How to treat periodic paralysis? Three methods are the most reliable

Periodic paralysis is extremely common in people's lives. Clinically, when people find themselves suffering from this disease, they can choose the following three methods if they want to effectively treat the disease.

1. Hypokalemic periodic paralysis

During an attack, adults should take potassium chloride orally or through the nose once. For those with respiratory muscle paralysis, artificial respiration, suction of sputum and oxygen administration should be given in a timely manner. Patients with arrhythmia can be given intravenous drip of 10% potassium chloride, insulin and 5% glucose solution. However, digitalis drugs are prohibited. Treatment during the interval between attacks: For those with more frequent attacks, potassium chloride can be taken orally for a long time before going to bed every night. If there is also hyperthyroidism or adrenal cortical tumor, appropriate medication or surgical treatment should be carried out. We still need to be vigilant that some patients may still have arrhythmias, which are difficult to treat and may cause sudden death due to ventricular tachycardia. In normal times, you should avoid overwork, oversaturation, cold and other triggers.

2. Hyperkalemic periodic paralysis

Mild attacks usually do not require treatment. For more severe attacks, the following options are available: ① 10% calcium gluconate or calcium chloride 10-20 ml intravenous injection. ② Add 10-20U of insulin to 500ml of 10% glucose solution and drip intravenously. ③4% sodium bicarbonate solution intravenous drip. ④ Treatment with potassium excretion using hydrochlorothiazide or furosemide.

During the intermittent period, potassium salt intake should be controlled, mainly from easily overlooked sources of potassium, such as potassium salt penicillin and stored blood for more than one week. Regularly consume a high-salt, high-carbohydrate diet.

3. Normokalemic periodic paralysis

During the attack period, normal saline or 5% glucose saline can be dripped intravenously, and salt should be taken as much as possible, and potassium-excreting and sodium-retaining drugs such as acetazolamide or glucocorticoids should be taken. However, excessive potassium excretion can transform this type into hypokalemic periodic paralysis, which should be taken seriously. A high-salt, high-sugar diet should be taken on a regular basis. Those with frequent attacks can take potassium-excreting and sodium-retaining drugs appropriately to prevent or reduce attacks.