How is vestibular function damaged treated?

summary

If the damage of the eighth cranial nerve caused by aminoglycoside antibiotics affects the vestibular function of the inner ear, vertigo can occur, which often occurs in the course of medication or after withdrawal. Similar to the category of vertigo in traditional Chinese medicine. How is vestibular function damaged treated? Let's talk about it

How is vestibular function damaged treated?

In the past, strychnine, adenosine triphosphate, calcium pantothenate and vitamin B6 were used to treat the disease. At present, the curative effect is not ideal, so the key is prevention and early treatment.

In case of sudden vertigo, you can rest in bed and take vestibular inhibitor such as Difenidol 25mg, 2-3 / d. This drug is a non phenazine compound with mild anticholinergic effect and less side effects than histamine and anticholinergic drugs. However, for vestibular inhibitors, it is recommended to use a limited dose to relieve vertigo, and the duration should not be too long, so as not to affect the establishment of central axis compensatory function. Estazolam 1-2mg, L / D or alprazolam 0.4mg, 1 / D can be taken at the same time. Promethazine 25mg, 1 / D can also be used.

Steroids, dexamethasone 0.75mg, once in the morning, or prednisone 5mg, 3 / D, can eliminate neuroinflammatory edema and help the recovery of vestibular function. Ohbayashi (1993) used hydrocortisone. Thirty four patients were treated with prednisolone (30-40 mg / D) for 10 days. 77 patients in the control group were followed up for 1 week to 9 years. The results showed that there was no difference in the recovery of vertigo and spontaneous nystagmus between the two groups, but there was significant promotion in the recovery of moderate and mild semicircular canal paralysis.

matters needing attention

1. Eat vegetables and fruits, such as carrots, chrysanthemums, etc. 2. Eat bacteria and algae, such as black fungus, laver, etc. 3. Eat cereals, such as buckwheat, corn, etc