Ke nui aʻe nei kou mau manamana lima a ke kūlou nei kou mau kui? E kamaʻilio kākou e pili ana i nā 'Manamana Lima i hui ʻia'

Ua nānā paha ʻoe i kou mau lima a noʻonoʻo, "Auē, ua nui iki koʻu mau manamana lima, a ke ʻōwili nei koʻu mau kui i lalo"? A i ʻole ua ʻike ʻoe i kahi loli e like me kēia ma nā lima o kekahi āu i ʻike ai? I ka lāʻau lapaʻau, kapa mākou i kēia ʻo 'Clubbed Fingers'. ʻAʻole kēia he maʻi ʻokoʻa. Eia naʻe, hiki ke lilo i hōʻailona koʻikoʻi loa e hōʻike mai iā mākou e pili ana i kahi maʻi ʻē aʻe i loko o ko mākou kino. No laila, he mea nui loa ka makaʻala i kēia.

He aha maoli nā Clubbed Fingers?

I ka ʻōlelo maʻalahi, he loli kēia e kū mai ana ma nā wēlau o kou mau manamana lima a me nā manamana wāwae. Pehu a hoʻonui ʻia nā wēlau o kou mau manamana lima, a ʻōwili nā kui i lalo a lilo i ʻano ʻālohilohi. Hānau ʻia kekahi poʻe me kēia maʻi, a he maʻi hānau ʻia ia. Akā i ka hapa nui o ka manawa, ua hoʻokumu ʻia e kekahi maʻi olakino ʻē aʻe.

E noʻonoʻo, i ka wā ʻaʻole lawa ka oxygen i nā ʻiʻo o ko kākou kino, pane ke kino ma ka hana ʻana i nā kemika hou aʻe, e like me ka Vascular Endothelial Growth Factor (VEGF) . Hoʻonui kēia VEGF i nā kīʻaha koko a hiki i nā manamana lima. ʻO ia ke kumu e pehu ai a hoʻonui ʻia nā manamana lima.

He aha nā ʻano maoli o kēia?

Hiki ke ʻike maopopo ʻia kēia mau loli ke nānā ʻoe i nā manamana lima o kekahi me nā manamana lima i hoʻopaʻa ʻia. E nānā anei kākou iā ia me he papa ʻaina lā?

He aha nā kumu nui o nā manamana lima i hui ʻia?

ʻO kēia ka ʻāpana koʻikoʻi loa. Ma kahi o 80% o nā manamana lima i hui ʻia e ka maʻi māmā. Ma waho aʻe o kēlā, hiki i ka maʻi puʻuwai a me nā kūlana olakino ʻē aʻe ke kumu.

1. Nā pilikia e pili ana i ka māmā

• Ka maʻi ʻaʻai māmā: ʻO kēia ka hōʻailona maʻamau a nā kauka e kānalua ai ke ʻike lākou i nā manamana lima i hui ʻia. Hiki ke hele pū ʻia ka maʻi ʻaʻai māmā me kēia mau hōʻailona:
• ʻO ka ʻū mau a i ʻole kahi loli i ke ʻano o ka ʻū
• ʻUmiʻumi i ke koko a i ʻole ka mucus
• Paʻakikī ka hanu ʻana
• ʻEha i nā iwi a me nā hono
• ʻAnorexia a me ka pohō kaumaha
• Luhi mau

• Nā maʻi ʻē aʻe o ka māmā:
• Ka Maʻi Mama Interstitial: Ka mumū o nā māmā.
• ʻO ka Pulmonary Fibrosis: Lilo ka ʻiʻo o ka māmā i mānoanoa a paʻakikī.
• ʻO Cystic Fibrosis: He maʻi hoʻoilina e hoʻoulu ai i ke kino e hana i ka nui o ka mucus.
• Bronchiectasis: Ka hōʻino ʻana i nā ala ea i loko o nā māmā.
• ʻŌpū Mama: He ʻōpū piha i ka nahu i loko o ka māmā.

2. Nā pilikia e pili ana i ka puʻuwai

• ʻO ka maʻi puʻuwai hānau ʻo Cyanotic (CCHD): He kīnā puʻuwai hānau e hoʻemi ai i ke koko oxygenated i loko o ke kino. Hiki i kēia ke lilo i polū o ka ʻili (cyanosis).
• Ka Holo ʻole o ka Puʻuwai: Ka hiki ʻole o ka puʻuwai ke pamu i ke koko e hoʻokō i nā pono o ke kino.
• ʻO Atrial Myxoma: He ʻōpū ʻaʻole kanesa (benign) e kū mai ana i loko o ka puʻuwai.
• ʻO ka Subacute Bacterial Endocarditis: He maʻi bacteria koʻikoʻi o ka paia o loko o ka puʻuwai (endocardium).

3. Nā kumu ʻē aʻe

ʻAʻole i maʻamau kēia mau mea, akā hiki i kēia mau kūlana ke hana i nā manamana lima i hui ʻia.

• ʻO ka Cirrhosis o ke akepaʻa: Ka hana ʻino o ke akepaʻa ma muli o ka pōʻino lōʻihi.
• ʻO ka maʻi mumū o ka ʻōpū (IBD): Hoʻokomo pū kēia i nā kūlana e like me ka maʻi Crohn a me ka Ulcerative Colitis . He mumū mau kēia o ke ala ʻai.
• ʻO ka Osteoarthropathy Hypertrophic Mua (HOA Mua):He kūlana hoʻoilina kēia. Hoʻomaka nā loli i nā manamana lima i ka wā ʻōpio, me nā hōʻailona e like me ka mānoanoa o ka ʻili a me ka hou nui.

Pehea e ʻike ai ke kauka i kēia?

Ke ʻike ʻoe i ke kauka me kēia hōʻailona, ​​ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono i kou mau manamana lima. Eia kekahi, e nīnau lākou e pili ana i kāu mōʻaukala olakino piha.

A laila, e kauoha lākou i kekahi mau hoʻokolohua e ʻike pono ai i ke kumu o kēia.

He aha nā pae o ka clubbing?

ʻAʻole hana ʻia kēia loli i ka manawa hoʻokahi. ʻO ka maʻamau, hana ʻia kēia mau pae i loko o kekahi mau makahiki.

1. Pae 1: ʻO ka mua, lilo ka moena kui i ʻulaʻula a palupalu.

2. Pae 2: Hoʻomaka ka piʻi ʻana o ke kihi ma waena o ke kui a me ka ʻili. Hoʻomaka ka kui e piʻo ma kēia wahi.

3. Pae ʻEkolu: I ka hala ʻana o ka manawa, e pehu a nui aʻe ana ka piko o ka manamana lima.

4. Pae ʻEhā: Loaʻa i nā manamana lima kahi ʻano 'lāʻau' a i ʻole ke ʻano o ka lāʻau.

5. Pae 5: I ka hopena, e ʻālohilohi ke kui a me ka ʻili a puni. Hiki i nā kui ke loaʻa nā kaha.

ʻOiai ke hana mālie nei kēia kaʻina hana, i kekahi mau kūlana olakino (e like me ka abscess o ka māmā) hiki ke hana wikiwiki loa.