Kubhururuka kweminwe kana zvigunwe

Kirabhu ndeye shanduko munzvimbo dziri pasi uye dzakatenderedza nzara uye nzara dzinoitika nekumwe kushushikana. Nzara dzinoratidzawo shanduko.

Zviratidzo zvakajairika zvekirabhu:

• Iyo mibhedha yezvipikiri inonyorova. Nzara dzingaite senge "dzinoyangarara" pachinzvimbo chekubatirirwa zvakasimba.
• Nzara dzinoita kona inopinza ne cuticle.
• Chikamu chekupedzisira chemunwe chinogona kuoneka chakakura kana kubhowa. Inogona zvakare kudziya uye kutsvuka.
• Chipikiri chakakomberedza pasi saka zvinoita senge chikamu chakatenderera chechipunu chakatarisa-pasi.

Kirabhu inogona kukura nekukurumidza, kazhinji mukati memavhiki. Iyo zvakare inogona kuenda nekukurumidza kana chikonzero chayo chabatwa.

Kenza yemaperembudzi ndiyo inonyanya kukonzera klubbing. Kirabhu inowanzoitika muzvirwere zvemwoyo nemapapu izvo zvinoderedza huwandu hweoksijeni muropa. Izvi zvinogona kusanganisira:

• Kukanganisa kwemoyo kuripo pakuzvarwa (kuberekwa)
• Zvirwere zvemapapu zvisingaperi zvinoitika muvanhu vane bronchiectasis, cystic fibrosis, kana mapapu abscess
• Kutapukirwa kwekamuri yemakamuri emoyo uye mavharuvhu emwoyo (endocarditis inotapukira). Izvi zvinogona kukonzerwa nehutachiona, fungi, kana zvimwe zvinhu zvinotapukira
• Matambudziko emaronda umo matumbu emapapu akadzika anozvimba uyezve ane maronda (chirwere chepakati chemapapu)

Zvimwe zvikonzero zvekirabhu:

• Chirwere cheCeliac
• Cirrhosis yechiropa uye zvimwe zvirwere zvechiropa
• Dysentery
• Graves chirwere
• Yakawandisa thyroid gland
• Mamwe marudzi ekenza, kusanganisira chiropa, dumbu, Hodgkin lymphoma

Kana iwe ukaona kubvarura, fonera wako mupi wezvehutano.

Munhu ane kirabhu kazhinji ane zviratidzo zveimwe mamiriro. Kuziva iyo mamiriro kunoenderana ne:

• Nhoroondo yemhuri
• Nhoroondo yezvechiremba
• Kuongorora kwemuviri kunotarisa pamapapu uye pachipfuva

Iye mupi anogona kubvunza mibvunzo seiyi:

• Une dambudziko rekufema here?
• Une kubvaruka kweminwe, zvigunwe, kana zvese zviri zviviri?
• Wakazviona riini izvi? Iwe unofunga kuti iri kuwedzera kuipa here?
• Ko ganda rinombowana ruvara rwebhuruu here?
• Ndezvipi zvimwe zviratidzo zvaunazvo?

Iyi bvunzo inotevera inogona kuitwa:

• Arterial ropa gasi
• Chest CT scan
• Chest x-ray
• Echocardiogram
• Electrocardiogram (ECG)
• Pulmonary basa bvunzo

Iko hakuna kurapwa kweiyo klubbing pachayo. Chikonzero chekirabhu chinogona kurapwa, zvisinei.

Kutamba

• Kutamba
• Yakagerwa minwe

Davis JL, Murray JF. Nhoroondo uye bvunzo dzepanyama. Mune: Broaddus VC, Mason RJ, Ernst MD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.

Drake WM, Chowdhury TA. General murwere kuongororwa uye kusiyanisa kuongororwa. Muna: Glynn M, Drake WM, eds. Hutchison's Clinical Maitiro. 24 ed. Philadelphia, PA: Elsevier; 2018: chits. 2.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Cyanotic congenital moyo maronda: maronda ane hukama nekuderera kweropa remapapu kuyerera. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 457.