Tinnitus

Tinnitus ndi mawu azachipatala oti "amve" m'makutu mwanu. Zimachitika ngati palibe gwero lakunja lakumveka.

Tinnitus nthawi zambiri amatchedwa "kulira m'makutu." Zitha kumvekanso ngati kuwomba, kubangula, kulira, kufuula, kung'ung'udza, kuliza malikhweru, kapena kung'ung'uza. Phokoso lomwe lamveka limakhala lofewa kapena laphokoso. Munthuyo atha kuganiza kuti akumva mpweya ukuthawa, madzi akuyenda, mkati mwa chipolopolo, kapena zolemba za nyimbo.

Tinnitus ndi wamba. Pafupifupi aliyense amawona mtundu wofatsa wa tinnitus kamodzi kanthawi. Nthawi zambiri zimatenga mphindi zochepa. Komabe, tinnitus nthawi zonse kapena mobwerezabwereza ndizopanikiza ndipo zimapangitsa kuti zikhale zovuta kuyang'ana kapena kugona.

Tinnitus atha kukhala:

• Zomvera, zomwe zikutanthauza kuti mawuwo amangomveka ndi munthuyo
• Cholinga, chomwe chimatanthawuza kuti mawuwo amveka ndi onse omwe akukhudzidwa komanso woyesa (pogwiritsa ntchito stethoscope pafupi ndi khutu la munthu, mutu, kapena khosi)

Sizikudziwika bwinobwino chomwe chimapangitsa kuti munthu "amve" phokoso popanda wina wakunja wa phokoso. Komabe, tinnitus imatha kukhala chizindikiro cha vuto lililonse lamakutu, kuphatikiza:

• Matenda akumakutu
• Zinthu zakunja kapena sera m'makutu
• Kutaya kwakumva
• Matenda a Meniere - vuto lamkati lamakutu lomwe limakhudza kumva ndi chizungulire
• Vuto ndi chubu cha eustachian (chubu chomwe chimayenda pakati pa khutu lapakati ndi mmero)

Maantibayotiki, aspirin, kapena mankhwala ena amathanso kubweretsa phokoso m'makutu. Mowa, caffeine, kapena kusuta kumatha kukulitsa tinnitus ngati munthuyo ali nawo kale.

Nthawi zina, tinnitus ndi chizindikiro cha kuthamanga kwa magazi, zovuta, kapena kuchepa kwa magazi. Nthawi zambiri, tinnitus ndi chizindikiro cha vuto lalikulu monga chotupa kapena aneurysm. Zina mwaziwopsezo za tinnitus zimaphatikizapo temporomandibular joint disorder (TMJ), matenda ashuga, mavuto a chithokomiro, kunenepa kwambiri, komanso kuvulala kwamutu.

Ma tinnitus amapezeka m'magulu ankhondo komanso okalamba azaka 65 kapena kupitilira apo. Ana amathanso kukhudzidwa, makamaka omwe ali ndi vuto lakumva kwambiri.

Nthawi zambiri tinnitus amawonekera kwambiri mukamagona usiku chifukwa komwe mumakhala kumakhala bata. Kubisa tinnitus ndikuchepetsa, phokoso lakumbuyo pogwiritsa ntchito izi lingathandize:

• Makina oyera oyera
• Kuthamangitsa chopangira chinyezi kapena chotsukira mbale

Kusamalira kunyumba kwa tinnitus makamaka kumaphatikizapo:

• Kuphunzira njira zopumira. Sidziwika ngati kupanikizika kumayambitsa matenda, koma kupsinjika kapena kuda nkhawa kumatha kukulitsa.
• Kupewa zinthu zomwe zingawonjezere tinnitus, monga caffeine, mowa, ndi kusuta.
• Kupuma mokwanira. Yesani kugona mutu wanu mutakweza malo okwera. Izi zimachepetsa kusokonezeka kwa mutu ndipo zimapangitsa kuti phokoso lisamveke bwino.
• Kuteteza makutu anu ndi kumva kuti zisawonongeke zina. Pewani malo okweza ndi mawu. Valani zotetezera khutu, monga zomangirira m'makutu, ngati mukuzifuna.

Imbani wothandizira zaumoyo wanu ngati:

• Phokoso lamakutu limayamba pambuyo povulala pamutu.
• Phokoso limachitika ndi zizindikilo zina zosamveka bwino, monga chizungulire, kusamva bwino, nseru, kapena kusanza.
• Muli ndi phokoso losamveka lomwe limakusowetsani mtendere ngakhale mutayesa njira zodzithandizira.
• Phokoso limangokhala khutu limodzi ndipo limapitilira milungu ingapo kapena kupitilira apo.

Mayesero otsatirawa akhoza kuchitika:

• Ma audiometry kuyesa kutayika kwakumva
• Mutu wa CT
• Sinthani mutu wa MRI
• Maphunziro a chotengera chamagazi (angiography)

CHITHANDIZO

Kuthetsa vutoli, ngati lingapezeke, kungapangitse kuti matenda anu azichoka. (Mwachitsanzo, omwe amakupatsani akhoza kuchotsa phula la khutu.) Ngati TMJ ndiye chifukwa chake, dokotala wanu amatha kunena zamagetsi kapena zochita kunyumba kuti muzitsuka ndi kukukuta mano.

Lankhulani ndi omwe amakupatsirani zamankhwala anu onse apano kuti muwone ngati mankhwala atha kubweretsa vutoli. Izi zingaphatikizepo mankhwala osokoneza bongo, mavitamini, ndi zowonjezera. Osasiya kumwa mankhwala osalankhula ndi omwe amakupatsani.

Mankhwala ambiri amagwiritsidwa ntchito kuthana ndi vuto la tinnitus, koma palibe mankhwala omwe amagwira ntchito kwa aliyense. Wothandizira anu akhoza kuti muyesere mankhwala osiyanasiyana kapena kuphatikiza kwa mankhwala kuti muwone zomwe zikukuthandizani.

Chovala chovala chotchedwa tinnitus chovala ngati chothandizira kumva chimathandiza anthu ena. Amapereka mawu otsika molunjika khutu kuti atseke phokoso la khutu.

Chothandizira kumva chimathandizira kuchepetsa phokoso lakumva ndikumveka mokweza kunja.

Uphungu umatha kukuthandizani kuti muphunzire kukhala ndi vuto lakuthwa. Wothandizira anu atha kupereka lingaliro la biofeedback kuti athandizire kupsinjika.

Anthu ena ayesa njira zina zochiritsira kuti athetse tinnitus. Njirazi sizinatsimikizidwe, chifukwa chake lankhulani ndi omwe akukuthandizani musanayese.

Tinnitus imatha kuyendetsedwa. Lankhulani ndi omwe amakupatsirani zamakonzedwe omwe amakuthandizirani.

American Tinnitus Association imapereka malo abwino othandizira ndi gulu lothandizira.

Kulira m'makutu; Phokoso kapena kulira m'makutu; Kulira kulira; Otitis media - tinnitus; Aneurysm - tinnitus; Khutu matenda - tinnitus; Matenda a Meniere - tinnitus

• Kutulutsa khutu

Sadovsky R, Shulman A. Tinnitus. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2020. Philadelphia, PA: Elsevier; 2020: 65-68.

Tunkel DE, Bauer CA, Sun GH, ndi al. Malangizo othandizira pachipatala: tinnitus. Otolaryngol Mutu Wam'mutu. 2014; 151 (2 Suppl): S1-S40. PMID: 25273878 pubed.ncbi.nlm.nih.gov/25273878/.

DM ya Worral, Cosetti MK. Tinnitus ndi hyperacusis. Mu: Flint PW, Francis HW, Haughey BH, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: mutu 153.