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PRESS RELEASES - Understanding Parkinson - v2
PRESS RELEASES - Understanding Parkinson - v2
Parkinson’s disease (PD) is a chronic and progressive movement disorder that involves the malfunction
and death of vital nerve cells in the brain, called neurons. Some of these dying neurons produce
dopamine, a chemical that sends messages to the part of the brain that controls movement and
coordination. As Parkinson’s progresses, the amount of dopamine produced in the brain decreases,
leaving a person unable to control movement normally.
The four key motor symptoms of Parkinson’s disease are tremor of the hands, arms, legs or jaw; muscle
rigidity or stiffness of the limbs and trunk; slowness of movement (bradykinesia); and postural instability
(impaired balance and coordination). Other common symptoms may include pain; dementia or
confusion; fatigue; sleep disturbances; depression; constipation; cognitive changes; fear or anxiety; and
urinary problems. All of these symptoms can vary from person to person.
An estimated 10 million people worldwide live with Parkinson’s disease. As many as one million
individuals live with Parkinson’s, which is more than the combined number of people diagnosed with
multiple sclerosis, muscular dystrophy and Lou Gehrig’s disease. Approximately 60,000 are diagnosed
with Parkinson’s disease each year, and this number does not reflect the thousands of cases that go
undetected. Incidence of Parkinson’s increases with age, but an estimated four percent of people with
Parkinson’s are diagnosed before the age of 50. Statistics have shown that men are slightly more likely
to have Parkinson’s disease than women.
As is the case with many neurological disorders, the cause of Parkinson’s disease is not known. However,
scientists and researchers are working diligently to uncover the possible cause(s), including genetic and
environmental factors, of Parkinson’s disease.
5. Is Parkinson’s inherited?
Although the vast majority of Parkinson’s cases are not directly inherited, researchers have discovered
several genes that can cause the disease in a small number of families. Research on these rare genetic
forms is contributing greatly to advancing the understanding of all forms of Parkinson’s. In large
population studies, researchers have found that people with an affected first-degree relative, such as a
parent or sibling, have a four to nine percent higher chance of developing Parkinson’s, as compared to
the general population. This means that if a person’s parent has Parkinson’s; his or her chances of
developing the disease are slightly higher than the risk among the general population.
There is no standard test to conclusively show if a person has Parkinson’s disease. Because of this, it can
often be difficult to diagnose. The disease should be diagnosed by a neurologist with experience and
training in assessing and treating Parkinson’s, ideally a movement disorder specialist. Physicians rely on
a neurological examination and the individual’s descriptions of symptoms to determine whether he or
she has Parkinson’s. A neurologist may order several tests to rule out other conditions before diagnosing
a person with Parkinson’s disease.
Although there is currently no cure for Parkinson’s, there are treatment options available such as
medication and surgery to manage its symptoms. Levodopa is the most widely prescribed Parkinson’s
medication, and people often take several other medications to manage the disease. Surgical options,
such as deep brain stimulation, may help alleviate a person’s Parkinson’s symptoms if and when they
stop responding favorably to medication. However, surgery is only effective for a small group of people
with Parkinson’s and is only recommended if an individual meets specific criteria. ( we can name our
products )
Parkinson’s disease is a progressive disorder, and although it is not considered to be a fatal disease,
symptoms do worsen over time and make life difficult. People with Parkinson’s experience a significantly
decreased quality of life and are often unable to perform daily movement functions, such as getting out
of bed unaided and driving. Most individuals are eventually forced to stop working due to the
unavoidable progression of disabling symptoms. In some cases, people have died from Parkinson’s-
related complications, such as pneumonia.
THE VALUE OF EARLY DIAGNOSIS AND TREATMENT IN PARKINSON’S DISEASE
MISSED OR MISDIAGNOSIS AND DELAYS IN TREATMENT. There is no diagnostically conclusive test for PD
yet, so the diagnosis is clinical in nature. In the clinical setting, PD is commonly missed or misdiagnosed
since many symptoms of PD are also common to other diseases both neurodegenerative and non-
neurodegenerative. The diagnosis and treatment of PD typically occurs when the disease has already
progressed to a relatively advanced stage in which motor symptoms are clearly evident and substantial
neurophysiological damage has already taken place. At this point, any possibility of delaying disease
progression or, achieving neuro protection may already be out of reach.
A revised definition of PD, together with the availability of novel diagnostic tools can allow for earlier
diagnosis, and therefore treatment. Non-motor symptoms, which account for a large proportion of PD
symptoms and usually emerge much earlier, are increasingly recognized as useful indicators to achieve
earlier diagnosis. Furthermore, a number of new and diverse diagnostic tools (i.e. biological and genetic
biomarkers, imaging techniques) are now available and have the potential to make earlier diagnosis, and
consequently earlier treatment, possible.
The most evident benefit of early treatment with medicines other than L-dopa is the reduction in
symptoms (for example difficulty or distortion in performing voluntary movements) and the delay of
levodopa (L-dopa) initiation and therefore its immediate side-effects (for example hypotension,
arrhythmia, insomnia and hallucinations) and the effects of its chronic administration (motor
complications and drug resistance). Clinical trials also suggest that early treatment can slow disease
progression.
EARLY INTERVENTION : There is growing evidence that early intervention may help in preserving the
functioning of the neurons, reducing symptoms, particularly difficulty or distortion in performing
voluntary movements, slowing disease progression and improving patient QoL. However early
treatment relies on early diagnosis and, as already pointed out, early diagnosis and treatment of PD can
be difficult to achieve because the nature of diagnosis (mostly clinical). Therefore by the time motor
symptoms emerge, significant neurological damage and the destructive structural changes have already
taken place. PD diagnosis by conventional means identifies a disease which is already advanced, and any
possibility of delaying disease progression, not to mention neuroprotection, may already be out of
reach. Despite the fact that diagnosis remains mainly clinical, recently, the increasing recognition of pre-
motor symptoms together with a number of new and diverse techniques for diagnosis have the
potential to considerably alter the diagnostic landscape in the next future, making the early diagnosis,
and therefore treatment, achievable.
ADHERENCE: Poor treatment adherence is a significant challenge to optimizing outcomes in PD, and any
therapeutic strategy must take into consideration those factors impacting treatment adherence.
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ِ.1ماِهوِمرضِالرعاشِ“الباركنسون"ِ؟ ِ
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مرضِالرعاشِ(الباركنسون)ِهوِاضطرابِالحركةِالمزمنةِوالتقدمٌةِالتًِتنطويِعلىِخللِوموتِالخالٌاِالعصبٌةِالحٌوٌةِفًِالدماغِ.
بعضِهذهِالخالٌاِالعصبٌةِالمٌتةِتنتجِالدوبامٌنِ،وهًِمادةِكٌمٌائٌةِترسلِرسائلِإلىِجزءِالدماغِالذيٌِتحكمِفًِالحركةِوالتنسٌقِ.وِ
معِتقدمِمرضِباركنسونِ،تقلِكمٌةِالدوبامٌنِالمنتجةِفًِالدماغِِ،وتتركِالشخصِغٌرِقادرِعلىِالسٌطرةِعلىِالحركة.
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.2ماِهًِأعراضِمرضِالرعاشِ؟ِ ِ
األعراضِالحركٌةِالرئٌسٌةِاألربعةِلمرضِباركنسونِهًِرعشةِالٌدٌنِوالذراعٌنِوالساقٌنِأوِالفكِِ.تصلبِفًِاألطرافِوالجذعِ.
بطءِالحركةِِ,ضعفِالتوازنِوالتنسٌقِ.األعراضِالشائعةِاألخرىِقدِتشملِاأللمِ ,االرتباكِ ,إعٌاءِ ,اضطراباتِالنوم؛ِكآبة؛ِاإلمساكِ.
التغٌراتِالمعرفٌة؛ِالخوفِأوِالقلق؛ِوالمشاكلِالبولٌةِ.كلِهذهِاألعراضٌِمكنِأنِتختلفِمنِشخصِآلخر.
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٠ ً٘ .5.عزجش ِٕشك اٌشعبػ " اٌجبسوٕغِ " ْٛشك ٚساث ٟ؟
عٍ ٝاٌشغُ ِٓ أْ اٌغبٌج١خ اٌعظّ ِٓ ٝحبالد ثبسوٕغ١ٌ ْٛغذ ِٛسٚثخ ِجبؽشحٚ ،لذ
اوزؾف اٌجبحث ْٛاٌعذ٠ذ ِٓ اٌدٕ١بد اٌزّ٠ ٟىٓ أْ رغجت اٌّشك ف ٟعذد لٍ ِٓ ً١األعش.
اٌجحٛس عٍ٘ ٝزٖ األؽىبي اٌٛساث١خ إٌبدسح رغبُ٘ إٌ ٝحذ وج١ش ف ٟرعض٠ض ف ُٙخّ١ع
اٌزٓ٠ األؽخبؿ أْ اٌجبحثْٛ ٚخذ اٌىج١شح، اٌغىبٔ١خ اٌذساعبد فٟ اٌّشك. أؽىبي
٠عبٔ ِٓ ْٛلش٠ت ِٓ اٌذسخخ األ ٌٝٚاٌّزنشسحِ ،ثً أحذ اٌٛاٌذ ٓ٠أ ٚاألخٌ ،ذ ُٙ٠فشفخ
أوجش ِٓ أسثعخ إٌ ٝرغعخ ف ٟاٌّئخ ٌزي٠ٛش ثبسوٕغ ،ْٛثبٌّمبسٔخ ِع عبِخ اٌغىبْ.
٘ٚزا ٠عٕ ٟأٔٗ إرا وبْ أحذ اٌٛاٌذٌ ٓ٠ذ ٗ٠ثبسوٕغْٛ؛ فئْ فشفٗ ف ٟري٠ٛش اٌّشك
أعٍ ٝلٍ١ال ِٓ اٌّخبىش ث ٓ١عبِخ اٌغىبْ.
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الضمورِمتعددِاالجهزةِ–ِالشللِفوقِالنودىِالمتزاٌدِ–ِالتنكسِالقشرىِالقاعدى ِ
كماٌِنتجِعنِِ :
اخذِبعضِاالدوٌةِمثلِالمهدئاتِالعظمىِِ,مضاداتِالقئِِ,اضطرباتِاالوعٌةِالدموٌةِالمخٌةِِ.المرضِالدماغىِ,بعضِالسمومِمثلِ
اولِاكسٌدِالكربونِ,المبٌداتِالحشرٌةِِ,اصاباتِالرأسِوِبعضِاالمراضِالوراثٌةِمثلِمرضِوٌلسونِهانجنتونِوِاٌضاِمضاعفاتِ
االمراضِالسرطانٌةِِ .
7.كٌفِتتعاملِمعِمرضِالباركنسون؟ ِ
ِهناك ِالعدٌد ِمن ِالطرق ِالعالجٌة ِالدواء ِوالجراحة ِللتحكم ِأعراض ِ ِلٌفودوبا ِ,هو ِالدواء ِاألكثر ِشٌوعا ِعلى ِنطاق ِواسع ِفً ِمرضِ
الباركنسونِ،والناسِغالباِماِتؤخذِالعدٌدِمنِاألدوٌةِاألخرىِللسٌطرةِعلىِاعراضِالمرضِ.قدِتساعدِالخٌاراتِالجراحٌةِ،مثلِالتحفٌزِ
العمٌقِللدماغِ،علىِالتخفٌفِمنِأعراضِشخصِباركنسونِإذاِتوقفتِعنِاالستجابةِبشكلِإٌجابً ِلألدوٌةِ.ومعِذلكِ،الجراحةِهًِ
فعالةِفقطِلمجموعةِصغٌرةِمنِالمرضًِالمصابٌنِِفقطِإذاِكانِالفردٌِلبًِمعاٌٌرِمحددةِ .
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ِمرض ِباركنسون ِهو ِمرض ِعصبً ِتدرٌجً ِمزمن ٌِإثر ِعلى ِحوالً ِِ 7مالٌٌن ِشخص ِفً ِجمٌع ِأنحاء ِالعالم ِمع ِآثار ِاجتماعٌةِ
واقتصادٌةِمدمرةِعلىِاألفرادِوأسرهمِوالمجتمع ِ
.سوءِأوِالتشخٌصِالخاطئِأوالتؤخٌرِفًِالعالجِ.الٌِوجدِاختبارِقاطعِتشخٌصًِمرضِالرعاشِحتىِاآلنِ،وبالتالًِفإنِالتشخٌصِ
بواسطةِالكشفِالطبً ِِ،وعادةِماٌِتمِعدمِالتشخٌص ِأوِتشخصِخطؤِحٌث ِالعدٌدِمنِأعراضِتتشاركِنفسِاالعراضِِ .عادةِ ِستمِ
التعرفِعلًِالمرضِعندماِقدِتقدمِبالفعلِإلىِمرحلةِمتقدمةِنسبٌاِحٌثِاألعراضِالحركٌةِواضحةِبشكلِواضحِوالضررِالعصبًِ
كبٌرِقدِحدثِبالفعلِ.عندِهذهِالنقطةِ،أيِإمكانٌةِلتؤخٌرِتطورِالمرضِ،أوِتحقٌقِالحماٌةِالعصبٌةِقدِتكونِبالفعلِبعٌدةِالمنال.
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ٌّبرا ٠عزجش االوزؾبف ٚاٌزذخً اٌّجىش عبًِ ِ ُٙف ٟاٌغ١يشح عٍِ ٟشك اٌشعبػ ؟
اٌزذخً اٌّجىشٕ٘ :بن أدٌخ ِزضا٠ذح عٍ ٝأْ اٌزذخً اٌّجىش لذ ٠غبعذ ف ٟاٌحفبً عٍٝ
عًّ اٌخال٠ب اٌعقج١خٚ ،اٌحذ ِٓ األعشاكٚ ،خبفخ فعٛثخ أ ٚرؾ ٗ٠ٛف ٟأداء اٌحشوبد
اٌيٛع١خٚ ،رجبىؤ ريٛس اٌّشك ٚرحغٚ ٓ١ظبئف اٌّش٠لِٚ .ع رٌه ٠عزّذ اٌعالج اٌّجىش
عٍ ٝاٌزؾخ١ـ اٌّجىشٚ ،وّب أؽ١ش ِٓ لجًٚ ،اٌزؾخ١ـ اٌّجىش ٚاٌعالج ِٓ اٌجبسوٕغْٛ
ّ٠ىٓ أْ ٠ى ِٓ ْٛاٌقعت رحم١مٗ ألْ ىج١عخ اٌزؾخ١ـ (ِعظّٙب ثٛاعيخ اٌىؾف)ٌ .زٌه ِٓ
لجً ظٛٙس األعشاك اٌحشو١خٚ ،لذ ٚلعذ ثبٌفعً رٍف عقج ٟوج١ش ٚاٌزغ١شاد اٌ١ٙىٍ١خ
ثبٌٛعبئً اٌزمٍ١ذ٠خ ٠حذد اٌّشك اٌز ٛ٘ ٞثبٌفعً اٌّذِشح .رؾخ١ـ ِشك اٌشعبؽٟ
ِزمذِخٚ ،أ ٟ٠إِىبٔ١خ ٌزأخ١ش ريٛس اٌّشكٔ ،ب٘١ه عٓ اٌحّب٠خ اٌعقج١خ ،لذ رىْٛ
ثبٌفعً ثع١ذا عٓ ِزٕبٚي اٌ١ذ.
األخ١شح، أٚ٢خ فٟ اٌيج١ت، ثٛاعيخ أعبعب ٠ضاي ال اٌزؾخ١ـ أْ ِٓ اٌشغُ عٍٝ
اٌزمٕ١بد ِٓ عذد ِع خٕت إٌٝ خٕجب اٌحشو١خ لجً ِب ألعشاك اٌّزضا٠ذ ٚاالعزشاف
اٌدذ٠ذح ٚاٌّزٕٛعخ ٌٍزؾخ١ـ ٌذٙ٠ب اٌمذسح عٍ ٝرغ١١ش وج١ش ف ٟاٌّؾٙذ اٌزؾخ١ق ٟفٟ
اٌّغزمجً اٌّمجًِّ ،ب ٠دعً اٌزؾخ١ـ اٌّجىشٚ ٚ ،ثبٌزبٌ ٟاٌعالجّ٠ ،ىٓ رحم١مٗ.
ِشك فٟ اٌّثٍٝ إٌزبئح ٌزحم١ك وج١شا رحذ٠ب ٠ؾىً االٌزضاَ عٛء : االٌزضاَ
اٌجبسوٕغٚ ،ْٛأ ٞاعزشار١د ١خ عالخ١خ ٠دت أْ رأخز ثع ٓ١االعزجبس رٍه اٌعٛاًِ اٌزٟ
رؤثش عٍ ٝاالٌزضاَ اٌعالج.
Eva Pharma is a revolutionary generic drug company that is driven by finding innovative
solutions to raise the health standard in the nations where it operates through making
effective, safe and affordable medication available to all.
At Eva Pharma, we place emphasis on more than just being a revolutionary generic drug
manufacturer. Our consistent efforts to find cutting edge solutions and raising the bar of
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As one of the fastest growing drug manufacturers in the MENA region, we see it as an
integral part of our mission to establish a genuine personal connection with our patients
and the physicians that deliver care to them. One that helps us identify their needs and
allows us to re-align our resources and expertise to best serve them.
For us, it’s a matter of manufacturing the most needed affordable drugs and selling
them in an ethical manner. We see our role as one that involves several considerations.
Be that social, environmental, or a commitment to our people and patients, we
continually strive to bring the full potential of our company to bear in the local, regional
and international arenas.
Our aim is to become Egypt’s largest pharmaceutical company and one of the top
three leading pharmaceutical companies in the MENA region by 2020. Our vision is to
achieve multinational status through increasing our international sales to rival our
domestic sales. We are on a rigorous path to top our international success by becoming
one of the world’s top twenty generic drug manufacturers by 2029.