The brain is an issue that people pay attention to, but while people are paying attention to the brain, they should not forget to pay attention to the health of the cerebellum. Cerebellar obstruction is a common brain disease, which is often caused by aging and excessive use of the brain for a long time. For patients with cerebellar infarction, most of the capillaries in the brain are not active and blood vessel blockage often occurs. Cerebellar obstruction is a disease that often occurs in the head. Most of them need to cooperate with medical treatment measures to prevent the recurrence of cerebellar obstruction. In daily life, you should first do a good job of health care in terms of diet. Don't eat high-calorie, high-greasy food, but you must ensure the nutritional value, reduce colds, improve immunity, ensure smooth breathing, turn over in time when sleeping, and prevent pressure from staying in one posture for a long time. Prevention and health care (1) Dietary care. Patients should be given high-calorie, easily digestible liquid food; those who cannot swallow should be given nasogastric feeding. Nasogastric feeding food can be milk, rice soup, vegetable soup, meat soup and fruit juice, etc. In addition, milk, eggs, starch, vegetable juice, etc. can be mixed together to make a porridge-like mixed milk and fed to the patient through nasogastric feeding. The nasogastric feeding volume is 200~350 ml each time, 4~5 times a day. During nasogastric feeding, the patient's meals should be cleaned and disinfected. (2 ) Keep the respiratory tract open to prevent colds. Patients in long-term coma have low body resistance, so it is important to keep them warm to prevent them from catching a chill. No matter what lying position the patient takes, his face should be turned to one side to facilitate the drainage of respiratory secretions; when the patient has sputum or secretions and vomit in the mouth, it should be sucked out or picked out in time; every time the patient's position is turned over, gently tap the patient's back to prevent the occurrence of aspiration or aspiration pneumonia. ( 3) Prevent bedsores. The most fundamental way to prevent bedsores for comatose patients is to turn them over regularly, generally once every 2 to 3 hours. In addition, wet sheets, quilts and clothes should be replaced promptly. Now let me introduce: the method of turning over (taking placing the patient in the left side lying position as an example): the first step is for the family member to stand on the right side of the patient, first make the patient lie flat, and then flex the patient's lower limbs; the second step is for the family member to put the left arm under the patient's waist, the right arm under the patient's thigh, then lift the patient and move him to the right side (family member's side), then put the left hand under the patient's shoulder, the right hand under the waist, lift and move to the right side; the third step is to turn the patient's head, neck, and torso to the left at the same time, that is, the left side lying position; finally, put a pillow on the patient's back and head to support his turning position and make the patient comfortable. (4) Prevent burns. Patients in a long-term coma have poor peripheral circulation, and their hands and feet become colder in winter. When family members use hot water belts to warm the patient, they must be careful not to keep the temperature too high, generally below 50 degrees Celsius, to avoid burns. (5) Prevent constipation. Patients who are bedridden for a long time are prone to constipation. To prevent constipation, you can give them some bananas, honey and foods rich in fiber every day, and massage their abdomen every morning and evening. Those who have not had a bowel movement for 3 days should take laxatives such as Ma Ren Run Chang Wan or Da Huang Su Da Tablets. If necessary, enema can be used to help defecation. (6) Prevent urinary tract infections. If the patient can urinate on his own, the wet clothes, sheets and bedding should be changed promptly. If the patient needs a catheter to help urinate, pay attention to aseptic operation every time you clean the patient's urine bag, and the catheter should be replaced regularly. When helping the patient turn over, do not lift the urine bag higher than the patient's lying level to avoid urinary tract infection caused by urine reflux. |
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