I ētahi wā ka rite koe ki te hurihuri o te rūma katoa ina tū ohorere koe, ina huri paku rānei tō mahunga? Kei te rongo tonu rānei koe i te tangi "goo..." mai i roto i ō taringa? Kei te rite koe ki te mea kua mau tō taringa i ētahi wā? Ahakoa he mea noa ēnei mea ki te nuinga o tātou, i ētahi wā ko te take o tēnei he wai iti engari he tino nui kei roto i ō tātou taringa. Ko taua wai ko te endolymph. I tēnei rā, me kōrero tātou mō tēnei wai he ingoa rerekē, engari he mea nui i roto i ō tātou oranga.
He aha te endolymph i te whakarapopototanga?
He wai motuhake te Endolymph e kitea ana i roto i tō tātou taringa o roto. Pērā i te hinu i roto i te miihini o te motuka, he mea nui tēnei wai hei pupuri i te taurite o tō tātou tinana, hei whakarongo tika hoki. He pūnaha tino uaua kei roto i tō tātou taringa o roto. Ko ētahi wāhanga o tēnei pūnaha e whakahaere ana i tō tātou whakarongo me tō tātou taurite. Kua whakakīia aua wāhanga ki tēnei wai endolymph.
Whakaarohia, ina ruru koe i tō mahunga, ina hikoi, ina oma rānei, ka neke tahi tēnei wai me ia. Ka whakaoho tēnei nekehanga i ngā pūtau huruhuru tino kikokore, rite ki te huruhuru i roto i te taringa. Ka tukuna e ēnei pūtau ngā tohu ki tō tātou roro. Ka whakamārama te roro i aua tohu, ka meinga kia rongo tātou i te oro, ka kī mai rānei ki a tātou te tūranga o tō tātou tinana, me te mea rānei kua tata tātou te hinga.
Ki te kī māmā noa, he rite te endolymph ki te 'karere' e kawe ana i ngā karere o te whakarongo me te taurite ki te roro.
E rua ngā mea matua e pā ana ki te wai endolymph
E rua ngā mahi matua a tēnei wai mō tō tātou tinana. Me titiro motuhake tātou ki a rāua.
1. Te āwhina i a tātou ki te whakarongo
Kua whakaaro kē koe me pēhea tātou e rongo ai i te oro? Ina uru mai ngā ngaru oro ki roto i ō tātou taringa, ka haere ki tētahi wāhanga o te taringa o roto. Ko te ingoa o tēnei wāhanga ko te cochlea. He rite tōna āhua ki te anga ngata. Kī tonu i te wai e kiia nei ko te endolymph.
Ina uru ngā ngaru oro ki te taringa o roto, ka puta he wiri i roto i te wai endolymph, he rite tonu ki ngā ngaru e puta ana ina makahia he kōhatu ki roto i te wai. Ina wiri tēnei wai, ka piko whakamuri, whakamuri hoki ngā pūtau rongo ngawari, rite ki te huruhuru (kei roto i te okana o Corti) i roto. I te piko o ēnei pūtau, ka hangaia he tohu hiko e haere ana i roto i ngā io ki te roro. Ka whakamāramahia e te roro taua tohu hei "oro." Nō reira, ki te kore he endolymph, kāore tēnei tukanga katoa e puta, ā, kāore tātou e rongo.
2. Me pēhea te pupuri i te taurite o te tinana
Ahakoa kua katia ō kanohi, ka taea tonu e koe te rongo mēnā kei te tū tika koe, kei te piko, kei te piko rānei tō mahunga, tika? Mā tēnei endolymph e āwhina.
He iti noa atu ngā hanganga motuhake o roto o tō tātou taringa e pā ana ki te taurite. Ko te utricle, te saccule, me ngā awa haurua porowhita. Kua whakakiia hoki ēnei ki te wai endolymph.
- Ina ruru koe i tō mahunga ki runga, ki raro, ki muri, ki muri, ka neke te wai i roto i te utricle me te saccule .
- Ina tahuri tō mahunga ki maui, ki matau rānei, ka neke te wai i roto i ngā awa haurua porowhita .
I te nekehanga o te wai i tēnei ara, ka piko hoki ngā pūtau huruhuru tairongo i roto. Ka tukuna e aua pūtau he karere ki te roro, e mea ana, "Āe, kua tahuri te upoko ki te taha matau" "Kua piko te upoko ki raro." Ka whakamahia e te roro aua mōhiohio hei tuku tohu ki ētahi atu uaua o te tinana, kia taurite ai tātou, kia kore ai e hinga.
He aha ngā raruraru e pā ana ki te endolymph?
Ko te mate tino noa, ā, ko te mate tino noa e pā ana ki te endolymph ko te mate a Ménière . Ka puta tēnei i te nui rawa o te wai endolymph i roto i te taringa o roto. Whakaarohia he rite ki te pupuhi i te hau nui rawa ki roto i te poihau. Waihoki, ina nui haere tēnei wai, ka piki ake te pēhanga i roto i te taringa. I roto i ngā kupu hauora, ka kiia tēnei mate ko te endolymphatic hydrops .
Ko te pikinga o te pēhanga te take o ngā tohu i whakahuatia i mua ake nei, pērā i te whanoke me te ngaronga o te rongo.
Ngā tohu o te raruraru endolymph
Ki te whakapae koe kei a koe tēnei mate, kia tūpato ki ēnei tohu. Tērā pea ka puta ngātahi tētahi, ētahi rānei o ēnei tohu.
| Tohu | He whakamārama māmā |
|---|---|
| Pōuriuri | Ehara tēnei i te kare ā-whatiwhati noa iho. He kare ā-roto e hurihuri ana te ao katoa e karapoti ana i a koe, te rūma katoa, ahakoa kei te wāhi kotahi koe. Ka roa pea tēnei mai i ētahi meneti ki ētahi haora. |
| Te ngaronga o te rongo | Ka pā whakarere te ngaronga o te rongo i te taringa kotahi. I ētahi wā ka pai ake tēnei i roto i te wā, engari i roto i te wā, ka pā pea te ngaronga o te rongo tuturu. |
| Tinnitus | Ahakoa kāore he haruru, ka rangona tonutia he haruru "goo..." i roto i ō taringa, pērā i te pere e tangi ana. |
| Te pēhanga/te kī o te taringa | He āhua kore whakamarie, me te mea kua uru te wai ki roto i te taringa, me te mea kua purua, kua kī hoki te taringa. |
| Whakapairuaki me te ānini | Ka taea e te pōuri te haere tahi me te whakapairuaki, te ruaki, me te ānini. |
He mea nui: Ki te pā mai ēnei tohu ki a koe, kaua e warewarehia. Me toro atu ki tō tākuta mō ētahi tohutohu.
Ngā whakamātautau hei kite i tēnei āhuatanga
Ina haere koe ki te tākuta, ka whakarongo pai ia ki ō tohumate, ā, ka tirotirohia koe. Kātahi ka tonoa pea e ia ētahi whakamātautau hei whakaū i te āhua.
| Whakamātautau | He aha tāu e kite nei i roto i tēnei? |
|---|---|
| Te ine oro | Ka ine tika tēnei i tō taumata whakarongo. Ka whakamātautau i tō urupare ki ngā oro rerekē. |
| Whakamātautau vestibular | Ka whakamātautauhia e tēnei te pai o te mahi a te pūnaha whakahaere taurite o tō tinana. |
| Matawai MRI | I ētahi wā, ka āwhina tēnei ki te kite mēnā he raruraru anō kei te roro, kei te taringa o roto rānei, me te kite mēnā he nui rawa te wai endolymph i roto i te taringa. |
| Te Whakamātautau Hikohiko (ECochG) | Mā tēnei ka taea e tātou te ine tika i te pēhanga i roto i te taringa o roto, arā, mēnā kua piki ake te taumata o te wai endolymph. |
He aha ngā maimoatanga mō ngā mate e pā ana ki te endolymph?
Ahakoa he uaua te rongoā katoa i tēnei mate, he maha ngā maimoatanga hei āwhina i a koe ki te whakahaere i ō tohumate me te noho i tētahi oranga noa. Kia maumahara ko ēnei maimoatanga katoa ka whakatauhia e tō tākuta, i runga i tō āhua.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Ngā huringa o te kai | Ko te tohutohu matua e hoatu ana ko te whakaiti i te kai tote , nā te mea ka whakanui ake te tote i te pupuri wai i roto i te tinana. Tērā pea ka tohutohuhia koe kia whakaiti i te kawheine (tī, kawhe) me te waipiro. |
| Ngā momo rongoā | Ka taea te hoatu i ngā rongoā diuretic ('pire wai') hei tango i te wai nui mai i te tinana. Ka taea hoki te hoatu i ētahi atu rongoā hei whakahaere i te pororaru, hei whakaiti i te whakapairuaki, ā, i ētahi wā ka werohia ngā corticosteroids ki roto i te taringa. |
| Ētahi atu Whakaora | He mahi motuhake kei reira e kīia ana ko te whakaora vestibular hei whakaora i ngā raruraru taurite. Ka taea hoki e koe te whakamātau i ngā mea pēnei i te whakaora whanonga hinengaro (CBT) hei whakaiti i te ahotea i puta mai i tēnei mate. |
| Pokanga | Ki te kore e taea e tētahi atu maimoatanga te whakahaere i tēnei, me mahi pea koe i te pokanga hei tango i te wai nui, hei whakaiti rānei i te pēhanga i roto i te taringa. |
Karere Tangohia ki te Kāinga
- He wai te endolymph i roto i te taringa o roto, he mea nui mō te whakarongo me te taurite o te tinana.
- Ko ngā tohu pēnei i te whanoke (vertigo), te ngaronga o te rongo, me te tangi o ngā taringa (tinnitus) he tohu pea tēnei o tētahi raruraru o tēnei wai.
- Ko te mate tino noa e pā ana ki tēnei ko te mate a Ménière, e puta mai ana i te nui rawa o te wai endolymph i roto i te taringa.
- Mena kei a koe tētahi o ēnei tohu, kaua e warewarehia , me toro atu ki tō tākuta tonu .
- Ko te huarahi pai hei tiaki i ō taringa ko te karo i ngā haruru nui. Whakarongo ki ngā waiata nui, ā, kaua e noho ki ngā wāhi haruru i ngā wā katoa e taea ana.
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