Kodi Tinnitus

Tinnitus ndiye lingaliro la phokoso kapena kulira m'makutu. Vuto lofala, tinnitus limakhudza anthu pafupifupi 15 mpaka 20 peresenti. Tinnitus si mkhalidwe wokha - ndi chizindikiro cha vuto, monga kutaya kokhudzana ndi ukalamba, kuvulala khutu kapena matenda amitsempha.

Ngakhale ndizovuta, tinnitus nthawi zambiri sichizindikiro cha china chachikulu. Ngakhale zimatha kukulira msinkhu, kwa anthu ambiri, tinnitus amatha kusintha ndi chithandizo. Kuchiza choyambitsa chomwe chimadziwika nthawi zina kumathandiza. Mankhwala ena amachepetsa kapena kuphimba phokosolo, ndikupangitsa kuti tinnitus asamawonekere.

zizindikiro

Tinnitus imaphatikizapo chidwi cha kumva ngati palibe phokoso lakunja. Zizindikiro za tinnitus zimatha kukhala ndi mitundu iyi ya phantom phokoso m'makutu anu:

  • Kulira
  • Kusangalatsa
  • Kubangula
  • Kusindikiza
  • Kutulutsa
  • Humming

Phokoso la phantom limatha kusinthasintha mamvekedwe kuchokera ku kubangula kochepa mpaka kukweza kwambiri, ndipo mutha kumamva m'makutu amodzi kapena onse. Nthawi zina, mawu amatha kumveka kwambiri amatha kusokoneza luso lanu lolingalira kapena kumva mawu akunja. Tinnitus akhoza kukhalapo nthawi zonse, kapena akhoza kubwera ndikupita.

Pali mitundu iwiri ya tinnitus.

  • Tinnitus wogwirizira ndi tinnitus kokha amene mumatha kumva. Mtundu wa tinnitus wofala kwambiri. Itha kuyambitsidwa ndi zovuta za khutu mu khutu lakunja, pakati kapena mkati. Itha kupangidwanso ndimavuto ndi minyewa (makutu) kapena gawo laubongo lanu lomwe limatanthauzira mauthenga amanjenje ngati mawu omveka (njira zomvera).
  • Cholinga cha tinnitus ndi tinnitus adotolo anu amatha kumvetsera akafufuza. Tinnitus wamtundu wamtunduwu amayamba chifukwa cha vuto la mtsempha wamagazi, mtima wamkati kapena mafupa a minyewa.

Nthawi yoti muwone dokotala

Ngati muli ndi tinnitus yemwe akukuvutitsani, onani dokotala.

Pangani nthawi yoonana ndi dokotala ngati:

  • Mumakhala ndi tinnitus mutatha matenda opuma, monga chimfine, ndipo malungo anu samakula pasanathe sabata

Onani dokotala wanu posachedwapa ngati:

  • Muli ndi tinnitus zomwe zimachitika mwadzidzidzi kapena popanda chifukwa
  • Mumatha kumva kapena kumva chizungulire ndi tinnitus

Zimayambitsa

Zikhalidwe zingapo zaumoyo zimatha kuyambitsa kapena kukulitsa tinnitus. Nthawi zambiri, zifukwa zenizeni sizipezeka.

Chifukwa chofala cha tinnitus ndikuwonongeka kwa khungu lamakutu amkati. Tsitsi laling'ono, losakhwima m'makutu anu amkati limayenda molingana ndi kuthamanga kwa mafunde. Izi zimapangitsa ma cell kuti atulutse chizindikiro chamagetsi kudzera mumitsempha kuchokera khutu lanu (mitsempha yoyesera) kupita kuubongo wanu. Ubongo wanu umatanthauzira zizindikirozi kukhala zomveka. Ngati tsitsi lomwe lili mkati mwa khutu lanu lamkati ndi lopindika kapena lophwanyika, limatha "kutulutsa" mphamvu zamagetsi zosasintha muubongo wanu, ndikupangitsa tinnitus.

Zomwe zimayambitsa tinnitus zimaphatikizanso zovuta zina za khutu, zovuta za thanzi, komanso kuvulala kapena zochitika zomwe zimakhudza mitsempha ya khutu lanu kapena makutu akumva mu ubongo wanu.

Zomwe zimayambitsa tinnitus

Mwa anthu ambiri, tinnitus amayamba chifukwa cha izi:

  • Kuchepetsa makutu okhudzana ndi zaka. Kwa anthu ambiri, kumva kumakulirakulira ndi zaka, nthawi zambiri kuyambira zaka 60. Kumva kuchepa kumatha kuyambitsa tinnitus. Nthawi yachipatala yothandizira kuti amve zamtunduwu ndi presbycusis.
  • Kuwonetsedwa ndi phokoso lalikulu. Phokoso lalitali, monga la zida zamagetsi, macheka amfuti ndi mfuti, ndizofala zomwe zimapangitsa kuti makutu amve. Zipangizo zanyimbo zonyamula, monga ma MP3 MPXNUMX kapena iPod, zimathanso kumveketsa makutu ndikamasewera mokweza kwa nthawi yayitali. Tinnitus yomwe imayambitsidwa ndikuwonetsa kanthawi kochepa, monga kupita ku konsati yayikulu, nthawi zambiri imatha; kugwiritsa ntchito phokoso kwakanthawi komanso kwa nthawi yayitali kumatha kuwononga konsekonse.
  • Kufalikira kwa Earwax. Earwax imateteza ngalande ya khutu lanu pomata litsiro ndikuchepetsa kukula kwa mabakiteriya. Ikayamba kuchuluka kwambiri m'makutu, imakhala yovuta kwambiri kuti ichotse mwachilengedwe, zomwe zimapangitsa kuti kumva kusamva kapena kukwiya kwa eardrum, komwe kungayambitse tinnitus.
  • Mafupa a khutu asintha. Kuumitsa mafupa khutu lanu lapakati (otosulinosis) kumatha kusokoneza makutu anu ndikumayambitsa tinnitus. Vutoli, lomwe limayamba chifukwa cha kukula kwamafupa, limayendayenda m'mabanja.

Zina zoyambitsa tinnitus

Zomwe zimayambitsa tinnitus ndizochepa, kuphatikiza:

  • Matenda a Meniere. Matendawa amatha kukhala chizindikiritso choyambirira cha matenda a Meniere, vuto lamakutu lamkati lomwe lingayambitsidwe ndimatenda amkati am'makutu amadzimadzi.
  • Matenda a TMJ. Mavuto a temporomandibular olowa, cholumikizira mbali iliyonse ya mutu wanu kutsogolo kwa makutu anu, komwe fupa lanu lakumanzere limakumana ndi chigaza chanu, lingayambitse tinnitus.
  • Kuvulala kumutu kapena khosi. Kusokonezeka mutu kapena khosi kumatha kukhudza khutu lamkati, mitsempha yokhudza kumva kapena ubongo wogwirizana ndi kumva. Kuvulala kotero nthawi zambiri kumayambitsa tinnitus mu khutu limodzi lokha.
  • Acoustic neuroma. Chotupa chotupa (chosaoneka) choterechi chomwe chimayamba kuchokera ku ubongo wanu kupita kumakutu anu amkati ndipo chimayendetsa bwino komanso kumva. Amatchedwanso vestibular schwannoma, izi nthawi zambiri zimapangitsa tinnitus mu khutu limodzi lokha.
  • Kusokonekera kwa chubu cha Eustachian. Muli izi, chubu khutu lanu lomwe limalumikiza khutu lakumaso kwa khosi lanu lakumtunda limakhala likukulitsidwa nthawi zonse, zomwe zimapangitsa khutu lanu kuti lizimva zonse. Kutayika kwa kuchuluka kwakukulu, kulemera ndi chithandizo chamankhwala nthawi zina kumatha kuyambitsa mtundu uwu wa kusokonekera.
  • Minofu imagunda mkati mwa khutu. Zilonda zamkati zamkati zimatha kutsekeka (kuphipha), zomwe zimapangitsa kuti tinthu tating'onoting'ono, kumva m'makutu komanso kumva kwathunthu mu khutu. Izi nthawi zina zimachitika popanda chifukwa chomveka, komanso zingayambenso chifukwa cha matenda amitsempha, kuphatikizira ma sclerosis ambiri.

Matenda amitsempha yamagazi omwe amalumikizidwa ndi tinnitus

Nthawi zina, tinnitus amayamba chifukwa cha vuto la mtsempha wamagazi. Tinnitus yamtunduwu imatchedwa pulsatile tinnitus. Zomwe zimayambitsa ndizophatikiza:

  • Atherosclerosis. Ndi zaka komanso kupangika kwa cholesterol ndi ma depositi ena, mitsempha yayikulu yamagazi yomwe ili pafupi ndi khutu lanu lamkati ndi lamkati limataya zina zake - kuthekera kosintha kapena kukulitsa pang'ono ndi kugunda kwamtima kulikonse. Izi zimapangitsa kuti magazi azikhala mwamphamvu kwambiri, zomwe zimapangitsa kuti khutu lanu lisamve. Mutha kumva zambiri za tinnitus m'makutu onse.
  • Zotupa zam'mutu ndi khosi. Chotupa chomwe chimakanikizira mitsempha yamagazi m'mutu mwanu kapena khosi (vascular neoplasm) chimatha kuyambitsa tinnitus ndi zizindikiro zina.
  • Kuthamanga kwa magazi. Matenda oopsa komanso zinthu zomwe zimawonjezera kuthamanga kwa magazi, monga kupsinjika, mowa ndi caffeine, zitha kupangitsa tinnitus kuwona.
  • Madzi otuluka. Kugwedezeka kapena kukhomekeka kwa mtsempha wam'mero ​​(carotid artery) kapena mtsempha pakhosi (mtsempha wamagetsi) kumatha kuyambitsa chipwirikiti, kuthamanga kwa magazi, komwe kumayambitsa tinnitus.
  • Kusintha kwa capillaries. Mkhalidwe womwe umatchedwa arteriovenous malfform (AVM), kulumikizidwa mosiyanasiyana pakati pa mitsempha ndi mitsempha, kumatha kuyambitsa tinnitus. Tinnitus yamtunduwu imapezeka mu khutu limodzi lokha.

Mankhwala omwe angayambitse tinnitus

Mankhwala angapo amatha kuyambitsa kapena kuyambitsa tinnitus. Nthawi zambiri, kuchuluka kwa mankhwalawa kukakulirakulira, mankhwalawa amayamba. Nthawi zambiri phokoso losafunikira limatha mukasiya kugwiritsa ntchito mankhwalawa. Mankhwala omwe amadziwika kuti amayambitsa kapena kupweteka kwa tinnitus akuphatikizapo:

  • Maantibiotic, kuphatikiza polymyxin B, erythromycin, vancomycin (Vancocin HCL, Firvanq) ndi neomycin
  • Mankhwala a khansa, kuphatikiza methotrexate (Trexall) ndi cisplatin
  • Mapiritsi amadzi (okodzetsa), monga bumetanide (Bumex), ethacrynic acid (Edecrin) kapena furosemide (Lasix)
  • Mankhwala a Quinine ntchito malungo kapena zina matenda
  • Ma antidepressant, zomwe zitha kukulitsa tinnitus
  • ndi aspirin Imwani pa mlingo waukulu (nthawi zambiri 12 kapena kupitilira patsiku)

Kuphatikiza apo, mankhwala ena azitsamba angayambitse tinnitus, monga nicotine ndi caffeine.

Zowopsa

Aliyense akhoza kumva tinnitus, koma izi zitha kuwonjezera chiwopsezo chanu:

  • Kuwonekera kaphokoso. Kukhazikika kwa phokoso lalitali kumatha kuwononga mphamvu zazing'ono za tsitsi lomwe limalowa m'makutu mwanu zomwe zimapereka mawu kuubongo wanu. Anthu omwe amagwira ntchito m'malo opanga phokoso - monga mafakitale ndi omanga, oimba, komanso asitikali - ali pachiwopsezo chachikulu.
  • Zaka. Mukamakula, kuchuluka kwa minyewa yogwira ntchito m'makutu anu kumatsika, mwina kumayambitsa mavuto akumva omwe nthawi zambiri amakhudzana ndi tinnitus.
  • Kugonana. Amuna nthawi zambiri amakumana ndi tinnitus.
  • Kusuta. Osuta ali pachiwopsezo chachikulu cha kukulitsa tinnitus.
  • Mavuto a mtima. Mikhalidwe yomwe imakhudza kuthamanga kwa magazi anu, monga kuthamanga kwa magazi kapena mitsempha yopapatiza (atherosulinosis), imatha kukulitsa chiopsezo cha tinnitus.

Mavuto

Tinnitus imatha kukhudza kwambiri moyo. Ngakhale zimakhudza anthu mosiyanasiyana, ngati muli ndi tinnitus, mutha kukumvanso:

  • kutopa
  • kupanikizika
  • Mavuto ogona
  • Vuto likuyang'ana
  • Mavuto a pamtima
  • Kusokonezeka maganizo
  • Kuda nkhawa komanso kusakwiya

Kuthana ndi zovuta izi kungakhudze tinnitus mwachindunji, koma kumatha kukuthandizani.

Prevention

Nthaŵi zambiri, tinnitus ndi zotsatira za chinthu chomwe sichingapewe. Komabe, zodzitetezera zina zitha kuthandiza kupewa mitundu ina ya tinnitus.

  • Gwiritsani ntchito chitetezo chamakutu. Popita nthawi, kuwulutsa mawu akulu kumatha kuwononga misempha m'makutu, kupangitsa kumva kusamva komanso tinnitus. Ngati mumagwiritsa ntchito macheka, ndi oimba, ntchito mumakampani omwe amagwiritsa ntchito makina akuluakulu kapena kugwiritsa ntchito zida zamfuti (makamaka mfuti kapena zikwapu), nthawi zonse mumavala kutchinga makutu.
  • Kukana voliyumu. Kuwonetsedwa kwakanthawi kwa nyimbo zokulitsidwa popanda kutetezedwa ndi khutu kapena kumvetsera nyimbo pamtunda wapamwamba kwambiri kudzera m'matelefoni kumatha kuyambitsa makutu akumva komanso tinnitus.
  • Samalirani moyo wanu wamtima. Kuchita masewera olimbitsa thupi pafupipafupi, kudya moyenera komanso kuchitapo kanthu kuti magazi anu azikhala athanzi kumathandizanso kupewa tinnitus wolumikizidwa ndimitsempha yamagazi.

Matendawa

Dokotala adzafufuza makutu anu, mutu ndi khosi kuti muone zomwe zingayambitse matenda a tinnitus. Mayeso akuphatikizapo:

  • Kumva (komvera) mayeso. Monga gawo la mayeso, mudzakhala mchipinda chopanda mawu chovala mahedifoni kudzera momwe mungamvekere mawu ena pakhutu limodzi nthawi imodzi. Muwonetsa nthawi yomwe mungamve mawu, ndipo zotsatira zanu zikufanizidwa ndi zotsatira zomwe zimawoneka ngati zabwinobwino pazaka zanu. Izi zitha kuthandizira kuzindikira kapena kuzindikira zomwe zingayambitse tinnitus.
  • Kusuntha. Dokotala wanu angakufunseni kuti musunthire maso anu, chepetsa nsagwada, kapena musunthire khosi lanu, mikono ndi miyendo. Ngati tinnitus yanu ikasintha kapena ikuipiraipira, ingathandize kuzindikira vuto linalake lomwe likufunika chithandizo.
  • Mayesero ojambula. Kutengera ndi chifukwa cha tinnitus wanu, mungafunike mayeso olingalira monga CT kapena MRI scans.

Zomwe mukumva zitha kuthandiza dokotala wanu kuzindikira zomwe zimayambitsa.

  • Kuwonekera. Kuchepetsa minofu mkati ndi mkati mwa khutu lanu kumatha kuyambitsa mabowo okuthwa omwe mumamva kuphulika. Amatha kukhala masekondi angapo mpaka mphindi zochepa.
  • Kugwedeza kapena kuseka. Kusinthasintha kwa mawu kumeneku kumakhala koyambira, ndipo mutha kuwazindikira mukamachita masewera olimbitsa thupi kapena kusintha malo, monga pamene mumagona kapena mukaimirira.
  • Kusweka mtima. Mavuto amitsempha yamagazi, monga kuthamanga kwa magazi, chotupa cham'mimba kapena chotupa, komanso kufinya kwa khutu kapena chubu la eustachian kungakulitse kumveka kwa mtima wanu m'makutu mwanu (pulsatile tinnitus).
  • Kulira kotsika. Zinthu zomwe zingayambitse kulira kotsika khutu limodzi ndi matenda a Meniere. Tinnitus imatha kulira mokweza asanafike ku vertigo - lingaliro loti inu kapena malo anu akuzungulira kapena kusuntha.
  • Kuomba kozungulira. Kuwonetseredwa ndi phokoso lamphamvu kwambiri kapena kuwomba khutu kumatha kuyambitsa kulira kwamphamvu kwambiri kapena kubangula komwe kumatha pambuyo pamaola ochepa. Komabe, ngati pali vuto lakumva, tinnitus itha kukhala yokhazikika. Kuwonekera kwakanthawi kwakanthawi, kutayika kwakukhudzana ndiukalamba kapena mankhwala kumatha kuyambitsa kulira kopitilira muyeso m'makutu onse awiri. Acoustic neuroma imatha kuyambitsa kulira kopitilira muyeso, khutu limodzi.
  • Nyimbo zina. Mafupa olimba amkati (otosulinosis) amatha kuyambitsa tinnitus wotsika kwambiri yomwe ingakhale yopitilira kapena ikhoza kubwera ndikupita. Khutu, matupi achilendo kapena tsitsi lomwe lili mu khutu lamakutu limatha kuzungulira pa eardrum, ndikupangitsa mawu osiyanasiyana.

Nthawi zambiri, zifukwa za tinnitus sizipezeka konse. Dokotala wanu amatha kukambirana nanu njira zomwe mungachite kuti muchepetse kusokonezeka kwa tinnitus yanu kapena kukuthandizani kuti mulimbane ndi phokoso.

chithandizo

Kuchepetsa matenda

Kuthira tinnitus wanu, dokotala wanu ayesera kaye kudziwa chomwe chikuchitika, chomwe chingakhale chogwirizana ndi zomwe muli nazo. Ngati tinnitus chifukwa cha thanzi, dokotala wanu amatha kuchita zinthu zomwe zingachepetse phokoso. Zitsanzo zikuphatikiza:

  • Kuchotsa makutu. Kuchotsa khutu lomwe limakhudzidwa kumatha kuchepetsa zizindikiro za tinnitus.
  • Kuchiza magazi. Momwe zimakhalira zotumphukira zingafune mankhwala, opaleshoni kapena chithandizo china chothana ndi vutoli.
  • Kusintha mankhwala anu. Ngati mankhwala omwe mukumwa akuwoneka kuti ndi omwe amachititsa mavitamini, dokotala wanu angakulimbikitseni kusiya kapena kuchepetsa mankhwalawa, kapena kusintha mankhwala ena.

Phokoso kuponderezana

Nthawi zina phokoso loyera limatha kupondereza phokoso kuti lisakhale lowopsa. Dokotala wanu angakuuzeni kugwiritsa ntchito chipangizo chamagetsi kuti muchepetse phokoso. Zida zikuphatikizapo:

  • Makina oyera a phokoso. Zipangizozi, zomwe zimatulutsa mawu omveka ngati chilengedwe mvula kapena mafunde am'madzi, nthawi zambiri zimakhala njira yabwino yothandizira tinnitus. Mungafune kuyesa makina oyera a phokoso ndi oyankhula pilo kuti akuthandizeni kugona. Mafani, onyenga, opanga zoziziritsa kukhosi komanso zowongolera mpweya mchipinda zingathandizenso kuphimba phokoso lamkati usiku.
  • Zothandizira kumva. Izi zimatha kukhala zothandiza kwambiri ngati mukukhala ndi mavuto akumva komanso tinnitus.
  • Zida za Masking. Wodzala khutu ndi ofanana ndi zothandizira kumva, Zipangizazi zimatulutsa phokoso loyera, lotsika lotsika lomwe limaletsa zizindikiro za tinnitus.
  • Tinnitus kuyambiranso. Chida chothina chimapereka nyimbo za tonal pokhapokha kuti zitheke kutalika kwakanthawi ka tinnitus zomwe mumakumana nazo. Popita nthawi, njirayi ikhoza kukuzolowezani tinnitus, potithandizira kuti musayang'ane nayo. Uphungu nthawi zambiri umakhala gawo la tinnitus retraining.

Mankhwala

Mankhwala osokoneza bongo sangathe kuchiritsa tinnitus, koma nthawi zina amathandizira kuchepetsa kukula kwa zizindikilo kapena zovuta. Mankhwala omwe angakhalepo ndi awa:

  • Tricyclic antidepressants, monga amitriptyline ndi nortriptyline, agwiritsidwa ntchito mwachipambano. Komabe, mankhwalawa amagwiritsidwa ntchito ngati tinnitus okhwima, chifukwa amatha kuyambitsa zovuta, kuphatikiza mkamwa wowuma, kusawona bwino, kudzimbidwa komanso mavuto a mtima.
  • Alprazolam (Xanax) zitha kuchepetsa kuchepetsa thumbo la tinnitus, koma zovuta zina zimaphatikizanso kugona ndi mseru. Zimathanso kupanga chizolowezi chopanga chizolowezi.

Njira zamankhwala ndi zapakhomo

Nthawi zambiri, tinnitus sangachiritsidwe. Anthu ena, komabe, amazolowera ndipo amazindikira zochepa poyerekeza ndi poyamba. Kwa anthu ambiri, kusintha kwina kumapangitsa kuti zizindikilozo zisakhale zovuta. Malangizo awa atha kuthandiza:

  • Pewani zomwe zingakwiyitseni. Chepetsani kuwonekera kwanu pazinthu zomwe zingapangitse tinnitus yanu kuwonjezeka. Zitsanzo zodziwika bwino zimaphatikizapo phokoso laphokoso, caffeine ndi chikonga.
  • Valani phokoso. Pangokhala phokoso, fan, nyimbo zofewa kapena pawailesi otsika mtengo zingathandize kubisa phokosoli kuchokera ku tinnitus.
  • Sungani nkhawa. Kupsinjika kumatha kuyambitsa tinnitus. Kuwongolera kupsinjika, ngakhale kudzera mu mpumulo, biofeedback kapena masewera olimbitsa thupi, kungakupumulitseni.
  • Chepetsani kumwa kwanu. Mowa umakulitsa mphamvu ya magazi anu ndikumitsemeretsa m'magazi, ndikupangitsa kuti magazi azituluka kwambiri, makamaka mkati mwa khutu lamkati.

Njira zamankhwala

Pali umboni wochepa wosonyeza kuti mankhwala amtundu wina amathandizira ma tinnitus. Komabe, njira zina zochiritsira zomwe zayesedwa kwa tinnitus ndizo:

  • kutema mphini
  • kutsirikidwa
  • Ginkgo biloba
  • Melatonin
  • Zinc zowonjezera
  • Ma vitamini B

Neuromodulation yogwiritsa ntchito transcranial magnetic stimulation (TMS) ndi mankhwala osapweteka, osapweteketsa mtima omwe akhala opambana pakuchepetsa zizindikiro za tinnitus kwa anthu ena. Pakadali pano, TMS imagwiritsidwa ntchito kwambiri ku Europe komanso m'mayesero ena ku US Akuyenera kutsimikizidwa kuti ndi odwala omwe angapindule ndi chithandizo chotere.

Kukopa ndi kuthandizira

Tinnitus sikuti nthawi zonse imasintha kapena kuchotsedwa kwathunthu ndi chithandizo. Nawa malingaliro okuthandizani kuthana nawo:

  • Uphungu. Dokotala wovomerezeka kapena wa zamavuto amatha kukuthandizani kuti muphunzire njira zopewera kupangitsa kuti zizindikiro za tinnitus zisakhale zovutirapo. Uphungu ungathandizenso pamavuto ena omwe nthawi zambiri amalumikizidwa ndi tinnitus, kuphatikizapo nkhawa ndi kukhumudwa.
  • Magulu othandizira. Kugawana zomwe mwakumana nazo ndi ena omwe ali ndi vuto kungakhale kothandiza. Pali magulu a tinnitus omwe amakumana pamasom'pamaso, komanso ma intaneti. Kuti muwonetsetse kuti zomwe mumapeza mgululi ndizolondola, ndibwino kusankha gulu lotsogozedwa ndi adotolo, omvera kapena akatswiri ena azaumoyo.
  • Maphunziro. Kuphunzira momwe mungathere za tinnitus ndi njira zochepetsera zizindikiro kungathandize. Ndipo kumvetsetsa tinnitus bwino kumapangitsa kuti ikhale yovuta kwambiri kwa anthu ena.

Kukonzekera nthawi yomwe mwapangana

Khalani okonzeka kuuza dokotala wanu za:

  • Zizindikiro zanu
  • Mbiri yanu yakuchipatala, kuphatikiza matenda ena aliwonse omwe muli nawo, monga kusamva, kuthamanga kwa magazi kapena mitsempha yotsekeka (atherosulinosis)
  • Mankhwala onse omwe mumamwa, kuphatikizapo mankhwala azitsamba

Zomwe mungayembekezere kuchokera kwa dokotala

Dokotala wanu akhoza kukufunsani mafunso angapo, kuphatikiza:

  • Kodi munayamba liti kuona zizindikiro?
  • Kodi phokoso lomwe mumamva likuwoneka bwanji?
  • Kodi mumazimva mu khutu limodzi kapena zonse ziwiri?
  • Kodi mawu omwe mumamvawo akhala akupitilira, kapena amabwera?
  • Kodi phokoso ndi lalitali motani?
  • Kodi phokoso limakuvutitsani motani?
  • Kodi, ngati pali chilichonse, chomwe chikuwoneka ngati chikuwonetsa bwino?
  • Kodi, ngati pali chilichonse chomwe chikuwoneka chikuipiraipira zizindikiro zanu?
  • Kodi mwakumana ndi phokoso laphokoso?
  • Kodi mudadwala matenda a khutu kapena mutu?

Mutapezeka kuti muli ndi tinnitus, mungafunikire kukawona dokotala wamakutu, mphuno ndi mmero (otolaryngologist). Muyeneranso kugwira ntchito ndi katswiri wakumva (audiologist).