用类风湿性关节炎的听力丧失

Hearing loss is debilitating, isolating, and exhausting. You may have hearing loss if:

• You often think people are mumbling.
• 你经常要求人们重复他们所说的话。
• 你不再清楚地听到水上的声音，冰箱或你的狗的爪子在地板上。
• 某些声音看起来尤为响亮。
• 嘈杂的环境耗尽你。
• You can't make out what people are saying if they are not looking directly at you.

Your doctor may refer you to an ear, nose, and throat specialist to rule out any medical concerns, an audiologist, or a hearing clinic for evaluation. Be prepared for questions about your concerns, family history of hearing loss, and the types of hearing environments you've been in (classroom, construction, etc.). Most hearing tests take place in a sound-proof booth, so let the clinician know if you're claustrophobic. The clinician will choose from any number of测试评估您的听证会．

感觉内听力损失is the most common finding in patients with RA. This occurs when the tiny hairs in the inner ear are damaged, or the nerve pathways to the brain are compromised. Inconductive hearing loss，声音无法从外耳进入中耳和内耳。有些人的ra有混合听力损失，涉及两种类型。我的前风湿病学者认为，骨箱的功能减少 - 耳朵中的微小骨头 - 可能会影响ra的人的听力。

中耳向内耳向内耳传输声音。它由称为Malleus（锤子），病理（砧座）和镫骨（搅拌器）的三个骨骼（骨磁体）组成。不幸的是，RA也可以通过不连续性地影响这些骨骼，或者在骨内系统中的刚度的增加。Researchers结论是“类风湿性关节炎减少了听觉粒甘水的血管性，并导致关节表面的退化。”

Tinnitus通常被描述为耳朵响起，但人们也可以听到临时或永久性的点击，呼吸声和其他异常声音。没有治愈，但你可以习惯它。受耳鸣受到严重影响的人可能会受益于耳鸣再培训治疗。有的人Sjogren's syndrome, a comorbidity of RA, may develop tinnitus as a result. Let your doctor know if you experience tinnitus.

Many of the drugs RA patients take have been proven to be ototoxic, meaning they can damage hearing, bring on tinnitus, and cause vertigo.非甾体类抗炎药(NSAIDs), antibiotics, some疾病改性抗炎药（DMARDS）和水杨酸盐已经涉及听力损失。我的听力学家明智地提醒我，在需要时，对听力损失的恐惧不应该妨碍使用抗生素和NSAID。

In my experience, hearing loss is far more isolating that RA. At least with RA, you can retreat to your home and lose yourself in a movie or a TV program, or have a quiet chat, either in person or on the phone. That's not the case with hearing loss. Anything I watch on TV requires subtitles, so you end up missing some of the action. Conversations that you once took for granted are challenging. A lot of energy is used in order to distinguish sounds and filter out background noises, which can be very draining.

在购买助听器时，随着价格可能会有所不同，它可以送货。不是每个助听器都适用于每个人。调整助听器的人的技能水平可能对您的助听器为您的助听器的工作有很大影响。您可能需要多次调整，以使它们适合您。在使这款大型机票购买时，这只有五到七年，澄清退货政策。如果您发现经过几次调整，他们不适用于您，您希望获得100％的退款。

购买助听器的理由更加令人信服。研究人员有与痴呆症和阿尔茨海默氏症联系的助听器．听力障碍的倾听者消耗了理解语音的大量努力和能量，从而从内存中编码语音内容的行为绘制资源。当听力困难时，存在孤立的趋势，这导致精神刺激较少。寂寞和抑郁症并不罕见。

首先，获得一个基线听力测试。如果你抽烟，停止。吸烟与听力损失的风险增加有关．There is also evidence thatsmoking can make your RA worse．限制您的饮酒也是明智的。Cochlear（内耳）功能受到影响长期酒精使用．同样,我们的世界正变得过于吵闹。Guard your hearing as you would your wallet.在80次分贝的声音可能导致听力损失．上传分贝仪表应用程序，如Decibel X到您的设备。

You may have to educate people about how to interact with you or people you love who have hearing loss. Believe it or not, I've had to remind receptionists at hearing clinics to look directly at the client and speak clearly and slowly. Finding ways to adapt how you get through your day can also help. When you go to restaurants, ask to be seated away from the speakers and sit with your back to the room. Explain that you have hearing loss and politely ask if the music can be turned down.