Tinnitus

I-Tinnitus ligama lonyango "lokuva" ingxolo ezindlebeni zakho. Kwenzeka xa kungekho mthombo ungaphandle wezandi.

I-Tinnitus ihlala ibizwa ngokuba "kukukhala ezindlebeni." Isenokuvakala ngathi kukuvuthela, ukugquma, ukubhuza, ukubethela umlozi, ukungxola, ukubetha umlozi, okanye ukuncwina. Ingxolo eviweyo inokuthamba okanye iphakamise. Umntu usenokucinga ukuba uyeva ukubaleka komoya, amanzi abaleka, ngaphakathi kweshell yolwandle, okanye amanqaku omculo.

I-Tinnitus iqhelekile. Phantse wonke umntu uqaphela uhlobo olucekeceke lwe-tinnitus kube kanye ngexeshana. Ihlala ithathe imizuzu embalwa. Nangona kunjalo, i-tinnitus eqhubekayo okanye ephindaphindiweyo ixinzelelekileyo kwaye yenza kube nzima ukugxila okanye ukulala.

I-Tinnitus ingaba:

• Isihloko, oko kuthetha ukuba isandi siviwa ngumntu kuphela
• Injongo, oko kuthetha ukuba isandi siviwa ngumntu ochaphazelekayo kunye nomvavanyi (kusetyenziswa i-stethoscope kufutshane nendlebe yomntu, intloko, okanye intamo)

Ayaziwa ncam ukuba yintoni ebangela ukuba umntu "ave" izandi ngaphandle komthombo wangaphandle wengxolo. Nangona kunjalo, i-tinnitus inokuba luphawu lwayo nayiphi na ingxaki yendlebe, kubandakanya:

• Usulelo lwendlebe
• Izinto zangaphandle okanye i-wax endlebeni
• Ukuphulukana nokuva
• Isifo seMeniere- sisifo sendlebe esingaphakathi esibandakanya ukuphulukana nokuva kunye nesiyezi
• Ingxaki ngombhobho we-eustachian (ityhubhu ehamba phakathi kwendlebe ephakathi nomqala)

I-antibiotics, i-aspirin, okanye ezinye iziyobisi nazo zinokubangela iindlebe. Utywala, icaffeine, okanye ukutshaya kunokonyusa i-tinnitus ukuba umntu sele enayo.

Ngamanye amaxesha, i-tinnitus luphawu loxinzelelo lwegazi oluphezulu, i-allergies, okanye i-anemia. Kwiimeko ezinqabileyo, i-tinnitus luphawu lwengxaki enkulu enjenge-tumor okanye i-aneurysm. Eminye imingcipheko ye-tinnitus ibandakanya i-temporomandibular joint disorder (TMJ), isifo seswekile, iingxaki ze-thyroid, ukutyeba kakhulu kunye nokulimala kwentloko.

I-Tinnitus iqhelekile kumagqala emfazwe nakubantu abadala abadala abaneminyaka engama-65 okanye ngaphezulu. Abantwana banokuchaphazeleka, ngakumbi abo banengxaki yokungeva kakuhle.

I-Tinnitus ihlala ibonakala xa ulala ebusuku kuba indawo okuyo izolile. Ukufihla i-tinnitus kwaye uyenze ingacaphukisi, ingxolo yangasemva usebenzisa oku kulandelayo kunokunceda:

• Umatshini wengxolo emhlophe
• Ukuqhuba i-humidifier okanye i-dishwasher

Ukunyamekelwa kwamakhaya e-tinnitus ikakhulu kubandakanya:

• Iindlela zokufunda zokuphumla. Ayaziwa ukuba uxinzelelo lubangela i-tinnitus, kodwa ukuziva uxinezelekile okanye uxhalabile kunokuba nzima.
• Ukuphepha izinto ezinokwenza i-tinnitus ibe mandundu, enje nge-caffeine, utywala kunye nokutshaya.
• Ukuphumla ngokwaneleyo Zama ukulala nentloko yakho iphakanyisiwe kwindawo ephakamileyo. Oku kunciphisa ukuxinana kwentloko kwaye kunokwenza ukuba ingxolo ingaqapheleki.
• Ukukhusela iindlebe zakho kunye nokuva ekonakaleni okungaphaya. Ziphephe iindawo ezingxolayo nezandi. Nxiba ukukhuselwa kweendlebe, ezinjengee-earplugs, ukuba uyazifuna.

Fowunela umboneleli wakho wezempilo ukuba:

• Imisindo yendlebe iqala emva kokonzakala entloko.
• Imisindo yenzeka nezinye iimpawu ezingachazwanga, ezinje ngesiyezi, ukuziva ungalingani, isicaphucaphu, okanye ukugabha.
• Unengxolo engachazwanga yendlebe ekukhathazayo nasemva kokuba uzame iindlela zokuzinceda.
• Ingxolo ikwindlebe enye kuphela kwaye iyaqhubeka kangangeeveki ezininzi okanye nangaphezulu.

Olu vavanyo lulandelayo lunokwenziwa:

• I-audiometry yokuvavanya ukulahleka kwendlebe
• Ukuskena iNtloko ye-CT
• Iskena seNtloko seMRI
• Izifundo zeenqanawa zegazi (i-angiography)

UNYANGO

Ukulungisa ingxaki, ukuba inokufumaneka, kunokwenza ukuba iimpawu zakho zihambe. (Umzekelo, umboneleli wakho angayisusa i-wax yendlebe.) Ukuba i-TMJ ngunobangela, ugqirha wakho wamazinyo unokucebisa izixhobo zamazinyo okanye imithambo yasekhaya yokunyanga ukuqinisa amazinyo kunye nokuguba.

Thetha nomboneleli wakho ngawo onke amayeza akho ngoku ukuze ubone ukuba ngaba ichiza linokubangela ingxaki. Oku kunokubandakanya iziyobisi, iivithamini kunye nezongezo. Sukuyeka ukuthatha naliphi na iyeza ngaphandle kokuthetha nomboneleli wakho.

Amayeza amaninzi asetyenziselwa ukunciphisa iimpawu ze-tinnitus, kodwa akukho ziyobisi zisebenza kuwo wonke umntu. Umboneleli wakho unokuzama amayeza ahlukeneyo okanye indibaniselwano yamayeza ukuze abone ukuba kukusebenzela ntoni.

Isigqubuthelo se-tinnitus esinxitywe njengoncedo lokuva sinceda abanye abantu. Ihambisa isandi esisezantsi ngqo kwindlebe yokugubungela ingxolo yendlebe.

Uncedo lokuva lunokunceda ukunciphisa ingxolo yendlebe kunye nokwenza izandi zangaphandle zivakale ngakumbi.

Ukucebisa kunokukunceda ufunde ukuhlala ne-tinnitus. Umboneleli wakho unokucebisa ngoqeqesho lwe-biofeedback ukunceda ngoxinzelelo.

Abanye abantu baye bazama ezinye iindlela zonyango ukunyanga i-tinnitus. Ezi ndlela azingqiniswanga, ke thetha nomboneleli wakho ngaphambi kokuzama.

I-Tinnitus inokulawulwa. Thetha nomboneleli wakho malunga nesicwangciso solawulo esikusebenzelayo.

Umbutho waseMelika weTinnitus ubonelela ngeziko elifanelekileyo lezixhobo kunye neqela lenkxaso.

Ukukhala ezindlebeni; Ingxolo okanye ukubhuza ezindlebeni; Ukubetha indlebe; Imithombo yeendaba ye-Otitis - i-tinnitus; I-Aneurysm - tinnitus; Usulelo lwendlebe - i-tinnitus; Isifo seMeniere - i-tinnitus

• I-anatomy yendlebe

USadovsky R, uShulman A. Tinnitus. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2020. IPhiladelphia, PA: Elsevier; Ngo-2020: 65-68.

I-Tunkel DE, iBauer CA, iLanga GH, et al. Isikhokelo sokusebenza kwezonyango: i-tinnitus. Intloko ye-Otolaryngol Surg. 2014; 151 (2 iSuppl): S1-S40. IINKCUKACHA: 25273878 pubmed.ncbi.nlm.nih.gov/25273878/.

I-Worral DM, iCosetti MK. I-Tinnitus kunye ne-hyperacusis. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahl. 153.