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营养与梅尼埃病的关系。

The relationship between nutrition and Ménière's disease.

机构信息

Department of Nutrition and Dietetics, Institute of Health Sciences, Marmara University, Istanbul, Turkey.

Department of Audiology, Faculty of Health Sciences, Marmara University, Istanbul, Turkey.

出版信息

Auris Nasus Larynx. 2021 Oct;48(5):803-808. doi: 10.1016/j.anl.2021.03.006. Epub 2021 Mar 26.

Abstract

Ménière's disease is an inner ear disease with attacks characterized by ear fullness, tinnitus, fluctuant sensorineural hearing loss and vertigo. Although pathophysiology of the disease is not fully known, endolymphatic hydrops are believed to play a role. Although there is no certain treatment procedure for Ménière's disease, some treatments are applied to prevent attacks, to treat the symptoms that occur during the attacks, and to prevent the permanent effects of the symptoms on the hearing and balance system. Lifestyle changes, dietary modifications, diuretics, vasodilator corticosteroids, intratympanic steroids, surgical methods are some of these treatment methods. Dietary modification includes a low sodium diet, a reduction in daily alcohol and caffeine intake, a gluten-free diet, and a new dietary approach to specially processed grains, all of which are first-line treatments. The goal of this review article is to examine the relationship between MD and dietary intervention, which is frequently used in the prevention and treatment of MD attacks.

摘要

梅尼埃病是一种内耳疾病,其发作特征为耳闷、耳鸣、波动性感音神经性听力损失和眩晕。尽管该疾病的病理生理学尚未完全明确,但内淋巴积水被认为发挥了一定作用。尽管目前尚无针对梅尼埃病的确切治疗程序,但可采用一些治疗方法来预防发作,治疗发作期间出现的症状,并预防症状对听力和平衡系统的永久性影响。生活方式的改变、饮食调整、利尿剂、血管扩张皮质类固醇、鼓室内皮质类固醇、手术方法等都是这些治疗方法中的一部分。饮食调整包括低盐饮食、减少每日酒精和咖啡因的摄入、无麸质饮食以及一种新的特殊加工谷物饮食方法,这些都是一线治疗方法。本文综述的目的在于研究梅尼埃病与饮食干预之间的关系,饮食干预常用于梅尼埃病发作的预防和治疗。

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