2012年10月26日星期五

眼又矇,耳又聾


上星期五突然右耳好似焗住咁,嘢時啲聲左邊入先,然後先右耳.右耳仲有長bee
bee
.過咗幾日都係咁.睇醫生,refer咗去專科.

bee
bee
聲醫生話多數係壓力大引致.大家睇開我個blog都知我hea,邊有壓力吖.咁個專科醫生同我check耳鼻喉,check聽力.耳鼻喉完全正常,只係右耳聽力有問題,分貝聲係聽唔到.醫生話呢個係sudden
hearing loss,
即係突然失聰,多數都係原因不明.佢又再refer我噚日去醫院接受注射治療.
間醫院因為好多唔同專科都係同一個lobby,多人到好似港醫院睇街症.
(
唔敢影人,只影咗一角)

Total搞咗兩個鐘先走得.
療法係一連四日要去醫院打針.啲藥係靜脈注射入血管.會有副作用架.醫生話會瞓唔好,面紅同胃痛.胃痛就已經出現咗喇.

網上搵咗以下資料了解吓乜嘢係sudden
hearing loss.
我好多個points都中咗呢. (唔中又點會話我有呢個問題呢)

Sudden Sensorineural Hearing Loss (SSHL),
or sudden deafness, is a rapid loss of hearing. SSHL can happen to a
person all at once or over a period of up to 3 days. It should be
considered a medical emergency. A person who experiences SSHL should
visit a doctor immediately.

A doctor can determine whether a person has experienced SSHL by conducting a normal hearing test. If a loss of at least 30 decibels
in three connected frequencies is discovered, it is diagnosed as SSHL. A
decibel is a measure of sound. A decibel level of 30 is half as loud as
a normal conversation. A frequency is another way of measuring sound.
Frequencies measure sound waves and help to determine what makes one
sound different from another sound.

Hearing loss affects only one ear in 9 out of 10 people who
experience SSHL. Many people notice it when they wake up in the morning.
Others first notice it when they try to use the deafened ear, such as
when they make a phone call. Still others notice a loud, alarming "pop"
just before their hearing disappears. People with SSHL often experience
dizziness or a ringing in their ears (tinnitus), or both.

Some patients recover completely without medical intervention, often
within the first 3 days. This is called a spontaneous recovery. Others
get better slowly over a 1 or 2 week period. Although a good to
excellent recovery is likely, 15 percent of those with SSHL experience a
hearing loss that gets worse over time.

Approximately 4,000 new cases of SSHL occur each year in the United
States. It can affect anyone, but for unknown reasons it happens most
often to people between the ages of 30 and 60.

Causes/Diagnosis


Though there are more than 100 possible causes of sudden deafness, it
is rare for a specific cause to be precisely identified. Only 10 to 15
percent of patients with SSHL know what caused their loss. Normally,
diagnosis is based on the patient’s medical history. Possible causes
include the following:

  • Infectious diseases.
  • Trauma, such as a head injury.
  • Abnormal tissue growth.
  • Immunologic diseases such as Cogan’s syndrome.
  • Toxic causes, such as snake bites.
  • Ototoxic drugs (drugs that harm the ear).
  • Circulatory problems.
  • Neurologic causes such as multiple sclerosis.
  • Relation to disorders such as Ménière’s disease.

Treatment


People who experience SSHL should see a physician immediately.
Doctors believe that finding medical help fast increases the chances for
recovery. Several treatments are used for SSHL, but researchers are not
yet certain which is the best for any one cause. If a specific cause is
identified, a doctor may prescribe antibiotics for the patient. Or, a
doctor may advise a patient to stop taking any medicine that can
irritate or damage the ear.

The most common therapy for SSHL, especially in cases with an unknown
cause, is treatment with steroids. Steroids are used to treat many
different disorders and usually work to reduce inflammation, decrease
swelling, and help the body fight illness. Steroid treatment helps some
SSHL patients who also have conditions that affect the immune system,
which is the body’s defense against disease.

Another common method that may help some patients is a diet low in
salt. Researchers believe that this method aids people with SSHL who
also have Ménière’s disease, a hearing and balance disorder.
www.http://www.nidcd.nih.gov/health/hearing/pages/sudden.aspx

31 則留言:

  1. 我估個age group 應該系 40-65﹐你o吾好刪改原文掩飾王子o既秘密o窩﹗

    diet low in salt. => o甘王子都要減少睇D鹹野喇﹗

    你系高頻﹑中頻﹑低頻弱聽呀?

    希望你早日恢復。
    [版主回覆10/27/2012 04:00:19]我係呢個age group喎.
    我唔係食好鹹架咋. 睇黎真係同睇鹹野有關.
    佢有個chart畀我睇,但係我唔知邊個係高頻,低頻
    依家感覺好似好咗d,但仲係有bee bee聲

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  2. 打什麽藥針, 咁都要打血管針? Get well soon.
    [版主回覆10/27/2012 03:56:24]steroids類固醇
    依家感覺好似好咗d,但仲係有bee bee聲

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  3. 你有壓力
    btw:依家好D未?
    [版主回覆10/27/2012 03:53:59]咪係. 壓力我呢個case唔係病因
    依家感覺好似好咗d,但仲係有bee bee聲

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  4. Get well soon !
    [版主回覆10/27/2012 03:53:23]Thank you. 感覺好似好咗d,但仲係有bee bee聲

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  5. 你有壓力既,呢個世界真係死唔少人囉..
    之但係耳鳴既問題真係好多人都會有喎 , 都好多係間歇性既...真係唔知咩事囉...希望你打左針, 快d好返啦....西藥好多都醫左呢樣傷果樣...好多藥劑都會引起胃痛, 醫生冇同時配胃藥俾你咩..下次去睇 , 提下佢啦
    [版主回覆10/27/2012 03:52:38]咪係. 壓力我呢個case唔係病因.
    醫生同時打咗減胃病藥架喇.

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  6. 突發性耳聾,多數發生於單耳,較少雙耳同時發生,真正病因不明,許多可能之致病機轉被提出,通常很難確定其致病因,造成 SSNHL 的最常見的原因可能是血管因素導致之組織缺血或病毒感染導致之神經炎。目前尚無針對 SSNHL 之單一有效治療選擇,多採用合併式療法。

    最佳治療時間為發病後一個星期內,治療藥品包括口服類固醇、血管擴張劑、改善耳流力藥物、抗病毒藥物、利尿劑等。
    http://www.taiwan-pharma.org.tw/JTP/111/069-073.html
    [版主回覆10/27/2012 03:50:09]多謝中文補充

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  7. the causes of problem 都好易中啫。唔好食咁鹹喇, 你內文講架。
    [版主回覆10/27/2012 03:49:24]我唔係食好鹹架咋.
    [samwei回覆10/27/2012 02:21:37]我唔主張用steroids, 有太多 side effects.

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  8. 祝你早日康復 !
    [版主回覆10/27/2012 06:55:34]Thank you. 感覺好似好咗d,但仲係有bee bee聲

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  9. yahoo好似又short左,收唔到回覆既message!多多休息啦!寫少d blog 咪少壓力囉
    [版主回覆10/27/2012 22:47:08]寫blog又邊有壓力呢?

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  10. 有時我都會耳鳴, v v 聲, 不過一陣就自動會消失.
    [版主回覆10/27/2012 22:48:19]我係連續咗幾日覺得唔係少事所以去睇吓.

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  11. 祝你早日康復!中藥對耳鳴都幫助,不過,你那邉應該冇中醫睇
    [版主回覆10/27/2012 22:49:14]印象見過有中醫,但係唔知有冇牌

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  12. 祝你早日康復啦!
    [版主回覆10/27/2012 22:49:28]感覺好似好咗d,但仲係有bee bee聲

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  13. 我都有呢個情況,不過DEE "Bee Bee"聲係好短時間,有陣時都會兩邊耳仔都聽唔到野。
    (...唔會係家族遺傳呀...)

    祝你早日康服!!
    [版主回覆10/27/2012 22:52:07]突發性耳聾只係一邊架咋. 冇話係同家族遺傳有關.
    感覺好似好咗d,但仲係有bee bee聲. 今日又去打咗針

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  14. 咁依家仲有冇事呀???祝早日康復!
    [版主回覆10/27/2012 22:52:40]感覺好似好咗d,但仲係有bee bee聲. 今日又去打咗針

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  15. 好d未?
    食多d"黑色食物"補腎, 腎虛耳唔好
    食多d黑豆,黑木耳, 紫菜,黑米,黑芝麻.
    http://www.lalulalu.com/thread-2532666-1-1.html

    不要吃兔, 傷腎
    [版主回覆10/28/2012 04:24:07]乜唔同架.
    中藥我唔食架.
    [咖啡奶茶精回覆10/27/2012 22:59:20]'腎虛'唔係'腎虧', 殿下 ! 臣豈敢 !
    我自己都陰虛脾胃虛, 長期食中藥呀..
    [版主回覆10/27/2012 22:53:15]係咪明示我腎虧??

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  16. 早日康復! 係外國病我覺得好麻煩. 一嚟言語不通, 二嚟制度同香港唔同, 好唔習慣, 加上醫生好多 hea 住做.
    [Swedish Hongkongese回覆10/28/2012 07:35:20]係咁架啦D鬼佬鬼婆. 所以佢哋要輸入多D我哋呢D咁高質素的香港人囉
    [版主回覆10/27/2012 22:57:08]Thank you.
    好彩d醫生同我講英文.
    好多 hea 住做.>>呢個一講火都黎. 噚日個護士用咗廿分鐘去登記. 入電腦係用一隻手指去篤.

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  17. 兄你會唔會成日塞耳聽哥~
    [版主回覆10/27/2012 22:57:50]我冇架.

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  18. 我有耳疾, 所以好明白嗰d不適, 僥倖你只係暫時性, 係俾個好警惕自己, 有d嘢失去就永遠失去, 耳覺同視力都係, 所以要好好珍惜愛護身體.
    [版主回覆10/28/2012 04:26:06]e+知聾聾地唔係咁好受.

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  19. 咁仲有幾多日針要打?
    小心身體!早日康復!
    [版主回覆10/28/2012 04:27:07]今日打咗last枝. Monday要去check多次聽力

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  20. 雖然你喜欢四圍走,但生活的需求是一种無形厌力,在不知不覺中影响我們。我間中都聽到v v聲,我立刻問自己,我緊張嗎?原來是的,我剛跟奶奶的一群德国親友一起吃飯。gute Besserung!
    [版主回覆10/28/2012 04:28:08]Danke. 真係唔知我厌力係邊度黎.

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  21. 藥到病除, 早日痊癒!
    [版主回覆10/28/2012 04:28:15]Thank you.

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  22. 保重啊!
    [版主回覆10/28/2012 05:29:44]多謝

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  23. 可唔可以恢復到以前聽力?
    [版主回覆10/28/2012 22:14:52]未知呀,聽日去check.

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  24. 好番未??? TAKE CARE...
    [版主回覆10/29/2012 03:45:14]仲係有微微bee bee聲,聽日去check

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  25. 你要保重呀!
    [版主回覆10/29/2012 05:26:07]Thank you. ,聽日去覆疹.

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  26. Take care and get well soon ar!
    [版主回覆10/29/2012 22:56:04]Thank you.

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  27. 我又係有幾個音聽唔到,唔知同唔同你嗰幾個呢?
    [版主回覆10/29/2012 22:56:43]你有冇report對一對??

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  28. 咪嚇自己啦!第日去探你揾你帶路o架!
    [版主回覆10/30/2012 03:48:53]仲係有微微bee bee聲, 而聽力好咗好多lu.

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  29. 保重呀!
    [版主回覆10/31/2012 04:12:11]聽力好咗好多lu.

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  30. 唔驚啦你平時都好少面紅,咪當試下囉^^
    [版主回覆11/01/2012 04:54:48]面紅打咗針都冇.

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  31. 咁你現在完全康復沒有呀﹖好好保重身體﹗
    [版主回覆11/05/2012 04:49:45]仲有微微v v 聲。

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入咗嚟,不如寫幾隻字,留個言啦.