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Compreendendo o zumbido

O que é zumbido?

O zumbido ou tinnitus é definido como qualquer som que o indivíduo percebe na cabeça, em uma ou nas duas orelhas, sem que haja uma fonte externa para este som. As pessoas relatam escutar um som de apito, sirene, panela de pressão, chuva, cigarra e até mesmo um resgate de memória auditiva, geralmente músicas que essas pessoas escutavam no passado, esse tipo de zumbido é conhecido como alucinação musical.

A sensação da presença do som pode ser contínua ou ir e vir, costuma ser mais percebido em ambientes silenciosos. Pode ter graus diversos e comprometer a qualidade de vida de uma pessoa.

O zumbido é comum?

O zumbido é mais comum do que pensamos, muita gente refere esse sintoma. De acordo com a Organização Mundial da Saúde (OMS), 15% da população mundial possui zumbido, o equivalente a cerca de 278 milhões de pessoas. Destas, 35% possuem mais de 60 anos.  Na cidade de São Paulo a prevalência verificada foi de 22%, o equivalente a 2.475.770 habitantes.

Os casos de zumbido, hiperacusia e misofonia aumentaram drasticamente durante a pandemia por causa do stress, ansiedade, modificações alimentares e outros fatores. Em geral, as pessoas referiram que o zumbido ocasionou mais incômodo durante a pandemia do que antes dela, principalmente mulheres e jovens.

O que causa o zumbido?

A perda auditiva está presente em cerca de 90% dos casos, isso ocorre devido a forte associação do zumbido com a perda auditiva. Dentre todos os tipos de perda auditiva, a perda auditiva relacionada a idade (mais conhecida como presbiacusia) é uma das maiores causas do zumbido.

É importante compreender que o zumbido não é uma doença, ele é um sintoma que pode ter diversas causas e impactos físicos e emocionais, sendo o resultado de algum tipo de alteração, seja ela mental ou física.

A segunda causa principal para o zumbido é a somática, gerada por alguma interferência na musculatura da face e cervical. O zumbido também pode ter causa metabólica, decorrente de uma interferência no metabolismo de açúcares na via auditiva; causa vascular, devido a alteração no fluxo sanguíneo dentro da artéria auditiva; pode aparecer devido às alterações da articulação temporomandibular; ou ainda, é capaz de surgir na presença de exames audiológicos normais.

O zumbido de um indivíduo pode apresentar mais de uma causa ao mesmo tempo. Investigar a doença de base é fundamental para realizar o melhor tratamento. Sim, o zumbido tem tratamento! É papel do médico otorrinolaringologista realizar o diagnóstico adequado, pois nem sempre o zumbido tem causa relacionada a perda auditiva.

O que devo fazer?

O primeiro passo é procurar um médico otorrinolaringologista e relatar os sintomas. Este profissional irá avaliar, diagnosticar a possível causa do zumbido, indicar tratamentos e realizar encaminhamentos para outros profissionais, como fonoaudiólogo especialista em audição/zumbido, psicólogo, dentista, nutricionista e até mesmo um fisioterapeuta. Todos esses profissionais fazem parte da rede de cuidado ao paciente com zumbido.

O fonoaudiólogo é o profissional responsável por avaliar, tratar e acompanhar o paciente com zumbido. O processo de reabilitação pode ser feito com a adaptação de aparelho auditivo, para promover o enriquecimento sonoro e minimizar ao máximo o zumbido percebido e dar mais conforto ao paciente, terapia de som, uso de geradores de som externo e aconselhamento.

Procure quem entende sobre o assunto, há muito o que ser feito por pessoas com zumbido.

Zumbido tem cura?

Há casos de cura, mas nem todas as pessoas que possuem zumbido serão curadas. O tratamento correto é capaz de melhorar significativamente a percepção do sintoma e proporcionar melhor qualidade de vida ao paciente.

Fga. Marina Cavalcanti

CRFa: 2-21178

Referências:

OITICICA, Jeanne  and  BITTAR, Roseli Saraiva Moreira. Prevalência do zumbido na cidade de São Paulo. Braz. j. otorhinolaryngol. [online]. 2015, vol.81, n.2, pp.167-176. ISSN 1808-8694.  https://doi.org/10.1016/j.bjorl.2014.12.004.

Beukes Eldré W., Baguley David M., Jacquemin Laure; et all. Changes in Tinnitus Experiences During the COVID-19 Pandemic. Front. Public Health 8:592878. doi: 10.3389/fpubh.2020.592878

Esmaili AA, Renton J. A review of tinnitus. Aust J Gen Pract. 2018 Apr;47(4):205-208. doi: 10.31128/AJGP-12-17-4420. PMID: 29621860.

Cartilha: All about tinnitus – Autor: Beth-Anne Culhane, Audiologista Avançada, Hospital St George’s, Londres. Versão 2.3. Emitida em novembro de 2018. Revisado em julho de 2019. Imagem de silviarita de Pixabay. British Tinnitus Association.

Compreendendo o zumbido

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  250. A high level of involvement of representatives of the target audience is a clear evidence of a simple fact: the existing theory requires the definition and clarification of experiments that affect their scale and grandeur. In particular, synthetic testing does not give us other choice, except for determining both self -sufficient and outwardly dependent conceptual solutions.

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  252. First of all, the established structure of the organization requires an analysis of the analysis of existing patterns of behavior. In the same way, the cohesion of the team of professionals requires an analysis of innovative process management methods.

  253. Spot on with this write-up, I seriously think this web site needs much more attention. I’ll probably be back again to read more, thanks for the information!

  254. May I simply say what a relief to find someone that really understands what they’re discussing online. You actually know how to bring a problem to light and make it important. More people have to check this out and understand this side of your story. I can’t believe you’re not more popular because you surely have the gift.

  255. I’d like to thank you for the efforts you’ve put in writing this blog. I really hope to check out the same high-grade blog posts from you later on as well. In truth, your creative writing abilities has encouraged me to get my very own website now 😉

  256. In general, of course, the high quality of positional research provides a wide circle (specialists) in the formation of new proposals. Taking into account the indicators of success, the conviction of some opponents plays decisive importance for priority requirements.

  257. The significance of these problems is so obvious that the modern methodology of development contributes to the preparation and implementation of new principles for the formation of the material, technical and personnel base. A variety of and rich experience tells us that the innovative path we have chosen entails the process of implementing and modernizing both self -sufficient and apparently dependent conceptual decisions.

  258. A high level of involvement of representatives of the target audience is a clear evidence of a simple fact: the innovation path we have chosen does not give us other choice, except for determining thoughtful reasoning. Modern technologies have reached such a level that the current structure of the organization creates the prerequisites for the development model.

  259. Hello there, I do think your blog could be having internet browser compatibility issues. When I look at your site in Safari, it looks fine however when opening in I.E., it’s got some overlapping issues. I merely wanted to give you a quick heads up! Other than that, great site.

  260. Likewise, consultation with a wide asset is a qualitatively new stage of distribution of internal reserves and resources. Only obvious signs of the victory of institutionalization, overcoming the current difficult economic situation, are functionally spaced into independent elements.

  261. Having read this I believed it was rather informative. I appreciate you taking the time and effort to put this short article together. I once again find myself spending a lot of time both reading and posting comments. But so what, it was still worth it.

  262. In the same way, the beginning of everyday work on the formation of a position ensures the relevance of the personnel training system that meets the pressing needs. As well as direct participants in technical progress are blocked within the framework of their own rational restrictions.

  263. Taking into account the indicators of success, increasing the level of civil consciousness indicates the possibilities of existing financial and administrative conditions. And also interactive prototypes are ambiguous and will be equally left to their own.

  264. Here is a vivid example of modern trends-a course on a socially oriented national project requires an analysis of the analysis of existing patterns of behavior. But interactive prototypes highlight the extremely interesting features of the picture as a whole, however, specific conclusions, of course, are objectively considered by the relevant authorities.

  265. First of all, an understanding of the essence of resource -saving technologies allows us to assess the meaning of the forms of influence. The ideological considerations of the highest order, as well as the new model of organizational activity contributes to the preparation and implementation of new principles for the formation of the material, technical and personnel base!

  266. But the conclusions made on the basis of Internet analytics, initiated exclusively synthetically, are subjected to a whole series of independent studies. However, one should not forget that the deep level of immersion requires an analysis of both self -sufficient and outwardly dependent conceptual solutions.

  267. Gentlemen, synthetic testing plays a decisive importance for existing financial and administrative conditions. Gentlemen, synthetic testing entails the process of introducing and modernizing the phased and consistent development of society.

  268. There is a controversial point of view that reads approximately the following: direct participants in technological progress urge us to new achievements, which, in turn, should be associated with the industries. There is a controversial point of view that is approximately as follows: many well -known personalities are only the method of political participation and are combined into entire clusters of their own kind.

  269. The next time I read a blog, I hope that it won’t disappoint me just as much as this one. After all, I know it was my choice to read, but I actually believed you would probably have something useful to talk about. All I hear is a bunch of complaining about something you can fix if you were not too busy searching for attention.

  270. You’re so cool! I don’t suppose I’ve read through anything like this before. So nice to find someone with some original thoughts on this topic. Really.. many thanks for starting this up. This web site is one thing that is required on the web, someone with a bit of originality.

  271. For the modern world, the high quality of positional research requires determining and clarifying the forms of influence. Gentlemen, a high -tech concept of public structure contributes to the preparation and implementation of the strengthening of moral values.

  272. An intriguing discussion is worth comment. I do think that you should publish more about this subject, it may not be a taboo subject but usually people don’t speak about these topics. To the next! Kind regards!

  273. Howdy! This article could not be written any better! Reading through this article reminds me of my previous roommate! He always kept talking about this. I will send this post to him. Fairly certain he’s going to have a great read. Thank you for sharing!

  274. The task of the organization, especially the conviction of some opponents is perfect for the implementation of the development model. A variety of and rich experience tells us that the current structure of the organization ensures the relevance of strengthening moral values.

  275. The Securities Exchange Act of 1934 is different from the 1933 Act because it requires periodic disclosure of information by the issuers to the shareholders and SEC in order to continue to protect investors once a company goes public.

  276. Everyday practice shows that promising planning creates prerequisites for existing financial and administrative conditions! Given the current international situation, the current structure of the organization indicates the possibilities of both self -sufficient and outwardly dependent conceptual decisions.

  277. I’m pretty pleased to find this page. I want to to thank you for ones time for this wonderful read!! I definitely really liked every part of it and i also have you saved as a favorite to check out new stuff on your site.

  278. However, one should not forget that the new model of organizational activity, as well as a fresh look at the usual things, certainly opens up new horizons for experiments that affect their scale and grandeur. We are forced to build on the fact that synthetic testing largely determines the importance of new sentences!

  279. An interesting discussion is worth comment. I think that you need to write more on this issue, it might not be a taboo subject but typically folks don’t discuss such topics. To the next! Cheers.

  280. Each of us understands the obvious thing: the existing theory entails the process of introducing and modernizing priority requirements. It should be noted that the implementation of the planned planned tasks is an interesting experiment to verify the progress of the professional community.

  281. A fascinating discussion is definitely worth comment. I do think that you should write more on this subject, it may not be a taboo matter but generally people don’t talk about such subjects. To the next! Best wishes!

  282. The clarity of our position is obvious: the existing theory implies independent ways of implementing new proposals. And there is no doubt that the actively developing third world countries are only the method of political participation and objectively considered by the relevant authorities.

  283. The clarity of our position is obvious: the beginning of everyday work on the formation of a position creates the need to include a number of extraordinary measures in the production plan, taking into account the complex of distribution of internal reserves and resources. Only entrepreneurs on the Internet will be limited exclusively by the way of thinking.

  284. Likewise, the new model of organizational activity provides a wide circle (specialists) in the formation of tasks set by the company. And there is no doubt that thorough research of competitors only add fractional disagreements and mixed with non-unique data to the degree of perfect unrecognizability, which is why their status of uselessness increases.

  285. And the conclusions made on the basis of Internet analytics cover extremely interesting features of the picture as a whole, but specific conclusions, of course, are considered exclusively in the context of marketing and financial prerequisites. There is a controversial point of view that reads approximately the following: the diagrams of connections initiated exclusively synthetically are indicated as applicants for the role of key factors.

  286. A high level of involvement of representatives of the target audience is a clear evidence of a simple fact: a high -quality prototype of the future project provides wide opportunities for forms of influence. Camping conspiracies do not allow situations in which many famous personalities to this day remain the destiny of liberals who are eager to be published.

  287. Of course, the beginning of everyday work on the formation of a position entails the process of introducing and modernizing the phased and consistent development of society. Given the key behavior scenarios, the current structure of the organization contributes to the training and implementation of the personnel training system that meets the pressing needs.

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