马来西亚非药物科学疗法【脑波反馈疗法】改善耳鸣问题

耳鸣源于大脑

在嘈杂噪音下，内耳听觉细胞就会受损，向大脑传递错误听觉信号，从而引发耳鸣。耳鸣患者常常感觉耳朵不断听到一些特殊声音，例如嗡嗡声、嘶嘶声或尖锐哨声。
由于经常置身于爆炸隆隆、机器轰鸣的环境中，不少退役士兵患上耳鸣。一些老年人也会出现耳鸣症状。
科学家目前尚未研究出根治耳鸣的方法，但是他们普遍认为，耳鸣病根源于大脑，并非耳朵。
耳鸣是迄今治疗最困难的一种耳科疾病，既无有效的药物，也无立竿见影的手术能处置效果。超越上亿的患者至今依然在嗡嗡不息的耳鸣声中挣扎。也屡次报道各种新型技术和方法，虽然有些技术尚处于实验阶段，效果难以界定，有些方法能够初期效果较好，依然需求经过更多、更普遍的实际来论证其疗效的真实性和继续性。


脑波反馈疗法(EEG biofeedback/neurofeedback)是一种以训练脑部功能来增进脑部支配身体各部份动作的复建技术。当脑部功能不建全，或是我们说的发育不完全，那麼由电子脑波图就可以明确的看出来，而这电子脑波图其实就是EEG﹙Electroencephalogram﹚。因此神经回餽主要概念便是基於不断的训练脑部神经的动作，也就是我们讲的脑神经运动，藉由不动的运动，增强脑部的发育，帮助脑神经的动作更完整。EEG biofeedback改善大脑的功能作用明显。对顽固性失眠、神经衰弱、强迫症、焦虑症等神经症、更年期综合症等一系列心身疾病都有独特疗效，作为脑中风后遗症、原发性高血压、考生考期综合症、小儿多动症的辅助治疗手段也有其独到之处和广阔的应用前景。最近研究对药物依赖和药物成瘾者，脑波同步疗法也有一定的治疗作用，目前正在进一步的探索中。


相关科学临床研究显示，脑波反馈疗法可改善耳鸣问题：
(Neurofeedback for subjective tinnitus patients)http://www.ncbi.nlm.nih.gov/pubmed/21592701
(Neurofeedback for treating tinnitus) http://www.ncbi.nlm.nih.gov/pubmed/17956812
(Neurofeedback in therapy of tinnitus) http://www.ncbi.nlm.nih.gov/pubmed/11219406
(Thalamocortical dysrhythmia) http://www.ncbi.nlm.nih.gov/pmc/articles/PMC24801/
Reduced Variability of Auditory Alpha Activity in Chronic Tinnitus http://www.hindawi.com/journals/np/2014/436146/


希望以上文章可以帮助到面对耳鸣问题的大众。
我在工作上遇到不少面对耳鸣问题却求救无门的人，在接触到EEG biofeedback和Neuro-hypnotherapy后得到很好的治疗效果。希望这篇文章可以让大家知道其实还有方法可以帮助到您面对的问题的。




资料来源：
http://news.sciencenet.cn/htmlnews/2011/1/242908.shtm

Tinnitus Treatment Malaysia (Non Drug Approach)

It is important to keep in mind that tinnitus is a symptom, not a disease. As such, the optimal treatment strategy should be directed toward eliminating the disease, rather than simply alleviating the symptom. Also, because tinnitus may be symptomatic of a more serious disorder, it is important to try to find the medical cause before deciding on treatment.

Preventing and Minimizing Tinnitus

Here are a few things patients can do to help prevent and minimize tinnitus:

• Reduce exposure to extremely loud noise
• Avoid total silence
• Decrease salt intake
• Monitor one's blood pressure
• Avoid stimulants such as caffeine and nicotine
• Exercise
• Reduce fatigue
• Manage stress
• Educate yourself

While there is no known cure for most forms of tinnitus, there are many management options available and most tinnitus sufferers can find varying degrees of relief from one or a combination of the following.

Medications

There is no single medication that works on all tinnitus patients. 

Counseling or Cognitive-Behavioral Therapy

Regardless of the cause of tinnitus, if a person is not bothered by the tinnitus, it ceases to be a problem. Psychological intervention aimed at successfully reducing the stress, distress and distraction associated with the tinnitus can be very productive and often produces the most attainable goals.

Stress Management

The very high correlation between stress and tinnitus disturbance underscores the need to maintain one's composure and logic when trying to cope with tinnitus. Relaxation, guided imagery and self-hypnosis are examples of self-help methods used to help combat the stress, anxiety and sleep disturbances associated with tinnitus.

Other Treatment Options

Other options that may help patients with tinnitus include:

• Support Groups — Local peer support groups offer emotional support to patients and a place to discuss and share treatment techniques.
• Dental Treatment — Jaw joint disorders, called temporomandibular (TMD), may exacerbate tinnitus. Splints and exercises may relieve these problems.
• Nutritional Counseling — All tinnitus patients should maintain a balanced diet.
• Biofeedback Training— Biofeedback is a technique of making unconscious or involuntary bodily processes detectable by the senses in order to manipulate them by conscious mental control. Biofeedback with counseling can help relieve stress patterns that can worsen the perception of tinnitus.
• Alternate Approaches — Although there is no scientific data showing consistent benefit from approaches such as hypnosis, acupuncture, naturopathy, chiropractic care and many herbal preparations, some patients do perceive a benefit.

Reviewed by health care specialists at UCSF Medical Center.

Research study: How EEG biofeedback training can help for Tinnitus
 
Biofeedback-based behavioral treatment for chronic tinnitus: 
results of a randomized controlled trial. http://www.ncbi.nlm.nih.gov/m/pubmed/19045972/

The effects of neurofeedback on oscillatory processes related to tinnitus. http://www.ncbi.nlm.nih.gov/m/pubmed/23700271
 
EEG biofeedback for subjective tinnitus patients. http://www.ncbi.nlm.nih.gov/m/pubmed/21592701

EEG biofeedback for treating tinnitus. http://www.ncbi.nlm.nih.gov/m/pubmed/17956812/
 
Tuning the tinnitus percept by modification of synchronous brain activity. http://www.ncbi.nlm.nih.gov/m/pubmed/17943012/


Chronic tinnitus: which kind of patients benefit 
from an outpatient psychotherapy ? http://www.ncbi.nlm.nih.gov/m/pubmed/19623511/


Research study: How hypnotherapy can help for Tinnitus

Role of hypnotherapy in the treatment of debilitating tinnitus. http://www.ncbi.nlm.nih.gov/m/pubmed/22533067

Effectiveness of Ericksonian hypnosis in tinnitus therapy: preliminary results. http://www.ncbi.nlm.nih.gov/m/pubmed/22545384/

Effectiveness of combined counseling and low-level laser 
stimulation in the treatment of disturbing chronic tinnitus. http://www.ncbi.nlm.nih.gov/m/pubmed/19205171

Ericksonian hypnosis in tinnitus therapy. http://www.ncbi.nlm.nih.gov/m/pubmed/18225612
 
Effects of relaxation therapy as group and individual 
treatment of chronic tinnitus. http://www.ncbi.nlm.nih.gov/m/pubmed/8657857
 
Hypnosis for Tinnitus. http://www.ncbi.nlm.nih.gov/pmc/articles/P...j00777-0039.pdf