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While there is currently no cure for Parkinson’s disease, treatments are available to maintain your quality of life and relieve the symptoms. The treatment option includes medication, therapy, and surgery. Treatment for every person with Parkinson’s disease can be different as it is based on their specific symptoms.
Surgery
There are a few surgical options for Parkinson’s disease. However, the most common surgery is called deep brain stimulation (DBS). This surgery involves surgically implanting electrodes into a specific part of your brain. The electrodes are connected to a generator placed in your chest near the collarbone, which sends electrical pulses to your brain and may ease your symptoms. DBS generally has two parts:
Brain surgery – the first part of DBS is brain surgery. During brain surgery, your head will be fitted into a special head frame to keep your head still. Then, magnetic resonance imaging (MRI) is used to map your brain and identify the area where the electrodes will be placed. Then, your surgeon will implant a thin wire lead with a number of electrodes at a specific area of your brain. A wire runs under your skin to a pulse generator, which will be implanted in your chest. Brain surgery will be performed under general anesthesia or local anesthesia (you will be awake but your scalp is numbed). You will not need an anesthetic in your brain as it has no pain receptors.
Chest wall surgery – during the second part of DBS, your surgeon implants the pulse generator under the skin in your chest. The generator is programmed to continuously send electrical pulses to your brain. You can control the generator using a special remote control. This part of the surgery is performed under general anesthesia.
Supportive therapy
Several therapies can help you deal with your symptoms and make living with Parkinson’s disease easier. These therapies include:
Physiotherapy – a physiotherapist can teach you movements and exercises to relieve joint pain and muscle stiffness. The aim of physiotherapy is to make moving easier, as well as to improve your flexibility and walking. This therapy can also help improve your ability to do things for yourself and improve your fitness level.
Speech and language therapy – many people who have Parkinson’s disease experience problems with their speech and swallowing difficulties. Speech and language therapy can help you manage these problems by showing you swallowing and speaking exercises. Sometimes, assistive technology may also be provided in speech and language therapy.
Occupational therapy – this type of therapy can help you work out practical solutions to maintain your independence for as long as possible. An occupational therapist can show you new ways to perform your daily activities, such as dressing yourself, and they will ensure that your home is properly set up for you to gain the maximum benefits.
Medication
Medications can significantly improve the main symptoms of Parkinson’s disease, such as movement problems and tremors. The three main types of medications are levodopa, dopamine agonist, and monoamine oxidase-B inhibitors. With medications, you will need to attend regular reviews with your doctor.
The length of stay in Selangor can vary, depending on the type of treatment you have. After deep brain stimulation, you may need to stay in the hospital for one to two days. In general, you should plan to stay in the country for 7 to 14 days after DBS and if your doctor gives you medication. For therapy, you may need to stay longer, sometimes even a full month or longer.
After DBS, you should be able to return to work and light activities within 2 weeks, but you need to wait 4 to 6 weeks until you can engage in heavier activities. There is typically no exact recovery time for medication and therapy. However, make sure to consult your doctor first.
After surgery, you will be given aftercare instructions by your doctor. The instructions may include restrictions and wound care. You must follow everything your doctor tells you to avoid any complications. You may also need to make some dietary and lifestyle changes.
Follow-up appointments are important for Parkinson’s disease treatment. Therefore, always make sure to be at every appointment.
Parkinson’s disease treatment is safe and can help manage your symptoms. It also highly successful in improving patients’ quality of life. However, any type of treatment carries some possible risks. For DBS, the risks include infection, brain hemorrhage, or stroke. For medications, the side effects are nausea, lightheadedness, sleepiness, hallucinations, and compulsive behaviors.
There are no alternatives to the treatment mentioned in this article. However, there are some therapies that you can combine with your treatment to improve your quality of life, such as massage, yoga, tai chi, meditation, Alexander technique, and pet therapy.
Living with Parkinson’s disease can be difficult. The symptoms of the disease may prevent you from enjoying your life and performing your daily activities that used to be easy. However, after treatment, you should relearn new ways to do things, the symptoms should be eased, and your quality of life should be improved.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Occupying the status of both the most populous and developed state, Selangor is indeed the pride of Malaysia. Its advanced infrastructure and superior living standards, coupled with the country's lowest instance of poverty, make it stand out. Perfectly positioned on the western coast of Peninsular Malaysia, it envelops Kuala Lumpur and Putrajaya, both of which were formerly a part of Selangor. Despite its impressive development marked by towering structures,
Selangor manages to retain its natural charm boasting splendid landscapes and tranquil retreats. The state's deep-rooted cultural essence and unmatched healthcare services further enhance its appeal.
Selangor is the medical tourists’ favorite destination because of its geographical position and low cost of living. The state has some of the best medical experts with 12 government hospitals and over 30 private hospitals and medical centers, many of which are recognized internationally and accredited by Joined Commission International and the Malaysia Society for Quality in Health (MSQH).
Selangor has become a preferred destination for medical tourists who seek procedures such as dental surgeries, cosmetic surgeries, IVF treatments, and eye surgeries. Among the numerous hospitals offering these procedures, KPJ Ampang Puteri and Sunfert International Fertility Centre have gained immense popularity due to their high standards and patient-centric approach. This underlines Selangor's standing as a leading destination for healthcare in the region.
Tourists who want to indulge in Selangor’s beautiful nature can go to Kuala Selangor Beach (Mirror of the Sky), Chilling Waterfalls, Kuala Selangor Nature Park, or the National Zoo of Malaysia. Those who want to experience culture can visit Galeri Diraja Sultan Abdul Aziz, Mah Meri Cultural Village, and Sultan Alam Shah Muzeum.
Among Selangor's numerous tourist magnets, Batu Caves stands out. This impressive limestone hill is home to three large caves and multiple smaller ones. Revered as a national treasure of Malaysia, Batu Caves hold immense religious significance for the Hindu community.
Visitors are always in awe of the world's tallest statue of the Hindu deity, Murugan, situated here. In addition to the religious and natural appeal, the site also offers sights of varied cave fauna and thrilling climbing routes, delivering an all-round enriching experience.
The state’s capital, Shah Alam, also has plenty to offer. Tourists can go to I-City to see millions of LED lights, indoor park, or to shop. The Blue Mosque (Sultan Salahuddin Abdul Aziz Shah Mosque) is also a popular destination where tourists can see the beautiful mix of Islamic and Malay architecture.
Adorned with a tropical rainforest climate, Selangor is characterized by a warm and humid environment all year round. Daytime temperatures generally fluctuate between 25 - 35°C, but during the dry season, these can peak at a scorching 37°C.
The wet season ushers into the region as the calendar transitions into April, often extending as far as October, leaving the land generously watered. An increased intensity of rains is observed towards September and October, marking the peak of the rainy spell. For prospective visitors seeking to avoid the wet season, the months from late November to February typically prove the most comfortable for exploring and sightseeing, blessed with less rainfall and mild temperatures.
However, it should be remembered that even amidst the monsoon season, the weather isn't uniformly gloomy; there are often luminous intermissions. The sun tends to break through the rain-soaked clouds, bathing the land in its warm rays. Consequently, even during the monsoons, numerous days are well-lit, and visitors have ample opportunities to explore the local beauty undeterred. Brazil, in every season, has its unique appeal. Whether it's soaked in rain or draped in warm sunshine, it never fails to mesmerize its guests.
There are two main airports: Kuala Lumpur International Airport (KLIA) and Subang Airport. Kuala Lumpur International Airport is the main airport in Malaysia that has a multitude of routes across the globe. The airport is divided into two parts, KLIA that mostly serves large airlines, and KLIA 2 that focuses on serving low-cost carries. Subang Airport is the hub for FireFly and Malindo Air.
Navigating Selangor is made effortless by its well-established infrastructure. The primary means of transportation include taxis, trains, and buses. Taxis, while economical, can prove to be slightly tricky, as some drivers refrain from using the fare meter. Visitors are therefore advised to approach taxi counters to secure a fixed-rate coupon, ensuring they aren't subjected to inflated prices.
Public transit systems like the KTM Komuter Train, MRT, and LRT are widely recognized as the most efficient modes of transportation for traversing Selangor. However, it's important to note that these service networks may not extend to certain rural areas. When visiting these less accessible regions, tourists may find it beneficial to hire a car, thereby gaining the advantage of flexibility. Alternatively, the option of using bus services provides a more economical solution for easy mobility.
Nationals hailing from countries like China, India, Myanmar, Sri Lanka, Nepal, Bangladesh, Pakistan, Bhutan, Serbia, and Montenegro are required to secure a visa prior to their arrival in Malaysia. Meanwhile, most other nationalities are offered the convenience of visa-free entry, valid for either a 30-day or 90-day stay. It is crucial for all visitors, regardless of their country of origin, to hold a passport that remains valid for at least six months subsequent to their entry into Malaysia.
An online visa application platform or eVisa is available for selected foreign nationals. eVisa can be applied around the world except for Malaysia and Singapore. Tourists who wish to visit Malaysia for medical treatment can apply for an eVisa Medical, valid for a single journey with a maximum of 30 days. The Malaysian Government has a very strict visa regulation, overstaying will result in RM10.000 fine and/or 5 year’s imprisonment, do ensure to extend your tourist visa if you need to.