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| The Recovery Guide for Patients with Polymyositis and Dermatomyositis (PM/DM) |
1，What patients of Polymyositis and Dermatomyositis (PM/DM) need to pay attention to when they are bucking or difficult in swallowing? PM/DM always infringe the pharyngeal muscle, leading to difficulty in swallowing. When taking food, patients will have symptoms of bucking and difficulty in swallowing. In order to prevent breathing food into trachea, patients had better to sitting or half-sat position, and they had better to taking in semi-liquid diet, such as noodles, porridge, rice thick soup and sesame paste. Usually, patients can have more meals a day but less food at each, and the speed should be slow. 2，can patients of PM/DM recover the self- care ability of daily living soon? The progress of PM/DM is slow and its prognosis is good. Usually, this disease tends to recover in 2-3 years, and prognosis is related to the severity and course of disease. It will take 1-6 months, usually 2-3 months, to improve the patient’s condition from the application of hormone therapy. Therefore, the patients can not recover in short time. Patients should learn more about the common sense of disease, set up confidence of treatment, coordinate with doctor positively. They can begin to do some recover activity when the symptoms relieved. 3，how the patients of PM/DM maintain myodynamia? During the acute stage, patients should rest in bed absolutely. Take in sail so as to avoid or aggravate the muscle damage. We can pat the back of the patients when they turn over to promote the outgoing of sputum, which can prevent the occurring of hypostatic pneumonia. At the same time, it is necessary to intense the skin care to prevent infection. After the beginning of recovery of myodynamia, we need to encourage patients to do some muscle strength exercise. First, arrange some passive movement for the limbs, and then patients can do some active movements.
