Dr. Xiao also frowned, which is not very common.

"Auntie, when do you usually feel dizzy, in addition to going to bed, do you also feel dizzy at other times? What's the stun method? Guo Xiang asked.

Wang Chunhua thought for a while, "There are other times, but sitting here like this, or standing without dizziness." ”

"It's just ......," Wang Chunhua recalled, "it's when you go to bed, when you turn over, when you bow your head, when you bend over, you get dizzy." ”

"The dizziness is very short, maybe less than a minute. But it's also uncomfortable, and sometimes I want to throw ......up."

"Yes, sometimes I fall if I don't pay attention, but my mother is old, so she doesn't have to fall." Wang Chunhua's son said worriedly.

All three were lost in thought.

Guo Xiang thought about Wang Chunhua's words, getting into bed, turning over, bowing her head, and bending over, all of which were when there was a change in movement, and she said that she would not faint when she sat and standed.

That's when you lose your balance.

"I know!" Guo Xiang thought of it suddenly.

"What?" An Zehan hurriedly asked, and Dr. Xiao also looked at Guo Xiang.

"It could be otolithiasis!" Guo Xiang said.

"What 'earwax'? I don't have earwax, I pluck my ears regularly, and I haven't heard of earwax causing dizziness. Wang Chunhua said suspiciously.

Guo Xiang smiled, "Auntie, it's not 'ear wax', it's 'ear stone', a stone of stones." ”

"What is an 'otolith'? Still have stones in people's ears? Wang Chunhua's son asked.

"This otolith is an important organ in the ear, you see......" Guo Xiang took a pen and paper and drew an ear on the paper, "This is our ear, what people can see with the naked eye is the outer ear, such as the eardrum is inside, and the deepest part is the inner ear." ”

"The inner ear is not only responsible for our hearing, but also for our balance!" Guo Xiang pointed to the ear on the paper with a pen and said: "Once there is a problem with the inner ear, people will feel that they are spinning. It's because there's a problem with the otoliths. ”

"The tortyr and air sacs of the inner ear have sac-like plaques with a layer of otolith membrane on the surface, and there are many calcium carbonate crystals that are otoliths. It is a real stone, innate, with us at birth. Normally, the canalith is attached to the canalith membrane, but it may fall off for some reason. ”

"These detached otoliths will swim in the fluid called endolymphatic in the inner ear, and when the position of the human head changes, these semicircular canals will change their position, and the sinking otoliths will move with the flow of fluid, which will stimulate the hair cells of the semicircular canals, causing the body to develop intense vertigo."

"It's these otoliths that make my aunt feel dizzy?" An Zehan asked in surprise, he really didn't know much about this aspect.

Dr. Xiao also looked at Guo Xiang in surprise, he didn't expect this intern to be so familiar with this. Isn't she an oncology specialist?

"So, what then?" Wang Chunhua's son asked, it was the first time he had heard that there was such a thing as an otolith in people's ears.

"You should go to the ENT." Guo Xiang said, "The problem of dizziness can be cured by resetting the otolith." ”

"Ear, nose and throat?" Wang Chunhua's son was surprised, the headache was related to this.

"Our hospital is an ENT department, on the third floor, you go to the ENT department to talk to the doctors there, and also tell them the opinions we put forward here." Dr. Xiao said.

"Then, going there will solve my mother's dizziness problem?" Wang Chunhua's son asked in surprise, he finally found the reason, or the doctors of Beijing Medicine are skilled.

"Go ahead, it can be solved." Guo Xiang said with a smile.

The two thanked them again and again and went to the ENT department.

"Guo Xiang, you are so powerful, how did you come up with it?" An Zehan asked.

"I just thought about the situation when my aunt said that the dizziness did not occur in a static state, so it should be caused by the balance being broken." Guo Xiang said with a smile, "You see, if we usually sit in the car and suddenly accelerate or brake suddenly, we can feel the acceleration and deceleration of the car, and the body will be adjusted, otherwise we would have flown out a long time ago." ”

"If there are no otoliths, we will have no sense of speed, no sense of balance, no sense of space, and we will be swaying all day long, how can we live?" Guo Xiang said, "So I thought that it was caused by the otolith falling off." ”

"And the aunt has no other discomfort, and the vertigo time is very short, so the cause of the otolith is very big." Guo Xiang said, "Otolithiasis is also called 'benign paroxysmal positional vertigo', so it is very consistent." ”

The reason why I didn't think of it at first is that most people will think that it is a physical illness, and those common diseases are more likely to cause dizziness, canalith shedding is rarely encountered, a person may not encounter it once in a lifetime, and natural doctors are not so easy to think of.

"How can ENT diagnose and treat through diagnosis?" An Zehan asked curiously.

"The ENT department should be able to tell which side of the canal has otoliths in the semicircular canal by nystagmus." Guo Xiang said: "As for the treatment ......"

I don't know if there are some treatments in later generations, so I said: "The main thing is manual reduction, that is, through the rotation of the body and the head, the canalith that has fallen off into the semicircular canal is adjusted to its original position through the change of body position." This ENT doctor should have experience. ”

"I'm really curious." An Zehan said: "I went to the ENT department to see if it was this 'otolithiasis'. ”

After speaking, he thought that he was still at work, and looked at Dr. Xiao, he nodded, "Go ahead!" ”

It's good to go and see it, since it's an internship, of course, the more you learn, the better.

"Thank you, Mr. Xiao." An Zehan was surprised, raised her eyebrows at Guo Xiang, she smiled, "I won't go, you go and come back quickly." ”

"Hmm!" An Zehan answered and ran out.

Dr. Xiao looked at Guo Xiang curiously, "I learned very well. ”

"Thank you, Mr. Xiao." Guo Xiang laughed.

"I looked at the departments you rotated before, and the grades were good, how did you learn?" Dr Xiao was curious, she could be a general practitioner and seemed to be able to do anything.

"Actually, it's nothing, I just have a stronger memory than others, and I won't forget what I've seen." Guo Xiang said.

Dr. Xiao raised his eyebrows, no wonder, this is a talent, and others can't envy it.

After half an hour, An Zehan came down.

"And guess what? That aunt is already fine. An Zehan said in surprise.

"So fast?" Guo Xiang laughed.

"Well, I asked the ENT doctors, and they said that it is indeed 'otolithiasis', and some people can get better on the same day with treatment, some people take several days, and some people get better for several months, it's different, it varies from person to person." An Zehan said.

"That aunt was so happy that her head finally stopped dizzy." An Zehan said with a smile.

Just as she was talking, Wang Chunhua and her son came in, "Thank you so much, doctor!" ”

After watching it for so long, if Guo Xiang hadn't talked about it, they would never have thought of going to see their ears and suffered so many crimes.

Although the doctors in the ENT department are optimistic, if Guo Xiang does not find out, they may be delayed for a longer time and suffer more crimes.

"Hey, that's really how it should be, aren't we doctors here to solve your patients' problems?" Guo Xiang said with a smile.

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