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Created with Fabric.js 1.4.5 Myasthenia gravis is an autoimmune neuromuscular disorder characterizedby weakness of voluntary muscles. The antibodies in the patient block the ability of acetylcholine to transmit the nervous impulse from nerve to muscle cell. The symptoms of myasthenia gravis may include eye muscle weakness, ptosis of the upper eyelid, blurry or diplopia,unstable gait, a change in facial expression, difficulty in swallowing, shortness of breath, impaired speech, and weakness in the arms, hands, fingers, legs, and neck.The main clinical concern is respiratoryparalysis. Therapy to reverse symptoms of Myasthenia gravis include anticholinesterase drugs, immunosuppressivetherapy, and thymectomy.Thymectomy is beneficial to many patients. Immunosuppressive therapy includesintravenous immunoglobin as well as medication suchas corticosteroids and methothexale Treatment Symptoms The diagnostic procedures include acetylcholine receptor antibody,anti-MuSK antibody testing, office test, electromyography (EMG), and single fiber EMG. Office test include sleep, ice pack, and edrophonium test. Diagnostic proceudres Patients who undergo treatment can significantly improve their muscle weakness and lead normal or nearly normal lives. In some cases MG may go into remissioneither temporarily or permanentlyand muscle weakness may disappear completely so that medications can be discontinued. Stable, long-lasting complete remissions are the goal of thymectomy and may occur in about 50 percent of individuals who undergo this procedure. A myasthenic crisis occurs when weakness affects the muscles that control breathing. Thiscan create a medical emergency requiring either a respirator to help the person breathe or measuresto prevent a person from taking too much air into theirlungs. Weak respiratory muscles, infection, fever, or a bad reaction to medication can also trigger a crisis. Prognosis What can go wrong When a patient finds out they have MG they go into the impact phase. The initial emotions when finding out they have MG is fear and confusion anda sense of shock. The patient also goes into a denial temporary. After awhile anger and resentment set in.Sadness and depression can set in. Once the initial shock is over the patient goes into a period of turmoil. The patientis learning to adjust to their new style of life and how to reconstruct their life as well. As the patient is reconstructingtheir life they are working on returning to the highest level ofwellness, psychologically and physically. The caregiver of a MG patient feel a range of emotions including frustration,sadness, and anger, as well as the good feeling that comesalong with helping that person out. Emotional/psychological effect The effect on the staff when caring for a patient with myasthenia gravis is both positive and negative. It can be positive when the patient goes into remission or when the patient is starting to do better. At the same time it can be negative when the patient relapsesor has a bad day. Effects on the Staff
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