22.10.2021 Aufrufe

CHECK NRW #3

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Health<br />

ENGLISH<br />

The causes of this are divided into different<br />

categories and can occur in both an acute and<br />

a chronic form.<br />

CONDUCTIVE OR TRANSMISSION<br />

HEARING LOSS<br />

Here everything is still heard, but more quietly.<br />

Crucially here, however, is that the quality, such<br />

as the intelligibility of the words, is retained. In<br />

the acute variant, mechanical causes are often<br />

the reason, such as ear wax and foreign bodies<br />

in the ear. It can also be caused by a cold<br />

(stuffy nose), a change in air pressure when<br />

flying or diving, an acute otitis media, a blow to<br />

the ear, or an inflammation-related swelling of<br />

the skin (boils). Chronic causes include chronic<br />

otitis media, congenital malformations, tumors<br />

or excessive bone growth in the ear canal. In<br />

the case of sensorineural hearing loss, on the<br />

other hand, damage or functional weakness<br />

is usually present in parts of the inner ear<br />

and leads to what is known as deafness. It<br />

can be triggered by a sudden hearing loss, an<br />

explosion noise (the hair cells die due to the<br />

enormous sound wave), multiple sclerosis, but<br />

also by infectious diseases such as mumps,<br />

measles, scarlet fever, Lyme disease and AIDS.<br />

Also in rare cases as a side effect of drugs<br />

such as cytostatics, some antibiotics, but also<br />

water tablets (diuretics) and aspirin. Mercury,<br />

lead or carbon monoxide poisoning also damage<br />

hearing.<br />

Hearing impairment can also be psychological,<br />

possibly because people unconsciously<br />

simply do not want to or cannot hear things<br />

in extreme stressful situations. Sensorineural<br />

hearing loss often becomes chronic with<br />

age and as a result of metabolic diseases<br />

such as diabetes mellitus, kidney or thyroid<br />

dysfunction.<br />

But here, too, constant noise above 80dB, for<br />

example from construction sites or clubs, as<br />

well as congenital malformations of the inner<br />

ear can lead to this stage.<br />

AGE TAKES ITS TOLL<br />

Smokers as well as the chronically ill and<br />

people who work in very noisy environments<br />

are more affected by hearing loss. This is<br />

often accompanied by a "constant noise<br />

or ringing in the ear" (tinnitus). If the<br />

actual cause is not investigated in<br />

good time and any illnesses treated,<br />

foreign bodies removed or hearing<br />

aids fitted, this can have negative<br />

consequences for social contacts.<br />

The dangers in everyday situations<br />

such as in traffic should not be<br />

underestimated either.<br />

Foto: asierromero / freepik.com<br />

34 <strong>CHECK</strong> <strong>NRW</strong> <strong>#3</strong><br />

HEARING AIDS AND LIP READING<br />

A hearing aid should be provided as early as<br />

possible. The selection of small, inconspicuous<br />

models with high performance is now very<br />

large and the opportunity to relax and watch<br />

TV or make phone calls, listen to music, pod-

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