Knee pain in children with myasthenia gravis

summary

My friend's son has been suffering from myasthenia gravis for several years. He's eye type. Now it doesn't have a big impact on life. I can't lift my eyelids, nothing else. Now it's finally cured. Today I'd like to share with you the knee pain of a child with myasthenia gravis.

Knee pain in children with myasthenia gravis

Treatment 1: anticholinesterase drugs such as pyridostigmine 60-360 mg / time, 3-5 times / day, neostigmine bromide 15-90 mg / time, 3-5 times / day. Patients with slow heart rate, arrhythmia, mechanical intestinal obstruction and asthma should not use it or use it with caution.

Treatment 2: polarizing solution (10% glucose 250-500 ml, 10% potassium chloride 10-15 ml, insulin 8-16 units), neostigmine 0.5-2.0 mg, dexamethasone 5-15 mg, intravenous drip once a day, 10-12 times as a course of treatment. One course of treatment was repeated intermittently for 5-7 days. Generally, 2-3 courses of treatment showed marked effect. Polarized solution could restore the function of endplate and the metabolic function of acetylcholine cholinesterase system. Calcium can also be taken orally or intravenously. Calcium not only plays an important role in the process of nerve transmission. It can also enhance the secretion of acetylcholine.

Treatment 3: immunosuppressive agents were used according to the immune function: ① prednisone 45-80 mg / day, lasting for 3-5 months. ② Cyclophosphamide 200 mg IV, together with VitB 6100-200 mg, added to 250 ml of 10% glucose, once a day, 10 times as a course of treatment; or 50 mg orally, 2-3 times a day. ③ Azathioprine 25-50 mg orally, 2-3 times a day, and can be combined with prednisone for a long time. In addition, cyclosporine (6 mg / kg / day) can also be used for treatment.

matters needing attention

On this, I would like to remind you: the diet structure of patients with myasthenia gravis needs to cooperate. For example, in different stages of myasthenia gravis, the diet should be graded. For patients with myasthenia gravis who have no fever, normal chewing ability and normal digestive function, the standard daily calories and balanced diet ratio can be determined by using ordinary meals. Therefore, diet is important for myasthenia gravis The treatment of weakness is also very important.