Mwana wako ane nzvimbo dzekunwa kofi here? Ngatikurukurei nezvenzvimbo idzi dzeCafé-au-Lait!

Wakamboona here mavara matema paganda remwana wako, kana kuti ganda rako, akaita seruvara rwekofi ine mukaka? Vamwe vanaamai vanonetseka zvishoma pavanoona aya mavara. Asi haasi ese mavara ane njodzi. Nhasi tichataura nezveaya anonzi maCafé-au-Lait spots. Ngationei kuti ndeapi chaizvo, nei achiitika, uye kana aine njodzi kana kwete.

Ndedzipi nzvimbo idzi dzeCafé-au-Lait?

Zvichitaurwa zviri nyore, mavara eCafé-au-Lait rudzi rwemavara ekuzvarwa ane ruvara anowanikwa paganda. "Café-au-Lait" ishoko rechiFrench rinoreva "kofi ine mukaka." Saka, ruvara rwemavara aya runogona kusiyana kubva pabrown yakapfava kusvika pabrown yakasviba, kungofanana nekofi ine mukaka. Ruvara urwu runotaridzika zvakasiyana nerwevamwe ganda rako.

Mavara aya anogona kukura kubva pamamirimita mashoma kusvika kupfuura masendimita makumi maviri. Anowanzoonekwa paganda remwana pakuzvarwa kana kuonekwa achiri mudiki. Zvisinei, dzimwe nguva mavara aya anogona kukurawo muvanhu vakuru. Haasi mapundu akakwidziridzwa paganda, asi anotsvedza neganda.

Kune mhando dzenzvimbo idzi here?

Ehe, nzvimbo idzi dzeCafé-au-Lait dzakakamurwa kuita mhando mbiri zvichienderana nechimiro chadzo uye patani yadzo. Mazita aya anogona kunzwika seasinganzwisisike, asi pane chikonzero chazvo.

1. Rudzi rwe "Coast of California": Urwu ndirwo rudzi rwakajairika. Kufanana nemhenderekedzo yegungwa iri pamepu yedunhu reCalifornia muUnited States, nzvimbo idzi dzine mipendero yakajeka uye yakatsetseka. Panogona kunge paine nzvimbo imwe chete kana nzvimbo dzakawanda dzine mipendero yakajeka.

2. Rudzi rwe "Coast of Maine": Rudzi urwu haruwanzoitiki zvakanyanya. Kufanana nemahombekombe eMaine muUnited States, nzvimbo idzi dzine mipendero yakaoma, ine matombo akakombama zvishoma.

Chinhu chakakosha ndechekuti kana mwana wako aine mavanga anodarika matanhatu e "Coast of California" paganda rake, zvakakosha kutsvaga rubatsiro rwechiremba. Nekuti kuva nemavanga akawanda dzimwe nguva kunogona kuva chiratidzo chechirwere chiri pachena, senge chirwere chemajini senge Neurofibromatosis type 1 (NF1) . Aya ndiwo mamiriro anokanganisa ganda netsinga.

Ndiani anowanzoonekwa munzvimbo idzi? Zvakajairika sei?

Nzvimbo dzemuCafé-au-Lait dzinogona kuitika kune chero munhu. Dzinowanzo berekwa nadzo, zvichireva kuti dziripo pakuzvarwa. Zvisinei, dzinogona kusaonekwa zvakanyanya paganda remwana achangoberekwa. Sezvavanokura, kunyanya mushure memakore maviri, dzinowedzera kuonekwa.

Kunyange zvazvo mavara aya akajairika kuvanhu vane ganda rakasviba, anogona kuwanikwa kune chero munhu ane ruvara rweganda rupi zvarwo.

Dzimwe nzvimbo dzecafe-au-lait dzakabatana nematambudziko emajini. Izvi zvinoreva kuti kana mumwe munhu mumhuri yako aine chirwere ichi, chingave chiri hunhu hwenhaka. Kana uchironga kuva nevana, zvakakosha kuti uzive kana paine chirwere chemajini mumhuri yako. Unogona kutaura nachiremba kuti udzidze zvakawanda nezveizvi uye kubvunza nezvekuongororwa kwemajini .

Nzvimbo idzi dzakajairika zvekuti zvinofungidzirwa kuti vanhu vanosvika gumi muzana (10%) vane kanenge nzvimbo imwe chete yeCafé-au-Lait.

Uyewo, 95% yevanhu vane neurofibromatosis type 1 (NF1) vane nzvimbo dzinopfuura nhanhatu dzecafe-au-lait.

Ko madonhwe eCafé-au-Lait anokanganisa mwana nenzira ipi zvayo here?

Kazhinji, mavanga eCafé-au-Lait anongova mavanga chete. Haasi ekenza (asina njodzi), zvichireva kuti haana njodzi, uye haakuvadzi muviri wemwana. Saka, kunyangwe uine rimwe kana maviri emavanga aya, hapana chekunetseka nezvawo.

Zvisinei, sezvandambotaura, kana mwana wako aine mavanga aya anopfuura matanhatu (06) paganda rake, unofanira kuona chiremba wevana kana dermatologist. Sezvo huwandu hwemavanga huchiwedzera, zvinogona kuva chiratidzo cheimwe chirwere chemajini.

Mavara aya anotaridzika sei chaizvo?

Pane zvinhu zvakawanda zvinogona kukubatsira kusiyanisa nzvimbo dzemu café-au-lait nedzimwe nyora dzekuzvarwa nadzo. Ngationei kuti ndedzipi:

• Mavara akati sandara: Aya haana kukwidzwa semapundu. Anowanzo kuwanikwa pahunde, maoko, makumbo, uye magaro.
• Ruvara runotangira pabrown rakapfava kusvika pabrown rakasvibira: rwakafanana neruvara rwekofi nemukaka.
• Chimiro chedenderedzwa kana denderedzwa: Saizi inogona kubva pamamirimita maviri (mm) kusvika kupfuura masendimita makumi maviri (cm).
• Mupendero wakatsetseka kana wakaomarara wakakomberedza nzvimbo iyi: se "California beach" kana "Maine beach" yatakataura nezvayo.
• Saizi uye huwandu hwemavanga zvinogona kuwedzera nekukura.
• Mavara aya haakonzeri kurwadziwa, kuvaviwa, kana zvimwe zviratidzo.

Sei nzvimbo idzi dzeCafé-au-Lait dzichionekwa? Chii chinokonzera?

Chikonzero chikuru chekuumbwa kwemavara aya kuwedzera kwehuwandu hwema melanocytes, rudzi rwesero rinopa ruvara kuganda, muchikamu chekunze cheganda redu, chikamu chinonzi epidermis. Ma melanocytes aya anogadzira pigment melanin . Melanin iyi inopa ruvara kuganda redu, maziso, nebvudzi, uye inodzivirirawo ganda kubva kuzuva. Saka, kana nhamba huru yemasero aya e melanocyte ikaungana kamwe kamwe munzvimbo yakati, kugadzirwa kwe melanin kunowedzerawo, uye ruvara rweganda munzvimbo iyoyo runova brown yakasviba. Ndiyo nzvimbo yeCafé-au-Lait.

Zvisinei, chikonzero chakajeka hachisati chawanikwa chekuti nei masero aya e-melanocyte achiwanzoungana akawanda kudaro panzvimbo imwe chete.

Zvisinei, neurofibromatosis type 1 (NF1)Mavara eCafé-au-Lait anokonzerwa nekuchinja kuri mujini rinonzi NF1 gene . Jini reNF1 rinodzora kukura kwemasero nekukurumidza. Saka kana jini iri rachinja, masero emelanocyte anokura zvisingadzoreki uye anoburitsa melanin yakawandisa paganda.

Dzimwe nguva, kuchinja kwemajini eNF1 kunogona kuitika zvisina tsarukano, pasina mumwe munhu mumhuri ane chirwere ichi. Dzimwe nguva, kana mumwe wevabereki aine gene reNF1 rakachinja, mwana anogona kugara nhaka yechirwere ichi. Izvi zvinonzi autosomal dominant inheritance . Zvisinei, kusiyana nemamwe mamiriro ezvinhu anotonga e autosomal, kuti NF1 ikure zvizere, kuchinja mune kopi yechipiri yegene reNF1 kunofanirawo kuitika muhupenyu hwemunhu. Izvi zvakaoma zvishoma, saka zvakanaka kubvunza chiremba kuti uwane rumwe ruzivo.

Chiremba anoziva sei mavara aya?

Kana mwana wako azvarwa, chiremba achaita ongororo yakazara yemwana wako, handiti? Panguva iyoyo, chiremba achacherechedza mavanga ekuzvarwa paganda remwana wako, kusanganisira mavanga eCafé-au-Lait. Iye achakukurudzirawo kuti utarise kuti mwana wako ane mavanga mangani aya paanokura.

Mavara aya anogona kunge asingaonekwe zvachose paganda remwana achangoberekwa, asi panguva iyo mwana anenge ava nemakore maviri, kana mushure mekupiswa nezuva, mavara aya anoonekwa zvakanyanya.

Kana paine mavanga anopfuura matanhatu, chingave chiratidzo chechimwe chirwere here?

Ehe, ndicho chinhu chatinofanira kunyanya kunetseka nacho. Kuva nenzvimbo dzinopfuura nhanhatu (06) dzeCafé-au-Lait kunogona kuva chiratidzo chezvimwe zvirwere zvemajini. Zvimwe zvezvirwere izvi zvinosanganisira:

• Neurofibromatosis rudzi 1 (NF1)
• Chirwere cheMcCune-Albright
• Chirwere cheNoonan
• Chirwere cheWatson

Saka, kana mukaona mavara eCafé-au-Lait anopfuura matanhatu paganda remwana wenyu, musapedza nguva uye onai chiremba wemwana wenyu nekukasika. Iye anogona kuongorora mavara acho uye kukutumirai kuti muongororwe zvakare kana zvichidikanwa.

Pane mushonga wenzvimbo idzi dzeCafé-au-Lait here?

Mavara eCafé-au-Lait haana njodzi, zvichireva kuti haana njodzi, saka haawanzoda kurapwa. Haakonzeri zviratidzo.

Zvisinei, vamwe vanhu vangada kubvisa mavara aya nekuda kwezvikonzero zvekunaka, kureva kuti, kuti vataridzike zviri nani. Kana zvakadaro, unogona kutaura nachiremba wako nezvekurapwa ne laser . Zvisinei, pane dzimwe njodzi pakubvisa mavara ne laser therapy. Semuenzaniso, ruvara rweganda runogona kusviba munzvimbo yakarapwa (hyperpigmentation)., mavanga anogona kuumbwa, ruvara rweganda runogona kusanyangarika zvachose, kana kuti banga rinogona kuonekazve mushure mekubviswa.

Pane nzira yekuderedza kuwanda kwemavanga aya pavana here?

Kutaura zvazviri, hapana nzira yekudzivirira mavanga eCafé-au-Lait kuti asaumbwe, nekuti hatigone kudzivirira mavanga ekuzvarwa kuti asaumbwe.

Zvisinei, kana mumwe munhu mumhuri yako aine chirwere chemajini chakadai se neurofibromatosis type 1 (NF1) , kutaura nachiremba nezvekuongororwa kwemajini usati waronga kubata pamuviri kunogona kukubatsira kunzwisisa njodzi yako yekuva nemwana ane chirwere ichocho.

Kana mwana wangu aine mavara aya, chii chandinofanira kutarisira?

Nzvimbo dzeCafé-au-Lait dziripo kubva pakuzvarwa. Dzinogona kuramba dziripo muhupenyu hwese hwemwana. Saizi nechimiro chenzvimbo idzi zvinogona kuchinja zvishoma nekufamba kwenguva. Uyewo, nzvimbo idzi dzinogona kuoneka zvakanyanya kana dzikaonekwa nezuva.

Chinhu chinonyanya kukosha ndechekutsvaga mazano echiremba kana ukaona mavara aya anopfuura matanhatu paganda remwana wako kuti uone kana chiri chiratidzo cheimwe chirwere chiripo.

Unofanira kuona chiremba rini?

Kana mukaona shanduko dziripo paCafé-au-Lait yemwana wenyu, semuenzaniso , kana mavanga acho akazvimba, akakwidzwa, akaita mapundu kana akabatwa, kana saizi kana huwandu hwemavanga acho hukawedzera kamwe kamwe, onai chiremba nekukasika.

Zvakajairika kuva nenzvimbo shoma dzekunwa café-au-lait. Zvisinei, kuva nenzvimbo dzinopfuura nhanhatu kunogona kuva chiratidzo chechirwere chiripo. Heano mamwe zviratidzo zvine chekuita nemamiriro ezvinhu anowanzo kukonzera nzvimbo dzecafé-au-lait:

• Matambudziko ekutaura nemutauro.
• Mapundu asiri ekenza ari pasi peganda (neurofibromas) .
• Mavanga ari pasi pehapwa.
• Kukwira kweropa (BP) .
• Matambudziko ekukura kwemapfupa, semuenzaniso , scoliosis .
• Dambudziko rekushaya pfungwa/kunyanya kushanda zvakanyanya (ADHD) .

Kana mwana wako aine zvimwe zviratidzo zvakaita seizvi pamwe chete nenzvimbo dzakawanda dzeCafé-au-Lait, zivisa chiremba nezvazvo zvakare.

Ndeipi mibvunzo inokosha yekubvunza chiremba?

Paunoenda kunoona chiremba, unogona kubvunza mibvunzo yakaita seiyi:

• Mapopo emwana wangu ari kutengeswa ku café-au-lait chiratidzo chechirwere chemajini here?
• Ndingawana bvunzo dzemajini here kuti ndione njodzi yangu yekuva nemwana ane chirwere chemajini?
• Ndingaitei kana ndikaona mavara eCafé-au-Lait anopfuura matanhatu paganda remwana wangu?

Nzvimbo dzeCafé-au-Lait dzinogona kungoerekana dzaonekwa kunyange mushure mekukura?

Ehe, zvinogona kuitika. Kunyangwe mavara e café-au-lait achiwanzoonekwa paganda revacheche vachangoberekwa, zvakajairikawo kuti mavara aya abude paganda remumwe munhu pazera rehupenyu. Zvakajairika kuti munhu ave nemavara mashoma e café-au-lait. Zvisinei, kana uine mavara anopfuura matanhatu, zvinogona kunge zviri chiratidzo chechirwere chiripo. Saka, zvisinei nezera rako, kana ukaona mavara anopfuura matanhatu e café-au-lait paganda rako, enda kuna chiremba kuti anoongororwa.

Mavara aya anogona kuvapo pasina neurofibromatosis here?

Ehe, zvechokwadi. Zvakajairika kuti vanhu vave nemavara akawanda e café-au-lait pamiviri yavo vasina chirwere chakavanzika, senge neurofibromatosis type 1 (NF1) . Vanhu vane NF1 vanowanzova nemavara e café-au-lait anopfuura matanhatu, uye vanoratidzawo zvimwe zviratidzo zvinoenderana nechirwere ichi.

Mavara aya akafanana neganda here?

Kwete. Kunyange zvazvo mavara aya angaratidzika semapundu, mavara eCafé-au-Lait haakonzerwi neallergy reaction. Mapundu anowanzova epingi kana matsvuku, handiti? Asi mavara eCafé-au-Lait ane mavara akasiyana kubva pabrown yakapfava kusvika kubrown yakasviba. Zvakare, kunyange zvazvo mapundu achigona kukonzera zviratidzo zvakaita sekurumwa, mavara eCafé-au-Lait haakonzeri kukwenya kana kumwe kusagadzikana.

Pakupedzisira, zvinhu zvekurangarira

Mavara eCafé-au-Lait rudzi rwemavara ekuzvarwa anogona kuoneka paganda remwana wako, uye kazhinji haakuvadzi. Kunyangwe asina njodzi, zvakakosha kuti uzive kuti mwana wako ane mavara mangani aya. Mavara anopfuura matanhatu anogona kunge ari chiratidzo chechirwere chiripo. Kana ukaona shanduko mumavara ekuzvarwa emwana wako, tsvaga rubatsiro rwechiremba nekukasika. Usavhunduke, kuziva chinhu chakakosha!

'Mavara eCafé-au-Lait, mavara eganda, mavara ekuzvarwa, mavara ebrown, hutano hwevana, zvirwere zvemajini, neurofibromatosis, Neurofibromatosis