Tinnitus How to check for deafness What is tinnitus Deafness

Noise: Noise is an important factor that directly causes hearing loss and is also an important cause of deafness. If you work or live in a high-decibel noise environment for a long time, the hearing cells will gradually be damaged. In the long run, tinnitus and hearing loss will occur.

Trauma: In people's daily life, some external injuries are ubiquitous, which may be car accidents, direct injuries, violent vibrations, etc., which may cause damage to the tissues and organs in the ear.

Stress: The accumulation of excessive stress is an important reason for the sudden deafness of many people in today's society. Stress, fatigue and other conditions will cause the body's immunity to decrease, endocrine disorders, local blood vessel congestion, etc., which may cause local hypoxia and ischemia, and if it appears in the ear, it will affect the tissue function of the ear and affect hearing.

Tinnitus is recommended by five **** in a regular hospital. It is best to ** deafness and tinnitus as soon as possible. In general, tinnitus symptoms may be related to the work environment, or inappropriate lifestyle habits may also cause tinnitus.

Usually listening with headphones**, usually living in a noisy environment, etc., will cause tinnitus and deafness. It is recommended that bad lifestyle habits must be corrected at ordinary times.

What tests are needed for tinnitus?

1. Otorhinolaryngology examination: especially the detailed examination of otology. Neck and temporomandibular joint function tests should be done. If it is pulsatile tinnitus, auscultation of the head, neck and ears should be done to understand whether there is a pulse of blood vessels, turn the neck, and understand the effect of compression on the neck meridians on tinnitus.

2. Tinnitus test: Since tinnitus itself is a subjective symptom, there is still a lack of objective test indicators to judge whether tinnitus exists and the severity of tinnitus. However, the frequency matching of tinnitus tone, tinnitus loudness matching, minimum masking level, etc., can be used as a reference basis for tinnitus test to a certain extent.

3. Vestibular function examination: vestibular function examination should include secondary and induced vestibular function examination, nystagmus recording, posture diagram examination, etc.

4. Hearing test: Hearing test is extremely important for the diagnosis of tinnitus, especially the determination of the lesion site and the evaluation of the effect. However, it should be noted that a small number of patients may have completely normal hearing.

In those examined where no hearing threshold loss is found, extended high-frequency pure-tone hearing threshold testing can sometimes be helpful with abnormal findings.

5. Psychological evaluation: Since tinnitus and anxiety are causal to each other, we should cooperate with psychologists to make a psychological evaluation of tinnitus patients.

6. Systematic examination: Cooperate with internal medicine and neurologists to check the lesions and functional status as needed.

7. Imaging examination: laboratory examination (including immune examination); Tests should be performed based on the patient's history when a local or systemic disorder is suspected to be related to tinnitus, and if the results are abnormal, they should be carefully analyzed.

Reminder: Ears only buzz once or twice once in a while, nothing serious, don't worry too much. If you feel buzzing on a regular basis, you should pay attention to it, and it may be a symptom of tinnitus.

If you find that you have tinnitus, go to the hospital for examination in time, and then according to the results of the examination, carry out targeted **.

There are four ways to diagnose tinnitus:

1. Age and gender: During the examination of tinnitus, it should be noted that the incidence of tinnitus is less in children, the incidence is high in adolescence, less after the age and higher in the elderly. It is clear that the high incidence of the disease in the elderly is related to arteriosclerosis and neurodegeneration, and there is no significant difference between sides and genders.

2. Onset: patients with rapid onset are more common in the conduction system such as Eustachian tube obstruction and acute otitis media; Trauma, poisoning, detonation, and Meniere's disease are more common in the sensory system. In patients with slow onset, it is mostly related to systemic diseases.

3. Tinnitus timbre: In the examination of tinnitus, attention should be paid to low-pitched tinnitus, which is mostly a lesion of the sound transmission system. High-pitched tinnitus usually occurs in labyrinth, auditory nerve, and central lesions. But sometimes the opposite is also true.

4. Persistent and intermittent tinnitus: persistent tinnitus generally occurs in the sensory nerve part. Intermittent is mostly transmissible.

Tinnitus is divided into subjective tinnitus and objective tinnitus, and the daily tinnitus mainly refers to subjective tinnitus. Most tinnitus refers to the sensation of ringing in the ear, which is a subjective sensation and there is no corresponding sound source in the environment. Tinnitus is more severe at rest, when the patient feels that the ringing in the ears has no corresponding sound source in the surrounding environment, and can occur unilaterally or bilaterally.

Sometimes people feel that tinnitus comes from inside the skull, which is also called cranial ringing or encephalopathy. Deafness refers to varying degrees of hearing loss, and those with milder hearing are called hard of hearing. Tinnitus and deafness are common symptoms of many ear diseases, and the underlying disease must be identified through a detailed medical history and relevant examinations.

To understand the causes of deafness and tinnitus, it is necessary to know the principles of deafness and tinnitus. Sound travels from the outer ear to the middle ear to the inner ear, and finally to the center to produce hearing, and problems anywhere along the pathway can lead to hearing loss or tinnitus. For example, if there is a problem with the external ear, there is a cerumen plug in the external auditory canal, and damage to the external auditory canal can lead to hearing loss.

Problems with the middle ear, such as otitis media, perforated eardrum, and pus in the ear, can cause hearing loss. Problems with the inner ear, such as knocking deafness and barometric deafness in old age. Deafness and tinnitus are one of the symptoms of a variety of ear diseases, and can also be used as a separate disease, which can be acute or chronic, bilateral or unilateral, some persistent, some intermittent.

The tone of tinnitus can be high or low, it is generally more serious when quiet, and can affect sleep, life and work when it is severe, and most tinnitus patients are accompanied by hearing loss.

Tinnitus and deafness are both symptoms of abnormal hearing, tinnitus refers to the conscious ringing in the ear, deafness refers to hearing loss, or hearing loss, the two are roughly the same in ** and acupuncture**, so they are combined and described. Those who have empirical evidence are mostly due to the reversal of the fire of the liver and gallbladder, resulting in the lack of yang meridian qi, or the external feeling of wind and evil, which suppresses and clears the body. If the essence is lost due to the loss of kidney essence, the essence qi cannot be reached, which is a false evidence.

There are many reasons for the occurrence of tinnitus and deafness, acupuncture has a good effect on neurological tinnitus and deafness, and it should also be done in daily life.

Tinnitus is a very common phenomenon. Domestic and international epidemiological survey data show that about 15-20% of the general population suffers from tinnitus.

People with tinnitus have no way to seek medical attention.

After suffering from tinnitus, patients often worry that they will become deaf, and they seek medical attention everywhere, but they never get better, so they become more anxious, which leads to worsening tinnitus.

When otolaryngologists treat patients with tinnitus, they usually equate tinnitus with deafness treatment, using drugs such as vasodilation, nerve nutrition, microcirculation, and hormones; For patients with tinnitus with sleep disturbances and mood problems, doctors usually use sedation-hypnosis, or even anti-anxiety and antidepressant drugs, and tell patients that they need to take it for a long time or even for life; When the above ** effects are still not satisfied, the patient will be told that tinnitus is difficult to treat, and the only way to adapt is to learn to live peacefully with tinnitus; If it still doesn't work, the doctor will face the embarrassing situation of having neither a medicine to prescribe nor something to say. Therefore, at present, there are only a handful of doctors who are willing and willing to treat patients with tinnitus, and there is no way for tinnitus patients to seek medical treatment.

First of all, let's talk about the causes of tinnitus in people, many times tinnitus is caused by diseases of the auditory system, such as cerumen embolism, lumps or foreign bodies in the external auditory canal of the external ear, as well as various otitis media and otosclerosis in the middle ear. In addition, there are some systemic diseases that can also cause people to have tinnitus, such as cardiovascular and cerebrovascular diseases, hypertension, hyperlipidemia, arteriosclerosis, hypotension and other diseases are the causes of tinnitus.

Secondly, when people have tinnitus, it is generally the subjective feeling of the patient that they can hear the phenomenon of tinnitus, but in fact, this phenomenon does not exist, tinnitus is generally diverse, it can be unilateral or bilateral, it can also be headshot, sustainable existence can also appear intermittently, the sound can be varied, and the pitch is different.

The main causes of deafness are some congenital diseases and acquired diseases, and congenital diseases mainly include deformities of the outer ear and middle ear, such as congenital atresia of the external auditory canal or hypoplasia of the eardrum, ossicle, cochlea, vestibular window, etc. The acquired cause is mainly caused by the patient's exposure to noise pollution in the environment.

Deafness and tinnitus can be a combined symptom of multiple clinical diseases, or they can be independent symptoms of ear diseases.

Definition of deafness: a state in which the patient's hearing function is reduced or even disappeared to varying degrees, which is called deafness. For those with slowly progressive hearing loss, they often don't feel their hearing loss, but their voices gradually increase and they often notice hearing loss first by those around them.

People with sudden deafness can often tell exactly when their hearing has deteriorated. Some people with early deafness first feel changes in their auditory attention.

Definition of tinnitus: When there is no outside sound coming in, a meaningless sound in the patient's ear is called tinnitus. The sound of tinnitus can be varied, some patients start with intermittent episodes, some patients have a first attack in one ear, and gradually develop into a persistent noise in both ears, and some have a combination of cranial ringing.

Analysis: Hearing impairment. Buzzing in the ears can be a sign of tinnitus, which is often an early sign of noise-induced deafness.

About 60%-80% of people with noise-induced deafness first of all have symptoms of tinnitus, and there are many reasons for tinnitus, such as tympanic membrane inflammation, lymphatic fluid abnormalities in the inner ear, chronic inflammation of the middle ear, etc.

Tinnitus and deafness, depending on the onset time, if the onset is within two weeks, it may be sudden deafness, or sudden tinnitus. In terms of glucocorticoids, oral or intravenous administration can be chosen, and drugs that improve circulation, dilate blood vessels, and nourish nerves can be selected**.

Deafness and tinnitus are problems that often occur in the elderly, and we always regard tinnitus and deafness as the same disease in our lives, but in fact, these are two completely different problems.

The causes of tinnitus and deafness are:

1. Because patients are often anxious to get angry, and long-term exposure or sudden exposure to a noisy environment, excessive fatigue, staying up late, irregular work and rest, bad spirit, emotion, psychological factors, etc. In addition, the deterioration of hearing function caused by age may cause tinnitus and deafness. Clause.

Second, because of cerebral blood vessels, because many patients may have insufficient blood supply to the brain or cervical spinal canal and vertebral artery stenosis, and sometimes it may also be that there is tinnitus in the blood vessels of the internal auditory canal, resulting in tinnitus and deafness. Clause.

3. Because of conductive factors, such as perforation of the patient's eardrum or inflammation in the external auditory canal and middle ear cavity, perforation of the tympanic membrane, secretory otitis media; Sometimes there is cholesteatoma formation in the external auditory canal or granuloma in the middle ear cavity, which can also easily cause tinnitus and deafness. Clause.

Fourth, because wearing headphones for a long time, the volume of headphones is too loud and the call is too long** will also lead to tinnitus, deafness and other symptoms. Expert tip: Because of poor living habits, excessive mental pressure, emotional instability, etc., it is a cause of tinnitus and deafness; Cerebrovascular disease, insufficient blood supply to the brain, the formation of tiny blood clots in the blood vessels, can also cause tinnitus and deafness; Conductive factors, perforation of the eardrum, inflammation, and prolonged wearing of headphones and playing ** may cause tinnitus and deafness.