How to treat demyelination!! What about demyelination? Use this method to avoid detours!

1.Multiple sclerosis.

There are currently no effective ** measures. The primary objective is to inhibit the progression of inflammatory demyelinating lesions in the acute phase and to avoid factors that may precipitate it. Late stage is symptomatic and supportive**.

1) Corticosteroid exacerbations and the main drug of **, commonly used methylprednisolone or prednisone.

2) - Interferon.

3) Immunosuppressants include azathioprine, methotrexate, cyclophosphamide and cyclosporine A.

4) The mechanism of multiple sclerosis of immunoglobulin** has not been clarified, and high-dose shock is mostly advocate.

5) Plasmapheresis** is more effective when combined with hormones or immunosuppressants.

6) Symptomatic** baclofen is the first choice for cramps**. For bladder and rectal dysfunction and urinary retention, cholinergics such as carbamoylcholine chloride are used, and for urinary incontinence, anticholinergics such as probenzine. Amantadine may be used for fatigue.

Ampantam is used for resting tremor and propranolol is used for intention tremor.

2.Acute disseminated encephalomyelitis.

Methylprednisolone or dexamethasone pulses are often advocated**, and plasma exchange or immunoglobulin can be used instead** if they are ineffective.

3.Acute inflammatory demyelinating polyneuropathy.

**Methods include immunosuppressants, intravenous IgG, plasma exchange, and may be dexamethasone or methylprenisolone. Intensive care and early **** during bed rest. Keep the airway open and, if necessary, perform a tracheostomy or ventilator-assisted breathing as early as possible.

4.Chronic inflammatory demyelinating polyneuropathy.

Immunization** includes intravenous immunoglobulin, plasmapheresis, and hormones**, which can obtain better efficacy, of which intravenous immunoglobulin is the first choice**, and the combination of immunoglobulin and hormones has the best effect.

Demyelinating lesions must be carried out as soon as possible**, because if delayed**, it may lead to the formation of secondary ischemia and hypoxia in the brain, resulting in multiple sclerosis. In the early stages, the main thing is to use hormones to fortify**, and in the early stages, hydrocortisone 100-200 mg or dexamethasone 5-10 mg can be used intravenously once a day.

Demyelinating lesions are acute or subacute neurological impairments that can be relieved by:

1. In the early stage of the disease, hydrocortisone or dexamethasone can be used intravenously**, and the dosage can be gradually reduced with the remission of the disease.

2. Mannitol can be used for intravenous infusion treatment of vertical cavity therapy, which can reduce nerve swelling and improve early blood circulation of the local spinal cord.

3. Neurotrophic drugs such as high-dose vitamin B preparations, citicoline, and methylcobalamin can be used to alleviate local symptoms.

4. It is necessary to turn over and pat the back regularly to prevent bedsores, and at the same time strengthen the patient's limb function exercise to prevent the contracture and deformity of muscles and joints.

In the case of malyelination, Jianqingchan recommends that the patient be treated as follows:

In the first case, if this demyelination is caused by cerebrovascular disease, such as cerebral small vessel disease will cause multiple demyelination of white matter, the main way to deal with it is that the patient must pay attention to maintaining a stable mood, control blood pressure, achieve a low-salt and low-fat diet, can take anti-platelet aggregation drugs, and some drugs that reduce blood lipids and stabilize atherosclerosis**.

In the second case, if the demyelination is caused by multiple sclerosis and neuromyelitis optica, the first way is to use some gamma globulin, glucocorticoids, and long-term follow-up to adjust the dose of the drug.

If demyelination occurs, the following management is recommended

In the first case, if the demyelination is caused by cerebrovascular disease, such as cerebral small vessel disease will cause multiple demyelination of white matter, the main way to deal with it is that the patient must pay attention to maintaining a stable mood, control blood pressure, achieve a low-salt and low-fat diet, and can take anti-platelet aggregation drugs, as well as some drugs that reduce blood lipids and stabilize atherosclerosis.

In the second case, if the demyelination is caused by multiple sclerosis or neuromyelitis optica, the first way is to use some gamma globulin, glucocorticoids, and long-term follow-up to adjust the dose of the drug.

In the third case, if the peripheral nerve is demyelinated, such as acute Guillain-Barré, the modality is mainly gamma globulin and B vitamins.

Demyelination is a general term for a large group of diseases, and any disease that damages the myelin sheath can be called a demyelinating disease, such as multiple sclerosis, acute disseminated encephalomyelitis, and Barlow disease. These diseases are generally unable to **, and it is necessary to give symptomatic treatment as soon as possible to control the development of the disease and avoid life-threatening. When the myelin sheath is damaged, scar tissue forms around it.

The signals sent by the brain do not pass through the scar tissue, which ultimately causes the nerves to not function properly.

Demyelination occurs when the myelin sheath of the axons of the cerebrospinal cord is lost. There are two categories: myelin destruction; Disorders of myelination. Spinal inflammatory demyelinating diseases are currently considered to be immune-mediated diseases, and their clinical features are:

The patients were children and young adults;

Acute onset, common history of cold, fever, infection, rash, vaccination, cold, childbirth or surgery 1 month before the illness;

A thorough neurological examination often reveals evidence of other central nervous system involvement in addition to spinal cord symptoms and signs;

cerebrospinal fluid examination is positive for oligoclonal bands;

Electrophysiology and MRI can detect some subclinical lesions in the brain; MRI reveals abnormal signals of white matter in the brain. Some myelittic demyelinating lesions present:"Pseudoneoplasia"Manifestations, the MRI shows a mild mass effect, mild edema around it, and there may be patchy hemorrhagic signals, which can easily be misdiagnosed as spinal cord tumors. At present, the effect of internal medicine drugs** is not good.

Therefore, neurosurgical intervention is inevitable and necessary.

Demyelinating myelitis is usually acute multiple sclerosis (MS) spinal type, and the clinical presentation is similar to that of postinfectious myelitis, but the progression is slow, and the disease usually peaks within 1 to 3 weeks. The prodromal infection may be subtle, usually incomplete transverse lesions, with weakness or paralysis of one or both lower extremities, with numbness, the level of sensory impairment is inconspicuous or two-plane, and urinary and fecal disorders are present. Evoked potentials and MRI may reveal lesions elsewhere in the CNS.

Demyelinating disease is an autoimmune disease dominated by multifocal and inflammatory demyelination of the central nervous system, and its clinical characteristics mainly include reversal, multiple remissions and remission. In recent years, the incidence of demyelinating diseases of the central nervous system has been increasing year by year, which has a serious impact on the quality of life of patients and poses a serious threat to their physical and mental health.

There are two categories of demyelination, central and peripheral, central demyelination is more common with multiple sclerosis, generally around the age of 10-50 years old, reverse **, multiple lesions can be seen in the brain, after the acute phase of hormone shock, nutrition of nerves, improvement of circulation, etc., can generally be relieved, but there are characteristics of recurrence. At present, the main point of view is how to prevent **, there are two mainstream views, one is to say that the usual low-dose hormone maintenance **, and the other point of view is that the practice in the United States uses interferon for prevention, but interferon is very expensive, so it is generally not used in China.

Hello, how to say it. First of all, this disease is first of all to be diagnosed early, as soon as possible**to control the progression of the disease to decrease**, demyelination is mainly due to hypoxia, ischemia, poisoning, nutritional deficiencies, genetic and immune disorders, etc. Therefore, it is necessary to give the corresponding ** according to the **, if the patient is atherosclerosis.

The resulting ischemia and hypoxia should be targeted at the risk factors of atherosclerosis, and the patient should be given **, such as hypertension.

Risk factors such as hyperglycemia, hyperlipidemia, and high homocysteine.

Hope it helps.

Pure hand lookout.

Hello, demyelination disease is an acute attack or subacute damage to the white matter of the central nervous system, traditional Chinese medicine called impotence syndrome, prickly heat, prickly heat, dizziness, bones, dizziness, faint vision, blue blindness, paralysis when called body laziness, the peak incidence of two to three weeks, the brain is seen in chronic lesions damage to the nerve resulting in dysfunction after magnetic resonance can be found, if the delay of the damaged nerve secondary ischemic degeneration will occur, When the disease is severe, it can invade the anterior horn cells of the spinal cord and the nerve nucleus of the brainstem, as well as the pyramidal cells of the motor cortex of the brain, which is life-threatening, and is mostly caused by abnormal genetic immunity or viral infection. In the early stage, most of them are hormones and nutrition, but the curative effect is difficult to control, and the disease leads to neurological damage caused by myelin detachment, and when the neurological damage is severe, the axonal damage is further aggravated. Secondary exacerbation of the disease.

**Solution:**In addition to normal hormones**, it can be gradually replaced with natural hormones and is non-toxic to people***. It should enhance the body's immune function and improve the body's ability to resist diseases.

Nutrition of the nerves, the combination of traditional Chinese and Western medicine to expand the microcirculation so that the damaged residual nerves can get sufficient blood supply, to prevent the disease from further developing. At the same time, the drug of nerve regeneration is used.

Excites the nerves, activates the paralyzed and shocked nerve cells, so that the body produces viral antibodies, and no longer achieves the purpose of regenerating and repairing damaged nerves to obtain the best recovery. If you need help, please send magnetic resonance for your guidance.

There are many demyelinating patients who are not cured by taking traditional Chinese medicine in the local area, so they do not believe that traditional Chinese medicine can be demyelinated, sometimes the same prescription is different from one or two drugs, and his effect may be very different, so it is not that every Chinese medicine can be demyelinated, and finding the right doctor is the most important. **Demyelination must start from the overall concept, examine the evidence to seek the cause, and distinguish the syndrome. The treatment of traditional Chinese medicine is to reconcile yin and yang, cultivate the essence of the yuan, promote dampness and turbidity, detoxify and dispel evil.

Compared with Western medicine**, the prognosis is good, the curative effect is stable, and it is not easy**. Syndrome differentiation and treatment, according to the different conditions of the patient, formulate the corresponding plan, regulate the root cause, repair the damaged myelin sheath, restore the nerve conduction function in the myelin sheath to normal, repair the basal membrane, and make the disease more targeted.

Hello, if it is determined that you are suffering from demyelinating lesions, you must go to the hospital for brain MRI examination and surgery**, under normal circumstances, surgery**, please give me a reply evaluation.

If the onset of the disease is 7 to 15 days, Western medicine** can be used, and if the onset is long, it is recommended to use traditional Chinese medicine**

The disease of the nervous system should be made of traditional Chinese medicine**, special processing and refining of Chinese herbal medicines, using a number of positioning principles, drug molecules can directly reach the lesion, repair damaged nerve cells, so that the damaged nerve tissue structure is reconstructed, and the corresponding physiological functions are restored. Just as a gecko's tail is able to regenerate, thus ** neurological diseases.

Western medicine to control the disease, depth of Chinese medicine**.

The best way to do this is a combination of Chinese and Western medicine**. Personal advice.

Beijing Deshengmen Hospital of Traditional Chinese Medicine-Liu Quanpeng-Department of Impotence-Deputy Chief Physician-How does traditional Chinese medicine ** demyelinating diseases?

1.Genetic inheritance causes birth to obstruct the production of myelin, such as adrenoleukodystrophy.

In order to understand the myelin sheath and its demyelination more vividly, we can make such a description, if the nervous system in the body is described as a cable, then the myelin sheath is the layer of plastic on the outside of the cable, that is, the layers of chemicals on the outer capsule of neuronal cells, which play a key role in maintaining the function of the nervous system.

Can demyelinating lesions be cured?

Can white matter demyelination be done?

Demyelination is mainly due to hypoxia, ischemia, poisoning, nutritional deficiencies, genetic and immune disorders. If the patient is ischemia and hypoxia caused by atherosclerosis, it is necessary to give the patient ** according to the risk factors of atherosclerosis, such as hypertension, high blood sugar, high blood lipids, and high homocysteine. In addition, you can also control your weight, exercise appropriately to control the occurrence of atherosclerosis, to control the occurrence of demyelinating diseases, and it is caused by poisoning, if it is caused by poisoning, it is common to have carbon monoxide poisoning and carbon monoxide poisoning.

Because there is no particularly good way to do genetic factors, but it can be intervened through daily life, such as dietary adjustment and autoimmune dysfunction, which we can use, such as hormones or other drugs that nutrition and nerves, for nutritional deficiencies caused by demyelination, we should appropriately supplement what is lacking, and balance our diet to quit smoking and alcohol.

The effect of helping the sheath to raise the marrow nutrient element ** is very good.

Adopt the nutrient element of the myelin to help sheath the myelone**.

Traditional Chinese medicine can be taken** to nourish the fallen or damaged myelin sheath through traditional Chinese medicine, so that it can grow or repair again.