Incazelo kanye nezimbangela ze-Fingernail Clubbing nge-Cancer Lung
Uma udokotela wakho ekushilo ukuthi une-clubbing, noma uma uzibonele lokhu ngokubuka izithombe ku-intanethi, ungase ukhathazeke kakhulu. Lokhu kusho ukuthini kuwe? Kungaba yini isibonakaliso somdlavuza wamaphaphu?
Sibutsetelo
I-Clubbing yinkinga yezokwelapha kuqala echazwa yiHippocrates lapho iminwe (kanye / noma izinzwane) zibonakala zikhona izinsizakalo ezingaphezulu.
Kubangelwa ukwakheka kwezicubu ezingxenyeni ezikude zeminwe (ukuphela kwe-phalanges,) okubangela ukuthi ukuphela kweminwe kukhuliswe futhi izipikili zijike phansi. Ngaphezu kokuguquka engxenyeni ye-nail nebheyili ye-nail, izipikili zingase zibe yi-sponge-efana futhi zithambile, futhi zibe ne-discoloration ebomvu. "Ukukhula" kumadijithi kubonakala sengathi kwenzeka kokubili ngemuva kwesikhathi - kusukela kolunye uhlangothi kuya kwesinye - nangesikhathi eside - ngobude phakathi kweminwe.
Uma ufuna ulwazi kulokutholwa okuyingqayizivele, igama lezokwelapha elisetshenziselwa ukulichaza yi-hypertrophic osteoarthropathy.
Izimbangela
Kunezimbangela eziningi ze-clubbing. Lezi ziwela ezigabeni ezimbalwa:
Idiopathic: Lesi yisigaba lapho i-clubbing yenzeka khona kungekho isizathu esicacile, futhi akuyona into ephathelene nokukhathazeka ngokwemithi: kuwukuphela.
Isici esizuwe: Kunezindlela ezimbalwa ukuthi i-clubbing ingazuza njengefa. Lezi zivame ukuzuzwa njengefa lokuzimela - okusho ukuthi uma omunye wabazali bakho ethwala lo mkhuba, kunethuba elingama-50:50 lokuthi uzophinde uzuze lesi sici.
I-clubbing Secondary: I-clubbing yesibili ibhekisela ku-clubbing eyenzeka ngokuhambisana nesimo sezokwelapha. Izimo ezivame ukuhambisana ne-clubbing zihlanganisa:
- Umdlavuza we-Lung - I- Clubbing isibonakaliso esitholakala kumaphesenti angama-29 abantu abanomdlavuza wamaphaphu futhi kuyimbangela evame kakhulu ye-clubbing enesibopho samaphesenti angama-90 wamacala. Kuvame ukuvame kakhulu nomdlavuza ongasona omncane wesifo samaphaphu kunomdlavuza omncane wamaphaphu weseli.
- Amanye amakhemikhali - Amanye ama-cancer, ikakhulukazi isifo sikaHodgkin , angase abe khona nge clubbing.
- Izimo zomzimba - Ezinye izimo zamaphaphu ezihlotshaniswa ne-clubbing zihlanganisa i- bronchiectasis , isifo se-lung-interstitial, njenge- idiopathic pulmonary fibrosis , isifo sofuba, isifo sofuba nesifo se-cystic fibrosis.
- Isifo senhliziyo esiphundu - Isifo senhliziyo esivela ekuzalweni, ikakhulukazi "isifo senhliziyo esiyingozi" njenge-tetralogy of Fallot, kuvame ukuhambisana ne-clubbing.
- Izimo zomzimba - Ezinye izimo zalesi sigaba ezihambisana ne-clubbing zihlanganisa i-celiac sprue, i-cirrhosis, isifo se-Crohn, nesifo se-ulcerative colitis.
- Izinkinga ze-endocrine - I-Hyperthyroidism, ikakhulukazi isifo se-Grave ingase ihambisane ne-clubbing.
Inqubo eyinhloko ngemuva kwe-clubbing ayisaqondakali. Ososayensi bazizwa ukuthi kungase kuhlotshaniswe ne-plates-derived factor factor kanye ne-vascular endothelial growth factor nakuba inqubo eqondile engaziwa.
Isikhathi
I-Clubbing ivame ukufika kancane kancane, kepha ingase ivele ngokushesha kubantu abathile. Kubantu abane-clubbing secondary, uphawu lungase luhambe ngemuva kokwelashwa okuphumelelayo kwesizathu esiyimbangela.
Akekho oqinisekile ukuthi kungani i-clubbing yenzeka, futhi cishe kukhona izindlela eziningana.
Kucatshangwa ukuthi kubantu abaningi, ukuhanjiswa kwemithambo yegazi ezindaweni ezikude zeminwe kubangelwa ukwakheka kwezicubu ezixhumene nokuholela ekubukeni kwe-clubbing, kodwa kungenzeka ukuthi kunezizathu eziningi ezahlukahlukene zokuthi kungani lokhu kwenzeka.
Ukuxilongwa
Uma udokotela wakho ebhala ukuthi u-clubbing, noma uma ukhulisa udokotela wakho lokhu, into yokuqala azokwenza ikubuza ngomlando womndeni wakho ukucacisa ukuthi kungaba yini umphumela wefa. Uzobe esebenza ngomlando ngokucophelela nokuhlolwa ngokomzimba, ekhumbula engase kubangele izimbangela ezihambisana ne-clubbing yesibili. Ukuhlolwa okunye, kuye ngezibonakaliso zakho, kungafaka:
- Iskena se-CT esifubeni sakho kanye / noma ezinye izifundo ukufuna umdlavuza wamaphaphu kanye nezinye izimo ezihlobene ne-lung neyezinhliziyo.
- I-EKG kanye / noma i-echocardiogram ukuhlola inhliziyo yakho.
- Amagesi egazi wegazi kanye / noma ukuhlolwa komsebenzi wepaymoni ukuhlola umsebenzi wakho wamaphaphu futhi ubheke izifo zamapayipi ezingaphansi.
- Ukuhlolwa kwegazi, njengokuhlolwa kwesibindi nomsebenzi we -roid kungase kuphakanyiswe.
Ukwelapha
Ayikho ukwelashwa okuqondile, kuhlanganise nezinqubo zokuhlinzekwa kwe-clubbing. Ukwelashwa kwesizathu esiyinhloko sokubhula kungabangela ukuxazulula ukubonakala kwabantu abathile, isibonelo, kubantu abanokukhubazeka kwenhliziyo, i-clubbing ingahamba ngemva kokuhlinzwa okuphumelelayo.
Imithombo:
Nakamura, J. et al. Isisekelo se-microanatomic of finger clubbing - isifundo se-imaging esiphezulu se-magnétique. I-Journal of Rheumatology . 2014. 41 (3): 523-7.
USridhar, K., Lobo, C., no R. Altman. I-Digital Clubbing ne-Cancer Cancer. Isifuba . 1998. 114 (6): 1535-1537.
Tully, A., Trayes, K ,. futhi J. Studdiford. Ukuhlola kwezinto ezingavamile. I-American Family Physician . 2012. 85 (8): 779-87.