Tinnitus (कर्णक्ष्वेड) is the hearing of sound when no external sound is present. While often described as a ringing, it may also sound like a clicking, hiss or roaring. Rarely, unclear voices or music are heard. The sound may be soft or loud, low pitched or high pitched and appear to be coming from one ear or both. Most of the time, it comes on gradually. In some people, the sound causes depression or anxiety and can interfere with concentration. The problem of tinnitus can be quite dangerous, however, Siddha Spirituality of Swami Hardas Life System can make a lot of difference. Hence, read about tinnitus in detail and if feasible undergo training of Swami Hardas Life System to apply the methods independently without money and medicines.
Tinnitus Definition (कर्णक्ष्वेड की परिभाषा)
a sensation of noise (such as a ringing or roaring) that is typically caused by a bodily condition (such as a disturbance of the auditory nerve or wax in the ear) and usually is of the subjective form which can only be heard by the one affected.
Tinnitus Symptoms (कर्णक्ष्वेड के लक्षण)
Tinnitus can be perceived in one or both ears or in the head. It is the description of noise inside a person’s head in the absence of auditory stimulation. The noise can be described in many different ways. It is usually described as a ringing noise, but in some patients, it takes the form of:
- A high-pitched whining
- Electric buzzing
- Tinging or whistling
- Tree frogs
- Locusts (cicadas)
- Sizzling, or sounds
Tinnitus can be intermittent or continuous: in the latter case, it can be the cause of great distress. In some individuals, the intensity can be changed by shoulder, head, tongue, jaw or eye movements. Most people with tinnitus have some degree of hearing loss.
The sound perceived may range from quiet background noise to one that can be heard even over loud external sounds. The specific type of tinnitus called pulsatile tinnitus is characterized by hearing the sounds of one’s own pulse or muscle contractions, which is typically a result of sounds that have been created by the movement of muscles near to one’s ear, or the sounds are related to blood flow of the neck or face.
Tinnitus Course (कर्णक्ष्वेड का कोर्स)
Due to variations in study designs, data on the course of tinnitus showed few consistent results. Generally, the prevalence increased with age in adults, whereas the ratings of annoyance decreased with duration.
Persistent tinnitus may cause anxiety and depression. Its annoyance is more strongly associated with the psychological condition than loudness or frequency range. Psychological problems such as:
- Sleep disturbances
- Concentration difficulties
Psychological research has looked at the tinnitus distress reaction (TDR) to account for differences in its severity. These findings suggest that at the initial perception of tinnitus, conditioning links tinnitus with negative emotions, such as fear and anxiety from unpleasant stimuli at the time.
Tinnitus Causes (कर्णक्ष्वेड के कारण)
There are two types:
- Subjective tinnitus, and
- Objective tinnitus
Tinnitus is usually subjective, meaning that there is no sound detectable by other means. Subjective tinnitus has also been called “tinnitus aurium”, “non-auditory” or “non-vibratory” tinnitus. In very rare cases tinnitus can be heard by someone else using a stethoscope, and in less rare – but still uncommon – cases it can be measured as a spontaneous otoacoustic emission (SOAE) in the ear canal.
Subjective tinnitus (विषयगत कर्णक्ष्वेड)
It is the most frequent type of tinnitus, which can have many possible causes, but most commonly it results from hearing loss. When it is caused by disorders of the inner ear or auditory nerve it is called otic (from the Greek word for the ‘ear’). These otological or neurological conditions include those triggered by infections or drugs. A frequent cause is noise exposure that damages hair cells in the inner ear.
Hearing loss (बहरापन)
The most common cause of tinnitus is noise-induced hearing loss. Hearing loss may have many different causes, but among those with tinnitus, the major cause is cochlear damage.
Ototoxic drugs can also cause subjective tinnitus, as they may cause hearing loss, or increase the damage done by exposure to loud noise. Those damages can occur even at doses that are not considered ototoxic.
Over 260 medications have been reported to cause tinnitus as a side effect. In many cases, however, no underlying cause could be identified.
Objective tinnitus (ध्येय कर्णक्ष्वेड)
It can be detected by other people and is sometimes caused by involuntary twitching of a muscle or a group of muscles or by a vascular condition. In some cases, tinnitus is generated by muscle spasms around the middle ear.
Pulsatile tinnitus (काँपने के गुणवाला कर्णक्ष्वेड)
Some people experience a sound that beats in time with their pulse, known as pulsatile tinnitus or vascular tinnitus. Pulsatile is usually objective in nature, resulting from altered blood flow, increased blood turbulence near the ear, such as from atherosclerosis or venous hum, but it can also arise as a subjective phenomenon from an increased awareness of blood flow in the ear.
Tinnitus Pathophysiology (कर्णक्ष्वेड रोग-शरीरक्रिया विज्ञान)
The mechanisms are often obscure. While it is not surprising that direct trauma to the inner ear can cause tinnitus, other apparent causes are difficult to explain.
It may be caused by increased neural activity in the auditory brainstem, where the brain processes sound, causing some auditory nerve cells to become over-excited. The basis of this theory is that many with tinnitus also have hearing loss.
Tinnitus Diagnosis (कर्णक्ष्वेड निदान)
The diagnostic approach is based on a history of the condition and an examination head, neck, and neurological system. Typically an audiogram is done, and occasionally medical imaging or electronystagmography. Treatable conditions may include:
- Middle ear infection
- Acoustic neuroma
Evaluation of tinnitus can include a hearing test (audiogram), measurement of acoustic parameters like pitch and loudness, and psychological assessment of comorbid conditions like depression, anxiety, and stress that are associated with severity of the tinnitus.
Since most persons with tinnitus also have hearing loss, a pure-tone hearing test resulting in an audiogram may help diagnose a cause, though some persons with do not have hearing loss. An audiogram may also facilitate the fitting of a hearing aid in those cases where hearing loss is significant.
The acoustic qualification will include measurement of several acoustic parameters like frequency in cases of monotone tinnitus or frequency range and bandwidth in cases of narrow-band noise tinnitus, loudness in dB above the hearing threshold at the indicated frequency, mixing-point, and minimum masking level.
Another relevant parameter of tinnitus is residual inhibition, the temporary suppression or disappearance of tinnitus following a period of masking. The degree of residual inhibition may indicate how effective tinnitus maskers would be as a treatment modality.
Tinnitus Severity (कर्णक्ष्वेड की गंभीरता)
The condition is often rated on a scale from “slight” to “catastrophic” according to the effects it has, such as interference with sleep, quiet activities and normal daily activities. In an extreme case, a man committed suicide after being told there was no cure.
Pulsatile tinnitus (काँपने के गुणवाला कर्णक्ष्वेड)
If the examination reveals a bruit, imaging studies such as transcranial doppler (TCD) or magnetic resonance angiography (MRA) should be performed.
Tinnitus Differential diagnosis (कर्णक्ष्वेड का विभेदक निदान)
Other potential sources of the sounds normally associated with should be ruled out. For instance, two recognized sources of high-pitched sounds might be electromagnetic fields common in modern wiring and various sound signal transmissions.
Tinnitus Prevention (कर्णक्ष्वेड की रोकथाम)
Prolonged exposure to loud sound or noise levels can lead to tinnitus. Earplugs or other measures can help with prevention. Employers may use hearing loss prevention programs to help educate and prevent dangerous levels of exposure to noise. Groups like NIOSH and OSHA help set regulations to ensure employees, if following the protocol, should have minimal risk to permanent damage to their hearing.
Tinnitus Management (कर्णक्ष्वेड का प्रबंधन)
If there is an underlying cause, treating it may lead to improvements. Otherwise, the primary treatment is:
- Talk therapy
- Sound therapy
- Hearing aids
There are no effective medications or supplements that treat tinnitus.
The best-supported treatment is a type of counseling called cognitive-behavioral therapy (CBT) which can be delivered via the internet or in person. It decreases the amount of stress those with tinnitus feel. These benefits appear to be independent of any effect on depression or anxiety in an individual.
Acceptance and Commitment Therapy (ACT) also shows promise in the treatment of tinnitus. Relaxation techniques may also be useful. A clinical protocol called Progressive Tinnitus Management for treatment has been developed by the United States Department of Veterans Affairs.
Tinnitus Medications (कर्णक्ष्वेड की दवाएँ)
As of 2018, there were no medications effective for idiopathic tinnitus. There is not enough evidence to determine if antidepressants or acamprosate are useful. There is no high-quality evidence to support the use of benzodiazepines.
The usefulness of melatonin, as of 2015, is unclear. It is unclear if anticonvulsants are useful for treating it. Steroid injections into the middle ear also do not seem to be effective. There is no evidence to suggest that the use of betahistine to treat tinnitus is effective.
Botulinum toxin injection has been tried with some success in some of the rare cases of objective tinnitus from a palatal tremor.
Caroverine is used in a few countries to treat tinnitus. The evidence for its usefulness is very weak.
Alternative medicine (वैकल्पिक दवाई)
Ginkgo biloba does not appear to be effective. The American Academy of Otolaryngology recommends against taking melatonin or zinc supplements to relieve symptoms of tinnitus. In addition, a 2016 Cochrane Review concluded that evidence is not sufficient to support taking zinc supplements to reduce symptoms.
Tinnitus Prognosis (कर्णक्ष्वेड का सिद्धान्त)
While there is no cure, most people with tinnitus get used to it over time; for a minority, it remains a significant problem.
Tinnitus Epidemiology (कर्णक्ष्वेड का महामारी विज्ञान)
Tinnitus affects 10–15% of people. About a third of North Americans over 55 experience it. However, it affects one-third of adults at some time in their lives, whereas ten to fifteen percent are disturbed enough to seek medical evaluation.
Tinnitus is commonly thought of as a symptom of adulthood and is often overlooked in children. Children with hearing loss have a high incidence of tinnitus, even though they do not express the condition or its effect on their lives.
Children do not generally report spontaneously and their complaints may not be taken seriously. Among those children who do complain of tinnitus, there is an increased likelihood of associated otological or neurological pathology such as migraine, juvenile Meniere’s disease or chronic suppurative otitis media.
Its reported prevalence varies from 12% to 36% in children with normal hearing thresholds and up to 66% in children with a hearing loss and approximately 3–10% of children have been reported to be troubled by tinnitus.
Tinnitus & Free Siddha energy remedies (कर्णक्ष्वेड और नि:शुल्क सिद्ध ऊर्जा उपचार)
1. Siddha preventive measures (सिद्ध निवारक उपाय)