So ɛte sɛ nea wo nsateaa ayɛ kɛse? Nea ɛsɛ sɛ wuhu fa nsateaa a wɔde nnua ayɛ ho ni!

So woahyɛ no nsow pɛn sɛ nnipa binom nsateaa anaa wɔn nansoaa ano ayɛ kɛse wɔ ɔkwan a ɛyɛ nwonwa so ara kwa, na nnadewa no ahonhon? Ɛte sɛ sanku ketewa bi (nnipa binom frɛ no sanku a ɛte sɛ nea ɛte). Ebia wo anaa obi a ɔwɔ w’abusua mu ahu. Eyi a wubehu no betumi ama w’ani begye ho kakra, na ebia woayɛ basaa mpo. Enti, momma yɛnka eyi ho asɛm nkɔ akyiri kakra nnɛ, ɛyɛ?

Dɛn ankasa ne nsateaa a wɔde nnua abɔ?

Sɛ yɛbɛka no tiawa a, nsateaa a wɔde akuturuku abɔ ne bere a ɛsono sɛnea wo nsateaa ano, wo nansoaa, ne wo honam ani hwɛbea a atwa wo ho ahyia no. Ɛnyɛ wo nsateaa nko na eyi betumi asi, na mmom wo nansoaa nso. Wɔ eyi mu no, wotaa hu tebea yi wɔ wo nsa abien no nyinaa mu ne/anaasɛ wo nan abien no nyinaa mu. Ɛtɔ mmere bi a wɔfrɛ no dijitaal clubbing. Wunim, ‘digits’ yɛ nsateaa a ɛwɔ yɛn nsa ne yɛn nan so.

Afei ebia woredwene sɛ, "Okay, enti nsonsonoe bɛn na ɛda nsateaa a ɛyɛ daa ne nsateaa a 'ɛyɛ klub' yi ntam?"

Asɛmmisa pa!

Mpɛn pii no, nsateaa a ɛte apɔw no nnadewa no yɛ nea ɛkɔ mu kakra wɔ baabi a ɛka nsateaa no (ulna) no. Nanso, wɔ saa ``Clubbing`` tebea yi mu no, nsateaa ano betumi ayɛ te sɛ nea ahonhon, ayɛ kɔkɔɔ, anaasɛ ne kɔla asesa. Awiei koraa no, nnadewa no bɛkɔ fam, na ayɛ te sɛ nsenia a wɔadan no. Ɛtɔ da bi mpo a, nnadewa no betumi apue kakra, ayɛ te sɛ nea atew afi nsateaa no ho.

Henanom na wobetumi anya saa tebea yi?

Nokwarem no, saa tebea a wɔfrɛ no ``Digital Clubbing'' yi betumi ato obiara. Mpɛn pii no, ɛyɛ aduruyɛ mu tebea foforo bi ho sɛnkyerɛnne. Nanso, ɛntaa mma koraa sɛ ebetumi aba nso a biribiara a ɛda adi sɛ ɛde ba. Wɔ aduruyɛ mu no, yɛfrɛ no ``Idiopathic''. Ɛno kyerɛ sɛ "wontumi nhu biribiara a ɛde ba."

Afei nso, wɔ nnipa binom fam no eyi betumi ayɛ nea wonya fi awo mu , anaasɛ ebia efi awosu mu .

Mpɛn pii no, nsateaa nkwaa yi yɛ kɛse, na ɛkyerɛ sɛ ɔhaw bi wɔ w’ahurututu , wo koma, anaa w’adidi mu . Eyi te saa titiriw bere a oxygen dodow a ɛwɔ wo mogya mu no sua bere tenten, tebea a wɔfrɛ no ``Hypoxemia''.

Dɛn ne eyi ho sɛnkyerɛnne? Sɛ wɔama nsateaa no ayɛ kɛse a, ɛte sɛn?

Tebea yi ho sɛnkyerɛnne titiriw ne nsakrae a ɛba sɛnea wo nsateaa ne wo nnadewa te mu. Momma yɛnhwɛ nea wɔyɛ:

• . .
• Afã a wo nnadewa no hyia honam ani wɔ baabi a efi ase (nea yɛfrɛ no cuticle) no trɛw na ɛtrɛw.
• Nnadewa no puei kɛkɛ te sɛ bepɔw.Ɛrefi ase reyɛ nea wotumi hu. Eyi da adi pefee bere a worehwɛ nsateaa no afi nkyɛn (profile view).
• Nsateaa no ano trɛw na ɛyɛ kurukuruwa .
• Ɛtɔ mmere bi a nsateaa ano betumi ayɛ tuntum kakra anaasɛ sɛ woka a .
• Awiei koraa no, nnadewa no ano kɔ fam na ɛte sɛ nea abɔ , te sɛ nsenia ase.

Saa nsakrae yi nsi prɛko pɛ. Wonyin nkakrankakra, ebia wɔ asram anaa mfe pii mu.

Dɛn nti na nsateaa nkwaa yɛ kɛse saa? Dɛn ne nea enti a ɛte saa?

Ɛtɔ mmere bi a, ebia wo nsateaa bɛyɛ kɛse, nanso ebia aduruyɛ mu tebea pɔtee biara nni hɔ a ɛde ba. Sɛ ɛba saa a, ɛrempira wo. Nanso, mpɛn pii no, sɛ nnuruyɛfo hu sɛnkyerɛnne bi a ɛte sɛɛ a, wɔbɛhwehwɛ aduruyɛ mu tebea biara a ɛhyɛ ase.

Nyarewa pii a ɛbata nsateaa nkwaa a ɛtrɛw ho no fa wo koma, w’ahurututu, ne wo aduan mu nhyehyɛe ho . Momma yɛnhwɛ tebea horow yi bi:

Kokoram Ahorow Ahorow

Awerɛhosɛm ne sɛ, kokoram ahorow bi nso betumi de saa ``clubbing'' tebea yi aba.

• Kokoram a ɛwɔ aduan mu
• Yafunu mu akisikuru
• mmerɛbo mu kokoram
• Ahurututu mu kokoram - Eyi ne nea ɛtaa bata clubbing ho.
• Lymphoma ( kokoram a ɛwɔ ntini a ɛma mogya tu mu ) .
• Mesothelioma : Eyi yɛ kokoram a ɛntaa nsi wɔ ahurututu no mu a ɛba nnipa a wɔde asbestos yɛ adwuma mu.

Koma ne ahurututu mu tebea horow a ɛnyɛ kokoram

Ɛnyɛ kokoram nko na ebetumi de saa tebea yi aba, na mmom koma ne ahurututu mu nyarewa afoforo nso.

• Aortic aneurysm: Eyi yɛ nipadua no mogya ntini kɛse no fasu a ɛyɛ kurukuruwa.
• Bronchiectasis : Eyi yɛ tebea a mframa kwan no yɛ akuru na ɛtaa ɔfe a nsu a ɛwɔ mu no wɔ hɔ.
• Komayare a wɔde awo obi : Koma no nhyehyɛe mu sintɔ ahorow bi a ɛwɔ hɔ bere a wɔawo no.
• Cystic fibrosis : Eyi yɛ awosu mu yare a ɛma nsu a ɛyɛ den te sɛ nsu a ɛyɛ nwini boaboa ano wɔ nipadua no akwaa ahorow mu.
• Empyema : Akisikuru a ɛboaboa ano wɔ nipadua no mu, titiriw ahurututu no mu (pleura).
• Endocarditis : Nyarewa a ɛkɔ mogya mu na ɛka koma no ntini.
• Ahurututu mu akisikuru : Ahurututu a ɛboaboa ano wɔ ahurututu no mu, na ɛma ntini a atwa ho ahyia no hohoro.
• Idiopathic pulmonary fibrosis : Ahurututu mu ntini yɛ akuru na ɛyɛ den, na ɛma ahurututu no sɛe.
• Sarcoidosis : Eyi yɛ yare a ɛma obi ho hyehye no a ebetumi asesa akwaa te sɛ ahurututu no nhyehyɛe ne ne dwumadi.

Ayaresa mu tebea afoforo

Nea ɛka eyi ho no, ntease afoforo wɔ hɔ:

• Ascariasis : Nwansena a ɛba dwensɔtwaa mu.
• Celiac yare : Eyi yɛ yare a nipadua no tumi ko tia nyarewa a ebetumi asɛe wo dwensɔtwaa ketewaa no.
• Cirrhosis : Wɔde akuru ntini si mmerɛbo mu ntini a ɛte apɔw ananmu, mpɛn pii no efi nsa a wɔnom boro so mu.
• Inflammatory bowel disease : Ɔyare a ɛma obi ho yɛ hyew a ɛsɛe dwensɔtwaa (e.g., Crohn yare, ulcerative colitis).
• Thyroid yare : Tebea horow a ɛma thyroid ntini no ntumi nyɛ adwuma yiye.
• Nnuru bi a wɔde di dwuma boro so : Sɛ nhwɛso no, nnuru te sɛ nnuru a ɛma obi ho yɛ hyew ( nnuru a ɛma obi ho yɛ hyew ), Interferon alfa-2A, ne Prostaglandin a wɔde ma.

Susuw nneɛma pii a ebetumi aba saa sɛnkyerɛnne ketewaa a ɛkyerɛ sɛ nsateaa a atrɛw yi akyi no ho hwɛ! Ɛno nti na ɛyɛ papa sɛ woremmu w’ani ngu biribi a ɛte sɛɛ so no.

So nsateaa nkwaa a ayɛ kɛse yi yɛ ɔyare mmoawa?

Dabi, nsateaa a ɛtrɛw yi nyɛ nea ɛde ɔyare ba. Efisɛ, ɛnyɛ yare, ɛyɛ sɛnkyerɛnne. Nanso, ɛtɔ mmere bi a, yare a ɛhyɛ ase a ɛde ba no betumi afa obi. Sɛ nhwɛso no, sɛ ɛyɛ biribi te sɛ ahurututu mu yare a, ebetumi afa ɔyare mmoawa. Nanso nsonsonoe a ɛwɔ nsateaa mu no nyɛ nea wɔde yare mmoawa ba.

Ɔkwan bɛn so na oduruyɛfo hu eyi? (Nyare a Wɔahu) .

Sɛ wokɔ oduruyɛfo a ɔwɔ yare no ho sɛnkyerɛnne te sɛ eyi nkyɛn a, obedi kan abisa wo w’ayaresa ho abakɔsɛm nyinaa ho asɛm . Eyi kyerɛ nyarewa foforo biara a wowɔ, nnuru biara a wonom, ne sɛ ebia obi a ɔwɔ w’abusua mu anya tebea a ɛte saa ara. Afei wɔbɛyɛ nipadua mu nhwehwɛmu . Mpɛn pii no, wobetumi anya nea ɛde ba no ho adwene fi nea woka ne nhwehwɛmu no mu.

Titiriw no, ebia oduruyɛfo no bɛhwɛ wo nsateaa yiye na wasusuw nneɛma bi mpo.

• Lovibond angle anaa Lovibond profile sign: Eyi ne anim a ɛda proximal nail fold ne nail bed ntam, sɛ wufi wo nsateaa nkyɛn hwɛ. Wɔ nnadewa a ɛte apɔw a ɛfata mu no, saa anim yi nnu digrii 180 (mpɛn pii no bɛyɛ 160). Nanso, wɔ nnadewa a wɔde nnua ayɛ mu no, saa anim yi boro digrii 180.
• Schamroth sɛnkyerɛnne: Eyi nso yɛ sɔhwɛ a ɛyɛ mmerɛw yiye. Fa wo nsa abien no nsateaa koro no ara nnadewa afã horow (sɛ nhwɛso no, nsateaa abien a wode kyerɛ ade) no nhwɛ wɔn ho wɔn ho na mia nnadewa no nnyinaso no so denneennen wɔ nkwaa no so. Sɛ ``(Clubbing)`` wɔ hɔ a, ɛsɛ sɛ wohu mfɛnsere ketewa bi a ɛte sɛ daimond wɔ nnadewa no nnyinaso ntam. Sɛ ``(Clubbing)`` wɔ hɔ a, nsonsonoe no renhu.
• Hyponychial anim:Eyi yɛ sɛnea wɔsusuw sɛnea honam ani hwɛbea a ɛwɔ nnadewa no ano ase (hyponychium), nnadewa mpa, nnadewa mpa, ne nkwaa a ɛbɛn no ntam.

Wɔ nhwehwɛmu a edi kan yi akyi no, oduruyɛfo no betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo a egyina ayaresa tebea a wosusuw sɛ ɛde ba no so.

• Wɔtaa hyɛ sɛ wɔnyɛ wɔn koko X-ray .
• Sɛ biribiara mu nna hɔ wɔ X-ray no so a, wobetumi ayɛ CT scan .
• Bio nso, egyina yare a wosusuw sɛ ɛwɔ hɔ so no, ebia ɛho behia sɛ wɔyɛ mogya mu nhwehwɛmu afoforo, mfoninitwa nhwehwɛmu afoforo, anaa ntini mu nhwehwɛmu (biopsies) mpo .

Ɔkwan bɛn so na wɔsa eyi?

Biribi a ɛsɛ sɛ yɛte ase ni. Nnuruyɛfo nsa nsateaa a wɔabɔ no tẽẽ efisɛ ɛnyɛ yare, ɛyɛ sɛnkyerɛnne ara kwa.

Nnuruyɛfo sa tebea a ɛwɔ ase a ɛde saa ``clubbing'' tebea yi bae no.

Sɛ nhwɛso no, sɛ ahurututu mu yare na ɛde clubbing ba a, ɔyare no a wɔbɛsa no bɛboa. Sɛ kokoram na ɛde ba a, ehia sɛ wɔsa kokoram no.

Sɛ wɔsa tebea a ɛwɔ ase no yiye a, ɛtɔ mmere bi a wobetumi atew nsateaa nkwaa a ɛtrɛw yi so anaasɛ wɔayi afi hɔ mpo. Nanso ɛnyɛ bere nyinaa na eyi ba.

So wobetumi atew asiane a ɛwɔ tebea yi mu no so?

Sɛ wo nsateaa a wowo wo mu a ɛyɛ kɛse a, ɔkwan biara nni hɔ a wobɛfa so asiw ano.

Nanso, nneɛma bi wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya nyarewa bi a ebetumi ama woanya saa ``Digital Clubbing`` tebea yi so. Susuw eyi ho hwɛ:

• Sɛ woannom sigaret a, wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya ahurututu mu kokoram, ahurututu mu nyarewa afoforo, ne komayare so kɛse.
• Sɛ wɔkwati nsa a wɔnom boro so a, ebetumi atew asiane a ɛwɔ hɔ sɛ obi benya nyarewa te sɛ mmerɛbo mu yare no so.
• Aduan a ɛkari pɛ a wubedi ne apɔw-mu-teɛteɛ daa betumi aboa ma woanya akwahosan nyinaa mu.

Sɛ́ anka yɛbɛka sɛ eyinom siw `(Clubbing) ano tẽẽ no, ɛteɛ kɛse sɛ yɛbɛka sɛ wɔbɔ wɔn ho ban fi nyarewa a ɛde `(Clubbing) ba ho.'

Sɛ wɔma nsateaa no yɛ kɛse a, dɛn na ɛba? Dɛn na yebetumi ahwɛ kwan daakye?

The outlook for someone with clubbing varies from person to person. Egyina tebea a ɛwɔ ase a ɛde akuturuku no ba ne sɛnea ayaresa no di yiye no so koraa.

Ɛtɔ mmere bi a, sɛ wɔsa tebea a ɛwɔ ase no yiye a, nansoaa nnadewa a ayɛ kɛse no betumi asiesie koraa. Nanso, wɔ nsɛm bi a emu yɛ den mu no, ebia eyi renyɛ saa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Eyi ho hia paa.

• Sɛ wuhu nsakrae foforo biara wɔ wo nnadewa anaa wo nsateaa ano , a ɛkyerɛ sɛ ɛreyɛ kɛse sen kan no, ɛresakra kɔla, anaasɛ ɛresakra ne nsusuwii a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.
• Sɛ oduruyɛfo bi ahu sɛ wowɔ tebea bi a ɛfa clubbing ho dedaw na wakyerɛ wo ayaresa a, di saa ayaresa no akyi pɛpɛɛpɛ.
• Sɛ biribi nti wohaw wo ho anaasɛ w’adwene mu yɛ wo naa wɔ eyi ho a, nsuro sɛ wo ne wo duruyɛfo besusuw ho .

Kae sɛ wunim wo nipadua yiye. Sɛ wɔde nsateaa nnadewa akɛse awo wo a, ɛho nhia sɛ wosa, na ɛremfa ɔhaw biara mma wo. Nanso, sɛ wuhu nsakrae foforo biara wɔ wo nsateaa anaa wo nnadewa mu a, mmu w’ani ngu so. Hwɛ oduruyɛfo na nya nsɛm a wuhia. Wo ne onipa a ɔho hia sen biara wɔ w’akwahosan a wobɛhwɛ mu no mu. Wo duruyɛfo no ne wo hokafo a wogye no di.

Nsɛm a Wɔaboaboa Ano: Nneɛma a yɛkaa ho asɛm wɔ ahome biako mu no nyinaa! (Nkrasɛm a Wɔde Kɔ Fie)

Okay, enti momma yɛnsan nsusuw nneɛma a yɛkaa ho asɛm nnɛ no bi ho asɛm:

• Nsateaa a wɔde nhama ayɛ yɛ tebea a ɛma nsateaa ne nnadewa ano ahonhon na ɛsono sɛnea ɛte.
• Eyi betumi ayɛ yare foforo ho sɛnkyerɛnne , titiriw nyarewa a ɛwɔ ahurututu, koma, anaa aduan mu.
• Ɛtɔ mmere bi a wobetumi anya bi a ntease biara nnim, denam awo anaa awosu so .
• Su titiriw a ɛwɔ mu ne nnadewa no a wɔkotow kɔ fam te sɛ nsenia, nansoaa no anim a ɛkɔ soro, ne nsateaa ano a ɛyɛ kurukuruwa.
• Eyi nyɛ nea ɛde ɔyare mmoawa ba.
• Oduruyɛfo bɛyɛ nhwehwɛmu ahorow de ahu eyi, te sɛ Lovibond anim ne Schamroth sɛnkyerɛnne.
• Ɛnyɛ clubbing ho asɛm, na mmom yare a ɛwɔ ase no.
• Sɛ wuhu nsakrae foforo biara wɔ wo nsateaa mu a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn.

Enti, mewɔ anidaso sɛ wowɔ ntease pa wɔ `(Clubbed Fingers)` ho. Nsuro, na mmom hwɛ yiye. Ɛno ne ade a ɛho hia sen biara!

` nsateaa a wɔabɔ, dijitaal akuturuku, nnadewa mu nyarewa, nsateaa a asɛe, ahurututu mu sɛnkyerɛnne, koma mu sɛnkyerɛnne, hypoxemia