Puas yog ib sab ntawm koj lub cev liab thiab tawm hws xwb? Qhov no puas yog Harlequin Syndrome? Cia peb tham!

Koj puas tau pom, lossis tau ntsib, ib sab ntawm koj lub ntsej muag hloov liab thiab hws, thaum sab tod yog ib txwm muaj? Rau qee tus, qhov no tuaj yeem yog qhov kev paub txawv txawv, tej zaum txawm tias tsis xis nyob. Qhov no yog qhov peb hu ua Harlequin Syndrome hauv cov lus kho mob. Txawm hais tias lub npe yuav zoo li yog ib qho teeb meem loj, nws tsis yog dab tsi yuav tsum ntshai, tab sis nws yog ib qho tseem ceeb kom paub txog nws.

Qhov no yog dab tsi tiag (Harlequin Syndrome)?

Hais yooj yim xwb, Harlequin Syndrome yog ib qho mob uas tsuas yog ib sab ntawm koj lub ntsej muag, caj dab, thiab qee zaum sab saud ntawm lub hauv siab thiaj li liab thiab tawm hws . Qhov xav tsis thoob yog tias tsis muaj ib qho ntawm qhov no tshwm sim rau sab tod ntawm koj lub cev, uas tseem yog ib txwm muaj.

Qhov mob no tshwm sim vim muaj kev hloov pauv hauv kev ua haujlwm ntawm peb lub cev lub paj hlwb sympathetic . Tam sim no koj yuav xav paub tias lub paj hlwb sympathetic no yog dab tsi. Peb lub cev muaj ib lub cev tswj hwm zoo heev, hu ua lub paj hlwb autonomic . Qhov no yog qhov tswj hwm ntau yam uas tshwm sim "tsis siv neeg" yam tsis tau peb xav txog lawv, xws li peb lub plawv dhia, ntshav siab, ua pa, thiab zom zaub mov.

Ib feem ntawm lub paj hlwb autonomic no yog lub paj hlwb sympathetic. Nws zoo li peb lub cev 'ceeb toom' . Lub cev no qhib thaum peb khiav, thaum peb ntshai, lossis thaum peb xav tias muaj kev xav zoo li kev xyiv fab lossis kev tu siab. Qhov no hu ua 'kev tawm tsam lossis khiav' . Lub paj hlwb sympathetic no yog qhov uas qhia peb lub cev kom tawm hws los tswj peb lub cev qhov kub, ib yam li thaum peb tawm dag zog kom txias. (Harlequin Syndrome) Cov tsos mob tshwm sim thaum lub paj hlwb sympathetic no qhib.

Puas yog (Harlequin Syndrome) thiab (Harlequin Sign) ob yam sib txawv?

Yog, muaj qhov sib txawv me ntsis. (Harlequin Syndrome) yog hais txog tus mob neurological uas kuv tau hais ua ntej. (Harlequin Sign) yog hais txog tus tsos mob tseem ceeb ntawm tus kab mob. Ntawd yog, xim tawv nqaij ntawm ib sab ntawm lub cev hloov pauv (liab lossis tsaus) thiab daim tawv nqaij ntawm sab tod tseem dawb lossis zoo li qub. Qhov (Harlequin Sign) no tsis yog pom hauv (Harlequin Syndrome) xwb tab sis kuj yog ib qho tsos mob ntawm qee yam mob nkeeg.

Qhov no puas yog ib qho mob uas tshwm sim ntau heev? Puas yog nws ua rau muaj kev phom sij rau lub neej?

Kab mob Harlequin Syndrome yeej yog ib yam mob tsis tshua muaj . Tsuas muaj ob peb tug neeg mob thoob ntiaj teb tau tshaj tawm tias muaj tus kab mob no xwb. Yog li ntawd, nws tsis yog qhov xav tsis thoob yog tias koj tsis tau hnov ​​​​txog nws ua ntej.

Qhov tseem ceeb yog tias qhov mob no tsis yog ib qho txaus ntshai rau koj lub neej . Thiab nws yuav tsis cuam tshuam rau koj lub neej. Yog li ntawd, tsis muaj laj thawj dab tsi yuav tsum ntshai yam tsis tsim nyog.

Cov tsos mob ntawm qhov no yog dab tsi?

Hauv Harlequin Syndrome, cov tsos mob uas koj ntsib ntawm txhua sab ntawm koj lub cev txawv.

Cov tsos mob uas pom tau ntawm sab uas raug mob:

• Tawv nqaij tig liab los yog tsaus dua li koj cov xim tawv nqaij ib txwm.
• Tawm hws ntau heev.
• Daim tawv nqaij nyob rau thaj chaw ntawd yuav sov thaum kov.

Cov tsos mob pom ntawm sab tsis raug mob:

• Daim tawv nqaij daj ntseg.
• Tsis tawm hws kiag li.
• Daim tawv nqaij nyob rau thaj chaw ntawd yuav txias thaum kov.

Ua li no, cov yam ntxwv no zoo li ob sab ntawm lub cev raug faib ua ob. Xav txog ib txoj kab ntsug kos los ntawm nruab nrab ntawm koj lub hauv pliaj, nqis los ntawm koj lub qhov ntswg, thiab nqis mus rau koj lub hauv siab.

Ntxiv rau cov tsos mob tseem ceeb no, qee cov tsos mob uas tsis tshua muaj kuj tseem yuav pom tau:

• Hauv qee qhov chaw, daim tawv nqaij qhuav thiab tev tawm zoo li cov nplai.
• Mob taub hau.
• Qhov ntswg ntws .
• Kua muag los ntawm ob lub qhov muag.
• Qhov muag poob ib sab thiab/lossis cov menyuam qhov muag hloov pauv (tseem hu ua Horner Syndrome , uas tuaj yeem cuam tshuam nrog lwm yam mob).

Cov tsos mob no tshwm sim thaum twg?

Tej zaum koj yuav muaj cov tsos mob ntawm Harlequin Syndrome no, tshwj xeeb tshaj yog nyob rau hauv cov xwm txheej hauv qab no:

• Thaum ua si nawv: Thaum khiav, dhia, ua si, lossis ua si hauv lub gym.
• Thaum muaj kev xav ntau lossis kev ntxhov siab ntawm lub hlwb: thaum koj zoo siab heev, tu siab, ntshai, lossis raug kev nyuaj siab ua ntej qee yam xws li kev xeem lossis kev xam phaj.
• Thaum huab cua kub: thaum tawm mus rau hauv lub hnub, thaum nyob hauv chav kub.
• Thaum noj zaub mov ntsim: Thaum noj cov tais diav uas ua los ntawm ntau cov kua txob.

Xav txog tias koj tab tom ua si cricket nrog koj cov phooj ywg thiab koj tawm hws ntau heev, thiab tsuas yog sab xis ntawm koj lub ntsej muag liab thiab tawm hws, tab sis sab laug zoo li qub. Qhov ntawd yog qhov tshwm sim hauv qhov kev paub no.

Dab tsi yog cov ua rau muaj Harlequin Syndrome?

Feem ntau, nws nyuaj rau nrhiav qhov ua rau muaj tus kab mob Harlequin Syndrome. Qhov ntawd yog, qhov ua rau tsis meej. Txawm li cas los xij, kev tshawb fawb tau pom tias nws yuav yog vim muaj kev ua haujlwm tsis zoo hauv kev sib txuas lus ntawm cov hlwb ntawm sab xis thiab sab laug ntawm peb lub paj hlwb autonomic.

Qee zaum, yuav muaj kev cuam tshuam rau txoj kev sib txuas lus no. Cov lus sib txuas lus no mus los ntawm hypothalamus hauv peb lub hlwb mus rau lub thoracic spinal cord hauv lub hauv siab sab saud. Qhov ntawd yog qhov chaw uas cov hlab ntsha sympathetic xa mus rau lub ntsej muag thiab lub cev sab saud. Txoj kev no tswj kev tawm hws thiab cov hlab ntsha.

Muaj ntau yam ua rau qhov kev cuam tshuam no tshwm sim:

• Nws yog ib qho qog uas tsim raws txoj hlab ntsha.
• Ib qho qhov txhab lossis kev puas tsuaj uas tshwm sim los ntawm kev kis kab mob lossis o.
• Ib qho xwm txheej uas tshwm sim vim yog kev phais mob rau sab saud ntawm lub hauv siab, xws li kev phais mob ntawm tus txha caj qaum.

Leej twg yuav muaj feem ntau dua rau qhov no? (Cov yam ntxwv ntawm kev pheej hmoo)

Tus mob no, hu ua Harlequin Syndrome, tuaj yeem cuam tshuam rau txhua tus neeg txhua lub hnub nyoog, suav nrog cov menyuam mos, cov menyuam yaus, thiab cov neeg laus . Txawm li cas los xij, koj yuav muaj feem ntau dua rau tus mob no yog tias koj:

• Yog tias koj tau muaj kev phais mob endoscopic thoracic sympathectomy (kev phais mob siv los kho cov hws ntau dhau).
• Yog tias koj tau txais tshuaj loog.
• Yog tias koj tau muaj xwm txheej uas cuam tshuam rau koj lub paj hlwb sympathetic.
• Yog tias muaj lwm yam mob xws li Horner Syndrome .

Qhov no ua rau muaj teeb meem dab tsi?

Txawm hais tias qhov no tsis tshua muaj, tab sis qee qhov teeb meem tuaj yeem tshwm sim vim yog Harlequin Syndrome. Cov no yog:

• Nyuaj tswj qhov kub ntawm lub cev.
• Kev hloov pauv xim ntsej muag tas mus li (ntawm ib sab).
• Kev nyuaj siab, kev ntxhov siab, lossis kev tsis ntseeg tus kheej uas tshwm sim los ntawm kev xav txog tus kheej lub ntsej muag. Vim tias, thaum lwm tus pom qhov no hauv zej zog, nws tuaj yeem ua rau qee tus neeg txaj muag me ntsis.

Yuav ua li cas thiaj kuaj tau tus mob Harlequin Syndrome kom raug? (Kev kuaj mob)

Tus kws kho mob yuav txiav txim siab seb koj puas muaj Harlequin Syndrome los ntawm kev kuaj xyuas koj cov tsos mob. Kauj ruam thawj zaug yog kev kuaj lub cev . Tom qab ntawd, ntau yam kev kuaj mob yuav ua kom paub tseeb tias tsis muaj lwm yam mob uas yuav ua rau muaj cov tsos mob zoo sib xws thiab txiav txim siab seb puas muaj ib qho laj thawj tseem ceeb.

Muaj ntau yam kev kuaj mob uas siv tau los kuaj mob Harlequin Syndrome:

• Kev kuaj mob kev ntxhov siab: Hauv qhov kev kuaj no, tus kws kho mob yuav kom koj tawm dag zog thiab saib xyuas koj seb kev tawm dag zog puas ua rau muaj cov tsos mob. Cov tsos mob ntawm Harlequin Syndrome tuaj yeem pom tseeb dua thaum lub sijhawm tawm dag zog.
• Kev kuaj duab: Cov kev kuaj no tso cai rau koj tus kws kho mob pom sab hauv koj lub cev. Cov no yog cov kev kuaj uas tsis mob. Piv txwv li suav nrog kev thaij duab X-ray hauv siab, CT scan (Computed Tomography), thiab MRI (Magnetic Resonance Imaging) .

Cov kev kho mob rau qhov no yog dab tsi?

Qhov xov xwm zoo yog tias Harlequin Syndrome tsis tas yuav kho mob tas li . Qee zaum tus mob tuaj yeem zoo dua ntawm nws tus kheej. Seb tus kws kho mob puas pom zoo kom kho mob nyob ntawm seb dab tsi ua rau koj cov tsos mob. Cov kev xaiv kho mob suav nrog:

• Kev kho mob lossis kev sab laj tuaj yeem pab txo qhov tsis xis nyob hauv zej zog thiab kev ntxhov siab ntawm lub hlwb uas tshwm sim los ntawm tus mob no.
• Ib qho tshuaj tiv thaiv kab mob uas tau muab los tswj kev liab ntawm lub ntsej muag lossis kev hloov pauv ntawm daim tawv nqaij`(lub pob txha ganglion uas muaj hnub qub thaiv)` .
• Tswj kev tawm hws thiab lwm yam tsos mob nrog kev txhaj tshuaj botulinum toxin .
• Yog tias qhov ua rau yog qog nqaij hlav lossis qhov txhab, yuav tsum tau phais lossis kho mob hluav taws xob kom tshem tawm.

Yog tias koj muaj tus mob Harlequin Syndrome, koj yuav xav li cas?

Feem ntau tus mob Harlequin Syndrome tsis ua rau koj lub cev raug mob loj. Tej zaum koj cov tsos mob yuav ploj mus raws sijhawm. Los yog, koj tsuas yog yuav muaj cov tsos mob thaum koj tawm dag zog lossis noj zaub mov ntsim xwb. Tsis yog txhua tus neeg xav tau kev kho mob. Koj tus kws kho mob yuav qhia koj ntxiv txog koj tus mob thiab yam uas yuav tshwm sim yav tom ntej.

Cov tsos mob no kav ntev npaum li cas?

Cov tsos mob feem ntau tsuas kav li ob peb feeb xwb txog ob peb teev . Qhov no txhais tau tias tom qab koj tsum ua tej yam uas ua rau muaj cov tsos mob, daim tawv nqaij yuav rov qab zoo li qub hauv lub sijhawm luv luv. Piv txwv li, yog tias cov tsos mob tshwm sim thaum koj tawm dag zog, thaum koj tsum tawm dag zog, txias, thiab so, daim tawv nqaij yuav rov qab zoo li qub.

Puas tiv thaiv tau tus kab mob Harlequin Syndrome?

Raws li tau tshawb pom txog tam sim no, tsis muaj txoj hauv kev los tiv thaiv Harlequin Syndrome.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Yog tias koj muaj cov tsos mob ntawm Harlequin Syndrome, xws li tawm hws tsuas yog ib sab ntawm lub cev thiab hloov xim tawv nqaij, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob . Harlequin Syndrome feem ntau tsis muaj dab tsi yuav txhawj txog. Txawm li cas los xij, qee zaum, nws tuaj yeem yog ib qho cim ntawm ib qho mob nkeeg, xws li qog nqaij hlav, yog li nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob kom paub meej tias yog vim li cas.

Koj yuav tsum nug tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, nws yog ib lub tswv yim zoo los nug cov lus nug no:

• Dab tsi ua rau kuv cov tsos mob?
• Kuv puas xav tau kev kho mob lossis phais?
• Puas muaj tej yam tshwm sim ntawm kev kho mob?
• Yog tias kuv txaj muag lossis tsis xis nyob vim kuv cov tsos mob, muaj cov kev kho mob twg?

(Harlequin Syndrome) thiab (Harlequin Ichthyosis) puas yog tib yam?

Tsis yog, cov no yog ob qho xwm txheej sib txawv kiag li. Qhov no yog ib yam dab tsi uas tuaj yeem ua rau ntau tus neeg tsis meej pem, yog li nws zoo kom piav qhia meej.

Kab mob Harlequin yog ib yam mob uas ua rau tawm hws thiab tawv nqaij ntawm ib sab ntawm lub cev hloov xim. Nws tsis yog ib yam mob txaus ntshai rau lub neej, thiab nws tsis yog ib yam mob caj ces (txawm li cas los xij, qee zaum nws tuaj yeem yog los ntawm noob neej los).

Ntawm qhov tod tes, Harlequin Ichthyosis yog ib yam kab mob ntawm daim tawv nqaij uas tuaj yeem ua rau tuag taus.Ib tug me nyuam uas muaj tus mob no yug los nrog daim tawv nqaij tuab thiab ntxhib heev. Cov me nyuam uas muaj tus mob Harlequin Ichthyosis muaj cov tawv nqaij zoo li pob zeb diamond uas raug sib cais los ntawm cov kab sib sib zog nqus. Qee zaum cov kws kho mob hu tus mob no ua "Harlequin Baby Syndrome." Txawm hais tias nws yuav zoo li "Harlequin Syndrome," cov no yog ob qho mob sib txawv heev.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Harlequin Syndrome (ib yam mob uas ua rau tawm hws ib ntus thiab daim tawv nqaij hloov xim rau ib sab ntawm koj lub cev) tsuas cuam tshuam rau ib sab ntawm koj lub cev xwb. Nws yog ib qho ib txwm muaj uas yuav tsis xis nyob thaum koj daim tawv nqaij zoo li txawv ntawm ib txwm. Tab sis nco ntsoov, qhov no tsis yog ib yam mob txaus ntshai.

Qhov tseem ceeb tshaj plaws yog mus ntsib kws kho mob yog tias koj muaj cov tsos mob no thiab nrhiav seb yog vim li cas . Qee zaum, qhov ua rau mob yuav tsis pom tseeb. Txawm tias koj hais tias koj tsis xav tau kev kho mob los xij, yog tias koj muaj kev tsis xis nyob ntawm lub hlwb vim qhov kev hloov pauv ntawm qhov tsos mob no, koj tuaj yeem tham nrog tus kws pab tswv yim txog kev noj qab haus huv ntawm lub hlwb txog qhov no thiab tham txog txoj hauv kev los tsim kom muaj kev ntseeg siab rau tus kheej thiab muaj lub zeem muag zoo. Koj tsis nyob ib leeg, thiab yeej tsis yig nrhiav kev pab.

Harlequin Syndrome, lub paj hlwb, tawm hws, ntsej muag liab, lub paj hlwb autonomic, Horner Syndrome, cov kab mob tsis tshua muaj