Chifukwa nasolabial makona buluu ndi buluu lilime kapena milomo kutembenukira buluu?

Madokotala a China wakale ndi India Ufumuyo lofunika kwambiri kukumana matenda. An dokotala wodziwa, ndi lero zingachititse matenda a matenda a khungu, mtundu, chinyezi, chitsanzo mtima, malo ndi kuya makwinya, kapena kuyankha funso chifukwa nasolabial makona buluu. Kasamalidwe chilli umayamba ndi zochita za mawu ake, zimakambidwa, chosokonekera ndi chiwerengero cha ziwalo payekha. Komanso zofunika mtundu wa khungu, pamaso pa edema kapena totupa. Mwachitsanzo, chiwindi mavuto kapena reddening limodzi ndi zowawa za maso. Mwamphamvu chatsekedwa milomo woonda angasonyeze matenda a m'matumbo (ndi yotupa matenda a m'mimba). N'zotheka kuti ena mwa zizindikiro ndi zapadera za thupi, koma kuti kuthetsa mantha, muyenera kukaonana ndi dokotala.

Chizindikiro cha matenda monga makanda, ndi kusintha mtundu pamene nasolabial makona buluu. matenda yodziwika ndi owonjezera 1% (kambiri) wa methemoglobin mu magazi, kumene kuli oxidized mtundu wa hemoglobin. Hemoglobin - akakhala (kugwirizana ndi Fe2 +) mapuloteni angathe reversibly yatikhudza ndi mpweya ndi posamutsa kuti zimakhala thupi ndi maselo. The makutidwe ndi okosijeni a Fe2 + kuti Fe3 + akutitsogolera kuti kuchepa hemoglobin ndende (by akatembenuka kuti methemoglobin), ndi kusowa kwa mpweya mu thupi, kuyambira methemoglobin sangathe kupereka maselo ndi mpweya ndi minofu. Matenda akhoza kukhala chifukwa chakuchepa kobadwa nako wa enzyme diaphorase Ine ndi zinazake.

Methemoglobinemia kumachitika chifukwa cha kulandira oxidizing wothandizila exogenous (mwachitsanzo, benzocaine ndi ku feteleza), angadwale mlingo wa mapangidwe methemoglobin nthawi 1000. Zina monga mankhwala tingachipeze powerenga (trimethroprim, sulphonamides ndi dapsone), mankhwala opha m'deralo (prilocaine ndi articaine), metoclopramide kapena phwando nitrate (monga mankhwala, chakudya kapena madzi), amene anatembenukira kwa nitrites, oxidizing maatomu a ayironi mu hemoglobin. Pangozi ndi ana miyezi isanu ndi umodzi. Ngati mwana nasolabial makona buluu, kuti ndikuonetsera kusoweka kwa mpweya mu thupi lake.

Komabe, makanda - si chifukwa chokha. Nasolabial makona ndi buluu ndi zilema mtima, pamene, chifukwa kulowa wolumikizira venous magazi kuchepa amapezeka mu thupi la magazi wangwiro umene amachita ntchito magalimoto ku zimakhala ndi maselo a thupi la chakudya ndi mpweya. Komanso kukhala ndi kusowa mpweya mu thupi matenda m'mapapo mwanga. Izi kutanganidwa ntchito ya erythrocytes kugwila mpweya m'mapapo, kutumiza kuti zimakhala imene zitsanzo zosankhidwazi amapezeka mpweya woipa komanso kusakonda mu mapapo. Koma chirichonse chifukwa bluish hue mu makona nasolabial mwina, ayenera kukaonana ndi dokotala.

Ndi Sitinganyalanyaze milomo buluu, makamaka ngati limodzi ndi palpitations mtima, chifuwa, misomali bluish, amavutika kupuma, malungo, kapena ngati wodwala anali kuponyedwa pamoto. Chifukwa chachikulu chimene milomo anali buluu - ndi cyanosis (kusiyana chapakati pamene kutembenukira milomo buluu, ndi zotumphukira - anakhudzidwa miyendo). The mpweya kwambiri m'magazi, motero redder ndi m'tsogolo. magazi Venous mdima wofiira mtundu chifukwa okhutira ka mpweya. Mitsempha ndi magazi venous, chifukwa zimatha kuwala kwa khungu, kuoneka buluu. Chapakati cyanosis chifukwa matenda magazi kapena mavuto m'mapapo mpweya wabwino. Matendawa akufotokozera pamene mpweya machulukitsidwe magazi wolumikizira ndi ≤ 85%. Zimayambitsa cyanosis kungakhale kovuta ndi dongosolo chapakati mantha (kukha mwazi muubongo hypoxia oziziritsa, mankhwala ambiri osokoneza), matenda kupuma (COPD, mphumu, etc.), mtima (mwachitsanzo, kupunduka), magazi (methemoglobinemia).

Language ndi galasi kusonyeza chikhalidwe cha chamoyo. Mwa madokotala ndi akatswiri, amene m'chilankhulo cha akhoza kupanga matenda zolondola. Pa mavuto ndi impsozo, kumathandiza buluu lilime. Ngati mtundu wofiira, izo zikusonyeza kutupa kapena kuyamba matenda. Lilime ❖ kuyanika chidwi gastroenterologists. Desquamation wa papillae limasonyeza hematologists pa matenda magazi. Kale, madokotala ankakhulupirira kuti thupi amatha kuchenjeza matenda. Mankhwala kum'maŵa zinthu zambiri zimene kuti aliyense limba mkati amagwirizana ndi dera la chinenerocho, choncho pali kuwonjezeka mu madera ena a chinenero. Mwachitsanzo, muzu wa lilime limasonyeza udindo wa intestine, ndipo nsonga ya lilime - chikhalidwe cha mtima. Ndondomeko zonse wotumbululuka pinki lilime ndi papillae osiyana ndi khola yosalala amasonyeza bwino za thupi.