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In the early stage, myasthenia gravis is mainly manifested as partial or generalized skeletal muscle weakness and fatigue, which can be aggravated after exercise and relieved with rest. Patients with proximal muscle weakness may experience weakness in the shoulder muscles, hip belt muscles, thigh muscles, and upper arm muscles.
For example, shrugging shoulders and swaying gait when walking with arms, difficulty lifting legs, weakness of forearm muscles, hand muscles, calf muscles, and foot muscles, as well as symptoms of periodic muscle weakness, such as periodic muscle spasms.
Clause. 1. Dropping eyelids, blurred vision, diplopia, strabismus, and inflexible eye movement;
Clause. 2. The patient's expression is relatively indifferent, the face is crying and laughing, the speech is large, the arthritis is slurred, and it is often accompanied by a nasal voice;
Clause. 3. The patient's swallowing or chewing weakness, choking on drinking water;
Clause. Fourth, the neck is weak, it is difficult to raise the head, the neck is turned, the shoulders are shrugged, the arms are lifted, the hair is combed, the stairs are going up and down, and the car will be difficult to get on and off.
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The symptoms of muscle weakness, especially the early symptoms, are often not obvious, or the symptoms are easy to be ignored, and muscle weakness is a chronic disease. Many patients tend to develop fatigue easily, and rest will relieve the condition. The early symptoms of muscle weakness are subtle and tend to be overlooked.
Patients with muscle weakness will have hoarseness in the early stage, and the nasal voice is also very heavy, and the longer the time, the more hoarse and deep the voice will become, and then the voice will not be able to make a voice at all, this symptom is often regarded as a throat problem. Although muscle weakness can affect the muscles of the whole body, the main area of involvement is the eye muscles. Patients will experience symptoms such as double vision and strabismus.
Muscle weakness can also make it difficult to breathe, and many patients have symptoms such as difficulty swallowing, weakness in the limbs, or drooping eyelids. This is a more serious symptom that can kill the patient in a short period of time.
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Early symptoms of muscle weakness: In the early stage of muscle weakness, there may be unilateral or bilateral eyelid drooping, double vision in both eyes, difficulty in chewing and swallowing, weakness in turning the neck, neck flexion, head tilting, weakness in the limbs, fluctuating symptoms and fatigue, light in the morning and heavy in the evening, aggravated after activity, and relieved after rest.
Myasthenia gravis is an antibody-mediated, cellular immunity-dependent, complement involvement, involving the neuromuscular junction postsynaptic membrane, causing neuromuscular junction transmission disorders, and acquired autoimmune diseases with skeletal muscle contraction weakness, which occurs at all ages, and the whole body skeletal muscles can be involved, usually the muscles innervated by cranial nerves are more likely to be involved than the muscles innervated by spinal nerves, that is to say, in the early stage of the disease, it is more likely to have unilateral or bilateral eyelid drooping, binocular vision ghosting, laborious chewing and swallowing, neck turning, neck flexion, Symptoms such as weakness of the head lifting, especially drooping eyelids and double vision in both eyes, are more common.
Myasthenia gravis symptoms have obvious fluctuations and fatigue, which are typical characteristics of the disease, which can be manifested as mild symptoms in the morning, severe symptoms in the evening, drooping eyelids after reading books or computers for a long time, and unable to open the eyes, but can be reduced by closing the eyes and resting for a while; low voice and difficulty vocalizing after prolonged speech; If you have such symptoms after eating and chewing for a period of time, you should be alert to the disease and seek medical attention in time.
Myasthenia gravis is most common, but it can also be progressive muscular dystrophy, periodic paralysis, spinal cord lesions, and cerebrovascular disease can also cause myasthenia. Myasthenia gravis is an early manifestation of eye muscle weakness, which can manifest as difficulty in eyelid lifting, and is characterized by mild morning and evening heaviness, aggravation after activity, and relief after rest. The neostigmine test and tripterygium wilfordii test can be carried out, and the abnormality can be found in a timely manner.
Chest CT is also required to rule out secondary muscle weakness due to thymoma.
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Myasthenia is a chronic disease caused by neuromuscular conduction disorders, so it is important to understand the early symptoms of myasthenia, which manifest itself in the following aspects:
1. Fatigue, fatigue is a common early symptom of muscle weakness, the patient is no different from ordinary people in appearance, there is no muscle atrophy, and there is no obvious body surface abnormality, but the patient often feels a serious sense of fatigue, often feels fatigue, mostly manifested as difficulty in raising hands, weak movement, etc. In addition, this feeling of fatigue is mild in the morning and severe in the evening, and the patient will be relieved by rest when he is very tired. Clause.
2. Eyelid ptosis, the symptom of ptosis is the most common symptom in the early stage of muscle weakness, which can be manifested as unilateral eyelid ptosis, bilateral eyelid ptosis, upper and lower eyelid weakness, etc. Clause.
3. Double vision, double vision is double vision. Clause.
Fourth, the breath is insufficient, and the lips and teeth are weak. When the patient speaks for too long, the voice becomes deep and nasal, making it sound like the person is out of breath. Clause.
5. Due to the involvement of swallowing muscles, intercostal muscles and other muscles, patients often have symptoms such as difficulty chewing and dyspnea.
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Early symptoms in patients with myasthenia are muscle weakness, i.e., impaired mobility of the affected muscles, which are commonly seen as follows
1. Eyes: Patients may present with drooping eyelids, or even slits on the eyelids, unable to open their eyes, and limited movement of muscles around the eyes;
2. Face: The patient's muscle weakness is manifested in the early stage of loss of expression muscle movement and numbness;
3. Shoulder: patients may be unable to lift their shoulders, resulting in shoulder movement disorders;
4. Laryngeal and neck muscle weakness: patients may have more severe symptoms, such as difficulty swallowing and even breathing restriction.
Therefore, patients with muscle weakness should be targeted as soon as possible to avoid the development of the disease and avoid more severe symptoms.
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The disease of muscle weakness can be judged by some of his symptoms, but if the patient does not know enough, he should go to the hospital for a systematic examination, usually the doctor will use the method of muscle fatigue experiment to determine whether the patient has muscle weakness symptoms, more advanced electromyography and muscle biopsy, can also accurately judge this disease, and it does not take long.
Patients with early muscle weakness will have fatigue, although there is no obvious muscle atrophy, but often show muscle weakness, the vision of patients in the early stage of muscle weakness will be affected, and there will be double vision when looking at people, which is a more obvious manifestation of muscle weakness, in addition, patients with muscle weakness will also have drooping eyelids, if these symptoms appear together, it is more likely to be muscle weakness.
When muscle weakness occurs, it must be carried out in time, and here I advocate the use of traditional Chinese medicine, taking traditional Chinese medicine and appropriate exercise, generally can be effectively recovered, although it is said that the use of Western medicine can also be, but Western medicine in the case of muscle weakness, will use some anticholinesterase or immunosuppressants, these drugs have a certain damage to the human body, not too good.
Through the above introduction, I believe that we have a certain understanding of the early symptoms of muscle weakness and how to diagnose it, there are still many early symptoms of muscle weakness, if the patient is careful enough, it should be able to detect the symptoms in time, of course, the best way to diagnose the diagnosis is to go to the hospital for examination, which can ensure that the examination results are good, and the doctor should immediately take some ** methods to help the patient.
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Muscle weakness is mainly manifested by partial or generalized skeletal muscle weakness, easy fatigue, worsening symptoms after activity, and symptoms lessening after rest. The general condition is severe, the course of the disease is long and difficult to diagnose and treat, it can occur at all ages, mostly at the age of 15-35 years, the onset is different from the severity, most of them are more insidious, the symptoms can be temporarily reduced, alleviated, ** or worsened, often alternately, and can be partially recovered after rest or the use of anticholinesterase drugs.
In terms of **, muscle weakness is a manifestation of muscle weakness caused by the dysfunction of membrane acetylcholine receptors after the protrusion of the neuromuscular junction due to various reasons. Common diseases include myasthenia gravis, which needs to be differentiated from syndromes and other types of diseases.
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Myasthenia usually refers to myasthenia gravis, the main manifestations of the disease can be unilateral or bilateral eyelid drooping, double vision in both eyes, labored chewing and swallowing, neck turning, neck flexion, head tilting weakness, limb weakness, severe respiratory muscle weakness can be life-threatening, symptoms are fluctuating and easy fatigue, light in the morning and heavy at dusk, aggravated after activity, and can be reduced after rest.
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Fatigue after light activity, weakness in speech, obstruction in swallowing, severe muscle weakness, inability to take care of oneself, difficulty in chewing, dysphagia, skeletal muscle atrophy, general weakness, etc.
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The most common presenting symptom of myasthenia gravis is ptosis.
and binocular diplopia. Patients may also have muscle weakness in the extraocular muscles, laryngeal muscles, or extremities alone at the beginning of the disease. This is followed by the gradual involvement of more skeletal muscles, from the face and limbs to the respiratory muscles, affecting normal life and even life-threatening.
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Fatigue, frequent fatigue, drooping eyelids, double vision, difficulty chewing, difficulty breathing, difficulty breathing, and coughing in severe cases.
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The symptom of muscle weakness is difficulty in moving, because the muscles are weak and unable to do anything.
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Muscle weakness is a condition that is difficult to treat because of muscle weakness and inability to carry out normal life or work.
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The symptoms of muscle weakness include eye muscle weakness, which is manifested as the inability to lift the eyelids and difficulty in opening the eyes, followed by the weakness of the facial muscles, which will show symptoms such as expressionlessness, and the weakness of chewing, which will feel like chewing things are not strong.
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The main manifestations of muscle weakness are: skeletal muscle abnormality, easy fatigue, often good muscle strength in the morning, aggravation of symptoms in the afternoon or evening, most patients involve extraocular muscles, with the levator palpebrae muscle being the most likely to be involved, with the development of the disease can involve more extraocular muscles, diplopia, and finally the eyeball can be fixed, and the intraocular muscles are generally not affected. The onset of muscle weakness can occur in people of all ages, but it is mostly between 15 and 35 years old, and the male-to-female sex ratio is about 1:1.
The onset of the disease is uneven, and it is often insidious, mainly manifested as skeletal muscle abnormality, easy fatigue, often in the morning when the muscle strength is better, and the symptoms worsen in the afternoon or evening. The above is a suggestion for the question "What are the typical symptoms of muscle weakness", I hope it will be helpful to you, and I wish you good health!
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1. General weakness. Because muscle weakness is mainly the symptoms of weakness and weakness of the muscles in the patient's body, generalized weakness is the most typical symptom of muscle weakness. And from the outside, the patient's skin and flesh are normal, and there is no symptom of muscle atrophy, but the patient himself can feel very serious, the whole body is weak, and even some relatively light activities can not be done, sometimes squatting down can not stand up.
2. Difficulty breathing. This disease is one of the most serious symptoms of myasthenic diseases, because if it is not controlled in a timely and effective manner, it can lead to suffocation and even death. Dyspnea, a condition that makes the patient often feel that it is very difficult to even breathe, and cannot sleep on his back when he sleeps at night, otherwise he will feel out of breath.
3. Malnutrition. Because when the patient has muscle weakness, it is also very difficult to swallow, in this case, the patient's appetite is very good, because the stomach and intestines are not affected, but when eating, they will feel very weak. Because the disease is severe enough to eat in the daily diet, the patient will be malnourished.
Myasthenia gravis is a disease that is very difficult to eliminate, and ordinary methods cannot eliminate this disease. The earlier myasthenia gravis is detected, the sooner it is, the less difficult it is, and the easier it is, so it is important to diagnose it early and correctly. >>>More
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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