Xiao Yan, who works for a company in Hangzhou, Zhejiang Province, is 25 years old this year, sometimes rushing projects, and will work overtime until late at night or even early in the morning. Not long ago, after staying up late for two consecutive days, Xiao Yan woke up early in the morning and suddenly found that her eyelids were particularly heavy, "It's like hanging a heavy object, I can't open it!" ”
Image source: Popular Science China
01Staying up late induces ocular myasthenia gravis
At first, she thought it was eye edema caused by fatigue, and her family advised her to sleep more if she was too sleepy. But then he was completely awake, and his eyes could only barely open a slit, and even the next day, Xiao Yan hurried to the hospital for treatment. "Squinting" is not clear, Xiao Yan wears sunglasses, and has to be supported by her family to go up and down the steps and escalators.
The doctor consulted in detail and learned that half a year ago, Xiao Yan also had the experience of staying up late and unable to open her eyes, and her symptoms were relieved after resting, but this time she closed her eyes and rested for more than a day without any signs of relief.
Image source: Draft design
Xiao Yan was admitted to the neurology ward. After a series of examinations combined with the medical history, Xiao Yan was diagnosed with ocular myasthenia gravis. The doctor explained that ocular myasthenia gravis is one of the types of myasthenia gravis, often caused by one or both extraocular muscle paralysis caused by ptosis, which can be accompanied by strabismus diplopia.
If effective intervention is not actively carried out, severe cases can cause obvious limitation of eye movement, fixation of the eyeball, and even accelerate the deterioration of the condition, resulting in generalized myasthenia gravis.
After the diagnosis was clear, the doctor gave glucocorticoid therapy to regulate immunity, and after a complete set of corresponding treatments, Xiao Yan's eyes gradually returned to normal and she was discharged from the hospital.
"Many diseases are caused by lack of sleep, such as myasthenia gravis, neuroimmune diseases, once various reasons are superimposed, such as staying up late and working, infection, etc. lead to decreased resistance, plus their own immune system has certain defects, it may occur." Neurologist reminds.
02 This disease "prefers" young and middle-aged women
Tired eyelids can not lift, may not be simple physiological fatigue, must be vigilant for myasthenia gravis to find the door, the disease in young people is high, more common in women.
Image source: Draft design
According to the doctor, myasthenia gravis is a chronic autoimmune disease caused by the dysfunction of transmission between nerves and muscle junctions, and the incidence is about 6~10 people/100,000 people.
"Because the onset of symptoms in patients with myasthenia gravis is sometimes very insidious and the awareness rate of this disease is low, many patients often have symptoms for a long time before confirming the diagnosis and starting treatment, at which time the best time for treatment has been missed."
The doctor reminds that the hot summer is coming, you should ensure adequate sleep and do not stay up late to avoid colds and other causes of decreased resistance.
If there are physical symptoms such as drooping eyelids, double vision, difficulty in speaking and swallowing, difficulty raising the head, raising arms, combing hair, going up stairs, squatting and other limb symptoms, it is best to go to the neurology department of a regular hospital in time for examination to rule out the possibility of myasthenia gravis as soon as possible.
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Source | People's Daily Science Popularization, News Workshop, Urban Express Editorial | Luo Hangmei, ed Luo Hang Proofreading | Yu Zongrong, Li Tiande, Chen Shengxing, ed Yu Zongrong Li Yin Statement | The source network of the data, and only used for popular science public welfare publicity, such as invasion and deletion.
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