Considering your situation:
1. Lung infection
2. Lung injury caused by mechanical ventilation of ventilator
Guiding opinions:
1. Sputum culture is recommended, and active anti-infection treatment should be taken if there is infection.
2. If the lung injury is caused by improper use of the ventilator, the ventilator should be adjusted in time.
Disease analysis:
Motor neuron disease, respiratory muscle paralysis
Guiding opinions:
Hello,
My answer is true, and I don't think I can get your approval, because this is not the answer you expected (good answer)!
Although I can't get points, I still have to say it!
1, first of all, are you currently hospitalized? Is it an invasive ventilator?
2. You are now complicated with the most common muscle weakness crisis and pulmonary infection complications of ALS.
The final outcome is the end of the game. If the resistance is ok, lung infection is sensitive to antibiotics and may last for some time. Finally, the ending is over, and people and money are empty! The great scientist Hawking died of ALS lung infection. How does the medical level in Britain compare with that in China? Don't go into details? )
4. If it is a non-invasive ventilator, as long as it doesn't mess around (taking medicine from barefoot doctors), the complications are well controlled and the life span can be extended.
Life care:
Strengthen the nursing of bedsore, turn over and pat the back more.
Disease analysis:
Motor neuron disease (MND) is a group of chronic progressive degenerative diseases, which mainly damages the anterior horn of spinal cord and bridges the motor nucleus and pyramidal tract of cranial nerves. Paralysis caused by above-clinical or/and below-clinical motor neuron damage is the main manifestation, in which upper and lower motor neurons combined with damage are the most common.
Guiding opinions:
Motor neuron diseases are as famous as cancer and AIDS. As long as you have this disease, your muscles will atrophy first, and then you will die because you can't breathe consciously. Therefore, such patients are also called "gradually frozen people". The clinical manifestations are muscle atrophy, limb weakness and upper motor neuron injury caused by lower motor neuron injury.
Life care:
Treatment plan: Hormones have little effect on the treatment of this disease. TCM syndrome differentiation treatment can enhance the immune function of the body and improve the disease resistance of the body. The combination of traditional Chinese and western medicine can expand the microcirculation blood supply of the affected nerve, nourish the nerve, make the damaged residual nerve get sufficient blood supply, and prevent the disease from developing further. Nerve regeneration drugs are used in nerve compound therapy to excite and activate paralytic shock, so as to dominate and regulate exercise and restore and improve various functions.
But diseases with unknown causes like this may not be cured.
Disease analysis:
I can't breathe when I keep shouting, I have blood in my sputum, and I have motor neuron disease.
Guiding opinions:
In motor neuron disease, the main clinical symptoms are: weakness of limbs, rigidity, uncoordinated movements, difficulty in walking, talons, tremor, slurred speech, hoarseness, heavy nasal sound, even inability to speak, aphasia, choking, dysphagia, even inability to swallow, unable to eat, eating through the nose, some drooling, wry smile, forced crying and so on. Many clinical symptoms have the same clinical symptoms and manifestations as Parkinson's disease, so it is not surprising that Parkinson's disease has become a complication of motor neuron disease. Because Parkinson's disease is a complication of motor neuron disease, Parkinson's disease and motor neuron disease can be treated in a similar way to achieve the same therapeutic effect.
For myasthenia gravis, Parkinson's disease and motor neuron disease, although they are three different types of diseases, their damage to human body, especially in the later stage of disease development, will eventually lead to tragedies such as dysphagia, inability to chew, inability to eat, slurred speech and aphasia, which are really the same. According to the theory of "treating different diseases with the same disease" in traditional Chinese medicine, for myasthenia gravis, Parkinson's disease and motor neuron diseases,
Because the disease mostly occurs in middle age and above, the lesion involves the anterior horn cells of the spinal cord, the motor nucleus of the brain stem and the vertebral body bundle, and the upper and lower motor neurons of most patients are involved at the same time or successively. Therefore, the disease spreads rapidly in muscular atrophy types, ranging from one year to life-threatening. Therefore, the key idea of our clinical treatment of this disease is to prolong the life cycle of patients with motor neuron disease and restore muscle strength to improve the quality of life.
In treatment, it fully embodies the advantages of traditional Chinese medicine. Because this disease mostly occurs after middle age, it can be caused by the poison of dryness and heat, internal consumption of yin and body fluids, or congenital deficiency, spleen and kidney deficiency, and dampness and heat immersion, which leads to the loss of Confucianism and muscle weakness and is difficult to recover. In treatment, the emphasis is on invigorating the spleen and kidney, nourishing the liver and relaxing muscles and tendons. We use Ji Weikang's series of drugs to recuperate and nourish the liver and kidney, moisten and lose nutrition.
This kind of patients usually avoid harmful metal pollution to improve the quality of drinking water, take part in some physical exercises within their power, strengthen their physique, eat and live regularly, avoid overwork and pay attention to health care. Finally, provide a set of diet conditioning for patients in clinic, which is helpful to patients and can be provided to patients free of charge.
China ALS Cooperation Group was established on June 5th+February 6th, 2004. It was originally composed of ALS clinical centers in five hospitals.
The purpose of establishing the collaboration group is to strengthen the exchange and cooperation of als research in hospitals, effectively integrate the advantages of domestic ALS resources, realize the integration and integration with international ALS research as soon as possible, and take the lead in completing the internationalization process from the aspect of single disease research. The collaboration group will be a project-driven research collaboration system, adopting the principles of initiative, weight and consultation, and will hold regular meetings. Strengthen the cooperation among hospitals in the als field, carry out mutual assistance, exchanges and cooperation with projects as the leader, and actively participate in international exchanges in the form of collaborative groups to enhance China's research level and academic status in the ALS field.
Disease analysis:
Correct treatment can only control the disease, and then restore and improve some functions. If you want to use folk remedies to recover this disease, it will lead to a waste of treatment time and accelerate the deterioration of the patient's condition. Motor neuron disease is a chronic neurological damage disease, which is difficult to recover after treatment. In severe cases, it can invade the anterior horn cells of spinal cord and brain stem nuclei, as well as pyramidal cells in the motor cortex of the brain, resulting in dyspnea and dysphagia, which is life-threatening. About 5%-7% of patients are caused by genetic immune abnormality or virus infection. The etiology of other patients is unknown, which is reported to be related to heavy metals, chemical poisoning and the surrounding environment. The cause of this disease is difficult to control because of the poor curative effect of drug treatment alone, and the symptoms of nervous system are further aggravated by malnutrition caused by this disease and gradually secondary dystrophic neurological dysfunction.
Guiding opinions:
Treatment: Hormones have little effect on the treatment of this disease. TCM syndrome differentiation treatment can enhance the immune function of the body and improve the disease resistance of the body. The combination of traditional Chinese and western medicine can expand the microcirculation blood supply of the affected nerve, nourish the nerve, make the damaged residual nerve get sufficient blood supply, and prevent the disease from developing. Nerve regeneration drugs are used in nerve compound therapy to excite and activate paralytic shock, so as to dominate and regulate exercise and restore and improve various functions. Contact or call again for guidance.
Disease analysis:
Hello, the etiology and pathogenesis of motor neurons are still unclear.
Guiding opinions:
5% ~ 10% patients have family history, which is called familial motor neuron disease. In recent years, the genetic abnormality of peroxidase has been found in this group of patients with family history of motor neuron disease, which may be the cause of this group of diseases. With the active immunization of animals with spinal cord anterior horn cells to produce experimental motor neuron disease models, anti-GM 1 antibodies were found in patients' serum and cerebrospinal fluid. Since the detection rate of anti-Ca2+ channel antibody increased and immunosuppressant therapy achieved certain results, people began to pay attention to the theory of autoimmune mechanism. There is no specific therapy. Acupuncture and traditional Chinese medicine can be used, which has a certain effect. Clinical application in recent years: ① Li Ruda, 50mg, every 1 2h1time; (2) Lamotrigine, starting from 25mg per day, gradually increased to 65,438+000 mg/d, which can improve symptoms and delay development, but can not change the prognosis; ③ Immunosuppressant, common drug cyclophosphamide 200mg intravenous drip, every other day or twice a week, the total amount of 3-4g is 1 course of treatment, some motor neuron diseases are effective; ④ Nerve growth factor is also used, but the curative effect is uncertain. Anyone with respiratory muscle paralysis should undergo tracheotomy and artificial respiration as soon as possible. Patients with pulmonary infection should be given appropriate antibiotics. Physical therapy can be given to those with stiff limbs, and oral administration of 5- 10 mg of couple, 2-3 times a day, can improve symptoms. When painful spasm occurs, carbamazepine or phenytoin sodium can be taken orally.