Treatment of myasthenia gravis

summary

Suffering from myasthenia gravis, long-term use of hormone drugs lead to obesity, osteoporosis, low bone density, now is much better, here to share the treatment experience of myasthenia gravis, hope to help more people.

Treatment of myasthenia gravis

Treatment 1: corticosteroids are commonly used. It can be treated with high-dose pulse therapy, such as prednisone, or with high-dose methylprednisolone. After the symptoms are improved, gradually reduce the dosage, and then use the maintenance dosage. The medication can last for several years. This method is suitable for severe patients. At the beginning of medication, the symptoms may worsen, which should be observed. Hormone therapy is effective for most patients, can alleviate the condition for several months to several years, some patients can gradually stabilize the condition. If the hormone effect is not good, cyclophosphamide and azathioprine can be considered.

Treatment 2: hormone or immunosuppressive therapy. The patients over 35 years old with poor therapeutic effect or continued deterioration can be treated with thymectomy regardless of thymic tumor. Most patients have good curative effect after operation.

Treatment 3: the difference between myasthenic crisis and cholinergic crisis should be distinguished first in crisis management. If it is difficult to distinguish between myasthenic crisis and cholinergic crisis, epenol ammonium chloride can be used, but assisted breathing should be prepared. If the symptoms worsen, it is cholinergic crisis, and atropine should be injected immediately. If it is myasthenic crisis, neostigmine can be injected, combined with ephedrine and potassium chloride.

matters needing attention

Here I want to give you warm tips: Patients with myasthenia should pay attention to reasonable daily life, get up on time to rest, do not stay up late, usually should pay attention to the combination of work and rest, to avoid overwork, patients with poor physical resistance because of the disease, so we should pay special attention to the prevention of cold infection, because cold infection often leads to the recurrence or further development of the disease, and will further reduce the risk of patients Resistance, creating opportunities for other diseases to invade. This is also one of the prevention of myasthenia.