Myasthenia
gravis is one of the many autoimmune diseases caused by an autoantibody attack
on the receptor responsible for the communication between the nervous system
and voluntary muscles. In other words, the disorder is due to miscommunication
between the nerves and the muscles.
Given
that, according to Western medicine, there is no known cure for the disorder
(its causes still remain relatively unknown, although there are many
contributing factors), patients diagnosed with myasthenia gravis would be interested
to know the prognosis of their autoimmune disease.
According
to Dr. Janice M. Massey, M.D., professor of neurology and director
of the Myasthenia Gravis Clinic at Duke
University Medical
Center . "If
myasthenia gravis doesn't become severe early on, it may stay on a
plateau." This is good news to all those afflicted with this autoimmune disorder.
As a matter of fact, some 20-25 percent of the patients experience some
remission of the initial symptoms of myasthenia gravis.
The bad
news is that some may have symptoms that worsen rapidly, such as difficulty in
speech, chewing and swallowing, and even smiling because their bulbar muscles
(around the mouth and the throat) are affected by the antibodies.
Of
course, the prognosis of myasthenia gravis is also affected by the kind of
treatment undertaken by the patient. For example, taking corticosteroid drugs,
such as prednisone, may relieve some of the symptoms while the patient may feel
much weaker in the beginning. Taking immune-suppressant drugs, such as
Azathioprine (Imuran), may strengthen the muscles as long as the drug is taken.
Using plasma exchange (exchange of clear fluid of the blood from another
healthy individual) may provide rapid improvement, but it is only a short-term
treatment of the symptoms of myasthenia gravis.
Myasthenia
gravis is an inflammatory autoimmune disease. Taking cholinesterase
inhibitors--the mainstay of treatment of this immune disorder may improve
muscle strength but has many undesirable side effects, such as increasing nasal
and bronchial secretions, making the pupil smaller, increasing urination and
urinary tract infections To improve the prognosis of myasthenia gravis, it is
important to focus on exercise to strengthen muscles, and a well balanced
anti-inflammatory diet. In other words, a holistic approach to autoimmune
diseases holds the key to eliminating many of the symptoms.
I was diagnosed with myasthenia gravis more than a decade ago. Now, I am completely drug free, and my symptoms are only minimal. How did I do it? A change in lifestyle and a holistic approach to the disease.
Stephen Lau
Copyright©
by Stephen Lau
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