Wakambotarisa maoko ako here uchifunga kuti, "Aa, minwe yangu yakakura zvishoma, uye nzara dzangu dziri kupetana"? Kana kuti wakaona shanduko yakaita seiyi mumaoko emumwe munhu waunoziva here? Mukurapa, tinoidaidza kuti 'Clubbed Fingers'. Ichi hachisi chirwere chakasiyana. Zvisinei, chinogona kuva chiratidzo chakakosha chinotipa nezvechimwe chirwere chiri mumuviri wedu. Saka, zvakakosha kuziva izvi.
Chii chaizvo chinonzi Clubbed Fingers?
Zvichitaurwa zviri nyore, uku kuchinja kunoitika pamipendero yeminwe nezvigunwe. Mipendero yeminwe yako inozvimba, inokura, uye nzara dzinokotama pasi dzoita chitarisiko chinopenya. Vamwe vanhu vanozvarwa vaine chirwere ichi, uye chirwere chekuzvarwa nacho. Asi kazhinji, chinokonzerwa nechimwe chirwere.
Fungidzira, kana nhengo dzemuviri wedu dzikasawana okisijeni yakakwana, muviri unopindura nekugadzira makemikari akawanda, akadai seVascular Endothelial Growth Factor (VEGF) . Iyi VEGF inokonzera kuti tsinga dzeropa dziwedzere kusvika paminwe. Ndosaka minwe ichiita seyakazvimba uye yakakura.
Chinhu chinonyanya kukosha ndechekuti hapana chikonzero chekurapa chirwere chacho, chinonzi clubbed fingers. Zvisinei, zvakakosha kuwana nekurapa chirwere chakakonzera chirwere ichi.
Ndezvipi chaizvo zviri hunhu hweizvi?
Kuchinja uku kunogona kuonekwa zvakajeka kana ukatarisa minwe yemunhu ane minwe yakarova. Tinofanira kuiona setafura here?
| Chiratidzo | Tsananguro |
|---|---|
| Kuzvimba kwenyama iri pasi penzara | Nyama iri pasi penzara yakazvimba uye inonzwa yakapfava, sechipanji, kana yabatwa. |
| Kuzvimba kwezvigunwe zvemaoko | Zvigunwe zvemunwe zvinoita sezvimiti zvemadhiramu uye zvinogona kunge zvitsvuku uye zvichinzwa kudziya. |
| Kukombama kwenzara | Nzara dzinokombama dzichidzika, dzichiita semuromo. Nzara dzinogonawo kupenya. |
| Kuchinja kwekona yehwaro hwenzara | Kazhinji, kona iri pakati penzara neganda painotangira (cuticle) inenge iri madhigirii zana nemakumi matanhatu. Asi pakadai, kona iyoyo inowedzera. |
Ndezvipi zvikonzero zvikuru zveminwe ine mavanga?
Ichi ndicho chikamu chakakosha. Inenge 80% yeminwe ine mavanga inokonzerwa nechirwere chemapapu. Kunze kweizvozvo, chirwere chemwoyo nezvimwe zvirwere zvinogonawo kukonzera chirwere ichi.
1. Matambudziko ane chekuita nemapapu
- Kenza yeMapapu: Ichi ndicho chiratidzo chinowanzo fungidzirwa navanachiremba pavanoona minwe yakakandwa. Kenza yeMapapu inogonawo kuperekedzwa nezviratidzo zvinotevera:
- Kukosora kunoramba kuripo kana kuchinja kwehunhu hwekukosora
- Kukosora ropa kana madzihwa
- Kuoma kufema
- Kurwadziwa mumapfupa nemajoini
- Anorexia uye kuderedza uremu
- Kuneta nguva dzose
- Zvimwe zvirwere zvemapapu:
- Chirwere chemapapu cheInterstitial: Kuzvimba kwemapapu.
- Pulmonary Fibrosis: Nyama yemapapu inokora uye inooma.
- Cystic Fibrosis: Chirwere chemajini chinoita kuti muviri ugadzire huturu hwakawandisa.
- Bronchiectasis: Kukuvadzwa kwenzira dzekufema mumapapu.
- Chipunu chemapapu: Chipunu chakazara nematumbu mumapapu.
2. Matambudziko ane chekuita nemoyo
- Chirwere chemwoyo cheCyanotic Congenital Heart Disease (CCHD): Kukanganisika kwemoyo kwekuzvarwa nako kunoita kuti muviri usawane ropa rakawanda rine oxygen. Izvi zvinogona kukonzera kuti ganda riite bhuruu (cyanosis).
- Kukundikana kwemoyo: Kusakwanisa kwemoyo kupomba ropa kuti rigutse zvinodiwa nemuviri.
- Atrial Myxoma: Bundu risiri rekenza (risina kuipa) rinoitika mumoyo.
- Subacute Bacterial Endocarditis: Utachiona hwakakomba hwebhakitiriya huri mukati memwoyo (endocardium).
3. Zvimwe zvikonzero
Izvi hazviwanzoitiki, asi zvirwere izvi zvinogonawo kukonzera minwe yakarovera.
- Chiropa Chisingaperi: Kusashanda zvakanaka kwechiropa nekuda kwekukuvara kwenguva refu.
- Chirwere cheInflammatory Bowel Disease (IBD): Izvi zvinosanganisira zvirwere zvakaita seCrohn's Disease neUlcerative Colitis . Izvi zvinosanganisira kuzvimba kwenguva refu kwenzira yekugaya.
- Osteoarthropathy Yekutanga (Hoa Yekutanga):Ichi chirwere chinokonzerwa nemajini. Kuchinja kweminwe kunotanga panguva yekuyaruka, nezviratidzo zvakaita sekukora kweganda uye kudikitira zvakanyanya.
Chiremba anowana sei izvi?
Kana ukaona chiremba ane chiratidzo ichi, chinhu chekutanga chaachaita ndechekunyatsoongorora minwe yako. Pamusoro pezvo, vachakubvunza nezvenhoroondo yako yese yezvekurapa.
Zvadaro, vacharaira mimwe miedzo kuti vaone kuti chii chiri kukonzera izvi.
| Bvunzo | Sei zvichiitwa? (Sei zvichiitwa?) |
|---|---|
| X-ray yechipfuva kana CT scan | Tarisa kana paine matambudziko mumapapu nemoyo. |
| Kuongororwa kweRopa | Tarisa zvinhu zvakaita semamiriro ehutachiona uye mashandiro echiropa. |
| Kuongororwa kwemuviri | Tora chidimbu chidiki chenyama inofungirwa kuti ine kenza wochiongorora uchishandisa maikorosikopu kuti uone kana paine masero ekenza. |
Matanho ekuita makirabhu ndeapi?
Kuchinja uku hakuitiki panguva imwe chete. Kazhinji, matanho aya anoitika kwemakore akawanda.
1. Danho rekutanga: Kutanga, mubhedha wenzara unotsvuka uye unopfava.
2. Danho rechipiri: Kona iri pakati penzara neganda inotanga kuwedzera. Nzara inotanga kukotama panguva iyi.
3. Danho rechitatu: Nekufamba kwenguva, muromo wemunwe unowedzera kuzvimba uye kukura.
4. Danho Rechina: Minwe yacho inotaridzika se "clubbed" kana kuti yakaita seclub.
5. Danho rechishanu: Pakupedzisira, nzara neganda rakaipoteredza zvinopenya. Nzara dzinogona kutoita mitsetse.
Kunyangwe izvi zvichiwanzoitika zvishoma nezvishoma, mune zvimwe zvirwere (semuenzaniso, chipfuva chemapapu) zvinogona kuitika nekukurumidza.
Mharidzo Yekuenda Nayo Kumba
- Zvigunwe zvine mavanga hazvisi chirwere chakasiyana, asi chiratidzo chakakosha cheimwe chirwere chiripo.
- Izvi zvinogona kuwanzobatanidzwa nezvirwere zvakakomba zvakaita sechirwere chemapapu (kunyanya kenza yemapapu), chirwere chemwoyo, kana chirwere chechiropa.
- Kana ukaona chimwe chezvishanduko izvi muminwe yako kana yemumwe munhu waunoziva, usazviregeredza. Enda kuna chiremba ane hunyanzvi nekukasika kuti akupe mazano.
- Zvigunwe zveClubbed hazvirapirwi chirwere ichi, asi kuti zvinorapwa nechirwere chakakonzera chirwere ichi. Kana chirwere ichocho chikarapwa nemazvo, minwe inogona kudzokera pakuva yakajairika.
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