Progressive limb pain, weakness, need to be alert

- the occurrence of polymyositis

symptoms of polymyositis first manifestation for the squat station from downstairs, upper arm, lifting becomes increasingly difficult, often accompanied by muscle and joint pain, pain, tenderness.Or can be developed for the rise of the difficulties, dysphagia, dysarthria, chest tightness and shortness of breath, a small number of patiENTs may involve the myocardium, severe cases, there will be sudden death may be; dermatomyositis showed butterfly distribution in the nose and cheek purple rash, mouth, periorbital, neck, chest, limbs outside and around your nails visible erythema and edema.Currently unclear etiology, is a class of diseases associated with autoimmune disorders, viral infection or genetic factors.Line EMG and muscle biopsy helpful in the diagnosis, blood tests can also be found leukocytosis, erythrocyte sedimentation rate accelerated, 24-hour urinary creatine increase, seen in some patients myoglobinuria, suggesting the possibility of acute muscle necrosis.Treatment with corticosteroids as the preferred medication, the combination of immunoglobulin and radiotherapy, while paying attention to rest, OK high protein and high fiber diet, adequate exercise, and strengthening rehabilitation.

Note

maintain good mENTal state, to reduce the tension and fear, and establish the confidence of adhering to the long-term treatment.Care, thoughtfulness, understanding the patient's physical and mental suffering, take the initiative to help the living, a lot of communication.

2, enhance Nutritional intake should choose high-protein, high vitamin, low-salt, digestible pap ban spicy and spicy food, eat more high potassium foods such as lean meat, soy products, cabbage, potatoes and so on.Into a liquid or semi-liquid dysphagia, eating, sitting or semi-recumbENT position, to prevent food choking into the respiratory tract caused by the inhalation pneumonia .

3, hormone therapy is strict compliance with the time of administration, dose, close observation of body temperature, stool color, blood on a regular basis review of the electrolyte, to prevENT infection, hypokalemia, hypocalcemia, gastrointestinal bleeding and other complications.When hair loss, moon face looks change, not depressed, worried, this is only medication temporary side effects.Such as obvious discomfort, it is timely to hospital, not the unauthorized withdrawal.

4, the patiENT's activity level depending on the severity, the acute phase of absolute bed rest and avoid activities should not increase symptoms.In order to prevent to encourage patients to the proper conduct of the bed active or passive motion, muscle atrophy to alleviate the symptoms, such as elbow flexion and extension, knee, lift the arms and legs movements; condition further improved walking in support of the nurses or Family members, self-washing, toileting and so on.Exercise in a progressive manner, gradually increase the intensity and duration of exercise, avoid strenuous exercise.Existing muscle atrophy should be a massage or other physical therapy.

strengthen the sense of self-care due to glucocorticoid immunosuppression, long-term application of the patiENT's own defenses are weakened, thereby increasing the chances of infection.Medication during Zhu Huanzhe as little as possible to go to crowded public places to prevent upper respiratory tract infection, and maintain oral Health, the prevention of fungal infection, keep the skin clean and dry to prevent skin damage.Female patients pay attention to the vulva clean and prevent retrograde infection of the urinary system.

6, regular follow in order to observe the efficacy and drug reactions, changing the drug or dose, the patiENT needs on a regular basis to hospital referral.Special needs Zhu Huanzhe avoid strenuous exercise before the blood sample to check muscle enzyme test results accuracy.Line EMG who has asked to wear loose underwear, exposed to be checked in order to facilitate muscle, keep warm in cold weather.