进行性肌无力是由于身体内有种正常人不该有的抗体，这种抗体破坏肌肉上的一种特别构造，此构造叫做“乙酰胆素接受体” ，使肌肉无法顺利地接受神经的指挥而动作的一种疾病。

进行性肌无力症状：1 、眼皮下垂 2 、复视3 、讲话大舌头，口齿不清或声音沙哑4 、吃东西时无力咀嚼，或吞咽5 、梳头发，刮胡子，上楼梯，走路，刚开始还可以，重复几下就做不下去6 、甚至痰吐不出或呼吸困难。

--my husband 2016年 after July，felt stomach got problem then did colonscopy removed 2 small size lumps then began 经常摔倒 his right butt kept pain, 一直没有诊断出结果, after physical theorpy didn't work, then pain doctor did spine shot but the pain moved to left leg can't touch his left upper leg at all. neurologist found his left knee didn't response after hammer knocked. sent to physsical theorpy again and found left leg 肌肉无力 and 萎缩 can't lift up.. , it did a bit improve and not going worse but pain never goes away. today still 没有诊断出结果. however we attend warm water exercise to keep his 肌肉 stronger. now he could lift up knee a bit.

we also met another white feamle she did replace left leg knee but not like others she knew(they told her it is a succeesful), she has the pain and hope warm water exercise could keep her left knee working.

when i  asked my husband whether he wanted to try the replace knee, he told me he believes it is neurogy related problem, replaced won't solve it. recently frequently got stron and stroner pain.

over 65 my husband paied $185, me $230 for yearly. if drop by each time $3. it is sponsored by elgin park as residents. non-residents would pay more.

however china has too many popullations may be too crowd. don't envy cheaper here because we pay quite high estate taxes. 2017 we paied $5138.9(house only) and $1632.56 for yard. we have 2 lots.

Another house we paied $6174.6 and community has a swim pool (only for summer vacation, cold water) need to pay $460.

　　那么，高血压的标准设定究竟经历了怎样的变化？美国标准的变化是否会影响中国标准？在高血压防治中还有哪些“冷知识”？...　最新的官方数据预估，当前，中国高血压患病人数已达2.7亿，包括脑卒中、冠心病、心力衰竭、肾脏疾病在内的高血压严重并发症致残和致死率高，已成为中国家庭和社会的沉重负担。...对于美国调整高血压界定标准，中国医学科学院阜外医院副院长、国家基本公共卫生服务项目基层高血压管理办公室主任蒋立新在接受媒体采访时也表示，不必过度恐慌。

　　蒋立新分析，中国目前高血压的防控严峻程度和着重发力点与美国存在明显不同，美国高血压防控的现状是追求“更好”，而中国的当务之需则是如何在全国范围内尽快扭转高血压控制率如此低下的局面。高血压标准怎么定？

　　事实上，中国此前对于高血压的界定也发生过变化。由国家心血管病中心、中国高血压联盟的有关专家修订的《中国高血压防治指南2010》显示，过去几十年，中国曾进行过数次大规模高血压患病率的人群抽样调查。

　　其中，在1958-1959年的调查中，高血压的诊断标准尚不统一；在1979-1980年的调查中，≥160/95mmHg为确诊高血压，140-159/90-95mmHg之间为临界高压；到了1991年及2002年，诊断标准调整为≥140/90mmHg及2周内服用降压药者。

　　而根据世界卫生组织的界定，当收缩压≥140mmHg，或舒张压≥90mmHg时，就视为血压升高或高血压，中国目前已经与世界卫生组织制订的标准统一。注意！130/80已是“正常高值血压”

　　尽管美国单方面调整了高血压的确诊标准，但赵春霞告诉中新网记者，中国本来就把130/80的数值视为“正常高值血压”，也是处于可以进行综合干预的范围内。

　　根据上述《指南》的界定，目前中国采用正常血压、正常高值血压和高血压进行血压水平分类。

　　其中，记者注意到，中国界定的正常高值血压为收缩压120-139mmHg和(或)舒张压80-89mmHg，而美国最新的高血压标准正好在这个范围内。

　　《指南》解释称，正常高值血压是根据中国流行病学调查研究数据的结果确定的，血压水平在这个范围的人群，10年后心血管风险比血压水平110/75mmHg的人群增加1倍以上。

　　“美国标准或许可以让中国的高血压患者对治疗更积极一点。”赵春霞称，过去一些血压在140/90的人还认为自己很正常，直到收缩压到了150，他才意识到应该用生活方式干预，而不是先吃药。

　　河北省人民医院副院长郭艺芳也对媒体表示，美国发布的指南体现了对于高血压危害性认识的进一步加深，反映出对高血压控制更加积极的态度，有助于进一步提高中国高血压的防治水平。

　　有媒体透露，目前中国的相关部门也正在组织专家对《中国高血压防治指南》进行第四次修订，预计将在明年推出。

　　中国高血压联盟副主席兼秘书长、国家心血管病中心教授王文对此表示，新版《指南》将在2010年版基础上进行修订，目前没有新的证据来推翻既往诊断标准，因此中国高血压诊断标准预计不会下调，仍将保持140/90mmHg的现行标准。

防治高血压，你需要做到这些

　　那么，高血压应该怎么防、如何治？国家卫生计生委11月10日发布的《国家基层高血压防治管理指南(2017)》向公众普及了高血压的防治知识。

　　对于确诊高血压的患者，该《指南》指出，应立即启动并长期坚持生活方式干预，即“健康生活方式六部曲”——限盐、减重、多运动，戒烟、限酒、心态平。

　　其中，对于患者减少钠盐摄入的目标也非常具体：每人每日食盐摄入量不超过6克(一啤酒瓶盖)，注意隐性盐的摄入(咸菜、鸡精、酱油等)。

　　减轻体重方面，男性腰围小于90cm，女性腰围小于85cm。此外，每周应进行5-7次中等强度运动，每次运动30分钟。

　　限制饮酒方面，白酒每日饮酒量应小于50ml(1两)，葡萄酒小于100ml，啤酒小于250ml，女性在此标准上再减半。

--that's right. earlier i posted my husband case (but some one deleted ? his 血压 was 119 in the morning), he didn't take 高血压药 2 weeks now after reduced 15-20lb and takes 3 days/week warm water exercises for 1.5 hour. he doesn't have 烟酒 habits, i cooked with quite low salt. no need panic especially if you don't have unconfortable feeling. but once in a while should measure it to make sure. 

you should try to measure your blood presure and when it is high (over 150) if you measure after you walking, exercise, moving ...then you should mark the time tag and next couple days the same time measure again. you also should measure after you wake up(lowest) and go to bed(higer) if they are different and not higher than other time tag, that's normal. 

no need panic, unless you frequently dizzy(may too low), headache and you are over weight and eat quite salty foods.

from my view usa try hard to sell their medicines. in old time my mom only took 3 medicines, the same diseases my husband takes over 5 medicines. my mom quite ok but my husband left leg got serious problem, right butt huge pain returned all he did lab tests, different medicines, needle shot didn't work but caused his leg problem.

obviously the more medicines the worse. fortunately he successfully get rid of high blood presure medicines.

ps if you still work and is quite nurvous type on you job like my husband then you are unlikely without high blood pressure medicines.

my husband successful get rid of medicines is after he retired, reduced weights and warm water exercise can make him nerve relax a lot.

第一阶段：症状开始期：可能突然无法握筷，或走路无故跌倒，无明显症状。此时需由神经内科医师作肌电图、神经传导速度、核磁共振等检查，以确定诊断。
第二阶段：工作困难期：明显手脚无力，甚至萎缩，生活虽尚能自理，但在工作职场已发生障碍，此时需多休息，以免病情加重。并由复健科医师评估，提供必要复健。
第三阶段：日常生活困难期：病程进入中期手或脚，或手脚同时已有严重障碍，生活无法自理，如无法自行走路、穿衣、拿碗筷，且言语已稍有表达不清楚情形。
第四阶段：吞咽困难期：病程已进入中末期，说话已严重不清楚，四肢几乎完全无力，于进食时流质食物均易呛到，若不插鼻胃管灌食，常导致吸入性肺炎。
第五阶段：呼吸困难期：若患者于呼吸困难时，选择气管切开术，则就再也离不开呼吸器了，并需住进地区
--after I read it i suspect maybe my husband got the disease. but he did all作肌电图、神经传导速度、核磁共振等检查... by  神经医师, physical theorpist, pain 医师.

he has 走路无故跌倒 without any sympton, left top leg 肌肉跳动无力,疼痛, 要用手托着 left 脚才能 gets up or sit in the car,麻木, recently felt swelling... yesterday after waked up in the afternoon and told me he felt his both legs quite heavy(does it same as frozen?) can't get up.. he felt very tired too. tomorrow i'm going to call his neurolgist to verify it.

“渐冻人”是一组运动神经元疾病的俗称，因为患者大脑、脑干和脊髓中运动神经细胞受到侵袭，患者肌肉逐渐萎缩和无力，以至瘫痪，身体如同被逐渐冻住一样，故俗称“渐冻人”。由于感觉神经并未受到侵犯，因此这种病并不影响患者的智力、记忆及感觉。主要表现在：以下肢或上肢、一侧或双侧肢体筋脉弛缓，痿软无力，甚至肌肉萎缩、瘫痪为主症。缓慢起病，或急性发作者。具有感受外邪与内伤积损的病因，或有反复发作史者。西医学神经系统检查肌力降低，肌萎缩，或肌电图、肌活检与酶学检查，符合神经、肌肉系统相关疾病诊断者

--i wonder could be infected by the pain doctor did spine shot?

 天人相应

--this is the most difficult to verify but i do believe it because i belong to 第六感强-type. And did sense some bad things going to happen but still can't stop it(however it helped not been killed by car accidents and the abuser). 

　　据悉，本次大会由中国抗癌协会肿瘤传统医学专业委员会主办、天津中医药大学第一附属医院承办。在中国抗癌协会肿瘤传统医学专业委员会换届会议中，贾英杰教授当选为新一届主任委员，李小江当选常务委员兼秘书长

ps 浙江省肿瘤调查信息发布 肿瘤死亡率近10年呈下降趋势 　　记者 沈亦山 胡徐峰 杭州报道

【解说】10月20日，浙江省肿瘤防治办公室成立45周年，总结了45年来防治成绩的同时，也发布了浙江省肿瘤调查信息：浙江省现阶段癌症发病中标率比全国平均水平高10.57%，但死亡中标率却比全国平均水平低9.26%。省内癌症5年生存率高于全国平均水平。浙江省癌症中心主任毛伟敏表示，2006年以来浙江省肿瘤的死亡率出现拐点呈下降趋势。

　　【同期】(浙江省癌症中心主任 毛伟敏)

　　浙江省肿瘤的发病是高于全国的水准的，但是浙江省的肿瘤的死亡是低于全国的水平的，我们自2006年以来，浙江省的肿瘤的死亡(率)已经出现拐点，说明了我们浙江省的肿瘤的防控工作是做得不错的，这跟防办成立的45周年，也可以(说跟)这几代人的努力分不开的。

　　【解说】中国国家癌症中心城市癌症早诊早治项目办公室主任代敏告诉记者，浙江省在肿瘤防治工作中居全国领先水准，不过目前中国在肿瘤防治工作中仍面临一些挑战，对于肿瘤的早期发现、筛查和早诊早治以及诊疗质量和生存率方面还有待提高。

　　【同期】(中国国家癌症中心城市癌症早诊早治项目办公室主任 代敏)

　　我们国家的老百姓得了肿瘤之后死亡的概率是比较高的，这也意味着我们就是在肿瘤的这种早期的发现，早起的筛查和早诊早治，然后提高诊疗的质量和生存率方面我们还有待提高，尤其是近期主要做得工作。

　　【解说】在会上，庆祝浙江省肿瘤防治办公室成立45周年之际，工作人员还给浙江省肿瘤防办的老同志颁奖、献花，以表彰他们的工作和付出。在现场还表彰了省内一些肿瘤防治先进集体，肿瘤登记处和癌症筛查项目点。浙江省癌症中心主任毛伟敏还对今后的工作提出了一些期望。

　　【同期】(浙江省癌症中心主任 毛伟敏)

　　所以我们这次来庆祝这45年我们防办所做的工作，回顾45年来我们所铸就的一部分辉煌，我们希望是我们将来更加的努力，把浙江省的肿瘤的防控工作能够上一个台阶，真正能够达到我们中国2030健康计划当中的要求，能够使肿瘤的5年生存率能提高到50%，接近于西方的这些国家。

couple days ago his primary doctor didn't think he gets cancer but also don't know what's problem. every lab test is no problem. 

中国医师协会医学科普分会会长郭树彬表示，本次公益活动启动会正值2017年“中国镇痛周”，活动推出了“疼痛规范化管理“三步曲。第一步：预防，即在慢性疼痛病症还未发生时建立疼痛管理意识，通过规范日常的生活习惯，避免出现慢性骨骼肌肉疼痛的病症。第二步：治疗，初期出现症状时需要重视，及时就医，根据医嘱分辨病因对症治疗，且重视慢性疼痛带来的危害，正确达到治疗目的。如遇反复发作的疼痛病症，可根据以往的治疗经验及时进行院外自我药疗，保证第一时间控制慢性疼痛病症的发展。第三步：康复，在慢性疼痛病情得到控制后需要进一步观察，做好日常防治工作，避免疼痛反复发生或者加重。

--from my view point, stay away sugar-related, try not drink cokes and sugar-substitude. maintain your weights not over weight, not skinny. my husband is meat-lover hardly eat vegetables. however my brother-in-law's father also meat-lover but good body shape and frequently took exercises lived up to 99?. but meat-lover chinese still eat more vegetables then americans.

随着老龄人口的增多和生活节奏的加快，65岁以上的老年人群中约80%患者至少有一种慢性疾病，较其他年龄段的人群更易产生疼痛；颈、肩、腰、背等部位劳损、骨关节炎、类风湿关节炎是中老年人常见的骨骼肌肉疼痛病症。
　　中国中医药研究促进会骨伤科分会会长、中国中医科学院望京医院骨关节科主任陈卫衡指出，中老年人经常发生的慢性疼痛多数是由于老年性退行性关节炎引起的，退行性关节炎多发病于负重的关节，如膝关节等。早期干预可以较好的控制病情，如不及时治疗则会导致关节变形，出现O型腿等。
　　谈及类风湿关节炎，中华中医药学会风湿分会主任委员、广安门医院风湿科主任姜泉表示，类风湿关节炎好发生于中年女性，关节肿痛反复发作，致残率高，常被称为是“不死的癌症”，3年不规范治疗，其对关节的破坏性达70%。但如果早发现、早治疗，疾病是可以控制的，可以轻发病或者不发病。

--my husband looks like 残 but not 类风湿关节肿痛. when his left leg problem started he frequently fell down without knowing. he was improved by theorpist and can hold if it happened until this morning. can it caused by spine shot went wrong?

i planed to bring him visit chinese doctor, but he is more trust primary doctor. some one(i can't mention in case he gets trouble, you know aynthing you write Google would sell you out) adviced to change doctor, the question when i inquired him how to find the Dr. right, he also doesn't know. 

my mom also has back pains sometimes can't sleep well, she was lucky got a doctor from china, and also did spine related(not shot with pain killer but pulled out liquid). the chinese did tell me about the risk and did in hospital not her clinic.

that's why i warned my husband. And the pain doctor did in her clinic.

both of them have dietbetti and high blood presure, over weights. my husband is quite stubborn ate sweat/salty things whenever he desired and cokes. my mom was under my controlling quite good, even disabled still alive over 90.

 now i heard many fatty kids in china, parents should take care their kids not over eating and lack of exercises. Stay away candies can reduce teeth problems a lot.

后来，随着科学的发展，出现了各种各样解释疼痛的理论，但疼痛的本质究竟是什么却至今仍未解释清楚。

特异性学说 不同疼痛靠不同感受器感知...可以追溯到几千年前，但直到1858年德国生理学家莫里兹希夫在明确发现触觉和痛觉经不同的通路传递到大脑后，才首次提出了疼痛的特异性学说。

该学说认为每种躯体感觉都存在特异性的通路，即不同的感受器(感受特定刺激的神经元)负责感知不同的感觉，它们各司其职，一些负责温度、一些负责压力、一些负责震动等。比如，被热水烫了以后，负责温度的感受器就会发出预警，所以人才能感觉到烫，并做出躲避的动作。北京大学神经科学研究所研究员伊鸣告诉科技日报记者：“对于不同类型、不同强度的刺激，体表基本上都有相对应的感受器，某个感受器被激活以后，可以把信号传递到我们的脊髓和大脑里去。实际上，我们发现大脑对不同类型疼痛的处理方式也不完全一样。比如，不同的神经通路分别负责机械性刺激和温度刺激的处理，这使得我们可以在意识层面上判断疼痛的性质。比如说手被烫，很明显感受到的是温度引发的疼痛，这就是疼痛感受的特异性。”

然而，特异性学说无法解释为什么被打以后，冰敷可以缓解疼痛的现象。按照该理论，负责感应温度的感受器和负责感应机械性刺激的感受器分明是两种不同类型的感受器，是不会“掺和”在一起的。实际情况却是在高级神经中枢里，不同类型刺激的“特性”就不那么明显了。“不同类型的刺激‘特性’在外周感受器和外周神经层面区分比较明显。但是到了脊髓或脑这些高级神经中枢里面，就会发生很多信号整合，产生一些‘共性’的反应，即对不同类型的刺激产生类似的反应，如不愉快感。疼痛是多维度的复合感知，而非单纯伤害性信息的传递。”伊鸣说。也就是说，在整个系统里，不同类型的刺激，它们既有自己的特性，也有一些共性。

　　在常见的疼痛之外，还有一种疼痛让人费解，那就是幻肢痛。幻肢痛现象是因截肢或外伤而使人失去身体某一部分后仍持续感知那部分肢体存在或者出现疼痛的现象。幻肢痛是一种神经病理性疼痛，全身各部位组织切除后均可发生，尤以四肢和乳房切除后多见。

　　对于幻肢痛现象，目前认为最重要的发生机制是大脑皮层的功能重组，而外周和中枢机制都参与其中。据伊鸣介绍，从外周机制上讲，截肢手术之后，病人的肢体与局部神经同时被切断。来自受损神经的异常放电与术后早期出现的幻肢痛有关。

　　中枢机制在幻肢痛的发生中更重要。我们的肢体都是受到大脑皮层支配的，包括感觉和运动。病人被切掉肢体之后，原来支配切除部位的脑区，就会突然间没有了信号来源。因此，会出现一种代偿性的反应。例如截肢后对侧大脑皮质躯体感觉区内面部代表区扩大，并向中线方向伸入到相邻的被截掉的肢体代表区。这时大脑就可能把面部刺激“误认为”肢体刺激，产生幻肢痛。大脑皮质功能重组的程度与幻肢痛的程度有明显相关性。

--from what i read those different 痛学说 focus on body pain caused by the outside.

however my husband's 痛 from what i saw is: his body  got weird nerve(?) problem. earlier was dull pain in his right butt. now became 似用带尖的武器刺痛 his left leg, not from outside. And his left leg sometimes without knowing fell down to the ground very quickly. yesterday he did warm water exercise happened twice but he still could hold his body without falling down.

now i wonder whether caused by low blood sugar as diebetti disease. i would measure it if it happens again at home. but it can't explain frequently 刺痛 (not low blood sugar situations) i did suspect whether he got 幻痛 but didn't look like, because i can see his body looks like got weird cramp(when we married i did notice his lower leg got cramps more than others), then his head...like shrink pain.

he is very frustrated now because over a year without knowing what's wrong about his body. recently just fell down again and very difficult walking next day, so went hospital as emergency. made 3 x-rays and doctor declared no broken. that's all, because the same day insurance won't allow emergency and visit bone cancer doctor.

his bone cancer doctor re-schedule appointment, and yesterday bone cancer doctor  issued another re-schedule....  myself still believe the abuser did to his body.

--射手座最少? my husband is 射手座 but his tamper  belongs to 癌症性格. he hates drivers not carefully and follow the rules very much, frequently i tried to tell him that he already saw the driver was going to do and you already retired has plenty time if only if you still have time to avoid traffic accident then let it go. he hardly can take my advice and got upset at me, unless i threatoned him won't go out with him if he lose tamper. And sometimes i told him he is getting old he would make the same mistakes then he told me those seniors should not drive.

beyond that he is ok but disallowed me mention te person did bad things or he would go nuts.

ME most time quite patient but can't allow the person continue stealing/abuses my body. I can't endure that till i study our ancestors 预测 then it transfered my attention. it seems getting better (things disappeared/stolen still happens but less hurt my body) .

Everyone has 癌症性格 if you care about something and can't let it go. i have one, my husabnd has two, and some people have more.  those can't solve problems the only way is to find something transfer your attention. That you have to find your ways out. certainly different age has different care about things some minors. after married usually it meant more serious because it is more complex.

ps i did post about colons cancer, i mentioned: you should make sure everyday have shits out that didn't mean you won't get cancer but can help you reduce the percentage. which based on my experiences i was lucky in time did colonscopy at my 50 and removed lumps. because i was 2-3 days or longer because ate not enough since i was kid. now i have evryday and not bad shape and colour.

tomorrow my husband is going to do bone cancer test. his primary doctor told him it didn't looks like  but she also can't find out what's wrong. he just fell down again without knowing after we did warm water exercises. but he did feel this week his left leg kept pain and weak.

i told him if tomorrow still can't find anything wrong then maybe the person did to him as the person abused me. because abuser can't be cured if it is not me then my husband would be the person's target. this time he was ok not anger.

when the person abused my body i would find out(maybe not the day he abused me but 2 days later because sometimes you don;t know until you touch the wounded place). my husband is quite dumb type he even didn't know his underwears were disappeared.  whenever i saw his scars he told me he did even he can't reach the back places. that is not caused by the itch scraches but knife cut.

after we moved here in 2013 at least 20 times i found some one cut our fruits--watermelon, apples, pears... i am cautious type always pick no damage fruits. when i saw it i was very scare and told my husband, he didn't care. recently happened again. the abuser to me is in his danger status. and i don't understand why my husband didn't sense it. 

this is unsolvable case without my husband telling what he knew. my mom told me not until my husband dies it won't go away and i also got our ancestors 预测 that shows some scandals happened in his family side. so much less i would very upset frequently about it especially my body abused is reduced.

this is why i suggest to study our anestors  预测, you need answear but can't get then  预测 could tell you.