Tiyeni tiphunzire za madzi odabwitsa awa omwe ali mkati mwa khutu - endolymph.

Kodi munayamba mwadzifunsapo momwe timamvera mawu amenewa, kapena momwe timayimirira molunjika ndikuyenda osagwa? Zonsezi zimathandizidwa ndi zinthu zazing'ono zomwe zili m'makutu mwathu. Chofunikanso kwambiri ndi madzi otchedwa endolymph . Tiyeni tikambirane za izi mwatsatanetsatane lero, chabwino?

Kodi endolymph iyi ndi chiyani?

Mwachidule, endolymph ndi madzi apadera omwe ali mkati mwa khutu lathu. Izi ndi zomwe zimatithandiza kumva phokoso ndikusunga bwino . Tangoganizirani, madzi awa akamayenda mkati mwa khutu lathu, kayendedwe kameneko kamatulutsa zizindikiro za mitsempha zomwe zimapita ku ubongo wathu. Pamenepo ubongo umamvetsa kuti, "O, ndikumva phokoso," ndi "Tsopano thupi lili pamalo awa, tili okhazikika." Chifukwa chake, popanda chinthu ichi chotchedwa endolymph, sitingathe kuchita chilichonse mwa izi bwino.

Kodi endolymph imatithandiza bwanji?

Madzi a endolymph awa amatithandiza m'njira ziwiri zazikulu: Kumva ndi kusunga bwino. Tiyeni tiwone chilichonse mwa izo.

Momwe mungathandizire ndi kumva

Choyamba tiyeni tiwone momwe izi zimathandizira kumva. Madzi a endolymph amagwira ntchito yayikulu potenga mafunde a phokoso kuchokera kunja ndikuwasandutsa zizindikiro zomvera zomwe ubongo wathu ungamvetse.

Khutu lathu lili ndi gawo looneka ngati nkhono lotchedwa cochlea, sichoncho? Mtsempha wa cochlear mkati mwake uli ndi endolymph iyi. Mkati mwa mtsempha wa cochlear uwu, muli kapangidwe kofewa kwambiri kotchedwa Organ of Corti . Apa ndi pomwe maselo a tsitsi omverera , monga tsitsi laling'ono, amakonzedwa m'mizere.

Tsopano, phokoso likalowa m'khutu mwathu, mafunde a phokoso amachititsa kugwedezeka mu madzi a endolymph. Monga momwe mumagwetsera mwala mu mbale ya madzi, umagwedezeka. Kenako maselo a tsitsi mu Organ of Corti amasuntha poyankha kugwedezeka kumeneko. Kusuntha kumeneko ndiko komwe kumapangitsa kuti zizindikiro za kumva zituluke ndikuyenda kudzera mu mitsempha yakumva kupita ku gawo la ubongo lomwe limamvetsetsa mawu. Pamenepo timamvetsetsa, "O, iyi ndi nyimbo" kapena "Winawake akulankhula." Kodi sizodabwitsa?

Momwe mungathandizire ndi kulinganiza bwino

Kenako, tiyeni tiwone momwe endolymph iyi imathandizira pakukhala bwino. Izi ndizofunikira kwambiri. Chifukwa cha dongosololi sitigwa tikamayenda, kuthamanga, kapena kugwedeza mitu yathu.

Tikatembenuza mitu yathu kuchokera mbali imodzi kupita mbali ina, kuipotoza mmwamba ndi pansi, ndikuyisuntha patsogolo ndi kumbuyo... pali zinthu zingapo mkati mwa makutu athu zomwe zimatithandiza kumva mayendedwe onsewa. Ndi utricle ndi saccule . Izi ndi zomwe zimamveka mayendedwe a mmwamba/pansi ndi kutsogolo/kumbuyo a mutu.

Kuphatikiza apo, ngalande zozunguliraPali zitatu. Izi ndi zolunjika kwa wina ndi mnzake, mbali zosiyanasiyana. Izi ndi zomwe zimatithandiza kumva mayendedwe ozungulira a mutu. Tangoganizirani mukugwedeza mutu wanu kumanzere ndi kumanja, kuyang'ana mmwamba ndi pansi, ndi zina zotero.

Mapangidwe onsewa ali ndi endolymph. Monga momwe zimakhalira ndi cochlear duct yomwe imatithandiza kumva, pali maselo a tsitsi omwe amamva. Chifukwa chake, mukasuntha mutu wanu, endolymph yomwe ili mkati imayenda nayo. Ndipo kupanikizika kwa madziwo kumapangitsa maselo a tsitsiwo kupindika mbali imeneyo. Ndipo akapindika, maselo amenewo amatumiza zizindikiro ku ubongo, monga, "Umu ndi momwe thupi lilili, umu ndi momwe limapendekera, umu ndi momwe likuyendera mwachangu." Umu ndi momwe tingasungire bwino, ndipo tikhoza kudzigwira mwachangu ngati tikufuna kugwa.

Kodi endolymph iyi ili kuti?

Tsopano mwina mukudabwa kuti madzi otchedwa endolymph ali kuti kwenikweni m'khutu. Ali mu dongosolo lofewa komanso lovuta la njira zotchedwa membranous labyrinth m'khutu mwathu. Mtsempha wa cochlear womwe tidalankhulapo kale - malo omwe mawu amasandulika zizindikiro zomvera - ndi ziwalo zotchedwa utricle, saccule ndi semicircular canal zomwe zimatithandiza kuzindikira mayendedwe onse ndi a membranous labyrinth. Onse ali odzaza ndi endolymph.

Chipinda chotchinga cha m'mimba ichi, chodzaza ndi endolymph, chimatetezedwa ndi chophimba china champhamvu cha mafupa. Chimatchedwa kuti bony labyrinth . Mkati mwa chipinda chotchinga cha m'mimbachi muli madzi ena ofunikira, perilymph . Pakati pa chipinda chotchinga cha m'mimba, chomwe chili ndi endolymph, ndi chipinda chotchinga cha m'mimba, chomwe chili ndi perilymph, pali chotchinga chotchedwa Reissner's membrane . Izi zimalekanitsa madzi awiriwa ndikusunga mapangidwe awo mosiyana.

Kodi endolymph imapangidwa ndi chiyani?

Kodi mukudziwa kuti mankhwala ofunikira kwambiri mu endolymph fluid iyi ndi ati? Ndi potaziyamu . Madzi awa ali ndi potaziyamu yambiri. Madzi a endolymph akamayenda, amatulutsa potaziyamu ion. Ma ayoni amenewo amayatsa maselo olandirira tsitsi ndikuthandizira mitsempha kutumiza mauthenga ku ubongo. Iyi ndi njira yapadera kwambiri.

Kodi endolymph imapangidwa bwanji?

Madzi amtengo wapatali a endolymph awa akusinthidwa ndi kufalikira nthawi zonse. Amapangidwa makamaka ndi stria vascularis yomwe ili pakhoma la cochlea.Ili ndi dera lokhala ndi magazi ambiri lopangidwa ndi maselo a epithelial. Komanso, mtundu wapadera wa selo wotchedwa 'maselo akuda' m'mitsempha ya semicircular canal amathandiza kupereka potaziyamu ku endolymph. Chifukwa chake umu ndi momwe kapangidwe ka endolymph kamasungidwira.

Kodi mavuto okhudzana ndi endolymph ndi ati?

Chabwino, taphunzira zambiri zokhudza endolymph. Koma, ngakhale kuti zonse zili bwino zikagwira ntchito bwino, nthawi zina pamakhala zinthu zomwe zingagwirizane ndi endolymph iyi. Chofunika kwambiri komanso chomwe chimakambidwa kwambiri ndi matenda a Ménière .

Anthu ena akadwala matenda a Ménière, amakhala ndi madzi ambiri a endolymph m'khutu mwawo, kapena kuthamanga kwa madziwo kumawonjezeka. Kuchulukana kwa madzi a endolymph m'khutu lamkati kumatchedwa ma endolymph hydrops ndi madokotala. Ichi ndi chomwe chimayambitsa zizindikiro zambiri.

Ndiye kodi zizindikiro zimenezi ndi ziti?

Ngati pali madzi a endolymph ambiri, kapena ngati pali vuto ndi kuyenda kwa endolymph, tikhoza kukumana ndi zizindikiro zina. Izi zingabwere mwadzidzidzi, kapena zingayambe pang'onopang'ono. Zizindikiro zazikulu ndi izi:

• Kutaya kumva: Nthawi zina kutaya kumva kumachitika m'khutu limodzi lokha, koma kumatha kubwerera mwakale patatha masiku angapo.
• Chizungulire: Izi sizimangochitika ngati munthu akungozungulira. Zingamveke ngati chipinda chomwe muli chikuzungulirani, kapena zingamveke ngati mukuzungulira chipindacho. Izi zitha kukhala kwa maola angapo.
• Kulira kwa mawu: Kulira kosalekeza kapena phokoso m'makutu . Izi zitha kukhala zokhumudwitsa kwambiri.
• Kukhuta kwa khutu: Kumva kukhuta kapena kupanikizika m'khutu, ngati kuti chinachake chatsekedwa m'khutu, kapena ngati khutu ladzaza ndi mpweya.
• Kusanza ndi kusanza: Izi zingabwere limodzi ndi chizungulire chachikulu.
• Mutu: Anthu ena amakumananso ndi izi.

Taganizirani izi, nthawi zina mwadzidzidzi mumadzimva chizungulire ndipo mukumva ngati mukufuna kusanza, eti? Kapena mumamva kulira kosalekeza m'makutu mwanu. Zizindikiro zimenezo zingayambitsidwe ndi mavuto a endolymph. Koma si aliyense amene ali ndi zizindikirozi amene ali ndi matenda a Meniere. Ndicho chifukwa chake ndikofunikira kufunafuna upangiri wa dokotala.

Ndi mayeso ati omwe amachitidwa kuti azindikire mavuto awa?

Chabwino, ngati muli ndi zizindikiro ngati zimenezo, kodi dokotala angadziwe bwanji ngati ndi vuto la endolymph kapena china chake? Pali mayeso angapo a zimenezo:

• Mayeso a Brain MRI (Magnetic Resonance Imaging):Nthawi zina, mayeso apadera a MRI angagwiritsidwe ntchito kuti aone ngati pali madzi ambiri a endolymph mkati mwa khutu. Izi zingathandizenso kuchotsa zifukwa zina.
• Kuyeza kwa makutu (Audiometry): Izi zimayesa kuchuluka kwa kumva kwa khutu pa ma frequency osiyanasiyana a phokoso. Zingathe kudziwa ngati kumva kumakhudzidwa ndi mavuto a endolymph komanso momwe kumakhudzira kumva.
• Kuyesa kwa Vestibular: Izi zimayesa ntchito ya dongosolo lolinganiza bwino. Zimawona zinthu monga momwe maso anu amayendera komanso momwe mumalinganiza bwino mukagwedeza mutu wanu. Izi zingakupatseni lingaliro la ngati pali vuto lililonse ndi dongosolo la endolymph.
• Electrocochleography (ECochG): Kuyesaku kungayang'anenso kuchuluka kwa kuthamanga kwa madzi m'khutu lamkati, makamaka cochlea, zomwe zikutanthauza kuchuluka kwa madzi a endolymph.

Dokotala amapeza matenda atatha kuchita chimodzi kapena zingapo mwa izi.

Ndiye chithandizo chake ndi chiyani?

Ngati muli ndi vuto lotchedwa endolymphatic fluid buildup, monga matenda a Ménière, pali mankhwala omwe alipo. Ngakhale kuti n'zovuta kuchiza kwathunthu, mutha kuwongolera zizindikiro ndikupangitsa moyo wanu kukhala wosavuta. Madokotala nthawi zambiri amalimbikitsa izi:

• Kusintha zakudya: Izi ndizofunikira kwambiri. Kuchepetsa kumwa mchere ndikofunikira kwambiri. Kodi mukudziwa chifukwa chake? Chifukwa mchere umapangitsa thupi kusunga madzi ambiri. Izi zitha kuwonjezera kuchuluka kwa endolymph mkati mwa khutu. Muthanso kuchepetsa zinthu monga caffeine ndi mowa.
• Mankhwala:
• Mankhwala ochepetsa mphamvu ya madzi m'thupi: Mankhwalawa amatchedwanso "mapiritsi amadzi." Amagwira ntchito popangitsa thupi kutulutsa madzi ochulukirapo kudzera mu mkodzo. Izi zingathandizenso kuchepetsa kuthamanga kwa magazi mkati mwa khutu.
• Mankhwala a chizungulire: Pali mankhwala omwe angaperekedwe kuti athetse chizungulire chikachitika.
• Corticosteroids: Nthawi zina, jakisoni wa steroid amatha kuperekedwa m'khutu. Izi zingathandize kuchepetsa kutupa mkati mwa khutu ndikuchepetsa zizindikiro.
• Mankhwala oletsa nseru: Chepetsani nseru yomwe imabwera ndi chizungulire.
• Mankhwala:
• Chithandizo cha kubwezeretsa mitsempha ya m'chiuno: Izi zimaphatikizapo kupereka masewera olimbitsa thupi ndi maphunziro omwe amathandiza kuthetsa mavuto a kulinganiza bwino thupi. Zili ngati kuphunzitsa ubongo kuzindikira kulinganiza bwino thupi kachiwiri.
• Chithandizo cha Maganizo (CBT): Chithandizochi chingathandize kuchepetsa nkhawa ndi mantha omwe angabwere chifukwa cha chizungulire chobwerezabwereza.
• Opaleshoni:Ngati njira zina zonse zothandizira sizikuthandiza kuthetsa zizindikiro, opaleshoni ingafunike. Njira imodzi ndi kuchotsa madzi m'thumba la endolymphatic. Dokotala angadule thumbalo ndikutulutsa madzi ochulukirapo m'thumba la endolymph. Pali njira zina zochitira opaleshoni.

Kodi timasamalira bwanji khutu lathu lamkati?

Ndiye, kodi tiyenera kuchita chiyani kuti madzi otchedwa endolymph, kutanthauza khutu lathu lamkati, akhale athanzi? Kawirikawiri, zomwe zili zabwino kwa khutu lathu lamkati ndizonso zabwino kwa endolymph.

Chofunika kwambiri ndi kupewa phokoso lalikulu momwe mungathere. Mukamvetsera phokoso lalikulu kwa nthawi yayitali, maselo atsitsi omwe tidakambiranawa amatha kuwonongeka. Akawonongeka, zimakhala zovuta kukonza. Chifukwa chake, ngati mumagwira ntchito m'malo ngati mafakitale, gwiritsani ntchito zoteteza makutu. Mukamvetsera nyimbo kapena kuvala mahedifoni, chepetsani voliyumu. Izi ndizofunikira kwambiri.

Komanso, zinthu monga kukhala ndi moyo wathanzi, kuchepetsa kumwa mchere, komanso kupewa kusuta fodya zonse zimathandiza thanzi la khutu.

Zinthu zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Kotero, tsopano mukumvetsa kufunika kwa dontho laling'ono la madzi lotchedwa endolymph pakumva kwathu ndi kukhazikika kwathu. Kuyenda kwa endolymph iyi n'kofunika kwambiri posintha mphamvu ya mawu ndi mphamvu kuchokera ku kayendedwe ka thupi kukhala zizindikiro zomwe ubongo ungamvetse. Ndicho chifukwa chake ndi yamtengo wapatali kwambiri. Ili ngati dontho la mafuta mu makina ovuta a matupi athu.

Ngati mukumva zizindikiro za matenda amkati mwa khutu monga matenda a Ménière (monga chizungulire, kulira m'makutu, kumva kutayika, kapena kumva kudzaza m'makutu), musanyalanyaze ndipo pitani kwa dokotala, makamaka katswiri wa khutu, mphuno, ndi pakhosi (ENT specialist), mwamsanga momwe mungathere. Mwanjira imeneyi, mutha kupeza chifukwa chake mwachangu ndikuyamba chithandizo chofunikira. Makutu athu ndi amtengo wapatali kwambiri, choncho tiyeni tiwasamalire bwino!

Endolymph , khutu lamkati, madzi a m'khutu, kumva, kulinganiza, matenda a Meniere, chizungulire, tinnitus