{"id":912,"date":"2024-03-29T16:13:42","date_gmt":"2024-03-29T14:13:42","guid":{"rendered":"https:\/\/roneuro.ro\/blog\/?p=912"},"modified":"2024-03-29T16:22:11","modified_gmt":"2024-03-29T14:22:11","slug":"recuperare-dupa-avc","status":"publish","type":"post","link":"https:\/\/roneuro.ro\/blog\/recuperare-dupa-avc\/","title":{"rendered":"Care sunt principalele metode de recuperare dup\u0103 AVC?"},"content":{"rendered":"\n<h2>Care sunt principalele metode de recuperare dup\u0103 AVC?<\/h2>\n<p>Principalele metode de recuperare dup\u0103 AVC includ diverse tipuri de activit\u0103\u021bile fizice, cognitive \u0219i emo\u021bionale, terapiile \u00een curs de investigare, terapiile biologice \u0219i medicina alternativ\u0103.<\/p>\n<h3>Activit\u0103\u021bile fizice<\/h3>\n<ul>\n<li><strong>Exerci\u021bii de motricitate<\/strong>. Ajut\u0103 la \u00eembun\u0103t\u0103\u021birea for\u021bei musculare \u0219i a coordon\u0103rii.<\/li>\n<li><strong>Antrenament de mobilitate<\/strong>. Folosirea de mijloace de ajutor pentru mobilitate, cum ar fi bastoanele sau scaunele cu rotile.<\/li>\n<li><strong>Terapia indus\u0103 de constr\u00e2ngere.<\/strong> Un membru neafectat este imobilizat \u00een timp ce se exerseaz\u0103 mi\u0219carea membrului afectat.<\/li>\n<li><strong>Terapie de amplitudine a mi\u0219c\u0103rilor.<\/strong> U\u0219ureaz\u0103 tensiunea muscular\u0103 (spasticitate) \u0219i v\u0103 pot ajuta s\u0103 rec\u00e2\u0219tiga\u021bi amplitudinea de mi\u0219care.<\/li>\n<\/ul>\n<h3>Activit\u0103\u021bile fizice asistate de tehnologie<\/h3>\n<ul>\n<li><strong>Stimulare electric\u0103 func\u021bional\u0103. <\/strong>Se aplic\u0103 electricitate pe mu\u0219chii sl\u0103bi\u021bi, determin\u00e2ndu-i s\u0103 se contracte.<\/li>\n<li><strong>Tehnologie robotic\u0103.<\/strong> Dispozitivele robotice pot asista membrele cu deficien\u021be la efectuarea de mi\u0219c\u0103ri repetitive, ajut\u00e2ndu-le s\u0103 \u00ee\u0219i rec\u00e2\u0219tige for\u021ba \u0219i func\u021bia.<\/li>\n<li><strong>Realitatea virtual\u0103.<\/strong> Utilizarea jocurilor video \u0219i a altor terapii bazate pe calculator implic\u0103 interac\u021biunea cu un mediu simulat.<\/li>\n<\/ul>\n<h3>Activit\u0103\u021bile cognitive \u0219i emo\u021bionale<\/h3>\n<ul>\n<li><strong>Terapie pentru tulbur\u0103ri cognitive. <\/strong>Terapia ocupa\u021bional\u0103 ajuta la recuperarea abilit\u0103\u021bilor cognitive (ex. memoria, procesarea, rezolvarea problemelor, abilit\u0103\u021bile sociale, judecata).<\/li>\n<li><strong>Terapie pentru tulbur\u0103ri de comunicare<\/strong>. Terapia logopedic\u0103 ajuta la rec\u00e2\u0219tigarea abilit\u0103\u021bilor pierdute (ex,. vorbirea, ascultarea, scrierea \u0219i \u00een\u021belegerea).<\/li>\n<li><strong>Tratament psihologic.<\/strong><\/li>\n<li>De exemplu antidepresive sau nootropice.<\/li>\n<\/ul>\n<h3>Terapiile \u00een curs de investigare<\/h3>\n<ul>\n<li><strong>Stimularea cerebral\u0103 neinvaziv\u0103<\/strong> (de ex. stimularea magnetic\u0103 transcranian\u0103).<\/li>\n<li><strong>Terapiile biologice<\/strong> &#8211; terapia cu celule stem.<\/li>\n<li><strong>Medicina alternativ\u0103<\/strong> &#8211; de exemplu masajul, terapia cu plante medicinale \u0219i acupunctura [1].<\/li>\n<\/ul>\n<p style=\"text-align: left;\">Afla\u021bi mai multe despre TMS de la medicul coordonator al departamentului de <strong>TMS RoNeuro \u2013 Dr. Nicoleta Jemna \u2013 medic specialist neurolog.\u00a0<\/strong><\/p>\n<p style=\"text-align: center;\"><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/iEOxikHVWsM?si=53_kHCjKzfpKDBvD\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/p>\n<h2>Care este procesul de reabilitare dup\u0103 AVC?<\/h2>\n<p>Persoanele care supravie\u021buiesc unui accident vascular cerebral r\u0103m\u00e2n adesea cu probleme pe termen lung cauzate de leziunile pe creier. Reabilitarea poate sa dureze o perioad\u0103 mai lung\u0103 sau mai scurt\u0103 \u0219i scopul final este de a rec\u0103p\u0103ta independen\u021ba. Multe persoane nu se recupereaz\u0103 niciodat\u0103 complet \u0219i au nevoie de sprijin prelungit. Recuperarea AVC necesita o abordare multidisciplinar\u0103, incluz\u00e2nd diver\u0219i speciali\u0219ti (figura de mai jos) [1].<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-913  aligncenter\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/03\/Procesul-de-reabilitare-dupa-AVC.jpeg\" alt=\"Procesul de reabilitare dupa AVC\" width=\"600\" height=\"271\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/03\/Procesul-de-reabilitare-dupa-AVC.jpeg 1381w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/03\/Procesul-de-reabilitare-dupa-AVC-300x136.jpeg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/03\/Procesul-de-reabilitare-dupa-AVC-1024x463.jpeg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/03\/Procesul-de-reabilitare-dupa-AVC-768x347.jpeg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/03\/Procesul-de-reabilitare-dupa-AVC-750x339.jpeg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/03\/Procesul-de-reabilitare-dupa-AVC-1140x515.jpeg 1140w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/p>\n<p>Reabilitarea este un proces complex care necesit\u0103 restaurarea diverselor func\u021bii afectate, prin diverse abord\u0103ri. Acestea includ tratamente farmacologice, activit\u0103\u021bi fizice, activit\u0103\u021bi fizice asistate de tehnologie, activit\u0103\u021bi cognitive \u0219i emo\u021bionale \u0219i utilizeaz\u0103 trei principii majore de recuperare:<\/p>\n<ul>\n<li><strong>Adaptarea<\/strong><\/li>\n<li><strong>Restituirea<\/strong><\/li>\n<li><strong>Neuroplasticitatea<\/strong> [2].<\/li>\n<\/ul>\n<h2>Resurse \u0219i suport pentru pacien\u021bi<\/h2>\n<p>\u00cen cadrul <strong>Institutului RoNeuro<\/strong> pacien\u021bii pot beneficia de pachete de investiga\u021bii pentru profilaxia primar\u0103 sau secundar\u0103 a accidentelor vasculare cerebrale, \u00een urma c\u0103rora echipa de medici va identifica gradul de expunere \u0219i va recomanda m\u0103surile de profilaxie adaptate fiec\u0103rui pacient \u00een parte, m\u0103suri care vor ajuta la prevenirea poten\u021bialelor accidente vasculare cerebrale viitoare.<\/p>\n<p>Programa\u021bi-v\u0103 acum\u00a0contact\u00e2nd recep\u021bia Institutului <strong>RoNeuro<\/strong> la num\u0103rul de telefon<strong> <a href=\"tel:+40374462222\">0374 46 2222<\/a><\/strong>, luni \u0219i mar\u021bi \u00eentre orele <strong>08:00 &#8211; 19:00<\/strong>, iar de miercuri p\u00e2n\u0103 vineri \u00eentre orele <strong>08:00 &#8211; 18:00. <\/strong><\/p>\n<p>La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate. Mai mult, pot fi efectuate program\u0103ri online.<\/p>\n<p style=\"text-align: center;\"><a style=\"background-color: #6852ed; color: white; text-decoration: none; border: none; padding: 10px 20px; cursor: pointer; display: inline-block;\" href=\"https:\/\/www.roneuro.ro\/progamari.html\">Program\u0103ri online aici!<\/a><\/p>\n<p>Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? RoNeuro ofer\u0103 \u0219i op\u021biunea de <strong><a href=\"https:\/\/www.roneuro.ro\/telemedicina.html\" target=\"_blank\" rel=\"noopener\">telemedicin\u0103<\/a>.<\/strong><\/p>\n<h2>Care sunt complica\u021biile unui AVC?<\/h2>\n<p>Complica\u021biile AVC depind de durata \u00een care creierul este privat de oxigen \u0219i de ce parte este afectat\u0103 \u0219i pot include:<\/p>\n<ul>\n<li>Aceast\u0103 este adesea unilateral\u0103 (pe o parte a corpului), sau se manifest\u0103 prin pierderea controlului anumitor mu\u0219chi <strong>(<\/strong>ex. pe o parte a fe\u021bei sau pe un bra\u021b).<\/li>\n<li><strong>Dificult\u0103\u021bi de vorbire sau de \u00eenghi\u021bire. <\/strong>Deoarece AVC afecteaz\u0103 mu\u0219chii din gur\u0103 \u0219i g\u00e2t, poate ap\u0103rea vorbirea neclar\u0103, dificult\u0103\u021bi de \u00eenghi\u021bire, m\u00e2ncat, sau limbaj.<\/li>\n<li><strong>Pierderi de memorie<\/strong><\/li>\n<li><strong>Probleme cognitive.<\/strong><\/li>\n<li><strong>Simptome emo\u021bionale, <\/strong>precum probleme \u00een controlarea emo\u021biilor, sau depresie.<\/li>\n<li><strong>Durere<\/strong>,<strong> amor\u021beala sau alte senza\u021bii<\/strong><\/li>\n<li><strong>Schimb\u0103ri \u00een comportament \u0219i \u00een \u00eengrijirea de sine.<\/strong> Persoanele care au suferit accidente vasculare cerebrale pot deveni mai retrase, pot s\u0103 aib\u0103 nevoie de ajutor pentru \u00eengrijire \u0219i treburile zilnice (figura de mai jos).<\/li>\n<\/ul>\n<p><img decoding=\"async\" class=\"wp-image-915  aligncenter\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/03\/Complicatiile-unui-AVC.jpeg\" alt=\"Complicatiile unui AVC\" width=\"600\" height=\"516\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/03\/Complicatiile-unui-AVC.jpeg 1444w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/03\/Complicatiile-unui-AVC-300x258.jpeg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/03\/Complicatiile-unui-AVC-1024x880.jpeg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/03\/Complicatiile-unui-AVC-768x660.jpeg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/03\/Complicatiile-unui-AVC-750x645.jpeg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/03\/Complicatiile-unui-AVC-1140x980.jpeg 1140w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/p>\n<h2>Care sunt consecin\u021bele unui accident vascular cerebral?<\/h2>\n<p><strong>Accidentul Vascular Cerebral (AVC)<\/strong> este o afec\u021biune cu un puternic impact asupra vie\u021bii \u0219i s\u0103n\u0103t\u0103\u021bii persoanelor. AVC poate duce la multe complica\u021bii care pe termen lung se pot transforma \u00een dizabilit\u0103\u021bi temporare sau permanente. AVC-ul poate fi cauzat de lipsa de flux sanguin c\u0103tre creier (<strong>AVC ischemic<\/strong>) sau de s\u00e2ngerare \u00een creier (<strong>AVC hemoragic<\/strong>). Indiferent de cauz\u0103, acesta poate provoca pierderea brusc\u0103 a func\u021biilor cerebrale, inclusiv a vorbirii, a vederii \u0219i a mi\u0219c\u0103rii.<\/p>\n<p>Reabilitarea post-AVC este un proces esen\u021bial \u00een recuperarea pacien\u021bilor, scopul principal al acesteia fiind de a ajuta pacien\u021bii s\u0103-\u0219i rec\u00e2\u0219tige func\u021biile \u0219i independen\u021ba.<\/p>\n<p style=\"text-align: left;\">Pute\u021bi afla mai multe despre AVC<a href=\"https:\/\/roneuro.ro\/blog\/accidentul-vascular-cerebral\/\"> aici<\/a>.<\/p>\n<p style=\"text-align: center;\"><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/XmtTvgCuiuI?si=lb5dkJkvMDEognJO\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>Pentru informa\u021bii despre cauzele, prevenirea \u0219i gestionarea unui AVC, <a href=\"https:\/\/roneuro.ro\/blog\/cum-se-poate-preveni-accidentul-vascular-cerebral\/\">accesati acest link.<\/a><\/p>\n<h2>Rolul NADH \u00een gestionarea accidentului vascular cerebral<\/h2>\n<p>NADH este un supliment alimentar eficient \u0219i sigur, cu rol \u00een prevenirea \u0219i tratamentul diverselor afec\u021biuni, printre care \u0219i <a href=\"https:\/\/nadhrapid.ro\/indicatii-terapeutice\/nadh-ul-si-accidentul-vascular-cerebral\/\" target=\"_blank\" rel=\"noopener\">accidentul vascular cerebral<\/a>.<\/p>\n<p>AVC-ul diminueaz\u0103 aportul de substan\u021be nutritive \u0219i oxigen necesare creierului. Aceast\u0103 lips\u0103 de oxigen conduce la sc\u0103derea nivelului de NADH, afect\u00e2nd produc\u021bia de energie vital\u0103 pentru func\u021bionarea celular\u0103 \u00een zona respectiv\u0103 a creierului. Lipsa energiei determin\u0103 deteriorarea \u0219i necroza \u021besutului cerebral, afect\u00e2nd func\u021biile cerebrale.<\/p>\n<p>Pentru mai multe informa\u021bii despre NADH, accesa\u021bi acest <a href=\"https:\/\/nadhrapid.ro\/\" target=\"_blank\" rel=\"noopener\"><strong>link<\/strong><\/a><strong>. <\/strong>Pentru mai multe informa\u021bii despre impactul NADH \u00een AVC,<strong> click <\/strong><a href=\"https:\/\/nadhrapid.ro\/nadh-%C8%99i-accidentul-vascular-cerebral\/\" target=\"_blank\" rel=\"noopener\"><strong>aici<\/strong><\/a><strong>.<\/strong><\/p>\n<h2>Concluzii<\/h2>\n<p>Reabilitarea post-AVC necesit\u0103 adesea o abordare interdisciplinar\u0103, \u00een care cadrele medicale, terapeu\u021bii \u0219i membrii familiei lucreaz\u0103 \u00eempreun\u0103 pentru a asigura o recuperare optim\u0103 \u0219i o calitate mai bun\u0103 a vie\u021bii pentru pacient.<\/p>\n<p>Este important ca aceast\u0103 reabilitare s\u0103 \u00eenceap\u0103 c\u00e2t mai cur\u00e2nd posibil dup\u0103 un AVC, deoarece promptitudinea interven\u021biei poate avea un impact semnificativ asupra rezultatelor pe termen lung pentru pacien\u021bi.<\/p>\n<h2>Referin\u021be<\/h2>\n<ol>\n<li><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/stroke\/diagnosis-treatment\/drc-20350119\" target=\"_blank\" rel=\"noopener\">Mayo Foundation for Medical Education and Research<\/a>. (2024, February 14). <em>Stroke<\/em>. Mayo Clinic.<\/li>\n<li>Belagaje SR. Stroke Rehabilitation. Continuum (Minneap Minn). 2017 Feb;23 (1, Cerebrovascular Disease):238-253. doi: 10.1212\/CON.0000000000000423.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Care sunt principalele metode de recuperare dup\u0103 AVC? Principalele metode de recuperare dup\u0103 AVC includ diverse tipuri de activit\u0103\u021bile fizice, cognitive \u0219i emo\u021bionale, terapiile \u00een curs de investigare, terapiile biologice \u0219i medicina alternativ\u0103. Activit\u0103\u021bile fizice Exerci\u021bii de motricitate. Ajut\u0103 la \u00eembun\u0103t\u0103\u021birea for\u021bei musculare \u0219i a coordon\u0103rii. Antrenament de mobilitate. Folosirea de mijloace de ajutor pentru [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":920,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"source_name":"","source_url":"","via_name":"","via_url":"","override_template":"0","override":[{"template":"6","single_blog_custom":"","parallax":"1","fullscreen":"1","layout":"no-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"floatbottom","share_float_style":"share-normal","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"0","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"1","post_reading_time_wpm":"300","show_zoom_button":"1","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_prev_next_post":"0","show_popup_post":"1","number_popup_post":"3","show_author_box":"0","show_post_related":"1","show_inline_post_related":"0"}],"override_image_size":"0","image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post":"0","trending_post_position":"meta","trending_post_label":"Trending","sponsored_post":"0","sponsored_post_label":"Sponsored by","sponsored_post_name":"","sponsored_post_url":"","sponsored_post_logo_enable":"0","sponsored_post_logo":"","sponsored_post_desc":"","disable_ad":"0"},"jnews_primary_category":{"id":"","hide":""},"jnews_override_counter":{"override_view_counter":"0","view_counter_number":"0","override_share_counter":"0","share_counter_number":"0","override_like_counter":"0","like_counter_number":"0","override_dislike_counter":"0","dislike_counter_number":"0"},"footnotes":""},"categories":[6],"tags":[],"class_list":["post-912","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurologie"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/912","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=912"}],"version-history":[{"count":7,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/912\/revisions"}],"predecessor-version":[{"id":925,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/912\/revisions\/925"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/920"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=912"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=912"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=912"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}