Koj puas muaj tej lub sij hawm koj kiv taub hau, tsis sib npaug, lossis kiv taub hau? Los yog koj puas hnov lub suab 'ringing...' tas li hauv koj pob ntseg? Los yog koj puas xav tias koj tsis hnov lus zoo? Tej zaum koj yuav tsis paub tias muaj ib txoj hlab ntsha me me tab sis tseem ceeb heev hauv peb lub taub hau koom nrog cov no. Hnub no peb yuav tham txog txoj hlab ntsha no uas ua haujlwm zoo heev hauv peb lub cev.
Hais yooj yim xwb, Vestibulocochlear Nerve yog dab tsi?
Qhov no yuav zoo li lub npe ntev thiab txawv txawv, tab sis nws yooj yim heev. Koj cov hlab ntsha vestibulocochlear yog ib cov hlab ntsha uas nqa cov ntaub ntawv los ntawm sab hauv ntawm koj lub pob ntseg mus rau koj lub hlwb. Nws yog kev sib xyaw ua ke ntawm ob ntu. Xav txog cov hlab ntsha zoo li cov xov hlau uas nqa cov teeb liab hluav taws xob los ntawm ib feem ntawm koj lub cev mus rau lwm qhov.
Cov hlab ntsha no yog ib qho ntawm 12 lub hlab ntsha tseem ceeb hauv peb lub taub hau. Peb hu cov no ua Cranial Nerves . Ntawm cov no, qhov no yog lub hlab ntsha cranial thib yim (Cranial Nerve VIII) . Nws ob lub luag haujlwm tseem ceeb yog pab peb hnov lus thiab pab peb tswj peb lub cev kom sib npaug .
Lub npe ntawm cov hlab ntsha no qhia txog ob txoj haujlwm uas nws ua. Cia peb piav qhia nws ua ntu zus:
1. Lub cev txav tau: Qhov no muaj feem cuam tshuam nrog peb lub cev txoj kev sib npaug.
2. Qhov Cochlear: Qhov no muaj feem cuam tshuam nrog peb lub peev xwm los hnov cov suab.
Ob lub paj hlwb no los ua ke los ua lub paj hlwb cranial thib yim, tab sis lawv txhua tus ua lawv txoj haujlwm tshwj xeeb.
| Ib feem ntawm cov hlab ntsha | Lub luag haujlwm tseem ceeb |
|---|---|
| Cov hlab ntsha vestibular | Nws xa cov ntaub ntawv mus rau lub hlwb txog qhov chaw thiab kev txav ntawm koj lub taub hau. Qhov no yog qhov ua rau koj lub cev sib npaug. |
| Cov hlab ntsha Cochlear | Lub cochlea, yog ib feem ntawm pob ntseg sab hauv, xa cov ntaub ntawv suab mus rau lub hlwb. Qhov no yog qhov uas ua rau peb hnov. |
Cov hlab ntsha no ua haujlwm li cas? Cia peb saib ze dua.
Nws yog qhov xav tsis thoob li cas ob ntu no ua haujlwm.
Lub paj hlwb vestibular, uas tswj lub cev qhov sib npaug
Xav txog koj tig koj lub taub hau mus rau sab laug tam sim ntawd. Lub sijhawm ntawd, cov kua dej hauv lub cev sib npaug hauv koj lub pob ntseg sab hauv txav mus los. Qhov kev txav no ua rau cov hlwb rhiab heev nyob ntawd ua rau muaj teeb liab hluav taws xob.
- Kauj Ruam 1: Cov lus tau tsim tawm. Thaum koj txav koj lub taub hau, cov kua dej hauv koj lub pob ntseg sab hauv txav mus nrog nws. Qhov no tsim cov lus, "Koj lub taub hau tam sim no tig mus rau qhov no."
- Kauj Ruam 2: Cov lus mus ncig raws cov hlab ntsha. Cov lus no mus ncig raws cov hlab ntsha vestibular zoo li ib txoj hlua mus rau lub hlwb .
- Kauj Ruam 3: Lub hlwb txiav txim siab. Cov chaw tshwj xeeb hauv lub hlwb txais cov ntaub ntawv no thiab ua qhov tsim nyog los ua kom lub cev sib npaug. Piv txwv li, txawm tias thaum koj taug kev, koj tuaj yeem nyeem tau lub cim ntawm txoj kev vim yog cov txheej txheem hu ua vestibulo-ocular reflex (VOR) , uas tswj kev txav ntawm koj lub qhov muag. Tsis tas li ntawd, thaum koj tab tom yuav ntog, koj mam li muab ib txhais taw tso rau ntawm koj xub ntiag thiab sib npaug vim yog cov lus no.
Lub paj hlwb cochlear uas cia peb hnov
Peb hnov ib zaj nkauj li cas? Qhov no kuj yog ib qho txheej txheem zoo kawg nkaus.
- Kauj Ruam 1: Cov lus tau tsim tawm. Cov nthwv suab los ntawm sab nraud nkag mus rau hauv koj lub pob ntseg thiab mus rau cochlea , ib feem zoo li tus nab ntawm lub pob ntseg sab hauv. Cov nthwv suab ua rau cov kua dej thiab cov plaub hau me me hauv cochlea co. Cov kev co no hloov pauv nyob ntawm lub suab thiab qhov nrov ntawm lub suab. Qhov no tsim cov lus hluav taws xob txog lub suab.
- Kauj Ruam 2: Cov lus mus ncig raws cov hlab ntsha. Cov lus no mus ncig raws cov hlab ntsha cochlear mus rau lub hlwb.
- Kauj Ruam 3: Lub hlwb txhais lub suab. Cov chaw hnov lus hauv lub hlwb xa cov lus no mus rau qhov ntawm lub hlwb uas ua cov suab. Qhov ntawd yog qhov uas lub hlwb nkag siab seb nws puas yog zaj nkauj, ib tus neeg tham, lossis lwm yam suab.
Cov mob thiab cov tsos mob uas feem ntau cuam tshuam rau cov hlab ntsha no yog dab tsi?
Yog tias muaj kev puas tsuaj rau cov hlab ntsha uas ua lub luag haujlwm tseem ceeb no, nws tuaj yeem muaj kev cuam tshuam loj rau peb lub neej txhua hnub.
Tej yam ua rau cov hlab ntsha puas tsuaj:
- Kev Raug Mob Taub Hau: Kev raug mob hnyav rau lub taub hau, tshwj xeeb tshaj yog nyob ib ncig ntawm pob ntseg.
- Tej yam mob uas muaj txij thaum yug los: Tej zaum ib txhia menyuam yuav tsis muaj cov hlab ntsha no loj hlob zoo thaum yug los.
- Cov qog nqaij hlav: Cov qog nqaij hlav uas tsis yog mob qog nqaij hlav (benign), tshwj xeeb tshaj yog cov hlab ntsha acoustic, tuaj yeem tsim rau ntawm cov hlab ntsha no thiab ua rau muaj kev nyuaj siab.
- Cov kab mob: Cov kab mob viral xws li vestibular neuritis lossis labyrinthitis tuaj yeem ua rau o ntawm cov hlab ntsha no.
Qhov tseem ceeb tshaj plaws yog tias yog koj muaj ib lossis ntau yam ntawm cov tsos mob no, tsis txhob tsis quav ntsej lawv thiab mus ntsib koj tus kws kho mob sai li sai tau.
Cov cim qhia tias muaj teeb meem:
Thaum cov hlab ntsha no puas lawm, yuav muaj teeb meem nrog kev hnov lus thiab kev sib npaug. Cov lus hauv qab no yuav pab koj nkag siab cov tsos mob no kom meej dua.
| Cov tsos mob | Hais yooj yim xwb... |
|---|---|
| Kev hnov lus tsis zoo sensorineural | Kev hnov lus tsis zoo vim yog kev puas tsuaj rau pob ntseg sab hauv lossis cov hlab ntsha. |
| Mob pob ntseg | Muaj suab nrov nrov hauv pob ntseg tas li, txawm tias tsis muaj suab nyob ib puag ncig los xij. |
| kiv taub hau | Xav tias tsis sib npaug, kiv taub hau, qaug zog. |
| Kab mob kiv taub hau | Muaj ib qho kev xav tias koj lossis chav uas koj nyob ntawd tig ib ncig, txawm tias koj tsuas sawv ntsug xwb los xij. Qhov no tuaj yeem tshwm sim thaum koj sawv ntawm txaj thaum sawv ntxov. |
| Nystagmus | Koj ob lub qhov muag txav mus los sai sai lossis nce thiab nqis yam tsis muaj koj tswj hwm. |
Tus kws kho mob kuaj pom qhov teeb meem no li cas?
Thaum koj mus ntsib kws kho mob uas muaj cov tsos mob no, nws yuav kuaj ntau zaus kom paub qhov ua rau muaj qhov teeb meem no.
- Kev ntsuam xyuas kev hnov lus: Koj tus kws kho mob tuaj yeem ua cov kev ntsuam xyuas yooj yim xws li kev ntsuam xyuas Rinne thiab kev ntsuam xyuas Weber , uas cuam tshuam nrog kev muab lub cuab yeej me me (tuning fork) rau ntawm koj lub taub hau thiab ze ntawm koj pob ntseg ntawm ntau qhov chaw los ntsuam xyuas koj lub peev xwm los hnov suab.
- Kev ntsuam xyuas vestibular: Koj qhov kev sib npaug, kev taug kev, thiab kev txav ntawm lub qhov muag (los xyuas seb puas muaj nystagmus) tuaj yeem kuaj xyuas tau.
- Kev kuaj duab: Qee zaum, yog tias muaj kev xav tias muaj ib yam dab tsi zoo li lub qog, yuav tsum tau ua CT scan (Computed Tomography scan) lossis MRI scan (Magnetic Resonance Imaging) . Cov no tuaj yeem tsim cov duab meej ntawm sab hauv ntawm lub taub hau thiab thaj chaw nyob ib puag ncig pob ntseg.
Koj ua dab tsi li kev kho mob?
Kev kho mob nyob ntawm seb ua rau koj cov tsos mob ua li cas.
- Cov Tshuaj: Yog tias qhov mob yog los ntawm kev kis kab mob, koj tus kws kho mob yuav sau ntawv kom noj cov tshuaj antiviral lossis corticosteroids , uas txo qhov o ntawm cov hlab ntsha.
- Kev Phais Mob: Yog tias muaj qog nqaij hlav nias rau ntawm cov hlab ntsha, tej zaum yuav xav tau kev phais mob kom tshem tawm cov qog nqaij hlav.
- Kev kho mob Vestibular Rehabilitation: Qhov no zoo ib yam li kev kho lub cev. Yog tias koj muaj teeb meem nrog koj qhov kev sib npaug, tus kws kho mob yuav sau ntawv kom koj tawm dag zog tshwj xeeb los pab koj rov qab tau qhov sib npaug.
Peb yuav tiv thaiv cov hlab ntsha muaj nqis no li cas?
Peb tsis tuaj yeem tiv thaiv kev raug mob lossis kev raug mob tas li, tab sis muaj tej yam uas peb ua tau los ua kom peb lub pob ntseg sab hauv thiab cov hlab ntsha no noj qab nyob zoo.
- Tsis txhob hnov suab nrov nrov: Kev raug suab nrov nrov tuaj yeem ua rau cov hlwb rhiab heev hauv pob ntseg sab hauv puas tsuaj. Yog li ntawd, siv cov ntsaws pob ntseg yog tias koj nyob rau hauv cov chaw uas muaj suab nrov nrov.
- Tau txais kev kho mob rau kev mob pob ntseg sai sai: Yog tias koj mob pob ntseg lossis muaj kua tawm hauv pob ntseg, tsis txhob tsis quav ntsej thiab mus ntsib kws kho mob tam sim ntawd.
- Kev ua neej noj qab nyob zoo: Kev noj zaub mov kom sib npaug thiab kev ua neej nquag yog qhov zoo rau tag nrho lub cev thiab lub paj hlwb.
Cov hlab ntsha vestibulocochlear zoo li ib lub choj tseem ceeb heev uas pab peb paub txog lub ntiaj teb. Yog tsis muaj nws, peb yuav tsis muaj peev xwm txaus siab rau ib zaj nkauj lossis taug kev nrog kev sib npaug. Yog li cia peb saib xyuas cov hlab ntsha me me no uas ua haujlwm loj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Koj lub paj hlwb vestibulocochlear muaj ob lub luag haujlwm tseem ceeb: hnov lus thiab tswj kev sib npaug .
- Qhov kiv taub hau tam sim ntawd (vertigo), suab nrov hauv pob ntseg (tinnitus), lossis hnov lus tsis zoo yuav yog cov tsos mob ntawm qhov teeb meem nrog cov hlab ntsha no.
- Tsis txhob tsis quav ntsej cov tsos mob zoo li no vim tias "nws yuav ploj mus rau ib pliag." Qee zaum, nws tuaj yeem yog ib qho cim qhia ntxov ntawm tus mob hnyav.
- Yog tias koj muaj kev tsis ntseeg me ntsis txog qhov no, qhov zoo tshaj plaws yog mus ntsib koj tus kws kho mob sai li sai tau thiab nrhiav kev qhia.
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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