Is There Any Help For Tinnitus Sufferers – It is often described as “calling” in the ear, but it cannot include sound. Tinnitus can be experienced as buzzing, humming, grinding, or other similar sounds.
In addition to aging, tinnitus is common in people with hearing loss, a history of loud noise, and head or neck trauma.
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Although most people with tinnitus are not bothered by it, some tinnitus sufferers experience similar symptoms such as anxiety, depression, insomnia, hearing loss, or increased hearing. which reduces the quality of their hearing.
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Although chronic tinnitus cannot be cured, certain treatments can help improve the quality of life for people with tinnitus. Treatment depends on the individual but may include psychotherapy, hearing aids, various types of sound therapy, neuronal replacement, medications, or cochlear implants. In addition, nutritional supplements such as ginkgo, melatonin, coenzyme Q10, zinc, and vitamin B12 have shown positive effects as part of tinnitus treatment.
People with tinnitus perceive sounds in one or both ears or in the head, even though there is no source of the sound. A variety of terms can be used to describe tinnitus, including
. Sounds can be simple, like a single sound, or complex, including many sounds, and can change dramatically from time to time. Although about 30% of individuals experience tinnitus, only about 5% of adults report having tinnitus that is bothersome. affect their daily lives.
The experience of tinnitus can vary between people and have different causes; therefore, tinnitus is often described and classified according to its characteristics (Table 1). Most cases of tinnitus are subjective, chronic, non-pulsatile, tonal, and bilateral.
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Tinnitus without a simple cause is characterized by no age-related hearing loss or ringing in the ears that causes “basic” tinnitus. Primary tinnitus is the most common type.
Tinnitus that can be attributed to a cause other than hearing (related to age or noise) is called “secondary” tinnitus. For example, secondary tinnitus may be due to disease, metabolic or neurological disorders, head or neck injury, or drug use.
The purpose of tinnitus is actually a noise produced in the body by anatomic or physiologic phenomena and another person can hear it.
Peripheral tinnitus is caused by dysfunction of the peripheral auditory system (ie, the cochlea of the inner ear).
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Tinnitus that lasts three months or more is considered chronic. This protocol focuses on chronic tinnitus.
In most cases of hearing or tinnitus caused by noise, the perceived sound is not pulsatile (it is not pulsatile), but some neurological diseases can also cause tinnitus that is not pulsatile. This protocol is mostly for non-pulsatile tinnitus.
The sensation of a pounding sound (often described as rhythmic “thumping” or “whooshing”) may be an indication of underlying vascular problems, such as intracranial hypertension, systemic hypertension, or vascular defects or tumors. It can be caused by a pinched nerve in or around the ear.
Unilateral tinnitus is seen only on one side. Because unilateral tinnitus can be a symptom of a stroke, tumor, or neurological disease, these possibilities should be investigated.
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Data collected from tinnitus sufferers show that tinnitus sounds and related problems increase in the evening and early morning.
Tinnitus severity is closely related to tinnitus distress. Also, the relationship between the sound of tinnitus and the suffering it causes appears to be stronger with strong emotions, negative emotions, and high stress.
In a study of 49 patients seeking tinnitus care for less than 28 days, only nine (18.4%) did not have tinnitus for three to six months.
Little is known about the development of chronic tinnitus over time, but evidence suggests that many tinnitus sufferers experience a gradual improvement.
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In chronic tinnitus sufferers where this type of improvement or accommodation does not occur, it is thought that the stress caused by tinnitus causes an increase in the perception of tinnitus, leading to having more anxiety in the nervous system of anxiety and tinnitus.
A meta-analysis that examined long-term outcomes in subjects assigned to “no intervention” or “waiting list” in a controlled trial for tinnitus treatment showed that subjective measures of tinnitus improved over time and – go. It has been reported that tinnitus resolves completely after years or even decades of persistence in some cases, but this seems to be rare.
In a research study that included 388 patients seen in a large tinnitus clinic (many of whom had tried at least one type of tinnitus treatment), a follow-up study conducted after one to six years showed that tinnitus suffering and -reduced in general. Improvements were observed in patient ratings of tinnitus severity, irritation, discomfort, and discomfort; However, the quality of tinnitus, the presence of depression, and the level of quality of life and overall health have not changed.
In another study, 300 patients who received various individual treatments (for example, hearing aids and internal or external sound generators) in a tinnitus clinic answered questions and visits their first clinic and again at an interval of six and 36 months later. Results showed a reduction in overall tinnitus severity, as well as tinnitus-related anxiety and the presence of depression. Patients who sleep well have less tinnitus compared to those who continue to suffer from insomnia.
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On the other hand, a study that followed 4,746 people with tinnitus for four years found that 18.3% of cases resolved, 9% improved, 9% worsened, and about 64% had no change.
In a survey of 528 tinnitus patients, 25% reported that their tinnitus had increased since its onset.
Tinnitus is a symptom associated with many factors and conditions. The most common risk factors include
In addition, many medical conditions that do not affect the hearing are associated with tinnitus. This includes:
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Because tinnitus is a cognitive disorder, there is currently no objective test to diagnose the condition. However, there are various tests and criteria that audiologists can use to help diagnose and diagnose tinnitus.
A tinnitus diagnosis begins with a thorough medical history. This includes medical tests and physical examinations to identify potential causes of tinnitus or dangerous signs of tinnitus, such as sudden onset, pulsatile, unilateral or asymmetric. , or is accompanied by muscle contractions or other muscle changes. If there are signs of danger, immediate examination may be necessary. Imaging tests may be ordered in situations with red flags; However, in patients with non-pulsatile bilateral tinnitus, with or without asymmetric hearing loss, and a normal history and physical examination, imaging is not necessary.
A comprehensive audiological examination may be appropriate in patients with tinnitus lasting six months or more, those with unilateral tinnitus, subsequent hearing loss, and tinnitus-related distress.
During the audio examination, the patient usually listens and indicates whether he hears sounds of different frequencies and strengths, which can be transmitted through the air or through headphones. Such a test evaluates the function of the structure of the middle and inner ear and can help to determine and determine the number of ears. It can be used to determine tinnitus level, tone of voice, and other characteristics that can help guide treatment.
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Although most cases of tinnitus are associated with non-urgent causes, chronic tinnitus can be a symptom of a serious medical problem that requires emergency care, such as a stroke, high blood pressure, carotid artery dissection (tear of the artery wall), tumor, brain. Injury, aneurysm, or bleeding.
Tinnitus that is sudden in onset, pulsatile, and unilateral; accompanied by chronic hearing loss or any neurological changes; or is accompanied by an audible vascular sound (usually described as a “thumping” or “thumping” sound) that makes a noise) is a red flag for a dangerous situation.
The primary cause of tinnitus is unknown, but it is thought to be multifactorial, involving several physiologic and possibly genetic mechanisms.
The functioning of the cochlea (the inner ear that is responsible for producing vibrations and nerve signals), abnormal nerve signals in the brain’s nervous system, or a combination of the two play an important role in the development of tinnitus and perseverance.
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In addition, the network that connects the physical system to other brain regions may be involved. For example, the activation of the limbic and paralimbic systems, which are responsible for behavioral and emotional responses, contribute to the distressing symptoms and problems of tinnitus, such as cognitive, mood, and sleep problems, for some people.
Damage to the hair cells in the cochlea is suggested to trigger the onset of tinnitus in many cases. Hair cells detect movement in the environment and convert it into physical and vestibular signals, and can be damaged by factors such as aging, noise, and toxins.
It is thought that damaged hair cells release excess glutamate, the main excitatory neurotransmitter, causing nerve dysfunction that can cause tinnitus.
The simultaneous activation of multiple organ systems and nerve fibers is believed to be an important mechanism that causes tinnitus. The loss of nerve transmission inhibition, leading to an increase in the number of nerve fibers involved in physical perception, can also play a role. Another mechanism that may contribute is abnormal neuroplasticity, where neuronal pathways are rewired and pathologically altered with changes in neural signaling pathways.
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Many drugs are known to have toxic effects on the nervous system and can cause or worsen tinnitus (Table 2), especially when used for a long time.
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