IHypomelanosis yeIto

I-Hypomelanosis ye-Ito (HMI) sisiphene esinqabileyo sokuzalwa esibangela amabala angaqhelekanga ngombala okhanyayo (ococekileyo) kwaye unokunxulunyaniswa neliso, inkqubo yeemvakalelo kunye neengxaki zamathambo.

Ababoneleli ngononophelo lwempilo abasazi esona sizathu se-HMI, kodwa bakholelwa ukuba inokubandakanya imeko yemfuza ebizwa ngokuba yimosicism. Iphindaphindwe kabini kumantombazana nakumakhwenkwe.

Iimpawu zolusu zihlala zibonakala xa umntwana emalunga neminyaka emi-2 ubudala.

Ezinye iimpawu zikhula njengoko umntwana ekhula, kwaye zinokubandakanya:

• Amehlo aweleyo (strabismus)
• Iingxaki zokuva
• Ukwandiswa kweenwele zomzimba (hirsutism)
• Scoliosis
• Ukuxhuzula
• Imigca enemigca enemibala, enemibala okanye enemibala yesikhumba kwiingalo, emilenzeni, nakumbindi womzimba
• Ukukhubazeka kwengqondo, kubandakanya i-autism spectrum kunye nokukhubazeka kokufunda
• Ingxaki zomlomo okanye izinyo

Ukukhanya kwelanga (isibane somthi) kuvavanyo lwezilonda kulusu kunokunceda ukuqinisekisa isifo.

Uvavanyo olunokwenziwa lunokubandakanya nayiphi na kwezi zilandelayo:

• Ukuskena i-CT okanye iMRI yentloko yomntwana onesifo sokuxhuzula kunye neempawu zenkqubo yemithambo-luvo
• IX-reyi yomntwana oneengxaki zamathambo
• I-EEG yokulinganisa ukusebenza kombane kwingqondo yomntwana onokubanjwa
• Uvavanyo lwemfuzo

Akukho lonyango kunyango lwesikhumba. Izinto zokuthambisa okanye iimpahla zinokusetyenziselwa ukugubungela amabala amnyama. Ukuhlutha, i-scoliosis, kunye nezinye iingxaki ziphathwa njengoko kufuneka.

Imbonakalo ixhomekeke kuhlobo kunye nobukhali beempawu ezikhulayo. Kwiimeko ezininzi, umbala wolusu ekugqibeleni ujika ube sisiqhelo.

Iingxaki ezinokubangelwa yi-HMI zibandakanya:

• Ukuphazamiseka kunye neengxaki zokuhamba ngenxa ye-scoliosis
• Uxinzelelo lweemvakalelo, ezinxulumene nembonakalo yomzimba
• Ukukhubazeka kwengqondo
• Ukwenzakala ekubanjweni

Biza umnikezeli wakho ukuba umntwana wakho unepatheni engaqhelekanga yombala wolusu. Nangona kunjalo, naziphi na iipateni ezingaqhelekanga zinokubangela esinye isizathu kune-HMI.

I-incontinentia pigmenti achromians; HMI; Ito hypomelanosis

UJoyce JC. Izilonda ezichaphazelekileyo. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 672.

IPatterson JW. Ukuphazamiseka kombala. Ku: Patterson JW, ed. Weedon's Ulusu lwezifo. Ngomhla we-4. IPhiladelphia, PA: Elsevier Churchill Livingstone; 2016: isahluko 10.