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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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Muscle weakness is mainly manifested as partial or systemic skeletal muscle weakness, easy fatigue, aggravation of symptoms after activity, and reduction of symptoms after rest, generally severe, long course of disease, and refractory to treatment. It can occur in all age groups, mostly between 15 and 35 years of age, with a male-to-female ratio. The onset of the disease varies rapidly and is often insidious.
Symptoms may be temporarily reduced, relieved,**, and worsened, often alternating and partially recovering with rest and anticholinesterase drugs**. Pediatric myasthenia gravis refers to the onset of neonatal to adolescent disease, and most of them are confined to the extraocular muscles, except for a few generalized ones.
For ****. Plasma exchange and anticholinesterase drugs**, such as olfactory pyridostigmine (pyridostigmine), are used to relieve muscle weakness as appropriate. Stop taking the causative drugs, maintain respiratory function, try calcium gluconate, intravenous potassium infusion, reverse motor endplate block, take anticholinesterase drugs, etc.
We are not a professional hospital, you should go to a professional hospital for consultation and treatment, in order to prescribe the right medicine. I wish you a speedy **!!
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First: myasthenia gravis is a non-organic disease, and the current medical treatment for myasthenia gravis is: pyridostigmine, hormones, immunosuppressants, long-term use of the drug will gradually increase, the effect will decrease, increase the long-term effect, and the long-term effect is poor.
Therefore, the main role of internal medicine is to alleviate the condition and improve the symptoms. Basically, any instrument examination cannot detect the cause, so myasthenia gravis becomes more tricky for Western medicine, and I don't know how to start, and I can only rely on previous cases to generally**, so the medication is not targeted, and the effect is greatly reduced.
Second: now the state is very strict in the control of drugs, whether it is traditional Chinese medicine or Western medicine, the dosage of drugs, grams, etc. must be implemented in accordance with strict requirements, some diseases blindly in accordance with the provisions of the drug can not see good results, but there is no way, it is impossible to violate the regulations to have doctors and doctors to do.
Third: myasthenia gravis develops rapidly, and the harm of myasthenia gravis is caused by clinical symptoms, first manifested as limb weakness, which may bring some accidental injuries to patients because of limb weakness; The second is the symptoms of cranial nerves, such as not closing the eyes or choking on water and food, which may cause infection of the lungs; In addition, it accumulates into the respiratory muscles, and breathing is very difficult, and the oxygen supply will not be able to keep up, which will endanger life.
Fourth: people do not pay attention to such diseases, this problem is called a big problem now, and it is more difficult than the first problem. Because the patient himself does not take the disease seriously, it is useless to be a good doctor or an effective drug.
In the early stages of myasthenia gravis, patients often feel soreness and discomfort in the eyes or limbs, or blurred vision, fatigue is easily fatigued, and fatigue is worse in hot weather or menstruation. As the disease progresses, skeletal muscles become significantly fatigued and weak, which is characterized by muscle weakness that worsens after exertion in the afternoon or evening and decreases after getting up or resting, a phenomenon called "morning light and twilight heaviness".
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Don't panic if you have myasthenia gravis, be positive, as long as you choose the right method, the disease has the possibility of being active, and you don't want to find the question of how long you live. Scientific and effective methods are the key, and the best one at the moment is stem cell transplantation. Stem cell transplantation collects peripheral blood, bone marrow or umbilical cord blood, and obtains the stem cells required for clinical use through special stem cell separation, extraction and purification; Stem cells are injected into the patient's body through static point, injection or intervention, and the stem cells are used to self-replicate and differentiate to repair damaged cells in the body, so as to achieve the purpose of rebuilding body functions.
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As long as it is **, there is hope.
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This is okay, you can try Chinese medicine
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For muscle weakness, you can choose drugs** and surgery**, etc., and the specific ** plan should be decided according to the severity of the condition.
1. Drugs**.
1.Cholinesterase inhibitors: pyridostigium bromide tablets, neostigmine methosulfate injection, etc., such drugs can improve clinical symptoms of myasthenia such as drooping eyelids, limb weakness, dysphagia, dyspnea, etc., and can also be used alone as a long-term mild myasthenia gravis drug.
2.Azathioprine tablets: It is an immunosuppressant and is suitable for patients with ophthalmosis and generalized myasthenia gravis, but the onset of action is slower.
3.Cyclophosphamide tablets: a drug suitable for selection when the use of immunological drugs** has no effect, mainly for patients with thymoma with myasthenia gravis.
2. Surgery**.
Due to muscle weakness caused by thymoma, thymectomy surgery is usually performed to reduce the invasion and spread of thymic tumors and control the condition of the tumor.
3. Others**.
1. When myasthenia gravis is in the acute stage, if there is paralysis of respiratory muscles, tracheotomy or endotracheal intubation is required immediately.
2. Gamma globulin and plasma exchange for intravenous injection, these two methods can be applied to the critical condition or before surgery.
3. Thymus radiation** is also another method of muscle weakness, which is mainly used for people who are unable to do thymoma surgery normally after surgery.
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What to do with muscle weakness.
2019-05-1369803 people read.
Chief Physician Wang Zhongqing.
The Second Ward of the Department of Neurology, Harbin First Hospital.
Myasthenia usually refers to myasthenia gravis, and once muscle weakness occurs, it must be diagnosed definitively and early**. First, cholinesterase inhibitors, such as pyridostigmine bromide, which inhibits cholinesterase and increases acetylcholine concentrations in peripheral synapses. Second, immunosuppressants, glucocorticoids are indicated for patients who have had a poor response to anticholinesterase drugs and have had thymectomy, as well as azathioprine.
Third, plasmapheresis removes antibodies and is suitable for patients with rapid deterioration or myasthenic crisis. Fourth, intravenous gamma globulin occlusion antibodies are suitable for various types of crises and are simpler and easier to perform than plasma exchange. Plasma exchange and gamma globulin are more expensive and have better efficacy.
Fifth, thymectomy, patients with myasthenia gravis under 60 years old can be treated with thymectomy, which is suitable for generalized myasthenia gravis, including elderly patients, and usually improves or relieves symptoms.
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There are several ways to treat muscle weakness:
Clause. 1. Drugs**, cholinesterase inhibitors, immunosuppressants and adrenocorticosteroids can be given**;
Clause. 2. Thymus **, mainly used for patients with thymic tumors, thymic hyperplasia, and difficult drugs, but for patients under 18 years old who have neither tumors nor severe hyperplasia, and whose condition is not serious, this method is not used;
Clause. 3. Plasmapheresis, plasma exchange has a fast onset of effect, good efficacy in the near future, but the efficacy is not long-lasting, it lasts for one week to two months, and then gradually increases with the level of antibodies, and the symptoms recur;
Clause. Fourth, intravenous immunoglobulin, exogenous immunoglobulin can make the binding function of acetylcholine receptor antibody disorder, thereby interfering with the immune response, to achieve the best effect, immunoglobulin efficacy is better, and there is no obvious effect, currently widely used in the disease.
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Myasthenia is a disorder of neuromuscular transmission characterized by easy fatigue of the affected skeletal muscle, which recovers with rest and anticholinesterase drugs. The disease is mainly based on Western medicine, mainly using anticholinesterase drugs, such as neostigmine and mestigmine, which often have adverse reactions, such as miosis, sweating profusely, and increased saliva. If these adverse effects occur, atropine can be used to relieve these symptoms.
Immunosuppressants are mostly used with corticosteroids or cyclophosphamide, and surgery is mostly suitable for the case of thymoma. After the system**, most of them can be significantly relieved, and a few can reach the clinical**.
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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.
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The recovery of muscle weakness needs to be targeted according to the ** of muscle weakness**
1. For myasthenia gravis, cholinesterase inhibitors can be used in drugs, such as brobistigmine and neostigmine bromide; adrenocorticotropic hormones, such as methylprednisolone; Immunosuppressants, such as azathioprine. Other methods can be used, such as thymus radiation, plasmapheresis, immunoglobulin, etc.
2. Muscle weakness caused by cerebrovascular diseases, such as cerebral infarction, needs to improve circulation, nourish nerves, and remove free radicals. Intracerebral hemorrhage requires reduction of intracranial pressure, even lateral ventricular drainage, and craniotomy**. After that, it is also necessary to carry out limb function exercises, such as acupuncture, massage and other methods to improve the symptoms of muscle weakness.
3. Myositis, the first method is also the use of hormones, immunosuppressants, globulin and other methods.
4. Motor neuron disease, usually accompanied by brain tumor disease, requires surgery, etc., but there is no better way to do it.
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