Key Point :
Parkinson’s disease movement disorder causing hand tremors move slower Mostly found in the elderly It usually occurs in people over 50 years of age. The cause ofParkinson’s caused by a decrease in dopamine Including other causes in the elderly, such as taking certain medications such as dizziness medication Some medications for mental disorders, tons of Parkinson’s, can’t be cured. However, the symptoms are not worsened by medication and/or surgical implantation of a deep brain stimulator. to reduce tremor
‘Parkinson’ Illnesses that affect the daily life of people with There will be shaking all the time, making it difficult to move. Importantly, this disease is a disease that cannot be cured. and must be understood by those around you Therefore, there is an ongoing campaign about Parkinson’s disease. for people in society to understand However, for the people around them, there must also be the right way to take care of them. So it will be good for the patient himself.
Information from Prof. Dr. Weerasak Muangpaisarn Siriraj Piyamaharajkarun Hospital Explain that Parkinson’s disease is a disease caused by the degeneration of nerve cells in the brainstem. This reduces the production of certain substances called ‘dopamine’, resulting in movement disorders. causing hand tremors move slower Mostly found in the elderly Usually occurs in people over 50 years old if left untreated. The patient may have a difficult life.
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Causes of Parkinson’s disease
The reason for the production of dopamine is reduced. The exact cause is still unknown. and it is unclear what factors triggered the occurrenceParkinson’s disease However, Parkinson’s disease It may be caused by other reasons. Which is most common in the elderly is taking certain drugs such as anti-dizziness, anti-dizziness, anti-vomiting anti-emetic drugs to treat some mental disorders. tons of antidepressants
In addition, it may be caused by abnormalities in the brain from other causes such as cerebrovascular clots. hemorrhagic stroke Lack of oxygen, encephalitis, brain tumor, enlargement of the aneurysm Or have had a head accident, pressure. Some people have a family history of Parkinson’s disease, which can be found in 10-15% of heredity.
Parkinson’s disease symptoms
1. There are 4 main symptoms associated with movement:
Hand tremors, use of hands is not as fluent as before, such as button fastening, opening water bottle caps, writing a book, or hands may tremble while still, but when moving, the tremor disappears, stiffness, tense muscles The limbs become stiff and sometimes cause pain or cramps. less expressive face Little smile or no facial expression rarely blink speak softer Not as fluent as before May salivate or choke more easily slow motion moves or acts more slowly Abnormal balance and gait Difficulty gaiting Rare footsteps Short strides Frequent walking Head throws forward while walking Difficulty turning back
2. Symptoms that are not related to movement, such as slowed thinking, poor memory, depression, insomnia, sleepwalking dreams, gestures, constipation, difficulty in smelling, or decreased smell.
Diagnosis of Parkinson’s disease
Most patients with this disease have not been diagnosed. Because they may not be aware of the symptoms of the disease because it is thought to be caused by increasing age. causing negative consequences from the disease, for example, falling down, having difficulty swallowing food A simple initial screening by yourself can make itchy. By way of examining the symptoms in the following 11 items If there are 5 or more of the above symptoms, you should see a pat: but if there are fewer than 5 symptoms, it is advisable to check your symptoms periodically.
Source: Siriraj Piyamaharajkarun Hospital
Parkinson’s disease treatment
for the treatment of Parkinson’s disease Assistant Professor Dr. Sirirat Leelacharat, Nursing Teacher, Ramathibodi School of Nursing Faculty of Medicine Ramathibodi Hospital Mahidol University explained through website RAMA Channel that Parkinson’s cannot be cured. but helps relieve symptoms from worsening As Parkinson’s disease progresses over time, treatment can include medication and/or surgical implantation of a deep brain stimulator. to reduce tremor But surgery may have limitations that may not be possible for all patients. The symptoms of each patient will vary. in patients with progressive disease progression Symptoms progress from mild to severe, eg from walking to bedridden patients, etc. During the early stages of Parkinson’s disease Helping to exercise will be beneficial to the patient.
caring for Parkinson’s patients
People around you should help the patient in exercising. Prevent the occurrence of adhesions such as swinging, walking, long strides. raise your feet higher Introducing eye management by rolling the eyes back and forth. By watching interactive sports such as tennis, table tennis, etc. In the early stages, if the patient can still do activities such as cycling. may allow the patient to do such activities Beware of accidents, problems with swallowing, speech, patients should eat foods that contain fiber. to prevent constipation The caregiver must always understand the patient and take care of the mental state. Because some patients may have insomnia, anxiety, or depression.
technique of taking medicine Parkinson’s patient
Lecturer Dr. Oranong, M.D. Pho Kaew Warangkun Chulalongkorn Hospital, Thai Red Cross Society Techniques for taking medications in Parkinson’s patients are as follows:
1. Take the right medicine in the right dosage. and punctual every day
2. Avoid taking the drug together with some high-protein foods such as soy milk, fresh milk, because it will reduce the absorption of the drug.
3. Take the medicine on an empty stomach for at least 30 minutes.
4. If it is necessary to take the drug close to the actual meal, choose foods that are low in protein such as juice, crackers and bread.
5. Able to drink tea or coffee in moderation
6. The medication used may have side effects such as nausea, vomiting, confusion, dizziness, hallucinations, etc. If you experience side effects from taking the medication, you should consult your doctor.
refer : Siriraj Piyamaharajkarun Hospital , Ramathibodi Hospital , Chulalongkorn Hospital, Thai Red Cross Society
2023-08-12 10:30:00
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