Izixazululo zeTinnitus

-Delile

• Amakhambi we-tinnitus
• 1. Izinsizakuzwa
• 2. Amadivayisi wokuvala umsindo
• 3. Imishini yomsindo eguquliwe noma eyenziwe ngezifiso
• 4. Ukwelashwa kokuziphatha
• 5. Ukuphathwa kwe-tinnitus okuqhubekayo
• 6. Izidakamizwa zokulwa nokudangala kanye nezidakamizwa zokulwa nokukhathazeka
• 7. Ukwelapha ukungasebenzi kahle nokuvinjelwa
• Ukuzivocavoca umzimba
• 9. Ukunciphisa ukucindezeleka kwengqondo
• 10. Ukuzindla kwengqondo ye-DIY
• 11. Okunye ukwelashwa
• Lapho uzobona udokotela wakho
• Ukudla okudlela endlini

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukubuka konke

I-tinnitus ivame ukuchazwa njengokukhala ezindlebeni, kepha futhi ingazwakala njengokuchofoza, ukuhayiza, ukubhonga, noma ukubhuza. I-tinnitus ifaka ukuqonda umsindo lapho kungekho umsindo wangaphandle okhona. Umsindo ungaba mnene kakhulu noma uzwakale kakhulu, futhi uphakame kakhulu noma uphansi. Abanye abantu bakuzwa endlebeni eyodwa kanti abanye bakuzwa ngazo zombili. Abantu abane-tinnitus enamandla bangaba nezinkinga zokuzwa, ukusebenza noma ukulala.

I-tinnitus ayisona isifo - kuyisibonakaliso. Kuwuphawu lokuthi kukhona okungahambi kahle ngohlelo lwakho lokuzwa, okubandakanya indlebe yakho, inzwa yokuzwa exhuma indlebe yangaphakathi nobuchopho, nezingxenye zobuchopho ezisebenza umsindo. Kunezimo ezahlukahlukene ezahlukahlukene ezingadala i-tinnitus. Enye yezinto ezivame kakhulu ukulahleka kokuzwa okubangelwa umsindo.

Alikho ikhambi lama-tinnitus. Kodwa-ke, ingahle ibe yesikhashana noma iqhubeke, imnene noma ibukhali, ihamba kancane noma isheshe. Inhloso yokwelashwa ukukusiza ukuphatha umbono wakho womsindo osekhanda lakho. Kunezindlela eziningi zokwelapha ezitholakalayo ezingasiza ukunciphisa amandla abonakalayo we-tinnitus, kanye nokuba khona kwayo yonke indawo. Amakhambi we-Tinnitus kungenzeka angakwazi ukumisa umsindo obonakalayo, kepha angathuthukisa impilo yakho.

Amakhambi we-tinnitus

1. Izinsizakuzwa

Iningi labantu lithuthukisa i-tinnitus njengesibonakaliso sokulahlekelwa ukuzwa. Uma ulahlekelwa ukuzwa, ubuchopho bakho buba nezinguquko endleleni esebenza ngayo amaza omsindo. Insiza yokuzwa iyithuluzi elincane elenziwa ngogesi elisebenzisa imakrofoni, i-amplifier, nesipika ukukhulisa ivolumu yemisindo yangaphandle. Lokhu kunganciphisa izinguquko ze-neuroplastic emandleni obuchopho okucubungula umsindo.

Uma une-tinnitus, ungathola ukuthi ukuzwa kangcono, kulapho ungaqapheli ama-tinnitus akho. Ucwaningo lwango-2007 lwabahlinzeki bezokunakekelwa kwezempilo olushicilelwe kuThe Hearing Review, lwathola ukuthi cishe amaphesenti angama-60 abantu abane-tinnitus babone okungenani ukukhululeka osizweni lokuzwa. Cishe amaphesenti angama-22 athola ukukhululeka okukhulu.

2. Amadivayisi wokuvala umsindo

Izinsimbi zokuvala umsindo zinikeza umsindo wangaphandle omnandi noma omubi okhipha kancane umsindo wangaphakathi we-tinnitus. Idivaysi yendabuko yokufihla umsindo ingumshini womsindo wethebulethi, kepha kukhona nemishini encane kagesi elingana endlebeni. Lawa madivayisi angadlala umsindo omhlophe, umsindo obomvana, imisindo yemvelo, umculo, noma eminye imisindo ye-ambient. Iningi labantu lithanda izinga lomsindo wangaphandle ophakama nje kancane kunama-tinnitus abo, kepha abanye bakhetha umsindo wokufihla okhipha ngokuphelele ukukhala.

Abanye abantu basebenzisa imishini yokuthengisa umsindo eyenzelwe ukusiza abantu ukuba baphumule noma balale. Ungasebenzisa futhi ama-headphone, ithelevishini, umculo, noma ngisho nefeni.

Ucwaningo lwango-2017 kumagazini luthole ukuthi ukufihla imask kusebenza ngempumelelo enkulu uma usebenzisa umsindo we-broadband, njengomsindo omhlophe noma umsindo obomvana. Imisindo yemvelo ibonakalise ukuthi ayisebenzi kangako.

3. Imishini yomsindo eguquliwe noma eyenziwe ngezifiso

Imishini ejwayelekile yokufihla ubuso isiza ukufihla umsindo wama-tinnit ngenkathi uwasebenzisa, kepha ayinayo imiphumela ehlala isikhathi eside. Amadivayisi esikhathi samanje ezinga lezokwelapha asebenzisa imisindo egcizelele eqondaniswe ngqo ne-tinnitus yakho. Ngokungafani nemishini yomsindo ejwayelekile, la madivayisi agqokwa kuphela ngezikhathi ezithile. Ungathola izinzuzo isikhathi eside ngemuva kokuthi ucingo luvaliwe, futhi ngokuhamba kwesikhathi, ungathola ukuthuthuka kwesikhathi eside ekukhaleni okubonakalayo kwe-tinnitus yakho.

Ucwaningo lwango-2017 olushicilelwe ku-, luthole ukuthi umsindo owenziwe ngendlela oyifisayo unciphisa ubukhulu be-tinnitus futhi ungaphakama kunomsindo we-broadband.

4. Ukwelashwa kokuziphatha

I-tinnitus ihlotshaniswa nezinga eliphezulu lokucindezeleka ngokomzwelo. Ukucindezeleka, ukukhathazeka nokuqwasha akuyona into engavamile kubantu abane-tinnitus. Ukwelashwa kokuziphatha kwengqondo (CBT) wuhlobo lokwelashwa kokukhuluma okusiza abantu abane-tinnitus bafunde ukuhlala nesimo sabo. Esikhundleni sokunciphisa umsindo uqobo, i-CBT ikufundisa ukuthi ungamukela kanjani. Umgomo ukuthuthukisa ikhwalithi yempilo yakho nokuvimbela ama-tinnitus ekukuhlanyeni.

I-CBT ifaka phakathi ukusebenza nomelaphi noma umeluleki, imvamisa kanye ngeviki, ukukhomba nokushintsha izindlela zokucabanga ezingezinhle. I-CBT ekuqaleni yathuthukiswa njengokwelashwa kokucindezeleka nezinye izinkinga zengqondo, kepha kubonakala kusebenza kahle kubantu abane-tinnitus. Izifundo eziningana kanye nokubuyekezwa kwe-meta, kufaka phakathi okushicilelwe ku, kutholile ukuthi i-CBT ithuthukisa kakhulu ukucasuka nokucasula okuvame ukuza ne-tinnitus.

5. Ukuphathwa kwe-tinnitus okuqhubekayo

I-Progressive tinnitus management (PTM) wuhlelo lokwelashwa olwenziwa nguMnyango Wezilwane Zase-U.S. I-Tinnitus ingenye yokukhubazeka okuvame kakhulu ukubonwa kuma-veteran ezinsizakalo ezihlomile. Imisindo emikhulu yempi (nokuqeqeshwa) imvamisa iholela ekulahlekelweni kokuzwa okubangelwa umsindo.

Uma ungumakadebona, khuluma nesibhedlela sangakini se-VA mayelana nezinhlelo zabo zokwelashwa kwe-tinnitus. Ungahle uthande ukuxhumana neNational Center for Rehabilitative Auditory Research (NCRAR) e-VA. Banencwadi yokusebenzela yesinyathelo ngesinyathelo nezinto zokwakha ezingasiza.

6. Izidakamizwa zokulwa nokudangala kanye nezidakamizwa zokulwa nokukhathazeka

Ukwelashwa kwe-tinnitus kuvame ukufaka inhlanganisela yezindlela. Udokotela wakho angancoma imithi njengengxenye yokwelashwa kwakho. Le mithi ingasiza ukwenza izimpawu zakho ze-tinnitus zingacasuli kangako, ngaleyo ndlela kuthuthukise ikhwalithi yakho yokuphila. Izidakamizwa zokukhathazeka nazo ziyindlela yokwelapha ephumelelayo yokuqwasha.

Ucwaningo olushicilelwe lathola ukuthi umuthi wokuzikhathaza obizwa nge-alprazolam (Xanax) uhlinzeka ngosizo lwabaphethwe i-tinnitus.

Ngokusho kwe-American Tinnitus Association, izidakamizwa zokulwa nokucindezeleka ezisetshenziselwa ukwelapha ama-tinnitus zifaka:

• i-clomipramine (Anafranil)
• i-desipramine (Norpramin)
• imipramine (Tofranil)
• i-nortriptyline (Pamelor)
• i-protriptyline (Vivactil)

7. Ukwelapha ukungasebenzi kahle nokuvinjelwa

Ngokusho kwe-American Tinnitus Association, amacala amaningi ama-tinnitus adalwa ukulahleka kokuzwa. Ngezikhathi ezithile, i-tinnitus ibangelwa ukucasuka ohlelweni lokuzwa. I-tinnitus kwesinye isikhathi ingaba uphawu lwenkinga ngokuhlangana kwe-temporomandibular (TMJ). Uma i-tinnitus yakho ibangelwa yi-TMJ, inqubo yenqubo yamazinyo noma ukuhlelwa kabusha kokulunywa kwakho kungayinciphisa le nkinga.

I-tinnitus futhi ingaba uphawu lwe-earwax eyeqile. Ukususwa kokuvinjelwa kwe-earwax kunganele ukwenza amacala amancane we-tinnitus anyamalale. Izinto zangaphandle ezifakwe emgodini we-eardrum nazo zingadala i-tinnitus. Isazi sendlebe, impumulo, nomphimbo (ENT) singenza isivivinyo ukuhlola ukuvinjelwa emseleni wezindlebe.

Ukuzivocavoca umzimba

Ukuzivocavoca kunomthelela omkhulu enhlalakahleni yakho jikelele. Ama-tinnitus angabhebhethekiswa yingcindezi, ukudangala, ukukhathazeka, ukungalali kahle nokugula. Ukuzivocavoca njalo kuzokusiza ukuphatha ukucindezeleka, ukulala kangcono, nokuhlala uphilile.

9. Ukunciphisa ukucindezeleka kwengqondo

Ngesikhathi sesifundo samasonto ayisishiyagalombili sokunciphisa ukucindezeleka kwengqondo (MBSR), abahlanganyeli bathuthukisa amakhono okulawula ukunakekelwa kwabo ngokuqeqeshwa kwengqondo. Ngokwesiko, lolu hlelo lwenzelwe ukudonsela ukunaka kwabantu kude nobuhlungu babo obungapheli, kepha lungasebenza ngokulinganayo kuma-tinnitus.

Ukufana phakathi kobuhlungu obungapheli kanye ne-tinnitus kuye kwaholela abacwaningi ukuba bahlakulele uhlelo lokunciphisa ukucindezeleka kwe-tinnitus (MBTSR). Imiphumela yocwaningo lokushayela izindiza, eyashicilelwa kwiThe Hearing Journal, yathola ukuthi ababambiqhaza bohlelo lwe-MBTSR lwamasonto ayisishiyagalombili babhekana nemibono eguquke kakhulu ngama-tinnitus abo. Lokhu kufaka ukunciphisa ukuncipha nokukhathazeka.

10. Ukuzindla kwengqondo ye-DIY

Awudingi ukubhalisa ohlelweni lwamaviki ayisishiyagalombili ukuze uqalise ngokuqeqeshwa kwengqondo. Ababambe iqhaza ohlelweni lwe-MBTSR bonke bathole ikhophi yencwadi ebabazekayo ethi "Full Catastrophe Living" ebhalwe nguJon Kabat-Zinn. Incwadi kaKabat-Zinn yibhukwana likaNdunankulu lokwenza umcabango empilweni yansuku zonke. Uzofunda ngakho, futhi ukhuthazwe ukusebenzisa amasu wokuzindla, wokuzindla nokuphefumula angakusiza ukudonsela ekugxileni kwakho kude nasezindongeni.

11. Okunye ukwelashwa

Kunezinketho zokwelashwa kwe-tinnitus ezihlukile noma ezihambisanayo, kufaka phakathi:

• izakhamzimba
• amakhambi we-homeopathic
• ukutshopa
• ukuluthwa

Azikho kulezi zindlela zokwelashwa ezisekelwa yisayensi. Abantu abaningi banesiqiniseko sokuthi i-herb gingko biloba iyasiza, kepha izifundo ezinkulu azikwazanga ukufakazela lokhu. Kunezithako eziningi zokudla okunempilo ezibiza ngamakhambi we-tinnitus. Lezi zivame ukuhlanganiswa kwamakhambi namavithamini, okuvame ukufaka i-zinc, i-ginkgo, ne-vitamin B-12.

Lezi zithako zokudla azange zihlolwe yi-U.S. Food and Drug Administration (FDA) futhi azisekelwa ucwaningo lwesayensi. Kodwa-ke, imibiko ye-anecdotal iphakamisa ukuthi ingasiza abanye abantu.

Lapho uzobona udokotela wakho

I-tinnitus ayivamile ukuba yisibonakaliso sesimo esibi sezempilo. Khuluma nodokotela wakho oyinhloko uma ungakwazi ukulala, ukusebenza, noma ukuzwa ngokujwayelekile. Udokotela wakho mhlawumbe uzohlola izindlebe zakho bese ekuhlinzeka ngokudluliselwa ku-audiologist kanye ne-otolaryngologist.

Kodwa-ke, uma ubhekene nokukhubazeka kobuso, ukulahleka kokuzwa okungazelelwe, ipayipi elinuka kabi, noma umsindo oshisayo ngokuvumelanisa nokushaya kwenhliziyo yakho, kufanele uye emnyangweni ophuthumayo wangakini.

I-tinnitus ingacindezela kakhulu kwabanye abantu. Uma wena noma umuntu omthandayo ecabanga ngokuzibulala, kufanele uye egumbini lezimo eziphuthumayo ngokushesha.

Ukudla okudlela endlini

I-tinnitus yisimo esikhungathekisayo. Ayikho incazelo elula ngayo futhi ayikho ikhambi elilula. Kepha kunezindlela zokuthuthukisa ikhwalithi yempilo yakho. Ukwelashwa kokuziphatha kwengqondo nokuzindla kwengqondo kuthembisa izinketho zokwelashwa.