MENIERE'S DISEASE
Introduce Of Meniere's Disease
The disorder takes its name from a french doctor PROSPER MENIER , who suggest in the 1860 .
Meniere's disease is the disorder of inner ear that can effect auditory system & vestibular system .
the auditory system concerned with perception of sound and the vestibular system concerned with the maintenance of equilibrium.
In meniere's disease the endolymph build up in the labrinth which holds structures that help with hearing & balance . the extra fluid build interferes with the signals your brain causing hearing problems & other symptoms
CAUSES OF MENIERE'S DISEASE:-
The exact causes of MENIERE'S disease is unknown but some risk factors included.......
▪️Defective absorption of endolymphatic sac. ▪️ allergic reaction
▪️ respiratory infections
▪️ stress
▪️ smoking
▪️ alcohol use
▪️ genetic factors
▪️ autoimmune causes
▪️ hypothyroidism
▪️ head injury
▪️ harmonal imbalance (estrogen level elevated )
PATHOPHYSIOLOGY OF MENIERE'S DISEASE
Due to etiological factors
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Over production of endolymph
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Excessive fluid accumulation in inner Ear
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Pressure increase
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Rupture of membranes
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Parmanent loss of auditory & vestibular system
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Meniere's disease
Sign /Symptoms of MENIERE'S disease
Vertigo
Tinnitus
Nausea & vomiting
Anxiety
Blurry vision
Rapid pulse
Cold sweat
Hearing loss
Disturbance of balance
Fullness in the ear
Diagnostic evaluation of MENIERE'S disease
History collection & physical examination
Audiometric examination
Electrocochleography ( to measure fluid pressure in the ear )
CT scan & MRI. Y
Audiometry test
Management of MENIERE'S DISEASE
▪️The goal of treatment is to reduce the pressure in the ear & relive symptoms.
Medical management
Anti vertigo
Antiemetic
Corticosteroid
Diuretics
Anti - histamine
Surgical management
▪️ Endolymphatic sac decompression :- this operation is performed by making an incision behind the ear & exposing the mastoid bone.
The mastoid bone is open then the sac is open then the sac is open & a valve inserted in to the sac & allowed for the future drainage.
▪️ vestibular neurectomy :- cut the vestibular. Nerve .
Nursing diagnosis of MENIERE'S disease
✴️ risk of injury related to sudden attack of vertigo.
✴️ fluid volume deficient related to vomiting and impaired intake .
✴️anxiety related to sudden onset of symptoms.
✴️self care deficient related to vertigo .
Nursing intervention of MENIERE'S disease
▪️Assess for vertigo including history , onset off attacks , duration ,frequency , and associated any ear symptoms.
▪️assess daily living activity .
▪️instruct pt. For vestibular and balance therapy as prescribe.
▪️ educate pt. About administration of medications .
▪️ place pillow on each side of the head to restrict movement .
▪️ assess pt. Intake output.
▪️ moniter lab values of electrolytes
▪️ assess ingredient dehydration including BP , pulse , level of consciousness.
▪️ encourage pt. For oral fluid.
▪️ educated pt. About stress management techniques.
▪️provide comfort measures and avoid stress
Producing activites.
▪️ encourage pt. To perform self care.
▪️ review the diet chart with pt. Or care giver.
I hope you like this article on meniere's disease and is understand please watch the video on meniere's disease for better understand of this topic.
Thank you .
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