Masifunde ngolu lwelo lumangalisayo ngaphakathi endlebeni - i-endolymph.

Ngaba wakha wazibuza ukuba siziva njani ezi zandi, okanye sima njani sithe nkqo size sihambe singawi? Konke oku kuncediswa zizinto ezincinci ezingaphakathi ezindlebeni zethu. Kwakhona okubaluleke kakhulu lolu lwelo olubizwa ngokuba yi-endolymph . Makhe sithethe ngale nto ngokweenkcukacha namhlanje, kulungile?

Yintoni le endolymph?

Ngamafutshane, i-endolymph lulwelo olukhethekileyo olukwindlebe yethu yangaphakathi . Yile nto isinceda kakhulu ukuba sive isandi kwaye sigcine ibhalansi yethu. Khawuthelekelele, xa olu lwelo luhamba ngaphakathi kwendlebe yethu, loo ntshukumo ikhupha imiqondiso yemithambo-luvo eya engqondweni yethu. Kulapho ingqondo iqonda khona, "Owu, ndiva isandi," kwaye "Ngoku umzimba ukule ndawo, sizinzile." Ngoko ke, ngaphandle kwale nto ibizwa ngokuba yi-endolymph, besingenakukwazi ukwenza nayiphi na kwezi zinto ngokufanelekileyo.

I-endolymph isinceda njani?

Olu lwelo lwe-endolymph lusinceda ngeendlela ezimbini eziphambili. Oko kukuthi, ukuva nokugcina ibhalansi. Masijonge nganye nganye yazo.

Indlela yokunceda ngokuva

Masiqale sijonge indlela oku kunceda ngayo ukuva. Ulwelo lwe-Endolymph ludlala indima enkulu ekuthatheni amaza esandi angaphandle aze awaguqule abe ziimpawu zokuva ezinokuqondwa yingqondo yethu.

Indlebe yethu inenxalenye efana nenkumba ebizwa ngokuba yi-cochlea, akunjalo? Umjelo we-cochlear ngaphakathi kuyo uzaliswe yile endolymph. Ngaphakathi komjelo we-cochlear, kukho isakhiwo esithambileyo kakhulu esibizwa ngokuba yi-Organ of Corti . Kulapho iiseli zeenwele ezivakalelwayo , njengeenwele ezincinci, zihlelwe khona ngemigca.

Ngoku, xa isandi singena endlebeni yethu yangaphakathi, amaza esandi abangela ukungcangcazela kulwelo lwe-endolymph. Njengokuba uphosa ilitye elinqabileyo kwisitya samanzi, liyaqhuma. Emva koko iiseli zeenwele kwi-Organ of Corti ziyashukuma zisabela kuloo ngcangcazelo. Loo ntshukumo yiyo ebangela ukuba imiqondiso yokuva ikhutshwe kwaye ihambe ngemithambo-luvo ukuya kwinxalenye yengqondo eqonda isandi. Kulapho ke siqonda khona, "Owu, le yingoma" okanye "Kukho umntu othethayo." Ayimangalisi na loo nto?

Indlela yokunceda ngokulinganisela

Okulandelayo, makhe sijonge indlela le endolymph enceda ngayo ngokulinganisela. Oku kubaluleke kakhulu. Kungenxa yale nkqubo ukuba singawi xa sihamba, sibaleka, okanye sinikina iintloko zethu.

Xa sijika iintloko zethu ukusuka kwelinye icala ukuya kwelinye, sizijika phezulu nasezantsi, size sizishukumise phambili nangasemva... kukho izakhiwo ezahlukeneyo ngaphakathi kweendlebe zethu ezisinceda ukuba sizive zonke ezi ntshukumo. Ziyi -utricle kunye ne-saccule . Ezi zezona zinto zithetha iintshukumo ezithe ngqo zentloko phezulu/ezantsi nangaphambili/emva.

Ukongeza, imijelo ye-semicircularZintathu. Ezi zithe nkqo enye kwenye, kwicala elahlukileyo. Ezi zizinto ezisivumela ukuba siqonde iintshukumo zentloko ezijikelezayo. Khawuthelekelele ushukumisa intloko yakho ngasekhohlo nasekunene, ujonge phezulu nasezantsi, njalo njalo.

Zonke ezi zakhiwo zizaliswe yi-endolymph. Njenge-cochlear duct esinceda ukuba sive, kukho iiseli zeenwele ezivakalelwayo apha. Ngoko ke, xa ushukumisa intloko yakho, i-endolymph engaphakathi ihamba nayo. Kwaye uxinzelelo lwalo lwelo lubangela ukuba ezo seli zeenwele zigobe kuloo ndlela. Kwaye xa zigoba, ezo seli zithumela imiqondiso engqondweni, njengokuthi, "Le yindlela umzimba omi ngayo, le yindlela ogobe ngayo, le yindlela ohamba ngayo ngokukhawuleza." Yileyo ndlela esinokugcina ngayo ibhalansi yethu, kwaye sinokuzibamba ngokukhawuleza ukuba siza kuwa.

Iphi le endolymph?

Ngoku usenokuba uzibuza ukuba lukuphi kanye kanye endlebeni olu lwelo lubizwa ngokuba yi-endolymph. Lukwinkqubo ethambileyo neyinkimbinkimbi yemijelo ebizwa ngokuba yi-membranous labyrinth endlebeni yethu yangaphakathi. Umjelo we-cochlear esithethe ngawo ngaphambili - indawo apho isandi siguqulwa sibe ziimpawu zokuva - kunye namalungu abizwa ngokuba yi-utricle, i-saccule kunye ne-semicircular canal ezisinceda sibone intshukumo zonke zezo zixhobo ze-membranous labyrinth. Zonke zizaliswe yi-endolymph.

Le labyrinth ye-membranous, egcwele i-endolymph, ikhuselwe ngomnye umgqumo onamandla, onamathambo. Ibizwa ngokuba yi-bony labyrinth . Ngaphakathi kwale labyrinth ye-bony kukho olunye ulwelo olubalulekileyo, i-perilymph . Phakathi kwe-membranous labyrinth, equlethe i-endolymph, kunye ne-bony labyrinth, equlethe i-perilymph, kukho umqobo obizwa ngokuba yi -Reissner's membrane . Oku kwahlula la manzi mabini kwaye kugcina ukwakheka kwawo kwahlukile.

Yenziwe ngantoni i-endolymph?

Ngaba uyazi ukuba yeyiphi eyona khemikhali ibalulekileyo kolu lwelo lwe-endolymph? Yi -potassium . Olu lwelo lunomlinganiselo ophezulu kakhulu wee-ion ze-potassium. Xa ulwelo lwe-endolymph luhamba, lukhupha ii-ion ze-potassium. Ezo i-ion zivuselela ezo seli ze-hair receptor kwaye zincede imithambo-luvo ithumele imiqondiso engqondweni. Le yinkqubo ekhethekileyo kakhulu.

Yenziwa njani i-endolymph?

Olu lwelo luxabisekileyo lwe-endolymph luhlala luhlaziywa kwaye lujikeleziswa. Luveliswa ikakhulu yi-stria vascularis eludongeni lwe-cochlea.Le yindawo enegazi elihle eyenziwe ziiseli ze-epithelial. Kwakhona, uhlobo oluthile lweseli olubizwa ngokuba 'ziiseli ezimnyama' kwiimisele ze-semicircular lunceda ekunikezeni i-potassium kwi-endolymph. Ngoko ke le yindlela ukwakheka kwe-endolymph okugcinwa ngayo.

Ziziphi iingxaki ezinxulumene ne-endolymph?

Kulungile, sifunde lukhulu nge-endolymph. Kodwa, nangona yonke into ilungile xa isebenza kakuhle, ngamanye amaxesha kukho iimeko ezinokunxulunyaniswa nale endolymph. Esona sibalulekileyo nesithethwa kakhulu ngaso sisifo sikaMénière .

Xa abanye abantu befumana isifo sikaMénière, baba nolwelo oluninzi kakhulu lwe-endolymph endlebeni yabo yangaphakathi, okanye uxinzelelo lwalo lwelo luyanda. Oku kuqokelelana kolwelo lwe-endolymph endlebeni yangaphakathi kubizwa ngokuba yi -endolymphatic hydrops ngoogqirha. Yile nto ibangela iimpawu ezininzi.

Ngoko ke zithini ezi mpawu?

Xa kukho ulwelo lwe-endolymph oluninzi kakhulu, okanye kukho ingxaki ngokuhamba kwe-endolymph, sinokuba neempawu ezithile. Ezi zinokuvela ngequbuliso, okanye zikhule kancinci kancinci. Iimpawu eziphambili zezi:

• Ukulahlekelwa kukuva: Ngamanye amaxesha ukulahlekelwa kukuva kwenzeka kwindlebe enye kuphela, kodwa kunokubuyela kwimeko yesiqhelo emva kweentsuku ezimbalwa.
• I-Vertigo: Oku akusiyonto nje yokujikajika. Kungavakala ngathi igumbi okulo liyajikeleza, okanye kungavakala ngathi ujikeleza igumbi. Oku kungathatha iiyure ezininzi.
• I-Tinnitus: Isandi esihlala sinkenteza okanye esivakalayo ezindlebeni . Oku kunokuba yinto ecaphukisayo kakhulu.
• Ukugcwala kwendlebe: Ukuziva uzele okanye uxinzelelo endlebeni, ngokungathi kukho into ebambeke endlebeni, okanye ngokungathi indlebe izele ngumoya.
• Isicaphucaphu nokuhlanza: Oku kunokuhamba nesiyezi esiqatha.
• Intloko ebuhlungu: Abanye abantu nabo bayazifumana ezi ngxaki.

Cinga ngako, ngamanye amaxesha uziva unesizungu kwaye uzive ngathi uza kuhlanza, akunjalo? Okanye uva isandi esingapheliyo ezindlebeni zakho. Ezo mpawu zinokubangelwa ziingxaki ze-endolymph. Kodwa ayinguye wonke umntu onezi mpawu onesifo sikaMeniere. Yiyo loo nto kubalulekile ukufuna ingcebiso kagqirha.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyanwe ezi ngxaki?

Kaloku, ukuba uneempawu ezinjalo, ugqirha angafumanisa njani ukuba yingxaki ye-endolymph okanye enye into? Kukho iimvavanyo ezimbalwa zaloo nto:

• Uvavanyo lweBrain MRI (Magnetic Resonance Imaging):Ngamanye amaxesha, uvavanyo olukhethekileyo lwe-MRI lungasetyenziswa ukubona ukuba kukho ulwelo oluninzi lwe-endolymph endlebeni engaphakathi. Oku kunokunceda ekuthinteleni ezinye izizathu.
• I-Audiometry: Oku kuvavanya inqanaba lokuva lendlebe kwiimvakalo ezahlukeneyo zesandi. Kunokumisela ukuba ukuva kuyachaphazeleka na kwaye njani ziingxaki ze-endolymph.
• Uvavanyo lweVestibular: Olu vavanyo luvavanya ukusebenza kwenkqubo yokulinganisela. Lujonga izinto ezifana nendlela amehlo akho ahamba ngayo kunye nendlela olinganisela ngayo xa ushukumisa intloko yakho. Oku kunokukunika umbono wokuba kukho naziphi na iingxaki kwinkqubo ye-endolymph.
• I-Electrocochleography (ECochG): Olu vavanyo lunokujonga nokunyuka koxinzelelo lolwelo kwindlebe yangaphakathi, ngakumbi i-cochlea, oko kuthetha ukunyuka kwamanqanaba olwelo lwe-endolymph.

Ugqirha ufumanisa ukuba kukho isifo emva kokwenza olunye okanye ngaphezulu kwezi vavanyo.

Ngoko ke yintoni unyango?

Ukuba unesifo esibizwa ngokuba yi-endolymphatic fluid buildup, esifana nesifo sikaMénière, kukho unyango olufumanekayo. Nangona kunzima ukusinyanga ngokupheleleyo, ungazilawula iimpawu kwaye wenze ubomi bakho bube lula. Oogqirha badla ngokucebisa oku kulandelayo:

• Utshintsho kwindlela yokutya: Oku kubaluleke kakhulu. Ukunciphisa ityuwa kubaluleke kakhulu. Uyazi ukuba kutheni? Kuba ityuwa ibangela ukuba umzimba ugcine ulwelo oluninzi. Oku kunokunyusa ukuqokelelwa kwe-endolymph kwindlebe engaphakathi. Unganciphisa nezinto ezifana ne-caffeine kunye notywala.
• Amayeza:
• I-Diuretics: Ezi zikwabizwa ngokuba "ziipilisi zamanzi." Zisebenza ngokubangela ukuba umzimba ukhuphe ulwelo olugqithisileyo ngomchamo. Oku kunokunciphisa uxinzelelo kwindlebe engaphakathi.
• Amayeza okunyanga isicaphucaphu: Kukho amayeza anokunikwa ukulawula isicaphucaphu xa sisenzeka.
• Ii-Corticosteroids: Ngamanye amaxesha, ii-steroid injections zingafakwa endlebeni. Oku kunokunceda ukunciphisa ukudumba endlebeni engaphakathi kunye nokulawula iimpawu.
• Amayeza okulwa nesicaphucaphu: Lawula isicaphucaphu esihambisana nesiyezi.
• Iindlela zonyango:
• Unyango lokubuyisela umzimba kwimeko yesiqhelo: Oku kubandakanya ukubonelela ngemithambo kunye noqeqesho olunceda kwiingxaki zokulinganisela. Kufana nokufundisa ingqondo ukuba ikwazi ukubona ukulinganisela kwakhona.
• Unyango Lokuziphatha Olusebenzisa Ingqondo (CBT): Olu nyango lunokunceda ekunciphiseni uxinzelelo kunye noloyiko olunokubangelwa kukuziva unesizungu rhoqo.
• Utyando:Ukuba zonke ezinye iindlela zonyango azikwazi ukulawula iimpawu, utyando lunokufuneka. Enye indlela kukukhupha amanzi kwi-endolymphatic sac drainage. Ugqirha angasika i-sac aze akhuphe amanzi kwi-endolymph egqithisileyo. Kukho ezinye iindlela zotyando.

Siyinyamekela njani indlebe yethu yangaphakathi?

Ngoko ke, yintoni esifanele siyenze ukuze sigcine olu lwelo lubizwa ngokuba yi-endolymph, oko kukuthi, indlebe yethu yangaphakathi, lusempilweni? Ngokubanzi, into elungileyo kwindlebe yethu yangaphakathi ikwalungile nakwi-endolymph.

Eyona nto ibalulekileyo kukuhlala kude neengxolo ezinkulu kangangoko kunokwenzeka. Xa umamela ingxolo enkulu ixesha elide, ezo seli zeenwele ezibuthathaka esithethe ngazo zinokonakala. Nje ukuba zonakele, kunzima ukuzilungisa. Ke ngoko, ukuba usebenza kwiindawo ezifana neefektri, sebenzisa isithintelo sendlebe. Xa umamele umculo okanye unxibe ii-headphone, yehlisa ivolumu. Oku kubaluleke kakhulu.

Kwakhona, izinto ezinje ngokuphila ubomi obusempilweni, ukunciphisa ityuwa, kunye nokuphepha ukutshaya zonke ziluncedo kwimpilo yendlebe.

Izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, ngoku uyaqonda ukuba eli thontsi lincinci lolwelo elibizwa ngokuba yi-endolymph libaluleke kangakanani ekuveni nasekulinganiseni kwethu. Intshukumo yale endolymph ibalulekile ekuguquleni amandla esandi kunye namandla avela kwiintshukumo zomzimba abe ziimpawu ezinokuthi ziqondwe yingqondo. Yiyo loo nto ixabiseke kangaka. Ifana nethontsi leoyile kumatshini ontsonkothileyo wemizimba yethu.

Ukuba ukhe wafumana iimpawu zemeko yangaphakathi yendlebe efana nesifo sikaMénière (ezifana nesiyezi, ukukhala ezindlebeni, ukulahlekelwa kukuva, okanye ukuziva ugcwele ezindlebeni), musa ukuyityeshela uze ubone ugqirha, ingakumbi ingcali yendlebe, impumlo, nomqala (ingcali ye-ENT), ngokukhawuleza. Ngale ndlela, ungayifumana ngokukhawuleza imbangela kwaye uqale unyango olufunekayo. Iindlebe zethu zixabiseke kakhulu, ngoko ke masizinyamekele kakuhle!

I-Endolymph , indlebe yangaphakathi, ulwelo lwendlebe, ukuva, ibhalansi, isifo sikaMeniere, i-vertigo, i-tinnitus