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・ Management of borderline personality disorder
・ Management of cancer
・ Management of chronic headaches
・ Management of Crohn's disease
・ Management of dehydration
・ Management of depression
・ Management of domestic violence
・ Management of dyslexia
・ Management of hair loss
・ Management of heart failure
・ Management of HIV/AIDS
・ Management of hypertension
・ Management of multiple sclerosis
・ Management of obesity
・ Management of Pacific Northwest riparian forests
Management of Parkinson's disease
・ Management of prostate cancer
・ Management of Savagery
・ Management of schizophrenia
・ Management of strabismus
・ Management of thalassemia
・ Management of ulcerative colitis
・ Management plane
・ Management Position Description Questionnaire
・ Management process
・ Management representation
・ Management review
・ Management science
・ Management Science (journal)
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Management of Parkinson's disease : ウィキペディア英語版
Management of Parkinson's disease
Management of Parkinson's disease (PD), due to its chronic nature, requires a broad-based program including patient and family education, support group services, general wellness maintenance, exercise, and nutrition. At present, no cure for PD is known, but medications or surgery can provide relief from the symptoms.
While many medications treat Parkinson's, none actually reverses the effects of the disease or cures it. Furthermore, the gold-standard treatment varies with the disease state. People with Parkinson's, therefore, often must take a variety of medications to manage the disease's symptoms.〔http://www.pdf.org/en/meds_treatments〕 Several medications currently in development seek to better address motor fluctuations and nonmotor symptoms of PD. However, none ise yet on the market with specific approval to treat Parkinson's.〔http://www.pdf.org/fall08_medications〕
==Pharmacologic==

The main families of drugs useful for treating motor symptoms are Levodopa, dopamine agonists, and MAO-B inhibitors.〔 The most commonly used treatment approach varies depending on the disease stage. Two phases are usually distinguished: an initial phase in which the individual with PD has already developed some disability for which he needs pharmacological treatment, and a second stage in which the patient develops motor complications related to levodopa usage. Treatment in the initial state aims to attain an optimal tradeoff between good management of symptoms and side effects resulting from enhancement of dopaminergic function. The start of L-DOPA treatment may be delayed by using other medications such as MAO-B inhibitors and dopamine agonists, in the hope of causing the onset of dyskinesias to be retarded.〔 In the second stage, the aim is to reduce symptoms while controlling fluctuations of the response to medication. Sudden withdrawals from medication, and overuse by some patients, also must be controlled.〔 When medications are not enough to control symptoms, surgical techniques such as deep brain stimulation can relieve the associated movement disorders.〔

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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