What is Parkinsonism? How Parkinsonism is manifested? How to treat Parkinsonism? Answers to these questions you will find in the article.
Content
Parkinsonism, manifestation of Parkinsonism
Under the term «Parkinsonison» Understand the ranks
diseases of the nervous system leaking with tremor. Distinguish
Parkinsonism primary or Parkinson's disease, and secondary, or
symptomatic. Secondary Parkinsonism can be due to
infectious, traumatic brain damage, infectious
or medicinal influences, as well as vascular or tumor
Diseases.
The main clinical manifestation of Parkinsonism
are tremor, rigidity and muscle refueling, small amplitude and «Standard» movements, as well as impaired muscle reflexes. One of them
The first manifestations is a violation of the handwriting - the size of the letters is reduced
and clarity of their writing. Join hymifia - decrease
expressiveness of the Mimici; The face becomes masculine, sometimes with
frozen grimace surprise or sadness. Significantly regenerate
blinking ages; it becomes insensitive and monotonous.
Gradually appears a feeling of stiffness in the whole body. Sick
for a long time can be in the poses, not possible for healthy
people, such as lying with a raised headband (symptom «Airbag»). Significantly changing gait. The first steps
Made with great strength, and then the patient moves small,
Seed marines, the pace of which gradually increases, patients as if «catch up» your own center of gravity. to stop him as well
difficult how to start moving. Can be observed
Paradoxical motor phenomena: so, patient who hardly
rises from the chair. can easily run up the stairs, or walk,
crossing over big obstacles. Temporary «Focula» and
Movement can occur under the influence of strong emotions as
Positive and negative - joy or fear.
Another important manifestation of Parkinsonism
Serves muscular rigidity. As the disease progresses, she
gradually increases, which is accompanied by the development of characteristic poses with
predominance of flexion of limbs and torso: neck bent. Golovan
tilted forward, hands bent in the elbow joints and are shown to
torso, the back of the ground and legs are slightly bent into the hip and
Knee joints. When trying to straighten the force of the hand or feet of the patient,
It feels the reinforced resistance in his muscles, how throughout
extension and bending. At the same time, the muscles are inflicted and bended as
would with small twitching, as on the gears - the so-called,
symptom «gear».
Another characteristic manifestation of Parkinsonism
is the Tremelor of the whole body, especially noticeable in his hands and head. Frequency
trembling in different parts of the body may be different, but on average - 4-8
oscillations per second. Usually tremor is more pronounced at rest and
significantly decreases when performing targeted movements.
Emotional tension and high attention usually enhance tremor.
Beginning from the fingers, he, as the disease progressing,
An Other muscle groups are spreading, capturing the lower jaw,
Language. Lower limbs.
Treatment Parkinsonism
In the treatment of Parkinsonism universal schemes
No. Therapeutic program for each patient should be individual,
However, a rationally selected treatment regimen will allow good
Results for a long time. Main preparations,
used in treatment are funds acting on various
Nervous Mediators - Acetylcholine, Dopamine. These include some
Groups of antidepressants, neuroleptics, cholinolithics. Previously
The surgical treatment of Parkinsonism (operations for
the destruction of the brain departments responsible for muscle rigidity and
tremor) in the present practically do not apply. This is explained
Pretty successful pharmacotherapy, the progress of which is in the last
years.
