Ese hari igihe wumva icyumba cyose kizunguruka iyo uhagurutse utunguranye cyangwa uhindukije umutwe wawe gato? Cyangwa uhora wumva ijwi rya "goo..." rituruka mu matwi yawe? Ese hari igihe wumva ugutwi kwawe kwahagaze? Nubwo ibi bintu bisa n'ibisanzwe kuri benshi muri twe, hari igihe impamvu y'ibi ishobora kuba amazi make ariko y'ingenzi cyane mu matwi yacu. Ayo mazi ni yo twita endolymph. Uyu munsi, reka tuvuge kuri aya mazi adasanzwe, ariko y'ingenzi mu buzima bwacu.
Mu magambo make, endolymph ni iki?
Endolymph ni amazi yihariye aboneka mu gutwi kwacu imbere. Kimwe n'amavuta ari muri moteri y'imodoka, aya mazi ni ingenzi kugira ngo umubiri wacu ukomeze kuringaniza no kumva ibintu neza. Hari sisitemu igoye cyane mu gutwi kwacu imbere. Ibice by'iyi sisitemu bigenzura kumva kwacu no kuringaniza kwacu. Ibyo bice byuzuyemo aya mazi ya endolymph.
Tekereza nawe, iyo unyeganyeje umutwe, ugenda, cyangwa wiruka, aya mazi agendana nayo. Uku kugenda gukurura uturemangingo tw’ubwoya twiza cyane, tumeze nk’umusatsi mu gutwi. Utwo turemangingo twohereza ibimenyetso mu bwonko bwacu. Ubwonko busobanura ibyo bimenyetso bugatuma twumva amajwi, cyangwa bukatubwira aho umubiri wacu uherereye, cyangwa niba tugiye kugwa.
Mu magambo make, endolymph ni nk' 'intumwa' ijyana ubutumwa bwacu bwo kumva no kuringaniza mu bwonko.
Ibintu bibiri by'ingenzi bibaho mu mazi ya endolymph
Aya mazi afite imirimo ibiri y'ingenzi ku mubiri wacu. Reka tubirebe ukwabyo.
1. Uburyo bidufasha kumva
Ese wigeze wibaza uko twumva amajwi? Iyo imiraba y'amajwi yinjiye mu matwi yacu, ijya mu gice cy'imbere mu gutwi. Iki gice cyitwa cochlea. Kimeze nk'igikonoshwa cy'ikinyobwa. Cuzuyemo amazi yitwa endolymph.
Iyo imiraba y'amajwi yinjiye mu gutwi imbere, itera kuzungazunga mu mazi ya endolymph, nk'uko bigenda iyo ujugunye ibuye mu mazi. Iyo aya mazi azungazunga, uturemangingo tw'ibyumviro tumeze nk'umusatsi, tworoshye kumva (duboneka mu gice cya Corti) kirimo turazungazunga. Uko utwo turemangingo twungazunga, dukora ikimenyetso cy'amashanyarazi kinyura mu mitsi kijya mu bwonko. Ubwonko busobanura icyo kimenyetso nk' "ijwi." Rero iyo tudafite endolymph, iki gikorwa cyose nticyabaho, kandi ntitwakumva.
2. Uburyo bwo kubungabunga uburinganire mu mubiri
Nubwo wafunze amaso, uracyashobora kumva niba uhagaze neza, wunamye, cyangwa umutwe wawe uhengamye, sibyo? Iyi endolymph iragufasha muri ibyo.
Hari izindi ngingo zihariye mu gutwi kwacu zifitanye isano no kuringaniza. Izo ni imiyoboro y'utubyimba tw'imbere, utubyimba tw'imbere, n'utubyimba tw'igice cy'uruziga. Izi nazo zuzuyemo amazi ya endolymph.
- Iyo uzunguje umutwe wawe hejuru no hasi, inyuma no hejuru, amazi ari mu gice cy'umugongo n'agasabo karagenda.
- Iyo uhindukije umutwe wawe ibumoso cyangwa iburyo, amazi ari mu miyoboro y'amazi igenda.
Uko amazi agenda muri ubu buryo, uturemangingo tw’umusatsi twiyumvamo na two turagonda. Utwo turemangingo twohereza ubutumwa mu bwonko, tuti “Sawa, noneho umutwe uhindukiye iburyo” cyangwa “Noneho umutwe uhengamye.” Ubwonko bukoresha ayo makuru kugira ngo bwohereze ibimenyetso ku yindi mitsi yo mu mubiri, kugira ngo tugire uburinganire kandi tudacika intege.
Ni ibihe bibazo bifitanye isano na endolymph?
Indwara ikunze kugaragara cyane kandi ikunze kugaragara ifitanye isano n'indwara ya endolymph ni indwara ya Ménière . Ibi biterwa n'amazi menshi ya endolymph mu gutwi imbere. Tekereza nko guhumeka umwuka mwinshi mu ibara ry'umuhondo. Mu buryo nk'ubwo, iyo aya mazi yirundanyije, umuvuduko uri imbere mu gutwi uriyongera. Mu buvuzi, iyi ndwara yitwa endolymphatic hydrops .
Uku kwiyongera k'umuvuduko w'amaraso nibyo bitera ibimenyetso byavuzwe haruguru, nko kuzungera no kubura amatwi.
Ibimenyetso by'ikibazo cy'inyuma y'amaraso
Niba ukeka ko ufite iyi ndwara, komeza witondere ibi bimenyetso. Kimwe muri ibi bimenyetso gishobora kugaragara hamwe.
| Ibimenyetso | Ibisobanuro byoroshye |
|---|---|
| Vertigo | Ibi si ukumva umeze nk'uzungera gusa, ahubwo ni ukumva ko isi yose ikukikije, icyumba cyose, kirimo kuzenguruka, nubwo uri ahantu hamwe. Ibi bishobora kumara iminota mike kugeza ku masaha make. |
| Gutakaza ubushishozi | Kubura amatwi mu gutwi kumwe bibaho mu buryo butunguranye. Hari igihe ibi birushaho kuba byiza uko igihe kigenda gihita, ariko uko igihe kigenda gihita, kubura amatwi burundu bishobora kubaho. |
| Kumva ijwi rituje | Nubwo nta rusaku ruri hafi aho, wumva urusaku rudasibangana mu matwi yawe, nk'inzogera ivuza. |
| Umuvuduko/kuzura kw'amatwi | Kumva utameze neza, nk'aho amazi yinjiye mu gutwi, nk'aho ugutwi kwafunzwe kandi kwuzuye. |
| Isesemi n'umutwe | Vertigo ishobora guherekezwa no kugira isesemi, kuruka, no kuribwa umutwe. |
Icy'ingenzi: Niba ufite ibi bimenyetso, nyamuneka ntubyirengagize. Menya neza ko ugiye kwa muganga kugira ngo akugire inama.
Ibizamini byo kumenya iyi ndwara
Iyo ugiye kwa muganga, azagutega amatwi witonze ibimenyetso byawe kandi agusuzume. Hanyuma, bashobora kugutegeka ibizamini byinshi kugira ngo bemeze ko urwaye.
| Ikizamini | Ubona iki muri ibi? |
|---|---|
| Gupima amajwi (Audiometry) | Ibi bipima neza urwego rw'amatwi yawe. Bipima uburyo witabira amajwi atandukanye. |
| Gupima imitsi yo mu matwi | Ibi bipima uburyo sisitemu yo kugenzura imikorere y'umubiri wawe ikora neza. |
| Gupima MRI | Hari igihe ibi bishobora gufasha kumenya niba hari ikindi kibazo kiri mu bwonko cyangwa mu gutwi, no kumenya niba hari amazi menshi cyane mu gutwi. |
| Electrocochleography (ECochG) | Ibi bidufasha gupima neza umuvuduko uri mu gutwi imbere, ni ukuvuga niba urugero rw'amazi ya endolymph rwiyongereye. |
Ni ubuhe buryo bwo kuvura indwara ziterwa n'imisemburo y'amaraso?
Nubwo iyi ndwara igoye kuyikira burundu, hari uburyo bwinshi bwo kuvura bushobora kugufasha kugenzura ibimenyetso byawe no kubaho ubuzima busanzwe. Wibuke ko ubu buryo bwose bugenwa na muganga wawe, hashingiwe ku kibazo cyawe.
| Uburyo bwo kuvura | Ibisobanuro |
|---|---|
| Impinduka mu mirire | Inama nyamukuru ikunze gutangwa ni ukugabanya umunyu , kuko umunyu wongera amazi mu mubiri. Ushobora kandi kugirwa inama yo kugabanya kafeyine (icyayi, ikawa) na alcool. |
| Ubwoko bw'imiti | Imiti igabanya ububabare bw'amaraso ('ibinini by'amazi') ishobora gutangwa kugira ngo ikure amazi menshi mu mubiri. Indi miti ishobora no gutangwa kugira ngo igabanye vertigo, igabanye isesemi, ndetse rimwe na rimwe ndetse iterwa imiti ya corticosteroid mu gutwi. |
| Ubundi buryo bwo kuvura | Hariho imyitozo yihariye yitwa vestibular rehabilitation therapy ku bibazo byo kuringaniza imiterere y'umubiri. Ushobora kandi kugerageza ibintu nk'ubuvuzi bw'imyitwarire yo mu mutwe (CBT) kugira ngo ugabanye stress iterwa n'iyi ndwara. |
| Kubaga | Gusa niba nta bundi buryo bwo kuvura bushobora kubigenzura, ushobora kubagwa kugira ngo ukureho amazi menshi cyangwa ugabanye umuvuduko mu gutwi. |
Ubutumwa bwo kujyana mu rugo
- Endolymph ni amazi ari mu gutwi kwacu imbere, akaba ari ingenzi mu gutuma umubiri wacu wumva neza kandi ukagira ubwuzuzanye.
- Ibimenyetso nko kuzungera (vertigo), kubura amatwi, no gucurama mu matwi (tinnitus) bishobora kuba ibimenyetso by'ikibazo cy'aya mazi.
- Indwara ikunze kugaragara cyane ni indwara ya Ménière, iterwa no kwiyongera k'amazi y'inyuma mu gutwi.
- Niba ufite kimwe muri ibi bimenyetso, ntukirengagize kandi uhite ubonana na muganga wawe .
- Uburyo bwiza bwo kurinda amatwi yawe ni ukwirinda urusaku rwinshi. Wumve umuziki mwinshi kandi wirinde kuba ahantu harangwa urusaku cyane uko bishoboka kose.
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