-
According to a report on the epidemiological study of Parkinson's disease in China, the total number of people suffering from Parkinson's disease in China has reached 1.72 million, and the prevalence of Parkinson's disease in people over 55 years old is nearly 1. However, people with Parkinson's disease confuse some of the early symptoms of Parkinson's disease with normal aging of bodily functions, and as a result, the timing is delayed.
1. Diagnostic criteria for Parkinson's disease.
1) Clinical manifestations: Most patients with Parkinson's disease develop after the age of 60, and occasionally those in their 20s develop the disease. The onset is mostly insidious, with a slow development and gradual worsening.
The main manifestations are: tremor (often the first symptom), muscle rigidity, bradykinesia, abnormal posture and gait, and dyskinesia of the mouth, pharynx, and palatine muscles.
2) Ancillary examination: High performance liquid chromatography (HPLC) can detect the decrease in HVA (homovanillic acid) content in cerebrospinal fluid and urine. CT of the brain may show sulci widening and ventricular enlargement.
3) Exclude Parkinson's disease caused by encephalitis, cerebrovascular disease, poisoning, trauma, etc., and distinguish it from hysteria, catatonic and senile tremor.
Diagnosis is based primarily on typical symptoms, and sometimes identification is difficult with the help of ancillary tests.
-
If the symptoms of Parkinson's disease are still in the early stages, it is necessary to improve the clinical symptoms and use drugs to slow the progression of the disease. In the early stages, resting tremor and slow motion are often the main manifestations. If it is an elderly patient, dopa preparations can be used early, and dopa serazide is commonly used at present, which has an improving effect on tremor and slow motion.
If young patients or elderly patients do not have good efficacy with the above drugs, they can also use pramipexole, ropinirole and other drugs, which generally act on dopamine receptors, can increase the content of dopamine in plasma or brain, reduce the degradation of dopamine, and play a leading role. In order to delay the progression of the disease, idebenone, citicoline, nicergoline, vitamin E, coenzyme Q10 and other drugs can also be used regularly to reduce the probability of disability, improve life function, and delay the time spent in bed.
-
Drugs**. Levodopa is a metabolic precursor of dopamine, which can pass through the blood-brain barrier, enter the basal ganglia and be decarboxylated into dopamine, which plays a role in supplementing the deficiency of dopamine neurotransmitters. Although tremor is often reduced, bradykinesia and rigidity improve most significantly.
Patients with milder symptoms can return to near-normal activities, while bedridden patients can get off the ground. In combination with the peripheral decarboxylase inhibitor carbidopa, the dose of levodopa can be reduced, as the degradation metabolism of the latter is blocked, reducing adverse effects.
-
In the elderly, some insomnia, anxiety, and depression may also be an early manifestation of Parkinson's. The elderly have insomnia, anxiety, and depression to actively intervene and actively alleviate it, perhaps this is the early manifestation of slow section inspection of STD, and the occurrence of the disease can be delayed by active alleviation.
There is also constipation and stubborn constipation in the elderly, which is sometimes related to Parkinson's.
Parkinson's disease has resting tremor, slow movements are already in the middle and late stages of the disease, and patients will have some unexplained stool difficulties, dry stools, and constipation about 10 years before the appearance of slow movements and hand tremors.
In addition, some patients will also have a sense of smell disorder, thinking that their sense of smell is not sensitive due to a bad nose.
There are also some patients who will have trouble sleeping at night, such as insomnia, excessive insomnia, and kicking the quilt.
-
The first and most common symptom is tremor, which is commonly known as hand tremors, leg tremors and head tremors.
The second type of symptom is limb stiffness, which is the inflexibility of the limbs, which may appear in the early stages as slower, slower, and less agile movements.
The third type of symptom is bradykinesia, which is a particularly slow movement such as turning.
The fourth type of symptom of ulnar front is posture disorder, ordinary people walk with two hands swinging naturally, Parkinson's patients may have one shoulder that does not swing, feeling like frozen shoulder can not move.
-
Early symptoms of Parkinson's disease:
First, tremors, tremors in the hands and feet, aggravated when emotional, and can disappear completely during sleep.
2. Stiffness, in the early stage, I feel that one side of the limb is not flexible, I can't lift my feet when walking, my pace is slow, my arms swing unnaturally, I can't fasten my hands, I can't tie my shoelaces, etc., due to high muscle tension, my body tends to lean forward, I fall when I walk, and my neck and joints will feel stiff.
Third, the movement is slow, the patient's upper limbs can not do fine movements, difficulty in writing, reduced facial muscle movement, rarely blinking, dull expression, when walking, difficulty in starting, difficulty in turning, once the step starts, the pace is small but faster and faster, can not stop in time.
-
One of Parkinson's symptoms: tremors.
Tremor is a precursor symptom of Parkinson's disease and the first symptom of Parkinson's disease.
In layman's terms, a certain part of the body of a Parkinson's patient will tremble, and this trembling is especially obvious when the Parkinson's patient's body is at rest, and this trembling will be more intense when the Parkinson's patient is nervous.
However, this tremor does not last forever, and it will decrease or disappear when the Parkinson's patient is engaged in physical activity, and the trembling will stop after resting at night.
Parkinson's symptom 2: slow movements.
Laziness, weakness and sluggishness are different, many people have a feeling of laziness after sitting for a long time in the early stage of Parkinson's disease, and most people often understand this feeling as a feeling of weakness, but in fact, this situation is not a sense of powerlessness, but a real sluggish behavior.
The symptom that occurs with this situation is increased muscle tone, once these two symptoms appear, then it is almost certain that you have Parkinson's disease, because there are almost no diseases that have these two symptoms at the same time, so if the elderly in the family have this condition, we need to pay attention to it.
Parkinson's symptom 3: abnormal gait.
One of the more iconic symptoms of Parkinson's is the abnormal gait, which is manifested by a sudden fall or unstable center of gravity when people with Parkinson's disease are walking.
This symptom of instability of the center of gravity belongs to the pre-Parkinson's symptoms, and it is not only the case when Parkinson's is more severe.
In the middle of Parkinson's disease, people will suddenly have a stagnation of their feet when walking, that is, when you walk, your feet suddenly can't move, which seriously affects your daily life and work.
It is a more important thing to understand the symptoms of Parkinson's disease, if the elderly in the family have these symptoms, they must seek medical attention in time to find out**, if it is Parkinson's, it is best to ** as soon as possible.
-
Parkinson's diagnosis and treatment is to help us solve these problems with TCM recuperation. If you need control, then use Western medicine, otherwise you use Chinese medicine to help you recover and fight.
Traditional Chinese medicine to Parkinson's: First of all, we often say that "Parkinson's is old age and body weakness", so what is body deficiency. Traditional Chinese medicine refers to the weakness of the constitution as body deficiency, the weakness of chronic diseases as deficiency syndrome, and divides the weakness into four types: qi deficiency, blood deficiency, yin deficiency, and yang deficiency.
The five organs all have the symptoms of yin and yang deficiency and reality, and Parkinson's is mainly what Chinese medicine calls "blood deficiency and wind.""Abbreviated as "Wind Certificate".
Shu Zhen and stop trembling**": extinguish the liver wind and relieve spasms, nourish the kidneys and replenish the brain and marrow, activate the meridians to make the meridians smooth, regulate the spleen so that nutrition can reach the whole body and relieve spasms. The causes of Parkinson's vary from person to person, and there will be additions and subtractions according to each person's different conditions.
-
In the early stage of Parkinson's disease, symptoms such as tremor, limb stiffness, loss of smell and decreased facial muscle movement may occur.
-
The early manifestations of Parkinson's disease are mainly tremors in the limbs, as well as sluggish movement of the limbs, including speech, speech slowness, and writing, for example, the more you write, the slower the words, and then the smaller the words, these are some of its early manifestations.
-
The common early symptoms of Parkinson's are as follows: 1. Tremor, some patients first come to the doctor to find uncontrollable tremor or tremor in their hands or legs; 2. Some patients have the onset of slow movement, and some patients say that it is obvious that they feel that the movement of the left limb has become more and more difficult in the past few months. Therefore, whether it is tremor, sluggishness, or muscle rigidity, if you have symptoms in the early stage, although you do not need to panic excessively, you may as well analyze and diagnose it under the guidance of a neurologist.
-
The early symptoms of Parkinson's disease generally have the following aspects: 1. Olfactory disorder, some patients have olfactory decline, which is an early symptom. 2. Sleep disorders, autonomic dysfunction, usually manifested as dysuria and orthostatic hypotension.
3. Mental disorders, usually manifested as depression and anxiety. Early symptoms tend to appear 5 to 10 years before the diagnosis of Parkinson's disease. If necessary, you can choose to go to the hospital for a physical examination.
-
The early symptoms of Parkinson's disease mainly include resting tremor, bradykinesia, changes in posture and gait, loss of smell, and sleep disturbances.
Parkinson's disease is a neurodegenerative disease that is common in middle-aged and elderly people, and the early symptoms of patients mainly include the following:
1) Resting tremor: It is often the first symptom, mostly starting at the distal end of one upper limb, appearing or obvious in the resting position, reducing or stopping when moving at will, aggravating when nervous or agitated, and disappearing after falling asleep. The typical presentation is a "pill-rubbing" movement of the thumb and index finger.
2) Slowness of movement: In the early stage, fine finger movements such as unbuttoning or buttoning, tying shoelaces and other movements are slow, and gradually develop into generalized voluntary movement reduction and dullness.
3) Posture and gait changes: In the early stage of the disease, the amplitude of the swing arm of the upper limb on the affected side decreases or disappears when the patient walks, and the lower limb is dragged.
4) Non-motor symptoms: non-motor symptoms such as hyposmia, sleep disorders, constipation, hyperhidrosis, seborrheic dermatitis (grease surface), and decreased swallowing activity can occur in the early stage of the disease, which can occur earlier than or with motor symptoms.
-
The early symptoms of Parkinson's disease are mainly manifested as loss of smell, intractable constipation, resting tremor, sleep disturbance, muscle rigidity, decreased movement, hand tremor, anxiety, decreased gait, bradykinesia, and profuse sweating. When you have a doctor's symptoms, you need to be active** and take more time to rest.
-
1.Symptom. (1) Early symptoms The earliest symptoms of patients are often difficult to detect and easy to ignore
Some call it a subclinical state...The patient lacks flexibility in movement, moves less, and gradually develops the spine and limbs that are not easy to bend, and as the disease progresses, the stride length becomes smaller, the voice of the forward rush becomes smaller, the neck, back, shoulders and buttocks are painful and fatigued, and the palpebral fissure is slightly widened and gaze-like2) Typical symptoms.
Tremor is often the first symptom and accounts for 80% of PDIt is characterized by resting tremor that is not evident during active movementIt usually starts with other fingers distal to one upper limb and gradually expands to the ipsilateral lower limb and the contralateral upper and lower limbs
The tremor of the jaw, lips, tongue, and head is generally coarse, with a frequency of 4-8 times s4-8 Hz, which can be temporarily controlled but not persistent, aggravated by agitation and fatigue, and disappeared during sleep.
-
Patients with Parkinson's disease often have symptoms such as loss of smell, decreased appetite, mood abnormalities, and insomnia and dreams in the early stages. In addition, it is accompanied by symptoms such as limb tremors, sudden numbness in the joints, and tingling sensations, and most of them occur intermittently in the early stages.
-
Early symptoms of Parkinson's disease usually include a slight tremor that does not affect life, as well as tonic dyskinesia and so on. When patients have these abnormal symptoms, it is best to go to the neurology department of a regular hospital for relevant examinations in time, and after a clear diagnosis, oral medication can be taken under the guidance of a doctor**. If medication does not work, prompt surgery is required.
And after the surgery, you can take the medication at the same time**. This can effectively alleviate the symptoms and achieve better results. During the period, you should actively cooperate with the doctor to use the drug, and you should not stop the drug or increase or decrease the dosage without permission, and you should go to the hospital for regular review.
-
With Parkinson's disease, there will be a slight tremor of the hand in the early stage, and if it is not effective, the degree of symptoms will deepen, which is a series of phenomena of Parkinson's disease.
-
Patients with Parkinson's disease may have mild motor symptoms in the early stages, such as tightness, heaviness, and slight loss of movement in one lower limb, as well as tremors in one hand or lower extremity. In addition, some patients may also present.
-
The most common early symptom of Parkinson's disease is resting tremor. Resting tremor is often the first symptom, usually starting distal to one upper extremity, appearing or noticeable when inhibited, lessening or stopping with voluntary movements, exacerbating with tension or agitation, and disappearing after falling asleep. Typical is a pill-like movement between the thumb and the flexed index finger at a frequency of 4 to 6 Hz.
Moving one limb, such as clenching or loosening a fist, can make the tremor of the other limb more pronounced, and this test can help detect early mild tremors. Tremor usually begins in one upper extremity, progressively affects the ipsilateral lower extremity, and then spreads to the contralateral upper and lower extremities.
Parkinson's early manifestations include movement disorders, such as paralysis tremens, decreased activity, clumsiness, and non-motor symptoms, such as poor sleep, sweating, excessive facial oil secretion, sleep disturbances, and mood abnormalities, which can be improved with medications. Olfactory disturbances can also occur early in the course of the disease, and hyposmia can be used as a criterion for early diagnosis of Parkinson's disease. After early Parkinson's disease is diagnosed, the progression of the disease can be delayed through intervention and clinician guidance. >>>More
Facial paralysis can occur at any age, with the most common occurring in 20 to 40 years old, and slightly more in men. The vast majority are one-sided, and the onset is not seasonal. It usually presents acutely and manifests as crooked corners of the mouth, sloppy speech, especially whistling or laughing, and can peak within 48 hours. >>>More
The Department of Hematology of Ping'an Hospital Affiliated to Hebei Medical University is a national key clinical specialty of the Ministry of Health, with strong expert skills and rich clinical experience. If you need help from a hematologist or want to know more, you can consult with a hematologist for free** or call us at 400-0387-130.
Parkinson's disease is an extrapyramidal disease of the central nervous system, mainly due to the degeneration of the substantia nigrastriatal system in the brain, which causes a deficiency of dopamine content, resulting in extrapyramidal dysfunction. The first symptoms are lack of strength, stiffness of the limbs and thin tremors of the fingers, which disappear with activity, and finally the tremor worsens throughout the body, the muscles gradually stiffen, and the balance and coordination deteriorate. The main manifestations are tremor, rigidity, bradykinesia, and postural disturbances.
Parkinson's is a disease caused by neurological deterioration or damage, commonly known as paralysis, manifested by inconvenience, inability to control the body, etc., ** and the pathogenesis is not yet clear, may be related to social factors, drug factors, patient factors, etc. CT and MRI examinations can detect cerebral atrophy and lacunar cerebral infarction, and PET and SPECT examinations can show abnormal dopamine metabolism. Parkinson's patients usually show limb abnormalities, such as abnormal walking posture, immobility, slow reactions, limb tremors, and Parkinson's patients usually have mental abnormalities, such as mental abnormalities, sleep disorders, autonomic dysfunction, and sensory disorders. >>>More