Koj puas muaj ntshav txhaws hauv koj lub cev? Cia peb kawm txog hematoma hauv cov lus yooj yim!

Koj puas tau ntaus ib yam dab tsi hnyav thiab nws hloov xiav, o, thiab mob thaum kov? Los yog koj puas tau pom tias qee zaum, txawm tias tsis raug mob, daim tawv nqaij hloov xim tam sim ntawd thiab muaj ntshav txhaws? Qhov ntawd yog qhov peb yuav tham txog hnub no, uas hu ua hematoma . Tsis muaj dab tsi yuav tsum ntshai, cia peb tham txog nws yooj yim.

Qhov hematoma no yog dab tsi?

Hais yooj yim xwb, cov ntshav hauv koj lub cev yog cov ntshav uas sib sau ua ke hauv koj lub cev uas tsis muaj txoj kev khiav tawm. Xav txog nws zoo li cov kav dej tawg uas sib sau ua ke dej rau hauv ib qho chaw, tab sis qhov no tshwm sim hauv koj lub cev. Thaum cov ntshav no sib sau ua ke, cov nqaij ib puag ncig pib thawb tawm. Cov ntshav me me yog qhov tshwm sim ntau heev thiab tuaj yeem tshwm sim txhua qhov chaw ntawm lub cev. Feem ntau, lawv tsis loj heev thiab yuav kho tau lawv tus kheej.

Txawm li cas los xij, qee cov hematomas tuaj yeem loj heev, lossis yog tias lawv tsim nyob ze ntawm lub cev tseem ceeb, lawv tuaj yeem muab kev nyuaj siab rau cov ntaub so ntswg ib puag ncig. Thaum ntawd qhov no dhau los ua qhov xwm txheej uas xav tau kev txhawj xeeb. Tab sis tsis muaj dab tsi txhawj txog rau cov hematomas me me, tsis tseem ceeb.

Puas muaj hom hematoma?

Yog, muaj ntau hom hematomas nyob ntawm seb lawv tsim nyob qhov twg. Cia peb saib seb cov hom tseem ceeb yog dab tsi:

• Cov ntshav hauv lub mis
• Cephalohematomas hauv cov menyuam mos
• Cov hom hematomas uas tshwm sim sab hauv lub taub hau, uas yog, sab hauv lub pob txha taub hau. Piv txwv li , subdural hematomas thiab epidural hematomas yog qhov txaus ntshai heev.
• Cov mob xws li los ntshav hauv lub cev, tshwj xeeb yog hemoperitoneum .
• Cov ntshav txhaws uas tshwm sim hauv cov leeg nqaij, xws li cov ntshav txhaws rectus sheath, uas tshwm sim ze ntawm cov leeg nqaij plab.
• Cov hematomas subchorionic tuaj yeem tshwm sim thaum cev xeeb tub.
• Ib qho ntshav hauv qab ntawm tus ntiv tes yog ib qho mob uas tshwm sim hauv qab tus ntiv tes. Qee zaum, tus ntiv tes ntawm koj txhais tes lossis ko taw yuav tawv thiab xiav, thiab qhov ntawd yog qhov tshwm sim.

Cov tsos mob ntawm hematoma yog dab tsi?

Qhov hematoma loj dua, qhov ntawd yuav muaj tsos mob ntau dua. Ib yam li ntawd, cov tsos mob tuaj yeem tshwm sim yog tias nws nyob hauv qhov chaw me me lossis yog tias nws tsim ze ntawm cov nqaij tseem ceeb.

Cov tsos mob feem ntau

Nov yog qee cov tsos mob uas tshwm sim ntau zaus:

• Mob: Vim tias cov ntshav hematomas feem ntau tshwm sim tom qab muaj xwm txheej, qhov mob yog qhov tsos mob tseem ceeb. Nws zoo li mob ntse hauv thaj chaw raug mob.
• Kev Mob Ntshav/Tawv Nqaij Hloov Xim: Tej zaum koj yuav tau pom tias koj daim tawv nqaij hloov xim vim muaj cov ntshav uas nyob ze rau ntawm daim tawv nqaij. Qee zaum nws zoo li cov pob liab me me ( Petechiae).(hu ua purpura), lossis lawv tuaj yeem yog cov pob liab loj (hu ua purpura ), lossis lawv tuaj yeem yog cov qhov txhab xiav loj uas peb paub.
• Kev o: Cov ntshav sib sau ua ke tuaj yeem thawb cov nqaij ib puag ncig, xws li daim tawv nqaij lossis cov leeg, thiab ua rau nws o. Qee zaum peb hu qhov no ua o , tab sis thaum peb hais tias o, koj nkag siab lawm.
• Cov tsos mob ntsig txog cov hlab ntsha: Qee zaum cov ntshav no tuaj yeem nias rau ntawm cov hlab ntsha. Qhov no tuaj yeem ua rau loog ntawm ob txhais ceg (hu ua paresthesia ), tsis hnov ​​​​​​mob hauv qee qhov chaw, lossis mob ntsig txog cov hlab ntsha.

Cov tsos mob txaus ntshai - ceev faj txog cov no!

Qee cov hematomas muaj kev phom sij me ntsis, tshwj xeeb tshaj yog cov uas tsim sab hauv lub taub hau. Vim tias qhov chaw rau cov ntshav los sau hauv peb lub pob txha taub hau yog tsawg heev. Thaum cov ntshav zoo li no sau, nws tuaj yeem thawb rau ntawm lub hlwb thiab ua rau lub hlwb puas tsuaj. Yog li ntawd, koj yuav tsum ceev faj heev txog cov tsos mob no.

Cov cim qhia txog kev mob intracranial hematoma

• Mob taub hau tam sim ntawd, hnyav heev.
• Zoo li ib sab ntawm lub cev lossis ib sab ntawm lub ntsej muag loog, tsis muaj zog.
• Xeev siab thiab ntuav.
• Nyuaj hais lus (Aphasia) los yog nyuaj nqos (Dysphagia).
• Tsis muaj zog sib npaug, tsis taug kev zoo, thiab tsis muaj peev xwm sib koom tes ua haujlwm ntawm cov leeg nqaij (ataxia).
• Muaj qaug dab peg.
• Poob kev nco qab, mus rau hauv coma.

Cov cim ceeb toom ntawm cov hematoma loj hauv lub hauv siab lossis plab

Ib yam li ntawd, yog tias muaj ntshav ntau ntau hauv lub hauv siab lossis lub plab thiab ua rau muaj cov ntshav txhaws, nws kuj tuaj yeem ua rau muaj cov tsos mob txaus ntshai. Cov no suav nrog:

• Ua pa nyuaj, hloov pauv tus cwj pwm ua pa. Piv txwv li, ua pa yuav sai dua ( tachypnea ) lossis qeeb dua ( bradypnea ).
• Mob hauv siab los yog mob plab.
• Daim tawv nqaij daj ntseg tam sim ntawd (pallor), xav tias txias, thiab tawm hws.
• Mob hnyav heev, tshwj xeeb yog qhov mob uas mob hnyav dua li qhov xwm txheej lossis qhov uas piav tsis tau.

Dab tsi yog cov ua rau muaj hematoma?

Qhov ua rau muaj cov ntshav txhaws yog qhov xwm txheej . Thaum koj tsoo ib yam dab tsi hnyav (kev raug mob hnyav), ntshav pib ntws mus rau hauv lub cev, thiab cov ntshav tsis muaj qhov chaw mus, yog li ntawd cov ntshav txhaws tshwm sim. Xav txog nws zoo li yog tias koj poob qee qhov chaw, lossis yog tias koj tsoo ib yam dab tsi.

Tiam sis qee zaum, txawm tias koj muaj ib yam dab tsi daig rau hauv koj lub cev (qhov raug mob uas nkag mus rau hauv), cov ntshav tawm tuaj yeem tsim tau. Qhov no yog vim tias lub cev sai sai kaw qhov txhab kom tsis txhob los ntshav (ib qho txheej txheem hu ua hemostasis ). Txawm li cas los xij, yog tias qhov txhab txuas ntxiv los ntshav tom qab nws kaw lawm, cov ntshav tawm tuaj yeem tsim tau.

Vim muaj xwm txheej

Qee qhov mob tshwj xeeb uas ua rau muaj hematoma ntsig txog kev sib tsoo suav nrog:

• Pob txha tawg , tshwj xeeb tshaj yog thaum pob txha tawg tag.
• Cov mob xws li lub qhov ntswg tawg, pob ntseg tawg, lossis raug mob rau cov pob txha mos hauv pob ntseg, xws li 'pob ntseg paj noob hlis'.
• Kev raug mob taub hau thiab kev raug mob hlwb , tshwj xeeb tshaj yog cov ntshav ntws hauv lub hlwb .
• Kev raug mob rau cov kabmob sab hauv , tshwj xeeb tshaj yog thaum muaj kev los ntshav ntau.
• Tej yam uas tshwm sim thaum lub sijhawm kho mob. Piv txwv li, cov leeg ntshav tawg thaum muab txoj kab IV tso rau hauv caj npab, lossis los ntshav sab hauv tom qab phais.
• Cov leeg nqaij raug mob.
• Ntau yam kev tawg thiab kev tawg ntawm cov ntaub so ntswg hauv lub cev.
• Cov kev raug mob los ntawm kev ncab, xws li cov pob qij txha tawg.

Vim muaj lwm yam mob nkeeg

Kuj tseem muaj tej yam mob uas ua rau muaj cov ntshav tawm hauv lub cev, thiab tsis muaj kev pheej hmoo ntawm kev los ntshav sab hauv. Cov no yog:

• Kev rhuav tshem cov hlab ntsha, xws li lub aorta (piv txwv li, aortic dissection).
• Cov teeb meem ntshav txhaws - piv txwv li, hemophilia.
• Mob qog ntshav - xws li mob leukemia lossis lymphoma.
• Kev puas tsuaj rau cov hlab ntsha vim yog cov qog nqaij hlav uas tshwm sim hauv lub cev (cov no tuaj yeem yog cov qog nqaij hlav zoo lossis qog nqaij hlav phem).
• Mob stroke los ntshav.
• Kev puas tsuaj rau cov kabmob sab hauv vim yog tej yam xws li pob zeb hauv lub raum.
• Cov kab mob uas ua rau muaj mob ulcers hauv lub cev zom zaub mov.
• Los ntshav hauv lub hlwb vim yog cov kab mob xws li ntshav siab (hypertension). (Txawm hais tias peb hais tias "ntshav siab", qhov no yog lub npe kho mob).
• Ib qho aneurysm tawg yog ib qho pulp zoo li lub npas hauv cov hlab ntsha (aneurysm).
• Cov kab mob sib kis uas ua rau los ntshav hauv lub cev, piv txwv li, qee cov kab mob viral hemorrhagic fevers.

Puas muaj teeb meem uas hematoma ua rau muaj teeb meem?

Feem ntau, cov ntshav tsis ua rau muaj teeb meem loj, tab sis yog tias muaj ntshav ntau, teeb meem tuaj yeem tshwm sim. Qee qhov teeb meem uas tuaj yeem tshwm sim yog:

• Kev poob siab hypovolemic:Qhov ntawd txhais tau tias kev poob siab los ntawm kev poob ntshav ntau ntawm lub cev.
• Ischemia: Thaum ib qho hematoma nias ib txoj hlab ntsha, cov ntshav ntws los ntawm nws raug txiav tawm, ua rau poob ntshav mus rau thaj chaw ntawd.
• Cov tsos mob ntawm cov hlab ntsha raug nias.

Tej zaum yuav muaj lwm yam teeb meem tshwm sim nyob ntawm koj keeb kwm kev noj qab haus huv thiab lwm yam. Koj tus kws kho mob tuaj yeem qhia koj zoo tshaj plaws txog koj qhov kev pheej hmoo ntawm cov teeb meem.

Koj paub tseeb li cas tias hematoma yog dab tsi?

Tus kws kho mob tuaj yeem kuaj pom tias muaj cov ntshav los ntawm kev kuaj koj lub cev thiab ua qee qhov kev kuaj duab.

Kev kuaj lub cev yog ib qho tseem ceeb heev, tshwj xeeb yog tias koj tau raug xwm txheej. Thaum lub sijhawm no, koj tus kws kho mob yuav saib koj daim tawv nqaij rau txhua qhov kev hloov pauv, mloog nrog lub stethoscope, thiab palpate. Palpation pab tau vim tias hematoma zoo li txawv ntawm kev kov dua li cov nqaij noj qab haus huv. Koj tus kws kho mob kuj tseem yuav nug koj txog koj cov tsos mob, xws li thaum twg thiab lawv pib li cas.

Cov ntshav txhaws yooj yim dua los nrhiav nrog kev thaij duab vim tias lawv tuaj yeem saib sab hauv lub cev. Kev thaij duab Magnetic Resonance Imaging (MRI) yog qhov zoo tshaj plaws ntawm kev qhia cov ntshav txhaws, tshwj xeeb tshaj yog cov uas nyob tob hauv lub cev. Txawm li cas los xij, kev thaij duab MRI siv sijhawm ntev dua li lwm cov kev thaij duab. Yog vim li cas cov kws kho mob kuj siv cov hom kev thaij duab no:

• Kev thaij duab Computed Tomography (CT): Qhov no tuaj yeem kuaj xyuas seb puas muaj cov ntshav hauv lub taub hau uas ua rau muaj kev nyuaj rau cov ntaub so ntswg hauv lub hlwb.
• Angiography: Qhov kev kuaj no pab nrhiav cov cheeb tsam ntawm kev los ntshav hauv lub cev thiab cov hematomas cuam tshuam.
• Kev kuaj mob ultrasound: Qhov no siv tau los kuaj xyuas cov hematomas uas nyob ze rau ntawm daim tawv nqaij lossis hauv cov cheeb tsam tshwj xeeb, xws li nyob ib puag ncig lub tsev menyuam.

Nyob ntawm koj cov tsos mob thiab keeb kwm kev noj qab haus huv, koj tus kws kho mob yuav pom zoo kom kuaj ntxiv. Nws yuav qhia koj ntxiv txog seb cov kev kuaj no yuav pab tau li cas.

Yuav kho tus mob hematoma li cas?

Feem ntau cov ntshav me me tsis tas yuav kho mob loj thiab tuaj yeem kho tau nrog tej yam yooj yim uas koj ua tau hauv tsev. Yog tias muaj qhov mob me me lossis mob pob qij txha, siv txoj kev RICE .

Tej yam yooj yim uas koj ua tau hauv tsev (RICE method)

RICE yog kev sib xyaw ua ke ntawm plaub tsab ntawv. Nws txhais tau tias:

• R - So: So qhov chaw raug mob thiab nws yuav pib kho sai dua.
• Kuv - Dej Khov: Muab ib lub pob dej khov rau. Tab sis tsis txhob muab dej khov rau ntawm daim tawv nqaij ncaj qha, qhwv nws nrog ib daim ntaub nyias nyias, txwv tsis pub daim tawv nqaij yuav khov thiab raug mob (frostbite) .
• C - Compression: Qhwv qhov chaw raug mob kom nruj, zoo li nrog ib daim ntaub qhwv elastic.
• E - Nqa: Khaws qhov chaw raug mob saum koj lub siab.

Cov xwm txheej uas xav tau kev kho mob

Yog tias cov ntshav hauv lub cev hnyav dua, thawj qhov uas yuav tsum ua yog tswj cov teeb meem txaus ntshai lossis teeb meem. Piv txwv li, yog tias muaj ntshav poob ntau , yuav tsum tau hloov ntshav , lossis yog tias lub plawv nres , kev cawm siav (cardiopulmonary resuscitation - CPR) yuav ua kom cov ntshav ncig tau zoo.

Thaum koj tawm ntawm qhov txaus ntshai tam sim ntawd lawm, kev kho mob tsom mus rau kev kho qhov ua rau muaj cov ntshav txhaws. Piv txwv li:

• Kev Phais: Kho cov hlab ntsha thiab cov nqaij uas puas lawm.
• Cov txheej txheem tshem tawm cov ntshav tawm: Piv txwv li, ib txoj kev kho mob hu ua centesis siv ib rab koob los tshem tawm cov ntshav uas tau khaws cia ntawm lub cev.
• Kho cov pob txha tawg thiab muab lawv tso rau hauv qhov chaw uas lawv tsis tuaj yeem txav mus los.
• Tshem tawm cov ntshav uas tau khaws cia: Qhov no yuav txo qhov kev nyuaj siab rau thaj chaw ib puag ncig, thiab nws yuav yooj yim dua rau lub cev kho.
• Cov Tshuaj: Pab tswj cov ntshav siab, teeb meem ntshav txhaws, thiab lwm yam teeb meem cuam tshuam.

Nyob ntawm koj tus mob, koj tus kws kho mob yuav qhia lwm yam kev kho mob. Nws yuav piav qhia txog ntau txoj kev xaiv rau koj, nrog rau tej yam teeb meem lossis tej yam tshwm sim tsis zoo.

Yog tias koj muaj hematoma, koj yuav xav li cas?

Yog koj muaj ib qho hematoma, koj qhov kev paub yuav nyob ntawm ntau yam. Nws tuaj yeem raug cuam tshuam los ntawm nws qhov loj me, qhov ua rau muaj hematoma, thiab koj keeb kwm kev kho mob. Koj tus kws kho mob yuav yog tus neeg zoo tshaj plaws los qhia koj tias yuav tsum xav li cas thiab yuav ua li cas rau koj qhov xwm txheej tshwj xeeb. Lawv kuj tseem yuav qhia koj tias koj tus mob yuav zoo li cas thiab koj tuaj yeem ua dab tsi los txhim kho nws.

Puas tuaj yeem tiv thaiv kev tsim cov hematoma?

Feem ntau cov ntshav tawm tsis tau xav txog, ua rau nyuaj rau tiv thaiv. Txawm li cas los xij, muaj ob peb yam koj ua tau los txo koj txoj kev pheej hmoo ntawm kev muaj lawv:

• Tiv thaiv kom tsis txhob muaj xwm txheej lossis txo qhov hnyav ntawm lawv: Qhov no ua tau los ntawm kev siv cov khoom siv kev nyab xeeb. Piv txwv li, hnav lub kaus mom hlau, hnav txoj siv sia hauv tsheb. Txawm tias tej yam me me los kuj tuaj yeem ua qhov sib txawv loj heev.
• Kev tswj cov mob ntev: Qhov no tuaj yeem pab koj ncua lossis tiv thaiv cov mob hnyav xws li mob stroke thiab ntshav hauv hlwb. Nws kuj tseem tuaj yeem txo qhov kev pheej hmoo ntawm kev tsim cov ntshav txhaws vim yog cov ntshav txhaws / ntshav tsis zoo.
• Ceev faj thaum ua si thiab cob qhia:Vim tias hematomas kuj tseem tuaj yeem tsim los ntawm kev puas tsuaj rau cov leeg thiab cov nqaij mos, kev tiv thaiv kev puas tsuaj no yuav txo qhov muaj feem ntawm kev tsim hematoma.

Cov ntshav txhaws kuj tseem tuaj yeem tshwm sim vim muaj qee yam mob ntev. Yog tias koj muaj ib qho, nrog koj tus kws kho mob tham txog cov hau kev los tiv thaiv cov ntshav txhaws.

Kuv yuav ua li cas thiaj saib xyuas kuv tus kheej yog tias kuv muaj hematoma?

Qhov tseem ceeb tshaj plaws uas koj ua tau los saib xyuas koj tus kheej yog kom tsis txhob ua rau qhov raug mob uas ua rau muaj cov ntshav txhaws thiab ua rau nws hnyav zuj zus. Kev muab sijhawm rau nws kom zoo feem ntau txaus. Yog tias koj muaj lus nug lossis kev txhawj xeeb txog yuav ua li cas pab cov ntshav txhaws kom zoo, koj yuav tsum nrog kws kho mob tham. Nws tuaj yeem muab cov ntaub ntawv tseeb thiab pab tau rau koj tshwj xeeb rau koj qhov xwm txheej.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj muaj cov no, koj yuav tsum tham lossis mus ntsib kws kho mob txog qhov hematoma.

Thaum twg feem ntau yuav tsum nrhiav kev pab kho mob

• Yog tias muaj qhov mob uas tsis kho tom qab ob lub lis piam.
• Yog tias koj muaj cov qhov txhab ntau zaus yam tsis nrhiav tau qhov ua rau, lossis yog tias koj muaj cov qhov txhab uas rov qab los tas li.
• Yog tias qhov mob nqaij ntawd muaj lwm yam tsos mob nrog rau qhov mob, nws yuav yog ib qho cim qhia tias muaj teeb meem loj dua (piv txwv li: cov leeg nqaij tsis muaj zog, loog, tsis hnov ​​​​​​mob, tawv nqaij tsis zoo vim yog ntshav ncig tsis zoo).

Cov xwm txheej uas koj yuav tsum mus rau tsev kho mob tam sim ntawd!

Yog tias koj muaj ib qho ntawm cov tsos mob no, thov nrhiav kev kho mob thaum muaj xwm txheej ceev tam sim ntawd. Cov no yuav yog cov cim qhia txog tus mob txaus ntshai uas cuam tshuam nrog cov ntshav txhaws:

• Ua pa nyuaj.
• Poob siab.
• Mob hauv siab.
• Mob taub hau tam sim ntawd, tsis tuaj yeem ua tau, thiab hnyav heev.
• Mob loog los yog tsis muaj zog ntawm ib sab ntawm lub cev.
• Nyuaj siab tswj qhov sib npaug.
• Kev hloov pauv ntawm kev pom kev.
• Nyuaj hais lus kom meej.
• Xeev siab thiab ntuav tsis muaj laj thawj.

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

Nov yog qee cov lus nug uas koj tuaj yeem nug koj tus kws kho mob:

• "Vim li cas kuv thiaj tau txais cov hematoma no?"
• Qhov no loj npaum li cas?
• Kuv puas kho tau qhov no hauv tsev? Los yog puas muaj dab tsi uas kuv ua tau los kho nws?
• Qhov no puas xav tau kev kho mob los ntawm cov kws tshaj lij? Kuv cov kev xaiv kho mob yog dab tsi?
• "Yuav siv sijhawm ntev npaum li cas rau kuv cov hematoma kom kho tau?"

Qhov hematoma loj npaum li cas?

Cov ntshav txhaws tuaj yeem yog me me mus rau loj heev. Cov yam tseem ceeb uas txiav txim siab seb cov ntshav txhaws loj npaum li cas yog:

• Yog vim li cas ho ua li ntawd?
• Nws loj npaum li cas?
• Nws nyob qhov twg?
• Seb nws puas yuav ua rau muaj kev puas tsuaj rau ib yam dab tsi nyob ib puag ncig nws, lossis nws twb ua rau nws raug mob lawm.
• Seb qhov no puas raug cuam tshuam los ntawm koj qhov mob tam sim no lossis yav dhau los thiab tuaj yeem ua rau nws hnyav dua.

Xav txog nws, hematoma tuaj yeem yog qhov mob me me los ntawm kev ntaus koj txhais taw rau ntawm lub rooj, lossis nws tuaj yeem yog cov ntshav ntshav hauv qab koj tus ntiv tes los ntawm ib tug neeg taug kev rau ntawm koj txhais taw. Tab sis yog tias hematoma loj, yog tias nws tob hauv koj lub cev, lossis yog tias nws muaj qee yam tsos mob, nws tsis yog lub tswv yim zoo los tsis quav ntsej nws.

Yog koj muaj lus nug lossis kev txhawj xeeb, nrog koj tus kws kho mob tham. Kev kuaj mob thaum ntxov thiab kev kho mob tuaj yeem cawm tau txoj sia yog tias muaj cov ntshav tawm loj heev. Ib yam li ntawd, kev kho cov qhov txhab me me thiab cia lawv kho kom zoo tuaj yeem pab lawv ploj mus thaum lub cev kho.

Thaum kawg, nco ntsoov (Cov Lus Coj Mus Tsev)

Yog li, cov ntshav tawm yog cov ntshav sib sau ua ke hauv lub cev. Feem ntau, cov no zoo li cov qhov txhab me me thiab kho lawv tus kheej. Txawm li cas los xij, koj yuav tsum ceev faj heev txog cov ntshav tawm loj, cov uas tshwm sim hauv lub taub hau, lossis cov uas muaj cov tsos mob txaus ntshai xws li ua pa nyuaj, mob taub hau hnyav, thiab tsis nco qab.

Yog tias muaj qhov mob me me, koj siv tau txoj kev RICE (so, muab dej khov, nias, thiab tsa). Txawm li cas los xij, yog tias qhov mob tsis zoo dua tom qab ob lub lis piam, yog tias koj muaj cov mob ntau zaus uas tsis paub meej, lossis yog tias koj muaj ib qho ntawm cov tsos mob txaus ntshai uas tau hais ua ntej, koj yuav tsum mus ntsib kws kho mob.

Nco ntsoov tias, koj xav li cas txog koj lub cev yog qhov tseem ceeb heev. Yog tias koj tsis paub meej, yeej tsis lig dhau los nrhiav kev pab kho mob. Nyob kom noj qab nyob zoo!

` hematoma, mob nqaij, los ntshav, o, cov tsos mob, kev kho mob, kev ceeb toom