Nchiyani Chimachititsa Kulira M'kumva?

Timnitus ndi dzina lakumva phokoso limene silinalipo m'deralo. Ofufuza ena adafotokozanso kuti tinnitus ndi "malingaliro ochititsa chidwi." Anthu omwe ali ndi tinnitus amafotokoza kuti kulira, kutchera, njoka ya njoka, kuseketsa, ndi kunyoza, ngakhale kuti zina zambiri zafotokozedwa. Kumva zitsanzo zina zogwiritsa ntchito webusaiti ya American Tinnitus Association, kumene ayika mafayilo a maonekedwe osiyanasiyana omwe amamvetsera kuti azimvetsera.

Matenda amadziwika kwambiri; anthu pafupifupi 30 miliyoni a ku America ali ndi vutoli. Pa 30 miliyoni awa, 20% amavomereza kuti ali olumala ndi izo. Katswiri wa zamagetsi amakhoza kuyesa anthu awiri omwe amafotokoza mawu ofanana mofanana ndi maulendo amodzi koma munthu m'modzi amamva zowawazo ndipo winayo samazindikira.

Matenda amakhulupirira kuti amayamba chifukwa cha kuwonongeka kwa makutu. Cilia mkati mwa khutu lanu mumayenda mosiyana ndi kupsinjika kwa mafunde. Izi zimayambitsa maselowa kuti atuluke chizindikiro cha magetsi kudzera mu mitsempha yochokera ku khutu lanu (mitsempha yoyenera) kupita ku ubongo wanu. Ubongo wanu umatembenuza zizindikiro izi ngati phokoso. Ngati tsitsi mkati mwa khutu lanu lamkati ndi lopindika kapena lophwanyika, iwo akhoza "kutaya" mpweya wambiri mwa magetsi ku ubongo wanu, kuchititsa tinnitus.

Chofunika kwambiri kukumbukira za tinnitus ndi chakuti ubongo umayankhidwa pazizindikiro zamagetsi zowonongeka zimatsimikizira ngati munthu sakhumudwa ndi zizindikiro zawo kapena ayi. Maphunziro a Magnetoencephalography (MEG, mwachidule) akhala akugwiritsidwa ntchito pophunzira tinnitus ndi ubongo.

MEG imagwiritsa ntchito mfundo yakuti nthawi iliyonse mphepo imatumizira zizindikiro, magetsi awo amapanga maginito. MEG imalola asayansi kuzindikira kuti kusintha kumeneku kumachitika mu ubongo kasanu pa mphindi. Maphunzirowa amasonyeza kuti tinnitus imakhudza ubongo wonse ndipo imathandiza kumvetsa chifukwa chake mankhwala ena ndi othandiza kwambiri kuposa ena.

Zomwe Zimayambitsa

• Phokoso lachisomo . Kuwoneka kwa phokoso lofuula kungawononge maselo a tsitsi, omwe ali mbali ya khutu lamkati. Maselo a tsitsi awa samabwerera kamodzi akawonongeka. Ngakhale kuchepetsedwa kwa mawu okweza kwambiri, monga kuwombera mfuti, kungakhale kovulaza makutu ndipo kumayambitsa kumva kosalekeza. Nthaŵi yaitali yofuula mokweza, monga phokoso la fakitale kapena nyimbo zomwe zimaimbidwa pamakutu, zingayambitse kuwonongeka kwa khutu lamkati, ndi kutayika kwamuyaya ndi matope. Kumvetsera kulira kwachangu kwa maola ali wamng'ono kumaika chiopsezo chachikulu chokhala ndi vuto lakumva ndi tinnitus m'tsogolo.
• Mankhwala . Mankhwala ena amadziwika kuti ototoxic pamene ena amalembetsa matupi ngati mankhwala osapangitsa kuti zinyama zisokonezeke. Mankhwala atsopano amachokera nthawi zambiri moti zimakhala zovuta kukhalabe mpaka pano; Njira ina, ngati muli ndi tinnitus ndipo mukufuna kudziwa ngati ingakhale mankhwala anu, ndikulankhulana ndi wamankhwala anu kapena kuyang'ana mndandanda wanu pa intaneti kudzera pa intaneti monga www.drugs.com. Musayambe kumwa mankhwala popanda kufunsa dokotala wanu, ngakhale mukuganiza kuti zikhoza kukhala zowonjezereka kuzinthu zanu.

• Kutaya kwa kumva kwa zaka .
• Earwax imatseka ngalande ya khutu . Pamene phula lopweteka kwambiri limasungunuka, zimakhala zovuta kuti zisawonongeke mwachibadwa, zimapangitsa kumva kutayika kapena kukhumudwa kwa eardrum, zomwe zingapangitse timiniti.

Zochepa Zochepa Zomwe Zimayambitsa

• Matenda a Meniere . Matenda amatha kukhala chisonyezero cha matenda a Meniere, vuto la mkati la khutu lomwe lingayambitsidwe chifukwa chosamva bwino mkati mwa khutu. Kumva kumvetsera, kukhuta, ndi kutaya kumva ndi zizindikiro zina za matenda a Meniere.
• Khutu la khutu limasintha . Kufooka kwa mafupa pakati pa khutu la pakati (otosclerosis) kungakhudze kumva kwanu ndipo kumayambitsa tinnitus. Matendawa, omwe amachititsidwa ndi kukula kochepa kwa mafupa, amayamba kuyenda m'mabanja.

• Matenda a TMJ . Mavuto ndi mgwirizano wa temporomandibular, ophatikizana mbali zonse za mutu wanu kutsogolo kwa makutu anu, pamene nsagwada yanu ya pansi ikukumana ndi chigaza chanu, ikhoza kuyambitsa tinnutus.
• Kuvulala pamutu kapena kuvulala pamutu . Kusokonezeka kwa mutu kapena kupweteka kumakhudza khutu lamkati, kumva mitsempha kapena ubongo umagwirizanitsidwa ndi kumva. Kuvulala kotereku kumapangitsa kuti timiniti amve khutu limodzi.
• Acoustic neuroma . Chotupachi (chosasangalatsa) chimayamba pa mitsempha yambiri yomwe imachokera mu ubongo kupita ku khutu lanu lamkati ndikuyendetsa bata ndi kumva. Komanso amatchedwa vestibular schwannoma, vutoli limayambitsa timniti mumutu umodzi wokha.

Ngati muli ndi tinnitus, ndikofunikira kuti mukhale ndi kafukufuku wathunthu. Nthawi zina, katswiri wanu wamakono adzakutumizirani kwa katswiri wa ENT kuti muwone zotsatira zachipatala zomwe zimafuna chithandizo musanakambirane zomwe mungachite ndi mankhwala.

> Zotsatira:

_{Tinnitus: Kuomba mu Kumva ndi Chochita Pokhudza Izo. Harvard Health Publications.}

_{American Tinnitus Association. About Tinnitus.}

_{Kutchuka Kwambiri. American Academy of Audiology .}

_{Zimmer, Carl. (2010, October 27). Kulira M'makutu Kumakhala Kozama Kwambiri. Dziwani Magazini.}

_{Wright EF, Bfano SL. Kugwirizana pakati pa Thandizo la Tinnitus ndi Temporomandibular Disorder (TMD). Int Tinnitus J. 1997; 3 (1): 56-61}