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-