What is Parkinson's

Content

  • Parkinsonism, a manifestation of parkinsonism
  • Parkinson's Treatment



  • Parkinsonism, a manifestation of parkinsonism

    The term "parkinsonism" refers to a number of
    diseases of the nervous system that occur with tremor. Distinguish
    primary parkinsonism or Parkinson's disease, and secondary, or
    symptomatic. Secondary Parkinsonism may be caused by
    infectious, traumatic brain injury, infectious
    or medicinal effects, as well as tumor or vascular
    diseases.

    What is Parkinson's
    The main clinical manifestations of Parkinson's disease
    They are tremor, rigidity and stiffness of muscles, small amplitude and "stiffness" movements, as well as violation of the muscle reflexes. One of their
    the first manifestations of a violation of handwriting - decreases the size of the letters
    and the clarity of their writing. Joins gipomimiya - reduction
    expressive facial expressions; the face becomes masklike, sometimes with
    frozen grimace of surprise or sadness. significantly slows
    nictitating eyelids movement; speech becomes indistinct and monotonous.
    Gradually a feeling of stiffness in the whole body. Sick
    long period of time may be in positions, not for physically challenged
    people, such as lying on a pillow with a raised head (symptom of "air cushion"). Significantly changing gait. First steps
    made with great effort, and then the patient is moving fine,
    mincing steps, which gradually increases the pace, be patient as the "catching up" its own center of gravity. stop it as well
    difficult, as well as to start moving. This may occur
    motor paradoxical phenomena: for example, a patient who barely
    rising from his chair. can easily run up the stairs, or walking,
    stepping over large obstacles. Temporary "disinhibition" and
    facilitating movement can occur under the influence of strong emotions as
    positive and negative - of joy or fear.

    Another important manifestation of Parkinson's disease
    It serves as muscular rigidity. As the progression of her disease
    gradually increases, which is accompanied by the development of a characteristic pose with
    predominance of flexion of limbs and trunk: neck bent. GOLOVAN
    bent forward, arms bent at the elbows and brought to
    torso, back hunched and legs slightly bent at the hip and
    knee joints. If you try to straighten the power of arms or legs of the patient,
    increased resistance felt his muscles as throughout
    extension and flexion. At the same muscles unbent and bent like
    to a small jerks as the gear - the so-called,
    symptom of "gear".

    Another characteristic manifestation of Parkinson's disease
    a tremor of the whole body, particularly noticeable in the hands and head. Frequency
    shake in different parts of the body may be different, but on average - 4-8
    oscillations per second. Usually more pronounced tremor at rest and
    markedly reduced when performing purposeful movements.
    Emotional stress and attention tend to increase the tremor.
    Beginning with the hands, fingers, he, as the disease progresses,
    It extends an other muscle groups, gripping the lower jaw,
    tongue, lips. lower limbs.



    Treatment parkinsonism

    In the treatment of Parkinson's universal schemes
    no. The treatment program for each patient should be individualized,
    however, rationally selected regimen will ensure good
    results for a long time. The main drugs,
    used in the treatment agent is operating on the different
    neural mediators - acetylcholine, dopamine. These include some
    the group of antidepressants, neuroleptics, anticholinergics. earlier
    surgical treatment of Parkinson's disease (surgery
    destruction of the brain responsible for muscle rigidity and
    tremor), this hardly applies. The reason is
    quite successful pharmacotherapy, where progress has been made in recent
    years.

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