Ke manaʻo nei ʻoe i kekahi manawa e like me ka wili ʻana o ka lumi holoʻokoʻa ke kū koke ʻoe i luna a i ʻole e hoʻohuli iki i kou poʻo? A i ʻole ke lohe mau nei ʻoe i kahi leo "goo..." e puka mai ana mai loko mai o kou mau pepeiao? Ke manaʻo nei ʻoe i kekahi manawa ua paʻa kou pepeiao? ʻOiai he mea maʻamau kēia mau mea i ka hapa nui o mākou, i kekahi manawa ʻo ke kumu ma hope o kēia he wai liʻiliʻi akā koʻikoʻi loa i loko o ko mākou mau pepeiao. ʻO kēlā wai ka mea a mākou e kapa nei he endolymph. I kēia lā, e kamaʻilio kākou e pili ana i kēia wai i kapa ʻia he ʻano ʻē, akā he mea pono ʻole i ko mākou ola.
I ka ʻōlelo maʻalahi, he aha ka endolymph?
He wai kūikawā ka Endolymph i loaʻa i loko o ko kākou pepeiao o loko. E like me ka ʻaila i loko o ka ʻenekini o ke kaʻa, he mea nui kēia wai no ka mālama ʻana i ke kaulike o ko kākou kino a no kākou e lohe pono ai i nā mea. Aia kahi ʻōnaehana paʻakikī loa i loko o ko kākou pepeiao o loko. Hoʻomalu nā ʻāpana o kēia ʻōnaehana i ko kākou lohe a me ko kākou kaulike. Ua piha kēlā mau ʻāpana me kēia wai endolymph.
E noʻonoʻo e pili ana i ia mea, ke lulu ʻoe i kou poʻo, hele, a holo paha, neʻe pū kēia wai me ia. Hoʻoulu kēia neʻe ʻana i nā hunaola lauoho ʻike lahilahi loa i loko o ka pepeiao. Hoʻouna kēia mau hunaola i nā hōʻailona i ko kākou lolo. Wehewehe ka lolo i kēlā mau hōʻailona a hoʻolohe iā kākou i ke kani, a haʻi mai paha iā kākou i ke kūlana o ko kākou kino, a inā paha e hāʻule ana kākou.
I ka ʻōlelo maʻalahi, ua like ka endolymph me ka 'ʻelele' e lawe ana i kā mākou lohe a me nā leka kaulike i ka lolo.
ʻElua mau mea nui e hana ʻia me ka wai endolymph
ʻElua mau hana nui o kēia wai no ko kākou kino. E nānā kākou iā lākou ma ke kaʻawale.
1. Pehea e kōkua ai iā mākou e lohe
Ua noʻonoʻo paha ʻoe pehea mākou e lohe ai i ke kani? Ke komo nā nalu kani i loko o ko mākou pepeiao, hele lākou i kahi ʻāpana o ka pepeiao o loko. Ua kapa ʻia kēia ʻāpana ʻo ke cochlea. Ua like kona ʻano me ka pūpū nahe. Ua piha ia me kahi wai i kapa ʻia ʻo endolymph.
Ke komo nā nalu kani i loko o ka pepeiao o loko, hoʻoulu lākou i kahi haʻalulu i loko o ke kahe endolymph, e like me nā ʻale e kū mai ana ke hoʻokuʻu ʻoe i kahi pōhaku i loko o ka wai. Ke haʻalulu kēia wai, kūlou nā pūnaewele sensory palupalu e like me ka lauoho (i loaʻa i loko o ke kino o Corti) i loko. Ke kūlou kēia mau pūnaewele, hana lākou i kahi hōʻailona uila e hele ana ma o nā aʻalolo i ka lolo. Wehewehe ka lolo i kēlā hōʻailona ma ke ʻano he "kani." No laila, me ka ʻole o ka endolymph, ʻaʻole e hana kēia kaʻina holoʻokoʻa, a ʻaʻole mākou e lohe.
2. Pehea e mālama ai i ke kaulike i loko o ke kino
ʻOiai me kou mau maka i pani ʻia, hiki nō iā ʻoe ke ʻike inā ʻoe e kū pololei ana, e hilinaʻi ana, a i ʻole e hoʻokiʻekiʻe ana kou poʻo, ʻeā? Kōkua kēia endolymph i kēlā.
Aia kekahi mau ʻano kūikawā ʻē aʻe i loko o ko kākou pepeiao i loko e pili ana i ke kaulike. ʻO lākou nā utricle, saccule, a me nā kahawai semicircular. Ua piha pū kēia mau mea me ka wai endolymph.
- Ke hoʻoluliluli ʻoe i kou poʻo i luna a i lalo, i mua a i mua, e neʻe ana ke wai i loko o ka utricle a me ka saccule .
- Ke hoʻohuli ʻoe i kou poʻo i ka hema a i ka ʻākau paha, neʻe ke wai i loko o nā ʻauwai hapa poepoe .
I ka neʻe ʻana o ke wai ma kēia ʻano, kūlou pū nā hunaola lauoho koʻikoʻi i loko. Hoʻouna kēlā mau hunaola i kahi leka i ka lolo, e ʻōlelo ana, "ʻAe, ua huli ke poʻo i ka ʻākau" a i ʻole "Ua hoʻohaʻahaʻa ʻia ke poʻo i lalo." Hoʻohana ka lolo i kēlā ʻike e hoʻouna i nā hōʻailona i nā ʻiʻo ʻē aʻe o ke kino, e mālama ana iā mākou i ke kaulike a ʻaʻole e hāʻule.
He aha nā pilikia e pili ana me ka endolymph?
ʻO ke kūlana maʻamau a maʻamau e pili ana me ka endolymph ʻo ia ka maʻi Ménière . Hoʻokumu ʻia kēia e ka nui o ka wai endolymph i loko o ka pepeiao o loko. E noʻonoʻo e like me ka puhi ʻana i ka ea nui i loko o kahi pōpō. Pēlā nō, ke hōʻiliʻili kēia wai, piʻi ke kaomi i loko o ka pepeiao. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia kūlana he endolymphatic hydrops .
ʻO kēia piʻi ʻana o ke kaomi ke kumu o nā hōʻailona i ʻōlelo ʻia ma mua, e like me ka poniuniu a me ka nalowale o ka lohe.
Nā hōʻailona o kahi pilikia endolymph
Inā kānalua ʻoe he maʻi kou, e makaʻala i kēia mau hōʻailona. Hiki ke ʻike pū ʻia kekahi a ʻoi aku paha o kēia mau hōʻailona.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Vertigo | ʻAʻole kēia he manaʻo wale nō o ka poniuniu. He manaʻo ia e wili ana ke ao holoʻokoʻa a puni ʻoe, ʻo ka lumi holoʻokoʻa, ʻoiai ʻoe ma kahi hoʻokahi. Hiki i kēia ke mau mai kekahi mau minuke a i kekahi mau hola. |
| Poho lohe | Hiki koke mai ka nalowale o ka lohe ma kekahi pepeiao. I kekahi manawa e holomua kēia i ka hala ʻana o ka manawa, akā i ka hala ʻana o ka manawa, hiki i ka nalowale o ka lohe ke lilo i mea mau loa. |
| Tinnitus | ʻOiai inā ʻaʻohe leo a puni, lohe ʻoe i kahi leo "goo..." mau i loko o kou mau pepeiao, e like me ke kani ʻana o ka bele. |
| Kaomi/piha i loko o ka pepeiao | He manaʻo ʻoluʻolu ʻole, me he mea lā ua komo ka wai i loko o ka pepeiao, me he mea lā ua paʻa a piha ka pepeiao. |
| Ka luaʻi a me ke poʻo ʻeha | Hiki i ka Vertigo ke hele pū me ka nausea, ka luaʻi ʻana, a me ke poʻo. |
Mea nui: Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. E ʻoluʻolu e ʻike i kāu kauka no ka ʻōlelo aʻo.
Nā hoʻāʻo e ʻike ai i kēia kūlana
Ke hele ʻoe e ʻike i ke kauka, e hoʻolohe pono ʻo ia i kāu mau hōʻailona a nānā iā ʻoe. A laila, e kauoha paha lākou i kekahi mau hoʻokolohua e hōʻoia i ke kūlana.
| Hoʻāʻo | He aha kāu e ʻike ai ma kēia? |
|---|---|
| Audiometry | Ana pololei kēia i kou pae lohe. Hoʻāʻo ia pehea ʻoe e pane ai i nā leo like ʻole. |
| Hoʻāʻo Vestibular | Hoʻāʻo kēia i ka maikaʻi o ka hana ʻana o ka ʻōnaehana hoʻomalu kaulike o kou kino. |
| Nānā MRI | I kekahi manawa hiki i kēia ke kōkua i ka ʻike ʻana inā he pilikia ʻē aʻe me ka lolo a i ʻole ka pepeiao o loko, a e ʻike inā he nui loa ka wai endolymph i loko o ka pepeiao. |
| ʻElectrocochleography (ECochG) | ʻAe kēia iā mākou e ana pololei i ke kaomi i loko o ka pepeiao o loko, ʻo ia hoʻi, inā ua piʻi ka pae o ka wai endolymph. |
He aha nā lāʻau lapaʻau no nā maʻi e pili ana i ka endolymph?
ʻOiai he paʻakikī ke ho'ōla piha i kēia maʻi, nui nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe e kāohi i kāu mau hōʻailona a ola i kahi ola maʻamau. E hoʻomanaʻo ua hoʻoholo ʻia kēia mau lāʻau lapaʻau a pau e kāu kauka, ma muli o kou kūlana.
| ʻAno lapaʻau | Wehewehena |
|---|---|
| Nā loli i ka ʻai | ʻO ka ʻōlelo aʻoaʻo nui i hāʻawi pinepine ʻia, ʻo ia ka hōʻemi ʻana i ka ʻai ʻana i ka paʻakai , no ka mea, hoʻonui ka paʻakai i ka paʻa ʻana o ka wai i loko o ke kino. Hiki ke aʻo ʻia ʻoe e hōʻemi i ka caffeine (kī, kofe) a me ka waiʻona. |
| Nā ʻano lāʻau lapaʻau | Hiki ke hāʻawi ʻia nā diuretics ('nā pila wai') e wehe i ke kahe nui mai ke kino. Hiki ke hāʻawi ʻia nā lāʻau lapaʻau ʻē aʻe e kāohi i ka vertigo, e hōʻemi i ka nausea, a i kekahi manawa hiki i nā inikini corticosteroids i loko o ka pepeiao. |
| Nā Lapaʻau ʻē aʻe | Aia nā hoʻomaʻamaʻa kūikawā i kapa ʻia ʻo vestibular rehabilitation therapy no nā pilikia kaulike. Hiki iā ʻoe ke hoʻāʻo i nā mea e like me ka cognitive behavioral therapy (CBT) e hōʻemi i ke kaumaha i hoʻokumu ʻia e kēia ʻano. |
| ʻoki kino | Inā wale nō ʻaʻohe lāʻau ʻē aʻe e hiki ke kaohi iā ia, pono paha ʻoe e hoʻohana i ke ʻoki kino e wehe i ka wai keu a hoʻemi paha i ke kaomi i loko o ka pepeiao. |
Leka Lawe-Home
- He wai ka Endolymph i loko o ko kākou pepeiao i mea nui no ka lohe ʻana a me ke kaulike o ke kino.
- ʻO nā hōʻailona e like me ka dizziness (vertigo), ka nalowale o ka lohe, a me ke kani ʻana o nā pepeiao (tinnitus) he mau hōʻailona paha ia o kahi pilikia me kēia wai.
- ʻO ke kūlana maʻamau e pili ana me kēia ʻo ia ka maʻi ʻo Ménière, i hoʻokumu ʻia e ka hōʻiliʻili nui ʻana o ka wai endolymph i loko o ka pepeiao.
- Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻokuʻu iā lākou a e ʻike koke i kāu kauka .
- ʻO ke ala maikaʻi loa e pale ai i kou mau pepeiao, ʻo ia ke pale ʻana i nā walaʻau nui. E hoʻolohe i ke mele nui a pale i ka noho ʻana ma nā wahi walaʻau i ka hiki.
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