Here is a torture from the soul:
What time do you sleep every night?
Why do you sleep late?
Netizen A:
"Don't want the end of the day, don't you dare the beginning of the day?"
Netizen B:
"Because dinner is too late to sleep?"
Netizen C:
"Time is money, staying up late is making money?"
……
But do you know how harmful late bed is?
In this regard, netizens said ↓↓
(Image source: Weibo screenshot)
Regarding these comments of netizens, today, Xiao Kangmei specially invited Dr. Zheng Yongbo to the Department of Otorhinolaryngology, Head and Neck Surgery of West China Hospital of Sichuan University to explain in detail for everyone.
01 What is sudden deafness?
According to Dr. Zheng Yongbo, sudden and unexplained sensorineural hearing loss that occurs suddenly within 72 hours is at least 20 decibels ≥ two adjacent frequencies.
Sudden deafness is basically divided into four types according to the frequency and extent of hearing loss involvement: high-frequency decreasing type, low-frequency decreasing type, flat descending type and total deafness type (including very severe deafness).
The general clinical manifestations of sudden deafness are:
☑ Sudden onset of hearing loss.
☑ Tinnitus (about 90%).
☑ Ear stuffiness (about 50%).
☑ Dizziness or dizziness (about 30%).
☑ Hypersensitivity or hyperauthiasis.
☑ Paresthesias around the ear (common in patients with total deafness).
☑ Some patients will have psychosocial symptoms, such as anxiety, sleep disorders, etc., which affect the quality of life.
02 What is the relationship between sudden deafness and staying up late?
Although the etiology and pathophysiology of sudden deafness have not been fully elucidated, local and systemic factors may cause sudden deafness, and it is generally believed that mental stress, stress, emotional fluctuations, irregular life, sleep disorders, etc. may be the main causes of sudden deafness.
Dr. Zheng Yongbo introduced: From the pathogenesis, it may be that the inner ear ischemia caused by late sleep and the inner ear microenvironment caused by blood circulation disorders are abnormal, resulting in sudden deafness.
The age of onset of sudden deafness is generally more young and middle-aged, because young and middle-aged people often stay up late, and the mental and work pressure is greater, which may have a certain relationship with sudden deafness.
In life, we often have this feeling, if you sleep too late the night before, the next day there may be tinnitus, dizziness, in fact, this is also to remind you to pay attention to rest.
In addition to hearing loss, some patients with sudden deafness, the first concomitant symptom that first appears is tinnitus. In addition, some patients show self-hearing enhancement, that is, the self feels that the sound heard is larger than usual, in fact, this situation is an illusion, if you do a hearing examination, the results often indicate that there is hearing loss.
Therefore, if there is tinnitus, self-hearing enhancement and other phenomena, it is best to seek medical treatment in time and carry out corresponding examinations to rule out the possibility of sudden deafness.
03 Sudden deafness to seize the "golden 72 hours"
The sooner you get medical, the better
Treatment is critical three days (within 72 hours) of sudden onset of deafness, and if you visit for more than a week, the effectiveness of treatment may be greatly reduced. Therefore, it is best to seek medical attention as soon as the disease occurs, and the sooner the better.
Dr. Zheng Yongbo reminded: Some patients just start to feel that there is a little bit of hearing decline, accompanied by slight tinnitus or listening to the sound has a feeling of amplification, but did not care, when the hearing is obviously reduced and then seek medical treatment, often miss the best treatment time, the prognosis will become worse.
Dr. Zheng Yongbo once received a young male patient, a postdoctoral student, engaged in scientific research and writing papers every day, worked under pressure, slept at 2 to 3 a.m., and got up again at about 6 to 7 o'clock in the morning... After about two weeks of staying up, I suddenly had a complete deafness in one ear, and the other one also had mild hearing loss and tinnitus.
But because I was too busy at work, I didn't go to the doctor until a week after I had symptoms. Although it later underwent a period of standardized treatment, the hearing recovery effect was poor, and if you want to improve your hearing, you can only choose to surgically install a hearing aid.
04 Can sudden deafness be cured?
And how to prevent it?
Sudden deafness is currently mainly treated by drugs, including the use of glucocorticoids and vasodilator drugs. Some are curable, but vary from person to person, and some are not necessarily good and cause permanent hearing loss, but what bothers patients most in the later period is tinnitus.
The constant shouting in the ears will make people anxious and irritable. For patients who do not respond to medical therapy, wearing a hearing aid or surgically implanting an artificial hearing aid may be considered.
So how to prevent hearing loss?
1. Avoid staying up late to relieve mental stress. There is a correlation between staying up late and the occurrence of sudden deafness.
2. Avoid sleeping with headphones on. The ears do not rest, repeated sound stimulation, and there is damage to hearing.
3. Patients with ear diseases should be treated in time. For example, otitis media, cerumen (ear feces) blockage, otitis externa, middle ear cholestylamma and other diseases should be treated in time.
4. Frequent exposure to noise will also cause hearing damage. Long-term telephone answering and use of Walkmans and continuous proximity noise should be avoided, and participation in KTV entertainment activities should not be too long.
5. Exercise regularly and improve physical fitness. Preventing deafness should start from young adults and should not be careless.
Finally, once again, we would like to remind everyone:
Avoid poor schedules
Develop good "ear" habits
If you find that there is a clear problem with hearing
It is recommended to get medical treatment right away
Prevent greater damage.
Physicians interviewed in this article:
Text/Editor 丨Mkiki
Partial Reference: Guidelines for the Diagnosis and Treatment of Sudden Deafness (2015)
Image source 丨 Weibo screenshot 123rf Southern Metropolis Daily
Audit 丨Lanlan