World Day of Parkinson's disease, you know, Parkinson's is more than just shaking.

Newspaper reporter Zhaojin

Just past the 19th world of Parkinson's Day, the theme is "Early detection, early intervention". Parkinson's disease has become the third most disabling disease in the elderly, after cardio-cerebrovascular disease and cancer, according to a recent report by the World Parkinson's Association. The prevalence of Parkinson's disease in men aged 65 and over in China is 1.7%, female is 1.6%. At present, there are more than 2 million cases of Parkinson's disease in China, with the increase of morbidity and morbidity with age, the majority of patients with the first onset or treatment at the age of 50-70.

Chen, director of neurology Department of the People's Hospital of the city, said that there were some outstanding problems in Parkinson's disease, such as low awareness rate, low detection rate, low attendance rate and low control rate. Many people's understanding of Parkinson's disease is limited to shaking hands, but some symptoms of Parkinson's disease may be earlier than unilateral limb jitter, but are easily mistaken for the normal manifestation of old age and infirmity. For example, the smaller the lower case of handwriting, facial expressions Some stiff mask face, walking often take a panic of small rags, these are the early symptoms of Parkinson's disease, it is recommended that people around the age of 50 should be in a timely manner in order to detect and diagnose early. In the current medical conditions, although Parkinson's disease can not be completely cured, but in the early access to professional intervention and the whole process of disease management, can effectively control the progression of disease to delay the onset of disability in patients with Parkinson's disease.

Chen said that Parkinson's disease, also known as tremor Paralysis, is a common middle-aged and elderly neurodegenerative diseases. It is the degeneration of the substantia nigra neurons in the midbrain, which reduces the dopamine content of the striatum and the symptoms of the relative increase of acetylcholine content. Parkinson's disease is the health of the elderly "silent killer", its progress is relatively slow, until the tremor, stiffness, slow movement of the disease symptoms difficult to control and gradually increase the final disability, patients in the course of development by the pain and psychological torture. Due to the need for long-term medication to control symptoms, patients and their families bring great mental stress and financial burden, but also seriously affect the patient's daily life and work ability, greatly reducing their quality of life.

Chen said that in our country the awareness rate of Parkinson's disease is very low, only 3.75% of the patients at the initial onset of the awareness of their potential for Parkinson's disease, the rate is very low, mainly because 63.75% of the patient's symptoms are not obvious, 55% of them think they have other diseases, 27.5% People are not paying attention to their own changes, and 1.25% of people worry that they have Parkinson's disease do not want to visit, 2.5% of the people are limited economic conditions. In addition, many doctors lack the necessary knowledge of the disease. Patient diagnosis is more serious, treatment rate is very low, even in Beijing, Shanghai and other first-tier cities, Parkinson's disease treatment rate is less than 40%, in rural and remote areas lower.

Zhang, who lives in Xiqing District, is 73 years old this year. In the past two years, Love said that love to laugh Zhang Uncle became increasingly reticent, even the most loving little grandson also rarely ignored. Not only that, the old man is also particularly fond of sweating, drooling and walking more and more slowly. Looking at the old man's melancholy appearance, the family took Zhang uncle to see the psychological clinic, was diagnosed as the elderly "depression" and received nearly two years of treatment. This period because the elderly people with high blood pressure, nuclear magnetic examination found that the elderly have a slight "cerebral infarction", also treated for some time. No matter what kind of treatment, the elderly walking but more and more difficult, sweating, drooling problems increasingly serious. They came to the city People's Hospital Department of Neurology, Zhang Big Uncle sitting in a wheelchair, hand holding a towel, and constantly wipe down the saliva and sweat, close to autumn clothes autumn pants are soaked with sweat.

Chen said: "Zhang Ye conducted a related examination, the final diagnosis of Parkinson's disease, drug treatment after two weeks, is their own walk to visit, sweating and drooling and other symptoms significantly improved, the mood has been gratifying changes." "There are many early symptoms of Parkinson's disease, mainly divided into motor symptoms and non motor symptoms." The main symptoms of exercise were one limb tremor at rest, joint flexion, short gait of the small rags, the smaller the lower case, slow action such as brushing slowly, and so on; non-sports symptoms are more subtle and more easily overlooked, these symptoms include emotional abnormalities of neurological symptoms, sleep disorders, autonomic nervous symptoms and gastrointestinal symptoms. Neurological symptoms mainly refers to depression, anxiety, emotion and expression indifference, in early Parkinson's disease can appear, easy to be misdiagnosed as anxiety disorder or depression. Sleep disorders in patients with Parkinson's disease can occur during night shouting, kicking, and even falling from bed to the ground. The autonomic nervous symptoms include bladder dysfunction such as frequent urination, acute urination and increased nocturnal urination, as well as disorders such as cold, fear of heat, abnormal sweating and sweating. In patients with Parkinson's disease, gastrointestinal dysfunction is also common, such as constipation, intestinal emptying is not smooth (not feeling).

63-Year-old Li's family Lives Dongli District, two months since the sudden appearance of both hands and legs constantly shaking, the elderly in addition to sleep a moment also no peace, seriously affected the normal life, weight also rapidly decline. The family took her to the hospital, orthopedics, neurology did not find obvious problems, eventually to Parkinson's disease treatment. But for nearly two months, there was no sign of abating. They hold to try the mood came to the city People's Hospital Department of Neurology, Chen diagnosis is the elderly is not Parkinson's disease but diabetic vascular disease induced by the dance disease.

Chen said: "Parkinson's disease is still not cured, but there are already drugs can control its development, delaying disability to improve the quality of life of the elderly, but the key to achieve early diagnosis, early treatment." It is important to emphasize that the diagnosis of Parkinson's disease is highly professional, many patients were misdiagnosed as cervical spondylosis, depression, cerebral apoplexy, brain atrophy, Alzheimer's disease, but also some sports disorders such as dance and other diseases were misdiagnosed as Parkinson's disease, the result of a lot of treatment to eat a lot of medicine, missed the best time to treat the disease. ”

The Chinese Medical Association Neurology branch of the Parkinson's disease and dyskinesia Group, "China's treatment of Parkinson's disease guide," pointed out that the diagnosis of Parkinson's should be through the brain image screening, questionnaire evaluation and other ways to finally diagnose. After diagnosis, early treatment of the first choice of drugs, general disease at the beginning of a single drug treatment in order to achieve continuous strong control of motor symptoms. But the medicine does not have best only is most suitable, its individuality difference is bigger, needs the specialized doctor's fine treatment, achieves the curative effect best, maintains the time longer while the movement complication rate lowest goal. In addition, Parkinson's disease in the treatment process, in addition to early treatment, but also pay attention to the overall management of the disease, according to the doctor's regular review, and according to the results of the review to adjust the drug to long-term benefit. At the same time can carry out aerobics, Taijiquan, jogging and other exercises, such as language barrier training, gait training, posture balance training and other rehabilitation therapies, to improve the symptoms and even delay the progression of the course has some help. Chen also specifically reminds patients with Parkinson's disease that some medical institutions are advocating so-called cures in the guise of scientific frontiers, because the cure of Parkinson's disease remains a worldwide medical problem.