Reka twige kuri aya mazi atangaje ari mu gutwi - endolymph.

Ese wigeze wibaza uko twumva aya majwi, cyangwa uko duhaguruka tugahagarara neza tutiriwe tugwa? Ibi byose bifashwa n'utuntu duto turi mu matwi yacu. Ikindi kintu cy'ingenzi cyane ni aya mazi yitwa endolymph . Reka tubiganireho birambuye uyu munsi, sibyo?

Iyi endolymph ni iki?

Mu magambo make, endolymph ni amazi yihariye mu gutwi kwacu. Ibi nibyo bidufasha kumva ijwi no kugumana uburimbane bwacu. Tekereza, iyo aya mazi agenda mu gutwi kwacu, iyo ngendo irekura ibimenyetso by'imitsi bijya mu bwonko bwacu. Icyo gihe ubwonko busobanukirwa buti: "Oh, numva ijwi," na "Noneho umubiri uri muri uyu mwanya, turahagaze neza." Rero, iyo tudafite iki kintu cyitwa endolymph, ntitwari gushobora gukora kimwe muri ibi bintu neza.

Ni gute endolymph idufasha?

Iyi endolymph fluid idufasha mu buryo bubiri bw'ingenzi. Ni ukuvuga kumva no kubungabunga uburinganire. Reka turebe buri kimwe muri byo kimwe ku kindi.

Uburyo bwo gufasha mu bijyanye no kumva

Reka tubanze turebe uburyo ibi bifasha mu kumva. Amazi ya endolymph agira uruhare runini mu gufata amajwi yo hanze no kuyahindura ibimenyetso by'amatwi ubwonko bwacu bushobora gusobanukirwa.

Ugutwi kwacu gufite igice gisa n'ikinyabutabire cyitwa cochlea, si byo se? Umuyoboro wa cochlear uri imbere muri wo wuzuyemo iyi endolymph. Muri uyu muyoboro wa cochlear, hari imiterere yoroshye cyane yitwa Organ of Corti . Aha niho uturemangingo tw'ubwoya bw'ibyumviro , nk'ubwoya buto, dutondekanyije ku mirongo.

Noneho, iyo ijwi ryinjiye mu gutwi kwacu imbere, imiraba y'amajwi itera guhindagurika mu mazi ya endolymph. Nk'uko iyo ujugunye akabuye mu gikombe cy'amazi, karahinda. Hanyuma uturemangingo tw'umusatsi muri Organ of Corti tugenda dusubiza uko guhindagurika. Iyo ngendo ni yo ituma ibimenyetso by'amatwi bisohoka kandi bikanyura mu mitsi y'amatwi bikagera mu gice cy'ubwonko cyumvikana amajwi. Ni bwo twumva tuti "Oh, iyi ni indirimbo" cyangwa "Hari umuntu uri kuvuga." Ntabwo ari igitangaza?

Uburyo bwo gufasha mu kuringaniza

Hanyuma, reka turebe uburyo iyi endolymph ifasha mu kuringaniza. Ibi nabyo ni ingenzi cyane. Ni ukubera iyi sisitemu tudagwa iyo tugenda, twiruka cyangwa tuzunguza imitwe.

Iyo duhindukije imitwe yacu tuyiva ku ruhande rumwe tujya ku rundi, tukayizunguruka tuyishyira hejuru tuyimanuka, tukayijyana imbere n'inyuma... hari imiterere myinshi mu matwi yacu idufasha kumva iyo migendere yose. Ni utricle na saccule . Ibi ni byo byumva imigendere y'umutwe hejuru/hasi no imbere/inyuma.

Byongeye kandi, imiyoboro y'amazi ifite uruzigaHariho bitatu. Ibi bigororotse kimwe kuri kimwe, mu byerekezo bitandukanye. Ibi nibyo bidufasha kumva uko umutwe uzenguruka. Tekereza ko urimo uzunguza umutwe wawe ibumoso n'iburyo, ureba hejuru no hasi, n'ibindi.

Izi ngingo zose zuzuyemo endolymph. Kimwe n'umuyoboro wa cochlear udufasha kumva, hari uturemangingo tw'umusatsi dukoresha ibyumviro. Rero, iyo ugiye mu mutwe wawe, endolymph imbere igendana na wo. Kandi umuvuduko w'ayo mazi utuma uturemangingo tw'umusatsi tugonda muri icyo cyerekezo. Kandi iyo duhanze, utwo turemangingo twohereza ibimenyetso mu bwonko, nk'ibi: "Uku ni ko umubiri umeze, uku ni ko uhengamye, uku ni ko wihuta." Uko ni ko dushobora kugumana uburimbane bwacu, kandi dushobora kwifata vuba niba tugiye kugwa.

Iyi endolymph iherereye he?

Noneho ushobora kwibaza aho mu gutwi neza neza iyi fluid yitwa endolymph iherereye. Iherereye mu buryo bworoshye cyane kandi bugoye bw'imiyoboro yitwa membranous labyrinth mu gutwi kwacu kw'imbere. Umuyoboro wa cochlear twavuze mbere - aho amajwi ahindurwamo ibimenyetso by'amatwi - hamwe n'ingingo zitwa utricle, saccule na semicircular canal zidufasha kumenya uko ibintu bigenda byose ni ibya iyi membranous labyrinth. Byose byuzuyemo endolymph.

Iyi nyundo y’umugongo, yuzuyemo endolymph, irinzwe n’ikindi gipfundikizo gikomeye cy’amagufwa. Yitwa nyundo y’umugongo . Imbere muri iyi nyundo y’umugongo hari ikindi kintu cy’ingenzi, perilymph . Hagati ya nyundo y’umugongo, irimo endolymph, n’innyundo y’umugongo, irimo perilymph, hari uruzitiro rwitwa Reissner's membrane . Ibi bitandukanya ibi bintu bibiri kandi bigatuma imiterere yabyo ihinduka.

Endolymph ikozwe n'iki?

None se, uzi ikinyabutabire cy'ingenzi cyane muri aya mazi ya endolymph? Ni potasiyumu . Aya mazi afite ioni nyinshi cyane za potasiyumu. Iyo amazi ya endolymph agenda, arekura ioni za potasiyumu. Ayo mazi akora utwo turemangingo twakira umusatsi kandi agafasha imitsi kohereza ubutumwa mu bwonko. Iyi ni inzira idasanzwe cyane.

Endolymph ikorwa ite?

Iyi endolymph y'agaciro ihora ivugururwa kandi ikwirakwizwa. Ikorwa ahanini na stria vascularis iri mu rukuta rwa cochlea.Aka ni agace k'amaraso gafite amaraso meza kagizwe n'uturemangingo tw'inyuma. Nanone, ubwoko bwihariye bw'uturemangingo bwitwa 'uturemangingo twijimye' mu miyoboro y'amazi ifasha gutanga potasiyumu mu miyoboro y'amaraso. Nguko uko imiterere y'uturemangingo tw'amaraso ikomeza kumera.

Ni ibihe bibazo bifitanye isano na endolymph?

Yego, twize byinshi kuri endolymph. Ariko, nubwo byose biba byiza iyo bikora neza, hari igihe hari ibintu bishobora kujyana n'iyi endolymph. Iy'ingenzi kandi ivugwa cyane muri izi ni indwara ya Ménière .

Iyo hari abantu barwaye indwara ya Ménière, baba bafite amazi menshi cyane mu gutwi kwabo, cyangwa umuvuduko w'ayo mazi ukiyongera. Uku kwiyongera kw'amazi mu gutwi imbere byitwa endolymphatic hydrops n'abaganga. Ibi nibyo bitera ibimenyetso byinshi.

None se ibi bimenyetso ni ibihe?

Iyo hari amazi menshi cyane mu maraso, cyangwa hari ikibazo mu igenda ry'amaraso mu maraso, dushobora kugira ibimenyetso bimwe na bimwe. Ibi bishobora kubaho mu buryo butunguranye, cyangwa bigakura buhoro buhoro. Ibimenyetso by'ingenzi ni ibi bikurikira:

• Gutakaza amatwi: Hari igihe gutakaza amatwi biba mu gutwi kumwe gusa, ariko bishobora kugaruka uko byari bisanzwe nyuma y'iminsi mike.
• Vertigo: Ibi si ukuzunguruka gusa. Bishobora kumva nk'aho icyumba urimo kirimo kuzunguruka, cyangwa se bikaba byakumvikana nk'aho uri kuzunguruka mu cyumba. Ibi bishobora kumara amasaha menshi.
• Kuvuga mu matwi: Urusaku ruhoraho cyangwa urusaku rusakuza . Ibi bishobora kubangamira cyane.
• Kuzura kw'amatwi: Kumva umuntu yuzuye cyangwa akandamizwa mu gutwi, nk'aho hari ikintu cyafatiwe mu gutwi, cyangwa nk'aho ugutwi kwuzuye umwuka.
• Isesemi no kuruka: Ibi bishobora kuzanwa n'isereri rikomeye.
• Kuribwa umutwe: Hari n'abantu bahura n'ibi.

Tekereza nawe, hari igihe wumva ugiye kuruka mu buryo butunguranye? Cyangwa wumva ijwi rihora rivuza mu matwi yawe. Ibyo bimenyetso bishobora guterwa n'ibibazo bya endolymph. Ariko si buri wese ufite ibi bimenyetso ufite indwara ya Meniere. Niyo mpamvu ari ngombwa gushaka inama kwa muganga.

Ni ibihe bizamini bikorwa kugira ngo hamenyekane ibi bibazo?

Niba ufite ibimenyetso nk'ibyo, ni gute muganga yamenya niba ari ikibazo cy'inyuma cyangwa ikindi kintu? Hari ibizamini bike kuri ibyo:

• Ikizamini cya MRI yo mu bwonko (Magnetic Resonance Imaging):Hari igihe ibizamini byihariye bya MRI bishobora gukoreshwa kugira ngo harebwe niba hari amazi menshi cyane mu gutwi imbere. Ibi bishobora kandi gufasha mu gukuraho izindi mpamvu.
• Audiometri: Ibi bipima urwego rw'amatwi yo kumva ku mivuduko itandukanye y'amajwi. Bishobora kumenya niba kumva bigizweho ingaruka n'ibibazo bya endolymph.
• Gupima imitsi: Ibi bipima imikorere ya sisitemu yo kuringaniza. Bireba ibintu nk'uko amaso yawe agenda n'uko uringaniza iyo uzunguje umutwe. Ibi bishobora kuguha igitekerezo cy'uko hari ikibazo kiri muri sisitemu ya endolymph.
• Electrocochleography (ECochG): Iki kizamini gishobora kandi gusuzuma ko umuvuduko w'amazi wiyongera mu gutwi imbere, cyane cyane cochlea, bivuze ko urugero rw'amazi ya endolymph rwiyongera.

Muganga asuzuma indwara nyuma yo gukora kimwe cyangwa byinshi muri ibi bizamini.

None se uburyo bwo kuvura ni ubuhe?

Niba ufite ikibazo cyitwa endolymphatic fluid buildup, nk'indwara ya Ménière, hari uburyo bwo kuvura buhari. Nubwo bigoye kuyivura burundu, ushobora kugenzura ibimenyetso no koroshya ubuzima bwawe. Abaganga bakunze gutanga inama zikurikira:

• Guhindura imirire: Ibi ni ingenzi cyane. Kugabanya umunyu ni ingenzi cyane. Uzi impamvu? Kuko umunyu utuma umubiri ugumana amazi menshi. Ibi bishobora kongera ubwinshi bwa endolymph mu gutwi imbere. Ushobora kandi kugabanya ibintu nka kafeyine na alcool.
• Imiti:
• Imiti igabanya ubushyuhe: Ibi kandi byitwa "ibinini by'amazi." Bikora mu gutuma umubiri usohora amazi menshi mu nkari. Ibi bishobora kandi kugabanya umuvuduko mu gutwi imbere.
• Imiti ivura vertigo: Hari imiti ishobora gutangwa kugira ngo igenzure vertigo iyo ibayeho.
• Corticosteroids: Hari igihe inshinge za steroid zishobora gutangwa mu gutwi. Ibi bishobora gufasha kugabanya kubyimba mu gutwi imbere no kugenzura ibimenyetso.
• Imiti igabanya isesemi: Kurwanya isesemi ijyana no kuzerera.
• Uburyo bwo kuvura:
• Ubuvuzi bwo kuvura indwara zo mu matwi: Ibi bikubiyemo gutanga imyitozo ngororamubiri n'amahugurwa bifasha mu bibazo byo kuringaniza imiterere. Ni nko kwigisha ubwonko kongera kumenya kuringaniza imiterere.
• Ubuvuzi bw'imyitwarire mu bwenge (CBT): Ubu buvuzi bushobora gufasha kugabanya stress n'ubwoba bishobora guterwa no kuzungera kenshi.
• Kubaga:Iyo ubundi buryo bwose bwo kuvura bunaniwe gukumira ibimenyetso, kubagwa bishobora kuba ngombwa. Uburyo bumwe ni ugukoresha agakoresho ko mu mufuka w’amaraso. Muganga ashobora gukata agakoresho ko mu mufuka w’amaraso no gusohora agakoresho k’amaraso gasigaye. Hari ubundi buryo bwo kubaga.

Ni gute twita ku gutwi kwacu kw'imbere?

None se, ni iki twakora kugira ngo iki kinyabutabire cyitwa endolymph, ni ukuvuga ugutwi kwacu kw'imbere, kigume kimeze neza? Muri rusange, icyagirira akamaro ugutwi kwacu kw'imbere ni na cyo cyiza kuri endolymph.

Igikuru ni ukwirinda urusaku rwinshi uko bishoboka kose. Iyo wumvise urusaku rwinshi igihe kirekire, utwo turemangingo tw’umusatsi tw’imisatsi twavuze dushobora kwangirika. Iyo twangiritse, biragoye gusana. Kubwibyo, niba ukorera ahantu nk'inganda, koresha uburyo bwo kurinda amatwi. Iyo wumvise umuziki cyangwa wambaye ecouteur, gabanya ijwi. Ibi ni ingenzi cyane.

Nanone, ibintu nko kugira ubuzima bwiza, kugabanya umunyu, no kwirinda kunywa itabi byose ni ingirakamaro ku buzima bw'amatwi.

Ibintu ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Noneho rero, ubu usobanukiwe akamaro ka kano gato k'amazi kitwa endolymph ku kumva no kuringaniza kwacu. Ingendo y'aka gakoresho ni ingenzi mu guhindura ingufu z'amajwi n'ingufu ziva mu ngendo zifatika mu bimenyetso ubwonko bushobora gusobanukirwa. Niyo mpamvu gafite agaciro gakomeye. Ni nk'igitonyanga cy'amavuta mu mashini zigoye z'imibiri yacu.

Niba ugize ibimenyetso by'indwara yo mu matwi nka Ménière (nk'izunguza, urusaku mu matwi, kutumva neza, cyangwa kumva ubyibushye mu matwi), ntubyirengagize ahubwo ujye kwa muganga, cyane cyane inzobere mu matwi, amazuru, no mu muhogo (ENT specialist), vuba bishoboka. Muri ubwo buryo, ushobora kubona vuba impamvu no gutangira ubuvuzi bukenewe. Amatwi yacu ni ay'agaciro cyane, rero reka tuyafate neza!

Endolymph , ugutwi imbere, amazi yo mu matwi, kumva, kuringaniza, indwara ya Meniere, vertigo, tinnitus