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Myasthenia gravis, Balancing rest and activities according to symptoms For…
Myasthenia gravis
- Immunoglobulin Intravenous
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1.1 Anticholinesterase Short-acting drugs include Pyridostigmine (Mestinon) and Neostigmine (Prostigmin).
1.2 Immunosuppressive drug group Corticosteroid Prednisolone is used in patients with specific eye conditions. And reduce the incidence of GeneralizedMG symptoms in a period of 2 years
- Blood transfusion To remove antibodies In the plasma that causes it to leave And taking red blood cells with albumin Saline and electrolytes restored
- Surgical treatment of thymectomy
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- Assess the degree of severity of swallowing disorders. Strength of the neck muscles Quality of pronunciation Breathing rate Ability to cough up sputum If assessment is vital capacity decreased, may consider intubation
- Ensuring that the patient sits upright while eating As he swallowed his chin
- Take care to support it with the mind Because the patient is anxious
- Nursing in the chronic phase Nursing care focuses on educating patients and their relatives. Understand the disease and observe any changes that occur. Plan to organize a daily routine that is suitable for the condition
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- Acquired autoimmune is an autoimmune disease that occurs after it occurs. Causing symptoms from birth
- Transient neonatal from receiving antibodies from the mother through the placenta.
- Drug induced by drug stimulation in the group Aminoglycosides, Quinine, Procainamide, and
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- Congenital myastheniasyndrome Congenital Caused by genetic disorders
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- Fluctuating weakness is more common.
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- The most common and most severe muscles, Ocular muscles, have droopy eyelids or blurred vision.
- Oropharyngeal muscle weakness causing difficulty chewing, difficulty swallowing and speaking.
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- Endrophonium test year in the case of urgent study and must include real life support equipment.
2.Ice pack test is used only in patients with droopy eyelid. 3.Anti-AchR antibodies test is Gold standard method using heat MG.
4.Electromyeligram (EMG) examination is 95 percent sensitive, but expensive.
- Computed tomography (MRI) of the lungs is examined to exclude patients who may have thymus abnormalities or after thyroid surgery
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- Educate yourself about Myasthenia crisis and Cholinergic crisis and contact your doctor immediately if symptoms occur.
- Provide a home location for the patient to be able to perform routine tasks easily.
- Adjusting the diet according to symptoms.
- Balancing rest and activities according to symptoms For example, making plans for more rest periods, for example.
Pathology
The transmission of nerve signals to the skeletal muscles is interrupted by the presence of antibodies to inhibit, alter, or destroy the Ach receptor (Ach receptor) in this junction, resulting in a decrease in the number of Ach receptors in the neurotransmitter juntion. nerve Making it impossible to send nerve signals to the skeletal muscles Muscles do not contract Weakness
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- Balancing rest and activities according to symptoms For example, making plans for more rest periods, for example.
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