ʻO ka clubbing o nā manamana lima a me nā manamana wāwae

Hoʻololi ʻo Clubbing i nā wahi ma lalo a ma kahi o nā manamana wāwae a me nā manamana lima e kū nei me kekahi mau maʻi. Hōʻike nā kui hoʻi i nā loli.

Nā hōʻailona maʻamau o ka clubbing:

• Palupalu nā moena kui. Maliʻa paha he "lana" nā kui kuʻi ma kahi o ka hoʻopili paʻa ʻana.
• Hoʻokumu nā kui i kahi kihi ʻoi loa me ka cuticle.
• ʻIke paha ka nui o ka manamana i ka nui a i ʻole ka ʻōhū ʻana. Mahanahana a ʻulaʻula paha ia.
• Piko ke kui i lalo a no laila ke ʻano o ka ʻaoʻao puni o kahi puna i lalo i lalo.

Hiki ke hoʻomohala koke i ka clubbing, pinepine i loko o nā pule. Hiki iā ia ke hele wikiwiki ke mālama ʻia kāna kumu.

ʻO ke kanulau maʻi ʻo ke kumu maʻamau o ka clubbing. Kū pinepine ka clubbing i nā maʻi puʻuwai a me nā māmā e hōʻemi ai i ka nui o ka oxygen i loko o ke koko. Pākuʻi ʻia kēia mau mea:

• Nā kīnā o ka naʻau i loaʻa i ka wā hānau (congenital)
• Loaʻa nā maʻi maʻi maʻi i loko o ka poʻe me ka bronchiectasis, ka cystic fibrosis, a me ka abscess lung
• ʻO ka maʻi o ka pale o nā keʻena puʻuwai a me nā kiwikā puʻuwai (endocarditis infectious). Hiki ke kumu ʻia kēia e nā koʻohune, fungi, a i ʻole nā ​​mea maʻi e iho
• Nā maʻi o ka puʻuwai kahi e pehu ai nā aʻa hohonu hohonu a laila wili ʻia (interstitial lung disease)

Nā kumu ʻē aʻe o ka clubbing:

• Maʻi Celiac
• ʻO ka Cirrhosis o ke ake a me nā maʻi akepē ʻē aʻe
• Hale Paʻalā
• Maʻi maʻi kupapaʻu
• Kelepona thyroid overactive
• ʻO nā ʻano ʻē aʻe o ka maʻi ʻaʻai, me ka ate, gastrointestinal, Hodgkin lymphoma

Inā ʻoe e ʻike i ka clubbing, kāhea i kāu mea mālama ola.

ʻO kekahi kanaka me ka clubbing pinepine nā ʻōuli o kahi kūlana ʻē aʻe. Kuhi ʻia kēlā ʻano ma muli o:

• Mōʻaukala ʻohana
• Mōʻaukala olakino
• ʻIke kino e nānā i nā akemāmā a me ka umauma

E nīnau paha ka mea hāʻawi i nā nīnau e like me:

• He pilikia paha kāu e hanu ana?
• Loaʻa iā ʻoe ke kalapu ʻana o nā manamana lima, manamana wāwae, a ʻelua paha?
• I ka manawa hea ʻoe i ʻike mua ai i kēia? Manaʻo ʻoe ke hele nei i ka ʻino?
• He kala polū ko ka ʻili?
• He aha nā hōʻailona ʻē aʻe āu?

E hana ʻia paha kēia mau hoʻāʻo:

• Ke kinoea koko arterial
• Scanner CT pahu
• Pākuʻi x-ray
• ʻEchocardiogram
• Electrocardiogram (ECG)
• Nā hoʻāʻo hana pulmonary

ʻAʻohe lāʻau lapaʻau no ka clubbing ponoʻī. Hiki ke mālama ʻia ke kumu o ka clubbing.

Pāʻālua

• Pāʻālua
• ʻO nā manamana lima paʻa

ʻO Davis JL, Murray JF. Mōʻaukala a me nā hoʻokolohua kino. I: Broaddus VC, Mason RJ, Ernst MD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 16.

ʻO Drake WM, Chowdhury TA. ʻO ka loiloi hoʻomanawanui ākea a me ka ʻike hōʻoia. I: Glynn M, Drake WM, eds. Nā Hana Lapaʻau ʻo Hutchison. 24th ed. Piladelapia, PA: Elsevier; 2018: chap 2.

ʻO Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Nā maʻi puʻuwai cyanotic congenital: nā leona e pili ana me ka hoʻemi ʻia o ke kahe o ka pulmonary. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 457.