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Zhang Hui
Neurology
About me
Weifang People's Hospital, Department of Neurology, attending physician, has been engaged in clinical work in the field of neurology for many years, with rich clinical experience in common and prevalent neurological diseases.
Proficient in diseases
Cerebrovascular disease, Parkinson's disease, myelitis, etc.
Voices
Early symptoms of myasthenia gravis
Myasthenia gravis is a disease of the neuromuscular junction and also an autoimmune disease, caused by a dysfunction in the patient's immune system. Early symptoms of myasthenia gravis may include mild general fatigue, which can be relieved by rest, and may not be particularly concerning to the individual. Some patients may initially exhibit slight ptosis and occasional double vision as clinical symptoms, which they might not take very seriously either. As the disease progresses, the symptoms become more severe, such as noticeable ptosis, double vision, slurred speech, difficulty swallowing, and even potential weakness of the respiratory muscles, leading to respiratory failure.
Causes of facial neuritis
The etiology of facial neuritis is not very clear, but some views suggest that viral infections can cause edema of the facial nerve, leading to compression of the nerve and resulting in inflammation. Additionally, some nonspecific inflammatory responses can also lead to edema of the facial nerve, presenting some clinical manifestations of facial paralysis. Other high-risk factors for facial neuritis include diabetes, autonomic instability, rheumatoid immune diseases, lymphoma, etc. Therefore, it is evident that the mechanisms of facial neuritis onset are unclear, with potential causes including viral infections, diabetes, central nervous system lymphoma, or autonomic instability, all of which can lead to facial neuritis. The primary symptom of facial neuritis is paralysis of the facial muscles. With standard treatment, complete recovery generally occurs within one to two months. Facial neuritis caused by tumors tends to recur and requires heightened vigilance.
Causes of myasthenia gravis
Myasthenia gravis is a type of neurological autoimmune disease. The cause and mechanism of this disease are primarily due to disorders in the immune function of the body. Antibodies are produced in the body which attack the acetylcholine receptors at the neuromuscular junction, leading to the failure of nerve impulses being transmitted to the muscles. This results in the clinical symptoms observed. Many patients may have thymic abnormalities, such as thymomas. Treatment of this disease involves the use of cholinesterase inhibitors and suppression of these abnormal immune responses, typically requiring the use of corticosteroids.
Nursing measures for facial neuritis
The treatment of facial neuritis, in addition to some pharmacological treatments including corticosteroids, B vitamins, and antiviral medications, also requires some rehabilitative physiotherapy training. On the other hand, nursing measures also play an important role in the recovery from facial neuritis. The nursing measures for facial neuritis mainly include: First, it is essential to soothe the patient's emotions. Patients with facial neuritis often become quite depressed and may experience anxiety and depression. Nursing work must be thorough, including explanation and reassurance. Only when the patient's emotions are stable, can they cooperate with the treatment. The second nursing measure is to advise patients not to consume spicy and irritating foods. Third, it is important to keep the face warm, and patients can wear masks. Fourth, it is crucial to take good care of the eyes, as patients with facial neuritis often have difficulty closing their eyes, which can easily lead to eye infections. Eye drops can be administered to the patient.
Register in the neurology department for cerebral infarction.
Stroke is a very common disease in neurology. When registering at a hospital, you should definitely see a neurologist. Neurologists have rich experience in diagnosing and treating strokes. There are many causes of stroke, but the most common cause is atherosclerosis, and these patients usually have risk factors such as hypertension and diabetes. Acute onset of focal neurological deficits such as limb paralysis, numbness, and unclear speech are common clinical manifestations. In terms of treatment, antiplatelet medications and statins are typically used. Additionally, formal rehabilitation exercises are essential. (Specific medications should be administered under the guidance of a doctor, and self-medication should be avoided.)
Nursing Measures for Facial Neuritis
Facial neuritis is a nonspecific inflammatory response of the facial nerve, which can cause paralysis of the facial expression muscles. Patients may exhibit symptoms such as crooked mouth, drooling, incomplete eye closure, and a shallower nasolabial fold. The nursing measures for facial neuritis mainly include: First, it is essential to protect the eyes. Since some patients with facial neuritis may experience reduced tear gland secretion, their eyes can become very dry, and it is advisable to use eye drops. Additionally, some patients may not be able to fully close their eyes, allowing dust and viruses to easily infect the cornea and cause keratitis. It is necessary to cover the eyes with a moist gauze, especially during sleep at night. Second, patients should avoid spicy and irritating foods and adhere to a bland diet. Third, it is important to keep the face warm, and it is best for patients to wear a mask. (Note: The doctor's answer is for reference only. Please use medication under the guidance of a professional physician and do not self-medicate.)
What should I do if myasthenia gravis is accompanied by a fever?
Patients with myasthenia gravis are most afraid of developing a fever, as a fever may indicate an infection, especially a bacterial infection. If a bacterial infection occurs, it can easily trigger a myasthenic crisis. The patient may experience weakness in breathing and even respiratory failure, which can be life-threatening. Therefore, it is essential to address the situation promptly. The recommended approach when a fever occurs is as follows: First, quickly determine the cause of the fever, complete routine blood tests, calcitonin, and other relevant assays to confirm if it is caused by a bacterial infection. Second, symptomatically manage the fever, possibly using antipyretic medications. Third, if it is a bacterial infection, it is crucial to promptly administer a significant amount of effective antibiotics to treat it. Controlling the bacterial infection can prevent the progression of myasthenia gravis to a more severe state. (Note: Medication should be used under the guidance of a doctor.)
How to alleviate migraine symptoms?
When a migraine attack occurs, the clinical manifestations are very obvious. The patient will experience moderate to severe headaches, accompanied by nausea and vomiting, which are quite painful. Generally, the following methods can be used to relieve the symptoms: First, most patients can take non-steroidal anti-inflammatory analgesics, which can inhibit the production of inflammatory mediators and have a significant effect on relieving pain. Second, if the patient's headache is very severe, they can also choose specific ergot preparations or triptan medications for treatment. Third, accompanying symptoms should be promptly addressed. If nausea and vomiting occur, some antiemetic agents can be administered via muscle injection. (Please use medication under the guidance of a doctor.)
How to prevent encephalitis
Most cases of encephalitis are transmitted through close contact, such as children playing with toys together. It is possible for them to ingest viruses through their hands, which then enter the bloodstream from the stomach and attack the brain. Some cases of encephalitis are also transmitted through the respiratory tract, mainly through droplets. Therefore, in order to prevent encephalitis, it is crucial to maintain hand hygiene, wash hands frequently, and avoid crowded places to prevent respiratory transmission. In addition, to prevent encephalitis, it is important to improve one's physical condition and exercise regularly, as a strong body is less susceptible to viral infections. Finally, it is essential to ensure adequate nutrition for encephalitis prevention, including sufficient daily intake of carbohydrates and dietary fiber, as well as vitamins C and folate, which are crucial for enhancing the body's resistance.
Is brainstem hemorrhage prone to recurrence?
Brainstem hemorrhage is perilous, and its recurrence largely depends on the cause and the management of risk factors. For instance, one significant cause of brainstem hemorrhage is the presence of certain arterial-venous malformations and sponge-like angiomas. Such conditions tend to recur if not surgically addressed promptly by removing these abnormal vessels, thereby reducing the likelihood of recurrence. Additionally, hypertension is the most common cause of brainstem hemorrhage. Long-term high blood pressure can damage arterial walls and lead to ruptures and bleeding. Stable control of blood pressure, alongside a low-salt, low-fat diet, can prevent recurrence of brainstem hemorrhage. However, poorly controlled blood pressure, resulting in severe fluctuations, can significantly increase the risk of recurrence.