Advanced treatment of myasthenia gravis

summary

My mother suffered from myasthenia gravis. At the beginning, her eyes were drooping and it was difficult to turn. She occasionally choked when she drank water. Recently, she found that her symptoms worsened a lot. The treatment was very fast, and I recovered almost. Let me talk about the treatment of late myasthenia gravis.

Advanced treatment of myasthenia gravis

Treatment 1: early use of anticholinesterase drugs can relieve symptoms in patients with myasthenia gravis. If the effect of such drugs alone is not good, glucocorticoid or methylprednisolone can be combined. According to literature reports, early use of glucocorticoid may prevent the transformation from ocular myasthenia gravis to systemic myasthenia gravis, but exact evidence is still needed.

Treatment 2: systemic myasthenia gravis patients treated with anti cholinesterase drugs alone often can not achieve the therapeutic effect, glucocorticoid should be added or combined with azathioprine, cyclosporine A and other immunosuppressants. Severe cases need high-dose methylprednisolone impact. If the symptoms can not be improved after methylprednisolone impact, consider high-dose gamma globulin impact.

Treatment 3: some patients with generalized myasthenia gravis may have transient aggravation in the process of high-dose methylprednisolone impact. In severe cases, they even need tracheal intubation or tracheotomy, and the change of condition should be closely observed.

matters needing attention

For this disease: myasthenia gravis diet should pay attention to choose high protein, high vitamin, easy to digest food, after reasonable nutrition, and appropriate cooking, as far as possible to improve the patient's appetite, so that the nutrition and energy in the diet of patients with muscle atrophy can meet the needs of the body.