The first is physiological tinnitus. Inside the body, faint sounds will appear in blood vessel pulsation, blood flow, muscle contraction, joint activity, respiratory movement and so on. And people close to their ears will feel this sound. Usually because there is a strong sound outside, this weak sound is covered up and can't be felt. But if you walk into the soundproof room, or in the silent night, sometimes you will feel a faint sound in your ears, which is physiological tinnitus.
The second is conductive tinnitus. The cause of this tinnitus is that the conduction part of the auditory system is blocked, such as swelling and blockage of external auditory canal, perforation of tympanic membrane, invagination, otitis media, adhesion and sclerosis. Sound transmission disorder reduces the ability to listen to external sounds, weakens its function of covering up what is happening in the body, and makes it feel tinnitus. Furthermore, the sound introduced into the ear through bone conduction is blocked by the conduction barrier, which improves the feeling of sound in the ear and becomes a whistling sound with low frequency as the main factor. We can try it ourselves. When we cover our ears with one hand, we will feel the rumble in our ears. This is a typical conductive tinnitus.
The third is nervous tinnitus. The reason is that there is something wrong with the sensory nerve part of the auditory system. When the inner ear auditory receptors are sick, such as drug poisoning, noise trauma, Meniere's disease, etc. Auditory nerve and auditory pathway suffer from trauma or inflammation, poisoning, ischemia, tumor, etc. And various intracranial lesions affecting auditory nerve or auditory pathway. This kind of tinnitus is mostly high-frequency cicada chirp or harsh sharp sound. Some systemic diseases can also cause tinnitus, such as hypertension, hypotension, autonomic nervous dysfunction affecting blood supply, toxins of certain diseases, endocrine disorders caused by mental stress and anxiety, etc. In life, if you don't have a good rest, tinnitus will appear after insomnia. There are also some causes of deafness, which are called unexplained tinnitus because the current medical technical conditions are not clear or the clinical examination is not clear.
The fourth is objective tinnitus. Tinnitus is a subjective feeling, but there is a pulsating tinnitus that others can hear. This tinnitus is called objective tinnitus. This tinnitus is different from subjective tinnitus. It does have a sound source, but the sound source is not outside, but in my body near my ear. One sound source is the sound produced by the contraction of the middle ear muscle or pharyngeal muscle; Another sound source is the sound of blood vessels beating. Under normal circumstances, the sound of blood vessel pulsation is imperceptible, but when blood pressure rises, the sound of blood vessel pulsation increases, or the outward escape is blocked, or diseases such as aneurysm or arteriovenous fistula occur, the sound of blood vessel pulsation constitutes tinnitus.
The treatment of tinnitus depends on the cause of tinnitus. If you are allergic to all kinds of food, the best way is to "stay away from your sensitive food".
If the eardrum is broken, there is only one way to "repair". If the bone in the ear is displaced, minor surgery will be performed to correct the position.
Because of tinnitus caused by poor blood circulation, some drugs that promote blood circulation and oxygenation can alleviate the symptoms. Doctors sometimes supplement certain vitamins, such as vitamin B 12 or minerals such as folic acid, zinc and magnesium. The doctor must treat according to the situation. If tinnitus is tangled, it is best to postpone treatment and not take it yourself.
People with tinnitus are advised to relax as much as possible and try not to pay more attention. Some people worry that it will cause deafness all day, and some even think it will kill them. It's really unnecessary. They should have a good rest, get enough sleep and avoid irritating coffee, alcohol and tobacco.
Tinnitus is clear in a quiet place, and some sounds can be heard in the bedroom, such as the sound of cars or music, which can reduce the interference of tinnitus. Some people have tinnitus and need the help of a psychologist. Anxiety and irritability can aggravate depression. Acupuncture, massage and other treatments to relieve stress will help.
tinnitus
Tinnitus doesn't seem to be a serious matter, but when you encounter this symptom, you must first rule out the following possibilities: First, ear inflammation; Second, the accumulation of earwax, you can't hear clearly, just like hearing the sound in your body when cotton plugs your ears. Both situations can be managed.
From the perspective of traditional Chinese medicine, tinnitus has a great relationship with physical fitness. The most common situations are as follows:
tinnitus due to the kidney deficiency
It is more common in the elderly and is characterized by thin and persistent tinnitus. Other symptoms include dizziness, asthenic soup, nocturia, backache and knee pain, and memory loss. Most patients have insufficient liver qi.
A sharp rise in liver fire
If you eat too much hot and dry food in a short time, expose yourself to the sun and barbecue in the hot sun, it will cause acute tinnitus. It is characterized by sudden tinnitus, and the ears seem to be blocked.
Kidney deficiency and liver heat
It belongs to mixed type, and it has kidney deficiency itself, but it also has liver fire. The characteristics are the same as those of tinnitus caused by liver fire.
It is said that tinnitus is worse at night. Why? On the one hand, it is quiet at night, tinnitus is clear, on the other hand, it is cloudy at night; In the past three years, the sleep time was about 1 1 p. m., and the patients really felt the tinnitus was loud.
For patients with tinnitus, the following basic knowledge can be applied:
3 yuan for Chrysanthemum, Angelica dahurica, Flos Magnoliae and Fructus Xanthii (9g), Tribulus terrestris 1 yuan (3g).
Excessive liver fire and tinnitus
Radix Rehmanniae, Radix Ophiopogonis, Radix Paeoniae Alba, Cortex Moutan, etc. can be added to the basic prescription. If there is sore throat besides liver fire, drugs such as Fructus Forsythiae, Radix Isatidis, Herba Dendrobii and Cortex Phellodendri can be added. If you can't sleep well, you can add Ophiopogon japonicus, corduroy, Lophatherum gracile and lotus plumule.
In dietotherapy, carrots, horseshoes and bamboo cane can be used to boil water; Or use Sydney with tremella, stew for an hour or two, add nothing, just add some candied dates to taste; Or decocting the above materials together.
Tinnitus due to deficiency of kidney-qi
Besides the basic prescription, Qiju Liuwei Dihuang Pill can also be used for blurred vision, nocturia, weak knees and backache.
In terms of dietotherapy, raw fish, water fish and mountain fish can be used, together with common Chinese medicines such as Lycium barbarum, lotus seeds, lilies and yam. You can also use yellow ear (snow ear is too cold for people with kidney deficiency), peach, lily, lotus seed and so on. It is necessary to tonify the kidney and be peaceful.
Causes of tinnitus
Tinnitus is caused by membrane permeability disorder or changes of hair cells inside and outside the cochlea, or synaptic metabolism disorder of hair cells, or short circuit between auditory nerve fibers.
60% of tinnitus clinicians can find the causes, which can be summarized as follows:
1, causes of ototoxic drugs:
There are two kinds of drugs that cause tinnitus. One kind of drug only causes tinnitus, but does not cause hearing loss. The reason is that these drugs affect the metabolism of biogenic amines related to neurotransmitters in the central nervous system and produce "convulsion" side effects of auditory pathway neurons. Such as: some anticancer drugs, antispasmodics, antibacterial drugs, macrolide antibiotics, narcotic analgesics, etc.
Another drug can cause tinnitus, hearing loss and even total deafness. Tinnitus symptoms caused by these drugs are the "main" manifestations of damage to hair cells or auditory neurons. Such as anticancer drugs, antibiotics and antiparasitic drugs, aminoglycoside antibiotics, etc.
2. Causes of noise:
People have such an experience that if they suddenly hear firecrackers, there will be a long echo in their ears, which will fade for a long time. This is that external noise temporarily damages people's auditory nerves. People who have been working in a noisy environment for a long time, such as tractors and car drivers, traffic police, armed police, soldiers, disco staff, mahjong artists, long-term participants in meetings and operators of various equipment, are all victims of noise. Long-term noise stimulation has caused nerve damage in the inner ear most of the time. Tinnitus caused by noise is mainly manifested as the disorder of spontaneous activity of auditory nerve fibers. Generally speaking, noise exceeding the safe noise standard (85-90 dB) may cause tinnitus and deafness. However, there are individual differences in sensitivity to noise with the same intensity, and only sensitive person is hurt or the most serious.
Third, the causes of external ear and middle ear diseases:
Foreign bodies in the external ear (cerumen) will cause tinnitus when they touch the eardrum; Vascular malformations and lesions in the middle ear may also cause tinnitus. Most of these tinnitus can be cured through the examination and treatment of otologists.
Fourth, age reasons:
The incidence of tinnitus in people over 60 years old is as high as 30%. The main reason is that the auditory nervous system degenerates with age.
Five, vascular malformation or hemorheology reasons:
Due to such blood vessels or blood reasons, the blood supply to the skull and cochlea is irregular, or vascular murmurs caused by abnormal blood vessels in the neck and cranial cavity reach the ears, resulting in tinnitus.
6. The cause of Meniere's disease;
Seven, acoustic neuroma; (mainly by surgery)
Eight, hardening:
It is a disease that the dense lamellar bone of bone labyrinth is partially replaced by spongy new bone rich in cells and blood vessels. (mainly by surgery)
Nine, the cause of head trauma;
X. the cause of muscle clonus;
XI。 Causes of mental stress;
Twelve. Causes of systemic diseases:
Such as anemia, hypertension, diabetic hypothyroidism, hypoglycemia, autoimmune diseases and vasospasm diseases. , may be accompanied by tinnitus.
Thirteen, there is no clear cause of tinnitus, accounting for about 40% of tinnitus.