Myasthenia gravis group
summary
It is caused by the development of the disease and the deficiency of anticholinesterase drugs. The clinical manifestations were dysphagia, coughing, respiratory distress, difficulty and even stop. Physical examination showed pupil dilation, sweating, abdominal distension, normal bowel sounds and improved symptoms after neostigmine injection. So we must do a good job of the disease related work, then myasthenia gravis group.
Myasthenia gravis group
Treatment 1: anti cholinesterase drugs (also known as cholinesterase inhibitors): the representative drug is pyridostigmine. Usage: 3-4 times a day, oral. Dosage: 5 mg for newborn, 10-15 mg for infant, 20-30 mg for elder, no more than 60 mg each time.
Treatment 2: adrenocortical hormone: hormone therapy can be applied to systemic type and ocular muscle type. The representative drug was prednisone, regular long-term treatment, 1mg / (kg. D). After the symptoms were completely relieved, the treatment was continued for 3-4 months according to the original dose. 5 mg / kg every other day for 1-1.5 years, with a total course of 1.5-2 years. Cyclophosphamide or azathioprine can be used cautiously in refractory cases.
Treatment 3: high dose gamma globulin: for refractory myasthenia gravis or myasthenia gravis crisis. 400 mg / (kg. D), 5 days as a course of treatment. On the 10th to 50th day, the patient's condition improved obviously. Repeated use will not reduce the efficacy.
matters needing attention
It is suggested that we should pay attention to: ensure adequate intake of vitamins and protein, light and avoid greasy, carefully eat cold and irritating things, and eat more warm and tonic products, so as to achieve the tonic effect and enhance the healthy qi of the body. Can also choose to strengthen the spleen and kidney of food to enhance the immune function of the body, such as eating spareribs soup, eggs, chestnuts, walnuts and so on.