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Jingdong book

常见病彻底图解:眩晕、耳鸣

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常见病彻底图解:眩晕、耳鸣

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《常见病彻底图解:眩晕、耳鸣》图文并茂,将复杂的医学专业知识用生动活泼的语言解说出来,简单易懂,是普通大众认识眩晕、耳鸣真相并寻求治疗途径的好帮手!

Content Description

《常见病彻底图解:眩晕、耳鸣》是一本以普通大众为主要阅读对象的医学科普图书。本书针对医院或相关机构就眩晕、耳鸣的病因所进行的检查,运用丰富的图解,并配以简单易懂的解说,介绍有关眩晕、耳鸣的知识。另外,《常见病彻底图解:眩晕、耳鸣》也就患者自身及日常生活中的注意事项给予了详细的建议。

Author Description

水野正浩,均为日本埼玉医科大学教授级专家,专门从事耳鼻喉科临床工作,具有丰富的临床经验和专业造诣。


张中华,为河南中医学院外语学院日语专业老师。

Catalogue

第1章 身体发出的信号——眩晕、耳鸣
健康人也会眩晕、耳鸣吗?
因眩晕、耳鸣而苦恼的人不断增多
眩晕的原因多来自耳部
脑部障碍引起的眩晕、耳鸣需马上治疗,刻不容缓
全身性疾病也会引起眩晕、耳鸣
身体无任何异常情况下的眩晕、耳鸣
下列症状不容忽视
突然眩晕、耳鸣,自认为无大碍,却被诊断为梅尼埃病的A女士
对耳鸣、听力下降放任不管会发展为梅尼埃病
耳朵突然出现蝉鸣声,继而突发耳聋
突发性耳聋早期治疗有望恢复听力
感冒后遭遇天旋地转般的眩晕
前庭神经炎会导致平衡失调,并持续数月
突发强烈的眩晕、呕吐,严重时伴有强烈头痛
“小脑出血”性眩晕可能危及生命
眩晕检测的五大要素
什么时候发生?
是旋转性眩晕,还是浮动性或摆动性眩晕?
是否伴随耳鸣、听力下降?
是否有手足麻痹、行走障碍、意识混乱等神经症状?
是否有恶心、呕吐等自主神经症状?
耳鸣检测的三大要素
你的耳鸣别人也能听到吗?
是否有眩晕和听力下降症状?
是突然发作还是逐渐发生?从何时开始变得严重?
盲目的自我诊断非常危险!到医院检查最关键!
不少人在犹豫是否就诊……
当不适症状影响到日常生活时,一定要找医生就诊
治疗眩晕、耳鸣的科室不局限,困惑时请先到耳鼻喉科
第2章 眩晕的真相及治疗方法
引起眩晕的结构
眼、耳、手、足、脑协作,确保身体平衡
主管平衡系统的内耳的构造
内耳功能:敏锐捕捉头部的活动和倾斜度
眩晕是维持平衡系统的障碍
眩晕时需进行下列检查
接受问诊时应该注意哪些?
测试眼球运动的检查
测试平衡功能的检查
其他类型的检查
引起眩晕的耳部疾病及其治疗方法
梅尼埃病的原因为内淋巴水肿
梅尼埃病最基本的治疗方法是药物疗法
梅尼埃病可通过手术改善痛苦症状
治疗良性发作性位置性眩晕症——理疗最有效
突发性耳聋——必须在发病后1~2周治疗
外淋巴瘘——药物治疗效果不明显时需通过手术修复破损膜
前庭神经炎——持续性轻度眩晕可进行有效的平衡功能训练
引起眩晕的其他耳部疾病
耳部无异常时到神经外科或神经内科就诊
脑梗死——小脑、脑干梗死引起强烈的眩晕发作
脑出血——强烈头痛伴随眩晕时需特别注意
椎基底动脉供血不足——由动脉硬化引起
听神经瘤——随着肿瘤增大会出现眩晕、走路不稳等症状
脑瘤——不管是良性还是恶性都需要尽早治疗
耳部、脑部无异常时到内科或心理科就诊
急速血压变化诱发眩晕
突然起立时引起眩晕
心律不齐、糖尿病等慢性病容易引起眩晕
更年期综合征引起的眩晕到妇科检查
自主神经失调症引起的眩晕并非无药可治
第3章 耳鸣这样治
引起眩晕的结构
声音通过空气的振动传播
通过内耳的耳蜗将空气的振动转换为神经电信号
他觉性耳鸣和主觉性耳鸣
引起耳鸣的内耳是坏掉的“手风琴”
耳鸣和听力下降成对出现的情况较多
引起耳鸣的疾病
引起耳鸣的各种疾病
耳鸣一半以上原因不明
能治愈的耳鸣和不能治愈的耳鸣
不能根据耳鸣的强弱和耳鸣音的种类判断疾病的程度
耳鸣时做下列检查
要说清楚耳鸣很难
检测耳朵功能的检查
检测听力减退的纯音听力测试
客观地检查耳鸣
耳鸣的治疗原则一:针对病因治疗疾病
耳垢栓塞——去除耳垢,改善症状
外耳道炎——以抗生素类药物治疗为主
耳道狭窄症——用通气疗法打开耳道
渗出性中耳炎——早期治疗能防止波及内耳
音响性外伤——数量极少的感音性耳聋,通过早期治疗,病情可以得到改善
治疗耳鸣的原则二:进行抑制耳鸣的治疗
治疗的目的是减轻耳鸣症状
抑制耳鸣的药物疗法
听背景音抑制耳鸣的掩蔽疗法
消除耳鸣的最新治疗方法——TRT
推动自主神经系统工作的星状神经节阻滞
揭秘潜在心理原因的心理疗法
自我平衡身心紧张的生物回馈疗法
增强自我抗压能力的自我催眠法
第4章 预防眩晕、耳鸣的生活技巧
注意调整生活节奏
一天24小时的生活节奏就是身体的节奏
打乱生活节奏的是睡觉和吃饭的节奏
恢复睡眠节奏的秘诀
巧妙地解除压力
越是忙碌的时候越需要睡眠
适当运动可增强身体的抗压能力
寻找乐趣,放松心情
泡澡可以放松身心
禁止通过抽烟或喝酒解除压力
减轻眩晕、耳鸣的饮食疗法
补充维生素B12
减轻压力的营养元素
尽可能控制咖啡因和辛辣调味料
如何与眩晕、耳鸣和平共处
眩晕发作时不必惊慌
从不在乎到不必担心
《眩晕、耳鸣》中的难解病名及医学用语解说

Book Abstract

注意调整生活节奏
一天24小时的生活节奏就是身体的节奏
眩晕、耳鸣恶化的原因也会隐藏在日常生活中。本章主要介绍日常生活中容易发现的问题及其解决技巧。首先,我们从最基本的生活节奏问题开始介绍。
我们的生活由睡觉、吃饭、劳动、休养、运动五大要素构成。要调整生活节奏,最重要的是要把握好这五大要素之间的平衡。其中睡觉和吃饭是维持生命不可或缺的重要因素。一旦打乱睡觉和吃饭的节奏,生活的节奏也会一塌糊涂,从而引起身体节奏出现紊乱。
我们一天要吃三顿饭、保持6~8小时的睡眠时间,并且有规律,早上起床、晚上睡觉,每天重复着这样的24小时的生活节奏。这种24小时的生活节奏是自主神经活动的节奏,也就是身体的节奏。
自主神经包括交感神经和副交感神经,其中交感神经促进身体的各项功能的运动,而副交感神经则起到抑制作用。白天交感神经辛勤工作,使身体处于积极的运动状态;晚上则由副交感神经替换交感神经进行工作,使身心得以休息。
打乱生活节奏的是睡觉和吃饭的节奏
生活节奏正常,是因为身体配合并顺应了24小时的节奏。早上按时醒,到一日三餐的饭点就会有饥饿感,晚上不管多晚都要保持睡眠。
半夜两三点仍然不睡觉的人,第二天当然不能按时起床。而不吃早饭的话,整个上午头脑都会昏昏沉沉,无法工作。午饭和晚饭合二为一的人,会打乱胃肠的蠕动节奏,导致次日的早饭也没有胃口。可以说,生活不规律的人会陷入各种恶性循环。
现在常有些人借口“我是夜猫子型”“我不吃早饭觉得更舒服”等,企图将不规则的生活方式正当化,而且这种人的队伍大有不断壮大的趋势。如果你打乱了身体本身的节奏,那么,早晚有一天这笔账要算回来,只不过不知道会表现在哪个部位。例如,也许会出现眩晕、耳鸣这样的症状。
为了调整生活的节奏,首先要调整睡眠和饮食的节奏。早饭自不必多言,一日三餐要尽可能在固定的时间用餐。晚上不管多晚都要在当天就寝,早上一定要按时起床。
……

Introduction

正确对待眩晕、耳鸣
最近,因眩晕、耳鸣来医院就诊的患者逐渐增多,其中不乏因怀疑医生不告知病情而频频转院者。大概每个人都想知道确切的病因、并针对不适症状进行彻底治疗。
不过也有人轻率地认为虽然有明显症状,但也许哪一天它自己就会好起来的。还有不少人认为是多年的慢性顽症,无法根治而放弃治疗。
一般认为,眩晕、耳鸣的原因存在于很多方面。内耳是其主要原因,脑病或全身病状也会引起眩晕、耳鸣。如果不尽早治疗的话病情会恶化,难以控制和改善;如果放弃治疗的话甚至会危及生命。
因此,作为医生,我们在治疗眩晕、耳鸣时尤其重视症状深处是否隐藏着危险的病情,但这不能仅依靠病情的程度加以判断。人们通常会认为出现天旋地转这样强烈的眩晕是不得了的大病,会惴惴不安。但是眩晕、耳鸣并不是说病症强烈才会引起重大疾病。相反,大多数脑梗塞这样危险的疾病,则表现为蹒跚摇晃等轻微眩晕。
当然,在仅因眩晕、耳鸣来医院就诊的患者中查出关乎性命的病情的少之又少,但也有因怀疑是重大疾病,惶恐不安,使病情恶化的病例。为了不漏过大病、使自己安心,在此建议患者至少去医院进行一次详细的检查。
重要的是首先要区分你的眩晕、耳鸣是否有危险。原因明确的需要严格治疗;原因不明确的,也有减缓症状的治疗方法和应对措施。
本书针对医院或相关机构就眩晕、耳鸣的病因所进行的检查、治疗,运用丰富的图解,配有简单易懂的解说。另外,心理因素和生活方式也会对眩晕、耳鸣产生重大影响。本书在此就患者自身及日常生活中的注意事项给予了详细的建议,正确认识眩晕、耳鸣,处理恰当,就能够消除不适症。如果本书能让您有所参考,将是笔者的荣幸。
埼玉医科大学神经耳科教授
水野正浩

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