April 11 is the 28th World Parkinson's Disease Day, with the theme of "Living in Harmony, Better Life". Parkinson's disease is a common neurodegenerative disease that is more common in the elderly, with an average age of onset of about 60 years old, which has a serious impact on the quality of life of patients. However, many people don't know much about Parkinson's disease and tend to ignore early warning signs and delay treatment.
According to the classification, staging and grading of Parkinson's disease, according to the main types of symptoms, age, life and work needs, comorbidities, complications, etc., the Neurology Center of Haici Medical Group adopts a comprehensive diagnosis and treatment plan that pays equal attention to traditional Chinese and Western medicine, such as drugs, rehabilitation, and traditional Chinese medicine techniques, to treat Parkinson's disease. At the same time, patients are instructed in Parkinson's disease rehabilitation training to enhance motor coordination. TCM techniques include the application of decoction to improve various complications such as dry mouth, pharyngeal discomfort, constipation, anxiety, etc., and the application of acupoint thread stimulation, acupuncture, circular needle release and other operations to improve Parkinson's disease complicated with limb pain, numbness, dizziness, neck and shoulder pain and discomfort.
So, what are the early warning signs? If you suspect you or a family member has Parkinson's disease but aren't sure, you can test it with nine questions:
1. Do you have trouble getting up from a chair?
2. Is the writing smaller than before?
3. Is the volume of speech significantly lower than before?
4. Are facial expressions not as rich as they used to be?
5. Sometimes your feet suddenly feel like they're stuck to the ground?
6. Do your arms or legs tremble?
7. Do you take small steps with your feet dragging on the ground when you walk?
8. Is it easy to fall while walking?
9. Is it difficult to fasten the buttons yourself?
If there are 3 affirmative answers, then you need to be vigilant and seek medical attention in time according to your own situation.
Common manifestations of Parkinson's disease
Motor symptoms:
1. Bradykinesia: difficulty in initiating movement and difficulty in executing movements are the most common and special manifestations of patients, and the distal limbs are involved in the early stage. Patients often show slow down of voluntary movements, smaller amplitude, fatigue of repetitive movements, inability to do multiple movements at the same time, and sometimes sudden stiffness during activities; they can often have activity symptoms such as not being able to tie shoelaces, reduced arm swing when walking, and reduced writing; the face may have a stiff expression of "mask face", salivation, monotonous voice, etc.
2. Resting tremor: Most patients have the first symptom, 4~6Hz (the basic unit of frequency), mostly asymmetrical, aggravated when emotional or nervous, and can completely disappear during sleep.
3. Muscle rigidity: In the early stage, the affected limb is inflexible, has a feeling of stiffness or tension, and has difficulty in moving. Voluntary movement of the contralateral limb can induce increased muscle tone, "lead tube rigidity", "gear rigidity".
4. Postural gait disorder: panicked gait, the patient is unstable in standing, the limb reflex is weakened, it is easy to fall forward or backward, the lower limbs are dragged, the back step gradually becomes smaller and slower, sometimes the whole body is stiff during walking, and sometimes the small steps can not stop in time after walking.
Non-motor symptoms:
1. Psychiatric symptoms: depression, anxiety, cognitive impairment, hallucinations, apathy, sleep disorders.
2. Autonomic symptoms: constipation, orthostatic hypotension, hyperhidrosis, sexual dysfunction, urination disorders, salivation.
3. Sensory disorders: numbness, pain, cramps, restless legs syndrome, olfactory disorders.
Treatment of Parkinson's disease
1. Patients with Parkinson's disease need to be diagnosed and treated as early as possible. Drugs that slow the progression of the disease can have a role in slowing the progression of the disease if they are used early.
2. Individualized treatment, according to age, severity of the disease, length of the disease, one's own life status and needs, etc.
3. Do not stop and add drugs at will, especially for patients who take drugs for a long time, anti-Parkinson's disease drugs can not be stopped and increased at will, if there is indeed an emergency or change in the condition, be sure to consult a specialist to adjust the dosage.
Management of daily living in Parkinson's patients
1. Diet management
Low-protein diet: In order to avoid affecting the absorption effect of L-dopa, it is necessary to adopt a low-protein diet, and focus on high-quality protein, and try not to eat fatty meat, meat oil and animal offal.
Eat more fruits and vegetables: Eating more fresh fruits and vegetables can not only relieve the common dry stool in Parkinson's patients, but also supplement vitamins.
Drink plenty of water: It is recommended to consume 6-8 glasses of water per day, with a total of 2-3 liters, to help boost metabolism.
2. Keep moving
Adhere to the principle of individualization and pertinence of sports. The intensity of training varies from person to person, but it is advisable to train for 30-60 minutes each time, 1-2 times a day, and more than 5 times a week. Elderly and frail patients generally should not exercise for more than 30 minutes at a time.
3. Safe care
Try to wear cloth shoes without laces in daily life, avoid wearing slippers to prevent tripping while walking, stay away from pesticides, heavy metals and organic solvents and other neurotoxic harmful substances, and reduce alcohol intake.
4. Rehabilitation training
Life skills rehabilitation: self-dressing and undressing, training in eating and drinking, defecation and urination, washing and brushing teeth, housework and traveling, etc.
A full set of exercises: broadcast gymnastics, aerobics, square dance, tai chi, Baduanjin, etc.
A team of experts