Ingabe uhlangothi olulodwa lomzimba wakho lubomvu futhi lujuluka? Ingabe lokhu kungaba yi-Harlequin Syndrome? Ake sixoxe!

Wake wabona, noma wabhekana nohlangothi olulodwa lobuso bakho luphenduka lube bomvu ngokuzumayo futhi lujuluka, kanti olunye uhlangothi luvamile ngokuphelele? Kwabanye, lokhu kungaba yinto engavamile, mhlawumbe engakhululekile. Yilokhu esikubiza ngokuthi i-Harlequin Syndrome ngokwezokwelapha. Nakuba igama lingase lizwakale njengento enkulu, akuyona into okufanele uyesabe, kodwa kubalulekile ukuqaphela.

Kuyini ngempela lokhu (i-Harlequin Syndrome)?

Kalula nje, i-Harlequin Syndrome yisimo lapho uhlangothi olulodwa lobuso bakho, intamo, kanye nesifuba sakho ngezinye izikhathi luba bomvu futhi lujuluke . Ngokumangalisayo, akukho nakunye kwalokhu okwenzeka kolunye uhlangothi lomzimba wakho, okuhlala kujwayelekile.

Lesi simo senzeka ngenxa yoshintsho ekusebenzeni kwesimiso sezinzwa somzimba wethu esinozwela . Manje ungase uzibuze ukuthi siyini lesi simiso sezinzwa esinozwela. Umzimba wethu unesimiso sokulawula esimangalisayo kakhulu, esibizwa ngokuthi isimiso sezinzwa esizimele . Yilokhu okulawula izinto eziningi ezenzeka "ngokuzenzakalelayo" ngaphandle kokuba sicabange ngazo, njengokushaya kwenhliziyo yethu, umfutho wegazi, ukuphefumula, kanye nokugaya ukudla.

Ingxenye yalesi simiso sezinzwa esizimele yisimiso sezinzwa esinozwela. Sifana nesimiso 'sokuxwayisa' somzimba wethu. Lesi simiso sisebenza lapho sigijima, lapho sesaba, noma lapho sizwa imizwa enamandla njengenjabulo enkulu noma ukudabuka. Lokhu kubizwa ngokuthi impendulo 'yokulwa noma yokubaleka' . Lesi simiso sezinzwa esinozwela yisona esitshela umzimba wethu ukuthi ujuluke ukuze ulawule izinga lokushisa lomzimba wethu, njengalapho sizivocavoca ukuze siphole. (I-Harlequin Syndrome) Izimpawu ziyavela lapho lesi simiso sezinzwa esinozwela sisebenza.

Ingabe (i-Harlequin Syndrome) kanye (i-Harlequin Sign) zizinto ezimbili ezihlukene?

Yebo, kunomehluko omncane. (I-Harlequin Syndrome) ibhekisela esimweni sezinzwa engikhulume ngaso ekuqaleni. (I-Harlequin Sign) ibhekisela esibonakalisoni esiyinhloko salesi sifo. Okusho ukuthi, umbala wesikhumba ohlangothini olulodwa lomzimba uyashintsha (ukuba bomvu noma ukuba mnyama) kanti isikhumba kolunye uhlangothi sihlala simhlophe noma sijwayelekile. Lokhu (I-Harlequin Sign) kungabonakala hhayi kuphela ku-(Harlequin Syndrome) kodwa futhi njengophawu lwezinye izimo zempilo.

Ingabe lesi yisimo esivame kakhulu? Ingabe sisongela ukuphila?

I-Harlequin Syndrome empeleni iyisimo esingavamile kakhulu . Sibikwe ezimweni ezimbalwa kuphela emhlabeni jikelele. Ngakho-ke akumangazi uma ungakaze uzwe ngaso ngaphambili.

Into ebalulekile ukuthi lesi simo asisongeli impilo . Futhi ngeke sithinte isikhathi sakho sokuphila. Ngakho-ke asikho isizathu sokwesaba ngokungadingekile.

Ziyini izimpawu zalokhu?

Ku-Harlequin Syndrome, izimpawu ozizwayo ohlangothini ngalunye lomzimba wakho zihlukile.

Izimpawu ezingabonakala ohlangothini oluthintekile:

• Isikhumba siba bomvu noma sibe mnyama kunombala wesikhumba ojwayelekile.
• Ukujuluka kakhulu.
• Isikhumba esikuleyo ndawo sizwakala sifudumele uma sithintekile.

Izimpawu ezibonakala ohlangothini olungathintekile:

• Isikhumba esimpunga.
• Angijuluki nhlobo.
• Isikhumba kuleyo ndawo sizwakala sibanda uma sithintekile.

Ngale ndlela, lezi zici zibukeka sengathi izinhlangothi zomzimba zihlukaniswe phakathi. Cabanga ngomugqa oqondile odwetshwe phakathi kwebunzi lakho, wehle ngekhala lakho, wehle uye esifubeni sakho.

Ngaphezu kwalezi zimpawu eziyinhloko, ezinye izimpawu ezingavamile zingabonakala:

• Kwezinye izindawo, isikhumba somile futhi siyaxebuka njengezingcwecwe.
• Ikhanda elibuhlungu.
• Impumulo egobhozayo.
• Izinyembezi ziphuma emehlweni.
• Ukugoba kwejwabu leso ngohlangothi olulodwa kanye/noma izinguquko ngobukhulu bama-pupil (okubizwa nangokuthi i-Horner Syndrome , okungahlotshaniswa nesimo esihlukile).

Zivela nini lezi zimpawu?

Ungase ube nalezi zimpawu ze-Harlequin Syndrome, ikakhulukazi ezimweni ezilandelayo:

• Uma uzivocavoca: Uma ugijima, ugxuma, udlala, noma uzivocavoca ejimini.
• Ngesikhathi semizwa enamandla noma ukucindezeleka kwengqondo: lapho ujabule kakhulu, udangele, wesaba, noma ungaphansi kwengcindezi ngaphambi kokuthile okufana nokuhlolwa noma ingxoxo.
• Ezimweni ezishisayo: lapho uphuma elangeni, lapho uhlala ekamelweni elishisayo.
• Uma udla ukudla okubabayo: Uma udla isidlo esenziwe nge-chili eningi.

Zicabange udlala ikhilikithi nabangani bakho bese ujuluka kakhulu, kanti uhlangothi lwesokudla lobuso bakho lubomvu futhi lujuluka, kodwa uhlangothi lwesobunxele lulungile, njengokujwayelekile. Yilokho okwenzekayo kulokhu okuhlangenwe nakho.

Yiziphi izimbangela ze-Harlequin Syndrome?

Ezimweni eziningi, kunzima ukuthola imbangela ethile ye-Harlequin Syndrome. Okusho ukuthi, imbangela ayicaci. Kodwa-ke, ucwaningo luthole ukuthi kungenzeka ukuthi ibangelwa ukungasebenzi kahle kokuxhumana phakathi kwamaseli ohlangothini lwesokudla nolwesobunxele lwesimiso sethu sezinzwa esizimele.

Ngezinye izikhathi, kungaba nokuphazamiseka kule ndlela yokuxhumana. Lo myalezo wokuxhumana uhamba usuka kwi-hypothalamus ebuchosheni bethu uye emgogodleni wesifuba esingaphezulu kwesifuba. Yilapho imizwa yozwela ihlinzeka khona ubuso nomzimba ongaphezulu. Le ndlela ilawula ukujuluka kanye nemithambo yegazi.

Kunezizathu eziningana zokuthi kungani lokhu kuphazamiseka kungenzeka:

• Kuyisimila esakheka endleleni yemizwa.
• Isilonda noma umonakalo obangelwe ukutheleleka noma ukuvuvukala.
• Ingozi eyenzeka ngenxa yokuhlinzwa esifubeni esingaphezulu, njengokuhlinzwa komgogodla.

Ubani onamathuba amaningi okuthuthukisa lokhu? (Izici eziyingozi)

Lesi simo, esibizwa ngokuthi i-Harlequin Syndrome, singathinta noma ubani wanoma yimuphi ubudala, okuhlanganisa izinsana, izingane, kanye nabantu abadala . Kodwa-ke, ungase ube namathuba amaningi okuthola lesi simo uma:

• Uma uke wahlinzwa i-endoscopic thoracic sympathectomy (inqubo yokuhlinzwa esetshenziselwa ukwelapha ukujuluka ngokweqile).
• Uma uke wathola i-anesthesia.
• Uma uke waba nengozi eyathinta uhlelo lwakho lwezinzwa oluzwelanayo.
• Uma kukhona esinye isimo sezokwelapha esiyisisekelo njenge- Horner Syndrome .

Yiziphi izinkinga ezingabangelwa yilokhu?

Nakuba lokhu kungavamile kakhulu, ezinye izinkinga zingavela ngenxa ye-Harlequin Syndrome. Lezi yizi:

• Ubunzima bokulawula izinga lokushisa lomzimba.
• Ukushintsha kombala wobuso unomphela (kolunye uhlangothi).
• Ukucindezeleka, ukukhathazeka, noma ukuzethemba okuphansi okubangelwa ukucabanga ngokubukeka komuntu. Ngoba, lapho abanye bekubona lokhu emphakathini, kungaba namahloni kancane kwabanye abantu.

Ungayithola kanjani ngokunembile i-Harlequin Syndrome? (Ukuxilongwa)

Udokotela uzonquma ukuthi unayo yini i-Harlequin Syndrome ngokuhlola izimpawu zakho. Isinyathelo sokuqala ukuhlolwa ngokomzimba . Ngemuva kwalokho, kwenziwa izivivinyo ezahlukahlukene ukuze kukhishwe ezinye izimo ezingase zibangele izimpawu ezifanayo futhi kutholakale ukuthi kukhona yini imbangela eyisisekelo.

Kunezinhlobo eziningana zokuhlolwa ezingasetshenziswa ukuxilonga i-Harlequin Syndrome:

• Ukuhlolwa kokucindezeleka: Kulolu vivinyo, udokotela uzokwenza uvivinye umzimba futhi akubheke ukuthi umsebenzi womzimba ubangela yini izimpawu. Izimpawu ze-Harlequin Syndrome zingabonakala kakhulu ngesikhathi sokuzivocavoca.
• Ukuhlolwa kwezithombe: Lokhu kuhlolwa kuvumela udokotela wakho ukuthi abone ngaphakathi emzimbeni wakho. Lokhu kuhlolwa okungenabuhlungu. Izibonelo zifaka phakathi i-X-ray yesifuba, i-CT scan (i-Computed Tomography), kanye ne-MRI (i-Magnetic Resonance Imaging) .

Yiziphi izindlela zokwelapha lokhu?

Izindaba ezinhle ukuthi i-Harlequin Syndrome ayidingi ukwelashwa ngaso sonke isikhathi . Ngezinye izikhathi isimo singaba ngcono ngokwaso. Ukuthi udokotela uncoma ukwelashwa kuncike ekutheni yini ebangela izimpawu zakho. Izinketho zokwelapha zifaka:

• Ukwelashwa noma ukwelulekwa kungasiza ekunciphiseni ukungakhululeki emphakathini kanye nokucindezeleka kwengqondo okubangelwa yilesi simo.
• Umuthi wokugomela ukubomvu kobuso noma ukushintsha kombala wesikhumba`(ibhulokhi ye-ganglion ehlakaniphile)` .
• Lawula ukujuluka nezinye izimpawu ngomjovo we-botulinum toxin .
• Uma imbangela kuyi-tumor noma i-lesion, kuzodingeka ukuhlinzwa noma ukwelashwa ngemisebe ukuze kususwe.

Yini ongayilindela uma une-Harlequin Syndrome?

I-Harlequin Syndrome ngokuvamile ayibangeli monakalo omkhulu emzimbeni wakho. Izimpawu zakho zingase ziphele zodwa ngokuhamba kwesikhathi. Noma, ungase ube nezimpawu kuphela uma uzivocavoca noma udla ukudla okunongwe. Akuwona wonke umuntu odinga ukwelashwa. Udokotela wakho uzokutshela okwengeziwe ngesimo sakho nokuthi yini ongayilindela esikhathini esizayo.

Lezi zimpawu zihlala isikhathi esingakanani?

Izimpawu zivame ukuhlala imizuzu embalwa kuya emahoreni ambalwa . Lokhu kusho ukuthi ngemva kokuyeka umsebenzi obangele izimpawu, isikhumba sizobuyela esimweni saso esijwayelekile esikhathini esifushane. Isibonelo, uma izimpawu zivela ngenkathi uzivocavoca, uma uyeka ukuzivocavoca, uphola, bese uphumula, isikhumba sizobuyela esimweni saso esijwayelekile.

Ingabe i-Harlequin Syndrome ingavinjelwa?

Ngokwalokho osekutholakale kuze kube manje, ayikho indlela yokuvimbela i-Harlequin Syndrome.

Kufanele ubonane nini nodokotela?

Uma ubona izimpawu ze-Harlequin Syndrome, njengokujuluka ohlangothini olulodwa lomzimba kanye nokushintsha kombala wesikhumba, kubalulekile ukubona udokotela . I-Harlequin Syndrome ngokuvamile ayiyona into okufanele ukhathazeke ngayo. Kodwa-ke, ezimweni ezingavamile, ingaba uphawu lwesimo sezokwelapha esingaphansi, njengesimila, ngakho-ke kubalulekile ukubona udokotela ukuze kutholakale imbangela eqondile.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubuza le mibuzo:

• Yini ebangela izimpawu zami?
• Ingabe ngidinga ukwelashwa noma ukuhlinzwa?
• Ingabe ikhona imiphumela emibi yokwelashwa?
• Uma ngizizwa nginamahloni noma ngingakhululekile ngenxa yezimpawu zami, yiziphi izindlela zokwelapha ezitholakalayo?

Ingabe (i-Harlequin Syndrome) kanye (i-Harlequin Ichthyosis) ziyinto efanayo?

Cha, lezi yizimo ezimbili ezihluke ngokuphelele. Lokhu kuyinto engadida abantu abaningi, ngakho-ke kungcono ukucacisa.

I-Harlequin Syndrome yisimo esibangela ukujuluka kanye nokushintsha kombala wesikhumba kolunye uhlangothi lomzimba. Akuyona ingozi empilweni, futhi akusona isimo sofuzo (noma kunjalo, kwezinye izimo singaba yinto yokuzalwa nayo).

Ngakolunye uhlangothi, i-Harlequin Ichthyosis isifo sesikhumba esibangelwa izakhi zofuzo esingasongela ukuphila.. Ingane enalesi simo izalwa inesikhumba esikhulu nesiqinile. Izingane ezine-Harlequin Ichthyosis zineziqeshana zesikhumba ezimise okwedayimane ezihlukaniswe imifantu ejulile. Ngezinye izikhathi odokotela babiza lesi simo ngokuthi "i-Harlequin Baby Syndrome." Nakuba kungase kuzwakale sengathi "i-Harlequin Syndrome," lezi yizimo ezimbili ezihlukene kakhulu.

Umlayezo Wokuya Nawe Ekhaya

I-Harlequin Syndrome (isimo esibangela ukujuluka kwesikhashana kanye nokushintsha kombala wesikhumba kolunye uhlangothi lomzimba wakho) sithinta uhlangothi olulodwa lomzimba wakho kuphela. Kuvamile ukuzizwa ungakhululekile lapho isikhumba sakho sibukeka sihlukile kunesivamile. Kodwa khumbula, lesi akusona isimo esiyingozi.

Into ebaluleke kakhulu ukubona udokotela uma unalezi zimpawu bese uthola imbangela eqondile . Ngezinye izikhathi, imbangela ingase ingabonakali. Ngisho noma uthi awudingi ukwelashwa, uma ubhekene nanoma yikuphi ukungakhululeki kwengqondo ngenxa yalolu shintsho ekubukekeni, ungakhuluma nomeluleki wezempilo yengqondo ngakho futhi uxoxe ngezindlela zokwakha ukuzethemba kanye nombono omuhle ngawe. Awuwedwa, futhi ungalokothi unqikaze ukuthola usizo.

I- Harlequin Syndrome, uhlelo lwezinzwa, ukujuluka, ukushaqeka, uhlelo lwezinzwa oluzimele, i-Horner Syndrome, izifo ezingavamile