Piʻi ka nawaliwali o ka ʻiʻo ma muli o ka myasthenia gravis ke hoʻopaʻa pinepine ʻia ka ʻiʻo i hoʻopilikia ʻia. Hoʻololi ka nawaliwali o ka ʻiʻo no ka mea e hoʻomaikaʻi mau nā hōʻailona me ka hoʻomaha. Eia nō naʻe, ʻoi aku ka maikaʻi o nā hōʻailona o ka myasthenia gravis i ka wā lōʻihi, ʻoi aku ka maʻamau i kekahi mau makahiki ma hope o ka hoʻomaka ʻana o ka maʻi.

He mau manawa maʻamau ka ʻike ʻana o ka mea maʻi i nā hōʻailona hou aʻe (kahi exacerbation), hoʻopili ʻia me nā manawa e emi a nalowale nā ​​hōʻailona (kahi kala kala).

ʻO nā ʻiʻo i hoʻopilikia ʻia e ka myasthenia gravis

ʻOiai hiki i ka myasthenia gravis ke hoʻopili i nā ʻiʻo i hoʻomalu ʻia, ʻoi aku ka maʻamau o kekahi mau pūʻulu ʻiʻo ma mua o nā mea ʻē aʻe.

Nā mākala maka

I ka hapalua o nā hihia, ʻo nā hōʻailona mua a me nā hōʻailona o ka myasthenia gravis e pili ana i nā pilikia maka e like me:

• Hoʻopau i ka neʻe ʻana o hoʻokahi a i ʻole nā ​​lihilihi ʻelua (ptosis).
• ʻIke ʻelua (diplopia), e hoʻomaikaʻi a hele aku paha ke pani ʻia ka maka.

ʻO nā ʻiʻo o ka maka a me ka puʻu

Ma kahi o 15% o nā hihia, nā hōʻailona mua o ka myasthénie pili i nā ʻiʻo o ka maka a me ka ʻāʻī, kahi e hiki ai ke:

• pilikia phonation. ka leo a me ka leo (nasal).
• Paʻakikī i ka ʻai ʻana. He mea maʻalahi loa i ke kanaka ke ʻoki i ka meaʻai, ka inu a me ka lāʻau lapaʻau. I kekahi mau hihia, puka mai ka wai a ke kanaka e ale ai ma ka ihu.
• Nā pilikia nahu. Hiki ke luhi ka ʻiʻo inā ʻai ke kanaka i kahi mea paʻakikī ke nau (e laʻa me ka steak).
• Nā hiʻohiʻona maka palena ʻole. Me he mea lā ua "nalo ka minoʻaka" o ke kanaka. Inā pili nā ʻiʻo e hoʻomalu i kona helehelena.

ʻO ka ʻāʻī a me nā ʻiʻo lālā

Hiki i ka Myasthenia gravis ke hoʻonāwaliwali i nā ʻiʻo o ka ʻāʻī, nā lima, nā wāwae, akā ma nā wahi ʻē aʻe o ke kino e like me ka maka, ka maka a me ka ʻāʻī.

Nā mea pilikino

Aia kekahi mau kumu e hoʻonui ai i ka myasthenia gravis e like me:

• luhi;
• kekahi mai;
• ka pilikia;
• kekahi mau lāʻau lapaʻau e like me nā beta blockers, quinine, phenytoin, kekahi anesthetics a me nā lāʻau antibiotic;
• genetic kumu.

ʻAʻole hiki i nā makuahine me ka myasthenia gravis ke hānau keiki me ka myasthenia gravis. No ka mea, ua hoʻoili ʻia nā antibodies mai ke koko o ka makuahine i ka pēpē. Eia nō naʻe, i nā pule mua o ke ola o ka pēpē, hoʻomaʻemaʻe ʻia nā antibodies mai ke kahe koko o ka pēpē a loaʻa hou i ka pēpē ke kani maʻamau i loko o ʻelua mahina o ka hānau ʻana.

Hānau ʻia kekahi mau keiki me kahi ʻano kakaʻikahi o ka myasthenia gravis i kapa ʻia ʻo congenital myasthenic syndrome.

Pehea e pale ai i ka mysathenia?

ʻAʻohe lāʻau pale no ka maʻi.