Kufotokozera ndi Zifukwa za Fingernail Clubbing ndi Khansa Yam'mimba
Ngati dokotala wanena kuti muli ndi clubbing, kapena ngati mwadziganizira nokha mwa kuyang'ana zithunzi pa intaneti, mukhoza kudandaula kwambiri. Kodi izi zikutanthauza chiyani kwa inu? Kodi zingakhale chizindikiro cha khansa yamapapo?
Mwachidule
Clubbing ndi matenda omwe amayamba kufotokozedwa ndi Hippocrates momwe zala (ndi / kapena zala) zikuwoneka ngati zikho zowonongeka.
Zimayambitsidwa ndi kumanga minofu kumbali yakutali yazing'ono (terminal phalanges), zomwe zimayambitsa mapeto a zala kuti misomali ipitirire pansi. Kuwonjezera pa kusintha kwa msomali ndi msomali, misomali ingakhale sponge-yofanana ndi yofewa, ndipo imakhala yofiira. "Kukula" mu chiwerengero kumawoneka kuti kumachitika pang'onopang'ono - kuchokera mbali ndi mbali - ndi kutalika - kutalika pambali pa zala.
Ngati mukufunafuna zambiri pazomwe mukupeza, dzina lachipatala limene limagwiritsidwa ntchito kufotokozera ndi hypertrophic osteoarthropathy.
Zimayambitsa
Pali zifukwa zambiri zomwe zimayambitsa clubbing. Izi zikugwera m'magulu angapo:
Idiopathic: Ichi ndi gulu limene gulu limagwira chifukwa chosadziwika, ndipo silimakhudzidwa ndi mankhwala: izi ndizo.
Mkhalidwe wolowa: Pali njira zingapo zomwe tingagwiritsire ntchito clubbing. Izi kawirikawiri zimachokera ku zozizwitsa zapamwamba kwambiri - zomwe zimatanthauza ngati mmodzi wa makolo anu ali ndi khalidweli, pali mwayi 50:50 kuti mudzalandire khalidwelo.
Gululala lachikondwerero: Gulu lachikondi lachikondi limatanthawuza timagulu timene timayendera mogwirizana ndi matenda. Zinthu zomwe zimagwirizanitsidwa ndi clubbing zikuphatikizapo:
- Khansara ya m'magazi - Kulimbitsa thupi ndi chizindikiro chopezeka pafupifupi 29 peresenti ya anthu omwe ali ndi khansa ya m'mapapo ndipo ndilo vuto lalikulu la clubbing lomwe limayang'anira 90 peresenti ya milandu. Zimakhala zofala kwambiri ndi khansara yochepa ya m'mapapo ya m'mapapo kusiyana ndi khansa yaing'ono ya m'mapapo.
- Ma cancer ena - Ena khansa, makamaka matenda a Hodgkin , akhoza kukhala ndi clubbing.
- Mavuto a mitsempha - Matenda ena ammapapo omwe amagwiritsidwa ntchito ndi clubbing akuphatikizapo bronchiectasis , matenda a m'mapapo omwe amachititsa kuti matendawa asokonezeke , monga matenda a chifuwa chachikulu, impyma , chifuwa chachikulu komanso cystic fibrosis.
- Matenda a mtima wodwala - Matenda a mtima omwe amabwera chifukwa cha kubadwa, makamaka "matenda a mtima wa cyanotic" monga tetralogy of Fallot, nthawi zambiri amatsatiridwa ndi clubbing.
- Matenda a m'mimba - Zinthu zina zomwe zimagwirizanitsidwa ndi clubbing zikuphatikizapo laliac sprue, cirrhosis, matenda a Crohn, ndi ulcerative colitis.
- Matenda a Endocrine - Hyperthyroidism, makamaka Matenda a Manda angaperekedwe ndi clubbing.
Cholinga choyambira kumbuyo kwa clubbing sichinamvekedwe. Asayansi amawona kuti akhoza kukhala okhudzana ndi mapulogalamu-ochotsedwa kukula ndi chinthu chokhalira kukula kwa chinthu chomwe chimakhala chosadziwika.
Zochitika
Kuwombera nthawi zambiri kumafika pang'onopang'ono, koma kumachitika mofulumira kwa anthu ena. Kwa anthu omwe ali ndi chikwama chachiwiri, chizindikirochi chikhoza kutha pambuyo pochiritsidwa bwino ndi chifukwa chomwe chimayambitsa.
Palibe wotsimikiza kuti n'chifukwa chiyani gululi limakhalapo, ndipo mwina pali njira zingapo.
Iwo amaganiza kuti kwa anthu ambiri, kutengeka kwa mitsempha ya magazi kumadera akutali a zala kumabweretsa mapangidwe othandizira omwe amawoneka kuti akuwonekera, koma pali zifukwa zosiyanasiyana zochititsa chifukwa izi zimachitika.
Kudziwa
Ngati dokotala wanu akukuuzani kuti muli ndi chigamulo, kapena ngati mutamuuza dokotalayo, chinthu choyamba chimene angachite ndi kukufunsani za mbiri ya banja lanu kuti mudziwe ngati zingakhale cholowa. Adzachita mbiri yakale komanso kuunika kwa thupi, kukumbukira zomwe zingayambitse kugwirizanako. Mayesero ena, malinga ndi zizindikiro zanu, angaphatikizepo:
- Kansalu ya CT ya chifuwa chanu / kapena maphunziro ena kuti mufufuze khansa ya m'mapapo komanso zizindikiro zina zamapapu ndi zokhudzana ndi mtima.
- An EKG ndi / kapena echocardiogram kuti muyese mtima wanu.
- Magetsi a m'magazi komanso / kapena pulmonary ntchito kuti ayese mapapu anu ndipo ayang'ane matenda a m'mapapu.
- Mayesero a magazi, monga chiwindi cha ntchito ya chiwindi ndi chithokomiro akhoza kuperekedwa.
Chithandizo
Palibe mankhwala enieni, kuphatikizapo opaleshoni ya clubbing. Chithandizo cha chomwe chimayambitsa chiphuphu chingabweretse kuwonekera kwa anthu ena, mwachitsanzo, mwa anthu omwe ali ndi ziphuphu zamtima, kugwiritsira ntchito mankhwala amatha kuchoka pambuyo pa opaleshoni yabwino.
Zotsatira:
Nakamura, J. et al. Makhalidwe a microanatomic of club clubbing - kupanga mkulu maginito kujambula phunziro. Magazini ya Rheumatology . 2014. 41 (3): 523-7.
Sridhar, K., Lobo, C., ndi R. Altman. Dokotala Wokonda Kujambula ndi Kupha Khansa. Chifuwa . 1998. 114 (6): 1535-1537.
Tully, A., Trayes, K ,. ndi J. Studdiford. Kuwona kwa misomali zovuta. American Family Physician . 2012. 85 (8): 779-87.