Diabetes, Stroke & Paralysis
Diabetes, Stroke & Paralysis
vBulletin
ivanhow
06-03-2005, 06:10 PM
Anyone with experience, or know of any reliable cures for paralysis resulting from stroke? Would appreciate if you can share any experience that's effective.
Patient has been discharge from hospital. Hospital/doctors not able to help very much at this stage. Diabetic, with high blood pressure admitted to hospital due to high blood and uric acid retention. Half paralysed. Slurred speech, bed-ridden.
Presently under home treatment - massage, medication.
Any recommendation that would expedite recovery from paralysis?
Patient also expericencing kidney stone, and/or kidney failure.
Wud appreciate if you know of :-
a. Known and proven method to revive kidney failure other than dialysis.
b. Known and proven method to remove kidney stone other by surgery.
Tks in adv.
bugbear
07-03-2005, 01:01 PM
Hi Ivanhow,
I see you have got some problem on your hand there. My deepest sympathy.
For a start, I do not know how old this person that you mentioned here. From your discription, I sensed that this person is elderly presenting with diabetic and high blood pressure which result in stroke. For your infomation, stroke or better known as celebrovascular accident (CVA) is a result of :-
1) Embolism to the brain by either blood clot or vegetative matter,
2) Rupture of blood vessels in the brain and,
3) Thrombosis of the brain blood vessels.
High blood pressure is the most commonest causes of stroke. Depending on the age of the person, his/her recovery can be remaining status quo for life, getting better or getting worse. For those in the younger age bracket, the chances of recovery even full recovery has been documented but are the exception rather than the rule. Chances are, they will recover but will not be 100%. For those of the older age group, the chances are quite remote. I do not have the figure off hand to show you but it could be anything from 5-10 percent at the most. The crucial factor here is that they should show improvement within the first 2-3 weeks after the stroke. If not, then chances are not too good.
However, family members involvement and support for the patient is of paramount important. They not only help the patient to cope with their illness but also to provide emotional and physical support. These patients are more happy and cooperate with their physiotherapy regiment. Be careful of bed sore especially for bed ridden patient. They need to change position from time to time otherwise, they will develop pressure ulcer on their buttock and backside. With diabetic, these ulcers can become a very deadly combinations.
As for the kidney failure, it is known as chronic renal failure which will progress toward end stage renal failure which mean that both kidneys have failed. There are no known treatment for this other than dialysis. FYI, dialysis come in three forms:-
1) Peritoneal dialysis - washing of the abdomen lining by means of a canula.
2) Continuous Peritoneal dialysis - especially for people on the move who do not want to be hampered by the machine.
3) Dialysis machine - the best form of dialysis. Down side is the patient must first undergo an AVF (arteriovenous fistula) operation to enable easy access to the vein for effective dialysis. The other bugbear is the cost. In private setting, it can cost something like RM200 to RM250 per session of four hours each. Three times per week for your whole life. Work out the cost. :(
Another way is by renal transplant either in China or India. But it is dubius where they get their kidney from. In Malaysia, we still do not condone life donor except in those who donate their organ before they die. The government has been trying to get the people to pledge their organs campaign for this reason. Sad but the response is very poor. :(
Removal of kidney stone other than by surgery is by mean of a shock wave therapy. ESWL (Extracorporeal shock wave lithotripsy) is quite common now in practise. Most private hospitals have it. There is no need for operation. Looking at the condition of the patient at the moment, I doubt if he/she can withstand this treatment.
I hope that you are now better informed. Although I am a medical officer I do not profess to be up to date with the latest treatment out there but the above are the basic of what you need to know. Basically, we must treat the root cause of the problem which is the diabetic and hypertension. Once patient is stable, we can then discuss the various methods of intervention mentioned above. Until then, the mantra is prevention and rehabilitation first.
vBulletin v3.0.3, Copyright ©2000-2009, Jelsoft Enterprises Ltd.
