Ngaba amaqhina akho abonakala ekhulu? Nantsi into ekufuneka uyazi malunga neminwe eneengalo!

Ngaba wakha waphawula ukuba iincam zeminwe okanye iinzwane zabanye abantu zikhuliswe ngendlela engaqhelekanga, kwaye iinzipho zivuvukile? Kufana ne-drumstick encinci (abanye abantu bayibiza ngokuba yi-drumstick). Mhlawumbi wena okanye umntu osapho lwakho ukhe wayibona. Ukubona oku kunokukwenza ube nomdla kancinci, mhlawumbi ube novalo. Ngoko ke, masithethe ngale nto ngokweenkcukacha namhlanje, kulungile?

Yintoni kanye kanye iminwe eneengalo ezibomvu?

Ngamafutshane, iminwe eneengalo kuxa iincam zeminwe yakho, iinzwane, kunye nolusu olujikelezileyo zibonakala zahlukile. Oku kungenzeka kungekuphela nje kwiminwe yakho, kodwa nakwiinzwane zakho. Kule meko, uhlala ubona le meko ezandleni zombini kunye/okanye ezinyaweni zombini. Ngamanye amaxesha kuthiwa yi-digital clubbing. Uyazi, 'iinombolo' ziminwe esezandleni nasezinyaweni zethu.

Ngoku usenokuba ucinga, "Kulungile, ngoko ke yintoni umahluko phakathi komnwe oqhelekileyo kunye nomnwe 'onamaqhubu'?"

Umbuzo omhle!

Ngokwesiqhelo, uzipho lomnwe ophilileyo lugobile kancinci ngaphakathi kwindawo oludibana kuyo nomnwe (i-ulna). Nangona kunjalo, kule meko ethi "Clubbing"`, incam yomnwe ingabonakala idumbile, ibomvu, okanye itshintshile umbala. Ekugqibeleni, uzipho luya kugoba luye ezantsi, lujongeka njengecephe eliguquliweyo. Ngamanye amaxesha, uzipho lusenokuphuma kancinci, lubonakale ngathi luhlukene nomnwe.

Ngubani onokuhlakulela le meko?

Enyanisweni, le meko ibizwa ngokuba yi-"Digital Clubbing" inokwenzeka nakubani na. Uninzi lwexesha, luphawu lwenye imeko yezonyango. Nangona kunjalo, kunqabile kakhulu, inokwenzeka ngaphandle kwesizathu esicacileyo. Kwizonyango, siyibiza ngokuba yi-"Idiopathic". Oko kuthetha ukuba "akukho sizathu sinokufunyanwa."

Kwakhona, kwabanye abantu oku kusenokuba yinto yokuzalwa , okanye kusenokuba yimfuza .

Amaxesha amaninzi, la malungu eminwe ayakhula, nto leyo ebonisa ukuba kukho ingxaki kwimiphunga yakho, intliziyo, okanye inkqubo yokugaya ukutya . Oku kuyinyani ngakumbi xa inqanaba leoksijini egazini lakho liphantsi ixesha elide, imeko ebizwa ngokuba yi-"Hypoxemia".

Zithini iimpawu zoku? Ibonakala njani xa amaqhina ekhulisiwe?

Iimpawu zesi sifo ikakhulu kukutshintsha kwendlela ezibonakala ngayo iminwe yakho kunye nezinzipho. Makhe sijonge ukuba zithini na:

• Uzipho lusenokubonakala ngathi luhlukene nomnwe . Lusenokudada nje.
• I-engile apho uzipho lwakho ludibana khona nolusu apho luqala khona (oko sikubiza ngokuba yi-cuticle) iba banzi nangakumbi.
• Isikhonkwane savela nje phezulu njengentaba.Iqala ukubonakala. Oku kubonakala ngokucacileyo xa ujonga umnwe kwicala (umbono weprofayili).
• Iincam zeminwe ziyaba banzi kwaye zibe yingqukuva .
• Ngamanye amaxesha ezi minwe zinokuba mnyama kancinci okanye zivakale zishushu xa uzichukumisa .
• Ekugqibeleni, incam yesikhonkwane igoba iyehla ize ibonakale igobile , njengecala elingaphantsi kwecephe.

Olu tshintsho alwenzeki ngaxeshanye. Lukhula kancinci kancinci, mhlawumbi emva kweenyanga okanye iminyaka.

Kutheni amalungu eminwe eba makhulu kangaka? Zithini izizathu?

Ngamanye amaxesha, amaqhina akho asenokukhula, kodwa kusenokungabikho ngxaki ithile yezonyango ebangela oko. Kwimeko enjalo, akuyi kukwenzakalisa. Nangona kunjalo, kwiimeko ezininzi, xa oogqirha bebona uphawu olufana nolu, baya kukhangela naziphi na iimeko zempilo ezifihlakeleyo.

Izifo ezininzi ezinxulumene nokwanda kwamalungu eminwe zinxulumene nentliziyo yakho, imiphunga, kunye nenkqubo yokugaya ukutya . Makhe sijonge ezinye zezi meko:

Iintlobo zeMihlaza

Okubuhlungu kukuba, ezinye iintlobo zomhlaza nazo zinokubangela le meko "yokuqaqanjelwa yimisipha".

• Umhlaza wesisu
• Izihlunu zesisu
• Umhlaza wesibindi
• Umhlaza wemiphunga - Le yeyona nto inxulunyaniswa kakhulu nokudlala iiklabhu.
• I-Lymphoma ( umhlaza we-lymph glands )
• I-Mesothelioma : Lo ngumhlaza ongaqhelekanga wemiphunga owenzeka kubantu abasebenza nge-asbestos.

Iimeko zentliziyo nemiphunga ezingezizo ezomhlaza

Le meko ingabangelwa kungekuphela nje ngumhlaza, kodwa nakwezinye izifo zentliziyo nemiphunga.

• I-Aortic aneurysm: Le yingqumba eludongeni lomthambo wegazi omkhulu emzimbeni.
• I-Bronchiectasis : Le yimeko apho iindlela zomoya ziba namanxeba kwaye kukho ukukhwehlela rhoqo okune-mucus.
• Isifo sentliziyo esizalwa naso : Iziphene ezithile zesakhiwo sentliziyo ezibakho ekuzalweni.
• I-Cystic fibrosis : Esi sisifo esidluliselwa kwilifa esibangela ukuba incindi etyebileyo efana ne-mucus iqokeleleke kwizitho ezahlukeneyo zomzimba.
• I-Empyema : Ingqokelela yobofu emzimbeni, ingakumbi ulwelo lwemiphunga (i-pleura).
• I-Endocarditis : Usulelo olungena egazini luze luchaphazele iivalvu zentliziyo.
• Amathumba emiphungeni: Ingqokelela yobofu ngaphakathi emiphungeni, ebangela ukudumba kwezicubu ezijikelezileyo.
• I-Idiopathic pulmonary fibrosis : Izicubu zemiphunga ziyaqhekeka kwaye zijiye, nto leyo ebangela umonakalo kwimiphunga.
• I-Sarcoidosis : Esi sisifo sokuvuvukala esinokutshintsha ulwakhiwo kunye nomsebenzi wamalungu afana nemiphunga.

Ezinye iimeko zonyango

Ukongeza koku, kukho nezinye izizathu:

• I-Ascariasis : Usulelo lweentshulube oluvela emathunjini.
• Isifo seCeliac : Esi sisifo esihlasela amathumbu amancinci esinokonakalisa amathumbu akho amancinci.
• I-Cirrhosis : Ukutshintshwa kwezicubu zesibindi eziphilileyo ngezicubu ezibomvu, ezidla ngokubangelwa kukusebenzisa utywala ngokugqithisileyo.
• Isifo samathumbu avuvukalayo: Isifo sokuvuvukala esonakalisa amathumbu (umz., isifo sikaCrohn, i-ulcerative colitis).
• Isifo se-thyroid : Iimeko eziphazamisa ukusebenza kwe-thyroid gland.
• Ukusetyenziswa kakhulu kwamayeza athile : Umzekelo, amayeza afana ne-laxatives ( i-laxatives ), i-Interferon alfa-2A, kunye ne-Prostaglandin infusion.

Khawucinge nje ukuba zingaphi izinto ezinokubangela olu phawu luncinci lwezinqe ezinkulu! Yiyo loo nto kungcono ukungayinaki into efana nale.

Ingaba le minwe ikhulisiweyo iyasulela?

Hayi, oku kukhula kwamaqhina akusasazeki. Kuba, akusiso isifo, luphawu. Nangona kunjalo, isifo esibangela oku sinokubangela ukuba maxa wambi sibe sesisosulelayo. Umzekelo, ukuba yinto efana nosulelo lwemiphunga, sisenokusasazeki. Kodwa umahluko kwiminwe awukosuleli.

Ugqirha uyixilonga njani le nto? (Uxilongo)

Xa usiya kugqirha oneempawu ezinje, uza kuqala akubuze ngembali yakho epheleleyo yezonyango . Oku kuthetha naziphi na ezinye izifo onazo, nawaphi na amayeza owaselayo, kunye nokuba kukho nabani na kusapho lwakho okhe waba neemeko ezifanayo. Emva koko baza kwenza uvavanyo lomzimba . Ngokusuka kwinto oyithethayo novavanyo, banokufumana umbono wesizathu.

Ngokukodwa, ugqirha angajonga kakuhle iminwe yakho aze athathe neemilinganiselo ezithile.

• I-engile yeLovibond okanye uphawu lweprofayili yeLovibond: Le yi-engile ephakathi kwe-proximal nail fold kunye ne-nail bed, ebonwa kwicala lomnwe wakho. Kwi-nail eqhelekileyo esempilweni, le engile ingaphantsi kwe-180 degrees (idla ngokuba malunga ne-160). Nangona kunjalo, kwi-nail ene-clubbed, le engile ingaphezulu kwe-180 degrees.
• Uphawu lweSchamroth: Olu luvavanyo olulula kakhulu. Beka amacala ezinzipho zomnwe omnye (umzekelo, iminwe emibini yokukhomba) yezandla zakho zombini zijongane kwaye ucinezele isiseko sezinzipho ngokuqinileyo kwilungu. Ukuba kukho ``(Clubbing)``, ifestile encinci efana nedayimani kufuneka ibonakale phakathi kweziseko zezinzipho. Ukuba kukho ``(Clubbing)``, umsantsa awuyi kubonakala.
• I-engile ye-hyponychial:Olu luvavanyo lwe-engile phakathi kwesikhumba phantsi kwencam yesikhonkwane (hyponychium), ibhedi yeenzipho, ibhedi yeenzipho, kunye nelungu elikufutshane.

Emva kwezi mvavanyo zokuqala, ugqirha unokuyalela ezinye iimvavanyo ngokuxhomekeke kwimeko yempilo ekrokrelwayo.

• I-X-ray yesifuba idla ngokucelwa.
• Ukuba akukho nto icacileyo kwi-X-ray, kunokwenziwa i-CT scan .
• Ukongeza, kuxhomekeke kwisifo esirhanelwayo, ezinye iimvavanyo zegazi, ezinye iimvavanyo zomfanekiso, okanye kwaneemvavanyo zezicubu (ii-biopsy) kunokufuneka zenziwe.

Iphathwa njani le nto?

Nantsi into ekufuneka uyiqonde. Oogqirha abayinyangi ngqo iminwe eneengalo kuba ayisosifo, luphawu nje.

Oogqirha banyanga imeko engundoqo ebangele le meko "yokuqaqanjelwa yimisipha".

Umzekelo, ukuba ukuqubha kwiklabhu kubangelwa lusulelo lwemiphunga, ukunyanga usulelo kuya kunceda. Ukuba lubangelwa lusulelo, umhlaza kufuneka unyangwe.

Xa imeko engaphantsi inyangwa ngokufanelekileyo, ngamanye amaxesha oku kwandiswa kwamalungu eminwe kunokuncipha okanye kupheliswe. Kodwa oku akusoloko kusenzeka.

Ngaba umngcipheko wale meko ungancitshiswa?

Ukuba uneminwe ekhuliswe ngokuzalwa, akukho ndlela yokuyithintela.

Nangona kunjalo, kukho izinto onokuzenza ukunciphisa umngcipheko wakho wokufumana ezinye zezifo ezinokukhokelela kule meko ye-"Digital Clubbing". Cinga ngoku:

• Ngokungatshayi, unganciphisa kakhulu umngcipheko wakho wokuba nomhlaza wemiphunga, ezinye izifo zemiphunga, kunye nesifo sentliziyo.
• Ukuphepha ukusela utywala kakhulu kunokunciphisa umngcipheko wokufumana izifo ezifana ne-liver cirrhosis.
• Ukutya ukutya okunesondlo kunye nokuzilolonga rhoqo kunokunceda ukugcina impilo entle iyonke.

Endaweni yokuthi ezi zinto zithintela ngokuthe ngqo `(Clubbing),' kuchanekile ngakumbi ukuthi zikhusela kwizifo ezibangela `(Clubbing).'

Kuza kwenzeka ntoni xa amaqhina ekhulisiwe? Yintoni esinokuyilindela kwixesha elizayo?

Imbono yomntu onengxaki yokudibana neeklabhu iyahluka ukusuka kumntu ukuya komnye. Ixhomekeke ngokupheleleyo kwimeko ebangela ukuba iklabhu ihlangane neeklabhu kunye nempumelelo yonyango.

Ngamanye amaxesha, ukuba imeko engaphantsi inyangwa ngokufanelekileyo, iinzipho zeenyawo ezikhulisiweyo zinokuphela ngokupheleleyo. Nangona kunjalo, kwezinye iimeko ezinzima, oku kusenokungabi njalo.

Ndifanele ndimbone nini ugqirha?

Oku kubaluleke kakhulu.

• Ukuba ubona naluphi na utshintsho olutsha kwizinzipho zakho okanye kwiinwele zakho , oko kuthetha ukuba zibonakala zikhula zibe nkulu kunangaphambili, zitshintsha umbala, okanye zitshintsha imilo, qiniseka ukuba ubona ugqirha.
• Ukuba ugqirha sele ekufumanise ukuba unesifo esinxulumene nokuqaqanjelwa ngamaqela kwaye wakunika unyango olumiselweyo, landela olo nyango ngokuchanekileyo.
• Ukuba nangasiphi na isizathu uneenkxalabo okanye amathandabuzo malunga noku, ungoyiki ukuxoxa nogqirha wakho ngako .

Khumbula, uyazi kakuhle umzimba wakho. Ukuba wazalwa uneenzipho ezinkulu, akufuneki uzinyange, kwaye aziyi kukubangela iingxaki. Nangona kunjalo, ukuba ubona naluphi na utshintsho olutsha kwiminwe okanye ezinzipho zakho, musa ukuzityeshela. Bona ugqirha uze ufumane ulwazi olufunayo. Ungoyena mntu ubalulekileyo ekunyamekeleni impilo yakho. Ugqirha wakho liqabane lakho olithembayo.

Isishwankathelo: Zonke izinto esizithethileyo ngaxeshanye! (Umyalezo Wokubuyela Ekhaya)

Kulungile, masiphinde sichaze ezinye zezinto esithethe ngazo namhlanje:

• Iminwe eneeklabhu yimeko apho iincam zeminwe kunye nezinzipho zivuvukala kwaye zibe nemo eyahlukileyo.
• Oku kungaba luphawu lwesinye isifo , ingakumbi izifo zemiphunga, intliziyo, okanye inkqubo yokugaya ukutya.
• Ngamanye amaxesha ingafunyanwa ngaphandle kwesizathu, ngokuzalwa okanye ngelifa .
• Iimpawu eziphambili zezipikili ezigobile njengecephe, i-engile yeenzwane inyusiwe, kwaye iincam zeminwe zijikelezwe.
• Oku akusuleli.
• Ugqirha uza kwenza iimvavanyo ezahlukeneyo ukuze afumanise oku, njenge-engile yeLovibond kunye nophawu lweSchamroth.
• Akukhona malunga nokudlala iiklabhu, kodwa malunga nesifo esisisiseko.
• Ukuba ubona naluphi na utshintsho olutsha kwiminwe yakho, ngokuqinisekileyo bonana nogqirha.

Ngoko ke, ndiyathemba ukuba uyiqonda kakuhle le `(Clubbed Fingers)`. Musa ukoyika, kodwa lumka. Yiyo leyo into ebaluleke kakhulu!

iminwe eneeklabhu , ukubhoboza iiklabhu zedijithali, izifo zezinzipho, ukukhubazeka kweminwe, iimpawu zemiphunga, iimpawu zentliziyo, ukungabikho koxinzelelo lwegazi emzimbeni