Ukushayisana kweminwe noma izinzwane

I-Clubbing yizinguquko ezindaweni ezingaphansi nezizungeze izinzipho zezinzipho kanye nezinzipho ezenzeka ngezinye izinkinga. Izipikili nazo zikhombisa izinguquko.

Izimpawu ezivamile ze-clubbing:

• Imibhede yezipikili iyathamba. Izipikili zingabonakala ngathi "ziyantanta" esikhundleni sokunamathela ngokuqinile.
• Izipikili zakha i-engeli ebukhali ne-cuticle.
• Ingxenye yokugcina yomunwe ingahle ibonakale inkulu noma iqhuma. Kungaba futhi kufudumele futhi kubomvu.
• Uzipho lujika lubheke phansi ngakho-ke lubukeka njengengxenye eyindilinga yesipuni sibheke phansi.

I-Clubbing ingakhula ngokushesha, imvamisa kungakapheli amasonto. Futhi ingasuka ngokushesha lapho imbangela yayo yelashwa.

Umdlavuza wamaphaphu uyimbangela evame kakhulu ye-clubbing. I-Clubbing ivame ukwenzeka ezifweni zenhliziyo nezamaphaphu ezinciphisa inani le-oxygen egazini. Lokhu kungafaka:

• Ukukhubazeka kwenhliziyo okukhona lapho kuzalwa (kokuzalwa)
• Ukutheleleka okungapheli kwamaphaphu okwenzeka kubantu abane-bronchiectasis, i-cystic fibrosis, noma ithumba lamaphaphu
• Ukutheleleka kolwelwesi lwamakamelo enhliziyo nama-valve wenhliziyo (i-endocarditis esithathelwanayo). Lokhu kungabangelwa amagciwane, isikhunta, noma ezinye izinto ezithathelwanayo
• Izinkinga zamaphaphu lapho izicubu ezijulile zamaphaphu ziba nokuvuvukala bese zinesibazi (isifo samaphaphu esiphakathi)

Ezinye izimbangela zeklabhu:

• Isifo seCeliac
• I-cirrhosis yesibindi nezinye izifo zesibindi
• I-Dysentery
• Isifo samathuna
• Indlala yegilo eyeqile
• Ezinye izinhlobo zomdlavuza, kufaka phakathi isibindi, amathumbu, iHodgkin lymphoma

Uma ubona iklabhu, shayela umhlinzeki wakho wezokunakekelwa kwempilo.

Umuntu one-clubbing uvame ukuba nezimpawu zesinye isimo. Ukuhlonza leso simo kusekelwe ku:

• Umlando womndeni
• Umlando wezokwelapha
• Ukuhlolwa komzimba okubheka amaphaphu nesifuba

Umhlinzeki angabuza imibuzo efana nale:

• Ingabe unenkinga yokuphefumula?
• Ingabe unezinqa zeminwe, izinzwane, noma zombili?
• Uqale nini ukukuqaphela lokhu? Ngabe ucabanga ukuthi kuya ngokuya kuba kubi?
• Ngabe isikhumba sike sibe nombala oluhlaza okwesibhakabhaka?
• Yiziphi ezinye izimpawu onazo?

Ukuhlolwa okulandelayo kungenziwa:

• Igazi legazi lomzimba
• Isikena se-CT esifubeni
• I-x-ray yesifuba
• I-Echocardiogram
• I-Electrocardiogram (ECG)
• Ukuhlolwa komsebenzi wePulmonary

Akukho ukwelashwa kwe-clubbing uqobo. Imbangela ye-clubbing ingalashwa, noma kunjalo.

Ukubhuqa

• Ukubhuqa
• Iminwe ehlutshiwe

UDavis JL, uMurray JF. Umlando nokuhlolwa komzimba. Ku: Broaddus VC, Mason RJ, Ernst MD, et al, ama-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 16.

UDrake WM, Chowdhury TA. Ukuhlolwa kweziguli okujwayelekile nokuxilongwa okwehlukile. Ku: Glynn M, Drake WM, ama-eds. Izindlela Zomtholampilo zikaHutchison. Umhlaka 24. IPhiladelphia, PA: Elsevier; 2018: isahluko 2.

IKliegman RM, iSt. Geme JW, iBlum NJ, i-Shah SS, iTasker RC, iWilson KM. Izilonda zenhliziyo ezi-Cyanotic: izilonda ezihambisana nokwehla kwegazi le-pulmonary. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 457.