Ke lohe nui nei ʻoe i nā leo maʻamau? E kamaʻilio kākou e pili ana i kēia (Hyperacusis)!

Ke ʻike nei ʻoe i kekahi manawa he nui loa a hoʻonāukiuki nā leo maʻamau āu e lohe ai i kēlā me kēia lā, nā leo a haʻi ʻole ai,? Me he mea lā ua hoʻokiʻekiʻe kekahi i ka leo i ka palena kiʻekiʻe loa. Inā pēlā, he mea nui loa kēia moʻolelo iā ʻoe. I kēia lā e kamaʻilio mākou e pili ana i kēia ʻano maʻi. I ka ʻepekema lapaʻau, ua kapa ʻia kēia ʻo (Hyperacusis) a i ʻole hypersensitivity i nā leo.

He aha ka Hyperacusis?

I ka ʻōlelo maʻalahi, he maʻi lohe kakaikahi loa ka hyperacusis. He ʻano ia e kani nui ai nā leo i lohe pinepine ʻia e nā poʻe ʻē aʻe, a i kekahi manawa ʻeha, no ke kanaka me ia ʻano. Ua kapa pū kekahi poʻe i kēia "decreased sound tolerance," a i ʻole DST. E noʻonoʻo e pili ana i ia mea, lohe pinepine mākou i nā leo like ʻole ma nā pae like ʻole. Akā no kekahi me ka hyperacusis, kani nā mea āpau me he mea lā ua hoʻonui ʻia ka leo i ka palena kiʻekiʻe.

Eia kekahi mau leo ​​a mākou e lohe ai i ke ola o kēlā me kēia lā, akā he mea paʻakikī paha i ka mea me ka hyperacusis ke ʻae:

• Ke kani a nā kānaka e kamaʻilio ana.
• Ke kani ʻana o ka ʻenekini kaʻa.
• Ke kani ʻana o ka piula wai e hoʻā ʻia ana ma ka lumi kuke.
• Ke kani i hana ʻia ke hoʻā ʻia nā mīkini uila ma ka home (e.g. blender, vacuum cleaner).
• Ke kani ʻana o kekahi e hoʻohuli ana i nā ʻaoʻao o kahi puke a nūpepa paha.
• ʻOiai nā leo palupalu loa e like me kēia.

Hiki i kēia ʻike ke loaʻa ka hopena nui i kou olakino noʻonoʻo. Hiki iā ʻoe ke ʻike i nā mea e like me ka huhū mau a me ka hoʻomaha ʻole. (Hyperacusis) hiki ke hoʻopilikia i kāu mau pilina pili kanaka. Hōʻalo kekahi poʻe i nā hanana pili kanaka e pale aku i kēia walaʻau nui.

Hoʻopili pinepine ʻia ka Hyperacusis me ka tinnitus . ʻO Tinnitus ka ʻike ʻana i nā leo like ʻole i loko o nā pepeiao (e like me ke kani ʻana, ka hū ʻana, ke kaomi ʻana, ka uwē ʻana), kahi e pili ana me ka nalowale o ka lohe. Eia nō naʻe, ʻaʻole pono nā hihia āpau o ka hyperacusis e pili i ka tinnitus a i ʻole ka nalowale o ka lohe.

Pehea ka maʻamau o kēia ʻano (Hyperacusis)?

ʻO kaʻoiaʻiʻo, ʻaʻole ʻike nui nā kauka e pili ana i ka hyperacusis. ʻO kekahi o nā mea a lākou i ʻike ʻole ai, ʻo ia ka maʻamau o ia mea. Manaʻo nā kānaka noiʻi ma waena o 3.2% a me 17.1% o nā keiki a me nā mākua ʻōpio e loaʻa paha ka hyperacusis. Ma waena o nā pākeke, aia ka helu ma waena o 8% a me 15.2% .

Akā, he paʻakikī ke ʻōlelo pololei i ke ʻano maʻamau o ia mea. No ka mea, ʻo ka poʻe me ka hyperacusis e wehewehe ana i kā lākou mau hōʻailona ma muli o ko lākou mau ʻike, hiki ke ʻokoʻa mai kēlā kanaka a kēia kanaka. Eia kekahi, ʻaʻohe ʻano hana hoʻokahi i ʻae ʻia no ka ʻike ʻana a i ʻole ke ana ʻana i ka hyperacusis. Ke aʻo nei nā kānaka noiʻi e pili ana i ka hyperacusis, a me ka nui o ka poʻe i loaʻa iā ia.

He aha nā hōʻailona o ka hyperacusis?

Inā loaʻa iā ʻoe ka hyperacusis, hiki i nā leo maʻamau i nā poʻe ʻē aʻe ke paʻakikī, hiki ʻole ke hoʻomanawanui, ʻeha, a hoʻoweliweli paha iā ʻoe.Hiki i kēia walaʻau ke manaʻo he mea hoʻonāukiuki iki, a i ʻole e manaʻo paha e nalowale ana kou kaulike, a i ʻole he koʻikoʻi loa ia e hiki ai ke hana i kahi kūlana i kapa ʻia ʻo "seizures".

ʻO nā hōʻailona ʻē aʻe e ʻike ʻia paha:

• Ke kani nei i loko o kou mau pepeiao.
• ʻEha pepeiao.
• He manaʻo o ke kaomi a me ka piha i loko o nā pepeiao (e like me ka manaʻo āu e loaʻa ai ma mua o ka "poho" ʻana o kou mau pepeiao ma luna o ka mokulele).

Hiki i kēia mau hōʻailona ke hoʻopilikia maikaʻi ʻole i kou olakino noʻonoʻo a me ke ola kaiaulu. ʻO ka noho mau ʻana me kēia walaʻau hiki ʻole ke hoʻomanawanui ʻole ʻia a ʻoluʻolu ʻole hoʻi e alakaʻi i nā kūlana e like me:

• Hopohopo.
• Kaumaha.
• Nā pilikia i nā pilina.
• Ka hoʻokaʻawale ʻana i ka nohona a me ka pale ʻana i nā hanana kaiaulu.

Hiki ke ʻoi aku ka ʻino o kēia mau hōʻailona ke kaumaha ʻoe, luhi , a inā paha ʻoe e hele i nā wahi āu e manaʻo ai he walaʻau hiki ʻole ke hoʻomanawanui.

No ke aha e hana ai kēia (Hyperacusis)? He aha nā kumu?

Ke hoʻāʻo nei nā kānaka noiʻi e ʻike pono i ke kumu o ka hyperacusis. He mea hiki paha i nā ʻāpana o ko kākou lolo e kāohi ana i ke ʻano o ko kākou ʻike ʻana i ka hoʻoulu ʻana ke hoʻonui nei i nā leo. Me ka hyperacusis, lohe maopopo kou lolo i nā leo me ka nānā ʻole i ko lākou alapine (pinepine), inā paha he haʻahaʻa (e like me ka hekili), waena (e like me ka leo kanaka), a kiʻekiʻe paha (e like me ka siren a i ʻole ka whitch).

Aia nā manaʻo like ʻole e pili ana i kēia. ʻO kekahi manaʻo, hiki ke hana ʻia ka hyperacusis e ka hōʻino ʻia ʻana o nā ʻāpana o ko kākou aʻalolo lohe . Lawe ke aʻalolo lohe i nā hōʻailona kani mai ko kākou pepeiao i loko a i ka lolo, kahi a kākou e lohe ai. ʻO kekahi manaʻo, hiki ke hana ʻia ka hyperacusis e ka hōʻino ʻia ʻana o ke aʻalolo maka . Hoʻomalu ke aʻalolo maka i ka ʻiʻo stapedius i loko o ko kākou pepeiao, ka mea e hoʻomalu i ke kani. Hiki i nā kūlana he nui e pili ana me ka hyperacusis (e like me Bell's palsy, Ramsay Hunt syndrome, Lyme disease) ke hōʻino i ke aʻalolo maka.

Eia nō naʻe, ʻaʻohe kumu hoʻokahi e hoʻopilikia i nā hihia āpau o ka hyperacusis. Akā, ua pili ia i nā ʻano kumu like ʻole a me nā kūlana olakino e hiki ke kōkua i ia.

Ma waena o nā kumu hoʻohuli:

• Ka ʻike ʻia ʻana o nā leo nui no ka manawa lōʻihi: ʻOi aku ka maʻamau o ka Hyperacusis i ka poʻe i ʻike ʻia i ke mele nui no ka manawa lōʻihi, e like me nā mea hoʻokani pila pōhaku, a i ʻole ka poʻe e hana ana i nā wahi leo nui, e like me nā limahana kūkulu hale.
• Ka ʻike koke ʻana i ka walaʻau nui: Hoʻomohala kekahi poʻe i ka hyperacusis ma hope o ka lohe ʻana i kahi walaʻau nui a leo nui, e like me ke kani ʻana o ka pū a i ʻole nā ​​​​pā ahi.

Hoʻopili pinepine ʻia ka Hyperacusis me nā kūlana e like me ka tinnitus (a hiki i ka 86%) a me ka Williams syndrome (a hiki i ka 90%). Kokoke i ka hapalua o ka poʻe i ʻike ʻia me ka hyperacusis he maʻi olakino noʻonoʻo e like me ka hopohopo.

Nā kūlana e pili ana me ka hyperacusis:

• Hopohopo
• ʻAutism `(Autism)`
• ʻO ka maʻi lolo o Bell
• Kaumaha
• ʻO ka maʻi Down
• Nā maʻi pepeiao (e.g. otitis media)
• Nā ʻeha poʻo
• Maʻi Lyme
• ka maʻi o Meniere
• Nā migraines
• Ka maʻi hoʻoluhi ma hope o ka trauma (PTSD)
• ʻO ka maʻi Ramsay Hunt
• ʻO ka Superior Canal Dehiscence Syndrome (SCDS)
• ʻO ka maʻi hui Temporomandibular (TMJ)
• Tinnitus
• ʻO ka maʻi Williams

Hiki i kekahi poʻe ke ʻike i nā hōʻailona o ka hyperacusis ma hope o ke ʻoki ʻana a i ʻole he pane ʻana i kekahi mau lāʻau lapaʻau.

Pehea e ʻike ai inā loaʻa iā ʻoe ka hyperacusis?

Hiki ke paʻakikī ke ʻike ʻia, ʻoiai ʻaʻole maopopo i nā mea lawelawe olakino āpau ka hyperacusis. Pono paha ʻoe e ʻike i kahi loea pepeiao, ihu, a me ka ʻāʻī (loea ENT) a/a i ʻole he audiologist e kōkua i ka ʻike ʻana i ka pilikia.

Hiki ke komo pū ka hōʻailona:

• Mōʻaukala lapaʻau: E noʻonoʻo kāu mea mālama ola i nā mea pilikia āu e loaʻa ai, e like me nā pilikia olakino (e like me ka hopohopo a i ʻole ke kaumaha), ka ʻike ʻia ʻana o nā leo nui, a i ʻole ka hōʻino ʻana i kou lohe.
• Hoʻokolohua: E nānā lākou i nā pilikia kūkulu i loko o kou mau pepeiao e pili ana paha i kāu hyperacusis. Hiki iā lākou ke hana i nā hoʻokolohua e like me ka tympanometry e nānā i ke ʻano o ka neʻe ʻana o kou eardrum. Hiki iā lākou ke nānā i kou mau aʻalolo cranial e ʻike inā he mau pilikia me ka hana o kou aʻalolo maka.
• Nā hoʻāʻo lohe: Hoʻohana ʻia nā hoʻāʻo lohe e hoʻoholo ai i kou pae lohe. Hiki iā lākou ke loiloi i kou pae ʻoluʻolu ʻole o ka leo (LDL) . Hōʻike ka LDL i ka pae e hoʻomaka ai ʻoe e lohe i nā leo i leo nui loa no ʻoe e lohe. Hiki i kāu kauka ke noi iā ʻoe e hoʻopiha i kahi nīnau nīnau e pili ana i kou lohe e loiloi i ke koʻikoʻi o ka hopena o kāu hyperacusis iā ʻoe. E hōʻike ana kēia mau nīnau i ka nui o ka hoʻopilikia ʻana o kāu hyperacusis i kou ola o kēlā me kēia lā.

Inā manaʻo kāu kauka ua hoʻokumu ʻia kāu hyperacusis e kahi pilikia kūkulu, e like me ka palsy nerve facial, hiki iā lākou ke kauoha i nā kaʻina hana kiʻi.Hiki paha iā ʻoe ke kuhikuhi ʻia i ka hana lab inā manaʻo ʻoe ua hana ʻia kāu hyperacusis e kahi maʻi e like me ka maʻi Lyme.

He aha nā lāʻau lapaʻau no ka hyperacusis?

ʻAʻohe lāʻau lapaʻau maʻamau no ka hyperacusis. Akā, ʻo ka maʻamau, kālele nā ​​lāʻau lapaʻau i ka hōʻemi ʻana i nā hōʻailona kino a me ke aʻo ʻana i nā ala e kōkua ai i ka hoʻoponopono ʻana i ke kaumaha noʻonoʻo i hoʻokumu ʻia e ka hyperacusis. ʻO nā lāʻau lapaʻau:

• Hoʻōla leo: ʻO ka pahuhopu ka hoʻokuʻu mālie ʻana iā ʻoe i ka walaʻau hou aku, e lawe hope ana iā ʻoe i kahi pae hiki iā ʻoe ke ʻae. ʻO ka mea mua, e hoʻokuʻu ʻia ʻoe i nā leo ʻoluʻolu a haʻahaʻa. I loko o kekahi mau pule, e hoʻonui mālie ʻia ka leo, e ʻae ana iā ʻoe e maʻa i nā pae kiʻekiʻe.
• Lapaʻau noʻonoʻo (CBT): Aʻo ʻo CBT i nā kānaka pehea e hoʻoponopono ai i ke kaumaha a me nā manaʻo maikaʻi ʻole e pili ana i ka walaʻau nui. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka makaʻu a me ka hopohopo e pili ana me ka hyperacusis. Ua hōʻike ʻia nā haʻawina e hiki i ka CBT ke hoʻonui i ka pae walaʻau LDL (low-density lipoprotein) i nā poʻe me ka hyperacusis.
• ʻO ka lāʻau hoʻomaʻamaʻa hou ʻana o Tinnitus (TRT): ʻOiai ʻo TRT ka mea maʻamau e hoʻohana ʻia e mālama i ka tinnitus, hiki ke hoʻohana ʻia hoʻi e mālama i ka hyperacusis. Pili ka TRT i ka hoʻonaʻauao ʻana i nā mea maʻi e pili ana i ko lākou kūlana, ke aʻo ʻana, a me ka lāʻau leo. Ma TRT, hoʻolohe ʻoe i kahi alapine hōʻoluʻolu i kapa ʻia ʻo "pink noise" ma o nā headphone kūikawā. Ua like ka leo ʻulaʻula me ke kani o ka ua a i ʻole ka makani. Hoʻokumu ka leo ʻulaʻula i kahi leo mālie a hiki ke wānana ʻia, no laila ʻaʻole like ka leo ʻoluʻolu ʻole o nā leo e hoʻopilikia iā ʻoe.
• ʻOki kino: No ka mālama ʻana i ka hyperacusis e pili ana me ka palsy nerve maka, hiki i kāu kauka ke hana i kahi ʻoki hoʻoikaika puka makani poepoe a me ka oval . Hoʻohana kēia ʻoki kino i nā ʻiʻo mai hope o kou pepeiao e hāʻawi i ke kākoʻo no nā iwi ( ossicles ) i loko o kou pepeiao i loko e kōkua i ka hoʻomalu ʻana i ka ikaika o ke kani. Hiki i kēia ʻoki kino ke hoʻomaikaʻi i nā pae LDL.

Hiki ke ho'ōla loa ʻia ka Hyperacusis?

ʻAʻohe lāʻau lapaʻau kūikawā no ka hyperacusis, akā ma muli o ke kumu, hiki ke hoʻomaikaʻi ʻia kāu mau hōʻailona i ka hala ʻana o ka manawa. No ka laʻana, hiki ke nalowale ka hyperacusis ma hope o ke ʻoki ʻana ma hope o kou hoʻōla ʻana mai ke ʻoki ʻana. Hiki i ka poʻe me ka maʻi Ménière ke ʻike i ka emi ʻana o nā hōʻailona hyperacusis i ka wā e holomua ai ka maʻi.

He aha kāu e manaʻo ai i ka wā e noho ai me kēia maʻi?

Ke aʻo nei nā mea lawelawe olakino a me nā mea noiʻi lapaʻau i nā hopena lōʻihi o ka hyperacusis. No nā poʻe he nui, he ʻano lōʻihi ka hyperacusis a lākou e aʻo ai e mālama me ka lāʻau lapaʻau. No kekahi poʻe, e pau nā hōʻailona ma hope o ke ʻoki ʻana a i ʻole ke mālama ʻia ke ʻano kumu.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

He nui ka poʻe me nā hōʻailona hyperacusis e hoʻāʻo mua e ālai i ka walaʻau a puni lākou ma ke kau ʻana i nā earplugs a i ʻole nā ​​headphone. Hiki iā lākou ke pale aku i nā ʻaha kanaka. Akā hiki i kēia mau mea ke hoʻonui i ke kūlana. Hiki i ka poʻe e hoʻohana ana i nā headphone a i ʻole nā ​​earplugs ke ʻike ua ʻoi aku ka ikaika o ka walaʻau ma hope o ka wehe ʻia ʻana. Hiki i ka noho kaʻawale ʻana ke hoʻoulu a hoʻonui paha i nā pilikia olakino noʻonoʻo.

Mai ho'āʻo e hoʻokele i kāu mau hōʻailona ma kāu iho. Akā, e ʻike i ke kauka inā loaʻa iā ʻoe nā hōʻailona o ka hyperacusis. Hiki ke lōʻihi ka manawa e ʻike pono ai i ke kumu o ka pilikia, akā aia nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe.

He maʻi noʻonoʻo anei ʻo Hyperacusis?

ʻAʻole, ʻaʻole he maʻi noʻonoʻo ka hyperacusis. He maʻi lohe ka Hyperacusis. Eia nō naʻe, pili pinepine ia me nā kūlana olakino noʻonoʻo e like me ka hopohopo a me ke kaumaha. ʻO ka noho ʻana me ka walaʻau nui, ʻo ia kekahi ʻano o ka hyperacusis, hiki ke hoʻopilikia i kou olakino noʻonoʻo. ʻO ka makaʻu i ka lohe ʻana i ka walaʻau, a me ka noho kaʻawale ʻana e pale i kou lohe, hiki ke hoʻonui i nā hōʻailona hyperacusis.

Inā ʻoe e lohe ana i nā leo nui loa no ʻoe e hoʻoponopono ai, e ʻike i ke kauka. ʻO ka hoʻāʻo ʻana e ālai i ka walaʻau me nā headphone hoʻopau walaʻau a i ʻole nā ​​​​​​earplugs hiki ke hoʻonui i kou mau hōʻailona i ka wā lōʻihi. Hiki ke lōʻihi ka manawa e ʻike ai i ke kumu o kou kūlana, akā aia nā lāʻau lapaʻau e hiki ke kōkua. Ua hōʻike ʻia ka hoʻōla leo a me ka hoʻōla ʻano noʻonoʻo (CBT) e kōkua i ka poʻe me ka hyperacusis e hoʻomanawanui i kā lākou mau hōʻailona. Inā hoʻokumu ʻia ka hyperacusis e kahi maʻi lapaʻau ma lalo, hiki ke kōkua pū ka mālama ʻana i kēlā.

No laila, he aha nā mea nui loa e pono ai kākou e hoʻomanaʻo?

ʻAe, e nānā kākou i kekahi o nā mea nui e hoʻomanaʻo e pili ana i kēia hyperacusis:

• ʻO ka Hyperacusis kahi maʻi kahi i nui loa ai nā leo maʻamau. ʻAʻole na ʻoe kēia hewa.
• ʻAʻole kēia he maʻi noʻonoʻo, akā hiki ke pili pū me nā pilikia olakino noʻonoʻo (e like me ka hopohopo a me ke kaumaha).
• Nui nā kumu, a i kekahi manawa paʻakikī ke loaʻa i kahi kumu kūpono.
• ʻO ka hoʻāʻo ʻana e hōʻemi i ka walaʻau me nā mea e like me nā plug pepeiao wale nō hiki ke hoʻonui i ka ʻino o ke kūlana.
• Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻimi pono i ke kōkua lapaʻau. E kuhikuhi i kahi loea pepeiao, ihu, a me ka ʻāʻī a i ʻole he loea pepeiao.
• Aia nā lāʻau lapaʻau i loaʻa. Hiki i nā mea e like me ke kani leo a me ka cognitive behavioral therapy (CBT) ke kōkua iā ʻoe e ola me kēia maʻi.
• ʻAʻole ʻoe hoʻokahi. Mai makaʻu e kamaʻilio e pili ana i kēia a noi i ke kōkua.

No laila, inā ʻoe a i ʻole kekahi āu i ʻike ai e ʻike nei i kēia ʻano ʻeha, e ʻoluʻolu e ʻimi i ke kōkua lapaʻau. Makemake mākou iā ʻoe e ho'ōla koke!

ʻO ka Hyperacusis, ka ʻike i ka walaʻau, nā maʻi pepeiao, ka walaʻau nui, tinnitus, ka nalowale o ka lohe, ke olakino noʻonoʻo