Ukutshatyalaliswa komzimba kunokuba ngumqondiso wesinye isifo semiphunga kwizigulane zeCOPD
I-clubbing yandisa iiphelo zeeminwe kunye nokuhla kweekhonkwane. Nangona kungabangelwa yisifo esingapheliyo se-pulmonary disease (COPD), i-clubbing ingaba ngumqondiso wokuhlala nomdlavuza wamaphaphu okanye ezinye izifo zamaphaphu kwizigulane ezineCOPD.
I-clubbing nayo yaziwa ngokuba yiminwe yokudlala, i-digital clubbing, izikhonkwane zeglasi zokubukela, iminwe yokudada, iminwe ye-Hippocratic, izipikili ze-Hippocratic.
Yintoni iClubsbing?
I-Clubbing ngamanye amaxesha ibizwa ngokuba yi-digital clubbing. Inokuchaphazela iminwe kunye / okanye iinzwane. Ekuqaleni zibonakalisa njenge-sponginess yebheyili yebhontshi, kunye nokulahlekelwa kwinqanaba lebheyili lesibhedlele, okubangela ukuba isikhonkwane siqede phantsi kwaye sibonakale siklabhu. Ekugqibeleni, isikhonkwane kunye nesikhumba ejikeleze isikhonkwane siba mhlophe kwaye isikhonkwane sihlahlela.
Ngokutsho kwiZizwe zeSizwe zezeMpilo, zilapha iimpawu eziqhelekileyo ze-clubbing:
- Imibhede yepikili ithambisa. Izipikili zinokubonakala ngathi "zihamba" kunokuba zifakwe ngokuqinileyo.
- Iisilumko zenza i-angle ebolileyo kunye ne-cuticle.
- Ingxenye yokugqibela yomnwe ingabonakala inkulu okanye ibininzi. Ingaba nayo ifudumele kwaye ibomvu.
- Isilumko sijika phantsi ukwenjenjalo kubonakala ngathi inxalenye ejikelezayo yepuni.
Clubbing Through History
Abanye abaphengululi bathi i-clubbing iyona mpawu endala yekliniki esetyenziswa kwiyeza. Udokotela waseGrike wamaGreki uHippocrates - wayejonga ukuba uyise weyeza-wachaza okokuqala ukutshatyalaliswa komunwe malunga nama-2500 kwiminyaka edlulileyo kwisigulane.
Ngenxa yoko, i-clubbing ngamanye amaxesha ibizwa ngokuba ngumunwe wama-Hippocratic.
Yisiphi iCause Clubbing?
I-Clubbing iyenzeka xa kukho izicubu ezithambileyo ezingaphantsi kweebhedi zesikhonkwane. Oogqirha abazi kakuhle ukuba kutheni izicubu ezithambileyo zanda, kodwa ezinye zibonisa ukuba zihambelana namanqanaba eeprotheni ezikhuthaza ukukhula kwemithambo yegazi.
I-Clubbing ingaba yindlalifa-ithetha ukuba idlulile kwiijenge-okanye ingafumaneka njengempawu yokuphuhliswa kwesifo. Ngokuqhelekileyo, isimo esingaqhelekanga kunye nobukhulu beenombolo azibangeli iingxaki, kodwa kungabonakalisa isifo.
Uninzi lwabantu abane-clubbing luye lwazuza i-clubbing bilateral, echaphazela ngezandla zombini okanye zombini iinyawo.
I-Clubbing ibonakala kubantu abahlala kunye nezifo ze-pulmary or heart disease, ezifana ne:
- Umdlavuza womlenze (eyona nto ibangela isigxina)
- I-pulmonary fibrosis
- I-absence ye-Lung
- Isifo sesifo sofuba
- Pulmonary lymphoma
- Ukukhubazeka kwentliziyo
- I-endocarditis yokuphelela
- Isifo senhliziyo esisenyongweni
- Bronchiectasis
- Icystic fibrosis
Ezi zilandelayo ezinye izifo apho i-clubbing ingaba khona:
- Isifo sesifo sesisu
- I-cirrhosis yesibindi
- Neoplasms zesisu
- Isifo seCeliac
- Isifo segazi
- Izifo zeMangcwaba
- I-thyroid yegciwane
- Ezinye iintlobo zomhlaza, kubandakanya isibindi, isisu esiswini okanye iHodgkin lymphoma
Clubbing kunye neCOPD
Uninzi lwezigulane zeCOPD alinayo iglabhu. Xa besenza, oogqirha bafuna ezinye izizathu, njengomdlavuza wamaphaphu okanye ezinye izifo zephaphu.
Yintoni ongayenza Ukuba Ukwazisa iClubsbing
Ukuba uqaphele ukuba iminwe yakho i-clubbing, qha ga mshelana nogqirha wakho ukuvavanya.
I-Clubbing ingafunyaniswa ngeemilinganiselo ezilula. Nangona i-clubbing ngokwazo ayinakuzilimaza kwaye ayifuni unyango, ngokuthe rhoqo iya kudibana nezinye iimpawu ezingenokuba yinxalenye yempilo ethile.
> Imithombo:
> Sarkar M., Mahesh, DM kunye noMadabhavi, I. I-club club. Lung India. 2012 ngo-Oktobha-Dec; 29 (4): 354-362.
> Ubume bentsholongwane yezifo. Isemgangathweno. NgoJanuwari 4, 2016.
> Ukudibanisa iminwe okanye iminwe. MedlinePlus. NgoAprili 21, 2015.
> Ukudibanisa. Version Merck Manual Consumer Version.
> Ukuvavanywa kwePatimonary Patient. I-Merck Manual Professional Professional Version.