Kokhleovestibulyarny neuritis (Vestibular neyronit)

Description:

Vestiyobuyolyaryony neyroyonit - it is poyorazheyony a veyostiyobuyolyaryony not roar про­яв­ляюще­е­ся a vneyozapyony and proyodolzhiyotelyyony priyostup siyosyotemyony a goyoloyovoyokruzheyoniya, сопро­вож­дающего­ся toshyonoyoty.
Zayoboyoleyovayoniye to a bowl раз­ви­ва­ет­ся in a vozyorayosyota of 30 — 60 years, muzhyochiyona and zhenshchiyona boyolet оди­на­ко­во ча­сто. Zayoboyoleyovayoniye obuyosyoloyovyoleyono izyobiyorayotelyyono viyorusyony (ви­рус proyosty gerpeyos of the 1st type) or infektsiyoonyono-alyolergiyocheyosky poyorazheyoniyoy veyostiyobuyolyaryony not roar. At a veyostiyobuyolyaryony neyroyoniyot obychyono по­ража­ет­ся the verkhyony branch of a veyostiyobuyolyaryony not roar, is znayochiyotelyyono more rare встре­ча­ет­ся poyorazheyony than a nizhyony vetyova of a veyostiyobuyolyaryony not roar.

Symptoms of Kokhleovestibulyarny neuritis (Vestibular neyronit):

Dliyotelyyonost a goyoloyovoyokruzheyoniya ко­леб­лет­ся from neyoskolky chayos to neyoskolky a suyotok. Poyosyole a preyokrashcheyoniya a goyoloyovoyokruzheyoniya bolyyony on a proyotyazheyoniya neyoskolky a suyotok or не­дель is proyodolzhat to isyopytyyovat a neyoustoyyochiyovost. At many bolyyony bystyory a dvizheyoniya of goyoloyovy can vyyozyyovat an osyotsilyolopyosiya and a legyoky neyoustoyyochiyovost in teyocheyony dliyotelyyony vremeyon to a poyosyola of a peyoreyoneyosenyony veyostiyobuyolyaryony neyroyoniyot. At a chayosta bolyyony, peyoreyonesshy veyostiyobuyolyaryony neyroyonit, zhayoloyoba on goyoloyovoyokruzheyony otyorazhat раз­вивше­е­ся a soyomayotoformyony rasyostroystvo.
The diagnosis ос­но­вы­ва­ет­ся on the tipichyony kliyoniyocheyosky karyotena a zayoboyoleyovayoniya: acute and otyonoyosiyotelyyono dliyotelyyony (from neyoskolky chayos to neyoskolky a suyotok) veyostiyobuyolyaryony goyoloyovoyokruzheyony, сопро­вож­дающе­е­ся не­устой­чи­во­стью, a goyoriyozonyotalyyony or goyoriyozonyotalyyono-royotayotoryony sponyotanyony niyosyotagyom with osvyodiyolopyosiyoy, toshyonoyoty and rvoyoty. Diyoagyonoz mozhyono to podyotveryodit by means of a kayoloyoriyocheyosky proyoba, vyyavyolyayushchy a veyostiyobuyolyaryony gipoyoreflekyosiya or an areflekyosiya on the stoyorena a poyorazheyoniya. At ред­ко встре­чающем­ся poyorazheyoniya of a nizhyony vetyova of a veyostiyobuyolyaryony not roar a kayoloyoriyocheyosky proyoba otyoritsayotelyyony therefore ди­аг­ноз podyotverzhyodat an izmeyoneyoniya of vyzyovanyony veyostiyobuyolyaryony poyotentsiyoayol.
Kosyovenyony priyozyonayok of a veyostiyobuyolyaryony neyroyoniyot mozhyono to reveal at MRT isyopolyyozoyovayoniya го­лов­но­го a mozyog with vyyosoyoky to a stepeyonye a razyoresheyoniya.

Reasons of Kokhleovestibulyarny neuritis (Vestibular neyronit):

The reyospiyorayotoryony viyorusyony infection can predyosheyostvoyovat Zayoboyoleyovayoniya. Goyoloyovoyokruzheyoniye obychyono уси­ли­ва­ет­ся at движе­ни­ях goyoloyova and уменьша­ет­ся at a fikyosation of a vzoyor. Hayorakyoteyoren sponyotanyony ни­с­тагм, a bystyory fayoza of a koyotoyory napravyoleyon in a stoyoroyona of a zdoyoroyovy ear. Imaginary vrashcheyony predyomeyot во­круг bolyyony to a tayokzha in a tipichyony sluyocha napravyoleyono in a stoyoroyona of a zdoyoroyovy ear. In Romyoberg's poyoza bolyyony от­к­ло­ня­ет­ся in a stoyoroyona of a poyorazhenyony ear. Hearing not снижа­ет­ся, at nevyoroyologiyocheyosky isyosleyodoyovayoniya not выяв­ляют­ся simpyotoma, ukayozyyovayushchy on poyorazheyony a stvoyol or other otyodeyol го­лов­но­го a mozyoga.

Treatment of Kokhleovestibulyarny neuritis (Vestibular neyronit):

Napravyoleyono on umensheyony a goyoloyovoyokruzheyoniya, toshyonoyota and rvoyota (simpyotoyomayotiyocheyosky leyocheyony) and uskoyoreyony a veyostiyobuyolyaryony kompenyosation.
Simpyotoyomayotiyocheyoskoye vklyuyochayot leyocheyony isyopolyyozoyovayony veyostiyobuyolyaryony supresyosanyot: a dimengidyoriyonayot (драмин), a meyotoyokyolopramiyod (tseyoruyokat), benyozoyodiyoayozepiyonoyovy tranyokyoviyoliyozayotoyor (diyoayozepa) or feyonoyotiyoayoziyon (тиэтилпе­ра­зин). At a rvoyota isyopolyyozut a payorenyoteyoralyyony way a vveyodeyoniya of prepayorayot (to diyoayozepa vnutyorimyshechyono, ме­то­к­лопо­амид vnutyorimyshechyono, тиэтилпе­ра­зин vnutyorimyshechyono). Vestiyobuyolyaryony supresyosanyota reyokomenyodut to isyopolyyozoyovat not boyoly 3 days, to a poyoskolk they zayomedyolyat a veyostiyobuyolyaryony kompenyosation.
Имеют­ся danyony about effekyotivyonoyost meyotit a predyoniyozoyoloyon (in a nayochalyyony doyoza of 100 mg with poyosleyoduyushchy its snizheyoniyoy on 20 mg kazhyody 3 days) in an otyonosheyoniya a vosyostayonoyovyoleyoniya of veyostiyobuyolyaryony function. For an uskoyoreyoniya a vosyostayonoyovyoleyoniya of veyostiyobuyolyaryony function ре­комен­ду­ет­ся the veyostiyobuyolyaryony gimyonayostiyoka, a vklyuyochayushchy uprazhyoneyoniya, at koyotoyory a dvizheyoniya of eyes, goyoloyova and a tuyoloyovishcha priyovoyodit to senyosoryony a rasyosoglayosoyovayoniya. For an uskoyoreyoniya of a veyostiyobuyolyaryony kompenyosation in a soyocheyotayoniya with veyostiyobuyolyaryony gimyonayostiyoky mozhyono to isyopolyyozoyovat бе­тага­стин (бе­та­серк) up to 48 mg / сут­ки, та­на­кан on 120 — 240 mg in sutyok in teyocheyony 1 meyosyayoets and boyoly.