Schwerhörigkeit: Behandlung, Ursachen, Symptome

Hearing loss

What treatments and symptoms apply to hearing loss?


You can think of your hearing as the key to your social life. With your ears, you can create a connection between you and the world around you. Through your hearing, you communicate with colleagues, friends, and family. With your ears you perceive the rustling of leaves and the sea, as well as the singing of birds. Are you aware of the complex role your ears play as an important organ for you in everyday life?

.

Very often, you only become aware of the performance of your ears when your hearing decreases. Hearing itself affects very many different facets in your life. With your ears you develop and understand speech. You use them to enjoy music or interesting conversations. Without your hearing, you wouldn't go to an opera or attend and enjoy movies and concerts. Your ears and hearing can warn you of danger. Therefore, your ears are continuously active.

.

But if you find that your hearing is impaired, this situation is very bad for you. Initially, you may not be aware that you have hearing loss at all. The first reactions from your family and friends will make you aware of this problem. However, this does not mean that you should withdraw and isolate yourself socially - quite the opposite! As soon as you notice that your hearing is declining, you should take action and see a professional. On average, patients don't see an ear, nose and throat doctor for a checkup and take action until seven years after their first hearing problems. But are you aware of how far your quality of life will drop if you don't take action? Do you know how modern today's hearing aids and devices are? These support you effectively and improve your hearing sustainably.

.

Symptoms and signs of your hearing loss

.
  • Talking in a group is stressful for you
  • .
  • You hear noises in your ears
  • .
  • Your family already has hearing loss
  • .
  • You can only watch television at a very high volume
  • In noisy environments, such as a shopping mall, a conference, or a restaurant, you may experience communication problems
  • .
  • You may have difficulty understanding children and women
  • .
  • The voice of other people seems relatively muffled
  • .
  • When talking to more than two people, you have difficulty
  • .

Can I inherit hearing loss?

The predisposition or cause of hearing loss can be hereditary. Half of each child always gets the genes inherited from the father and mother. If the genes are defective, deafness or hearing disorders can be inherited, because these are passed directly to the offspring.

What is my diagnosis?

The first step is to get a diagnosis from your ear, nose and throat doctor. Based on symptoms and conditions, your doctor can accurately determine your hearing loss. Particularly important clues are both the situation and the time when your hearing loss first occurred. This information will make it easier for your doctor to make a diagnosis.

A tuning fork test is a physical examination. This will tell your doctor what type of hearing loss you have or if it is

.
  • Acoustic hearing loss
  • .
  • Sound perception hearing loss
  • Sound conduction hearing loss

Hands.

A simple and very quick test is the tuning fork test. This will determine which part of your ear is affected by the disorder. There are three variations:

.

.
  1. a) the Weber experiment
  2. .

This experiment involves vibrating the tuning fork. It is placed on the top of your head. If you have good hearing, you can perceive the sound of the tuning fork in the middle of your head. If, on the other hand, you hear the sound only on one side, you will have a reduction. If your sound perception disorder is unilateral, you can perceive the sound louder only from the better hearing inner ear. If your sound conduction disorder is unilateral, the situation is reversed. In that case, you perceive the sound louder from the ear with the hearing loss.

.

.
  1. b) the gutter attempt
  2. .

To distinguish between conductive hearing loss and sensorineural hearing loss, the Rinne trial is used. The tuning fork in this case is placed on the bone behind your ear.

.

The goal is to distinguish between conductive hearing loss and sensorineural hearing loss using the Rinne Trial. Once the tuning fork is placed behind the bone of your ear, the test is positive if the sound can only be heard through the naked ear. Then your ears are healthy. If you can not hear the vibrating sound of the tuning fork at all during the test, the test is negative.

.

  1. c) Gellé trial
  2. .

If otosclerosis is suspected by your doctor, this trial will occur. Otosclerosis is a bone disease directly in the middle ear. In that case a conductive hearing loss develops. Also in this experiment, the tuning fork is placed directly on the bone behind your ear. At the same time, a balloon pump is used to increase the pressure on your drum head and on your ear canal. It's all right if the sound of the tuning fork gets quieter. On the other hand, if the sound of the tuning fork stays the same loud it is likely that you have otosclerosis.

.

An otoscopy, or ear examination, is necessary to determine the extent to which physical changes or diseases are present. A common example is perforation of your drumhead. It's very rare for the drumhead to have a hole.

.

With a hearing test, your doctor can then determine how well you can hear individual pitches. Using a hearing curve, these values are determined in an audiogram. With the help of this data, your doctor can decide on the further course and treatment.

.

How does an otoscopy work?

An otoscopy, or ear exam, is a purely visual examination of your ear canal and eardrum. It involves the use of an instrument called an otoscope. It is more or less a funnel made of metal or plastic. In most cases, this funnel also has a lamp and a magnifying glass. If injuries or redness are detected in the external auditory canal, an ear, nose and throat doctor should be consulted.

.

Definition Audiogram

An audiogram is a hearing curve. With this curve, your hearing is mapped graphically. Different frequencies and the hearing thresholds are recorded. The outermost range at which the human ear can still perceive a sound at all is the hearing threshold.

.

How can hearing loss be treated and therapies?

.

The most common form of hearing loss is noise-induced hearing loss. This hearing loss can be either permanent or temporary.

.

In any case, you should go to your ear, nose and throat doctor in time. That way, your hearing loss can be treated promptly. Your hearing is stressed by a short-term exposure to noise, consequently, then hearing is limited. A suitable therapy and some rest as well as helpful medications are then applied. This combination is usually enough so that you can subsequently hear well again.

.

If the exposure to noise continues for a long time, however, it can lead to permanent hearing loss. Then you may suffer from chronic noise-induced hearing loss. The symptoms are then permanent. In this case, modern hearing aids and control devices can help you to perceive and hear the lost sounds again. With a modern hearing aid, you can follow conversations again without problems.

.

Boundaries between temporary and permanent?

From when hearing loss is chronic or not cannot be precisely determined. After a short-term exposure to noise, the hearing should normally recover and regenerate. A typical and very common cause of permanent hearing loss is when exposure to noise has lasted too long for the hearing to recover. If the ears are not able to recover sufficiently afterwards, permanent damage will occur. Also the stress level, as well as the diet play a role as further factors and take individual influence on the susceptibility of the hearing.

.

Why is a hearing aid important?

For you, your hearing is a very important human sense for your perception. Therefore, you should not listen to the music loudly, otherwise you will have to face an early impaired hearing performance.

A hearing aid is a very effective tool to help you hear more of your environment again. The hearing aid improves not only the sound perception itself, but also the spatial orientation is reproduced. With a modern hearing aid you can even listen to music. Modern hearing aids and systems are professionally adjusted by an acoustician. So you know that you perceive the sounds not too loud and your hearing remains undamaged.

.

What are the consequences of hearing loss?

The consequences can be quite extensive and varied when you have a hearing loss. They can complicate a wide variety of areas in your life.

.

For example, these include:

  • Television
  • .
  • Phone calls
  • Vocational meeting
  • Talking with family
  • Talking with friends

These and other situations pose a challenge for you in everyday life. In the worst case, social isolation occurs. Your quality of life is then lost. The hearing loss is not directly visible to you. This is why friends and family often don't understand or misunderstand you. In addition, hearing loss can cause various situations to be portrayed relatively poorly. People close to you often react with confusion. Therefore, it is important that you address the issue of hearing loss publicly and inform everyone around you about it.

.

.

What are the consequences of hearing loss?

Bodily consequences

.

If you ignore your hearing loss and do not treat it physical problems will occur, these include:

  • Stress
  • .
  • Dizziness
  • Headache
  • Exhaustion
  • Fatigue

Therefore, if you suspect you have hearing loss, you should immediately see a hearing healthcare professional and have your hearing tested and checked

.

Social consequences

.

Numerous studies have now proven and shown that there are also social consequences if you suffer from hearing loss. You're worried, anxious and unhappy with your situation. You find it harder to concentrate and you reduce your social activities. As a result, your self-esteem drops and you forget to keep in touch with your friends and with people.

.

.

Hearing loss is a people phenomenon

.

Did you know that nearly one in six people suffer from hearing loss? It is, unfortunately, actually a real popular phenomenon when it comes to hearing problems. This significantly reduces the well-being of the affected person.

.

.

Hearing problems do not only occur in older people. They are present in all age groups. In Germany, one in six people already has hearing loss. In most cases, this is due to reduced hearing ability. This is often a very gradual process. Initially, only the high frequencies are lost. However, the audible spectrum becomes steadily and increasingly smaller. As a result, the brain is also less challenged and you lose the ability to discriminate. Even small hearing losses should be recognized and treated in time. So you can counteract your hearing loss.

.

How does hearing loss occur?

There are a total of three different types of hearing loss:

  • Acoustic and sensorineural hearing loss
  • .
  • Sound conduction hearing loss
  • .
  • Sound perception hearing loss

The sound waves come in conductive hearing loss

.

Almost not at all or only in weakened form into your inner ear. The following causes, diseases and reasons can be present and are among the triggers:

.

.
  • Hearing passage is clogged
  • .
  • Middle ear infection
  • Tympanic effusion in the middle ear
  • Middle ear is chronically ulcerated
  • .
  • Hearing bones are fused

Your inner ear or auditory nerves are abnormally altered if you have sensorineural hearing loss. Sometimes the signals from the auditory nerve are not transmitted properly to the brain. The typical causes are:

.

.
  • Skull injury
  • .
  • Morbus Meniere
  • Hearing loss
  • Daily noise exposure in excess of 85 dB
  • Age-related hearing loss

Your brain cannot properly process incoming signals in sound perception hearing loss. The most common causes of this are:

.

.
  • Skull and brain trauma
  • .
  • Malformation or birth defect
  • .
  • Stroke
  • Brain hemorrhage
  • Brain inflammation

Medications can also be a cause of hearing loss. It is not the drug itself that determines this, but rather the amount of the drug. In an overdose, painkillers can also cause a harmful effect and negatively affect hearing.

.

.

How can I minimize the causes of my hearing loss?

In terms of hearing disorders, research is far from complete. In everyday life, the hearing disorders can be avoided with the following tips:

.

.
  • Rinse from ear, nose and throat doctor
  • .
  • Do not remove earwax with sticks
  • .
  • Good hearing protection for competitive swimmers

Generally, it is advisable to visit the doctor regularly for the examination. If the hearing performance decreases, it will be noticed immediately.

.

.

Children and newborns with hearing loss

.

A special situation exists when babies or children suffer from hearing disorders. Then namely the development is also inhibited. Especially at a young age, sound stimuli are very important so that an acoustic sensitivity can be developed. The child's social behavior is also negatively affected by hearing loss. The child can not really gain the ability to learn to speak.

.

.

The learning competence for future hearing is formed by the child in the first two years. If the ears do not receive stimuli, this particular important learning process is completely absent in the child. A child with hearing loss should receive medical treatment as early as possible. Early development is promoted socially as well as mentally during speech therapy or speech education. This minimizes the risk to a later hearing loss.

.