Koj puas muaj cov hlab ntsha hauv koj lub qhov muag raug thaiv? Cia peb kawm txog Retinal Vein Occlusion (RVO)!

Koj puas tau xav tias yuav muaj li cas yog tias cov hlab ntsha me me hauv peb lub qhov muag raug thaiv? Qhov no tej zaum yuav yog ib qho tshiab rau koj. Tab sis, nws yeej tshwm sim tau tiag tiag. Hnub no peb yuav tham txog ib qho mob hu ua Retinal Vein Occlusion , lossis RVO. Tsis txhob txhawj, yog tias koj nkag siab qhov no zoo, nws yuav pab tau koj heev hauv kev ua tiav cov haujlwm tsim nyog.

Retinal Vein Occlusion yog dab tsi?

Hais yooj yim xwb, qhov no yog thaum cov leeg ntshav, lossis cov hlab ntsha, uas ntws cov ntshav los ntawm lub retina hauv koj lub qhov muag raug thaiv tag nrho lossis ib nrab. Xav txog nws qhov retina no nyob tom qab ntawm peb lub qhov muag zoo li zaj duab xis hauv lub koob yees duab. Thaum lub teeb ntaus lub qhov muag, nws pab tsim cov duab thiab cia peb pom. Yog li, thaum cov ntshav ntws los ntawm lub retina raug thaiv, cov ntshav pib sib sau ua ke ntawd. Qhov no tuaj yeem ua rau lub siab hauv lub qhov muag nce thiab o . Yog tias hom teeb meem no tsis kho sai, peb lub zeem muag yuav ploj lossis txo qis . Tam sim no, tsis muaj txoj hauv kev nyab xeeb los qhib cov hlab ntsha uas raug thaiv no dua. Tab sis, tsis txhob tso tseg kev cia siab! Muaj kev kho mob uas tuaj yeem tswj cov kev mob tshwm sim thiab tiv thaiv koj lub zeem muag . Cov kws kho qhov muag yuav kho koj txoj kev npaj kho mob rau koj tus mob. Tej zaum koj yuav xav tau ntau dua ib txoj kev xaiv kho mob, xws li kev txhaj tshuaj mus rau kev phais .

Puas muaj hom '(RVO)' no?

Yog, muaj ob hom RVO tseem ceeb: 1. Central retinal vein occlusion (CRVO) : Qhov no yog qhov uas cov hlab ntsha tseem ceeb hauv retina raug thaiv. 2. Ceg retinal vein occlusion (BRVO) : Qhov no yog qhov uas ib lossis ntau ceg ntawm cov hlab ntsha me me uas txuas nrog cov hlab ntsha tseem ceeb raug thaiv. Hom no yog qhov feem ntau.

Tus mob '(RVO)' no feem ntau tshwm sim li cas?

Qhov tseeb, RVO yog qhov mob thib ob uas feem ntau cuam tshuam rau peb lub retina, tom qab mob ntshav qab zib retinopathy. Cov kws tshawb fawb tau pom tias thoob ntiaj teb:

• Tus mob no (Retinal Vein Occlusion) tau cuam tshuam rau ntau dua 16 lab tus tib neeg.
• Kab mob central retinal vein occlusion (CRVO) cuam tshuam rau ntawm 1 thiab 4 ntawm txhua 1,000 tus neeg.
• Kab mob retinal vein occlusion (BRVO) cuam tshuam rau ntawm 6 thiab 12 ntawm txhua 1,000 tus neeg.

Cov ntaub ntawv no qhia tau tias, txawm hais tias qhov no tsis yog ib yam dab tsi uas tsis tshua muaj, nws cuam tshuam rau ntau tus neeg.

Cov tsos mob ntawm tus kab mob '(RVO)' yog dab tsi?

Cov tsos mob ntawm '(RVO)' feem ntau tsuas tshwm sim hauv ib lub qhov muag xwb. Cov no yog cov tsos mob tseem ceeb:

• Pom kev tsis meej lossis tsis pom kev : Qhov no tuaj yeem tshwm sim sai sai, lossis nws tuaj yeem maj mam nce ntxiv mus rau ob peb teev lossis ob peb hnub.
• Cov Nroj Tsuag Uas Ntws : Cov no yog cov pob dub me me lossis cov kab uas zoo li txav mus los thaum koj saib lawv.
• Hnov mob lossis muaj kev ntxhov siab hauv lub qhov muag : Qhov no feem ntau tshwm sim rau cov mob hnyav.

Tiam sis ntawm no yog qee yam uas yuav tsum nco ntsoov. Qee zaum, koj yuav tsis muaj tsos mob kom txog thaum muaj cov kev mob tshwm sim. Rau qee tus neeg, tus kws kho mob tsis paub tias lawv muaj teeb meem kom txog thaum lawv mus kuaj qhov muag tas li.

Vim li cas qhov '(RVO)' no thiaj tshwm sim? Cov laj thawj yog dab tsi?

Qhov ua rau muaj tus mob no yog vim muaj kev thaiv cov ntshav ntws mus rau hauv cov hlab ntsha ntawm lub qhov muag. Qhov kev thaiv no tuaj yeem tshwm sim rau ntau yam laj thawj:

• Ib qho ntshav txhaws .
• Cov ntshav ncig qeeb.
• Cov hlab ntsha ntawm lub qhov muag thiab cov hlab ntsha ntawm lub qhov muag hla ib leeg, qhov twg cov hlab ntsha raug nias. Xav txog nws, cov hlab ntsha no muab cov ntshav huv thiab muaj oxygen rau lub qhov muag . Thaum koj laus zuj zus, lossis vim muaj cov plaque sib sau ua ke hauv cov phab ntsa ntawm cov hlab ntsha, cov hlab ntsha no tuaj yeem nqaim thiab nias cov hlab ntsha hauv qab nws. Qhov no tuaj yeem ua rau puas tsuaj rau phab ntsa sab hauv ntawm cov hlab ntsha, ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws.

Leej twg muaj feem yuav mob "(RVO)" no ntau dua?

Muaj hnub nyoog tshaj 40 xyoo yog ib qho tseem ceeb uas ua rau muaj kev pheej hmoo. RVO feem ntau cuam tshuam rau cov neeg hnub nyoog 50 thiab 60 xyoo. Txawm li cas los xij, qee zaum nws tuaj yeem cuam tshuam rau cov neeg hnub nyoog qis dua 40 xyoo. Tsis tas li ntawd, yog tias koj muaj ib qho ntawm cov mob hauv qab no, koj qhov kev pheej hmoo ntawm kev mob RVO siab dua:

• Atherosclerosis thiab kev tawv ntawm cov hlab ntsha
• Kab mob ntshav qab zib
• Mob glaucoma
• Ntshav siab

Ib qho ntxiv yog, yog tias koj tau muaj RVO hauv ib lub qhov muag ua ntej, muaj feem ntau dua uas lwm lub qhov muag kuj yuav muaj nws.

Cov kev mob tshwm sim ntawm '(RVO)' yog dab tsi?

Kev txhaws ntawm cov hlab ntsha hauv qhov muag (RVO) tuaj yeem ua rau muaj teeb meem xws li:

• Cystoid macular edema : Qhov no yog thaum lub plawv ntawm koj lub retina, lub macula, o. Qhov no tuaj yeem ua rau tsis meej lossis txawm tias tsis pom kev.
• Kev tsim cov hlab ntsha tshiab ntawm lub qhov muag : Cov hlab ntsha tshiab, tsis muaj zog tuaj yeem tsim nyob rau ntau qhov chaw hauv lub qhov muag, tshwj xeeb tshaj yog nyob ib puag ncig lub iris (rubeosis iridis). Qhov mob no cuam tshuam rau kwv yees li ib ntawm plaub tus neeg uas muaj RVO. Kev tsim cov hlab ntsha tshiab ntawm lub qhov muag tsis tshua muaj nyob rau hauv lub retina.
• Kev los ntshav hauv lub qhov muag: Qhov no yog thaum ntshav ntws mus rau hauv cov khoom zoo li jelly hauv lub qhov muag (vitreous humor). Cov hlab ntsha tshiab, tsis zoo li qub uas tsim los no tsis muaj zog heev, thiab lawv tuaj yeem ntws ntshav.
• Neovascular glaucoma : Cov hlab ntsha tshiab no hauv lub qhov muag tuaj yeem ua rau muaj kev siab siab hauv lub qhov muag, uas kuj tuaj yeem ua rau mob.
• Kev tawg ntawm cov hlab ntsha hauv lub qhov muag (retina detachment ): Vim yog cov hlab ntsha tshiab tsim nyob rau hauv lub qhov muag (retina), lub qhov muag (retina) tuaj yeem rub tawm ntawm nws cov nqaij uas txhawb nqa.

Cov neeg uas muaj RVO muaj feem yuav mob plawv ntau dua, xws li mob stroke , dua li cov neeg uas tsis muaj RVO. Qhov no tej zaum yuav yog vim muaj tej yam ua rau mob plawv, xws li ntshav siab thiab atherosclerosis.

Koj paub qhov mob '(RVO)' no li cas?

Cov kws kho qhov muag kuaj mob RVO los ntawm kev kuaj qhov muag thiab kev kuaj duab retina. Lawv kuj ua haujlwm nrog koj tus kws kho mob thawj zaug (PCP) los nrhiav qhov ua rau muaj teeb meem ntshav ntws no.

Kev kuaj qhov muag

Koj tus kws kho qhov muag yuav ua kom koj cov menyuam qhov muag loj tuaj thiab saib sab hauv koj lub qhov muag. Qhov no yuav cia koj pom dab tsi nyob tom qab koj lub qhov muag kom meej. Lawv yuav siv lub tshuab tsom iav tshwj xeeb thiab lub tshuab tsom iav, uas lawv hnav rau ntawm lawv lub taub hau, los saib sab hauv koj lub qhov muag. Tom qab ntawd lawv yuav muaj peev xwm saib sab hauv ntawm koj lub qhov muag rau txhua yam teeb meem lossis kev puas tsuaj rau koj qhov muag. Qhov kev xeem no tuaj yeem qhia koj:

• Txheeb xyuas seb qhov no yog "Central RVO" lossis "Branch RVO".
• Nrhiav seb qhov chaw nruab nrab ntawm lub zeem muag puas o (macular edema) thiab seb puas muaj cov hlab ntsha tshiab uas tsis zoo li qub.
• Soj ntsuam qhov kev txo qis ntawm cov ntshav mus rau retina.

Tej zaum yuav tsim nyog los kuaj xyuas qhov mob '(RVO)' kom raug, txiav txim siab seb qhov kev puas tsuaj ua rau muaj ntau npaum li cas, thiab ua kev kuaj ntxiv.

Kev ntsuam xyuas los txheeb xyuas `(RVO)`

Koj tus kws kho qhov muag yuav siv ib lossis ntau qhov kev kuaj no los txiav txim siab seb koj tus mob yog dab tsi:

• Kev thaij duab Fundus: Qhov no siv tau los saib seb puas muaj cov hlab ntsha tshiab hauv lub qhov muag thiab seb muaj ntshav poob ntau npaum li cas.
• Kev thaij duab optical coherence tomography (OCT) : Qhov no yog ib txoj kev thaij duab uas muaj qhov daws teeb meem siab. Nws siv tau los kuaj xyuas seb puas muaj macular edema. Nws ntsuas qhov tuab ntawm lub retina thiab muab cov nqi tseeb. Cov nqi no tseem ceeb heev rau kev kho koj tus mob mus sij hawm ntev.
• Kev kuaj mob Fluorescein angiography : Hauv qhov kev kuaj no, ib qho xim tshwj xeeb raug txhaj rau hauv cov leeg ntshav hauv koj txhais caj npab. Thaum cov xim mus rau cov hlab ntshav hauv lub qhov muag, lawv pom tseeb ntawm cov duab. Qhov kev kuaj no yog siv los saib seb cov leeg ntshav hauv lub qhov muag raug thaiv ntau npaum li cas. Nws kuj tseem tuaj yeem qhia tau tias cov leeg ntshav hauv lub qhov muag tsis tau txais ntshav txaus ntau npaum li cas.

Kev kho mob sib koom tes

Koj tus kws kho qhov muag thiab koj tus kws kho mob thawj zaug (PCP) yuav ua haujlwm ua ke los nrhiav qhov ua rau koj muaj RVO thiab txo koj qhov kev pheej hmoo ntawm cov teeb meem yav tom ntej. Lawv kuj tseem yuav kuaj ntshav los xyuas cov yam tseem ceeb xws li koj cov roj cholesterol thiab cov ntshav qab zib .

Cov kev kho mob rau `(RVO)` yog dab tsi?

Tam sim no, tsis muaj ib txoj kev kho tau tag nrho lossis kho qhov teeb meem ntawm cov leeg ntshav hauv qhov muag. Txawm li cas los xij, cov kws kho qhov muag tuaj yeem tiv thaiv thiab kho cov kev mob tshwm sim ntawm cov leeg ntshav hauv qhov muag. Lawv ua cov hauv qab no:

• Kev txhaj tshuaj tiv thaiv VEGF
• Kev txhaj tshuaj steroid
• Kev kho mob siv laser hu ua Panretinal photocoagulation (PRP)
• Kev phais mob Vitrectomy
• Cov tshuaj siv los tswj cov yam txaus ntshai

Lub hom phiaj tseem ceeb ntawm cov kev kho mob no yog:

• Nws tsis ua li cas los txhim kho koj qhov muag pom kev, lossis tiv thaiv kom nws tsis txhob loj zuj zus tuaj.
• Txheeb xyuas thiab kho cov kev mob tshwm sim uas tuaj yeem ua rau koj lub zeem muag thiab kev noj qab haus huv ntawm lub qhov muag puas tsuaj.
• Tswj cov yam ntxwv uas ua rau muaj kev pheej hmoo kom tiv thaiv cov teeb meem yav tom ntej.

Koj tus kws kho mob yuav muab kev kho mob sib xyaw ua ke raws li qhov xav tau thiab piav qhia rau koj lub sijhawm ntawm txhua qhov kev kho mob.

Kev txhaj tshuaj tiv thaiv VEGF

Qhov no yog thawj kab kev kho mob rau cov neeg uas muaj macular edema. VEGF sawv cev rau vascular endothelial growth factor. Qhov no yog ib qho protein uas pab cov hlab ntsha tshiab loj hlob (angiogenesis). Tab sis yog tias VEGF siab dhau, nws tuaj yeem ua rau cov hlab ntsha tsis zoo, xau, ua rau o. Cov tshuaj txhaj tiv thaiv VEGF ua haujlwm los ntawm kev txwv tsis pub tsim VEGF hauv lub qhov muag thiab txo qhov o. Koj tus kws kho mob yuav ua rau koj lub qhov muag loog thiab txhaj cov tshuaj rau hauv vitreous humor, cov tshuaj zoo li jelly hauv koj lub qhov muag. Nyob ntawm koj tus mob, koj yuav tsum tau txhaj cov tshuaj no tsis tu ncua rau ib xyoos lossis ob xyoos. Cov tshuaj tshwj xeeb uas yuav suav nrog hauv cov tshuaj txhaj no suav nrog:

• `Aflibercept`
• `Bevacizumab`
• `Ranibizumab`

Kev txhaj tshuaj steroid

Kev txhaj tshuaj steroid rau hauv lub qhov muag kuj tseem tuaj yeem pab txo qhov o. Txawm li cas los xij, kev txhaj tshuaj steroid tuaj yeem ua rau lub qhov muag siab dua thiab ua rau muaj cataracts rau qee tus neeg. Yog li ntawd, lawv raug siv ua kev kho mob thib ob thaum cov tshuaj tiv thaiv VEGF tsis zoo.

Panretinal photocoagulation (PRP)

Qhov no yog kev phais mob siv laser. Nws cuam tshuam nrog kev ua kom me me kub hnyiab rau hauv thaj chaw ntawm koj lub retina uas cov ntshav ntws tsawg. Qhov no txo ​​cov protein hu ua VEGF uas pab cov hlab ntsha tshiab loj hlob. Kev txo VEGF pab tiv thaiv cov hlab ntsha tshiab los ntawm kev tsim (neovascularization) thiab yog li ntawd los ntshav hauv lub qhov muag. Nws kuj tseem pab kom lub siab hauv lub qhov muag (lub siab hauv qhov muag) ruaj khov.

Kev phais mob Vitrectomy

Kev phais mob posterior pars plana vitrectomy (PPV) yog ib qho kev phais uas pab cov neeg uas muaj retinal vein occlusion (RVO) uas muaj cov teeb meem hauv qab no:

• Yog tias muaj kev los ntshav hnyav hauv lub qhov muag (kev los ntshav hauv lub qhov muag hnyav).
• Yog tias qhov ntshav ntws ntev tshaj plaub lub lis piam.
• Yog tias qhov ntshav tseem rov qab los dua.
• Yog tias lub retina tau tawg lawm, nws hu ua '(Retinal detachment)'.

Qhov kev phais no suav nrog kev tshem tawm cov khoom zoo li jelly hauv lub qhov muag (vitreous humor) thiab kho qhov puas tsuaj rau retina.

Tshuaj kho mob los tswj cov yam txaus ntshai

Muaj coob tus neeg uas muaj teeb meem ntawm cov hlab ntsha hauv lub qhov muag (RVO) muaj tej yam mob uas ua rau mob, xws li ntshav siab, ntshav qab zib, lossis roj cholesterol ntau. Tej yam mob no ua rau koj muaj feem yuav muaj teeb meem ntawm cov hlab ntsha. Koj tus kws kho qhov muag yuav ua haujlwm nrog koj tus kws kho mob thawj zaug (PCP) los npaj ib txoj kev kho mob uas haum rau koj cov kev xav tau. Koj tus PCP yuav sau ntawv kom noj tshuaj rau tej yam xws li:

• Txo koj cov ntshav siab.
• Tswj koj cov roj cholesterol.
• Yog tias muaj lwm yam teeb meem, daws lawv.

Kuv puas tuaj yeem tiv thaiv qhov teeb meem '(RVO)' no?

Paub tias koj muaj feem yuav mob retinal vein occlusion (RVO) yog thawj kauj ruam los tiv thaiv nws. Tham nrog koj tus kws kho qhov muag lossis kws kho qhov muag txog koj qhov kev pheej hmoo thiab koj tuaj yeem ua dab tsi los txo nws. Nws tseem ceeb heev uas yuav tsum tham nrog koj tus kws kho mob thawj zaug (PCP) txog txhua yam mob uas yuav cuam tshuam rau koj cov ntshav ntws. Lawv tuaj yeem pom zoo cov kev kho mob los pab tswj cov mob ntawd thiab pab kom koj lub qhov muag thiab koj lub cev noj qab haus huv. Nov yog qee yam tshwj xeeb uas koj tuaj yeem ua tau los txo koj qhov kev pheej hmoo:

• Ua raws li kev noj zaub mov uas zoo rau kev noj qab haus huv ntawm koj lub plawv thiab cov hlab ntsha .
• Ua kom kev tawm dag zog ua ib feem ntawm koj txoj kev ua neej txhua hnub.
• Tswj koj qhov hnyav kom noj qab nyob zoo .
• Tsis txhob haus luam yeeb thiab txhua yam khoom haus luam yeeb.

Yog tias kuv muaj tus mob no, kuv yuav tsum xav li cas?

Koj qhov kev kwv yees nyob ntawm ntau yam. Piv txwv li, qhov chaw ntawm qhov txhaws thiab cov kev mob tshwm sim uas nws ua rau. Ib txhia neeg yuav muaj kev puas tsuaj rau qhov muag tas mus li. Lwm tus yuav muaj qhov muag uas maj mam zoo dua qub. Koj tus kws kho qhov muag yog tus neeg zoo tshaj plaws los qhia koj tias yuav tsum xav li cas raws li koj tus kheej qhov xwm txheej. Koj tus kws kho mob kuj tseem yuav xa koj mus rau kev kho qhov muag , uas qhia koj cov txheej txheem los ua neej nrog qhov muag tsis pom kev. Piv txwv li, yuav siv cov tsom iav loj thiab cov cuab yeej siv computer pab li cas. Koj kuj tseem yuav raug xa mus rau tus neeg ua haujlwm pabcuam zej zog uas tuaj yeem pab koj daws cov kev hloov pauv hauv lub neej.

Kuv yuav saib xyuas kuv tus kheej li cas?

Kev nyob nrog retinal vein occlusion (RVO) tuaj yeem ua rau muaj kev ntxhov siab me ntsis. Tej zaum koj yuav xav tau cov no:

• Muab tshuaj txhaj rau qhov muag ob peb zaug.
• Koj tau txais kev kho mob laser ntau npaum li cas?
• Mus ntsib kws kho mob tas li.
• Yog tias koj tsav tsheb tsis tau zoo vim koj tus mob lossis kev kho mob, nws yog ib qho pab tau kom mus ntsib kws kho mob.

Txhua yam no yuav ua rau koj xav tias nyuaj siab thiab ntxhov siab heev. Nco ntsoov, koj pab neeg saib xyuas kev noj qab haus huv nyob ntawm no los pab koj. Tham nrog koj cov kws kho mob txog yam koj xav. Lawv yuav muaj peev xwm qhia cov peev txheej uas tuaj yeem pab koj kawm paub ntau ntxiv txog koj tus mob thiab vim li cas tag nrho cov kev siv zog no thiaj li tseem ceeb. Lawv kuj tseem tuaj yeem txuas koj mus rau cov pab pawg txhawb nqa lossis cov peev txheej hauv zej zog uas koj tuaj yeem tham nrog cov neeg uas tab tom dhau los ntawm tib yam li koj. Kev kawm los ntawm lwm tus neeg cov kev paub thiab kev sib qhia koj tus kheej tuaj yeem pab koj tswj hwm qhov no yooj yim dua.

Thaum twg kuv yuav tsum nrhiav kev pab kho mob?

Koj tus kws kho qhov muag yuav qhia rau koj tias koj yuav tsum tuaj kuaj mob lossis kho mob ntau npaum li cas. Tham nrog lawv yog tias koj muaj cov tsos mob tshiab, yog tias koj cov tsos mob hloov pauv, lossis yog tias koj muaj lus nug txog koj txoj kev npaj kho mob.

Kuv yuav tsum mus rau chav kho mob ceev thaum twg?

Yog koj muaj cov tsos mob ntawm qhov muag tawg, hu rau 911 lossis hu rau koj tus xov tooj xwm ceev hauv zos. Qhov no yog xwm txheej ceev hauv kev kho mob uas yuav tsum tau kho tam sim ntawd.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Koj tuaj yeem nug koj tus kws kho qhov muag cov lus nug zoo li no:

• Dab tsi ua rau kuv cov hlab ntsha hauv qhov muag occlusion?
• Kev kho mob twg zoo tshaj plaws rau kuv?
• Cov txiaj ntsig thiab qhov tsis zoo ntawm txhua txoj kev kho mob yog dab tsi?
• Kuv yuav xav tau hom kev ua raws li cas?
• Qhov mob no cuam tshuam li cas rau kuv qhov muag pom kev?
• Kuv txoj kev xav yog dab tsi?

Nws yooj yim tsis nco qab tias cov hlab ntsha tseem ceeb npaum li cas rau peb qhov muag pom. Qhov ntawd yog vim peb feem ntau tsuas yog tham txog cov leeg ntshav thiab cov hlab ntsha uas txuas rau peb lub plawv, lub hlwb, thiab lwm yam kabmob tseem ceeb. Tab sis cov leeg ntshav hauv koj lub qhov muag me me, tab sis lawv tseem ceeb ib yam. Yog tias lawv raug thaiv, lawv tuaj yeem ua rau muaj teeb meem loj rau koj qhov muag pom thiab kev noj qab haus huv ntawm lub qhov muag. Tsis tas li ntawd, lawv tuaj yeem yog ib qho cim ceeb toom tias muaj teeb meem nrog cov ntshav ntws thoob plaws koj lub cev uas xav tau kev saib xyuas.

Kev saib xyuas koj qhov muag kom noj qab haus huv tsis yog tsuas yog tiv thaiv koj qhov muag pom kev xwb, tab sis kuj tiv thaiv koj txoj kev noj qab haus huv tag nrho. Mus ntsib kws kho qhov muag tsis tu ncua rau kev kuaj qhov muag. Qhia rau lawv txog tej teeb meem pom kev lossis cov tsos mob uas koj muaj. Ua li ntawd tuaj yeem pab lawv nrhiav tau cov teeb meem xws li retinal vein occlusion (RVO) thaum ntxov, tiv thaiv cov teeb meem, thiab kho lawv sai sai.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Zoo, yog li ntawm qhov peb tau tham txog, koj yuav tsum nkag siab txog qhov retinal vein occlusion (RVO) yog dab tsi, nws tuaj yeem ua rau dab tsi, thiab muaj kev kho mob dab tsi rau nws. Tsis txhob ntshai, tsis txhob ntshai. Qhov tseem ceeb tshaj plaws yog, yog tias koj muaj cov tsos mob no, nws txhais tau tiasYog tias koj pom kev tsis meej pem, pom kev tsis meej pem, lossis pom cov khoom ntab, mus ntsib kws kho qhov muag tam sim ntawd. Yog tias kuaj pom thaum ntxov, kev kho mob feem ntau tuaj yeem cawm koj qhov kev pom kev. Tsis tas li ntawd, yog tias koj muaj cov mob xws li ntshav qab zib lossis ntshav siab, nws yog ib qho tseem ceeb kom tswj tau lawv zoo. Qhov no tuaj yeem txo koj qhov kev pheej hmoo ntawm kev mob RVO. Kev ua neej noj qab haus huv thiab tsis txhob haus luam yeeb kuj zoo rau koj lub qhov muag thiab kev noj qab haus huv tag nrho. Yog li, saib xyuas koj lub qhov muag, vim tias lawv yog koj cov khoom muaj nqis tshaj plaws, cia koj pom lub ntiaj teb!