Can periodic paralysis be cured?

Paralysis is very common in daily life, especially for older people, which is a great torture to themselves and has a great impact on their lives. They are eager to solve their pain, but there is no good treatment. So how to treat periodic paralysis? Can it be cured?

【diagnosis】

1. Medical history and symptoms:

It is more common in young and middle-aged men, and may have a family history. It is often triggered by cold, a full meal, and fatigue. It often develops acutely in the middle of the night, early in the morning, or after a nap, and may recur with flaccid paralysis of the limbs as the main manifestation.

2. Physical examination findings:

1. Flaccid paralysis of the limbs of varying degrees, usually starting from the lower limbs, with more severe proximal parts. In severe cases, the respiratory muscles are affected, and there may be muscle pain but no sensory impairment. Most patients recover within a few hours to one or two days, and some may recover within a week.

2. When the myocardium is affected, bradycardia, ventricular premature beats, increased blood pressure, etc. may occur.

3. Hypokalemia caused by hysteria, Guillain-Barré syndrome, hyperthyroidism, hyperaldosteronism, cottony alcohol poisoning, renal tubular acidosis, etc. should be excluded.

3. Auxiliary examination:

During the attack, blood potassium decreases and the electrocardiogram shows hypokalemic changes. The response of paralyzed muscles to direct current stimulation is weakened and absent.

1. Attack period:

You can take 4-10g of potassium chloride orally at a time (0.2g/kg for children). After the condition improves, continue to take 1-2g of potassium chloride, 3-4 times/d, and stop taking it after full recovery. For patients with more serious conditions, add 30 ml of 10% potassium chloride to 1000 ml of normal saline and slowly drip it. The total amount of potassium chloride in 24 hours should not exceed 8 g. For those with breathing difficulties, give oxygen, suction sputum, and perform artificial respiration if necessary. Patients with arrhythmia were given 30 ml of 10% potassium chloride and 10 u of insulin added to 1000 ml of 5% glucose solution and slowly dripped intravenously. Digitalis drugs are prohibited because of the high risk of poisoning.

2. Intermission period:

Avoid various inducements such as overeating, eating large amounts of high-sugar foods, excessive fatigue, etc. If necessary, take 10% potassium chloride 10 ml orally 3 times a day.

3. Some patients still have arrhythmia during the intervals and may often die suddenly due to ventricular tachycardia. Be vigilant and take active measures to prevent and control it.