Otolaryng medical talk
Author:Guangdong Provincial Hospital Time:2022.08.19
Medical Guidance: Famous Chinese Medicine, Lingnan famous Chinese medicine medicine, doctoral supervisor in Guangdong Province. Professor Li Yunying, chief physician and academic leader of the Department of Eurva and Throat of Guangdong Hospital of Traditional Chinese Medicine.
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This column will regularly push the knowledge of prevention, treatment and health care of otolaryngology diseases in traditional Chinese and Western medicine, and escort the health of your otolaryngus! Welcome to follow!
Two months ago, mother -in -law Chen began to make dizziness repeatedly, and the sky was rotating, especially when lying down to the right is particularly obvious. After lying down, he could relieve herself without tinnitus and hearing. My mother -in -law thought that she was too tired, so I bought a little hemp stew, and felt better, but it was not thorough. In a few days, the symptoms of dizziness were obvious. Seek a doctor.
Dr. Li Songjian found that she had tube earstone to fall off for the right and rear half of the right and rear half according to her mother -in -law's medical history and signs. The groggy feeling was much brighter.
One week later, her mother -in -law got up early as always. At the moment after getting up, her mother -in -law suddenly felt like she was rolled into the height of the huge waves. Based on the last experience, her mother -in -law felt that she should have recurred again, so she immediately asked her children to take her to take a taxi to Guangdong Provincial Hospital of Traditional Chinese Medicine again.
After the doctor's face -to -face diagnosis, the judgment may be that the otolith disease has recurred, and the mother -in -law was checked first to check the vestibular function examination again. At first glance, isn't this the same as the last inspection item? Since I did it a week ago, why do I have to do it again? Isn't it possible to reset directly?
For Mother -in -law's three -link question, the otolaryngologist encounters every day.
First of all, everyone must first understand what is the earstone? What is otolith?
Earstone is a kind of lime stones in the human ear structure. Its role is related to the body balance, also known as listening. Under normal circumsting At the time, these semi -regulatory tubes also changed their positions, and the sinking earstone would move with the flow of the liquid, which stimulated semi -regulatory hair cells, causing eye shocks and dizziness in the body. This is otolite.
The duration of otolith disease is short, generally a few seconds to a few minutes, which can be aggravated or relieved by itself. The course of disease is different. Because the occurrence of symptoms is directly related to the change position, otolith disease is also called a benign paroxysmal position dizziness. The main symptoms are the dizziness and dizziness and dizziness and dizziness of the short -term attack when the head is quickly exercised to a specific header. Nystagmus.
Secondly, why do you exclude otolith disease every time?
At present, the main point of view of the industry believes that the earstone fragments on the oval cystic spots caused by various reasons are after falling off after falling off in the semi -regulatory lymphatic fluid or the ear stone fragments that are fell off from the ellipse cysts. The pot of the pot belly has changed the density of the pot belly to the internal lymph.
Depending on the accumulated semi -regulatory tube differential tube, otolith disease can be divided into four types: that is, the first half -regulatory tube otolith disease, outer semi -regulatory otolith disease, posterior semi -regulatory otolith disease, and most regulatory otosstand (accumulating multiple semi -regulatory tube at the time of onset). The exclusion of otolith disease is mainly based on the combination of variable tests and eye shock electrical like electrocompos. The same test method will produce different results. Doctors judge the specific semi -regulatory management of earstone falling off according to the result of different positions.
Third, can you not check the reset treatment directly according to the previous results?
Clinical data shows that most of patients with earstone reset occurred in the same ear, but about 50%of patients with otolith disease have different semi -regulatory tubes that are accumulated during the recurrence! Different semi -regulating otolith disease, the corresponding resetting method is very different. The most important thing is that if the wrong reset method is used for the treatment of the earstone, it may induce other semi -regulatory earstones to fall off and increase the complexity of the condition. Instead, patients can not only reduce the symptoms of halo, but may even cause the symptoms to worsen, and the sense of halo is stronger! It is very dangerous to blindly reset before resetting the type of otolith disease! Therefore, before the treatment of the doctor, you need to check the specific parts of the disease according to the doctor's suggestion, and the specific part of the onset of the onset is a safe and effective way to take a targeted resetting treatment!
After listening to the analysis, her mother -in -law understood very well, agreed to check before resetting, and recovered home after treatment.
Professor Li Yunying specially reminded:
There are many reasons for recurrence of otolith, such as basic diseases (hypertension, diabetes, high -fat blood), poor living habits (staying up late, emotional fluctuations, alcoholicism, heavy taste), damage to vestibular function, strenuous exercise and strenuous exercise and strenuous exercise and strenuous exercise and strenuous exercise and strenuous exercise and strenuous exercise and strenuous exercise and strenuous exercise and strenuous exercise and strenuous exercise and strenuous exercise. The head of the head may induce earstone. It is recommended that patients with dizziness achieve the following points in their lives.
1. Adjust your lifestyle and perform aerobic exercise appropriately.
Staying up late, long -term indoor activities, sedentary, long -term low heads to look at mobile phones and irregular and unhealthy eating habits may lead to recurrence of otolith disease. So sufficient sleep and reasonable aerobic exercise can help the prevention and prognosis of otolith disease. Persist in a cup of milk and proper sun baths daily, strengthen the diversification of diet, reduce the diet intake of high purine, and reasonably control weight. It is also very important.
2. Adjust emotional state.
Nowadays, both adults and children have their own social pressure, which is very common. Therefore, it is very important to control emotions appropriately. When you perceive your negative emotions, you can try to slow down for three seconds and take a deep breath to remind yourself to accept and communicate more, which helps the emotional control. Place more positive emotions and try to avoid negative emotions. In case you encounter a problem that you can't figure out, you can actively seek the help of relatives, friends, and even psychologists. 3. Perform vestibular rehabilitation training.
Outer dizziness and balancing disorders can take training -based comprehensive measures to assist in treatment, so that the damaged vestibular function and balance function can be improved, thereby reducing the patient's dizziness symptoms and returning to normal living standards.
4. Control basic diseases.
At present, many studies have shown that otolith disease and sleep disorders, diabetes, lack of trace elements, hyperuricemia, hormone disorders, hypertension, and migraine have important correlations. Active control of basic diseases can prevent the occurrence of otolithia.
In addition, the seizure of dizziness is likely to be caused by multi -factor common effects. If there are ear stones falling off and multiple reset effects are not good, you must pay attention to check the dizziness caused by other reasons.
Medical Guidance:
Li Yunying, a professor, chief physician, doctoral supervisor, a famous Chinese medicine medicine in Guangdong Province and a famous Chinese medicine medicine in Lingnan. The sixth batch of academic heirs of the academic heirs of the academic experience in the academic experience of the academic experience of the academic experience in the academic experience of the old Chinese medicine expert, the master of the Chinese medicine master, the ancestor Wang Wang.
He serves as deputy chairman of the ONOCS Professional Committee of the Chinese Medicine Society, vice chairman of the World Lianzhizhonglian Ear -Nose, Nose and Throat Oral Society, and chairman of the Voice Professional Committee of the Guangdong Institute of Traditional Chinese and Western Medicine.
Editor -in -chief of the National "Thirteenth Five -Year Plan" textbook "Traditional Chinese and Western Medicine Integrated Earbroke and Throat Science", and the deputy editor of the national "Eleventh Five -Year Plan" planning textbook "Traditional Chinese Medicine Ear, Nasal and Throat Science".
He has won "China's First Outstanding Female Traditional Chinese Doctors", "Top Ten Outstanding Young Medical Workers in Guangdong Province", "South Guangdong Scarlet Doctor", "Outstanding Teacher in Nanyue", "First Yan Dexin Excellent Treaty Talent Award", "National First Chinese Medicine Inheritance High Award" "Yangcheng Good Doctor" and other titles.
He has been engaged in the clinical, teaching and scientific research of traditional Chinese medicine and traditional Chinese and western medicine for nearly forty years. He has rich experience in clinical practice and is good at treating otolaryngology diseases in combination of traditional Chinese medicine and traditional Chinese and western medicine. Essence
Good at: rhinitis, sounds, laryngealitis, tonsillitis, glandular hypertrophy, otitis media, tinnitus and deafness, dizziness, nasopharyngeal cancer, laryngeal cancer and other common suspicion.
Democratic time: Monday morning and Thursday afternoon (the Department of otolaryngology, Nasal Hill and Throat of Dade Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine)
Author of this issue:
Li Guangping
Guangdong Hospital of Traditional Chinese Medicine Hospital
Supply: Li Yunying National Famous Old Traditional Chinese Medicine Expert inheritance Studio
Li Guangping Li Yunying
Executive editor: Wu Yuan Tuan
Audit school pair: Zhuang Yingge
Editor in charge: Song Liping
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