Tinnitus is too troublesome, what should I do to get you?
“嗡嗡嗡”, “吱吱吱”… These strange, spontaneous inner ear sounds appear in the ears. About everyone has had tinnitus, and those who have been transient (not in a while) have little problem. The key is that some special tinnitus needs attention. The otologist pointed out that long-term tinnitus, accompanied by deafness, dizziness, facial paralysis, or tinnitus synchronization with the heartbeat, or combined with ear suffocation, you need to see a doctor.
Common three ear diseases combined with tinnitus
The cause of tinnitus is very complicated, said Wu Peina, chief physician of the Department of Otorhinolaryngology, Guangdong Provincial People’s Hospital. Tinnitus often does not occur in isolation, and when hearing loss occurs, it is often accompanied by tinnitus. probably90%The hearing loss of the person will be tinnitus to a certain extent. In clinical practice, tinnitus, which is more common and finds the cause, has the following three conditions:
Chronic otitis media
Because of the tinnitus produced by the middle ear lesions, like this, correcting the middle ear lesions, tinnitus can be alleviated, which can be said to be the most common cause of tinnitus in the clinic.
Wu Peina said that the operation of chronic otitis media is not directed at tinnitus, but perforation of the tympanic membrane. Because inflammation can poison the inner ear, causing nervous paralysis, and hearing can not be heard while tinnitus. It is worth noting that if otitis media is not repaired and does not undergo surgery, it can cause cholesteatoma otitis media, which can lead to dizziness, facial paralysis and even brain abscess. Therefore, patients with otitis media must be treated. When hearing reconstruction is successful, tinnitus is quite Some of them disappeared.
Otosclerosis
In otosclerosis, female patients are more common, and they often come to see a doctor because of tinnitus. Wu Peina said that most patients will not feel tinnitus at once, but the disease will be long, the sound will not pass into the ear, and the masking effect of the outside sound will disappear after the masking effect.
Examination of the patient will reveal that the tympanic membrane is intact, but the sacral floor is fixed and no longer vibrates with the sound waves, which leads to conductive paralysis, which is called otosclerosis. Wu Peina said that when the patient undergoes artificial humeral replacement to correct deafness, tinnitus also has80%Relief. Interestingly, the patient’s surgery wakes up and finds that he is smart, can hear, and has no tinnitus.
Neuropathic fistula
almost90%The above severe neurological spasm is associated with tinnitus. However, such patients are dominant and focus on the sputum, but the patient will hear tinnitus during the dead of night. Wu Peina said that there was a patient,40When I was a few years old, my ears were smashed. He has a family history of deafness, both father and brother are30When I was old, I started to get sick. In two years, my hearing decreased rapidly to severe deafness. I couldn’t complete the normal conversation. I could only hear the sound and couldn’t discern the sound. The other party couldn’t hear clearly what he was saying, only heard. I snorted.
At this time, only the artificial electronic cochlea can be made, and the deafness can be corrected by the electronic cochlea to improve the tinnitus.
Forensic tinnitus needs to be psychologically desensitized
Clinically,60%For patients with tinnitus, doctors can find the cause, and some tinnitus can’t find the cause. For such tinnitus, it has been classified as “difficulty” and so far no good treatment has been found. However, for patients, the effect of tinnitus is more on psychological and emotional distress. Therefore, Cui Yong, the chief physician of the hospital’s otolaryngology department, told reporters that he tried to use psychological desensitization (TRT) to solve the patient’s psychological anxiety and irritability.
Psychological desensitizationTRTThere are two ways to do this: the first one is psychological counseling. For example, tinnitus patients are most worried about “Does tinnitus cause deafness?”, “Irritation of tinnitus is a manifestation of kidney deficiency.” In fact, tinnitus does not cause deafness, and the kidney deficiency of Chinese medicine and the kidney of Western medicine are two different concepts. Checking that the kidneys are normal, then it has nothing to do with the kidneys. After solving these two problems, the patient’s psychological burden is basically ruled out; the second is obedience. Since you can’t let the tinnitus disappear, at least don’t let it have a serious impact on your life. How to get along with tinnitus? For example, tinnitus is not very obvious during the day, but it is the loudest and most disturbing before going to bed at night. At this time, take some methods to adapt to it faster, such as putting music that you like to listen to before going to sleep. Once you fall asleep, the effect of tinnitus does not exist. Tinnitus sometimes has some size fluctuations, and it feels louder when you are in a bad mood. When you are in a good mood, you feel that it is not so loud. Therefore, what we have to do is to adjust the rules of life, sleep well, and try to make ourselves happy.
It is understood that about100This method is used in multiple tinnitus patients, and the review can basically adapt to the presence of tinnitus after half a year.
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