Treatment of myasthenia gravis

summary

I am a patient with myasthenia gravis. Four years ago, my eyelids suddenly drooped. Later, I developed to have two eyes like this. I began to treat them in our local hospital. After about a year, I didn't get well and was diagnosed with myasthenia gravis. Now I'm much better. Here I'd like to share my experience in the treatment of myasthenia gravis with you.

Treatment of myasthenia gravis

Treatment 1: thymectomy, if the condition worsens significantly, can be supplemented by plasma exchange, high-dose injection of immunoglobulin, hormone and cholinesterase inhibitor treatment.

Treatment 2: if the patient's condition is serious and can't be thymectomy, plasma exchange or high-dose immunoglobulin injection can be used, combined with hormone, and gradually transition to single hormone. Thymectomy can be performed after the patient's condition is improved and stable for 2 months, and the original dose can be maintained for 2 months, and then slowly reduced for 2-4 years until discontinuation.

Treatment 3: Patients with myasthenia gravis and critical patients who can not or refuse thymectomy preferred plasma exchange or high-dose injection of immunoglobulin, non critical patients preferred hormone therapy, in the process of hormone reduction can be added azathioprine and other immunosuppressants, reduce rebound phenomenon.

matters needing attention

On this, I would like to remind you: pay attention to moderate exercise is also one of the prognosis measures of myasthenia gravis, physical exercise to enhance the physique, but not excessive exercise, especially in children with myasthenia gravis, excessive exercise will aggravate the symptoms, so patients should choose some help to restore health according to their own situation. Patients with severe illness or long-term bedridden patients should be given appropriate massage to prevent pressure sores.