Kodi mukumva chizungulire? Kodi mukutaya mphamvu yanu? Tiyeni tikambirane za dongosolo lodabwitsa lomwe limalamulira mphamvu ya thupi lathu (Vestibular System)

Kodi mwadzidzidzi mukumva chizungulire? Kapena mukumva ngati zinthu zomwe zikukuzungulirani zikuzungulirani? Kodi mumamva ngati mwadzidzidzi mukupita m'mbali kapena kutaya mphamvu yanu poyenda? Tonse takumanapo ndi izi kamodzi kokha m'miyoyo yathu. Kwa ena, izi zimachitika nthawi zina, koma kwa ena, zitha kukhala vuto losatha, la moyo wonse. Chifukwa chake lero tikambirana za chifukwa chachikulu cha zinthuzi, dongosolo lodabwitsa komanso lovuta lomwe limalamulira mphamvu ya thupi lathu.

Kodi Vestibular System ndi chiyani?

Mwachidule, vestibular system ndiye chiwalo chachikulu cha kumva chomwe chimayang'anira kulinganiza kwa thupi lathu, kapena kulinganiza. Zili ngati 'mzimu' wokhazikika womwe umamangidwa m'thupi lathu. Umauza ubongo zonse zomwe tili nazo zokhudza ngati tikuyimirira, tikuwerama, tikusuntha, komanso malo omwe tili.

Dongosololi lingagawidwe m'magawo awiri akuluakulu:

• Dongosolo la vestibular lozungulira: Ili ndiye gawo lalikulu la dongosololi. Lili mkati mwa khutu lathu lamkati . Nthawi zambiri timatchula gawoli kuti "dongosolo la vestibular." Apa ndi pomwe timamva chidziwitso chokhudzana ndi kulinganiza kwathu.
• Dongosolo lapakati la vestibular: Ili ndi gawo la dongosolo lathu lapakati la mitsempha, lomwe ndi ubongo ndi msana. Limalandira mauthenga ochokera m'makutu, kuwasanthula, ndikulangiza ziwalo zina kuti zikhale bwino.

Kodi dongosololi limagwira ntchito bwanji kwenikweni?

Kukhazikika kwa thupi lathu si chinthu chomwe chingalamuliridwe ndi chinthu chimodzi chokha. Zili ngati masewera a timu. Pali osewera atatu akuluakulu mu izi.

1. Dongosolo la Vestibular (gawo la khutu): Limapereka chidziwitso chokhudza malo, liwiro, ndi komwe mutu ukuyenda.

2. Maso (masomphenya): Tipatseni chidziwitso chokhudza malo athu, komwe tili, komanso komwe zinthu zilili mogwirizana ndi ife.

3. Minofu ndi mafupa (Proprioception): Zimatipatsa chidziwitso cha komwe miyendo yathu ili, momwe timayimirira pansi, komanso momwe mafupa athu amapindika.

Tangoganizirani kuti mukuyenda m'chipinda chamdima pang'ono. Popeza maso anu sakuona bwino, makina otsekeka m'khutu mwanu ndi kumva kwa mapazi anu akugunda pansi ndi zinthu zazikulu zomwe zimakuthandizani kuti mukhale olimba. Zidutswa zonse zitatuzi zimapita ku ubongo wanu, ndipo ubongo umaziphatikiza zonse kuti usankhe momwe ungasungire thupi lanu bwino.

Pali zinthu ziwiri zofunika kwambiri zomwe zimathandiza kuti izi zichitike zokha.

Kugwirizana pakati pa maso ndi kulinganiza bwino (Vestibulo-ocular reflex - VOR)

Ichi ndi chinthu chosangalatsa kwambiri. Tangoganizirani kuti mukuyesera kuwerenga nambala m'basi mumsewu. Ngakhale mukuyenda ndipo mutu wanu ukusuntha kuchokera mbali imodzi kupita mbali ina, maso anu amatha kuyang'anabe nambala imeneyo. Zimene mukuwona sizikuwoneka bwino, osati zosawoneka bwino. Ndicho chimene 'VOR' reflex iyi imathandizira. Mutu wanu ukasuntha mbali imodzi, maso anu amasuntha okha mbali inayo, zomwe zikusunga zomwe tikuyang'ana mokhazikika. Popanda izi, tikamayenda, dziko lomwe tikuliona limawoneka ngati likugwedezeka, ngati kamera ikujambula kanema wogwedezeka.

Ubale pakati pa minofu ndi kukhazikika (Vestibulospinal reflex - VS)

Izi zili choncho chifukwa minofu yathu imasintha yokha kuti ikhale yofanana. Tangoganizirani kuti mukuyenda pamsewu wa miyala. Pa sitepe iliyonse, thupi lanu limagwedezeka mmbuyo ndi mtsogolo. Koma simugwa mosavuta. Izi zili choncho chifukwa, mutu wanu ukangopendekeka pang'ono, dongosolo ili m'khutu mwanu limazindikira ndipo nthawi yomweyo limatumiza chizindikiro ku minofu yanu, kuti, "Thupi lanu likutsamira kumanja, choncho musalole kuti ligwe ndipo ikani kulemera kwanu pa mwendo wanu wakumanzere kuti mudziyendere bwino." Izi zimachitika mwachangu kwambiri kotero kuti tilibe nthawi yoganizira za izi.

Mbali za dongosololi ndi ntchito zake

Monga tanenera kale, ziwalo zazikulu zomvera za dongosolo la vestibular zili mkati mwa khutu. Chokoka, chomwe chimatithandiza kumva, chilinso mkati mwa khutu lamkati. Pafupi ndi icho, mbali ina, pali ziwalo 5 zokhudzana ndi kulinganiza. Izi zimatchedwa vestibular labyrinth.

Mkati mwa ziwalo izi muli madzi otchedwa `endolymph` ndi maselo owoneka bwino kwambiri ofanana ndi tsitsi (`maselo a tsitsi`). Tikasuntha mitu yathu, madzi awa amayendanso. Kenako maselo a tsitsi amapinda ndikutumiza zizindikiro ku ubongo kudzera mwa iwo. Zizindikirozi zimatengedwa kupita ku ubongo kudzera mu `vestibular nerve`.

Tiyeni timvetse bwino magawo awa kuchokera pa tebulo ili m'munsimu.

Pali china chake chapadera chokhudza ziwalo za otolith. Ndi makhiristo ang'onoang'ono a calcium carbonate otchedwa `otoconia.' Awa ndi makhiristo ang'onoang'ono, ofanana ndi limestone. Amayikidwa mu chinthu chonga jelly chomwe chimakhala pamwamba pa maselo a tsitsi. Tikamayenda, makhiristowa amayenda mozungulira motsogozedwa ndi mphamvu yokoka. Kenako maselo a tsitsi amapinda ndikutumiza zizindikiro ku ubongo. Nthawi zina makhiristo ang'onoang'ono awa amatha kutuluka m'malo mwake ndikuyenda mu ngalande zozungulira, zomwe zingayambitse chizungulire chachikulu mwa anthu ena.

Ndi mavuto otani omwe angabuke mu dongosolo lino?

Pali matenda osiyanasiyana omwe angasokoneze kugwira ntchito kwa dongosolo lovutali. Nazi zina mwa izo.

• Benign Paroxysmal Positional Vertigo (BPPV): Ichi ndiye chifukwa chofala kwambiri cha chizungulire. Chimachitika pamene otoconia, yomwe tatchula kale, yatuluka m'chipindamo n'kupita pamalo olakwika. Chimamveka ngati chizungulire chachikulu chomwe chimatenga masekondi angapo, makamaka mukagubuduzika pabedi kapena mukasuntha mutu wanu mmwamba ndi pansi.
• Vestibular Neuritis ndi Labyrinthitis:Izi nthawi zambiri zimachitika chifukwa cha kachilombo kamene kamayambitsa kutupa kwa mitsempha ya vestibular kapena khutu lamkati. Zizindikiro zimatha kuyamba mwadzidzidzi ndipo zimaphatikizapo chizungulire chachikulu, nseru, ndi kusanza komwe kumatha kwa masiku angapo. Mu `Labyrinthitis`, kutaya kumva kumathanso kuchitika kuwonjezera pa chizungulire.
• Matenda a Ménière: Izi zimachitika chifukwa cha kuchuluka kwa kuthamanga kwa madzi m'khutu lamkati. Izi zimayambitsa zizindikiro monga chizungulire chadzidzidzi, kulira m'makutu (tinnitus), kumva kukhuta m'khutu, komanso kumva kutayika kwa kumva.
• Migraine ya Vestibular: Kwa anthu ena, chizungulire chingakhale chizindikiro chodziwika bwino kuposa mutu akayamba mutu.
• Matenda a Mal de débarquement (MdDS): Ichi ndi vuto lachilendo. Ndi kumva ngati ukuyandamabe panyanja utakhala pa bwato kapena sitima ndipo wafika pagombe.
• Chizungulire Chosalekeza Chakumutu ndi Kumva (PPPD): Mu izi, mumakhala chizungulire chokhazikika komanso kutayika kwa kulinganiza bwino popanda chifukwa chomveka.

Kodi mumadziwa bwanji kuti pali vuto? Zizindikiro zazikulu

Zizindikiro zazikulu za mavuto a vestibular system ndi chizungulire ndi chizungulire. Ngakhale timagwiritsa ntchito mawu awiriwa mosinthana, pali kusiyana pang'ono pakati pa awiriwa.

Kuwonjezera pa zizindikiro ziwirizi, zinthu zina zingachitike.

• Kusanza ndi kusanza
• Kutaya mphamvu komanso kuyenda movutikira
• Maso osawoneka bwino
• Kulira m'makutu (tinnitus)
• Kutaya kumva

Kodi dokotala amayesa bwanji dongosololi?

Ngati muli ndi zizindikiro izi, muyenera kuonana ndi dokotala. Dokotala adzakufunsani za zizindikiro zanu ndikukuyesani. Ngati pakufunika, angakutumizireni kuti mukayesedwe.

• Kuyesa kwa Vestibular: Uku ndi kuphatikiza kwa mayeso angapo. Izi makamaka zimayang'ana momwe maso anu ndi dongosolo lanu lolinganiza bwino, lotchedwa `VOR`, zimagwirira ntchito limodzi.
• Kuyezetsa magazi: Kuyang'ana zinthu monga matenda.
• Mayeso ojambulira zithunzi: Mungapemphedwe kuti mupange CT kapena MRI scan kuti muwone ngati pali vuto lililonse la kapangidwe ka ubongo kapena khutu.

Kodi mankhwala ochizira izi ndi otani?

Chithandizo chimadalira matenda anu. Nthawi zambiri, mankhwala osiyanasiyana amagwiritsidwa ntchito.

• Chithandizo cha Vestibular Rehabilitation Therapy (VRT): Ichi ndi chithandizo chofunikira kwambiri. Chimaphatikizapo "kuphunzitsa" ubongo wanu. Chimaphatikizapo masewera olimbitsa thupi apadera omwe amaphunzitsa ubongo kuti uzitha kusintha ndikunyalanyaza zizindikiro zolakwika kuchokera ku dongosolo lolinganiza. Muzochitika ngati `BPPV`, katswiri wa physiotherapist angakuthandizeni kuchita `kusintha malo` kuti mubwezeretse mipira yotayikayo m'malo mwake.
• Mankhwala: Ngati pali matenda, dokotala angakupatseni mankhwala opha tizilombo toyambitsa matenda, komanso mankhwala oletsa nseru ndi chizungulire.
• Kusintha kwa moyo: Mungalangizidwe kupewa zinthu zina zomwe zimawonjezera chizungulire (monga mchere wambiri, caffeine, kupsinjika maganizo).
• Opaleshoni: Opaleshoni si yofunikira nthawi zambiri. Komabe, pazochitika zoopsa kwambiri pomwe palibe chithandizo china chomwe chimagwira ntchito, opaleshoni ingafunike kukonza kapangidwe ka khutu lamkati.

Kodi tingatani kuti dongosololi likhale labwino?

Kunena zoona, n'kovuta kuti tipewe mavuto ambiri omwe amabuka mu vestibular system. Koma chinthu chabwino komanso chofunikira kwambiri chomwe tingachite ndikuwonana ndi dokotala tikangozindikira zizindikiro zilizonse ndikupempha upangiri.

Musanyalanyaze chizungulire ngati chinthu chosavuta. Nthawi zina chizungulire chingakhale chizindikiro cha matenda aakulu, monga sitiroko. Chifukwa chake, ngati mukumva chizungulire limodzi ndi zizindikiro monga kuvutika kulankhula, kugwada mbali imodzi ya nkhope yanu, kapena dzanzi m'dzanja kapena mwendo, pitani kuchipatala nthawi yomweyo.