Uyawuzwa futhi umsindo ngaphakathi kwekhanda lakho ohambisana nesigqi senhliziyo yakho eshayayo? Ake sifunde nge-Pulsatile Tinnitus!

Wake wezwa umsindo ngaphakathi kwekhanda lakho, noma ngaphakathi ezindlebeni zakho, ozwakala sengathi "duk duk" noma "shoo... shoo..." ngokushaywa kwenhliziyo yakho? Lokhu kungaba yinto engavamile ongayizwa nguwe kuphela, futhi okungekho omunye umuntu ongayizwa. Ngezinye izikhathi lo msindo uthule kakhulu, kanti ngezinye izikhathi unomsindo omkhulu kakhulu. Uma uke wabhekana nento efana nale, kubaluleke kakhulu ukuqaphela isimo esizokhuluma ngaso namuhla, esibizwa ngokuthi i-Pulsatile Tinnitus .

Kuyini i-Pulsatile Tinnitus?

Kalula nje, i-Pulsatile Tinnitus uhlobo olungavamile lwe-tinnitus. Ngokuvamile, umuntu one-tinnitus uzwa umsindo oqhubekayo, ozwakala ngaphakathi kwekhanda lakhe, ovame ukufana nomsindo "wokukhala...". Kodwa-ke, ku-Pulsatile Tinnitus, umsindo owuzwayo uwushintsho oluhambisana nesigqi ngokuphendula ukushaya kwenhliziyo yakho. Okusho ukuthi, umsindo uzwakala ngesikhathi senhliziyo yakho.

Into ebalulekile ukuthi i-Pulsatile Tinnitus akuyona isifo esisodwa . Kuwuphawu lwesinye isimo sezokwelapha. Esikhathini esiningi, kubangelwa inkinga ohlelweni lwethu lwemithambo yegazi , noma imithambo yegazi, ukungasebenzi kahle kokugeleza kwegazi endlebeni, futhi ezimweni ezingavamile, umdlavuza.

Lokhu kuthinta kanjani umzimba wakho?

Njenge-tinnitus ejwayelekile, i-pulsatile tinnitus ingaphazamisa imisebenzi yakho yansuku zonke . Ingabangela ukungalali, ubunzima bokugxilisa ingqondo, kanye nokungakwazi ukuqeda imisebenzi. Kwabanye abantu, ingaholela ngisho nasekucindezelekeni , ekukhathazekeni , noma kwezinye izinkinga zempilo yengqondo.

Kodwa, okubaluleke kakhulu, i-Pulsatile Tinnitus ingaba uphawu lokuqala lwesixwayiso sesimo esibucayi emzimbeni wakho. Ngakho-ke, akuyona into okufanele uyishalazele nje.

Kunini lapho kufanele sicabange ngokujulile ngalokhu?

Kuwukuhlakanipha ukufuna iseluleko sezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi izinguquko ezizumayo nezingaqondakali emzimbeni wakho. Ikakhulukazi,

• Uma ngokuzumayo uqala ukuzwa umsindo onesigqi othi “shoo... shoo...” ekhanda lakho.
• Ukube nje indlebe eyodwa kuphela ebingawuzwa lowo msindo.
• Kodwa-ke, uma unenkinga yokuhamba, uzizwa ungazinzile, noma ubhekene nokukhubazeka kokubona.

Uma unalezi zimpawu, kufanele ubonane nodokotela ngokushesha .

Ingabe lesi yisimo esivamile?

Cha, i-Pulsatile Tinnitus yisimo esingavamile kakhulu.I-Pulsatile Tinnitus yisimo esithinta cishe u-10% wabantu ababalelwa ezigidini ezingu-50 abane-tinnitus.

Ziyini izimpawu ze-Pulsatile Tinnitus?

Uphawu oluyinhloko noluvame kakhulu umsindo othi "shoo... shoo..." owuzwa ngaphakathi kwekhanda lakho ngendlela enesigqi ehambisana nokushaya kwenhliziyo yakho . Kuzwakala sengathi igazi lidlula endlebeni yakho. Lokhu kubangelwa igazi elihamba ngokushesha kunokujwayelekile ngemithambo yegazi ezungeze indlebe yakho, kungaba imithambo emikhulu noma imithambo entanyeni yakho kanye nesisekelo sekhanda lakho, noma imithambo emincane engaphakathi kwendlebe yakho. Kalula nje, umuntu one-Pulsatile Tinnitus uzwa okuzwakala sengathi inhliziyo yakhe ishaya .

Yini ebangela lokhu?

I-Pulsatile Tinnitus ngokuvamile ibangelwa ushintsho noma ukungajwayelekile kokugeleza kwegazi ezindlebeni zakho noma ezizungezile. Ngezinye izikhathi, lolu shintsho lokugeleza kwegazi lungaba uphawu lwesimo sezokwelapha esibucayi . Kodwa-ke, akuwona wonke umuntu one-Pulsatile Tinnitus onalesi simo esibucayi.

Kwezinye izimo, lokhu kungase kungabi ngenxa yezinguquko ekugelezeni kwegazi, kodwa kungenxa yekhono elanele lokuzwa umsindo wokugeleza kwegazi .

Nazi ezinye zezimbangela ezingaba khona ze-Pulsatile Tinnitus:

• I-Atherosclerosis: Lokhu kuwukuqina nokuqina kwezindonga zemithambo yakho yegazi. Njengoba nje umfula othule uba yimpophoma ehlokomayo lapho udlula emadwaleni, lapho igazi ligeleza ngokungalingani kanje, imithambo eseduze kwezindlebe zakho ingadala umsindo owengeziwe.
• Ukukhubazeka kodonga lwe-Sinus (SWAA): Udonga lwe-sinus ohlangothini lobuchopho bakho luwumzila owamukela igazi elivela emithanjeni engaphakathi kobuchopho bakho. Kwabanye abantu, izimo ezandisa ukugeleza kwegazi kulo mzila zingabangela umsindo, okuyiwona obangela umsindo othi "swoosh..." ozwakala ku-Pulsatile Tinnitus.
• Ukukhubazeka kwemithambo yegazi: Lokhu kuyimithambo yegazi ephithene ethinta ukuxhumana phakathi kwemithambo yakho nemithambo yegazi. Uma unalolu hlobo lokukhubazeka eduze kwezindlebe zakho, ungase ube ne-pulsatile tinnitus.
• Umfutho wegazi ophezulu: Umfutho wegazi ophezulu ukucindezela kwegazi okwenziwa yizindonga zemithambo yegazi yakho. Uma lokhu kucindezela kuphakeme kakhulu, kungabangela ne-pulsatile tinnitus.
• I-anemia: I-anemia ingandisa ukujikeleza kwegazi lakho, okungathinta nemithambo yegazi futhi kubangele i-pulsatile tinnitus.
• Izimila zendlebe ephakathi: Abanye abantu bangaba nezimila ezincane endlebeni ephakathi, eduze kwezingxenye ezithola umsindo. Lezi zibizwa ngokuthi izimila ze-glomus.Lezi zinemithambo yegazi eminingi. Ngezinye izikhathi, umsindo wegazi ogeleza emithanjeni yegazi kulezi zimila ze-glomus ungabangela i-pulsatile tinnitus.
• Umfutho wegazi ophezulu we-Idiopathic intracranial: Lokhu kwenzeka lapho uketshezi lwe-cerebrospinal luqoqana khona nxazonke zobuchopho bakho, lubeka ingcindezi emithanjeni yegazi futhi luthinte ukugeleza kwegazi.
• Ukulimala ekhanda: Cishe abantu abangu-53% abaye balimala ekhanda babhekana ne-tinnitus, okuhlanganisa ne-pulsatile tinnitus.
• I-Hyperthyroidism: Lesi simo singabangela inhliziyo yakho ukuthi ishaye ngokushesha, okwandisa ukugeleza kwegazi.
• Isifo sikaPaget: Isifo sikaPaget yisifo esingamahlalakhona esithinta amathambo, futhi kwabanye abantu singathinta nogebhezi. Cishe abantu abangu-20% abanesifo sikaPaget bahlangabezana nokulahlekelwa ukuzwa, okuhlanganisa ne-pulsatile tinnitus.

Odokotela bakuthola kanjani lokhu?

Odokotela bazoqala balalele ukushaya kwenhliziyo yakho besebenzisa i-stethoscope bese kuba yintamo yakho kanye nogebhezi. (Uma udokotela ezwa umsindo ohambisana nokushaya kwenhliziyo yakho, ubizwa ngokuthi i-objective pulsatile tinnitus . Uma bengakwazi, ubizwa ngokuthi i-subjective pulsatile tinnitus .)

Kodwa-ke, odokotela bazohlola ukuze babone ukuthi i-Pulsatile Tinnitus yakho iyenzeka yini ngokuvumelana nokushaya kwenhliziyo yakho. Bazohlola nokuzwa kwakho . Phakathi nalolu vivinyo lokuzwa, bangenza nokuhlolwa okukhethekile okubizwa ngokuthi i-tympanometry ukuze balinganise ukushaya kwenhliziyo ezindlebeni zakho futhi babone ukuthi kuyahambisana yini nokushaya kwenhliziyo yakho.

Kuye ngezinye izimpawu zakho, udokotela wakho angase akucele ukuthi uhlolwe izithombe ezahlukene. Lezi zivivinyo zivumela odokotela ukuthi "babone" ukuthi kwenzekani ngaphakathi kwekhanda lakho nasentanyeni ukuze babone ukuthi kukhona yini okungase kubangele i-Pulsatile Tinnitus yakho. Lezi zivivinyo zingafaka:

• I-Angiography: Lokhu kuhlola kusebenzisa izinto ezibonisa umehluko kanye ne-X-ray ukuhlola imithambo yegazi yakho.
• I-Magnetic resonance angiography (MRA): Lokhu kuhlolwa kwenziwa ukuze kubonakale ukuthi kukhona yini izinkinga ngemithambo yegazi ekhanda nasentanyeni yakho.
• Ukuthwebula izithombe ze-magnetic resonance (MRI): I-MRI isebenzisa insimu yamagnetic namagagasi omsakazo ukwenza izithombe ezihlanganisa izakhiwo noma izicubu ezithile emzimbeni wakho. Ingasetshenziswa ukwenza izithombe zezicubu ezindlebeni nasentanyeni.
• I-Doppler ultrasound:Lolu vivinyo lusetshenziselwa ukubona ukuthi igazi ligeleza kanjani emithanjeni yegazi entanyeni yakho.
• I-computed tomography (CT) scan: Lokhu kusebenzisa i-X-ray kanye nekhompyutha ukudala isithombe esinezinhlangothi ezintathu (3D) sekhanda lakho nentamo.
• Ukuskena kwe-computed tomography (HRCT) okunesisombululo esiphezulu: Lokhu kusebenzisa umsebe omncane we-X-ray kanye nokuhlaziywa kwekhompyutha okuthuthukisiwe ukudala izithombe ezinemininingwane eminingi zemithambo yegazi yakho noma ezinye izingxenye zekhanda lakho nentamo. Ukuskena kwe-HRCT kungasetshenziswa ukubheka izinto ezifana nokukhubazeka kodonga lwe-sinus (SWAA) .

Kuphathwa kanjani lokhu?

Odokotela belapha i-pulsatile tinnitus ngokuhlonza nokwelapha imbangela eyinhloko . Isibonelo, uma une-pulsatile tinnitus ngenxa ye -atherosclerosis , udokotela wakho angase akunike imithi yokulawula lesi simo. Le mithi ingasiza ekunciphiseni noma ekuqedeni ukukhala ezindlebeni zakho.

Ngezinye izikhathi, ukuhlolwa kungase kungatholi noma yisiphi isimo sezokwelapha esiyisisekelo. Kodwa-ke, udokotela wakho angakusiza ukuphatha i-Pulsatile Tinnitus yakho. Nazi ezinye izindlela zokwenza lokho:

• Amajeneretha omsindo: Lawa madivayisi adlala imisindo ezindlebeni zakho ukusiza ekunciphiseni i-tinnitus kanye ne-pulsatile tinnitus. Isibonelo, angadlala imisindo eduduzayo efana namanzi awehlayo noma imvula ethambile. Abanye abantu bangase bazuze nasezinsizeni zokuzwa ngamajeneretha omsindo.
• Amadivayisi okucebisa imvelo: Ungakha izindlela zakho zokunciphisa umsindo we-tinnitus. Amadivayisi akhipha imisindo yangemuva eduduzayo etafuleni, ukuqoshwa komculo, imisindo yemvelo, noma izinhlelo zokusebenza kuma-smartphone namathebulethi angasiza ekunciphiseni umsindo we-tinnitus.
• Amasu okuphumula: Lokhu kushaya kwenhliziyo okuqhubekayo kungakwenza uzizwe ucindezelekile futhi ukhungathekile. Ukufunda izindlela zokuzola ingqondo yakho nokunciphisa ukucindezeleka kungakusiza ukuthi ubhekane nalokho kucindezeleka nokukhungatheka.
• Izinketho zokwelulekwa: Abanye abantu bayazuza ekwelashweni kwezempilo yengqondo njenge- Cognitive Behavioral Therapy (CBT) noma i-Acceptance and Commitment Therapy (ACT) . Lezi zindlela zokwelapha zingakusiza ukuthi ufunde ukunganaki kakhulu imisindo esekhanda lakho.

Ingabe lokhu kungavinjelwa?

I-Pulsatile Tinnitus ibangelwa ushintsho ekugelezeni kwegazi lakho. Ngakho-ke, ungase ungakwazi njalo ukuvimbela imbangela eyisisekelo ye-Pulsatile Tinnitus.

Kwenzekani uma ngine-Pulsatile Tinnitus?

I-pulsatile tinnitus ingaba uphawu lwezifo ezahlukahlukene eziyisisekelo. Uma udokotela wakho elapha isimo esithile, ungambuza ukuthi lokho kwelashwa kuzoyiqeda noma kuyinciphise yini i-pulsatile tinnitus.

Ngizinakekela kanjani?

Indlela engcono kakhulu yokuzinakekela uma une-Pulsatile Tinnitus ukukhuluma nodokotela wakho. Uma engathola imbangela eyimbangela futhi ayelaphe, ungase ukwazi ukususa umsindo ovela ku-Pulsatile Tinnitus.

Okubalulekile: I-Pulsatile Tinnitus ayivamile. Njenge-Tinnitus ejwayelekile, ingathinta ikhwalithi yempilo yakho. Ungase ungakwazi ukulala uma ufuna ukuphumula, futhi ungase ungakwazi ukugxila uma ufuna. Umehluko ukuthi i-Tinnitus ejwayelekile imane nje ingumsindo ovunguzayo, kuyilapho i-Pulsatile Tinnitus ifana nomculo obukhoma wegazi eligeleza lingena liphuma enhliziyweni yakho.

Umyalezo Wokugcina Wokuya Nasekhaya

Nakuba kungase kucasule, le "soundtrack" ingasindisa impilo. I-pulsatile tinnitus ingaba uphawu lokuqala lwesixwayiso sesimo esingathi sína esithinta ukujikeleza kwegazi lakho. Ngakho-ke, uma uzwa umsindo ozwakalayo ezindlebeni zakho oshintsha ngokuhambisana nokushaya kwenhliziyo yakho, bona udokotela ngokushesha . Ngemuva kwalokho, uma kunenkinga ecashile, okungenzeka ukuthi ingathi sína, ungathola futhi uthathe izinyathelo zokuyelapha. Khumbula, ukutholakala kusenesikhathi kuyindlela engcono kakhulu yokuvimbela izifo eziningi!

I - tinnitus eshaya ngamandla, ukukhala ezindlebeni, ukushaya kwenhliziyo, isifo semithambo yegazi, i-tinnitus, isifo sendlebe, impilo