Myasthenia gravis. It's hard to breathe

summary

The eye myasthenia gravis discovered in August this year is under medication control, and the effect is obviously improved. After waiting for surgery, it is now good. I sort out the difficulty in breathing myasthenia gravis for your reference.

Myasthenia gravis. It's hard to breathe

Treatment 1: continue to decrease rapidly once / 3 days and a half, to stop taking 7.5 mg per day, the course of treatment is 28 days, if recurrence occurs during the follow-up period, then use glucocorticoid pulse therapy again.

Treatment 2: glucocorticoid long-term program: 60 mg per day, once a week, 10 mg per day until 40 mg per day, about 14 weeks; then once a week, 5 mg every other day until 40 mg every other day, four 35 mg per day, four weeks; if three 35 mg per day, three weeks; After that, the dosage will be reduced once every two weeks, 5 mg every other day for each time, to 35 mg every day. It will take about 190 days for a course of treatment: 4 35 mg per day for 6 weeks, 3 35 mg per day for 8 weeks.

Treatment 3: in the process of drug reduction, if the condition of myasthenia gravis patients worsens, the drug reduction will be stopped, and the dose will be maintained at the current level or slightly higher than the current dose level to continue treatment, and the drug reduction treatment will be continued after the condition is relieved.

matters needing attention

Here, I would like to remind you to move the affected limb as slowly as possible. Active movement of the affected limb: first do the pseudo movement of the paralyzed limb, then do the assistance movement, and then do the active movement. We should pay attention to the gradual increase of the range of motion, should not cause pain and injury, avoid excessive fatigue and make limb spasm worse. The patients with myasthenia should be encouraged to use healthy limbs for passive movement.