Myasthenia gravis and hyperthyroidism

summary

My aunt found out six months ago with myasthenia gravis, some strabismus, facial stiffness, can't smile, no way to continuously chew, swallowing is also difficult, a little hard things can't eat. I feel weak in my limbs, and I can't comb my hair. After taking the medicine for 2 days, I feel obviously improved. Let me share with you the experience of myasthenia gravis and hyperthyroidism.

Myasthenia gravis and hyperthyroidism

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

Warm reminder: myasthenia gravis health care also want to do daily life often, first of all, according to the daily life order, sleep on time, get up on time, don't stay up late, to work and rest. The health care of myasthenia gravis includes avoiding wind and cold and preventing cold. Myasthenia patients with poor resistance, cold will not only promote disease recurrence or aggravation, but also further reduce the body's resistance to the disease.