You need to drink more. A geriatrician gives advice on how older people can survive the heat

Issues discussed in the material:

• What are the reasons for memory deterioration in old age?
• What are some brain medications for the elderly?
• What vitamins to take to improve memory for the elderly
• How Brain Medicines for the Elderly Help Improve Memory

Older people often exhibit age-related changes caused by malnutrition of brain cells, vascular atherosclerosis and the negative impact of hypoxia on brain function. Old people often complain about poor memory: they do not remember both recent events and a number of episodes from the past. Upon reaching the age of 50, in order to prevent such problems, it is recommended to take certain medications for the brain for the elderly and take courses of vitamins.

Phenylpiracetam

Phenylpiracetam is one of the most effective nootropic drugs with noticeable psychostimulating, anticonvulsant, and neuromodulatory effects. For older people, it is important to use the drug as part of complex therapy for diseases of the central nervous system, which are associated with deterioration of intellectual and mental functions: the ability to concentrate, remember, and learn. Can be used as a prophylaxis against hypoxia in diseases of the heart or respiratory system. Slows down the decline in psychomotor activity, reduces lethargy and increased exhaustion.

Coluracetam

999 rub.

Phenylpiracetam should be taken with caution by people suffering from kidney disease, atherosclerosis and arterial hypertension.

Advice from Dr. Runikhina

• Carefully monitor how much fluid you drink. For those who live alone and are not confident in their memory, you can use the same principle as with medicines that are put in a pill box for the day: in the morning, pour water into a 1.5-2 liter bottle or carafe, put it on the table and drink during the day. It is important to drink not only water - fruit drinks, compotes, mineral water, tea are suitable.
• The best diet in the heat is a light dairy-vegetable diet. Vegetables, fruits, all kinds of smoothies, dairy products, low-fat kefir or kefir diluted with water, low-fat cottage cheese. This will provide the body with vitamins, minerals, fiber and protein. It is better to eat little by little and have small snacks more often.
• Reduce physical activity. Don't even try to work in the garden. However, you cannot lie down all day. You need to get up and walk. You can go outside and sit or take a walk in the shade, in a park, next to a fountain or pond.
• You should not swim in open water in hot weather. Due to the large difference in air and water temperatures, there is a risk of developing vasospasm and , as a result, a heart attack.
• Elderly people should be careful in the open sun - only wear a hat, be sure to use sunglasses, and cover exposed skin with light-colored clothing. The risk of skin damage and the development of cancer under the influence of ultraviolet radiation in older people is very high.
• Take water treatments at home as often as possible. This will refresh and prevent skin diseases.

When to see a doctor immediately

• In case of a fall, even if there is no visible damage or injury.
• If there is chest pain, shortness of breath.
• If there is asymmetrical weakness in the arms and legs , it is difficult for you to speak, speech has become slurred and unintelligible.
• If a person behaves differently than usual: he becomes very sleepy, starts talking, repeats the same thing (possible symptoms of brain ).
• Nausea and vomiting do not go away

DMAE

DMAE is a naturally occurring molecule found in fish. Human studies since the 70s have shown that taking DMAE increases life expectancy.

DMAE is a precursor to the memory molecule acetylcholine and the molecule that is part of cell membranes, phosphatidylethanolamine.

Additional intake of the supplement improves memory functions and increases the “fluidity” of cell membranes. For example, this makes it easier for red blood cells to bend when passing through small capillaries.

DMAE is an antioxidant and is capable of removing the “aging pigment” lipofuscin that accumulates in cells, which interferes with the normal functioning of cells.

DMAE

399 rub.

"Glycine"

The drug is available in tablet form. "Glycine" has a number of pharmacological actions, which include:

1. Improved mood.
2. Reducing psycho-emotional stress and irritability.
3. Improving sleep and its duration makes it easier to fall asleep.
4. Increasing mental performance.
5. Memory improvement.
6. Reducing autonomic disorders.

Herbal nootropics for the elderly

A huge variety of plants have nootropic properties. This was known earlier, but until recently it had no confirmation at the level of scientific research.

Nootropic drugs of natural origin have a gentler effect on the body. That is why they are recommended for use in the case of a large number of contraindications that make the use of racetams undesirable.

Herbal nootropics from Mr.Lt. Nootropics comes in two forms: tablets and powder. The cost of drugs in powder form is significantly lower than that of existing pharmacy analogues.

Alternative ways to improve brain function and memory for seniors

Along with drug therapy, it is recommended to use other methods of improving memory; the complex effect of treatment will be more effective.

It is necessary to pay attention to your diet, exercise, and, if possible, create an environment of comfort and tranquility around yourself. Of great importance is the organization of an adequate amount of night sleep and walks in the fresh air.

To train your memory you need to: read a lot (with the obligatory retelling of what you read), learn poetry, foreign languages, learn to play musical instruments, you can master any of the existing types of mnemonics, pay attention to studying the details of the surrounding world.

1. Proper nutrition.

In old age, nutrition plays a huge role in maintaining brain function.

It is necessary to eat simple and healthy foods for brain function that contain all the necessary microelements and vitamins: groups B and C, E, K, as well as Omega-3 fatty acids, antioxidants, selenium, boron, phosphorus, iodine. The diet should include:

• fruits;
• beef, liver;
• sea ​​fish;
• vegetables;
• nuts;
• dairy products;
• olive oil;
• honey.

2. Physical activity.

Constant moderate physical activity has a healing effect on the entire body, including the functioning of the brain. Regular exercise activates blood circulation, so the brain is better supplied with nutrients. Swimming, Nordic walking, and walking have a beneficial effect on memory.

It is better to first consult with your doctor to find out if there are any contraindications and determine which set of exercises will be optimal.

3. Healthy environment.

It is very important in what environment an elderly person lives: the preservation of cognitive functions of the brain directly depends on this. Being under constant stress impairs memory, attention, etc., so retirees need to protect themselves from nervous tension.

To do this, you need to, if possible, eliminate the causes of stress (disturbing information, scandals, etc.) from your life. A calm and friendly environment will be the key to a speedy recovery.

Ginkgo biloba

Ginkgo biloba is the most famous herbal nootropic in our area. It is often prescribed for problems associated with poor circulation of the brain and tinnitus.

Ginkgo extract normalizes dopamine levels and reduces the level of cortisol, the slow stress hormone.

Ginkgo biloba contains the substance quercetin in large quantities. Research confirms its high antioxidant effect, neuroprotective and anti-inflammatory effects. Taking the drug also helps reduce blood pressure in hypertensive patients.

Ginkgo biloba

329 rub.

In fact, the effects of Ginkgo biloba on people over 40 can be described as:

• reducing the likelihood of developing cardiovascular diseases,
• weakening of weather sensitivity,
• elimination of periodic headaches, if they were associated with spasms of the vessels of the meninges,
• General increase in tone, cheerfulness and subjective feeling of well-being.

As an additional supplement, taking ginkgo is effective in the treatment of atherosclerosis, diabetic nephropathy, and glaucoma. There are positive data on use for multiple sclerosis, senile dementia, and tardive dyskinesia.

What causes memory impairment?

There are several reasons for the development of this disease in people of retirement age:

1. Deterioration of part of the limbic system of the brain.
2. A decrease in proteins and hormones in the body that protect and regenerate brain cells and activate the formation of neural connections.
3. Decreased blood flow to the brain, which has a detrimental effect on memory and other cognitive skills of a person.

In order to distinguish between simple forgetfulness and the onset of an incipient illness, it is necessary to consult a doctor in time.

Gotu kola

This little-known plant in the CIS countries has remarkable effects: it has an anti-inflammatory effect and has a positive effect on joint health.

Drinking gotu kola improves the condition of the skin, accelerates the healing of wounds and burns, and strengthens joints and ligaments. In addition, the extract has nootropic effects: promotes brain restoration after injuries, strokes, stress; reduces anxiety and other symptoms of depression.

Gotu Kola + Ginkgo biloba

399 rub.

"Phenibut"

A nootropic that has tranquilizing, anticonvulsant and antioxidant effects. Medicine is prescribed for memory loss in older people. The drug is produced in tablet form and is prescribed to adults and adolescents over fourteen years of age to eliminate the following conditions:

1. Apathy (a symptom expressed in indifference, indifference, a detached attitude towards what is happening around, in the absence of desire for any activity).
2. Fatigue.
3. Fatigue.
4. Migraines (a neurological disease, the most common and characteristic symptom of which is episodic or regular severe pain in the head).
5. Sleep disturbance.
6. Urinary incontinence in adolescents.
7. Meniere's disease (a non-inflammatory disease of the inner ear, manifested by repeated attacks of labyrinthine vertigo, noise in the affected ear and progressive hearing loss).
8. Dizziness.
9. Stuttering.
10. Nervous tic (a pathological condition characterized by the appearance of sudden and repeated jerky movements of certain muscle groups).
11. Alcohol withdrawal syndrome (a complex of pathological symptoms that occur in alcoholics when they stop drinking alcohol).

"Phenotropil"

The drug has the ability to increase blood flow during hypoxia, as well as improve the energy potential of neurons.

The medicine is prescribed to people for oral use to eliminate the following pathological processes:

1. Diseases of the central nervous system, which are accompanied by impaired psychomotor reactions.
2. Neurotic conditions.
3. Loss of sleep.
4. Memory impairment.
5. Prolonged mild depression.
6. Cramps.

"Phenotropil" is an effective medicine for memory sclerosis for older people.

What to do if you encounter a person during an outburst of aggression

If you are faced with inadequacy, then you should adhere to simple rules:

• Do not enter into any disputes with the aggressor.
• Speak to him in a friendly, quiet and reassuring manner.
• Maintain a calm appearance, do not shout, do not run, do not turn your back to him.
• Try not to let such a person get close.
• At the first opportunity, try to leave (run away), or call other people for help.

Have you noticed that you or someone close to you is beginning to experience attacks of aggression? Remember that the sooner you seek help, the less time it will take to correct your behavior. Call and sign up for a consultation - we will definitely help you!

How is aggressiveness diagnosed in medical care?

The need for treatment of this mental disorder is determined only by a specialist - a psychiatrist.

To do this, it is necessary to conduct a comprehensive examination, including:

• inspection;
• survey;
• conversation;
• psychological tests;
• observation.

A psychologist takes part in solving the diagnostic problem, and, if necessary, doctors of other profiles - a neurologist, an endocrinologist, a pediatrician. Some cases require hospitalization of the patient.

Diet for cerebral atherosclerosis

For atherosclerosis, table No. 10C according to Pevzner is prescribed. Basic principles:

• Reducing calories;
• Reducing the consumption of fats and easily digestible carbohydrates;
• Cooking food by boiling or steaming;
• Refusal of salt when preparing dishes;
• Small meals 5 times a day.

There are two diet options: for patients with normal weight and for overweight patients.

1st option. Patients with normal weight.

• Proteins - 90-100 g
• Fats - 80 g
• Carbohydrates - 350 g, of which up to 50 g sugar
• Calorie content - 2300-2500 kcal per day.

2nd option. Obese patients.

• Proteins - 80-90 g
• Fats - 70 g
• Carbohydrates - 250-300 g, sugar excluded
• Calorie content - 1800-2100 kcal per day.

Calorie standards are arbitrary. Adjustments are possible depending on gender, age and physical activity.

Some of the suitable products:

• From flour: rye bread, wheat bread with bran, grain bread.
• From cereals: oatmeal, rye, buckwheat, millet in the form of porridges. Limited - rice, semolina.
• Meat: chicken, turkey, boiled rabbit, lean beef.
• From fish: lean fish, boiled and baked.
• From dairy: kefir, yogurt, milk and cottage cheese with a low percentage of fat, plant analogues of milk.
• From eggs: steamed omelet.
• Vegetables: carrots, cabbage, zucchini, cucumbers.
• From fruits and berries: any, except very sweet ones.
• Drinks: green tea, chicory, carob, plant-based “milk” drinks.

The absence of a product on the list does not mean that it should not be consumed.

Prohibited products:

• Fatty meat and fish;
• Fried foods;
• Pickles and salty foods in principle;
• Smoked;
• Hot herbs and spices;
• Grape;
• Strong coffee;
• Chocolate, candies and other sweet products;
• Butter pastries;
• Honey, molasses, preserves and marmalade;
• Radish, radish, spinach;
• Juices containing sugar.

One of the menu options:

• First breakfast: oatmeal with water, low-fat cottage cheese, tea.
• Second breakfast: banana or apple.
• Lunch: lean cabbage soup with a piece of rye bread, steamed turkey cutlet.
• Afternoon snack: a glass of kefir.
• Dinner: chicken fillet, stewed cauliflower with green peas, fresh vegetable salad.

Specialists at the Yusupov Hospital create an individual menu for each patient, taking into account taste preferences. During their stay in the hospital, patients receive meals prepared by professional chefs with experience working in private hospitals in Europe.

Surgical intervention

Not all patients with atherosclerosis need surgery. Indications:

• Suffered a transient ischemic attack in the last 6 months;
• An ischemic stroke in the last 6 months;
• Stenosis of the internal carotid artery.

Carotid endarterectomy

Surgical intervention with high efficiency. Its essence is the removal of the inner layer of a vessel with an atherosclerotic plaque. The goal is to improve blood circulation and prevent stroke.

Before surgery, be sure to check the patient’s reaction to the cessation of blood flow through the internal carotid artery.

The operation is performed under local anesthesia or general anesthesia. The choice of pain relief depends on the patient's condition.

There are two options for the operation: classic and eversion, with the artery everting outward. For the patient there is no fundamental difference. Surgeons choose one or another tactic during the operation.

The main stages of classical endarterectomy:

• A skin incision is made from the ear and mastoid process to the middle of the neck;
• Subcutaneous fat, subcutaneous muscle, and fascia are cut layer by layer;
• The internal jugular vein is isolated, crossed and ligated;
• The common carotid artery is isolated;
• The common, internal and external carotid arteries are clamped;
• The internal carotid artery is cut;
• The plaque with the inner and middle walls is separated;
• Control the attachment of the inner layers of the vessel in undamaged areas;
• The arterial incision is closed;
• Remove the clamps from the vessels;
• Sutures are placed on the muscles and skin.

Extra-intracranial vascular microanastomosis (EICMA)

Indication: complete blockage of the internal carotid artery.

The essence of the operation is to create a communication between the intracranial artery and the external carotid artery.

As a result, blood bypasses the blockage of the internal carotid artery.

Carotid artery stenting

Indication: the patient has a high risk of complications after endarterectomy.

The essence of the operation is to install a stent into the artery, which expands its lumen.

The operation is minimally invasive and does not require anesthesia. A puncture is made in the femoral artery, a catheter with a stent is inserted into it, which reaches the internal carotid artery and “opens” like an umbrella. The lumen of the artery expands, and the blood supply to the brain is normalized.

Opinions

According to reviews, when choosing a memory medication for older people, it is important to take into account that in order to avoid incorrect therapy, you must first visit a medical specialist to make a diagnosis.

As a rule, when memory deteriorates, doctors prescribe nootropic medications, and Noopept is considered one of the modern medications in this group. This medicine differs markedly from its substitutes in its excellent tolerability, as well as its mild and long-lasting effect and safety. The drug is not addictive, has no toxic effect, and can be combined with other medications in combination treatment.

This medicine for memory can be used by older people not only in the presence of serious neurological diseases, but also in cases of deterioration of attention as a result of stress and insomnia.

According to reviews from medical specialists, we can come to the conclusion that Noopept, Cinnarizine, and Phenotropil are considered one of the most effective and safe drugs today. These medications help improve cognitive functions (attention, memory).

In addition, the drugs eliminate anxiety, irritability, and also have vegetotropic and antiasthenic effects. A noticeable positive effect occurs approximately fourteen days after starting to use the medication.

Picamilon and its analogues

To improve brain activity and restore cognitive functions, there are inexpensive but very effective tablets - Picamilon.

Contains sodium salt of gamma-aminobutyric acid. This substance is a powerful nootropic, but, unlike the remedies described above, it additionally dilates cerebral vessels.

Picamilon has a psychostimulant and tranquilizing effect, so it is taken when brain function deteriorates.

After taking the tablets, they normalize metabolism in the nervous tissue and significantly improve the speed of cerebral blood flow and vascular resistance. Also, when taking the drug, the risk of thrombosis is reduced, because it thins the blood. The medicine helps you sleep better, eliminates headaches, feelings of fear, and tension.

Over-the-counter sleeping pills do not have strict contraindications and can be used independently for sleep disorders. Stressful situations often cause a person to suffer from insomnia. Read more in the article: “names of sleeping pills without a prescription.”

If a patient has speech or memory impairments, Picamilon will definitely help him, the treatment standards are as follows:

Advertising:

• drink 20-50 mg three times a day, therapy does not depend on food intake;
• course of treatment - 30-60 days;
• The course must be repeated after 5-6 months.

The medicine is contraindicated in children under 3 years of age, nursing mothers, pregnant women, and severe renal failure. The price of the medicine is 150 rubles. There are a number of analogues of Picamilon in pharmacies - Amylonosar, Pikogam, Picanoil, Aminalon.