Parkinson’s disease can also cause insomnia and depression
Today is World Parkinson’s Day, and patients with Parkinson’s disease are mainly in the 50s?
At the age of 70, nearly 100,000 people have become new patients.
This progressive neurodegenerative disease in middle-aged and elderly people seriously affects patients’ lives, work and study.
What are the profound experiences of neurologists in the long-term work of “treatment”?
Are there any questions to remind patients?
The doctor said: Non-motor symptoms are often overlooked. Medical guidance: Professor Wang Lijuan, director of the Department of Neurology, Guangdong Provincial People’s Hospital, and deputy chief physician Wang Limin mentioned Parkinson’s disease, which impressed everyone on the limb’s tremors, stiffness, and slowness.
Recently, the medical community found that, in addition to being unable to move, Parkinson’s disease is also accompanied by a variety of “non-motor symptoms” such as insomnia, depression, anxiety, hallucinations, and delusions.
They can appear before motor symptoms and continue.
“We have encountered patients with Parkinson’s disease who were misdiagnosed as mentally ill and long abandoned.
“Professor Wang Lijuan, director of the Department of Neurology, Guangdong Provincial People’s Hospital, said.
Insomnia and depression are often accompanied by Parkinson’s sleep disorder. Depression is the most common and initial “non-motor symptom” in Parkinson’s patients. It can appear before motor symptoms such as tremor.
Wang Lijuan introduced that some patients went to the psychiatric department because of anxiety and depression. Looking at them, their movements started to slow down. Upon examination, Parkinson’s disease was already present.
Non-professionals don’t necessarily understand the situation, and simply pressing depression makes insomnia treatment helpless.
She suggested that people with insomnia and depression should think of Parkinson’s disease once they have tremors, stiffness, slowness and other sports symptoms.
There was a middle-term Parkinson’s patient who always said that he was out of breath, especially when he couldn’t sleep well and was in a bad mood, and he had difficulty breathing. He had to call 120 first aid, heart, lung function, chest X-ray, but found nothing.abnormal.
It improves after each conversation with the doctor, but then it turns bad again.
The doctor found that his “dyspnea” was really worrying, so he prescribed antipsychotic drugs to the patient based on Parkinson’s treatment. After that, the patient’s anxiety symptoms eased and “dyspnea” also decreased.
Hallucinations and delusions require hallucinations of medication. Delusions are symptoms that often occur in patients with Parkinson’s disease in the middle and late stages.
Wang Lijuan introduced that Parkinson’s patients’ hallucinations are living figures and animals. Most patients speak to the air and hide from individuals because they “see” the corner. Some patients do inexplicable actions, saying that there are mice in the room.Wait.
”And the paranoia of Parkinson’s disease is mostly related to life and marriage, such as infidelity of spouse and being abandoned by children.
Wang Lijuan said that she had consulted a female patient in her 80s and actually had a good relationship with her husband, but the grandmother often wrote letters to doctors and children. She always said that her husband and babysitter always talked and often turned on the TV for the babysitter.
“However, the delusions of patients with Parkinson’s disease are mostly benign delusions, and have a certain degree of self-control, so that schizophrenic delusions.”
In addition to the symptoms mentioned above, in addition to the above symptoms, the non-motor symptoms of Parkinson’s patients also include inattention, delayed response, decreased sexual function, polyuria, constipation, and repeated sweating.
“If non-exercising symptoms occur, medications need to be adjusted, and sometimes psychotropics are added.
“Wang Limin, deputy chief physician of the Department of Neurology, Guangdong Provincial People’s Hospital, said that repeated transcranial magnetic stimulation can be used to control non-motor symptoms.
Drugs are the main treatments for Parkinson’s disease. Surgical installation of pacemakers for motor symptoms and repetitive transcranial magnetic stimulation for non-motor symptoms are effective supplements.
More easily detectable motor symptoms: trembling sharp fingers or feet, common with thumb, forefinger and toe muscles, disappear when changing posture or patient deliberate control.
In the early stage of stiffness, some of the side limbs are not flexible, have a sense of stiffness, and gradually increase, there is slow movement, and even some short-term movements are difficult.
Slow movements In the early stages, patients’ upper limbs often cannot perform fine movements, and movements become much slower than before, or they cannot be completed smoothly at all.
Writing, turning, and walking have become increasingly difficult.
Patients rarely blink, and their eyes rotate less.
The doctor said: Confidence and treatment of patients with Parkinson’s disease must adhere to sports medical guidance: Wu Zhuohua, deputy chief physician of the Department of Neurology, the First Affiliated Hospital of Guangzhou Medical College, and Tan Hongyu. Recently, the “Affiliated Hospital of Guangzhou Medical College” Parkinson’s disease and pacemakerCenter “held the 10th Parkinson Friendship Friendship Association.
Some patients said that they did not dare to take Medopa for Parkinson’s disease, and were afraid that taking medicine would cause problems such as dyskinesia and sudden inability to move.
Therefore, Tan Hongyu, deputy chief physician of the Department of Neurology, Guangzhou Medical First Hospital, said that on the contrary, early medication is more effective in preventing sports symptoms. If the body tremors and slow movements affect life, you must take medicine.
Misunderstanding: Parkinson patients who dare not take medicine or add medicine randomly have several kinds of exercise problems: first, dyskinesia; second, there are movement mutations, that is, taking medicine can suppress symptoms, not taking it; third, switching phenomenonIt just can’t move suddenly like being controlled by a switch.
“These symptoms are indeed related to taking medicine, but they are mainly caused by Parkinson’s disease itself. If the symptoms affect life, ask the doctor to adjust the dose.
“Tan Hongyu said.
In life, some patients encounter this situation is often misunderstood-self-medicated.
“Some patients want to be more comfortable, taking the medicine seven or eight times a day or increasing the dose, which will increase the symptoms of hyperactivity.
“Deputy chief physician Wu Zhuohua of the First Affiliated Hospital of Guangzhou Medical College said.
The scope of the surgically installed pacemaker is Parkinson’s disease for more than five years, and the drug treatment is not satisfactory.
If the patient is already unable to move, it is not suitable for surgery.
“Some patients are discouraged because they think they ca n’t be cured without surgery. There are many new drugs for Parkinson ‘s disease. They can still take medicine if they ca n’t be operated. Do n’t lose your confidence in treatment.
“Tan Hongyu said.
Parkinson’s patients should also insist on exercise. When Parkinson’s patients still have mobility, they can do some exercises, such as Tai Chi, swimming, walking, etc., which will help the disease.
Wu Zhuohua introduced that foreign literature found that early Parkinson’s patients can alleviate disease progression if they insist on exercise.
Exercise is the most obvious to improve the balance function, that is, it can maintain the stability of muscles and joints, prevent falls, and have complications for patients with Parkinson’s disease such as osteoporosis.