炎上まとめwiki - 利用者の投稿記録 [ja]

On Second Thought Who Needs Blood

2025-10-29T10:42:00Z

Damian6356: ページの作成:「 Whether you employ that oatmeal jelly between your ears as a positive-tuned instrument of inquiry or as storage area for Monty Python quotes, you probably know that i…」

Whether you employ that oatmeal jelly between your ears as a positive-tuned instrument of inquiry or as storage area for Monty Python quotes, you probably know that it works finest when amply equipped with oxygen-rich blood. When this important supply is reduce off, a cascade of events affecting everything out of your tissues to your cells is set in movement, the results of which can range from incapacity to demise. Over the previous 70 years, medical analysis has revealed how refrigeration and resuscitation can go hand in hand, how otherwise life-threatening chilly can be utilized to avoid wasting lives and to delay this cycle of destruction. In different words, do not do that at residence. Through careful monitoring and temperature management, doctors can apply TH to instances that name for both intervention or prevention. Intervention entails curtailing the injury of a latest incident, one which deprived the brain of blood stream and [https://shaderwiki.studiojaw.com/index.php?title=If_The_Abdominal_Muscles_Are_Weak BloodVitals wearable] oxygen. Over the previous few decades, researchers have begun exploring utilizing TH in treating particular types of stroke, heart attack, respiratory issues and injuries to the mind and spinal cord. Coincidence? Although more moderen techniques permit some cardiac surgeries to happen on a still-beating organ, historically such procedures have required stopping the heart, not less than briefly. Body cooling strategies are one among the 2 main applied sciences that make open heart surgeries doable. Uses and analysis continue to develop, however at its coronary heart, TH supplies an important technique of preserving the brain amid two of the harshest shocks it could suffer: the sudden lack of blood movement and its equally abrupt return. Perhaps that's why death has so many definitions, from clinical dying -- when heartbeat, breathing and circulation stop -- to the biological loss of life that occurs someday later, as brain cells start to suffocate and we transfer past docs' power to resuscitate. The twilit country between those two borders shouldn't be a pleasant one. In truth, it is under perpetual travel advisory, and with good purpose. Those injuries add to the biochemical, [https://agroforum24.pl/member.php?action=viewpro&member=HollisTill painless SPO2 testing] structural and functional problems that happen before and throughout the arrest. More radical experimental approaches hold the promise of extending the resuscitation window even longer (see sidebar). Resuscitation. That's an vital phrase. Because, chilled or not, patents with no pulse, respiration or circulation are useless in a manner that will set off most Don't Resuscitate orders. So what's occurring here? How do a number of degrees of lowered body temperature measure the hole between unhealthy and much, a lot worse? To understand that, we have to see what goes on when your coronary heart shuts off. On Second Thought, Who Needs Blood? Recently, surgeons have begun experimenting with a more radical hypothermic process involving emergency room patients with traumatic gunshot wounds, one that additional pushes again the road dividing life and demise. The method involves changing a sufferer's blood with freezing salt water, inducing clinical death (no coronary heart or brain activity) for several hours. One of the vital pivotal elements of this course of issues mitochondria, the important, sausage-formed organelles that power our cells. This causes lactic acid to construct up, essential mechanisms to shut down and calcium to accumulate inside the cell. Meanwhile, cell partitions lose integrity and let in extra harmful substances, together with more calcium, in addition to sodium, which causes inflammation (edema). Overcome, the mitochondria die and break down, releasing toxins and other chemicals that can set off apoptosis. If the cell then kicks the bucket, it releases glutamate and toxins into its surroundings, thrilling close by neurons. The immune system dispatches neutrophils and macrophages to sweep up useless cells, kicking off a chain reaction by producing free radicals that further harm cells, deepening the inflammatory response, aggravating cerebral swelling and inflicting additional neurological harm. That's the dangerous news. The worse information is that when circulation resumes it further damages these already weakened tissues and cells. Leaky cell membranes and a destabilized blood-mind barrier mean additional cerebral edema as newly delivered white blood cells gather in the mind and, provoked by damaged tissue, let unfastened a horde of inflammatory elements and free radicals. Meanwhile, blood coagulation and the formation of microclots can block blood stream, causing localized ischemia. That is, in fact, a vastly simplified overview, [https://git.shaunmcpeck.com/judy0851979317 BloodVitals wearable] but it surely reveals the dangerous mechanisms that therapeutic hypothermia helps to shut down. A couple of billion years in the past, some plucky ancestral organisms started discovering ways to make use of a noxious poison constructing up in the environment. Although our cells retain pathways that make anaerobic respiration potential, for brief periods and at a price, humans are obligate aerobes, required to eat oxygen to dwell. We additionally identified a rogue's gallery of troublemakers: starving mitochondria, wandering electrolytes, destructive enzymes, programmed cell loss of life, runaway neuron excitability, unwanted inflammation and poorly timed clotting.

Will Specific Foods Help Treat Altitude Sickness

2025-10-05T00:49:38Z

Damian6356:

Altitude sickness is a situation attributable to lower oxygen ranges at high elevations. Once you journey from a low altitude to a high one, it takes your physique time to adjust. Your lungs and heart have to make an extra effort to compensate for less oxygen. There are three types of altitude sickness: acute mountain sickness, excessive-altitude pulmonary edema and [http://www.vokipedia.de/index.php?title=How_To_Extend_Blood_Oxygen_Level wireless blood oxygen check] excessive-altitude cerebral edema. Acute mountain sickness is the most typical type of altitude sickness, and it is the least harmful. It normally passes in just a few days, offered that you take it straightforward and never ascend any larger while you still have symptoms. The opposite two sorts of high-altitude sickness are far more dangerous; they're uncommon but could be fatal. Among the finest ways to stop and cope with altitude sickness is to drink plenty of fluids. Hydration is a key factor in warding off signs comparable to headache, nausea, fatigue, shortness of breath, dizziness and difficulty sleeping. Take in around a gallon (three or four liters) of fluids a day. The distinction in air pressure between high and low altitudes can have an effect on extra than simply the oxygen ranges in your blood; it can also have an effect on your electrolytes, fluid levels and salt ranges. For that reason, consuming small but frequent meals that embody straightforward-to-digest carbohydrates and a few salt are good for preventing altitude sickness. Grains, pasta and bread are all really helpful to help you modify to a high altitude. Avoid alcohol and caffeine, especially for the first few days as your body adjusts. A trick to get each carbohydrates and fluids into you is to drink sports drinks or juice. Similarly, soup can also be a great food for people trying to avoid altitude sickness. Lindsay Curtis is a well being & medical writer in South Florida. She worked as a communications professional for well being nonprofits and the University of Toronto’s Faculty of Medicine and Faculty of Nursing. Hypoxia is a condition that occurs when the body tissues do not get ample oxygen supply. The human body relies on a gradual move of oxygen to operate correctly, and when this supply is compromised, it could actually significantly have an effect on your health. The signs of hypoxia can range but generally embrace shortness of breath, confusion, dizziness, and blue lips or fingertips. Prolonged hypoxia can lead to loss of consciousness, seizures, organ damage, or death. Treatment relies on the underlying cause and will embrace medication and oxygen therapy. In severe instances, hospitalization may be obligatory. Hypoxia is a relatively frequent situation that can have an effect on folks of all ages, particularly those who spend time at excessive altitudes or have lung or coronary heart conditions. There are four major forms of hypoxia: hypoxemic, hypemic, stagnant, and [https://ashwoodvalleywiki.com/index.php?title=User:EuniceMichelides wireless blood oxygen check] histotoxic. Hypoxia varieties are labeled primarily based on the underlying trigger or the affected physiological (body) course of. Healthcare providers use this data to determine the most acceptable remedy. Hypoxemic hypoxia: Occurs when there's insufficient oxygen within the [http://mastersrq.online/alannamadrid8 wireless blood oxygen check], and therefore not sufficient oxygen reaches the body's tissues and very important organs. Hypemic (anemic) hypoxia: Occurs when the blood doesn't carry sufficient quantities of oxygen because of low purple blood cells (anemia). Consequently, the physique's tissues don't receive sufficient oxygen to function normally. Stagnant (circulatory) hypoxia: Occurs when poor blood circulation prevents enough oxygen delivery to the body's tissues. This will likely occur in one physique space or throughout your entire physique. Histotoxic hypoxia: Occurs when blood stream is regular and the blood has ample oxygen, but the body's tissues can not use it efficiently. Hypoxia symptoms can differ from person to particular person and will manifest otherwise depending on the underlying trigger. Symptoms of hypoxia can come on all of the sudden, however extra often, they are delicate, regularly growing over time. There are various causes of hypoxia, together with medical conditions that affect the center or lungs, sure medications, and environmental components. Each type of hypoxia has unique causes. Hypoxic hypoxia happens when there is a decreased oxygen provide to the lungs. Hypemic (anemic) hypoxia happens when the blood cannot carry adequate amounts of oxygen to the physique tissues, [https://maracanaonline.com.br/2023/02/10/cadiz-x-girona-onde-assistir-ao-vivo-palpites-escalacoes-la-liga wireless blood oxygen check] often due to low numbers of red blood cells. Stagnant (circulatory) hypoxia occurs when poor [https://backlinksseo.in/bloodvitals-spo2-the-future-of-home-blood-monitoring-devices-4/ BloodVitals SPO2] blood circulation impairs oxygen supply to tissues. Histotoxic hypoxia occurs when the blood has adequate oxygen levels, but the cells can't effectively use oxygen. Hypoxia can happen to people of all ages, though certain threat components can increase the probability of experiencing it. To diagnose hypoxia, your healthcare supplier will evaluate your medical historical past, perform a bodily exam, and order diagnostic checks. Diagnostic checks might help them assess the severity of hypoxia and identify the underlying cause.

What s Aortic Valve Disease

2025-09-28T02:02:59Z

Damian6356: ページの作成:「 The guts is the primary engine that keeps your body operating. That hardworking engine has two separate motors, both of that are break up into an higher atrium and a…」

The guts is the primary engine that keeps your body operating. That hardworking engine has two separate motors, both of that are break up into an higher atrium and a decrease ventricle that the fuel (your blood) passes via earlier than it is sure for different elements of your physique. Each motor additionally has two valves. Instead of regulating the flow of air, fuel and [https://fskdigital.com/claraquiles49 BloodVitals experience] exhaust as they do in a automotive, your heart's valves are in command of blood circulation. Two sets of valves primarily supervise your coronary heart's blood movement. The atrioventricular valves sit between the atrium and ventricle. On the left side of your coronary heart, this specific gateway is named the mitral valve, and on the correct, the tricuspid valve. The semilunar valves, nevertheless, serve as the exit doors that blood pulses through because it leaves the ventricles on its strategy to the gas lines (your arteries). On the left, this semilunar valve known as your aortic valve, and on the correct, the pulmonary valve. Your physique is a closed system, which means blood travels in essentially one huge loop, so the closed valves allow strain to build up before releasing two ventricles' price of blood from the guts. But let's get again to our engine analogy for a second. The motor on the fitting side of the center has it easy. It receives blood at low stress as it arrives from all corners of your body and sends it proper next door to the lungs, which desire a gradual stream of blood, [https://www.epesuj.cz/wiki/index.php/Samsung_Announces_Blood_Pressure_Monitoring_Application_For_Galaxy_Watch_Devices BloodVitals health] not a roaring river. On the left facet, nonetheless, it's a special story. Blood is getting into the left atrium from the close by lungs at low strain, however this motor must then push it by the chambers and valves with sufficient pressure to shoot the newly oxygenated blood to each tissue in your physique. In reality, the left aspect of our hearts works so onerous that we normally establish our heart as being on the left aspect of our chests when it truly sits within the center. One of these valves, the aortic valve, guards the passageway between the left ventricle and the aorta, your primary supply artery for oxygen-rich blood. If this part malfunctions, because it does in aortic valve illness, your engine is in for a hard day's driving. Aortic valve disease happens when stenosis, regurgitation or, [https://www.guerzhoy.a2hosted.com/index.php/User:GingerNock BloodVitals health] in really unlucky folks, each cause the aortic valve not to work correctly. Stenosis happens when you might have a narrowed or hardened valve that restricts the amount of blood passing via it. Regurgitation occurs when blood leaks again into the ventricle through poorly sealing leaflets. In either scenario, your heart should pump tougher to push the proper amount of blood through the defective passage. On account of the extra effort, either the center tissue gets thicker (hypertrophic cardiomyopathy) or the left ventricle turns into bigger (dilated cardiomyopathy), in the end lowering your heart's performance. Your aortic valve isn't the only one that can be diagnosed with stenosis or regurgitation, but it is the one which matters in aortic valve illness. An aortic valve that started off too slim from beginning also can lead to stenosis (known as congenital aortic valve illness). Regurgitation, on the other hand, could stem from good old school put on and tear, problems with the aorta itself and rheumatic fever (additionally a cause of stenosis). In case your aortic valve is broken, [https://encurtaki.com.br/madietijerina BloodVitals SPO2] your physique could provide you with a warning in a variety of how. You may really feel dizzy, undergo chest pains or see swelling in your ft. Early on, chances are you'll notice you're particularly winded during exercise. As the situation progresses, shortness of breath can happen when you're resting and [http://www.huizhizhong.com:3000/emelygepp2153 Blood Vitals] even sleeping. A heart murmur can also develop, and this telltale signal usually alerts docs to the situation during routine checkups. Without serious signs, aortic valve disease might simply require an easygoing life-style -- as a consequence of the center's limited capacity to ship oxygenated blood -- and regular cardiology exams. Sometimes, medical doctors can open a stenotic valve by inserting a catheter with a tiny balloon into the body, pushing it through a vein to the aortic valve and then expanding the balloon, knocking the leaflets fully apart. Other occasions, surgeons reshape leaflets to prevent regurgitation. When you have aortic valve disease and want a transplant, console your self in figuring out that, after the procedure, you will likely be residing a long, comfortable life as you motor on down the road with a top-notch alternative valve in your tuned-up engine. See the subsequent page for many more tales about that hardworking engine of yours. Two Leaflets or Three? Your coronary heart's mitral valve, also known as a bicuspid valve, has two leaflets, however the opposite valves normally have three. This distinction can result in stenosis as a result of the valve may be smaller to compensate for the lacking leaflet, or it can cause regurgitation because the two leaflets don't seal perfectly. How and why does the guts pump blood to itself? What's so minimal about "minimally invasive" coronary bypass surgical procedure? Could you've got a coronary heart assault -- and never comprehend it? When do most coronary heart assaults happen -- and why? What exactly occurs during a heart assault? American Heart Association. "2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease." Circulation. American Heart Association. "Your Heart and how it really works."2008. Mayo Foundation for Medical Education and Research. Mayo Foundation for Medical Education and Research. Mayo Foundation for Medical Education and Research. Mayo Foundation for Medical Education and Research. Mayo Foundation for Medical Education and Research. Medline Plus. "Heart Valve Diseases." U.S. National Library of Medicine and the National Institutes of [https://aqariads.com/joleenn248 BloodVitals health]. Nishimura, Rick A., M.D. Roizen, Michael F., M.D., and Mehmet C. Oz, M.D. The Society of Thoracic Surgeons. Sundt, Thoralf M., M.D. The Society of Thoracic Surgeons. Texas Heart Institute at St. Luke's Episcopal Hospital.

Home Blood Pressure Monitoring Saves Lives Cuts Costs And Reduces Healthcare Disparities

2025-09-21T01:55:45Z

Damian6356: ページの作成:「 Estimating healthcare value parameters based mostly on actual healthcare cost information from the Medical Expenditure Panel Survey (MEPS), researchers projected a me…」

Estimating healthcare value parameters based mostly on actual healthcare cost information from the Medical Expenditure Panel Survey (MEPS), researchers projected a median of 4.4% per particular person annual savings and [https://trevorjd.com/index.php/Silky_%E2%80%98tattoo%E2%80%99_Under_Skin_Glows_To_Reveal_Blood_Oxygen BloodVitals insights] a median of $7,794 in healthcare prices per person over a span of 20 years on this inhabitants on account of house blood pressure monitoring adoption and the subsequent reduced cardiovascular illness circumstances. Previous financial evaluations of home blood strain monitoring have primarily targeted on local health methods or carried out quick-term, small-scale randomized controlled trials. Hypertension -- systolic blood strain (BP) larger than 130 mmHg or a diastolic BP larger than eighty mmHg or [https://surl.xyz/sterlingmcnama BloodVitals device] being on medication for it -- is a pressing public health challenge in the US, [https://gitea.pickalurv.com/bretlabarbera3 BloodVitals tracker] with significant implications for the development of coronary heart disease and stroke and results in substantial healthcare costs. Traditional clinic monitoring, [https://card.digiptic.com/dorieeys88 BloodVitals wearable] the frequent methodology for BP measurement and hypertension prognosis, has numerous drawbacks: Patients could not go to clinics usually enough to pick up the issue, and after they do, accuracy may be compromised by the "white coat" (excessive workplace BP but regular BP on residence measurements) or "masked" (normal/excessive regular BP within the office however elevated at home) results. Home blood pressure monitoring eliminates these impediments and provides extra comprehensive and [https://shortli.site/lachlanhoskin BloodVitals review] correct information compared to sporadic measurements obtained throughout clinic visits. Yet, [https://trevorjd.com/index.php/User:FDPTwyla682072 BloodVitals insights] the highly effective practice has not been widely adopted within the US because of inadequate medical insurance protection, lack of funding in preventive providers, and limited well being promotion efforts offered by major care physicians. However, the landscape has changed between 2020 and 2022 when house blood strain monitoring attracted increasing attention as a result of healthcare disruptions caused by the COVID-19 pandemic. Co-lead investigator Donglan Zhang, PhD, [https://git.jasonpittman.com/izettafanning0 BloodVitals insights] Associate Professor, Center for Population Health and [https://lazyeyephoto.com/blog/2017/11/hulaween-2017-further-down-the-saucey-spiral BloodVitals SPO2] Health Services Research, New York University Long Island School of Medicine, commented, "Given that nearly half of all adults in the US (47%) are affected by excessive blood strain, and considering the persistent health disparities in cardiovascular health, it is very important to advocate for the widespread adoption of effective and price-saving strategies. Home blood strain monitoring empowers patients to take a extra active function in managing their chronic situations. It appears online upfront of the American Journal of Preventive Medicine, volume 65, challenge 5 (November 2023), revealed by Elsevier. This analysis examine was supported by a grant from the National Institute on Minority Health and Health Disparities (R01MD013886) and a grant from the National Heart, Lung, and Blood Institute (R01HL141427) of the NIH. The American Journal of Preventive Medicine is the official journal of the American College of Preventive Medicine and the Association for Prevention Teaching and Research. It publishes articles in the areas of prevention research, teaching, follow and policy. Original research is published on interventions aimed at the prevention of chronic and acute illness and the promotion of particular person and neighborhood well being. The journal features papers that address the first and secondary prevention of necessary clinical, behavioral and public well being points comparable to damage and violence, infectious illness, women's well being, smoking, sedentary behaviors and physical activity, nutrition, diabetes, obesity, and alcohol and drug abuse. Papers additionally tackle educational initiatives aimed at improving the power of health professionals to provide efficient clinical prevention and public health providers. The journal also publishes official coverage statements from the two co-sponsoring organizations, well being companies research pertinent to prevention and public health, evaluation articles, media critiques, and editorials. Issue date 2021 May. To realize highly accelerated sub-millimeter resolution T2-weighted functional MRI at 7T by creating a 3-dimensional gradient and spin echo imaging (GRASE) with inner-quantity selection and variable flip angles (VFA). GRASE imaging has disadvantages in that 1) ok-house modulation causes T2 blurring by limiting the number of slices and 2) a VFA scheme results in partial success with substantial SNR loss. On this work, accelerated GRASE with controlled T2 blurring is developed to improve a degree spread function (PSF) and temporal sign-to-noise ratio (tSNR) with a large number of slices. Numerical and experimental studies were carried out to validate the effectiveness of the proposed method over common and VFA GRASE (R- and V-GRASE). The proposed methodology, whereas achieving 0.8mm isotropic decision, useful MRI in comparison with R- and V-GRASE improves the spatial extent of the excited volume up to 36 slices with 52% to 68% full width at half maximum (FWHM) discount in PSF but roughly 2- to 3-fold imply tSNR improvement, thus leading to greater Bold activations.

That’s The Route Apple Went Down

2025-09-07T12:17:18Z

Damian6356: ページの作成:「 Posts from this matter will be added to your each day email digest and your homepage feed. Posts from this subject shall be added to your day by day e-mail digest and…」

Posts from this matter will be added to your each day email digest and your homepage feed. Posts from this subject shall be added to your day by day e-mail digest and [https://ishorturl.com/rolandoh302704 real-time SPO2 tracking] your homepage feed. Posts from this topic can be added to your day by day e-mail digest and your homepage feed. Posts from this creator might be added to your daily email digest and your homepage feed. Throughout the announcement of the Apple Watch Series 6, the corporate heralded the most recent component - a blood oxygen monitor - as an addition to its current slate of health options. "Apple Watch is already a robust health software with apps that measure heart price and heart rhythm," said Sumbul Ahmad Desai, Apple’s VP of health. The options on the Apple Watch that track heart rate and coronary heart rhythm, though, have a key difference from the [http://giggetter.com/blog/19313/study-report-bloodvitals-spo2-the-ultimate-home-blood-oxygen-monitoring-dev/ blood oxygen monitor]: the heart-tracking features are cleared by the Food and Drug Administration (FDA), and the oxygen monitor will not be. Apple went by a long, in depth process to develop and validate an EKG function so that the watch may detect a situation referred to as atrial fibrillation. It didn’t need to do the identical factor for the pulse oximeter. Blood oxygen displays, or pulse oximeters, are considered Class II medical gadgets by the FDA. Generally, any company that wants to sell one in the United States has to submit documentation to the company confirming that its product works just in addition to different variations of the identical product already on the market. There’s a workaround, though: if the corporate says that the product is just for fun, or for common "wellness," they don’t need to go through that course of. They can’t declare that it could diagnose or treat any medical situations, however they'll put it up on the market. That’s the route Apple went down. They’re not saying that their monitor can diagnose any disease, simply that it’s offering up the data. Other health-targeted apps and smartwatches have taken the identical approach, sidestepping the FDA process. "If you’re just providing information, they’re not regulating that," says Matt Grennan, assistant professor of health care management within the Wharton School at the University of Pennsylvania. Digital health merchandise are so ubiquitous, and so many new ones enter the market yearly, that it’d be arduous for the FDA to evaluation all of them. "They have to think about how they can allocate their very own sources," Grennan says. The company does step in, though, when companies need to use apps to influence the medical care somebody receives. The EKG function falls under that class. It’s imagined to serve a selected medical objective: flagging abnormal coronary heart rhythm. "It’s meant to be decoding and managing a probably life threatening situation," says Michael Matheny, co-director [https://projectdiscover.eu/blog/index.php?entryid=19783 BloodVitals SPO2] of the middle for Improving the Public’s Health by Informatics at Vanderbilt University. As a part of the FDA clearance process for [https://shortli.site/charlesbrennan BloodVitals SPO2] the EKG, [https://www.expertenwissen-online.de/blog/index.php?entryid=55983 BloodVitals review] Apple had to offer and publish data exhibiting that the function could, actually, flag atrial fibrillation. Doctors and specialists were able to study the information, and there are dozens of printed analysis research carefully examining how properly the watch can actually detect dangerous heart rhythms. Because the pulse oximeter is just a wellness product, though, Apple didn’t must publish any of that info. When Matheny went searching for knowledge exhibiting how effectively the Apple Watch’s pulse oximeter worked in comparison with different units on the market, he wasn’t able to find a lot. "It was concerning to me," he says. Anecdotal experiences from people testing the Apple Watch discovered that the pulse oximeter characteristic isn’t correct and will be arduous to make use of. The distinction between a characteristic used for wellness and one used for medical monitoring is necessary - one has been cleared by consultants, [https://plamosoku.com/enjyo/index.php?title=%E5%88%A9%E7%94%A8%E8%80%85:Damian6356 blood oxygen monitor] and [https://ishorturl.com/dave5248047144 painless SPO2 testing] the other hasn’t. But those differences often aren’t clear to individuals shopping for a product like an Apple Watch, significantly when the marketing blurs the line - as Apple did when it instantly in contrast the heart monitoring features on the watch to the new pulse oximeter. "A lot of occasions, patients and consumers don’t really perceive the distinction. So they’ll start utilizing the machine and relying on the information," Matheny says. It gets more complicated when two functions that fall underneath completely different categories are in the identical product, Grennan says. The Apple Watch won’t be the final product to have some features cleared by the FDA and different options categorized as wellness instruments, Grennan says. "I think we’re going to see a lot more of that.

利用者:Damian6356

2025-09-07T12:16:36Z

Damian6356:

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利用者:Damian6356

2025-09-07T05:18:01Z

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