{"id":1424061,"date":"2024-11-26T00:00:00","date_gmt":"2024-11-25T21:00:00","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=1424061"},"modified":"2024-11-26T00:00:00","modified_gmt":"2024-11-25T21:00:00","slug":"tremorul-in-afectiunile-neurologice","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=1424061","title":{"rendered":"Tremorul \u00een afec\u021biunile neurologice"},"content":{"rendered":"<div class=\"entry-content\">\n<div id=\"attachment_316541\" class=\"wp-caption alignright\"><img decoding=\"async\" aria-describedby=\"caption-attachment-316541\" loading=\"lazy\" class=\"size-medium wp-image-316541\" src=\"https:\/\/analyse.optim.biz\/wp-content\/uploads\/2026\/01\/padurariu-vlad-300x197-1.png\" width=\"300\" height=\"197\" title=\"padurariu-vlad-300x197-1\"><\/p>\n<p id=\"caption-attachment-316541\" class=\"wp-caption-text\"><a href=\"https:\/\/www.arcadiamedical.ro\/echipa-medicala\/padurariu-vlad\"><strong>Dr. Vlad P\u0103durariu<\/strong><\/a><strong>, medic primar Neurologie, Coordonatorul Centrului de excelen\u021b\u0103 pentru managementul clinic al pacientului cu boal\u0103 Parkinson \u0219i tulbur\u0103ri de mi\u0219care, <\/strong><a href=\"http:\/\/www.arcadiamedical.ro\"><strong>Arcadia<\/strong><\/a><\/p>\n<\/div>\n<p>Tremorul este o caracteristic\u0103 comun\u0103 a bolii Parkinson (PD) \u0219i a altor afec\u021biuni neurologice, ce poate ap\u0103rea \u00een diferite forme \u0219i poate afecta diferite p\u0103r\u021bi ale corpului, inclusiv m\u00e2inile, bra\u021bele, picioarele, capul \u0219i vocea. <strong>Exist\u0103 diferen\u021be \u00eentre tremorul observat \u00een boala Parkinson \u0219i alte tipuri de tremor.<\/strong><\/p>\n<p><strong>Tremorul distinctiv al bolii Parkinson<\/strong> este un <strong>tremor de repaus, ceea ce \u00eenseamn\u0103 c\u0103 apare atunci c\u00e2nd partea afectat\u0103 a corpului este \u00een repaus \u0219i nu este implicat\u0103 activ \u00een mi\u0219care.<\/strong> Acesta implic\u0103 de obicei o mi\u0219care ritmic\u0103, oscilant\u0103 a m\u00e2inilor, degetelor, degetului mare sau, mai pu\u021bin frecvent, a altor p\u0103r\u021bi ale corpului, cum ar fi b\u0103rbia sau buzele. Tremorul de repaus \u00een boala Parkinson are adesea un aspect caracteristic de \u201erulare a unei pilule\u201d sau de \u201enum\u0103rat banii\u201d, \u00een care <strong>degetele fac o mi\u0219care de frecare sau rulare \u00eenainte \u0219i \u00eenapoi asem\u0103n\u0103toare ac\u021biunii de rulare a unei pastile \u00eentre degete.<\/strong> Amplitudinea (amploarea mi\u0219c\u0103rii) tinde s\u0103 fie relativ sc\u0103zut\u0103. Tremorul de repaus \u00een boala Parkinson se diminueaz\u0103 adesea sau chiar dispare temporar \u00een timpul mi\u0219c\u0103rilor inten\u021bionate sau \u00een timpul activit\u0103\u021bilor, precum \u0219i \u00een somn.<\/p>\n<p>\u00a0<\/p>\n<p><strong>\u00cen alte afec\u021biuni, tremorul are caracteristici diferite.<\/strong><\/p>\n<p><strong>Tremorul esen\u021bial<\/strong>, considerat cea mai frecvent\u0103 tulburare de mi\u0219care, se caracterizeaz\u0103 printr-un tremor postural sau cinetic, ceea ce \u00eenseamn\u0103 c\u0103 apare atunci c\u00e2nd se men\u021bine o anumit\u0103 pozi\u021bie \u00eempotriva gravita\u021biei sau \u00een timpul mi\u0219c\u0103rii voluntare. Tremorul esen\u021bial afecteaz\u0103 de obicei m\u00e2inile, capul sau vocea \u0219i tinde s\u0103 aib\u0103 o frecven\u021b\u0103 mai mare dec\u00e2t tremorul Parkinson.<\/p>\n<p><strong>Tremorul inten<\/strong><strong>\u021bional<\/strong>, al treilea tip major de tremor, este asociat cu leziuni la nivelul cerebelului. Se manifest\u0103 spre finalul mi\u0219c\u0103rilor voluntare (inten\u021bionate), pe m\u0103sur\u0103 ce m\u00e2na sau degetele se apropie de \u021bint\u0103 \u0219i se \u00eenso\u021be\u0219te de obicei \u0219i de alte semne cerebeloase (tulbur\u0103ri de mers \u0219i de echilibru, disartrofonie).<\/p>\n<p>Exist\u0103 \u0219i alte tipuri de tremor, mai rar \u00eent\u00e2lnite, cum ar fi <strong>tremorul Holmes <\/strong>(dup\u0103 leziuni vasculare la nivelul mezencefalului), <strong>tremorul distonic,<\/strong> care apare \u00een combina\u021bie cu distonia, <strong>tremorul fiziologic,<\/strong> un tremor normal pe care to\u021bi oamenii \u00eel experimenteaz\u0103 \u00eentr-o anumit\u0103 m\u0103sur\u0103, \u00een special \u00een timpul sarcinilor motorii fine sau atunci c\u00e2nd sunt stresa\u021bi, obosi\u021bi, emo\u021biona\u021bi. Tinde s\u0103 aib\u0103 amplitudine \u0219i frecven\u021b\u0103 sc\u0103zute \u0219i nu este de obicei patologic.<\/p>\n<p>De asemenea, tremorul poate ap\u0103rea \u0219i \u00eentr-o serie de alte situa\u021bii care nu apar\u021bin neurologiei (ex. boli ale tiroidei sau alte afec\u021biuni endocrine, afec\u021biuni cardiovasculare, autoimune, metabolice, stres \u0219i anxietate) sau poate fi indus de anumite medicamente sau substan\u021be.<\/p>\n<p>\u00a0<\/p>\n<p>Este important de re\u021binut c\u0103, \u00een timp ce tremorul este un simptom comun al bolii Parkinson, <strong>nu toate persoanele cu Parkinson experimenteaz\u0103 tremor, iar tremorul poate ap\u0103rea \u0219i \u00een alte condi\u021bii care nu au leg\u0103tur\u0103 cu boala Parkinson.<\/strong> Prin urmare, este necesar\u0103 o evaluare medical\u0103 cuprinz\u0103toare de c\u0103tre un neurolog specializat \u00een tulbur\u0103ri de mi\u0219care pentru a diagnostica cu precizie cauza principal\u0103 a tremorului \u0219i pentru a determina cea mai adecvat\u0103 abordare de management.<\/p>\n<p>\u00a0<\/p>\n<p><a href=\"https:\/\/www.arcadiamedical.ro\/specialitati\/neurologie\/centrul-de-parkinson\"><strong>Centrul de excelen\u021b\u0103 pentru managementul clinic al pacientului cu boal\u0103 Parkinson \u0219i tulbur\u0103ri de mi\u0219care<\/strong><\/a> \u00eenseamn\u0103 evaluare complex\u0103 a pacientului, abordare multidisciplinar\u0103, metode moderne de tratament avansat, \u00eengrijire specializat\u0103, educa\u021bie \u0219i sprijin continuu. Pentru program\u0103ri, pacien\u021bii au la dispozi\u021bie num\u0103rul de telefon 0232 920, <strong>Call Center Arcadia<\/strong>.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Vlad P\u0103durariu, medic primar Neurologie, Coordonatorul Centrului de excelen\u021b\u0103 pentru managementul clinic al pacientului cu boal\u0103 Parkinson \u0219i tulbur\u0103ri de mi\u0219care, Arcadia Tremorul este o caracteristic\u0103 comun\u0103 a bolii Parkinson (PD) \u0219i a altor afec\u021biuni neurologice, ce poate ap\u0103rea \u00een diferite forme \u0219i poate afecta diferite p\u0103r\u021bi ale corpului, inclusiv m\u00e2inile, bra\u021bele, picioarele, capul [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[174],"class_list":["post-1424061","post","type-post","status-publish","format-standard","hentry","category-romania","tag-suceavanews-ro"],"_links":{"self":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1424061","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1424061"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1424061\/revisions"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1424061"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1424061"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1424061"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}