Etiological treatment of myasthenia gravis

summary

My family used to live in the countryside. Usually I only heard about headache and fever. Now I live in the city. I often heard that people around me suffer from this and that kind of disease. Last week, Xiao Li downstairs was found to have myasthenia gravis. After a period of treatment, I feel much better now. Let's talk about the treatment of myasthenia gravis.

Etiological 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

On this, I would like to remind you: patients should develop good living habits, arrange their daily life, go to bed on time, get up on time, try not to stay up late, ensure the combination of work and rest, so as to help the treatment and make the patients less suffering.