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  • 【什么是客观性耳鸣客观性耳鸣的治疗方法】 客观性耳鸣

    分类:申请书 时间:2019-04-07 本文已影响

      客观性耳鸣与主观性耳鸣不同,它确实有音源,但音源不在外界,而是本人耳部附近的体内。那么你对客观性耳鸣了解多少呢?以下是由小编整理关于什么是客观性耳鸣的内容,希望大家喜欢!

    什么是客观性耳鸣客观性耳鸣的治疗方法

      客观性耳鸣的简介

      客观性耳鸣是耳鸣的一种,是主观的感觉,但有一种搏动性耳鸣是别人也可以听到的,这叫作客观性耳鸣。此种病例很少见,耳鸣可为有节律的马蹄声、钟摆声或其它无节律杂音。

      客观性耳鸣的产生原因

      (1)血管源性:颈动脉或椎动脉系统的血管病变,包括颅内和颈部的动静脉瘘和动脉瘤,常产生与脉搏同步的搏动性杂音。枕动脉、颞浅动脉和主动脉弓亦可为受累部位。

      (2)肌源性:腭肌阵挛是客观性耳鸣最常见的原因,这些肌肉包括腭帆提饥腭帆张饥咽腭肌和咽鼓管咽迹腭肌阵挛多由精神因素所引起,也可由神经系统病变,如小脑或脑干损害所引起。

      (3)咽鼓管异常开放:咽鼓周围脂肪组织消失或其他原因可导致其异常开放,使耳鸣患者听到与呼吸节律同步的耳鸣声。检查者亦可通过听诊管在外耳道听到上述呼吸音,并可观察到鼓膜随呼吸而内外扑动。客观性耳鸣患者可有耳内阻塞感和自听感增强。平卧时,由于头部血管充血常使耳鸣减轻或消失,起立后耳鸣又出现。

      (4)颞颌关节病变:牙齿咬合不良或颞颌关节炎可引起传播性耳鸣。耳鸣患者张口或闭口时,客观性耳鸣患者本人和旁人可在外耳道听到咔嗒声。

      (5)纯音外耳道传播:这是一种少见的高频客观性耳鸣,客观性耳鸣其原因未明。检查者可在耳鸣患者外耳道听到某一纯音,并可测定其频率和强度。Huizing等在一例持续性高频耳鸣患者的外耳道测得连续的3400±10Hz的纯音,其声强为35dB(声压级)。Glanville等报道一个家庭均有高频客观性耳鸣,认为可能由乙状窦和颈静脉中血流引起内在的纤维素振动所致。

      耳鸣是一种在没有外界声、电刺激条件下,人耳主观感受到的声音。耳鸣的危害大,严重耳鸣不但困扰我们的生活,更会造成严重的听力损伤,甚至耳聋。

      客观性耳鸣的症状表现

      1、听力不集中:部分早期耳聋患者首先感觉到的是自己听觉注意力方面的变化。比如,时间稍长便不容易把注意力集中在聆听对方的交谈上。经常注意不到别人在和自己打招呼。再如,阅读或写作时便难以听到他人的话语等等。

      2、高音调、顽固性耳鸣:初时为间歇性尖声,有时一耳先发作,逐渐发展为双耳持续性的噪杂声,不少患者兼有颅鸣。

      3、耳鸣眩晕:耳鸣和眩晕往往是耳聋的信号。出现眩晕、耳鸣或耳鸣明显加重时应当考虑及时就诊,检查一下自己的听力状况。

      4、说话声音变大:另有些人可以明显感觉到听到的声音不够大,因此经常将手拢在耳后,以增加接收音量。看电视或听收音机时常常要求加大音量,使得家人感到震耳难忍。

      5、打岔或要求对方重复:面对面交谈时,早期的耳聋患者经常打岔或要求对方重复。打电话时经常要求对方提高音量。而无论何时,他们自己说话的音量常会不自觉地加大。对于他人之间的交谈,哪怕是近在咫尺他们也经常难以听准。

      耳鸣可致耳聋耳鸣需要及时治疗,拖延不治轻者扰乱心情、烦躁不堪,重者听力下降,更甚者造成耳聋。

      客观性耳鸣的注意事项

      (1) 要有乐观豁达的生活态度:一旦患有耳鸣,要在积极治疗的同时,对耳鸣症状采用容忍的态度,做好与耳鸣长期共存的思想准备,对治疗将会起到积极的作用。

      因此,耳呜患者可积极主动地用优势活动来解脱其对耳呜的关注,以取得缓解耳鸣的效果。这些优势活动包括他平素喜欢的此余爱好和所热爱的本职工作等。事实的确如此,当人们聚精会神地从事某件事情时,就无暇理会其它事务,自然就“冷摸”了对耳鸣的关注。按照巴甫洛夫的理论,这或许是在有意识地建立另一个优势兴奋灶。这种优势兴奋灶经过强化训练,逐步取代了耳呜烦人的优势兴奋灶。

      (2)避免与噪声接触:对已有耳鸣的患者,应避免与噪声接触。

      (3)少吸烟少饮酒:烟中的尼古丁进入血液后,能促使小血管痉挛,血流变缓,血液粘滞度增加,从而使内耳供血不足,造成或加重耳鸣。饮酒过量也是耳呜的病因。长期过量饮酒会影响B族维生素的吸收,使听神经受损而导致耳呜。因此,耳呜患者在治疗过程中应尽量减少吸烟和饮酒。

      (4)慎用耳毒性药物:所谓耳毒性药物就是能引起耳呜或听力下降的药物。对于已有耳鸣的患者,在治疗过程中如果不加限制或滥用此类药物,则无异于“雪上加霜”。

      (5)避免病急乱投医:耳鸣患者不应轻信街头行医广告,胡乱投医,以免耽误治疗时机,应该及早去医院,配合耳呜专科医生进行检查和治疗。

      客观性耳鸣的治疗方法

      耳鸣临床表现为搏动性耳鸣(患者描述耳鸣为与心跳一致的飕飕声、嘀嗒声或轻叩声,用听诊器置于患者颞部或耳部,常可以听到这种搏动性耳鸣)和非搏动性耳鸣(较为常见,是一种连续而稳定的噪音,如病者所描述之嗡嗡声、蟋蟀声、钟声或摩托声)。 耳鸣可自然消失,

      耳鸣或持续数月至数年,甚至终生不停。出现耳鸣的同时,常伴有听力衰退,或耳聋、眩晕等。因此在辨别疾病时,要详细记录耳外伤史,耳毒性药史,耳聋史和眩晕史。不仅耳部疾病可引起耳鸣,如中耳感染、美尼尔氏病、耳硬化症、外耳道异物等,其它全耳性疾病也可出现耳鸣,如内分泌代谢紊乱的糖尿病和甲状腺机能亢进,心血管系统的高血压动脉硬化和血管意外药物中毒(重金属药,咖啡因),老年性听神经病变等疾病。若仅发生一侧性耳鸣,其病变多在传音器官。若双侧耳鸣,而没有其它症状,应考虑是某些疾病的早期征象,如早期动脉硬化,老年性聋的早期表现等。短暂性的耳鸣常表示病变轻微,属于耳间断性或强度不定的波动性耳鸣,并同时伴有眩晕、恶心、呕吐等,可见于美尼尔氏病。耳鸣严重者要解除精神上的压力和思想包袱,适当服用抗惊厥药(苯妥英钠)和镇静药(安定、舒乐安定)。如夜间影响睡眠时,可打开调频收音机,将频率调至两个电台之间,让收音机发出连续而稳定的沙沙声,以掩蔽耳鸣,帮您入睡。如严重影响日常生活时,还可配成特制耳鸣掩蔽器。若属病情顽固,药物治疗不显著时,可采取手术治疗,某些某鸣患者用针灸治疗后也有一定的效果。

      客观性耳鸣的危害

      ⑴影响听力:非常响的耳鸣能够干扰所听的内容, 常常听到声音但分辨不清别人在说什么。

      ⑵影响睡眠:耳鸣尤其在夜深人静时响的厉害,使人入睡困难。即使入睡,也特别浅。有人诉说,睡眠不深时可以被耳鸣吵醒(耳鸣如同外界声音一样能够吵醒主人)。因为半夜醒来后,耳鸣仍然响个不停,所以使人烦躁不安,辗转难眠。  ⑶影响情绪:长期严重耳鸣可以使人产生心烦意乱、担心、忧虑、焦急、抑郁等情绪变化。有的人宁愿听不见了也不要耳鸣,达到难以忍受的程度。更有的人,因为到处求医均被告之"不好治"、"没有好办法"等,则想到自杀。  ⑷影响工作:因为听不清别人尤其领导和老师的讲话,而且自己忍受着耳鸣带来的巨大痛苦,却常常不能被人理解,所以工作效率下降,对工作和学习也渐渐失去兴趣。  ⑸影响家庭生活:因为耳鸣而长期求医吃药,带来经济损失甚至导致巨大经济压力。如果不被家庭成员所理解,则影响家庭和睦。

    看过“客观性耳鸣的治疗方法”的人还看了:

    1.导致耳鸣的原因

    2.耳鸣是什么原因造成的

    3.耳朵堵耳鸣是怎么回事

    4.耳鸣的按摩方法

    5.造成单侧耳鸣的原因

    6.如何治疗神经性耳鸣

    7.耳鸣怎么回事

    相关热词搜索:百科知识 什么是客观性耳鸣客观性耳鸣的治疗方法 北京耳鸣的治疗方法 神经性耳鸣的治疗方法

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