Wake wabheka izandla zakho wacabanga, "O, iminwe yami mikhulu kancane, kanti izinzipho zami ziyagoba"? Noma uke waphawula ushintsho olufana nalolu ezandleni zomuntu omaziyo? Kwezokwelapha, lokhu sikubiza ngokuthi 'iminwe egobile'. Lokhu akusona isifo esihlukile empeleni. Kodwa-ke, kungaba uphawu olubaluleke kakhulu olusinika esinye isimo sesifo emzimbeni wethu. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.
Ziyini ngempela i-Clubbed Fingers?
Kalula nje, lolu ushintsho oluvela eziqongweni zeminwe yakho nezinzwane. Izihloko zeminwe yakho ziyavuvukala, zikhule, futhi izinzipho ziyagoba phansi bese zibonakala zikhazimula. Abanye abantu bazalwa benalesi simo, futhi kuyisimo sokuzalwa naso. Kodwa isikhathi esiningi, sibangelwa esinye isimo sezokwelapha.
Cabanga nje, lapho izicubu zomzimba wethu zingatholi umoya-mpilo owanele, umzimba usabela ngokukhiqiza amakhemikhali engeziwe, njenge- Vascular Endothelial Growth Factor (VEGF) . Le VEGF ibangela ukuthi imithambo yegazi ikhule iye ezinzwaneni. Yingakho izinzwane zibonakala zivuvukele futhi zikhulisiwe.
Into ebaluleke kakhulu ukuthi asikho isidingo sokwelapha lesi simo ngokwaso, esibizwa ngokuthi iminwe eboshwe ngentambo. Kodwa-ke, kubalulekile ukuthola nokwelapha isimo sezokwelapha esiyisisekelo esisibangele.
Yiziphi ngempela izici zalokhu?
Lezi zinguquko zingabonakala ngokucacile uma ubheka iminwe yomuntu oneminwe egobile. Ingabe kufanele sikubheke njengetafula?
| Uphawu | Incazelo |
|---|---|
| Ukuvuvukala kwezicubu ngaphansi kozipho | Inyama engaphansi kozipho iyavuvukala futhi izwakala ithambile, njengesiponji, uma ithintwa. |
| Ukuvuvukala kweminwe | Iminwe ibukeka njengezinti zezigubhu futhi ingaba bomvu futhi izwakale ifudumele. |
| Ukugoba izinzipho | Izinzipho zigoba ziye phansi, zithatha isimo esifana nomlomo. Izinzipho zingase zibukeke zicwebezela. |
| Ushintsho ekhoneni lesisekelo sezinzipho | Ngokuvamile, i-engeli ephakathi kozipho nesikhumba lapho luqala khona (i-cuticle) ingama-degrees angu-160. Kodwa kulokhu, leyo engeli iyanda. |
Yiziphi izimbangela eziyinhloko zeminwe eboshwe ngenduku?
Lena yingxenye ebaluleke kakhulu. Cishe u-80% weminwe ebambene ngenduku ibangelwa yisifo samaphaphu. Ngaphandle kwalokho, isifo senhliziyo nezinye izimo zezokwelapha nazo zingasibangela.
1. Izinkinga ezihlobene namaphaphu
- Umdlavuza Wamaphaphu: Lesi yisibonakaliso esivame kakhulu odokotela abasisolayo lapho bebona iminwe eboshwe ngenduku. Umdlavuza wamaphaphu ungabangela nezimpawu ezifana nalezi:
- Ukukhwehlela okuqhubekayo noma ushintsho esimweni sokukhwehlela
- Ukukhwehlela igazi noma amafinyila
- Ubunzima bokuphefumula
- Ubuhlungu emathanjeni nasemalungeni
- I-Anorexia kanye nokwehlisa isisindo
- Ukukhathala okuqhubekayo
- Ezinye izifo zamaphaphu:
- Isifo Samaphaphu Esingaphakathi: Ukuvuvukala kwamaphaphu.
- I-Pulmonary Fibrosis: Izicubu zamaphaphu ziyaqina futhi ziqine.
- I-Cystic Fibrosis: Isifo sofuzo esibangela ukuthi umzimba ukhiqize uketshezi oluningi kakhulu.
- I-Bronchiectasis: Ukulimala kwemigudu yomoya emaphashini.
- Ithumba Lamaphaphu: Ithumba eligcwele ubomvu emaphashini.
2. Izinkinga ezihlobene nenhliziyo
- Isifo Senhliziyo Esizalwa Naso Esibizwa ngokuthi i-Cyanotic Congenital Heart Disease (CCHD): Isifo senhliziyo esizalwa naso esibangela ukuthi umzimba uthole igazi elincane elinomoya-mpilo. Lokhu kungabangela isikhumba ukuba sibe luhlaza okwesibhakabhaka (cyanosis).
- Ukwehluleka Kwenhliziyo: Ukungakwazi kwenhliziyo ukupompa igazi ukuze kuhlangatshezwane nezidingo zomzimba.
- I-Atrial Myxoma: Isimila esingesona umdlavuza (esingesihle) esenzeka enhliziyweni.
- I-Subacute Bacterial Endocarditis: Ukutheleleka okukhulu kwebhaktheriya odongeni lwangaphakathi lwenhliziyo (i-endocardium).
3. Ezinye izizathu
Lokhu akuvamile kangako, kodwa lezi zimo zingabangela neminwe eboshwe ngenduku.
- I-Liver Cirrhosis: Ukungasebenzi kahle kwesibindi ngenxa yomonakalo wesikhathi eside.
- Isifo Sokuvuvukala Kwamathumbu (IBD): Lokhu kufaka phakathi izimo ezifana neSifo SikaCrohn kanye ne-Ulcerative Colitis . Lokhu ukuvuvukala okungapheli kwendlela yokugaya ukudla.
- I-Osteoarthropathy Eyinhloko Ephezulu (i-HOA Eyinhloko):Lesi yisimo sofuzo. Izinguquko eminweni ziqala esemncane, ngezimpawu ezifana nokuqina kwesikhumba kanye nokujuluka ngokweqile.
Udokotela ukuthola kanjani lokhu?
Uma ubona udokotela onalesi sibonakaliso, into yokuqala azokwenza ukuhlola iminwe yakho ngokucophelela. Ngaphezu kwalokho, bazobuza ngomlando wakho wezokwelapha ophelele.
Ngemuva kwalokho, bazo-oda izivivinyo ezithile ukuze bathole ukuthi yini ngempela ebangela lokhu.
| Ukuhlolwa | Kungani kwenziwa? (Kungani kwenziwa?) |
|---|---|
| I-X-ray yesifuba noma i-CT scan | Hlola noma yiziphi izinkinga ngamaphaphu nenhliziyo. |
| Ukuhlolwa Kwegazi | Hlola izinto ezifana nesimo sokutheleleka kanye nokusebenza kwesibindi. |
| Ukuhlolwa kwebhayoloji | Thatha ingxenye encane yezicubu ezisolisayo bese uyihlola ngaphansi kwesibonakhulu ukuze ubone ukuthi akhona yini amangqamuzana omdlavuza. |
Yiziphi izigaba zokuhlanganisa amakilabhu?
Lolu shintsho alwenzeki ngesikhathi esisodwa. Ngokuvamile, lezi zigaba zenzeka phakathi neminyaka ethile.
1. Isigaba 1: Okokuqala, umbhede wezinzipho uba bomvu futhi uthambe.
2. Isigaba 2: I-engeli ephakathi kozipho nesikhumba iqala ukwanda. Uzipho luqala ukugoba kuleli qophelo.
3. Isigaba Sesithathu: Ngokuhamba kwesikhathi, isihloko somunwe siyavuvukala futhi sibe sikhulu.
4. Isigaba Sesine: Iminwe ibukeka 'njengesiklabhu' noma ifana neklabhu.
5. Isigaba 5: Ekugcineni, uzipho kanye nesikhumba esizungezile kuyacwebezela. Izinzipho zingase zibe nemicu.
Nakuba le nqubo ivame ukwenzeka kancane, kwezinye izimo zezokwelapha (isib., ithumba lamaphaphu) ingenzeka ngokushesha okukhulu.
Umlayezo Wokuya Nawe Ekhaya
- Iminwe eboshwe ngenduku akuyona isifo esihlukile, kodwa kunalokho iwuphawu olubalulekile lwesinye isimo sezokwelapha esiyisisekelo.
- Lokhu kungavame ukuhlotshaniswa nezimo ezingathi sína njengesifo samaphaphu (ikakhulukazi umdlavuza wamaphaphu), isifo senhliziyo, noma isifo sesibindi.
- Uma ubona noma yiluphi lwalezi zinguquko eminweni yakho noma komunye umuntu omaziyo, ungalushayi indiva. Bheka udokotela ofanelekayo ngokushesha ukuze uthole iseluleko.
- Iminwe Enezinduku ayilashwanga ngenxa yalesi simo, kodwa ngenxa yesimo esiyisisekelo esibangele lesi simo. Ngokwelashwa okufanele kwaleso simo, iminwe ingabuyela esimweni sayo esijwayelekile.
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