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More Myasthenia Gravis Treatment – Part 2

Thymectomy for Myasthenia Gravis Patients

In many of the myasthenic thymus is altered, it can be enlarged or abnormally active. The latter was the reason for the first thymectomy, which had a marked improvement in myasthenia result. Meanwhile, the thymectomy added to standard treatment for myasthenia gravis. In well 2 / 3 of the operated patients, there is a significant improvement in symptoms, many can live symptom free, even then. It is believed that the thymus is the misdirection of the antibody responsible, he is virtually the school, to learn where the new antibodies

Physiotherapy and Speech Therapy for Myasthenia Gravis

Several myasthenia symptoms can be improved by Myasthenia Gravis physical therapy or Myasthenia Gravis speech therapy. Myasthenia Gravis Physiotherapy is also useful to strengthen the side, regularly affected muscles and thus prevent muscle breakdown. For problems with arms, hands and legs, as well as breathing, the so-called “PNF exercises can be” very helpful in physiotherapy. Although in principle every Physiotherapist should have basic knowledge of the PNF exercises, it is definitely worthwhile to look specifically for someone with a PNF additional training!
If you have problems with speech and swallowing is a speech therapist / speech therapist to better contacts, which can in these cases not only with specific exercises to strengthen muscles, but can also improve swallowing technique. On the pages of the German Society for Muscular Dystrophy some exercises for breathing, swallowing and speech muscles are located.

Alternative treatment approaches for Myasthenia Gravis

There are alternative methods of treatment in a series, the improvement or even cure for myasthenia promise. However, to date none of these methods has been for a proof submitted to show that these promises be kept. Anyone who still wants to try alternative methods should be here are a few very important things:
* In principle one should entrust themselves only to medical practitioners / doctors working alternatively to affirm the cooperation with the conventional medical treatment options clearly. The “conventional” treatments are used because it has proven to help. They have made it possible to have the myasthenic today can lead a normal life expectancy and a largely normal life.
* With many alternative methods are methods or means used to stimulate the immune system very strong. Myasthenic this should definitely avoid, as a catalyser of stimulating the immune myasthenia and therefore is not wholesome!
* Before the start of a new treatment, you should inform themselves thoroughly as they should act. Not all funds that stimulate the immune system are also open as such.
* Similarly, you should carefully consider whether what we hear there may actually vote – many promises of salvation rely more on faith than on facts and then to help mainly the purse of the “healer”. With nothing can be so easy to make money, as with the hopes of chronically ill people, and unfortunately there are enough bad apples that take advantage of the merciless.

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Myasthenia Gravis Treatment Guidelines Part 1

The Myasthenia Gravis is now fairly well researched from a medical perspective. Only a few decades myasthenic are regularly died of their disease because lack of information about Myasthenia disease, myasthenia gravis today no shortening effect of longer life expectancy. There are a whole range of treatment options that attach to different points. Usually several ways to combine, in part, the methods are useful only in combination. Which medications should be taken in what dosage and what options are displayed when, can be set only individually. Experience of the physician is therefore essential for successful treatment of major importance.

The following information is collected from a layman’s medical and shaped by personal experience, they do not claim to scientific precision. Above all, they can not replace a visit to the myasthenia doctor!

Improvement of the attraction transmission

As the first and most important possibility of treatment the attraction transmission at the synapses is improved by medicines. Functions, as the dismantling of the chemical messenger acetyl choline is braked.  Several means stand to the selection, which work within short time, whose effect in addition, only short time continue.

Treatment of the immune system

With the treatment of the immune system can go a step further: the treatment of the immune system to slow down the formation of antibodies and stopping misguided at best, almost completely. For this are various medications and some treatments are available.

* Cortisone
Cortisone is a hormone that occurs naturally in the body is. For the treatment of many inflammatory diseases and to curb exuberant immune cortisone is produced artificially. In the treatment of myasthenia cortisone is used very successfully, strangely enough, it can happen in the first 2-3 weeks after starting treatment with temporary worsening of myasthenia.

* Immunosuppressants
Because in the long term steroid treatment may have relatively many side effects, other drugs are often used to slow the formation of antibodies. The effect of these medical treatment begins only very slowly, usually with an improvement after 3 to 4 months to be expected, but it may take up to two years until the success of treatment is evident. The treatment is therefore more long-term.

* Plasmapheresis and immuno adsorption
In myasthenia crisis and in severe cases, the antibodies can be mechanically removed from the blood. Plasmapheresis, part of the blood plasma is removed, as a substitute, there is human albumin or donor plasma. In immuno adsorption, the plasma is similar to a blood cleaning “. Both methods are relatively expensive and complex, so that improvement can be achieved fairly quickly, however. To prevent that, the body produces then – almost to compensate – particularly large number of antibodies that are usually used simultaneously cortisone and / or immunosuppressants. The effect of this treatment options may continue for several months to years.

* Immuno globulins
Conjugate is administered as an infusion. Like immuno adsorption plasmapheresis and IVIG are used in severe cases and in myasthenic crisis. The effect is roughly comparable, as in the two previously mentioned methods.

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