Kodi mwana wanu amamwa madontho a khofi-au-lait? Tiyeni tikambirane za malo awa a Café-au-Lait!

Kodi munayamba mwaonapo mawanga ofiirira pakhungu la mwana wanu, kapena pakhungu lanu, omwe amaoneka ngati mtundu wa khofi ndi mkaka? Amayi ena amada nkhawa pang'ono akaona awa. Koma si mawanga onse omwe ndi owopsa. Lero tikambirana za malo otchedwa Café-au-Lait. Tiyeni tidziwe bwino lomwe kuti ndi ati, chifukwa chake amapezeka, komanso ngati ndi owopsa kapena ayi.

Kodi malo ochitira Café-au-Lait awa ndi ati?

Mwachidule, madontho a Café-au-Lait ndi mtundu wa chizindikiro chobadwa nacho chomwe chimapezeka pakhungu. "Café-au-Lait" ndi mawu achifalansa omwe amatanthauza "khofi wokhala ndi mkaka." Chifukwa chake, mtundu wa madonthowa ukhoza kukhala wofiirira pang'ono mpaka wakuda, monga momwe khofi wokhala ndi mkaka umaonekera. Mtundu uwu umasiyana ndi khungu lanu lonse.

Madontho amenewa amatha kukula kuyambira mamilimita angapo mpaka kupitirira masentimita 20. Nthawi zambiri amapezeka pakhungu la makanda akamabadwa kapena amaonekera ali ana. Komabe, nthawi zina madontho amenewa amathanso kukula mwa akuluakulu. Si mabala otupa pakhungu, koma amaoneka ngati otupa pakhungu.

Kodi pali mitundu ya malo awa?

Inde, malo awa a Café-au-Lait amagawidwa m'mitundu iwiri kutengera mawonekedwe ndi kapangidwe kawo. Mayina awa angamveke achilendo pang'ono, koma pali chifukwa chake.

1. Mtundu wa "Gombe la California": Uwu ndi mtundu wofala kwambiri. Monga gombe la m'mphepete mwa nyanja pamapu a boma la California ku United States, malo awa ali ndi m'mbali zowoneka bwino komanso zosalala. Pakhoza kukhala malo amodzi kapena angapo okhala ndi m'mbali zowoneka bwino.

2. Mtundu wa "Coast of Maine": Uwu ndi mtundu wosafala kwambiri. Monga gombe la Maine ku United States, malo awa ali ndi m'mbali zokwawa komanso zosongoka pang'ono.

Chofunika kwambiri ndichakuti ngati mwana wanu ali ndi mawanga opitilira asanu ndi limodzi a "Coast of California" pakhungu lake, ndikofunikira kufunafuna upangiri wa dokotala. Chifukwa kukhala ndi mawanga angapo nthawi zina kungakhale chizindikiro cha vuto linalake, monga matenda a majini monga Neurofibromatosis type 1 (NF1) . Izi ndi matenda omwe amakhudza khungu ndi dongosolo lamanjenje.

Ndani amapeza malo amenewa nthawi zambiri? Kodi ndi ofala bwanji?

Malo opezeka ku cafe-au-Lait angachitike kwa aliyense. Nthawi zambiri amakhala obadwa nawo, zomwe zikutanthauza kuti amapezeka pobadwa. Komabe, sangakhale owoneka bwino pakhungu la mwana wakhanda. Akamakula, makamaka akakwanitsa zaka ziwiri, amayamba kuoneka bwino.

Ngakhale kuti madontho amenewa amapezeka kwambiri kwa anthu omwe ali ndi khungu lakuda, amatha kupezeka kwa aliyense amene ali ndi khungu lamtundu uliwonse.

Malo ena ogulira zakudya ku cafe-au-lait amagwirizanitsidwa ndi matenda a majini. Izi zikutanthauza kuti ngati wina m'banja mwanu ali ndi vutoli, likhoza kukhala vuto lachibadwa. Ngati mukukonzekera kukhala ndi ana, ndikofunikira kudziwa ngati pali vuto la majini m'banja mwanu. Mutha kulankhula ndi dokotala kuti mudziwe zambiri za izi ndikufunsa za kuyezetsa majini .

Malo amenewa ndi ofala kwambiri kotero kuti akuti pafupifupi 10% ya anthu onse ali ndi malo amodzi a Café-au-Lait.

Komanso, 95% ya anthu omwe ali ndi neurofibromatosis type 1 (NF1) ali ndi malo opitilira asanu ndi limodzi a café-au-lait.

Kodi malo opezeka ku Café-au-Lait amakhudza mwana mwanjira iliyonse?

Nthawi zambiri, malo opezeka ku Café-au-Lait ndi malo ongooneka ngati mawanga. Si a khansa (osaopsa), zomwe zikutanthauza kuti si owopsa, ndipo savulaza thupi la mwana. Chifukwa chake, ngakhale mutakhala ndi malo amodzi kapena awiriwa, palibe chodetsa nkhawa.

Komabe, monga ndanenera kale, ngati mwana wanu ali ndi madontho opitilira asanu ndi limodzi (06) pakhungu lake, muyenera kuwonana ndi dokotala wa ana kapena dermatologist. Pamene kuchuluka kwa madontho kukuchulukirachulukira, kungakhale chizindikiro cha vuto lina la majini.

Kodi mawanga awa amawoneka bwanji kwenikweni?

Pali makhalidwe angapo omwe angakuthandizeni kusiyanitsa mawanga a café-au-lait ndi mawanga ena obadwa nawo. Tiyeni tiwone zomwe zili:

• Madontho osalala: Izi sizimakwezedwa ngati matumbo. Nthawi zambiri zimapezeka pa thunthu, manja, miyendo, ndi matako.
• Mtundu wosiyana kuyambira bulauni wopepuka mpaka bulauni wakuda: monga mtundu wa khofi ndi mkaka.
• Mawonekedwe ozungulira kapena ozungulira: Kukula kumatha kuyambira mamilimita awiri (mm) mpaka kupitirira masentimita 20 (cm).
• Mphepete yosalala kapena yolimba mozungulira malowa: monga "gombe la California" kapena "gombe la Maine" lomwe tidakambirana.
• Kukula ndi kuchuluka kwa madontho kungachuluke ndi ukalamba.
• Madontho amenewa sayambitsa ululu, kuyabwa, kapena zizindikiro zina.

N’chifukwa chiyani malo oterewa a Café-au-Lait amawonekera? Kodi chifukwa chake n’chiyani?

Chifukwa chachikulu cha kupangika kwa madonthowa ndi kuchuluka kwa ma melanocyte, mtundu wa selo lomwe limapereka mtundu ku khungu, mu gawo lochepa lakunja la khungu lathu, gawo lotchedwa epidermis. Ma melanocyte awa amapanga pigment melanin . Melanin iyi imapereka mtundu ku khungu lathu, maso, ndi tsitsi, komanso imateteza khungu ku kuwala kwa dzuwa. Chifukwa chake, ngati maselo ambiri a melanocyte awa asonkhana mwadzidzidzi m'dera linalake, kupanga melanin kumawonjezekanso, ndipo mtundu wa khungu m'derali umakhala wakuda bulauni. Ndiwo malo a Café-au-Lait.

Komabe, chifukwa chomveka bwino sichinapezeke chomwe chimapangitsa maselo a melanocyte amenewa kusonkhana m'magulu ambiri pamalo amodzi.

Komabe, neurofibromatosis mtundu 1 (NF1)Madontho a Café-au-Lait amayamba chifukwa cha kusintha kwa majini otchedwa NF1 gene . Jini ya NF1 imalamulira momwe maselo amakulira mwachangu. Chifukwa chake jini iyi ikasinthidwa, maselo a melanocyte amakula mosalamulirika ndipo amapanga melanin yambiri pakhungu.

Nthawi zina, kusintha kwa majini a NF1 kungachitike mwangozi, popanda wina aliyense m'banjamo kukhala nako. Nthawi zina, ngati kholo limodzi lili ndi jini ya NF1 yosinthika, mwanayo akhoza kutenga matendawa. Izi zimatchedwa cholowa cha autosomal dominant . Komabe, mosiyana ndi matenda ena a autosomal dominant, kuti NF1 ikule bwino, kusintha kwa majini achiwiri a NF1 kuyeneranso kuchitika nthawi ya moyo wa munthu. Izi ndi zovuta pang'ono, choncho ndi bwino kufunsa dokotala kuti akupatseni zambiri.

Kodi dokotala amazindikira bwanji mawanga awa?

Mwana wanu akabadwa, dokotala adzamufufuza mwana wanu mokwanira, sichoncho? Panthawiyo, dokotalayo adzaona zizindikiro zilizonse zoberekera pakhungu la mwana wanu, kuphatikizapo madontho a ku Café-au-Lait. Iye adzakulangizaninso kuti muwone kuchuluka kwa madontho amenewa omwe mwana wanu ali nawo akamakula.

Madontho amenewa sangawonekere bwino pakhungu la mwana wakhanda, koma mwanayo akafika zaka ziwiri, kapena atakhala padzuwa, madontho amenewa amayamba kuonekera kwambiri.

Ngati pali mawanga opitilira asanu ndi limodzi, kodi ichi chingakhale chizindikiro cha matenda ena?

Inde, ndi chinthu chomwe tiyenera kuda nkhawa nacho kwambiri. Kukhala ndi malo opitilira asanu ndi limodzi (06) a Café-au-Lait kungakhale chizindikiro cha matenda enaake obisika a majini. Zina mwa matenda awa ndi monga:

• Mtundu wa Neurofibromatosis 1 (NF1)
• Matenda a McCune-Albright
• Matenda a Noonan
• Matenda a Watson

Choncho, ngati muwona mawanga opitilira asanu ndi limodzi a Café-au-Lait pakhungu la mwana wanu, musataye nthawi ndipo pitani kwa dokotala wa mwana wanu nthawi yomweyo. Iye akhoza kuwona mawangawo ndikukutumizirani kuti mukayesedwenso ngati pakufunika kutero.

Kodi pali mankhwala ochiritsira malo awa a Café-au-Lait?

Mabala a Café-au-Lait si a khansa (osavulaza), zomwe zikutanthauza kuti ndi osavulaza, kotero nthawi zambiri safuna chithandizo. Samayambitsa zizindikiro zilizonse.

Komabe, anthu ena angafune kuchotsa madonthowa chifukwa cha kukongola, kutanthauza kuti, kuti awoneke bwino. Pankhaniyi, mutha kulankhula ndi dokotala wanu za chithandizo cha laser . Komabe, pali zoopsa zina pochotsa madontho ndi chithandizo cha laser. Mwachitsanzo, mtundu wa khungu ukhoza kukhala wakuda pamalo omwe mwalandira chithandizo (hyperpigmentation)., zipsera zingapangidwe, mtundu wa bangalo sungazimiririke kotheratu, kapena bangalo lingaonekerenso mutachotsa.

Kodi pali njira yochepetsera kupezeka kwa mawanga awa pa makanda?

Ndipotu, palibe njira yoletsera kupanga mawanga a Café-au-Lait, chifukwa sitingathe kuletsa mapangidwe a zizindikiro zobadwa nazo.

Komabe, ngati wina m'banja mwanu ali ndi vuto la majini monga neurofibromatosis type 1 (NF1) , kulankhula ndi dokotala za kuyezetsa majini musanayambe kukonzekera kutenga pakati kungakuthandizeni kumvetsetsa chiopsezo chanu chokhala ndi mwana ndi vutoli.

Ngati mwana wanga ali ndi mawanga awa, ndiyenera kuyembekezera chiyani?

Malo opezeka ku cafe-au-Lait amapezeka kuyambira kubadwa. Amatha kukhalapo moyo wonse wa mwana. Kukula ndi mawonekedwe a malo oterewa amatha kusintha pang'ono pakapita nthawi. Komanso, malo oterewa amatha kuonekera kwambiri akamakumana ndi dzuwa.

Chofunika kwambiri ndikufunsa upangiri kwa dokotala ngati mwawona madontho oposa asanu ndi limodzi pakhungu la mwana wanu kuti muwone ngati ndi chizindikiro cha matenda ena omwe amabwera chifukwa cha matendawa.

Kodi muyenera kupita kwa dokotala liti?

Ngati muwona kusintha kulikonse m'malo a mwana wanu ku Café-au-Lait, mwachitsanzo , ngati malowo atupa, akwera, akumva ngati ziphuphu akakhudzidwa, kapena ngati kukula kapena kuchuluka kwa mabalawo kwawonjezeka mwadzidzidzi, pitani kwa dokotala nthawi yomweyo.

Ndizachilendo kukhala ndi malo ochepa a café-au-lait. Komabe, kukhala ndi malo opitilira asanu ndi limodzi kungakhale chizindikiro cha vuto linalake lachipatala. Nazi zizindikiro zina zokhudzana ndi matenda omwe amayambitsa malo a café-au-lait:

• Mavuto a kulankhula ndi chilankhulo.
• Matumbo osakhala a khansa pansi pa khungu (neurofibromas) .
• Madontho pansi pa makwapa.
• Kuthamanga kwa magazi (kuthamanga kwa magazi) .
• Mavuto a kukula kwa mafupa, mwachitsanzo , scoliosis .
• Matenda a ADHD (ADHD) omwe amakhudza kusasamala/kusagwira ntchito bwino .

Ngati mwana wanu ali ndi zizindikiro zina ngati izi komanso malo ambiri a ku Café-au-Lait, dziwitsani dokotala za zimenezo.

Kodi ndi mafunso otani ofunika kufunsa dokotala?

Mukapita kwa dokotala, mungafunse mafunso monga awa:

• Kodi malo omwe mwana wanga amagulira ku cafe-au-lait ndi chizindikiro cha matenda a majini?
• Kodi ndingapeze mayeso a majini kuti ndione ngati ndili ndi chiopsezo chokhala ndi mwana wokhala ndi vuto la majini?
• Kodi ndiyenera kuchita chiyani ngati nditaona madontho oposa asanu ndi limodzi a Café-au-Lait pakhungu la mwana wanga?

Kodi malo a Café-au-Lait angaonekere mwadzidzidzi ngakhale mutakula?

Inde, zingatheke. Ngakhale kuti mawanga a café-au-lait nthawi zambiri amapezeka pakhungu la makanda obadwa kumene, nthawi zambiri mawanga amenewa amaonekera pakhungu la munthu akamakula. Ndizachilendo kuti munthu akhale ndi mawanga angapo a café-au-lait. Komabe, ngati muli ndi mawanga opitilira asanu ndi limodzi, izi zitha kukhala chizindikiro cha matenda enaake. Chifukwa chake, mosasamala kanthu za msinkhu wanu, ngati muwona mawanga opitilira asanu ndi limodzi a café-au-lait pakhungu lanu, pitani kwa dokotala kuti akawayeze.

Kodi mawanga awa angakhalepo popanda neurofibromatosis?

Inde, ndithudi. N'zofala kwambiri kuti anthu azikhala ndi mawanga angapo a café-au-lait m'thupi lawo popanda vuto linalake, monga neurofibromatosis type 1 (NF1) . Anthu omwe ali ndi NF1 nthawi zambiri amakhala ndi mawanga opitilira asanu ndi limodzi a café-au-lait, ndipo amasonyezanso zizindikiro zina zogwirizana ndi matendawa.

Kodi mawanga awa ali ngati ziphuphu pakhungu?

Ayi. Ngakhale kuti mawanga awa angawoneke ngati ziphuphu, mawanga a Café-au-Lait samachitika chifukwa cha ziwengo. Ziphuphu nthawi zambiri zimakhala pinki kapena zofiira, sichoncho? Koma mawanga a Café-au-Lait amakhala ndi mitundu yosiyanasiyana kuyambira bulauni wopepuka mpaka bulauni wakuda. Komanso, ngakhale kuti ziphuphu zimatha kuyambitsa zizindikiro monga kuyabwa, mawanga a Café-au-Lait samayambitsa kuyabwa kapena kusasangalala kwina kulikonse.

Pomaliza, zinthu zoti muzikumbukira

Mabala a ku café-au-Lait ndi mtundu wa zizindikiro zoberekera zomwe zingawonekere pakhungu la mwana wanu, ndipo nthawi zambiri sizili zoopsa. Ngakhale kuti sizowopsa, ndikofunikira kudziwa kuchuluka kwa zizindikirozi zomwe mwana wanu ali nazo. Mabala opitilira asanu ndi limodzi akhoza kukhala chizindikiro cha matenda enaake. Ngati muwona kusintha kulikonse pa zizindikiro zoberekera za mwana wanu, funsani upangiri wa dokotala nthawi yomweyo. Musachite mantha, kudziwa ndikofunikira!

'Mawanga a Café-au-Lait, mawanga a pakhungu, zizindikiro zobadwa nazo, mawanga a bulauni, thanzi la ana, matenda a majini, neurofibromatosis, Neurofibromatosis