Tsanangudzo uye Zvinokonzera Fingernail Clubbing neLung Cancer
Kana chiremba wako ataura kuti iwe une clubbing, kana iwe wakazviona izvi iwe pachako nekutsvaga mifananidzo iri paIndaneti, unogona kunge uine hanya zvikuru. Izvi zvinorevei kwauri? Zvingava chiratidzo chekenza yemapapu here?
Overview
Kubhabhatidza chirwere chekurapa chinotanga kurondedzerwa neHippocrates umo minwe (uye / kana zvigunwe) zvine maitiro ezvinyorwa-pasi.
Inokonzerwa nekuvakwa kwezvigunwe kune rumwe rutivi rweminwe (terminal phalanges,) iyo inokonzera kuguma kweminwe kuwedzerwa uye misumari kupfugama pasi. Mukuwedzera kune kuchinja mumakona echipiro uye mbambo yembambo, misumari inogona kuva chipanje-yakafanana uye yakanyorova, uye ine tsvuku yekudzima. Iko "kukura" mumitambo inoratidzika kuti inowedzera zviri zviviri gareally - kubva kune rumwe rutivi kusvika kune rumwe - uye kwenguva yakareba - yakareba kusvika paminwe.
Kana uri kutsvaga ruzivo pamusoro pekuwana kutsvaga uku, izwi rechiremba rinoshandiswa kurondedzera iyo hypertrophic osteoarthropathy.
Zvinokonzera
Kune zvikonzero zvakawanda zvekubhabhatidza. Izvi zvinowira mumapoka mashoma:
Idiopathic: Ichi chikamu umo clubbing inowanikwa pasina chikonzero chakajeka, uye hachisi chekunyanya kunetseka mishonga: inongova.
Nhaka inobatanidzwa: Kune nzira shomanana dzinogona kubhadhara clubbing. Izvi zvinowanzotora nhaka muchitarisiko chakakura-chechimiro-zvinoreva kana umwe wevabereki vako akatakura mamiriro acho, pane 50:50 mukana wekuti iwe uchatorawo mararamiro acho.
Secondary clubbing: Secondary clubbing inoreva chikwata icho chinoitika musangano neyehutano. Mamiriro ezvinhu anowanzobatanidzwa neklubbing anosanganisira:
- Kanzura yeLung - Clubbing chiratidzo chinowanikwa mumapoteredza 29 muzana yevanhu vane kenza yemapapu uye ndicho chinonyanya kukonzerwa neklubbing inokwana 90 muzana yematambudziko. Izvo zvinowanzozivikanwa nemukenza usina chediki wemapapu emapapu pane kuva nekenza kemukamu kadiki kadiki.
- Mamwe makondombera - Dzimwe kanzira, kunyanya chirwere cheHodgkin , inogona kuvapo ne clubbing.
- Mamiriro ezvinhu akaremara - Mimwe mamiriro emapapu anokonzerwa neklubbing anosanganisira bronchiectasis , interstitial lung mapfupa zvakadai seydiopathic pulmonary fibrosis , empyema , pulmonary tuberculosis, uye cystic fibrosis.
- Congenital chirwere chemoyo - Chirwere chepfungwa chinowanikwa kubva pakuberekwa, kunyanya "chirwere chemwoyo chinonzi cyanotic" chakadai se tetralogy ye Fallot, kazhinji chinowanikwa ne clubbing.
- Matumbo emamiriro ezvinhu - Mimwe mamiriro ezvinhu munharaunda ino inosangana neklubbing inosanganisira celiac sprue, cirrhosis, chirwere cheCrohn, uye ulcerative colitis.
- Matambudziko endocrine - Hyperthyroidism, kunyanya chirwere cheGrive chinogona kuendeswa ne clubbing.
Icho chinonyanya kushandiswa shure kwe clubbing hachiri kunzwisiswa. Masayendisiti anofunga kuti inogona kunge yakabatana neaplatelet-yakagadzirwa kukura kwechikonzero uye vascular endothelial kukura chimwe chinhu kunyange kunyatsogadziriswa kusingazivikanwi.
Occurrence
Kuramba kazhinji kunowedzera zvishoma nezvishoma, asi kunogona kuitika nenzira yakakodzera kune vamwe vanhu. Kune vanhu vane chikwata chechipiri, chiratidzo chacho chinogona kubuda mushure mekubudirira kwekurapa kwechikonzero chinokonzera.
Hapana munhu ane chokwadi nei chikwata chiripo, uye pane dzimwe nguva nzira dzakasiyana-siyana.
Zvinofungidzirwa kuti kune vanhu vazhinji, kuputika kwemidziyo yeropa munzvimbo dziri kure dzeminwe kunoguma nekuumbwa kwezvigunwe zvinobatanidza zvinotungamirira kune chitarisiko chebhubhu, asi pane zvimwe zvikonzero zvakasiyana siyana zvekuti nei izvi zvichiitika.
Kuziva
Kana chiremba wako achinzwa iwe une clubbing, kana kana iwe ukakwira chiremba ichi kune chiremba wako, chinhu chokutanga chaachaita ndokukubvunza iwe nezvemhuri yako yekare kuti uone kana iyo ingangodaro nhaka. Iye achazoita nhoroondo yakajeka uye kuongorora mumuviri, achirangarira mupfungwa dzinogona kukonzerwa nekechikwata chechipiri. Mimwe miedzo, zvichienderana nezviratidzo zvako, inogona kusanganisira:
- A CT scan yebhokisi rako uye / kana zvimwe zvidzidzo kuti utsvake mutanha wemapapu pamwe nemamwe mamiriro emapapu uye ane mwoyo.
- An EKG uye / kana echocardiogram kuongorora mwoyo wako.
- Arterial blood gases uye / or pulmonary function tests kuti uongorore mapapu ako uye utarise zvirwere zvepapu zviri pasi.
- Kuyera ropa, zvakadai seropa chiito chekuongorora uye utachiona hunogona kuonekwa.
Kurapa
Hapana hutano husinganzwisisiki, kusanganisira chirongwa cheklubbing. Kurapa kwechikonzero chinokonzera kubhabhatidza kunogona kuita kuti kuonekwa kunogadziriswa kune vamwe vanhu, somuenzaniso, kune vanhu vane mafungiro emagetsi emwoyo, clubbing inogona kubva mushure mekuvhiyiwa kwakabudirira.
Sources:
Nakamura, J. et al. Izvozvo zvinonzi microanatomic yeminwe clubbing - yakagadziriswa magnetic imaging study. Journal of Rheumatology . 2014. 41 (3): 523-7.
Sridhar, K., Lobo, C., uye R. Altman. Digital Clubbing uye Lung Cancer. Chest . 1998. 114 (6): 1535-1537.
Tully, A., Trayes, K ,. uye J. Studdiford. Kuongorora kwembambo kusina kunaka. American Family Physician . 2012. 85 (8): 779-87.