Việc chẩn đoán bệnh Parkinson liên quan đến một lịch sử cẩn thận y tế và khám thần kinh để tìm các triệu chứng đặc trưng. Không có xét nghiệm xác định cho PD, mặc dù một loạt các bài kiểm tra trong phòng thí nghiệm có thể được thực hiện để loại trừ các nguyên nhân khác gây ra các triệu chứng | Parkinson disease Diagnosis The diagnosis of Parkinson disease involves a careful medical history and a neurological exam to look for characteristic symptoms. There are no definitive tests for PD although a variety of lab tests may be done to rule out other causes of symptoms especially if only some of the identifying symptoms are present. Tests for other causes of parkinsonism may include brain scans blood tests lumbar puncture and x rays. Treatment and management There is no cure for Parkinson disease. Most drugs treat the symptoms of the disease only although one drug selegiline Eldepryl may slow degeneration of the substantia nigra. Exercise nutrition and physical therapy Regular moderate exercise has been shown to improve motor function without an increase in medication for a person with PD. Exercise helps maintain range of motion in stiff muscles improve circulation and stimulate appetite. An exercise program designed by a physical therapist has the best chance of meeting the specific needs of the person with PD. A physical therapist may also suggest strategies for balance compensation and techniques to stimulate movement during slowdowns or freezes. Good nutrition is important to maintenance of general health. A person with PD may lose some interest in food especially if depressed and may have nausea from the disease or from medications especially those known as dopamine agonists. Slow movements may make it difficult to eat quickly and delayed gastric emptying may lead to a feeling of fullness without having eaten much. Increasing fiber in the diet can improve constipation soft foods can reduce the amount of needed chewing and a prokinetic drug such as cisapride Propulsid can increase the movement of food through the digestive system. People with PD may need to limit the amount of protein in their diets. The main drug used to treat PD L-dopa is an amino acid and is absorbed by the digestive system by the same transporters that pick up other amino acids .
