Ingabe amafindo akho abonakala ekhuluphele? Nakhu okudingeka ukwazi ngeminwe eboshwe ngenduku!

Wake waphawula ukuthi iziqongo zeminwe noma izinzwane zabanye abantu zikhuliswe ngendlela exakile, kanti izinzipho zivuvukele? Kufana nenduku encane (abanye abantu bayibiza ngokuthi ukubukeka kwenduku). Mhlawumbe wena noma othile emndenini wakho ukubonile. Ukubona lokhu kungakwenza ube nelukuluku elincane, mhlawumbe uze wesabe. Ngakho-ke, ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, kulungile?

Iyini ngempela iminwe eboshwe ngenduku?

Kalula nje, iminwe eboshwe ngenduku yilapho iziqongo zeminwe yakho, izinzwane, kanye nesikhumba esizungezile zibukeka zihlukile. Lokhu kungenzeka hhayi kuphela eminweni yakho, kodwa nasezinzwaneni zakho. Kulesi simo, uvame ukubona lesi simo kuzo zombili izandla kanye/noma ezinyaweni zombili. Ngezinye izikhathi kubizwa ngokuthi i-digital clubbing. Uyazi, 'amadijithi' yiminwe esezandleni nasezinyaweni zethu.

Manje ungase ucabange, "Kulungile, pho umehluko uyini phakathi komunwe ojwayelekile nalo munwe 'onezinduku'?"

Umbuzo omuhle!

Ngokuvamile, uzipho lomunwe ophilile lugobile kancane ngaphakathi endaweni lapho luhlangana khona nomunwe (i-ulna). Kodwa-ke, kulesi simo esithi "Clubbing", isihloko somunwe singase sibonakale sivuvukele, sibomvu, noma sishintshe umbala. Ekugcineni, uzipho luzogoba luye phansi, lubukeke njengesipuni esiphendukezelwe. Ngezinye izikhathi, uzipho lungaze luphume kancane, lubonakale sengathi luhlukene nomunwe.

Ubani ongahlakulela lesi simo?

Empeleni, lesi simo esibizwa ngokuthi "i-Digital Clubbing" singenzeka kunoma ubani. Esikhathini esiningi, siwuphawu lwesinye isimo sezokwelapha. Kodwa-ke, akuvamile kakhulu, singavela ngaphandle kwesizathu esisobala. Kwezokwelapha, sikubiza ngokuthi "i-Idiopathic". Lokho kusho ukuthi "akukho sizathu esingatholakala."

Futhi, kwabanye abantu lokhu kungaba yinto yokuzalwa , noma kungaba yifa .

Ngokuvamile, la malunga eminwe ayakhula, okubonisa ukuthi kunenkinga ngamaphaphu akho, inhliziyo, noma uhlelo lokugaya ukudla . Lokhu kuyiqiniso ikakhulukazi uma izinga lomoya-mpilo egazini lakho liphansi isikhathi eside, isimo esibizwa ngokuthi "i-Hypoxemia".

Ziyini izimpawu zalokhu? Kubukeka kanjani uma amafindo ekhulisiwe?

Izimpawu zalesi simo ikakhulukazi izinguquko ekubukekeni kweminwe nezinzipho zakho. Ake sibheke ukuthi ziyini:

• Uzipho lungase lubonakale sengathi luqhelile emunweni . Lungase luntante nje.
• I-engeli lapho uzipho lwakho luhlangana khona nesikhumba lapho luqala khona (lokho esikubiza ngokuthi i-cuticle) iba banzi kakhulu.
• Isipikili savele savela njengentaba.Sekuqala ukubonakala. Lokhu kubonakala kahle kakhulu uma ubheka umunwe ohlangothini (ukubuka kwephrofayili).
• Iminwe ibanzi futhi iba yindilinga .
• Ngezinye izikhathi lezi minwe ingaba mnyama kancane noma izwakale ishisa uma uyithinta .
• Ekugcineni, isihloko sozipho sigoba phansi futhi sibukeka sigobile , njengengxenye engezansi yesipuni.

Lezi zinguquko azenzeki ngesikhathi esisodwa. Zikhula kancane kancane, mhlawumbe ngemva kwezinyanga noma iminyaka.

Kungani amalunga eminwe eba makhulu kangaka? Yiziphi izizathu?

Ngezinye izikhathi, amafindo akho angase akhule, kodwa kungase kungabi khona isimo esithile sezokwelapha esibangela lokho. Uma kunjalo, ngeke kukulimaze. Kodwa-ke, ezimweni eziningi, lapho odokotela bebona uphawu olufana nalolu, bazobheka noma yiziphi izimo zezokwelapha eziyisisekelo.

Izifo eziningi ezihambisana nokukhula kwamalunga eminwe zihlobene nenhliziyo yakho , amaphaphu, kanye nohlelo lokugaya ukudla . Ake sibheke ezinye zalezi zimo:

Izinhlobo Zomdlavuza

Ngeshwa, ezinye izinhlobo zomdlavuza nazo zingadala lesi simo "sokuxabana".

• Umdlavuza we-Esophageal
• Izimila zesisu
• Umdlavuza wesibindi
• Umdlavuza wamaphaphu - Lokhu kuvame ukuhlotshaniswa nokudla amakilabhu.
• I-Lymphoma ( umdlavuza wezindlala ze-lymph )
• I-Mesothelioma : Lona umdlavuza ongavamile wolwelwesi lwamaphaphu owenzeka kubantu abasebenza nge-asbestos.

Izimo zenhliziyo namaphaphu ezingezona ezomdlavuza

Lesi simo singabangelwa hhayi umdlavuza kuphela, kodwa futhi nezinye izifo zenhliziyo namaphaphu.

• I-Aortic aneurysm: Lokhu kuwukuvuvukala odongeni lomthambo wegazi omkhulu kunayo yonke emzimbeni.
• I-Bronchiectasis : Lesi yisimo lapho imigudu yomoya iba nezibazi futhi kube nokukhwehlela okuvamile okune-mucus.
• Isifo senhliziyo esizalwa naso : Iziphambeko ezithile zesakhiwo senhliziyo ezikhona lapho umuntu ezalwa.
• I-Cystic fibrosis : Lesi yisifo esidluliselwa ngofuzo esibangela ukuthi uketshezi olujiyile olufana ne-mucus luqoqeke ezithweni ezahlukene zomzimba.
• I-Empyema : Iqoqo lobomvu emzimbeni, ikakhulukazi ulwelwesi lwamaphaphu (i-pleura).
• I-Endocarditis : Ukutheleleka okungena egazini futhi kuthinte ama-valve enhliziyo.
• Amathumba emaphashini: Iqoqo lobomvu ngaphakathi emaphashini, okubangela ukuvuvukala kwezicubu ezizungezile.
• I-Idiopathic pulmonary fibrosis : Izicubu zamaphaphu ziyaba nezibazi futhi zijiye, okubangela umonakalo emaphashini.
• I-Sarcoidosis : Lesi yisifo sokuvuvukala esingashintsha isakhiwo kanye nomsebenzi wezitho ezifana namaphaphu.

Ezinye izimo zezokwelapha

Ngaphezu kwalokhu, kunezinye izizathu:

• I-Ascariasis : Ukutheleleka kwezibungu okwenzeka emathunjini.
• Isifo se-Celiac : Lesi yisifo sokuzivikela komzimba esingalimaza amathumbu akho amancane.
• I-Cirrhosis : Ukufakwa esikhundleni kwezicubu zesibindi ezinempilo ngezicubu zesilonda, ngokuvamile ngenxa yokuphuza utshwala ngokweqile.
• Isifo samathumbu esivuvukalayo: Isifo sokuvuvukala esilimaza amathumbu (isib. isifo sikaCrohn, i-ulcerative colitis).
• Isifo se-thyroid : Izimo eziphazamisa ukusebenza kwe-thyroid gland.
• Ukusetshenziswa ngokweqile kwemithi ethile : Isibonelo, imithi efana nemithi yokuhlanza ( imithi yokuhlanza ), i-Interferon alfa-2A, kanye nokufakwa kwe-Prostaglandin.

Cabanga nje ukuthi zingaki izinto ezingaba ngemuva kwalolu phawu oluncane lwama-knuckle amakhulu! Yingakho kungcono ukungayinaki into efana nale.

Ingabe leli lunga lomunwe elikhulu liyathelelana?

Cha, lokhu kukhula kwamafindo akuthelelani. Ngoba, akusona isifo, kuyisibonakaliso. Kodwa-ke, isifo esibangela lokhu singathelelani ngezinye izikhathi. Isibonelo, uma kuyinto efana nokutheleleka kwamaphaphu, kungathelelani. Kodwa umehluko eminweni awuthelelani.

Udokotela ukuxilonga kanjani lokhu? (Ukuxilongwa)

Uma uya kudokotela onezimpawu ezinjengalezi, uzoqala ngokukubuza ngomlando wakho wezokwelapha ophelele . Lokhu kusho noma yiziphi ezinye izifo onazo, noma yimiphi imithi oyiphuzayo, nokuthi ngabe kukhona yini emndenini wakho oke waba nezimo ezifanayo. Ngemuva kwalokho bazokwenza ukuhlolwa ngokomzimba . Kusukela kulokho okushoyo kanye nokuhlolwa, bavame ukuthola umbono wembangela.

Ikakhulukazi, udokotela angase abuke kahle iminwe yakho aze athathe nezilinganiso ezithile.

• I-engeli ye-Lovibond noma uphawu lwephrofayili ye-Lovibond: Lena i-engeli ephakathi kokugoqwa kwezinzipho okuseduze nombhede wezinzipho, okubukwa ohlangothini lomunwe wakho. Kuzipho ezivamile eziphilile, le engeli ingaphansi kwama-degrees angu-180 (ngokuvamile cishe ama-degrees angu-160). Kodwa-ke, kuzinzipho ezine-clubbed, le engeli ingaphezu kwama-degrees angu-180.
• Uphawu lwe-Schamroth: Lokhu futhi kuyindlela elula kakhulu yokuhlola. Beka izinhlangothi zezinzipho zomunwe ofanayo (isibonelo, iminwe emibili yokukhomba) yezandla zakho ezimbili zibhekene bese ucindezela isisekelo sezinzipho ngokuqinile eduze kwejoyinti. Uma kukhona ``(Clubbing)``, ifasitela elincane elimise okwedayimane kufanele libonakale phakathi kwezisekelo zezinzipho. Uma kukhona ``(Clubbing)``, igebe ngeke libonakale.
• I-engeli ye-hyponychial:Lokhu ukukala i-engeli phakathi kwesikhumba ngaphansi kwesihloko senzipho (i-hyponychium), umbhede wezipikili, umbhede wezipikili, kanye nelungu eliseduze.

Ngemva kwalezi zivivinyo zokuqala, udokotela angase acele ukuhlolwa okwengeziwe kuye ngesimo sezempilo esisolwayo esiyisisekelo.

• I-X-ray yesifuba ivame uku-oda.
• Uma kungekho lutho olucacile ku-X-ray, kungenziwa i-CT scan .
• Ngaphezu kwalokho, kuye ngokuthi isifo esisolwayo sibangelwa yini, kungase kudingeke kwenziwe okunye ukuhlolwa kwegazi, okunye ukuhlolwa kwezithombe, noma ngisho nokuhlolwa kwezicubu (ama-biopsy) .

Kuphathwa kanjani lokhu?

Nakhu okufanele ukuqonde. Odokotela abalaphi ngqo iminwe enesigxobo ngoba akusona isifo, kumane kuyimpawu.

Odokotela belapha isimo esiyisisekelo esibangele lesi simo "sokushaywa yi-clubbing".

Isibonelo, uma ukubhoboza ama-club kubangelwa ukutheleleka kwamaphaphu, ukwelapha ukutheleleka kuzosiza. Uma kubangelwa umdlavuza, umdlavuza udinga ukwelashwa.

Uma isimo esiyisisekelo selashwa kahle, ngezinye izikhathi lokhu kukhula kwamalunga eminwe kungancishiswa noma kuqedwe. Kodwa lokhu akwenzeki njalo.

Ingabe ingozi yalesi simo ingancishiswa?

Uma une-enclosure yeminwe yakho yokuzalwa, ayikho indlela yokuyivimbela.

Kodwa-ke, kunezinto ezithile ongazenza ukuze unciphise ingozi yakho yokuthola ezinye zezifo ezingaholela kulesi simo se-"Digital Clubbing". Cabanga ngalokhu:

• Ngokungabhemi, unganciphisa kakhulu ingozi yakho yokuba nomdlavuza wamaphaphu, ezinye izifo zamaphaphu, kanye nesifo senhliziyo.
• Ukugwema ukuphuza utshwala ngokweqile kunganciphisa ingozi yokuthola izifo ezifana ne-liver cirrhosis.
• Ukudla ukudla okunempilo nokuzivocavoca njalo kungasiza ekugcineni impilo enhle iyonke.

Kunokuthi lokhu kuvimbela ngqo `(Clubbing),' kulungile kakhulu ukusho ukuthi kuvikela ezifweni ezibangela `(Clubbing).'

Kwenzekani uma amafindo ekhuliswa? Yini esingayilindela esikhathini esizayo?

Umbono womuntu onesifo sokuya ekilabhini uyahlukahluka kuye ngomuntu nomuntu. Kuncike ngokuphelele esimweni esiyisisekelo esibangela ukuya ekilabhini kanye nempumelelo yokwelashwa.

Ngezinye izikhathi, uma isimo esiyisisekelo siphathwa kahle, izinzipho zezinyawo ezikhulisiwe zingaphela ngokuphelele. Kodwa-ke, kwezinye izimo ezinzima, lokhu kungase kungabi njalo.

Kufanele ngimbone nini udokotela?

Lokhu kubaluleke kakhulu.

• Uma ubona noma yiziphi izinguquko ezintsha ezinzipho zakho noma ezithweni zakho zeminwe , okusho ukuthi zibonakala zikhula kakhulu kunangaphambili, zishintsha umbala, noma zishintsha isimo, qiniseka ukuthi ubona udokotela.
• Uma udokotela esekutholile kakade ukuthi unesifo esihlobene nokudla ama-clubbing futhi wakunikeza ukwelashwa okunqunyiwe, landela lokho kwelashwa ngqo.
• Uma nganoma yisiphi isizathu unenkinga noma ukungabaza ngalokhu, ungesabi ukuxoxa ngakho nodokotela wakho .

Khumbula, wazi umzimba wakho kangcono. Uma wazalwa unezinzipho ezinkulu, awudingi ukuzelapha, futhi ngeke zikubangele izinkinga. Kodwa-ke, uma ubona noma yiziphi izinguquko ezintsha eminweni noma ezinzipho zakho, ungazinaki. Bona udokotela bese uthola ulwazi oludingayo. Ungumuntu obaluleke kakhulu ekunakekeleni impilo yakho. Udokotela wakho ungumlingani wakho omethembayo.

Isifinyezo: Zonke izinto esikhulume ngazo ngokuphefumula okukodwa! (Umyalezo Wokuya Ekhaya)

Kulungile, ake siphinde sixoxe ngezinye zezinto esikhulume ngazo namuhla:

• Iminwe egobile yisimo lapho iziqongo zeminwe nezinzipho zivuvukala khona futhi zibe nesimo esihlukile.
• Lokhu kungaba uphawu lwesinye isifo , ikakhulukazi izifo zamaphaphu, inhliziyo, noma uhlelo lokugaya ukudla.
• Ngezinye izikhathi kungatholakala ngaphandle kwesizathu, ngokuzalwa noma ngofuzo .
• Izici eziyinhloko ukuthi izinzipho zigobile phansi njengesipuni, i-engeli yezinzwane iyanda, kanye nezihloko zeminwe ezizungezile.
• Lokhu akuthelelani.
• Udokotela uzokwenza izivivinyo ezahlukahlukene ukuze athole lokhu, njenge-engeli yeLovibond kanye nesibonakaliso seSchamroth.
• Akukhona ngokudla amakilabhu, kumayelana nesifo esiyisisekelo.
• Uma ubona noma yiziphi izinguquko ezintsha eminweni yakho, qiniseka ukuthi ubona udokotela.

Ngakho-ke, ngithemba ukuthi uyaqonda kahle i-`(Clubbed Fingers)`. Ungesabi, kodwa qaphela. Yilokho okubaluleke kakhulu!

iminwe eboshwe ngenduku , ukuboshwa ngenduku kwedijithali, izifo zezinzipho, ukukhubazeka kweminwe, izimpawu zamaphaphu, izimpawu zenhliziyo, ukuntuleka koshukela egazini