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Essential tremor, also known as familial tremor, is a common family history disorder, according to statistics, about 60% of patients have a family history. Therefore, it is important to pay attention to essential tremor, especially if you have a family history. Let's take a look at what are the effective methods for essential tremor?
Essential tremor **Method 1: Surgery**: Surgery for essential tremor is suitable for five situations:
1. Diagnosed with essential essential tremor disease, without cerebellar and vertebral tract damage;
2. After comprehensive and complete drugs**, there is a definite curative effect but the curative effect is significantly reduced, or symptom fluctuations and dyskinesia appear;
3. The ability to take care of oneself is significantly reduced;
4. No obvious dementia and psychiatric symptoms, no obvious brain atrophy in CT and MRI examinations;
5. Be able to cooperate well with doctors during surgery.
Method 2 of essential tremor: ****.
Patients with essential tremor should actively participate in functional training, try their best to improve movement, balance, and coordination, and actively carry out speech training to try to improve or maintain their daily living ability and improve their quality of life. Family members should guide the patient to establish a good relationship with the outside world, give them warm care, and eliminate their depression.
Method 3 for essential tremor: Medication.
Generally, the drug should be decided according to the patient's age, the nature of the work, and the type of disease. Start with a small dose, slowly increase, individualized selection of the first plan, long-term medication to control the symptoms as the principle, but the first large.
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Common ways of Western medicine:
1.Western medicine oral**: anticholinergic drugs, such as anti-amphane, caimagine and other dopamine substitutes, such as levodopa, medopa, sinnema, o-yinting and other sedative drugs, propranol, almar, diazepam and other sedative drugs.
2.Surgery**: Brain pacemaker surgery (Note:
The domestic technology is immature, invasive surgery is in the head, the risk is large, there are many postoperative complications, such as: olfactory failure, headache, postoperative pacemaker equipment maintenance, replacement is very troublesome, the most important thing is that this surgery is mainly for the mid-term symptoms of Parkinson's disease such as starting, difficult to turn over, the effect is good, many tremor patients have not improved much after surgery, and the operation is not **sexual**) Chinese medicine**way:
1.Acupuncture, adjuvant ** mainly.
2.Massage, auxiliary ** mainly.
3.Oral administration of traditional Chinese medicine fundamentally regulates and dredges the dystrophy of the viscera, which is the ideal choice of traditional Chinese medicine (our).
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The exact condition of the disease remains unclear. It may be the result of a combination of peripheral spindle afferents and central autonomic oscillators. The ventro-intermediate nucleus (VIM) of the thalamus, a nucleus that receives proprioceptive afferents, may play a key role in the rhythmic burst firing activity of neurons, as confirmed by both neurophysiological recordings and stereotactic surgery.
PET studies with oxygen(15[O])-labeled CO2 showed selective bilateral cerebellum and inferior olive nucleus hypermetabolism. Functional magnetic resonance imaging (fMRI) showed increased activity in the contralateral cortical motor and sensory areas, globus pallidus, and thalamus, and hyperactivity in both dentate nuclei, cerebellar hemispheres, and red nucleus in both affected limbs. These suggestive tremors are a result of the cerebellar-olive nucleus circuit** in the thalamus and motor cortex-spinal pathways.
Because there are no specific changes in pathological anatomy, the location of the abnormally vibrating central nervous system "pacemaker" is unknown, so it is speculated that the central oscillator is enhanced or inhibited by peripheral reflexes that regulate the production and amplitude of tremor.
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The best way is traditional Chinese medicine.
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Red nucleus and midbrain tremor is a mixture of resting, postural, and intention tremor with a tremor frequency of 2 to 5 seconds. Usually caused by lesions near the red nucleus (stroke or trauma) that affect the striatum nigra and junction arm pathways on one side, resulting in tremor of the contralateral limb, often with other signs of brainstem and cerebellar lesions.
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It is recommended to use traditional Chinese medicine ** for comprehensive conditioning.
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What are the symptoms now?
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It is advisable to use traditional Chinese medicine** as the western open air can only provide temporary relief.
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TCM**, what's going on now.
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It is still the use of traditional Chinese medicine**, which is stable and reliable.
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You have to use traditional Chinese medicine**, you can try compound fibrillation.
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Essential tremor** is usually treated with two measures: one psychological** and the other drug**. Psychology is to face up to this reality first, not to be afraid of people knowing, so that the mood is calm.
In addition, it is necessary to live a regular life and avoid excitement and fatigue, which is good for the course of the disease. For some patients who need medication**, such as to stop fibrillation for certain jobs, they need to take medication. The dosage of medication can be taken according to the patient's condition, and the dosage can be low when the tremor is mild, or taken intermittently, and if it is severe, it should be taken continuously.
At the same time, you should also take some vitamin drugs, such as vitamin E and vitamin C, which have a protective and anti-aging effect on the nerves.
If the medication** is not ideal, or if it is very severe, surgery may also be considered**. Surgery** is the same as defibrillation in Parkinson's disease**. This disease can not be **, but through active and timely **, the disease can be controlled and the course of the disease can be delayed.
Elderly people with this disease should pay attention to doing some physical exercises as much as possible during the ** period, such as tai chi and gymnastics. In terms of diet, eat more anti-arteriosclerosis foods, such as vegetables, fruits, celery, onions, etc., which have the effect of lowering blood pressure and anti-blood lipids. High-fat, high-calorie, and high-sugar foods should be limited, especially fried foods should be eaten less.
Some patients can reduce their symptoms after drinking, but generally only last for 2 or 4 hours, and then the symptoms will worsen, so drinking alcohol can not ** this disease, but aggravate the symptoms, and should be strictly limited.
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After the appearance of essential tremor, people will have hand tremors, and it will be aggravated when the mental tension and attention are concentrated in the pure congratulations, and it will be reduced after drinking, essential tremor will affect people's normal life, so it must be timely**, but how does essential tremor work best?
Essential tremor symptoms disappear after drinking some liquor, and worsen when you are nervous. Commonly used essential tremor drugs**, propranolol and Almar are both first-line drugs, although they can effectively control tremor, but they can cause great damage to the body and liver over time. Surgical brain pacemaker**, the cost is about 210,000 yuan on both sides, and it is also one of the most advanced procedures in the world, but the risk is large, and it is necessary to continue to take medication after surgery.
For the elderly, who are deficient in qi and blood, nourish blood and quench wind, strengthen the spleen and early conceal qi, and invigorate blood circulation. "Qi is the handsome blood", which can not only produce blood, but also carry blood. Know how to change, and use it flexibly.
Lu Lao said that most of the syndrome types of senile tremor are wrong, and the specimens are both virtual and real. Therefore, the clinical classification should not be rigid, and its treatment method should be flexible.
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If there is an abnormality in the function of the thyroid gland that causes hyperthyroidism and tremor, drugs to control thyroid function are required;
If there is a nervous system problem that causes tremors, such as Parkinson's disease, anti-Parkinson's drugs are needed;
If the tremor is caused by poor liver function or kidney function, hepatoprotective and kidneyprotective drugs are required**;
Rarely, there is a familial genetic predisposition, and it can also be controlled with receptor blockers;
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**Tremor should be clear|The causes of tremor, the causes, the specifics, and the measures are as follows:
1. Idiopathic causes: common in middle-aged and elderly people, with a familial genetic tendency, in this case, receptor blockers can be given
propranolol or Almar, etc.**, if the effect is not good, primidone can be used**;
2. Parkinson's disease: Parkinson's disease drugs can be used, dopa and pramipexole, some young patients.
Cholinesterase drugs may be used;
3. Endocrine abnormalities: common in hyperthyroidism, at this time, it is necessary to use ** hyperthyroidism drugs.
Improvement of symptoms; 4. Cerebellar lesions: Cerebellar diseases need to improve symptoms.
1. Psychological counseling: Many patients who suffer from essential tremor in the early stage are very prone to collapse psychological defense, and many patients with essential tremor suffer from anxiety and depression, so at this time, the family must provide psychological counseling to them and do not put pressure on them. Whether it is a friend who has just fallen ill or has been ill for many years, you need to have confidence in yourself, first of all, you must face up to this reality, you can't be afraid of people knowing, so that you can calm down. >>>More
Nystagmus is mainly manifested as rhythmic eye swing that is not controlled by the human body when staring at the target with both eyes, and the patient himself cannot feel the nystagmus, but most of them feel dizziness, dare not open their eyes, dare not move, and in severe cases, they can be accompanied by nausea and vomiting, and can also be accompanied by other autonomic manifestations such as palpitation, cold sweat, and fatigue. In addition, according to the different **, other manifestations of brainstem cerebellar damage (such as unsteady walking, difficulty swallowing, choking on drinking water, limb weakness and numbness, etc.), inner ear involvement manifestations (such as tinnitus, ear fullness, etc.), and ocular manifestations (blurred vision, diplopia, etc.).
Hand trembling, leg trembling, whole body shaking, is a word shaking, you don't need compound tremor ** to shake, use it will be fine.
There are many causes of essential tremor, but there is no clear cause and may be related to the following factors: >>>More
1.Parkinson's disease is a degenerative disease of the central nervous system that occurs in middle age and above, mainly in the substantia nigra and striatum of the brain. The pathophysiological changes are dopaminergic neuronal degeneration in the substantia nigra, which leads to dopamine deficiency in the brain, causing a series of pathophysiological changes, among which the hyperexcitability of the subthalamic nucleus and the medial globus pallidus is an important feature of Parkinson's disease. >>>More