Sei nasolabial netriangle rwebhuruu ndechokuti rurimi yebhuruu kana miromo wekushanduka mutema?

Wenyanzvi China yekare uye India dzakabatanidzwa anokosha kukosha kutarisana chirwere. An ruzivo chiremba, uye nhasi anogona kuita chirwere ganda ezvinhu, ayo ruvara, mwando, vascular muenzaniso, nzvimbo uye kudzika wrinkles, kana kupindura mubvunzo nei nasolabial Triangle rwebhuruu. Inspection sangano kunotanga tinyatsonzwisisa mashoko ayo, kugara features, symmetry uye inorwara yaro nomumwe zvikamu. Mukuwedzera, ruvara zvinokosha ganda, kuvapo edema kana mapundu. Somuenzaniso, chiropa matambudziko kana Hwakatsvuka aine kuneta maziso. Zvakasimba up miromo mutete kunogona kuratidza colitis (ane anogumbura chirwere huru ura). Zvinoita kuti vamwe zviratidzo izvi ndiyo particularities womunhu, asi kuitira kubvisa kutya, unofanira chiremba.

A chiratidzo zvirwere zvakadai Savacheche, ari kuchinja ruvara kana nasolabial Triangle rwebhuruu. chirwere ichi kunoratidzwa nekumwisa 1% (chakaipa pamwero) kuti methemoglobin muropa, inova oxidized chimiro hemoglobin. Chizenga - ferrous (chokuita Fe2 +) mapuroteni inokwanisa reversibly kuita pamwe okisijeni uye tama nayo nyama dzomuviri uye masero. The oxidation pamusoro Fe2 + kusvikira Fe3 + kunotungamirira vasanyanye Chizenga wevasungwa (by rokutendeutsa kuti methemoglobin), uye kushaya okisijeni mumuviri, sezvo methemoglobin haasi kukwanisa kupa masero pamwe okisijeni uye tishu. chirwere ichi chinogona kuva nokuda vachiberekwa kushayikwa pamusoro enzayemu diaphorase I uye vawana.

Methemoglobinemia zvingaitika somugumisiro kugamuchira exogenous oxidizing nevasori (semuenzaniso, benzocaine uye nitrates), anogona kuwedzera mwero inotungamirwa methemoglobin 1000 nguva. Other zvikonzero zvinosanganisira chaiwo nemishonga (trimethoprim, sulphonamides uye dapsone), dzemunharaunda dzokutindivadza (prilocaine uye articaine), metoclopramide kana mabiko nitrate (somunhu mushonga, zvokudya kana mvura), izvo kutendeukira nitrites, oxidizing simbi maatomu ari hemoglobin. Vanonyanya vana pasi mwedzi mitanhatu. Kana mwana nasolabial netriangle zvitema, inoratidza kushayikwa okisijeni mumuviri wake.

Zvisinei, vacheche - hachisi chete chikonzero. Nasolabial netriangle riri rebhuruu nomoyo kuremara, kana, yakafanira kupinda arterial venous nekushaya ropa kunoitika mumuviri ropa yakachena kuti anoita mashandiro kutakura kuti munyama uye masero muviri zvinovaka muviri uye okisijeni. Uyewo kutungamirira kushayikwa okisijeni mumuviri pulmonary chirwere. Izvi nokushushikana basa erythrocytes kuti andobata okisijeni mumapapu, kutumirwa kune munyama umo zvakabudiswa kunoitika pakati carbon dioxide inobvisa uye nevamwe nayo mumapapu. Asi chero chikonzero rinokwanisa kucheneruka Hue ari nasolabial Triangle angava, vanofanira kubvunza chiremba.

Hazvibviri kufuratira rwebhuruu miromo, kunyanya kana iri achiperekedzwa mwoyo palpitations, chikosoro, rinokwanisa kucheneruka zvipikiri, zvakaoma kufema, fivha, kana kana murwere akakandwa mumoto. Chikonzero chikuru nei miromo vakanga yebhuruu - a cyanosis (nechepakati mutsauko kana akatendeuka miromo yebhuruu, uye peripheral - sei maoko nemakumbo). The zvakawanda okisijeni muropa, saka zviri redder uye yakajeka. Venous ropa riri rima yakatsvuka ruvara nokuda duku zviri okisijeni. midziyo ropa venous ropa, nokuda Manyiminya ehupfumi ganda, kuonekwa mutema. Central cyanosis imhaka kweropa zvirwere kana zvemapapu kufefetedza matambudziko. The chirwere hwapedyo apo yakachena saturation rimwe arterial ropa riri ≤ 85%. The zvinokonzera cyanosis kunogona kuva dambudziko pamwe musimboti tsinga (uropi ropa, chepfungwa hypoxia, zvinodhaka ovhadhozi), zvirwere zvokufema (COPD, asima, etc.), mwoyo (semuenzaniso, kuremara), ropa (methemoglobinemia).

Mutauro zvakare girazi kuratidza mamiriro nhengo. Pakati VanaChiremba vebazi, izvo mumutauro anogona kuongororwa zvakarurama. On matambudziko pamwechete netsvo, kunotadzisa rurimi rwebhuruu. Kana ruvara rutsvuku, inoratidza kuzvimba kana chirwere. Rurimi bemhapemha vanofarira gastroenterologists. Desquamation kuti papillae anoratidza hematologists pamusoro zvirwere ropa. Munguva dzekare, vanachiremba vaitenda kuti muviri anokwanisa kunyevera zvoutano. In dzokuMabvazuva mushonga vane ruzivo vanoti kuti mumwe womukati nhengo Rinobatanidzwa imwe nzvimbo mutauro, saka pane kuwedzera zvimwe nzvimbo mutauro. Somuenzaniso, mudzi rurimi inoratidza chinzvimbo pamusoro ura, uye muromo rurimi - huri mwoyo. Kugara hurukuro hapana rurimi vaaleanpunainen pamwe vakasiyana papillae kumeso nedanga kunoratidza ezvinhu muviri wakanaka.