Ake sifunde ngalolu ketshezi olumangalisayo olungaphakathi endlebeni - i-endolymph.

Wake wazibuza ukuthi sizwa kanjani le misindo, noma ukuthi sima kanjani siqonde futhi sihambe singawi? Konke lokhu kusizwa yizinto ezincane ezingaphakathi ezindlebeni zethu. Okubaluleke kakhulu futhi yilolu ketshezi olubizwa ngokuthi i-endolymph . Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, kulungile?

Iyini le endolymph?

Kalula nje, i-endolymph iwuketshezi olukhethekile endlebeni yethu yangaphakathi . Yilokhu okusisiza kakhulu ukuzwa umsindo nokugcina ibhalansi yethu. Cabanga, lapho lolu ketshezi luhamba ngaphakathi endlebeni yethu, lokho kunyakaza kukhipha izimpawu zemizwa eziya ebuchosheni bethu. Yilapho ubuchopho buqonda khona ukuthi, "O, ngizwa umsindo," nokuthi "Manje umzimba ukulesi simo, sizinzile." Ngakho-ke, ngaphandle kwale nto ebizwa ngokuthi i-endolymph, besingeke sikwazi ukwenza noma iyiphi yalezi zinto kahle.

I-endolymph isisiza kanjani?

Lolu ketshezi lwe-endolymph lusisiza ngezindlela ezimbili eziyinhloko. Okungukuthi, ukuzwa nokugcina ibhalansi. Ake sibheke ngayinye yazo ngayinye.

Indlela yokusiza ngokuzwa

Ake siqale sibheke ukuthi lokhu kusiza kanjani ngokuzwa. Uketshezi lwe-endolymph ludlala indima enkulu ekuthatheni amaza omsindo angaphandle bese luwaguqula abe izimpawu zokuzwa ezingaqondwa ubuchopho bethu.

Indlebe yethu inengxenye efana neyomnenke ebizwa ngokuthi i-cochlea, akunjalo? Umsele we-cochlear ngaphakathi kwawo ugcwele le-endolymph. Ngaphakathi kwalo msele we-cochlear, kunesakhiwo esibucayi kakhulu esibizwa ngokuthi i-Organ of Corti . Yilapho amangqamuzana ezinwele ezizwayo , njengezinwele ezincane, ehlelwe khona ngemigqa.

Manje, uma umsindo ungena endlebeni yethu yangaphakathi, amaza omsindo abangela ukudlidliza ku-endolymph fluid. Njengoba nje uphonsa itshe eliyigugu esitsheni samanzi, liyaqhuma. Bese kuthi amangqamuzana ezinwele ku-Organ of Corti ashukume ngenxa yalokho kudlidliza. Lokho kunyakaza yikho okubangela ukuthi izimpawu zokuzwa zikhishwe futhi zihambe nge-auditory nerve ziye engxenyeni yobuchopho eqonda umsindo. Yilapho-ke siqonda khona ukuthi, "O, leli yingoma" noma "Kukhona okhulumayo." Akumangalisi yini?

Indlela yokusiza ngokulinganisela

Okulandelayo, ake sibheke ukuthi le endolymph isiza kanjani ngokulinganisela. Lokhu kubaluleke kakhulu futhi. Kungenxa yalesi simiso ukuthi asiwi lapho sihamba, sigijima, noma sinikina amakhanda ethu.

Uma siphendula amakhanda ethu sisuka kolunye uhlangothi siye kolunye, siwagobe phezulu naphansi, bese siwahambisa phambili nangemuva... kunezakhiwo eziningana ngaphakathi kwezindlebe zethu ezisisiza ukuzwa konke lokhu kunyakaza. Yi -utricle kanye ne-saccule . Lezi yizo ezizwa ukunyakaza okuqondile kwekhanda phezulu/phansi naphambili/emuva.

Ngaphezu kwalokho, imisele eyisiyingiKunezintathu. Lezi ziqondene, ngezindlela ezahlukene. Lezi yizo ezisenza sikwazi ukuzwa ukunyakaza kwekhanda okujikelezayo. Zicabange unikina ikhanda lakho kwesobunxele nakwesokudla, ubheka phezulu naphansi, njalo njalo.

Zonke lezi zakhiwo zigcwele i-endolymph. Njenge-cochlear duct esisiza ukuzwa, kukhona amangqamuzana ezinwele ezizwayo lapha. Ngakho-ke, uma uhambisa ikhanda lakho, i-endolymph engaphakathi ihamba nalo. Futhi ukucindezela kwalolo ketshezi kubangela ukuthi lawo maseli ezinwele agobe kuleyo ndlela. Futhi uma egoba, lawo maseli athumela izimpawu ebuchosheni, njengokuthi, "Yile ndlela umzimba onjalo ngayo, yile ndlela otsheke ngayo, yile ndlela ohamba ngayo ngokushesha." Yile ndlela esingagcina ngayo ibhalansi yethu, futhi singazibamba ngokushesha uma sesizowa.

Ikuphi le endolymph?

Manje ungase uzibuze ukuthi lolu ketshezi olubizwa ngokuthi i-endolymph lutholakala kuphi endlebeni. Lutholakala ohlelweni oluyinkimbinkimbi kakhulu noluthambile lweziteshi olubizwa ngokuthi i-membranous labyrinth endlebeni yethu yangaphakathi. I-cochlear duct esikhulume ngayo ngaphambilini - indawo lapho umsindo uguqulwa khona ube izimpawu zokuzwa - kanye nezitho ezibizwa ngokuthi i-utricle, i-saccule kanye ne-semicircular canal ezisisiza ukuthi sibone ukunyakaza konke kungokwe-membranous labyrinth. Zonke zigcwele i-endolymph.

Le labyrinth ehlanganisiwe, egcwele i-endolymph, ivikelwe ngesinye isembozo esiqinile, esinamathambo. Ibizwa ngokuthi i-labyrinth ehlanganisiwe . Ngaphakathi kwale labyrinth ehlanganisiwe kukhona olunye uketshezi olubalulekile, i-perilymph . Phakathi kwe-labyrinth ehlanganisiwe, equkethe i-endolymph, kanye ne-labyrinth ehlanganisiwe, equkethe i-perilymph, kukhona isithiyo esibizwa ngokuthi i-membrane kaReissner . Lokhu kuhlukanisa lawa manzi amabili futhi kugcina ukwakheka kwawo kuhlukile.

Yenziwe ngani i-endolymph?

Ngakho-ke, uyazi ukuthi yiliphi ikhemikhali elibaluleke kakhulu kulolu ketshezi lwe-endolymph? Yi- potassium . Lolu ketshezi lunezinga eliphezulu kakhulu lama-ion e-potassium. Lapho uketshezi lwe-endolymph luhamba, lukhipha ama-ion e-potassium. Lawo ma-ion avuselela lawo maseli e-hair receptor futhi asize imizwa ukuthi ithumele izimpawu ebuchosheni. Lena inqubo ekhethekile kakhulu.

Yakhiwa kanjani i-endolymph?

Lolu ketshezi oluyigugu lwe-endolymph luhlala luvuselelwa futhi lusakazwa. Lukhiqizwa kakhulu yi-stria vascularis odongeni lwe-cochlea.Lena indawo enegazi eliningi eyakhiwe ngamaseli e-epithelial. Futhi, uhlobo olukhethekile lweseli olubizwa ngokuthi 'amaseli amnyama' emifuleni eyindilinga lusiza ekuhlinzekeni i-potassium kwi-endolymph. Ngakho-ke yile ndlela ukwakheka kwe-endolymph okugcinwa ngayo.

Yiziphi izinkinga ezihlobene ne-endolymph?

Kulungile, sifunde okuningi nge-endolymph. Kodwa, nakuba konke kuhamba kahle uma kusebenza kahle, ngezinye izikhathi kunezimo ezingahlotshaniswa nale endolymph. Esibaluleke kakhulu nesikhulunywa kakhulu ngaso yisifo sikaMénière .

Uma abanye abantu bethola isifo sikaMénière, basuke benoketshezi oluningi kakhulu lwe-endolymph endlebeni yabo yangaphakathi, noma ingcindezi yalolo ketshezi iyanda. Lokhu kuhlanganiswa koketshezi lwe-endolymph endlebeni yangaphakathi kubizwa ngokuthi ama-endolymph hydrops ngodokotela. Yilokhu okubangela izimpawu eziningi.

Ngakho-ke ziyini lezi zimpawu?

Uma kunoketshezi lwe-endolymph oluningi kakhulu, noma kunenkinga ngokuhamba kwe-endolymph, singase sibe nezimpawu ezithile. Lezi zingase zivele ngokuzumayo, noma zingase zikhule kancane kancane. Izimpawu eziyinhloko yilezi:

• Ukulahlekelwa ukuzwa: Ngezinye izikhathi ukulahlekelwa ukuzwa kwenzeka endlebeni eyodwa kuphela, kodwa kungabuyela esimweni esijwayelekile ngemva kwezinsuku ezimbalwa.
• I-Vertigo: Lokhu akuyona nje into yokuzungeza. Kungase kuzwakale sengathi igumbi okulo liyazungeza, noma kungase kuzwakale sengathi uzungeza igumbi. Lokhu kungahlala amahora amaningana.
• I-Tinnitus: Umsindo oqhubekayo wokukhala noma ukubhonga ezindlebeni . Lokhu kungaba yinto ecasulayo kakhulu.
• Ukugcwala kwendlebe: Umuzwa wokugcwala noma ukucindezela endlebeni, njengokungathi kukhona okunamathele endlebeni, noma njengokungathi indlebe igcwele umoya.
• Isicanucanu nokuhlanza: Lokhu kungahambisana nesiyezi esinzima.
• Ubuhlungu bekhanda: Abanye abantu nabo bayabhekana nalokhu.

Cabanga ngakho, ngezinye izikhathi uzizwa unesizungu ngokuzumayo futhi uzizwe sengathi uzohlanza, akunjalo? Noma uzwa ukukhala okuqhubekayo ezindlebeni zakho. Lezo zimpawu zingabangelwa izinkinga ze-endolymph. Kodwa akuwona wonke umuntu onalezi zimpawu onesifo sikaMeniere. Yingakho kubalulekile ukufuna iseluleko sezokwelapha.

Yiziphi izivivinyo ezenziwayo ukuthola lezi zinkinga?

Uma unezimpawu ezinjalo, udokotela angakuthola kanjani ukuthi kuyinkinga ye-endolymph noma okunye? Kunezivivinyo ezimbalwa zalokho:

• Ukuhlolwa kwe-Brain MRI (Magnetic Resonance Imaging):Ngezinye izikhathi, ukuhlolwa okukhethekile kwe-MRI kungasetshenziswa ukubona ukuthi kukhona yini uketshezi lwe-endolymph oluningi kakhulu endlebeni yangaphakathi. Lokhu kungasiza futhi ekususeni ezinye izimbangela.
• I-Audiometry: Lokhu kuhlola izinga lokuzwa kwendlebe ngezikhathi ezahlukene zomsindo. Kunganquma ukuthi ukuzwa kuthinteka yini futhi kanjani yizinkinga ze-endolymph.
• Ukuhlolwa kwe-Vestibular: Lokhu kuhlola ukusebenza kohlelo lokulinganisela. Kubheka izinto ezifana nendlela amehlo akho ahamba ngayo nokuthi ulinganisela kanjani uma unikina ikhanda lakho. Lokhu kungakunikeza umbono wokuthi ngabe kukhona yini izinkinga ngohlelo lwe-endolymph.
• I-Electrocochleography (ECochG): Lokhu kuhlolwa kungahlola nokwanda kwengcindezi yoketshezi endlebeni yangaphakathi, ikakhulukazi i-cochlea, okusho ukwanda kwamazinga oketshezi lwe-endolymph.

Udokotela uthola ukuthi unesifo ngemuva kokwenza olunye noma ngaphezulu lwalezi zivivinyo.

Ngakho-ke kuyini ukwelashwa?

Uma unesifo esibizwa ngokuthi i-endolymphatic fluid buildup, njengesifo sikaMénière, kunezindlela zokwelapha ezitholakalayo. Nakuba kunzima ukuselapha ngokuphelele, ungakwazi ukulawula izimpawu futhi wenze impilo yakho ibe lula. Odokotela bavame ukuncoma okulandelayo:

• Izinguquko ekudleni: Lokhu kubaluleke kakhulu. Ukunciphisa usawoti kubaluleke kakhulu. Uyazi ukuthi kungani? Ngoba usawoti ubangela ukuthi umzimba ugcine uketshezi oluningi. Lokhu kungandisa ukuqongelela kwe-endolymph endlebeni engaphakathi. Unganciphisa nezinto ezifana ne-caffeine notshwala.
• Imithi:
• Ama-Diuretics: Lawa abizwa nangokuthi "amaphilisi amanzi." Asebenza ngokubangela ukuthi umzimba ukhiphe uketshezi oluningi ngomchamo. Lokhu kunganciphisa nokucindezeleka endlebeni engaphakathi.
• Imithi yokwelapha isiyezi: Kunemithi enganikezwa ukulawula isiyezi lapho sivela.
• Ama-Corticosteroids: Ngezinye izikhathi, imijovo ye-steroid ingafakwa endlebeni. Lokhu kungasiza ekunciphiseni ukuvuvukala endlebeni yangaphakathi nokulawula izimpawu.
• Imithi yokulwa nesicanucanu: Lawula isicanucanu esihambisana nesiyezi.
• Izindlela zokwelapha:
• Ukwelashwa kokuvuselelwa kwe-Vestibular: Lokhu kuhilela ukuhlinzeka ngokuzivocavoca nokuqeqeshwa okusiza ngezinkinga zokulinganisela. Kufana nokufundisa ubuchopho ukuthi buphinde bubone ukulinganisela.
• Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): Lokhu kwelashwa kungasiza ekunciphiseni ukucindezeleka nokwesaba okungase kuvele ngenxa yokuzizwa unesizungu njalo.
• Ukuhlinzwa:Uma zonke ezinye izindlela zokwelapha zihluleka ukulawula izimpawu, kungase kudingeke ukuhlinzwa. Enye indlela iwukukhipha amanzi e-endolymphatic sac. Udokotela angase asike i-sac bese ekhipha amanzi e-endolymph eningi. Kunezinye izindlela zokuhlinzwa.

Siyinakekela kanjani indlebe yethu yangaphakathi?

Ngakho-ke, yini okufanele siyenze ukuze sigcine lolu ketshezi olubizwa ngokuthi i-endolymph, okungukuthi, indlebe yethu yangaphakathi, luphilile? Ngokuvamile, okuhle endlebeni yethu yangaphakathi nakho kuhle e-endolymph.

Into ebaluleke kakhulu ukugwema imisindo emikhulu ngangokunokwenzeka. Uma ulalele imisindo emikhulu isikhathi eside, lawo maseli ezinwele azwelayo esikhulume ngawo angonakala. Uma esewonakele, kunzima ukuwalungisa. Ngakho-ke, uma usebenza ezindaweni ezifana nezimboni, sebenzisa isivikelo sezindlebe. Uma ulalele umculo noma ugqoke ama-headphone, yehlisa ivolumu. Lokhu kubaluleke kakhulu.

Futhi, izinto ezifana nokuphila impilo enempilo, ukunciphisa usawoti odliwayo, nokugwema ukubhema konke kuzuzisa impilo yendlebe.

Izinto okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, manje usuyaqonda ukuthi leli thonsi elincane loketshezi elibizwa ngokuthi i-endolymph libaluleke kangakanani ekuzweni nasekulinganiseni kwethu. Ukunyakaza kwaleli thonsi kubalulekile ekuguquleni amandla omsindo kanye namandla avela ekunyakazeni ngokomzimba abe yizibonakaliso ubuchopho obungaziqonda. Yingakho liyigugu kangaka. Lifana nethonsi lamafutha emishinini eyinkimbinkimbi yemizimba yethu.

Uma uke waba nezimpawu zesimo sendlebe sangaphakathi njengesifo sikaMénière (njengesiyezi, ukukhala ezindlebeni, ukulahlekelwa ukuzwa, noma umuzwa wokugcwala ezindlebeni), ungakushayi indiva bese ubona udokotela, ikakhulukazi uchwepheshe wezindlebe, impumulo, nomphimbo (uchwepheshe we-ENT), ngokushesha okukhulu. Ngaleyo ndlela, ungathola ngokushesha imbangela bese uqala ukwelashwa okudingekayo. Izindlebe zethu ziyigugu kakhulu, ngakho-ke masizinakekele kahle!

I-Endolymph , indlebe yangaphakathi, uketshezi lwendlebe, ukuzwa, ibhalansi, isifo sikaMeniere, i-vertigo, i-tinnitus