Hearing problems the best clinic sanatorium. Hearing loss treatment. Causes of sensorineural hearing loss
New technologies for the treatment of hearing pathology on the basis of the department
"Surdocenter" CJSC sanatorium "Druzhba - Gelendzhik - Kurortservis".
Conventional medicine classifies sensorineural hearing loss as an incurable disease that condemns people to progressive hearing loss and eventually deafness. Department "Surdocenter" of the sanatorium "Druzhba" is specialized for the diagnosis and treatment of diseases of the ENT organs and the organ of hearing. Qualified audiologists monitor domestic and foreign experience in the treatment of this pathology, study it, and implement it into the practice of treatment at the Gelendzhik resort. Thus, in 2000, a unique treatment method was introduced, developed at the Laboratory for the Restoration of Functions of Sensory Systems of the Institute of the Human Brain of the Russian Academy of Sciences. In patients, not only the progression of diseases stops, but, in the vast majority of cases, an improvement is observed. The beginning was laid 30 years ago, when the Russian academician Natalya Petrovna Bekhtereva began using the implantation of electrodes into the deep structures of the brain for their electrical stimulation in order to activate damaged areas in such serious diseases as epilepsy and parkinsonism. At some stage, during open brain surgery, this method was also used to treat patients with damage to the auditory nerve. The positive effect was encouraging, but open-brain operations are lengthy, labor-intensive and not always indicated for the patient. Scientific research has simplified and brought closer to real life the method of influencing the brain as a means of restoring hearing. A non-traumatic method of transcutaneous behind-the-ear electrical stimulation of affected auditory nerves has been proposed. Its advantages are atraumaticity - refusal of osteoplastic surgery, ease of use and high efficiency. By studying the patterns of brain recovery processes, scientists have developed optimal modes of electrical stimulation, as close as possible to the natural processes of information transmission in the auditory nerves and brain structures. This allows you to adequately act on nerve cells (neurons) that have not died, but have lost their function under the influence of the disease. In addition to targeting the neutron chain, electrical stimulation improves metabolism and increases blood flow. Experience has shown that good results (in 60 - 80% depending on the neglect of the disease, its origin) are achieved in patients suffering from degeneration of the auditory nerve of various origins.
The method is effective for sensorineural hearing loss caused by:
Pathology of pregnancy and childbirth, leading to hypoxia or brain injury of the child (toxicoses, threatened miscarriage, illness of the mother during pregnancy, birth trauma), diseases of the early postpartum period,
Neuroinfections (meningitis, meningoencephalitis, influenza) and other infectious diseases, the use of ototoxic antibiotics (streptomycin, gentamicin, monomycin, kanamycin) and other drugs in the treatment of various diseases (narcotic substances, trichopol),
craniocerebral or barotrauma,
Vascular diseases of the brain (hypertension, cerebral atherosclerosis, vertebrobasilar insufficiency),
hereditary factors,
Occupational hazards (exposure to noise, vibration, etc.).
The treatment is carried out using the unique apparatus "Chakra-2", developed by the Scientific and Production Enterprise "Chakra" (Taganrog), under strict neurophysiological control (EEG, REG, clinical audiological examination before, during, and after treatment). Modes of exposure are selected individually for each patient. Treatment is carried out in courses of 10-15 procedures daily 2 times a year.
Sore throat, cough? Everyone knows what to do - drink tea with raspberries, etc. Unfortunately, self-medication, even with a common cold, is not at all harmless. There is always a danger behind a runny nose not to see sinusitis. Or bring the usual acute respiratory disease to a sore throat, and, if this happens often, to rheumatism. You can simply not know that behind a hoarse voice it may not be a cold at all, but a serious pathology of the vocal cords. It is dangerous to think that everyone is able to solve health problems on their own, especially when it comes to the pathology of vital systems, which undoubtedly include ENT organs. It is difficult to overestimate the importance of ENT organs for the life support of the human body. The nose warms and purifies the inhaled air, and also gives the opportunity to smell life. The throat is a conductor of air and food, a place for the formation of a voice and a guardian of an important part of the immune system (tonsils).
The ear allows us to hear the world around us, which is invaluable in itself, and the vestibular apparatus, hidden in the depths of the inner ear, ensures the correct position of the body in space and the feeling of this very position.
Are you ready to lose any of these features? Of course not. Therefore, entrust the diagnosis and treatment of ENT diseases to professionals - otorhinolaryngologists. Otorhinolaryngology (ENT) is the science and practice of diseases of the ear, nose, pharynx and larynx. The pharynx, nose, larynx and ear are anatomically located, as if in the border regions of our body with the outside world and are very closely connected with the ecological environment.
Diseases of the ear, throat, nose (ENT diseases)
Adenoids, angina, angritis (otoangritis), atresia and synechia of the nasal cavity, aerosinusitis, nasal septal hematoma, hypertrophy of the palatine tonsils, laryngeal diaphragm, eustachitis, pharyngeal abscess, foreign bodies, deviated nasal septum, epistaxis, labyrinthitis, laginospasm, mastoiditis, Meniere disease, mucocele of the frontal sinus, runny nose, vachomotor neuritis, allergic, cochlear neuritis, ozena, laryngeal edema, hematoma, otitis media, paresis and paralysis of the larynx, nasal polyps, sulfur plug, otogenic sepsis, sinusitis, scleroma, laryngeal stenosis, tonsillitis, trauma, pharyngitis, pharyngomycosis, nasopharyngeal fibroma.
Symptoms of ENT diseases
Pain or discomfort in the throat, cough, loss of voice. Nasal congestion and decreased sense of smell, runny nose, nosebleeds. Ear pain, hearing loss, ear discharge. Pain in the face, headache, fever. Enlarged submandibular or parotid lymph nodes.
Spa treatment of diseases of the ear, throat, nose
In the treatment of ENT diseasesThe sanatoriums mainly use modern therapeutic methods: drug treatment, physiotherapy, laser treatment and other types of therapy. By the middle of the 19th century, the first scientific works confirming the effectiveness of the spa treatment of ENT diseases belong. Chronic catarrhs of the larynx were recommended to be treated with alkaline-salt waters of Bad Ems, and with more pronounced changes in the larynx - more "strong" sources of Bad Soden in Germany, Mont-Dore in France in the form of drinking, rinsing inhalations. In 1911, in the clinic for diseases of the ear, throat, nose in Essentuki, the first inhaler was opened in the Caucasian Mineral Waters, where treatment was carried out with ozonated air with hydrochloric-alkaline waters of sources No. 4 and 17 - carbonic bicarbonate-chloride sodium. However, sulfur sources were considered the most effective, especially for laryngitis in vocalists, since, according to researchers, their action stimulates the vocal apparatus and increases the contractility of the vocal cords. Today, inhalations with sulfur-containing waters, saline-alkaline waters are the visiting card of the resorts of Italy and the Caucasian Mineral Waters.
Recommended sanatorium-and-spa treatment in health resorts, the medical profile of which: ltreatment of diseases of the ear, throat, nose: health resort "Lake Shira""(Khakassia), included in the "List of unique resorts in Russia", the sanatorium "Tavria" (Evpatoria), the sanatoriums of Pyatigorsk, the rehabilitation center "Vernigora" (Truskovets, Ukraine); WithAnatoriums "Dawn" (Omsk Region), "Rus", "Rodnik" (Irkutsk Region), "Rush" (Sverdlovsk Region), "Fleece" (Stavropol Territory), "Salampi" (Chuvashia), "Solambalsky Central Clinical Hospital" (Arkhangelsk region) and many other sanatoriums in Russia.
The owners of the patent RU 2517048:
The invention relates to medicine, namely, restorative physiotherapy and otolaryngology, and can be used for the complex treatment of patients with acute and chronic sensorineural hearing loss.
Known methods for the treatment of hearing loss, including physical methods, namely potassium galvanic collar, mud applications [Handbook of physiotherapy. Ed. A.N.Obrosova. M.: 1976, p. 138; Hearing loss. Ed. N.A. Preobrazhensky. M.: 1978, p. 408]. However, these methods are not efficient and time consuming.
A known method for the treatment of sensorineural hearing loss [RF patent No. 2082376, IPC A61H 23/00, publ. 06/27/1997], including physical impact of manual therapy techniques aimed at restoring displaced vertebrae at the level of C 2 to C 5 .
The disadvantage of this method is the impossibility of complete restoration of hearing. In addition, the use of manual therapy may be contraindicated in some patients with diseases of the cervical spine.
Closest to the proposed is a method for the treatment of sensorineural hearing loss [RF patent No. 2181276, IPC A61H 7/00, publ. 04/20/2002] physical impact through massage, which includes the impact of intermittent pressure on the area around each auricle on pain points for 4-6 minutes, followed by massage with kneading techniques, in which, in the supine position, sequentially affect face, arms, legs, then in the prone position on the stomach - on the arms, back, legs. Treatment is carried out in courses of 12 procedures with a break between courses of 14 days.
This method is also not efficient and time consuming.
The technical result of the invention is to increase the efficiency and reduce the time of treatment of sensorineural hearing loss due to a complex and more intense effect on the nerve endings and reflexogenic zones through which there is a connection with the auditory center in the cerebral cortex.
This result is achieved by a method for the treatment of sensorineural hearing loss, including physical exposure to massage, in which, unlike the prototype, a classic therapeutic massage is performed in the region of the collar zone, scalp, around the auricles, after which auriculotherapy is performed with an ebonite stick by acting on the biologically active points of the auricles, responsible for the hearing organs, 1-2 minutes for each point, and finish the procedure with gymnastics for the auricles, during which they perform simultaneous movements up-down-forward-back 4-6 times, clasping the back surfaces of the auricles with their thumbs , and with the index and middle fingers - the front surfaces, and the treatment is carried out in courses of 10-15 procedures daily with the number of courses ≥2 and a break between courses of 12-30 days.
According to the invention, after several classical therapeutic massage procedures, 3-5 can massage procedures are performed on the area of the collar zone.
According to the invention, after several classical therapeutic massage procedures, 3-5 honey massage procedures are performed on the area of the collar zone.
An increase in the effectiveness of treatment according to the proposed method is achieved as a result of a complex effect on the nerve endings and reflexogenic zones of the auricles and other parts of the body, through which the auditory center in the cerebral cortex is affected. It is known that the pathogenesis of sensorineural hearing loss is a violation of certain parts of the central nervous system associated with the auditory center in the cerebral cortex, as well as circulatory disorders. The proposed invention leads to an improvement in cerebral hemodynamics, restores the natural pathways of sound conduction in such an important area as the auricles and adjacent muscles, that is, the circulatory areas that provide auditory function. Carrying out therapeutic massage in combination with auriculotherapy and subsequent gymnastics for the auricles ensures the effectiveness of treatment due to the complex and intense effect on the nerve endings and reflexogenic zones, on the neuroreceptor apparatus of the cochlea of the inner ear.
The proposed invention in the specified set of essential features allows you to get a new non-obvious effect and is realizable in medical practice.
The method is carried out as follows.
Each medical procedure begins with a classic therapeutic massage in the area of the collar zone, scalp, around the auricles, while using all the techniques of classical massage: stroking, rubbing, kneading, vibration. Massage is carried out for 10-15 minutes. Massage provides blood flow and activation of hemodynamics. Through the nerve endings located in these areas, the impact is transmitted to the auditory center in the cerebral cortex. Exposure in these areas promotes the innervation of the auricle and has a positive effect on the auditory function, as well as restores the conductivity of the affected areas of the central nervous system, which improves the regulation of the auditory centers.
According to the invention, after several classical therapeutic massage procedures, cupping massage can be carried out in the region of the collar zone. Cupping massage is based on a reflex mechanism based on stimulation of receptors by the vacuum created in the cup. For this procedure, massage medical cans BV-01-"AP" are used. After creating a vacuum in the jar and sticking it to the body, sliding movements of the “adhered” jar are performed in various directions of the massaged area, with an emphasis on the paravertebral zones. The duration of the procedure is 5-7 minutes. Cupping massage accelerates blood-lymph circulation in tissues, improves blood supply to the brain, which has a beneficial effect on the treatment of hearing loss.
In addition, according to the invention, after several procedures of classical therapeutic massage, honey massage of the collar zone can be performed. The duration of the procedure is 5-7 minutes. Natural honey, due to its healing properties, has a beneficial effect on blood vessels, improves blood microcirculation, stabilizes metabolism, which contributes to the treatment of hearing loss.
At the next stage, auriculotherapy is carried out, affecting the biologically active points of each auricle with the help of an ebonite stick. For treatment, an ebonite stick 15 cm long and 1-1.5 mm in diameter at one end (diagnostic end) and 2-2.5 mm at the other end (therapeutic end) is used. Ebonite as a dielectric accumulates and retains an electric charge when interacting with the skin surface. When an ebonite stick is rubbed against the skin, the following effects occur: 1) the temperature of the skin surface increases; 2) the electric charge accumulates both on the skin and on the surface of the ebonite stick, the rapid discharge of electricity near the skin ionizes the surrounding air, and the ionized particles have high energy, which is transferred to the human body after they collide with the skin, as a result, thermal energy is transferred to soft tissues ; 3) The presence of an electric charge on the surface of the skin leads to a weak electromagnetic field, and an induction phenomenon takes place, as a result, even the internal organs experience a beneficial increase in temperature. The combination of these effects leads to increased blood and lymph circulation. In addition, thermal energy arises due to the presence of a magnetic flux in the blood and lymph, which provides an additional effect from the impact on the biologically active points of the auricle with an ebonite stick.
Since the active points of the auricle are detected only in the presence of a pathological process in the body, they serve not only for therapeutic effects, but also for diagnosing the disease.
As you know, on the auricle there is a set of points that are projections of all internal organs, including the organs of hearing. In accordance with the international classification, the surface of the auricle is divided into 18 zones, in which 110 biologically active points are located. In addition, another 60 points on the auricle were identified, 18 of which are located on the anterior surface of the auricle, and the rest on the back surface.
When conducting auriculotherapy, the auricles are first palpated to detect changes in sensitivity in the projection zones of individual human organs, and the most painful point in the projection zone of the corresponding organ is found with the diagnostic end of the ebonite stick according to the patient's reaction. Then, with the wide (healing) end of the ebonite stick, a therapeutic effect is applied to the identified points of the auricles: AP95 (SHEN) - kidney, AP29 (ZHEN) - nape, AP9 (NEI-ER) - inner ear, AP20 (WAI-ER) - outer ear . The duration of exposure is 1-2 minutes for each point. The method of influence is tonic.
Each treatment procedure ends with gymnastics for the auricles, which is carried out as follows. At the same time, the back surfaces are clasped with the thumbs, and the index and middle fingers are placed on the front surfaces of the auricles and move up-down-forward-backward 4-6 times.
Thus, in the course of each treatment procedure, a complex effect is provided, which makes it possible to increase the effectiveness of treatment and fully restore hearing.
Treatment is carried out in courses of 10-15 procedures with the number of courses ≥2 and a break between courses of 12-30 days, depending on the form of the disease: acute or chronic.
Specific examples of the implementation of the method.
Example 1. Patient A., born in 1978, diagnosis: acute neurosensory hearing loss. Complaints about ringing in the ears, hearing loss, poor health, sleep disturbance. Conducted audiometry and palpation examination, which confirmed the diagnosis. The patient underwent 2 courses of treatment according to the proposed method for 15 procedures, with a break between courses of 14 days. The treatment was carried out as follows: in the patient's sitting position, a classical therapeutic massage was applied to the collar zone of the scalp, as well as to the area around the auricles. Applied techniques of stroking, rubbing, kneading, vibration. When exposed to the area around the auricles, rubbing techniques were preferably used to ensure an intense blood flow to the massaged area. Then, auriculotherapy was performed with the impact of an ebonite stick on the points: AP95, AP29, AP9, AP20 for 2 minutes per point. The procedure ended with gymnastics for the auricles: up-down-forward-backward movements 4-6 times. The duration of the procedure is 20-25 minutes. After the first course, audiometry was performed, which showed a significant improvement in hearing. The second course allowed him to fully restore his hearing.
Example 2. Patient M., born in 1958, diagnosis: left-sided sensorineural hearing loss, hypertension, complaints of congestion and noise in the left ear, hearing loss. On the audiogram, hearing loss in the left ear according to the sensorineural type 1 degree. After drug therapy, the patient was offered treatment according to the claimed method. At the beginning of each treatment procedure, a therapeutic massage was performed in the region of the collar zone, head, and around the auricles for 10 minutes. Then, auriculotherapy was performed on the active points of the auricles: AP95, AP29, AP9, AP20, each point was treated with an ebonite stick for 2 minutes. Method of influence - tonic. The procedure ended with gymnastics for the auricles: up-down-forward-backward movements 4 times. The total duration of the procedure is 20 minutes. On the 3rd day, cupping massage was connected to the classic massage, which was carried out for 5-7 minutes using dry medical vacuum cups in the amount of 2 pieces. Emphasis was placed on the paravertebral zones. Cupping massage was done 3 times daily during the treatment procedure.
After 2 courses of treatment, 15 procedures each, with a break between courses of 14 days, congestion and noise in the ear disappeared, hearing returned to normal.
Example 3. Patient D., born in 1960, diagnosis: sensorineural hearing loss, concomitant disease: osteochondrosis of the cervical spine, complaints of tinnitus, hearing loss, dizziness. After drug therapy, treatment according to the proposed method was prescribed.
The starting position of the patient is sitting. At the beginning of each treatment procedure, a classic therapeutic massage of the collar zone, scalp, and around the ears was performed. Then, auriculotherapy was performed on the active points of the auricles: AP95, AP29, AP9, AP20 with an ebonite stick for 2 minutes on each point. At the end of the procedure, they did gymnastics of the auricles. The total duration of the procedure is 25 minutes. After reducing dizziness on the 3rd day, they connected honey massage in the area of the collar zone. Natural honey in a small amount is evenly applied to the massaged area and the palms of the hands are tightly applied to the body so that the palms stick, after which the hands are abruptly torn off from the body at a distance of 5-10 cm. The movement is repeated for 5-7 minutes. Then wipe the massaged area with a towel soaked in hot water, and then with a dry towel. Honey massage was done 5 times daily during the treatment procedure.
In total, 3 courses of treatment were carried out, 12 procedures each, with a break between courses of 14 days. After the treatment, the tinnitus stopped, dizziness disappeared, audiometry showed a complete restoration of hearing.
Thus, the proposed method for the complex treatment of hearing loss makes it possible to increase the effectiveness of treatment, obtain a stable result, and reduce the treatment time.
1. A method for the treatment of sensorineural hearing loss, including physical exposure to massage, characterized in that a classic therapeutic massage is performed in the region of the collar zone, scalp, around the auricles, after which auriculotherapy is performed with an ebonite stick by acting on the biologically active points of the auricles responsible for the organs hearing, 1-2 minutes for each point, and finish the procedure with gymnastics for the auricles, during which they perform their simultaneous movements up-down-forward-backward 4-6 times, clasping the back surfaces of the auricles with their thumbs, and with their index fingers and middle fingers - front surfaces, and the treatment is carried out in courses of 10-15 procedures daily with the number of courses ≥2 and a break between courses of 12-30 days.
2. The method according to claim 1, characterized in that after several classical therapeutic massage procedures, 3-5 can massage procedures are performed on the area of the collar zone.
3. The method according to claim 1, characterized in that after several procedures of classical therapeutic massage, 3-5 procedures of honey massage are performed on the area of the collar zone.
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