Normal potassium periodic paralysis?

summary

Periodic paralysis, also known as periodic paralysis, refers to a group of myopathy characterized by recurrent skeletal muscle flaccid paralysis. According to the change of serum potassium content, it can be divided into three types: low potassium type, positive potassium type and high potassium type. Clinically, hypokalemic periodic paralysis accounts for the vast majority, while positive and hyperkalemic periodic paralysis are rare. Normal potassium periodic paralysis? Next, I'd like to share my views with you.

Normal potassium periodic paralysis?

First, the disease can occur at any age, mostly in young adults (20-40 years old), male more than female, and the incidence decreases with age. Satiety (especially excessive carbohydrate intake), alcoholism, strenuous exercise, overwork, cold or emotional stress can be induced.

Second, most of the patients wake up at night or early in the morning, showing flaccid paralysis of the limbs, which can be mild or severe. Myasthenia often starts from the lower limbs and extends to the upper limbs, which is symmetrical on both sides and severe at the proximal end; The muscle tension decreased and the tendon reflex weakened or disappeared. The patient has clear mind, normal articulation, little involvement of head and face muscles, normal urine and stool function, but in severe cases, diaphragm, respiratory muscle, myocardium, etc. can be involved, and even cause death.

Third: the attack usually lasts for 6-24 hours, or 1-2 days, and individual cases last for one week. The last paralyzed muscles tend to recover first. The interictal period was normal; The frequency of attack varies from several weeks to several months. In some cases, the attack is frequent, even every day, once in several years or only once in a lifetime. After the age of 40, the incidence gradually decreased until it stopped.

matters needing attention

1. Eat less and have more meals, limit sodium intake, and avoid over satiety, cold, alcoholism and overwork. 2. Hyperthyroidism periodic paralysis, active treatment of hyperthyroidism can prevent recurrence. 3. Acetazolamide, a carbonic anhydrase inhibitor, is the first choice; Potassium retention agent ammonia body Shu Tong oral *. High potassium and low sodium diet and oral potassium supplement should be taken to prevent the attack.