Parkinson s Disease Parkinson s disease affects the part of the brain that controls muscle movement. The exact cause of this disease is not known, but there is a decrease in a chemical called dopamine in the brains of people with Parkinson s. There is no cure for Parkinson s, but it often progresses slowly and the signs can be managed. Signs The 4 most common signs of Parkinson s are: Tremors or shaking when at rest Muscle stiffness Slowed movement or problems starting movement Problems with balance and movement As these signs worsen, you may also have trouble walking, talking, swallowing or doing simple tasks such as bathing or dressing. As the disease progresses, other signs such as pain, bowel or bladder problems and sleep problems may occur. Your Care When you start to show signs of this disease, your doctor may order medicines or physical therapy to help manage your signs. The physical therapist can help you learn exercises that can help you with movements. You may need to work with your doctor to make adjustments in your medicines to keep your signs controlled. Over time, many people have side effects from the medicines used to treat Parkinson s disease. You may also need occupational therapy or speech therapy to deal with signs as the disease progresses. As your signs get worse, surgery may be an option to reduce tremors. 1
파킨슨병 파킨슨병은근육움직임을통제하는뇌부분에영향을줍니다. 정확한원인은밝혀지지않았지만파킨슨병을앓고있는사람들은그뇌에도파민이라는화학물이감소됩니다. 파킨슨병의치료는없지만, 그진행을일반적으로느리게하고증세를어느정도관리할수는있습니다. 증세 파킨슨병의 4 가지대표적인증세 : 가만히있어도몸을부들부들떤다. 근육이경직된다. 몸움직임이느려졌거나움직이는데문제가있다. 균형을못잡거나몸을잘못가눈다. 이러한증세들이악화되면, 걷기, 말하기, 음식물삼키기또는목욕이나옷입는것같은단순한활동을하는데도지장이옵니다. 병이더진전되면서통증이생기거나, 위장또는방광에문제가발생합니다. 관리방법 이러한증세가나타나기시작하면, 의사는약을처방해주거나물리치료를통하여증세들을어느정도관리해줄것입니다. 몸을움직여증세가나아지도록물리치료사가운동하는데도움을줄수있습니다. 증세를관리하기위하여의사와상담하여약복용을조절할필요가있습니다. 시간이지나면서많은사람들이파킨스병치료약들때문에부작용을경험하기도합니다. 병이더욱진전되면서직업치료나언어치료로증세를관리해야할필요가있습니다. 증세가더욱악화되면서몸떨림을줄이기위하여외과적수술이필요할수있습니다. Parkinson s Disease. Korean. 1
Things You Can Do to Manage Your Signs When walking Walk slowly with a straight posture and with your legs further apart. Think about taking big steps to help keep your steps more normal. Use a 4-prong cane or a walker if needed. If you become stuck or freeze in one place, rock gently from side to side or pretend to step over an object on the floor. Place tape strips on the floor to guide you through your house. Remove area rugs and furniture from your walking path. Stand up from a chair or bed slowly to avoid feeling dizzy or lightheaded. When using the bathroom Install grab bars on the walls beside toilets and inside showers and bathtubs to help you stand up. Use a shower chair inside the shower. Install an elevated toilet seat to make standing up easier after using the toilet. Shave with an electric razor. When dressing Wear loafers or shoes with Velcro. Wear simple dresses or pants with elastic waistbands such as sweatpants. 2
증세를관리하는요령 걸을때 허리를곧게펴고다리는더크게벌리고천천히걷는다. 좀더정상적으로걷는데도움이되도록보폭을크게한다. 다리 4 개짜리지팡이나워커를사용. 한곳에붙어서더이상움직일수없으면, 양옆으로몸을천천히흔들거나, 바닥에있는물체를건너뛴다는기분으로발을움직여본다. 집안바닥에테이프를붙여걸을때가이드로사용한다. 통로에깔려있는러그나가구를치운다. 의자나침대에서일어날때는갑자기어지럽거나아찔한증세를막기위하여천천히일어난다. 화장실사용할때 붙잡고일어서기용이하도록변기나샤워그리고욕조옆에손잡이를설치한다. 샤워장안에의자를갖다놓는다. 변기사용후일어나기쉽도록높은변기의자를설치한다. 전기면도기를사용한다. 옷입을때 끈을안매는신발이나끈대신벨크로가붙은신발을신는다. 트레이닝바지같이허리에고무줄이있는간편한옷이나바지를입는다. Parkinson s Disease. Korean. 2
When eating or drinking Use a cup with a large handle to make it easier to hold. Use a bowl instead of a plate to limit spills and make it easier to scoop up food. Work closely with your health care team to manage your signs of Parkinson s. Talk to your doctor or nurse if you have any questions or concerns. 2007 11/2011 Health Information Translations Unless otherwise stated, user may print or download information from www.healthinfotranslations.org for personal, non-commercial use only. The medical information found on this website should not be used in place of a consultation with your doctor or other health care provider. You should always seek the advice of your doctor or other qualified health care provider before you start or stop any treatment or with any questions you may have about a medical condition. The Ohio State University Medical Center, Mount Carmel Health System, OhioHealth and Nationwide Children s Hospital are not responsible for injuries or damages you may incur as a result of your stopping medical treatment or your failure to obtain medical treatment. 3
식사할때또는음료수를마실때 잡기쉽도록큼직한손잡이가있는컵을사용한다. 음식물을흘리는것을막고떠먹기좋도록접시대신그릇을사용한다. 의사나의료팀과자주상담하여파킨스병증세를관리하십시오. 질문이나문제가있으면의사나간호사와상담하십시오. 2007 11/2011 Health Information Translations Unless otherwise stated, user may print or download information from www.healthinfotranslations.org for personal, non-commercial use only. The medical information found on this website should not be used in place of a consultation with your doctor or other health care provider. You should always seek the advice of your doctor or other qualified health care provider before you start or stop any treatment or with any questions you may have about a medical condition. The Ohio State University Medical Center, Mount Carmel Health System, OhioHealth and Nationwide Children s Hospital are not responsible for injuries or damages you may incur as a result of your stopping medical treatment or your failure to obtain medical treatment. Parkinson s Disease. Korean. 3