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Microcirculation

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Microcirculation

  1. 1. Basic knowledge of microcirculation
  2. 2. Summary• First part: Great blood circulatory system• Second part: Introduction of microcirculation (definition, function, constitution, characteristics and importance)• Last part:How to test microcirculation (start, observation index, anlysis and correct judgment, give professional advice )
  3. 3. First part• Great Blood Circulation
  4. 4. Second partIntroduction of microcirculation
  5. 5. What is microcirculation?The middle part of Artery and VeinEnd part of circulation systemImportant component of organs
  6. 6. What is the function of microcirculation?• The microcirculation is the principal avenue for the delivery of oxygen , nutrition and exit of the substances involved in the metabolism of every cell of the tissues.
  7. 7. Constitution of microcirculation• Small artery• Arteriole• capillary• Slender artery• Small artery
  8. 8. Capillary wall is made of endothelial cells, basilar membrane, and peripheral cellsVessel walls: arteriole is thickerVessel caliber: venule is bigger
  9. 9. Characteristics of microcirculation• End part of circulation system• Important component of organs• Common property of vessels, special characteristics of organs• The channels of blood, the place for exchange• Modulated by nerve system, body fluid, and also modulated by locality.
  10. 10. Characteristics of microcirculation• ①The total length of capillaries is about 90-110 thousand kilometers (one and half the perimeters of the earth 6,356.8km )• ② About 10 billion capillary vessels, the area can reach 500~700 m2• ③ The wall of the capillary of the microcirculation is very thin. (20~30 μ m)• ④ The capillaries are very small in size (one twentieth of a man’s hair. )
  11. 11. The importance of microcirculation• Regulation Stable regulation: Body flux Organs flux Blood pressure Emergent regulation: Local organs and tissues
  12. 12. What is the microcirculation disorder ?• Microcirculation disorder means changes in the form of capillaries or changes in the pattern of the blood flow .• If the capillaries of the microcirculation are distorted and the capillaries are blocked, necrosis of cell will occur due to ischemia and anoxia.
  13. 13. What diseases may microcirculation disorder cause?• ① Nervous System:• Low blood supply to brain area which can lead to dizziness, headache, insomnia, deterioration of memory, weakness of nervous system, stroke etc• ② Cardiovascular System:• Obstruction in microcirculation can lead to Chest oppression, arrhythmia, Heart or Chest pain etc
  14. 14. • ③ Digestive System:• Gastric functional problems, poor digestion, can lead to gastritis, stomach ulcers etc• ④ Muscular and bone joint system: Microcirculation disturbance of muscular and joint system can lead to general muscular pain, numbness, cold extremities, can also lead to inflammation of vessels, Varicose veins and joint pains etc
  15. 15. • ⑤Women Diseases:• Many Women related diseases have relation with microcirculation like painful menstruation, abnormal menstruation and tumor of the uterus etc• ⑥ Skin:• As body gets old the micro vessels of skin reduces, so less blood and oxygen supply lead to low nourishment of skin thus also results in poor elasticity of skin, dark pouches around eyes etc.
  16. 16. In Conclusion• Obstruction in the microcirculation can lead to many old age related diseases like: Brain Atrophy, Old age Dementia, Stroke, High blood pressure, coronary heart disease, Frozen shoulder, Osteoporosis etc
  17. 17. What will cause disorder of microcirculation?• Causes Ischemia reperfusion injury Endothelial cell damage Hypercholesterolemia Platelet aggregation Oxygen free radical High blood viscosity high blood sugar Some immunological reaction Toxin, virus
  18. 18. Last partHow to test microcirculation
  19. 19. How to test the microcirculation?• The nail bed is easy to view and is richly endowed with capillaries very close to the skin surface beneath the nail.
  20. 20. How to start?• Firstly you should know some information about the people who will be tested Gender Job Figure Food Appearance Medical history Age Family history Smoke Recently feeling
  21. 21. Observation Indexes 1 清晰度 Resolution 2 管袢数 Number of capillary loops 3 管径 Vessel caliber3 main 4 管袢长度 Length of capillary loopsaspects: 5 管袢形态 Shape of capillary loops 6 流速 Blood flow rateShape 7 血管运动性 Motility of Blood vessel 8 红细胞聚集 Aggregation of red blood cellFluid state 9 白细胞数 Number of white blood cell 10 白微栓 White micro embolismLoop 11 血色 Blood coloursurrounding/ 12 渗出 Permeation 13 出血 Bleedingblood vessel ansa 14 乳头下静脉丛 Venule clusters under mammary papillaperimeter 15 乳头 Mammary papilla 16 汗腺导管 Sweat ducts
  22. 22. Shape• Clarity• Number of capillary loops• Vessel caliber• Normal shape of capillary loops• Deformity vessels• Short loops• Thin loops• Tense blood vessel• Dilation blood vessel• Stagnation blood vessel• Hyperplasia vessels• Top loop tremendous expansion
  23. 23. Analysis of microcirculationShape of vessels1Clarity clear unclear blurred
  24. 24. Analysis of microcirculationShape of vessels2. Number of capillary loops:7~10 is normal
  25. 25. Analysis of microcirculationShape of vessels3. Vessel caliber: Input loop: 9~13um; Output loop: 11~17 um; Loop top: 15um 2 3 1
  26. 26. Analysis of microcirculationShape of vessels 4.Shape of capillary loops: hair-pin shape Normal Normal Abnormal
  27. 27. Analysis of microcirculationShape of vessels 5. Deformity vessels
  28. 28. Analysis of microcirculationShape of vessels 6. Short loops
  29. 29. Analysis of microcirculationShape of vessels 7. Thin loops
  30. 30. Analysis of microcirculationShape of vessels 8. Tense vessel
  31. 31. Analysis of microcirculationShape of vessels 9. Extensive vessels
  32. 32. Analysis of microcirculationShape of vessels 10. Congestive vessels
  33. 33. Analysis of microcirculationShape of vessels 11. Hyperplasia vessels
  34. 34. Analysis of microcirculationShape of vessels 12. Top loop tremendous expansion
  35. 35. Blood fluid state1.Blood flow rate2.Red blood cells aggregation3.White micro embolism
  36. 36. Analysis of microcirculationBlood fluid state 1. Blood flow rate Linear flow, Linear granular flow, Granular flow, Fluctuated granular flow, Halt
  37. 37. Analysis of microcirculationBlood fluid state 2. Red blood cells aggregation
  38. 38. Analysis of microcirculationBlood fluid state 3. White micro embolismWhite micro embolism is formed by platelet, endothelial cells andwhite blood cells via attachment or aggregation,Irregular shaped, cotton clusterCan both adhere to vessel wall and flow in vesselsBig volume, 3 times as white blood cellMost in venule clusters under mammary papilla and obviously inextensive loops
  39. 39. Loop surrounding1. Permeation and bleeding2. Vein clump under nipple:3. Nipple
  40. 40. Analysis of microcirculationLoop surrounding 1. Permeation and bleeding
  41. 41. Analysis of microcirculationLoop surrounding 2. Vein clump under nipple:
  42. 42. Analysis of microcirculationLoop surrounding 3. NippleWaved shape Slight waved shape Flat
  43. 43. How to give advice?• If the person don’t have any bad habits, don’t have any disease or symptoms, and the microcirculation is also good:• We may ask him to share his healthy experience with us.
  44. 44. Just Microcirculation Disorder• If the person don’t have any bad habits, don’t have any disease or symptoms, but have some microcirculation disorder from the observation:• We may think that he just may have some little disorder about the body, so we can give him some products for improving health. And give him some good suggest about life.
  45. 45. • If the person have some bad habits, and have some little symptoms, such as feeling tired, fragility and so on, also find some disorder about the microcirculation:• We can give some products for improving the symptoms. And some good suggest.
  46. 46. • If the person have don’t have some bad habits, but have family history, and have some obvious symptoms, and also have disorder about the microcirculation:• We could give him some product for improving symptoms and also advice him to have a inspect in hospital.Family On your family tree,there were more than one person had gotHistory or died from one disease, such as diabetes, CAD, Cancer etc.
  47. 47. • If the person have some obvious symptoms, and he know about his disease, such us diabetes, heart disease etc:• We should give some our products and at the same time ask him should not stop the drug which he used before. They can use our product and the drug together but not simultaneous.
  48. 48. How to give the correctly products?• We have the prescription for you to suggest your client.
  49. 49. Welcome to Contact Us If you are interested in the content, or may have some questionsabout health and diseases, welcome to contact us, we will provide you with a professional service. Tel: 017 22 75 716 Email: puspa50cent06@gmail.com

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