Inkcazo kunye Neengxaki ze-Fingernail Clubbing ne-Cancer Cancer
Ukuba ugqirha wakho ushilo ukuba uneclubbing, okanye ukuba uqikelele oku ngokwakho ngokujonga imifanekiso kwi-intanethi, unokukhathazeka kakhulu. Oku kuthetha ntoni kuwe? Ngaba ingaba ngumqondiso wemhlaza wamaphaphu?
Sibanzi
I-Clubbing yimeko yonyango yokuqala echazwe yiHippocrates apho iminwe (kunye / okanye iinzwane) zinokubonakala kweepuni.
Yibangelwa ukwakhiwa kwezicubu kwiindawo ezikude zeminwe (i-terminal phalanges,) ebangela ukuba ukuphela kweminwe ibe yanda kwaye izipikili zijike phantsi. Ukongeza kwenguqu kwi-khonkwane kunye nebhedi le-nail, izipikili zinokuba yi-spong-like and soft, kunye ne-discoloration ebomvu. "Ukukhula" kumadijithi kubonakala ukuba kwenzeka emva kokubili - ukusuka ecaleni ukuya kwelinye icala - kunye nexesha elide - ngobude kwiminwe.
Ukuba ufuna ulwazi malunga nokufumana oku kuyingqayizivele, igama lezonyango elisetyenziselwa ukuchaza li-hypertrophic osteoarthropathy.
Izizathu
Kukho izimbangela ezininzi zebhulabhu. Ezi ziwela kwiindidi ezimbalwa:
Idiopathic: Olu luhlu apho i-clubbing ivela khona kungekho sizathu esicacileyo, kwaye ayikho nayiphi na inkxalabo emilonyeni: yinto nje.
Uhlobo oluzuzwayo: Kukho iindlela ezimbalwa zokuba i-clubbing izuze ilifa. Ezi zinto zihlala zizuzwe ngefosimom ebonakalayo - oko kuthetha ukuba omnye wabazali bakho unomthwalo, kukho ithuba eli-50:50 lokuba uya kuzuza ilifa.
Iiklabhu zeSkondari: I-clubbing yesikolo ibhekisela kwi-clubbing eyenzeka ngokubambisana nesimo sengonyango. Iimeko eziqhelekileyo ezidibaniswa ne-clubbing ziquka:
- Umdlavuza we-Lung - I- Clubbing uphawu olufunyenwe kuma-29 ekhulwini labantu abanomdlavuza wamaphaphu kwaye iyona nto ibangela ukuba i-clubbing ijongene ne-90 ekhulwini yamatyala. Kuqheleke ngakumbi komhlaza ongaphantsi weeseli wamaphaphu kunomdlavuza omncinci wamangqamuzana.
- Ezinye i-cancer - Ezinye i-cancer, ikakhulukazi isifo sikaHodgkin , sinokuthi sibe khona kunye ne-clubbing.
- Izimo zomzimba - Ezinye iimeko zomphunga ezibandakanya i-clubbing ziquka i- bronchiectasis , isifo se- pulmary fibrosis , i- empyema , isifo sofuba kunye ne-cystic fibrosis.
- Isifo senhliziyo esiswelekileyo - Isifo senhliziyo esivela ekuzalweni, ngokukhethekileyo "isifo senhliziyo senhliziyo" njengeTetralogy of Fallot, ihlala ihamba ne clubbing.
- Izimo zesisu - Ezinye iimeko ezikuloluhlu ezinxulumene ne-clubbing ziquka i-celiac sprue, i-cirrhosis, isifo se-Crohn, kunye nesifo se-ulcerative colitis.
- Iingxaki ze-Endocrine - Hyperthyroidism, ingakumbi isifo se-Grave singaphathwa kunye ne-clubbing.
Inkqubo esekelwe emva kwebhulabhu ayisayiqondwa. Iingcali zenzululwazi zivakalelwa ukuba zinxulumene nokukhula kwe-platelet-derived derivedlial factor although i-mechanical precision is unknown.
Isiganeko
I-Clubbing idla ngokuqhelekileyo ihamba ngokuthe ngcembe, kodwa ingenzeka ngokukhawuleza kubantu abathile. Kubantu abanesigqeba seeklasi, uphawu lungase luhambe emva kokunyanga okuphumelelayo kweso sizathu.
Akukho mntu uqinisekile ukuba kutheni i-clubbing, kwaye mhlawumbi zikhona iindlela ezininzi.
Kucingelwa ukuba kubantu abaninzi, ukuxutywa kwemithambo yegazi kwiindawo ezikude zeminwe kubangela ukubunjwa kwezicubu ezixhamlayo ezibangele ukubonakala kwebhulabhu, kodwa kukho izizathu ezininzi ezahlukahlukeneyo zokuba kutheni le nto yenzeka.
Ukuxilongwa
Ukuba ugqirha wakho uphawula ukuba unobhola, okanye ukuba uyayikhupha le nkxalabo kumgqirha wakho, into yokuqala ayakuyenza kukuba ikubuze malunga nembali yakho yentsapho ukuchonga ukuba ingaba yindlalifa. Uya kuthi enze umlando oqinileyo kunye nokuhlolwa ngokomzimba, ugcine engqondweni izizathu ezinokubambisana neeklabhu zekondari. Ezinye iimvavanyo, kuxhomekeke kwimpawu zakho, zingabandakanya:
- I-CT scan yakho esifubeni kunye / okanye ezinye izifundo ukujonga umhlaza wemiphunga kunye nezinye iimeko ze-lung kunye neentliziyo.
- I-EKG kunye / okanye i-echocardiogram ukuvavanya intliziyo yakho.
- Iigesi zegazi kunye / okanye iimvavanyo zomsebenzi wamapulmoni ukuvavanya umsebenzi wakho wamaphaphu kwaye ukhangele izifo zamaphaphu angaphantsi.
- Iimvavanyo zegazi, ezifana nokuhlolwa kwemisebenzi yesibindi kunye nomsebenzi we-thyroid kunokucetyiswa.
Unyango
Akukho nonyango oluthile, kuquka iinkqubo zokucoca ze-clubbing. Ukunyangwa kwesizathu esibangeleyo sokubhula kungabangela ukubonakala kwesombululo kubantu abathile, umzekelo, kubantu abanokukhubazeka kwenhliziyo, i-clubbing ingahamba emva kokuhlinzwa ngokuphumelelayo.
Imithombo:
Nakamura, J. et al. Isiseko se-microanatom of club clubbing - isisombululo esiphezulu sokusombulula imifanekiso. Umbhalo weRheumatology . 2014. 41 (3): 523-7.
Sridhar, K., Lobo, C., no-R. Altman. I-Digital Clubbing kunye neLung Cancer. Esifubeni . 1998. 114 (6): 1535-1537.
Tully, A., Trayes, K ,. kunye noJ. Studdiford. Ukuphononongwa kweesilumko ezingaqhelekanga. WaseMerika ugqirha . 2012. 85 (8): 779-87.