Anesthesia for myasthenia gravis operation

summary

I chatted with my classmates yesterday. He said that one of his friends was found to have myasthenia gravis recently. He didn't know what to do. He was also very worried. He wanted to find an opportunity to see his friends. The treatment was very fast, and I recovered almost. Let me talk about anesthesia for myasthenia gravis surgery.

Anesthesia for myasthenia gravis operation

Treatment 1: early use of anticholinesterase drugs can relieve symptoms in patients with myasthenia gravis. If the effect of such drugs alone is not good, glucocorticoid or methylprednisolone can be combined. According to literature reports, early use of glucocorticoid may prevent the transformation from ocular myasthenia gravis to systemic myasthenia gravis, but exact evidence is still needed.

Treatment 2: systemic myasthenia gravis patients treated with anti cholinesterase drugs alone often can not achieve the therapeutic effect, glucocorticoid should be added or combined with azathioprine, cyclosporine A and other immunosuppressants. Severe cases need high-dose methylprednisolone impact. If the symptoms can not be improved after methylprednisolone impact, consider high-dose gamma globulin impact.

Treatment 3: some patients with generalized myasthenia gravis may have transient aggravation in the process of high-dose methylprednisolone impact. In severe cases, they even need tracheal intubation or tracheotomy, and the change of condition should be closely observed.

matters needing attention

Here, I would like to remind you that the diet of myasthenia gravis should not take food that is unfavorable to the condition, and food with strong irritation, such as pepper, etc., especially for patients in acute stage and patients with Yin deficiency and fire hyperactivity type.