The most common first symptom of Parkinson's disease?
summary
Parkinson's disease, also known as tremor paralysis, is a common disease in the middle and old age. It is a chronic neurodegenerative disease caused by the decrease of dopamine in substantia nigra and striatum. According to statistics, the incidence rate of Parkinson's disease increased with age. The incidence rate of 500/100000,60 was significantly higher than that of people over 50 years old. 1000/100000. is now thought that this disease may be related to aging, environmental factors such as pesticides, manganese, calcium and magnesium in drinking water and genetic factors.
The most common first symptom of Parkinson's disease?
Tremor and ankylosis are important features of the disease. Tremor appeared in the distal part of the limb in the early stage, and tremor in the hand was common and obvious. Tremor appears when resting, decreases or disappears when moving at will, worsens when nervous, and disappears when sleeping. In severe cases, head tremor can also occur, and combined with motor tremor. Myotonia is characterized by increased tension of active and antagonistic muscles, which always exists in passive motion, so it is called lead tube like Tonia. In addition, the elderly can also appear thinking and intelligence disorders, autonomic nervous dysfunction symptoms.
The first symptom of Parkinson's disease in the elderly is lack of movement, such as walking slowly, which is mistakenly considered as the relationship between old age and is ignored. However, some elderly people often cause joint pain due to muscle rigidity of scapular band and pelvic band, which is easily misdiagnosed as osteoarthritis. Therefore, the elderly should do a good job in nervous system examination and differential diagnosis of Parkinson's disease.
The etiology of Parkinson's disease is unknown and the treatment is difficult. At present, drug therapy is mainly used, mainly anticholinergic drugs and drugs to improve dopamine neurotransmitter function, and long-term medication is needed. The principle of treatment is to start from a small dose, increase the dose slowly, and get the best curative effect with the minimum dose.
matters needing attention
The elderly with Parkinson's disease are slow in action and poor in self-care ability, which need the kind care and meticulous care of their family members. However, they should also be encouraged to do more functional exercise on the off part and do what they can, such as dressing and eating. To avoid the elderly going out alone, to prevent wrestling accidents, diet should be delicious and nutritious, eat less and eat more.