Admission to myasthenia gravis University

summary

One of my colleagues suffered from myasthenia gravis. His expression was cold in the first symptom, just like the cold man in the legend. He had a face with a bitter smile, continuous chewing weakness, choking and coughing in drinking water, difficulty in swallowing, nasal voice in speaking, pronunciation disorder, accumulation of sternocleidomastoid muscle, weakness of limbs, difficulty in going up and down stairs. After treatment is now good, I put myasthenia gravis university admission sorted out, for your reference.

Admission to myasthenia gravis University

Symptom 1: nasal voice, hoarse voice: like suffering from a cold. When some patients speak in a meeting or read a newspaper, their voice is OK in the first few minutes. After a little longer, their voice becomes hoarse and low, and finally they can't make a sound at all. It's OK at the beginning of the call, but people can't hear what he said after a long time. This is due to the weakness of the laryngopharyngeal muscles.

Symptom 2: dyspnea: This is the most serious symptom of myasthenia gravis, which can kill the patient in a short time, so it is also called myasthenia gravis crisis. This is due to severe weakness of respiratory muscles. The patient felt it was very difficult to breathe. He could not lie flat at night and could only sit and pant. It's not like heart disease, nor asthma, nor lung cancer. Most patients with dyspnea have dysphagia, weakness of limbs or blepharoptosis at the same time.

Symptom 3: weakness of the neck muscle: severe weakness of the neck muscle is more prominent. When the patient sits, he has the phenomenon of drooping his head. He can hold his head up only by holding his chin with his hand. If the patient lies on his back (without pillow), he can't bend his neck and raise his head.

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.