Signs, lykarsky and folk lykuvannya ailments Menyor. What is Menyur's syndrome and what are the symptoms of an ailment? Zvoryuvannya Menyura symptoms

O. A. Melnikov, Candidate of Medical Sciences, ANO "Guta-Klinik", Moscow

• What are the main reasons for the diagnosis of vestibular disorders?
• What methods of diagnostics allow for the emergence of the cause?
• Yak Likuvati vestibular rozladi?

In the rest of the rock, more and more children with children who are ill-fated are murdered with scars on the spoils and trash of the ravines. An explanation can be given to identify the main causes of the diagnosis of symptoms (Div. Fig. 1.). In the middle of a patient's outpatient-polyclinic reception, the symptoms of a problem and a problem with a headache take another place in terms of the frequency of headache. The immobility of the damaged product is saved with the help of the wick. So, after 45 years, the symptom appears in approximately 7-10% of patients.

Singing is difficult to diagnose such ailments, especially if there are many reasons for their development. According to US statistics, the correct diagnosis of patients on outpatient reception buv in the establishment deprived of 20% of vipadkіv.

The fundamental in diagnostics and lіkuvannі is guilty of butti pіdhіd to zamorochennya as a multisensory symptom, which is caused by a complex of reasons. Moreover, the principle is guilty of being realized both at the stage of diagnostics, as well as in the tactics of treatment. As a result, a dull result will be found. It is not often, for example, underestimation of the additions of the psychophysiological component - especially in patients who suffer from a disease of some kind. Abo, navpaki, the whole component to be re-evaluated, and the main emphasis in the treatment is to be on the therapy with antidepressants and other drugs. In such cases, the therapy for the loss of problems and problems can be found to be ineffective and even more so - the negative attitude of the patient and his family about his or her camp. Practically all the children who suffer from problems, get sick, feel unhappy with a symptom, find it difficult to find a turbine.

For one of the main reasons why a victim of a problem occurs, as a patient see it, it can be considered a great versatility. It’s not surprising, because when it’s damaged through the folding of the vestibular system, and more structures, it’s better to use the function of the emergency, and the development of autonomic centers, it’s more common in the palate response, greatness Letting go about the place of vestibular pathology, how to get up to the nature of the symptoms of the problem, we can be sure of it. So, before they discuss it, how the very visualization of the appearance of objects around the patient is a peripheral vestibular pathology or steps of the pathology of vestibular structures.

The main information about the position of the head and body in the open space is healthy, proprioceptor and vestibular signals. Destruction of any of the cich afferent systems can lead to a mess. If there is a problem with a jammed change in the brain centers, the signals will be de-integrated.

More than half of the patients, who are stuck on a neuropathologist's reception, may be damaged and damaged, tied to the pathological vestibular system.

One s common reasons(Independently from ethology), wicked zamorochennya і razlad іvnovagi, є hydrops, or dropsy of the internal wuh. Vona polyagaє in the change of the physical and chemical characteristics of the internal mediums of the vuha and as the inheritance is an advancing vice. Seemingly, scho a podbny camp is typical for the ailment of the Menyor, scho can do it cool picture.

However, until the end of the day, spent in the last years of the life of the internal whale, it is susceptible to adolescents that are often used in case of developmental pathology (head injuries, Suddenly ill brain різні options biomechanical debris of the ridge, etc.). In general, when there is a diagnosis of damage and breakdowns, the pathogenesis of shukati itself in breakdowns and reactions from the side of the internal air. It is necessary to note that the children in the whole group are practically able to hear from the side of the hearing. The report of the patient's experience can be found out from time to time. There is a feeling of being stuck in a vuh, a grip in vuh, or the sound of a time-consuming noise in the ears without a real sign of hearing, on the mind of the guards, I know. The attack of the systemic zapamorochen is practically not characteristic, I want one occasionally to be able to develop. In the vestibular symptomatology, turbulence and inability to walk, lightly obstructed wrap around the middle of the head is important. As a rule, there is a pathology of diagnoses in cases of cervicogenous and vertebral disorders, which are most often generated by chronic stress, disharmonic disorders and degenerative osteochondrosis with malignant-tonic syndrome.

In the diagnosis of such a disease, the role of a coordinated neuropathologist and otoneurologist, as well as carrying out the middle electrocochleography - a non-invasive method of restoration of a vicious electrical activityі of the auditory nerve, as well as in the time window 10 msec, when an acoustic stimulus is presented.

Table 1. Symptoms revealed in ailments with hydrops labyrinth

The pathological process, dressing with the formulation of the hydrops to the labyrinth, is characterized by the appearance of cochlear and vestibular symptoms. However, mabut, mensha feet, lower in case of ailment of Menyor, to bring the internal vise to a greater manifestation of vestibular symptoms, lower to hearing. Slide means the turnover of the cich changes - the appearance of the sign of dysfunction in the course of an effective course of treatment from the side of the vestibular and auditory structures, so that you can tell more about the functionality, but not about the destructive changes in the internal forms The presence in a number of patients of single attacks of systemic zamorochennya, as a rule, on the cob of development of entrapment and further the prevalence of non-systemic zapamorochennyh inform about the periodical degradation of the systemic vestige of plasticity. Evidence in the clinical picture of such a set of symptoms in the transmission of a comprehensive patient care. We carried out a thorough examination in the whole group with the participation of an otoneurologist and a neuropathologist, who received a residual consultation based on the tactics of treatment. Dodatkovo vikonuvalisya doslіdzhennya sluhovoї i vestibulyarnoї funktsії, funktsії rіvnovagi, rentgenologіchne doslіdzhennya, Komp'yuterniy tomography, magnіtno resonance tomography, ultrasound skanuvannya magіstralnih sudin head shiї i, i vklyuchayuchi funktsіonalnі Proby doslіdzhennya venous blood flow, konsultatsії therapist-practitioner kardіologa, endokrinologa, ophthalmologist for an ophthalmoneurologist і ін. The significance of the prevalence of vestibular symptomatology in the whole group of conditions over the symptoms of hearing was the primary reason for the malignancy of patients before the neuropathologist, who wants the stench of the pathology of the internal air. results integrated dosage in patients with hydrops, the labyrinth is presented in table. 2.

Table 2. Ingestion, how to supervise the hydrops to the labyrinth

Analyzes of hydrodynamic regulation, the first for all we looked at the hydrops like the process of formation of dropsy in the ears of the deterioration of the regulation of hydrodynamics - the products and reabsorptions, in which I take part in the blood regeneration by the muscles First for all the cervicogenic mechanism, the amalgamation of biological changes in the shy side of the ridge and to get rid of the myazo-tonic syndrome. The blood circulation changes were seen by us as a second, which in the year and later became correlated with the symptoms and polypsycosis of venous current on the background. complex therapy, Which includes medication manual therapy, Massage and registration of mobile communications for a special program. In the therapy of a similar discomfort, the guilt is bound to be associated with psychogenic changes. In a pre-existing group of patients, you can see 17 ailments with the primary pathology of the internal vuh, so you can go to the labyrinth with the drops. Possibly, in the mechanism of development of the otolithiasis, tied with the degeneration of the otolithic membrane, and in the further development of the positional locking, the processes of disorganization electrolyte balance internal wuh, which is the reason for the development of the hydrops to the labyrinth.

Complex therapy of hydrops to the labyrinth of allowance for the admission of medications for the group of vestibular suppressants. V CLINIC PRACTICE to develop betalistin dihydrochloride (betaserc), a gastaminergic drug, which is directly corrected to improve the fluidity of blood flow through equalization and one hour to optimize the processes of neurotransmission in the thyroid nucleus, vestibular Meklizin (a blocker of H 1 -hystamic receptors) is widely used for the treatment of the attacks of spoilage, characteristic of Menyur's ailment. Meklizin priznachayut stretching trivial hour, to change the nudity and blues. The last few clicks are scopolamines. Perevaga of scopolamine before other preparations of polyaga is in the fact that it can be administered transdermally (through a bandage or plastir), at that time, when the meklizin is used only through the mouth. tse garniy sposib amuse the patient from the blues. In Europe, betahistin (betaserc) vitisnyak meklizin yak is used against spoiled. I will look at the sub-line of the betaserc, the vibratory movement of the vestibular system and the hydrops to the labyrinth, it is necessary to report on the peculiarities of this preparation.

Betaserk buv ruptures with urahuvannyam quietly, but bully clerical warnings for ailments, as for usunennya zamorochennya with ailments Menyor bulo is assigned internally introduced gistamіnu. However, gistamin wiklik is not a number side effects Such as a strong head beat, hyperaemia, diplopia and blues. Betaserc of the merits of shortcomings in the histamine, some of the failures of not the least of the serious side effects, and it can be stagnant in the middle. With the help of the basic mechanism of the Betaserc, the direct stimulatory (agonistic) effect of H1 receptors, which is localized in the blood vessels of the internal air, is brought into play. Infusion of betagistin on the H1 receptor leads to muscular vasodilation and an increase in the penetration of the sudins, as a result of the suspicion of the causes of endolymphatic dropsy. In the last few years, knowledge in the field of neurotransmitter systems has been extended to the brain, due to the interaction of betagistin with H 3 receptors in the brain. The H3 receptor is found on the presynaptic membranes of the histamine and neurons in the brain, depressingly regulating the development of histamine and some of the other neurotransmitters, such as serotonin, which is the vestibule of the nucleus. In such a rank, dia betaserka (betahistina) is generally insanely more foldable, now it was transferred from the list, i, mabut, including:

1. Ingividing effects of the vestibular nuclei, which are realized without mediation through the H3-receptor.
2. Vasodilation in the internal vascular, which is realized without mediation through the H1 receptor.
3. Vasodilation in the internal vus, which is realized mediately through the H 1 -, H 3 - receptors.

At the representatives of the group of patients we have vikoristovuvsya betaserk, yak nybilsh effective drug for the treatment of pathology. The course of treatment is given by transferring the sign of betaserc in doses of 1-2 tablets three per day, three times as many as two months and more. One hour we carried out antihypertropic therapy with recommendations for low-salt children, venotonic drugs and vestibular rehabilitation. In the middle school, the patient was spasmed in 2-4 months for a complex treatment. The control of the mill of the hydrops to the labyrinth was carried out on the basis of the vicistories of the extratympanal electrocohleography. And then there was a decision about repeating dehydration therapy.

At the clinical practice of a neuropathologist, patients with hydrops of the internal vuha at the last time, persh for all cervicogenic, pathological development are often completed, and only complex and modern diagnostics allowing the cause of the malfunctioning and the problem of the problem and effectively conducting the therapy.

(watery ridge) - the purchase of rіdini in pedshkіrnіy klіtkoviny, serous empty spaces and mіzhkіrnіy space. In the main, they develop on the smallest problems and pathologies internal organs: Sertsya, nirok, pechinki, endocrine worms, vicious seryoznі naslіdki.

dropsy

1. Zagalna dropsy vinikaє through a trivial wrong hacking, chronic damage robots nirok and blood circulation.

2. misceva dropsy Confirm through the burning of the shells of empty young people, which is the result of changes in the walls of the blood-bearing vessels and the changes in the peripheral nervous system, which lead to stagnation of blood and lymphs, as well as snakes in the warehouse. Falling out of the mice roztashuvan empty and organs, de buy up ridina, see the onset of the form of muscular dropsy:

charevna;
chest;
Mozkov;
head
knee;
groin;
scrotal;
full-time, etc.

Inodi for new children to learn vrogena dropsy, yak develop in them with developmental pathologies of the embryonic development. Її immune form, surrounded by important hemolytic ailments, on the current day, try to eat it up, anti-Rh0 (D) -immunoglobulin, which is common everywhere. non-immune dropsy forms with congenital syphilis, vernal infections, heart defects, inflamed placenta or fetal membranes, as well as with chromosomal anomalies (Turner syndrome, trisomy). However, the reason for congenital dropsy in children does not seem to be present in children.

Vaginal dropsy mainly develop in the other half of vaginosity through a breakdown in neuro-endocrine regulation, as well as a change in water-salt metabolism and capillary blood circulation in a vaginal woman. To create a sprinkle of births until they are ready, then we can see the niggling of the nig, the black wall, hands, breasts and revealing. With a wide range of self-esteem, vagіtnoї lіkalіnіm zadovіlnym, ale, more poignantly, lіkuvannya can lead to nephropathy.

Dropsy z'appear in case of blockage of the zhovnoy duct, scho winykat a sick person with a gosty attack cholecystitis. As a result, the daughters are incessantly consumed in her exudate to be transformed into a glimpse of ridin, zhovchny mikhur to grow in size, to groan. This is the primary form of dropsy not turbulent people lasting a trivial hour.

In 80% of cases, dropsy is a symptom of more serious illness.
Hydrocele is most often developed among new-born lads and choloviks of 20-30 years.

dropsy of the abdomen (ascites) Vinikє with heart failure, liver cirrhosis, alimentary dystrophy, nephrotic syndrome, intestinal ailments. Innocent illnesses against tuberculosis on aphids black empty... In most cases of ascites, the abdominal growths and peripheral ridges are superimposed on the abdomen, but on the other side of the pathologies, there is a way to accumulate in the lower part of the black “waste” horizontally, the living nature of the animal.

dropsy of the eye (hydrophthalm) abo congenital glaucoma in children, it is associated with an anomalous development of the drainage system of the eye. Oskilki child full-time capsule is even more pliable, so it is easy to stretch and produce to increase in size full-time apple and cornea. At the same time, there is a clouding of the horn, the reaction of the light to the light, the twisting and the harshness of the sclera in the sclera area is predictable. Infectiousness in 75% of cases is bilateral, in terms of term surgical involvement.

dropsy wooh (hydrops internal wuh) to establish itself with an advanced grip and change in the physical and chemical characteristics of the internal medium of the wuh. In the main supravodzhutsya zapamorochennyam, razladom іvnovagi, periodic noise in wuhah. At the same time, the ailments do not preserve the hundreds of snares from the side of their hearing. The last few days were confirmed that the hydrops often endure such pathologies as head injuries, biomechanical collapse of the ridge, and cerebral ailments.

dropsy of suglobiv winykє through the purchase of synovial origin in the empty slope or navkoloslobovyh bags. In the main, the disease manifests itself on the hands or on the legs; With a lot of guilt, they get into the community for the purchase of a child, they are vicious at the sick discomfort, and they are surrounded by freedom of ruff. The home camp of a sick person is becoming overwhelming, at a new day of the day there is weakness, a feverish woman and signs of a fiery sickness.

Innocent dropsy wandering with other ailments, splinters of a viglyadє, like a fiery vipit, how to get up through the accumulated ridin in singing halls, like herpes on the lips. Naytsіkavіshe, as a waterlogged quilting can also be found in dogs and in kitties, as a symptom of pepine-worm disease, tuberculosis, rooting of robots, or even a heart.

accelerated dropsy

cause dropsy

1. Mechanical damage, so that you can change the vision of lightness and blood from fabrics. As a result, the so-called "stasis" or "passive" dropsy is developed, as it is infused with the persistent constriction of any parts of the body, or any other vices of the heart.

2. Zmіna warehouse lіmphi and blood, stems of blood-bearing vessels. Active cachectic and hyperactive dropsy is zoomed in to the sympathy through the walls of capillaries in the richest parts of the blood and lymphia, most often it occurs with ailments of nirok, zinzia, and hungry for malaria.

3. Rozladi of the nervous system. Prior to neuropathic edema, it is possible to get riddles, which are established through striae of the spinal cord or to the brain, neural pains, multiple nerve storms, allergic reactions to any drug or hiccups. Yak vvazhayut, the reason for neuropathic swelling lies in the distribution of fast-feeling health of sudin, zokrem, in spasmodic speed of veins.

Inodi dropsy grows through the overworld of secretion of origin, which is consumed in the empty space. For example, the gidrocephalus is established through the strength of the secretion of the vernal gossip to the brain of the head.

Symptoms and signs of dropsy

At the same time, there is a small beat in the mice of pukhlin, alas, do not expect it, oskilka chronically dribbling dropsy is not wiklik most of the views... In some cases, the temperature may increase. Nabreklіst with dropsy of my own specialness, splinters accumulate rіdina wiklikє shedding blood-bearing vessels and swelling shkіri. To that, there is a great siruvatiy color in the time of those, so that you can feel the coldness of the dots. When an attack on a new one, a fossa is established, which is not known as a sign of dropsy.

Complex diagnosis of dropsy

1. Lykarskiy look around the ailing man with a palpation of pukhlini.
2. Carrying out an analysis of blood and blood to clarify the number of leukocytes.
3. Roentgenologic dosage of an empty place, an organ or a slope, when a single row appears with a nervous upper boundary.
4. The development of ultrasonic diagnosis of dropsy for the identification of the appearance of the birth in the embryo and її obsyagu. When dropsy of the uterus is susceptible, the scrotum is diaphanoscopy for the subject together in the swelling of the serous line.

To clarify the diagnosis, a punctuation of the line from the meat is taken to determine the number of leukocytes, neutrophils, concentration of blood cells and albumin in the blood, glucose level, powdered cells and enzymes.

lykuvannya dropsy

chronic dropsy decilcoma methods:

Punktsіynі - vizualnya rіdini behind the help of a special cartridge and syringe. Punctuation is no longer a positive hourly effect. After a dozen hour, the ridin will re-accumulate in the empty. This punctual method is vicious only in the same way, if it is necessary to give an ailing shvidku to help or to carry out surgical treatment, ale prodovzhu zbilshuvatisya. Punctuation is shown in case of hospitality firing through the visibility of the hypochondriac disease and the development of the disease process.

Surgical involvement - the operation (laparocentosis) is carried out before the gallant anesthesia... In the area of ​​swelling, a sprinkle of small punctures should be rocked, through which a line is drawn, the wounds are sewn in. At the same time, a small drainage is inserted for the release of a ridini.

It is ineffective to remedy waterborne swelling without therapy of the main illness, a symptom of a stench є, it is unpleasant. Dropsy will be approved for a new chronic form, І viklikayuchi the destruction of the ailing camp.

Folk methods for treating dropsy

Yet another miracle of the people is zsіb - ogіrkovy sіk, yogo sechogіnnu dіyu to eat in the same juices: carrots, apple, buryak. Not less popular sik selery, which is to take revenge on vitamins: S, PP and group V.

Sik chronu recommend to live at the viglyadi porridge, oskilka in new revenge essential oils... A particularly strong sechoginny effect is enough to get rid of 150 g of porridge chronu and juice of 2-3 lemon. It is necessary to take it on the tea tray 2 times a day for an empty slunk.

Khvoroba Menyor - to endure the importance of getting sick, which feuds people of the first generation from 20 to 50 years and manifests itself in the form of a swollen systemic failure, which lasts up to 2-24 years, waste both times and noise in one. Progressively to produce ailments to a decrease in hearing, the development of strong noise from one or both sides.

Information for users. According to the international classification, Menyur's ailment is encrypted with the code H81.0. When staging a diagnosis, it is necessary to set the frequency of attacks, the turn of the dullness from the designated localization (left-sided, right-sided, bilateral).

cause

The cause of Men'ur's true ailment is the so-called endolymphatic dropsy (an increase in the number of days in the structures of the internal air, sometimes the term hydrops is stagnant). Until now, I will produce the destruction of the vegetative energy of the sudins, the destruction of the vocal soaking of the endolymphatic birth. It’s also a point of view that, until the end of the day, it’s going to make changes in the robot’s cell’s labyrinth and breakdown of the regulation of neuromediator systems.

symptoms

Symptoms of Men'ur's ailment are stored from chotir'h warehouses: zamorochennya, ruinous ravines, noise in the vuhah, decreased hearing.

Zapamorochennya with ailments Menyur zazvychay system (objects circle around the sick person in front of the ochim), paroxysmal. Such attacks are provoked by drinking alcohol, by the weather of the minds, psycho-social stresses. The attack is trivial for an hour in a skin ailment and in the middle trivia from 2 to 10 years. The frequency of attacks is also variable, when there is an important change, the stench can be quite casual, while when friendly pictures develop once on the risk or go to the next. For an hour, the attack is characteristic є the appearance of nudoti right up to bagatorazovoy blues.

A messy attack is practical to get a job destructions of ravnovagi... The sick can develop spontaneous fall, it is not easy when a person is attacked you cannot sit. In case of progressing ailment, during the period between attacks, the cunning of walking can develop, inability to perform well when visiting vestibular structures (riding a bike, etc.).

Noise in vuhah with given ailments characteristic during the period between attacks. Win a low-frequency tone, fix it, as a rule, from one side, go over to the offense of the air and the distance becomes diffuse noise in the head and the air at once.

Decreased hearing also in a large part of ailments develop from one side, with progressive discomfort, bilateral muffling develops.

diagnostics

Most of the precursors see two stages of ill-health - werewolf and non-negotiable. At a non-reversible stage, the patient is characterized by the appearance of light advances in the period between attacks and every hour of some mild vestibular damage. With a non-reversible stage, the frequency and the triviality of the skin attack increase, the light progresses develop in an hour and the stiffness develops: deafness, deafness, walking noise.

In diagnostics of the ailment Menyur Chimalu, the role of a test with glucerin is shown. 1.5 grams of glucerin per skin kilogram of the patient's fat should be dispensed in equal proportions with water and drink. It’s a matter of hearing and of those showing signs of illness to talk about the positive result of the test and the manifestation of the circulating hydrops of the internal energy, so that I’m going to try to prevent the pathological process from turning back.

An important role in the diagnosis is also the field of the ENT doctor and neurologist. Also, when you are suspected of becoming ill, carry out neurophysiological methods of pretreatment (, structures of the internal air with the appearance of endolymphatic hydrops).

lykuvannya

Lіkuvannya ailments Menyur, as a rule, symptomatic. Practically all ailments have shown the sign of betahistine (original drug) in adequate doses for a trivial term (not less than 6 months). Neuroprotective drugs are also widely used. We have a problem with all drugs for a trivial hour. V cob stages may be designated dyuriticheskaya therapy (manitol, diacarb). For an hour, the attack can be more significant than the signs of opposing forces (cerucal). Likewise, a unique number of factors are recommended for all ailments, such as the possibility of attacking ailments (chicken, alcohol, high doses of coffee, etc.).

In case of a difficult interruption, ailments can be carried out more surgical engagement... Denmark is able to use extreme approach, even to ruin the labyrinth with a mechanical or cheeky way, to deafen and serve to deprive the lazy people of showing signs of illness (dzvin, spoiled, bloating).

In the overwhelming majority of the Menyor's ailments, it is too early to bring it to the point of invalidity. However, the frequent use of attacks, catching children with alcohol and coffee, taking neuroprotective drugs can significantly improve the "light" period of life of ailments.


Will remain an hour gaining popularity of the lykuvannya khvorobi Menyor folk zasob... At the same time, it’s good to know grass zbori, Pronounced zasobi, dried fruits, zhorstki children and іnshi techniques. Unfortunately, the efficiency of these methods has not been brought to fruition, and better for everything, people who guarantee a hundred thousand people for help given methods є charlatans.

At the present moment, there is no guaranteed way of dealing with this ailment, as well as the guaranteed method of adding deafness and incapacitation of people.

Author's video

Khvoroba Menyura - the tse of getting sick of the internal vuh. Manifest itself by attacks of zapamorochennya, tediousness, blues, noise in the ears and progressive hearing loss. For diagnostics of the pathology, it is necessary to carry out otoscopy (examination of the ear canal and tympanum), to monitor the hearing function and vestibular analyzer using different methods, MRI of the brain. Likuvannya zhvoryuvannya with a lot to carry out with the help of conservative methods. If there is a lack of evidence, then surgical correction and hearing aids should be performed. The report is visible, which is for getting sick, it doesn’t appear, as it can be diagnosed and used.

Khvoroba Menyura was first described by a French lykar in 1861 r and wearing his nickname. Engulfed in the midst of people Riznogo viku from 17 to 70 years, children practically didn’t get sick until Men'ur's ailment. Most of all, people are suffering from 30-50 years of age. Statements in frequency are not revealed. Call the enemy ailment internally vukho from one side, but in 10-15% of the process can be combined two-sided. In one day, in the course of a trivial sickness in a patient, a one-sided process is transformed into a two-sided one.

cause

Not існує exact reason the development of Menyor's ailment. Vvazhaєtsya, scho symptoms of ill-treatment amumovlenі pіdvishennym grip of rіdini (endolіmfi) in the internal wusі. internal vuho roztashovutsya in tschі pіramіdy skronevіy kіstki, store from the pіvkolovyh canals, ravlіkі і front day. Tsi confirmation by the organ of hearing and rіvnovagi. Advancing a clutch in the structures of the internal vukha, as a result of the improvement in the place of endolimphy (as a result of the increase in awareness, destruction of moisture and circulation). Tse to produce up to the destruction of sound spikes (and damage to hearing), coordination and equilibrium (vestibular changes).

Vvazhaєtsya, how the development factor can serve as a change of mind to advance the grip of endolimphy. Among them you see the following:

• viral infection of the internal air (especially virus of herpes and cytomegalovirus): the role of the polyagus is not in the immediate damage to the structures of the internal air, but in the launch of the autoimmune process, so that the production of antibodies is not necessary Todi navit pislya oduzhanya at viral infections the process of making an internal vuha is trivial;
• allergic reactions: mabut, the mechanism of development is similar to that in case of viral infections;
• head injuries due to short hair loss;
• damages: changes in blood flow in the internal vus without interconnection with the endolymph products;
• anomalies of the internal air flow: the role of the width of the canals, the distribution of the nozzles, which lead the way to the internal air, plays a role.

Do not get hung up on the quilting of Men'ur's ailments with one branch of the vicious bureaucrats, because the skin of them can be the reason for the development of ailments, but it is not necessary.

Describes the fall of the decline in schism to Men'ur's ailment, if the illness appeared in the skin generation. Tse talk about іsnuvannya genetically fallow forms.

symptoms

There are three forms of ailment, which are evident in a person's symptoms:

• cochlear: if the middle key symptoms impairment of hearing;
• vestibular: the main manifestations are the deterioration of the equilibrium and coordination;
• classic: on the basis of rumors, and coordinator failure.

In general, the disease is paroxysmal. Whenever a sick person is attacked, I will be renewed, then talk about the reverse stage of Men'ur's ailment. If during the period of attacks, coordination and hearing will be damaged, if you want to turn less at the moment of attack, then the stage is also irreversible.

Moreover, due to the frequency and triviality of attacks, we see a number of forms of discomfort. Named їх:

• easy: when the attack is of a very short form (a few days), it is repeated once in a few months or a few rockies;
• Mediocre severity: the triviality of the attack to become up to 5 years old, when the attack is held out for a few days, the ailments are unpredictable. The attack is repeated not often at least once a day;
• important: attack is trivial for 5 years, vinikak is once per day, up to once per day. The patronage of the sick person is easily involved in such a fallacy.

What symptoms are the attacks of Men'er's ailment? Tse mozhut buti:

• raptove rizke zamorochennya. Vinnikє almost wrapping objects in a navkolishny light, feeling a dip, pitching. "The light turns over" - this is how you describe your vision at the moment of an attack of illness. When you are, navіt insignificant, the ruins of the head zapamorochennya will accept. Zapamorochennya mayzhe is a source of superfluousness and unremarkable blues. Ailments are not in the snarls nor sit, nor are it more to stand. The stench is to lie because the eyes are flattened; If you ask the ailing one to touch with a finger of his nose in the position of the closed eyes, then it’s not possible to get away with it. If you are sick, you will not be able to navigate into the area of ​​accusation; Rukhs with kintzivka can also enrich the tediousness and vomit. By such a rank, coordination at the moment of the attack is severely ruined;
• a serpent to hearing. Vinic lack of receptivity to sounds of low frequency. Gucci sounds and noise inappropriate views in the head and the bill. Also, there is a noise and dzin in the vuhah without a bezposredny dzherel to the sound;
• visibility in the area of ​​wuh. Mortgage, grip, rocking, just discomfort at vusi;
• vegetative symptoms. Nudity and blues, increased taste, increased frequency of heart rate, decreased arterial vise(It’s even more rare to be advised), poor individuals, zadishka;
• nistagm. colial mimic rukhs full-time apples.

Before an attack, there may be a slight deterioration in coordination, as a result of an illness of a sick person, a noise or a sound at the wuhah, as a result of a flood of chogos to a wuh (or something like that).

I will attack, which is trivial from decilkoh hilin until decilkoh years (often 1-8 years), ailments see themselves broken, tired, head b_l and heaviness in the head, drowsiness. It’s an hour to lose the coordination and instability, loss of hearing, the move of the hit. In the world of developing ailments, the period of post-crime symptoms will grow, and then the progress of normal self-esteem will be consumed. In such a way, the ailment is of a non-vortex character.

As soon as a sprinkle of zhvoryuvannya collapses to receive only sounds of low frequency, then step by step the sensitivity of the entire range of sound frequencies is absorbed. A new attack can cause even greater damage to hearing. I am deeply deaf, insistent. Zazvychay z vratovy rumor attack zamorochennya zninayut.

Find the factor, provoke an attack:

• stress;
• taking alcohol;
• implantation of kawi;
• kurinnya and vikhannya Tyutyunov dima;
• temperature adjustment;
• nedosipannya;
• surplus of salt in їzhі.

In some cases, attacks are developed rapt without any provinces, which can be the reason for the fall of the sick and inflicted injuries on oneself. It is especially not safe to fall on the street on the old part, to get up and collapse as a result of vestibular disorders of the disease (it’s not possible to find a fall before injury).

Khvoroba Men'ra is characterized by an unpredictable interruption. The frequency of attacks, the triviality and the turnover can both change and change.

principle of diagnostics

For the establishment of the diagnosis, a clinical picture of attacks is characteristic, an otoscopy is carried out, in which there are no pathological changes(We are sure to confirm the diagnosis).

Testing with a tuning fork: Weber, Rinne. The stench permits the perception of the sound-perceiving apparatus (internal sound) from the sound-conducting one (the sound of the hearing pass, the middle sound).

To be carried out in the obligatory order of audiometry. When carrying out tonal threshold audiometry in case of ailment of the Menyor, changes in low frequencies are spared, lowering the hearing does not change the 1st stage (on the cob of getting sick). With progressive ailments, the sensitivity of all frequencies decreases, the depth of hearing impairment grows. When suprathreshold audiometry is carried out, a positive phenomenon of accelerated growth of mucousness begins.

Vestibular distributions are confirmed by a number of methods: vestibulomerization (with a number of tests carried out by the type of caloric, obtal, index, finger-bearing, and others), stabilography (assessment of the strength of the body), and further information

Also, for diagnostics of ailments Men'yra vicious methods, how to adjust the number of endolymphs and increase the pressure: dehydrated probes and electrocohleography.

Dehydrated test of polyagons in the formulation of glucerin at a dose of 1.5-2 g / kg of oil in fruit (partly lemon) juice and water (allowing the effect of glucerin). Follow up the hearing before the breakdown і after 1, 2, 3, 24 and 48 years from the moment of taking the drug. Glitserin wiklikє lowering the grip of endolimphi, and when Menyur's ailment is evident, it’s necessary to try to avoid lowering the threshold of reception in the range of pre-juvenile frequencies (so that the hearing starts to turn faster). Є Singing digital criteria for hearing, which allow you to confirm the grip of endolimphy.

Electrocohleography allows restructuring of electrical impulses from the auditory nerve in 1-10 ms from the generated stimulus. The changes in the amplitude of the re-established potentials of the day and of the triviality allow for the confirmation of the excess endolimphy and the advancement of the grip of the internal economy.

Diagnostics of the disease computer tomography(CT) abnormally magnetic resonance tomography (MRI) of the brain for the inclusion of other causes of symptoms similar to Menyur's ailment (for example, neuroma of the auditory nerve, impaired blood circulation in the vertebrobasilar basin and others). I met differential diagnostics conduct і echoencephalography, electroencephalography, rheoencephalography, ultrasound dosage Sudden of the head and shia, further development of auditory potentialities.

In a large number of diagnostics, as well as complex testing of other diagnostic methods, it is possible to correctly establish a diagnosis.

lykuvannya

Vvazhaєtsya, what ailment Menyura Nevilikovna. It is only possible to improve the progress of the process and the reduction of symptoms to a minimum.

Lіkuvannya ailments Menyura is more complex. Only one hour the victoriousness of the whole is low in the way of allowing the sickness of the fellow citizen.

The first croc of the flock is to catch a child. Singing recommendations allow you to pour in on communication processes, including in the area of ​​internal wuh. Changing the implantation of salt, alcohol and cavi, the gostrich spices take a lower grip of endolimphy, and that means more serious attacks.

Bazhaniy vidmova from kurinnya (including passive), leading a healthy way of living with a sufficient amount of sleep, leading to a number of stressful situations.

For the improvement of the stiffness of the vestibular apparatus, the patient is shown specials to the right, so they allow trenuvati yo, pidvischuvati porig and destructios, and to improve the coordination of the body.

Drug treatment

Medicines for treatment of polyagons in victorian drugs at the time of an attack for their removal and in the period between attacks.

Kupiruvannya attack is carried out for help:

If possible, the preparations are vicious in the іn'ktsіynoі formі.

In the case of the minority, carry out the prevention of new attacks and the change in the manifestation of Men'ur's ailments between attacks. For tsyo vikoristovuyut:

• Betahistine preparations (for example, Betaserc, 24 mg 2 times a day with a course of 1 month, with repetitions of courses);
• sechogіnnі preparations (Triamteren, Veroshpiron, Hydrochlorothiazide, Diacarb), which take a lower grip of endolimphy. Їх zasosuvannya vimagaє korektsії children, oskіlki preparations vivodat kalіy s organіzm. It is necessary to include in the race such products, yak apricots (dried apricots), bananas, cartoons. If necessary, prescribe preparations of kaliyu (asparkam, Panangin);
• venotonics (Eskuzan, Troxevasin, Detralex, Phlebodia);
• drugs that normalize microcirculation (Pentoxifyline, Trental).

surgical treatment

To the whole type of lіkuvannya vdajutsya in the difference in efficiency of conservative methods. meteyu surgical treatmentє improvement of endolymph flow, reduction of the anxiety of vestibular receptors, preservation and improvement of hearing.

All operative involvement in case of ailments of the Menyur is divided into a number of types (for the mechanism of the operation):

• draining (decompression): directing to the endolimphy flow (draining the labyrinth through the middle of the ear, fenestration of the semicircular canal і іnshі);
• ruin (destructive): allow interrupting the transmission of impulses (visualization or destruction of the labyrinth, repetition of the head of the VIII cranial nerves, ruining the cell to the labyrinth with ultrasound);
• operations on vegetative nervous systems(Vidalennі shiynyh pretty high schools, resection of a drum string).

Unfortunately, a part of the operations that work on the structures of the internal sound can be heard to be lost on the sides of the operation. Tsia obstavina became an incentive for the joke of alternative ways to fight ailments. Until such a chemical labirintectomy (ablation) is introduced: the introduction of small doses of gentamicin into the empty drum (middle vuho). Gentamicin is a tse antibiotic, which is a victorious treatment of the vestibular apparatus. In this way, it is possible to reach the interruption of impulses from the affected side, and take care of the function of the equalization on yourself in good health. I can use alcohol, streptomycin.

Bilateral ailment Menyur step by step to produce to completely lose hearing. Hearing aids are shown in a group of people.

Forecast for ailments Menyor

Zagvoryuvannya does not carry in itself a burden for life and does not speed up and triviality.

Khvoroba Men'ra is not transferred. You can be characterized by incapacitated progress, sickly interruption, and in some cases and polypsy, I will stand at the sight of a change in the frequency of attacks (sometimes to navigate without abuse).

Such a diagnosis of transmission in professional performance (proof of a robot at a height, on a turning and milling bench, be wrapped in elements of construction, in the minds of noise and vibration, of water).

Risky loss of coordination and loss of hearing can be the cause of disability.

With such a rank, it becomes clear that Men'ur's ailment is not deadly, a little more aloof, it can bring a lot of inaccuracies to the haunted life and become a reason for losing parentalism. Have a connection with symptoms that are obvious when you are sick, they are often ailing ailment in labor activity, And in some cases I will spend on the robot. Hvoroba Menyura enjoy in different ways, improve the progress and preserve hearing, eliminate vestibular damage. In most cases with free diagnostics complex treatment it is worthwhile.

The first channel, the program “Life is healthy” with Olena Malishevoy on the topic “Khvoroba Menyor. Scho robiti, if you wrap your head around "

Ailment or Men'yor's syndrome is a pathology, when there is a deterioration of the structures of the internal vuha, if it is superfluous, it will become obstructed, a ringing in vuhah and go into hearing loss.

Before it was brought, the pathology was diagnosed in 1 person per 1000, storage rate was 0.1%. The Danish indicator is approximately indicative of the frequency of development of rosy sclerosis.

There is a great part of the ailments - the people of our country are over 40 years old. The frequency of development of the middle of women and the number of people is the same. Men'er's syndrome is hostile to close 0.2% of the world's population.

Avoiding to obey the type of one-sided process and then move on to offense. For young adults, the embolism is bipartite in 17-75% of vipadkiv stretching from 5 to 30 rocky.

In general, on the territory of the United States, 46,000 new diagnoses for the development of this pathology are being diagnosed. However, there is no sign of the disease with the singing gene, with a whole family of intelligence up to the development of ailment Men'ur is present. In 55% of patients with ailments, they are diagnosed in relatives of ailments, if such pathology is evident in their ancestors.

Khvoroba Menyura at all specialties

Ryan Adams is an American musician, who happened to interrupt the creative activity in many cases of the rapid progress of this pathology. After taking the course of therapy, win turned onto the stage, overcoming the disease.

Su Yu, General of the People's Visvolnoy Army huge wines in China, in 1949 a number of hospitalizations were diagnosed with Meniere's syndrome. The pathology became the reason for the nobility of the general for the imprisonment of the commanding officer at the order of Mao Zedong in the Korean war.

Varlam Shalamov is a Russian writer.

Jonathan Swift is an English-Irish priest, sings and satirist, also suffering from the whole ailment.

Alan Shepard is the first American astronaut who hangs on the surface of Misyats. The ailment was diagnosed by the astronaut in 1964 and became one of the reasons for the beast of a single benefit. Through a few rockets, the experimental operation of the endolymphatic shunt allowed the astronaut to fly his flight at the warehouse of the Apollo-14 commander.

Causes of the development of Meniere's syndrome

Naybіlsh wider reason for the diagnosis of this pathology є changing the clutches of the family at the internal vusі. Being in the labyrinthine of the membrane step by step repair the stretch before pouring in slid in a vice, As a result, it will lead to a deterioration in coordination, hearing and loss of hearing.

The reason for the growing grip of the life of the whole world can be:

pathological improvement of the obsyagu of the nobles, as to carry out the ridin along the internal structures of the wuh;

overwhelming secretion of birth;

blockage of the drainage system and lymph ducts (as a result of cicatrization of scars, due to the development of an incidence of surgery).

We will broaden our camp є to increase the anatomical establishment of the internal vuh, as it is diagnosed in children from the unassigned activity of the neurosensory deafness. In addition to the decrease and impairment of hearing, in some people with ailments it is a coordination disorder, which can also be the cause of the development of Meniere's syndrome.

Oscillations in the course of the last few days have been established, but not all patients with ailments Menyor may be advancing the secretion of a child into the same labyrinth, it is an additional factor that provokes the development of pathological diseases.

The evidence of the increased activity of specific antibodies during diagnosis in patients appears in 25% of cases. There are also a number of types of manifestations in the form of a concomitant pathology of autoimmune thyroiditis, which, more than once, confirms the role of the immune status in the process of developing a disease.

For new data, the cause of the development of Meniere's syndrome in patients, such as bullying in 2014, became unrelated. Prior to factors, the risk is included:

Allergies and damage to immunity;

congenital anomalies in the hearing organ;

head injuries;

viral pathology of the internal air.

Symptoms of Menyur's ailment

Typical symptoms for this pathology є:

Zamorochennya, often supravodzhutsya bloody and tedious. The attack of the jammed one can turn around, but the sickness thinks, but the room starts to turn around, right at the same time with the objects that feel like it. The triviality of the attack can be folded from 10 heaps to decilkoh years. When turning the head, the turn of the growths manifested, the patient's camp will go down.

Damage or loss of hearing. Illness can be absorbed by the sound of low sounds. tse characteristic symptom, Which allows for the development of Men'er's syndrome due to deafness, which, in its turn, manifests itself in the loss of sound in high frequency. There can also be an increase in the sensitivity of hearing to thumpy sounds, as well as the manifestation of pain in the presence of noise in the background. For some people with ailments, they may appear to see the appearance of tones.

Dzvin u wuhah, which is not tying with dzherel sounds. It is a symptom of Denmark to talk about the destruction of the auditory organs. With the presence of ailments Men'ra dzvin in vuhah ailments characterize the yak dzvin dzvinochka, the screeching of cicadas or muffling, whistling, uneasy combination of sounds. Before the attack, dzvin have a build-up in vukha. For an hour I will attack the character of the ringing can radically change.

Inspired by the discomfort and grip of your purchase in the empty interior of your country. Before the development, I will attack the zagvoryuvannya feeling the grip of the build-upє.

Also, before an hour attack, deyakі ailments lead to the appearance of a headache, pain in the abdomen and diarrhea. Before the attack itself, there may be a soreness in the wuss.

Provincials will attack the syndrome of deterioration of coordination as a result of a rapid change in the position of the body, ruins, and the ability to see the ringing in the wuhah. Call the ear to the assault of the bandages for a chance to re-equip or vice in the vus. For an hour, I will attack the ailments to get bloated, nudota, coordination disorder, spoiled. In the middle triviality, the attack becomes close to 2-3 years old. When the patient is finished, the patient is experiencing loss of strength, drowsiness, and whatsoever. Є in terms of characteristics of triviality of symptoms (from short-time attacks to permanent damage of self-feeling).

shodo serious symptom of this ailment, which can be sutta porushuvati as the life of a sick person, є a potential rizik of a raptus fall. Loss of coordination develops on the raptus deformation of the structures of the internal air, which provokes the activation of vestibular reflexes.

A person who is sick is to be built, which is a hit on all sides, and he starts to fall (I want to be in vertical position), Tom, the patient will begin to mimic the pose, rehearse it to save the "intract" rivnovagu. The whole symptom is characterized by the presence of susceptible important injuries yourself. One way to get around this unacceptable problem is "destructive lykuvannya" - the visceral vestibular nerve or labirintectomy.

The intensification of pathology can be detected in a short period of time near the clusters - there are low last attacks, as they follow through. In the last attacks, interruptions between two last attacks can become a rock. Pose zagvorennya patients do not mean whether it is a sign of sickness, or skarzhitsya on unaffected coordination and insignificant dzvin in wuhah.

lykuvannya

Chi є liki?

At our hour, Menyur's ailment is classified as untreated pathology, however, to ensure control over the symptoms of illness and disease, its progress has been successfully stagnant symptomatic therapy... Deyakі novіtnі signs of addiction to reach close to the point of bringing to a renewed vilіkovuvannya from sickness (for example, dropping gentamіcin in small doses).

The frequency and intensity of such attacks can be quite quick with the help of special awkward methods. drug therapy... We are sick to recommend keeping a healthy way of living and getting ready for children. It is also necessary to adapt to the implantation of cavi, chicken, alcohol and a number of other products, which can destroy the important picture of the disease.

To control the manifestation of pathology in the presence of an ailment diagnosis of ailment Men'ura therapy of transferring the implantation of drugs in the form of boredom, including antihistamines (trimethobenzamide, meclozine) and other groups (diagents), I give special respect to Betagistin, oskolki vin є alone, how to fix the circulatory system internal vuha.

Preparations for prolonged consumption

For a reduction in the amount of money taken into account, you can use diuretic drugs. Extended combination of hydrochlorothiazin and triamterene. The reception of diuretics allows to reduce the amount of time in the body and normalize the grip in the empty internal structures of the air.

Also storing diuretics mineral speech(Especially the calories), that the child was guilty of being scored with such a rank, a dose fell on a piece of calories, which would change the minimum dobové dozuvannya (add liquorice potatoes, oranges, bananas).

surgical treatment

Even on aphids, the symptomatology of the growths is prolonged, it becomes more radical. surgical methods lykuvannya. Varto immediately means that the operation does not guarantee 100% hearing protection.

Organosharpening operations are carried out in order to normalize the robotic vestibular apparatus without resection of any anatomical structures. Most of the sub-operatives are supervised by hormonal drugs(For example, dexamethasone) in the middle.

With the help of the tim-hour polіpshennya of the ailing camp, the ailing stagnant decompression of the endolymphatic bear. In a large number of patients who have undergone the given operation, because of a decrease in the frequency and frequency auditory function... However Danish method Do not secure a trivial polishhennya, but I will increase the ability to develop attacks.

Radical operations are referred to the category of non-negotiable and may be on the uvazi part of the city, or even more visible functional views of the hearing apparatus in the boundaries of the urazhenoi dilyanka. All structures of the internal spirit are seen behind the additional labrintectomy. As a result of therapy, the symptoms of Menyur's syndrome rapidly regress. It is a great pity, the patients will recuperate the healthiness of the sound tim auditory organ, On the other hand, there is a viconana operats_ya.

As an alternative, it goes to the chemistry labrintectomy, which is carried out by gently introducing gentamicin, which provokes the administration of the vestibular apparatus. Qia technique maє the same likuvalny effect, Yak і promptly involved, or allows you to preserve your hearing.

Ін'єкції Лікції preparations in the middle Vukho

For this purpose, a number of innovative methods have been broken down from the damaged and other symptoms. Therapy of Menyur's ailment is carried out by the way of introduction into the middle of the middle of old lykarsky preparations. Then the stench penetrates into the empty space of the internal wuh, nadayuyu is similar to the operative entrusted work.

Hormonal drugs (prednizolone, dexamethasone) also allow control of the disease class. Prior to overloading steroids, there are few indicators of decreased hearing loss. In the middle of shortages - low efficiency in relation to gentamicin.

Gentamicin (antibiotic, which is a low ototoxic action) reduces the building of structures on the sides of the coordination of the ruha. As a result, the vestibular function is regulated by a healthy voice. Entry lykarsky drug vikonuєatsya pіd mіtsevym zelennykh. As a result, the turnover and frequency of attacks will change rapidly, as the presence of the air becomes less clear.

physiotherapy

For vestibular rehabilitation, methods are used that allow polishing the function of looking, coordinating and minimizing the loss of a special complex to the right and attaining a specific way of thinking.

I will call a subset of medical treatment "vestibular rehabilitation". With additional help, a stable decrease in the incidence of pathological manifestations and a significant increase in the quality of a sick person's life will be achieved.

forecast

If I want Men'ur's ailment and nevilikovnoy pathology, it’s not fatal. Progressing to the loss of hearing can be done by way of special drug therapy, which can be carried out in the interim between attacks or for help prompt engagement... Patients with altered symptomatology can successfully control the pathology through the path of the day.

Traces of Menyur's syndrome may be suspected of persistent noise in the ears, increasing loss of hearing and loss of hearing.

If you want the pathology itself, and it cannot become the cause of death, or it can be provoked by injuries, as you will be rejected in case of an accident, or will fall as a result of the attack. We are bad to recommend the sport to the right with other options, with a lot of varto vrahuvati, it is necessary to have a unique view of the sport, which allows for the appearance of a good vestibular apparatus (mountaineering, riding a motorcycle, bicycles). Likewise, the children are hardened to engage in activity, the yak is tied from the access point (farms and repairs).

Most of the ailments (close to 60-80%) take into account the functions, in some cases they can be taken without special medical aid... With the manifestation of accelerated or severe forms of sickness, the patients become inevitable and must require specific attention.

The loss of hearing on the cob stages of a zakvoryuvannya may be a transitional character, passing in an hour in a post-vidhilennya. For renewal of hearing and improvement of the sick person's body, it is successful to pick up the implants and rumors of the apparatus. Dzvin at the wuhah in the first hour wasted the life of such ailments, and in an hour the organism of the vuhkє to the whole "background".

Menyur's syndrome is a pathology with a non-transmissible lump and a prognosis. The intensity and frequency of attacks can decrease or the build-ups, as a result of the loss of vestibular functions, helps to prevent attacks.