梅尼埃病如何治疗配图,仅供参考
Current MD management is primarily symptomatic and includes dietary changes (i.e.,salt restriction,reduced caffeine and alcohol consumption),stress reduction,and pharmacotherapy (i.e.,hydrochlorothiazide,acetazolamide,chlorthalidone,betahistine,triamterene,short-term oral prednisone,and benzodiazepines) . Vestibular rehabilitation and cognitive behavioral therapy have also been shown to be safe and effective,in addition to the Meniett system (micro-pressure pulses) . Additionally,one should address any treatable underlying etiologies of migraine,including obstructive sleep apnea,at presentation . Slightly more invasive procedures,including intratympanic corticosteroid injections (i.e.,dexamethasone or methylprednisolone),are used after conservative measures have been tried . More invasive procedures for patients with debilitating symptoms and those for whom first-line therapies have failed include endolymphatic sac shunt surgery; however,the efficacy of such procedures is unclear . Intratympanic injections of gentamicin have also been implicated,but there is a risk of hearing loss that has reduced its favor . Finally,very invasive procedures include labyrinthectomy and vestibular neurectomy,which have been very efficacious in controlling intractable vertigo but are rarely used since patients lose hearing function .","department":"