What is sensorineural hearing loss, the code of the disease according to μb 10

Sensorineural hearing loss is a pathological process that is accompanied by a decrease in hearing. This is due to damage to the organs of the inner ear or the center of the brain, which is responsible for hearing perception. The disease today is common, it can occur in different forms, depending on what the doctor prescribes treatment.

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Vessels and heart diseases, thrombosis, arteriosclerosis of vessels can affect the development of sensorineural hearing loss. In addition, pathology can occur in people who are often nervous and expose the body to stressful situations. Hearing loss can be the result of a traumatic brain injury, in which there is a sharp rise in pressure in the inner ear.

As for the symptoms, the sensorineural hearing loss can be determined by such signs:

• occurrence of tinnitus;
• hearing loss;
• dizziness;
• disorder of the vestibular apparatus.

According to the ICD-10 pathological process has the code H90 "Sensorineural hearing loss".

On the video - diagnosis and treatment of sensorineural hearing loss:

Types of

Given the structure of the auditory analyzer, the following types of hearing loss are distinguished:

1. Conductive .It is formed as a result of the presence of obstacles in the path along which the sound wave moves. In the role of an obstacle can act sulfuric cork, tumors, damage to the auditory ossicles, tympanic membrane.
   

   On the photo-conductive sensorineural hearing loss

2. Sensorine .For is not characteristic presence of a strong pain at perception of a sound wave. There is a pathology in the presence of autoimmune diseases, ailments of the auditory nerve, Meniere's disease. There are situations when sensorineural hearing loss is formed at the enterprise due to severe noise.
3. Mixed .The development of this form is associated with several reasons. In the treatment of patients installed sophisticated hearing aids.

In addition, sensorineural hearing loss can be classified according to the development time of the disturbed hearing:

1. Sudden .To get such a hearing loss, it will take several hours. Influence on the development of sudden hearing loss can tumors, measles and herpes viruses, medication and trauma. This kind of deafness in most cases is one-sided. Within a few days self-healing begins.
2. Acute .The development of this type of pathology occurs within 2-5 days. Accompanied by a smooth decrease in hearing.
3. Chronic .Hearing loss is observed in stages. This pathology can last for several months. The chronic form of hearing loss is characterized by a progressive and stable course.

Degrees

The deafness is a partial hearing loss. The disease can flow in several stages:

1. First degree. With this disease, a person is able to hear and distinguish the conversation at a distance of 4-6 m from himself.
2. Second degree. For this ailment a person can hear and understand the conversation at a distance of 1-4 m.
3. Third degree. A person is able to hear sounds and speech at a distance of 1 m from himself.

Methods for treating acute form

For acute forms of hearing loss, there is a pronounced clinical picture. The process of therapy involves the use of medication and physiotherapy.

Medications

When hearing loss is a result of a vascular disorder, the doctor prescribes medications that will improve hemodynamics both on the inner ear and in the vessels of the brain.

Effective are the following medicines:

• Nicotinic acid,
  

  On photonic nicotinic acid for the treatment of hearing loss

• Dibazol,
• No-spa,
• Papaverin.

Acute hearing loss develops against a background of acute poisoning.

Thus, it is necessary to use Mannitol, Magnesium sulfate. In this period, it is advisable to use sedatives - Elenium, Trioxazine. To improve the transmission of nerve impulses in the synapses, it is worthwhile to use stimulant medications - Prozerin and Galantamine.

Physiotherapy

Today for the treatment of acute hearing loss apply various physiotherapy procedures. Thanks to them, it is possible to alleviate the symptoms and improve the absorption of medications.

Effectively use the following manipulations:

• acupuncture,
• acupuncture,
• electropuncture,
• pulsed low-frequency magnetic field.

Although these procedures are effective, they can be used to reduce tinnitus.

Treatment of the chronic form

In most cases, the treatment of chronic hearing loss occurs by means of surgical methods. The most commonly used plastic tympanic membrane and prosthetics of auditory ossicles. After the operation, the hearing can be fully or partially restored.

In addition, therapy for chronic hearing loss depends on the cause that affected the development of pathology.

In this case, the doctor can prescribe:

• medications that improve blood circulation,
• physiotherapy,
• oxenobaroterapy,
  

  On photo-oxigenobaroterapy for the treatment of hearing loss

• for hearing care,
• cochlear implantation.

Some methods of folk therapy can be used in the treatment of chronic hearing loss:

1. Use of warm decoction from hops, with which you can eliminate tinnitus.
2. Eating ¼ of a lemon with a zest. It can be sweetened with honey. The remedy is used for hearing loss, which was caused by otitis media.
3. Drip 3 drops of almond oil. Do the procedure every other day. The duration of therapy is 30 days. This will improve hearing.
4. Grind the garlic and add 2 drops of ether to the slurry. Turn the mass into gauze and put it in your ear. If there is a slight burning sensation, then stop the procedure.

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Methods of treatment of different degrees

If the first degree of hearing loss has been diagnosed, then its treatment may include folk remedies, medications and physiotherapy. As a rule, therapy is complex. For the treatment of disease of the 2 nd degree you can use folk remedies and medicines.

But not always the treatment can give the desired result, because with the development of an average degree of hearing loss there is a partial necrosis of the ear cells.

But the people's treatment of hearing loss of the third degree can only be performed as an auxiliary therapy in order to maintain a normal level of blood supply to the hearing organs.

Physiotherapy

Physiotherapy procedures can not be a separate treatment. To effective methods of treatment include:

• acupuncture;
  

  On photo- acupuncture for ears

• acupuncture;
• magnetotherapy;
• phonoelectrophoresis.

It is advisable to apply these procedures when treating mild hearing loss in combination with medications. In some cases, physiotherapy is used to treat a second degree of disease. But for the treatment of the third degree of hearing loss, conservative therapy will not give the proper result.

Operation

If a third degree of pathology is observed, the doctor decides on the use of cochlear implantation. Its essence lies in prosthetics. It is thanks to the built-in device that you can achieve speech encoding. Installation of the implant is carried out from the outside into the temporal bone. In the cochlea there will be electrodes, through which the coded signal passes.

On video treatment of sensorineural hearing loss:

Medical treatment of

If hearing loss is 1 and 2 degrees, then it is quite possible to eliminate it with the help of complex therapy, which will include certain medications. Their role is to improve blood circulation in the inner ear and brain area.

Thus, the patient can be prescribed nootropic drugs - Cerebrolysin, Piracetam. Still need to take medications that improve the rheological characteristics of the blood - Pentoxifylline.

The doctor prescribes similar medications with intensive courses. The therapy lasts 2 weeks. As a rule, their dosage is increased, and they can be injected through injections - intravenously or intramuscularly.

Features of the treatment of children

In children, sensorineural hearing loss is most often treated by prosthetics. Such therapy is characteristic at 3 degrees of disease. Today, new hearing aids have been developed, which are based on innovative technologies. So small models are created that have in the external auditory canal.

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If the deafness is 1 and 2 degrees, then the treatment is conservative. In this case, the doctor prescribes drugs that will improve blood circulation, eliminate symptoms.

Physiotherapy is another way of treating childhood hearing loss. All physiotherapy measures are the same as those presented above. Folk remedies can be used in combination with medications to alleviate the condition of the child. In most cases, solutions for washing and folk compositions for tampons are used.

On video, chronic bilateral neurosensory hearing loss:

Sensorineural hearing loss is a serious disease that needs urgent treatment. If you start a pathological process, it will lead to the development of complications, including full hearing loss. Only correctly conducted diagnostics and timely therapy will allow to return hearing partially or completely.