What is Meniere's disease

Meniere
Meniere's disease - a disease manifested by attacks of vertigo, tinnitus and hearing loss and associated with an increase in fluid pressure in the inner ear structures.

Meniere's disease mostly occurs in women 30-50 years old.Not know all the factors that cause its development, but it is thought that plays a role the innate inferiority of the structures of the inner ear, as well as increased tone of the parasympathetic system that occurs on a background of vascular dystonia.

immediate cause of the attack is to increase the volume of the endolymph in the inner ear and the pressure increase in the maze.May provoke an attack stress, fatigue, use of alcohol, loud noise, harsh light, feverish condition.

symptoms of Meniere's disease

first symptom, appearing even before the attacks of vertigo is intermittent noise in the ear, which eventually becomes permanent.

then tinnitus starts to be accompanied by bouts of dizziness to loss of balance, hearing loss (usually in one ear, sometimes in two), with naus

ea and vomiting.This state can last from several hours to several days and is very painful for the patient, because at this time he can not stand, walk and sit.As a rule, this is observed in patients with nystagmus (unconscious eye movement), sweating, drop in blood pressure, paleness of the skin and mucous membranes, severe weakness.

In early disease attacks occur several times a year, in case of unfavorable development more frequent several times a week.In the periods between attacks, patients may feel healthy, but almost everyone there is a gradual hearing loss with the development of bilateral hearing loss.The noise in the ear also gradually increases.

disease can last for decades and leads to the patient's disability.In this note the following fact: the more growing deafness, the less there are bouts of dizziness, they become less pronounced, and the development of deafness may stop completely.

main methods of diagnosis of Meniere's disease

  • audiometry (allows you to set the degree of hearing impairment, the anatomical level of lesions, etc.).
  • electrocochleography (to assess the condition of the inner ear).
  • holding temperature and dehydration tests.
  • Vestibulometricheskie research,
  • Magnetic resonance imaging and others.

Treatment of Meniere's disease

full treatment of Meniere's disease is usually impossible to achieve, but you can reduce the frequency and severity of attacks.During an attack the patient should be provided with complete rest (bed rest with the exception of any irritants - bright lights, noise, sharp sounds), a bland diet, antispasmodics, antipsychotics.

great importance dehydration therapy aimed at reducing the level of pressure in the inner ear (diuretics), administration of antihistamines, corticosteroids administered if necessary.

patients without exacerbation prescribe drugs that improve the condition of the central nervous system and its blood supply, physical therapy, exercise therapy, reflexology.

With the ineffectiveness of conservative treatment of surgical treatment: opening endolymphatic space, cut fibers VIIII cranial nerves timpanosimpatektomiyu and other types of operations.

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