Cia peb kawm txhua yam txog kev phais pob txha (Osteotomy) hauv txoj kev yooj yim!

Puas muaj tej lub sij hawm koj xav tias qhov mob uas koj hnov ​​​​​​nyob rau qee qhov ntawm koj lub cev, tshwj xeeb tshaj yog koj lub hauv caug, lub duav, lossis tus txha nraub qaum, yog vim muaj pob txha me me tsis sib xws lossis pob txha tawg? Tej zaum koj tus kws kho mob tau qhia koj txog kev phais mob hu ua osteotomy. Nws tuaj yeem ua rau ntshai me ntsis thaum hnov ​​​​​​txog qhov no. Tab sis thaum koj paub cov ntsiab lus, qhov kev ntshai ntawd tau txo qis heev. Yog li, hnub no, peb puas yuav tham txog qhov kev phais mob no yooj yim?

Hais yooj yim xwb, qhov no yog dab tsi (Osteotomy)?

Zoo, hais yooj yim xwb, kev phais pob txha yog ib txoj kev phais. Nws suav nrog kev txiav ib pob txha, qee zaum ntxiv pob txha tshiab, thiab tom qab ntawd hloov kho pob txha lossis tsiv nws rov qab mus rau nws qhov chaw zoo. Xav txog nws zoo li tus kws ntoo txiav ib daim ntoo, hloov kho nws, thiab muab nws cov duab tshiab, tab sis qhov no ua rau cov pob txha hauv peb lub cev.

Koj tus kws phais mob tuaj yeem ua qhov kev phais pob txha rau txhua pob txha hauv koj lub cev. Piv txwv li, hauv koj lub puab tsaig, lub luj tshib, tus txha nraub qaum, xub pwg nyom, lub duav, lub hauv caug, ceg, ntiv taw, lossis ko taw. Nws feem ntau yog siv los kho cov teeb meem hauv koj cov pob qij txha - qhov twg ob lub pob txha sib ntsib. Muaj ntau hom kev phais pob txha thiab cov txheej txheem sib txawv. Lawv feem ntau raug hu ua tom qab tus kws phais mob uas tau tsim cov txheej txheem lossis txoj kev txiav thiab kho pob txha.

Vim li cas thiaj ua qhov kev phais mob (Osteotomy) no?

Tam sim no tej zaum koj yuav xav tias, 'Vim li cas koj thiaj yuav tsum txiav cov pob txha li no?' Muaj ntau yam ua rau.

• Kho lub kaum sab xis, qhov khoov, lossis kev tig ntawm cov pob txha: Qee zaum cov pob txha yuav tsis nyob hauv qhov chaw me ntsis. Kev phais mob no pab kho qhov ntawd. Xav txog nws, qee tus neeg ob txhais ceg yuav zoo li tsab ntawv O (bowlegs) lossis zoo li tsab ntawv X (knock-knees). Qhov no yog siv los kho cov khoom zoo li ntawd.
• Kho cov pob qij txha uas tsis zoo li qub lossis tsis sib dhos: Qee cov pob qij txha tuaj yeem yug los nrog qhov tsis zoo me me, lossis lawv tuaj yeem hloov pauv vim muaj qee qhov teeb meem tom qab hauv lub neej.
• Ua kom cov pob txha luv lossis ntev: Puas yog qhov zoo kawg nkaus? Yog lawm, qee zaum txoj kev no kuj siv los hloov qhov ntev ntawm cov pob txha.
• Kho ib qho pob qij txha uas puas lawm: Yog tias ib qho pob qij txha tau raug puas tsuaj vim muaj xwm txheej lossis lwm yam.
• Hloov qhov chaw uas koj lub pob qij txha yuav nqa tau qhov hnyav: Xav txog tias cov pob txha mos ntawm ib sab ntawm koj lub hauv caug tau hnav tawm lawm. Thaum ntawd koj yuav hnov ​​mob. Qhov kev phais no tuaj yeem hloov txoj kev uas qhov hnyav raug nqa thiab hloov nws mus rau sab nrog cov pob txha mos noj qab haus huv. Qhov ntawd yuav txo qhov mob.
• Txo qhov mob los ntawm osteoarthritis: Qhov no yog ib qho kev daws teeb meem zoo los txo qhov mob los ntawm tus kab mob sib koom ua ke no, tshwj xeeb tshaj yog nyob rau hauv lub hauv caug thiab lub duav.
• Ncua kev phais hloov pob qij txha rau cov tub ntxhais hluas, cov neeg nquag: Rau qee cov tub ntxhais hluas, osteotomy tso cai rau lawv siv lawv cov pob qij txha tau ntev dua li muaj pob qij txha hloov tam sim ntawd thaum pob qij txha puas lawm.
• Kho lwm yam teeb meem pob txha tshwj xeeb.

Kuv yuav tsum ua li cas ua ntej phais?

Ua ntej koj yuav phais pob txha, koj tus kws phais yuav xaj ntau yam kev kuaj mob los xyuas koj txoj kev noj qab haus huv. Feem ntau cov no suav nrog:

• Kev kuaj ntshav: Cov no kuaj xyuas cov qib ntawm ntau yam khoom hauv koj cov ntshav thiab seb koj cov kab mob sab hauv ua haujlwm li cas.
• Kev kuaj zis: Cov no tuaj yeem pab txiav txim siab koj txoj kev noj qab haus huv dav dav thiab nrhiav pom txhua yam mob uas yuav cuam tshuam rau kev kho pob txha, xws li kev kis kab mob lossis ntshav qab zib.
• Kev kuaj ECG (Electrocardiogram): Xyuas seb koj lub plawv ua haujlwm li cas.
• X-ray hauv siab: Txhawm rau kom paub tseeb tias koj lub ntsws ua haujlwm zoo ua ntej phais.
• Cov duab X-ray lossis CT scans: Cov no yog siv los npaj kev phais los ntawm kev saib koj cov pob txha/pob qij txha kom meej. Tus kws phais yuav tsum paub meej tias qhov loj me, ntev, dav, thiab lub kaum sab xis ntawm cov pob txha uas yuav raug tshem tawm yog dab tsi. Qee zaum ib qho qauv 3D raug tsim los ntawm kev siv lub khoos phis tawj los npaj kev phais.

Feem ntau muaj dab tsi tshwm sim thaum lub sijhawm phais Osteotomy?

Ua ntej, koj yuav raug muab tshuaj loog. Qhov no ua tau ntau txoj hauv kev sib txawv:

• Kev siv tshuaj loog hauv cheeb tsam (regional anesthesia) tsuas yog ua kom loog ntawm thaj chaw uas yuav phais xwb.
• Kev siv tshuaj loog rau pob txha caj qaum.
• Ua rau koj tsaug zog tag nrho (tshuaj loog dav dav).
• Tshuaj loog hauv zos tsuas yog siv los ua kom loog thaj chaw uas yuav phais xwb.

Tus kws kho mob yuav xaiv txoj kev uas haum rau koj tshaj plaws.

Tom qab ntawd, pab neeg phais yuav ntxuav thaj chaw ib puag ncig ntawm qhov kev phais nrog cov tshuaj tua kab mob. Tom qab ntawd, thaj chaw ntawd yuav raug npog nrog daim ntaub phais.

Tus kws phais mob ua ib qho kev txiav rau hauv koj daim tawv nqaij. Lawv siv cov xov hlau coj los cim thaj chaw ntawm pob txha uas yuav raug tshem tawm (feem ntau yog nyob rau hauv cov duab ntawm ib daim wedge, tab sis qhov no txawv nyob ntawm qhov kev phais). Ib lub tshuab phais tshwj xeeb siv los tshem tawm thaj chaw cim ntawm pob txha no.

Tom qab tshem tawm cov pob txha uas muaj mob lossis puas lawm, qhov sib txawv raug kaw los ntawm kev sib txuas cov seem ntawm cov pob txha ntawm ob sab. Nyob ntawm seb koj muaj hom osteotomy li cas, kev hloov pob txha yuav raug muab tso rau hauv qhov chaw uas tau tshem tawm cov pob txha. Tom qab ntawd, cov koob, cov ntsia hlau, cov staples, cov phaj, lossis cov pas nrig raug siv los tuav cov pob txha kom nyob twj ywm kom txog thaum nws kho. Ib txhia ntawm cov hlau no yog ib ntus xwb, thaum lwm tus yog tas mus li.

Cov hom kev phais mob osteotomy tseem ceeb yog dab tsi?

Kev phais pob txha kho tau ntau yam teeb meem ntawm pob txha thiab pob qij txha. Cia peb saib qee hom teeb meem tseem ceeb.

Kev phais pob txha ntawm lub puab tsaig

Qhov no suav nrog kev sib dhos cov pob txha ntawm koj lub puab tsaig qis (mandible) lossis lub puab tsaig sab saud (maxilla) nrog rau lwm qhov ntawm koj lub taub hau thiab/lossis cov hniav. Qhov no tuaj yeem kho cov teeb meem xws li kev tom qhib, nyuaj rau zom lossis nqos, hnav cov hniav ntau dhau, lub puab tsaig thim rov qab, qhov overbite, lossis qhov underbite. Koj kuj tseem yuav xav tau braces ua ntej lossis tom qab phais kom sib dhos koj cov hniav nrog koj lub puab tsaig.

• Kev phais mob rau ntawm lub puab tsaig qis hu ua mandibular osteotomy .
• Kev phais mob rau ntawm lub puab tsaig sab saud kuj tseem hu ua maxillary osteotomy .
• Muaj qee cov txheej txheem tshwj xeeb, piv txwv li, LeFort osteotomy yog kev phais mob los kho qhov tawg hauv nruab nrab ntawm lub ntsej muag qhov twg lub puab tsaig sab saud ntsib lub puab tsaig. Sagittal split osteotomy yog ib hom kev phais mob puab tsaig los txav lub puab tsaig sab qis kom sib haum zoo dua nrog cov hniav.

Kev phais pob txha caj qaum

Qhov kev phais no yog ua los hloov cov duab ntawm lub puab tsaig. Feem ntau nws yog ua los ua kom lub puab tsaig ntev dua yog tias nws qis dhau, lossis ua kom lub puab tsaig nqaim luv dua. Qhov no tuaj yeem txav lub puab tsaig mus tom ntej lossis mus rau lwm qhov kev taw qhia. Qee zaum qhov no yog qhov kev xaiv zoo dua li muaj lub puab tsaig cog rau hauv. Thaum lub sijhawm phais no, koj lub puab tsaig raug txiav thiab txav mus. Tus kws phais ua ib qho kev phais hauv lub qhov ncauj. Koj yuav tsis hnov ​​​​​​mob hauv koj daim di ncauj rau ob peb lub hlis.

Kev phais pob txha ntawm lub luj tshib

Yog tias muaj teeb meem nrog lub pob qij txha ntawm lub luj tshib ua rau muaj teeb meem nrog qhov chaw ntawm koj sab caj npab qis, xws li yog tias sab caj npab dai ze dhau rau lub cev (cubitus varus) lossis deb dhau ntawm lub cev (cubitus valgus), qhov kev phais no yog ua los kho cov teeb meem no. Muaj ntau hom osteotomy nyob ntawm qhov teeb meem.

Kev phais pob txha caj qaum

Qhov kev phais no yog ua los kho cov kab nkhaus ntawm tus txha nqaj qaum. Cov kab nkhaus ntuj ntawm peb tus txha nqaj qaum pab kom lub cev qhov chaw ntawm lub ntiajteb txawj nqus hla lub duav. Yog tias qhov nkhaus hauv ib lossis ntau qhov ntawm tus txha nqaj qaum nce lossis txo qis, tus txha nqaj qaum tsis ncaj. Qhov no tuaj yeem ua rau mob, qaug zog, thiab muaj kev nyuaj rau cov kabmob sab hauv. Lub hom phiaj ntawm kev phais no yog los kho qhov sib npaug ntawm tus txha nqaj qaum, txo qhov mob, thiab tiv thaiv qhov teeb meem kom tsis txhob rov tshwm sim lossis hnyav zuj zus.

• Piv txwv li, nyob rau hauv ib qho mob zoo li Ankylosing Spondylitis , tus txha nqaj qaum tuaj yeem khoov mus rau pem hauv ntej tas mus li thiab lub puab tsaig tuaj yeem kov lub hauv siab. Qhov kev phais no tuaj yeem suav hais tias yog kho cov teeb meem ntawm lub kaum sab xis.
• Muaj ntau hom tseem ceeb:
• Kev phais pob txha nraub qaum sab nraub qaum (Posterior column osteotomy): Qhov no ua rau muaj kev mob lordosis hauv qab nraub qaum thiab kyphosis hauv qab nraub qaum sab saud. Ponte osteotomy yog ib txoj kev tshwj xeeb uas siv los kho kyphosis.
• (Kev phais pob txha ntawm Smith-Petersen):Qhov no yog ib txoj kev kho mob tshwj xeeb uas siv los kho qhov mob lordosis. Ib daim pob txha raug tshem tawm ntawm sab nraub qaum kom tig tus txha nraub qaum rov qab.
• Pedicle subtraction osteotomy: Qhov no tsim ib qho nkhaus sab hauv (lordosis) muaj zog hauv qab nraub qaum.
• (Kev phais pob txha-disk-bone osteotomy): Qhov no suav nrog kev tsim ib pob txha saum toj thiab hauv qab lub disc ntawm cov vertebrae. Thaum lub sijhawm phais, lub disc thiab nws cov phaj kawg uas nyob ib sab yuav raug tshem tawm.
• (Kev phais tshem cov pob txha caj qaum): Hauv qhov no, ib lossis ntau cov pob txha caj qaum raug tshem tawm tag. Qhov no tuaj yeem ua qhov kho tau zoo tshaj plaws. Vim tias muaj ntau cov pob txha raug tshem tawm, tus kws phais yuav muab cov pob txha los yog lub tawb hlau tso rau hauv thaj chaw no.

Kev phais pob txha ntawm lub duav

Qhov no suav nrog kev hloov kho koj lub acetabulum lossis lub taub hau femur. Qhov no yog lub pob qij txha hauv koj lub duav. Tus kws phais yuav txiav, kho, lossis tshem tawm ib feem ntawm cov pob txha kom rov kho qhov chaw ntawm cov pob qij txha uas tuav qhov hnyav.

• Cov hom tseem ceeb:
• Kev phais pob txha Periacetabular: Qhov no yog ua los kho qhov dysplasia ntawm lub duav, uas yog ib qho mob uas lub pob ntawm lub duav tsis npog tag nrho lub pob ntawm pob txha ncej puab. Thaum lub sijhawm phais, ib feem ntawm pob txha ncej puab raug txiav, hloov chaw, thiab khi nrog cov ntsia hlau.
• Kev phais pob txha ntawm lub duav: Qhov no suav nrog kev txiav thiab kho dua pob txha sab saud ntawm lub duav (femur) kom pab rov qab ua haujlwm ntawm lub duav.

Kev phais pob txha ntawm lub hauv caug

Kev phais pob txha caj qaum yog kev txiav thiab kho dua ib qho ntawm ob lub pob txha uas nyob hauv qab lub hauv caug - ib qho yog tibia lossis femur. Qhov no feem ntau yog ua los kho qhov puas tsuaj los ntawm mob pob qij txha. Kev phais no kho qhov sib koom ua ke ntawm lub hauv caug, hloov qhov hnyav thiab qhov siab ntawm sab uas puas tsuaj ntawm lub hauv caug mus rau sab uas noj qab nyob zoo. Kev phais pob txha caj qaum feem ntau yog ua thaum ntxov ntawm mob pob qij txha, thaum qhov puas tsuaj tsuas yog nyob rau ib sab ntawm lub hauv caug.

• Qhov chaw ntawm kev phais pob txha nyob ntawm qhov chaw ntawm qhov kev puas tsuaj. Piv txwv li, hauv kev phais pob txha tibial siab , yog tias qhov kev puas tsuaj ntawm cov pob txha mos mos nyob rau sab hauv ntawm lub hauv caug, ib daim pob txha zoo li daim hlais raug tshem tawm ntawm sab nraud ntawm lub hauv caug, lossis pob txha raug qhib rau hauv txoj kev zoo li daim hlais rau sab hauv ntawm lub hauv caug. Qhov no ua rau ceg ncaj thiab tiv thaiv kom tus mob pob qij txha tsis txhob hnyav zuj zus.
• Qee hom pob qij txha (Osteotomy):
• Kev phais pob txha tibial: Qhov no tsim kom muaj kev sib dhos ua ke uas tso siab rau sab hauv ntawm lub hauv caug.
• Kev phais pob txha tibial siab: Qhov no yog siv los kho qhov sib koom ua ke ntawm lub hauv caug rau cov neeg uas muaj mob pob qij txha hauv caug. Kev phais no tuaj yeem tiv thaiv lossis ncua qhov xav tau kev hloov pob qij txha ib nrab lossis tag nrho.
• (Kev phais pob txha Fulkerson):Qhov no yog ib txoj kev kho mob tshwj xeeb. Ib feem ntawm ib cheeb tsam tshwj xeeb ntawm tibia (tibial tubercle) raug tshem tawm. Qhov no hloov qhov chaw uas cov leeg ntawm lub hauv caug txuas rau tibia, txo qhov siab ntawm lub hauv caug thiab tiv thaiv kev tawg.

Kev phais pob txha ntawm tus ntiv taw loj thiab ko taw

Kev phais pob txha hallux yog ib txoj kev phais uas cuam tshuam nrog kev tshem tawm pob txha ntawm tus ntiv taw loj thiab ncaj nws. Kev phais pob txha calcaneus yog ib txoj kev phais uas kho cov ko taw kom kho cov taw tiaj tiaj lossis cov taw uas muaj lub qhov siab dua li qub.

• Muaj ntau txoj kev kho mob ko taw tshwj xeeb (Osteotomy):
• Chevron thiab Akin osteotomies: Cov kev phais no kho cov qhov tsis zoo ntawm tus ntiv taw loj uas tshwm sim los ntawm bunions (hallux valgus).
• (Dwyer osteotomy): Qhov no hloov kho ko taw kom txo qhov nkhaus siab tsis zoo.
• (Weil osteotomy): Qhov no kho cov ntiv taw thiab qhov mob hauv qab koj txhais taw.
• (Kev phais pob txha los ntawm paj rwb): Qhov no pab tsim kom muaj lub qhov nkhaus hauv ko taw.

Cov kev pheej hmoo ntawm kev phais no yog dab tsi?

Ib yam li lwm yam kev phais mob, kev phais pob txha muaj qee yam kev pheej hmoo. Tab sis tsis txhob txhawj, cov kws kho mob ua qhov zoo tshaj plaws los txo cov kev pheej hmoo no. Cov kev pheej hmoo tseem ceeb yog:

• Teeb meem nrog kev siv tshuaj loog.
• Kev kis kab mob.
• Cov ntshav txhaws.
• Kev raug mob ntawm cov hlab ntsha lossis cov hlab ntsha.
• Nws tsis ua li cas rau cov pob txha kom tsis txhob teeb tsa zoo lossis tsis kho kom zoo thaum lawv kho.
• Mob pob qij txha thiab mob nqaij.
• Mob ntev.
• Kev tsim cov nqaij caws pliav.

Nws yog ib qho tseem ceeb heev uas yuav tau nrog koj tus kws kho mob tham txog cov kev pheej hmoo no thiab nug txhua lo lus nug uas koj muaj.

Yuav siv sijhawm ntev npaum li cas thiaj kho tau? Kuv yuav tsum ua li cas?

Lub sijhawm rov zoo yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Nws nyob ntawm ntau yam, suav nrog hom kev phais pob txha uas koj tau ua, txoj kev phais, qhov loj thiab qhov hnyav ntawm kev puas tsuaj rau koj cov pob txha, koj lub zog, thiab koj lub siab xav kho.

Yuav siv sijhawm rau pob txha kho. Yuav muaj mob ntawm qhov chaw phais, thiab yuav mob kom txog thaum qhov txhab kho.

• Tej zaum koj yuav tau hnav ib daim hlau nplaum, ib daim hlau nplaum, lossis ib daim hlau ntoo khaub lig. Cov no yuav pab txwv kev txav mus los ntawm cov pob txha thiab cov pob qij txha, txo qhov hnyav ntawm cov pob txha uas tau phais, thiab cia cov pob txha kho kom zoo. Feem ntau cov no yuav kav ntev li ob peb lub lis piam mus txog li ob lub hlis.
• Txawm tias koj nyob hauv lub cam khwb cia lossis lub splint los xij, koj yuav xav tau kev kho lub cev hauv ob peb hnub tom qab phais.Kev kho lub cev ua rau koj cov pob qij txha muaj zog thiab txav tau yooj yim dua.
• Yog tias koj tau phais koj lub hauv caug lossis lub duav, tej zaum koj yuav tau siv cov pas nrig rau ob peb lub hlis. Koj yuav tsum tau txuas ntxiv kev kho lub cev kom rov qab muaj zog thiab sib npaug.
• Yog tias koj tau phais lub puab tsaig (puab tsaig pob txha), koj lub puab tsaig yuav raug kaw thiab koj yuav noj zaub mov ua kua li rau rau lub lis piam. Yog tias koj tau phais koj tus ntiv taw loj, koj yuav tsis tuaj yeem hnav khau lossis tsav tsheb li ob txog rau lub lis piam.

Koj yuav pab tau tus txheej txheem kho mob li cas?

Koj kuj tuaj yeem pab tau thaum lub sijhawm kho mob no.

• Tsis txhob haus luam yeeb: Nicotine ua rau cov txheej txheem kho qeeb thiab kuj tseem tuaj yeem cuam tshuam rau kev kho pob txha kom zoo. Yog li, tsis txhob haus luam yeeb kiag li .
• Noj zaub mov zoo thiab noj qab nyob zoo: Noj zaub mov kom sib npaug, xws li kev noj zaub mov Mediterranean, nrog rau ntau zaub thiab txiv hmab txiv ntoo.
• Ua raws li koj tus kws kho mob cov lus qhia kom meej.
• Tswj koj qhov hnyav kom noj qab nyob zoo.

Yuav xav tau cov txiaj ntsig zoo li cas?

Cov txiaj ntsig uas koj tau txais yuav nyob ntawm seb koj txoj kev noj qab haus huv zoo li cas, qhov hnyav ntawm koj cov teeb meem pob txha, qhov kev phais tshwj xeeb uas koj tau ua, thiab kev txawj ntawm koj tus kws phais. Koj tus kws kho mob yuav nrog koj tham txog qhov kev phais uas koj yuav ua thiab yuav muaj dab tsi tom qab kev phais. Tsis txhob yig nug koj tus kws kho mob cov lus nug lossis qhia txog kev txhawj xeeb lossis kev ntshai uas koj muaj.

Muaj ntau hom kev phais pob txha thiab lwm yam kev phais kom kho thiab kho cov pob txha thiab cov pob qij txha. Koj tus kws kho mob yuav nrog koj tham txog koj qhov teeb meem pob txha lossis pob qij txha thiab cov kev xaiv uas muaj. Nyob ntawm seb koj qhov teeb meem pob txha zoo li cas, koj yuav tau kho nrog kev kho mob uas tsis yog phais (kev kho mob uas tsis tas phais). Cov no yuav suav nrog kev so, dej khov, tshuaj tiv thaiv kev o thiab tshuaj mob, thiab tshuaj corticosteroid. Yog tias cov kev kho mob no tsis tswj koj cov teeb meem pob qij txha, lossis yog tias koj muaj mob uas kho tsis tau, nco ntsoov tias koj tus kws phais pob txha yuav pab koj. Lawv muaj kev xaiv phais kom txhim kho koj txoj kev txav mus los thiab txo koj qhov mob thiab tsis xis nyob.

Cov yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov hauv tsab xov xwm no

Yog li ntawd, nws yog ib qho ib txwm muaj uas yuav ntshai me ntsis thaum xav txog kev phais pob txha. Txawm li cas los xij, qhov no yog ib qho txheej txheem kho mob tseem ceeb uas tuaj yeem txhim kho koj lub neej zoo, txo qhov mob, thiab muab lub neej tshiab rau koj cov pob txha thiab cov pob qij txha.

• Paub zoo: Tham nrog koj tus kws kho mob txog koj tus mob, qhov kev phais uas koj yuav ua, nws qhov zoo thiab qhov tsis zoo, thiab lub sijhawm rov zoo.
• Ua raws li koj tus kws kho mob cov lus qhia: Nws yog ib qho tseem ceeb heev rau kev rov zoo sai sai kom ua raws li koj tus kws kho mob cov lus qhia kom zoo, ua ntej thiab tom qab phais.
• Ua siab ntev: Yuav siv sijhawm rau cov pob txha kom zoo. Thaum lub sijhawm ntawd, ua tej yam xws li kev kho lub cev kom zoo thiab nyob ruaj khov.
• Tsis txhob haus luam yeeb: Qhov no yog ib yam dab tsi uas koj yuav tsum ua.

Yog koj muaj lus nug ntxiv txog qhov no, tsis txhob ntshai nug koj tus kws kho mob. Lawv yeej npaj siab pab koj.

` Kev phais pob txha, kev phais pob txha, kev phais pob txha, kev phais pob qij txha, kev phais, pob txha tsis zoo, mob pob qij txha