Ho ts'oarana ha menoana kapa menoana ea maoto

Clubbing ke liphetoho libakeng tse ka tlase le tse haufi le menoana ea menoana le manala a hlahang ka mathata a mang. Manala le 'ona a bontša liphetoho.

Matšoao a tloaelehileng a clubbing:

• Libethe tsa lipekere lia nolofala. Manala a ka bonahala a "phaphamala" ho fapana le hore a khomarele ka thata.
• Manala a theha lehlakore le bohale le cuticle.
• Karolo ea ho qetela ea monoana e ka bonahala e le kholo kapa e thunya. E kanna ea ba e futhumetse hape e le khubelu.
• Lenala le kobehetse tlase ka hona le shebahala joalo ka karolo e chitja ea khaba e shebileng holimo.

Clubbing e ka hlaha kapele, hangata nakong ea libeke. E ka tloha kapele ha sesosa sa eona se phekoloa.

Kankere ea matšoafo ke sesosa se tloaelehileng ka ho fetisisa sa li-clubbing. Clubbing hangata e hlaha ka mafu a pelo le matšoafo a fokotsang palo ea oksijene maling. Tsena li ka kenyelletsa:

• Liphoso tsa pelo tse teng nakong ea tsoalo (congenital)
• Matšoao a sa foleng a matšoafo a hlahang ho batho ba nang le bronchiectasis, cystic fibrosis, kapa abscess abscess
• Tšoaetso ea lesela la likamore tsa pelo le li-valve tsa pelo (endocarditis e tšoaetsanoang). Sena se ka bakoa ke libaktheria, li-fungus kapa lintho tse ling tse tšoaetsanoang
• Mathata a matšoafo moo lisele tse tebileng tsa matšoafo li ruruhang ebe li ba le mabali (mafu a matšoafo a ka hare)

Lisosa tse ling tsa clubbing:

• Lefu la Celiac
• Cirrhosis ea sebete le mafu a mang a sebete
• Lero la meno
• Lefu la mabitla
• Tšoelesa ea qoqotho e feteletseng
• Mefuta e meng ea mofets'e, ho kenyeletsoa sebete, mala, Hodgkin lymphoma

Haeba u hlokomela hore li-clubbing, letsetsa mofani oa tlhokomelo ea bophelo.

Motho ea nang le "clubbing" hangata o na le matšoao a boemo bo bong. Ho lemoha boemo boo ho ipapisitse le:

• Nalane ea lelapa
• Nalane ea bongaka
• Tlhatlhobo ya mmele e shebileng matshwafo le sefuba

Mofani oa thepa a ka botsa lipotso tse kang:

• O na le bothata ba ho hema?
• O na le makhapetla a menoana, menoana kapa bobeli?
• U hlokometse see neng ka lekhetlo la pele? U nahana hore e ntse e mpefala?
• Na letlalo le kile la ba le 'mala o moputsoa?
• U na le matšoao afe a mang?

Liteko tse latelang li ka etsoa:

• Khase ea mali ea mali
• Sekena sa CT
• X-ray sefubeng
• Echocardiogram
• Electrocardiogram (ECG)
• Liteko tsa tšebetso ea pulmonary

Ha ho na kalafo bakeng sa ho ikoetlisa ka boeona. Lebaka la clubbing le ka phekoloa, leha ho le joalo.

Tlelabo

• Tlelabo
• Menoana e koetsoeng

Moahloli JL, Murray JF. Nalane le liteko tsa 'mele. Ho: Broaddus VC, Mason RJ, Ernst MD, et al, li-eds. Buka ea Bongaka ea Phefumoloho ea Murray le Nadel. La 6th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 16.

Drake WM, Chowdhury TA. Tlhahlobo e akaretsang ea mokuli le phapang e fapaneng. Ka: Glynn M, Drake WM, bahlophisi. Mekhoa ea Kliniki ea Hutchison. La 24 ed. Philadelphia, PA: Elsevier; 2018: khaolo ea 2.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Likotsi tsa pelo tsa cyanotic congenital: liso tse amanang le phokotso ea phallo ea mali ea pulmonary. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 457.