Ingabe ngezinye izikhathi uzizwa sengathi lonke igumbi liyazungeza uma usukuma ngokuzumayo noma uphendula ikhanda lakho kancane? Noma ingabe uhlala uzwa umsindo othi "goo..." uvela ngaphakathi ezindlebeni zakho? Ingabe ngezinye izikhathi uzizwa sengathi indlebe yakho ibambekile? Nakuba lezi zinto zibonakala zivamile kwabaningi bethu, ngezinye izikhathi isizathu salokhu kungaba uketshezi oluncane kodwa olubaluleke kakhulu ngaphakathi ezindlebeni zethu. Lolo ketshezi yilokho esikubiza ngokuthi i-endolymph. Namuhla, ake sixoxe ngalolu ketshezi olubizwa ngegama elingavamile, kodwa olubalulekile empilweni yethu.
Kalula nje, iyini i-endolymph?
I-Endolymph iwuketshezi olukhethekile olutholakala endlebeni yethu yangaphakathi. Njengamafutha enjinini yemoto, lolu ketshezi lubalulekile ekugcineni ibhalansi yemizimba yethu nokuthi sizwe izinto kahle. Kukhona uhlelo oluyinkimbinkimbi kakhulu ngaphakathi kwendlebe yethu yangaphakathi. Izingxenye zalolu hlelo zilawula kokubili ukuzwa kwethu kanye nokulinganisela kwethu. Lezo zingxenye zigcwele lolu ketshezi lwe-endolymph.
Cabanga ngakho, uma unikina ikhanda lakho, uhamba, noma ugijima, lolu ketshezi luhamba nalo. Lokhu kunyakaza kuvuselela amangqamuzana ezinwele amahle kakhulu, afana nezinwele ngaphakathi kwendlebe. Lawa maseli athumela izimpawu ebuchosheni bethu. Ubuchopho buchaza lezo zimpawu futhi busenze sizwe umsindo, noma busitshele ukuthi umzimba wethu ukuphi, noma ukuthi sizowa yini.
Kalula nje, i-endolymph ifana 'nesithunywa' esithwala imiyalezo yethu yokuzwa nokulinganisela ebuchosheni.
Izinto ezimbili eziyinhloko ezenzeka ngoketshezi lwe-endolymph
Lolu ketshezi lunemisebenzi emibili eyinhloko emzimbeni wethu. Ake sibheke ngokwehlukana.
1. Indlela okusisiza ngayo ukuzwa
Wake wazibuza ukuthi siwuzwa kanjani umsindo? Uma amaza omsindo engena ezindlebeni zethu, aya engxenyeni yendlebe engaphakathi. Le ngxenye ibizwa ngokuthi i-cochlea. Ibunjwe njengegobolondo le-snail. Igcwele uketshezi olubizwa ngokuthi i-endolymph.
Uma amaza omsindo engena endlebeni yangaphakathi, abangela ukudlidliza koketshezi lwe-endolymph, njengokugeleza okwenzeka lapho uphonsa itshe emanzini. Uma lolu ketshezi ludlidliza, amangqamuzana ezinzwa athambile afana nezinwele (atholakala esithweni se-Corti) angaphakathi kulo agoba emuva naphambili. Njengoba lawa maseli agoba, adala isignali kagesi ehamba ngemithambo iye ebuchosheni. Ubuchopho buchaza leso signali ngokuthi "umsindo." Ngakho-ke ngaphandle kwe-endolymph, yonke le nqubo ibingeke yenzeke, futhi besingeke sizwe.
2. Indlela yokugcina ibhalansi emzimbeni
Ngisho noma amehlo akho evaliwe, usengakwazi ukuzwa ukuthi umi uqonde, ugobile, noma ikhanda lakho litshekile, akunjalo? Le endolymph iyasiza ngalokho.
Kunezinye izakhiwo ezimbalwa ezikhethekile endlebeni yethu yangaphakathi ezihlobene nokulinganisela. Ziyimisele ye-utricle, i-saccule, kanye ne-semicircular. Lezi zigcwele noketshezi lwe-endolymph.
- Uma unikina ikhanda lakho phezulu naphansi, emuva naphambili, uketshezi olungaphakathi kwe-utricle kanye ne-saccule luyanyakaza.
- Uma uphendula ikhanda lakho ngakwesobunxele noma kwesokudla, uketshezi olungaphakathi kwemisele eyindilinga luyanyakaza.
Njengoba uketshezi luhamba ngale ndlela, amangqamuzana ezinwele azwelayo angaphakathi kwalo nawo ayagoba. Lawo maseli athumela umlayezo ebuchosheni, ethi, "Kulungile, manje ikhanda seliphendukele ngakwesokudla" noma "Manje ikhanda selithambekele phansi." Ubuchopho busebenzisa lolo lwazi ukuthumela izimpawu kwezinye imisipha emzimbeni, kusigcine silinganisele futhi singawi.
Yiziphi izinkinga ezihlobene ne-endolymph?
Isimo esivame kakhulu nesivame kakhulu esihlotshaniswa ne-endolymph yisifo sikaMénière . Lokhu kubangelwa uketshezi lwe-endolymph oluningi endlebeni engaphakathi. Cabanga ngakho njengokufutha umoya omningi kakhulu ungene ebhaluni. Ngokufanayo, lapho lolu ketshezi luqoqana, ingcindezi engaphakathi kwendlebe iyanda. Ngokwezokwelapha, lesi simo sibizwa ngokuthi i-endolymphatic hydrops .
Lokhu kwanda kwengcindezi yikho okubangela izimpawu okukhulunywe ngazo ngaphambili, njengesiyezi kanye nokulahlekelwa ukuzwa.
Izimpawu zenkinga ye-endolymph
Uma usola ukuthi unalesi simo, qaphela lezi zimpawu. Izimpawu ezilodwa noma ngaphezulu zingase zenzeke kanyekanye.
| Isibonakaliso | Incazelo elula |
|---|---|
| I-Vertigo | Lokhu akuwona nje umuzwa wokuzizwa unesizungu. Kuwumuzwa wokuthi umhlaba wonke okuzungezile, igumbi lonke, uyajikeleza, noma ngabe usendaweni eyodwa. Lokhu kungahlala kusukela emizuzwini embalwa kuya emahoreni ambalwa. |
| Ukulahlekelwa ukuzwa | Ukulahlekelwa ukuzwa endlebeni eyodwa kwenzeka ngokuzumayo. Ngezinye izikhathi lokhu kuyathuthuka ngokuhamba kwesikhathi, kodwa ngokuhamba kwesikhathi, ukulahlekelwa ukuzwa unomphela kungenzeka. |
| I-tinnitus | Ngisho noma kungekho msindo ozungezile, uzwa umsindo oqhubekayo othi "goo..." ngaphakathi ezindlebeni zakho, njengokukhala kwensimbi. |
| Ukucindezela/ukugcwala ngaphakathi kwendlebe | Umuzwa wokungakhululeki, njengokungathi amanzi angene endlebeni, njengokungathi indlebe ivaliwe futhi igcwele. |
| Isicanucanu kanye nekhanda elibuhlungu | I-Vertigo ingahambisana nesicanucanu, ukuhlanza, kanye nekhanda elibuhlungu. |
Okubalulekile: Uma unalezi zimpawu, sicela ungazinaki. Qiniseka ukuthi ubona udokotela wakho ukuze akunike iseluleko.
Ukuhlolwa kokuthola lesi simo
Uma uya kudokotela, uzolalela ngokucophelela izimpawu zakho futhi akuhlole. Ngemuva kwalokho, bangase bakucele ukuthi bahlole kaningana ukuqinisekisa isimo.
| Ukuhlolwa | Ubonani kulokhu? |
|---|---|
| I-Audiometry | Lokhu kulinganisa izinga lakho lokuzwa ngokunembile. Kuhlola indlela osabela ngayo emisindweni ehlukene. |
| Ukuhlolwa kwe-Vestibular | Lokhu kuhlola ukuthi uhlelo lokulawula ibhalansi lomzimba wakho lusebenza kahle kangakanani. |
| Ukuskena kwe-MRI | Ngezinye izikhathi lokhu kungasiza ekuboneni ukuthi kukhona yini enye inkinga ngobuchopho noma endlebeni yangaphakathi, kanye nokubona ukuthi kukhona yini uketshezi lwe-endolymph oluningi kakhulu ngaphakathi endlebeni. |
| I-Electrocochleography (ECochG) | Lokhu kusenza sikwazi ukukala ngqo ingcindezi endlebeni yangaphakathi, okungukuthi, ukuthi izinga loketshezi lwe-endolymph likhuphukile yini. |
Yiziphi izindlela zokwelapha izifo ezihlobene ne-endolymph?
Nakuba lesi simo kunzima ukuselapha ngokuphelele, kunezindlela eziningi zokwelapha ezingakusiza ukulawula izimpawu zakho futhi uphile impilo evamile. Khumbula ukuthi zonke lezi zindlela zokwelapha zinqunywa udokotela wakho, ngokusekelwe esimweni sakho.
| Indlela yokwelapha | Incazelo |
|---|---|
| Izinguquko ekudleni | Iseluleko esiyinhloko esivame ukunikezwa ukunciphisa usawoti , njengoba usawoti wandisa ukugcinwa koketshezi emzimbeni. Ungase futhi welulekwe ukuthi unciphise i-caffeine (itiye, ikhofi) kanye notshwala. |
| Izinhlobo zemithi | Ama-diuretics ('amaphilisi amanzi') anganikezwa ukuze kususwe uketshezi oluningi emzimbeni. Eminye imithi inganikezwa futhi ukulawula i-vertigo, ukunciphisa isicanucanu, futhi ngezinye izikhathi ngisho nokujova ama-corticosteroids endlebeni. |
| Ezinye Izindlela Zokwelapha | Kunezindlela ezikhethekile zokuzilolonga ezibizwa ngokuthi i-vestibular rehabilitation therapy yezinkinga zokulinganisela. Ungazama nezinto ezifana ne-cognitive behavioral therapy (CBT) ukuze unciphise ukucindezeleka okubangelwa yilesi simo. |
| Ukuhlinzwa | Kuphela uma kungekho okunye ukwelashwa okungakulawula, kungadingeka ukuthi uhlinzwe ukuze kususwe uketshezi oluningi noma kuncishiswe ingcindezi endlebeni. |
Umlayezo Wokuya Nawe Ekhaya
- I-Endolymph iwuketshezi olusendlebeni yethu yangaphakathi olubalulekile ekulinganiseni ukuzwa nomzimba.
- Izimpawu ezifana nesiyezi (vertigo), ukulahlekelwa ukuzwa, kanye nokukhala ezindlebeni (tinnitus) kungaba izimpawu zenkinga ngalolu ketshezi.
- Isimo esivame kakhulu esihambisana nalokhu yisifo sikaMénière, esibangelwa ukunqwabelana ngokweqile koketshezi lwe-endolymph ngaphakathi kwendlebe.
- Uma unezinye zalezi zimpawu, ungazinaki futhi ubone udokotela wakho ngokushesha .
- Indlela engcono kakhulu yokuvikela izindlebe zakho ukugwema imisindo emikhulu. Lalela umculo ophakeme futhi ugweme ukuba sezindaweni ezinomsindo ngangokunokwenzeka.
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