How to get rid of a trimmer for hand grass. Home treatment
How to get rid of a trimmer for hand grass
Tremor is the most common extrapyramic disorder, which can be based on a variety of causes. To choose treatment, it is necessary to establish the underlying disease.
Essential tremor (ET) is characterized by both tremor when performing actions and postural tremor. Its severity is reduced after taking small doses of alcohol. In 50% of cases, essential tremor is an autosomal dominant hereditary disease. The causes of the occurrence of essential tremor are unknown. A number of studies indicate a possible pathology of the ephewritical paths of the cerebellum.
The complete correction of tremor is impossible, and the purpose of therapy is to reduce its severity to optimize everyday activity. Most patients have a positive effect of drugs below, however, in some cases, the tremor is resistant to all types of drug treatment.
Other reasons for tremor include Parkinson and Distonia. Tremor treatment with Parkinson’s disease was discussed above. If the tremor has a pronounced postural component, then for its treatment, antagonists of p-adrenergic receptors are used. With dystonia, a postural tremor is usually observed. He is treated in the same way as the essential tremor. The cause of the routing tremor is usually a violation of the integrity of the cerebellar traits that pass through the brain stem.
This type of tremor is usually accompanied by ataxia. Rubric tremor is clinically characterized by a pronounced trembling at rest that prevents the normal preservation of the posture and movements. Correction of this type of tremor, as a rule, is very complicated. Antagonists of p-adrenergic receptors and benzodiazepines are used.
Information on the site is subject to consultation with the attending physician and does not replace confrontation with him. Cm. Read more in the user agreement.
Alcohol tremor. What is it
By this term they mean trembling. The upper and lower limbs, head can tremble. In parallel, the patient is faced with impaired coordination of movements. It is difficult for him to move in space.
Involuntary muscle contractions that contribute to the occurrence of such shaking are a consequence of strong alcohol intoxication. Usually they arise the day after a booze or a few hours after its completion. In some alcohol.Dependent, the alcoholic tremor of the hands is persisted on an ongoing basis and does not pass even when being intoxicated.
Before telling how to cure an alcoholic tremor, we list its main features. Their knowledge is necessary for conducting differentiated diagnostics. I mean:
- Preservation of normal muscle tone;
- A rather large amplitude of trembling;
- A decrease in the severity of the symptom during rest and strengthening when trying to do any work, raise something;
- The disappearance of the problem after using alcohol.
Most often, alcoholics tremble hands, but in advanced cases, a face, eyelids, cheeks, tongue can shake.
The main forms of tremor
Neurologists distinguish between two main forms of tremor (both of these forms can be inherent in both pathological and physiological type):
Static tremor (peace of rest). Is present and most pronounced in the resting unstressed muscle. Is detected, for example, when the patient sits in a relaxed pose, his hands lie on his knees, thumb up, palms inside. Sometimes a doctor is sometimes enough to identify the presence of a trembling in a patient with Parkinson’s disease. It is much more difficult to identify the cause of trembling in children. It is almost impossible to persuade the child to relax at the reception, so get ready that the consultation can take a lot of time.
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Dynamic tremor (promotional). Appears or enhances with active movements in the muscle. There is a postural (precious) promotional tremor (appears or intensifies when any posture is maintained-for example, holding straightened hands in front of itself), tremor of contraction (appears or intensifies when the muscle contravation-for example, prolonged clench of the fist) and intensity tremors (appearing at performing accurate small movements. For example, when trying to touch the tip of the hand to the nose).
Trembling in the hands (essential tremor)
Essential tremor (ET) is one of the most common motor disorders in the world and is characterized by postural and / or kinetic tremor. Despite this, the Office for Products and Medicine Control (FDA) approved only one medicine (proponolol) for its treatment. Surgical procedures, such as deep brain stimulation (ventral intermediate thalamus core). Offer treatment of refractory tremor. Although the disease is usually called “benign”, it often causes difficulties in performing everyday tasks, such as writing and eating. In the last decade, progress has been observed in the understanding of the essential tremor. Including the discovery that “non.Measured symptoms”, including mood and cognitive dysfunction, are more often found in patients with essenic tremor than normal.
ET is more common than Parkinson’s disease (PD) or Alzheimer’s disease, and there is not a single population of the world that would be immune to its development. According to experts. The prevalence of the essential tremor adjusted for age and floor is from 3 to 4 to 1000, and the annual incidence. 23.7 per 100,000. The incidence increases with an increase in age. Although the disease can also affect children. Approximately 4% of adults aged 40 and older suffer from essential tremor. Family history of ET, apparently, correlates with an earlier age of the onset of Tremor. Despite the fact that there is no convincing evidence that ET increases the risk of mortality, one longitudinal prospective study revealed a slight increased risk of death in patients with ET.
Essential tremor is considered a heterogeneous state with a variable clinical expression in patients. It is characterized by postural and / or kinetic tremor in the frequency range from 4 to 12 Hz. The frequency of tremor usually decreases over time, and the amplitude slowly increases. Alcohol temporarily reduces the amplitude of the tremor in 50-90% of cases, although it can again worsen after the effect of alcohol ceases. About 90% of patients have tremor in the upper limbs, in 30%. Tremor of the head, 20%. “trembling voice”, 10%. Tremor of the face or jaw, and 10% of patients with ET can have the tremor of the lower extremities. At least 50% of patients with ET have disturbances in tandem gait. Blocation revealed the presence of “non.Measured symptoms”, including moderate cognitive changes, depression, anxiety, social phobias, olfactory disorders and hearing impairment, which are more often found in patients with essential tremor. Than control persons. Unfortunately, according to estimates, ET is incorrectly diagnosed in 30-50% of cases, one of the criteria is the duration of Tremor for more than 5 years. Three ET subtypes are distinguished: hereditary, sporadic and senile.
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Tremora assessment scales are used to evaluate ET, especially in clinical trials. Usually used TRS is the Fahn-Tolosa-Marin rating scale, which is filled with medical workers. ET is usually inherited by autosomal-dominant transmission with incomplete penetrance. In some families, the program is polygenic. The exact pathogenesis of ET is unknown. The disease can be caused by the “central oscillator” arising in the triangle of Guine-Mollar, located in the brain stem. Other areas of the brain that are involved in pathogenesis are the lower olive core and cerebellum. Evidence of the involvement of the cerebellum includes the presence of “torpedoes” or “swelling of the axons”, which were found in Purkinje cells in some patients with essential tremor. Whether ET is a neurodegenerative disease or non.Generative disease, remains controversial. The detection of pathology in the form of Taurus Levy in some patients with ET and Purkinya cell loss in others indicates a neurodegenerative process. However, the essential tremor can be caused by abnormal vibrational dysfunction of the motor system, which suggests that this is not the primary neurodegenerative disease, but the disease in which it can be secondary damage to neurons. The increased excitability of membranes in motor circuits can play a key role in pathogenesis. Several studies suggest that there may be a connection between PD and ET, although it remains controversial.
Pharmacological treatment of essential tremor should be considered when tremor interferes with everyday life. Proper treatment depends on the correct diagnosis, and other possible causes of tremor should be excluded. Patients must be informed that treatment does not heal the disease, but may offer a weakening of tremor. Medicines that are used to treat et. These are those used to treat other diseases, such as hypertension and cramps. Unfortunately, from 30% to 50% of patients with essencal tremor do not respond to drug therapy. The pharmacological agents of the first line used to treat ET are propranolol and primidon, although it was shown that other drugs, including Sotalol, Atenolol, alpraisals and topiramate, also provide a decrease in tremor. Beta-blockers and calcium channel blockers are drugs that are usually used to treat hypertension and other cardiovascular diseases.
Propranolol (Indural). A non-chief antagonist of beta-adrenergic receptors that effectively treats tremor and is the only drug approved by FDA for the treatment. The average dose of proponolol in published controlled studies was 185.2 mg / day. Propranolol is also available in the form of a long.Acting drug with a single daily dosing. It was shown that other antihypertensive drugs, including Atenolol (tenormin) and Sotalol (Sotakor), are reduced compared to placebo. There is also a limited amount of evidence that they are durable (Corgard) and Nimodipin (nimotop) can be treated. Primidon (Mizolin) is an anticonvulsant agent that effectively treats essential tremor. Studies using accelerometry and clinical scales demonstrated a decrease in the value of tremor by about 50% when using a primordon, which makes it first.Line treatment. The primidon is associated with frequent side effects, including sedative effect, nausea, dizziness and acute toxic reaction, which usually intensify shortly after the start of treatment. It was not shown that a lower initial dose and slower titration reduce side effects compared to the initial dose of 25 mg per day.
Alkotive dependent can be detected by several tremor options after binge:
- Morning attacks;
- A large trembling, captivating all parts of the body;
- Tremor of the upper body, head with the seizure of the eye area;
- Full.Fledged convulsions in the limbs.
What type of violation will be in a particular person. It is impossible to predict, much dependence on the individual characteristics of the body. In this case, the range of disorders varies from almost invisible twitches to large fluctuations, in which it is impossible to keep objects. By the nature of the movements, related violations can also be determined.
So, if chills are added to the main symptom, this is a sign of the decay of toxic substances. The body tries to remove them, and the higher the concentration of harmful elements in the blood, the worse well.Being. The fever after binge indicates a large amount of cryoglobulin causing kidney pathology, immediate hospitalization is required for comprehensive detoxification.
Trembling throughout the body is a consequence of a lack of dopamine, the condition is adjusted to medication, with minor manifestations there is enough diet with a predominance of fruit. The claping movements of the fingers indicate critical problems with the liver.
How to get rid of a trimmer for hand grass
Everyone knows that trembling hands. The problem is characteristic of alcoholics. Most often, the hands of people who abuse alcohol, during a hangover, does not stop and does not stop before drinking another portion of alcohol. The reason for the trembling of the hands in this case. Damage to the nerve endings of the brain and spinal cord alcohol. At the same time: the stronger the intoxication of the body, the weaker the muscle tone of the hands and their trembling is more noticeable. At the later stages of alcoholism, a person’s trembling is no longer only hands, but there is also a loss of memory, impaired gait and concentration of gaze.
Despite the fact that hands tremble mainly due to alcohol intoxication of the body, you can’t consider all the people who are shaking their hands to be alcoholics. Even those who do not drink at all can tremble hands, and the most common causes of this problem are as follows:
Parkinson’s disease. Tature paralysis. One of the main signs of Parkinson’s disease. This type of trembling, unfortunately, cannot be treated, taking drugs can only weaken the manifestation of the disease. Hands are shaking, in people suffering from this disease, at rest and excitement, and in a relaxed state or during movement disappear.
Fright, unrest and stress. People who have excessive emotionality can constantly suffer from trembling hands. Any excitement, fright or nervous disorder can cause them intense trembling hands. Doctors call such a pathological phenomenon a tremor of hysterical origin, and it indicates the presence of deviations in the psyche.
Often control the trembling of the hands that arose due to severe nervous tension, the person himself is not able to. The trembling of the hands disappears in this case usually by itself after the hysteria passes, and this happens, as a rule, in the absence of “spectators”.
When trembling hands related to depression and nervous overstrain, you need to take sedatives, for example, tincture of motherwort or valerian. A hysterical tremor will pass if you learn to control your emotions and stop pitying yourself, accusing others of all your misfortunes. Watch your behavior. If for 15 days the hands are shaking constantly, then you need to turn to a neurologist and undergo a course of treatment of a depressive state.
Hormonal disbalance. Trembling hands in boys. A fairly common phenomenon associated with a powerful hormonal surge in adolescence. During this period, young men have serious nervous loads at school, at home and when communicating with peers. The insufficient maturity of the psyche does not allow them to process the resulting flow of information, especially if the teenager plays a lot of time in computer games, watches films or conflict with loved ones.
Strong experiences and nervous disorders combined with a hormonal failure lead to trembling hands. Special treatment of teenage tremor is not required, trembling hands in young men passes with age when they learn to cope with unrest and avoid unnecessary conflicts. In such situations, moral support from parents and relatives is indispensable, and the doctor can recommend a teenager to play sports, yoga, auto.Training, walk in the fresh air and develop fine motor skills.
Lack of iodine. In recent years, the number of people suffering from diseases of the thyroid gland has noticeably increased. The disruption of the production of its hormones most often gives a lack of iodine in the body. The thyroid diseases entail failures in the life of the whole organism, in addition to trembling hands in the patient, excessive irritability, sweating, shortness of breath, impaired heartbeat and metabolism are observed. It is impossible to get rid of the trembling hands in this case without the treatment of the underlying disease under the supervision of an endocrinologist, one of the components of which is the use of iodine.Containing drugs.
Osteochondrosis of the cervical and thoracic spine. Most often, people leading a sedentary lifestyle, the cause of trembling hands is osteochondrosis of the cervical or thoracic spine, contributing to a violation of the blood circulation of the brain. Hands tremble in this case inconsistent, but only when trying to hold them in a motionless state, for example, leaning against the edge of the table. When relaxing the hand, the trembling immediately disappears. This type of trembling of the hands is associated with intense work in one position and chronic fatigue, and you can get rid of it only by changing your lifestyle and normalizing blood flow. To do this, you need to do gymnastics daily, relax more and move. When the first signs of trembling hands appear, it is necessary to limit the amount of consumption of coffee, strong tea and chocolate, refuse smoking and taking alcoholic beverages.
Work specifics. Hand trembling is often observed in people whose work is associated with accuracy. For example, chapel and surgeons. In this case, hands tremble from overvoltage, and the development of fine motor skills will help get rid of this problem. For example, pilates or knitting.
Information on the site is subject to consultation with the attending physician and does not replace confrontation with him. Cm. Read more in the user agreement.
A doctor who treats tremor
Most often, a neurologist will solve such a problem, since in most cases the tremor of the hands is caused by violations in the work of the central nervous system. Qualified, experienced doctors of the Kuntsevsky medical and rehabilitation center will competently select a course of treatment, suitable for different cases of tremor of the hands. Thanks to our own diagnostic base of our center (MRI, ultrasound, electroneuromyography, etc.) the patient will be able to go through the doctors and start recovery immediately, which is important for any disease.
IMPORTANT! Tremor hands. This is a neurological problem that requires an intervention of a qualified specialist. Tremor self.Medication will not lead to a successful result, moreover, you can worsen your own condition, because the patient does not know at what level of functioning of the nervous system the “error” occurred.
Therefore, sign up for a neurologist of the Kuntsevsky medical and rehabilitation center, which, thanks to your own experience, wide diagnostic capabilities of our center, prescribing the correct tactics of treatment and rehabilitation programs will help you eliminate the causes.
Given the degree of severity of tremor in alcoholics, they are classified by:
- Chills. Trembling movements are weak. If you examine an alcoholic with chills, most likely an increased concentration of proteins will be revealed, which are curled at a temperature of less than 37 ° C. Because of them, a specific precipitate confirming the kidney damage appears in the blood of the drinking. The patient needs to urgently undergo detoxification and infusion treatment.
- Big trembling. Occurs with a deficiency of dopamine neurotransmitters regulating the message of neurons. To calm a large trembling, you need to stop booze, cleanse the body of ethanol decay products and take antidepressants courses.
- Clapping tremor. Movements involuntarily performed by the hands of the drinking, resemble the waves of the wings of the bird during the take.Off. Treating the claping type of tremor is permissible exclusively in stationary conditions. It develops in response to perennial booze, often accompanied by cirrhosis of the liver.
It is important to understand that tremor does not arise spontaneously. At first it appears only after a strong booze, then it becomes more and more frequent and pronounced. Noticing a pathological condition, a person should think about the treatment of alcoholism. If he will ignore negative symptoms, he will soon face serious consequences from the internal organs.
Essential tremor with neuropsychiatric disorders
The phenomenology of trembling fingers is diverse and multifaceted. In addition to kinetic and postural trembling hands. Highlight “tremor of intention” and “tremor of peace”. In several studies, postural instability and mild or moderate ataxic gait, with the exception of cases observed during normal aging, were demonstrated in patients with essential tremor. And especially in patients with other signs of cerebellar damage (for example, “tremor of intention”). It is intense to note that this ataxic gait can actually improve with the introduction of low doses of ethanol. In addition to these problems with a gait, patients with essencal tremor also have subtle eye impairment. What again implies the involvement of the cerebellum at the clinical and physiological levels.
Essential (main) tremor. The most common type of pathological tremor in humans; In some studies, it is twenty times more common than Parkinson’s disease. The most important symptom in patients with essential tremor is a kinetic tremor with a frequency of 8-12 Hz (t. E. Tremor arising during an arbitrary movement) of the hands, and sometimes the tremor of the head and even the “voice”. Only in the United States, according to a number of authors. 13 million people suffer from the essential tremor. According to researchers. The prevalence of essential tremor is 4.0-5.6% among people aged ≥ 40 years and 9.0% or higher among people under the age of 60 years.
Over the past decade, clinical literature that constantly increases in its volume implied that the cerebellum could be centrally involved in the pathogenesis of the essential tremor. Firstly, pathology from the side of the cerebellum. With deviations in tandem gait and balance violations, have been repeatedly described in patients with essential tremor. Note that a pronounced hand tremor occurs in 58% of patients with essential tremor. And in 10% of patients with this tremor it spreads to the head. Secondly, it was reported that the unilateral cerebellar stroke abruptly stops the Ipilateral Tremor of the shoulder with the essential tremor, and the “shutdown path” of the cerebellum is the goal of deep stimulation of the brain, which, as you know. Is an effective method of treating essential tremor. In addition, numerous studies of neuro-visualization have provided evidence of the defeat of the hemispheres and dysfunction of the cerebellum under the essential tremor, including functional magnetically. Resonance tomography (MRI). Positron. Emission tomography and [1 h] magnetically. Resonance spectroscopy of tomography (MRSI).
At the beginning of this century, researchers have determined that there are identified structural pathological changes in all studied genes in essential tremor. And these changes, apparently, were of two types. The most common type of essential tremor (more than 75% of patients) was characterized by obvious changes in the cerebellum, including proximal swelling of the axon’s cells, which are probably a cellular response to injury). Reducing the number of purquin cells by 40%, purocyte heterocytosis and swelling of dendrites. The second type of essential tremor was characterized by Levy Taurus, limited mainly by the Ceruleus locus; At the same time, the cerebellum did not have a loss of purquin cells.
The traditional view of the essential tremor. Sweat that the latter is a monosymptom. Characterized by trembling of the fingers. However, over the past decade, researchers have discovered. That this picture of the essential tremor is an excessive simplification. Firstly, it became clear that many patients, in addition to tremor, also have other motor disorders (for example, ataxic gait). Secondly, now with the essential tremor, the presence of a set of “non-meter disorders” is recognized not only cognitive. But also other mental disorders. At the same time, “soft cognitive changes” (especially functional dysfunction) were recorded in several studies of patients with essential tremor. Two studies based on the study of the population demonstrated the connection between the essential tremor and dementia.
Mental disorders with essential tremor include specific personality traits, anxiety (anxiety). Social phobia, and depressive symptoms. Depression can be the main manifestation of the disease, and not a secondary answer to the presence of tremor. As with other neurodegenerative diseases. Essential tremor. Apparently more than the disease of the motor system.
Cognitive characteristics in patients with essential tremor. Especially problems with the executive function, were first evaluated in the study of m. Gasparini et al. (2001), and then confirmed by other researchers in the same year. In addition, patients with the essential tremor demonstrated significantly lower than expected, assessments by measures of complex auditory and visual attention, verbal fluidity and immediate response. These types of deficits can reflect difficulties with initiating and maintaining information processing strategies; A similar mechanism is believed to underlie cognitive changes in patients with Parkinson’s disease. The observed cognitive deficits seem similar to those that occur after cerebellar lesions and dysfunction of this brain structure. And thus, they are consistent with the dysfunction of the cerebellar thalamo-cortical path. In a population study j. Benito-Leon et al (2006)., forgetfulness was noted in 50.4% of patients with essential tremor. A study conducted in 2006 in Madrid J. Benito-Leon et al. For the first time demonstrated that the chances of the appearance of dementia are almost twice as high among the earlier cases of essential tremor.
Observation regarding that. That the essential tremor. Apparently, it is associated not only with moderate cognitive changes, but also with an increased risk of dementia, causes some question. Why it took so much time. So that this hypothesis becomes relevant ? A parallel with Parkinson’s disease can be drawn here, where the latency from the initial description of the disease to the assessment of cognitive deficiency was more than 150 years. After all, patients with Parkinson’s disease and essential tremor are often elderly, and there is a tendency to attribute their cognitive disturbances and dementia of old age.