Kodi nthawi zina mumamva ngati chipinda chonse chikuzungulira mukayimirira mwadzidzidzi kapena kutembenuza mutu wanu pang'ono? Kapena nthawi zonse mumamva phokoso la "goo..." kuchokera m'makutu mwanu? Kodi nthawi zina mumamva ngati khutu lanu laima? Ngakhale kuti zinthuzi zimaoneka zachilendo kwa ambiri a ife, nthawi zina chifukwa chake chingakhale madzi ang'onoang'ono koma ofunikira kwambiri m'makutu mwathu. Madzi amenewo ndi omwe timawatcha endolymph. Lero, tiyeni tikambirane za madzi awa omwe amatchedwa mwachilendo, koma osafunikira kwenikweni m'miyoyo yathu.
Mwachidule, kodi endolymph ndi chiyani?
Endolymph ndi madzi apadera omwe amapezeka mkati mwa khutu lathu. Monga momwe mafuta amagwirira ntchito mu injini ya galimoto, madzi awa ndi ofunikira kuti thupi lathu likhale lolimba komanso kuti timve zinthu bwino. Pali dongosolo lovuta kwambiri mkati mwa khutu lathu lamkati. Zigawo za dongosololi zimalamulira kumva kwathu komanso momwe timamvera. Zigawo zimenezo zimadzazidwa ndi madzi a endolymph awa.
Taganizirani izi, mukagwedeza mutu wanu, kuyenda, kapena kuthamanga, madzi awa amayenda nawo. Kusunthaku kumalimbikitsa maselo abwino kwambiri a tsitsi okhala ndi malingaliro ofanana ndi tsitsi mkati mwa khutu. Maselo awa amatumiza zizindikiro ku ubongo wathu. Ubongo umatanthauzira zizindikiro zimenezo ndikutipangitsa kumva phokoso, kapena umatiuza malo omwe thupi lathu lili, kapena ngati tatsala pang'ono kugwa.
Mwachidule, endolymph ili ngati 'mthenga' amene amanyamula mauthenga athu omvetsera ndi kulinganiza kupita ku ubongo.
Zinthu ziwiri zazikulu zomwe zimachitika ndi madzi a endolymph
Madzi awa ali ndi ntchito ziwiri zazikulu m'thupi lathu. Tiyeni tiyang'ane padera.
1. Momwe zimatithandizira kumva
Kodi munayamba mwadzifunsapo kuti timamva bwanji phokoso? Mafunde a phokoso akalowa m'makutu mwathu, amapita ku gawo la mkati mwa khutu. Gawoli limatchedwa cochlea. Limaoneka ngati chipolopolo cha nkhono. Lili ndi madzi otchedwa endolymph.
Mafunde a phokoso akalowa mkati mwa khutu, amachititsa kugwedezeka kwa madzi a endolymph, mofanana ndi mafunde omwe amachitika mukaponya mwala m'madzi. Madzi awa akagwedezeka, maselo owoneka ngati tsitsi, ofewa (omwe amapezeka mu chiwalo cha Corti) mkati mwake amapindika mmbuyo ndi mtsogolo. Pamene maselo awa amapindika, amapanga chizindikiro chamagetsi chomwe chimayenda kudzera mu mitsempha kupita ku ubongo. Ubongo umatanthauzira chizindikiro chimenecho ngati "phokoso." Chifukwa chake popanda endolymph, njira yonseyi singachitike, ndipo sitingamve.
2. Momwe mungasungire bwino thupi
Ngakhale mutatseka maso anu, mutha kumvabe ngati mukuimirira molunjika, mwawerama, kapena mutu wanu utawerama, sichoncho? Endolymph iyi imathandiza pa izi.
Palinso zinthu zina zapadera zomwe zili mkati mwa khutu lathu zomwe zimagwirizana ndi kulinganiza bwino. Izi ndi ngalande za utricle, saccule, ndi semicircular. Izi zimadzazidwanso ndi madzi a endolymph.
- Mukagwedeza mutu wanu mmwamba ndi pansi, mmbuyo ndi mtsogolo, madzi omwe ali mkati mwa utricle ndi saccule amasuntha.
- Mukatembenuza mutu wanu kumanzere kapena kumanja, madzi omwe ali mkati mwa ngalande zozungulira amasuntha.
Pamene madziwo akuyenda motere, maselo a tsitsi omwe ali mkati mwake amapindikanso. Maselo amenewo amatumiza uthenga ku ubongo, nati, "Chabwino, tsopano mutu watembenuzidwa kumanja" kapena "Tsopano mutu wapendekeka." Ubongo umagwiritsa ntchito chidziwitso chimenecho kutumiza zizindikiro ku minofu ina m'thupi, kutipangitsa kukhala olimba komanso kuti tisagwe.
Kodi mavuto okhudzana ndi endolymph ndi otani?
Matenda ofala kwambiri komanso ofala kwambiri okhudzana ndi endolymph ndi matenda a Ménière . Izi zimachitika chifukwa cha kuchuluka kwa madzi a endolymph m'khutu lamkati. Taganizirani ngati kupopera mpweya wochuluka mu baluni. Mofananamo, madzi awa akamaunjikana, kuthamanga kwa magazi mkati mwa khutu kumawonjezeka. M'mawu azachipatala, matendawa amatchedwa endolymphatic hydrops .
Kuwonjezeka kwa kuthamanga kwa magazi kumeneku ndiko kumayambitsa zizindikiro zomwe zatchulidwa kale, monga chizungulire ndi kulephera kumva.
Zizindikiro za vuto la endolymph
Ngati mukuganiza kuti muli ndi vutoli, yang'anirani zizindikiro izi. Chizindikiro chimodzi kapena zingapo mwa izi zitha kuchitika limodzi.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Chizungulire | Izi sizikutanthauza kuti munthu amangomva chizungulire, koma zimangotanthauza kuti dziko lonse lozungulira iwe, chipinda chonse, likuzungulira, ngakhale uli pamalo amodzi. Izi zitha kukhala mphindi zochepa mpaka maola angapo. |
| Kutaya kumva | Kutaya kumva m'khutu limodzi kumachitika mwadzidzidzi. Nthawi zina izi zimakula pakapita nthawi, koma pakapita nthawi, kutaya kumva kosatha kumatha kuchitika. |
| Kulira kwa tinnitus | Ngakhale pamene palibe phokoso, mumamva phokoso lopitirira "goo..." m'makutu mwanu, ngati belu likulira. |
| Kupanikizika/kukhuta m'khutu | Kumva kusasangalala, ngati kuti madzi alowa m'khutu, ngati kuti khutu latsekeka ndipo ladzaza. |
| Kusanza ndi mutu | Vertigo ikhoza kutsagana ndi nseru, kusanza, ndi mutu. |
Chofunika: Ngati muli ndi zizindikiro izi, chonde musanyalanyaze. Onetsetsani kuti mwaonana ndi dokotala wanu kuti akupatseni upangiri.
Mayeso oti azindikire vutoli
Mukapita kukaonana ndi dokotala, adzamvetsera mosamala zizindikiro zanu ndikukuyang'anirani. Kenako, angakufunseni kuti muyesedwe kangapo kuti atsimikizire vutoli.
| Mayeso | Mukuona chiyani pamenepa? |
|---|---|
| Kuwerengera mawu (Audiometry) | Izi zimayesa kuchuluka kwa kumva kwanu molondola. Zimayesa momwe mumayankhira mawu osiyanasiyana. |
| Kuyesa kwa Vestibular | Izi zimayesa momwe dongosolo lowongolera bwino thupi lanu likugwira ntchito. |
| Kujambula kwa MRI | Nthawi zina izi zingathandize kuona ngati pali vuto lina mu ubongo kapena mkati mwa khutu, komanso kuona ngati pali madzi ambiri a endolymph mkati mwa khutu. |
| Electrocochleography (ECochG) | Izi zimatithandiza kuyeza mwachindunji kuthamanga kwa magazi mkati mwa khutu, kutanthauza ngati kuchuluka kwa madzi a endolymph kwakwera. |
Kodi mankhwala a matenda okhudzana ndi endolymph ndi otani?
Ngakhale kuti vutoli ndi lovuta kulichiza kwathunthu, pali njira zambiri zochiritsira zomwe zingakuthandizeni kuwongolera zizindikiro zanu ndikukhala moyo wabwinobwino. Kumbukirani kuti njira zonsezi zimatsimikiziridwa ndi dokotala wanu, kutengera momwe mulili.
| Njira yochizira | Kufotokozera |
|---|---|
| Kusintha kwa zakudya | Malangizo akuluakulu omwe nthawi zambiri amaperekedwa ndi kuchepetsa kumwa mchere , chifukwa mchere umawonjezera kusunga madzi m'thupi. Mungalangizidwenso kuchepetsa kumwa caffeine (tiyi, khofi) ndi mowa. |
| Mitundu ya mankhwala | Mankhwala ochepetsa ululu ('mapiritsi amadzi') angaperekedwe kuti achotse madzi ochulukirapo m'thupi. Mankhwala ena angaperekedwenso kuti achepetse chizungulire, kuchepetsa nseru, komanso nthawi zina ngakhale jakisoni wa corticosteroids m'khutu. |
| Mankhwala Ena | Pali masewera olimbitsa thupi apadera otchedwa vestibular rehabilitation therapy chifukwa cha mavuto a balance. Mungayesenso zinthu monga cognitive behavioral therapy (CBT) kuti muchepetse nkhawa zomwe zimayambitsidwa ndi vutoli. |
| Opaleshoni | Ngati palibe chithandizo china chomwe chingathetse vutoli, mungafunike opaleshoni kuti muchotse madzi ochulukirapo kapena kuchepetsa kuthamanga kwa magazi mkati mwa khutu. |
Uthenga Wopita Nawo Kunyumba
- Endolymph ndi madzi omwe ali mkati mwa khutu lathu omwe ndi ofunikira kuti thupi lathu likhale lolimba komanso kuti lizimva bwino.
- Zizindikiro monga chizungulire (vertigo), kulephera kumva, ndi kulira m'makutu (tinnitus) zingakhale zizindikiro za vuto ndi madzi awa.
- Matenda ofala kwambiri okhudzana ndi izi ndi matenda a Ménière, omwe amayamba chifukwa cha kuchuluka kwa madzi a endolymph mkati mwa khutu.
- Ngati muli ndi zizindikiro izi, musanyalanyaze ndipo pitani kwa dokotala nthawi yomweyo .
- Njira yabwino yotetezera makutu anu ndi kupewa phokoso lalikulu. Mvetserani nyimbo zaphokoso ndipo pewani kukhala m'malo aphokoso kwambiri momwe mungathere.
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