When Microsoft does an update, this happens to me. Here is a link that I have used every time and I get my sound back. I use step 5. My driver is an IDT
Instead of uninstalling a driver, use the Windows generic --- choose update, then browse, then let me pick, then first one that is generic. It works. see line below
https://www.drivereasy.com/knowledge/5-steps-to-fix-sound-audio-issues-on-windows-10/
I can still get sound when Windows updates with its generic driver but I lose the advanced sound functions that are available with the original Realtek driver package.
Fortunately, I can work around this now by downloading direct from Realtek, installing the sound suite and then ignore the nags that there is an updated driver available.