tinnitus today september 2000 vol 25, no 3

7/23/2019 Tinnitus Today September 2000 Vol 25, No 3

1/27

Q`pt`oi`r 9555 Xnbuo` 90, Cuoi`r 1

Wdccdtus Wngmy

WL@ KNPYC B

NH WL@

O@YDA C

WDCCDWPQ

QQNAD WDNC

Wn

prnont`

r`bd`h, pr`v`ctdnc,

mcg

tl` `v`ctumb aur`

nh

tdccdtus hnr

tl` i`c`hdt

nh

pr`s`ct

mcg

hutur` j`c`rmtdncs

Qdca` 4:

@guamtdnc Mgvnamay

-

Y`s`mral

-

Quppnrt

Dc Wlds Dssu`

Omsfdcj dc tl` Odbb`ccduo

Wdccdtus

Y`s`mral

Ancsnrtduo

anustda

C`urnom

; M Quaa`ss Qtnry

Hdbdcj

m Quaa`sshub Wdccdtus X

Abmdo

Aurdcj

Wdccdtus wdtl

m C`w Umdr

nh

J`c`s


2/27

gv`rtdsò`ct

U@WYNHH MPGDN W@ALCNBNJD@Q

Gycmoda Wdccdtus Odtdjmtdnc (GWO)

lno`-us` systòs 44 mcg =74

Gycmoda

Wdccdtus

Odtdj tdnc

GWO-8 mugdn AG systò dcabugdcj Wdccdtus Omcmjò`ct Znrfinnf

C`w HGM-ab`mr`g GWO

tr`mto`ct

systòs mr` `cgnrs`g

iy tl`

wnrbg's

hnrònst `xp`rt

dc

tdccdtus omsfdcj,

prnodc`ct gnatnrs, mcg tdccdtus suhh`r`rs.

GWO lno`-us` tdccdtus tr`mto`ct systòs mr` `cgnrs`g

iy

tl` wnrbg's

hnrònst `xp`rt mcg hnucg`r

nh

tl` hd`bg

nh

tdccdtus omsfdcj,

Gr. Kmaf

X`rcnc,

mcg iy ntl`r prnodc`ct `xp`rts, o`gdamb gnatnrs, mcg tdccdtus suhh`r`rs. Dc

Gr.

X`rcnc's wnrgs,

D

amc uc`qudvnambby

stmt`

tlmt

ynu

lmv` ar`mt`g tl`

i`st tdccdtus

omsfdcj snucg

wdtl

wldal

D mo

`xp`rd`ca`g.

Gr.

Qt`pl`c

Ynus`, m prnodc`ct `mr cns`, mcg tlrnmt spàdmbdst wln suhh`rs hrno s`v`r`

tdccdtus, smdg, D

mo

wrdtdcj

ynu tn vnda` oy

ucr`strmdc`g

`ctlusdmso hnr

ynur

GWO

tàlcnbnjy. D wms

anopb`t`by nv`rwl`bo`g.

Gr.

Kncj Quc,

mcntl`r O.G. wln suhh`rs hrno s`v`r` tdccdtus, smdg nh tl` GWO systò, Dt ds

tl` i`st sn

hmr moncj

tl` r`st

nh tlò. Quaa`ss

tn ynur wncg`rhub wnrf.

GWO-1 tlr`` AG tdccdtus odtdjmtdnc systò ............. 44 + 8 Q/L

GWO-8 sdx AG tdccdtus odtdjmtdnc systò ................. =74+ 8 Q/L

(Wl` GWO-8 dcabug`s mggdtncm/ snucg omt`rdmb hnr `xt`cg`g p`rdngs

nh

us`)

Ambdhnrcdm Y`sdg`cts pb`ms` mgg

< ~

smb`s tmx. Mbb prnguats snbg wdtl m 15-gmy ucancgdtdncmb

onc`y imaf jumrmct`` pbus m nc`-y`mr hmatnry wmrrmcty. Hnr hurtl`r dchnromtdnc nr tn nrg`r,

anctmat

U`trnhh Mugdn Wàlcnbnjd`s mt 9105: Imbonrmb Bmc`, Z`st Ldbbs, AM 4=15:

Ulnc`; (


3/27

Wdccdtus

n g ~ y

@gdtnrdmb mcg Mgv`rtdsdcj nhhda`s; Mo`rdamc Wdccdtus Mssnadmtdnc

U N

Inx 0 Unrtb mcg NY :95: 051/97


4/27

HYNO WL@ @\@APWDX@

GDY@AWNY

iy l`ryb OaJdccds O.I.M.

Z`

mr` a`bìrmtdcj

hnr `mal

nh ynu

Oòi`rs

nh tl`

Mo`rdamc Wdccdtus

Mssnadmtdnc j`c`rnusby sup

pnrt`g tl` sprdcj amopmdjc

hnr r`s`mral

hucgdcj

lmdb`g ms

@xp`gdtdnc Lnp`hub

Aur`. D

mo wrdtdcj tlds cnt`

tn

ynu

odg-Kuby,

i`hnr`

Gnccm

Irnwc's

matumb

abdoi tn tl`

tnp nh

Zmsldcjtnc

Qtmt`'s Ot. Ymdcd`r naaurs mcg

i`hnr`

mbb nh ynur

anctrdiutdncs

mr` rà`dv`g.

Wlmcf ynu

hnr ynur

j`c`rnus anctrdiutdncs. Nv`r

tl`

pmst y`mr, tdccd

tus o`ssmj` inmrgs lmv`

dcabug`g

tlr`mgs

nh gdm

bnju`s r`qu`stdcj mggdtdncmb hucgdcj

tn

suppnrt

r`s`mral tlmt wdbb i`c`hdt p`npb`

wln `xp`rd`ca`

tdccdtus. Tnur Mssnadmtdnc

lms `stmibdsl`g

m jnmb nh

$055,555

dc r`s`mral

hucgdcj

gurdcj tl`

hdsamb

y`mr Kuby 9555 tlrnujl Kuc` 955=. @xp`gdtdnc

Lnp`hub

Aur`

gncmtdncs mr`

sdjcdhdamct dc

l`bpdcj

us o``t tlds hdcmcadmb jnmb.

Mpprnvdcj r`s`mral prnkàts

hnr

hucgdcj

ds tl`

c`xt prmatdamb st`p

dc

o``tdcj nur r`s`mral jnmb.

Dc Cnvòi`r, tl` MWM Qad`ctdhda Mgvdsnry

Anoodtt`` wdbb r`vd`w r`s`mral jrmct mppbdamtdncs

tn

dg`ctdhy prnodsdcj

r`s`mral prnkàts tlmt amc i`

mpprnv`g

hnr

hucgdcj

ims`g nc

tl` o`rdts nh tl`

r`s`mral mcg tl`

pnt`ctdmb

hdcgdcjs, nr nutano`s,

nh tl`

stugd`s

. Urdnr tn tl`

c`xt jrmct

r`vd`w,

ynu

amc r`mg minut r`s`mral

prnkàts

tlmt w`r`

rà`ct

by hucg`g iy

tl` MWM (Q`` Umt Gmjj`tt's mrtdab`,

"Wlwmrgs

(l`

Aur`," nc

pmj`

=5).

Dct`r`stdcjby,

wldb` ynu

ms oòi`rs nh MWM

mr`

w`bb

mwmr` nh

tl`

jr`mt

i`c`hdt

hutur` r`s`mral

lnbgs

aurr`ct

stugd`s minut

tl`

àncnoda

vmbu`

nh

Mo`rdam's

dcv`sto`ct dc

o`gdamb

r`s`mral

mr`

anodcj

tn bdjlt.

Cmtdncmbby maabmdo`g àncnodsts

mr`

r`pnrtdcj

tl` trò`cgnus

anctrdiutdnc

tlmt

o`gdamb r`s`mral lms

nc

tl` Mo`rdamc stmcgmrg

nh bdvdcj. Y`s`mral anoodssdnc`g iy tl`

Omry

Znngmrg Bmsf`r Almrdtmib` Wrust tlrnujl tl`

dcdtdmtdv`

Hucgdcj Hdrst

stmt`s,

Doprnvò`cts

dc

l`mbtl maanuct

hnr

mbonst

nc`-lmbh

nh tl`

matumb

jmdc

dc

Mo`rdamc

bdvdcj

stmcgmrgs

dc

tl` pmst

05

y`mrs

." Y`s`mral`rs lmv`

mcmbyz`g

tl`

àncnoda

i`c`hdt nh

l`mbtl

stmtus

doprnvò`cts ms

o`msur`

o`cts nh

p`npb`'s

wdbbdcjc`ss tn pmy hnr alnda`s

omg` dc tl`

omrf`tpbma`.

Hnr `xmopb`, tl`y

7

dccdtus

Wlgmy/

Q`ptòi`r

9555

Mo`rdamc

Wdccdtus

Mssnadmtdnc

o`msur` r`spncs`s tn

l`mbtl

dchnromtdnc -

puibda

dchnromtdnc

amopmdjcs

nc

sual

tldcjs m

ldjlwmy

smh`ty,

gmcj`rs nh

tnimaan us`,

mcg tl`

bdf`. Y`pnrt`gby, bdh`

`xpàtmcay doprnvò`cts

i`tw``c =4:5

mcg

=445

mr` wnrtl

$0: trdbbdnc, n

$9.< trdbbdnc p`r y`mr Zldb`

vmbu`s

nh doprnv`

o`cts dc l`mbtl stmtus mr` dcabug`g dc tl`s`

r`subts, hutur`

stugd`s

wdbb

bnnf

spàdhdambby mt tl

àncnoda vmbu` nh cnc-bdh` tlr`mt`cdcj l`mbtl

prnibòs

.

Hutur` r`pnrts mr` `xpàt`g

dc

suppn

nh

o`gdamb

r`s`mral hucgdcj.

Omcy vdsdncmrd`s w`r` dcvnbv`g

dc g`v`bnpd

MWM s r`s`mral jrmct prnjrmo . Lnw`v`r, w` wdb

snnc

pmy

trdiut`

tn MWM s hdrst `xàutdv` gdràtnr

Gr. Jbnrdm Y`dal,

wln s`rv`g

dc tlmt

pnsdtdnc

hn

95 y`mrs.

Moncj

l`r omcy ntl`r maanopbdsl

o`cts

w` a`bìrmt` Gr.

Y`dal's

tdr`b`ss

`hhnrts

tn j d ~

rànjcdtdnc

hnr

tl` c``g

tn hucg tdccdtus

spàdhda

r`s`mral.

Ql` jmv`

puibda

t`stdoncy

tn

nur

P.Q. Ancjr`ss, ubtdomt`by jmdcdcj ancjr`s

sdncmb suppnrt hnr tdccdtus r`s`mral hucgdcj

tlrnujl

tl` Cmtdncmb

Dcstdtut`s nh L`mbtl

. Mcg

tlmcfs tn ynur j`c`rnus gncmtdncs, tl` MWM

r`s`mral

prnjrmo

anctdcu`s tn jrnw. Z` wdbb

pm

trdiut`

tn Jbnrdm nc

Cnvòi`r

bNtl

mt

MWM s hdrs

Hnucg`rs'

Jmbm tn i` l`bg dc Unrtbmcg, Nr`jnc.

Nur

tdccdtus

anooucdty ds

dcvdt`g

tn pmrtdadpmt

dc

tl` Hnucg`rs' Jmbm ms

w`

a`bìrmt` mbb nh l`r

anctrdiutdncs. Tnur

dcvdtmtdnc

tn tl` Jmbm ds nc

pmj`

=0.

Nc

i`lmbh

nh tl` MWM, D

`xt`cg l`mrth`bt

jrmtdtug`

tn

nur r`tdrdcj

Inmrg

nh

Gdràtnrs

Almdromc,

Umub O`mg`. L`

prnvdg`g

hmadb` b`mg

sldp tlrnujl trmcsdtdnc mcg

jrnwtl nh

tlds

nrjmc

zmtdnc nv`r tl` pmst twn y`mrs. Z` mr` jrmt`hub

tlmt l` wdbb ròmdc m b`mg`r nc tl` Inmrg

nh

Gdràtnrs .

Dc

mggdtdnc, twn oòi`rs

nh

nur Inm

nh Gdràtnrs

mr`

rànjcdz`g hnr tl`dr s`rvda`;

O`jmc

Xdgds

lms anopb`t`g

m

tlr``-y`mr

t`ro

n

nhhda` ms w`bb ms twn y`mrs nh s`rvda` ms Inmrg

Qàr`tmry.

Qmo

Lnpo`d`r ds rànjcdz`g hnr ano

pb`tdcj

sdx

y`mrs nc nur

Inmrg

nh

Gdràtnrs

mcg

hnr lds

anoodto`ct

tn anctdcu` ms Q`cdnr Mgvds

tn

tl`

Inmrg

mcg Almdromc nh tl`

Urnjrmo

Anoodtt``.

Wl` MWM Inmrg nh Gdràtnrs `bàt`g

Qt`pl`c O. Cmjb`r, O.G., ms Almdromc6 Kdo

Aldccds, Ul.G., ms Xda` Almdr,

Qusmc

Q`dg`b, O.

M

AAA-M, ms Qàr`tmry, mcg

Kn`b

Mb`xmcg`r ms

Wr`msur`r.

MWM

wdbb

jmdc jr`mt i`c`hdts

hrno

tl`

tmb`cts mcg g`gdamtdnc DD


5/27

Hrno tl`

g d tn r

urdcj Wdccdtus wdtl m C`w Umdr n `c`s

iy

mrimrm

Wmimalcdaf mcg`rs

h ynur

hmtl`r, jrmcghmtl`r,

mcg

ynu mbb lmv` ibu` `y`s, ynu

wnubg

i`

anrràt

dc

mssuodcj

tlmt ynur `y`

anbnr ds

l`r`gd

tmry. Iut

dh

ynur hmtl`r,

jrmcghmtl`r,

mcg

ynu mbb lmv`

tdccdtus, anubg ynu anrràtby

omf` tl` smo` mssuoptdnc

minut tdccdtus> Z` lmv`

l`mrg

lucgr`gs nh

r`pnrts

nv`r tl`

y`mrs

minut

hmodbdmb tdccdtus. Qn

dh

ynu lmv` `v`r

kuop`g

tn

tlmt

ancabusdnc ynurs`bh, ynu

mr` dc

jnng anopmcy. Iut

wnubg

ynu i` anrràt>

=i snbv` tlds mcg ntl`r j`c`tda oyst`rd`s, m

sad`ctdhda

ucg`rtmfdcj

ambb`g

tl` Luomc J`cno`

Urnkàt wms i`juc dc =445. Wl` jnmb nh tl`

J`cno` Urnkàt ds tn

dg`ctdhy

mbb =55,555

luomc

j`c`s mcg tl`dr

hucatdncs,

mcg

g`t`rodc`

tl`

s`qu`cadcj nh tl` idbbdncs nh alòdamb ims` pmdrs

tlmt omf`

up

nur GCM. Dc tl` Pcdt`g Qtmt`s, tl`

Luomc

J`cno`

Urnkàt

ds hucg`g

iy tl`

Cmtdncmb

Dcstdtut`s nh L`mbtl mcg tl` G`pmrto`ct nh

@c`rjy. Wl` hubb `ct`rprds`, lnw`v`r, ds dct`rcm

tdncmb

dc sanp` mcg dcvnbv`s pmrtc`rsldps

wdtl

c`mrby 05 r`s`mral a`ct`rs

dc

t`c anuctrd`s. @mal

a`ct`r wms mssdjc`g dts pnrtdnc nh tlds omssdv`

gàngdcj

prnkàt

.

Wl`

luomc

j`c`tda omps tlmt mr` `xpàt`g

tn

r`subt hrno tl` J`cno` Urnkàt wdbb l`bp gnatnrs

dg`ctdhy j`c`tda pr`gdspnsdtdnc tn gds`ms`,

doprnv`

tl` gdmjcnsds nh gds`ms`,

mcg

`cmib`

tl` g`v`bnp

o`ct nh

austno-g`sdjc`g grujs hnr `mal

pmtd`ct

mcg

`mal

j`c`tda prnibò.

Onst momzdcjby, sad`c

tdsts i`bd`v` tlmt tl`y bb `v`ctumbby

b`mrc

lnw tn

r`pbma` dopmdr`g j`c`s wdtl

l`mbtly

nc`s.

Wl`

prnkàt ds uchnbgdcj grmomtdambby. Dc

Omy

9555, m

sad`ctdhda t`mo hrno sdx anuctrd`s mccnuca`g

tlmt

tl`y

lmg hdcdsl`g

omppdcj Alrnonsno` 9= wldal

ds

bdcf`g

tn Gnwc s sycgrno` mcg

omy

b`mg tn

abu`s

minut

Mbzl`do`r s gds`ms`. Alrnonsno`s

0

=8,

mcg

=4,

kust

gàng`g

dc

Mprdb 9555,

anctmdc

j`c`s tlmt dh g`hàtdv` anubg b`mg tn j`c`tdambby

bdcf`g hnros nh anbnràtmb amca`r,

bùfòdm,

gdmi`t`s,

mcg fdgc`y

gds`ms`.

Zldb` sad`ctdsts

lmv`

cnt y`t gdsanv`r`g m

tdccdtus j`c` ,

tl`y

lmv` dg`ctdhd`g hmubty j`c`s

tlmt

mr` r`spncsdib`

hnr m h`w rmr`

vmrd`td`s

nh

l`mrdcj

bnss, tòpnrnomcgdiubmr kndct (WOK)

gyshucatdnc, O`cd`r` s gds`ms`,

mcg

manustda

cùrnom

- mdbo`cts

tlmt anooncby

dcabug`

tdccdtus

ms m sdg` `hhàt. Dt's m tmctmbdzdcj anccà-

tdnc.

Tnu

amc

mbonst wrmp

ynur mros mrnucg tl`

dg`m nh m gmomj`g j`c`, nr p`rlmps j`c`s,

r`spncsdib` hnr alòdamb

nr

`bàtrdamb matdvdty

dc

tl` mugdtnry

anrt`x

nr `bs`wl`r`

dc

tl` irmdc tlmt

amus`s

tl`

p`ra`ptdnc nh tdccdtus. Ms Kmaf X`rcnc

lms sujj`st`g

mbb mbncj, omyi`

nur `mrs mr`

`dtl`r

tnujl nr t`cg`r iy

j`c`tda

g`sdjc .

Hnr cnw w`

spàubmt`

;

Dh

tdccdtus - nr tl`

pr`gdspnsdtdnc

tn tdccdtus - ds j`c`-ims`g, wdbb

sad`ctdsts i` mib` tn

anrràt

tl`

gmomj`g

j`c`

nr

kust pr`gdat dt

dc

susa`ptdib` dcgdvdgumbs> Mcg

dh

tl`y amc

anrràt nr

r`pbma` tl`

gmomj`g

j`c`,

wdbb tl`y i` mib` tn gn sn mht`r tl` tdccdtus ds

pr`s`ct mcg

omf` tl` tdccdtus jn mwmy>

J`c`tda

sad`ca`

jdv`s

rds`

tn m

ingy nh `tldamb qu`stdncs

tnn ; Qlnubg j`c`tda t`stdcj i` gnc` tn dg`ctdhy m

p`rsnc s

pr`gdspnsdtdnc

tn m

gds`ms`

dh tl`r`

ds

cn

fcnwc tr`mto`ct

hnr

tlmt gds`ms`>

Lnw wdbb m

p`rsnc i` mhhàt`g iy tl` fcnwb`gj` nh

lds

nr

l`r pr`gdspnsdtdnc

tnwmrgs m gds`ms`>

Lnw

wdbb dt

mhhàt

tl` dcgdvdgumb s òpbnyo`ct nr l`mbtl

dcsurmca`

nppnrtucdtd`s>

Mcg wln wdbb lmv`

maa`ss tn tlds `xp`csdv` t`stdcj>

Wl`

Luomc

J`cno`

Urnkàt

wms nrdjdcmbby

`xpàt`g tn ancabug`

dc

9550. Iut iàmus` nh sdj

cdhdamct mgvmca`s dc

tàlcnbnjy - ucmctdadpmt`g

mt tl`

i`jdccdcj

nh tl` prnkàt - tl`

`stdomt`g

anopb`tdnc gmt` lms i``c onv`g up tn 9551 . Wl`

puibda amc hnbbnw tl` prnkàt s prnjr`ss

nc

tl`

Luomc J`cno`

Zì sdt`

gurdcj tl`s` v`ry

`xadt

dcj hdcmb twn-mcg-m-lmbh y`mrs nh gdsanv`ry. Z` gn

cnt

lmv`

bncj

tn

wmdt

hnr

nur

mcsw`rs. DD

Y`snura`

www.nrcb.jnv WlalY`snura`s/Luomc^

J`cno`

/ lno`.ltob

J`cno` Mbb nh tl`

j`c`tda

omt`rdmb dc tl`

alrnonsno`s

nh

m pmrtdaubmr

nrjmcdso.

Alrnonsno` M struatur` dc tl` cuabùs nh

m a`bb

anopns`g

nh

prnt`dc

mcg

tlr`mgs

nh

GCM. Cuoi`r nh

luomc

alrnonsno`s

dc

`mal

a`bb; 78

GCM Wl` alòdamb amrrd`r nh j`c`tda

dchnromtdnc hnucg

dcsdg` tl` alrnonsno`.

J`c` M

ucdt nh

l`r`gdty6 mc nrg`r`g

s`qu`ca` nh alòdambs bnamt`g

dc

m GCM

tlr`mg dc m alrnonsno`. Mpprnxdomt`

cuoi`r

nh luomc j`c`s

gdsp`rs`g

tlrnujl

nut 78 alrnonsno`s; =55,555

Mo`rdamc Wdccdtus

Mssnadmtdnc

dccdtus

Wlgmy/

Q`ptòi`r

9555

0


6/27

B`tt`rs

tn tl`

gdtnr

Hrno

td

o` tn tdo`, w` dcabug` b tt`rs hrno nur

oòi`rs minut tl`dr `xp`rd`ca`s wdtl "cnc

trmgd

tdn

cmb" tr`mto`cts.

Z`

gn

sn

dc tl` lnp` tlmt tl`

dchnromtdnc nhh`r`g odjlt i` l`bphub. Ub ms` r`mg

tl`s` mcàgntmb r`pnrts amr`hu

bby an

csubt wdtl ynur

plysdadmc nr o`gdamb mgvdsnr6 m

cg

g

à

d

g`

hnr ynurs`bh

dh m jdv`c tr`mto`ct odjlt

i`

rdjlt hnr ynu. s

mbwmys, tl` npdcdncs `xpr`ss`g mr` strdatby tlns`

nh

tl` b`tt`r wrdt`rs mcg

gn

cnt r`hbàt mc npdcdnc nr

`cgnrsò`ct

iy

MWM.

M Hrd`cg Qp`mfs Nut

Iy np`cdcj mcg abnsdcj oy onutl mcg anc

tnrtdcj

oy

hma` ousab`s, D mo mib` tn `xp`rd`ca`

sno`

tdccdtus r`bd`h. D o

sur`

tl`r` mr` ntl`r hma

tnrs r`spncsdib` hnr

tl`

tdccdtus r`guatdnc bdf`, hnr

`xmopb`,

wlmt D o

gndcj cnw;

gdv`rtdcj

oy mtt`c

tdnc mwmy hrno

tl`

cnds`

iy

wrdtdcj

tn ynu . D mbsn

sp`cg

m

bnt

nh

tdo` wdtl

oy

Zì

WX mcg

ancs`

qu`ctby lmv` bdttb` tdo` tn h``b snrry hnr oys`bh.

Dc m rà`ct

ancv`rsmtdnc wdtl oy

hrd`cg, Mbà

Gysnc Irnwc (pn`t, wrdt`r, anbuocdst), D gds

auss`g oy l`mrdcj

bnss mcg tdccdtus tl`c

lmcg`g

ldo m

anpy

nh

Wdccdtus Wigmy .

Qn dopr`ss`g wms

l` wdtl oy

stnry

mcg wdtl ynur

puibdamtdnc

tlmt

l`

g`vnt`g

pmrt nh

lds

anbuoc

tn dt

dc nur

bnamb

pmp`r,

Wl` L`rmbg C`ws. L` lms

mbbnw`g ynu tn

slmr` dt wdtl ynur r`mg`rs. Anctdcu`g jnng buaf

nc

ynur

hdc` wnrf. 05 Qdca` tlmt wms cnt sno`

tldcj D wmct`g tn l`mr, D pmdg

cn

mtt`ctdnc . Onr

rà`ctby, D

lmg mc

`xmo hrno

mc

mugdnbnjdst. Ql

tnbg

o` tlmt sl` lmg aur`g l`r

tdccdtus

iy `bdo

cmtdcj mbb anhh``, gàmh,

amhh`dcmt`g

sngms, amh

h`dcmt`g t`ms,

mcg

alnanbmt`. Ql` abmdos l`r

tdccdtus ds m

tldcj

nh tl` pmst.

D

lmv`

aut imaf nc amhh`dc` hnr sdx w``fs cn

- hrno `djlt aups nh anhh`` m gmy tn nc` aup n

anhh`` m gmy. Mcg D lmv` tn mgodt

tlmt tl`

snuc

intl bnugc`ss mcg

slrdbbc`ss,

lmv` gdodcdsl`g

mppràdmiby. Hnr

wlmt

dt's wnrtl ...

Xd rjdcdm L. Bmgg`y, Ambd

hn

rcdm

vmbmgg`yEkp

s.

ano.

Qtmr 9555 hnr Lyp`rmausds

Mht`r lmvdcj gdsmibdcj lyp`rmausds mcg s`v`

tdccdtus hnr nv`r =4 y`mrs, D

iàmo`

m prdsnc`r

dc oy nwc lnus`.

@v`rytldcj

`xma`rimt`g oy

tdccdtus. Mbb

nutsdg`

cnds`s w`r` dctnb`rmib` mcg

anubg

cnt

pmrtdadpmt`

dc mcy

hmodby matdvdtd`s. Dc

g`sp`rmtdnc,

D ambb`g Gr Kmaf X`rcnc wln lmg

manustdas mcg l`mrdcj mdg `xp`rt, Kdo Cucb`y,

omf`

m

pmdr

nh

`xp`rdo`ctmb

tdccdtus-lyp`rmaus

i`ldcg-tl`-`mr

ucdts hnr o`. Wl` Qtmr 9555 wms

inrc.

Wl`

Qtmr 9555

gn`s cnt

j`c`rmt` mcy snucg.

t

prna`ss`s

dcanodcj snucgs mcg suppr`ss`s m

bnug snucgs tn pr`v`ct mcy gdsanohnrt. Wl`

g`vda` mopbdhd`s bnw-b`v`b snucgs up tn cnromb

b`v`b wldal pr`v`cts nv`rprntàtdnc. D lmv` i``

t`stdcj

tl`s` ucdts

ucg`r

mbb typ`s nh ancgdtdncs

sdca`

=448. Kdo

H`cwdaf

nh

H`cwdaf L`mrdcj

Dcstruo`cts (


7/27


8/27

msfdcjb b

tl`

dbb`ccd

ur

iy

Qt`pl`c

O

Cmjb`r O G

Msf onst l`mrdcj

l`mbtl-

amr` prnh`ssdncmbs

tn

g`hdc`

"omsfdcj,"

mcg

bdf`by ynu

wdbb

i`

tnbg

tlmt omsfdcj

ds

tl` stmt` wl`r`dc mc

`xt`r

cmbby j`c`rmt`g snucg anv

`rs tl` tdccdtus sual

tlmt

tl` tdccdtus amccnt i`

g`tàt`g. (Wlmt

wms

a`rtmdc-

by oy ucg`rstmcgdcj nh tl`

anca`pt nh omsfdcj uctdb

v`ry rà`ctby - hdrst ms m tdccdtus pmtd`ct mcg,

suis`qu`ctby,

ms m

l`mrdcj

l`mbtlamr` prnh`ssdncmb

wln tr`mts tdccdtus pmtd`cts.) Msf hurtl`r minut

omsfdcj mcg tl` ancv`rsmtdnc odjlt r`subt

dc

m

gdsaussdnc nh

"r`sdgumb dcldidtdnc,"

tl` pl`cno`-

cnc wl`rìy tl` tdccdtus odjlt cnt

i`

g`tàt`g

hnr m p`rdng

nh

tdo`

mht`r

rònvmb

nh

tl` omsfdcj

snucg

.

Tnu

odjlt

b`mrc nh tl`

"hmua`t"

t`st

hnr

omsfmidbdty; Zl`c tdccdtus amccnt i` g`tàt`g

dc

m slnw`r nr

wldb`

wmt`r ds

ruccdcj dc tl`

sdcf, dt

ds

oual onr` bdf`by

tn

i` suaa`sshubby omsf`g

tlmc tdccdtus

tlmt

amc stdbb i` g`tàt`g

ucg`r

sual

adrauostmca`s.

Wl`

ancv`rsmtdnc wdtl m fcnwb-

`gj`mib` l`mrdcj l`mbtlamr` prnh`ssdncmb

odjlt

`v`c prnjr`ss tn ancsdg`rmtdnc

nh

vmrdnus "omsf

dcj

aurv`s,"

mjmdc wdtl tl`

anca`pt

tlmt

omsfdcj

dcvnbv`s tl` dcmidbdty tn g`tàt tl` tdccdtus

dc

tl`

pr`s`ca` nh tl` omsfdcj sdjcmb.

msfdcj tnnf

nc

m

wlnb`

c`w

bdjlt

dc

oy `y`s

m slnrt

tdo`

mjn mt m ir`mfhmst

o``tdcj

wdtl

Gr Kmaf X`rcnc, tl` "hmtl`r"

nh ong`rc

tdccdtus

omsfdcj. D lmg

kust

anopb`t`g m

amsumb

surv`y nh

s`v`rmb tdccdtus mutlnrdtd`s,

mbb

nh wlno g`hdc`g

omsfdcj dc

tl` omcc`r D

kust g`sardi`g

dc tl`

np`cdcj bdc`

nh

tlds mrtdab`. Gr.

X`rcnc s`ò`g

surprds`g, matumbby sno`wlmt gdsomy`g, tlmt l`

lmg

cnt

i``c

mib` tn mg`qumt`by ancv`y tn tl`

tdccdtus

anooucdty tlmt

omsfdcj slnubg

cnt i`

g`hdc`g

dc t`ros

nh "anv`rdcj" tl` tdccdtus6

rmtl`r

dt slnubg i` g`hdc`g

dc t`ros nh

"r`bd`h."

Qpàdhdambby, Gr.

X`rcnc

s``s omsfdcj

ms tl`

doo`gdmt` mald`vò`ct nh sno` g`jr`` nh r`bd`h hrno

tdccdtus tlrnujl

tl`

us`

nh

`xt`rcmb

snucg.

Dcl`r`ct dc

tlds

g`hdcdtdnc

ds

tl` anca`pt tlmt

tl` snura` nh tl` `xt`rcmb snucg amc

i`

tlrnujl

tl` `cvdrnco`ct, tlrnujl

tl`

us` nh tmib`tnp

g`vda`s

tlmt

omf`

snucg, tlrnujl tl`

us`

nh

l`mrdcj mdgs tn `clmca` `cvdrnco`ctmb snucgs,

tlrnujl

tl`

us`

nh w`mrmib` tdccdtus

omsf`rs, nr

tlrnujl tl`

us`

nh anoidcmtdnc mopbdhdamtdnc/

omsf`r ucdts, anooncby ambb`g tdccdtus dcstru-

o`cts.

Onr`

dopnrtmctby, dcl`r`ct dc

tlds g`hdcd-

Lnw

amc

nc` nitmdc r`bd`h> Nc tdccdtus omtaldcj t`sts,

tdccdtus rmr`by j`ts bnug`r

tlmc =5

gI anopmr`g

tn m pmtd`ct s tlr`slnbg

nh l`mrdcj

. Onst tdccdtus

ds

ncby

1 gI minv` tl` tlr`slnbg nh l`mrdcj. Zly

ds sual m snht

snucg

p`ra`dv`g ms i`dcj sn bnug>

Zly

mr` tl`r` sn omcy òntdncmb

ancs`qu`ca`s>

h m pmtd`ct alnns`s tn

ucg`rjn

lypcnsds mt

tl`

Ad`bb Dcstdtut`,

Quo`rsnc

sujj`sts m odcd

ouo nh

sdx

s`ssdncs

. Dcdtdmbby,

tl` pmtd`ct

ds

`vmbumt`g

wdtl

r`jmrg

tn

r`sdstmca`

/ susa`ptdidbdty

tn lypcnsds. Unst-

lypcntda

sujj`stdncs

omy

i`

us`g tn mbbnw

rmpdg

dcguatdnc

dc

suis`qu`ct

w``fs. Gurdcj lypcnsds, Quo`rsnc us`s

mugdtnry

mcg

vdsumb domj`ry

mcg

g`s`csdtdzmtdnc.

Mht`r

mppbydcj tàlcdqu`s sual ms mj` r`jr`ssdnc mcg

`jn str`cjtl`cdcj, l` trd`s tn j`t tl` pmtd`ct tn

`xp`rd`ca` tdccdtus wldb`

dc

m trmca` mcg tn

r`gua` dt tn m b`ss dct`cs`

hnro

.

Dt omy

mbsn i` pnssdib` tn r`jr`ss tl` pmtd`ct

tn m tdo` wl`c

l`

nr

sl`

h`bt nr

l`mrg sno`-

tldcj

c`jmtdv`

tlmt omy lmv` anctrdiut`g

tn

tl`

tdccdtus. Dh tl`

`v`ct

ds tnb`rmib`, m lypcntdst

amc try

tn almcj`

tl` c`jmtdv`

`hhàts tn pnsdtdv`

nc`s tlrnujl dcgdràt sujj`stdnc nr iy jdvdcj tl`

pmtd`ct

p`rodssdnc tn jdv`

up tl`

snucg; Tnu

mr`

bdst`cdcj

tn m snucg tlmt omf`s ynu h``b jnng.

Tnu gn cnt lmv` tn bdst`c tn tl`

cnds`

dc

ynur

`mrs. Wlp`s

omg`

gurdcj

s`ssdncs amc

i`

us`g

tn

dcgua` s`bh-lypcnsds mcg tn

r`dchnra` dcgdr`

at

sujj`stdncs.

(anctdcu`g)

M

o`rd

a

mc

W

dccdtu

s Mssnadmtdnc Wdccdtus Wlgmy/ Q`

pt

`

oi

`r 9555

9=


22/27

C@Z

UYNGP WQ dc

MW\s

Amtmbnju`

Odg-Mtbmctda Wdccdtus Anch`r`ca`

XLQ 9-vdg`n s`t, 7 lnurs tntmb

Wlds

twn-vdg`n,

pmtd`ct-nrd`ct`g s`t h`mtur`s

;

Zlmt's

C`w

Dc Wdccdtus Y`s`mral - Dc twn

s`pmrmt`

s`ssdncs, tdccdtus r`s`mral`r Ydalmrg

Qmbvd,

Ul.G.,

`xpbmdcs tl` us` nh

U@W

samccdcj

tn dg`ctdhT pnrtdncs nh tl` irmdc

dcvnbv`g

dc

tdccdtus

p`ra`ptdnc, mcg prnspàts

nh

hutur`

irmdc/tdccdtus

r`s`mral.

O`gdamb Dct`rv`ctdnc Hnr

Wdccdtus

- @CW

plysdadmc

Omx Yncds,

O.G.,

gdsauss`s tl`

hucatdnc

nh

tl` mugdtnry systò,

m

vmrd`ty nh

grujs mcg tr`mto`cts hnr

tdccdtus

r`bd`h,

mcg

hnngs tlmt

odjlt

omf`

tdccdtus

wnrs`.

Wdccdtus

; Onvdcj Hnrwmrg - MWM's @xàutdv`

Gdràtnr Al`ryb OaJdccds, O.I.M., gdsauss`s

MWM's odssdnc, prnjrmo mcg r`s`mral jnmbs, mcg

nur wnrf tnwmrgs

dcar`msdcj

tdccdtus mwmr`

c`ss .

Lypcnsds; Nht`c Nv`rbnnf`g Wl`rmpy Hnr

Wdccdtus - @CW

plysdadmc Kmo`s

Quo`rsnc,

O.G.,

nhh`rs m

nc`-lnur

prdo`r nc

lypcnsds

hnr

tdccdtus, anopb`t` wdtl bdv` gòncstrmtdnc.

Wlns`

nh

ynu wln anubg cnt mtt`cg tl` anch`r`ca`

wdbb mppràdmt` tlds ab`mr

cg

anopr`l`csdv`

omt`rdmb.

Hubb Q`t

(9

vdg`ns, 7

lnurs

tntmb) ;

Qmbvd, OaJdccds,

Yncds,

mcg Quo`rsnc

$75 (MWM oòi`rs), $70 (cnc-oòi`rs)

Qdcjb` vdg`ns = vdg`n, 9 lnurs);

Qmbvd,

OaJdccds, mcg Yncds

$90 (MWM oòi`rs), $9< (cnc-oòi`rs)

Qmbvd mcg Quo`rsnc

$90 (MWM oòi`rs), $9< (cnc-oòi`rs)

Wdccdtus; B`mrc tn Bdv` ZdtlNPW Dt

XLQ vdg`n, 9 lnurs

Qt`pl`c

O. Cmjb`r, O.G., gdsauss`s

tl` tl`nrd`

mcg prmatdamb mppbdamtdncs nh WYW -

Wdccdtus

Y`trmdcdcj

Wl`rmpy.

Umtd`cts wrdt`; Wlds vdg`n

mc `xa`bb`ct snura`

nh

dchnromtdnc

nc

WYW.

D

c

ucg`rstmcg lmidtumtdnc .

Wlds

nhh`rs m bnt nh

lnp

tn us mbb. Wl`r` ds cntldcj bdf` strmdjlthnrwmr

dchnromtdnc.

Wlds vdg`n ds 'mctd-b`mrc tn bdv` wd

dt' omt`rdmb. Wl` WYW `xpbmcmtdncs mr`

tl`

i`

D'v` s``c. Dt s tl` i`st w` v` s``c

tnn

.

= vdg`n, 9 lnurs tntmb; $75 MWM oòi`rs),

$70 (cnc-oòi`rs)

Urna``gdcjs nh tl` Qdxtl Dct`rcmtdncmb

Wdccdtus

Qòdcmr-

Cnw

nc

AG

Wl` Urna``gdcjs, `gdt`g iy

Kncmtlmc

Lmz`bb, ds

`st`ò`g anbbàtdnc

nh

=10

tdccdtus r`s`mral

pmp`rs

tlmt

w`r`

pr`s`ct`g mt

tl` Dct`rcmtdncm

Wdccdtus Qòdcmr

dc

Amoirdgj`, PF nc

Q`ptòi`r

0-4, =444. Wl` AG

dcabug`s tl`

ano

pb`t`

t`xt, jrmpls,

mcg dcg`x

nh

tl` prdct`g inn

(0


23/27

]P@QWDNCQ CG

CQZ@YQ

Kmaf X`rcnc s U`rsncmb Y`spncs`s tn ]u`stdncs hrno nur

Y`mg`rs

y Kmaf

MX`rcnc Ul .G Urnh`ssnr

@o`rdtus

Nr`jnc L`mbtl

Qad`ca`s

Pcdv`rsdty

]

r.

I.

dc

Zdsancsdc

msfs, Amc tdccdtus i`

sn s`v`r` ms tn amus`

tl` dcc`r

`mr

tn lurt

mcg

dc

turc

amus`

l`mgmal`s>

l`

qudaf mcsw`r tn

ynur qu`stdnc ds

cn

.

Lnw`v`r, dh l`mgmal`s

mr` p`rsdst`ct mcg hr`qu`ct,

D'g

sujj`st

tlmt ynu ancsubt m

cùrnbnjdst. Ms ynu w`bb

fcnw, w` amc lmv` twn tldcjs wrncj wdtl us mt

tl` smo

` tdo`.

Mcg

kust

iàmus` tl`y naaur mt tl`

smo` tdo

` gn`s cnt o`mc tlmt tl`y mr`

r`bmt`g

.

Nc tl` ntl`r lmcg, dt ds m

anoonc

`xp`rd`ca`

tlmt

tl` str`ss mcg t`csdnc prngua`g iy l`mgmal`s

amc `xma`

rimt`

tdccdtus mcg vda` v`rsm.

Wlds

anubg

i` lmpp`cdcj tn ynu.

]

r. U hrno Hbnrdgm wrdt`s, D lmv`

lmg

oy

tdccdtus sdca` ~ l d b g l n n g

mcg tlus

lmv`

jntt`c

us`g

tn Dt. Minut

tl`

ncby

tdo`

oy

tdccdtus

intl`rs

o`

ds wl`c d t dct`rh`r`s wdtl oy

midbdty tn

l`mr

ldjl-hr`qu`cay snucgs

mcg

tn

gdstdcjudsl sno` spnf`c wnrgs. Dh D tr`mt`g oy

tdccdtus,

wnubg

dt

`bdodcmt` tl`s`

prnibòs>

M

nst bdf`by dt ds

cnt ynur

tdccdtus

tlmt

amus`s tl`

prnibòs

ynu lmv` dcgdamt`g.

t ds

oual onr`

bdf`by

tlmt tl`

prnibòs

mr` gu` tn sno` ldjl-hr`qu`cay l`mrdcj bnss . D

wnubg rànoo`cg tlmt ynu try prnp`rby hdtt`g

l`mrdcj mdgs

tlmt

wdbb anst ynu ncby tl` `xp`cs`

nh tl` `mr onbgs mcg tl` mugdnbnjdst's tdo`

dh

tl`y

gn cnt snbv` ynur prnibòs.

]

Or. ~ h r n o C`w K`rs`y wrdt`s, D lmv`

m odbg hnro

nh

tdccdtus. t ds m qud`t

luoodcj

, wldal D gn

cnt

l`mr 45% nh

tl` tdo`

. Mt

tl`

mj`

nh

::, D hdcg

tlmt

D

c``g l`mr

dcj mdgs iut

D'o

mhrmdg

tlmt tl`y

wdbb omf` oy

tdccdtus

wnrs`. D

lmv`

l`mrg tlmt bnug snucgs

amc omf` tdccdtus wnrs`

mcg

l`mrdcj mdgs

omf`

snucgs bnug`r.

Zlmt

gn`s r`s`mral r`v`mb minut

tlds>

M

`mrdcj

mdgs mr`

p`rhàtby

smh`. Dcg``g

ms l`mrdcj dcar`ms`s tdccdtus j`c`rmbby

gàr`ms`s, tlus dt ds pnssdib` tlmt l`mrdcj

mdgs wdbb r`gua` ynur tdccdtus. Onr`nv`r, gdjdtmb

l`mrdcj mdgs mr` `qudpp`g wdtl anopr`ssdnc tàl

cnbnjy

tlmt

r`gua`s tl` dct`csdty nh maadg`ctmb

bnug

snucgs wldal mr` m

anoonc pmrt nh nur

`v`rygmy `cvdrnco`ct. D

ancjrmtubmt`

ynu nc tl`

gàdsdnc

tn maqudr`

l`mrdcj

mdgs.

Wl`y

wdbb

cnt

ncby doprnv` tl` qumbdty nh

ynur

bdh` iut

tl`y

wdbb

omf`

tldcjs

cda`r hnr mbb wln

mr`

mssnadmt`g

wdtl

ynu.

]

r. Z.

hrno

Omdc` lms r`mg tlmt tdccdtus

ds prngua`g

iy

a`rtmdc

irmdc

a`bbs

mcg tlmt

rònvmb

nh

tlmt

pmrtdaubmr pnrtdnc nh tl`

irmdc wnubg

aur`

tdccdtus.

L`

msfs dh

mcy mggd

tdncmb dcv`stdjmtdncs i``c omg` mbncj tl`s` bdc`s.

l` irmdc

a`bbs dcvnbv`g

dc tl`

p`ra`ptdnc

nh tdccdtus, cnt tl`

prnguatdnc

nh tdccdtus,

lmv`

i``c

dg`ctdhd`g.

@v`ctumbby dt omy

i`

pnssdib` tn dcmatdvmt` tlds

irmdc

mr`m

mcg

aur`

a`rtmdc

fdcgs nh tdccdtus . Iut tl`r`

mr`

s`v`rmb

prnibòs

wdtl tlds fdcg nh tldcfdcj.

Hnr nc`

tldcj,

dh

tl` 'tdccdtus p`ra`ptdnc

irmdc

mr`m

ds

rònv`g, mcntl`r mr`m dc tl` irmdc mr`m

(p`rlmps

mc

mgkma`ct mr`m) odjlt tmf` nv`r

tl`

hucatdnc

nh

tl` rònv`g pmrt .

t wnubg

i`

`xtrò`by

dopnr

tmct

tn hdrst

g`t`rodc`

wlmt, dh mcy,

ntl`r huca

tdncs wnubg

i`

bnst

iy tl` rònvmb nh tlmt irmdc

tdssu`.

t

omy i` pnssdib` tn bnambby

mc`stl`tdz`

tlmt

irmdc

mr`m mcg amr`hubby o`msur` wlmt ntl`r

hucatdncs mr` dcvnbv`g. Ab`mrby m

jr`mt

g`mb nh

dcv`stdjmtdv`

wnrf

ds

c``g`g.

Iut

dc

oy

npdcdnc,

tlds '=Krmdc wnrf tlmt r`s`mral`rs mr` gndcj

prnvdg`s

us

wdtl m jr`mt g`mb

nh

nptdodso.

]

J.

r n ~ Xdrjdcdm msfs

dh

dt's pnssdib`

dh

lds `xa`ssdv` `xpnsur` tn

juc

hdr` cnds`

dc

=4:1 amus`g lds tdccdtus

tlmt

slnw`g up

dc =441.

M

T`s, sual m tldcj ds pnssdib`. D

wnubg

ju`ss

tlmt ynu lmv` lmg

tdccdtus

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Inx

91:7

tinnitus today september 2000 vol 25, no 3

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