Tinnitus

I-Tinnitus igama lezokwelapha lemisindo "yokuzwa" ezindlebeni zakho. Kwenzeka lapho kungekho mthombo ongaphandle wemisindo.

Tinnitus kuvame ukubizwa ngokuthi "ukukhala ezindlebeni." Kungazwakala futhi njengokufutha, ukubhonga, ukubhuza, ukuhayiza, ukuhayiza, ukushaya ikhwela, noma ukucwayiza. Imisindo ezwakalayo ingaba buthambile noma ibe phezulu. Umuntu angaze acabange ukuthi uzwa ukuphunyuka komoya, ukugijima kwamanzi, ingaphakathi leshellololwandle, noma amanothi omculo.

I-tinnitus ivamile. Cishe wonke umuntu uqaphela ifomu elincane lama-tinnitus ngesikhashana. Imvamisa ihlala imizuzu embalwa. Kodwa-ke, i-tinnitus engapheli noma ephindaphindwayo iyacindezela futhi yenza kube nzima ukugxila noma ukulala.

Tinnitus kungaba:

• Isihloko, okusho ukuthi umsindo uzwakala kuphela kumuntu
• Inhloso, okusho ukuthi umsindo uzwakala ngumuntu othintekile kanye nomhloli (usebenzisa i-stethoscope eduze kwendlebe yomuntu, ikhanda noma intamo)

Akwaziwa kahle ukuthi yini ebanga ukuthi umuntu "ezwe" imisindo engenawo umthombo wangaphandle womsindo. Noma kunjalo, i-tinnitus ingaba uphawu cishe kunoma iyiphi inkinga yezindlebe, kufaka phakathi:

• Ukutheleleka ezindlebeni
• Izinto zangaphandle noma i-wax endlebeni
• Ukulahlekelwa ukuzwa
• Isifo seMeniere - ukuphazamiseka kwendlebe kwangaphakathi okubandakanya ukulahlekelwa yindlebe nesiyezi
• Inkinga nge-eustachian tube (ithubhu egijima phakathi kwendlebe ephakathi nendawo nomphimbo)

Ama-antibiotic, i-aspirin, noma ezinye izidakamizwa nazo zingadala imisindo yezindlebe. Utshwala, i-caffeine, noma ukubhema kungalimaza i-tinnitus uma umuntu esevele enayo.

Kwesinye isikhathi, i-tinnitus iyisibonakaliso somfutho wegazi ophakeme, ukungezwani komzimba, noma i-anemia. Ezimweni ezingavamile, i-tinnitus iwuphawu lwenkinga enkulu efana nesimila noma i-aneurysm. Ezinye izinto eziyingozi kuma-tinnitus zihlanganisa i-temporomandibular joint disorder (TMJ), isifo sikashukela, izinkinga ze-thyroid, ukukhuluphala nokulimala ekhanda.

I-Tinnitus ivamile kuma-veteran empi nakubantu abadala asebekhulile abaneminyaka engama-65 noma ngaphezulu. Izingane nazo zingathinteka, ikakhulukazi lezo ezinezindlebe ezinkulu.

I-tinnitus ivame ukubonakala kakhulu uma uyolala ebusuku ngoba okukuzungezile kuthule. Ukufihla i-tinnitus futhi uyenze ingacasuli kakhulu, umsindo wangemuva usebenzisa okulandelayo kungasiza:

• Umshini womsindo omhlophe
• Ukuqalisa i-humidifier noma i-daishisher

Ukunakekelwa kwasekhaya kwama-tinnitus ikakhulukazi kufaka:

• Izindlela zokufunda zokuphumula. Akwaziwa ukuthi ngabe ukucindezeleka kubangela i-tinnitus, kepha ukuzizwa ucindezelekile noma ukukhathazeka kungayenza ibe yimbi kakhulu.
• Ukugwema izinto ezingenza i-tinnitus ibe yimbi kakhulu, njenge-caffeine, utshwala nokubhema.
• Ukuphumula ngokwanele. Zama ukulala ikhanda lakho liphakanyisiwe endaweni ephakeme. Lokhu kunciphisa ukuminyana kwekhanda futhi kungenza imisindo ingabonakali kangako.
• Ukuvikela izindlebe zakho nokuzwa ekulimaleni okuqhubekayo. Gwema izindawo ezinomsindo nemisindo. Gqoka ukuvikelwa kwezindlebe, njengama-earplugs, uma uwadinga.

Shayela umhlinzeki wakho wezempilo uma:

• Imisindo yezindlebe iqala ngemuva kokulimala ekhanda.
• Imisindo yenzeka ngezinye izimpawu ezingachazeki, njengesizungu, ukuzwa ibhalansi, isicanucanu, noma ukuhlanza.
• Unemisindo yezindlebe engachazeki ekuhluphayo ngisho nangemva kokuzama izindlela zokuzisiza.
• Umsindo usendlebeni eyodwa kuphela futhi uqhubeka amasonto ambalwa noma ngaphezulu.

Ukuhlolwa okulandelayo kungenziwa:

• I-audiometry yokuhlola ukulahleka kokuzwa
• Iskena sekhanda le-CT
• Iskena sekhanda le-MRI
• Izifundo zesitsha segazi (i-angiography)

UKWELASHWA

Ukulungisa inkinga, uma kungatholakala, kungenza izimpawu zakho zihambe. (Isibonelo, umhlinzeki wakho angasusa i-wax yendlebe.) Uma i-TMJ iyimbangela, udokotela wamazinyo wakho angase asikisele imishini yamazinyo noma izivivinyo zasekhaya ukwelapha ukuvaleka kwamazinyo nokugaya.

Khuluma nomhlinzeki wakho ngayo yonke imishanguzo yakho yamanje ukuze ubone ukuthi ngabe umuthi ungadala inkinga yini. Lokhu kungafaka izidakamizwa ezingekho emthethweni, amavithamini, nezithasiselo. Ungayeki ukuthatha noma imuphi umuthi ngaphandle kokukhuluma nomhlinzeki wakho.

Imithi eminingi isetshenziselwa ukuqeda izimpawu ze-tinnitus, kepha akukho muthi osebenzela wonke umuntu. Umhlinzeki wakho kungenzeka ukuthi uzame imithi ehlukene noma inhlanganisela yemithi ukuze ubone ukuthi yini okusebenzelayo.

Isifihla-sikhuni esigqokwa njengosizo lokuzwa sisiza abanye abantu. Iletha umsindo osezingeni eliphansi ngqo endlebeni ukumboza umsindo wendlebe.

Insiza yokuzwa ingasiza ekunciphiseni umsindo wezindlebe futhi yenze imisindo yangaphandle izwakale kakhulu.

Ukwelulekwa ngokwengqondo kungakusiza ukuthi ufunde ukuhlala nezinkovu. Umhlinzeki wakho angaphakamisa ukuqeqeshwa kwe-biofeedback ukusiza nge-stress.

Abanye abantu baye bazama ezinye izindlela zokwelapha ukwelapha ama-tinnitus. Lezi zindlela azikaqinisekiswa, ngakho-ke khuluma nomhlinzeki wakho ngaphambi kokuzama.

Tinnitus kungalawulwa. Khuluma nomhlinzeki wakho ngohlelo lokuphatha olusebenzela wena.

I-American Tinnitus Association inikeza isikhungo esihle sezinsiza neqembu lokusekela.

Ukukhala ezindlebeni; Imisindo noma ukubhuza ezindlebeni; Ukukhala kwezindlebe; Imithombo yezindaba ye-Otitis - tinnitus; I-aneurysm - tinnitus; Ukutheleleka kwendlebe - i-tinnitus; Isifo seMeniere - tinnitus

• I-anatomy yendlebe

USadovsky R, uShulman A. Tinnitus. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kukaConn 2020. IPhiladelphia, PA: Elsevier; 2020: 65-68.

I-Tunkel DE, i-Bauer CA, i-Sun GH, et al. Isiqondisi somkhuba womtholampilo: i-tinnitus. I-Otolaryngol Head Neck Surg. 2014; 151 (2 Suppl): S1-S40. I-PMID: 25273878 pubmed.ncbi.nlm.nih.gov/25273878/.

I-Worral DM, iCosetti MK. Tinnitus ne-hyperacusis. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 153.