Talking About The Surgical Treatment Of Parkinson's Disease

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Parkinson's disease is a chronic progressive neurodegenerative disease characterized by tremor, bradykinesia, rigidity, and abnormal posture and gait. Over time, the condition will gradually deteriorate, seriously affecting the patient's ability to work and quality of life. my country is one of the countries with the largest number of Parkinson's patients, with about 2 million to 2.5 million patients. By 2020, the number of Parkinson's patients in China will exceed 5 million, becoming the country with the largest number of Parkinson's patients. Parkinson's disease has now become the "third largest killer" of middle-aged and elderly people after cardiovascular and cerebrovascular diseases and Alzheimer's disease. But from the current point of view, everyone still lacks a correct understanding of Parkinson's disease. Nearly 3/4 of patients in our country do not receive formal treatment, which seriously affects work, social life, and life, and even drags down their families. The Parkinson's patients treated with surgical implantation of pacemakers in a timely manner have greatly improved their quality of life, motor skills, etc., and have greatly reduced the complications of drugs, which is also a great improvement in the quality of life of patients.

Why the public is afraid to talk about 'Parkinson'

When hearing about Parkinson's disease, many people talk about "Pa" discoloration. In fact, Parkinson's disease itself is not fatal and generally does not affect life expectancy. However, a series of symptoms of Parkinson's disease can lead to more serious consequences. For example, when some patients are crossing the road, they suddenly "close" without warning, their feet seem to stick to the ground, and they are motionless, which can easily lead to traffic accidents; dysphagia can cause pneumonia and increase the risk of death from suffocation; Problems with balance and posture can lead to falls, fractures, and traumatic brain injuries. The above fatal consequences caused by Parkinson's disease should arouse the vigilance of Parkinson's disease patients. In addition, once Parkinson's disease develops to an advanced stage, the patient's motor function will be devastated, and the patient will suffer from a decline in immunity due to difficulty in walking, inability to take care of themselves, and bedridden, frequent pneumonia, bedsores, and urinary tract infections. Complications can even be life-threatening.

Brain pacemaker opens new milestones

Once diagnosed with Parkinson's disease, the patient will face the problem of taking medicine for life. Therefore, while taking the medicine regularly, it is necessary to adjust the mentality, actively face it, learn relevant knowledge, and seek medical treatment. It is worth noting that all current anti-Parkinson's disease drugs can only relieve the above-mentioned symptoms, and there is no cure for Parkinson's disease. However, with the innovation and improvement of treatment methods and levels, as well as the close cooperation between neurology and functional neurosurgery, more and more patients can always maintain good motor function, working ability, and life after scientific and standardized drug and surgical treatment. quality. More and more doctors inside and out have reached a consensus that if the drug levodopa is the first milestone in the treatment of Parkinson's disease, then surgical treatment - brain pacemaker, is another milestone in the treatment of Parkinson's disease.

The principle of brain pacemaker treatment for Parkinson's disease is to use functional neurosurgery minimally invasive surgery, implant electrodes into specific nuclei in the brain, and send electrical pulses to the electrodes through a stimulator implanted in the chest to regulate abnormal brain disorders. Nerve electrical activity to reduce and control the symptoms of Parkinson's disease. This therapy has been used around the world for nearly 30 years, and it has been used in my country for nearly 20 years. More than 140,000 patients have benefited worldwide.

Brain pacemakers are now recognized as the only safe and effective therapy for advanced primary Parkinson's disease. It is safer, less traumatic, reversible, and adjustable than traditional destructive surgery. Brain pacemakers can significantly improve tremor, stiffness, slowness of movement, reduce gait and balance problems in Parkinson's patients, and also significantly improve axial symptoms such as difficulty in getting up, walking, turning, and turning over; it can also reduce resistance. Dosage and side effects of Parkinson's drugs.

Early surgery, early improvement

Because Parkinson's disease can lead to a decline in working ability and quality of life, one-third of patients have to "early retire" or terminate work, which is very detrimental to the patient's family income, the patient's social psychology, and the recovery of the disease itself. This not only involves early standardized drug treatment but also involves the selection of the timing of Parkinson's disease surgical treatment. When some patients come to see a doctor, their disease has progressed to a very advanced stage before surgery is considered. At this time, the effects of drugs and surgery will be greatly reduced. Parkinson's disease patients who receive appropriate early pacemaker therapy have great benefits in terms of workability, quality of life, and motor function, and also greatly reduce drug complications.

The data published in the world authoritative medical journal "New England Journal" in 2013 also showed that the patients with Parkinson's disease who underwent early surgical implantation of pacemaker treatment had great improvement in quality of life and motor skills, which also greatly improved. It greatly reduces the complications of drugs and improves the quality of life of patients.

Accepting brain pacemaker surgery is not the endpoint of Parkinson's disease treatment, because Parkinson's disease is a chronic progressive disease, and parameters need to be adjusted according to the progress of the disease after surgery, which is "programmed control". Program control can adjust the position of the electrical pulse sent by the brain pacemaker and the strength, range, and frequency of electrical stimulation, which is very important for the treatment effect. The time to improve different symptoms of Parkinson's disease is different: stiffness can be effective immediately, the slow movement for a few minutes to a few days, while tremor is the most complex and can be effective in a few seconds, or it may take up to several months for stimulation to be fully effective, so be patient. After surgery, a relatively stable curative effect can usually be achieved after two or three program-controlled procedures.

In addition, patients should pay attention to diet and nursing care in the early period after receiving brain pacemaker surgery. For example, do not eat "hairy things" such as peppers, wine, mushrooms, and seafood to prevent rejection. Do not permit your hair to prevent the chemicals in the sperm from entering the hair and causing rejection at the electrode implant.

"Internal and external" cooperation to find the best solution

The treatment of Parkinson's disease is complex and a systematic project that requires multidisciplinary cooperation. The Functional Neurosurgery and Neurology Department of the First Hospital of Shanxi Medical University have carried out comprehensive cooperation in the field of Parkinson's treatment, forming a complete set of clinical and research from patient selection, preoperative evaluation, surgical plan formulation, postoperative program control, drug adjustment, and long-term follow-up. system.

The cooperation between functional neurosurgery and neurology can effectively formulate and optimize the best drug adjustment, surgical treatment, and rehabilitation exercise programs. The Parkinson's disease treatment team of Chennai and Shenwai will also regularly jointly organize Parkinson's disease health education activities so that more Patients understand the rational drug use and surgical knowledge for Parkinson's disease. We call on patients to learn more about Parkinson's disease, better understand the progress of their disease, receive the best treatment at the best time, and face the disease with optimism and optimism.