He aha te Tinnitus? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te tinnitus te whakaaro o te tangi i roto i ō taringa, i ō wahi rānei, ahakoa kāore he haruru kei waho. Āta waiho e koe te rere, te ngunguru, te ngūngū, te reo rānei e puta mai ana i roto i ō taringa, kāore i te ao kei tō taha.

He maha ngā miriona o te iwi puta noa te ao e pā ana ki tēnei āhuatanga, ā, ka rere ke te āwangawanga iti ki te whakaroa nui i te oranga o ia rā. Ka taea e ngā reo e rangona ana e koe te mau tonu, te haere mai rānei, ā, ka rere ke teitei me te kaha i te rā.

He aha ngā tohu o te tinnitus?

Ko te tohu matua o te tinnitus te rongonga i ngā reo kāore i reira i te taiao kei tō taha. Ka taea e ēnei reo whakaaro te maha o ngā āhua rerekē, ā, ka pā ki te iwi i ngā huarahi motuhake.

Ko ēnei ngā reo tino noa e pā ana ki te iwi me te tinnitus:

• Te rere, te reo rānei o te pere
• Ngā reo ngunguru, ngūngū rānei
• Ngā reo ngūngū, te reo hiko rānei
• Ngā reo pēwhiwhi, patupatu rānei
• Ngā reo ngāwī, whakarewa rānei
• Ngā reo waiata, waiata rānei
• Ngā reo pupuhi e rite ana ki tō ngakau

Ka taea te kaha te iti rawa, te nui rānei kia āwangawanga ai tō kaha ki te aro, ki te moe rānei. Ka kite etahi i to ratou tinnitus i ngā taiao mā, ka kite ētahi he mau tonu ahakoa te taiao kei tō ratou taha.

He aha ngā momo tinnitus?

Ka taka te tinnitus ki ngā kāwai e rua, i runga i te mea ka taea e ētahi te whakarongo ki ngā reo e pā ana ki a koe. Ko te mārama ki te momo kei a koe te āwhina i ngā tākuta ki te whakatau i te huarahi pai mō te maimoatanga.

Ko te tinnitus whaiaro te momo tino noa, e pā ana ki te 95% o te iwi me tēnei āhuatanga. Ko koe anake te ka taea te whakarongo ki ēnei reo, ā, ko te tikanga mai i ngā raruraru i roto i tō taringa o roto, tō taringa waenganui rānei, i ngā huarahi whakarongo i roto i tō roro.

He tino onge te tinnitus tūturu, ā, ko te tikanga o ngā reo e taea ai e koe me tō tākuta te whakarongo i te whakamātautau. Ka puta mai ēnei reo i ngā raruraru o te oko toto, ngā uaua whakaiti rānei, i ētahi atu take tinana tata ki tō taringa.

Ko te tinnitus pupuhi he momo motuhake kei reira ngā reo e pupuhi ana i te rite ki tō ngakau. Ka tohu pinepine tēnei momo ki ngā raruraru o te rere o te toto, ā, ko te tikanga he tirotiro hauora hei whakakore i ngā raruraru toto i raro.

He aha ngā take o te tinnitus?

Ka whanake te tinnitus ina mutu te mahi whakarongo noa i roto i ō taringa, i tō roro rānei. Ko te take tino noa ko te pakaru o ngā makawe iti i roto i tō taringa o roto e awhina ana i te huri i ngā ngaru tangi ki ngā tohu hiko.

Ko ēnei ngā take tino noa o te tinnitus:

• Te ngaro o te whakarongo e pā ana ki te pakeke (presbycusis)
• Te kino o te whakarongo i puta mai i ngā reo nui
• Te aukati o te parāoa taringa e pēhi ana ki tō eardrum
• Ngā mate taringa, te kohinga wai rānei
• Ētahi rongoā (inā te aspirin, ngā rongoā mate huaketo, me ētahi rongoā pouri)
• Ngā whara o te upoko, o te kaki rānei e pā ana ki ngā uaua whakarongo
• Ngā huringa toto toto, ngā raruraru ngakau rānei
• Ngā mate o te hononga temporomandibular (TMJ)

Ko ngā take iti ake engari nui te nui o te mate Meniere, ngā acoustic neuromas (ngā pūngāwerewere pai i runga i ngā uaua whakarongo), me ngā mate autoimmune e pā ana ki te taringa o roto. I etahi wā, ka whanake te tinnitus kaore he take e taea te kite, e kiia ana e ngā tākuta he tinnitus idiopathic.

Kāore te ahotea me te manukanuka e puta mai ana i te tinnitus, engari ka taea e rātou te whakapakari i ngā tohu kei reira. Ka hanga tēnei i te huringa kei reira te tinnitus e piki ake ai te ahotea, ka puta ke te kino o te tinnitus.

Nō hea te kite i te tākuta mō te tinnitus?

Me whakapiri atu koe ki te kaiwhakarato hauora mena ka mau tonu tō tinnitus mō te wiki neke atu rānei, te whakaroa nui rānei i ō mahi o ia rā. Ka taea e te aromatawai wawe te awhina i te kimi i ngā take e taea te whakaora, ā, te aukati i te āhuatanga mai i te nui ake o te āwangawanga.

Rapua te tiaki hauora tonu mena ka pā atu koe ki te tinnitus ohorere i roto i te taringa kotahi, ina koa mena ka tae mai me te ngaro o te whakarongo, te māuiui, te ngoikore rānei o te mata. Ka taea e ēnei tohu te tohu i ngā āhuatanga nui penei i te ngaro ohorere o te whakarongo sensorineural, te acoustic neuroma rānei e hiahia ana ki te maimoatanga tere.

Me kite hoki koe i te tākuta tonu mena ka pupuhi tō tinnitus me tō ngakau, i te mea ka taea e tēnei tinnitus pupuhi te tohu i ngā raruraru o te oko toto e hiahia ana ki te aromatawai hauora. Ko tetahi tinnitus e haere tahi ana me ngā mamae o te upoko nui, ngā huringa tirohanga rānei, ngā tohu neurological rānei e hiahia ana ki te tiaki hauora tere.

He aha ngā take morearea mō te tinnitus?

Ka taea e ngā take maha te whakapiki i tō tūponotanga ki te whanake i te tinnitus, ahakoa ko te whai i ēnei take morearea kāore e whakamana ka pā atu koe ki te āhuatanga. Ka taea e te mārama ki ēnei take te awhina i a koe ki te tango i ngā mahi hei tiaki i tō hauora whakarongo.

Ko ngā take morearea tino nui ko:

• Te pakeke neke atu i te 60, ina he iti te whakarongo
• Te whakamahinga noa ki ngā reo nui i te mahi, i te whakangahau rānei
• Ko te tane (ka whanake ngā tane i te tinnitus iti ake)
• Te kai paipa, e pā ana ki te rere o te toto ki ngā hanganga taringa mārō
• Ngā raruraru ngakau, tae atu ki te toto toto teitei
• Te tango i ētahi rongoā e mohiotia ana e pā ana ki te whakarongo
• Te whai i te mate huka, i ngā mate thyroid rānei
• Ngā mate taringa o mua, ngā raruraru whakarongo rānei

Ko ngā mema o te ope taua me ngā tāngata i ngā mahi haruru penei i te hanganga, te hanga, te waiata rānei e pā ana ki ngā morearea teitei na te whakamahinga roa o te haruru. Ahakoa ngā mahi whakangahau penei i te haere ki ngā hui, te whakamahi i ngā taputapu mana, te haere hī ika rānei ka taea te whakauru ki te morearea tinnitus i te wa roa.

He aha ngā raruraru pea o te tinnitus?

Ahakoa kāore te tinnitus i te mate kino, ka taea e ia te pā nui ki tō kounga o te ora me tō hauora hinengaro mena kāore i whakahaeretia. Ka taea e te noho tonu o ngā reo kore e hiahiatia te hanga i te ngaru o ētahi atu raruraru e pā ana ki tō oranga katoa.

Ko ngā raruraru noa e pā ana ki te iwi ko:

• Ngā raruraru moe me te moe kore i te po na te tinnitus
• Te uaua ki te aro i te mahi, i ngā kōrero rānei
• Te piki o te ahotea me te manukanuka mō te āhuatanga
• Te pouri mai i te āhuatanga roa o ngā tohu
• Te wehe atu i te hapori me te motu
• Te ngenge mai i te moe kino me te kaha hinengaro tonu
• Ngā raruraru mahara e pā ana ki ngā uaua aro

I ngā take onge, ka taea e te tinnitus nui te arahi ki ngā whakaaro mo te whakamomori, ina koa ka whakakotahitia ki te pouri me te wehe atu i te hapori. Koinei te take he mea nui te rapu awhina ngaio me te whakawhanake i ngā rautaki whakahaere mō te whakahaere roa.

Ko te rongo pai ko te nuinga o ngā raruraru ka taea te aukati, te whakahaere rānei me te maimoatanga tika me te tautoko. He maha ngā tāngata e ako ana ki te noho pai me te tinnitus ina whakawhanakehia e rātou ngā rautaki whakahaere whai hua.

Me pēhea te aukati i te tinnitus?

Ahakoa kāore e taea e koe te aukati i ngā momo tinnitus katoa, ka taea e koe te whakaiti nui i tō morearea mā te tiaki i tō whakarongo me te pupuri i te hauora pai. Ko te arotahi matua o te aukati ko te karo i te kino e arahi ana ki te tinnitus i te tuatahi.

Ko ngā rautaki aukati tino whai hua ko te kakahu i te tiaki whakarongo i ngā taiao haruru, te pupuri i te kaha tika ina whakamahi i ngā taringa, i ngā earbuds rānei, me te tango i ngā okioki mai i ngā reo nui. Whakaarohia te pupuri i ngā kaha taputapu whaiaro i raro i te 60% o te nui rawa, me te whakawhitinga i te wa whakarongo ki te kore atu i te 60 meneti i te wa kotahi.

Ko te whakahaere i tō hauora ngakau te awhina i te aukati i ētahi momo tinnitus. Ko te whakakori noa, te pupuri i te toto toto hauora, te karo i te kai paipa, me te whakaiti i te inu waipiro katoa e tautoko ana i te rere o te toto pai ki ō taringa.

Pupuri i ō taringa kia ma, engari kaua e whakamahi i ngā swabs miro i roto i tō kauae taringa, i te mea ka taea e tēnei te pehi i te parāoa ki roto, te kino rānei i tō eardrum. Mena he parāoa taringa nui kei a koe, kitea he kaiwhakarato hauora mō te tango haumaru.

Me pēhea te whakatau i te tinnitus?

Ko te whakatau i te tinnitus ko te hītori hauora tino pai me te whakamātautau tinana hei kimi i ngā take i raro pea. Ka ui tō tākuta i ngā pātai taipitopito mō te tīmatanga o te tinnitus, te reo rānei, me te mea he aha te mea e pai ake ai, te kino rānei.

Ko te whakamātautau tinana ko te titiro ki roto i ō taringa me te otoscope hei tirotiro i te kohinga parāoa, te mate, ngā raruraru hanganga rānei. Ka tirotirohia hoki e tō tākuta tō upoko, tō kaki, me tō kauae hei kimi i ngā take pea e āwhina ana ki ō tohu.

Ko ngā whakamātautau whakarongo e kiia nei ko ngā audiograms te awhina i te whakatau mena he ngaro o te whakarongo kei a koe, me ngā auau e pā ana. Ko ēnei whakamātautau ko te whakarongo ki ngā reo rerekē mā ngā taringa, me te tohu ina taea e koe te whakarongo ki a rātou.

Ka hiahiatia pea ngā whakamātautau atu i runga i ō tohu. Ka taea e ngā whakamātautau toto te tirotiro i ngā raruraru thyroid, i ētahi atu āhuatanga hauora rānei. Ko ngā rangahau whakaahua penei i te MRI, te CT scan rānei e tiakina ana mō ngā take e pā ana ki te ngaro ohorere o te whakarongo, te tinnitus pupuhi rānei, i ētahi atu tohu āwangawanga.

He aha te maimoatanga mō te tinnitus?

Ko te maimoatanga mō te tinnitus ko te whakahaere i ngā tohu me te whakatika i ngā take i raro i te taea te whakatika. Ahakoa kāore he rongoā mō te nuinga o ngā momo tinnitus i tēnei wā, he maha ngā maimoatanga whai hua ka taea te whakaiti nui i tō pānga ki tō oranga.

Mena he āhuatanga kei raro e puta mai ana i tō tinnitus, ko te maimoatanga i taua āhuatanga te awhina i te whakaiti, te whakakore rānei i ngā tohu. Ka uru pea tenei ki te tango i te parāoa taringa, te maimoatanga i te mate taringa, te huri i ngā rongoā, te whakahaere rānei i ngā raruraru toto toto.

Ko te rongoā tangi te whakamahi i ngā reo o waho hei awhina i te huna, te whakaiti rānei i te whakaaro o te tinnitus. Ka uru pea tenei ki ngā mīhini haruru ma, ngā taputapu whakarongo me ngā kaihanga tangi i roto, i ngā taupānga waea atamai rānei e whakaputa ana i ngā reo papamuri mā.

Ko te maimoatanga whakangungu hou (TRT) te whakakotahi i te rongoā tangi me te tohutohu hei awhina i tō roro ki te ako ki te kāo i ngā reo tinnitus. Kua awhina tēnei huarahi i te maha o te iwi ki te whakaiti i to ratou matauranga o te tinnitus i te wa roa.

Ko te maimoatanga whanonga mohio (CBT) te whakaako i ngā rautaki whakahaere me te awhina i te huri i ngā tauira whakaaro kino mō te tinnitus. He maha ngā tāngata e kite ana i tēnei huarahi hinengaro he tino awhina mō te whakahaere i te ahotea me te manukanuka e haere tahi ana me te tinnitus.

Kāore ngā rongoā e whakamahia noa ki te maimoatanga i te tinnitus tika, engari ka taea e tō tākuta te tuhi i ngā rongoā pouri, i ngā rongoā manukanuka rānei mena kei te pā atu koe ki te pouri nui, ki te manukanuka rānei e pā ana ki ō tohu.

Me pēhea te whakahaere i te tinnitus i te kāinga?

He maha ngā rautaki whakahaere kāinga ka taea te awhina i a koe ki te whakahaere i ngā tohu tinnitus me te whakaiti i tō pānga ki tō oranga o ia rā. Ko te matua ko te kimi i te whakakotahitanga o ngā tikanga e pai ana mō tō āhuatanga motuhake.

Ko te hanga i te taiao tino tangi ka taea te awhina i te huna i te tinnitus, ina koa i ngā wā mā ina puta ke ngā tohu. Whakamātauria te whakamahi i ngā pā, ngā waiata papamuri ngawari, ngā reo āhua, i ngā mīhini haruru ma rānei hei whakarato i te uhi tangi ngawari.

Ko ngā tikanga whakahaere ahotea penei i te manawa hohonu, te whakaaroaro, te yoga ngawari rānei ka taea te awhina i te whakaiti i te manukanuka e puta ke ai te kino o te tinnitus. Ahakoa te 10-15 meneti o te mahi whakangāwari ia rā ka taea te hanga i te rerekētanga nui.

Pupuri i te moe pai mā te pupuri i ngā wā moe mau tonu, te hanga i te taiao moe makariri me te pouri, me te karo i te caffeine i te pō. Mena ka whakaroa te tinnitus i te moe, whakamātauria te whakamahi i te mīhini tangi taha moe, i te taupānga waea atamai rānei me ngā tautuhinga taima.

Noho mahi me te whakauru ki ngā mahi e pai ana koe, i te mea ka awhina tenei ki te whakawhiti i tō aro mai i ngā tohu tinnitus. Ko ngā hononga hapori me ngā whakaongaonga te whakarato i te whakakapi taiao me te tautoko hinengaro.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui tinnitus te awhina i te whakarite ka whiwhi koe i ngā arotake me ngā tohutohu maimoatanga tino awhina. Tīmata mā te pupuri i te tātai tohu mō te wiki iti rawa i mua i tō haerenga.

Tuhia ina puta ke tō tinnitus, te reo rānei, me ētahi take e pai ake ai, te kino rānei. Tātai mena he mahi, kai, rongoā, teitei ahotea rānei e pā ana ki ō tohu.

Kawe mai i te rārangi katoa o ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā rongoā tākuta, ngā rongoā kore-tākuta, me ngā taapiri. Ka taea e ētahi rongoā te puta mai, te whakaiti rānei i te tinnitus, no reira he mea nui tēnei mōhiohio mō tō aromatawai.

Whakaritea ngā pātai mō ngā kōwhiringa maimoatanga, ngā hua e tumanakohia ana, me ngā huringa oranga e awhina pea. Kaua e mangere ki te ui mō ngā rōpū tautoko, i ētahi atu rauemi rānei mō te whakahaere i te tinnitus.

He aha te tango matua mō te tinnitus?

Ko te tinnitus he āhuatanga noa e pā ana ki ngā miriona o te iwi, ā, ahakoa ka uaua ki te noho tahi, he maha ngā rautaki whakahaere whai hua e wātea ana. Ko te matua mō te maimoatanga angitu ko te mahi tahi me ngā kaiwhakarato hauora hei kimi i ngā take e taea te whakaora me te whakawhanake i te mahere whakahaere whānui.

Mahara ko te tinnitus kaore e tohu i te raruraru hauora nui, ā, ko te nuinga o te iwi e ako ana ki te whakahaere i ō rātou tohu me te wa me te tautoko tika. Ko te whakakotahitanga o te maimoatanga hauora, te rongoā tangi, te whakahaere ahotea, me ngā huringa oranga ka taea te whakapai ake i tō kounga o te ora.

Kaua e mangere ki te rapu awhina mena kei te pā te tinnitus ki ō mahi o ia rā, moe, i te oranga hinengaro rānei. Me te aromatawai tika me te maimoatanga, ka taea e koe te tiki i te mana me te whakaiti i te pānga o te tinnitus ki tō oranga.

Ngā pātai uiui noa mō te tinnitus

Ka ngaro noa atu rānei tō tinnitus?

Ko te tinnitus i puta mai i ngā take tūpono penei i te kohinga parāoa taringa, ngā mate taringa, i ētahi rongoā rānei e ngaro ana ina whakaorangia te take kei raro. Engari, ko te tinnitus e pā ana ki te kino o te whakarongo tonu, i ngā huringa e pā ana ki te pakeke rānei e mau tonu ana i te wa roa. Ahakoa kaore te tinnitus i te ngaro katoa, he maha ngā tāngata e kite ana ko te whakahaere tika te whakaiti i te kitea, te āwangawanga rānei i te wa roa.

Ka taea e te ahotea te whakaiti i te tinnitus?

Ae, ka taea e te ahotea me te manukanuka te whakapakari i te tinnitus kia nui ake te kitea, te uaua ki te wareware rānei. Kāore te ahotea e puta mai ana i te tinnitus i te tīmatanga, engari ka taea e ia te hanga i te huringa kei reira te manukanuka mō te tinnitus e piki ake ai tō ahotea, ka puta ke te nui ake o te reo. Ko te ako i ngā tikanga whakahaere ahotea te awhina i te wawahi i tēnei huringa me te whakaiti i te kaha o ngā tohu.

He haumaru te whakamahi i ngā earbuds, i ngā taringa rānei mena he tinnitus kei ahau?

Ka taea e koe te whakamahi tonu i ngā earbuds me ngā taringa me te haumaru mena ka pupuri koe i te kaha i ngā taumata tika, me te tango i ngā okioki noa. Whai i te ture 60/60: kāore atu i te 60% o te kaha mō te kore atu i te 60 meneti i te wa kotahi. Mena ka kite koe kei te kino ake tō tinnitus i muri i te whakamahi i ngā taputapu oro whaiaro, whakaitihia te kaha atu rānei te whakawhitinga i te wa whakarongo.

He kai, inu rānei e pā ana ki te tinnitus?

Ka kite etahi i te caffeine, te waipiro, i ngā kai nui-sodium rānei ka taea te whakaiti i to ratou tinnitus, ahakoa ka rere ke tēnei mai i te tangata ki te tangata. Kāore he "kai tinnitus" whānui, engari ko te aro ki te āhua o ngā kai me ngā inu e pā ana ki ō tohu ka taea te awhina i a koe ki te kimi i ngā kaiarahi whaiaro. Ko te pupuri i te wai pai me te pupuri i ngā taumata huka toto pumau te tautoko i te hauora taringa katoa.

Ka taea e te tinnitus te arahi ki te ngaro katoa o te whakarongo?

Kāore te tinnitus e puta mai ana i te ngaro o te whakarongo, engari ko ngā āhuatanga e rua e puta mai ana i ngā raruraru kotahi, penei i te kino o te haruru, i ngā huringa e pā ana ki te pakeke i roto i te taringa o roto rānei. Mena he tinnitus kei a koe me ngā uaua whakarongo e kitea ana, he mea nui te tiaki i tō whakarongo e toe ana mā te karo i ngā reo nui me te whakamahi i te tiaki whakarongo ina hiahiatia. Ka taea e ngā aromatawai whakarongo noa te awhina i te tirotiro i ngā huringa i te wa roa.