Ngaba ngamanye amaxesha uziva ngathi igumbi lonke liyajikeleza xa usukuma ngequbuliso okanye ujika intloko yakho kancinci? Okanye uhlala usiva isandi esithi "goo..." sivela ngaphakathi ezindlebeni zakho? Ngaba ngamanye amaxesha uziva ngathi indlebe yakho ibambekile? Nangona ezi zinto zibonakala ziqhelekile kuninzi lwethu, ngamanye amaxesha isizathu sale nto sinokuba lulwelo oluncinci kodwa olubaluleke kakhulu ngaphakathi ezindlebeni zethu. Olo lwelo yinto esiyibiza ngokuba yi-endolymph. Namhlanje, masithethe ngolu lwelo lungaqhelekanga, kodwa luyimfuneko ebomini bethu.
Ngamafutshane, yintoni i-endolymph?
I-Endolymph lulwelo olukhethekileyo olufumaneka endlebeni yethu yangaphakathi. Njengeoyile enjinini yemoto, olu lwelo lubalulekile ekugcineni ibhalansi yemizimba yethu kunye nokusiva izinto ngokufanelekileyo. Kukho inkqubo entsonkothileyo kakhulu ngaphakathi kwendlebe yethu yangaphakathi. Iindawo zale nkqubo zilawula zombini ukuva kwethu kunye nokulinganisela kwethu. Ezo ndawo zizaliswe lolu lwelo lwe-endolymph.
Cinga ngako, xa ushukumisa intloko yakho, uhamba, okanye ubaleka, olu lwelo luhamba nalo. Olu hambo luvuselela iiseli zeenwele ezintle kakhulu, ezifana neenwele ngaphakathi kwendlebe. Ezi seli zithumela imiqondiso engqondweni yethu. Ingqondo itolika ezo miqondiso ize isenze sive isandi, okanye isixelele ukuba umzimba wethu ukuphi, okanye ukuba siza kuwa.
Ngamafutshane, i-endolymph ifana 'nomthunywa' othwala imiyalezo yethu yokuva nokulinganisela ukuya engqondweni.
Izinto ezimbini eziphambili ezenzekayo ngolwelo lwe-endolymph
Olu lwelo lunemisebenzi emibini ephambili emzimbeni wethu. Masizijonge ngokwahlukeneyo.
1. Indlela esinceda ngayo ukuva
Ngaba wakha wazibuza ukuba siva njani isandi? Xa amaza esandi engena ezindlebeni zethu, aya kwinxalenye yendlebe engaphakathi. Le nxalenye ibizwa ngokuba yi-cochlea. Imile okweqokobhe leenkumba. Izaliswe lulwelo olubizwa ngokuba yi-endolymph.
Xa amaza esandi engena endlebeni engaphakathi, abangela ukungcangcazela kulwelo lwe-endolymph, njengeentshukumo ezenzeka xa uphosa ilitye emanzini. Xa olu lwelo lungcangcazela, iiseli zeemvakalelo ezithambileyo ezifana neenwele (ezifumaneka kwilungu leCorti) ngaphakathi kulo ziyagoba zibuyele umva. Njengoko ezi seli zigoba, zenza isignali yombane ehamba ngemithambo-luvo iye ebuchotsheni. Ingqondo itolika loo signali njenge "sandi." Ngoko ke ngaphandle kwe-endolymph, yonke le nkqubo ibingenakwenzeka, kwaye besingayi kuva.
2. Indlela yokugcina ibhalansi emzimbeni
Nokuba amehlo akho evaliwe, usenokuziva nokuba ume nkqo, ugobile, okanye intloko yakho ityekile, akunjalo? Le endolymph iyanceda kuloo nto.
Kukho ezinye izakhiwo ezikhethekileyo endlebeni yethu yangaphakathi ezinxulumene nokulinganisela. Zii-utricle, i-saccule, kunye ne-semicircular canal. Ezi zikwazaliswe lulwelo lwe-endolymph.
- Xa ushukumisa intloko yakho phezulu nasezantsi, ngasemva nangaphambili, ulwelo olungaphakathi kwi-utricle nakwi-saccule luyashukuma.
- Xa ujika intloko yakho ngasekhohlo okanye ngasekunene, ulwelo olungaphakathi kwimijelo ye-semicircular luyashukuma.
Njengoko ulwelo luhamba ngolu hlobo, iiseli zeenwele ezibuthathaka ezingaphakathi kulo nazo ziyagoba. Ezo seli zithumela umyalezo engqondweni, zisithi, "Kulungile, ngoku intloko ijikelwe ngasekunene" okanye "Ngoku intloko ithambekele ezantsi." Ingqondo isebenzisa olo lwazi ukuthumela imiqondiso kwezinye izihlunu emzimbeni, isigcina sizinzile kwaye singawi.
Ziziphi iingxaki ezinxulumene ne-endolymph?
Eyona meko ixhaphakileyo nexhaphakileyo enxulunyaniswa ne-endolymph sisifo sikaMénière . Oku kubangelwa kukwanda kolwelo lwe-endolymph endlebeni engaphakathi. Cinga ngayo njengokuvuthela umoya omninzi kwibhaluni. Ngokufanayo, xa olu lwelo luqokelelana, uxinzelelo ngaphakathi kwendlebe luyanda. Ngokwezonyango, le meko ibizwa ngokuba yi -endolymphatic hydrops .
Oku kwanda koxinzelelo yikona okubangela iimpawu ezikhankanyiweyo ngaphambili, ezifana nesiyezi kunye nokulahlekelwa kukuva.
Iimpawu zengxaki ye-endolymph
Ukuba ukrokrela ukuba unale meko, hlala ulumkele ezi mpawu. Enye okanye ezingaphezulu kwezi mpawu zinokwenzeka kunye.
| Uphawu | Ingcaciso elula |
|---|---|
| I-Vertigo | Oku akupheleli nje ekubeni nesiyezi, kodwa kukuziva ngathi ihlabathi lonke elikungqongileyo, igumbi lonke, liyajikeleza, nangona ukwindawo enye. Oku kungathatha imizuzu embalwa ukuya kwiiyure ezimbalwa. |
| Ukulahlekelwa kukuva | Ukulahlekelwa kukuva kwindlebe enye kwenzeka ngequbuliso. Ngamanye amaxesha oku kuyaphucuka ngokuhamba kwexesha, kodwa ngokuhamba kwexesha, ukulahlekelwa kukuva okungapheliyo kunokwenzeka. |
| I-tinnitus | Nokuba akukho sandi sijikelezayo, uva isandi esithi "goo..." esiqhubekayo ngaphakathi ezindlebeni zakho, njengentsimbi ekhalayo. |
| Uxinzelelo/ukugcwala endlebeni | Ukuziva ungonwabanga, ngokungathi amanzi angene endlebeni, ngokungathi indlebe ivalekile kwaye igcwele. |
| Isicaphucaphu kunye nentloko ebuhlungu | I-Vertigo ingahamba nesicaphucaphu, ukuhlanza, kunye nentloko ebuhlungu. |
Kubalulekile: Ukuba unale mpawu, nceda ungazityesheli. Qiniseka ukuba ubona ugqirha wakho ukuze akunike ingcebiso.
Uvavanyo lokufumanisa le meko
Xa usiya kugqirha, uza kumamela ngenyameko iimpawu zakho aze akuhlole. Emva koko, banokuyalela iimvavanyo ezininzi ukuqinisekisa imeko.
| Uvavanyo | Ubona ntoni kule nto? |
|---|---|
| I-Audiometry | Oku kulinganisa inqanaba lakho lokuva ngokuchanekileyo. Kuvavanya indlela osabela ngayo kwizandi ezahlukeneyo. |
| Uvavanyo lweVestibular | Oku kuvavanya indlela esebenza ngayo inkqubo yokulawula ibhalansi yomzimba wakho. |
| Iskeni ye-MRI | Ngamanye amaxesha oku kunokunceda ukubona ukuba kukho enye ingxaki engqondweni okanye endlebeni yangaphakathi, kwaye kubonwe ukuba kukho ulwelo oluninzi lwe-endolymph ngaphakathi endlebeni. |
| I-Electrocochleography (ECochG) | Oku kusenza sikwazi ukulinganisa ngokuthe ngqo uxinzelelo olukwindlebe yangaphakathi, oko kukuthi, ukuba inqanaba lolwelo lwe-endolymph linyukile na. |
Ziziphi iindlela zonyango zezifo ezinxulumene ne-endolymph?
Nangona le meko kunzima ukuyinyanga ngokupheleleyo, zininzi iindlela zonyango ezinokukunceda ulawule iimpawu zakho kwaye uphile ubomi obuqhelekileyo. Khumbula ukuba zonke ezi ndlela zonyango zimiselwa ngugqirha wakho, ngokusekelwe kwimeko yakho.
| Indlela yonyango | Inkcazo |
|---|---|
| Utshintsho kwindlela yokutya | Icebiso eliphambili elihlala linikwa kukunciphisa ukutya ityuwa , njengoko ityuwa inyusa ukugcinwa kolwelo emzimbeni. Ungacetyiswa nokuba unciphise i-caffeine (iti, ikofu) kunye notywala. |
| Iintlobo zamachiza | I-Diuretics ('iipilisi zamanzi') zinokunikwa ukususa ulwelo olugqithisileyo emzimbeni. Amanye amayeza anokunikwa ukulawula i-vertigo, ukunciphisa isicaphucaphu, kwaye ngamanye amaxesha nokufakwa kwe-corticosteroids endlebeni. |
| Ezinye iindlela zonyango | Kukho imithambo ekhethekileyo ebizwa ngokuba yi-vestibular rehabilitation therapy kwiingxaki zokulinganisela. Ungazama nezinto ezifana ne-cognitive behavioral therapy (CBT) ukunciphisa uxinzelelo olubangelwa yile meko. |
| Utyando | Kuphela xa kungekho nyango lunokuyilawula, kungafuneka utyando ukuze kususwe ulwelo olugqithisileyo okanye kuncitshiswe uxinzelelo ngaphakathi kwendlebe. |
Umyalezo Wokuya Ekhaya
- I-Endolymph lulwelo olukwindlebe yethu yangaphakathi olubalulekileyo ekuveni nasekulinganiseni umzimba.
- Iimpawu ezinje ngesiyezi (vertigo), ukuva kancinci, kunye nokurhawuzelela ezindlebeni (tinnitus) zinokuba ziimpawu zengxaki ngolu lwelo.
- Eyona meko ixhaphakileyo enxulunyaniswa noku sisifo sikaMénière, esibangelwa kukuqokelelana okugqithisileyo kolwelo lwe-endolymph ngaphakathi endlebeni.
- Ukuba unayo nayiphi na kwezi mpawu, musa ukuzityeshela kwaye bonana nogqirha wakho ngoko nangoko .
- Eyona ndlela ilungileyo yokukhusela iindlebe zakho kukuphepha ingxolo enkulu. Mamela umculo onomsindo kwaye uphephe ukuba kwiindawo ezinengxolo kangangoko unako.
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