Meniere’s disease
Maniere ‘s disease is also called Mobus Maniere. It is a disease of the inner ear, which manifests itself in dizzy spells, reduced hearing and ringing in the ears. Mobus Manière cannot be cured, but the attacks can be medically alleviated and the quality of life thus increased.
What is Maniere’s disease?
Maniere’s disease is a disorder of the inner ear. It usually occurs in only one ear, but bilateral disease is also possible. Mobus Manière is one of the very rare diseases that affect middle-aged people in the majority of cases. Mobus Manière becomes noticeable through sudden attacks of dizziness with vomiting. Tinnitus reduces the general ability to hear . Symptoms appear episodic and subside after a few hours. There is no fixed rhythm, instead the disease is triggered , especially during stressful situations .
causes
The exact causes of Mobus Manière have not yet been clarified. Connections are made to genetic predisposition and traumatic inner ear damage in previous episodes of life. However, research into the causes is still in its infancy. Endolymphatic hydrops is responsible for the occurrence of Manière’s disease.
The ear consists of the balance organ and the cochlea, which consists of a bony and a membranous part. The elements exist in the form of labyrinths. Mobus Manière affects the cochlea. The labyrinth made of skin has three chambers that have different tasks. One of the rooms, the scala vestibuli, is filled with endolymphs and causes endolymphatic hydrops when there is an overproduction.
The basilar membrane changes its position, which negatively affects the hair growing on it. Hearing loss and ringing in the ears, also known as tinnitus, develop. The vertigo is attributed to the mixing of the endolymphs of the scala vestibuli with the contents of another chamber of the cochlea. This was made possible by the fact that the scala vestibuli has broken through the membrane between the chambers due to its widening.
symptoms and course
Typical symptoms of Maniere’s disease:
The classic symptoms have already been mentioned, but should be elaborated further. The rotary vertigo attacks often occur after a short warning. Those affected have the feeling that their entire environment is spinning, which can also trigger vomiting. Most dizzy spells last three hours, but it can also go away after a few minutes. At the same time, balance problems are typical of the course of the disease Mobus Manière.
They often make everyday life even more difficult after the attack has subsided. Tinnitus is mostly heard in one ear. It occurs with the vertigo and is usually intensified during the vertigo attack. In many cases, when the nausea has subsided, the ringing in the ear will continue. These are different sounds, such as beeping or buzzing, which are only perceived by those affected.
The majority of the hearing loss affects the same ear in which the tinnitus is noticed. There may also be pressure inside the ear. The intensity of reduced hearing can exist in different ways. Ringing in the ears and hearing loss may be associated with the vertigo attacks or exist independently. The extent is individual to the person and to the seizure.
Diagnose
The diagnosis is initiated by a conversation. The doctor asks about the medical history of the person concerned and the severity of their symptoms. Then the ears and the continued existence of the organ of equilibrium are checked. Before diagnosing Mobus Maniere, other potential conditions such as middle ear infections must be ruled out. In general, doctors base their diagnosis on the classic symptoms of the disease.
treatment and therapy
Mobus Maniere cannot be cured. Nevertheless, there are three different therapeutic approaches that are staggered in prevention and follow-up prevention. If an attack of the disease has already occurred, the focus is on combating the symptoms that occur. The cause itself remains untouched, which is why it is a symptomatic therapy. Drugs such as an antivertigo help against the dizzy spells, and vomiting is said to be alleviated with an antiemetic .
In this case, dimenhydrinate is often used, which inhibits the H1 receptors and thus eliminates dizziness and nausea. Since vomiting leads to a high loss of fluid during a dizzy spell, it must be clarified whether an infusion is necessary. The second therapeutic approach consists of preventing attacks. For this undercutting, it is crucial that those affected are exposed to few stress stimuli.
Psychologically stressful situations must be reduced to a minimum and the blood pressure adjusted correctly. A family doctor can help with this. It is crucial to avoid a drop in blood pressure . If both therapeutic approaches do not help, surgery may also be an option. In this case, the vestibular nerve is severed or the labyrinth of the cochlea is removed, which leads to deafness and is only used in patients who are already deaf.
prevention
Since the causes of Meniere’s disease are not yet known, it is impossible to prevent them from occurring. Only in the case of the existence of the disease can avoiding a stressful and burdensome everyday life lead to avoiding or postponing the occurrence of a seizure. If symptoms occur and the presence of Mobus Meniere is suspected, it is important that those affected seek medical treatment quickly in order to be able to initiate therapy and relieve the symptoms.
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My passion for health and wellness started at a young age when I became interested in the connection between the food we eat and the way we feel. This fascination led me to study nutrition and dietetics in college, where I learned about the importance of a balanced diet and the impact of various nutrients on the body.