06:37,29,Aug,2007 | (660/0/0) | Original

myasthenia gravis prognosis


Introduction to why the relevant patients with myasthenia gravis in patients with myasthenia gravis . * . * myasthenia gravis patients usually less . how Chinese medicine treatment of myasthenia gravis * . * Western medicine treatment of myasthenia gravis. The prognosis of myasthenia gravis . * that medical treatment of myasthenia gravis myasthenia gravis . * . an extension of traditional Chinese medicine treatment of patients with myasthenia gravis to read why rehabilitation and psychological adjustment are closely related? * Life in patients with myasthenia gravis patients should pay attention to what matters? * Why are easily repeated symptoms of myasthenia gravis? * Patients with myasthenia gravis drugs usually need to pay attention? * Home care patients with myasthenia gravis in patients with myasthenia gravis how little common sense by stopping hormones? * Myasthenia gravis can participate in heavy physical work? * Cause of myasthenia gravis myasthenia gravis myasthenia gravis life conditioning elements of Chinese medicine treatment of Western medicine treatment of myasthenia gravis myasthenia gravis myasthenia gravis prognosis prognosis Author: Unknown Source: Internet

The prognosis of myasthenia gravis
[Pre-post]
1 and clinical outcome of myasthenia gravis related to the type, the simple and pure ocular spinal muscular type, the disease remained limited to eye muscle and limb muscle weakness prognosis is good; systemic weakness, bulbar weakness and further development of the disease risk appears like who the prognosis is not good.
2 on cholinesterase agents, hormones and other drugs can not surgery is not sensitive to poor prognosis.
3 have co-infection (such as lung infection) and respiratory failure the prognosis is not good.
4 associated with the thymus increased, or the â… , â…¡ A type of thymoma who could fight surgery and drug sensitivity of cholinesterase good prognosis. Type â…¢ â…¡ B or surgical results were poor thymoma.
5 thymoma with invasion of the growth of prostitution, or metastasis with poor prognosis.
6 short duration, medication-sensitive disease had better prognosis is good; long course, is not sensitive to those drugs with poor prognosis.
7 The clinical observation has some relationship with age, while patients aged <15 years of curative effect, the prognosis is good;> 15 years of age is poor treatment, prognosis is poor, a significant difference between the two groups.
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myasthenia gravis prognosis

〔〕 Symptoms
Myasthenia gravis often has chronic or subacute onset of disease, spread from one muscle to other muscles, showing involvement of skeletal muscle fatigue easily, such as ocular with ptosis
objective is tired; throat muscles affected are unable to speak, difficulty swallowing, drinking cough, inability to chew; neck muscle weakness are suppressed; the performance of limb muscles involved lack of energy, dizziness, stretching, dizziness, drowsiness, paresthesia, numbness or tingling, weakness, such as lifting arm , lower limb problems or easy to fall down stairs; intercostal muscles involved are breathing difficulties, speech sound small and weak. Above symptoms and activities in the afternoon or evening after the increase, or early morning break or after the symptoms with anti-cholinesterase drugs to reduce or disappear.
Check 〔〕
A routine blood test, urine, blood, liver function, hepatitis B 5 indexes, erythrocyte sedimentation rate.
2 Serum AChR antibody.
3 Chest X-ray film.
4 EMG.
5, thymus CT.
After pre 〔〕
1
And clinical prognosis of myasthenia gravis related to the type of spinal cord pure and simple ocular muscle type, disease confined to ocular and limb muscle weakness has always been the prognosis is good; systemic weakness, bulbar weakness and further development of the disease appeared crisis while those with poor prognosis.
2 on cholinesterase agents, hormones and other drugs can not surgery is not sensitive to poor prognosis.
3 have co-infection (such as lung infection) and respiratory failure the prognosis is not good.
4 associated with the thymus increased, or, A type of thymoma who could fight surgery and drug sensitivity of cholinesterase good prognosis. B-type thymoma, or surgical results were poor.
5 thymoma with invasion of the growth of prostitution, or metastasis with poor prognosis.
6 short duration, medication-sensitive disease had better prognosis is good; long course, is not sensitive to those drugs with poor prognosis.
7 The clinical observation has some relationship with age, while patients aged <15 years of curative effect, the prognosis is good;> 15 years of age is poor treatment, prognosis is poor, a significant difference between the two groups.
Myasthenia gravis is a neurological - muscular transmission disorders of autoimmune diseases. Is a neuromuscular transmission disorder at the chronic disease, acetylcholine receptor (AChR) antibodies are the main causes of its incidence of autoantibodies, mainly produce Ach receptor Ach receptor antibodies that block neuromuscular transmission, resulting in ocular, swallowing, muscle, respiratory muscle and limbs, muscle weakness, muscle contraction that is dominating the nerve under the influence of a variety of causes can not be "signal instruction "normal delivery to the muscles, loss of muscle contractile function, clinically appeared ptosis, diplopia, strabismus, facial expression muscles and chewing muscle weakness, facial expression showed indifference, can not drum and other inflatable cheek, bulbar weakness language appeared negative, Shenshe not working, eating difficulties and eating cough, and limb weakness. The cause of this disease is systemic, but the impact has been focused on the muscle occurs due to the different clinical manifestations.
1. Drug treatment:
(1) Anti-cholinesterase drugs: such as oral pyridostigmine, neostigmine bromide.
(2) GIK plus neostigmine 0.5-2.0mg, 5-15mg dexamethasone intravenously 1 time / day, 10-12th for a course of treatment.
(3) immunosuppressive drugs: According to the respective status of immune function: eg, oral prednisone â‘ . â‘¡ intravenous cyclophosphamide. â‘¢ azathioprine.
2. Thymus therapy: consider thymectomy, or cobalt-60 radiation therapy for thymic line sources.
3. Blood Therapy: Conditional use of plasma replacement therapy can be.
4. Chinese medicine treatment, body acupuncture.
After pre 〔〕
1 and clinical outcome of myasthenia gravis related to the type, the simple and pure ocular spinal muscular type, the disease remained limited to eye muscle and limb muscle weakness prognosis is good; systemic weakness, bulbar weakness and furth
er development of the disease risk appears like who the prognosis is not good.
2 on cholinesterase agents, hormones and other drugs can not surgery is not sensitive to poor prognosis.
3 have co-infection (such as lung infection) and respiratory failure the prognosis is not good.
4 associated with the thymus increased, or the â… , â…¡ A type of thymoma who could fight surgery and drug sensitivity of cholinesterase good prognosis. Type â…¢ â…¡ B or surgical results were poor thymoma.
5 thymoma with invasion of the growth of prostitution, or metastasis with poor prognosis.
6 short duration, medication-sensitive disease had better prognosis is good; long course, is not sensitive to those drugs with poor prognosis.
7 The clinical observation has some relationship with age, while patients aged <15 years of curative effect, the prognosis is good;> 15 years of age is poor treatment, prognosis is poor, a significant difference between the two groups.
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