有时在夜深人静,周遭都没有其他声音时,却会听到吱吱叫蝉鸣声或是马达转动隆隆声/沙沙声,有的人甚至感觉从大脑内部放出声音,造成烦躁、焦虑,进而影响睡眠品质。这些不论低频或高频,不受外界X而引发的声音,就是俗称的耳鸣。
耳鸣产生的起因很多,噪音造成内耳毛细胞受损、老化性听力损失、耳垢阻塞或是听觉皮质过滤杂讯的功能变差等,都是常见的原因。听觉传导路径从外耳到中耳到内耳到听神经到脑干再到大脑皮质,其中的某一区块出现任何问题都可能造成耳鸣。除此之外,自律神经系统,以及掌管情绪的边缘系统(limbic system)的过度活化,引起焦虑、忧鬱、压力太大等负面情绪也会让耳鸣加重症状。
因此拥有良好的生活作息、饮食习惯、心情调适,将能防止耳鸣的恶化,并改善耳鸣的严重程度。如果有危险的耳鸣特徵更不可轻忽大意,例如单侧耳鸣、耳鸣持续越来越大声、近几个月到这两三年才发生耳鸣、伴随著眩晕及听力减退等耳部症状的耳鸣,须尽早到耳鼻喉科寻求专业医师诊断并接受检查,以排除高风险疾病的可能性并及早接受治疗。
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