How is myasthenia gravis treated

Update Date: 2024-02-15 Source: Network

summary

It started a few months ago. Limb weakness, blepharoptosis, dysphagia, hospital examination is myasthenia gravis disease. After medication, the symptoms have improved significantly. I'm so happy. Now let me talk about how to treat myasthenia gravis.

How is myasthenia gravis treated

Treatment 1: induce and aggravate myasthenia gravis common antibiotics: aminoglycoside antibiotics: streptomycin, gentamicin, kanamycin, etc. Tetracyclines: doxycycline (doxycycline), tetracycline, etc. Polymyxin: polymyxin B, dichlorosin, etc. Other antibiotics including lincomycin, clindamycin and spiramycin have also been reported.

Treatment 2: the effect of antibiotics on the transmission function of neuromuscular junction: aminoglycoside antibiotics have the function of stabilizing the membrane, competing with acetylcholine for receptor site, affecting muscle contraction; tetracycline antibiotics can reduce the reactivity of motor endplate membrane, which may be related to abnormal calcium metabolism; Polymyxin antibiotics can reduce the sensitivity of motor endplate membrane to acetylcholine, reduce muscle excitability, and induce or aggravate myasthenia gravis.

Treatment 3: antibiotics for patients with myasthenia gravis: penicillins and cephalosporins are the first choice for patients with myasthenia gravis, and macrolides (erythromycin) or lincomycin and vancomycin are the second choice. Quinolones and nitroimidazoles should be used with caution when necessary. In order to prevent the aggravation of myasthenia, the dosage of anticholinesterase drugs should be increased, and the specific drug instructions should be carefully read to achieve the purpose of reasonable selection.

matters needing attention

For such a disease: myasthenia gravis care also includes psychological care. What should we do? Medical staff should pay more attention to communicate with patients, comfort and encourage patients, increase patients' confidence in rehabilitation, keep a happy mood, prevent patients' mental stress and some bad emotions from aggravating the disease, maintain a positive and optimistic attitude, do some activities conducive to physical and mental health, and regulate patients' emotions.