Ke nānā aku nei anei kou mau puʻupuʻu lima i ka nui? Eia nā mea e pono ai ʻoe e ʻike e pili ana i nā manamana lima i hui ʻia!

Ua ʻike anei ʻoe ua hoʻonui ʻia nā wēlau o nā manamana lima a me nā manamana wāwae o kekahi poʻe, a ua pehu nā kui? Ua like ia me kahi ʻōpuʻu liʻiliʻi (ua kapa kekahi poʻe he ʻano ʻōpuʻu). Malia paha ua ʻike ʻoe a i ʻole kekahi o kou ʻohana. ʻO ka ʻike ʻana i kēia hiki iā ʻoe ke hoihoi iki, a hopohopo paha. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, ʻae?

He aha maoli nā manamana lima i kāwili ʻia?

I ka ʻōlelo maʻalahi, ʻo nā manamana lima i kāwili ʻia ke ʻano like ʻole o nā wēlau o kou mau manamana lima, nā manamana wāwae, a me ka ʻili a puni. Hiki ke hana kēia ʻaʻole wale ma kou mau manamana lima, akā ma kou mau manamana wāwae pū kekahi. I kēia hihia, ʻike pinepine ʻoe i kēia ʻano ma nā lima ʻelua a/a i ʻole nā ​​​​wāwae ʻelua. I kekahi manawa ua kapa ʻia ʻo ia he digital clubbing. ʻIke ʻoe, ʻo 'nā huahelu' nā manamana lima ma ko mākou mau lima a me nā wāwae.

I kēia manawa ke noʻonoʻo nei paha ʻoe, "ʻAe, he aha ka ʻokoʻa ma waena o ka manamana lima maʻamau a me kēia manamana lima 'clubbed'?"

He nīnau maikaʻi!

ʻO ka maʻamau, ua ʻoki iki ʻia ke kui o kahi manamana lima olakino i loko ma kahi e hui ai me ka manamana lima (ka ulna). Eia nō naʻe, ma kēia kūlana "Clubbing", ʻike ʻia paha ka piko o ka manamana lima e pehu ana, ʻulaʻula, a i ʻole ke kala ʻole. I ka hopena, e piʻo ke kui i lalo, e like me ka puna i hoʻohuli ʻia. I kekahi manawa, hiki i ke kui ke puka iki aʻe, me he mea lā ua kaʻawale mai ka manamana lima.

ʻO wai ka mea hiki ke hoʻomohala i kēia maʻi?

ʻOiaʻiʻo, hiki ke loaʻa kēia ʻano i kapa ʻia ʻo "Digital Clubbing" i kekahi. ʻO ka hapa nui o ka manawa, he hōʻailona ia o kekahi ʻano maʻi ʻē aʻe. Eia naʻe, he mea kakaikahi loa, hiki ke loaʻa me ke kumu ʻole. I ka lāʻau lapaʻau, kapa mākou ia he "Idiopathic". ʻO ia hoʻi, "ʻaʻohe kumu e loaʻa."

Eia kekahi, no kekahi poʻe he mea hānau mai paha kēia, a he mea hoʻoilina paha.

I ka manawa pinepine, hoʻonui ʻia kēia mau hono manamana lima, e hōʻike ana he pilikia me kou mau māmā, puʻuwai, a i ʻole ka ʻōnaehana hoʻoheheʻe . He ʻoiaʻiʻo loa kēia i ka wā e haʻahaʻa ai ka pae oxygen i loko o kou koko no ka manawa lōʻihi, kahi kūlana i kapa ʻia ʻo "Hypoxemia".

He aha nā hōʻailona o kēia? Pehea ke ʻano o ka wā e hoʻonui ʻia ai nā puʻupuʻu lima?

ʻO nā hōʻailona o kēia maʻi, ʻo ia nā loli nui i ke ʻano o kou mau manamana lima a me kou mau kui. E nānā kākou i ke ʻano o lākou:

• Me he mea lā ua hemo ke kui mai ka manamana lima mai, me he mea lā e lana wale ana.
• ʻO ke kihi e hui ai kou kui me ka ʻili kahi e hoʻomaka ai (ka mea a mākou e kapa nei he cuticle) e lilo i mea ākea a ʻoi aku ka laulā.
• Ua kū aʻe ke kui me he kuahiwi lā.Ke hoʻomaka nei e ʻike ʻia. ʻIke maopopo ʻia kēia ke nānā ʻia ka manamana lima mai ka ʻaoʻao (nānā ʻaoʻao pilikino).
• ʻOi aku ka laulā o nā wēlau o nā manamana lima a lilo i ʻano poepoe .
• I kekahi manawa e lilo iki paha kēia mau manamana lima i mea ʻeleʻele iki a wela paha ke pā .
• ʻO ka hope loa, piʻo ke poʻo o ke kui i lalo a nānā aku ua kūlou , e like me ka ʻaoʻao lalo o ka puna.

ʻAʻole hana koke ʻia kēia mau loli. Hoʻomohala mālie lākou, malia paha i nā mahina a i ʻole nā ​​​​makahiki.

No ke aha e nui ai nā hono o nā manamana lima? He aha nā kumu?

I kekahi manawa, hiki ke hoʻonui ʻia kou mau puʻupuʻu lima, akā ʻaʻohe paha he kūlana olakino kikoʻī e hoʻokumu ai. I kēlā hihia, ʻaʻole ia e hōʻeha iā ʻoe. Eia nō naʻe, i ka hapanui o nā hihia, ke ʻike nā kauka i kahi hōʻailona e like me kēia, e ʻimi lākou i nā kūlana olakino ma lalo.

He nui nā maʻi e pili ana me nā hono manamana lima i hoʻonui ʻia e pili ana i kou puʻuwai, nā māmā, a me ka ʻōnaehana hoʻoheheʻe . E nānā kākou i kekahi o kēia mau kūlana:

Nā ʻAno o ke Kanesa

ʻO ka mea kaumaha, hiki i kekahi ʻano maʻi ʻaʻai ke hana i kēia ʻano "clubbing".

• Ka maʻi ʻaʻai ʻōpū
• Nā puʻupuʻu ʻōpū
• Ka maʻi ʻaʻai ate
• Ka maʻi ʻaʻai māmā - ʻO kēia ka mea i pili pinepine ʻia me ka clubbing.
• Lymphoma ( ka maʻi ʻaʻai o nā kelepa lymph )
• ʻO Mesothelioma : He maʻi ʻaʻai laha ʻole kēia o ka uhi o nā māmā e kū mai ana i nā poʻe e hana me ka asbestos.

Nā kūlana puʻuwai a me nā māmā ʻaʻole maʻi kanesa

ʻAʻole hiki ke hana ʻia kēia kūlana e ka maʻi kanesa wale nō, akā, e nā maʻi puʻuwai a me nā maʻi māmā ʻē aʻe hoʻi.

• ʻAortic aneurysm: He puʻupuʻu kēia ma ka paia o ke kīʻaha koko nui loa o ke kino.
• Bronchiectasis : He kūlana kēia kahi e lilo ai nā alaloa i ʻeha a aia ka ʻū pinepine me ka mucus.
• Maʻi puʻuwai hānau : Kekahi mau kīnā kūkulu o ka puʻuwai i loaʻa i ka wā hānau.
• ʻO Cystic fibrosis : He maʻi hoʻoilina kēia e hōʻiliʻili ai i nā mea huna e like me ka mucus mānoanoa i loko o nā ʻano kino like ʻole.
• ʻEmpyema : He hōʻiliʻili ʻana o ka pus i loko o ke kino, ʻoiai ka uhi o nā māmā (pleura).
• Endocarditis : He maʻi e komo i loko o ke koko a hoʻopilikia i nā valves o ka puʻuwai.
• ʻO nā ʻōpū o ka māmā: He hōʻiliʻili o ka pus i loko o nā māmā, e hoʻoulu ai i ka pehu ʻana o nā ʻiʻo a puni.
• ʻO ka fibrosis pulmonary idiopathic : Lilo ka ʻiʻo o ka māmā i ʻeha a mānoanoa, e hōʻino ana i nā māmā.
• Sarcoidosis : He maʻi mumū kēia e hiki ke hoʻololi i ke ʻano a me ka hana o nā ʻōpū e like me nā māmā.

Nā kūlana olakino ʻē aʻe

Ma waho aʻe o kēia, aia kekahi mau kumu ʻē aʻe:

• ʻO Ascariasis : He maʻi ilo e kū mai ana i loko o nā ʻōpū.
• Maʻi Celiac : He maʻi autoimmune kēia e hiki ke hōʻino i kou ʻōpū liʻiliʻi.
• ʻO Cirrhosis : ʻO ka hoʻololi ʻana o nā ʻiʻo ate olakino me nā ʻiʻo ʻeha, pinepine ma muli o ka inu nui ʻana i ka waiʻona.
• ʻO ka maʻi mumū o ka ʻōpū: He maʻi mumū e hōʻino ai i nā ʻōpū (e.g., ka maʻi Crohn, ka ulcerative colitis).
• Maʻi thyroid : Nā kūlana e hōʻino ai i ka hana o ka ʻōpū thyroid.
• Ka hoʻohana nui ʻana i kekahi mau lāʻau lapaʻau : No ka laʻana, nā lāʻau lapaʻau e like me nā laxatives ( laxatives ), Interferon alfa-2A, a me ka Prostaglandin infusion.

E noʻonoʻo wale i ka nui o nā mea ma hope o kēia hōʻailona liʻiliʻi o nā puʻupuʻu lima i hoʻonui ʻia! ʻO ia ke kumu e ʻoi aku ka maikaʻi o ka hoʻowahāwahā ʻana i kahi mea e like me kēia.

He mea laha anei kēia hono manamana lima i hoʻonui ʻia?

ʻAʻole, ʻaʻole laha kēia hoʻonui ʻana o nā puʻupuʻu lima. No ka mea, ʻaʻole ia he maʻi, he hōʻailona ia. Eia naʻe, hiki i ka maʻi kumu ke laha i kekahi manawa. No ka laʻana, inā he mea e like me ka maʻi māmā, hiki ke laha. Akā, ʻo ka ʻokoʻa o nā manamana lima, ʻaʻole ia he laha.

Pehea e ʻike ai ke kauka i kēia? (Diagnosis)

Ke hele ʻoe e ʻike i ke kauka me nā hōʻailona e like me kēia, e nīnau mua ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino piha . ʻO ia hoʻi nā maʻi ʻē aʻe āu i loaʻa ai, nā lāʻau lapaʻau āu e lawe ai, a inā paha ua loaʻa i kekahi o kou ʻohana nā kūlana like. A laila e hana lākou i kahi hoʻokolokolo kino . Mai kāu ʻōlelo a me ka hoʻokolokolo ʻana, hiki iā lākou ke loaʻa pinepine kahi manaʻo o ke kumu.

ʻO keʻano kūikawā, e nānā pono paha ke kauka i kou mau manamana lima a lawe i kekahi mau ana.

• ʻO ke kihi Lovibond a i ʻole ka hōʻailona ʻaoʻao Lovibond: ʻO kēia ke kihi ma waena o ka pelu kui proximal a me ka moena kui, i nānā ʻia mai ka ʻaoʻao o kou manamana lima. I loko o kahi kui olakino maʻamau, ʻoi aku kēia kihi ma mua o 180 degere (ma kahi o 160). Eia nō naʻe, i loko o kahi kui i hoʻopaʻa ʻia, ʻoi aku kēia kihi ma mua o 180 degere.
• Hōʻailona Schamroth: He hoʻāʻo maʻalahi loa kēia. E kau i nā ʻaoʻao o nā kui o ka manamana lima hoʻokahi (no ka laʻana, nā manamana lima kuhikuhi ʻelua) o kou mau lima ʻelua e kū pono ana kekahi i kekahi a kaomi pono i ke kumu kui i ka hono. Inā he ``(Clubbing)``, pono e ʻike ʻia kahi puka makani liʻiliʻi e like me ke daimana ma waena o nā kumu kui. Inā he ``(Clubbing)``, ʻaʻole e ʻike ʻia ka hakahaka.
• Ke kihi Hyponychial:He ana kēia o ke kihi ma waena o ka ʻili ma lalo o ka wēlau o ke kui (hyponychium), ka moena kui, ka moena kui, a me ke ami kokoke loa.

Ma hope o kēia mau hoʻokolohua mua, hiki i ke kauka ke kauoha i nā hoʻokolohua hou aʻe ma muli o ke kūlana olakino i manaʻo ʻia.

• Hoʻomaʻamaʻa pinepine ʻia kahi X-ray o ka umauma .
• Inā ʻaʻohe mea maopopo ma ka X-ray, hiki ke hana ʻia kahi CT scan .
• Eia kekahi, ma muli o ka maʻi i manaʻo ʻia, pono paha e hana ʻia nā hoʻokolohua koko ʻē aʻe, nā hoʻokolohua kiʻi ʻē aʻe, a i ʻole nā ​​​​hoʻokolohua ʻiʻo (biopsies) .

Pehea e mālama ʻia ai kēia?

Eia kekahi mea e hoʻomaopopo ai. ʻAʻole mālama pololei nā kauka i nā manamana lima i hui ʻia no ka mea ʻaʻole ia he maʻi, he hōʻailona wale nō ia.

Hoʻōla nā kauka i ke kūlana kumu i hoʻokumu ai i kēia kūlana "clubbing".

Eia kekahi laʻana, inā he maʻi māmā ka hui ʻana, e kōkua ka mālama ʻana i ka maʻi. Inā he maʻi kanesa ia, pono e mālama ʻia ke kanesa.

Ke mālama pono ʻia ke kūlana kumu, i kekahi manawa hiki ke hoʻemi ʻia a hoʻopau ʻia paha kēia hoʻonui ʻana o nā hono manamana lima. Akā, ʻaʻole kēia e hana mau ʻia.

Hiki ke hoʻemi ʻia ka pilikia o kēia maʻi?

Inā loaʻa iā ʻoe ka hoʻonui ʻia ʻana o kou manamana lima hānau, ʻaʻohe ala e pale aku ai.

Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o kekahi o nā maʻi e hiki ai ke alakaʻi i kēia kūlana "Digital Clubbing". E noʻonoʻo i kēia:

• Ma ka puhi ʻole ʻana i ka puhipaka, hiki iā ʻoe ke hōʻemi nui i kou pilikia o ka loaʻa ʻana o ka maʻi kanesa o ka māmā, nā maʻi māmā ʻē aʻe, a me nā maʻi puʻuwai.
• ʻO ka hōʻemi ʻana i ka inu ʻona nui e hiki ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i nā maʻi e like me ka cirrhosis ate.
• ʻO ka ʻai ʻana i ka meaʻai kaulike a me ka hoʻoikaika kino mau ʻana e kōkua i ka mālama ʻana i ke olakino holoʻokoʻa.

Ma mua o ka ʻōlelo ʻana e pale pololei ana kēia mau mea i ka `(Clubbing),' ʻoi aku ka pololei o ka ʻōlelo ʻana e pale aku lākou i nā maʻi e hoʻoulu ai i ka `(Clubbing).'

He aha ka mea e hana ʻia inā e hoʻonui ʻia nā puʻupuʻu lima? He aha kā mākou e manaʻo ai i ka wā e hiki mai ana?

ʻOkoʻa ke ʻano o ka nānā ʻana no kekahi me ka clubbing mai kēlā kanaka a kēia kanaka. Aia wale nō ia i ke kūlana kumu i hoʻokumu ai i ka clubbing a me ka holomua o ka lāʻau.

I kekahi manawa, inā mālama pono ʻia ke kūlana kumu, hiki i nā kui kuʻekuʻe wāwae i hoʻonui ʻia ke hoʻopau loa. Eia nō naʻe, i kekahi mau hihia koʻikoʻi, ʻaʻole paha kēia ka hihia.

Āhea wau e ʻike ai i ke kauka?

He mea nui loa kēia.

• Inā ʻike ʻoe i kekahi mau loli hou i kou mau kui a i ʻole kou mau manamana lima , ʻo ia hoʻi ke ʻano nei e ulu nui ana ma mua o ka wā ma mua, e loli ana ke kala, a i ʻole e loli ana ke ʻano, e ʻike pono i ke kauka.
• Inā ua ʻike mua ke kauka iā ʻoe me kahi maʻi pili i ka clubbing a ua kauoha ʻia ka lāʻau lapaʻau, e hahai pololei i kēlā lāʻau lapaʻau.
• Inā no kekahi kumu he hopohopo a kānalua paha kāu e pili ana i kēia, mai makaʻu e kūkākūkā me kāu kauka .

E hoʻomanaʻo, ʻo ʻoe ka mea ʻike maikaʻi loa i kou kino. Inā ua hānau ʻia ʻoe me nā kui nui, ʻaʻole pono ʻoe e mālama iā lākou, a ʻaʻole lākou e hoʻopilikia iā ʻoe. Eia nō naʻe, inā ʻike ʻoe i kekahi mau loli hou i kou mau manamana lima a i ʻole nā ​​​​kui, mai hoʻowahāwahā iā lākou. E ʻike i ke kauka a loaʻa ka ʻike āu e pono ai. ʻO ʻoe ke kanaka koʻikoʻi loa i ka mālama ʻana i kou olakino. ʻO kāu kauka kou hoa hilinaʻi.

Hōʻuluʻulu Manaʻo: ʻO nā mea a pau a mākou i kamaʻilio ai i hoʻokahi hanu! (Leka Lawe-Home)

ʻAe, eia kekahi o nā mea a mākou i kamaʻilio ai i kēia lā:

• ʻO nā manamana lima i hui ʻia kahi e pehu ai nā wēlau o nā manamana lima a me nā kui a he ʻano ʻē aʻe ko lākou.
• He hōʻailona paha kēia o kekahi maʻi ʻē aʻe , ʻoiai hoʻi nā maʻi o ka māmā, ka puʻuwai, a i ʻole ka ʻōnaehana hoʻoheheʻe.
• Hiki ke loaʻa iā ia i kekahi manawa me ke kumu ʻole, ma o ka hānau ʻana a i ʻole ka hoʻoilina .
• ʻO nā ʻano nui, ʻo ia ke kūlou ʻia ʻana o nā kui i lalo e like me ka puna, ua hoʻonui ʻia ke kihi o nā manamana wāwae, a ua poepoe ʻia nā wēlau o nā manamana lima.
• ʻAʻole kēia he mea laha.
• E hana ke kauka i nā hoʻokolohua like ʻole e ʻike ai i kēia, e like me ke kihi Lovibond a me ka hōʻailona Schamroth.
• ʻAʻole ia e pili ana i ka hui kalapu, akā, e pili ana i ka maʻi kumu.
• Inā ʻike ʻoe i kekahi mau loli hou i kou mau manamana lima, e ʻike pono i ke kauka.

No laila, ke lana nei koʻu manaʻo ua maopopo iā ʻoe ka ʻōlelo `(Clubbed Fingers)`. Mai makaʻu, akā e makaʻala. ʻO ia ka mea nui loa!

nā manamana lima i kuʻi ʻia, ke kuʻi ʻana i nā kikohoʻe, nā maʻi kui, nā kīnā o ka manamana lima, nā hōʻailona o ka māmā, nā hōʻailona o ka puʻuwai, hypoxemia