{"id":16048,"date":"2023-03-08T12:16:00","date_gmt":"2023-03-08T12:16:00","guid":{"rendered":"https:\/\/stebby.eu\/?p=16048"},"modified":"2024-01-10T12:26:42","modified_gmt":"2024-01-10T12:26:42","slug":"korvus-kohiseb-viliseb-voi-undab-arst-selgitab-millest-kohin-tekib-ja-kuidas-sellest-vabaneda","status":"publish","type":"post","link":"https:\/\/stebby.eu\/et\/korvus-kohiseb-viliseb-voi-undab-arst-selgitab-millest-kohin-tekib-ja-kuidas-sellest-vabaneda\/","title":{"rendered":"K\u00f5rvus kohiseb, viliseb v\u00f5i undab? Arst selgitab, millest kohin tekib ja kuidas sellest vabaneda"},"content":{"rendered":"\n

Aili (34) puhkusereisi \u00fcks osa oli 12 tundi lennukis\u00f5itu sihtkohta ja sama palju kolme j\u00e4tkulennuga koju. P\u00e4rast koduriiki maandumist olid Aili k\u00f5rvad k\u00fcll lukus, kuid suurt t\u00e4helepanu ta sellele ei p\u00f6\u00f6ranud, sest k\u00f5rvad olid ka varem lendamisega lukku l\u00e4inud.<\/p>\n\n\n\n

Kui puhkusest oli m\u00f6\u00f6das juba \u00fcle n\u00e4dala ja k\u00f5rvus endiselt \u00fchtlane kohin ning tunne, nagu oleks vee all, p\u00f6\u00f6rdus Aili k\u00f5rva-nina-kurguarsti vastuv\u00f5tule. Selgus, et heli Aili k\u00f5rvus oli tinnitus ehk k\u00f5rvakohin, mida kutsus esile negatiivne r\u00f5hk keskk\u00f5rvaruumis.<\/p>\n\n\n\n

R\u00f5hk oli tekkinud lennureisist ning lisaks tegi Aili oma k\u00f5rvadele liiga pikal lennul k\u00f5rvaklappidega muusikat kuulates.<\/p>\n\n\n\n

Millest tekib tinnitus?<\/h2>\n\n\n\n

Qvalitas Arstikeskuse Tartu esinduse vastutav arst dr Kristel Kivisild selgitab, et tinnitus ehk k\u00f5rvakohin on nn fantoomkuulmine, mille korral tekib heli inimese enda n\u00e4rvi- v\u00f5i kuulmisteedes siis, kui v\u00e4line helistimulatsioon puudub.<\/p>\n\n\n\n

Dr Kivisilla s\u00f5nul jaguneb k\u00f5rvakohin subjektiivseks ja objektiivseks tinnituseks ning v\u00f5ib avalduda kas \u00fches v\u00f5i korraga m\u00f5lemas k\u00f5rvas.<\/p>\n\n\n\n

Subjektiivne tinnitus on dr Kivisilla s\u00f5nul kas k\u00f5rg- v\u00f5i madalsageduslik. K\u00f5rgsagedusliku tinnitusega v\u00f5ib tunda k\u00f5rvus pininat, sirinat v\u00f5i olla tunne nagu viibiks justkui k\u00f5rgepingeliini all. Madalasagedusliku tinnituse puhul kurdavad patsiendid, et k\u00f5rvus on justkui m\u00fchin v\u00f5i kohin.<\/p>\n\n\n\n

Objektiivset tinnitust nimetatakse teisis\u00f5nu ka pulsatiivseks tinnituseks, mille puhul patsient tunneb s\u00fcdamel\u00f6\u00f6ke k\u00f5rvas. <\/p>\n\n\n\n

K\u00f5rvakohinaga tuleb p\u00f6\u00f6rduda k\u00f5rva-nina-kurguarsti vastuv\u00f5tule<\/strong><\/h2>\n\n\n\n

Dr Kivisilla s\u00f5nul v\u00f5ivad tinnitust tingida ps\u00fchholoogilised tegurid, muutused kuulmiss\u00fcsteemis, s\u00fcdame ja veresoonkonna osades ning keskn\u00e4rvis\u00fcsteemis. Samuti v\u00f5ib kohinat k\u00f5rvus p\u00f5hjustada k\u00f5rge v\u00f5i madal verer\u00f5hk, kehvveresus, diabeet, ainevahetus- ja kilpn\u00e4\u00e4rmehaigused, aga ka k\u00f5rvavaik v\u00f5i\/ja v\u00f5\u00f5rkeha v\u00e4lisk\u00f5rva kuulmek\u00e4igus.<\/p>\n\n\n\n

Kuulmisn\u00f5rkus v\u00f5ib kaasneda vanadusega, verevarustuse muutuse ja ka teatud ravimite tarvitamine v\u00f5ib p\u00f5hjustada ajutist v\u00f5i pidevat k\u00f5rvakohinat.<\/p>\n\n\n\n

\u201cKindlasti on vaja kohina \u00fcle kurtval patsiendil vaadata mikroskoobiga \u00fcle k\u00f5rv ja teha audioloogilised testid. Vahel tuleb appi v\u00f5tta ka piltdiagnostika,\u201d r\u00f5hutab dr Kivisild.<\/p>\n\n\n\n

Ta viitab, et kuigi tinnitus t\u00fcsistusi ei p\u00f5hjusta, suur osa inimesi tulevad sellega h\u00e4sti toime ja see ei riku nende  elukvaliteeti, siis umbes 6\u20138% juhtudest avaldub tinnitus raskekujuliselt ja h\u00e4irib igap\u00e4evaelu.<\/p>\n\n\n\n

\u201cEsinevad uinumisraskused, mist\u00f5ttu on inimene p\u00e4eval v\u00e4sinud, n\u00e4rviline ja depresiivne ning v\u00f5ib seet\u00f5ttu vajada antidepressante ja \u00f5htuti uinumiseks unerohtu,\u201d avaldab dr Kivisild.<\/p>\n\n\n\n

Tinnitust ehk k\u00f5rvakohinat ei ole otseselt v\u00f5imalik ravida<\/strong><\/h2>\n\n\n\n

Dr Kivisild toob v\u00e4lja, et tinnitust ei ole otseselt v\u00f5imalik ravida ning see v\u00f5ib olla p\u00f5hjustatud m\u00f5nest haigusest.<\/p>\n\n\n\n

Pulsatiivset ehk pulsil\u00f6\u00f6ke meenutavat tukslemist k\u00f5rvus v\u00f5ib p\u00f5hjustada hoopis m\u00f5ni veresoonte patoloogia, n\u00e4iteks paraganglioom keskk\u00f5rvaruumis, mida tuleb opereerida.<\/p>\n\n\n\n

\u201cP\u00e4rast edukat operatsiooni ei ole k\u00f5rvas enam pulseerivat tunnet,\u201d selgitab dr Kivisild.<\/p>\n\n\n\n

Ta lisab, et subjektiivne tinnitus v\u00f5ib samuti olla tingitud m\u00f5nest muust haigusest, n\u00e4iteks Menieri t\u00f5vest, kuulmisn\u00e4rvi kasvajast v\u00f5i hoopis tugevast m\u00fcrakahjustusest.<\/p>\n\n\n\n

M\u00fcra v\u00f5imendab tinnitust \u2013 abi v\u00f5ib saada k\u00f5rvaklappidest<\/strong><\/h2>\n\n\n\n

Igasugune m\u00fcra v\u00f5imendab tinnitust ja dr Kivisilla s\u00f5nul on ka m\u00fcrakahjustus ise sageli \u00fcheks tinnituse p\u00f5hjuseks.<\/p>\n\n\n\n

Kivisild toonitab, et inimesed, kes t\u00f6\u00f6tavad m\u00fcrarohkes keskkonnas, peaksid kindlasti kasutama m\u00fcra summutavaid k\u00f5rvaklappe, et kaitsta sisek\u00f5rva.<\/p>\n\n\n\n

Ka pidev k\u00f5rvaklappidega muusika kuulamine v\u00f5ib p\u00f5hjustada m\u00fcratekkest kuulmislangust, mis omakorda v\u00f5ib tekitada k\u00f5rvakohinat.<\/p>\n\n\n\n

\u201cSoovitan v\u00e4ltida k\u00f5rvaklappide \u00fcleliigset kasutamist. Kuulamisel kehtib 60\/60 reegel \u2013 kui oled tund aega k\u00f5rvaklappe kasutanud, siis tuleb k\u00f5rvadele anda tund aega puhkust. Kontserdil aga tuleb v\u00e4ltida helitehnika juures viibimist,\u201d paneb dr Kivisild s\u00fcdamele.<\/p>\n\n\n\n

Tervise hoidmisel ja heaolu suurendamisel tuleb appi Stebby. Stebbyst leiad erinevaid raviteenuseid ning 7000 muud v\u00f5imalust tervise edendamiseks. Vaata l\u00e4hemalt Stebby veebilehelt SIIT<\/a>. <\/p>\n","protected":false},"excerpt":{"rendered":"Aili (34) puhkusereisi \u00fcks osa oli 12 tundi lennukis\u00f5itu sihtkohta ja sama palju kolme j\u00e4tkulennuga koju. P\u00e4rast koduriiki maandumist olid Aili k\u00f5rvad k\u00fcll lukus, kuid suurt t\u00e4helepanu ta sellele ei p\u00f6\u00f6ranud, sest k\u00f5rvad olid ka varem lendamisega lukku l\u00e4inud. Kui puhkusest oli m\u00f6\u00f6das juba \u00fcle n\u00e4dala ja k\u00f5rvus endiselt \u00fchtlane kohin ning tunne, nagu oleks…","protected":false},"author":8,"featured_media":16049,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[25],"tags":[],"class_list":["post-16048","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tervis"],"yoast_head":"\nK\u00f5rvus kohiseb, viliseb v\u00f5i undab? 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