So wo nipadua no fã biako pɛ yɛ kɔkɔɔ na fifiri retu? So eyi betumi ayɛ Harlequin Syndrome? Momma yɛnkasa!

So woahu pɛn, anaasɛ woanya osuahu sɛ w’anim fã biako dan kɔ kɔkɔɔ mpofirim na fifiri fifiri, bere a ɔfã foforo no yɛ nea ɛfata koraa? Wɔ ebinom fam no, eyi betumi ayɛ osuahu a ɛyɛ nwonwa, ebia ɛnyɛ dɛ mpo. Eyi ne nea yɛfrɛ no Harlequin Syndrome wɔ aduruyɛ mu. Bere a ebia edin no bɛyɛ te sɛ asɛm kɛse no, ɛnyɛ biribi a ɛsɛ sɛ wusuro, nanso ɛho hia sɛ wuhu.

Dɛn ankasa ne eyi (Harlequin Syndrome)?

Sɛ yɛbɛka no tiawa a, Harlequin Syndrome yɛ tebea a w’anim, wo kɔn, ne ɛtɔ mmere bi a wo moma so atifi fã biako pɛ yɛ kɔkɔɔ na fifiri fifiri . Nea ɛyɛ nwonwa no, eyinom mu biara nsi wɔ wo nipadua no fã foforo, na ɛda so ara yɛ nea ɛfata.

Saa tebea yi ba esiane nsakrae a ɛba yɛn nipadua no ntini a ɛma tema no dwumadi mu nti . Seesei ebia woresusuw nea ɛyɛ saa ntini a ɛma obi nya tema yi ho. Yɛn nipadua no wɔ nhyehyɛe bi a ɛyɛ nwonwa yiye a wɔde di dwuma, a wɔfrɛ no autonomic nervous system . Eyi ne nea ɛhwɛ nneɛma pii a ɛkɔ so "automatically" a yennwen ho, te sɛ yɛn koma bɔ, mogya mmoroso, ahome, ne aduan a yedi so.

Saa ntini a ɛhwɛ ne ho yi fã bi ne ntini a ɛma obi nya tema no. Ɛte sɛ yɛn nipadua no ‘ahɔho’ nhyehyɛe no . Saa nhyehyɛe yi yɛ adwuma bere a yɛretu mmirika, bere a ehu aka yɛn, anaa bere a yɛte nkate a emu yɛ den te sɛ anigye kɛse anaa awerɛhow nka. Wɔfrɛ eyi sɛ ‘ɔko anaa guankɔbea’ mmuae . Saa ntini a ɛma yɛte nka yi ne nea ɛma yɛn nipadua no fifiri fifiri na ama yɛahwɛ yɛn nipadua mu hyew so, te sɛ bere a yɛteɛteɛ yɛn apɔw mu na ama yɛn ho adwo yɛn no. (Harlequin Syndrome) Nsɛnkyerɛnne ahorow da adi bere a wɔama saa ntini a ɛma tema yi yɛ adwuma no.

So (Harlequin Syndrome) ne (Harlequin Sign) yɛ nneɛma abien a ɛsono emu biara?

Yiw, nsonsonoe kakra wɔ mu. (Harlequin Syndrome) kyerɛ ntini mu yare a madi kan aka ho asɛm no. (Harlequin Sign) kyerɛ yare no ho sɛnkyerɛnne titiriw. Ɛne sɛ, honam ani kɔla a ɛwɔ nipadua no fã biako no sesa (ɛyɛ kɔkɔɔ anaasɛ ɛyɛ tumm) na honam ani fã foforo no kɔ so yɛ fitaa anaasɛ ɛyɛ nea ɛfata. Ɛnyɛ (Harlequin Syndrome) nko na wobetumi ahu eyi (Harlequin Sign) na mmom sɛ ɛyɛ akwahosan tebea afoforo bi ho sɛnkyerɛnne nso.

So eyi yɛ tebea a abu so paa? So ɛde nkwa to asiane mu?

Harlequin Syndrome yɛ tebea a ɛntaa nsi koraa ankasa. Wɔabɔ amanneɛ wɔ nnipa kakraa bi pɛ mu wɔ wiase nyinaa. Enti sɛ woante ho asɛm da a, ɛnyɛ nwonwa.

Nea ɛho hia ne sɛ tebea yi nyɛ nea ɛde nkwa to asiane mu . Na ɛrenka wo nkwa nna. Enti biribiara nni hɔ a enti ɛsɛ sɛ yesuro a ɛho nhia.

Dɛn ne eyi ho sɛnkyerɛnne?

Wɔ Harlequin Syndrome mu no, ɛsono sɛnkyerɛnne ahorow a wuhu wɔ wo nipadua no fã biara.

Nsɛnkyerɛnne a wobetumi ahu wɔ ɔfã a ɛka no no:

• Wora a ɛbɛdan kɔkɔɔ anaa tuntum sen wo honam ani kɔla a ɛyɛ daa.
• Fifiri a ɛba no pii.
• Sɛ wɔde wɔn nsa ka honam ani a ɛwɔ saa beae no a, ɛte sɛ nea ɛyɛ hyew.

Nsɛnkyerɛnne a wohu wɔ ɔfã a ennyaa nkɛntɛnso no:

• Wora a ɛyɛ mmerɛw.
• Ɛnyɛ fifiri a ɛrefifiri koraa.
• Sɛ wɔde wɔn nsa ka honam ani a ɛwɔ saa beae no a, ɛyɛ nwini.

Saa kwan yi so no, saa nneɛma yi te sɛ nea wɔakyekyɛ nipadua no afã horow no mu abien. Fa w’adwene bu nsensanee bi a ɛda hɔ gyina hɔ a wɔatwe afi wo moma so mfinimfini, akɔ wo hwene ase, na akɔ fam akosi wo moma so.

Wɔ sɛnkyerɛnne atitiriw yi akyi no, wobetumi ahu sɛnkyerɛnne afoforo bi a ɛntaa nsi nso:

• Wɔ mmeae bi no, honam ani yɛ nwunu na ɛretu te sɛ nsensanee.
• Tipaeɛ.
• Hwene a ɛretu.
• Nusu a efi aniwa mu reba.
• Aniwa no anim a ɛtɔ ɔfã biako ne/anaasɛ nsakrae a ɛba aniwa no kɛse mu (a wɔsan frɛ no Horner Syndrome , a ebetumi ne tebea foforo bi abata ho).

Bere bɛn na saa sɛnkyerɛnne ahorow yi da adi?

Ebia wubenya Harlequin Syndrome ho sɛnkyerɛnne ahorow yi, titiriw wɔ tebea horow a edidi so yi mu:

• Bere a woreyɛ apɔw-mu-teɛteɛ: Bere a woretu mmirika, worehuruw, woredi agoru, anaa woreyɛ apɔw-mu-teɛteɛ wɔ apɔw-mu-teɛteɛ dan mu.
• Bere a nkate a emu yɛ den anaa adwene mu nhyɛso: bere a w’ani agye yiye, w’awerɛhow, ehu aka wo, anaasɛ wowɔ nhyɛso ase ansa na woayɛ biribi te sɛ sɔhwɛ anaa nsɛmbisa.
• Wɔ mmeae a ɛhɔ yɛ hyew: bere a worefi adi wɔ owia mu, bere a wote dan a ɛhɔ yɛ hyew mu no.
• Sɛ woredi nnuan a ɛyɛ nnuhwam a: Bere a woredi aduan a wɔde chili pii ayɛ a.

Fa no sɛ wo ne wo nnamfo redi kriket na wo ho fifiri reyɛ kɛse, na w’anim nifa nkutoo na ɛyɛ kɔkɔɔ na fifiri ayɛ no, nanso benkum so yɛ fɛ, sɛnea wotaa yɛ no. Saa na ɛba wɔ saa osuahu yi mu.

Dɛn ne nneɛma a ɛde Harlequin Syndrome ba?

Mpɛn pii no, ɛyɛ den sɛ wubehu biribi pɔtee a ɛde Harlequin Syndrome ba. Ɛne sɛ, nea ɛde ba no mu nna hɔ. Nanso nhwehwɛmu ada no adi sɛ ebia nkitahodi a ɛnkɔ yiye wɔ nkwammoaa a ɛwɔ yɛn autonomic nervous system no nifa ne benkum ntam no na ɛde ba.

Ɛtɔ da bi a, nkitahodi kwan yi betumi asɛe . Saa nkitahodi nkrasɛm yi fi hypothalamus a ɛwɔ yɛn amemene no mu kɔ thoracic spinal cord a ɛwɔ koko a ɛwɔ soro no mu. Ɛhɔ na ntini a ɛma tema no ma anim ne nipadua no atifi. Saa kwan yi na ɛhwɛ fifiri ne mogya ntini ahorow so.

Nneɛma pii nti na saa ntwitwiridii yi betumi aba:

• Ɛyɛ akisikuru a ɛba wɔ ntini kwan no so.
• Kuru anaa ɔsɛe a ɔyare mmoawa anaa ɔfe bi de ba.
• Akwanhyia a ɛba esiane oprehyɛn a wɔyɛ wɔ koko atifi, te sɛ akyi berɛmo mu oprehyɛn nti.

Hena na ɛda adi sɛ obenya eyi? (Nneɛma a ɛde asiane ba) .

Saa tebea yi a wɔfrɛ no Harlequin Syndrome no betumi aka obiara a wadi mfe biara, a nkokoaa, mmofra, ne mpanyimfo ka ho . Nanso, ebia ɛbɛyɛ mmerɛw sɛ wubenya saa tebea yi sɛ:

• Sɛ woayɛ endoscopic thoracic sympathectomy (oprehyɛn a wɔde sa fifiri a ɛboro so) a.
• Sɛ wɔama wo aduru a wɔde kum nipadua no a.
• Sɛ woanya akwanhyia bi a ɛkaa wo tema ntini ahorow a.
• Sɛ aduruyɛ mu tebea foforo bi wɔ hɔ a ɛhyɛ ase te sɛ Horner Syndrome a .

Nsɛnnennen bɛn na eyi betumi de aba?

Ɛwom sɛ eyi ntaa nsi koraa de, nanso nsɛnnennen bi betumi aba esiane Harlequin Syndrome nti. Eyinom ne:

• Ɛyɛ den sɛ wobɛhwɛ nipadua mu hyew so.
• Anim kɔla a ɛsakra daa (ɔfã biako).
• Adwenemhaw, dadwen, anaa obu a ɛba fam a obi de ba ne ho a osusuw ne honam ani hwɛbea ho. Efisɛ, sɛ afoforo hu eyi wɔ ɔmanfo mu a, ebetumi ayɛ aniwu kakra ama nnipa binom.

Ɔkwan bɛn so na wobetumi ahu (Harlequin Syndrome) no pɛpɛɛpɛ? (Nyare a Wɔahu) .

Oduruyɛfo bi bɛhwɛ sɛ wowɔ Harlequin Syndrome denam wo sɛnkyerɛnne ahorow a ɔbɛhwehwɛ mu no so. Ade a edi kan a ɛsɛ sɛ wɔyɛ ne nipadua mu nhwehwɛmu . Afei, wɔyɛ nhwehwɛmu ahorow de yi tebea afoforo a ebetumi de sɛnkyerɛnne a ɛte saa ara aba no afi hɔ na wɔahu sɛ ebia biribi a ɛde ba anaa.

Nhwehwɛmu ahorow pii wɔ hɔ a wobetumi de ahu Harlequin Syndrome:

• Adwennwen ho sɔhwɛ: Wɔ sɔhwɛ yi mu no, oduruyɛfo bɛma woateɛteɛ w’apɔw mu na wahwɛ wo sɛ ebia apɔw-mu-teɛteɛ kanyan yare no ho sɛnkyerɛnne anaa. Harlequin Syndrome ho sɛnkyerɛnne betumi ada adi kɛse bere a wɔreyɛ apɔw-mu-teɛteɛ no.
• Mfonini a wɔde yɛ nhwehwɛmu: Saa nhwehwɛmu yi ma wo duruyɛfo hu wo nipadua mu. Eyinom yɛ sɔhwɛ ahorow a ɛnyɛ yaw. Nhwɛso ahorow bi ne koko mu X-ray, CT scan (Computed Tomography), ne MRI (Magnetic Resonance Imaging) .

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Asɛmpa no ne sɛ ɛnyɛ bere nyinaa na ɛho hia sɛ wɔsa Harlequin Syndrome . Ɛtɔ mmere bi a, tebea no ankasa betumi ayɛ yiye. Sɛ́ ebia oduruyɛfo bɛkamfo ayaresa akyerɛ no gyina nea ɛde wo yare no ho sɛnkyerɛnne ahorow no so. Ayaresa a wobetumi apaw bi ne:

• Ayaresa anaa afotu betumi aboa ma asetra mu ɔhaw ne adwene mu nhyɛso a tebea yi de ba no so atew.
• Vaccine a wɔde ma de siw anim kɔkɔɔ anaa honam ani kɔla a ɛsakra no ano`(nsoromma ganglion block)` .
• Fa botulinum awuduru a wɔde twitwiw fifiri ne sɛnkyerɛnne afoforo so.
• Sɛ nea ɛde ba no yɛ akisikuru anaa akuru a, ɛho behia sɛ wɔyɛ oprehyɛn anaa mframa a wɔde sa yare de yi fi hɔ.

Sɛ wowɔ Harlequin Syndrome a, dɛn na wubetumi ahwɛ kwan?

Mpɛn pii no, Harlequin Syndrome nsɛe wo nipadua kɛse biara. Ebia wo sɛnkyerɛnne ahorow no ankasa befi hɔ bere a bere kɔ so no. Anaasɛ, ebia wubehu sɛnkyerɛnne ahorow bere a woteɛteɛ w’apɔw mu anaa wudi aduan a ɛyɛ nnuhwam nkutoo. Ɛnyɛ obiara na ohia ayaresa. Wo duruyɛfo bɛka wo tebea no ne nea wobɛhwɛ kwan daakye ho nsɛm pii akyerɛ wo.

Saa sɛnkyerɛnne ahorow yi kyɛ bere tenten ahe?

Mpɛn pii no , yare no ho sɛnkyerɛnne no di simma kakraa bi kosi nnɔnhwerew kakraa bi pɛ . Eyi kyerɛ sɛ bere a wugyae dwumadi a ɛde sɛnkyerɛnne ahorow no bae no akyi no, honam ani hwɛbea no bɛsan ayɛ sɛnea na ɛte kan no wɔ bere tiaa bi mu. Sɛ nhwɛso no, sɛ yare no ho sɛnkyerɛnne bi ba bere a woreteɛteɛ w’apɔw mu a, sɛ wugyae apɔw-mu-teɛteɛ, wo ho dwo, na wohome a, honam ani bɛsan ayɛ sɛnea na ɛte kan no.

So wobetumi asiw Harlequin Syndrome ano?

Sɛnea wɔahu de besi nnɛ no, ɔkwan biara nni hɔ a wɔbɛfa so asiw Harlequin Syndrome ano.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wuhu Harlequin Syndrome ho sɛnkyerɛnne te sɛ fifiri a ɛba wo nipadua no fã biako pɛ ne honam ani kɔla a ɛsakra a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn . Mpɛn pii no, Harlequin Syndrome nyɛ biribi a ɛsɛ sɛ ɛhaw adwene. Nanso, wɔ nsɛm a ɛntaa nsi mu no, ebetumi ayɛ aduruyɛ mu tebea bi a ɛda adi te sɛ akisikuru ho sɛnkyerɛnne, enti ɛho hia sɛ wokɔ oduruyɛfo nkyɛn kɔhu nea ɛde ba ankasa.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɛbɛyɛ papa sɛ wubebisa nsɛm yi:

• Dɛn na ɛde me yare no ho sɛnkyerɛnne ahorow reba?
• So mihia ayaresa anaa oprehyɛn?
• So ayaresa no mu nsunsuanso bɔne bi wɔ hɔ?
• Sɛ mete nka sɛ ɛyɛ me aniwu anaasɛ me ho nyɛ me dɛ esiane me yare no ho sɛnkyerɛnne nti a, ayaresa bɛn na ɛwɔ hɔ?

So (Harlequin Syndrome) ne (Harlequin Ichthyosis) yɛ ade koro?

Dabi, eyinom yɛ tebea abien a ɛsono emu biara koraa. Eyi yɛ biribi a ebetumi ama nnipa pii adwene atu afra, enti ɛbɛyɛ papa sɛ wobɛma emu ada hɔ.

Harlequin Syndrome yɛ tebea a ɛma fifiri fi ne honam ani kɔla sesa wɔ nipadua no fã biako. Ɛnyɛ nea ɛde nkwa to asiane mu, na ɛnyɛ awosu mu tebea (nanso, wɔ tebea horow bi mu no, ebetumi afi awo mu).

Ɔkwan foforo so no, Harlequin Ichthyosis yɛ honam ani yare a efi awosu mu a ebetumi de nkwa ato asiane mu.. Wɔwo akokoaa a ɔwɔ saa tebea yi a ne honam ani yɛ den yiye na ɛyɛ mmerɛw. Nkokoaa a wɔwɔ Harlequin Ichthyosis no wɔ honam ani nsensanee a ɛte sɛ daimond a mpaapaemu a emu dɔ na ɛtetew mu. Ɛtɔ mmere bi a nnuruyɛfo frɛ saa tebea yi "Harlequin Baby Syndrome." Bere a ebia ɛbɛyɛ te sɛ "Harlequin Syndrome" no, eyinom yɛ tebea horow abien a ɛsono emu biara koraa.

Nkrasɛm a Wɔde Kɔ Fie

Harlequin Syndrome (tebea a ɛma wo ho fifiri fi wo ho bere tiaa bi na wo honam ani kɔla sesa wɔ wo nipadua no fã biako) ka wo nipadua no fã biako pɛ. Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wo ho nyɛ wo dɛ bere a wo honam ani hwɛbea yɛ soronko sen sɛnea wotaa yɛ no. Nanso kae sɛ eyi nyɛ tebea a asiane wom.

Ade a ɛho hia sen biara ne sɛ wobɛkɔ oduruyɛfo nkyɛn sɛ wowɔ saa sɛnkyerɛnne ahorow yi a na woahu nea ɛde ba ankasa . Ɛtɔ da bi a, ebia nea ɛde ba no renna adi. Sɛ mpo woka sɛ wunhia ayaresa a, sɛ worehyia adwene mu haw biara esiane nsakrae a ɛba wo honam ani hwɛbea mu nti a, wubetumi ne adwenemyare ho ɔfotufo bi akasa afa ho na woaka akwan a wobɛfa so ama woanya obu ama wo ho ne wo ho mfonini pa ho asɛm. Ɛnyɛ wo nko ara, na ntwentwɛn wo nan ase da sɛ wubenya mmoa.

` Harlequin Syndrome, ntini nhyehyɛe, fifiri, nsu a ɛyɛ hyew, autonomic nervous system, Horner Syndrome, nyarewa a ɛntaa nsi