a corpului. Pot aparea probleme gen constipatie, incontinenta urinara
- Afazie – in 25% din cazuri
- Afectarea perceptiei spatiale, a gandirii si memoriei
- Schimbarea starii mentale: pot aparea depresia, tulburarile de personalitate etc
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SUPORTUL INFO-ENERGETIC IN ACCIDENTUL VASCULAR CEREBRAL
Centrul EuVITA va ofera programul AVC-Help ce se desfasoara in doua etape:
1) preventia AVC, prin identificarea riscului de AVC si existentei afectiunilor cauzale si terapii corective.
2) post-AVC, dupa accidentul vascular cerebral, pentru refacerea mai rapida si prevenirea unui nou atac.
Trebuie mentionat ca acest program se poate folosi dupa 3 – 6 luni de la producerea AVC, in conditiile in care nu exista riscul producerii unor hemoragii. Terapiile selectionate au ca obiect:
- imbunatatirea miscarilor, coordonarii si balansului
- reducerea stresului oxidativ la nivelul creierului
- reducerea inflamatiei
- imbunatatirea starii arterelor pentru prevenirea repetarii AVC
- imbunatatirea circulatiei la nivelul creierului
- identificarea si tratarea afectiunilor psihice conexe : schimbari de dispozitie, confuzie mentala, apatie persistenta, izbucniri de furie etc
- evaluarea permanenta a nivelelor de homocisteina, trigliceride, colesterolului, insulinei etc
- evaluarea permanenta a riscului de repetare a AVC etc
Terapia energetica propusa se concentreaza pe reducerea (ideal eliminarea) cauzelor si factorilor de risc prin terapii neinvazive specifice fiecarei persoane: detoxifiere, stimularea digestiei si absorbtiei (in cazul deficitelor nutritionale), reducerea surplusului de greutate (in cazul obezitatii), stimularea circulatiei. Combinatia personalizata de terapii energetice poate cuprinde: electrochelare, stimulare prin microcurenti, biofeedback, imagerie ghidata, electrolipoliza etc.
Referinte:
- “Electroacupuncture increased cerebral blood flow and reduced ischemic brain injury: dependence on stimulation intensity and frequency” – Zhou F, Guo J, Cheng J, Wu G, Xia Y. ; J Appl Physiol (1985). 2011 Dec;111(6):1877-87. doi: 10.1152/japplphysiol.00313.2011. Epub 2011 Aug 11.
- “The efficacy of electrical stimulation in reducing the post-stroke spasticity: a randomized controlled study”- Sahin N, Ugurlu H, Albayrak I; Disabil Rehabil. 2012;34(2):151-6. doi: 10.3109/09638288.2011.593679. Epub 2011 Oct 15.
- “Functional electrical therapy for hemiparesis alleviates disability and enhances neuroplasticity” - Tarkka IM, Pitkänen K, Popovic DB, Vanninen R, Könönen M.; Tohoku J Exp Med. 2011;225(1):71-6.
- “Effects of neurofeedback training with an electroencephalogram-based brain-computer interface for hand paralysis in patients with chronic stroke” – Shindo K., Kawashima K., Ushiba J., Ota N., Ito M., Ota T., Kimura A., Liu M.; J Rehabil Med. 2011 Oct;43(10):951-7. doi: 10.2340/16501977-0859.
- “Repetitive transcranial magnetic stimulation at 1Hz and 5Hz produces sustained improvement in motor function and disability after ischaemic stroke” - Emara TH, Moustafa RR, Elnahas NM, Elganzoury AM, Abdo TA, Mohamed SA, Eletribi MA.; Eur J Neurol. 2010 Sep;17(9):1203-9. doi: 10.1111/j.1468-1331.2010.03000.x. Epub 2010 Apr 8.
- “Excitatory repetitive transcranial magnetic stimulation induces improvements in chronic post-stroke aphasia” – Szaflarski JP, Vannest J, Wu SW, DiFrancesco MW, Banks C, Gilbert DL.; Med Sci Monit. 2011 Feb 25;17(3):CR132-9.
- “Effects of repetitive transcranial magnetic stimulation on repetitive facilitation exercises of the hemiplegic hand in chronic stroke pacients”- Etoh S, Noma T, Ikeda K, Jonoshita Y, Ogata A, Matsumoto S, Shimodozono M, Kawahira K.; J Rehabil Med. 2013 Sep. 9;45(9):843-7. doi: 10.2340/16501977-1175.
- “Targeted transcranial direct current stimulation for rehabilitation after stroke.” – Dmochowski JP, Datta A, Huang Y, Richardson JD, Bikson M, Fridriksson J, Parra LC.; Neuroimage. 2013 Jul 15;75:12-9. doi: 10.1016/j.neuroimage.2013.02.049. Epub 2013 Mar 5.
- “Low-frequency rTMS promotes use-dependent motor plasticity in chronic stroke” - Avenanti A, Coccia M, Ladavas E, Provinciali L, Ceravolo MG.; Neurology. 2012 Jan. 24;78(4):256-64. doi: 10.1212/WNL.0b013e3182436558. Epub 2012 Jan 11
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