कान के संक्रमण से टिनिटस: कारण, लक्षण और उपचार | ENT विशेषज्ञ गाइड

-By ENT Specialist – Dr. Sagar Rajkuwar, Nashik, Maharashtra, India

Clinic Website:-www.entspecialistinnashik.com

Table of Contents

• 1. परिचय (Introduction)
• 2. क्या कान का संक्रमण टिनिटस का कारण बन सकता है?
• 3. संक्रमण से टिनिटस कैसे बनता है?
• 4. टिनिटस के उपचार विकल्प (Treatment options)
• 5. एक कान में टिनिटस – गंभीर क्यों माना जाता है?
• 6. घर पर टिनिटस कम करने के उपाय
• 7. क्या antibiotics टिनिटस ठीक कर सकती हैं?
• 8. टिनिटस कितने समय तक रहता है?
• 9. टिनिटस के लिए सर्वोत्तम दवा?
• 10. टिनिटस उपचार पर आधुनिक शोध
• 11. टिनिटस कब खतरनाक है?
• 12. क्या न्यूरोलॉजिस्ट से मिलना चाहिए?
• 13. क्या टिनिटस मस्तिष्क को नुकसान पहुँचाता है?
• 14. बिना उपचार टिनिटस के जोखिम
• 15. विटामिन D और टिनिटस का संबंध
• 16. प्राकृतिक उपचार / Natural therapy
• 17. FAQ’s
• 18. ENT विशेषज्ञ द्वारा क्लिनिकल सलाह
• 19. सारांश (Conclusion)

1. परिचय (Introduction)

टिनिटस वह स्थिति है जिसमें मरीज को कान में लगातार बजना, सीटी जैसी आवाज, गूंज, या भनभनाहट सुनाई देती है। यह आवाज बाहरी स्रोत से नहीं आती, बल्कि कान/श्रवण प्रणाली में उत्पन्न होती है।

अधिकतर मामलों में संक्रमण ठीक होने पर टिनिटस कम हो जाता है, लेकिन कुछ मरीजों में यह लंबे समय तक बना रह सकता है। इसलिए समय पर ENT जांच आवश्यक है।

2. क्या कान का संक्रमण टिनिटस का कारण बन सकता है?

हाँ। कान के मध्य भाग में संक्रमण (Otitis media) होने पर:

• मध्य कान में द्रव जमा

• सूजन

• दबाव परिवर्तन

• ध्वनि संचरण में बाधा

इन परिवर्तनों से टिनिटस develop हो सकता है।

3. संक्रमण से टिनिटस कैसे बनता है?

कान के अंदर कोक्लिया (Cochlea) में hair cells ध्वनि तरंगों को electrical signals में बदलती हैं।

संक्रमण के कारण:

• सूजन

• दबाव बढ़ना

• कोक्लियर irritation

hair cells असामान्य electrical impulses भेजने लगती हैं, जिससे आवाज महसूस होती है।

4. टिनिटस के उपचार विकल्प (Treatment options)

टिनिटस का उपचार कारण-आधारित है।

ENT विशेषज्ञ सामान्यतः सलाह देते हैं:

• ear infection treatment

• wax removal

• nasal decongestants

• tinnitus retraining therapy

• counseling and relaxation therapy

• vitamin deficiency correction

बिना सलाह के दवा न लें।

5. एक कान में टिनिटस – गंभीर क्यों माना जाता है?

एकतरफा (unilateral) टिनिटस कभी-कभी गंभीर स्थितियों का संकेत होता है:

• acoustic neuroma

• vascular tinnitus

• sudden SNHL

• viral neuritis

ऐसे मामलों में तुरंत ENT evaluation आवश्यक है।

6. घर पर टिनिटस कम करने के उपाय

• सफेद शोर / soft music

• तनाव कम करना

• कैफीन/निकोटिन/शराब से बचें

• loud music व earphones सीमित

• 7–8 घंटे नींद

7. क्या antibiotics टिनिटस ठीक कर सकती हैं?

यदि टिनिटस का कारण बैक्टीरियल ear infection है, तो infection ठीक होने के साथ टिनिटस कम हो सकता है।

8. टिनिटस कितने समय तक रहता है?

• अस्थायी टिनिटस: कुछ घंटे–कुछ सप्ताह

• persistent tinnitus: >6 माह

• chronic tinnitus: लंबे समय तक

9. टिनिटस के लिए सर्वोत्तम दवा?

टिनिटस के लिए कोई निश्चित दवा नहीं है, लेकिन राहत के लिए कभी-कभी दी जाती हैं:

• anxiolytics

• antidepressants

• zinc + vitamin D/B12 correction

10. टिनिटस उपचार पर आधुनिक शोध

निम्न advanced therapies पर शोध जारी है:

• rTMS

• bimodal neurostimulation

• electrical stimulation

• vagus nerve stimulation

• DBS

11. टिनिटस कब खतरनाक है?

यदि टिनिटस:

• एक कान में हो

• सुनाई कमजोर हो

• चक्कर/तंत्रिका संबंधी लक्षण हों

• धड़कन जैसा rhythmic tinnitus हो

तो तुरंत ENT सलाह लें।

12. क्या न्यूरोलॉजिस्ट से मिलना चाहिए?

पहले ENT विशेषज्ञ evaluation करें।

यदि neurological symptoms हों तभी Neurologist referral।

13. क्या टिनिटस मस्तिष्क को नुकसान पहुँचाता है?

अब तक ऐसे प्रमाण नहीं हैं कि टिनिटस सीधे brain damage करता है, लेकिन मानसिक तनाव बढ़ा सकता है।

14. बिना उपचार टिनिटस के जोखिम

• anxiety

• चिड़चिड़ापन

• नींद खराब

• ध्यान-एकाग्रता के स्तर में कमी

15. विटामिन D और टिनिटस का संबंध

कुछ शोधों में vitamin D deficiency और tinnitus के बीच संबंध बताया गया है।

सही स्तर बनाए रखना लाभदायक हो सकता है।

16. प्राकृतिक उपचार / Natural therapy

• योग

• mindfulness meditation

• acupuncture

• breathing exercises

17. FAQ’s

1. क्या टिनिटस के साथ जीवन सामान्य हो सकता है?

हाँ, सही उपचार + counseling + lifestyle बदलाव से ज्यादातर लोग सामान्य जीवन जीते हैं।

2. क्या MRI टिनिटस का कारण दिखा सकता है?

MRI/CT उपयोगी है underlying cause rule-out करने के लिए, खासकर unilateral cases में।

3. तनाव और अधिक सोच टिनिटस बढ़ाते हैं?

हाँ। तनाव, anxiety, और लगातार सोच टिनिटस perception बढ़ा सकते हैं।

4. क्या कोई गोली टिनिटस रोक सकती है?

फिलहाल ऐसी कोई पुष्टि-शुदा दवा नहीं है।

5. टिनिटस कितने समय तक रह सकता है?

6 महीने से अधिक रहने पर इसे chronic tinnitus माना जाता है।

18. ENT विशेषज्ञ द्वारा क्लिनिकल सलाह

यदि PTA में sensorineural component दिखा भले subjective hearing loss न हो:

• repeat PTA + tympanometry

• conductive कारण पहले treat करें

• यदि SNHL confirm हो तो SSNHL protocol/steroids

• vasodilators optional

• antivirals तभी दें जब viral suspicion हो

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19. सारांश (Conclusion)

• कान infection टिनिटस का सामान्य कारण है

• अधिकतर मामलों में अस्थायी होता है

• unilateral या persistent tinnitus में evaluation अनिवार्य

• lifestyle बदलाव + counseling से राहत संभव

Any patient with tinnitus with ear infection can contact ENT specialist doctor Dr Sagar Rajkuwar (MS-ENT) at the clinic  address given below

Prabha ENT(Ear, Nose, Throat) clinic, Dr Sagar Rajkuwar ( MS-ENT) is open for patient consultation from 11 am to 6 pm. -Address -Prabha ENT clinic, plot no 345 , Saigram colony ,opposite Indoline furniture, Ambad link road ,Ambad , 1 km from Pathardi phata ,Nashik ,422010 ,Maharashtra India . For appointment -Contact no-7387590194 ,9892596635 .

Surgeries done in attached hospitals : Mastoid -ear surgery, Functional endoscopic sinus surgery, Stichless Endoscopic ear surgeries like Ossciculoplasty and Tympanoplasty ,Endoscopic Septoplasty, Tonsillectomy and Adenoidectomy Surgery. Also advice available for Hearing aids and various Ear, Nose, Throat problems.

website for appointment-

www.entspecialistinnashik.com

DISCLAIMER-Some patients go to net and directly take treatment from there which can lead to catastrophic consequences-Then- Many people ask then why to read all this text -the reason is that it helps you to understand the pathology better ,you can cooperate with treatment better ,your treating physician is already busy with his patients and he does not have sufficient time to explain you all the things right from ABCD ,so it is always better to have some knowledge of the disease /disorder you are suffering from.

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