I-Poliosis (Inwele emhlophe yePatch): Iimpawu, oonobangela kunye nonyango

Amagama Aphezulu Ebantwaneni

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Umhla Wokuzalwa:

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I-Poliosis yimeko ebangela amabala amhlophe kwizinwele zomntu. Umntu unokuzalwa enemeko okanye angayihlakulela nangaliphi na ixesha lobudala. Usenokuba uyibonile kwabanye babalinganiswa abadumileyo beentsomi uBellatrix Lestrange ovela kuHarry Potter okanye uBenjamin Barker eSweeney Todd ^[1] . Abantu abanepoliyo baneqondo elinciphileyo okanye ukusilela ngokupheleleyo kwe-melanin kwiifollic zeenwele zabo.

Le meko ibizwa ngokuba yi-poliosis circumscripta kwaye ichaphazela iinkophe zakho, iinwele zentloko, amashiya kunye nayiphi na indawo enenwele. Xa imeko ichaphazela iinwele zentloko ezingaphezulu kwebunzi, ibizwa ngokuba ngumngxunya omhlophe. Ipaki emhlophe inokugxilwa kwindawo enye okanye inokuchaphazela iindawo ezininzi zeenwele zakho. Ngokuhambelana nezizathu ezingunobangela, imeko inokuba yeyethuba elide okanye elifutshane ^[Mbini] , ^[3] .

(Umthombo: Joe.Miller]

I-Poliosis ayisongeli ubomi kwaye ayichaphazeli impilo yakho. Nangona kunjalo, inokubakho ngokubakho kunye neemeko zonyango ezinzulu ^[4] Njenge vitiligo, isifo seVogt-Koyanagi-Harada, alopecia areata, sarcoidosis njl.

Iimpawu zePoliosis

Kulula ukuchonga ukukhula kwale meko. Iimpawu kunye neempawu zepoliyo zibandakanya amabala eenwele ezimhlophe kulo naliphi na ilungu lomzimba elineenwele. I-Poliosis inokuvela ngesiquphe nakweyiphi na iminyaka, nokuba isini ^[5] .

Iindidi zePoliosis

Le meko yahlulwe yangamacandelo amabini ^[6] , ^[7] .

• Imfuza okanye ipoliyo yokuzalwa: Ngamanye amaxesha ipoliyo inokuba lilifa. Amabala amhlophe eenwele anokubakho ngexesha lokuzalwa ngenxa yokutshintsha kwemfuza ethile okanye eminye imiba yemfuza.
• Ipoliyo efumanekayo: Imeko inokuthi ikhule njengempembelelo yecala okanye emva kwesiphumo seemeko ezithile zonyango. Ingabangela ukukhula kwamabala amhlophe eenwele kwinqanaba lomntu kamva.

Oonobangela bePoliosis

Izizathu zokuphuhliswa kwale meko zinokuchazwa kwizizathu ezahlukeneyo. Ngokwengcinga eqhelekileyo, ipoliyo ibangelwa kukuphazamiseka engqondweni, ukothuka emzimbeni noxinzelelo. Ngokwenzululwazi, kuye kwafakazelwa ukuba oku kulandelayo zizizathu zophuhliso lwepoliosis ^[8] , ^[9] , ^[10] .

• Iingxaki zemfuza: Njenge-piebaldism, i-Waardenburg's syndrome, i-Marfan's syndrome, i-tuberous sclerosis, i-Vogt-Koyanagi-Harada (VKH) syndrome, i-nevus enkulu yokuzalwa kunye ne-Alezzandrini syndrome.
• Izifo zokuzikhusela komzimba: Njenge-vitiligo, hypopituitarism, neurofibromatosis, izifo ze-thyroid, i-sarcoidosis, i-hypogonadism, i-idiopathic uveitis, i-intradermal nevus, i-dermatoses emva kokuvuvukala, umdlavuza wesikhumba, i-halo nevus, i-post-trauma, i-GAPO syndrome kunye ne-anemia eyingozi.
• Ezinye izizathu: Njenge-melanoma, i-alopecia areata, i-Rubinstein-Taybi syndrome, i-herpes zoster okanye i-shingles, i-radiotherapy, i-melanisation defects, i-dermatitis, i-albino, ukwenzakala, ukuguga, uxinzelelo, i-halo moles, i-hypo okanye i-hyperpigmentation yamehlo, iqhenqa, kunye neziyobisi ezithile.

Iimeko ezinxulumene nePoliosis

Njengoko bekutshiwo ngaphambili, ayisosisongelo sobomi okanye iyingozi. Nangona kunjalo, inokuba luphawu lwakwangoko okanye uphawu lokulumkisa ngemicimbi ebalulekileyo yezempilo ^{[Shumi elinanye]} . Imiqathango enxulunyaniswa nepoliosis imi ngolu hlobo lulandelayo:

• I-Melanoma (umhlaza wesikhumba)
• Isifo seUveitis esinokukhokelela kwi-glaucoma nakwi-cataract
• Izifo ezivuthayo
• Iziphazamiso ze-thyroid ezinokubangela ukudinwa, ingxaki yokuginya, uxinzelelo, imiba yememori, i-cholesterol ephezulu, ukuqhuba ngesondo okuphantsi kunye nokuzuza ubunzima

Ukuchongwa kwePoliosis

Ukubonakala kwenwele engwevu okanye emhlophe kuphela kophawu olufunekayo lokuchonga imeko ^[12] .

Ukuba le meko ichaphazela umntwana wakho kufuneka uye kwagqirha kwangoko. Nangona abantwana banokuzalwa benamabala amhlophe eenwele, inokuba sisalathiso seengxaki ze-thyroid, ukusilela kwe-vitamin B12, njl. ^[13] .

Nangona kunjalo, ngenxa yokuhlangana kwale meko kunye nezinye iimeko ezininzi, kuya kufuneka kuhlolwe ngokucokisekileyo. Ugqirha uya kudlula kwimbali yezonyango kwaye abuze malunga nokuvela kwepoliosis kusapho. Ukuxilongwa kungabandakanya ukuhlolwa okupheleleyo komzimba,

uphando lwezondlo, uvavanyo lwe-endocrinal, uvavanyo lwegazi, uhlalutyo lwesampulu yesikhumba kunye nezizathu ze-neurological ^[14] .

Unyango lwePoliosis

Okwangoku, kukho ukunqongophala konyango olululo lokutshintsha ngokusisigxina amabala amhlophe abangelwa yipoliosis. Nangona kunjalo, unokuthatha la manyathelo alandelayo ukunciphisa umda wokuqala kwale meko ^{[Shumi elinantlanu]} .

• Ukutya okuncitshisiweyo kwee-antibiotics
• Ukwandisa ukuvezwa kwezibane ze-UV-B
• Ukufaka amayeza majami
• Ukufumana i-epidermal grafting kulusu olonakeleyo (olukhoyo phantsi kwephiko leenwele ezimhlophe)

Ezinye zeendlela apho imeko inokulawulwa ngayo kukudaya iinwele zakho, ukunxiba iminqwazi, ibhanti, iibhande zentloko, okanye ezinye iintlobo zokugquma iinwele. Okanye, ungayishiya njengokuba injalo!

1. [1]I-Chen, i-C., I-Wells, i-J, kunye ne-Craig, i-EE (2004). Imixholo ye-prostaglandin f2α ye-analog yenze ipoliosis.Ijenali yaseMelika ye-ophthalmology, 137 (5), 965-966.
2. [Mbini]Iimpawu, B. (1932). Uveitis kunye nedysacousia, alopecia kunye nepoliosis.
3. [3]UKern, T. J., Walton, D. K., Riis, R. C., uManning, T. O., uLaratta, uL. J., kunye neDziezyc, J. (1985). Uveitis enxulunyaniswa nepoliosis kunye ne-vitiligo kwizinja ezintandathu. Ijenali yeAmerican Veterinary Medical Association, 187 (4), 408-414.
4. [4]IKoplon, B. S., kunye neShapiro, L. (1968). I-Poliosis egubungela i-neurofibroma. Ugcino lwe-dermatology, 98 (6), 631-633.
5. [5]EKHAYA, E. B. (1944). I-Uveitis Dysacousia Alopecia Poliosis, kunye neVitiligo: Ithiyori engunobangela. IiNgcali zeOphthalmology, 31 (6), 520-538.
6. [6]UParker, W. R. (1940). Uveitis obukhali kunye neAlopecia edibeneyo, i-Poliosis, iVitiligo kunye nokungeva: Uvavanyo lwesibini lweeRekhodi eziPapashiweyo. Iingqokelela zeOphthalmology, 24 (3), 439-446.
7. [7]USleiman, R., Kurban, M., Succaria, F., kunye noAbbas, O. (2013). I-Poliosis circumscripta: isishwankathelo kunye noonobangela. Ijenali yeAmerican Academy of Dermatology, 69 (4), 625-633.
8. [8]Yosipovitch, G., Feinmesser, M., & Mutalik, S. (1999). I-Poliosis ehambelana ne-nevus enkulu yokuzalwa. Iingqolowa zesikhumba, 135 (7), 859-861.
9. [9]UNordlund, J. J., Taylor, N. T., Albert, D. M., Wagoner, M. D., kunye noLerner, A. B. (1981). Ukuxhaphaka kwe-vitiligo kunye nepoliosis kwizigulana ezine-uveitis. Ijenali yeAmerican Academy of Dermatology, 4 (5), 528-536.
10. [10]IBansal, L., Zinkus, T. P., kunye neKats, A. (2018). I-Poliosis kunye noMbutho oQhelekileyo. I-neurology yabantwana, i-83, i-62-63.
11. [Shumi elinanye]IVainstein, G., & Nemet, A. Y. (2016). I-Unilateral poliosis yeenkophe. Iplastiki yeOphthalmic kunye notyando lokwakha kwakhona, 32 (3), e73-e74.
12. [12]UWilson, L. M., Beasley, K. J., Sorrells, T., & Johnson, V. V. (2017). I-congenital neurocristic cutaneous hamartoma enepoliyo: Ingxelo yetyala. Ijenali yezifo ezinqamlezileyo, 44 ​​(11), 974-977.
13. [13]UVyas, R., Selph, J., kunye noGerstenblith, M. R. (2016, Juni). Iimpawu ezibonakalayo ezinxulumene nemelanoma. KwiiSeminars kwi-oncology (Vol. 43, No. 3, iphe. 384-389). IWW Saunders.
14. [14]IBayer, M. L., kunye noChiu, uY E. (2017). Unyango oluyimpumelelo lweVitiligo ehambelana neVogt-Koyanagi-Harada Disease. Unyango lwabantwana, 34 (2), 204-205.
15. [Shumi elinantlanu]UThomas, S., Laino, A., Sturm, R., Nufer, K., uLambie, D., uMalusi, B., ... & Schaider, H. (2018). Ukuhlengahlengiswa okujolise kwi-melanoma ephambili, ukubola kwe-lentigines kunye nepoliosis kwi-metastatic melanoma ephathwe nge-anti-PD-1.

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