Koj puas muaj tej lub sij hawm koj xav tias tag nrho chav tsev tig thaum koj sawv ntsug sai sai lossis tig koj lub taub hau me ntsis? Los yog koj puas hnov lub suab "goo ..." los ntawm sab hauv koj pob ntseg tas li? Koj puas muaj tej lub sij hawm koj xav tias koj pob ntseg tsis txav? Txawm hais tias tej yam no zoo li ib txwm muaj rau peb feem coob, qee zaum qhov laj thawj tom qab qhov no tuaj yeem yog cov kua me me tab sis tseem ceeb heev hauv peb pob ntseg. Cov kua ntawd yog qhov peb hu ua endolymph. Hnub no, cia peb tham txog cov kua no uas muaj lub npe txawv txawv, tab sis tseem ceeb hauv peb lub neej.
Hauv lus yooj yim, endolymph yog dab tsi?
Endolymph yog ib qho kua tshwj xeeb uas pom muaj nyob hauv peb lub pob ntseg sab hauv. Ib yam li roj hauv lub cav tsheb, cov kua no tseem ceeb rau kev tswj peb lub cev kom sib npaug thiab rau peb hnov tej yam kom zoo. Muaj ib lub cev nyuaj heev hauv peb lub pob ntseg sab hauv. Ib feem ntawm lub cev no tswj peb lub pob ntseg thiab peb qhov sib npaug. Cov feem ntawd puv nrog cov kua endolymph no.
Xav txog nws, thaum koj co koj lub taub hau, taug kev, lossis khiav, cov kua no txav mus nrog nws. Qhov kev txav no ua rau cov hlwb plaub hau zoo li plaub hau hauv pob ntseg. Cov hlwb no xa cov cim mus rau peb lub hlwb. Lub hlwb txhais cov cim ntawd thiab ua rau peb hnov suab, lossis qhia peb tias peb lub cev nyob rau hauv qhov chaw twg, lossis seb peb puas yuav poob.
Hais yooj yim xwb, endolymph zoo li tus 'messenger' uas nqa peb lub rooj sib hais thiab cov lus sib npaug mus rau lub hlwb.
Ob yam tseem ceeb uas tshwm sim nrog cov kua dej endolymph
Cov kua dej no muaj ob lub luag haujlwm tseem ceeb rau peb lub cev. Cia peb saib lawv sib cais.
1. Nws pab peb hnov li cas
Koj puas tau xav paub tias peb hnov suab li cas? Thaum cov suab nkag mus rau hauv peb pob ntseg, lawv mus rau ib feem ntawm pob ntseg sab hauv. Qhov no hu ua cochlea. Nws zoo li lub plhaub nab. Nws puv nrog cov kua dej hu ua endolymph.
Thaum cov suab nthwv dej nkag mus rau hauv pob ntseg sab hauv, lawv ua rau muaj kev co hauv cov kua dej endolymph, zoo li cov ripples uas tshwm sim thaum koj poob pob zeb rau hauv dej. Thaum cov kua dej no co, cov hlwb sensory zoo li plaub hau (pom nyob rau hauv lub cev ntawm Corti) hauv nws khoov rov qab thiab tawm. Thaum cov hlwb no khoov, lawv tsim cov teeb liab hluav taws xob uas mus los ntawm cov hlab ntsha mus rau lub hlwb. Lub hlwb txhais cov teeb liab ntawd ua "suab." Yog li ntawd, yog tsis muaj endolymph, tag nrho cov txheej txheem no yuav tsis tshwm sim, thiab peb yuav tsis hnov.
2. Yuav ua li cas kom lub cev muaj kev sib npaug
Txawm tias koj ob lub qhov muag kaw lawm los, koj tseem tuaj yeem hnov txawm tias koj sawv ncaj, khoov, lossis koj lub taub hau tig, puas yog? Qhov endolymph no pab nrog qhov ntawd.
Muaj ob peb yam tshwj xeeb hauv peb lub pob ntseg sab hauv uas muaj feem cuam tshuam nrog kev sib npaug. Lawv yog cov utricle, saccule, thiab semicircular canals. Cov no kuj puv nrog cov kua dej endolymph.
- Thaum koj co koj lub taub hau mus rau saum thiab nqis, rov qab thiab tawm, cov kua dej hauv lub utricle thiab saccule txav mus los.
- Thaum koj tig koj lub taub hau mus rau sab laug lossis sab xis, cov kua dej hauv cov kwj dej semicircular txav mus los.
Thaum cov kua dej txav mus li no, cov plaub hau rhiab heev hauv nws kuj khoov. Cov hlwb ntawd xa xov mus rau lub hlwb, hais tias, "Okay, tam sim no lub taub hau tig mus rau sab xis" lossis "Tam sim no lub taub hau tig mus rau hauv qab." Lub hlwb siv cov ntaub ntawv ntawd los xa cov cim mus rau lwm cov leeg hauv lub cev, ua kom peb sib npaug thiab tsis ntog.
Cov teeb meem dab tsi cuam tshuam nrog endolymph?
Tus mob uas feem ntau thiab feem ntau cuam tshuam nrog endolymph yog Ménière tus kab mob . Qhov no yog tshwm sim los ntawm cov kua endolymph ntau dhau hauv pob ntseg sab hauv. Xav txog nws zoo li tshuab cua ntau dhau rau hauv lub npas. Ib yam li ntawd, thaum cov kua no sib sau ua ke, lub siab hauv pob ntseg nce ntxiv. Hauv cov lus kho mob, tus mob no hu ua endolymphatic hydrops .
Qhov kev nce siab no yog qhov ua rau muaj cov tsos mob uas tau hais ua ntej, xws li kiv taub hau thiab hnov lus tsis zoo.
Cov tsos mob ntawm qhov teeb meem endolymph
Yog koj xav tias koj muaj tus mob no, ceev faj saib xyuas cov tsos mob no. Ib lossis ntau yam ntawm cov tsos mob no yuav tshwm sim ua ke.
| Cov tsos mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Kab mob kiv taub hau | Qhov no tsis yog tsuas yog kev xav tias kiv taub hau xwb. Nws yog kev xav tias tag nrho lub ntiaj teb nyob ib puag ncig koj, tag nrho chav, tab tom tig, txawm tias koj nyob hauv ib qho chaw. Qhov no tuaj yeem kav ntev li ob peb feeb mus txog ob peb teev. |
| Kev hnov lus tsis zoo | Kev hnov lus tsis zoo hauv ib lub pob ntseg tshwm sim tam sim ntawd. Qee zaum qhov no yuav zoo dua raws sijhawm, tab sis raws sijhawm, kev hnov lus tsis zoo tuaj yeem dhau mus tas li. |
| Mob pob ntseg | Txawm tias tsis muaj suab nyob ib puag ncig los, koj hnov lub suab "goo ..." tas li hauv koj pob ntseg, zoo li lub tswb nrov. |
| Siab/puv hauv pob ntseg | Muaj ib qho kev xav tsis xis nyob, zoo li dej tau nkag mus rau hauv pob ntseg, zoo li pob ntseg raug txhaws thiab puv. |
| Xeev siab thiab mob taub hau | Vertigo tuaj yeem nrog xeev siab, ntuav, thiab mob taub hau. |
Tseem Ceeb: Yog tias koj muaj cov tsos mob no, thov tsis txhob tsis quav ntsej lawv. Nco ntsoov mus ntsib koj tus kws kho mob kom tau txais kev qhia.
Kev kuaj mob kom paub txog qhov mob no
Thaum koj mus ntsib kws kho mob, nws yuav mloog koj cov tsos mob thiab kuaj koj. Tom qab ntawd, lawv yuav xaj ntau qhov kev kuaj mob kom paub meej tias koj muaj mob dab tsi.
| Kev Ntsuas | Koj pom dab tsi hauv qhov no? |
|---|---|
| Kev ntsuas lub suab | Qhov no ntsuas koj lub pob ntseg kom raug. Nws sim seb koj teb li cas rau cov suab sib txawv. |
| Kev kuaj mob ntawm lub vestibular | Qhov no sim seb koj lub cev tswj kev sib npaug ua haujlwm zoo npaum li cas. |
| Kev kuaj MRI | Qee zaum qhov no tuaj yeem pab pom seb puas muaj lwm yam teeb meem nrog lub hlwb lossis pob ntseg sab hauv, thiab seb puas muaj cov kua dej endolymph ntau dhau hauv pob ntseg. |
| Kev kuaj mob electrocochleography (ECochG) | Qhov no tso cai rau peb ntsuas qhov siab hauv pob ntseg sab hauv ncaj qha, uas yog, seb cov kua dej endolymph puas tau nce ntxiv. |
Cov kev kho mob rau cov kab mob ntsig txog endolymph yog dab tsi?
Txawm hais tias qhov mob no nyuaj kho kom zoo tag nrho los xij, muaj ntau yam kev kho mob uas tuaj yeem pab koj tswj koj cov tsos mob thiab ua neej nyob li qub. Nco ntsoov tias tag nrho cov kev kho mob no yog txiav txim siab los ntawm koj tus kws kho mob, raws li koj tus mob.
| Txoj kev kho mob | Kev piav qhia |
|---|---|
| Kev hloov pauv hauv kev noj haus | Cov lus qhia tseem ceeb uas feem ntau muab yog kom txo qhov kev noj ntsev , vim ntsev ua rau lub cev khaws cov kua dej ntau ntxiv. Koj kuj tseem yuav tau txais kev qhia kom txo cov caffeine (tshuaj yej, kas fes) thiab cawv. |
| Hom tshuaj | Cov tshuaj diuretics ('tshuaj dej') yuav muab tau los tshem cov kua dej ntau dhau ntawm lub cev. Lwm cov tshuaj kuj tseem yuav muab tau los tswj kev kiv taub hau, txo qhov xeev siab, thiab qee zaum txawm tias txhaj tshuaj corticosteroids rau hauv pob ntseg. |
| Lwm Cov Kev Kho Mob | Muaj cov kev tawm dag zog tshwj xeeb hu ua vestibular rehabilitation therapy rau cov teeb meem kev sib npaug. Koj tuaj yeem sim ua tej yam xws li kev kho mob hlwb (cognitive behavioral therapy - CBT) kom txo qhov kev ntxhov siab uas tshwm sim los ntawm tus mob no. |
| Kev phais mob | Tsuas yog tias tsis muaj lwm yam kev kho mob twg los tswj tau qhov teeb meem no xwb, tej zaum koj yuav tsum tau phais kom tshem tawm cov kua dej ntau dhau lossis txo qhov siab hauv pob ntseg. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Endolymph yog cov kua dej hauv peb lub pob ntseg sab hauv uas tseem ceeb rau kev hnov lus thiab kev sib npaug ntawm lub cev.
- Cov tsos mob xws li kiv taub hau (vertigo), hnov lus tsis zoo, thiab suab nrov hauv pob ntseg (tinnitus) yuav yog cov cim qhia txog teeb meem nrog cov kua dej no.
- Qhov mob feem ntau cuam tshuam nrog qhov no yog Ménière tus kab mob, uas yog tshwm sim los ntawm kev sib sau ua ke ntawm cov kua dej endolymph hauv pob ntseg.
- Yog koj muaj ib qho ntawm cov tsos mob no, tsis txhob tsis quav ntsej lawv thiab mus ntsib koj tus kws kho mob tam sim ntawd .
- Txoj kev zoo tshaj plaws los tiv thaiv koj pob ntseg yog tsis txhob hnov suab nrov nrov. Mloog suab paj nruag nrov nrov thiab tsis txhob nyob hauv qhov chaw nrov nrov ntau li ntau tau.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus