Myasthenia gravis

summary

Recently, my colleague seems to have no strength all over his body. He was not like this before. The doctor said that he had myasthenia gravis. After treatment, he has basically recovered. Now I would like to share with you the problems about myasthenia gravis.

Myasthenia gravis

Treatment 1: the application of anti cholinesterase drugs do not use the first phase of dosing, from the minimum dose of 30-60mg / time, 2-3 times / day, maintain the dosage for more than a week, according to whether the symptoms improve or not, and then gradually increase the dosage, when the symptoms begin to improve, maintain the dosage.

Treatment 2: after remission, the dosage gradually decreases: when the dosage reaches a certain degree and the symptoms are relieved, maintain the dosage for one week, then decrease by 1 / 3, maintain for 1-2 months, if the symptoms do not worsen, decrease by 1 / 3 again, and seek the minimum effective dosage within this range. If the dosage reaches 240 mg / day, the symptoms can not be effectively improved, the combination of immunosuppressants should be considered.

Treatment 3: avoid drug overdose: long term and large-scale use of anticholinesterase drugs may lead to accumulation of acetylcholine. If there are symptoms such as conscious neck tightness, nausea, vomiting, sweating, finger shaking, muscle tremor, local muscle numbness, significantly lower heart rate, and excessive stool frequency, it usually indicates that the dosage of drugs has exceeded, so the dosage should be reduced in time.

matters needing attention

Warm reminder: 2 white sheep kidney, or 1 pair of pig kidney, first boil kidney into thick juice, filter the coarse residue, add a little wine, then add 500 grams of Japonica rice, cook porridge thick and sticky, 3 times a day, take it every day. (1) Bone marrow powder: 500g bone marrow powder of pig or cattle, 500g black sesame, stir fry until fragrant, grind fine powder together, add appropriate amount of white sugar, mix evenly, take 10g each time, twice a day, send it under warm water. It can moisten the lung, replenish the kidney and fill the marrow.