Saúde Auditiva – Prevenção e cuidados
10 de julho de 2018Saúde auditiva é conservar a audição de forma saudável para que se possa manter a capacidade de ouvir até a terceira idade. Nem sempre é possível devido a poluição sonora e aos muitos ruídos a que estamos expostos. Com o som alto, há uma contração muito forte das células nervosas, que acabam sendo danificadas, pois o aparelho auditivo é muito sensível e os danos sofridos são irreversíveis.
Audição como ferramenta de trabalho
Muitos músicos precisam parar de tocar devido a perda auditiva e/ou zumbido. Estão perdendo a audição cada vez mais cedo e só conseguem tocar se for num volume muito alto, o que acaba distorcendo o som e afetando a qualidade do seu trabalho. Um técnico de áudio por exemplo, se tiver deficiência auditiva perderá o emprego, pois não tem como fazer mixagens sem ouvir as nuances mínimas da música.
Muitas vezes a perda auditiva se estabelece antes da terceira idade, fase em que essa diminuição é até esperada. Nesse caso, pode se instalar uma das causas mais comuns de surdez adquirida no adulto, que é a Perda Auditiva Induzida Pelo Ruído (PAIR).
Abaixo, uma tabela de acordo com a Norma Brasileira NBR 105152 (ou ABNT NB-95) com os limites de tolerância para ruído contínuo ou intermitente
Prevenção e Cuidados
- Não usar fones de ouvido unilateral. O cérebro tem uma somação binaural de 6dB, ou seja, quando se usa as duas orelhas, não precisa aumentar o volume do som. A natureza já fez isso por você;
- Utilizar o fone de ouvido por no máximo uma hora, mesmo com o volume baixo;
- Ao perceber o menor ruído no ouvido procure imediatamente um médico otorrinolaringologista.
Você tem que sair de um show, exatamente com a mesma audição que você entrou.
Zumbido, plenitude auricular (sensação de ouvido cheio) e pressão nos ouvidos são sintomas de quem abusou do som alto. Ou seja, está em fadiga auditiva.
- A potência do equipamento de som deve ser usada no máximo até 80% do volume do aparelho;
- Faça pequenos intervalos, ao invés de ficar muitas horas exposto aos ruídos;
- Não introduza nenhum objeto (como chave ou palitos) no conduto auditivo, nem o limpe com cotonetes. Apenas a área externa da orelha deve ser limpa com auxílio de cotonetes. A orelha expulsa a cera em excesso naturalmente. Interferir nesse processo, pode ser prejudicial. A limpeza adequada é realizada pelo Otorrinolaringologista;
- Trate gripes, otites e outras infecções até o final. O tratamento deve ser feito sempre com acompanhamento médico e nunca com soluções caseiras. “Quando mal curadas, essas infecções podem levar à perda auditiva”.
Quem se expõe a ruídos como cortadores de grama, voos em aeronaves e shows de música deve usar sempre um protetor auricular ou EPI – Equipamento de Proteção Individual. “Seja essa exposição esporádica, longa ou súbita, ela pode matar a célula auditiva”.
Manter a vacinação em dia contra doenças que podem desencadear a surdez:
- Sarampo (porque os nervos do cérebro ficam prejudicados, devido a encefalite, enfermidade que causa inchaço no cérebro, causadas pelo sarampo)
- Caxumba (aumento das glândulas salivares próximas aos ouvidos)
- Meningite (inflamação, que atinge a cóclea que fica localizada no ouvido interno)
- Rubéola (Surgimento de nódulos na região da nuca e atrás das orelhas e também pode causar surdez congênita)
* Se você for uma mulher em idade de engravidar, consulte seu médico sobre possíveis métodos de imunização contra a rubéola.
Prevenção para Profissionais da Música
Além da preocupação com a fidelidade do som no palco, o artista precisa ter cuidados com os volumes mais altos. A perfeita saúde auditiva dos artistas é uma garantia de muitos anos de trabalho. Fazer uma avaliação anual, leia-se ‘audiometria de alta precisão’, usar tampões e fones de qualidade, são pontos fundamentais para a preservação de sua ferramenta de trabalho: seus ouvidos.
Tampões
Os Tampões para músicos oferecem uma atenuação e permite ao usuário todo o som ao seu redor com qualidade e precisão, além de proteger o aparelho auditivo e manter o feeling da apresentação. A indústria oferece filtros acústicos para os protetores, também conhecidos por alguns como filtros flat, com fator / nível de proteção de 9, 15, 20 e 25dB. Obviamente que os com fator de proteção de 9 dB oferecem menor e os de 25 dB maior proteção. Quanto mais intenso o volume do ambiente, mais alto deve ser o nível de proteção. Mas este fator de proteção depende do bom senso, objetivo e ou necessidade de cada um.
Monitor In ear
Os monitores In Ear são modelos customizados de fone de ouvido que, diferentes dos modelos universais, respeitam a anatomia da orelha, permitindo a recepção do som real de palco e com segurança, sem causar danos às células auditivas. Esse tipo de fone é responsável por garantir boa parte da qualidade de um show, uma vez que todo artista precisa se ouvir no palco para um bom rendimento. Além disso, ajudam na monitoração ao vivo através da individualização da resposta para o artista e também devido a uma sensível redução dos níveis de ruídos e realimentação nos palcos.
A maior vantagem do In Ear é o isolamento. Com ele, é possível reduzir o alto nível de ruído que vem da bateria, amplificadores e caixas de retorno, e “recriar” um ambiente isolado dentro dos ouvidos.
Ao contrário do que muitos pensam, não são apenas os grandes artistas que podem e precisam utilizar fones In Ear. Atualmente, existem alternativas muito acessíveis.
Desta forma, os profissionais da música precisam se preocupar e cuidar de sua saúde auditiva. Podem esquecer de vez aquela pesada caixa de retorno, começar a usar um sistema de monitoramento pessoal e evitar a instalação de uma surdez, que na maioria dos casos é irreversível.
Maiores Informações:
https://www.facebook.com/inearcm
Por Céulem Guterres
Fonoaudióloga/ Especialista em audiologia e baterista
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