What caused this disease? It turns out that there is a place called vestibular organ in people's ears. Due to ischemia, trauma and other reasons, the otolith inside falls off and deposits on the semicircular canal, which is the balancer of human beings. A few pebbles move back and forth in the human balancer, stimulating the sensory cells of the human balancer, so people feel dizzy.
The most important and prominent symptoms of otolith disease are dizziness related to posture change, left-right rotation, head-up or head-down, severe dizziness when getting up or staying in bed, which can be gradually relieved after stopping activities, accompanied by palpitation, nausea, sweating, balance disorder or unstable standing. Severe cases may have a sense of dying, and generally there is no tinnitus or deafness. This disease is the most common cause of dizziness, and most of them can heal themselves, so it is called benign positional vertigo.
The medical treatment of this disease is ineffective and can only be treated by manual reduction. With the help of directional head movement and swing, manual reduction makes stones gradually return from semicircular canal to elliptic sac by their own gravity, without affecting the dynamic function of semicircular canal, thus alleviating dizziness symptoms. Clinical practice for many years shows that manual reduction has good effect, low cost and great practical value.
What methods can prevent otoliths? First, to prevent otoliths, we should pay attention to the protection of the head.
Because many people often use their brains too much, they often have excessive temple pain. To prevent otoliths, we must first learn to use our brains correctly, and don't overuse them for a long time, otherwise the situation of otoliths will become more and more serious, and healthy people themselves may induce otoliths for this reason.
Second, learn to protect your eyes and temples.
Many people often overuse their eyes or brains. Playing mobile phones and computers for a long time is very harmful to people's health. If you use your eyes too much, it may also affect your temples and eventually cause otoliths, which should also be highly valued. Many people usually do not pay attention to the protection of various organs, which eventually leads to serious otoliths. It is said that every organ is complementary.
Third, we should strengthen physical exercise and improve physical fitness.
Only by improving physical fitness can we keep ourselves away from various diseases and reduce the chance of getting sick. In addition, vitamin D and calcium should be supplemented. Vitamin D and calcium are very common and are very beneficial to people's health. Compared with other trace elements, these two trace elements are more beneficial to people's health, so eat more.
It is very simple to prevent otoliths after doing these jobs well.
Otolithiasis is called benign positional vertigo (BPPV) in medicine.
The typical BPPV attack is that the patient changes the head position relative to the direction of gravity, such as sudden dizziness (usually lasting less than 1 min), nausea, vomiting, dizziness, top-heavy, floating feeling, unbalanced feeling and so on.
How is otolith caused? Otolith can be divided into tubular calculus and ampullary crest calculus. Different otoliths have different pathogenesis.
1. Tubal calculus: Otolith particles on the circular cyst spot fall off and enter the semicircular canal cavity, which affects the flow of lymph in the semicircular canal and causes symptoms. According to different parts, it can be divided into posterior semicircular canal otolith, external semicircular canal otolith and anterior semicircular canal otolith, of which posterior semicircular canal otolith is the most common.
2. Ampullary crest stones: Otolith particles on the oval cyst spot fall off and attach to the ampullary crest cap, which affects the sensitivity of the ear to gravity and causes symptoms.
Catheter stones are common in otoliths, but ampullary crest stones are relatively rare.
How to treat otolith? The treatment of otolith is mainly manual reduction.
The main reason of otolith is that it falls off into the semicircular canal, so the treatment relies on manual reduction to restore the otolith to its normal position, and the medicine is only an auxiliary treatment.
Take the posterior semicircular canal otolith as an example.
First determine the otolith, left ear or right ear, posterior semicircular canal or external semicircular canal or anterior semicircular canal.
Dix-Hallpike test is used to judge the posterior semicircular canal and the anterior semicircular canal. The external semicircular canal needs to be judged by rolling test.
Dix-Halpak test method: The patient turns his head to the affected side for 45 degrees, and quickly falls down, with his head hanging out of the bed at an angle of 20 ~ 30 degrees with the horizontal plane. When the posterior semicircular canal is diseased, vertical torsional nystagmus will appear on the affected side, and when the anterior semicircular canal is diseased, vertical jumping nystagmus will appear.
Second, manual reduction, taking posterior semicircular canal as an example, Epley manual reduction is the first choice.
From the position induced by Dix-Hallpike test to two consecutive 90-degree turns on the opposite side, each turn is the best time to induce nystagmus, and the cure rate of single reduction is as high as 80%. If the effect is not good after a single reset, you can reset it again.
Third, drug assistance.
Drugs to improve inner ear microcirculation, such as betahistine and Ginkgo biloba extract, can be given as adjuvant therapy.
Fourth, the matters needing attention after reset
1, sit still within 10 minutes after reset to prevent the recurrence of residual symptoms, and rest in a semi-recumbent position at night.
2, 1 week to avoid rapid or long-term head, head, head rotation.
3. Avoid lying on your side in the lesion.
4. If you feel unwell, follow up in time.
To sum up, otoliths are mainly caused by otoliths falling off the semicircular canal or sticking to the ampulla crest. In the treatment, the ideal effect can be obtained by resetting the dropped otolith by hand, and the medicine is only an aid. Different semicircular canal otoliths have different reduction methods, the most common one is posterior semicircular canal otolith, and Epley manual reduction method is the first choice.
Otolithiasis, also known as benign paroxysmal positional vertigo, refers to transient paroxysmal vertigo and nystagmus when the head moves quickly to a certain head position. Under normal circumstances, otoliths are attached to the eardrum. When some pathogenic factors cause otoliths to fall off, these fallen otoliths will swim in the liquid called endolymphatic in the inner ear. When the position of human head changes, the position of these semicircular canals will also change, and the sunken otolith will move with the flow of liquid, thus stimulating the hair cells of semicircular canals and causing a strong sense of dizziness in the body. The time is generally short, ranging from a few seconds to several minutes, which can be aggravated or alleviated periodically. The duration of the disease varies. Generally, it can be divided into two categories, one is idiopathic otolith disease, the other is secondary, secondary to Meniere's disease, sudden deafness, viral labyrinthitis, internal auditory artery ischemia, migraine, head trauma, middle ear and inner ear surgery, cochlear implant surgery, ototoxic drug injury, otosclerosis, chronic otitis media, cervical vertigo and so on. All these diseases will lead to inflammation or ischemic injury of semicircular canal and otolith shedding. Treatment/otolith otolith treatment includes manual reduction, drug treatment and surgical treatment, with manual reduction being the first choice. Simple treatment takes supine position, head down, turn 45 to the affected side, face up, turn head and body to the opposite side until face down, head position is 45 to the midline,135 to the original supine position, and then sit up for 6~20 seconds. During the treatment, a 50Hz vibrator was used to place it behind the affected mastoid. If the above methods are used in 10- 15 days, they will have certain effects. Manual reduction therapy means that doctors give different reduction treatments according to different affected parts of patients. By changing the position of the patient's head, the falling otolith can be returned to its original position, so that it will no longer stimulate nerve endings, and naturally it will not be dizzy. Otolith manual reduction is generally effective once, and individual patients need multiple reductions to be cured. Ordinary outpatient treatment is enough, and individual patients need to be hospitalized for multiple resets. When the patient is reset, it will induce dizziness and occasionally vomit (accompanied by family members), but it usually lasts for a short time and has no obvious adverse consequences. After successful reset, rest for half an hour and then walk. Driving is prohibited. It is best to avoid lying flat for three days after reset. It is recommended to sleep on a hard bed and use a buckwheat skin pillow. At present, neurology and otolaryngology in some hospitals are feasible for this treatment. If foreign patients are not diagnosed locally or cannot be correctly reset after diagnosis, they can also contact a large hospital for treatment. Patients with severe cervical spondylosis, cervical trauma, carotid dissection and severe heart disease need careful treatment to prevent their condition from getting worse. It should be noted that although otolith manual reduction seems simple, it must be operated by experienced doctors, and patients should not reset themselves to avoid danger. Otolith medication itself cannot prevent vertigo attacks. However, some elderly patients with cerebrovascular diseases may need infusion therapy at the same time. Some patients with anxiety, depression, insomnia or autonomic nervous dysfunction need to be given corresponding medication to prevent otolith from recurring. [5] Surgical treatment For the confirmed otolith patients, if they still have recurrent attacks after repeated treatment, which seriously affects their work and life, they can choose surgical treatment. I hope the above will help you.
Otoliths are mostly caused by dizziness caused by cervical spondylosis and Meniere's disease. If it is turned upside down, it will be relieved by the change of body position, which may be otolith. Otolithiasis is also called benign paroxysmal positional vertigo. Because the vertigo symptoms of patients with cervical spondylosis and otolith are very similar to those caused by otolith, patients often have to turn a corner to really find the "crux".
Different from common cervical spondylosis and vertigo, it is characterized by paroxysmal and positional. For different patients, although the seizure position is different, the same patient will always feel dizzy because of the change of a certain fixed position, and some people will have seizures when they get up in the morning. Some people can't turn left or right when they lie down; Or suddenly look up and tilt your head; Moreover, the symptoms of dizziness are more serious, and it is generally felt that the bed is rolling. Patients with the above symptoms are likely to have otoliths, so it is recommended to see an otolaryngologist.
Otolithiasis is caused by the "sand" falling off the ampulla ridge.
There are grains of sand on the ampulla crest of normal inner ear. When the human body moves, these grains of sand will rub against the cilia to generate nerve electricity and transmit it to the brain. For people with otoliths, these grains of sand are not on the ampulla crest, but fall off to the semicircular canal. When the body position changes, such as turning around and getting up, these grains of sand are like "throwing pebbles into a bottle", which stimulates the lymph in the semicircular canal and causes nerve impulses and dizziness, manifested as dizziness, vomiting, cold sweat and so on.
Otoliths can be reset by hand.
The treatment of otolith is simple. Starting from the etiology, since the "sand" has fallen off, the doctor can change the position of the patient's head and make the fallen sand return to its original position, so that it will not stimulate the lymph and capillaries of the semicircular canal, and dizziness will naturally disappear. It should be noted that this technique must be operated by professional doctors, and patients and their families should not reset themselves to avoid danger.
Due to ischemia, trauma and other reasons, the otolith inside fell off and deposited in the semicircular canal.