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\n “name”: “Pourquoi mon proche bouge-t-il bien le matin et mal l’apr\u00e8s-midi ?”,
\n “acceptedAnswer”: {
\n “@type”: “Answer”,
\n “text”: “C’est le ph\u00e9nom\u00e8ne des fluctuations, l’un des plus d\u00e9routants de la maladie. L’effet du traitement antiparkinsonien n’est pas constant : il monte apr\u00e8s la prise, atteint un plateau, puis redescend. Pendant les phases \u00ab on \u00bb, la personne bouge bien ; pendant les phases \u00ab off \u00bb, la lenteur et la rigidit\u00e9 reviennent. Ces variations peuvent se produire plusieurs fois par jour et s’accentuent avec le temps. Ce n’est ni de la fatigue passag\u00e8re, ni un manque de volont\u00e9 : c’est chimique. Comprendre ce rythme permet de proposer les soins et les activit\u00e9s au bon moment, et d’\u00e9viter des reproches injustes.”
\n }
\n },
\n {
\n “@type”: “Question”,
\n “name”: “Parkinson rend-il forc\u00e9ment la m\u00e9moire d\u00e9faillante ?”,
\n “acceptedAnswer”: {
\n “@type”: “Answer”,
\n “text”: “Non, ce n’est pas automatique. La maladie de Parkinson est d’abord un trouble du mouvement, et beaucoup de personnes conservent longtemps des capacit\u00e9s intellectuelles pr\u00e9serv\u00e9es. Des troubles cognitifs \u2014 ralentissement de la pens\u00e9e, difficult\u00e9s d’attention, parfois de m\u00e9moire \u2014 peuvent appara\u00eetre, surtout \u00e0 un stade avanc\u00e9, mais ils ne sont ni syst\u00e9matiques ni imm\u00e9diats. Attention \u00e0 un pi\u00e8ge fr\u00e9quent : la lenteur de la parole et le visage fig\u00e9 font para\u00eetre la personne moins pr\u00e9sente qu’elle ne l’est. Il faut laisser le temps de r\u00e9pondre avant de conclure quoi que ce soit, et signaler au m\u00e9decin tout changement cognitif observ\u00e9.”
\n }
\n },
\n {
\n “@type”: “Question”,
\n “name”: “Pourquoi les horaires du traitement sont-ils si importants ?”,
\n “acceptedAnswer”: {
\n “@type”: “Answer”,
\n “text”: “Parce que l’effet du traitement d\u00e9pend directement du moment de la prise. Les m\u00e9dicaments antiparkinsoniens doivent souvent \u00eatre donn\u00e9s \u00e0 des heures pr\u00e9cises, parfois d\u00e9cal\u00e9es par rapport aux repas et aux horaires collectifs de l’\u00e9tablissement. Un retard de trente \u00e0 soixante minutes peut suffire \u00e0 faire basculer la personne en phase \u00ab off \u00bb, avec blocages, difficult\u00e9s \u00e0 se d\u00e9placer et risque accru de chute. C’est pourquoi l’heure du m\u00e9dicament n’est pas ajustable comme celle d’un antalgique ordinaire. Il ne faut jamais d\u00e9caler ni interrompre soi-m\u00eame un traitement : toute modification rel\u00e8ve du m\u00e9decin, et tout \u00e9pisode inhabituel doit \u00eatre signal\u00e9 \u00e0 l’\u00e9quipe.”
\n }
\n },
\n {
\n “@type”: “Question”,
\n “name”: “Que faire quand mon proche se bloque en marchant ?”,
\n “acceptedAnswer”: {
\n “@type”: “Answer”,
\n “text”: “Ce blocage soudain, o\u00f9 les pieds semblent coll\u00e9s au sol, s’appelle le freezing. Ce n’est ni de la peur ni de l’h\u00e9sitation : c’est un blocage neurologique bref. Surtout, ne tirez pas la personne par le bras, car cela aggrave le d\u00e9s\u00e9quilibre et le risque de chute. Placez-vous devant elle, restez calme et donnez un rythme ext\u00e9rieur : compter \u00e0 voix haute, proposer d’enjamber votre chaussure ou une ligne au sol, marquer un pas r\u00e9gulier. Ces rep\u00e8res aident le cerveau \u00e0 contourner le blocage. En cas de chute avec traumatisme ou de malaise, contactez sans attendre les services d’urgence de votre pays.”
\n }
\n }
\n ]
\n }
\n ]
\n}<\/p>\n

<\/p>\n
\n
\n \u5bb6\u5ead\u4e0e\u7167\u987e\u8005 \u00b7 \u5e15\u91d1\u68ee<\/span><\/p>\n

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