Myasthenia gravis has been better for 20 years

summary

Although the patient did not have any digestive tract disease in the early stage of onset, he could not swallow in terms of diet, and even had difficulty in swallowing water. When drinking water, it either chokes into the trachea to cause cough or flows out of the nostrils. Some patients have to rely on nasogastric tube because of severe dysphagia. Well, some patients have proposed myasthenia gravis for 20 years.

Myasthenia gravis has been better for 20 years

Treatment 1: intramuscular injection of neostigmine: rescue patients with myasthenia crisis can immediately intramuscular injection of neostigmine 1 mg, if necessary, can be repeated, symptoms can be changed to oral.

Treatment 2: discontinuation of cholinergic drugs: Patients with cholinergic crisis should discontinue all anticholinesterase drugs, while intramuscular or intravenous injection of atropine 0.5-2 mg, repeated 15-30 minutes a day.

Treatment 3: discontinuation of anticholinesterase drugs: Patients with refractory crisis should discontinue anticholinesterase drugs, restore the function of motor endplate acetylcholine receptor, and start to use anticholinesterase drugs in small dose at least 72 hours after symptom control.

matters needing attention

I would also like to emphasize: myasthenia gravis diet need to pay attention to eat less cold: avoid eating mustard, radish, mung bean, kelp, laver, watercress, day lily, sword flower, watermelon, balsam pear cold products. Eat less cold drinks to avoid damage to the spleen and stomach, bitter food should also eat less, bitter can diarrhea heat, easy to hurt the stomach.