He nui ake ōu rongonga i ngā oro noa? Me kōrero tātou mō tēnei (Hyperacusis)!

Ka kitea e koe i ētahi wā he nui rawa te haruru, he whakarihariha hoki ngā oro noa e rangona ana e koe i ia rā, arā, ngā oro kāore e arohia ana e ētahi atu? Me te mea kua whakanuia e tetahi te oro ki te taumata teitei. Ki te pērā, he mea nui tēnei kōrero ki a koe. I tēnei rā ka kōrero tātou mō tēnei momo āhuatanga. I roto i te pūtaiao hauora, e kiia ana tēnei ko te (Hyperacusis) arā, te aro nui ki ngā oro.

He aha te Hyperacusis?

He kupu ngāwari noa iho, he mate whakarongo tino onge te hyperacusis. He āhuatanga tēnei e nui rawa ai te haruru o ngā oro e rangona ana e ētahi atu, ā, he mamae i ētahi wā, mō te tangata whai mate pēnei. Ka karangahia hoki tēnei e ētahi ko te "hekenga o te manawanui oro," ko te DST rānei. Whakaarohia, he rerekē ngā oro e rangona ana e tātou i ngā taumata rerekē. Engari mō te tangata whai hyperacusis, ka rite te tangi o ngā mea katoa ki te mea kua whakanuia te haruru ki te mōrahi.

Anei ētahi oro e rangona ana e tātou i ia rā, engari he uaua pea ki te tangata e pāngia ana e te hyperacusis te aro atu ki ēnei:

• Te tangi a te tangata e kōrero ana.
• Te tangi o te mīhini o te motuka e oma ana.
• Te tangi o te pū wai i te kīhini e tahuri ana.
• Te haruru e puta mai ana ina whakakāhia ngā taputapu hiko i roto i te whare (hei tauira, te mīhini whakaranu, te horoi korehau).
• Te tangi a te tangata e huri ana i ngā whārangi o te pukapuka, o te nūpepa rānei.
• Ahakoa te ngoikore rawa o te oro pēnei.

Ka pāngia pea koe e tēnei wheako e te nui o te pānga ki tō hauora hinengaro. Tērā pea ka pāngia koe e ngā āhuatanga pēnei i te riri tonu me te kore okiokinga. Ka pāngia hoki ō whanaungatanga pāpori e te (Hyperacusis). Ka karohia e ētahi ngā huihuinga pāpori hei karo i tēnei haruru nui.

He maha ngā wā ka puta tahi te hyperacusis me te tinnitus . Ko te tinnitus te rongonga i ngā momo oro i roto i ngā taringa (hei tauira, te tangi, te whiowhio, te pāwhiri, te ngunguru), e pā ana ki te ngaronga o te rongo. Heoi, ehara i te mea ko ngā take katoa o te hyperacusis he tinnitus, he ngaronga rānei o te rongo.

He pēhea te noa o tēnei āhuatanga (Hyperacusis)?

Ina hoki, kāore anō kia nui te mōhio o ngā tākuta mō te hyperacusis. Ko tētahi o ngā mea kāore rātou e mōhio ko tōna whānui. E whakatau ana ngā kairangahau kei waenganui i te 3.2% me te 17.1% o ngā tamariki me ngā taiohi he hyperacusis pea. I roto i ngā pakeke, ko te auau kei waenganui i te 8% me te 15.2% .

Engari he uaua ki te kī tika i te auau o tēnei mate. Nā te mea ka whakaahuahia e te hunga whai hyperacusis ō rātou tohu i runga i ō rātou wheako, ka rerekē pea i ia tangata, i ia tangata. Waihoki, kāore he tikanga kotahi, e whakaaetia whānuitia ana mō te tātaritanga, te ine rānei i te hyperacusis. Kei te ako tonu ngā kairangahau mō te hyperacusis, me te tokomaha o te hunga e pāngia ana e tēnei mate.

He aha ngā tohu o te hyperacusis?

Ki te pāngia koe e te hyperacusis, ko ngā oro noa ki ētahi atu ka uaua, ka kore e taea te whakamanawanui, ka mamae, ā, ka whakamataku pea ki a koe.Tērā pea he iti noa te ahua o tēnei haruru, he rite rānei ki te ngaro tō taurite, he tino kino rawa rānei ka puta he āhuatanga e kiia nei ko te "ohorere".

Ko ētahi atu tohu ka kitea pea ko:

• E tangi ana i roto i ō taringa.
• Mamae taringa.
• He kare ā-roto e pēhia ana, e kī ana rānei i roto i ngā taringa (pērā i te kare ā-roto e pā mai ana i mua i te "pahū" o ō taringa i runga i te waka rererangi).

Ka pā kino pea ēnei tohu ki tō hauora hinengaro me tō oranga pāpori. Mēnā ka noho tonu koe me tēnei haruru kino, kāore e taea te whakamanawanui, ka arahi pea ēnei ki ngā āhuatanga pēnei i:

• Te manukanuka.
• Te pouri.
• Ngā raruraru i roto i ngā whanaungatanga.
• Te noho mokemoke me te karo i ngā huihuinga pāpori.

Ka kino atu pea ēnei tohu ina ahotea koe, ina ngenge rānei, ina haere rānei koe ki ngā wāhi e tika ana kia rangona te haruru e kore e taea te whakamanawanui.

He aha tēnei (Hyperacusis) ka puta? He aha ngā take?

Kei te ngana tonu ngā kairangahau ki te rapu i te pūtake o te hyperacusis. Tērā pea ko ngā wāhanga o tō tātou roro e whakahaere ana i te āhua o tā tātou kitenga i te whakaohooho kei te whakanui ake i ngā oro. Mēnā he hyperacusis, ka mārama ake te rongonga o tō roro i ngā oro ahakoa te auau, ahakoa he iti (pēnei i te whatitiri), he reo waenga (pēnei i te reo tangata), he teitei rānei (pēnei i te haona, i te whiowhio rānei).

He rerekē ngā ariā mō tēnei. Ko tētahi ariā ko te hyperacusis ka puta mai i te kino o ngā wāhanga o tō tātou io whakarongo . Ka haria e te io whakarongo ngā tohu oro mai i tō tātou taringa o roto ki te roro, koinei te wāhi e rongo ai tātou. Ko tētahi atu ariā ko te hyperacusis ka puta mai i te kino o te io kanohi . Ko te io kanohi te kaiwhakahaere o te uaua stapedius i roto i tō tātou taringa, e whakahaere ana i te teitei o te oro. He maha ngā āhuatanga e pā ana ki te hyperacusis (hei tauira, te pararutiki a Bell, te mate Ramsay Hunt, te mate Lyme) ka taea hoki te whakararu i te io kanohi.

Heoi, kāore he take kotahi e pā ana ki ngā take katoa o te hyperacusis. Engari, kua honoa ki ngā momo āhuatanga me ngā āhuatanga hauora ka taea te whai wāhi ki tēnei.

Kei roto i ngā āhuatanga whai mana ko:

• Te noho roa ki ngā haruru nui: He nui ake te kitea o te Hyperacusis i roto i te hunga e noho roa ana ki ngā puoro nui, pērā i ngā kaiwaiata toka, i te hunga rānei e mahi ana i ngā taiao haruru, pērā i ngā kaimahi hanga whare.
• Te pānga ohorere ki te haruru nui: Ka pāngia ētahi tāngata e te hyperacusis i muri i te rongonga i tētahi haruru nui ohorere, pērā i te pupuhi pū, i ngā ahi rānei.

He maha ngā wā ka pā te hyperacusis ki ngā āhuatanga pēnei i te tinnitus (tae atu ki te 86%) me te Williams syndrome (tae atu ki te 90%). Tata ki te haurua o te hunga kua tātaritatia he hyperacusis he āhuatanga hauora whanonga pēnei i te manukanuka.

Ngā āhuatanga ka pā pea ki te hyperacusis:

• Manukanuka
• Autism `(Autism)`
• Te pararutiki a Bell
• Te pouri
• Te mate Down
• Ngā mate taringa (hei tauira, te otitis media)
• Ngā whara o te upoko
• Te mate Lyme
• Te mate a Meniere
• Ngā migraines
• Te mate ahotea muri-whara (PTSD)
• Te mate Ramsay Hunt
• Te Mate Puta o te Awaawa Matua (SCDS)
• Te mate hononga Temporomandibular (TMJ)
• Tinnitus
• Te mate Williams

Tērā pea ka pāngia ētahi tāngata e ngā tohu o te hyperacusis i muri i te pokanga, i te tauhohenga rānei ki ētahi rongoā.

Me pēhea koe e mōhio ai mēnā he hyperacusis tōu?

He uaua pea te tautuhi i te mate, nā te mea kāore ngā kaiwhakarato hauora katoa e mōhio ana ki te hyperacusis. Me toro atu pea koe ki tētahi tohunga taringa, ihu, me te korokoro (tohunga ENT) me/ranei ki tētahi tohunga whakarongo hei āwhina i te tautuhi i te raruraru.

Kei roto pea i te tātaritanga:

• Hītori hauora: Ka whakaarohia e tō kaiwhakarato hauora ngā āhuatanga mōrearea mōu, pērā i ngā raruraru hauora whanonga (pērā i te manukanuka, te pouri rānei), te pānga ki ngā haruru nui, te kino rānei o tō whakarongo.
• Whakamātautau: Ka tirohia e rātou ngā raruraru hanganga o ō taringa e pā ana ki tō hyperacusis. Tērā pea ka whakahaerehia e rātou ngā whakamātautau pēnei i te tympanometry hei tirotiro i te nekehanga o tō pakirau taringa. Tērā pea ka tirohia hoki e rātou ō io angaanga hei tirotiro mēnā he raruraru kei roto i te mahi a tō io kanohi.
• Ngā whakamātautau whakarongo: Ka whakamahia ngā whakamātautau whakarongo hei whakatau i tō taumata whakarongo. Ka taea hoki e rātou te aromatawai i tō taumata koretake o te haruru (LDL) . Ko te LDL e tohu ana i te taumata ka tīmata koe ki te rongo i ngā oro he nui rawa te haruru mōu. Tērā pea ka tono atu tō tākuta kia whakaoti koe i tētahi pātai mō tō whakarongo hei aromatawai i te kaha o te pānga o tō hyperacusis ki a koe. Ma ēnei pātai e whakaatu te nui o te whakararuraru o tō hyperacusis i tō oranga o ia rā.

Mena kei te whakapae tō tākuta kei te puta tō hyperacusis i tētahi raruraru hanganga, pērā i te pararutiki o te io kanohi, ka tonoa pea e rātou he tikanga whakaahua.Tērā pea ka tohua he mahi taiwhanga ki a koe mēnā kei te whakaaro koe kei te puta tō hyperacusis i tētahi āhuatanga pēnei i te mate Lyme.

He aha ngā maimoatanga mō te hyperacusis?

Kāore he maimoatanga paerewa mō te hyperacusis. Engari, ko te nuinga o ngā maimoatanga e aro ana ki te whakaiti i ngā tohu ā-tinana me te whakaako i ngā huarahi hei āwhina i te whakatau i te ahotea hinengaro i puta mai i te hyperacusis. Ko ngā maimoatanga ko:

• Whakaora oro: Ko te whāinga kia āta haere (kia haumaru hoki) te whakaatu i a koe ki te nui haere o te haruru, ā, ka eke koe ki te taumata e taea ai e koe te manawanui. Tuatahi, ka rongo koe i ngā oro whakamarie, iti te kaha. I roto i ētahi wiki, ka āta whakanuia te oro, kia taunga ai koe ki ngā taumata teitei ake.
• Te rongoā whanonga hinengaro (CBT): Ka ako te CBT i te tangata ki te aro atu ki te ahotea me ngā kare ā-roto kino e pā ana ki te haruru nui. Ka āwhina tēnei ki te whakaiti i te wehi me te manukanuka e pā ana ki te hyperacusis. Kua whakaatuhia e ngā rangahau ka taea e te CBT te whakanui ake i te taumata LDL (low-density lipoprotein) o te haruru i roto i te hunga e pāngia ana e te hyperacusis.
• Te whakaora i te tinnitus (TRT): Ahakoa e whakamahia ana te TRT hei rongoā i te tinnitus, ka taea hoki te whakamahi hei rongoā i te hyperacusis. Ko te TRT he whakaako i ngā tūroro mō ō rātou āhua, te tuku tohutohu, me te whakaora oro. I roto i te TRT, ka whakarongo koe ki tētahi auau whakamarie e kiia nei ko te "haruru māwhero" mā roto i ngā pane whakarongo motuhake. He rite te haruru māwhero ki te haruru o te ua, o te hau rānei. Ka hangaia e te haruru māwhero he taiao oro marino, e taea te matapae, kia kore ai e kino rawa ngā oro e whakararuraru ana i a koe.
• Pokanga: Hei rongoā i te hyperacusis e pā ana ki te pararutiki o te io kanohi, ka whakahaerehia pea e tō tākuta he pokanga whakapakari matapihi porowhita me te porowhita . Ka whakamahia e tēnei pokanga he kiko mai i muri o tō taringa hei tautoko i ngā wheua ( ngā wheua o te taringa ) i roto i tō taringa o roto e āwhina ana ki te whakahaere i te kaha o te tangi. Ka taea e tēnei pokanga te whakapai ake i ngā taumata LDL.

Ka taea te whakaora katoa i te Hyperacusis?

Kāore he rongoā motuhake mō te hyperacusis, engari i runga i te take, ka pai ake pea ō tohu i roto i te wā. Hei tauira, ka memeha pea te hyperacusis i muri i te pokanga i muri i tō whakaoranga mai i te pokanga. Tērā pea ka kite te hunga whai mate a Ménière i te hekenga o ngā tohu hyperacusis i te haere whakamua o te mate.

He aha ngā mea e tika ana kia tumanakohia e koe ina noho tahi ana koe me tēnei mate?

Kei te rangahau tonu ngā kaiwhakarato hauora me ngā kairangahau hauora i ngā pānga roa o te hyperacusis. Mō te tini o te tangata, he mate roa te hyperacusis ka ako rātou ki te whakahaere mā te maimoatanga. Mō ētahi atu, ka memeha ngā tohu i muri i te pokanga, i te wā rānei e rongoatia ai te mate taketake.

Kia pēhea te wā me toro atu ahau ki te tākuta?

He maha ngā tāngata whai tohu hyperacusis e ngana ana ki te ārai i te haruru e karapoti ana i a rātou mā te mau i ngā mono taringa, i ngā pane taringa rānei. Tērā pea ka karohia e rātou ngā huihuinga pāpori. Engari mā ēnei mea ka kino ake te āhuatanga. Tērā pea ka kitea e te hunga e whakamahi ana i ngā pane taringa, i ngā mono taringa rānei ka kaha ake te haruru i muri i te tangohanga. Ka taea hoki e te noho motuhake te whakararu, te whakararu rānei i ngā raruraru hauora hinengaro.

Kaua e ngana ki te whakahaere i ō tohumate i a koe anō. Engari, me toro atu ki te tākuta mēnā kei a koe ngā tohumate o te hyperacusis. Tērā pea ka roa te wā e mōhiotia ai te pūtake o te raruraru, engari he maimoatanga hei āwhina i a koe.

He mate hinengaro te Hyperacusis?

Kāo, ehara te hyperacusis i te mate hinengaro. He mate whakarongo te hyperacusis. Heoi, he maha ngā wā e hono ana ki ngā āhuatanga hauora hinengaro pēnei i te manukanuka me te pouri. Ko te noho me te nui o te haruru, he āhuatanga o te hyperacusis, ka pā ki tō hauora hinengaro. Ko te wehi ki te rongo i te haruru, me te noho motuhake hei tiaki i tō whakarongo, ka kino ake ngā tohu o te hyperacusis.

Mena kei te rongo koe i ngā oro nui rawa atu kāore e taea e koe te whakahaere, tirohia he tākuta. Mā te ngana ki te aukati i te haruru mā te whakamahi i ngā taringa whakakore haruru, i ngā mono taringa rānei, ka kino ake pea ō tohu i te wā roa. Tērā pea ka roa te wā e mōhio ai koe he aha te take o tō mate, engari he maimoatanga kei reira hei āwhina. Kua whakaatuhia te whakaora oro me te whakaora whanonga hinengaro (CBT) hei āwhina i te hunga whai hyperacusis ki te aro atu ki ō rātou tohu. Mena he mate hauora kei raro i te pūtake o te hyperacusis, tera pea ka āwhina te rongoā i tēnā.

Nā, he aha ngā mea tino nui hei maumahara mā tātou?

Āe, kia tirohia ētahi o ngā mea tino nui hei maumahara mō tēnei hyperacusis:

• Ko te Hyperacusis he mate e kore ai e taea te whakarongo ki ngā oro noa. Ehara i te mea nāu tēnei he.
• Ehara tēnei i te mate hinengaro, engari ka hono atu pea ki ngā raruraru hauora hinengaro (pēnei i te manukanuka me te pouri).
• He maha ngā take, ā, i ētahi wā he uaua ki te kimi i tētahi take motuhake.
• Mā te ngana ki te whakaiti i te haruru mā te whakamahi i ngā mea pēnei i ngā mono taringa anake ka kino ake te āhuatanga.
• Ki te pā mai ēnei tohu ki a koe, me rapu tohutohu hauora. Me toro atu ki tētahi tohunga taringa, ihu, me te korokoro, ki tētahi tohunga whakarongo rānei.
• He maimoatanga kei te wātea. Ka taea e ngā mea pēnei i te whakaora oro me te whakaora whanonga hinengaro (CBT) te āwhina i a koe ki te ora me tēnei mate.
• Kāore koe i te mokemoke. Kaua e wehi ki te kōrero mō tēnei mea, me te tono āwhina.

Nō reira, ki te pāngia koe, tētahi atu rānei e mōhio ana koe e tēnei mamae, rapua he tohutohu hauora. Kia tere tō ora!

` Hyperacusis, te aro nui ki te haruru, ngā mate taringa, te haruru nui, te tinnitus, te ngaronga o te rongo, te hauora hinengaro