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Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Cerebral Palsy Treatment
Brain Tumor Surgery
Electroconvulsive Therapy (Ect) Treatment
Surgery Of The Facial Nerve
Radiofrequency Neurotomy Procedure
Spine Surgery Treatment
Traumatic Brain Injury (Tbi) Treatment
Treatment of Traumatic Brain Injury (Tbi)
Assistive Walking Device Training
Vagus Nerve Stimulation ( Epilepsy )
Deep Brain Stimulation Procedure
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A lot of things can be done to cope with the initial stages of dementia. A person goes through a wide range of emotions such as fear, denial, frustration, and anger, post the diagnosis. Here is a list of tips that will help a patient with dementia to cope better:
- Physical health: For a dementia patient, it is very important to take care of one’s health. A good diet along with regular exercise and adequate rest is a prerequisite to manage this disorder.
- Regular check-ups: Regular medical check-ups with the doctor are necessary in this condition. Depression and other mental health problems should be discussed with a professional.
- Quit alcohol: Alcohol might give momentary pleasure from the misery, but it has long-standing implications. It reacts with the medicine and creates additional health and memory-related complications.
- Allocate time for difficult tasks: With time, it can become difficult to perform even the simplest of tasks. The patient should accordingly schedule the time to perform the tasks which may be difficult to carry out. Adequate breaks should be taken while performing a task to avoid getting fatigued.
- Redefine work: If a patient is suffering from dementia is still working, it should be ensured that the work is more manageable from a desk. Planning an early retirement may be a good idea in order to cope with dementia.
- Be organised: Keeping track of things can get difficult with time. It, therefore, makes sense to organise all belongings systematically. Putting labels on doors and drawers also help.
- Continue pursuing your hobbies: Amidst the difficulty and the depression, it is a good idea to continue doing things that are fun. While such activities might require some assistance from the doctor and family members, this helps the patient to be cheerful and healthy.
- Maintain notes: Since dementia is involved with forgetfulness, it makes sense to maintain a diary and keep records of phone numbers, people, appointments, etc.
- Communication channel: Maintaining a direct communication channel with family, friends, and relatives is a good idea. Sharing feelings will go a long way in maintaining relations with loved ones.
- Support group: Joining a dementia support group can be highly beneficial for the patient. It will not only give the patient company but also make sure that the patient gets a lot of useful information about the disorder. It also helps in keeping the morale up.
- Getting ready for the future: Things need to be meticulously planned well in advance to ensure that when the disease progresses, the patient has enough people to look after him. Things such as medical arrangements, financial assets, and property details should be carefully handed over as per the patient's wish. This will ensure a smooth run of the patients’ life when they can no longer take care of themselves.
In case you have a concern or query you can always consult an expert & get answers to your questions!
In Ayurveda, Insomnia is known as Anidra. According to the Ayurvedic perspective, the doshas (Ayurvedic humors) responsible for this disease are Tarpak Kapha, Sadhak Pitta or Prana Vata.
Tarpak Kapha is a sub-dosha of Kapha (Water). It nourishes the brain cells and facilitates a good night’s sleep. Imbalance of this dosha causes poor nourishment of brain cells, leading to Insomnia. Sadhak Pitta is a sub-dosha of Pitta (Fire) and is located in the heart. It controls emotions, desires, decisiveness, and spirituality. Its imbalance makes a person demanding and workaholic, thereby leading to situations that may cause lack of sleep. Prana Vata is a sub-dosha of Vata (Air). It is linked to insomnia, worry, anxiety, and problems like depression. Prana Vata makes the nervous system sensitive; this sensitive nervous system coupled with an aggravated Prana Vata lead to insomnia.
In each patient, different combinations of doshas can lead to the disease. The Ayurvedic treatment of Insomnia focuses on balancing the aggravated body energies through herbal medicines as well as customized diet and lifestyle plans. Besides that, relaxation of mind is also important part of the treatment.
Hi Sir, My mother was treated colon cancer a few years back. By now she is ok except her lower feet. She feels burning sensation every time and unable to keep her feet on floor. Please suggest some remedy.
Hi My father has Parkinson's. When I go to his room I get negative energy and anxiety Please tell me some ways to create positive energy in his room Please guide.
Traumatic brain injury (brain injury triggered by an external event such as a fall or a road accident) can be quite a harrowing experience for the patient and their loved ones. While most people recover from the injury, the duration and extent of recovery may vary from individual to individual.
Some patients may simply suffer from a temporary amnesia, while others may remain comatose for months. The recovery time and extent of neurological deficits in traumatic brain injury is determined by the severity and location of the brain injury. The traumatic brain injury can be
Open or closed
- Open injury: There is an opening up of the skin and other layers leading to direct contamination of the brain from external debris and the risk of brain infection is high in such a case.
- Closed injury: here, the brain is not contaminated, but the impact may cause various degrees of injury to parts of the brain.
Primary or secondary injury:
Primary injury: it is damage caused to the brain at the time of the injury. The damage can be
- A crack or fracture in the skull.
- Bleeding into the layers between skull and brain, like a EDH (Extra Dural Hematoma), SDH (Subdural Hematoma) or SAH (Sub-Arachnoid hemorrhage). These are potential emergencies, especially an EDH, where timely Neurosurgical intervention can decide between life and death.
- Due to violent shaking of the brain inside the skull cavity, there can be a damages to the entire brain including the axons and neurons without any visible hemorrhage on CT scans (Diffuse Axonal Injury). The outcome can be quiet unpredictable. It is dangerous if the brain starts swelling up excessively after a DAI.
- A person can also suffer from brain hemorrhages and contusions within the brain matter. Large contusions may need surgical evacuation to control brain pressure. Smaller ones are treated without surgery. Deep seated contusions towards the centre of the brain cause more morbidity even if small in size.
The secondary brain injury may develop gradually (within few hours or days from the primary brain injury), further aggravating the brain tissues. This is brought about by inflammation, altered blood supply, high brain pressure, brain edema or swelling, and programmed cell death. Sometimes, even though the primary insult is small, patients may succumb due to secondary injuries which are highly unpredictable and difficult to treat.
Estimating the extent of the brain damage
The damage inflicted to the brain is assessed by the combined assessment of the following:
1. The mode of injury, especially velocity of impact.
2. How long the person has been unconscious.
3. How bad are the visible external injuries. Is it an open or closed injury?
4. Whether there was any convulsions, vomiting, ear or nose bleeding?
5. Assessment of eye opening, verbal response and movement. This is assessed and recorded by the GCS (Glasgow coma scale).A score of 15 implies the person is fully conscious, a score of 9 indicates the person is in a semi-alert state, while a score of 3 indicates a deep state of coma.
6. Brain imaging through CT or MRI. This gives a more direct information about the physical damages to the brain, and guides the decision about Neurosurgical intervention.
Treatment of traumatic brain injury:
- Medical : medicines are administered to control brain pressure and limit the secondary injuries. It also attempts to control events like convulsions and infections.
- Surgical: surgery becomes necessary when there are depressed fractures impinging into the brain, or large hematoma or brain swelling causing rise of brain pressure or a shift of the brain to one side. Other indications are uncontrolled CSF (cerebrospinal fluid) leakage from nose. Sometimes shunts need to be put to drain out CSF in hydrocephalus (accumulation of excess water in the brain ventricles). During surgery, parts of the skull may need to be removed (Craniectomy) temporarily to allow brain expansion and control brain pressure.
- Accessory surgeries: smaller procedures like a tracheostomy (bypass of the windpipe) or PEG (stomach tube) may need to be done for long term care in comatose patients.
- Rehabilitation: tireless care by nursing and physiotherapy are necessary to help patients recover faster and avoid complications like bed sore, deep vein thrombosis, spasticity and weakness of limbs.
- Recovery: Recovery from traumatic brain injury may be time taking (weeks, months to even years). In addition to the initial treatment and medications, patients may need Brain Injury Rehabilitation. The rehabilitation aims at enabling the person to lead a normal life as early as possible. There are medications, activities, and exercises to improve one's cognitive power.
In case you have a concern or query you can always consult an expert & get answers to your questions!