How to treat vertigo and otolith?
summary
When it comes to otolith, many people may be confused, saying they have never heard of it. Although otoliths are strange, it is very high incidence rate. Today I'd like to introduce otolith to you in detail. How to treat vertigo and otolith? Let's talk about it
How to treat vertigo and otolith?
Tracheolithotomy is mainly used for the treatment of BPPV in the posterior and superior semicircular canals. The patients can change five positions by manipulation, so that the fragments of tracheolithotomy in the posterior and superior semicircular canals can enter the ellipsoid sac through the common foot. Although the disease has a certain self limitation, it usually takes several weeks or months or even years for the symptoms to be relieved. During the attack period, it can be accompanied by nausea and vomiting, but there are generally no hearing impairment, tinnitus and other symptoms, no central nervous system symptoms and signs, and no discomfort during the remission period. After manual reduction, the symptoms of most patients disappeared immediately after successful otolith reduction, which quickly relieved the pain caused by vertigo.
The main reason of vertigo induced by otolith disease is that the otolith with capsule spot falling off strikes the semicircular canal with the movement of head position, and then produces the positional illusion of stimulation 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 produced by otolith impacting 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 block, and the latter is single hole neurotomy or vestibular neurotomy.
Oral diazepam, oryzanol drugs. It can also use forced body position exercise, use the characteristics of fatigue response, daily fixed in induced body position for long-term exercise, long time can adapt without vertigo. If vertigo is serious, intratympanic injection of 4% lidocaine and streptomycin sulfate is effective.
matters needing attention
In our daily life, we should change the habits that may lead to chronic cerebral insufficiency, eat light diet, exercise properly, control blood pressure, blood sugar, blood lipid, quit smoking and lose weight properly. It is suggested to sleep in a hard board bed and use buckwheat skin pillows.
