Yu de fil se yu ed de tɔn? Yu de lɔs yu balans? Lɛ wi tɔk bɔt di wɔndaful sistɛm we de kɔntrol wi bɔdi in balans (Vestibular System) .

Yu kin fil lɛk se yu ed de tɔn wantɛm wantɛm? Ɔ yu kin fil lɛk se tin dɛn we de arawnd yu de spin rawnd yu? Yu kin ɛva fil lɛk se yu de go sayd wantɛm wantɛm ɔ yu nɔ de balans we yu de waka? Wi ɔl dɔn ɛkspiriɛns dis wan tɛm na wi layf. Fɔ sɔm pipul dɛn, dis kin apin wan wan tɛm, bɔt fɔ ɔda pipul dɛn, i kin bi prɔblɛm ɔltɛm, ɛn i kin bi prɔblɛm wit dɛn layf ɔl. So tide wi go tɔk bɔt di men tin we de mek dɛn tin ya apin, di wɔndaful ɛn kɔmpleks sistɛm we de kɔntrol wi bɔdi in balans.

Wetin na di Vɛstibular Sistɛm?

Fɔ tɔk am simpul wan, di vestibular sistɛm na di men ɔgan we de kɔntrol wi bɔdi in ikwal ɔ balans. I tan lɛk ɔtomɛtik ‘spirit lɛvɛl’ we dɛn bil insay wi bɔdi. I de ripɔt to di bren ɔl di infɔmeshɔn we wi gɛt bɔt if wi tinap, ledɔm, muv, ɛn us pozishɔn wi de.

Dis sistɛm kin sheb to tu men pat dɛn:

• di pεrifεral vεstibular sistεm: dis na di men pat pan di sistεm. I de na wi yes we de insay wi . wi kin kכl dis pat "vestibular system." Dis na di say we wi kin no bɔt tin dɛn we gɛt fɔ du wit wi balans.
• sεntri vεstibular sistεm: dis na pat pan wi sεntri nεv sεstem we na di bren εn di spεnal kכd. I kin gɛt signal frɔm di yes dɛn, analayz dɛn, ɛn tɛl di ɔda ɔgan dɛn fɔ mek dɛn balans.

Aw ɛksaktɔli dis sistɛm de wok?

Di balans we wi bɔdi de balans nɔto sɔntin we jɔs wan tin go ebul fɔ kɔntrol. I tan lɛk se na tim spɔt. Tri men pipul dɛn de we de ple dis.

1. di vεstibular sistεm (pat pan di yes): I de gi infכmeshכn bכt di posishכn, spid, εn dεrekshכn we di ed de muv.

2. Ay (vision): Gi wi infɔmeshɔn bɔt wi envayrɔmɛnt, usay wi de, ɛn usay tin dɛn rilitiv to wi.

3. di mכsul dεm εn di joyn dεm (Proprioception): I de mek wi no usay wi limb dεm de, aw wi tinap na grכn, εn aw wi joyn dεm bεn.

Imajin se yu de waka na rum we dak smɔl. biכs yu yay nכ kin si bכku bכku wan, di vestibular sistεm na yu yes εn di sens we yu fut de hit di grכn na di men tin dεm we de εp yu fכ kip yu bεlε. Ɔl di tri tin dɛn kin go na yu bren, ɛn di bren kin jɔyn dɛn ɔl fɔ disayd aw fɔ mek yu bɔdi balans.

tu rili imכtant rεflεks dεm de we de εp dis prכsεs fכ apin כtomatik.

di rilayshכn bitwin di yay dεm εn di bεlε (Vestibulo-ocular reflex - VOR) .

Dis na tin we rili intrestin. Imajin se yu de tray fɔ rid wan nɔmba na bɔs na rod. Ivin if yu de waka ɛn yu ed de muf frɔm wan say to di ɔda say, yu yay kin stil pe atɛnshɔn pan da nɔmba de. Wetin yu si na blurred, nɔto blurred. Na dat dis rεflεks we dεn kכl `VOR` de εp wit. We yu ed de muf na wan say, yu yay dɛn kin muf na di ɔda say fɔ insɛf, ɛn dis kin mek wetin wi de luk nɔ chenj. If dis nɔ de, we wi de waka, i tan lɛk se di wan ol wɔl we wi de si de shek shek, lɛk se kamɛra de rɛkɔd fim we de shek shek.

di rilayshכn bitwin di mכsul dεm εn di bεlε (Vestibulospinal rεflεks - VS) .

Dis na bikɔs wi mɔsul dɛn kin ajɔst dɛnsɛf fɔ balans. Imajin se yu de waka na wan rod we gɛt grɔn. Ɛnitɛm we yu de step, yu bɔdi de shek shek bak ɛn biɛn. Bɔt yu nɔ kin fɔdɔm izi wan. dat na biכs, as yu ed tilt sכmtεm, dis sistεm na yu yes de no am εn i de sεnd signal to yu mכsul dεm wantεm wantεm, se, "Yu bכdi de ledɔm na di rayt say, so nכ mek i fכl εn put yu wet pan yu lεft leg fכ bεlε yusεf." Dis kin apin kwik kwik wan dat wi nɔ kin ivin gɛt tɛm fɔ tink bɔt am.

Pat dεm pan dis sistεm εn di wok dεm we dεn de du

as wi bin se, di men sens כgan dεm na di vεstibular sistεm de na di insay yes. Di kɔklia we de ɛp wi fɔ yɛri, de bak na di insay yes. Klostu to am, insay wan separet pat, na di 5 כgan dεm we riliyt to bεlε. Dɛn kɔl dɛn tin ya di vestibular labyrinth.

insay dεn כgan dεm ya wan wata de we dεn kכl `εndolymph` εn rili fayn fayn sεns sεl dεm we lεk ia (`hair cells`). We wi de muv wi ed, dis wata de muv bak. Dɔn di ia sɛl dɛn kin bɛn ɛn sɛn signal to di bren tru dɛn. dis signal dεm de kכri to di bren tru di `vestibular nerve`.

Lɛ wi ɔndastand dɛn pat ya klia wan frɔm di tebul we de dɔŋ ya.

כda tin de we spεshal bכt di otolith כgan dεm. Dɛn na smɔl smɔl kalsiɔm kabɔnɛt kristal dɛn we dɛn kɔl `otoconia.' Dɛn tin ya na smɔl smɔl kristal dɛn we tan lɛk laymston. dεn de insay wan tin we lεk jεli we de sidon pan di ia sεl dεm. We wi de muv, dɛn kristal dɛn ya kin muf go bifo ɛn biɛn ɔnda di pawa we di graviti gɛt. Dɔn di ia sɛl dɛn kin bɛn ɛn sɛn sayn to di bren. Sɔntɛnde, dɛn smɔl smɔl kristal ya kin kɔmɔt na di say we dɛn de ɛn travul go na di sɛmi sɛkɔral kanal dɛn, we kin mek sɔm pipul dɛn tɔn bad bad wan.

Us prɔblɛm dɛn kin apin na dis sistɛm?

Difrɛn mɛrɛsin dɛn de we kin mek dis kɔmpleks sistɛm nɔ wok fayn. Na sɔm pan dɛn.

• Benign Paroxysmal Positional Vertigo (BPPV): Dis na di mכst kכmכn kכz fכ vεrtigo. I kin apin we di otoconia we wi bin dɔn tɔk bɔt, kɔmɔt na di say we i de ɛn muf go na di rɔng ples. Dɛn kin fil am lɛk se yu de tɔn yu ed bad bad wan we kin las fɔ sɔm sɛkɔn, mɔ we yu de rɔl na bed ɔ we yu de muv yu ed ɔp ɛn dɔŋ.
• Vestibular Nyuraytis ɛn Labirintitis:dis kin bi fכ wan vayral infεkshכn we de mek di vεstibular nεv כ insay ia swel. De sayn dɛm kin bigin wantɛm wantɛm ɛn inklud fɔ gɛt siriɔs diziz, nɔs, ɛn vɔmit we kin las fɔ sɔm dez. Insay `Labyrinthitis`, yu kin yɛri bak apat frɔm diziz.
• Ménière in sik: Dis kin kam bikɔs di prɛshɔn we di wata (endolymph) de na di insay yes de go ɔp. Dis kin mek yu gɛt sɔm sayn dɛm lɛk fɔ tɔn kwik kwik wan, bad bad wan, yu kin ring na yu yes (tinnitus), yu kin fil lɛk yu yes ful-ɔp, ɛn yu nɔ kin yɛri fayn.
• Vestibular Migraines: Fɔ sɔm pipul dɛm, diziz kin bi wan impɔtant sayn pas ed pen we dɛn gɛt maygren.
• Mal debarquement syndrome (MdDS): Dis na wan strenj kכndyushכn. Na di filin fɔ stil de flɔt na si afta yu dɔn de na bot ɔ ship ɛn kam na di si.
• Persistent Postural-Perceptual Dizziness (PPPD): Insay dis, yu kin fil se yu de diziz ɔltɛm ɛn yu nɔ de balans fɔ no rizin.

Aw yu go no se prɔblɛm de? Di men sayn dɛn we de sho se i gɛt dis sik

di men sayn dεm fכ di vεstibular sistεm prכblεm na diziz εn vεrtigo. Pan ɔl we wi de yuz dɛn tu wɔd ya fɔ chenj, smɔl difrɛns de bitwin dɛn tu wɔd ya.

Apat frɔm dɛn tu sayn ya, ɔda tin dɛn kin apin.

• Nɔs ɛn vɔmit
• Nɔ balans ɛn i nɔ kin izi fɔ waka
• Di vishɔn we nɔ klia
• Ring na di yes (tinnitus) .
• I nɔ de yɛri fayn igen

Aw dɔktɔ kin tɛst dis sistɛm?

If yu gɛt dɛn sik ya, yu fɔ rili go to dɔktɔ. Di dɔktɔ go aks yu bɔt yu sik dɛn ɛn chɛk yu. If nid de, dɛn kin rifer yu fɔ dɛn tɛst ya.

• vestibular testing: Dis na we dεn kכmbayn sεvεra tεst dεm. dis dεm mεnli de luk aw yu yay dεm εn bεlε sistεm, we dεn kכl `VOR`, de wok tכgeda.
• Blɔd tɛst: Chɛk fɔ tin dɛn lɛk infɛkshɔn.
• Imej tɛst: Dɛn kin aks yu fɔ mek dɛn du CT ɔ MRI skan fɔ si if ɛni strɔkchɔ prɔblɛm de na di bren ɔ yes.

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt dipen pan yu kɔndishɔn. Bɔku tɛm, dɛn kin yuz kɔmbayn tritmɛnt dɛn.

• Vɛstibular Rihabiliteshɔn Tɛrapi (VRT): Dis na tritmɛnt we rili impɔtant. I involv fɔ "tren" yu bren. I gɛt fɔ du wit spɛshal ɛgzampul dɛn we de tich di bren fɔ adap to ɛn nɔ pe atɛnshɔn to di kɔrɛkt sayn dɛn we de kɔmɔt na di balans sistɛm. insay kondishכn dεm lεk `BPPV`, fysiothεrapist kin εp yu fכ du `ripositioning maneuvers` fכ put di bכl dεm we dεn displεs bak insay ples.
• Mɛrɛsin: If infekshɔn de, di dɔktɔ kin gi am antibayɔtik, ɛn i kin gi am mɛrɛsin fɔ kɔntrol di nɔys ɛn diziz.
• chenj na yu layf: Dɛn kin advays yu fɔ de fa frɔm sɔm tin dɛm wae de mek yu ed de tɔn (e.g., sɔl pasmak, kafin, strɛs).
• Ɔpreshɔn: Bɔku tɛm, i nɔ kin nid fɔ du ɔpreshɔn. Bɔt pan tin dɛn we rili bad we nɔ ɔda tritmɛnt nɔ go wok, dɛn kin nid fɔ du ɔpreshɔn fɔ mek di tin dɛn we de insay di yes fayn.

Wetin wi go du fɔ mek dis sistɛm gɛt wɛlbɔdi?

Fɔ tɔk tru, i nɔ kin izi fɔ wi fɔ mek wi nɔ gɛt bɔku prɔblɛm dɛn we kin apin na di vestibular sistɛm. Bɔt di bɛst ɛn impɔtant tin we wi kin du na fɔ go to dɔktɔ jɔs afta wi notis ɛni sayn ɛn aks fɔ advays.

Nɔ dismis diziz as simpul tin. Sɔntɛnde, e kin bi sayn fɔ wan siriɔs sik lɛk wae pɔrsin gɛt strok. So, if yu gɛt diziz wit sɔm sayn dɛm lɛk fɔ at fɔ tɔk, fɔ drɔp na wan say na yu fes, ɔ yu an ɔ yu leg nɔ de fil fayn, go na di imejensi rum (ETU) na ɔspitul wantɛm wantɛm.