Recurrence of myasthenia gravis after operation

summary

Myasthenia gravis is a very serious disease, the number of patients is also increasing. The incidence rate of myasthenia gravis is 8 to 20/10 million, the prevalence rate is 50/10 million, and the incidence rate is high in southern China. Patients with myasthenia gravis are often associated with hyperthyroidism, thyroiditis, systemic lupus erythematosus, rheumatoid arthritis, pemphigus and other autoimmune diseases. So, in life, we should pay attention to it, the following is about the recurrence of myasthenia gravis after surgery.

Recurrence of myasthenia gravis after operation

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

For this disease: myasthenia gravis diet should pay attention to choose high protein, high vitamin, easy to digest food, after reasonable nutrition, and appropriate cooking, as far as possible to improve the patient's appetite, so that the nutrition and energy in the diet of patients with muscle atrophy can meet the needs of the body.