The first is physiological tinnitus. Inside the body, blood vessel pulsation, blood flow, muscle contraction, joint activity, respiratory movement, etc., will occur a weak sound, which is closer to the ear, it will feel the sound. Normally, due to the outside world has a stronger sound, this weak sound masked, and did not feel out. But if you walk into the soundproof room or in the quiet late at night, sometimes you will feel a faint ringing in the ear, which is physiological tinnitus.
The second type is conductive tinnitus. The cause of this type of tinnitus is the obstruction of the conductive part of the auditory system, such as swelling and blockage of the external auditory canal, perforation of the tympanic membrane, invagination, inflammation, adhesion and sclerosis of the middle ear. The impaired conduction reduces the ability to hear external sounds and diminishes its ability to mask the sounds occurring in the body so that they can be felt and become tinnitus. Further, the sound transmitted into the ear through the bone conduction, due to the conduction disorder, the outward escape channel is blocked, and improves the feeling of the sound in the ear, which becomes a low-frequency-based, wind-like whistling sound. We can try ourselves, with a hand over the ear, feel the roaring sound in the ear, this is a typical conductive tinnitus.
The third type is neurological tinnitus. The cause is a disorder in the sensorineural part of the auditory system. When the inner ear auditory receptors have disease, such as drug poisoning, noise trauma, Meniere's disease; auditory nerve and auditory center suffered trauma or inflammation, poisoning, ischemia, tumors, etc.; and various intracranial lesions affect the auditory nerve or auditory center, tinnitus will occur. This kind of tinnitus is mostly high-frequency cicatrization or piercing shrill. Some systemic diseases can also cause tinnitus, such as hypertension, hypotension, vegetative nerve dysfunction and so on and affect the blood supply, the effect of toxins of certain diseases, endocrine disorders caused by mental tension, anxiety and so on. In terms of life, poor rest, insomnia will also have tinnitus appear after. There are also some deafness, with the current medical technology conditions can not figure out its cause or in the clinical aspects of the examination is not clear, known as the cause of tinnitus.
The fourth type is objective tinnitus. Tinnitus is a subjective feeling, but there is a throbbing tinnitus can be heard by others, which is called objective tinnitus. This kind of tinnitus is different from subjective tinnitus, it does have a sound source, but the sound source is not in the outside world, but the body near my ear. One sound source is the contracture of small muscles or pharyngeal meatus in the middle ear; the other sound source is the sound of blood vessel pulsation. Under normal circumstances, the sound of blood vessel pulsation is not felt, but when blood pressure rises and the pulsation sound is raised, or the escape to the outside 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 the tinnitus. If you are allergic to a variety of dietary allergies, it's best to stay away from the foods you are sensitive to.
If the tympanic membrane is broken, the only way is to "repair" it, and if the bones in the ear are displaced, then minor surgery is needed to correct the position.
Tinnitus caused by insufficient blood flow can be reduced by medications that improve circulation and oxygenation of the blood. Doctors sometimes use supplements of certain vitamins, such as vitamin B12, or minerals such as folates, zinc and magnesium. Doctors must treat the situation on a case-by-case basis, and those who are wracked by tinnitus problems are best advised to prolong their medical treatment rather than dispense their own medications.
Advise those who suffer from tinnitus, try to relax, try not to pay more attention, some people worry all day long that it will cause deafness, some even thought it will kill, it is really unnecessary, you should rest, so that they get enough sleep, and to avoid stimulating coffee, tobacco and alcohol.
The tinnitus is clear in quiet places, and some sounds such as the sound of a car or music in the bedroom can reduce the interference of tinnitus. Some people with tinnitus become depressed and need the assistance of a psychiatrist. Anxiety and irritability can exacerbate depression, and acupuncture, massage, and other stress-reducing therapies can help.
Tinnitus
Tinnitus seems to be a less serious matter, but when it comes to this symptom, you first need to rule out the following possibilities: one, inflammation in the ear; two, ear wax accumulation, can't hear clearly, as when cotton plugs the ear to hear the internal sound. Both of these situations can be treated.
From the perspective of traditional Chinese medicine, tinnitus has a lot to do with the body, and the most common scenarios are as follows:
Tinnitus in the kidney
Mostly seen in the elderly, characterized by tinnitus that is fine and long-lasting, and other symptoms include: dizziness, deficiency soup, nocturia, lumbar acidity and knee pain, memory loss, and most of the patients also have a deficiency of liver qi.
Liver fire rises
Acute tinnitus can be caused by eating too much hot and dry food in a short period of time, exposure to the sun, and barbecuing under the scorching sun. Characterized by a tinnitus condition that comes on suddenly, the ears seem to be sealed.
Kidney deficiency and liver heat
It is a mixed type, which has kidney deficiency but also liver fire. Characteristics are the same as liver fire tinnitus.
It is said that tinnitus is more severe at night, why? First, the night is quieter and the tinnitus sound is clearer, secondly, the yin fire goes up in the evening; thirdly, the sleeping time is around 11 pm, which is the liver meridian, and the patient does feel that the tinnitus sound is stronger.
For patients with tinnitus, the following basic formula can be applied:
Chrysanthemum, Angelica dahurica, Eryngium, Cang Er Zi, 3 qian (9 grams) each, Tribulus terrestris 1 qian (3 grams).
The tinnitus type with excessive liver fire
Can be added on top of the basic formula, with the addition of the more potent Radix Rehmanniae Praeparata, Radix et Rhizoma Ophiopogonis, Radix Paeoniae Alba and Radix et Rhizoma Dampaeaeae. If you have a sore throat in addition to the liver fire, you can add forsythia, root of the bluebell, dendrobium, cypress and other medicines. If you can't sleep well, you can choose to add maitake dong, cordyceps sinensis, mallow leaves, lotus core, and so on.
Food therapy, you can use more carrots, water chestnuts (water chestnuts) bamboo cane boiled in water; or with snow pear with snow fungus, the fire for one to two hours, nothing to add, just add some honey dates for flavor; or will be the above materials together with boiled water.
Kidney qi deficiency type tinnitus
Can be in addition to the basic formula, with qi chrysanthemum six flavors of dihuang pill, where blurred vision, nocturnal enuresis, weakness of the knees, lumbago and other conditions, can be applied.
Dietary therapy, you can use more raw fish, fish, grouper, with wolfberry, lotus seed, lily, Chinese yam and other commonly used Chinese medicine. You can also use yellow fungus (snow fungus is too cold for those with kidney deficiency), combined peaches, lily of the valley, and lotus seeds on a daily basis to strengthen the kidneys but in a calm manner.
Causes of tinnitus
Tinnitus is caused by impaired or altered cell membrane permeability of hair cells inside and outside the cochlea, or impaired synaptic metabolism of the hair cells, or short circuits between auditory nerve fibers.
60% of tinnitus patients clinicians can find the cause of the disease, summarized as follows:
1, ototoxic drugs cause:
The tinnitus caused by the drugs are divided into two categories, a class of drugs only cause tinnitus without causing hearing loss, the reason is that this type of drug in the middle of the nervous system in the middle of the brain system affects the process of metabolism of biogenic amines and neurotransmitters, resulting in auditory The reason is that these drugs affect the metabolic process of biogenic amines related to neurotransmitters in the central nervous system, resulting in a "convulsive" side effect on the auditory neurons. Such as: some anticancer drugs, antispasmodic drugs, antibacterial drugs, macrolide antimicrobials, narcotic analgesics and so on.
Another class of drugs both cause tinnitus and hearing loss, or even cause total deafness, this type of drug-induced tinnitus symptoms are hair cells or auditory neurons damaged "primary" form of expression. Such as: anticancer drugs, antimicrobial and antiparasitic drugs, aminoglycoside antimicrobials.
2, noise causes:
People have such a **** the same experience, if you suddenly hear the sound of firecrackers, there will be a very long reverberation in the ear, half a day to subside, which is the outside world noise temporary damage to the human auditory nerve. Those long-term work in a very noisy environment, such as tractor and car drivers, traffic police, armed police, military, disco staff, mahjong entertainers, long-term meetings, and various types of equipment operators, etc. are victims of noise, long-term noise stimulation most of the time caused by the inner ear nerve damage. Noise-induced tinnitus is mainly characterized by a disturbance in the spontaneous activity of the auditory nerve fibers. Generally speaking, noise that exceeds the safety noise standard (85-90 dB) intensity is likely to cause tinnitus and deafness. However, for the same intensity of noise, there are individual differences in sensitivity, and only the sensitive are harmed or harmed to the most serious degree.
Third, the outer ear and middle ear disease causes:
Tinnitus can be caused by foreign bodies (cerumen) in the outer ear when touching the tympanic membrane; vascular malformations and lesions in the middle ear may also cause tinnitus. Most of this type of tinnitus can be cured through examination and treatment by an otology clinician.
Four, age causes:
The incidence of tinnitus in people over 60 years old is as high as 30%. The main reason is that with age, the degenerative changes in the auditory nervous system.
Fifth, vascular malformation or blood rheology causes:
Because of such vascular or blood causes, so that the flow of blood supply to the intracranial, cochlear blood flow irregularities, or by the neck, the cranial cavity blood vessel anomalies produced by the vascular murmur to the ear resulting in tinnitus.
Sixth, the cause of Meniere's disease;
seventh, auditory neuroma; (mainly by surgical treatment)
eighth, sclerosis:
It is a disease that occurs when the dense lamellar bone of the bony labyrinth is focally replaced by spongy new bone that is rich in cells and blood vessels. (Mainly by surgical treatment)
nine, the cause of head trauma;
ten, the cause of muscle clonus;
eleven, the cause of mental stress;
twelve, the cause of the systemic systemic diseases:
such as anemia, hypertension, diabetes mellitus hypothyroidism, hypoglycemia, autoimmune diseases, vasospastic diseases may be accompanied by Tinnitus.
Thirteen, another tinnitus can not yet be clear cause, accounting for about 40% of the number of tinnitus.