Ingaba icala elinye lomzimba wakho libomvu kwaye liyabila? Ngaba le yiHarlequin Syndrome? Masithethe!

Ngaba wakha wabona, okanye wabona, icala elinye lobuso bakho lijika libe bomvu ngequbuliso lize libile, ngelixa elinye icala liqhelekile? Kwabanye, oku kunokuba ngamava angaqhelekanga, mhlawumbi angathandekiyo. Le yinto esiyibiza ngokuba yiHarlequin Syndrome ngokwezonyango. Nangona igama lisenokuvakala ngathi yinto enkulu, akukho nto yokoyika, kodwa kubalulekile ukuliqaphela.

Yintoni kanye kanye le (iHarlequin Syndrome)?

Ngamafutshane, iHarlequin Syndrome yimeko apho icala elinye lobuso bakho, intamo, kwaye ngamanye amaxesha isifuba esingaphezulu siba bomvu size sibile . Okumangalisayo kukuba, akukho nanye kwezi zinto eyenzekayo kwelinye icala lomzimba wakho, nto leyo ehlala iqhelekile.

Le meko yenzeka ngenxa yotshintsho ekusebenzeni kwenkqubo yemithambo-luvo yomzimba wethu. Ngoku usenokuba uzibuza ukuba yintoni le nkqubo yemithambo-luvo enobubele. Umzimba wethu unenkqubo yokulawula emangalisayo, ebizwa ngokuba yinkqubo yemithambo-luvo ezimeleyo . Yile nto ilawula izinto ezininzi ezenzeka "ngokuzenzekelayo" ngaphandle kokuba sicinge ngazo, ezifana nokubetha kwentliziyo yethu, uxinzelelo lwegazi, ukuphefumla, kunye nokugaya ukutya.

Inxalenye yale nkqubo ye-autonomic nervous yinkqubo ye-sympathetic nervous. Ifana nenkqubo 'yokulumkisa' yomzimba wethu. Le nkqubo isebenza xa sibaleka, xa soyika, okanye xa siziva sinemvakalelo enamandla efana novuyo olukhulu okanye usizi. Oku kubizwa ngokuba yimpendulo 'yokulwa okanye ukubaleka' . Le nkqubo ye-sympathetic nervous yileyo inika imiqondiso emzimbeni wethu ukuba ubile ukulawula ubushushu bomzimba wethu, njengaxa sizilolonga ukuze siphole. (Harlequin Syndrome) Iimpawu ziyavela xa le nkqubo ye-sympathetic nervous isebenza.

Ngaba (iHarlequin Syndrome) kunye (iHarlequin Sign) zizinto ezimbini ezahlukeneyo?

Ewe, kukho umahluko omncinci. (I-Harlequin Syndrome) ibhekisa kwimeko yemithambo-luvo endikhankanyileyo ngaphambili. (I-Harlequin Sign) ibhekisa kwimpawu ephambili yesi sifo. Oko kukuthi, umbala wolusu kwelinye icala lomzimba uyatshintsha (ukuba bomvu okanye ukuba mnyama) kwaye ulusu kwelinye icala luhlala luphaphathekile okanye luqhelekile. Oku (I-Harlequin Sign) kunokubonwa kungekuphela nje kwi-(Harlequin Syndrome) kodwa nakwimpawu yezinye iimeko zempilo.

Ingaba le yimeko eqhelekileyo? Ingaba ibeka ubomi esichengeni?

I-Harlequin Syndrome yimeko engaqhelekanga kakhulu . Ixelwe kuphela kwiimeko ezimbalwa kwihlabathi liphela. Ngoko ke akumangalisi ukuba awukaze uve ngayo ngaphambili.

Into ebalulekileyo kukuba le meko ayisongeli ubomi . Kwaye ayizukuchaphazela ubomi bakho. Ngoko ke akukho sizathu sokuba woyike ngokungeyomfuneko.

Zithini iimpawu zoku?

KwiHarlequin Syndrome, iimpawu ozifumanayo kumacala omabini omzimba wakho zahlukile.

Iimpawu ezinokubonakala kwicala elichaphazelekayo:

• Ulusu luba bomvu okanye lube mnyama kunombala wesikhumba oqhelekileyo.
• Ukubila kakhulu.
• Ulusu olukuloo ndawo luvakala lufudumele xa luchukunyiswa.

Iimpawu ezibonwa kwicala elingachaphazelekanga:

• Ulusu oluphaphathekileyo.
• Andibi naxhala konke konke.
• Ulusu olukuloo ndawo luvakala lubanda xa luchukunyiswa.

Ngale ndlela, ezi mpawu zibonakala ngathi amacala omzimba ahlulwe phakathi. Khawuthelekelele umgca othe nkqo otsalwe phakathi ebunzini lakho, wehle ngempumlo yakho, uze uye esifubeni sakho.

Ukongeza kwezi mpawu ziphambili, ezinye iimpawu ezingaqhelekanga nazo zinokubonwa:

• Kwezinye iindawo, ulusu lomile kwaye luxobuka njengeempumlo.
• Intloko ebuhlungu.
• Impumlo enemifinya .
• Iinyembezi ziphuma emehlweni.
• Ukugoba kweliso kwicala elinye kunye/okanye utshintsho kwi -pupils (ekwabizwa ngokuba yi -Horner Syndrome , enokunxulunyaniswa nemeko eyahlukileyo).

Zibonakala nini ezi mpawu?

Usenokuzibona ezi mpawu zeHarlequin Syndrome, ingakumbi kwezi meko zilandelayo:

• Xa usenza umthambo: Xa ubaleka, utsiba, udlala, okanye uzilolonga ejimini.
• Ngexesha leemvakalelo ezinamandla okanye uxinzelelo lwengqondo: xa wonwabile kakhulu, ulusizi, usoyika, okanye uphantsi koxinzelelo ngaphambi kwento efana novavanyo okanye udliwanondlebe.
• Kwiindawo ezishushu: xa uphuma elangeni, xa uhlala kwigumbi elishushu.
• Xa usitya ukutya okuneziqholo: Xa usitya isidlo esenziwe ngetshili eninzi.

Khawuthelekelele udlala ikhilikithi nabahlobo bakho kwaye ubila kakhulu, kwaye icala lasekunene lobuso bakho libomvu kwaye libila, kodwa icala lasekhohlo lilungile, njengesiqhelo. Yiloo nto eyenzekayo kweli thuba.

Zithini izizathu zeHarlequin Syndrome?

Kwiimeko ezininzi, kunzima ukufumana unobangela othile weHarlequin Syndrome. Oko kukuthi, unobangela awucaci. Nangona kunjalo, uphando lufumanise ukuba oku kusenokubangelwa kukungasebenzi kakuhle konxibelelwano phakathi kweeseli ezikumacala asekunene nasekhohlo kwenkqubo yethu yemithambo-luvo ezimeleyo.

Ngamanye amaxesha, kunokubakho ukuphazamiseka kule ndlela yonxibelelwano. Lo myalezo wonxibelelwano uhamba ukusuka kwi-hypothalamus ebuchotsheni bethu ukuya kwi-thoracic spinal cord esesifubeni esiphezulu. Kulapho imithambo-luvo ye-sympathetic ibonelela khona ubuso nomzimba ongaphezulu. Le ndlela ilawula ukubila kunye nemithambo yegazi.

Kukho izizathu ezininzi zokuba oku kuphazamiseka kwenzeke:

• Lithumba elenzeka ecaleni kwendlela yemithambo-luvo.
• Inxeba okanye umonakalo obangelwe lusulelo okanye ukudumba.
• Ingozi eyenzeka ngenxa yotyando oluphezulu esifubeni, njengotyando lomqolo.

Ngubani onokuba nethuba elikhulu lokuphuhlisa oku? (Izinto ezibangela umngcipheko)

Le meko, ebizwa ngokuba yiHarlequin Syndrome, inokuchaphazela nabani na wanoma yiphi na iminyaka, kuquka iintsana, abantwana, kunye nabantu abadala . Nangona kunjalo, usenokuba namathuba amaninzi okuba nale meko ukuba:

• Ukuba ukhe wenziwa i-endoscopic thoracic sympathectomy (inkqubo yotyando esetyenziselwa ukunyanga ukubila okugqithisileyo).
• Ukuba ufumene i-anesthesia.
• Ukuba ukhe waba nengozi eyachaphazela inkqubo yakho yemithambo-luvo esebenzisana neemvakalelo ezibuhlungu.
• Ukuba kukho enye imeko yezonyango efihlakeleyo efana neHorner Syndrome .

Zeziphi iingxaki ezinokubangela oku?

Nangona oku kunqabile kakhulu, ezinye iingxaki zinokwenzeka ngenxa yeHarlequin Syndrome. Nazi:

• Ubunzima bokulawula ubushushu bomzimba.
• Utshintsho oluhlala luhleli kumbala wobuso (kwicala elinye).
• Ukudakumba, ixhala, okanye ukungabi nantloni okubangelwa kukucinga ngenkangeleko yomntu. Kuba, xa abanye bebona oku kuluntu, kunokuba yintloni kancinci kwabanye abantu.

Indlela yokuxilonga ngokuchanekileyo (iHarlequin Syndrome)? (Ukuxilongwa)

Ugqirha uza kufumanisa ukuba unayo na iHarlequin Syndrome ngokuhlola iimpawu zakho. Inyathelo lokuqala luvavanyo lomzimba . Emva koko, kwenziwa iimvavanyo ezahlukeneyo ukuze kuthintelwe ezinye iimeko ezinokubangela iimpawu ezifanayo kunye nokufumanisa ukuba kukho unobangela oyintloko na.

Kukho iimvavanyo ezininzi ezinokusetyenziselwa ukuxilonga iHarlequin Syndrome:

• Uvavanyo loxinzelelo: Kolu vavanyo, ugqirha uza kukwenza umthambo aze akujonge ukuze abone ukuba umsebenzi womzimba ubangela iimpawu na. Iimpawu zeHarlequin Syndrome zinokubonakala ngakumbi ngexesha lomthambo.
• Uvavanyo lokufota: Olu vavanyo luvumela ugqirha wakho ukuba abone ngaphakathi emzimbeni wakho. Olu vavanyo alunantlungu. Imizekelo ibandakanya i-X-ray yesifuba, i-CT scan (i-Computed Tomography), kunye ne-MRI (i-Magnetic Resonance Imaging) .

Zithini iindlela zonyango zoku?

Iindaba ezimnandi zezokuba iHarlequin Syndrome ayisoloko ifuna unyango . Ngamanye amaxesha imeko inokuba ngcono ngokwayo. Ukuba ugqirha ucebisa unyango kuxhomekeke kwinto ebangela iimpawu zakho. Iindlela zonyango ziquka:

• Unyango okanye ingcebiso inokunceda ukunciphisa ukungonwabi kwabantu kunye noxinzelelo lwengqondo olubangelwa yile meko.
• Isitofu sokugonya esinikwa ukulawula ukubomvu kobuso okanye ukutshintsha kombala wolusu`(ibhloko ye-stellate ganglion)` .
• Lawula ukubila kunye nezinye iimpawu ngokufaka inaliti yetyhefu ye-botulinum .
• Ukuba imbangela yithumba okanye isilonda, kuya kufuneka utyando okanye unyango lwemitha ukuze lisuswe.

Yintoni onokuyilindela ukuba uneHarlequin Syndrome?

I-Harlequin Syndrome ayisoloko ibangela monakalo omkhulu emzimbeni wakho. Iimpawu zakho zinokuphela zodwa ngokuhamba kwexesha. Okanye, unokufumana iimpawu kuphela xa uzilolonga okanye utya ukutya okuneziqholo. Ayingabo bonke abantu abafuna unyango. Ugqirha wakho uza kukuxelela okungakumbi ngemeko yakho kunye noko ukulindeleyo kwixesha elizayo.

Ezi mpawu zihlala ixesha elingakanani?

Iimpawu zihlala zithatha imizuzu embalwa ukuya kwiiyure ezimbalwa . Oku kuthetha ukuba emva kokuba uyeke umsebenzi obangele ezi mpawu, ulusu luya kubuyela esiqhelweni kwixesha elifutshane. Umzekelo, ukuba iimpawu zivela ngexesha lokuzivocavoca, wakuba uyekile ukuzilolonga, uphole, kwaye uphumle, ulusu luya kubuyela esiqhelweni.

Ngaba iHarlequin Syndrome ingathintelwa?

Ngokwezinto ezifunyenweyo ukuza kuthi ga ngoku, akukho ndlela yokuthintela iHarlequin Syndrome.

Ufanele uye nini kugqirha?

Ukuba ufumana iimpawu zeHarlequin Syndrome, ezifana nokubila kwicala elinye lomzimba kunye notshintsho kumbala wolusu, kubalulekile ukubona ugqirha . IHarlequin Syndrome ayisoloko iyinto yokuxhalaba. Nangona kunjalo, kwiimeko ezingaqhelekanga, inokuba luphawu lwesifo esithile esingabonakaliyo, esifana nomhlaza, ngoko ke kubalulekile ukubona ugqirha ukuze kuchongwe unobangela ochanekileyo.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, kungcono ukubuza le mibuzo:

• Yintoni ebangela iimpawu zam?
• Ngaba ndifuna unyango okanye utyando?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?
• Ukuba ndiziva ndineentloni okanye ndingakhululekanga ngenxa yeempawu zam, zeziphi iindlela zonyango ezikhoyo?

Ngaba (iHarlequin Syndrome) kunye (iHarlequin Ichthyosis) ziyafana?

Hayi, ezi ziimeko ezimbini ezahlukeneyo ngokupheleleyo. Le yinto enokubadida abantu abaninzi, ngoko ke kungcono ukuyicacisa.

I-Harlequin Syndrome yimeko ebangela ukubila kunye nokutshintsha kombala wolusu kwelinye icala lomzimba. Ayisosisongelo kubomi, kwaye ayisosigulo semfuza (nangona kunjalo, kwezinye iimeko inokuba yinto yokuzalwa).

Kwelinye icala, iHarlequin Ichthyosis sisifo sesikhumba esibangelwa lufuzo esinokuba yingozi ebomini.Usana olunemeko enjalo luzalwa lunesikhumba esiqinileyo nesirhabaxa. Iintsana ezine-Harlequin Ichthyosis zineziqwenga zesikhumba ezimile okwedayimani ezahlulwe ziimfanta ezinzulu. Ngamanye amaxesha oogqirha babiza le meko ngokuthi "i-Harlequin Baby Syndrome." Nangona isenokuvakala ngathi "yi-Harlequin Syndrome," ezi ziimeko ezimbini ezahlukeneyo kakhulu.

Umyalezo Wokuya Ekhaya

I-Harlequin Syndrome (imeko ebangela ukubila okwethutyana kunye nokutshintsha kombala wolusu kwelinye icala lomzimba wakho) ichaphazela icala elinye lomzimba wakho kuphela. Kuqhelekile ukuba uzive ungakhululekanga xa ulusu lwakho lubonakala lwahlukile kunesiqhelo. Kodwa khumbula, le ayisiyongxaki.

Eyona nto ibalulekileyo kukubona ugqirha ukuba unale mpawu uze ufumane unobangela ochanekileyo . Ngamanye amaxesha, unobangela usenokungacaci. Nokuba uthi awudingi nyango, ukuba ufumana naluphi na usizi lwengqondo ngenxa yolu tshintsho kwinkangeleko, ungathetha nomcebisi wezempilo yengqondo ngayo uze uthethe ngeendlela zokwakha ukuzithemba kunye nomfanekiso omhle wokuzibona. Awuwedwa, kwaye ungaze ungathandabuzi ukufumana uncedo.

I- Harlequin Syndrome, inkqubo yemithambo-luvo, ukubila, ukurhawuzelela, inkqubo yemithambo-luvo ezimeleyo, i-Horner Syndrome, izifo ezingaqhelekanga