Kia ako tātou i ētahi atu kōrero mō te pūnaha vestibular, te pūnaha tino kaha e pupuri ana i te taurite o tō tinana!

E mōhio ana tātou katoa he kaha whakamiharo tō tātou tinana ki te hikoi, ki te oma, ki te pekepeke, ā, ki te tū tika hoki. Engari kua whakaaro kē koe me pēhea tātou e mahi ai i ēnei mea katoa, me pēhea tātou e noho tika ai? Koinei te āwhina a tētahi pūnaha tino motuhake, iti engari he tino nui i roto i tō tātou tinana. Koinei te mea e kiia nei e tātou ko te pūnaha vestibular . He māmā noa iho, koinei te pūnaha e āwhina ana ki te pupuri i te taurite o tō tātou tinana, arā, te taurite.

He aha te pūnaha vestibular? He māmā noa iho...

Whakaarohia, ahakoa kei te tū noa tātou, kei te neke tonu tātou me te ao e karapoti nei i a tātou. Ina mahi tika tēnei pūnaha vestibular, ka whakamōhio atu ki tō tinana me pēhea koe e neke ana, me pēhea te neke o ngā mea e karapoti nei i a koe, ā, ka āwhina i te pupuri i tō taurite, i te taurite rānei o tō tinana, kia pumau.

E rua ngā wāhanga matua o tēnei pūnaha:

• Pūnaha vestibular ā-taha: Koinei te tikanga o te nuinga o te tangata ina kīia "pūnaha vestibular." E rima ngā okana rongo kei roto i tō taringa o roto. Koinei ngā mea e whakarato ana i ngā mōhiohio e pā ana ki tō tū, tō tūranga, me tō nekehanga e tika ana mō te taurite o tō tinana.
• Pūnaha vestibular matua: He wāhanga tēnei o tō pūnaha io matua (CNS). Ka tukatuka i ngā tohu taurite mai i ngā whekau vestibular i roto i tō taringa o roto.

Me pēhea te mahi a tēnei? Me pēhea te waihanga i te taurite i roto i tō tinana?

He wāhanga tino nui tō pūnaha vestibular o tētahi pūnaha pāngarau matatini e āwhina ana i a koe ki te pupuri i tō taurite. Ka āwhina i a tātou kia noho tika i a tātou e hikoi ana, e oma ana, ā, i te mutunga, e tū tika ana.

Koinei te mea ka tupu:

Ka kitea e te pūnaha vestibular i roto i tō taringa o roto ngā nekehanga o tō mahunga. Kātahi ka tukuna atu ēnei mōhiohio ki tō roro. Mā ēnei nekehanga ka hoatu he mōhiohio ki a koe mō tō wāhi noho me tō whanaungatanga ki tō taiao. Ka whakakotahi tō roro i ēnei raraunga me ngā mōhiohio pūoro mai i ō kanohi me ngā mōhiohio pūoro mai i ō uaua me ō hononga. Ka āwhina ō kanohi i a koe ki te whakatau i tō tūranga i runga i ngā mea e kite ana koe. Ka whakaratohia hoki e ō uaua me ō hononga he mōhiohio pūoro mō te wā e tukinga ai rātou ki tō taiao.

Whakaarohia kei te hikoi koe i runga i te whenua papatahi. Ki te pā tō waewae ki tētahi toka iti, e kore koe e hinga tonu, e tika? Ka nekeneke haere tō tinana, kātahi ka whakatika anō. I taua wā tonu, ka huihui ō kanohi, te pūnaha vestibular i roto i ō taringa, me ngā uaua o ō waewae hei whakaora i a koe.

I runga i ēnei whakaurunga e toru (pūnaha vestibular + kanohi + uaua me ngā hononga), ka tukuna e tō roro ngā tohu ki tō tinana me pēhea te pupuri i te taurite.

He mīharo ngā urupare o te pūnaha vestibular!

Ehara te pūnaha vestibular i te okana motuhake noa iho. He hononga tata ki ō kanohi, uaua, me ngā hononga, ā, ka whakarite aunoa i ngā mahi e whakahaere ana i te taurite. E rua ngā urupare matua e āwhina ana i tēnei:

• Te Whakaata Vestibulo-ocular (VOR): Ka mahi tahi ō kanohi me te pūnaha vestibular ki te pupuri i tō titiro ki te wāhi kotahi ahakoa e neke ana koe. Whakaarohia kei te oma koe ki tētahi ūnga. Ahakoa kei te nekehia tō upoko mai i tētahi taha ki tētahi taha, kei te titiro tonu ō kanohi ki te ūnga, tika? Kāore koe e pekepeke ina oma koe. Nā tēnei whakaata e kiia nei ko te VOR . Arā, ka neke ō kanohi ki te taha kē atu o te nekehanga o tō upoko kia mau tonu ai tō titiro. Ki te kore tēnei, ka ngāwari te pōuri me te hinga.

• Te whakaata Vestibulospinal (whakaata VS): Ka urutau aunoa ō uaua ki ngā huringa o tō pūnaha vestibular. Whakaarohia kei te hikoi koe i runga i tētahi ara koretake, kirikiri. I te neke haere o tō mahunga, ka kitea e tō pūnaha vestibular te huringa o tō tū. I taua wā tonu, ka nekehia e te whakaata VS tō taumaha tinana hei utu, kia kore ai koe e tūtuki.

Kei hea tēnei pūnaha vestibular?

Kei roto i tō taringa o roto ngā okana o tō pūnaha vestibular. Kei roto hoki i tō taringa o roto te cochlea, e āwhina ana i a koe ki te whakarongo. Tērā tētahi atu wāhanga o te taringa o roto e kiia nei ko te vestibular labyrinth . Kei roto i tēnā te wāhi e noho ai ō okana vestibular e rima (e kiia ana ko te "vestibular apparatus").

Ka kitea e ēnei okana te tūnga o tō mahunga, ka tukuna ngā tohu ki ngā wāhanga o te roro hei āwhina i a koe ki te pupuri i te taurite.

He aha ngā wāhanga o te pūnaha vestibular?

E rima ngā okana matua o te pūnaha vestibular i roto i tō taringa o roto:

• E toru ngā awa porowhita
• E rua ngā whekau otolith

Ko te taputapu vestibular, kei roto nei ēnei okana, kua whakakiia ki te wai e kiia nei ko te endolymph me ngā pūtau iti rite ki te makawe e kiia nei ko ngā kaiwhakawhiwhi pūtau makawe. Ina neke tō upoko, ka neke whakamua, ka neke whakamua hoki tēnei endolymph. Kātahi ka neke tahi ngā pūtau makawe me ia. Nā tēnei nekehanga, ka tukuna e ngā pūtau ngā mōhiohio kare ā-roto mō tō nekehanga ki te roro. Ka haere ēnei tohu io mā roto i tētahi io nui e kiia nei ko te nerve vestibular (e kiia ana ko te nerve vestibulocochlear, ko te nerve cranial tuawaru rānei).

Ngā awaawa porowhita

E toru ēnei ngongo i roto i tō taringa o roto e kite ana i ngā nekehanga hurihuri o te upoko.

• Awaawa teitei:Ka mōhio rātou ki ngā nekehanga o te māhunga (pēnei i te tūohu hei kī "āe").
• Awa whakapae: Ka kitea ngā nekehanga o te upoko mai i te maui ki te matau (pēnei i te ruru i tō upoko hei kī "kāo").
• Te awa o muri: Ka kitea ngā nekehanga e piko ai te upoko mai i tētahi taha ki tētahi taha (pērā i te huri i te upoko ki te taha).

Ka mutu ia awaawa i tētahi hanganga e kiia nei ko te ampulla . Kei roto i tēnei ampulla ngā pūtau makawe, e horahia ana i roto i tētahi mea rite ki te tiēre e kiia nei ko te cupula . Ina nekehia tō mahunga, ka neke whakamua, ka neke whakamua hoki te wai endolymph i roto i ngā awaawa haurua porowhita. Ka neke tahi ngā pūtau makawe i roto i te cupula me ia. Ka tukuna e tēnei nekehanga ngā tohu io ki te roro, e kī ana kei hea tō mahunga.

Ngā whekau otolith

E rua ēnei rūma e kitea ai ngā nekehanga rārangi e pā ana ki te kaha ā-papa.

• Utricle: Ka kite i ngā nekehanga whakapae (whakamua, whakamuri rānei, pērā i te eke motuka).
• Saccule: Ka kitea ngā nekehanga poutū (ki runga, ki raro rānei, pērā i te eke ararewa).

He hanganga kei ia okana otolith e kiia nei ko te macula . Kei roto hoki i tēnei macula ngā pūtau makawe. Kei roto i ēnei he matū rite ki te tiēre e kiia nei ko te otoconia, e kī ana i ngā tioata konupūmā. Ina neke koe, ka neke whakamua, ka neke whakamua ēnei otoconia i roto i ngā okana otolith. Kātahi ka neke tahi ngā pūtau makawe me rātou. Ka tukuna e tēnei nekehanga ngā tohu io ki te roro.

He aha ngā mate e pāngia ai te pūnaha vestibular?

Engari, ahakoa tēnei pūnaha whakamiharo, ka raru pea ētahi wā. Koinei te wā ka puta ai ngā āhuatanga pēnei i te whanoke me te hemo. E rua ngā wāhi matua ka puta ai ngā raruraru:

Ko ngā mate vestibular peripheral (taringa o roto) e tino kitea ana ko:

• Te Vertigo Tūnga Pai o te Pōturi (BPPV) : Koinei te wā e neke ai ngā pōro iti e kiia nei ko te otoconia ki roto i ngā awaawa. Ka puta te whanoke nui ina nekehia tō mahunga.
• Labyrinthitis : He mate, he mumura rānei o te pūnaha vestibular o te taringa o roto.
• Te mate a Ménière : He mate e puta mai ana i te pikinga o te pēhanga wai i roto i te taringa o roto. Ko ētahi o ngā tohu ko te ngaronga o te rongo, te tangi o ngā taringa, me te whanoke.
• Neuritis vestibular : Te mumura o te io vestibular.

Ko ngā mate vestibular pokapū tino noa ko:

• Te mate manawa pāwera (MdDS) : Te āhua kei te wiri tonu koe i muri i te hekenga mai i te kaipuke, i te poti rānei.
• Te Whatiwhati Tū-ā-Tirohanga (PPPD)He whanoke tonu, he uaua ki te kimi i te pūtake.
• Ngā migraines vestibular : Te whanoke e haere tahi ana me ngā migraines.

Me pēhea te mōhio mēnā he raruraru kei te pūnaha vestibular? He aha ngā tohu?

Ko ngā tohu matua o ngā raruraru taurite ko te whanoke me te pororaru . Ka taea e ēnei e rua te whakararuraru me te uaua ki te tū, engari he rerekē paku.

Mena kei te pōuri koe, tera pea ka pāngia koe e:

• Pōuriuri
• Māmā te mahunga, te āhua māmā te mahunga
• Te pōhēhē, te kore e mōhio kei hea koe (Te pōhēhē)

Mena kei te pāngia koe e te "vertigo" (te whanoke/te hurihuri nui), tera pea ka pāngia koe e:

• He rite ki te mea kei te hurihuri koe ahakoa kei te tū noa koe.
• Te āhua nei kei te hurihuri te ao katoa i a koe.

Ka mea ētahi, "Kei te pōuri au." He pōuri pea, he pōuri rānei. I roto i te pōuri, he maha ngā wā ka rite koe ki te mea kei te hurihuri koe, ki te taiao rānei e karapoti ana i a koe. Me te mea kei runga koe i tētahi taonga takaro e hurihuri ana.

Haunga ēnei tohu, i runga i te āhua o te pūnaha vestibular kei a koe, ka pāngia pea koe e ētahi atu tohu e pā ana ki tō whakarongo me tō tirohanga. Nā te mea he tata te hononga o tō pūnaha vestibular ki ō kanohi me ō taringa (kei roto hoki i te taringa o roto ngā whekau matua o te roro), ka taea e ēnei raruraru te taupatupatu i ētahi wā.

Me pēhea te tirotiro i te hauora o te pūnaha vestibular?

Ko te huarahi matua e tātari ai ngā tākuta i ngā āhuatanga vestibular ko te whakamātautau vestibular . Kei roto i tēnei ko te whakahaere i ētahi whakamātautau hei tirotiro i te hauora o tō pūnaha vestibular. He maha ngā whakamātautau e titiro ana ki te pai o te mahi tahi a ō kanohi me tō pūnaha vestibular ki te pupuri i te taurite (koinei te VOR i kōrerohia e tātou i mua ake nei).

Me whai whakamātautau toto anō hoki koe hei tirotiro mō ngā mate urutā, hei whakamātautau whakaahua rānei (hei tauira, te matawai MRI) hei tirotiro mō ngā raruraru hanganga e pā ana ki tō pūnaha vestibular.

He aha ngā maimoatanga mō ngā āhuatanga o te pūnaha vestibular?

He maha ngā āhuatanga vestibular e hiahia ana kia whakakotahitia ngā maimoatanga, arā, he nui atu i te kotahi ngā tikanga maimoatanga.

• Ngā huringa āhua noho: Te whakaiti i ngā mea pēnei i te ahotea e whakaoho ana i te whanoke.
• Te whakaora tinana vestibular: Ka taea e tēnei te āwhina i te whakaiti i ngā tohu, te whakapakari i ngā hanganga ngoikore pēnei i te VOR, te mahi rānei i ngā mahi whakatikatika motuhake mō ngā āhuatanga pēnei i te BPPV.
• Rongoā: Ka taea te hoatu rongoā hei rongoā i tētahi mate, hei whakaiti rānei i ngā tohu o te whanoke, pērā i te whakapairuaki.
• Pokanga:I ētahi wā, me mahi pokanga hei whakatika i ngā hanganga o roto o te taringa e puta ai te raruraru. Heoi, he maha ngā wā koinei te huarahi whakamutunga.

Me pēhea te pupuri i te hauora o tēnei pūnaha vestibular?

Ina hoki, he uaua ki te ārai i te maha o ngā mate vestibular. Heoi, ka taea e koe te tiaki i tō pūnaha vestibular (me koe anō hoki) mā te rapu maimoatanga i te wā e taea ai i ngā tohu tuatahi o tētahi raruraru.

Hei tauira, ko ētahi āhuatanga, pērā i ngā mate taringa o roto, ka ora pea i roto i te wā, engari ka taea e rātou te kino i ngā pūtau huruhuru tairongo i roto i tō taringa. Kia pakaru ēnei pūtau, kāore e taea te tupu anō. Koia te mea nui kia tere te whiwhi maimoatanga.

Me pēhea te "taurite" i te pūnaha vestibular?

Ko te whakaora vestibular he maimoatanga e āwhina ana i a koe ki te whakarite pai ake i ngā wāhanga o tō pūnaha vestibular. Mā te mahi tahi me te tākuta, te kaiwhakaora tinana rānei e tohunga ana ki ngā mate vestibular, ka taea te whakangungu i tō roro kia pai ake te aro atu ki ngā karere mai i ngā whekau vestibular i roto i tō taringa o roto. Ko te tikanga o tēnei ka taea e tō roro te urutau me te mahi noa ahakoa he raruraru kei roto i te pūnaha.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Ina rongo koe i te kupu "vestibular," ka puta ake tētahi atu kupu māmā ki tō hinengaro: te taurite . Pērā i tō arero reka, pā, tirohanga, whakarongo, me te hongi, he rite tonu te hiranga o tō arero taurite. Kāore i te tino mōhiotia, engari he mea nui. He mahi pai tā ngā whekau vestibular i roto i tō taringa o roto ki te pupuri i a koe kia tū tika, kia kore ai hoki e hinga.

Nō reira, ki te pā mai ngā tohu o te raruraru vestibular, pērā i te whanoke, te māuiui, te pororaru rānei, kaua e wareware noa , engari me toro atu ki te tākuta tonu . Pērā ai, ka taea te tiaki tika i tō pūnaha vestibular.

Kia maumahara, ko ēnei mōhiohio hei mōhiohio māu anake. Mena he āwangawanga hauora āu, rapua te tohutohu a tētahi tohunga hauora whai tohu.

Pūnaha vestibular , taurite, whanoke, taringa o roto, VOR, VS reflex, mate taringa