kef 39 ,diataraxes n/m sinapsis

Question 1

i d penikillamini antimetwpizei tin r.a tin noso wilson kai tin kistinouria alla ti prokalei kai sifili

Answer 1

anaptisei antiswmata kata tou achR => defteropathi miastheneia

Question 2

i anevresi anti AchR antiswmatwn ti apokliei?

Answer 2

tin iparksi siggwnwn miasthenikwn sindromwn

Question 3

ti kanei i miastheneia

Answer 3

kimainomeni adinamia miwn i omadwn miwn pou epiteinete me tin prospatheia kai ifiete kata tin ksekourasi kai tin lipsi antixolinesterasikwn ,50% ekdilwsi me prsvoli ofthalmikwn miwn me diplwpia kai asimmetri ptwsi vlefarou, simeio klidarotripas se klista matia giati fenete o skliros , oxi entoni gimnastiki , otan anevasoume to pathologiko vlefaro to fisiologiko paei pio katw

Question 4

klimakwsi miastheneias

Answer 4

diplwpia ptwsi vlefarou,amimia proswpou,adinamia masitirwn ,diataraxes kataposis kai fonis,prosvoi miwn akrwn ,anapnevstika mies spania(ta tenontia antanaklastika diatirountai kai den iparxoun aisthitikes diataraxes)

Question 5

pathofisiologia miastheneias

Answer 5

aftoanoso kata ipodoxewn ach

Question 6

diagnwstikoi methodoi miastheneias

Answer 6

dokimasia anastoleis tis achesterasis (tensilon neostigmini)
ipies metavoles sto ilektromiografima miopathitikou tipou kai emfanisi grigoris kopwsis kai o epanaliptikos erethismos meiwnei to dinamiko enrgeias ,anti achr antiswmata ston oro, ct gia thimwma

Question 7

therapeia miastheneias

Answer 7

anastoleis xolinesterasis:neistigmini piridostigmini aftes kanoun parenergeies naftua emetos sielorroia diarroia kai antimetwpizontai me atropini, thimektimi ,kortikosteroeidi prednizoni eiwnoun drasi b lemf ,azatheiprini kai kiklospirini ,plasmafairesi (anti AchR) andoflebia xorigisi anososgairinwn

Question 8

miastheniki xolinergiki krisi

Answer 8

otan den mporoun ta farmaka na to antimetwpisoun kanei miastheniki kai paralioun oi anapnevstikoi mies ,otan iparxei avksimeni posotita xolinergikwn tote exoume ekpolwtiko apokleismo ipodoxewn apo ipedosologia ……kanoume plasmaferesi gia pio taxeia apokatastasi

Question 9

sindromo lamber eaton pathofisiologia

Answer 9

epiktito aftoanoso stou antres kiriws,2/3 mazi me neoplasma ,1/3 mazi me alla aftoanosa ,meiwsi diavlwn ca epomenos kathisterisi apeleftherwsis ach logo drasis aftoantisomatwn.

Question 10

lamber eaton kliniki eikona

Answer 10

..klinika exoume kormiki kai kentromieliki adinamia ,se epanalamvanomeno erethismo exoume prosorini dinami ,meiwnountai ta tenontia antanaklastika exoume simptwmata apo to aftonomo, ksirostomia ( mouslarinikes apolimseis)

Question 11

diagnwsi lamber aeton

Answer 11

anastoleis achE ftwxa ,se tetaniko erethismo exoume aksisi fisiologikou ipsous dinamikwn!!!! enw se epanalamvanomena exoume araiwsi

Question 12

therapeia lamber aeton

Answer 12

antimetwpisi ipokeimenis kakoitheias ,3,4 aminopiridini me piridostigmini,anosokatastaltika prednizoni azatheiprini psasmaferesi kai anososfairines

Question 13

se miastheneia poia farmaka antedeiknintai

Answer 13

aminoglikosidi , kinolones , b blocker