Ingabe uzwa imisindo evamile kakhulu? Ake sixoxe ngalokhu (Hyperacusis)!

Ingabe ngezinye izikhathi uthola ukuthi imisindo evamile oyizwa nsuku zonke, imisindo abanye abangenandaba nayo, inomsindo kakhulu futhi iyacasula? Njengokungathi othile uphakamise ivolumu kakhulu. Uma kunjalo, le ndaba izoba yinto ebaluleke kakhulu kuwe. Namuhla sizokhuluma ngalolu hlobo lwesimo. Kwezesayensi yezokwelapha, lokhu kubizwa ngokuthi (Hyperacusis) noma ukuzwela imisindo.

Kuyini i-Hyperacusis?

Kalula nje, i-hyperacusis iyinkinga yokuzwa engavamile kakhulu. Yisimo lapho imisindo evame ukuzwakala kwabanye iphezulu kakhulu, ngezinye izikhathi ibuhlungu, kumuntu onalesi simo. Abanye abantu babiza lokhu ngokuthi "ukubekezelela umsindo okwehla," noma i-DST. Cabanga ngakho, sivame ukuzwa imisindo ehlukene emazingeni ahlukene. Kodwa kumuntu one-hyperacusis, konke kuzwakala sengathi ivolumu iphakanyisiwe kakhulu.

Nazi ezinye imisindo esizizwayo ekuphileni kwansuku zonke, kodwa lokho kungaba nzima kumuntu one-hyperacusis ukuyibekezelela:

• Umsindo wabantu bekhuluma.
• Umsindo wenjini yemoto isebenza.
• Umsindo wompompi wamanzi ekhishini uvula.
• Umsindo ozwakalayo lapho izinto zikagesi ezisendlini zivulwa (isb. i-blender, i-vacuum cleaner).
• Umsindo womuntu ophendula amakhasi encwadi noma iphephandaba.
• Ngisho nokuncane kakhulu kuzwakala kanje.

Lokhu okuhlangenwe nakho kungaba nomthelela omkhulu empilweni yakho yengqondo. Ungase ubhekane nezinto ezifana nokucasuka njalo nokungahlaliseki. (I-Hyperacusis) ingathinta nobudlelwano bakho nabantu. Abanye abantu baze bagweme imicimbi yomphakathi ukuze bagweme lo msindo omkhulu.

I-Hyperacusis ivame ukwenzeka kanye ne -tinnitus . I-Tinnitus iwukuzwa kwemisindo ehlukahlukene ezindlebeni (isb., ukukhala, ukushaya ikhwela, ukuchofoza, ukubhonga), okuhambisana nokulahlekelwa ukuzwa. Kodwa-ke, akuwona wonke amacala e-hyperacusis ahilela i-tinnitus noma ukulahlekelwa ukuzwa.

Sivame kangakanani lesi simo (i-Hyperacusis)?

Eqinisweni, odokotela abakakwazi okuningi nge-hyperacusis. Enye yezinto abangazazi ukuthi ivame kangakanani. Abacwaningi balinganisela ukuthi phakathi kuka-3.2% no-17.1% wezingane kanye nabantu abadala abasebasha bangase babe ne-hyperacusis. Phakathi kwabantu abadala, izinga liphakathi kuka-8% no-15.2% .

Kodwa kunzima ukusho ukuthi kuvame kangakanani. Ngenxa yokuthi abantu abane-hyperacusis bachaza izimpawu zabo ngokusekelwe kokuhlangenwe nakho kwabo, kungahluka kumuntu nomuntu. Futhi, ayikho indlela eyodwa, eyamukelwa emhlabeni wonke yokuxilonga noma yokulinganisa i-hyperacusis. Abacwaningi basafunda nge-hyperacusis, nokuthi bangaki abantu abanayo.

Ziyini izimpawu ze-hyperacusis?

Uma une-hyperacusis, imisindo evamile kwabanye ingaba nzima, ingabekezeleleki, ibe buhlungu, futhi ikwesabise .Lo msindo ungase uzwakale njengokucasula okuncane, noma ungase uzwakale sengathi ulahlekelwa ibhalansi yakho, noma ungase ube mubi kakhulu kangangokuthi ungabangela isimo esibizwa ngokuthi "ukuquleka".

Ezinye izimpawu ezingase zibonakale zifaka:

• Kuzwakala ezindlebeni zakho.
• Ubuhlungu bendlebe.
• Umuzwa wokucindezela noma ukugcwala ngaphakathi ezindlebeni (njengomuzwa owuthola ngaphambi kokuba izindlebe zakho "zishaye" endizeni).

Lezi zimpawu zingathinta kabi impilo yakho yengqondo kanye nokuphila kwakho komphakathi. Ukuhlala uphila nalo msindo ongabekezeleleki, ongajabulisi kungaholela ezimweni ezifana nalezi:

• Ukukhathazeka.
• Ukucindezeleka.
• Izinkinga ebudlelwaneni.
• Ukuzihlukanisa nabantu kanye nokugwema imicimbi yomphakathi.

Lezi zimpawu zingaba zimbi kakhulu uma ucindezelekile , ukhathele , noma uma kufanele uye ezindaweni lapho ulindele khona ukuthi kube nomsindo ongabekezeleleki.

Kungani lokhu (i-Hyperacusis) kwenzeka? Ziyini izimbangela?

Abacwaningi basazama ukuthola ukuthi yini ngempela ebangela i-hyperacusis. Kungenzeka ukuthi izingxenye zobuchopho bethu ezilawula indlela esibona ngayo ukushukuma zenza imisindo ibe nomsindo omkhulu. Nge-hyperacusis, ubuchopho bakho buzwa imisindo ngokucacile kungakhathaliseki ukuthi ivame kangakanani, kungakhathaliseki ukuthi iphansi (njengokuduma kwezulu), iphakathi nendawo (njengezwi lomuntu), noma iphezulu (njengesiren noma ikhwela).

Kunemibono ehlukene ngalokhu. Enye inkolelo-mbono ukuthi i-hyperacusis ingabangelwa ukulimala kwezingxenye zenzwa yethu yokuzwa . Inzwa yokuzwa ithwala izimpawu zomsindo ezivela endlebeni yethu yangaphakathi ziye ebuchosheni, okuyilapho sizwa khona. Enye inkolelo-mbono ukuthi i-hyperacusis ingabangelwa ukulimala kwenzwa yobuso . Inzwa yobuso ilawula imisipha ye-stapedius endlebeni yethu, elawula ukuphakama komsindo. Izimo eziningi ezihlobene ne-hyperacusis (isib. i-Bell's palsy, i-Ramsay Hunt syndrome, isifo se-Lyme) nazo zingabangela ukulimala kwenzwa yobuso.

Kodwa-ke, ayikho imbangela eyodwa ethinta zonke izimo ze-hyperacusis. Kunalokho, ihlotshaniswa nezici ezahlukahlukene kanye nezimo zezokwelapha ezingaba nomthelela kukho.

Phakathi kwezinto ezithonyayo kukhona:

• Ukuchayeka emisindweni emikhulu isikhathi eside: I-Hyperacusis ivame kakhulu kubantu abachayeka emculweni omkhulu isikhathi eside, njengabaculi be-rock, noma labo abasebenza ezindaweni ezinomsindo, njengabasebenzi bezokwakha.
• Ukuchayeka ngokuzumayo emsindweni omkhulu: Abanye abantu baba ne-hyperacusis ngemva kokuzwa umsindo omkhulu ngokuzumayo, njengokuqhuma kwesibhamu noma iziqhumane.

I-Hyperacusis ivame ukwenzeka kanyekanye nezimo ezifana ne-tinnitus (kufika ku-86%) kanye ne-Williams syndrome (kufika ku-90%). Cishe ingxenye yalabo abatholakale benesifo se-hyperacusis nabo banesimo sempilo yokuziphatha njengokukhathazeka.

Izimo ezingase zihlotshaniswe ne-hyperacusis:

• Ukukhathazeka
• I-Autism `(Autism)`
• Ukukhubazeka kukaBell
• Ukucindezeleka
• I-Down syndrome
• Ukutheleleka kwendlebe (isb. i-otitis media)
• Ukulimala ekhanda
• Isifo seLyme
• Isifo sikaMeniere
• I-Migraines
• Isifo sokucindezeleka ngemva kokucindezeleka (PTSD)
• I-Ramsay Hunt syndrome
• I-Superior Canal Dehiscence Syndrome (SCDS)
• I-Temporomandibular joint syndrome (TMJ)
• I-tinnitus
• Isifo sikaWilliams

Abanye abantu bangase babe nezimpawu ze-hyperacusis ngemva kokuhlinzwa noma njengokusabela kwemithi ethile.

Wazi kanjani ukuthi unesifo se-hyperacusis?

Kungaba nzima ukuxilonga, njengoba kungebona bonke abahlinzeki bezempilo abajwayelene ne-hyperacusis. Kungase kudingeke ukuthi ubonane nochwepheshe wezindlebe, impumulo, nomphimbo (uchwepheshe we-ENT) kanye/noma udokotela wezindlebe ukuze akusize ekuxilongeni inkinga.

Ukuxilongwa kungafaka:

• Umlando wezokwelapha: Umhlinzeki wakho wezempilo uzocabangela izici eziyingozi, njengezinkinga zempilo yokuziphatha (njengokukhathazeka noma ukucindezeleka), ukuchayeka emisindweni emikhulu, noma ukulimala kokuzwa kwakho.
• Ukuhlolwa: Bazohlola noma yiziphi izinkinga zesakhiwo ezindlebeni zakho ezingase zihlobane ne-hyperacusis yakho. Bangenza izivivinyo ezifana ne -tympanometry ukuze babheke ukuthi i-eardrum yakho ihamba kanjani. Bangase futhi bahlole izinzwa zakho ze-cranial ukuze babone ukuthi zikhona yini izinkinga ngokusebenza kwenzwa yakho yobuso.
• Ukuhlolwa kokuzwa: Ukuhlolwa kokuzwa kusetshenziselwa ukunquma izinga lakho lokuzwa. Kungahlola nezinga lakho lokungakhululeki komsindo (LDL) . I-LDL ikhombisa izinga oqala ngalo ukuzwa imisindo ephezulu kakhulu ukuthi ungayizwa. Udokotela wakho angakucela nokuthi ugcwalise uhlu lwemibuzo mayelana nokuzwa kwakho ukuze ahlole ukuthi i-hyperacusis yakho ikuthinta kangakanani. Le mibuzo izokhombisa ukuthi i-hyperacusis yakho iphazamisa kangakanani impilo yakho yansuku zonke.

Uma udokotela wakho esola ukuthi i-hyperacusis yakho ibangelwa inkinga yesakhiwo, njenge-facial nerve palsy, angase acele izinqubo zokuthatha izithombe.Ungase futhi unikezwe umsebenzi welabhorethri uma usola ukuthi i-hyperacusis yakho ibangelwa yisimo esifana nesifo se-Lyme.

Yiziphi izindlela zokwelapha i-hyperacusis?

Akukho ukwelashwa okujwayelekile kwe-hyperacusis. Esikhundleni salokho, ukwelashwa kuvame ukugxila ekunciphiseni izimpawu zomzimba kanye nokufundisa izindlela zokusiza ukubhekana nokucindezeleka kwengqondo okubangelwa yi-hyperacusis. Ukwelashwa kufaka phakathi:

• Ukwelashwa ngomsindo: Umgomo uwukukuveza kancane kancane (nangokuphephile) emsindweni owengeziwe, ekugcineni ukukufikise ezingeni ongalibekezelela. Okokuqala, uvezwa imisindo ekhululekile nephansi. Emasontweni ambalwa, ivolumu iyanda kancane kancane, okukuvumela ukuthi ujwayele amazinga aphezulu.
• Ukwelashwa kokuziphatha kwengqondo (CBT): I-CBT ifundisa abantu ukuthi bangabhekana kanjani nokucindezeleka kanye nemizwa emibi ehambisana nomsindo omkhulu. Lokhu kungasiza ekunciphiseni ukwesaba nokukhathazeka okuhlobene ne-hyperacusis. Izifundo zibonise ukuthi i-CBT ingakhuphula izinga lomsindo we-LDL (low-density lipoprotein) kubantu abane-hyperacusis.
• Ukwelashwa kabusha kwe-Tinnitus (TRT): Nakuba i-TRT ivame ukusetshenziselwa ukwelapha i-tinnitus, ingasetshenziswa futhi ukwelapha i-hyperacusis. I-TRT ihilela ukufundisa iziguli ngesimo sazo, ukwelulekwa, kanye nokwelashwa komsindo. Ku-TRT, ulalela imvamisa eduduzayo ebizwa ngokuthi "umsindo opinki" ngama-headphone akhethekile. Umsindo opinki ufana nomsindo wemvula noma umoya. Umsindo opinki udala indawo yomsindo ezolile, ebikezelwayo, ngakho-ke imisindo ebingakukhathaza ayimnandi kangako.
• Ukuhlinzwa: Ukuze welaphe i-hyperacusis ehlotshaniswa ne-facial nerve palsy , udokotela wakho angenza ukuhlinzwa kokuqinisa amafasitela okuyindilinga nokuyindilinga . Lokhu kuhlinzwa kusebenzisa izicubu ezingemuva kwendlebe yakho ukuze kuhlinzekwe ukusekelwa kwamathambo ( ama-ossicles ) endlebeni yakho yangaphakathi okusiza ukulawula ukuqina komsindo. Lokhu kuhlinzwa kungathuthukisa amazinga e-LDL.

Ingabe i-Hyperacusis ingelapheka ngokuphelele?

Akukho ukwelashwa okuqondile kwe-hyperacusis, kodwa kuye ngokuthi imbangela iyini, izimpawu zakho zingase zithuthuke ngokuhamba kwesikhathi. Isibonelo, i-hyperacusis ngemva kokuhlinzwa ingaphela ngemva kokuba usululame ekuhlinzweni. Abantu abanesifo sikaMénière bangase babone ukwehla kwezimpawu ze-hyperacusis njengoba lesi sifo siqhubeka.

Yini okufanele uyilindele uma uphila nalesi simo?

Abahlinzeki bezempilo kanye nabacwaningi bezokwelapha basafunda ngemiphumela yesikhathi eside ye-hyperacusis. Kubantu abaningi, i-hyperacusis yisimo sesikhathi eside abafunda ukusisingatha ngokwelashwa. Kwabanye, izimpawu ziyaphela ngemva kokuhlinzwa noma lapho isimo esiyisisekelo selashwa.

Ngingayibona nini udokotela?

Abantu abaningi abanezimpawu ze-hyperacusis baqala ngokuzama ukuvimba umsindo obazungezile ngokugqoka ama-earplug noma ama-headphone. Bangase futhi bagweme imibuthano yokuxhumana nabantu. Kodwa lezi zinto zingenza isimo sibe sibi kakhulu. Abantu abasebenzisa ama-headphone noma ama-earplug bangathola ukuthi umsindo uba mkhulu nakakhulu ngemva kokususwa kwawo. Ukuzihlukanisa nabantu nakho kungabangela noma kube kubi kakhulu izinkinga zempilo yengqondo.

Ungazami ukulawula izimpawu zakho wedwa. Kunalokho, bona udokotela uma unezimpawu ze-hyperacusis. Kungathatha isikhathi ukuthola ukuthi yini ngempela ebangela inkinga, kodwa kunezindlela zokwelapha ezingakusiza.

Ingabe i-Hyperacusis isifo sengqondo?

Cha, i-hyperacusis ayisona isifo sengqondo. I-Hyperacusis iyinkinga yokuzwa. Kodwa-ke, ivame ukuhlotshaniswa nezimo zempilo yengqondo njengokukhathazeka nokucindezeleka. Ukuphila nomsindo omkhulu, okuyisici se-hyperacusis, kungathinta impilo yakho yengqondo. Ukwesaba umsindo wokuzwa, kanye nokuzihlukanisa ukuze uvikele ukuzwa kwakho, kungenza izimpawu ze-hyperacusis zibe zimbi kakhulu.

Uma uzwa imisindo ephezulu kakhulu ukuthi ungakwazi ukuyiphatha, bona udokotela. Ukuzama ukuvimba umsindo ngama-headphone aqeda umsindo noma ama-earplug kungenza izimpawu zakho zibe zimbi kakhulu ngokuhamba kwesikhathi. Kungathatha isikhathi ukuthola ukuthi yini ebangela isimo sakho, kodwa kunezindlela zokwelapha ezingasiza. Ukwelashwa ngomsindo kanye nokwelashwa kokuziphatha kwengqondo (i-CBT) kuye kwabonakala kusiza abantu abane-hyperacusis ukubhekana nezimpawu zabo. Uma i-hyperacusis ibangelwa yisimo sezokwelapha esingaphansi, ukwelashwa nakho kungasiza.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okudingeka sizikhumbule?

Kulungile, ake sibheke ezinye zezinto ezibaluleke kakhulu okufanele sizikhumbule ngaleli gciwane eliyingozi:

• I-Hyperacusis yisimo lapho ngisho nemisindo evamile iphakeme kakhulu ukuba ingathwalwa. Akulona iphutha lakho lokhu.
• Lokhu akusona isifo sengqondo, kodwa kungahlotshaniswa nezinkinga zempilo yengqondo (njengokukhathazeka nokucindezeleka).
• Kungaba nezizathu eziningi, futhi ngezinye izikhathi kunzima ukuthola isizathu esithile.
• Ukuzama ukunciphisa umsindo ngezinto ezifana nama-earplugs kuphela kungenza isimo sibe sibi kakhulu.
• Uma unalezi zimpawu, qiniseka ukuthi ufuna iseluleko sezokwelapha. Bheka uchwepheshe wezindlebe, impumulo, nomphimbo noma udokotela wezindlebe.
• Kukhona izindlela zokwelapha ezitholakalayo. Izinto ezifana nokwelashwa ngomsindo kanye nokwelashwa kokuziphatha kwengqondo (i-CBT) zingakusiza ukuthi uphile nalesi simo.
• Awuwedwa. Ungesabi ukukhuluma ngalokhu nokucela usizo.

Ngakho-ke, uma wena noma othile omaziyo ebhekene nalolu hlobo lokungakhululeki, sicela ufune iseluleko sezokwelapha. Sikufisela ukululama okusheshayo!

I- Hyperacusis, ukuzwela umsindo, izifo zezindlebe, umsindo omkhulu, i-tinnitus, ukulahlekelwa ukuzwa, impilo yengqondo