Early treatment of myasthenia gravis

summary

Myasthenia gravis is a disease that my daughter-in-law told me, because her colleagues got it. They said it was caused during the operation. Now it's much better. Here I'd like to share my experience in the early treatment of myasthenia gravis.

Early treatment of myasthenia gravis

Treatment 1: corticosteroids are commonly used. It can be treated with high-dose pulse therapy, such as prednisone, or with high-dose methylprednisolone. After the symptoms are improved, gradually reduce the dosage, and then use the maintenance dosage. The medication can last for several years. This method is suitable for severe patients. At the beginning of medication, the symptoms may worsen, which should be observed. Hormone therapy is effective for most patients, can alleviate the condition for several months to several years, some patients can gradually stabilize the condition. If the hormone effect is not good, cyclophosphamide and azathioprine can be considered.

Treatment 2: hormone or immunosuppressive therapy. The patients over 35 years old with poor therapeutic effect or continued deterioration can be treated with thymectomy regardless of thymic tumor. Most patients have good curative effect after operation.

Treatment 3: the difference between myasthenic crisis and cholinergic crisis should be distinguished first in crisis management. If it is difficult to distinguish between myasthenic crisis and cholinergic crisis, epenol ammonium chloride can be used, but assisted breathing should be prepared. If the symptoms worsen, it is cholinergic crisis, and atropine should be injected immediately. If it is myasthenic crisis, neostigmine can be injected, combined with ephedrine and potassium chloride.

matters needing attention

Here I would like to give you a warm reminder: Traditional Chinese medicine believes that the five flavors are stored in the stomach to nourish the five Zang Qi. If the diet does not lack of nutrients for a long time, it is easy to affect the blood biochemistry, leading to physical weakness. On the contrary, excessive diet can damage the spleen and stomach, leading to physical decline over time. Therefore, for patients, in the diet with meat and vegetables, coarse grain with fine grain, children must correct bad eating habits, so as to make the patient's physique, healthy, make the disease recover as soon as possible.