E aʻo kākou e pili ana i kēia wai kupaianaha i loko o ka pepeiao - endolymph.

Ua noʻonoʻo paha ʻoe pehea mākou e lohe ai i kēia mau leo, a pehea mākou e kū pololei ai a hele me ka ʻole o ka hāʻule ʻana? Kōkua ʻia kēia mau mea a pau e nā mea liʻiliʻi i loko o ko mākou mau pepeiao. He mea nui loa hoʻi kēia wai i kapa ʻia ʻo endolymph . E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, ʻae?

He aha kēia endolymph?

I ka ʻōlelo maʻalahi, he wai kūikawā ka endolymph i loko o ko kākou pepeiao o loko . ʻO kēia ka mea nui e kōkua iā kākou e lohe i ke kani a mālama i ko kākou kaulike . E noʻonoʻo, i ka wā e neʻe ai kēia wai i loko o ko kākou pepeiao, hoʻokuʻu kēlā neʻe i nā hōʻailona aʻalolo e hele i ko kākou lolo. ʻO ia ka manawa e maopopo ai i ka lolo, "Auē, lohe au i kahi kani," a "I kēia manawa aia ke kino i kēia kūlana, ua paʻa mākou." No laila, me ka ʻole o kēia mea i kapa ʻia ʻo endolymph, ʻaʻole hiki iā mākou ke hana pono i kekahi o kēia mau mea.

Pehea e kōkua ai ka endolymph iā mākou?

Kōkua kēia wai endolymph iā mākou ma nā ʻano nui ʻelua. ʻO ia hoʻi, ka lohe ʻana a me ka mālama ʻana i ke kaulike. E nānā kākou i kēlā me kēia o lākou pākahi.

Pehea e kōkua ai i ka lohe

E nānā mua kākou pehea e kōkua ai kēia i ka lohe. He kuleana nui ko ka wai Endolymph i ka lawe ʻana i nā nalu leo ​​mai waho a hoʻololi iā lākou i mau hōʻailona lohe e hiki i ko kākou lolo ke hoʻomaopopo.

He ʻāpana ʻano nahe ko ko kākou pepeiao i kapa ʻia ʻo cochlea, ʻeā? Ua piha ka ʻāpana cochlear i loko me kēia endolymph. I loko o kēia ʻāpana cochlear, aia kahi ʻano palupalu loa i kapa ʻia ʻo Organ of Corti . ʻO kēia kahi i hoʻonohonoho ʻia ai nā hunaola lauoho sensory , e like me nā lauoho liʻiliʻi, i nā lālani.

I kēia manawa, ke komo kahi leo i loko o ko kākou pepeiao i loko, hoʻoulu nā nalu leo ​​i nā haʻalulu i loko o ke kahe endolymph. E like me kāu e hoʻokuʻu ai i kahi ʻiliʻili i loko o ke pola wai, e ʻaleʻale ia. A laila neʻe nā hunaola lauoho i loko o ka Organ of Corti i ka pane ʻana i kēlā haʻalulu. ʻO kēlā neʻe ʻana ke kumu e hoʻopuka ʻia ai nā hōʻailona lohe a hele ma o ke aʻalolo lohe i ka ʻāpana o ka lolo e hoʻomaopopo ana i ke kani. ʻO ia ka manawa e hoʻomaopopo ai mākou, "ʻAuē, he mele kēia" a i ʻole "Ke kamaʻilio nei kekahi." ʻAʻole anei he mea kupaianaha?

Pehea e kōkua ai me ke kaulike

A laila, e nānā kākou pehea e kōkua ai kēia endolymph i ke kaulike. He mea nui loa kēia. Ma muli o kēia ʻōnaehana ʻaʻole mākou e hāʻule i ka wā e hele ai, holo ai, a lulu paha i ko mākou mau poʻo.

Ke hoʻohuli kākou i ko kākou mau poʻo mai kēlā ʻaoʻao a i kēia ʻaoʻao, e hoʻokiʻekiʻe iā lākou i luna a i lalo, a hoʻoneʻe iā lākou i mua a i hope... aia kekahi mau ʻano i loko o ko kākou mau pepeiao e kōkua iā kākou e ʻike i kēia mau neʻe ʻana a pau. ʻO lākou ka utricle a me ka saccule . ʻO kēia nā mea e ʻike ai i nā neʻe linear i luna/i lalo a i mua/i hope o ke poʻo.

Eia kekahi, ʻo nā kahawai semicircularʻEkolu. He kū pololei kēia mau mea kekahi i kekahi, ma nā ʻaoʻao like ʻole. ʻO kēia nā mea e hiki ai iā mākou ke ʻike i nā neʻe ʻana o ke poʻo. E noʻonoʻo e lulu ana ʻoe i kou poʻo i ka hema a me ka ʻākau, e nānā ana i luna a i lalo, a pēlā aku.

Ua piha kēia mau ʻano a pau i ka endolymph. E like me ke ala cochlear e kōkua iā mākou e lohe, aia nā hunaola lauoho sensory ma ʻaneʻi. No laila, ke neʻe ʻoe i kou poʻo, neʻe pū ka endolymph i loko. A ʻo ke kaomi o kēlā wai ke kumu o kēlā mau hunaola lauoho e kūlou i kēlā ʻaoʻao. A ke kūlou lākou, hoʻouna kēlā mau hunaola i nā hōʻailona i ka lolo, e like me, "Pēlā ke kino, pēlā ke kūlou ʻana, pēlā ka wikiwiki o kona neʻe ʻana." Pēlā e hiki ai iā mākou ke mālama i ko mākou kaulike, a hiki iā mākou ke hopu koke iā mākou iho inā kokoke mākou e hāʻule.

Aia ma hea kēia endolymph?

I kēia manawa, ke noʻonoʻo nei paha ʻoe i kahi kūpono o kēia wai i kapa ʻia ʻo endolymph i loko o ka pepeiao. Aia ia i loko o kahi ʻōnaehana palupalu a paʻakikī o nā kahawai i kapa ʻia ʻo ka membranous labyrinth i loko o ko kākou pepeiao i loko. ʻO ke ala cochlear a mākou i kamaʻilio ai ma mua - kahi e hoʻololi ʻia ai ke kani i nā hōʻailona lohe - a me nā ʻōkana i kapa ʻia ʻo utricle, saccule a me nā kahawai semicircular e kōkua iā mākou e ʻike i ka neʻe ʻana, no kēia labyrinth membranous lākou a pau. Ua piha lākou a pau i ka endolymph.

Ua pale ʻia kēia labyrinth membranous, i piha i ka endolymph, e kekahi uhi ikaika a iwi. Ua kapa ʻia ʻo ia ʻo ka bony labyrinth . Aia i loko o kēia bony labyrinth kekahi wai koʻikoʻi, ʻo ia ka perilymph . Ma waena o ka membranous labyrinth, nona ka endolymph, a me ka bony labyrinth, nona ka perilymph, aia kahi pale i kapa ʻia ʻo ka membrane Reissner . Hoʻokaʻawale kēia i kēia mau wai ʻelua a mālama i ko lākou ʻano like ʻole.

He aha ka mea i hana ʻia ai ka endolymph?

No laila, ua ʻike anei ʻoe i ke kemika koʻikoʻi loa i loko o kēia wai endolymph? ʻO ia ka potassium . Loaʻa i kēia wai kahi nui o nā ion potassium. Ke neʻe ka wai endolymph, hoʻokuʻu ia i nā ion potassium. Hoʻāla kēlā mau ion i kēlā mau cell receptor lauoho a kōkua i nā aʻalolo e hoʻouna i nā hōʻailona i ka lolo. He hana kūikawā loa kēia.

Pehea e hana ʻia ai ka endolymph?

Ke hana hou ʻia nei a hoʻolaha mau ʻia kēia wai endolymph makamae. Hoʻopuka nui ʻia ia e ka stria vascularis ma ka paia o ke cochlea.He wahi koko maikaʻi kēia i hana ʻia me nā pūnaewele epithelial. Eia kekahi, ʻo kahi ʻano pūnaewele kūikawā i kapa ʻia ʻo 'nā pūnaewele ʻeleʻele' i loko o nā kahawai semicircular e kōkua i ka hoʻolako ʻana i ka potassium i ka endolymph. No laila penei ke ʻano o ka mālama ʻia ʻana o ka endolymph.

He aha nā pilikia e pili ana i ka endolymph?

ʻAe, ua aʻo nui mākou e pili ana i ka endolymph. Akā, ʻoiai ua maikaʻi nā mea āpau ke hana pono ia, aia kekahi mau kūlana e pili ana i kēia endolymph. ʻO ka mea nui loa a kamaʻilio nui ʻia o kēia mau mea ʻo ia ka maʻi Ménière .

Ke loaʻa i kekahi poʻe ka maʻi ʻo Ménière, nui loa ka wai endolymph i loko o ko lākou pepeiao o loko, a i ʻole e piʻi aʻe ke kaomi o kēlā wai. Ua kapa ʻia kēia hōʻiliʻili ʻana o ka wai endolymph i loko o ka pepeiao o loko he endolymphatic hydrops e nā kauka. ʻO kēia ke kumu o nā hōʻailona he nui.

No laila he aha kēia mau hōʻailona?

Ke nui loa ka wai endolymph, a i ʻole he pilikia me ka neʻe ʻana o ka endolymph, hiki iā mākou ke ʻike i kekahi mau hōʻailona. Hiki ke hiki koke mai kēia mau mea, a i ʻole e ulu mālie paha. ʻO nā hōʻailona nui:

• Nā wā o ka nalowale o ka lohe: I kekahi manawa, loaʻa ka nalowale o ka lohe ma hoʻokahi pepeiao wale nō, akā hiki ke hoʻi i ka maʻamau ma hope o kekahi mau lā.
• Vertigo: ʻAʻole kēia he manaʻo wili wale nō. Hiki iā ia ke manaʻo e like me ka lumi āu e noho nei e wili ana a puni ʻoe, a i ʻole hiki ke manaʻo e like me ʻoe e wili ana a puni ka lumi. Hiki i kēia ke mau no kekahi mau hola.
• Tinnitus: He kani mau a kani paha i loko o nā pepeiao . Hiki i kēia ke hoʻonāukiuki loa.
• Piha ka pepeiao: He manaʻo o ka piha a i ʻole ke kaomi i loko o ka pepeiao, me he mea lā ua paʻa kekahi mea i loko o ka pepeiao, a i ʻole me he mea lā ua piha ka pepeiao i ka ea.
• Ka luaʻi a me ka luaʻi ʻana: Hiki i kēia mau mea ke hele pū me kēlā ʻano dizziness nui.
• ʻEha poʻo: Loaʻa i kekahi poʻe kēia.

E noʻonoʻo e pili ana i ia mea, i kekahi manawa manaʻo koke ʻoe i ka poniuniu a manaʻo e like me ʻoe e luaʻi ana, ʻeā? A i ʻole lohe ʻoe i ke kani mau ʻana i loko o kou mau pepeiao. Hiki ke hana ʻia kēlā mau hōʻailona e nā pilikia endolymph. Akā, ʻaʻole nā ​​​​mea a pau i loaʻa i kēia mau hōʻailona ka maʻi Meniere. No laila he mea nui e ʻimi i ka ʻōlelo aʻo lapaʻau.

He aha nā hoʻokolohua e hana ʻia e ʻike ai i kēia mau pilikia?

ʻĀ, inā loaʻa iā ʻoe nā hōʻailona e like me kēlā, pehea lā e ʻike ai ke kauka inā he pilikia endolymph a i ʻole kekahi mea ʻē aʻe? Aia kekahi mau hoʻokolohua no kēlā:

• Hoʻāʻo MRI (Magnetic Resonance Imaging) o ka lolo:I kekahi manawa, hiki ke hoʻohana ʻia nā hoʻokolohua MRI kūikawā e ʻike ai inā he nui loa ka wai endolymph i loko o ka pepeiao o loko. Hiki i kēia ke kōkua i ka kāpae ʻana i nā kumu ʻē aʻe.
• Audiometry: Hoʻāʻo kēia i ka pae lohe o ka pepeiao ma nā alapine kani like ʻole. Hiki iā ia ke hoʻoholo inā a pehea e pili ai ka lohe i nā pilikia endolymph.
• Hoʻāʻo Vestibular: Hoʻāʻo kēia i ka hana o ka ʻōnaehana kaulike. Nānā ia i nā mea e like me ke ʻano o ka neʻe ʻana o kou mau maka a me ke ʻano o kou kaulike ʻana i kou lulu ʻana i kou poʻo. Hiki i kēia ke hāʻawi iā ʻoe i kahi manaʻo inā he mau pilikia me ka ʻōnaehana endolymph.
• Electrocochleography (ECochG): Hiki i kēia hoʻāʻo ke nānā no ka hoʻonui ʻia o ke kaomi wai i loko o ka pepeiao o loko, ʻo ia hoʻi ka cochlea, ʻo ia hoʻi ka hoʻonui ʻia o nā pae wai endolymph.

Hoʻomaka ke kauka i kahi hōʻoia ma hope o ka hana ʻana i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua.

No laila he aha ka lāʻau lapaʻau?

Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo ka endolymphatic fluid buildup, e like me ka maʻi Ménière, aia nā lāʻau lapaʻau i loaʻa. ʻOiai he paʻakikī ke ho'ōla loa iā ia, hiki iā ʻoe ke kāohi i nā hōʻailona a hoʻomaʻalahi i kou ola. ʻO ka maʻamau, ʻōlelo nā kauka i kēia mau mea:

• Nā hoʻololi ʻana i ka ʻai: He mea nui loa kēia. He mea nui loa ka hōʻemi ʻana i ka ʻai ʻana i ka paʻakai . ʻIke anei ʻoe i ke kumu? No ka mea, ʻo ka paʻakai ke kumu o ka paʻakai e mālama ai i ke kino i ka wai hou aku. Hiki i kēia ke hoʻonui i ka hōʻiliʻili ʻana o ka endolymph i loko o ka pepeiao o loko. Hiki iā ʻoe ke hōʻemi i nā mea e like me ka caffeine a me ka waiʻona.
• Nā lāʻau lapaʻau:
• Diuretics: Ua kapa ʻia kēia mau mea he "pills wai." Hana lākou ma ke kumu ʻana i ke kino e hoʻokuʻu i ka wai keu ma o ka mimi. Hiki i kēia ke hōʻemi i ke kaomi i loko o ka pepeiao o loko.
• Lāʻau lapaʻau no ka vertigo: Aia nā lāʻau lapaʻau e hiki ke hāʻawi ʻia e kāohi i ka vertigo ke kū mai.
• Corticosteroids: I kekahi manawa, hiki ke hāʻawi ʻia nā inikini steroid i loko o ka pepeiao. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka pehu ʻana i loko o ka pepeiao o loko a kaohi i nā hōʻailona.
• Nā lāʻau lapaʻau hoʻēmi i ka nausea: E kāohi i ka nausea e hele mai me ka poniuniu.
• Nā Lapaʻau:
• ʻO ka lāʻau hoʻōla vestibular: Pili kēia i ka hāʻawi ʻana i nā hoʻomaʻamaʻa a me ke aʻo ʻana e kōkua ai i nā pilikia kaulike. Ua like ia me ke aʻo ʻana i ka lolo e ʻike hou i ke kaulike.
• ʻO ka Cognitive Behavioral Therapy (CBT): Hiki i kēia lāʻau lapaʻau ke kōkua i ka hoʻēmi ʻana i ke kaumaha a me ka makaʻu e hiki mai ana mai ka dizziness pinepine.
• ʻO ke ʻoki kino:Inā ʻaʻole hiki i nā lāʻau lapaʻau ʻē aʻe ke kāohi i nā hōʻailona, ​​​​pono paha ke ʻoki ʻana. ʻO kekahi koho ka hoʻokahe ʻana i ka ʻeke endolymphatic. Hiki i ke kauka ke ʻoki i ka ʻeke a hoʻokahe i ka endolymph keu. Aia kekahi mau koho ʻoki ʻē aʻe.

Pehea lā e mālama ai i ko kākou pepeiao i loko?

No laila, he aha kā mākou e hana ai e mālama i kēia wai i kapa ʻia ʻo endolymph, ʻo ia hoʻi, ko mākou pepeiao o loko, i olakino? Ma keʻano laulā, ʻo ka mea maikaʻi no ko mākou pepeiao o loko he mea maikaʻi nō hoʻi ia no ka endolymph.

ʻO ka mea nui loa, ʻo ia ke noho mamao aku mai nā leo nui e like me ka hiki. Ke hoʻolohe ʻoe i nā leo nui no ka manawa lōʻihi, hiki ke hōʻino ʻia kēlā mau hunaola lauoho koʻikoʻi a mākou i kamaʻilio ai. Ke hōʻino ʻia, he paʻakikī ke hoʻoponopono. No laila, inā ʻoe e hana ma nā wahi e like me nā hale hana, e hoʻohana i ka pale pepeiao. Ke hoʻolohe nei i ke mele a i ʻole ke komo ʻana i nā headphone, e hoʻohaʻahaʻa i ka leo. He mea nui loa kēia.

Eia kekahi, ʻo nā mea e like me ke ola kino olakino, ka hōʻemi ʻana i ka ʻai ʻana i ka paʻakai, a me ka pale ʻana i ka puhipaka he mau mea maikaʻi ia no ke olakino pepeiao.

Nā mea e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)

No laila, i kēia manawa ua maopopo iā ʻoe ke koʻikoʻi o kēia kulu liʻiliʻi o ka wai i kapa ʻia ʻo endolymph i ko kākou lohe a me ke kaulike. He mea nui ka neʻe ʻana o kēia endolymph no ka hoʻololi ʻana i ka ikehu kani a me ka ikehu mai nā neʻe kino i nā hōʻailona e hiki ai i ka lolo ke hoʻomaopopo. ʻO ia ke kumu he waiwai nui ia. Ua like ia me kahi kulu ʻaila i loko o nā mīkini paʻakikī o ko kākou kino.

Inā ʻike ʻoe i nā hōʻailona o kahi maʻi pepeiao o loko e like me ka maʻi Ménière (e like me ka poniuniu, ke kani ʻana o nā pepeiao, ka nalowale o ka lohe, a i ʻole ka manaʻo o ka piha ʻana o nā pepeiao), mai hoʻowahāwahā iā ia a e ʻike i ke kauka, ʻoiai he loea pepeiao, ihu, a me ka puʻu (loea ENT), i ka wā hikiwawe loa. Ma kēlā ʻano, hiki iā ʻoe ke ʻike koke i ke kumu a hoʻomaka i ka lāʻau e pono ai. He mea waiwai nui ko kākou mau pepeiao, no laila e mālama pono kākou iā lākou!

Endolymph , pepeiao o loko, wai pepeiao, lohe, kaulike, maʻi Meniere, vertigo, tinnitus