The body doesn't listen. Generalized form of myasthenia gravis: how to live when the whole body is disobedient. Several factors affect the prognosis of the disease.

10.02.2021 Drugs

Hello Nargiz!

I can only assume that the symptoms you described are signs of a microstroke. But I strongly recommend that you urgently see a doctor!

The main symptoms of a microstroke

Violation of sensitivity and orientation. The person feels weak and loses orientation, balance. At the same time, the eyes, as well as the limbs, do not obey, they "run" from side to side. Darkening, white flies, and image ambiguity may occur.

  • Speech problems. It can manifest in different ways depending on the size and nature of the lesion. Those with impaired left lobe of the cerebral cortex are more likely to experience speech problems. The language seems to be wadded and "does not obey" the commands of the human brain. The patient confuses letters and words when writing, cannot cope with the construction of complex sentences, use verbs that answer the question "what to do", and also finds it difficult to pronounce nouns in the nominative case. He has poor hearing and poor understanding of the meaning of words. There are also problems with the processing of the information received.
  • The work of the musculoskeletal system and muscles is impaired. Numbness, immobility, periodic cramps of the limbs and eyes may be partially observed. Such violations are one-sided due to the defeat of a small focus in the local area of ​​the head.
  • Disorders of a neurotic and neuralgic nature. Forgetfulness, mood swings, causeless apathy. Amnesia with a microstroke is transient and short-term. Most often it can last 5 - 6 hours and is able to pass by itself.
  • In addition to these, other symptoms can also be observed: dizziness; numbness or "sliding" of half of the face; twitching of the eye muscles; occasionally vomiting and nausea; paresis or paralysis of half of the trunk.

It should be understood that even the presence of one of the listed symptoms is already a cause for alarm. If you do not take effective measures, from the stage of a microstroke, the disease can turn into a full-fledged stroke, which can even lead to death.

What to do?

First of all, you should urgently consult a neurologist for advice. For correct diagnosis and prescription effective treatment the following types of examination may be needed:

  • General analysis blood. Able to show iron deficiency anemia and pernicious anemia;
  • X-ray and computed tomography. They can help you recognize possible fractures that could damage the nerves. Also, using X-ray and CT, they reveal osteochondrosis, intervertebral hernia, arthritis and other diseases;
  • Electroneuromigraphy (ENMG). Used to locate where nerves are damaged;
  • Doppler ultrasound examination. Using this method, vascular diseases are diagnosed.

In addition to the above, the doctor may prescribe some other examinations. Consultation with other specialists also does not hurt.

I hope it is clear that in order to start treatment, it is necessary to identify the true cause of numbness and double vision, since these symptoms can also be observed in other diseases. You should not do it yourself, since the reasons can be very different, including very serious illnesses.

Be healthy!

Best regards, Sandrin.

The most common form of myasthenia gravis is generalized. It may be accompanied by impaired cardiac activity, breathing, progress rapidly or have a stationary course - it all depends on clinical picture diseases. It is impossible to predict the individual nature of the disease.

Clinical manifestations

The onset of the disease can be spontaneous - a complete clinical picture unfolds within 2-3 months. Such a lightning-fast course is rare, progresses rapidly and has a high mortality rate.

Generalized myasthenia gravis can be characterized by an acute onset and the appearance of all diagnostic signs during the year. Without treatment, such a progressive course previously had a mortality rate of up to 80%. Now it is possible to transfer him to the stage of remission, that is, partial recovery.

The progressive course of the disease occurs most often and is characterized by the prolonged development of a complete clinical picture.

"The eyelids do not rise"

The first symptoms go unnoticed for a long time, since they are dynamic in nature: they decrease in the morning until they completely disappear and intensify at the end of the day. They are associated with damage to the striated muscles that provide eye movement: in the evening the eyelids drop, double vision, and blurred vision may appear over time. With such complaints, people usually self-medicate or, at best, go to an optometrist.

"The tongue does not turn and turn"

The so-called bulbar disorders - swallowing disorders - are associated with progressive damage to the muscles of the pharynx and tongue. Usually they are the next stage in the development of myasthenia gravis. Fluttering, nasal appearance appears. The prognosis of the course of myasthenia gravis is largely determined by the degree of bulbar disorders.

"The body does not obey"

Muscle fatigue that appears in the evening and disappears in the morning may be characteristic feature myasthenia gravis, but with prolonged development it is interpreted for a long time as fatigue. Localization depends on the inclusion of certain muscle groups in the process. The generalized form of myasthenia gravis is characterized by the gradual seizure of more and more groups of striated muscles.

Several factors affect the prognosis of the disease:

  • how quickly it progresses;
  • what degree of bulbar disorders are present;
  • how often crises occur;
  • whether there are respiratory and cardiac disorders;
  • what effect did the operation to remove the thymus gland have;
  • what doses of proserin are used to reduce symptoms.

Thanks to the success of medicine, the mortality rate in myasthenia gravis was reduced to 5-10%. Disability remains quite high (usually it is the 1st or 2nd group). However, with certain forms of myasthenia gravis, the quality of life can be preserved by carrying out the therapy prescribed by specialists.

Principles of therapy

Currently, the form of treatment depends on the following factors:

  1. If there is a tumor of the thymus gland (thymoma), then all patients with generalized myasthenia gravis are given surgical treatment- thymectomy, which significantly improves the course of the disease. In the presence of contraindications - radiation exposure to the thymus. This form of treatment focuses on the autoimmune nature of the disease.
  2. A breakdown with anticholinesterase drugs (ACHEP) establishes the diagnosis of myasthenia gravis, the dosage of these drugs determines the degree of compensation for the symptoms of the disease and indicates this in the diagnosis, they are also used as pathogenetic treatment... The classic representative of this group is proserin.
  3. With the ineffectiveness of AChEP and contraindications to thymectomy, severe course diseases are treated with glucocorticosteroid drugs or, less often, cytotoxic immunosuppressants (azathioprine). The use of these groups of drugs is limited to a wide range of adverse reactions.
  4. Plasmapheresis, hemo- and enterosorption are used in the course of treatment according to indications in order to eliminate pathological immune complexes from the body that disrupt normal transmission nerve impulse from nerves to muscles.

Thus, the generalized form of myasthenia gravis is the most common. The prognosis of the disease largely depends on the rate of development of the main clinical picture and the severity of the course. Without treatment, the likelihood of mortality and severe disability is high.

Emotional tightness and nervous tension - gives us a lot of unpleasant sensations and problems. Most people, unfortunately, are not trained to remove tightness, relieve tension with adequate methods and relax their mind, their consciousness, subconsciousness and body. Which almost always leads to stress, exhaustion, nervous breakdowns and to various diseases.

Tightness and nervous tension:

  • overloads the mind and body, which causes fatigue and pain in the body
  • burns a lot of mental and physiological energy in vain (takes a lot of strength)
  • Blocks the normal flow of energy to the mind, body and organs. This disrupts the supply of energy to all parts of the body and energy, blocks normal blood flow.
  • then. constant emotional stress, step by step shakes nervous system, destroys energy, protective functions of consciousness and the body, destroys human health, depriving him of peace and emotional balance

What is needed to relieve nervous tension and tightness?

  1. It is necessary to realize and remove the causes of this tension.
  2. To learn how to do it technically - to release tightness and relax, achieving emotional peace

In fact, this is the ability to control yourself!

Types of voltage (their differences)

1. Current or active voltage which is a consequence of the included problem. When a person, so to speak, “sausage” or strains here and now. He is nervous, afraid or angry about something. Accordingly, these emotions create nervous tension and inner tightness.

2. The background internal voltage is usually constant. Even when it seems to a person that he is calm, he still has this background tension. More often than not, it can be seen. feel in the lower part of the spine (lower back, sacrum, coccyx). Background voltages are background problems that have not been resolved, but the person is already used to them.

You need to learn how to relieve tension, both active and background.

What are the main reasons for tightness and nervous (emotional) stress?

1. Subconscious Fears! Fear must be learned to control and eliminate, removing its cause, replacing it with Peace and.

2. Any negative emotions, their suppression and accumulation in your subconscious- subsequently cause constant tension and constriction of the body. These can be:, etc.

Accordingly, in order to eliminate tightness and tension, it is necessary to remove the emotional reason:

3. Unfulfilled desires and psychological inhibitions:“I have no right to ...” and so on. Subconsciously, this can work in different ways, with different justifications: “I have no right to relax ...”, “I have no right to feel happy, calm, etc.”.

That is, there seems to be a desire, but it cannot be realized. This is either a self-prohibition, or a block (prohibition) formed in childhood, for example, imposed by parents.

All normal, positive aspirations of the soul must be unlocked and revealed. otherwise, desire is blocked (by prohibition) and an emotional and energetic tightness is formed in this place. Each suppressed aspiration is souls and blocked joy, that is, killed.

To remove the prohibition and constriction - you need to give yourself the right, especially if it is something natural and good. How to do it? Best of all in writing. Write for yourself a detailed justification of at least 10 reasons why you are entitled to “it”.

4. Background tension and stiffness as a habit. Often, in order to remove one negative habit, you need to start forming another - positive (opposite): In this case, a positive habit will be a state of calmness and relaxation.

Let me remind you that calmness and relaxation does not imply turning off activity, strength and vivacity. For example, a martial artist who achieves tremendous speed and strength precisely through the ability to achieve maximum relaxation and the absence of tightness.

5. It is not uncommon to find more complex ones, the so-called. karmic causes of tightness, causes of deep negative emotions and problems that are punishment for a person. Such negative effects are best captured with the help of a professional.

How to effectively relieve tightness and tension?

1. Identify and remove the causes of stress: fear, kits. etc. See the previous section of the article.

2. Self-hypnosis. About what Self-hypnosis is and how to do it -.

Commands- direct programs for tuning your subconscious:

  • I break the tension and the tightness
  • I release tension and tightness

3. Learning to enter meditation. The entry into meditation is described in detail in the article. The very training of entering meditation on the chakras forms the skill of releasing tension and teaches relaxation.

4. Exercises to relieve stress. Tension and tightness in emotions and thoughts must be learned to perceive, track in your body with your attention and remove it - let it go, directing warm yellow light (energy) to this part of the body and consciousness.

This technique is well documented in The Journey of Socrates and The Peaceful Warrior's Way by Dan Milman. Recommend!

5. The fastest way to fix a stress-causing problem is to work individually with, which helps to quickly identify the root cause and remove it. And in more detail about how Spiritual Healing works -.

Also, let me remind you the traditional methods of relieving stress in the soul and body!

Physical exercise:

  • and meditative running
  • Gym

At the root of all fear is uncertainty. A person, not knowing what to expect in a particular situation, assumes the worst, and in this regard, begins to "wind up" himself, drawing the most terrible pictures in his head. The body reacts to the emotion of fear always in the same way - adrenaline is released into the bloodstream, arterial rises, the heart rate changes, etc., and this leads either to excessive activity (a state of passion) or to muscle blockage (i.e. "stupor"). Both tend to be difficult to control.

In order for the body to perfectly obey (especially in a stressful situation), it is necessary to constantly train it. People who often have to overcome themselves (athletes, security officials, actors, etc.), have excellent control over their bodies precisely thanks to regular training in releasing from the clamps.

Finding time for this practice can be quite problematic for the average person. After all, if we think about situations that are risky for life, as a rule, it is rather abstract (“this will not happen to me”). But psyche and physiology are closely related. And in order to overcome fear, one must overcome oneself both physically and mentally.

Psychological and muscle clamping are two sides of the same coin. Roughly speaking, a certain emotion arises, a signal is sent to the brain, which gives a physiological response. And vice versa, forcing the body to perform certain actions (evenly and deeply breathing, maintaining posture, stretching the mouth in a smile), a person sends an impulse to the brain that activates the centers responsible for certain emotions. Thus, an interconnection arises, which, on the one hand, provokes the emergence different conditions but on the other hand allows you to get out of them.

Based on this principle, you can use the following techniques, which, with some effort, can help to overcome the fear "here and now", i.e. without much preparation:
- correct breathing;
- mentally assess the consequences of this situation, try to determine the worst scenario;
- switch to something else, distract yourself, give your energy to fear (for example, assess the situation and your capabilities, look around, temporarily focus on details, etc.);
- turn off thoughts and concentrate as much as possible on any action (practiced by athletes involved in various martial arts);
- to determine what exactly scares, to accept your fear;
- say “I'm scared ...”, “I'm afraid ...” (you can out loud);
- to determine exactly where the muscle clamp is concentrated, you can try to strengthen it in order to better feel it;
- have a direct physical effect on muscle clamps (pressure, pinching, etc.).

Long-term practices mean different methods, the choice of which depends on the specific problem. These methods include:
- sports (especially yoga);
- meditation and relaxation;
- auto-training;
- body-oriented therapy;
- gestalt therapy;
- Rosen method;
- holotropic breathing, etc.
In difficult cases, work with a psychologist is always shown, who will help to understand the reasons that trigger the clamping mechanism.

It is very difficult for me to describe my condition, it is generally very bad at the moment. I have weakness throughout my body, especially in my arms and legs. A kind of turbidity of consciousness. It’s like my hands are not mine, it’s hard to control them, they don’t obey. When working at a computer, the middle finger itself presses a key on the mouse, but this has been with me for the last three years. What worries me a lot now is my whole state. The general state is as if nervous-tense. Sometimes the muscles of the legs and arms twitch. The heart beats languidly, pulsates, the head shakes in time with relaxation. I have scoliosis, kyphosis, and not a large osteochondrosis, the last time I had a doctor's appointment was 2 years ago. The tips of the fingers are a little numb for 3-4 months, as if a little broken. I am also drowsy now. I do not always have such a state (Psychophysical depression), I remember I already had this, not so long ago (maybe a month ago) after physical exercises, then it was stronger, there was generally a fog in my head, then the next day it was better and then it passed ... Sometimes, and sometimes often, I don't get enough sleep. Today I got up broken, exhausted. In general, I rarely have strength in the morning. Today I wanted to do exercise therapy, which a physiotherapist prescribed to me, but did not (I thought it could get worse. Did you do it right?) At the moment, there is simply no opportunity to visit a doctor, please take my problem seriously, I have no one else to turn to. I understand that the full picture can be seen with me, but write that at least it can be, and what measures you can take on your own.

Valentin, Novosibirsk

ANSWERED: 12/08/2015

How are things going with your diet? You can try to drink a complex of vitamins of group B. Well, if possible, contact a psychotherapist for further treatment.

Clarifying question

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