Khawuthelekelele ujonge esipilini uze ubone umgca othe tye embindini wobuso bakho, elinye icala libomvu kakhulu kwaye libila, kwaye elinye icala liqhelekile, mhlawumbi limhlophe kancinci... Ayikoyikisi kwaye ayimangalisi loo nto? Okanye kuthekani ukuba ubona elinye icala lomzimba wosana lwakho olusandul' ukuzalwa lijika libe bomvu ngequbuliso kwaye elinye icala liqhelekile? Oku sikubiza ngokuba yiHarlequin Sign in medicine. Ekubeni eli gama lingaqhelekanga, makhe sifumane okungakumbi ngalo kwaye ngaba oku kuyinto yokoyika ngokwenene.
Yintoni kanye kanye le Harlequin Sign?
Ngamafutshane, iHarlequin Sign iyenzeka xa elinye icala lomzimba okanye lobuso bakho litshintsha umbala wolusu (ukuba bomvu okanye ukuba mnyama), ngelixa elinye icala lihlala lifana, ngamanye amaxesha lide likhanye. La macala mabini abonakala ehlulwe ngumgca othe tye, usiya embindini womzimba.
Kunye nalo mahluko kumbala wolusu, ezinye iimpawu zinokubonakala kumacala omabini.
- Ububomvu: Le ndawo isenokuba yi -hyperhidrosis (ukubila kakhulu). Ulusu olukuloo ndawo lusenokuvakala lufudumele kancinci xa luchukunyiswa.
- Icala eliMhlophe/Eliqhelekileyo: Eli cala alibilisi. Ulusu luya kubanda xa luchukunyiswa.
Nangona olu phawu lweHarlequin ngamanye amaxesha lunokuba luphawu lwesifo esifana ne-'Harlequin syndrome', uninzi lwexesha alunabungozi kwaye luyaphela nje.
Ziziphi izizathu eziphambili zoku?
Akusoloko kusenzeka ukufumana unobangela othile woku. Isizathu esiphambili soku yingxaki yonxibelelwano kwinkqubo yemithambo-luvo yomzimba wethu. Cinga ngale nto njengenkqubo "yokuzilolonga ngokuzenzekelayo" yomzimba wethu. Le nkqubo ilawula izinto esingaziqondiyo ukuba sinazo, njengokuphefumla kwethu, ukubetha kwentliziyo, kunye nokubila.
Ngoko ke, ukuba kukho ukuvaleka okanye isiphene kwindlela yemithambo-luvo ethumela imiyalezo esuka ebuchotsheni (hypothalamus) ngentambo yomqolo ukuya ebusweni nasemzimbeni ongaphezulu, umyalezo usenokungathunyelwa ngokufanelekileyo kwicala elinye lomzimba. Yiyo loo nto imithambo yegazi kwelinye icala ivuleka ize ibe bomvu, ngelixa elinye icala lingawufumani umyalezo kwaye lihlala liqhelekile.
Ngaba oku kuyenzeka nakwiintsana ezisandul’ ukuzalwa?
Ewe, le yinto ebonwa kwiintsana ezisandul’ ukuzalwa. Ngokwezifundo, malunga ne-10% yeentsana ezisempilweni zinokuba nolu phawu lweHarlequin. Ngoko ke, ungakhathazeki ukuba umntwana wakho unalo olu phawu.
Oku kwenzeka phakathi kweentsuku ezimbini ukuya kwezintlanu emva kokuba umntwana ezelwe, kodwa ngamanye amaxesha kunokubonakala emva kweeveki ezintathu.
Eyona nto ibalulekileyo yile Harlequin Sign enayo iintsana ezisandul’ ukuzalwa.Ayinabungozi kwaphela. Olu tshintsho lombala luyanyamalala kwimizuzwana nje engama-30. Ngamanye amaxesha lunokuthatha imizuzu engama-20. Lunokuphinda luvele xa umntwana ebekwe ecaleni.
Ibaluleke kakhulu: Le meko ibizwa ngokuba yiHarlequin Sign akufuneki idideke ne-'Harlequin ichthyosis', imeko yemfuza eyingozi kakhulu, esongela ubomi kwaye engaqhelekanga. I-'Harlequin ichthyosis' yimeko apho umzimba wonke womntwana ugqunywe ngamaxolo aqinileyo, afana nepleyiti, kunye nemingxunya enzulu phakathi kwawo. Yinto eyahlukileyo ngokupheleleyo.
Ezinye izifo ezinxulumene noko
ISibonakaliso sikaHarlequin ngamanye amaxesha sinokubonakala njengophawu lwezinye izifo.
Isifo sikaHarlequin
Le yimeko echaphazela inkqubo yethu yeemvakalelo enovelwano. Le nkqubo yeemvakalelo ilawula impendulo yethu "yokulwa okanye ukubaleka", olu lutshintsho olwenzeka emzimbeni xa sivuya, sisoyika, okanye sizilolonga. Nanini na xa le nkqubo isebenza kumntu oneHarlequin Syndrome (umzekelo, ngexesha lokuzilolonga), elinye icala lobuso nomzimba liya kuba bomvu kwaye libile, ngelixa elinye icala lingayi kuba bomvu.
Isifo sikaHorner
Le yimeko engaqhelekanga ye-neurological. Ichaphazela iliso kunye nezicubu ezingqongileyo kwelinye icala lobuso. Ikwabizwa ngokuba yi-'oculosympathetic palsy'. Ibangelwa kukuvaleka kwendlela yemithambo-luvo esuka ebuchotsheni ukuya elisweni nasebusweni. Nalapha, icala lobuso elichaphazelekayo linokuba bomvu.
| Imeko | Ngubani ochaphazelekayo? | Iimpawu eziphambili | Ngokwenene? |
|---|---|---|---|
| Isibonakaliso seHarlequin (kwiintsana ezisandul' ukuzalwa) | Iintsana ezisandul’ ukuzalwa ezisempilweni (malunga ne-10%) | Ububomvu bexeshana kwelinye icala lomzimba. | Hayi. Ayinabungozi kwaphela kwaye iza kuphela yodwa. |
| Isifo sikaHarlequin | Nabani na oneminyaka engakanani na ubudala | Ububomvu kunye nokubila kwelinye icala xa usenza umthambo okanye xa uchwayitile. | Kuxhomekeke kwisizathu esiyintloko. Amaxesha amaninzi ayibangeli bungozi. |
| Isifo sikaHorner | Nabani na oneminyaka engakanani na ubudala | Iliso elisezantsi kwelinye icala lobuso, iliso elincinci elimnyama, ukubila okunciphileyo, kunye nokubomvu kobuso. | Isizathu esiyintloko (umz., ithumba) sinokuba sibi kakhulu. Kubalulekile ukuba uhlolwe ngugqirha. |
Iphathwa njani?
Unyango luxhomekeke kwisizathu seHarlequin Sign.
- Kwabasandula ukuzalwa: Akukho nyango lufunekayo. Luza kuphela ngokwalo kwimizuzwana okanye imizuzu embalwa.
- KwiHarlequin Syndrome: Unyango alusoloko luyimfuneko. Ngamanye amaxesha le meko inokuba ngcono ngokwayo. Nangona kunjalo, ukuba ugqirha wakho ucinga ukuba unyango luyimfuneko, uya kukunika unyango olusekelwe kwisizathu. Oku kuquka:
- Isitofu esibizwa ngokuba yi-`Stellate ganglion block` sisetyenziselwa ukulawula ukutshintsha kombala wolusu.
- Iinaliti zetyhefu ye-botulinum ukulawula ukubila.
- Ukuba kukho ithumba elingaphantsi, lingasuswa ngotyando okanye ngonyango lwemitha.
- Ingcebiso ngexhala lengqondo elibangelwa yile mbonakalo.
- Kwi-Horner Syndrome: Ukuba akukho ntlungu, unyango lusenokungabi yimfuneko. Kwimeko enjalo, ugqirha uza kunyanga unobangela oyintloko.
Ufanele uye nini kugqirha?
Ukuba wena okanye umntu osapho lwakho uyayibona iHarlequin Sign, ebomvu, ebila, kwaye ishushu kwelinye icala lomzimba, eyona nto ingcono onokuyenza kukubona ugqirha uze uhlolwe.
Ugqirha wakho uza kukuxilonga, akubuze ngeempawu zakho, kwaye ukuba kuyimfuneko, enze uvavanyo oluthile ukuze aqinisekise ukuba akukho ezinye iimeko. Nangona kunqabile kakhulu, kubalulekile ukufumanisa ukuba akukho thumba okanye enye imeko, kuba oku kusenokuba yimbangela.
Ukuba ezi mpawu zihamba nezinye iimpawu ezinzulu ngequbuliso (umz. intloko ebuhlungu, utshintsho lombono, ukulahlekelwa zingqondo), kubaluleke kakhulu ukuya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane ngoko nangoko .
Umyalezo Wokuya Ekhaya
- I-Harlequin Sign yimeko apho elinye icala lomzimba okanye lobuso libomvu kwaye elinye icala limhlophe. Oku akudli ngokuba yingozi.
- Oku kuqhelekile kwiintsana ezisandul’ ukuzalwa. Kuphela ngokwako, kwimizuzu embalwa, ngaphandle konyango, kwaye akukho nto ixhalabisayo ngayo. Khumbula ukuba esi asisosifo siyingozi se-'Harlequin ichthyosis'.
- Ukuba oku kwenzeka kubantu abadala, kusenokuba luphawu lwemeko yenkqubo yemithambo-luvo efana ne-'Harlequin syndrome' okanye i-'Horner syndrome'.
- Ukuba wena okanye umntwana wakho nifumana olu phawu, kulungile ukuba ningoyiki, kodwa nibone ugqirha ukuze nifumanise unobangela ochanekileyo kwaye niqinisekise ukuba akukho ezinye iimeko ezinzulu.
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