Overview of the disease
This is the pathology of the inner ear, in which the auditory nerve suffers, which affects sound perception. There is damage to the sensitive nerve cells of the auditory nerve, the inner ear and the central formations of the organ of hearing. ENT doctors abbreviated called NST. Synonym is the term «Sensorsheral hearing loss». Some doctors as a diagnosis can write - «Neurit of auditory nerve» or «Cochlear Nertrit» - But it will not be quite true, because suffix «IT» indicates the presence of inflammation, and with this pathology as such is not. Modern methods of diagnosis that appeared in the arsenal of doctors, modern diagnostic methods show that the NST is the defeat of the Cortiene organ (the receptor part located inside the refilled maze of the auditory analyzer) and the root of the eighth nerve, as well as the central and peripheral vestibular departments. Disruption of the venous phase of blood circulation, microcirculation factors (vascular and intravascular). The hydrops of the labyrinth is stated, this in turn leads to a violation of the metabolism of nerve fibers and neuroepithelia. Conclusions were made that for the successful treatment of neurosensory hearing, it is necessary to stabilize the cell membranes, improving the venous outflow from the cranial cavity, to dehydration. The disease is distinguished by three clinical forms:
- Acute - up to four weeks. The success of treatment on average ranges from 70 to 90% if it starts on time.
- Subacon - the disease lasts from month to three. There is already effective therapy from 30 to 70%.
- Chronic - Pathology lasts more than three months. The effectiveness of treatment drops sharply.
Why neurosensory touginess occurs?
The main symptom, which should alert a person - is a worsening hearing (sudden or gradual). The process can be both one- and two-way. Some patients also complain about a squeak, ringing, «buzzer» In the ear - these are manifestations of high-frequency noise. And other people have a deterioration of hearing accompanied by a constant hum (low-frequency noise). In addition, the deterioration of hearing is often accompanied by Nausea, Dizziness, Vomot. If there are still vestibular disorders, that is, deviations in coordination of movements. All this should push the patient immediately sign up for the reception to the otorinolaryngologist.
Diagnostics
Come to the doctor, first tell him what bothers you. Explain which events occurred before the sound worsened. In case of suspected neurosensory hearing loss, the doctor will hold a tuning test, in order to identify - air or bone conduction suffers from a patient. Tonal threshold audiometry will refine the diagnosis, find out the degree of reduction of hearing. Impedance meter can be included in the further survey plan - this method is directed to the detection of the abdominal cavity (liquid), breaking the chain of the auditory bones, disorders of the functionality of the hearing pipe.
Recommendations for treatment
For each patient, an individual treatment plan is drawn up, it depends on the causes that caused the disease, from its duration. Treatment of neurosensory hearing loss should be carried out in a specialized, equipped with contemporary apparatuses of otorinolaryngological hospital. Procedures should begin without delay, as soon as the patient entered the hospital. Preferably during the treatment adhere to a gentle diet, refuse alcoholic beverages, smoking.
To improve the blood supply to the inner ear, the brain is prescribed Cavinton (Vinpocetin), cerebrolysis, pentoxifyllin, piracetam. In the first ten days they are introduced into Vienna. Then they can be introduced into the muscle. After discharge, the patient will recommend drinking them in the form of tablets. Preparations such as cinnarizine, flashes, nootropyl (tablets or capsules) and sexax (in the form of nasal droplets) contribute to improving the supply of blood and oxygen of hearing organs and brain departments, these are so-called nootropics. More these drugs improve the protective properties of cells of the senses, nerve cells, showing neuroprotective effect.
If the NST is accompanied by dizziness, then prescribe medicines that have a specific impact on the inner ear. This group belongs to Betagistin, Betaderk.
If the impedancetry showed that traffic accumulated in the drum cavity (this is more often accumulated during inflammation), then the patient will need to take drugs for some time to help remove excess fluid from the body (usually diuretics), as well as antibacterial agents.
For the prevention of neurosensory hearing lodge, people whose work is associated with noisy production, periodically need to be taken by tanakan courses.
The effectiveness of drug therapy can be significantly increased by assigning:
- 10 sessions of reflexotherapy (laser support, acupuncture), followed by re-courses;
- Hyperbaric oxygenation (sessions for 30 minutes) - in special conditions under pressure, the patient is supplied to breathing a mixture containing a large amount of oxygen;
- Phoelectroporesis, flutching currents.
If after the course of treatment of neurosensory hearing loss of the desired effect does not occur, the rumor remains reduced, then the supervisionologist is in order to correct the correction of sound perception hearing aid. Do not be shying around others and worry because of this, because modern devices are distinguished by small size, high sensitivity, they are easy to use.
Achievements of modern emulsion allowed some patients to carry out an operation called a cochlear implantation. Such an operation helps the one who has broken the function of the Cortiyev authority responsible for the perception of external sounds of the environment with the help of hairs cells. If the nerve was not injured, then in the inner ear, you can enlist the special electrodes that will continue directly to stimulate the auditory nerve. After such implantation, there is a significant recovery of hearing.
People who moved neurosensory touginess should take measures to protect themselves from the recurrence of the disease. Take care of your ears from acoustic injuries (sharp loud sounds), try to avoid psycho-emotional stress, Hypertensive crimes. Start, strengthen the immune system to less challenge the diseases of infectious viral nature.
With a sudden deterioration of hearing, it is necessary to come to the doctor as soon as possible. If the patient postpones this visit, deals with self-medication, then the likelihood of keeping the normal perception of sounds is significantly reduced.
