How is Menit s syndrome treated, and how is Meni s syndrome treated?

Meniere's disease is mainly caused by fluid accumulation in the membranous labyrinth, which is an idiopathic inner ear disease with very complex symptoms, which can cause a series of symptoms such as vertigo, tinnitus, and hearing loss, which can seriously affect daily life. For this disease, we generally focus on medications**, but if the patient's symptoms are very severe, then surgery is an option**.

Meniere's disease, also known as vertigo, can cause patients to have symptoms that turn around, seriously affect daily work and life, and may also lead to a series of other symptoms, so we must pay attention to this disease. After the disease is discovered, the patient should go to the otolaryngology department of the hospital in time to choose the appropriate plan according to the specific condition as soon as possible, so as to control the progression of the disease as soon as possible.

For Meniere's disease, if the symptoms are not relieved after long-term medication**, then the patient can undergo surgery**, such as endolymphatic sac, stellate ganglion occlusion, and for very severe patients, labyrinthectomy and vestibular neurotomy, which can effectively relieve the patient's symptoms. Because surgery will cause some damage to the nerves in the ear and vestibule, most patients will have some sequelae after surgery, such as balance disorders, hearing impairments, etc., which will have a certain impact on life. Therefore, patients should pay attention to postoperative care and let the body recover as much as possible.

If the condition of Meniere's disease is not particularly serious, then it is best for the patient to be conservative**, under the guidance of the doctor, use diazepam, difenidol, scycyamine, cibilin and other drugs**, these drugs have the effect of inhibiting vestibular nerve function and dilating blood vessels, which is very helpful for relieving dizziness, nausea, vomiting and other phenomena. Patients can also try middle ear compression** and chemical labyrinthectomy, which can speed up recovery. Patients should pay more attention to rest, pay attention to their diet, limit sodium intake, and try not to eat foods that are not conducive to recovery.

Through the above introduction, I believe that everyone has a certain understanding of the surgical method of Meniere's disease. This method can quickly relieve the patient's symptoms, but it will leave more serious sequelae, so if the condition is not particularly serious, it is best to be conservative** and use drugs to control the condition so as not to cause permanent effects on the body.

Meniere's syndrome is a relatively common inner ear disease, patients will be due to the condition of hydrops in the inner eardrum labyrinth, causing sudden onset of rotational vertigo symptoms, often accompanied by a feeling of fullness in the ear, sensorineural hearing loss and tinnitus symptoms, for Meniere's syndrome, commonly used measures are as follows:

1. Oral drugs: patients need to use some diuretic and dehydrating drugs in time to help improve microcirculation, dilate blood vessels, and nourish nerves, commonly used drugs include hydrochlorothiazide, betahistine mesylate, ginkgo biloba, methylcobalamin, etc.

2. Intravenous infusion: patients with severe disease often need to take intravenous infusion measures, and often need to use an appropriate amount of dexamethasone and other hormone drugs.

3. Lifestyle conditioning: patients also need to pay attention to rest, and their diet needs to be low in salt and fat to avoid the influence of adverse mental and emotional factors.

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Problem description: What kind of medicine can I take?

Analysis: Meniere's syndrome (Meniere's syndrome, Meniere's disease, otovertigo, vertigo) meniere'S disease is a labyrinthine hydropsis in the inner eardrum that manifests as episodic vertigo, fluctuating hearing loss, and tinnitus.

Meniere's syndrome is an intractable disease of the inner ear that is the main pathological feature of membranous labyrinthus. The main clinical manifestations of this disease are sudden vertigo, tinnitus, deafness or nystagmus, and it has the characteristics of episodic and **, that is, vertigo has obvious episodes and intermittent periods. Most of the patients are middle-aged, and there is no significant difference in the gender of the patients, with about 65% of patients having a first episode before the age of 50, and most patients have monocular disease.

The symptoms of Meniere's syndrome vary from person to person, and the main symptoms of the attack period are: the onset is sudden, can occur at any time, and can even occur after falling asleep. The most common symptoms are:

When the patient opens his eyes, he feels that the house or surrounding objects are rotating, and when he closes his eyes, he feels that his body is spinning, and when the vertigo is violent, the patient can suddenly fall to the ground. The symptoms are aggravated when the patient opens their eyes or turns their head during the attack, so most patients lie still with their eyes closed, and do not dare to move their head and body.

Most patients have single tinnitus and deafness at the time of attack, and a few have two tinnitus. About 25% of patients have tinnitus and deafness before the attack, and it worsens after the attack. The remaining 25% or so develop tinnitus or deafness only after the attack.

Deafness is neurological, and tinnitus is also aggravated when the attack is severe, and the patient is often accompanied by a series of symptoms such as not daring to open the eyes, nausea, vomiting, paleness, sweating, and even diarrhea, and most of the blood pressure is low.

Some patients have headaches; The general patient is conscious. There are two forms of intermittent transition from an ictination to an intermittent phase: one is vertigo and the accompanying symptoms suddenly disappear, and the other is a gradual change in vertigo to dizziness that gradually subsides.

The intermittent periods of Meniere's disease vary from months to years, with each episode varying in severity and severity. Hearing gradually decreases with the number of seizures, eventually leading to deafness.

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Meniere's syndrome is a very common condition in otology, with dizziness, spinning, nausea, vomiting, tinnitus, and hearing loss. **In terms of drugs that can be intravenously dripped to improve circulation, such as ginkgolide injection, vinpocetine injection, and Xuesaitong injection, all have good efficacy, and it is recommended that patients have selective application. Intravenous fluids should not be given too much to avoid aggravating the patient's vertigo.

If the patient's nausea and vomiting are particularly obvious, metoclopramide or promethazine injection can be injected intramuscularly, and the patient's symptoms should be improved to a certain extent after medication, and there will be a significant improvement in about 7 days. It is best to complete the MRI of the head at the same time to rule out whether the patient has other lesions in the skull and avoid misdiagnosis. Meniere's disease is an idiopathic inner ear disease, the main pathological change of the disease is membrane labyrinth, and the clinical manifestations are recurrent rotational vertigo, fluctuating hearing loss, tinnitus and ear fullness.

Due to the complexity of the causes of Meniere's disease, drugs and surgeries are mainly used to regulate autonomic nerve function, improve inner ear microcirculation, and relieve labyrinthine hydrops**. During the attack, some sedatives, anticholinergics such as hyoscyamine, vasodilators, flunarizine hydrochloride, diuretic dehydration drugs, etc.

Meniere's syndrome may be caused by edema in the labyrinth of the inner ear, so the main symptom is to reduce the edema of the labyrinth, so as to relieve the symptoms of vertigo in patients. Some mannitol may also be used for dehydration** and, if the patient's vestibular symptoms are severe, central sedative medications may be administered.

Meniere's syndrome includes medications and surgery, including oral medications, such as vestibular nerve inhibitor diazepam, diuretics can be given to improve edema of the inner eardrum labyrinth, and oral hormonal drugs can also be used to improve symptoms and reduce fluid accumulation in the membranous labyrinth. Drugs that improve inner ear circulation and vasodilators can also be used, such as Jinnadol tablets or Minzhilang. Of course, it can also be administered by injection, such as by tympanic membrane puncture, intratympanic injection, including chemical labyrinth resection.

If medications** do not work well, or if hearing is no longer being used, surgery for Meniere's syndrome may also be considered.

Seek medical attention for symptoms**.

Prognosis Daily**.

At present, drug synthesis** or surgery** are mostly used to regulate autonomic nerve function, improve inner ear microcirculation, reduce or control vertigo episodes, preserve hearing, and reduce tinnitus.

and a feeling of fullness in the ears.

Acute phase**.

In the acute attack stage, it is mainly to reduce or control vertigo, treat symptoms**, preserve hearing, and reduce tinnitus and ear fullness.

Vestibular nerve depressants.

It is used to control acute episodes of vertigo, including antihistamines, benzodiazepines, anticholinergics, and antidopamine.

Commonly used drugs in clinical practice include diazepam.

Promethazine. Diphenhydramine, prochlorazine, chlorbenzazine, droperidol.

etc., and is only used during acute attacks. Note that under normal circumstances, use should not exceed 72 hours.

Glucocorticoids.

If patients with severe vertigo or significant hearing loss during an acute attack may be given oral or intravenous corticosteroids.

In the tank**. If nausea and vomiting are severe during the attack, rehydration support can be added to the medication**.

For patients with a confirmed diagnosis, mannitol may be added to the above regimens**.

Dehydrating agents such as sodium bicarbonate.

Intermittent period**.

Intermittent periods should reduce, control, or prevent episodes of vertigo while maximizing the preservation of the patient's existing inner ear function. Pharmacological combinations** or surgery** should be used.

**Choice of plan.

According to the patient's hearing test results (average hearing threshold results) in the last 6 months, different programs can be selected, and the test and interpretation of the results need to be carried out by professionals, and the doctor will also judge according to the patient's individual situation when selecting the program. **The proposed programme is as follows.

Meniere's syndrome, also known as Meniere's syndrome, is a sudden, non-inflammatory labyrinthine lesion.

Vertigo – Sudden onset of vertigo is the most distressing and leading cause of patient visits. A small number of patients may have a premonition before the attack. During the attack, the patient feels that he or she or the objects around him are spinning, and is in fear of falling at any time, accompanied by nausea and vomiting.

Vertigo lasts from a few minutes to a few hours, and usually returns to normal after 1 to a few days. Dizziness persisted for more than 2 weeks should be considered for other conditions. Episodes of vertigo vary in frequency, ranging from once every few days to once every few weeks or months.

Spontaneous nystagmus may be seen in acute onset, mostly horizontal. During the intermittent period, all symptoms disappear.

Hearing impairment – early low-frequency hearing loss that improves intermittently. Long-term anti-** authors have severe high-frequency hearing loss and may present with sensory hearing loss.

Tinnitus – Tinnitus may be preceded by an attack, which is persistent and worsens during the attack.

Fullness in the ears – Patients often have a feeling of fullness or tightness in the head during the attack.

**Method: 1. General**.

During the attack, you should lie still, avoid impatience, eat a light and low-salt diet, limit the amount of water you eat, and avoid smoking, alcohol, and tea. During the intermittent period, patients should be encouraged to exercise, enhance their physical fitness, and pay attention to appropriate work and rest scheduling.

2. Drugs**.

There is no ideal ** drug. For symptomatic **, use sedatives: such as diazepam, gamma oryzanol; Match phenagen.

Vasodilators as appropriate: cibilin, hyoscyamine hydrobromide (654-2) anisodamine hydrobromide. Application of diuretics:

Dihydrogram urinary thiazine, amiben dichloride. Local drug occlusion: 10ml of 10% procaine for stellate nerve occlusion.

3. Surgery**.

Not all patients with Meniere's syndrome can be operated on, surgery is only for patients who are ineffective with medications and are incapacitated. Surgery**, suitable for severe cases: endolymphatic sac decompression, balloon fistula, labyrinthine destruction, vestibular neurotomy.

Most patients do not undergo destructive or semi-destructive surgeries. Here is a brief introduction to conservative surgery. There are many types of conservative surgeries, including endolymphatomy, balloon decompression, sympathectomy, chordatomy, endolymphagoid shunt, stapes floor fenestration, and endolymphatic sac mastoid shunt.

Comprehensive analysis, most of them are fenestration decompression.

It should be called Meniere's disease. If you have a cold, it will induce ...

After the attack, dizziness, vomiting and other phenomena are the mainstay. It is recommended that you go to the hospital to have a good look.

Meniere's disease, also known as Meniere's syndrome, is an inner ear disease characterized by episodic vertigo, fluctuating deafness and tinnitus caused by edema of the inner ear membrane. It is usually monocral, and it is more common in young adults. **Unknown, may be related to congenital inner ear anomalies, autonomic dysfunction, viral infections, allergies, endocrine disorders, salt and water metabolism disorders, etc.

At present, it is generally believed that endolymphtic return obstruction or malabsorption is the main cause, and the main clinical manifestations are episodic vertigo, fluctuating deafness, and tinnitus.

Guidelines: 1. To determine whether it is Meniere's disease, it is necessary to pay attention to sudden deafness, labyrinthitis, oto-drug poisoning, vestibular neuronitis, acoustic neuroma, positional vertigo, sudden deafness, vertebrobasilar artery insufficiency, cardiovascular disease and hunt syndrome.

2. Vestibular function examination, hearing examination, glycerin test and cochlear electrogram examination can be performed.

3、**。1. During the attack, you should stay in bed, eat a low-salt diet, and drink less water.

2. Sedatives: Valium can be used during the attack period to inhibit dizziness and vomiting.

3 Vasodilator drugs.

4. Vitamin drugs: vitamin B1, vitamin B6, vitamin E, etc.

5 Diuretics.

6. Surgery**: For those who have frequent attacks, conservative attacks**, and vertigo and relocation affecting work and life, surgery can be considered**. Including: endolymphatomy, balloontomy, labyrinthectomy, transcranial fossa or translabyrinthine vestibular neuroresection, etc.