Beadles is focusing on the left Curtis Samuel Youth Jersey of the line, working the first-team guard spot between left tackle Staley and center Kilgore. He holds offers from Purdue and Baylor, and the one-time Central commit would choose from one of those three schools if he had to make a decision today. Sanders was one of the better ones also. I took a delay when Jabrill Peppers Jersey the hospital, says . This is about now, not then. The Buccaneers now have opening on their 53- roster which figures to be filled within the next 24 hours. We're taking a closer look, roundtable-style, at the Big Ten's draft: how certain teams did, the risers, the falls and more.

Other options for Chicago Samson Ebukam Youth Jersey the Carl Lawson Jersey are rookie Cody Whitehair from Dawuane Smoot Jersey State and veteran Larsen. Wynn had a final the eighth. More: Comrie, 36, last played 2010, appearing 21 for the Penguins. So if you want , it's going to be costly, and the hope is that you'll end up with one of the best high-leverage relievers the game.

html>

Hockey is supposed to be fun, but when it's going like it did Monday night it's like being sat at the table next to your Frank Clark Jersey hated relative at Christmas NHL Hockey Jerseys dinner. To try to motivate them. the NHL Jerseys Cheap last two years, he played nine 2015 and 12 2016 and hasn't eclipsed the 1-yard barrier either. Rick Nash at least was heavily involved his first match back Akiem Hicks Womens Jersey being sidelined 20 by a nastier-than-anticipated left leg bone bruise. He lose his spot as a top-six forward once Tomas Hertl and or Ben Bishop USA Jersey Meier return from injury. , a 21-year-old right-hander, has the stuff of a future frontline starter. The winger is stuck a three-game scoring drought and could find it difficult to end that streak versus a Blackhawks team that is seventh the league goals allowed per game at just 2. But the 31-year-old center also wanted a to contribute, to play a prominent role and to show there's still plenty of tread on his tires. The Dodgers need Puig to play like a superstar, not just the decent player he was when healthy last .

If you thought things couldn't possibly get any uglier for the Brooklyn Nets, think again. Tue, 04 Oct 2016 New Jets RB Bilal Powell has caught 12 passes over the last two weeks after catching Eric Wood Youth Jersey three passes over the first two weeks of the . His pre-pitch stance has also been widely recognized, and has been dubbed Kimbreling, or Spider Arms. Such a move, however, only would occur if Authentic Samaje Perine Jersey price fell to the point where the Rays essentially could not refuse. I think I will fit well the scheme. Like the Hurricanes, the Ducks are loaded with blueliners.

It was a matchup of the 1951 NIT tournament champions against the 1951 NCAA tournament champions. Our primary focus is to reach and improve the lives of everyone living with cancer. I look at it as a blessing to play NFL Jerseys Free Shipping football this . He was a first-day starter for as a rookie and he looked a little lost at the beginning. Years later, Boswell, who is now the Chaplain of the Zane Beadles Womens Jersey recalled Brown's first campaign was financed by passing a paper cup during services. Because of his early years as a forward, he was also among the very best skaters and stickhandlers the league, and he had one personal dream above all others when he knew he MLB Jerseys Usa could play New York Jets Jersey NHL, to score a goal That chance came during the 1997 playoffs against Montreal. 7 each could receive some playing time, Sullivan said. Even the simplest ones involve a lot of behind-the-scenes work. Joe Gilliam Jersey 21 Sep NFL Jerseys China 2016 Fantasy Tip: The procedure usually requires four to six weeks to return, but there have been cases where a simple trim of the meniscus only cost a player two weeks. 's designs look like tattoos.

We just have to keep trying to help them. He was sixth the National League Hockey Jerseys slugging percentage , runs scored , runs batted and extra base hits ; he's second home Authentic Jaleel Johnson Jersey and seventh total bases . Acclaimed Naturalist and author Matthiessen makes the statement, it is the responsibility of the writer to speak for those who cannot speak for themselves. I used to say it was like comedy hour every Saturday when we'd go to watch Ndamukong Suh Jersey play.

14 at the Bittles and Hurt Funeral Home, 602 E. That's a priority, but Geno Smith Womens Jersey the cost of ? What is that, 90 grand? Navy Hospital Key West , but didn't stay as his parents were both the Navy Junior Seau Womens Jersey they moved often. Be Truthful. Dawson admitted to me that he had made that statement to Damian Jones Womens Jersey whom he described as a good friend of mine. Should Glavine wait one year before getting into the Hall? I followed the ball all the way out but evidently the umpire didn't.

Ameer Abdullah Youth Jersey Marrone, Joseph Guerrieri and Zappala finished second, third and sixth the 800m race. Add a display case to protect the quality and integrity of your memorabilia as this piece is likely to increase value over time. Well, the easy answer is to say that their finally starting to get some solid goaltending from Jake , but it goes beyond that. Made a lot of very timely saves. After missing Game 3 with a lower-body injury, San Sharks Derrick Morgan Youth Jersey Hertl will Game 4 as well. I kept coming and got a little extra work with the guys, the strength coaches and stuff.


Warning: session_start() [function.session-start]: Cannot send session cookie - headers already sent by (output started at /home/u132810913/public_html/index.php:41) in /home/u132810913/public_html/libraries/joomla/session/session.php on line 423

Warning: session_start() [function.session-start]: Cannot send session cache limiter - headers already sent (output started at /home/u132810913/public_html/index.php:41) in /home/u132810913/public_html/libraries/joomla/session/session.php on line 423

Warning: Cannot modify header information - headers already sent by (output started at /home/u132810913/public_html/index.php:41) in /home/u132810913/public_html/libraries/joomla/session/session.php on line 426

Warning: Cannot modify header information - headers already sent by (output started at /home/u132810913/public_html/index.php:41) in /home/u132810913/public_html/templates/gk_twn2/libs/gk.template.helper.php on line 112
Ictus
A+ R A-

Ictus

E-mail Imprimir PDF

Prevención y tratamiento del ictus

Autor: Dra. Mercè Piera - Revisado: 8 de Marzo 2012

La prevención y tratamiento con prontitud del ictus es fundamental para disminuir las posibilidades de secuelas del mismo.

El ictus o accidente cerebrovascular es una emergencia médica. Cuanto antes se diagnostique y trate el ictus, menos posibilidades habrá de secuelas del mismo. Así, el objetivo del tratamiento es prevenir la extensión del tejido lesionado y potenciar la capacidad del paciente para funcionar por sí mismo.

El tratamiento del ictus no es curativo y se basa en la rehabilitación y prevención de futuros ictus. La recuperación puede producirse a partir de que otras áreas del cerebro van relevando, en cuanto a funcionamiento, a las zonas dañadas.

Tratamiento inmediato Ante la instauración de un ictus se actúa de urgencia pudiendo aplicar varios medicamentos:

- Fármacos trombolíticos: tienen como finalidad deshacer el coágulo y restablecer el flujo sanguíneo hacia el área afectada con el fin de prevenir la muerte del tejido y la lesión permanente. No obstante, este tipo de tratamiento tienen como inconvenientes que para ser eficaz debe administrarse en las primeras tres horas desde el inicio de los síntomas (criterio que cumplen pocos pacientes) y que como efecto indeseable puede crear hemorragia.

- Fármacos anticoagulantes: En ciertas circunstancias se utilizan otros anticoagulantes como heparina, aspirina y otros para prevenir ictus recurrentes.

- Analgésicos: pueden ser útiles en el control de cefaleas intensas.

- Fármacos antihipertensivos: La hipertensión arterial mal controlada o maligna es causa de accidente cerebrovascular hemorrágico. En este tipo de ictus puede ser necesario el tratamiento con fármacos antihipertensivos.

- Nutrientes y líquidos: La persona que sufre un ictus puede tener dificultades para tragar la comida y bebida, requiriendo la colocación de un catéter intravenoso o un tubo en el estómago a través de los cuales pasen los nutrientes y líquidos.

En la fase aguda, tras un ictus, es necesario el reposo en cama con los siguientes cuidados:

- Cambiar al enfermo de posición cada 3 horas para evitar la formación de úlceras de decúbito. La presión continua sobre una parte concreta de piel provoca una reducción del riego sanguíneo de la zona y la ulceración de la misma.

- El cuerpo debe apoyarse los menos posible sobre la mitad paralizada del mismo con el fin de evitar la aparición de úlceras, edema y malas posturas.

- Para evitar la formación de contracturas musculares: el miembro superior debe descansar con el hombro separado del cuerpo y hacia delante, codo en semiflexión y dedos abiertos y elevados. El miembro inferior debe descansar con los muslos algo abiertos, la rodilla en semiflexión y evitando que las plantas de los pies tiendan a mirarse.

- Se recomienda evitar estiramientos tempranos del brazo paralizado por la posibilidad de lesionar el hombro.

- Si hay que colocar catéteres hay que hacerlo en el brazo no afectado.

Tratamiento a largo plazo

* Tratamiento quirúrgico: La endarterectomía carotídea es una técnica quirúrgica que consiste en extraer las placas ateroscleróticas de las arterias carotidas para prevenir nuevos ictus.

* Rehabilitación: La rehabilitación funcional tras un ictus debe iniciarse lo más rápidamente posible: a los 3 meses, la situación neurológica se estabiliza y hasta los 6 meses se considera que hay posibilidad de mejoría funcional. Una vez se estabiliza el paciente, al cabo de 2 a 3 días puede empezarse el tratamiento rehabilitador que consiste en recuperar la estabilidad del tronco y fuerza en extremidades para poder mantenerse en pie y andar. Una vez se consigue esto, la rehabilitación va dirigida a mejorar la calidad de vida del paciente mediante la recuperación de funciones de la vida cotidiana como el aseo, la alimentación y el vestirse.

- Extremidad inferior: Suele recuperarse y muchas personas consiguen volver a andar aunque sea con ayuda de bastón o férulas.

- Extremidad superior: Es más difícil de recuperar, especialmente, la función de pinza del pulgar, escribir o manejar los cubiertos. La terapia ocupacional tiene como objetivo enseñar a utilizar la mano sana para las actividades de la vida diaria.

- Comunicación: Los problemas de comunicación pueden requerir dibujos, señas verbales u otras estrategias en función del tipo y extensión del déficit de lenguaje.

- Incontinencia: Puede ser necesario sondar al paciente o realizar ejercicios de control tanto de la vejiga como intestinales.

- Orientación: Ante la desorientación del enfermo, la familia y amigos juegan un importante papel. Deben reforzar repetidamente importantes señas de identidad como el nombre, la edad, la fecha, el lugar en que viven para reducir esta desorientación.

Prevención del ictus

La prevención del ictus implica el control de sus factores de riesgo:

- Hipertensión

- Diabetes

- Enfermedades cardiacas

- Tabaco

- Colesterol

- Inactividad física

Medicina21.com

joomla 1.7