Ngaba wakha wajonga izandla zakho waza wacinga, "Owu, iminwe yam inkulu kancinci, kwaye iinzipho zam ziyagoba"? Okanye ngaba ukhe waphawula utshintsho olunje ezandleni zomntu omaziyo? Kwizonyango, oku sikubiza ngokuba yi-'Clubbed Fingers'. Esi asisosifo esahlukileyo ngokwenene. Nangona kunjalo, singaba luphawu olubaluleke kakhulu olusinika olunye uhlobo lwesifo emzimbeni wethu. Ke ngoko, kubaluleke kakhulu ukuqaphela oku.
Zithini kanye kanye iiClubbed Fingers?
Ngamafutshane, olu lutshintsho oluvela kwiincam zeminwe yakho neenzwane. Iincam zeminwe yakho ziyadumba, zikhule, kwaye iinzipho ziyagoba ziye ezantsi zize zibonakale zikhazimla. Abanye abantu bazalwa benale meko, kwaye yimeko yokuzalwa. Kodwa uninzi lwexesha, ibangelwa yenye imeko yezonyango.
Khawucinge nje, xa izicubu zomzimba wethu zingafumani ioksijini eyaneleyo, umzimba uphendula ngokuvelisa iikhemikhali ezingaphezulu, ezifana neVascular Endothelial Growth Factor (VEGF) . Le VEGF ibangela ukuba imithambo yegazi yande iye kwiinwebu zeminwe. Yiyo loo nto iinwebu zeminwe zibonakala zidumbile kwaye zikhulisiwe.
Eyona nto ibalulekileyo kukuba akukho mfuneko yokunyanga le meko ngokwayo, ebizwa ngokuba yiminwe ebambeneyo. Nangona kunjalo, kubalulekile ukufumana nokunyanga imeko yezonyango ebangele loo nto.
Zithini kanye kanye iimpawu zale nto?
Olu tshintsho lubonakala ngokucacileyo xa ujonga iminwe yomntu oneminwe eneengalo. Ngaba singayijonga njengetafile?
| Uphawu | Ingcaciso |
|---|---|
| Ukudumba kwezicubu ezingaphantsi kweenzipho | Inyama engaphantsi kwenzipho idumbile kwaye ivakala ithambile, njengesponji, xa ichukunyiswa. |
| Ukudumba kweminwe yeminwe | Iminwe ifana neengcibi zedrama kwaye inokuba bomvu kwaye ivakale ifudumele. |
| Ukugoba iinzipho | Iinzipho zigoba ziye ezantsi, zithatha imo efana nomlomo weparrot. Iinzipho nazo zinokuba nenkangeleko ekhazimlayo. |
| Utshintsho kwi-engile yesiseko seenzipho | Ngokwesiqhelo, i-engile ephakathi kwenzipho kunye nolusu apho luqala khona (i-cuticle) imalunga ne-160 degrees. Kodwa kule meko, loo engile iyanda. |
Zithini izizathu eziphambili zeminwe eneengalo eziqinileyo?
Le yeyona nxalenye ibalulekileyo. Malunga ne-80% yeminwe eneengalo ibangelwa sisifo semiphunga. Ngaphandle koko, isifo sentliziyo nezinye iimeko zonyango nazo zinokubangela oko.
1. Iingxaki ezinxulumene nemiphunga
- Umhlaza Wemiphunga: Olu lolona phawu luqhelekileyo oogqirha abalukrokrelayo xa bebona iminwe ebambene ngemikhono. Umhlaza wemiphunga usenokuhamba nezi mpawu zilandelayo:
- Ukukhwehlela okungapheliyo okanye utshintsho kwindlela okhwehlela ngayo
- Ukukhwehlela igazi okanye i-mucus
- Ubunzima bokuphefumla
- Intlungu emathanjeni nasemalungeni
- I-Anorexia kunye nokunciphisa umzimba
- Ukudinwa rhoqo
- Ezinye izifo zemiphunga:
- Isifo seMiphunga sangaphakathi: Ukudumba kwemiphunga.
- I-Pulmonary Fibrosis: Izicubu zemiphunga ziyaqina kwaye ziqine.
- I-Cystic Fibrosis: Isifo semfuza esibangela ukuba umzimba uvelise i-mucus eninzi kakhulu.
- I-Bronchiectasis: Ukonakala kwendlela yomoya emiphungeni.
- Ithumba Laselungwini: Ithumba elizaliswe bubomvu emphungeni.
2. Iingxaki ezinxulumene nentliziyo
- Isifo sentliziyo esizalwa naso (CCHD): Isifo sentliziyo esibangelwa kukuzalwa esibangela ukuba umzimba ufumane igazi elincinci elineoksijini. Oku kunokubangela ukuba ulusu lube luhlaza okwesibhakabhaka (cyanosis).
- Ukusilela kwentliziyo: Ukungakwazi kwentliziyo ukupompa igazi ukuhlangabezana neemfuno zomzimba.
- I-Atrial Myxoma: Ithumba elingenamhlaza (elingenobungozi) elivela entliziyweni.
- I-Subacute Bacterial Endocarditis: Usulelo olukhulu lwebhaktiriya eludongeni lwangaphakathi lwentliziyo (endocardium).
3. Ezinye izizathu
Ezi azixhaphakanga kangako, kodwa ezi meko zinokubangela neminwe eneengalo.
- I-Liver Cirrhosis: Ukungasebenzi kakuhle kwesibindi ngenxa yomonakalo ohlala ixesha elide.
- Isifo samathumbu esibangelwa kukudumba (IBD): Oku kuquka izifo ezifana nesifo sikaCrohn kunye ne -Ulcerative Colitis . Ezi kukudumba okungapheliyo kwendlela yokugaya ukutya.
- I-Primary Hypertrophic Osteoarthropathy (i-HOA ephambili):Le yimeko yemfuza. Utshintsho kwiminwe luqala ngexesha lokufikisa, kunye neempawu ezifana nokuqina kwesikhumba kunye nokubila kakhulu.
Ugqirha uyifumana njani le nto?
Xa ubona ugqirha onesi sibonakaliso, into yokuqala aza kuyenza kukuhlola iminwe yakho ngononophelo. Ukongeza, baza kubuza ngembali yakho epheleleyo yezonyango.
Emva koko, baya kuyalela iimvavanyo ezithile ukuze bafumane ukuba yintoni kanye kanye ebangela oku.
| Uvavanyo | Kutheni kwenziwa? (Kutheni kwenziwa?) |
|---|---|
| I-X-ray yesifuba okanye i-CT scan | Jonga ukuba akukho na iingxaki ezimalunga nemiphunga nentliziyo. |
| Uvavanyo lwegazi | Jonga izinto ezifana nesimo sosulelo kunye nokusebenza kwesibindi. |
| I-Biopsy | Thabatha iqhekeza elincinci lesicwili esikrokrelekayo uze usijonge phantsi kwemakroskopu ukuze ubone ukuba kukho iiseli zomhlaza na. |
Ngawaphi amanqanaba okudlala iiklabhu?
Olu tshintsho alwenzeki ngaxeshanye. Ngokwesiqhelo, la manqanaba ayenzeka kwiminyaka ethile.
1. Inqanaba loku-1: Okokuqala, ibhedi yezipikili iba bomvu kwaye ithambe.
2. Inqanaba lesi-2: I-engile ephakathi kwenzipho nolusu iqala ukwanda. Uzipho luqala ukugoba kweli nqanaba.
3. Inqanaba lesithathu: Ekuhambeni kwexesha, incam yomunwe iyadumba kwaye ibe nkulu.
4. Inqanaba Lesine: Iminwe ibukeka 'njengeqela' okanye imile okweqela.
5. Inqanaba lesi-5: Ekugqibeleni, uzipho kunye nolusu olujikelezileyo luyakhazimla. Uzipho lunokude lube nemicu.
Nangona le nkqubo idla ngokuthatha ixesha, kwezinye iimeko zonyango (umz., ithumba lemiphunga) inokwenzeka ngokukhawuleza kakhulu.
Umyalezo Wokuya Ekhaya
- Iminwe eneekliphu ayisosifo esahlukileyo, kodwa luphawu olubalulekileyo lwenye imeko yezonyango engabonakaliyo.
- Oku kunokunxulunyaniswa neemeko ezinzulu ezifana nesifo semiphunga (ingakumbi umhlaza wemiphunga), isifo sentliziyo, okanye isifo sesibindi.
- Ukuba ubona naluphi na utshintsho olunjalo kwiminwe yakho okanye kumntu omaziyo, musa ukulutyeshela. Bona ugqirha ofanelekileyo ngoko nangoko ukuze ufumane ingcebiso.
- Iminwe ebambeneyo ayinyangwa ngenxa yeso simo, kodwa inyangwa ngenxa yesimo esibangele eso sifo. Ngonyango olufanelekileyo lwaloo meko, iminwe ingabuyela esiqhelweni.
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