Treatment of otolith
The common treatment methods of otolith diseases include conservative treatment, surgical treatment and reduction manipulation. According to different conditions, the treatment methods are different. Patients need to choose a regular hospital for symptomatic treatment.
First, reduction manipulation therapy.
Otolith is very painful, but there is a good treatment now. This method does not need to take medicine, and the effect is peculiar, which can be said to be immediate. This therapy is called. Manual reduction therapy? .
Second, conservative treatment.
This disease has a good prognosis and can heal itself in a year or so. Individual patients who have not recovered for a long time can take symptomatic treatment, such as oral diazepam and oryzanol. You can also use forced posture to exercise, and use the characteristics of fatigue reaction to fix it in the posture induced every day for long-term exercise, so that you can adapt for a long time and won't feel dizzy. If dizziness is serious, 4% lidocaine and streptomycin sulfate can be injected into the tympanum, which can achieve good results.
Third, surgical treatment.
The main cause of vertigo caused by otolith disease is that the otolith falling off the cyst hits the semicircular canal with the movement of the head position, and then the position illusion occurs when the stimulus is transmitted to the vestibular center. Therefore, there are two main problems, namely, the fluid dynamics of otolith drift and the conduction basis of nerve impulse caused by otolith impact on semicircular canal. According to this inference, the surgical treatment of BPPV can be divided into two categories: hydrodynamics and nerve block. The former includes semicircular canal occlusion, and the latter is single hole nerve or vestibular nerve amputation.
The influence of otolith
1. Otolithiasis recurs, and the patient's symptoms will get worse every time, making the patient live a painful life all day. Getting rid of otoliths as soon as possible is the dream of every patient.
2. Otoliths will also have adverse effects on patients' hearing, resulting in symptoms such as hearing loss, tinnitus and deafness, which will not only cause trauma to patients, but also seriously affect normal work, study and daily life.
3. Otolithiasis has a long history and is easy to become? Vertigo state type? The last dizziness is not over yet, and the next attack is coming again. Vertigo continues to occur and belongs to the type of vertigo state. State type is harmful to patients and life-threatening.
4. Otolithiasis patients are prone to anxiety and irritability.
Otolith detection method
1, frequent visual rotation related to body position, which may be accompanied by nausea and even vomiting; The time for symptoms to appear varies from a few seconds to dozens of seconds, generally less than one minute. After dizziness, there will be a persistent feeling of top-heaviness.
2. There is no obvious tinnitus, deafness and hearing loss during the attack (or the original symptoms of tinnitus, deafness and deafness are not aggravated).
3. The favorite lateral direction (left or right) is often the sick side.
The clinical manifestations of otoliths have five characteristics:
1, incubation period: dizziness occurs 1 ~ 4 seconds after the head position changes;
2. Rotation: vertigo has obvious sense of rotation, and patients have a sense of rotation when they rotate or close their eyes;
3. Transient: Vertigo will stop in less than 1 minute;
4. Transitivity: dizziness can be induced again when the head returns to its original position;
5. Fatigue: After changing the head position for many times, dizziness symptoms gradually eased.
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