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At present, muscle weakness is mainly carried out by combining traditional Chinese and Western medicine**. Under normal circumstances, patients with myasthenia gravis have myasthenia gravis crisis, and need to be immediately intubated, hormonal drugs, etc., after the patient's condition is stabilized, and then according to the relevant theories of traditional Chinese medicine, the patient gradually stops ventilators and reduces the dose of Western medicine. Most patients.
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If there is muscle weakness, you need to go to the neurology department of the hospital in time to do an examination to clarify**, and then determine the corresponding **plan. Myasthenia can be caused by central nervous system involvement, which is generally more common in local muscle weakness symptoms, such as cerebral hemorrhage or cerebral infarction caused by hemiplegia or weakened muscle strength of the hemibody. Myasthenia can also be caused by immune diseases or tumors, which is mostly manifested as generalized muscle weakness, which can be seen in Guillain-Barré syndrome, myasthenia gravis, etc., and it is necessary to do biochemistry, thymus CT, magnetic resonance and other related examinations to clarify**, and then carry out ** for **.
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Myasthenia generally refers to myasthenia gravis, which includes symptomatic symptomatic relief and causal modulation of immunity.
For causes**, including medications** and surgical removal of the thymus. Cholinesterase inhibitors, the symptomatic drug for symptomatic relief, are the first-line drugs for all myasthenia gravis, which are used to improve the symptoms of weakness, especially as the initial drug for newly diagnosed patients, and pyridostigmine bromide is commonly used in China. For the regulation of immunity**, glucocorticoids are the first-line drugs for myasthenia gravis, including prednisone acetate and methylprednisolone, and the medication mode includes starting with a small dose and gradually increasing the amount straight and sufficient, if the condition is critical, glucocorticoids can be used to shock**, but it may be possible to induce aggravation of the disease in the early stage, and preparations should be made for crisis treatment.
Critically ill patients in the acute phase may be considered for high-dose gamma globulin shock** and plasma exchange if both are inadequate. Long-term oral immunosuppressants in remission include azathioprine, cyclosporine A, tacrolimus, mycophenolate mofetil, etc., which can be selected according to the condition and drug tolerance. If thymoma is found, thymectomy should be performed as soon as possible.
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The occurrence of muscle weakness can be caused by a variety of conditions, and it is necessary to first identify the specific **, and then determine the corresponding ** plan. If it is a symptom of muscle weakness caused by local nerve damage, you can choose drugs that nourish the nerves**, such as methylcobalamin vitamins B1 and B12. At the same time, it can be combined with local physiotherapy, acupuncture and other methods to synthesize**, if there is a case of nerve rupture, it is also necessary to consider nerve anastomosis surgery**.
If it is a symptom of hemipular muscle weakness caused by a cerebrovascular accident, it needs to be carried out for the primary disease of the brain**, such as cerebral hemorrhage, mannitol dehydration can be used to lower intracranial pressure, or hematoma removal surgery**, and drugs to nourish nerves such as gangliosides and citicoline. If it is a cerebral infarction, you can choose aspirin antiplatelet **, thrombosis and blood circulation, and pay attention to muscle strength training in the later stage. If it is myasthenia gravis, it is a neuromuscular junction disease, and drugs such as pyridostigmine bromide should be taken orally under the guidance of a professional doctor.
There is also periodic paralysis can appear lower limb weakness, dermatomyositis, genetic diseases can also appear, it is recommended to see a regular hospital, timely **.
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Approach to myasthenia gravis.
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Updated Time:2019-05-14 19:44
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Read step by step. Myasthenia gravis is relatively common in daily life, many people do not know much about the disease myasthenia gravis, and it is very important to take the correct method for myasthenia gravis, so what method is effective for myasthenia gravis? Symptomatic is the only way to get myasthenia gravis.
Approach to myasthenia gravis.
Thymectomy: It has a good effect on patients with thymic hyperplasia or thymoma, and is also considered to be an important means of muscle weakness in Western medicine.
Immunosuppressants**: Adrenocorticosteroids are commonly used and are suitable for moderate to severe patients.
Drugs**: myasthenia gravis lesions are caused by a decrease in acetylcholine synthesis required for muscle movement in the body, and when muscle weakness is carried out, drugs that increase the function of acetylcholine will be used to improve symptoms.
Traditional Chinese Medicine**: According to Chinese medicine, myasthenia gravis belongs to the category of impotence, which is caused by impaired function of the internal organs, imbalance of qi and blood, or obstruction of phlegm and turbidity, and poor flow of qi and blood. Traditional Chinese medicine ** ataxia includes acupuncture, massage, drinking decoction, etc., the most representative is Guyuan Muscle Lifting Soup.
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In the case of muscle weakness, it is necessary to first clarify ** before ** plan can be determined. If the weakness of a single limb is present, it can be seen in mononeuropathy or intracranial lesions. If hemilimb weakness is present, it is seen in cerebrovascular disease, intracranial mass lesions, demyelinating diseases, etc.
In the case of paraplegia, it is more common in spinal cord lesions; Weakness of the limbs, which can be seen in myasthenia gravis, periodic paralysis, polymyositis, muscular dystrophy, metabolic diseases, paraneoplastic syndromes, etc. Various types of muscle weakness are different, and the regimen is also different. For myasthenia gravis, the cholinesterase inhibitor pyrimidis bromide can be used, as well as a combination of corticosteroids and immunosuppressants such as azathioprine.
In the case of myasthenic gravis crisis, corticosteroid injection**, plasma exchange and intravenous gamma globulin can also be used.
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There are several types of myasthenia gravis medications**. First, cholinesterase inhibitors are mainly used to improve symptoms, and there are two types: pyridostigmine bromide and neostigmine bromide. Second, adrenocorticosteroids suppress autoimmune responses and are indicated for various types of myasthenia gravis.
It mainly inhibits the production of acetylcholine receptor antibodies to achieve the best effect. Adrenocorticosteroid pulse** is indicated for hospitalized patients, especially those who are critically ill, particularly those who have already been intubated or on a ventilator. However, it should be noted that some patients may experience exacerbations and even myasthenic crises in the short term after the use of high-dose hormone shocks**.
Therefore, those who take high doses of corticosteroids** must be hospitalized and prepared for resuscitation. Third, immunosuppressants are suitable for adrenocortical hormones, which cannot be used intolerant or have poor efficacy. Azathioprine, cyclophosphamide, etc. are commonly used.
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Myasthenia is very complicated, the common one is malnutrition, the other is genetic factors, if it is myasthenia gravis, it is very difficult, no matter what kind of myasthenia is recommended to go to a large hospital for a comprehensive examination after a formal **. For early stage patients, work and daily activities should be maintained as much as possible. Dyspnea is a relatively common method of myasthenia gravis.
If your health has symptoms of disease, please go to a regular hospital for medical treatment in time to avoid delaying the condition and causing serious consequences, and be healthy as soon as possible.
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When suffering from muscle weakness, the most typical symptom is general weakness, and in severe cases, it is impossible to take care of oneself even in basic life. Muscles that involve different parts of the body will be accompanied by different symptoms, such as weak chewing, hoarseness, crying and smiling, inability to raise head, choking on water, difficulty swallowing, double vision, drooping eyelids, etc., which will lead to dyspnea and fatal risk in severe cases.
Myasthenia is an autoimmune disorder that often runs in families. In severe cases, complications such as respiratory failure and lung infections may occur, and there is a certain risk of fatality. Therefore, once the symptoms of muscle weakness appear, it should be standardized as soon as possible to control the development of the disease and reduce the harm of the disease, so what are the symptoms of muscle weakness?
1. Weakness.
The most typical symptom of muscle weakness is general weakness. I can't carry my shoulders, I can't lift my hands, I can't stand up after squatting, and I can't even take care of myself when I'm serious, so I can't even eat, dress, comb my hair, wash my face, etc.
2. Weakness in chewing.
When suffering from myasthenic disease, the patient's teeth are still fine, but he always feels that he can't bite anything, and even taking a bite of steamed bread feels very laborious, and he can't eat tough foods such as pancakes and barbecue.
For mild muscle weakness, there is no specific method, the commonly used method is medicine, and there are many drugs for muscle weakness, which need to be used under the guidance of a doctor, and can also be used through massage, acupuncture and other physiotherapy methods to alleviate symptoms, patients should also pay attention to a high-vitamin, high-protein diet.
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