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Myasthenia Problems During Pregnancy and Birth

An improvement of the Myasthenia Gravis is just as possible during the pregnancy as a degradation. Mestinon or Kalymin cannot be taken without hesitation, them represent for the unborn a risk. Cortisone is regarded as relatively safe medicine during the pregnancy and is probably the means of first choice, if a Immunosuppression is necessary during the pregnancy. Immunglobuline, immune adsorption and Plasmapheresis are likewise without special risk for the pregnancy. The risk of premature baby birth should be increased with Myasthenia mothers.

The myasthenia pregnant woman should use to gather strength for the birth and not least for a very stressful time after birth. A stable Myasthenia is during the pregnancy meaningfully and importantly also for the child.

Because the muscles of the uterus are not affected by the MG Myasthenia Gravis, a normal birth is possible in principle. Only in the second stage of other muscles is required to cooperate, they are too weak, the use of ventouse or forceps be useful. With the exhaustion of a Caesar child birth may be necessary, but this is rather the exception. That are absolutely necessary precautions anaesthesia or local anaesthesia should definitely be discussed long before the birth with the doctors.

Since during the birth, the digestive processes are interrupted, and the active ingredients from tablets at that time only partly absorbed by the body. Mestinon should be injected intravenously if needed.

From 15 to 30 percent of the infant born children of myasthenic mg myasthenia mothers has a so-called neonatale myasthenia gravis (neonatal MG), which heals completely however within fewer weeks of after the birth. The symptoms arise within a few days after the birth and show up particularly in weakness when drinking and crying. Which children are concerned, cannot be predicted unfortunately and is not from the condition and the anti-body titer of the mother to be derived. Each newborn child of a mg mother should be supervised therefore some days after the birth medically. Also the freshly baked mother should observe herself carefully, because the hormone conversion after the birth can cause a degradation of the Myasthenia with approximately 30% of the women. For these reasons it is very advisable to go for relieving into a hospital with attached newborn child monitoring station and myasthenie experienced neurology.

It is to be considered, medicines into the mother’s milk ignores. With Mestinon one goes out in the meantime with it, mixing to 300 mg with a satisfying mother is harmless. But not only medicines, but also the antibodies of the mother are to be found in the milk. Whether satisfying is justifiable is very controversially discussed, from there and should be decided in individual cases in each case.

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Everyday Living with Myasthenia Gravis Tips Part 2

Even if the Myasthenia Gravis now well researched and is well treated, she has influenced the lives of those affected significantly. Who, however, manage to come to terms with the disease, can often lead a largely normal life. The limits imposed by one’s Myasthenia Gravis should you get to know and respect. This can be achieved by learning to estimate accurately and watches his myasthenia, for what activities their own reserves as long as sufficient. Exertion should be avoided. A demand dose of Myasthenia medicines does a rest of the quality of life.

* In case of difficulties with the closing of the eyes can be a helpful towed headband over his eyes when sleeping.
* Alcohol makes some myasthenic a red face (especially good “colors” red wine) – this is not dangerous, but annoying (or funny) Be. Occasional consumption of alcohol is certainly justifiable. However, alcohol can lead to a relaxation of the muscles (especially the muscles of the esophagus should significantly relax), may thus occur in small amounts of a deterioration of MG.
* Nicotine and coffee can be further triggered a short-term worsening of symptoms. And some Myasthenia patients also have a short-term deterioration by strong smelling substances – perfumes, cleaning agents and solvents.
* If the tongue is tired and weakens the cheek muscles, then we must pay special attention to oral hygiene and wash carefully after eating all the leftovers. An oral irrigator can be helpful.
* Regularly go to the dentist. The more often controlled the teeth, the less extensive are the necessary “repairs” and that in turn means that one must keep the mouth open so long. If large “construction sites” must be processed, you should discuss with the dentist if you can distribute work to multiple deadlines. It makes sense if the dentist on the gun issues is informed – perhaps he can also insert pauses in between to allow the muscles to recover. Do not forget in time before the treatment, the Mestinon or deliberately put the dates in the “good” hours!
* When manufacture (and certainly elsewhere) there is a brilliant opener for twist-off lid – brilliantly simple to use, it facilitates the lives quite considerably. The URL of the agent is known to me to find links to the.
* The rehabilitation retailers there is a large selection of tools that can simplify and bad times, the MG-life. These include for example comb with extra long handle, so that when combing the arms must not think so highly devices to open jars and bottles easier in weak hands, handles for the bathroom, the phase-out of the bathtub safer and much more.
* Since the MG very happy to respond to emotional stress, you should learn to deal positively with stress. This is of course easier said than done, but if you can order really busy, then you certainly can find ways to not fret over so quickly, and are less stressed out. Sometimes you can not change the facts of life, but can I change the way you see it!
* One should not cling to the mind what you can not do, but to draw attention to what is feasible.
* Over and over again: finding out what it does well and what improves the myasthenia symptoms. And then integrate into the daily routine.

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Daily Life with Myasthenia Gravis Tips Part 1

The necessary changes by the Myasthenia Gravis of everyday life are very individual and depend not only on the severity of the myasthenia disease, but also depends on how much the Myasthenia symptoms of impeding the course of normal everyday life. Therefore, everyone should pick out from these instructions only what makes our own situation. If you have more tips daily life with myasthenia gravis, please send to me and I will publish immediately.

* If the forces sufficient only for a limited time, you should schedule breaks throughout the day.
* The more limited the powers, the more thoroughly must learn to classify them.
* An afternoon nap, a nap can bring new energy reserves for the afternoon and evening.
* Work for which not enough our own forces, if possible give to others. This is not possible, you should consider whether the work can be other ways easier to handle. Here, imagination is required! Often, small changes lead to handle even a big relief.
* Whenever it is reasonable and practicable, you should use technical and / or electrical aids.
* For kitchen appliances and respect for other media buying on a simple and myasthenia-friendly operation and low weight.
* Who has difficulties with the arms, should not in cabinets or the like often necessary articles over addendum keep. This is completely particularly valid for heavy articles! A Tretleiter can help to increase the range.
* Anyone who has difficulty in standing, should be used whenever necessary, a standing aid. Many tasks can be done even when sitting.
* On smooth floors, can prevent falls ABS socks or slippers.
* A car with power steering and automatic transmission can save valuable power.
* To be prepared in case of emergency, it is useful to always carry an emergency passport with him. For just in case of accidents it is necessary that doctors be informed about the myasthenia.
* If the breathing difficulty at night and can, especially at night time interruptions in breathing apnea, a Bi-PAP auxiliary breathing apparatus to bring relief to make restful sleep, and thus ensuring greater energy reserves during the day.
* If lack the strength to cough again, you can support the abdominal muscles, either himself, if the power is there, or ask someone for help. To help themselves, one can lift my hands in the waist, thumbs to the back, finger on the abdominal muscles. Someone else can lay one’s hands during cough on his stomach and exert slight pressure. This makes it easier to cough very much!
* To avoid being overwhelmed at work and at play unwittingly by other persons, is to deal openly with the disease makes sense.
* In case of difficulties with the facial muscles, one should deal with the missing smile and facial expression impassive calm offensively. Happy images before the mind’s eye can help to maintain a positive mood.
* Very important: learning to ask for help and accept help.
* Some women notice a worsening of myasthenia during menstruation. In these cases, the pill can lead to a stabilization.
* With double vision helps the easiest and quickest way to cover one eye. With the hand that is indeed feasible, but cumbersome. An eye-patch works fine, but it looks very daring. From the USA I got the tip that can make a contact with a black spot over the pupil – works just as well as the eye patch and is much more discreet. At these tools: The cover must be regular (e.g. daily) to change sides, or an eye accustomed to doing nothing and visual performance decreases there. Connect the double images on constantly and consistently, one can be a prism by an ophthalmologist can prescribe glasses.
* Hanging eyelids can be improved by the wearing of contact lenses – a benefit for visual disorders. It is not enough, you can of course also the lids with tape taping (stick) – but then you should make sure that the eyes do not dry out too much. Artificial tears (eye drops) can help.
* When worsen ocular problems and weakness of facial expressions by bright light, a pair of sunglasses can help. At the same dark glasses is of course very well suited to conceal “doppelbildernde” eyes to the outside.
* For all those double images which make it difficult to read: There are many books on CD and audio books. In blind “to borrow to buy in any well-stocked bookstore.

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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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Details of Myasthenia Gravis Diagnosis

In view of the many Myasthenia Gravis patients in United States, Canada, Australia, England, France and Japan, which must live for many years without names for their complaints, it did not operate perhaps, here one (very amateur) to provide overview of the different myasthenia gravis diagnostic methods. In front is referred to which reacts the mg also within the range of the diagnosis very differently, with each method can come it with Myasthenia Gravis patients (MG patients) to negative results! Myasthenia Gravis diagnosis such as :

• Ice cube sample

This variant is less suitable for an exclusion myasthenia gravis diagnosis, but can give nevertheless certain notes for the further search – and above all it is suitable for “home use” ! It is occasionally used in ocular MG: the drooping eyelids are just chilled with an ice cube. Often, the eyelids may be subsequently opened significantly. Also known as “first aid” used in everyday life (when swallowing altered) with a cold drink.

• Muscle retaining test

There are various muscle tests for myasthenia gravis diagnosis, with which the duration of the retaining forces is measured. Most frequently the following tests are used :
Simpson test: View upward for at least one minute, ptosis (hanging upper eyelids) can trigger or reinforce
Arm leg rate time: in standing the arms straight before the body are held stretched, , in the supine position with one leg in the 45o angle is increased. Measured is the holding time (the one with that of healthy individuals is compared).

• EMG

With this myasthenia diagnosis method a nerve is electrically stimulated, and measured the reactions of the appropriate muscle following from it. Customarily are 5 to 10 consecutive current pulses -with MG patients the reaction curve falls clearly off (with the first impulse good reaction, with the further ever more weakly becoming). This method is applied to different muscles – ideally there, which already occur in everyday complaints.
Besides the “normal” EMG, there is the single fiber EMG, in which the reaction can be very targeted, individual muscle fibers are reviewed.

• Tensilon test

With this tensilon test a fast effective medicine is squirted, which causes a completely clear improvement of the symptoms with mg within fewer minutes. The Tensilon test is partly used with the EMG combined.

• Anti-body test

In the special laboratory, the blood is tested for specific antibodies against Acethylcholin receptors. Also, this test is negative in many MG, however, is currently a test on a further machine specific auto-antibodies in development.

• Muscle biopsy

The changes in the receptors can be visualized in the laboratory.

• Chest CT

The chest CT is not directly suitable for the myasthenia diagnosis of MG, but as with many MG the thymus is significantly increased and there are even some thymomas, this process is used to illuminate the upper body.

• Curare test

Curare test Is used only in very rare cases, curare increased the MG symptoms quite clearly.

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