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Xie Wen
Neurology
About me
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Proficient in diseases
Diagnosis and treatment of common neurological diseases such as cerebrovascular disease in the Department of Neurology.
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Myasthenia Gravis Surgical Treatment
Myasthenia gravis is an autoimmune disease, with many patients also having a thymoma. The thymus is a very important immune organ in humans, and abnormal proliferation of the thymus can produce acetylcholine receptor antibodies. These antibodies circulate to the neuromuscular junction and participate in the antigen-antibody reaction, leading to the onset of myasthenia gravis. By removing the thymus, the initiating antigens of the patient's autoimmune response can be eliminated, reducing the involvement of T cells, B cells, and cytokines in the autoimmune response. This surgery is suitable for patients with thymic hyperplasia and high acetylcholine receptor antibody titers, or those with various types of myasthenia gravis with thymoma, as well as young women with generalized myasthenia gravis, and those who are dissatisfied with cholinesterase inhibitor treatment. About 70% of patients can experience symptom relief or complete recovery after surgery.
Stroke rehabilitation exercise
In the early stages of a stroke, for bedridden patients, passive limb exercises can be conducted at the bedside. This includes joint loosening exercises and passive flexing of knee and elbow joints to prevent joint contractures. When not exercising, proper limb positioning is needed; sandbags can be placed on the inside of the upper limbs to avoid internal rotation, and the legs should be placed in stiff cloth shoes or T-bar shoes to prevent external rotation. Once the patient enters the recovery phase, they can gradually begin standing and walking exercises, while also receiving treatments such as medications, hyperbaric oxygen therapy, and acupuncture. (The use of medications should be under the guidance of a professional doctor.)
Is vomiting frequent in meningitis?
Is vomiting frequent in meningitis? There are generally two situations for frequent vomiting in meningitis. The first situation occurs when pathogens infect the meninges or brain tissue, leading to an inflammatory response in the brain tissue, which then causes brain edema and subsequently leads to increased intracranial pressure. When intracranial pressure increases, it can cause vomiting, and this type of vomiting becomes projectile. Therefore, when vomiting is frequent and projectile, accompanied by severe headaches, fever, or even changes in condition, it is necessary to be vigilant about the increase in intracranial pressure leading to the formation of brain herniation, a situation that must be urgently addressed. The second reason is that after the pathogen enters the blood, it invades the gastrointestinal tract. An infection of the gastrointestinal tract itself can also cause frequent vomiting, accompanied by diarrhea, or even gastrointestinal bleeding, etc.