Relapse of myasthenia gravis after 20 years

summary

In the office, Xiao Zhang is the youngest, the most energetic, and the average person is also very good, so everyone likes him. But recently, Xiao Zhang always falls down when he walks, and his feet are always soft. When he goes to check, he suffers from myasthenia gravis. After treatment, he has basically recovered. Now I would like to share with you the problem of recurrence of myasthenia gravis 20 years later.

Relapse of myasthenia gravis after 20 years

Treatment 1: thymectomy, most MG patients with thymic hyperplasia after thymectomy clinical symptoms improved, a small number of postoperative immunotherapy. Thymectomy for thymoma patients is mainly aimed at tumor, which may not significantly improve the myasthenia.

Treatment 2: adrenal corticosteroids, more use of high-dose methylprednisolone pulse therapy, gradually reduced, in order to make the hormone withdrawal smoothly, can also use immunosuppressants. Special emphasis on some patients in the early application of hormone will appear myasthenia aggravation, or even myasthenia crisis. In addition, we should pay attention to the contraindications and side effects of hormone application, and supplement potassium, calcium and acid at the same time.

Treatment 3: plasma exchange, mainly used for myasthenia crisis or thymectomy perioperative medication, short duration, need to supplement fresh plasma, complicated operation process, prone to complications.

matters needing attention

I would also like to emphasize: reasonable and sufficient is the necessary condition to ensure the growth and development of the human body. "The five flavors are stored in the stomach, so as to nourish the five kinds of Qi". Lack of it will affect the biochemistry of Qi and blood, which will lead to physical weakness. On the contrary, excess can damage the spleen and stomach, which will lead to physical decline over time. Therefore, the patients with myasthenia gravis should match meat and vegetables, and the children with coarse grains and fine grains must correct it Bad habits, so as to make the patient's physique, healthy exuberant, so that the disease as soon as possible recovery.