E aʻo hou kākou e pili ana i ka ʻōnaehana vestibular, ka ʻōnaehana super e mālama i ke kaulike o kou kino!

Ua ʻike mākou a pau he hiki i ko mākou kino ke hele, holo, lele, a ma ka liʻiliʻi e kū pololei. Akā ua noʻonoʻo paha ʻoe pehea mākou e hana ai i kēia mau mea a pau, pehea mākou e noho pololei ai? ʻO ia ka mea e kōkua ai kahi ʻōnaehana kūikawā, liʻiliʻi akā koʻikoʻi loa i loko o ko mākou kino. ʻO kēia ka mea a mākou e kapa nei ʻo ka ʻōnaehana vestibular . I ka ʻōlelo maʻalahi, ʻo ia ka ʻōnaehana e kōkua nui ana i ka mālama ʻana i ke kaulike o ko mākou kino, ʻo ia hoʻi, ke kaulike.

He aha ka ʻōnaehana vestibular? I ka ʻōlelo maʻalahi...

E noʻonoʻo e pili ana i ia mea, ʻoiai ke kū mālie nei mākou, ke neʻe mau nei mākou me ke ao a puni mākou. Ke hana pono nei kēia ʻōnaehana vestibular, haʻi ia i kou kino pehea ʻoe e neʻe nei, pehea e neʻe ai nā mea a puni ʻoe, a kōkua i ka mālama ʻana i kou kaulike, a i ʻole ke kaulike o kou kino, i paʻa.

ʻElua ʻāpana nui o kēia ʻōnaehana:

• ʻŌnaehana vestibular peripheral: ʻO kēia ka manaʻo maoli o ka hapa nui o ka poʻe ke ʻōlelo lākou "ʻōnaehana vestibular." Loaʻa iā ia nā ʻāpana sensory ʻelima i loko o kou pepeiao i loko. ʻO kēia nā mea e hāʻawi i ka ʻike e pili ana i kou kūlana, ke kūlana, a me ka neʻe ʻana e pono ai no ke kaulike o kou kino.
• ʻŌnaehana vestibular waena: ʻO kēia kekahi ʻāpana o kāu ʻōnaehana nerve waena (CNS). Hana ia i nā hōʻailona kaulike mai nā ʻōkana vestibular i loko o kou pepeiao i loko.

Pehea kēia e hana ai? Pehea ʻoe e hana ai i ke kaulike i loko o kou kino?

He ʻāpana koʻikoʻi loa kāu ʻōnaehana vestibular o kahi ʻōnaehana sensory paʻakikī e kōkua iā ʻoe e mālama i kou kaulike. Kōkua ia iā mākou e noho pololei i ka wā e hele ai, holo, a kū pololei.

Eia ka mea e hana ʻia:

ʻIke ka ʻōnaehana vestibular i loko o kou pepeiao i nā neʻe ʻana o kou poʻo. A laila hoʻouna ia i kēia ʻike i kou lolo. Hāʻawi kēia mau neʻe iā ʻoe i ka ʻike e pili ana i kou wahi a me kou pilina me kou wahi. Hoʻohui kou lolo i kēia ʻikepili me ka ʻike sensory mai kou mau maka a me ka ʻike sensory mai kou mau ʻiʻo a me kou mau hono. Kōkua kou mau maka iā ʻoe e hoʻoholo i kou kūlana ma muli o kāu mea e ʻike ai. Hāʻawi pū kou mau ʻiʻo a me kou mau hono i ka ʻike sensory e pili ana i ka wā e kuʻi ai lākou me kou wahi.

E noʻonoʻo ʻoe e hele ana ʻoe ma kahi ʻāina ʻaʻole like. Inā paʻi koke ʻoe i kahi pōhaku liʻiliʻi me kou wāwae, ʻaʻole ʻoe e hāʻule koke, ʻeā? E luliluli iki kou kino a laila e kū pololei hou. I kēlā manawa, e hui pū ana kou mau maka, ka ʻōnaehana vestibular i loko o kou mau pepeiao, a me nā ʻiʻo i loko o kou mau wāwae e hoʻopakele iā ʻoe.

Ma muli o kēia mau mea hoʻokomo ʻekolu (ʻōnaehana vestibular + maka + ʻiʻo a me nā hono), hoʻouna kou lolo i nā hōʻailona i kou kino e pili ana i ka mālama ʻana i ke kaulike.

He mea kupaianaha nā reflexes o ka ʻōnaehana vestibular!

ʻAʻole wale ka ʻōnaehana vestibular he ʻōkana kaʻawale. Hoʻopili pili loa ia i kou mau maka, nā ʻiʻo, a me nā hono, a hoʻonohonoho ponoʻī i nā hana e kāohi ai i ke kaulike. Kōkua nā reflexes nui ʻelua me kēia:

• ʻO ka Vestibulo-ocular reflex (VOR): Hana pū kou mau maka a me ka ʻōnaehana vestibular e mālama i kou nānā ʻana ma kahi hoʻokahi ʻoiai ke neʻe ʻoe. E noʻonoʻo ʻoe e holo ana ʻoe i kahi pahuhopu. ʻOiai ke neʻe nei ʻoe i kou poʻo mai kēlā ʻaoʻao a i kēia ʻaoʻao, aia nō kou mau maka ma ka pahuhopu, ʻeā? ʻAʻole ʻoe e lele a puni ke holo ʻoe. ʻO ia ma muli o kēia reflex i kapa ʻia ʻo VOR . ʻO ia hoʻi, neʻe kou mau maka i ke kuhikuhi ʻē aʻe o kou neʻe ʻana o ke poʻo e mālama i kou nānā ʻana. Me ka ʻole o kēia, hiki iā ʻoe ke manaʻo maʻalahi i ka poniuniu a hāʻule.

• ʻO ka reflex Vestibulospinal (VS reflex): Hoʻololi koke kou mau ʻiʻo i nā loli i kāu ʻōnaehana vestibular. E noʻonoʻo e hele ana ʻoe ma ke alanui ʻiliʻili ʻole. Ke neʻe iki kou poʻo, ʻike kāu ʻōnaehana vestibular i ka loli o kou kūlana. I kēlā manawa, hoʻololi ka VS reflex i ke kaumaha o kou kino e uku, e pale ana iā ʻoe mai ka hina ʻana.

Aia ma hea kēia ʻōnaehana vestibular?

Aia nā ʻōkana o kāu ʻōnaehana vestibular i loko o kou pepeiao o loko . ʻO kou pepeiao o loko kekahi home no ka cochlea, ka mea e kōkua iā ʻoe e lohe. Aia kekahi ʻāpana o ka pepeiao o loko i kapa ʻia ʻo ka labyrinth vestibular . Ma loko o laila kahi i loaʻa ai kāu mau ʻōkana vestibular ʻelima (i kapa ʻia hoʻi ʻo "vestibular apparatus").

ʻIke kēia mau ʻōkana i ke kūlana o kou poʻo a hoʻouna i nā hōʻailona i nā ʻāpana o ka lolo e kōkua iā ʻoe e mālama i ke kaulike.

He aha nā ʻāpana o ka ʻōnaehana vestibular?

ʻElima mau ʻāpana vestibular nui i loko o ka mea hana vestibular i loko o kou pepeiao o loko:

• ʻEkolu mau kahawai hapa poepoe
• ʻElua mau ʻōkana otolith

ʻO ka mea hana vestibular, nona kēia mau ʻōkana, ua piha i kahi wai i kapa ʻia ʻo endolymph a me nā ʻāpana sensory liʻiliʻi e like me ka lauoho i kapa ʻia he mau mea loaʻa sensory cell lauoho. Ke neʻe kou poʻo, neʻe kēia endolymph i mua a i mua. A laila neʻe pū nā ʻāpana lauoho me ia. Ma muli o kēia neʻe ʻana, hoʻouna nā ʻāpana i ka ʻike sensory e pili ana i kāu neʻe ʻana i ka lolo. Hele kēia mau hōʻailona aʻalolo ma o kahi aʻalolo koʻikoʻi i kapa ʻia ʻo ke aʻalolo vestibular (i kapa ʻia hoʻi ʻo ke aʻalolo vestibulocochlear a i ʻole ke aʻalolo cranial 8).

Nā ʻauwai hapa poepoe

ʻEkolu mau ʻōmole kēia i loko o kou pepeiao i loko e ʻike ai i nā neʻe ʻana o ke poʻo wili.

• ʻAuwai kiʻekiʻe:Hoʻomaopopo lākou i nā neʻe ʻana o ke poʻo i luna a i lalo (e like me ke kūnou ʻana o kou poʻo e ʻōlelo "ʻae").
• ʻAlanui pae: ʻIke i nā neʻe ʻana o ke poʻo mai ka hema a i ka ʻākau (e like me ka lulu ʻana i kou poʻo e ʻōlelo "ʻaʻole").
• ʻAuwai hope: ʻIke i nā neʻe e kūlou ai ke poʻo mai kēlā ʻaoʻao a i kēia ʻaoʻao (e like me ke kīloi ʻana i ke poʻo i ka poʻohiwi).

Hoʻopau kēlā me kēia kahawai i kahi ʻano i kapa ʻia he ampulla . Aia i loko o kēia ampulla nā ʻāpana lauoho, i hohola ʻia i loko o kahi mea like me ka jelly i kapa ʻia he cupula . Ke hoʻoneʻe ʻoe i kou poʻo, neʻe ka wai endolymph i loko o nā kahawai semicircular i mua a i mua. Neʻe pū nā ʻāpana lauoho i loko o ka cupula me ia. Hoʻouna kēia neʻe i nā hōʻailona aʻalolo i ka lolo, e haʻi ana i kahi o kou poʻo.

Nā ʻōkana otolith

ʻO kēia nā keʻena ʻelua e ʻike ai i nā neʻe linear e pili ana i ka umekaumaha.

• ʻUtricle: ʻIke i nā neʻe ʻana o ka ʻaoʻao (i mua a i hope paha, e like me ke holo ʻana i loko o ke kaʻa).
• Saccule: ʻIke i nā neʻe kū pololei (i luna a i lalo paha, e like me ke holo ʻana i loko o kahi elevator).

Loaʻa i kēlā me kēia ʻōkana otolith kahi ʻano i kapa ʻia ʻo ka macula . Loaʻa pū i kēia macula nā hunaola lauoho. Hoʻokomo ʻia lākou i loko o kahi mea like me ka jelly i kapa ʻia ʻo otoconia, i piha i nā kristal calcium. Ke neʻe ʻoe, neʻe kēia mau otoconia i loko o nā ʻōkana otolith i mua a i mua. A laila neʻe pū nā hunaola lauoho me lākou. Hoʻouna kēia neʻe i nā hōʻailona aʻalolo i ka lolo.

He aha nā maʻi e hoʻopilikia ai i ka ʻōnaehana vestibular?

ʻO ka mea pōʻino, hiki i kēia ʻōnaehana kupaianaha ke loaʻa nā pilikia i kekahi manawa. ʻO ia ka manawa e hiki ai i nā mea e like me ka poniuniu a me ka māʻule ʻana. Aia ʻelua mau wahi nui kahi e hiki ai ke loaʻa nā pilikia:

ʻO nā maʻi vestibular peripheral (pepeiao o loko) maʻamau:

• ʻO ka Benign Paroxysmal Positional Vertigo (BPPV) : ʻO kēia ka manawa e neʻe ai nā pōpō liʻiliʻi i kapa ʻia ʻo otoconia i loko o nā kahawai. Hoʻoulu kēia i ka poniuniu nui ke neʻe ʻoe i kou poʻo.
• Labyrinthitis : He maʻi a mumū paha o ka mea hana vestibular o ka pepeiao o loko.
• ʻO ka maʻi Ménière : He ʻano i hoʻokumu ʻia e ka piʻi ʻana o ke kaomi wai i loko o ka pepeiao o loko. Hiki i nā hōʻailona ke komo pū me ka nalowale o ka lohe, ke kani ʻana o nā pepeiao, a me ka poniuniu.
• ʻO ka neuritis vestibular : Ka mumū o ke aʻalolo vestibular.

ʻO nā maʻi vestibular waena maʻamau:

• ʻO ka maʻi Mal de débarquement (MdDS) : Manaʻo e like me ʻoe e lūlū mau ana ma hope o kou iho ʻana mai kahi moku a waʻa paha.
• Ka Hoʻomau ʻana o ka Postural-Perceptual Dizziness (PPPD)He poniuniu mau e paʻakikī ke loaʻa ke kumu.
• ʻO nā migraines Vestibular : ʻO ka dizziness e hele pū me nā migraines.

Pehea ʻoe e ʻike ai inā he pilikia me ka ʻōnaehana vestibular? He aha nā hōʻailona?

ʻO nā hōʻailona nui o nā pilikia kaulike, ʻo ia ka poniuniu a me ka vertigo . Hiki i kēia mau mea ʻelua ke hoʻoulu i ka ʻoluʻolu ʻole a me ka paʻakikī i ke kū ʻana, akā he ʻokoʻa iki lāua.

Inā loaʻa iā ʻoe ka dizziness, hiki iā ʻoe ke manaʻo:

• ʻUhū
• Māmā ke poʻo, manaʻo māmā ke poʻo
• Manaʻo pio, ʻaʻole hiki ke ʻike i kou wahi (Disoriented)

Inā loaʻa iā ʻoe ka "vertigo" (ka dizziness/swing nui), hiki iā ʻoe ke manaʻo:

• Me he mea lā e milo ana ʻoe ʻoiai ke kū mālie wale nei ʻoe.
• Me he mea lā e milo ana ke ao holoʻokoʻa a puni ʻoe.

ʻŌlelo kekahi poʻe, "Manaʻo wau ua poniuniu." Hiki ke poniuniu, a i ʻole he vertigo paha. I ka vertigo, manaʻo pinepine ʻoe e like me ʻoe a i ʻole ke kaiapuni a puni ʻoe e milo ana. Me he mea lā aia ʻoe ma luna o kahi mea pāʻani milo.

Me kēia mau hōʻailona, ​​ma muli o ke kūlana vestibular kikoʻī āu e loaʻa ai, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe e hoʻopilikia i kou lohe a me kou ʻike. No ka mea ua pili loa kāu ʻōnaehana vestibular i kou mau maka a me kou mau pepeiao (aia nā ʻōpū manaʻo nui i loko o ka pepeiao o loko), hiki i kēia mau pilikia ke hoʻopili i kekahi manawa.

Pehea e nānā ai i ke olakino o ka ʻōnaehana vestibular?

ʻO ke ala nui e ʻike ai nā kauka i nā kūlana vestibular ma o ka hoʻāʻo vestibular . Pili kēia i ka hana ʻana i kekahi mau hoʻokolohua e nānā i ke olakino o kāu ʻōnaehana vestibular. Nānā ka nui o nā hoʻokolohua i ka maikaʻi o ka hana pū ʻana o kou mau maka a me ka ʻōnaehana vestibular e mālama i ke kaulike (ʻo ia ka VOR a mākou i kamaʻilio ai ma mua).

Pono paha ʻoe e loaʻa nā hoʻāʻo koko e nānā i nā maʻi, a i ʻole nā ​​​​hoʻāʻo kiʻi (e laʻa, MRI scan) e nānā i nā pilikia kūkulu e pili ana i kāu ʻōnaehana vestibular.

He aha nā lāʻau lapaʻau no nā kūlana o ka ʻōnaehana vestibular?

Pono nā kūlana vestibular he nui i ka hui pū ʻana o nā lāʻau lapaʻau, ʻo ia hoʻi, ʻoi aku ma mua o hoʻokahi ʻano lapaʻau.

• Nā loli o ke ʻano o ka nohona: Hoʻemi i nā mea e like me ke kaumaha e hoʻoulu ai i ka dizziness.
• ʻO ka lāʻau lapaʻau kino Vestibular: Hiki i kēia ke kōkua i ka hōʻemi ʻana i nā hōʻailona, ​​​​hoʻoikaika i nā ʻano nāwaliwali e like me ka VOR, a hana paha i nā maneuvers repositioning kikoʻī no nā kūlana e like me BPPV.
• Lāʻau lapaʻau: Hiki ke hāʻawi ʻia ka lāʻau lapaʻau e mālama i kahi maʻi a i ʻole e hōʻemi i nā hōʻailona o ka dizziness, e like me ka nausea.
• ʻO ke ʻoki kino:I kekahi manawa, pono paha ke ʻoki ʻana e hoʻoponopono i nā ʻano o loko o ka pepeiao i loko e hoʻoulu ai i ka pilikia. Eia nō naʻe, he hopena hope loa kēia.

Pehea mākou e mālama ai i kēia ʻōnaehana vestibular i ke olakino?

ʻO kaʻoiaʻiʻo, he nui nā maʻi vestibular he paʻakikī ke pale aku. Eia nō naʻe, hiki iā ʻoe ke mālama i kāu ʻōnaehana vestibular (a me ʻoe iho) ma ka ʻimi ʻana i ka lāʻau lapaʻau i ka wā hikiwawe loa i nā hōʻailona mua o kahi pilikia.

Eia kekahi laʻana, hiki i kekahi mau maʻi, e like me nā maʻi pepeiao o loko, ke ho'ōla i ka hala ʻana o ka manawa, akā hiki iā lākou ke hōʻino i nā hunaola lauoho koʻikoʻi i loko o kou pepeiao. Ke hōʻino ʻia kēia mau hunaola, ʻaʻole hiki iā lākou ke ulu hou. No laila he mea nui e loaʻa koke ka lāʻau lapaʻau.

Pehea e hoʻoikaika ai i ka ʻōnaehana vestibular?

ʻO ka lāʻau hoʻōla vestibular kahi lāʻau lapaʻau e kōkua iā ʻoe e hoʻonohonoho maikaʻi i nā ʻāpana o kāu ʻōnaehana vestibular. Ma ka hana pū ʻana me ke kauka a mea hoʻōla kino paha i loea i nā maʻi vestibular, hiki ke hoʻomaʻamaʻa ʻia kou lolo e pane maikaʻi aku i nā leka mai nā ʻōpū vestibular i loko o kou pepeiao i loko. ʻO ke ʻano kēia, hiki i kou lolo ke hoʻololi a hana maʻamau ʻoiai inā he pilikia me ka ʻōnaehana.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

Ke lohe ʻoe i ka huaʻōlelo "vestibular," hiki mai kekahi huaʻōlelo maʻalahi i ka noʻonoʻo: ke kaulike . E like me kou ʻike i ka ʻono, ka pā ʻana, ka ʻike, ka lohe ʻana, a me ke ʻala ʻana, he mea nui like kou ʻike kaulike. ʻAʻole ia i ʻike nui ʻia, akā he mea nui ia. Hana maikaʻi nā ʻōkana vestibular i loko o kou pepeiao i ka mālama ʻana iā ʻoe i luna a mai hāʻule.

No laila, inā loaʻa iā ʻoe nā hōʻailona o kahi pilikia vestibular, e like me ka dizziness, ka lightheadedness, a i ʻole ka vertigo, mai hoʻowahāwahā wale iā ia a e ʻike koke i ke kauka . Ma kēlā ala, hiki ke mālama pono ʻia kāu ʻōnaehana vestibular.

E hoʻomanaʻo, ʻo kēia ʻike no kāu ʻike wale nō. Inā he mau hopohopo olakino kou, e ʻoluʻolu e ʻimi i ka ʻōlelo aʻo a kahi loea lapaʻau kūpono.

ʻŌnaehana Vestibular, kaulike, poniuniu, pepeiao o loko, VOR, VS reflex, nā maʻi pepeiao