Yaşlı Bireylerde Tinnitus ve Hipertansiyon Arasındaki İlişki

Year 2021, , 66 - 71, 31.08.2021

Emir Avşar , Meltem Adaiçi

https://doi.org/10.47141/geriatrik.964787

Cited By: 1

Abstract

Yaşlanma ile beraber değişen fizyolojik yapı ve fonksiyon kayıpları sebebiyle bireylerde var olan komorbiditeler farklı şekillerde ve farklı semptomlar ile ortaya çıkabilmektedir. Sıklıkla göz ardı edilen tinnitus gibi bazı semptomların primer nedenlerini tespit etmek ve değerlendirmek bu nedenle oldukça zordur. Kulak çınlaması olarak bilinen tinnitus, özellikle geriatrik bireylerde çok sayıda risk faktörüne bağlı olarak karşımıza çıkmaktadır ve bu doğrultuda uygulanabilecek girişimler/terapiler hastalığa ya da bireye özgü olarak değişmektedir. Yaşlı bireylerde en erken bozulmaya başlayan mekanizmalardan biri kardiyovasküler sistemdir ve bu sistemin en yaygın hastalığı olan hipertansiyon, kulak içi mikrovasküler dolaşım üzerinde olumsuz etki meydana getirerek tinnitusa neden olabilmektedir. Hipertansiyonu olan geriatrik bireylerde oldukça sık görülen kulak çınlaması; hem hastalığın yapısal özelliği, hem de kan basıncını optimal aralıkta tutmak için kullanılan ilaçların ototoksik yan etkileri ve yaşa bağlı diğer risk faktörleri nedeniyle ortaya çıkabileceği için, ayrıntılı değerlendirme ve multidisipliner bir yaklaşım gerektirmektedir. Bu makalede; yaşlı bireylerde görülen kulak çınlamasının hipertansiyon ile ilişkisi, tıbbi tedavi/bakım yönetimindeki kanıt temelli girişimler ve öneriler ele alınmıştır.

Keywords

tinnitus, hipertansiyon, geriatri, yaşlı

The Relationship Between Tinnitus and Hypertension in Elderly Individuals

Abstract

Due to the loss of physiological ability and functions that can change with aging, comorbidities in individuals may seem in different ways and with various symptoms. Therefore, it is challenging to identify and assess the primary causes of some symptoms, such as tinnitus, which are often overlooked. Tinnitus is encountered due to many risk factors, especially in geriatric individuals, and the interventions/therapies that can be applied in this direction vary according to the disease or individual. One of the mechanisms that start to deteriorate the earliest in elderly individuals is the cardiovascular system. Hypertension, the most common disease of this system, may cause tinnitus by harming the microvascular circulation in the ear. Tinnitus, which is quite common in senior individuals with hypertension, requires detailed evaluation and a multidisciplinary approach, as it may occur due to the structural feature of the disease, ototoxic side effects of drugs used to keep blood pressure in the optimal range, and other age-related risk factors. This article discusses the relationship between tinnitus and hypertension in older adults, evidence-based interventions, and medical treatment/care management recommendations.

Keywords

tinnitus, hypertension, geriatrics, elderly

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