¿El Parkinson tiene etapas? Conoce cuales son y sus síntomas

Pacientes

La progresión de la enfermedad varía mucho en función de cada paciente. Aunque es una enfermedad progresiva, el tratamiento farmacológico junto con las terapias rehabilitadoras, pueden ralentizar el avance y disminuir la intensidad de la sintomatología, consiguiendo mejorar su calidad de vida.

Es la segunda enfermedad neurodegenerativa más frecuente y una de las mayores amenazas a la calidad de vida en la tercera edad.

Les presentamos las etapas de la enfermedad de Parkinson basadas en el sistema de clasificación de Hoehn y Yahr. Esta clasificación consta de cinco etapas de los cuales existen tres subtipos correspondientes a las etiquetas de leve, moderado y severo, pero básicamente está describiendo el mismo proceso.

Te puede interesar Tres subtipos de la evolución del Parkinson

¿Cuales son los criterio para diagnosticar la fase de Parkinson en que se encuentra?
La fases del párkinson van desde etapa 1 y 2 correspondiente al párkinson leve, donde los síntomas son más leves y susceptibles de ser manejados con medicación, la etapa 3 al moderado, y la 4 y la 5 al severo así como las posibles reacciones de su organismo al tratamiento.

Etapa 1

Durante la fase inicial, los síntomas son leves. Con frecuencia se trata de temblores o sacudidas que ocurren solo en una parte del cuerpo. Se detectan algunos cambios como mala postura, pérdida de equilibrio, expresiones faciales no comunes y dificultades de movilidad fina. Al caminar se arrastren un poco los pies, aparecer rigidez y discinesias.

En esta etapa los medicamentos son los llamados agonistas dopaminérgicos, fármacos que imitan el efecto de la dopamina en el cerebro.

En esta fase de la enfermedad de Parkinson el tratamiento mejora los síntomas motores durante todo el día. Los movimientos permanecen controlados con poco o ninguna variabilidad de una dosis a otra.

Etapa 2

La segunda fase los síntomas afectan ambos lados del cuerpo se tiene problemas para caminar o mantener el equilibrio. Se hace más evidente la incapacidad para completar tareas físicas cotidianas.

La alteración en la postura es más evidente, comenzando a encorvarse hacia delante. La expresión facial aparece ya afectada. Pueden aparecer síntomas depresivos u otros síntomas secundarios a la toma de medicación.

Etapa 3

Los síntomas se agravan presentando una notable incapacidad para caminar en línea recta o mantenerse de pie, provocando caídas al pararse o girar. Disminuyen los movimientos físicos. Esta etapa corresponde con el Parkinson moderado, las dosis de medicamento continúan mejorando los síntomas, sin embargo, el tiempo se hace cada vez más corto.

Haciendo que paulatinamente las dosis aumenten produciendo síntomas como: On-Off, discinesias (movimientos involuntarios bruscos), distonía (espasmos, contracciones musculares) problemas de insomnio, alucinaciones y cuadros confusionales.

Etapa 4

En esta etapa la mayoría de los pacientes son incapaces de completar las tareas de la vida cotidiana y por lo general necesitan ayuda de un cuidador. Sin embargo los temblores de etapas tempranas pueden disminuir o desaparecer.

El agravamiento continúa, se puede caminar, pero con grandes limitaciones. La rigidez y bradicinesia (lentitud en los movimientos), son visibles.

Etapa 5

En la última etapa de la enfermedad, los pacientes suele ser incapaz de cuidar de sí mismo. Le es casi imposible permanecer de pie o caminar y las alteraciones del lenguaje se acentúan.esta es la etapa servera del Parkinson, los síntomas motores no responder a la medicación y se hace necesario acudir a tratamientos más invasivos.

En los últimos años otros tratamientos no farmacológicos han ido surgiendo y se están convirtiendo en alternativas y esperanza para los casos en que la medicación ya no funciona.

Es importante mencionar que la enfermedad se puede estabilizar en alguna etapa y no todos los pacientes presentan todas las etapas.

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Actipulse International diseña y desarrolla dispositivo de Estimulación Magnética Transcraneal EMT (TMS) de uso profesional y de uso personal para pacientes. Estamos comprometidos con la democratización e investigación de la Estimulación Magnética Trsnacranela, así como el desarrollo e investigación de protocolos para el tratamiento de diversas patologías en el campo Psiquiátrico y Neurológico.

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