Tinnitus

Tinnitus iterwa n'ibintu byinshi, birimo imisatsi y'amatwi yamenetse cyangwa yangiritse mu gice cy'amatwi cyakira amajwi (cochlea); impinduka mu buryo amaraso acuramo mu mitsi y'amaraso iri hafi (umutsi wa carotid); ibibazo by'umugongo w'umunwa (umugongo wa temporomandibular); n'ibibazo by'uburyo ubwonko butunganya amajwi.

Tinnitus ibaho iyo wumva urusaku cyangwa ibindi bintu byumvikana mu gutwi rimwe cyangwa mu matwi yombi. Urusaku wumva iyo ufite tinnitus ntiruva ku majwi yo hanze, kandi abandi bantu ntibashobora kuyumva. Tinnitus ikunda kubaho. Igira ingaruka ku bantu bagera kuri 15% kugeza kuri 20%, kandi ikunda kugaragara cyane mu bantu bakuze.

Tinnitus iterwa ahanini n'uburwayi buri inyuma, nko kugabanuka kw'umva bitewe n'imyaka, imvune y'amatwi cyangwa ikibazo cy'imikorere y'amaraso. Kuri benshi, tinnitus irushaho kumera neza iyo bavuwe indwara y'inyuma cyangwa bakoresheje ubundi buryo bwo kugabanya cyangwa guhisha urusaku, bituma tinnitus igaragara gake.

Tinnitus ikunze kugaragazwa nk'umuzindaro mu matwi, nubwo nta jwi ryo hanze riba ririho. Ariko kandi, tinnitus ishobora guteza indi mibare y'amajwi y'ibinyoma mu matwi yawe, irimo: Guhuha Guhinda Gukanda Kwivanga Kuririmba Abantu benshi bafite tinnitus bafite tinnitus y'ubwenge, cyangwa tinnitus wowe wenyine ushobora kumva. Amajwi ya tinnitus ashobora guhinduka mu buryo butandukanye kuva ku guhinda hasi kugera ku gushishira hejuru, kandi ushobora kuyumva mu gutwi kumwe cyangwa mu matwi yombi. Mu mubare w'imimerere, ijwi rishobora kuba rirenga ku buryo ribangamira ubushobozi bwawe bwo kwibanda cyangwa kumva ijwi ryo hanze. Tinnitus ishobora kuba ihari igihe cyose, cyangwa ishobora kuza no kugenda. Mu mimerere mike, tinnitus ishobora kubaho nk'ijwi rihindagurika cyangwa rihuha, akenshi rihuye n'umutima wawe. Ibi bita pulsatile tinnitus. Niba ufite pulsatile tinnitus, muganga wawe ashobora kumva tinnitus yawe iyo akora isuzuma (tinnitus y'ubwenge). Bamwe ntibabangamirwa na tinnitus. Ku bandi bantu, tinnitus ibangamira imibereho yabo ya buri munsi. Niba ufite tinnitus ikubangamiye, reba muganga wawe. Ubona tinnitus nyuma y'indwara y'ubuhumekero bwo hejuru, nko gukonja, kandi tinnitus yawe ntigatera imbere mu cyumweru kimwe. Ufite igihombo cy'umva cyangwa guhinda umutwe hamwe na tinnitus. Urimo guhangayika cyangwa kwiheba kubera tinnitus yawe.

Bamwe abantu ntibabangamirwa cyane na tinnitus. Ku bandi bantu, tinnitus ibabangamira mu buzima bwabo bwa buri munsi. Niba ufite tinnitus ikubangamira, reba umuganga wawe.

• Ubonye tinnitus nyuma y'indwara y'ubuhumekero bwo hejuru, nko gukonja, kandi tinnitus yawe ntiyakira mu cyumweru kimwe.
• Ufite igihombo cy'umva cyangwa guhindagurika hamwe na tinnitus. Abantu bagera kuri umwe kuri batanu bagira ikibazo cyo kumva urusaku cyangwa gucurika mu matwi. Bita tinnitus. Dr Gayla Poling avuga ko tinnitus ishobora kumvikana mu buryo butandukanye. Ati: "Mirongo icyenda ku ijana by'abafite tinnitus bafite igihombo cy'umva." Igihombo cy'umva gishobora kuba giterwa n'imyaka, kikava ku kintu kimwe cyabaye, cyangwa kubaho kubera urusaku rukomeye mu gihe cyose cy'ubuzima. Dr Poling avuga ko ubwoya buto buri mu gutwi rwacu rushobora kugira uruhare. Ati: "Utubwoya duto turi mu gutwi rwacu ni ibintu byoroshye cyane. Ni byo biba byangiritse iyo umuntu yumvise urusaku rukomeye." Dr Poling avuga ko nta muti uremewe na siyansi wo kuvura tinnitus, ariko hari uburyo bwo kuvura no kuyigenzura. Ati: "Ikintu cyoroshye nko kubona igikoresho cyo kumva kugira ngo kivure igihombo cy'umva." Ubundi buryo burimo gukoresha igikoresho gikora urusaku cyangwa gukoresha umufana nijoro. Ati: "Hari ikintu cyitwa 'tinnitus retraining therapy'. Hariho ibindi bikoresho byo gupfukirana amatwi aho ushobora kumva amajwi umunsi wose, kandi bikurangaza cyane." Niba gucurika mu matwi bikubangamira, tanga ubone umuvuzi wawe kugira ngo akore isuzuma ry'umva.

Indwara nyinshi z’ubuzima zishobora gutera cyangwa kurushaho kuremerera guhuha mu matwi. Mu bihe byinshi, nta mpamvu nyayo iboneka. Mu bantu benshi, guhuha mu matwi biterwa n’imwe muri ibi bikurikira: Kubura kumva. Hariho uturemangingo duto kandi duhendagurika mu gutwi ryawe ryo imbere (cochlea) dukora iyo ugutwi kwawe kwakiriye ibishushanyo by’amajwi. Iyo mikorere ituma habaho ibimenyetso by’amashanyarazi ku mpande z’umutsi uvuye mu gutwi kwawe ujya mu bwonko bwawe (umutsi w’amajwi). Ubwonko bwawe busobanura ibyo bimenyetso nk’amajwi. Iyo utwigize imbere mu gutwi ryawe byakubise cyangwa bikamenyekana — ibi bibaho uko ugenda ukura cyangwa iyo uhora ushyirwa mu majwi akomeye — bishobora “gushungura” ibimenyetso by’amashanyarazi bisanzwe mu bwonko bwawe, bigatera guhuha mu matwi.

Ikibazo cy’amatwi cyangwa ikintu kibangamiye umuyoboro w’amatwi. Umuyoboro w’amatwi yawe ushobora kuziba kubera umunyu w’amazi (ikibazo cy’amatwi), ibinure by’amatwi, umwanda cyangwa ibindi bintu by’amahanga. Kuziba bishobora guhindura igitutu mu gutwi, bigatera guhuha mu matwi.

Imvune z’umutwe cyangwa iz’ijosi. Imvune z’umutwe cyangwa iz’ijosi zishobora kugira ingaruka ku gutwi ryo imbere, imitsi yumva cyangwa imikorere y’ubwonko ifitanye isano no kumva. Izo mvune zisanzwe ziterwa no guhuha mu gutwi rumwe gusa.

Imiti. Imiti myinshi ishobora gutera cyangwa kurushaho kuremerera guhuha mu matwi. Ubusanzwe, uko umwanya w’iyo miti uba munini, ni ko guhuha mu matwi kurushaho kuba kibi. Akenshi, urusaku rudakenewe buraka iyo uretse gukoresha iyo miti. Imiti izwiho gutera guhuha mu matwi irimo imiti igabanya ububabare idafite steroide (NSAIDs) na antibiyotike zimwe na zimwe, imiti yo kuvura kanseri, imiti y’amazi (diuretics), imiti yo kurwanya malariya na antidepresseurs. Impamvu zidakunze gutera guhuha mu matwi harimo ibindi bibazo by’amatwi, indwara z’ubuzima zidakira, n’imvune cyangwa ibibazo bigira ingaruka ku mitsi yo mu gutwi ryawe cyangwa ku gice cy’ubwonko gishinzwe kumva. Indwara ya Meniere. Guhuha mu matwi bishobora kuba ikimenyetso cy’ibanze cy’indwara ya Meniere, ikibazo cy’amatwi yo imbere gishobora guterwa n’igitutu kidakwiye cy’amazi yo mu gutwi ryo imbere.

Imikorere mibi y’umuyoboro wa Eustachian. Muri iyi ndwara, umuyoboro wo mu gutwi wawe uhuza amatwi yo hagati n’umunwa wawe wo hejuru uba ukinguye igihe cyose, bishobora gutuma ugutwi rwawe rwuzuye.

Guhinduka kw’amagufwa y’amatwi. Gukomera kw’amagufwa yo hagati mu gutwi (otosclerosis) bishobora kugira ingaruka ku kumva kwawe no gutera guhuha mu matwi. Iyi ndwara, iterwa no gukura kw’amagufwa bidasanzwe, ikunda kuba mu miryango.

Imikaya ikubise mu gutwi ryo imbere. Imikaya yo mu gutwi ryo imbere ishobora gukomera (ikubise), ibyo bishobora gutera guhuha mu matwi, kubura kumva no kumva ko ugutwi rwuzuye. Ibi rimwe na rimwe bibaho nta mpamvu isobanurwa, ariko bishobora kandi guterwa n’indwara z’imitsi, harimo sclerosis nyinshi.

Ibibazo by’umugongo wa temporomandibular (TMJ). Ibibazo by’umugongo wa TMJ, umugongo uri ku ruhande rumwe rw’umutwe wawe imbere y’amatwi yawe, aho umunwa wawe wo hasi uhura n’igikombe cyawe, bishobora gutera guhuha mu matwi.

Acoustic neuroma cyangwa ibindi bintu by’umutwe n’ijosi. Acoustic neuroma ni igituntu kitari kanseri (benign) gikura ku mutsi w’ubwonko uvuye mu bwonko bwawe ujya mu gutwi ryawe ryo imbere kandi ugenzura umubiri n’ukumva. Ibindi bintu by’umutwe, ijosi cyangwa ubwonko bishobora kandi gutera guhuha mu matwi.

Ibibazo by’imitsi y’amaraso. Ibibazo bigira ingaruka ku mitsi yawe y’amaraso — nko gukama kw’imitsi y’amaraso, umuvuduko ukabije w’amaraso, cyangwa imitsi y’amaraso yatembagajwe cyangwa idahwitse — bishobora gutuma amaraso anyura mu mitsi yawe n’uduti tw’amaraso ku mbaraga nyinshi. Ibyo guhinduka kw’amaraso bishobora gutera guhuha mu matwi cyangwa gutuma guhuha mu matwi kurushaho kugaragara.

Ibindi bibazo bidakira. Ibibazo birimo diyabete, ibibazo by’umwijima, migraine, anemia, n’indwara zifata umubiri wose nka rhumatoïde arthritis na lupus byose byahujwe no guhuha mu matwi.

Umuntu wese arashobora kurwara tinnitus, ariko ibi bintu bishobora kongera ibyago byawe: Kuzana urusaku rwinshi. Urusaku rwinshi, nkurwo ruturuka ku bikoresho biremereye, imashini zikata ibiti n'intwaro, ni bimwe mu bintu bisanzwe bitera ibibazo by'umva bitewe n'urusaku. Ibikoresho byo gucuranga umuziki bigendanwa, nka MP3 players, na byo bishobora gutera ibibazo by'umva bitewe n'urusaku nibikoreshejwe cyane igihe kirekire. Abantu bakora mu midugudu ifite urusaku - nka ba bakozi bo mu nganda n'abubaka, abacuranzi, n'abasirikare - bafite ibyago byinshi. Imyaka. Uko ugenda ukura, umubare w'uturemangingo tw'imbere mu matwi dukorera ugabanuka, bishobora gutera ibibazo by'umva bikunze guhurirana na tinnitus. Igitsina. Abagabo bafite ibyago byinshi byo kurwara tinnitus. Itabi n'inzoga. Abanywa itabi bafite ibyago byinshi byo kurwara tinnitus. Kunywa inzoga na byo byongera ibyago bya tinnitus. Ibibazo bimwe by'ubuzima. Gutakaza ibiro, ibibazo by'umutima, umuvuduko ukabije w'amaraso, n'amateka y'indwara z'amagufa cyangwa imvune mu mutwe byose byongera ibyago byawe bya tinnitus.

Tinnitus ikurakaza abantu mu buryo butandukanye. Kuri bamwe, tinnitus ishobora kugira ingaruka zikomeye ku mibereho. Niba ufite tinnitus, ushobora kandi kugira:

• Uburwayi
• Umuvuduko w'amaraso
• Ibibazo byo kurara
• Kugira ikibazo cyo kwibanda
• Ibibazo byo kwibuka
• Ubwoba n'uburakari
• Umutwe
• Ibibazo bijyanye n'akazi n'imibereho y'umuryango

Kuvura ibi bibazo bifitanye isano bishobora kutagira ingaruka kuri tinnitus ubwayo, ariko bishobora kugufasha kumva umeze neza.

Mu bihe byinshi, gucurika mu matwi biterwa n'ibintu bidashobora kwirindwa. Ariko kandi, hari ingamba zimwe na zimwe zishobora gufasha kwirinda ubwoko bumwe na bumwe bwa gucurika mu matwi.

• Koresha ibikoresho birinda amatwi. Igihe kirekire umuntu amaze yumva amajwi akomeye bishobora kwangiza imiyoboro y'amatwi, bigatera igihombo cy'kumva no gucurika mu matwi. Gerageza kugabanya igihe umara wumva amajwi akomeye. Kandi niba udashobora kwirinda amajwi akomeye, koresha ibikoresho birinda amatwi kugira ngo birinde kumva kwawe. Niba ukoresha imashini zikata ibiti, uri umucuranzi, ukora mu ruganda rukoresha imashini zikomeye cyangwa ukoresha imbunda (cyane cyane imbunda nto cyangwa imbunda ndende), ujye wambara buri gihe ibikoresho birinda amatwi biri hejuru y'amatwi.
• Gucisha hasi umuzika. Kumara igihe kirekire wumva umuzika ukomeye nta bikoresho birinda amatwi cyangwa kumva umuzika uri hejuru cyane hifashishijwe utwuma twumvirizaho bishobora gutera igihombo cy'kumva no gucurika mu matwi.
• Kwita ku buzima bw'umutima n'imijyana y'amaraso. Gukora siporo buri gihe, kurya indyo yuzuye no gufata izindi ngamba zo kubungabunga ubuzima bw'imijyana y'amaraso bishobora gufasha kwirinda gucurika mu matwi bifitanye isano n'ubunini bw'umubiri n'indwara z'imijyana y'amaraso.
• Kugabanya inzoga, kafeyin na nikotine. Ibi bintu, cyane cyane iyo bikoreshwa cyane, bishobora kugira ingaruka ku mitemberere y'amaraso kandi bigatuma gucurika mu matwi.

Umuganga wawe azamenya ko ufite tinnitus bitewe n'ibimenyetso byawe gusa. Ariko kugira ngo avure ibimenyetso byawe, umuganga wawe azagerageza kandi kumenya niba tinnitus yawe iterwa n'ikindi kibazo cyihishe. Hari igihe impamvu idashobora kuboneka. Kugira ngo afashe kumenya icyateye tinnitus yawe, umuganga wawe azakubaza amateka yawe y'ubuzima kandi akareba amatwi yawe, umutwe n'ijosi. Ibizamini bisanzwe birimo: Ibizamini by'umva (audiological). Mu gihe cy'ikizamini, uzicara mu cyumba kidatuje ufite amatwi yumva amajwi yihariye mu gutwi rimwe. Uzerekana igihe wumvise ijwi, kandi ibyavuye mu bizamini byawe bizagereranywa n'ibyavuye mu bizamini bifatwa nkibisanzwe ku myaka yawe. Ibi bishobora gufasha gukuraho cyangwa kumenya impamvu zishoboka za tinnitus. Kwimuka. Umuganga wawe ashobora kukusaba kwimura amaso yawe, gukanda akanwa, cyangwa kwimura ijosi, amaboko n'amaguru. Niba tinnitus yawe ihinduka cyangwa ikakurura, bishobora gufasha kumenya indwara ihishe ikenewe kuvurwa. Ibizamini byo kubona ishusho. Bitewe n'icyateye tinnitus yawe, ushobora gukenera ibizamini byo kubona ishusho nka CT cyangwa MRI. Ibizamini bya laboratoire. Umuganga wawe ashobora gukura amaraso kugira ngo arebe niba ufite ubusembwa bw'amaraso, ibibazo by'umwijima, indwara z'umutima cyangwa kubura vitamine. Gerageza ufashe umuganga wawe gusobanura ubwoko bw'amajwi ya tinnitus yumva. Amajwi yumva ashobora gufasha umuganga wawe kumenya impamvu ihishe ishoboka. Guca. Ubwo bwoko bw'ijwi bugaragaza ko imikaya iri mu matwi yawe no hafi yayo ishobora kuba ari yo yateye tinnitus. Gupfunga, kwihuta cyangwa guhumuriza. Aya majwi akenshi aturuka ku mitsi y'amaraso (vascular), nko kugira umuvuduko w'amaraso uri hejuru, kandi ushobora kubibona igihe ukora imyitozo ngororamubiri cyangwa uhindura imyanya, nko kuryama cyangwa guhagarara. Gucuranga guciriritse. Ubwo bwoko bw'ijwi bushobora kugaragaza ko hari ikintu kibangamiye umuyoboro w'amatwi, indwara ya Meniere cyangwa amagufwa akomeye y'amatwi y'imbere (otosclerosis). Gucuranga hejuru. Niyo majwi ya tinnitus yumvikana cyane. Impamvu zishoboka zirimo kuba mu majwi akomeye, kubura kumva cyangwa imiti. Acoustic neuroma ishobora gutera gucuranga buri gihe, hejuru mu gutwi rimwe. Amakuru yongeyeho CT scan MRI

Tinnitus Treatment Options

Tinnitus, a ringing or buzzing sound in the ears, can have various causes. If your tinnitus stems from an underlying health issue, like a blockage of earwax, a blood vessel problem, or a hearing loss, your doctor can treat the cause to potentially reduce or eliminate the tinnitus.

Treatments for specific causes:

• Earwax Removal: If earwax buildup is causing the tinnitus, removing it can often help.
• Treating Underlying Conditions: Blood vessel problems, for example, may need medicine, surgery, or other treatments to address the source of the ringing.
• Hearing Aids: If hearing loss (from age or noise exposure) is the culprit, hearing aids might alleviate the tinnitus.
• Medication Adjustments: If a medication you're taking is causing tinnitus, your doctor might suggest stopping or reducing the dose, or switching to a different medication.

Managing Tinnitus Symptoms (when no underlying cause is found):

Often, tinnitus can't be cured completely, but treatments can make the symptoms less noticeable. These methods focus on masking the sound or changing how you perceive it.

• Noise Suppression Devices:

  • White Noise Machines: These machines create sounds like static, rain, or waves. They can be very effective. Using white noise machines with speakers near your pillow, or even a fan or air conditioner, can be particularly helpful for sleep.
  • Masking Devices: Similar to hearing aids, masking devices produce a constant low-level sound to cover up the tinnitus.

• Counseling and Therapy:

  • Tinnitus Retraining Therapy (TRT): This personalized therapy, often led by an audiologist, combines sound masking with counseling. You use a device to mask the tinnitus, and learn coping mechanisms from a trained professional. This can help you get used to the sound over time.
  • Cognitive Behavioral Therapy (CBT) and other Counseling: A mental health professional can teach you techniques to manage the emotional and psychological aspects of tinnitus. This is particularly helpful if tinnitus causes anxiety or depression. CBT can be done in individual or group sessions, or online.

• Medication (for symptom relief):

  • Medications for underlying conditions: If the tinnitus is a symptom of an underlying condition, medication can address the root cause.
  • Medications for anxiety or depression: Sometimes, tinnitus can lead to anxiety or depression. Medications can help manage these related conditions.

Future Treatments:

Researchers are exploring new treatments, such as using magnetic or electrical stimulation of the brain (e.g., transcranial magnetic stimulation, deep brain stimulation) to potentially reduce tinnitus symptoms.

Important Note: This information is for general knowledge and does not constitute medical advice. If you experience tinnitus, consult a doctor to determine the underlying cause and appropriate treatment options.

"Uretse uburyo ubwo aribwo bwose bwo kuvura muganga wawe akugira inama, hano hari ibyifuzo bimwe na bimwe byagufasha guhangana na tinnitus: Amatsinda y'ubufasha. Gusangira ibyo wanyuzemo n'abandi bafite tinnitus bishobora kugufasha. Hariho amatsinda ya tinnitus ahuza mu buryo bw'umubiri, ndetse n'ama forum ya interineti. Kugira ngo wizeye ko amakuru ubona muri iri tsinda ari yo, ni byiza guhitamo itsinda riyobowe na muganga, umuganga w'amatwi cyangwa undi mwuga wo kwivuza ufite ubushobozi. Uburezi. Kwiga byinshi bishoboka kuri tinnitus n'uburyo bwo kugabanya ibimenyetso bishobora kugufasha. Kandi gusobanukirwa neza tinnitus bigatuma bidakurushya bamwe. Gucunga umunaniro. Umunaniro ushobora gutuma tinnitus iba mbi. Gucunga umunaniro, haba binyuze mu buvuzi bwo kuruhuka, biofeedback cyangwa imyitozo ngororamubiri, bishobora gutanga impumuro."