Doctors abroad have made significant progress in the fight against Parkinson's disease, although in the CIS countries the disease is considered incurable and only some symptoms are alleviated. Foreign neurosurgeons and neurologists use various methods of Parkinson's treatment. The protocol of therapy depends on the stage and degree of functional disorders in the patient.
Drug treatment of Parkinson's
After a comprehensive examination, the doctor selects the type and dose of the drug, over time, therapy requires adjustment. In the early stages of Parkinson's, doctors prescribe medications that replace :
- Carbidopa and Levodopa - stimulates the production of by brain cells.
- Bromocriptine, Ropinirole, Pramipexole - mimic the production of .
- Rasagiline, Selegiline - help fight motor disorders.
- Anticholinergic drugs - relieve tremor and increased muscle tone, but have a short effect.
Surgical treatment of Parkinson's disease
Deep brain stimulation ( DBS ) is a safe and minimally invasive intervention on the brain. Postoperative rehabilitation lasts 3-4 days, the risk of side effects is minimal. 90% of operations are effective.
The operation is carried out in 2 stages:
- Under local anesthesia, the doctor inserts 2 electrodes into a specific part of the brain along a path pre-designated by a computer.
- Under general anesthesia, the surgeon sews the pacemaker into the chest area and connects electrodes to it.
The generator sends electrical impulses to the brain, after which the patient's sleep normalizes, and the musculoskeletal function is restored. The doctor reduces the dosage of necessary medications for the treatment of Parkinson's disease.
The method of deep brain stimulation has a number of strict contraindications and requires a thorough diagnosis before surgery.
Contraindications:
- the patient's age is over 75 years;
- positive reaction to Levodopa;
- serious chronic diseases;
- mental illness;
- memory impairment.
Innovative treatments for Parkinson's disease
Ultrasonic scalpel (MRgFUS)
The doctor acts on the brain with ultrasonic waves under the control of MRI and destroys the pathological part of the brain, due to which tremor develops. The procedure does not require surgical intervention. Assign to eliminate uncontrolled tremor.
stem cell transplant
An experimental method for the treatment of Parkinson's disease, which is already successfully used in the treatment of hemorrhagic stroke and multiple sclerosis. The patient is given stem cell injections that stimulate the production of .
