A chang chuan i ding chhuak nghal emaw, i lu tlem i herh emaw hian room pum pui chu a inher ang maiin i inhria em? A nih loh leh i beng chhung atanga "goo..." ri lo chhuak i hre reng em? A chang chuan i beng chu a hrual ang maiin i inhria em? Heng thilte hi a tam zawk tan chuan thil pangngai angin lang mah se, a chang chuan hei hi a chhan chu kan beng chhunga tui te tak te, mahse pawimawh tak a ni thei. Chu tui chu endolymph kan tih chu a ni. Vawiin hian he hming mak tak mai, mahse kan nunah hian a mamawh loh fluid chungchang hi han sawi ila.
A awlsam zawngin, endolymph chu eng nge ni?
Endolymph hi kan beng chhungril lama awm tui bik a ni. Car engine-a oil awm ang bawkin, he tui hi kan taksa balance vawng reng tur leh thil kan hriat chian nan a pawimawh hle. Kan beng chhungril chhungah hian system complex tak a awm a. He system thenkhat hian kan hriatna leh kan balance pahnih hi a control vek a ni. Chu hmunte chu he endolymph fluid hian a khat a ni.
Ngaihtuah teh, i lu i thing emaw, i kal emaw, i tlan emaw hian he tui hi a kal ve ve a ni. Hetiang che hian beng chhunga sam cell te tak te, sam ang chi sensory hair cells te chu a tichak a ni. Heng cell te hian kan thluak ah signal an thawn thin. Thluak hian chu signal te chu a hrilhfiah a, aw min hriat tir a, a nih loh leh kan taksa chu eng dinhmunah nge a awm tih emaw, kan tlu dawn em tih emaw min hrilh bawk.
A awlsam zawngin endolymph hi kan hriatna leh balance message thluak thlenga phurtu ‘messenger’ ang a ni.
Endolymph fluid nena thil thleng lian ber pahnih
He tui hian kan taksa tan hna pawimawh pahnih a nei a. A hranin han en ila.
1. Ngaithla tura min puih dan
Engtin nge aw kan hriat tih hi i ngaihtuah ngai em? Kan beng chhunga sound wave a luh hian kan beng chhung lam hmun khatah a kal a. He hmun hi cochlea an ti a. Snail shell ang maia siam a ni. Endolymph an tih tuiin a khat a ni.
Sound wave chu beng chhungril a luh chuan endolymph fluid-ah vibration a siam a, chu chu tuiah lung i paih chuan ripples lo awm ang chiah a ni. He tui hi a vibrate chuan a chhunga sam ang chi, sensory cell nalh tak tak (Corti organ-a hmuh) te chu an ben leh a. Heng cell te hi an ben hian electrical signal an siam a, chu chu nerve kaltlangin thluak lamah a kal a ni. Thluak chuan chu signal chu "sound" tiin a hrilhfiah a. Chuvangin endolymph tel lo chuan he thil kalphung zawng zawng hi a thleng lo ang a, kan hre lo bawk ang.
2. Taksa a balance neih dan tur
I mit khap chung pawhin i ding nghet emaw, i innghat emaw, i lu nghat emaw i la hre thei tho a ni lawm ni? He endolymph hian chutiang tur chuan a pui thin.
Kan beng chhungah hian balance nena inzawm special structure dang tlemte a awm bawk. Anni chu utricle, saccule leh semicircular canal te an ni. Chungte chu endolymph fluid-in a khat bawk.
- I lu i han vawn chho leh a, hnunglam leh hnunglam i han vawn hian utricle leh saccule chhunga tui awm chu a che a.
- I lu veilam emaw dinglam emaw i han herh chuan semicircular canals chhunga tui awm chu a che a.
Chutianga tui a kal chuan a chhunga sam cell sensitive tak takte pawh an ben bawk. Chu cell-te chuan thluak hnenah thuchah an thawn a, "Okay, tunah chuan lu chu dinglamah a inher tawh" emaw, "Tun ah chuan lu chu a hnuai lam hawiin a awm tawh" tih emaw a ni. Thluak hian chu information chu taksa peng dangte hnena signal thawn turin a hmang a, chu chuan min balance reng a, kan tlu lo.
Endolymph nena inzawm harsatnate chu engte nge ni?
Endolymph nena inzawm natna tlangpui leh tlanglawn ber chu Ménière natna a ni . Hei hi beng chhungril lama endolymph fluid tam lutuk vang a ni. Balloon chhunga boruak tam lutuk thlak ang maiin han ngaihtuah teh. Chutiang bawkin he tui hi a lo punkhawm chuan beng chhunga pressure a sang chho zel a ni. Damdawi lam hawi chuan he natna hi endolymphatic hydrops an ti a.
Hetianga pressure sang tak hi a hmaa kan sawi tawh ang chi, luak chhuak leh hriatna hloh te hi a ni.
Endolymph lama harsatna nei chhinchhiahna
Hetiang natna hi i nei nia i rinhlelh chuan heng symptoms te hi lo thlir reng ang che. Heng symptoms zinga pakhat emaw a aia tam emaw hi a awm dun thei a ni.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Vertigo a awm | Hei hi luak chhuak mai mai a ni lo. Hmun khata awm mah la, i chhehvel khawvel zawng zawng, pindan pum pui chu a inher chhuak tih hriatna a ni. Hei hi minute tlemte atanga darkar tlemte thleng a daih thei. |
| Hriatna hloh | Beng pakhatah hriatna hloh nghal mai a ni. A chang chuan hei hi hun kal zelah a tha chho zel a, mahse hun kal zelah chuan hriatna hloh reng reng a awm thei. |
| Tinnitus a ni | A chhehvela thawm a awm loh lai pawhin i beng chhungah "goo..." ri chhunzawm zel i hre thin a, chu chu bell ri ang mai a ni. |
| Beng chhungah pressure/fullness a awm | Beng chhunga tui lut ang maia, beng khar leh khat ang maia lungawi lohna. |
| Nausea leh lu na | Vertigo hi rilru hahna, luak chhuak leh lu na te nen a inzawm thei a ni. |
Pawimawh: Heng symptoms te hi i neih chuan ngaihthah suh. Doctor hnenah thurawn dil ngei ngei tur a ni.
Hetiang dinhmun hi hriat theih nan test neih thin
Doctor i pan hunah i natna lan chhuah dan chu ngun takin a ngaithla ang che a, a enfiah ang che. Tichuan, an dinhmun finfiah nan test eng emaw zat an ti thei ang.
| Fiahna | Hemiah hian eng nge i hmuh? |
|---|---|
| Audiometry hmanga thil tih a ni | Hei hian i hriatna level dik takin a teh a ni. Aw hrang hrang i chhan dan a test thin. |
| Vestibular test neih a ni | Hei hian i taksa balance control system a thawh that dan a test thin. |
| MRI scan a ni | A châng chuan hei hian thluak emaw, beng chhung lam emaw-ah harsatna dang a awm leh awm loh hriat nân a ṭanpui thei a, beng chhungah endolymph fluid a tam lutuk em tih hriat nân a ṭanpui thei bawk. |
| Electrocochleography (ECochG) hmanga enfiah a ni. | Hei hian beng chhunga pressure awm chu direct-in kan teh thei a, chu chu endolymph fluid level a sang em tih hi a ni. |
Endolymph kaihhnawih natna enkawl dan tur engte nge ni?
He natna hi tihdam kim a harsa viau nachungin, i natna lan chhuah dan thunun thei tur leh nun pangngaia nunpui thei tur enkawlna tam tak a awm a ni. Heng enkawlna zawng zawng hi i doctor-in a ruat vek tih hre reng la, i dinhmun a zirin.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Ei leh in lama inthlak danglamna | Thurawn pek fo thin chu chi intake tihtlem hi a ni , chi hian taksaa tui awm zat a tipung a ni. Tin, caffeine (tea, coffee) leh zu tih tlem turin a fuih thei bawk. |
| Damdawi chi hrang hrang | Taksa atanga tui tam lutuk paih chhuah nan diuretics (‘water pills’) pek theih a ni. Damdawi dang pawh hi vertigo control nan te, nausea tihziaawmna atan te, a chang chuan beng chhunga corticosteroids injection te pawh pek theih a ni. |
| Therapies dangte pawh a awm | Balance lama harsatna nei tan vestibular rehabilitation therapy an tih exercise bik a awm bawk. Hetiang dinhmun avanga lungkhamna tihziaawmna turin cognitive behavioral therapy (CBT) ang chi thil te pawh i enchhin thei bawk. |
| Inzai | Damdawi dangin a thunun theih loh chauhvin, tui tam lutuk paih chhuah emaw, beng chhunga pressure tihziaawm emaw turin operation i hmang a ngai mai thei. |
Take-Home Thuchah a ni
- Endolymph hi kan beng chhunga tui awm, hriatna leh taksa inthlauhna atana pawimawh tak a ni.
- Hriselna lama natna lan chhuah dan, luak chhuak (vertigo), hriatna hloh, leh beng ri (tinnitus) te hi he tui hi harsatna a awm tih chhinchhiahna a ni thei.
- Hemi nena inzawm natna tlangpui chu Ménière natna a ni a, hei hi beng chhunga endolymph fluid a tam lutuk vang a ni.
- Heng symptoms te hi i neih chuan ngaihthah suh la , doctor pan nghal rawh .
- I beng venna tha ber chu thawm ri nasa tak awm loh hi a ni. Music ri nasa tak ngaithla la, a theih ang angin hmun ri nasa takah awm loh tur a ni.
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