In midsummer, some people often feel dizzy. If you don’t eat enough, you will feel dizzy, if you don’t sleep well, you will feel dizzy when you are tired, and you will feel dizzy when you are upset … … Many people think that dizziness is a trivial matter and will pass after a while.
Yu Xiaojun, deputy chief physician of the Second Ward of Neurology Department of Changsha First Hospital, recently told reporters that in the past three years, more than 1,600 patients with vertigo have been treated in wards and more than 3,000 patients have been followed up in outpatient clinics. She said that some inexplicable severe dizziness may be caused by diseases. If the diagnosis and treatment are not standardized, the best treatment opportunity may be missed.
Finding out the inducing factors can actively promote treatment.
Typical case
Miss Zhang from a foreign company in Changsha is under great pressure and always relies on strong coffee to refresh herself. Every month or two, she has to stay at home for a few days, because she always sees a flash in front of her eyes, and then the pulsating pain in her left head spreads from her forehead to the back of her head, feeling sick, nauseous and dizzy, afraid to open her eyes and move, and afraid of the light, annoying others to talk.
Xiao Wang is an athlete and likes to play table tennis. After playing ball recently, he took a cold shower and had a runny nose and sore throat, which did not attract attention. A week later, he suddenly appeared dizziness, nausea, vomiting and sweating, and was rushed to the hospital.
Expert tips
"Miss Zhang’s symptoms belong to a common vertigo disease, namely vestibular migraine, also known as migraine-related vertigo." Yu Xiaojun introduced. This disease often has some causes, such as fatigue, tension, mood change, poor sleep, temperature change, menstrual period, etc., and may also be caused by eating red wine, cheese, coffee, pickles and dried fruits. When there is an acute attack of dizziness and headache, it is necessary to stop pain, dizziness and vomiting. In remission, we should ensure good sleep, pay attention to living habits and avoid inducing factors.
Xiao Wang’s vertigo was diagnosed as vestibular neuritis by doctors, that is, inflammation of vestibular nerve and its peripheral receptors, which led to dysfunction of its function and then balance disorder. When Xiao Wang was dizzy and afraid to open his eyes, the doctor used antiemetic, sedative, low-dose hormone anti-inflammatory and neurotrophic drugs. At the same time, the doctor also instructed his eyes, hands and body to move in a targeted manner and carry out vestibular rehabilitation training. Yu Xiaojun pointed out that if the disease is not treated in time, the patient may be in a state of wobbly for a long time.
In addition, some factors can also cause dizziness, such as external auditory canal cerumen, foreign body, external auditory canal inflammation, etc. Trauma, infection, tumor, epilepsy, etc. Abnormal blood pressure, arrhythmia, anemia, etc. Hyperthyroidism or hypothyroidism; Mental factors such as depression and anxiety; Myasthenia gravis, glaucoma, etc. Alcoholism, adverse drug reactions, poisoning; High temperature, intense heat, severe cold and environmental changes at high altitude.
Vertigo patients can always have carsickness medicine with them.
Typical case
The dizziness of middle-aged and elderly people is mostly caused by definite causes such as blood pressure, blood sugar and anemia. Liu Dad’s dizziness was caused by a sudden cerebrovascular disease. When Liu Dad got up in the morning, he suddenly felt dizzy and walked unsteadily, and soon he could not speak.
After being admitted to the hospital, the doctor diagnosed that Liu Dad was suffering from acute cerebral infarction, commonly known as stroke. The dizziness caused by it was central vertigo, and the common symptoms included language disorder, angular mouth and physical activity disorder. Fortunately, in time for medical treatment, Liu Wei did not leave sequelae of stroke.
Expert tips
"The reasons behind dizziness are complicated, so we should go to the hospital vertigo clinic for differential diagnosis and treatment in time, and strive to achieve the best rehabilitation effect with the fastest speed and the best scheme." Yu Xiaojun said.
Once appear giddy, how to alleviate? Yu Xiaojun believes that when vertigo attacks, you should immediately sit down or grab the object next to you to prevent accidental injury caused by falling. During the onset of vertigo, it is best to lie still, mainly on your side, to prevent aspiration or even suffocation caused by vomiting.
In daily life, patients with vertigo can always have some carsickness drugs around them, so that they can take them when the disease breaks out, which can obviously alleviate the symptoms of vertigo. When the disease breaks out, patients should try to avoid light irradiation or other strong light stimulation.
Specific vertigo patients should take medicine according to the doctor’s advice, such as Meniere’s disease, psychogenic dizziness, vestibular paroxysm, etc., and should not stop taking medicine suddenly. At the same time, it is suggested that patients keep a diary of vertigo, especially those whose diagnosis is not clear or who have frequent attacks. Keeping a diary of vertigo can not only grasp the regularity of the onset of the disease, but also provide doctors with accurate information of vertigo attacks, which can better help the treatment.
People with severe balance impairment should be careful against accidents.
Typical case
In the past six months, Ms. Wang has been easily upset and angry, and has anxiety and poor sleep quality. When you visit a shopping mall or go to a crowded place, you will feel light and drunk, and then get better after a while.
Ms. Wang came to the neurology department of the hospital and was diagnosed as chronic subjective dizziness after further examination by the doctor. The disease is characterized by high sensitivity to exercise and space, lying well, and dizziness is obvious when moving. After active anti-anxiety, psychological counseling, behavioral intervention and vestibular rehabilitation, Ms. Wang returned to normal life.
Expert tips
"In addition to chronic subjective dizziness, there is also a benign paroxysmal positional vertigo, commonly known as otolith." Yu Xiaojun introduced that as long as some patients lie on the bed, they will feel dizzy, sweating, nausea and vomiting, and they can only sit and sleep. Otoliths are normal calcium carbonate crystals in the body. Due to inflammation, trauma, osteoporosis, inner ear ischemia and other reasons, otoliths fall off and flow in the inner ear with the change of head gravity, which stimulates the abnormal excitement of the inner ear and leads to dizziness. Therefore, it is necessary to restore the lost otolith to its normal position through reduction treatment.
How to prevent dizziness? Yu Xiaojun suggested actively participating in sports and exercising, and doing brisk walking, jogging, square dancing or playing Tai Chi and table tennis step by step every day.
The diet should be nutritious, fresh and light, eat regularly, eat more low-salt and low-fat foods, try to avoid foods that can induce diseases such as cola, strong tea, coffee and pickled foods, and pay attention to quitting smoking and drinking less; Ensure adequate sleep, maintain a comfortable mood and emotional stability.
Patients with severe balance impairment should pay special attention to the details of life, such as comfortable shoes for feet and trying not to wear slippers; Turn on the light when getting up at night, and use auxiliary devices such as walkers or crutches when walking; The residence should be properly modified to increase safety, such as reducing obstacles in the room, placing anti-skid mats, and installing handrails.
Changsha Evening News All-Media Reporter Ryan Yang Correspondent Huang Pei Yang Ling
