Examination of myasthenia gravis

summary

My father checked out myasthenia gravis half a year ago. At that time, the EMG showed that the condition was in the middle stage. After the diagnosis, he began a lot of drug treatment. But a few days ago, he suddenly had dyspnea, which was almost life-threatening. The treatment was very fast, and I recovered almost. Let me talk about the examination of myasthenia gravis.

Examination of myasthenia gravis

Examination 1: myasthenia gravis is an autoimmune disease caused by transmission dysfunction at neuromuscular junction. The main clinical manifestations are partial or systemic skeletal myasthenia and fatigue. The symptoms worsen after activity and relieve after rest. Neurology, traditional Chinese medicine.

Examination 2: blood examination, blood acetylcholine receptor positive, but there are a few patients with the antibody test negative. The level of IL - Ⅱ receptor is significantly increased, and can be used as a marker of disease activity. T cell proliferation is directly proportional to the degree of disease. The content of complement in serum of active patients decreased, which was consistent with the severity of clinical myasthenia.

Examination 3: immunopathological examination. Biopsy of the neuromuscular junction can also be performed in patients with difficulty in diagnosis. The reduction and flattening of postsynaptic membrane folds and the reduction of the number of acetylcholine receptors can be seen.

matters needing attention

Attention should be paid to this disease: according to the five wheel theory of traditional Chinese medicine, the eyelid belongs to the spleen; according to the theory of viscera, the spleen governs the limbs and muscles, so the spleen stomach theory of traditional Chinese medicine is mostly used as a guide for various clinical syndromes of myasthenia. At the same time, according to the relationship between the five viscera, the lung, spleen and kidney are closely related, so the disease is closely related to the lung and kidney. The etiological characteristics of myasthenia are deficiency of lung, spleen and kidney, Qi deficiency, depression, spleen deficiency, kidney deficiency, muscle dystrophy, viscera dysfunction, and muscle flaccidity. At the same time, due to the deficiency of lung, spleen and kidney, the deficiency of external defense, the endogenous dampness, the exogenous wind evil, the internal injury of phlegm and dampness, the internal and external attack, aggravate the disease, so the treatment should pay attention to the evil (external evil, dampness and phlegm), the positive (lung, spleen and kidney), weigh specimens. In the treatment, the first is to remove pathogenic factors and strengthen the body.