Different symptoms of periodic paralysis?

summary

The reason why it is called different symptoms of periodic paralysis is that periodic paralysis can be divided into several different types, so the symptoms will be different. According to the different blood potassium concentration, periodic paralysis can be divided into three types: hyperkalemia, normal blood potassium and hypokalemia. Let's introduce them in detail.

Different symptoms of periodic paralysis?

Symptom one: hyperkalemic periodic paralysis attack serum potassium higher than normal level, but some cases in the normal range. This serum potassium level has no effect on normal people, but it will inevitably induce paralysis in patients with this disease. The blood calcium level also decreased during the attack. ECG showed hyperkalemic changes, and arrhythmias such as bigeminy or paroxysmal tachycardia occurred in some cases.

Symptom 2: periodic paralysis of normal blood potassium type, also known as periodic paralysis of normal blood potassium type with sodium reactivity. Autosomal dominant inheritance. It's rare. It usually occurs before the age of 10. It can affect both sexes. Often wake up at night or early in the morning to find limbs or part of muscle paralysis, often involving the calf muscle or shoulder arm muscle, can also involve facial expression muscle, and even cause dysphonia, dyspnea, etc. Paralysis or weakness lasts for a long time, usually more than 10 days. Mild cases last for 3-4 days, and severe cases can last for several weeks. Mild hypoesthesia may occur during the attack. Patients with this disease are often extremely halophilic, which can be induced by limiting salt intake or potassium supplement.

Symptom 3: hypokalemic periodic paralysis is a rare disease in China. Most of the patients are children or adolescents. The etiology of hypokalemic periodic paralysis is unknown. Severe patients may involve the neck muscle and extraocular muscle. The duration of the attack is relatively short. Strengthening the activity during the attack can promote the recovery of weak or paralyzed patients.

matters needing attention

prevention; 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. 4. Attention should be paid to the prevention of falling out of bed, asphyxia, pulmonary or urinary tract infection, tachycardia and arrhythmia caused by paralysis. If paralysis is caused by secondary factors, the primary disease should be treated actively.