What is Parkinson s disease? What regimen and medication is best to use? 20

Kinson's disease is a common neurological disorder in life, mainly affecting middle-aged and elderly people, and most of them occur after the age of 60. Its symptoms are involuntary tremor of the hand, head or mouth at rest, muscle stiffness, slow movement and postural balance disorders, resulting in inability to take care of oneself. The first to systematically describe the disease was Dr. James Parkinson, a British internist.

Generally, the symptoms of early patients are relatively mild, only occasional hand tremors and slow movements, and there is no major impact on life. If the condition is not very severe, you can delay the medication** appropriately, and when the condition is further aggravated, you can consult the doctor for medication** as appropriate. In the initial period, the patient's psychology needs to be channeled in time, and the patient's psychology should not be particularly abnormal because of the disease, and he should face life negatively.

Patients with intermediate-stage Parkinson's disease must rely on medications to improve their symptoms in order to improve their quality of life. Because after three to five years of the drug, there will be a bottleneck period, and the drug effect is not as good as before, therefore, according to the severity of the disease, the dosage should be increased or decreased appropriately to maintain a longer drug effect and delay the onset time.

With the development of the disease, advanced patients may have difficulty swallowing and urinating, and most of the advanced patients have lost their mobility and have been bedridden for a long time, which can easily cause mattresses, lung infections, urinary tract infections, etc. This requires that the care of Parkinson's patients must be careful and patient to prevent the occurrence of various other diseases caused by Parkinson's disease.

Parkinson's disease, also known as "tremor paralysis", was developed by the British doctor James Brown, who first studied the disease. Parkinson's is a neurodegenerative disease commonly seen in middle-aged and older age, characterized by degeneration of dopaminergic neurons in the substantia nigra.

Currently, there are several types of drugs for Parkinson's disease:

1) Levodopa: such as medopa, xining.

2) Anticholinergic drugs: such as Antan.

3) Antihistamines: such as diphenhydramine.

4) Amantadine.

5) Dopamine receptor agonists: such as Xieliangxing, bromocript.

6) Type B monoamine oxidase inhibitors: such as Shu Zhenning, Silanjilin.

7) Catecholamine oxymethyltransferase inhibitors.

8) Neurotrophic agents.

1) Drug ** method. Traditional Chinese medicine has different advantages over Western medicine for Parkinson's disease and Parkinson's disease. One is that the toxicity of the drug is small or none; second, the efficacy is solid and consolidated; the third is the combination of symptomatic and cure, focusing on the overall regulation and local symptoms; Fourth, it attaches importance to dialectical argumentation, emphasizing both universality and individual differences.

Traditional Chinese medicine can be used in the early stage**, and a combination of traditional Chinese and Western medicine can be adopted in the middle and late stages**. Either method is a long-term process of perseverance, which requires the patience of the family and the perseverance of the patient. 2) Functional ** training method:

Functional** Exercise method. Example: Face.

Because the facial muscles are stiff and the expression is dull, it is beneficial to do some necessary facial movements and exercises. Frown as much as you can, then raise your eyebrows vigorously and repeat many times; Forcefully puff up your cheeks, then inhale them again; Expose your teeth as much as possible, then whistle and repeat as many times as possible. Smiling, laughing, grinning, pouting, whistling, puffing out cheeks, etc., in front of the mirror; Grit your teeth vigorously and repeat many times. Hands.

Frequently straighten the metacarpophalangeal joints, flatten the palms, grasp the fingers of the other hand with one hand, and press towards the back of the hand to prevent metacarpophalangeal joint deformity; Place the palm of your hand on the table, try to make your fingers touch the table, separate and merge the movements, and repeat the movements of the fingers to prevent the deformity of the finger joints. Lower limbs. Stand with your legs slightly apart, knees slightly bent, bent down, and your hands touching the ground as much as possible. Hold the wall with your left hand, grab your right foot with your right hand and pull it back for a few seconds, then repeat the action with the other lower limb; Gait.

Look straight ahead with your eyes, stand upright, raise your toes as high as possible at the start, first touch the ground with your feet, then touch your toes, stride slowly and widely, and swing your upper limbs back and forth as much as possible when walking. It is best to have someone present during the workout, so that abnormal posture can be reminded and corrected at any time. Balance Exercise Spread your feet 25-30 cm apart, move your center of gravity to the left, right, back and forth, and maintain your balance.

The torso and pelvis rotate from side to side and make the upper limbs swing with it.

Among the various methods of Parkinson's disease, drugs are still the most effective. In the history of drugs, it is necessary to pay attention to the following points: 1. Master the time of medication, no special ** is required in the early stage of the disease, patients should be encouraged to carry out moderate activities, such as physical exercise, and if the disease affects the patient's daily life and work ability, drugs can be carried out.

2. Adhere to the principle of fine water and long-term flow, not seeking full effect. 3. The principle of low and slow, that is, to maintain a low dose as much as possible, and increase the dose slowly. Fourth, emphasize individualization.

Drugs are the most important methods of Parkinson's disease, which can improve clinical symptoms by maintaining the balance of acetylcholine and dopamine in the striatum, and the common drugs are as follows: 1. Anticholinergics, which are effective for tremor and muscle rigidity, and have poor efficacy on bradykinesia. 2. Amantadine can promote the release of dopamine from nerve endings and reduce the reuptake of dopamine, which can improve the symptoms of tremor, muscle rigidity and bradykinesia in Parkinson's disease.

3. Dopamine substitution, which can supplement the deficiency of dopamine in the striatum nigra, is the most important method for Parkinson's disease. Since dopamine cannot penetrate the blood-brain barrier and is substituted**, the precursor levodopa is supplemented, and when levodopa enters the brain and is taken up by dopamine cyst neurons, it is decarboxylated and converted to dopamine. Levodopa improves all clinical symptoms in patients with Parkinson's disease, starting at low doses.

Parkinson's disease is currently no effective means to **, can only improve the symptoms through drugs, improve the quality of life, it is recommended that patients usually pay attention to monitoring blood pressure, as far as possible low-salt and low-fat diet, generally preferred drugs for ** currently there is no specific drug **, can not reverse the condition, once the disease starts the overall continuous progression and aggravation process, but can be delayed through drugs, reduce the patient's symptoms, improve the quality of life. Commonly used drugs include medopa, pramipexole, piribedil, selegiline, amantadine, trihexyphenidyl, codan, entocapone, etc., once Parkinson's disease is diagnosed, it is necessary to take regular drugs as soon as possible**, and some patients will also be accompanied by limb tremors. Once Parkinson's syndrome appears, symptomatic treatment can be carried out with medopa drugs first, but only to improve the patient's symptoms, some patients may be due to vascular disease Parkinson's syndrome, can be carried out to improve the patient's symptoms.

1.Parkinson's disease can be modified by moderate activity and physical activity in the morning.

2.If the disease interferes with the patient's daily life and work, medication is required. Common Medications:

1) Anticholinergic drugs, which are indicated in younger patients with prominent tremor (2) Amantadine, which can improve motor symptoms, such as decreased movement, increased muscle tone, and tremor.

3.Deep brain shock** can also improve symptoms.

4., life training and guidance on the patient's language, eating, and walking.

I hope my answers can help you, and if you still have questions, you can continue to ask them, and I wish you a happy life.

1. It can be caused by cerebrovascular disease, that is, multiple cerebral infarction, hypotensive shock and arteriosclerosis, which can cause Parkinsonism. In addition to the use of anti-Parkinson's drugs, such as medopa, pramipexole, etc., oral niergoline, brain rehabilitation tablets, oxiracetam, idebenone and other drugs are also needed. To **cerebrovascular disease, in addition to**Parkinson's, it is necessary to **its risk factors and**.

Parkinsonism can also be caused by infections, such as encephalitis or lentiviral infections that cause parkinsonism, to be active **encephalitis. Post-encephalitis parkinsonism can occur in adults before the age of 40, after a history of encephalitis such as fever, convulsions, and impaired consciousness, typical parkinsonism syndrome appears, and the symptoms become more and more severe, and the anti-Parkinson's drugs ** are not very effective. In addition, there is another kind of drug-induced, such as the patient has mental abnormalities, mental illness, oral antipsychotic drugs, such as trifluoperazine, fluphenazine, chlorpromazine, etc., these drugs will appear parkinsonism after eating.

Generally, the first thing to control is the dose of antipsychotic drugs, which can easily cause this aspect. In addition, if the antipsychotic medication cannot be stopped, it must be taken consistently, and symptomatic drugs, such as antipsychotic drugs, can be used at the same time as oral ampantan, which can reduce the occurrence and symptoms of Parkinsonism.

Parkinson's disease is a chronic disease of old age, and the best way to do it is to take medicinal drugs to suppress and control it.

If it's a syndrome, you have to go to the hospital and go through the relevant examinations to get better**.