Extraction of wisdom teeth in myasthenia gravis

summary

I'm a high school student. I heard that one of our roommates had myasthenia gravis and was suspended from school. We all went to the hospital to see him. But I found something unusual with my classmates. My parents said it was very serious. They had to treat me for a long time. The doctor gave me treatment and the symptoms were alleviated. Aiming at the problem of myasthenia gravis and wisdom tooth extraction? Let's talk about myasthenia gravis and wisdom tooth extraction.

Extraction of wisdom teeth in myasthenia gravis

Treatment 1: corticosteroids (dexamethasone, prednisone or methylprednisolone) high dose (dexamethasone 10-20 mg / D, or methylprednisolone 10-20 mg / kg. D) gradually decreasing method.

Treatment 2: less or no use of anticholinesterase drugs, patients with crisis after thymectomy can be short-term application of neostigmine 1 mg in 5% glucose saline intravenous drip, control the drip speed at about 10 drops / min, avoid increasing the dose or speed up, in order to prevent cardiac arrest.

Treatment 3: hormone or immunosuppressive therapy. Thymectomy can be performed in patients over 35 years old, who have poor therapeutic effect or continue to worsen, no matter whether they have thymic tumor or not.

matters needing attention

I would also like to emphasize: I have a good appetite but I can't swallow anything. When I drink water, I either choke into my trachea to cause a cough or flow out of my nostrils. Dyspnea is one of the most serious symptoms of myasthenia gravis, which can cause death in a short time, so it is also called myasthenia gravis crisis.