Tej zaum koj yuav txhawj me ntsis yog tias koj pom ib qho chaw loj, tiaj tus, xim liab dawb mus rau xim av tsaus ntawm ib sab ntawm koj tus menyuam mos lub ntsej muag, tej zaum ntawm lub hauv pliaj lossis saum lub qhov muag. Feem ntau, cov no yog cov cim yug me nyuam ib txwm muaj. Tab sis, tsis tshua muaj, ib qho chaw zoo li no tuaj yeem yog ib qho cim ntawm tus mob caj ces hu ua Sturge-Weber Syndrome . Cia peb tham txog qhov no kom ntxaws ntxiv hnub no, puas yog? Tsis txhob ntshai, qhov tseem ceeb yog kom paub txog qhov no.
Sturge-Weber Syndrome yog dab tsi?
Hais yooj yim xwb, Sturge-Weber Syndrome yog ib yam mob caj ces uas cuam tshuam rau txoj kev uas cov hlab ntsha hauv koj tus menyuam lub hlwb, daim tawv nqaij, thiab qhov muag loj hlob. Nws feem ntau pom thaum yug los.
Qhov cim thawj zaug thiab pom tseeb tshaj plaws ntawm tus mob no yog lub cim yug menyuam uas peb tau hais ua ntej , qhov xim cawv txiv hmab port . Qhov no yog ib qho chaw tiaj tus, xim liab dawb mus rau xim ntshav tsaus (lossis tsaus dua li tus menyuam daim tawv nqaij ntuj) ntawm qhov chaw ntawm daim tawv nqaij. Nws tau txais nws lub npe vim nws zoo li xim uas me ntsis cawv txiv hmab yuav tawm ntawm daim tawv nqaij. Qhov chaw no feem ntau pom ntawm ib sab ntawm tus menyuam lub ntsej muag, tshwj xeeb tshaj yog ntawm lub hauv pliaj thiab saum lub qhov muag.
Txawm li cas los xij, cov cim yug los feem ntau yog qhov tshwm sim ntau heev. Yog li ntawd, tsis yog txhua tus menyuam uas muaj cov xim cawv txiv hmab port muaj Sturge-Weber Syndrome. Qee tus menyuam tsuas muaj qhov chaw no xwb, tsis muaj lwm yam tsos mob ntxiv.
Txawm li cas los xij, yog tias koj tus menyuam yug los muaj hom cim yug no, cov kws kho mob yuav kuaj xyuas cov hlab ntsha hauv lub hlwb ntawm tus menyuam sai li sai tau thaum lawv yug los kom pom tias puas muaj lwm yam kev hloov pauv. Qhov no yog vim tias teeb meem nrog cov hlab ntsha hauv lub hlwb tuaj yeem cuam tshuam rau cov ntshav ntws mus rau lub hlwb, ua rau muaj tej yam xws li qaug dab peg . Tus mob no (Sturge-Weber Syndrome) tsis yog qhov txaus ntshai rau lub neej. Txawm li cas los xij, yog tias tsis kho, nws tuaj yeem cuam tshuam rau tus menyuam lub neej zoo. Yog vim li cas nws thiaj li tseem ceeb kom paub txog qhov no thiab ua cov kauj ruam tsim nyog.
Cov tsos mob ntawm Sturge-Weber Syndrome yog dab tsi?
Muaj peb yam tsos mob tseem ceeb ntawm tus kab mob Sturge-Weber Syndrome. Cia peb saib seb lawv yog dab tsi:
- (Cawv txiv hmab qhuav) Cim yug menyuam: Qhov no yog lub cim tseem ceeb thiab thawj zaug pom. Qhov no yog cov hlab ntsha uas tau sib sau ua ke hauv daim tawv nqaij ntawm tus menyuam. Feem ntau pom ntawm lub hauv pliaj thiab saum lub qhov muag. Raws li lub sijhawm dhau mus, daim tawv nqaij uas qhov chaw no nyob yuav tuab thiab tsaus dua.
- Glaucoma: Qhov no yog ib qho mob uas cov kua dej sib sau ua ke hauv lub qhov muag, ua rau muaj kev nyuaj siab. Nws zoo li lub npas uas muaj dej puv thiab ua rau nws nruj. Qhov no tuaj yeem ua rau koj lub zeem muag puas tsuaj, yog li koj yuav tsum paub txog qhov no thiab. Muaj ntau tus menyuam yaus uas muaj Sturge-Weber Syndrome yuav muaj tus mob no.
- Leptomeningeal angiomas:Lub npe no nyuaj me ntsis, puas yog? Hais yooj yim xwb, nws yog hais txog cov hlab ntsha tsis zoo (hu ua angiomas) uas tsim nyob rau hauv cov ntaub so ntswg uas npog lub hlwb thiab tus txha caj qaum (hu ua leptomeninges). Cov hlab ntsha tsis zoo no tuaj yeem thaiv cov ntshav ntws mus rau qee qhov ntawm lub hlwb. Cov qhov cuam tshuam ntawm lub hlwb tuaj yeem ua rau qaug dab peg thiab qaug zog ntawm ib sab ntawm lub cev (hemiparesis) .
Yog koj tus menyuam muaj qaug dab peg, nws tuaj yeem pib thaum lawv thawj xyoo, feem ntau ua ntej lawv hnub yug ob xyoos. Feem ntau, cov tsos mob ntawm qaug dab peg tsuas yog cuam tshuam rau ib sab ntawm lub cev xwb. Cov xim cawv txiv hmab yuav tsaus dua thaum qaug dab peg zuj zus. Qhov no yog ib txwm muaj, yog li tsis txhob txhawj.
Ntxiv rau cov tsos mob tseem ceeb no, muaj qee cov tsos mob ntxiv uas koj yuav pom. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias tsis yog txhua tus yuav muaj tag nrho cov no.
- Kev loj hlob qeeb: Qhov no txhais tau tias tus menyuam lig hauv kev txhim kho cov txuj ci tsim nyog rau hnub nyoog xws li kev tham, kev taug kev, thiab kev ua si nrog lwm tus menyuam.
- Hypothyroidism: Qhov no tuaj yeem ua rau ntau yam txheej txheem hauv lub cev qeeb, ua rau qaug zog thiab cem quav.
- Kev tsis taus ntawm lub hlwb: Tej yam xws li nyuaj kawm thiab txo qis kev nkag siab.
- Mob taub hau lossis mob migraines: Mob taub hau ntau zaus.
Tiam sis nco ntsoov, tsis yog txhua tus menyuam yuav muaj cov tsos mob no. Lawv yuav txawv ntawm ib tus menyuam mus rau lwm tus. Qee tus menyuam tsuas muaj cov pob khaus xwb, thaum lwm tus yuav muaj cov pob khaus nrog rau qhov mob ntawd.
Dab tsi ua rau muaj tus mob Sturge-Weber Syndrome?
Qhov no yog vim muaj ib qho kev hloov pauv ntawm cov noob caj noob ces hu ua (CNAQ). Cov noob caj noob ces no yog lub luag haujlwm tswj kev tsim thiab kev ua haujlwm ntawm cov hlab ntsha hauv peb lub cev. Ib yam li daim ntawv qhia zaub mov tsis tuaj yeem npaj tau zoo yog tias muaj qhov yuam kev, qhov kev hloov pauv ntawm cov noob caj noob ces no kuj tuaj yeem ua tau thiab. Yog li ntawd, cov hlab ntsha tsis tsim tau zoo thaum tus menyuam tseem nyob hauv plab.
Qhov no puas yog ib yam dab tsi uas los ntawm ntau tiam neeg los?
Qhov no yog ib lo lus nug uas ntau tus niam txiv muaj. Tsis yog, Sturge-Weber Syndrome tsis yog ib yam dab tsi uas tau txais los ntawm noob caj noob ces. Nws yog ib yam dab tsi uas tshwm sim yam tsis muaj laj thawj, uas yog, tsis muaj laj thawj tshwj xeeb (qee zaum). Qhov no txhais tau tias txhua tus neeg tuaj yeem yug los nrog tus mob no. Tsis txhob xav tias nws tshwm sim vim yog qee yam koj tau ua lossis hais.
Qhov kev hloov pauv caj ces no tshwm sim hauv cov hlwb somatic - uas yog, nws tsis cuam tshuam rau cov hlwb poj niam txiv neej (cov hlwb qe thiab cov phev) ntawm leej niam thiab leej txiv. Qhov kev hloov pauv no tshwm sim thaum ntxov heev hauv kev loj hlob ntawm lub embryo. Qee cov hlwb yuav muaj qhov kev hloov pauv caj ces no, thaum lwm tus yuav tsis muaj (qhov no hu ua mosaicism). Qhov no yog vim li cas qee cov hlab ntsha tsim tau zoo, thaum lwm tus tsis ua.
Cov teeb meem uas yuav muaj tau ntawm Sturge-Weber Syndrome yog dab tsi?
Vim yog cov leptomeningeal angiomas uas peb tau tham txog, uas yog cov hlab ntsha tsis zoo hauv lub hlwb, tej zaum yuav muaj kev pheej hmoo ntawm qee yam teeb meem. Cov no suav nrog:
- Calcification: Qhov no yog qhov sib sau ua ke ntawm calcium hauv cov hlab ntsha . Qhov no tuaj yeem pom ntawm X-rays ntawm lub hlwb.
- Kev poob/kev lwj ntawm cov nqaij ntawm lub hlwb (Atrophy): Raws li lub sijhawm dhau mus, qee qhov ntawm lub hlwb yuav ntsws.
- Kev tuag tes tuag taw: Kev poob zog ntawm ib sab ntawm lub cev.
- Mob Stroke: Ib qho mob hnyav uas tshwm sim los ntawm kev thaiv lossis tawg ntawm cov hlab ntsha uas muab ntshav mus rau lub hlwb.
Cov teeb meem no tsis tshwm sim rau txhua tus, tab sis nws yog ib qho tseem ceeb kom paub txog lawv.
Koj paub li cas yog tias koj muaj tus mob Sturge-Weber Syndrome?
Tus kws kho mob yuav txiav txim siab seb koj tus menyuam puas muaj Sturge-Weber Syndrome tom qab nws yug los. Koj kuj tseem yuav pom cov xim av port-wine ntawm koj tus menyuam daim tawv nqaij. Tus kws kho mob yuav nrhiav nws thaum lub sijhawm kuaj lub cev thawj zaug ntawm koj tus menyuam. Tom qab ntawd, yuav muaj kev kuaj mob hlwb thiab lwm yam kev kuaj mob los nrhiav cov teeb meem tsis zoo hauv cov hlab ntsha uas cuam tshuam rau lub qhov muag thiab lub hlwb. Cov kev kuaj mob no yuav suav nrog:
- Kev kuaj MRI (Magnetic Resonance Imaging): Qhov no tuaj yeem thaij duab kom ntxaws ntawm lub hlwb thiab cov hlab ntsha. Qhov no tseem ceeb heev kom paub seb puas muaj (leptomeningeal angiomas).
- CT (Computed Tomography) scan: Qhov no kuj thaij duab ntawm lub hlwb, tshwj xeeb tshaj yog kom pom tias puas muaj calcification.
- Kev kuaj EEG (Electroencephalogram): Qhov no ntsuas qhov hluav taws xob ntawm lub hlwb. Yog tias muaj kev qaug dab peg, nws tuaj yeem pab txiav txim seb dab tsi ua rau nws qaug dab peg thiab qhov twg hauv lub hlwb nws pib.
- Kev kuaj qhov muag: Qhov no yog qhov tseem ceeb los xyuas seb puas muaj glaucoma thiab qhov siab ntawm qhov muag.
Raws li cov ntaub ntawv tau los ntawm cov kev kuaj no, cov kws kho mob thiaj li kuaj tau qhov tseeb.
Cov kev kho mob rau Sturge-Weber Syndrome yog dab tsi?
Kev kho mob rau tus mob no feem ntau yog tsom mus rau kev tswj cov tsos mob. Qhov no txhais tau tias tseem tsis tau muaj kev kho mob, tab sis muaj ntau txoj kev kho mob uas tuaj yeem pab tswj cov tsos mob thiab pab tus menyuam kom muaj lub neej zoo dua. Cov no suav nrog:
- Cov tshuaj tiv thaiv kev qaug dab peg lossis qee zaum phais mob siv los tswj kev qaug dab peg. Muaj ntau tus menyuam yaus tuaj yeem tswj lawv cov kev qaug dab peg nrog tshuaj.
- Cov tshuaj pleev qhov muag lossis phais rau glaucoma pab txo qhov siab ntawm qhov muag.
- Kev siv laser los kho daim tawv nqaij kom zoo nkauj dua tuaj yeem txo qhov tsos ntawm cov xim av cawv. Txawm hais tias qhov no yuav tsis tshem tawm tag nrho cov xim, nws tuaj yeem txo nws cov xim thiab hloov nws qhov tsos mus rau qee qhov.
- Kev kho lub cev rau cov leeg nqaij tsis muaj zog. Yog tias muaj qhov tsis muaj zog ntawm ib sab ntawm lub cev, qhov no tuaj yeem pab txhawb cov leeg nqaij ntawd thiab ua kom yooj yim txav mus los.
- Muaj cov chav kawm tshwj xeeb rau cov menyuam yaus uas muaj kev loj hlob qeeb lossis muaj teeb meem kev txawj ntse. Cov no yog qhov tseem ceeb heev rau kev txhim kho lawv lub peev xwm.
Cov kws kho mob yuav pom zoo kom cov neeg laus uas muaj tus kab mob Sturge-Weber Syndrome noj tshuaj aspirin tsawg tsawg txhua hnub kom txo tau qhov kev pheej hmoo ntawm kev mob hlwb thiab cov tsos mob cuam tshuam. Txawm li cas los xij, tsis txhob muab tshuaj aspirin rau cov menyuam yaus yam tsis tau kev pom zoo los ntawm kws kho mob. Nws tuaj yeem ua rau muaj kev phom sij.
Kev kho mob txawv ntawm ib tus neeg mus rau ib tus neeg. Koj tus menyuam tus kws kho mob yuav qhia rau koj tias lawv pom zoo kom siv cov kev kho mob twg thiab cov kev mob tshwm sim ntawm cov kev kho mob ntawd yog dab tsi, yog li koj thiaj li txiav txim siab tau zoo txog kev noj qab haus huv ntawm koj tus menyuam.
Yav tom ntej yuav zoo li cas rau ib tug me nyuam uas muaj tus kab mob Sturge-Weber Syndrome?
Koj tus menyuam tus kws kho mob yuav qhia tau koj zoo tshaj plaws txog lawv tus mob. Yog tias muaj tus mob Sturge-Weber Syndrome, qhov kev puas tsuaj ntawm lub hlwb yuav pab tau koj tus kws kho mob txiav txim siab seb koj tus menyuam yuav muaj mob li cas. Piv txwv li, yog tias koj tus menyuam pib mob ua ntej hnub nyoog 2 xyoos, lawv yuav muaj kev loj hlob qeeb lossis kev tsis taus ntawm lub hlwb. Txawm li cas los xij, qhov no tsis yog rau txhua tus menyuam.
Koj tus menyuam yuav tsum tau sib cuag nrog lawv pab neeg kho mob thoob plaws lawv lub neej kom tswj tau cov tsos mob. Lawv yuav mus ntsib kws kho mob hlwb yog tias tsim nyog, thiab kws kho qhov muag kom kuaj xyuas qhov muag txhua xyoo.
Puas muaj qhov cuam tshuam rau lub neej?
Qhov no yog qhov txhawj xeeb rau ntau tus niam txiv. Feem ntau, tus kab mob Sturge-Weber Syndrome tsis cuam tshuam rau lub neej ntawm tus menyuam. Txawm li cas los xij, cov tsos mob tuaj yeem cuam tshuam rau tus menyuam lub neej zoo, yog li kev kho mob thiab kev saib xyuas los ntawm kws kho mob yuav tsum tau ua thoob plaws lawv lub neej. Vim tias qhov hnyav ntawm tus mob no txawv ntawm ib tus neeg mus rau ib tus neeg, koj tus menyuam tus kws kho mob yuav piav qhia txog yam yuav tsum tau xav txog thiab yam yuav tsum tau ceev faj.
Puas tiv thaiv tau tus mob Sturge-Weber Syndrome?
Raws li peb tau hais ua ntej lawm, qhov kev hloov pauv ntawm cov noob caj noob ces uas ua rau muaj tus mob Sturge-Weber Syndrome no tshwm sim yam tsis muaj laj thawj, tsis muaj laj thawj pom tseeb. Yog li ntawd, tam sim no tsis muaj txoj hauv kev los tiv thaiv nws. Qhov no tsis yog ib yam dab tsi uas tshwm sim los ntawm leej twg qhov txhaum.
Puas ua tau kom muaj lub neej zoo li qub nrog tus mob Sturge-Weber Syndrome?
Yog, nws ua tau tag nrho los ua neej nyob li qub nrog tus mob zoo li Sturge-Weber Syndrome. Muaj ntau tus neeg ua neej vam meej thiab zoo siab nrog tus mob no.
Cov cim yug me nyuam feem ntau pom tseeb. Txawm li cas los xij, cov cim yug me nyuam uas pom tau dav dav ntawm lub ntsej muag tsis tshua muaj ntau. Tej zaum koj yuav xav txog kev kho mob laser kom txo qhov tsos ntawm cov cim yug me nyuam no kom xis nyob dua. Qhov ntawd yog koj qhov kev txiav txim siab tag nrho.
Txoj kev uas koj yug los tsis muaj teeb meem dab tsi. Txhua tus neeg muaj lawv tus kheej lub ntsej muag tshwj xeeb. Muaj ntau tus neeg tau phais kom zoo nkauj kom hloov pauv lawv tus kheej lub ntsej muag. Qhov ntawd nkag siab tau. Txawm koj xaiv phais kom zoo nkauj los tsis xaiv yog koj tus kheej qhov kev txiav txim siab. Yam uas lwm tus neeg xav txog koj yuav tsum tsis txhob cuam tshuam rau qhov kev txiav txim siab ntawd.
Kuv yuav pab kuv tus menyuam uas muaj tus mob Sturge-Weber Syndrome li cas?
Ua ib tug niam txiv, qhov tseem ceeb tshaj plaws uas koj ua tau yog hlub, txhawb nqa, thiab muab kev kho mob rau koj tus menyuam uas lawv xav tau. Qhov tseem ceeb tshaj plaws uas yuav tsum ua kom kov yeej tau qhov teeb meem no yog tsim kom muaj tus cwj pwm zoo.
Koj tuaj yeem pab koj tus menyuam kom zoo siab txog lawv qhov tsos los ntawm kev tham txog lawv qhov siab, lawv lub qhov ntswg zoo li cas, thiab txawm tias cov xim cawv txiv hmab uas yog ib feem ntawm lawv qhov tsos. Tham nrog koj tus menyuam txog tej yam xws li, "Muaj tej yam hauv peb lub cev uas peb tswj tsis tau. Tab sis peb tuaj yeem kawm hlub tej yam uas peb muaj los ntawm kev xav txog lawv li 'peb'."
Yog koj lossis koj tus menyuam xav tau kev pab txhawb nqa kev puas siab puas ntsws, nrog koj tus kws kho mob tham. Nws yuav pom zoo kom koj mus ntsib tus kws pab tswv yim txog kev noj qab haus huv ntawm lub hlwb lossis koom nrog pab pawg txhawb nqa nrog lwm tsev neeg uas muaj tus kab mob Sturge-Weber Syndrome. Muaj ntau yam uas yuav kawm tau los ntawm cov kev paub ntawm lwm tus.
Thaum twg kuv yuav tsum coj kuv tus menyuam mus ntsib kws kho mob?
Yog tias koj tus menyuam tsis ua tau raws li nws lub hnub nyoog, xws li hais nws cov lus thawj zaug lossis taug kev, qhia rau koj tus kws kho mob.
Qee cov tsos mob ntawm Sturge-Weber Syndrome, xws li cov leeg nqaij tsis muaj zog ntawm ib sab ntawm lub cev, tuaj yeem zoo ib yam li cov mob stroke. Yog tias koj pom muaj cov tsos mob tshiab lossis txawv txawv uas txawv ntawm koj tus menyuam tus cwj pwm ib txwm muaj, tsis txhob yig hu rau koj tus kws kho mob lossis hu rau cov kev pabcuam thaum muaj xwm txheej ceev.
Yog koj tus menyuam muaj qaug dab peg thawj zaug, coj lawv mus rau tsev kho mob tam sim ntawd. Qhov no tseem ceeb heev.
Kuv yuav tsum nug kuv tus menyuam tus kws kho mob li cas?
Thaum koj mus ntsib koj tus menyuam tus kws kho mob, nug tag nrho cov lus nug uas koj muaj. Tsis txhob zais dab tsi. Piv txwv li, nws yog ib lub tswv yim zoo los nug cov lus nug xws li:
- Kuv yuav tsum saib xyuas cov tsos mob twg?
- Koj pom zoo kom siv hom kev kho mob twg?
- Puas muaj tej yam tshwm sim ntawm kev kho mob no? Lawv yog dab tsi?
- "Kuv yuav ua li cas yog tias kuv tus menyuam muaj teeb meem?"
- "Peb yuav tsum npaj rau yam dab tsi yav tom ntej?"
Kab mob Sturge-Weber yog ib qho kev kuaj mob uas yuav nyuaj me ntsis yog tias koj pom thawj ob peb lub sijhawm nrog koj tus menyuam mos. Tej zaum koj yuav txhawj xeeb txog lawv lub neej yav tom ntej yuav zoo li cas thiab lawv yuav daws cov tsos mob tsis tau xav txog uas tshwm sim tam sim ntawd. Nws yog ib qho ib txwm muaj cov lus nug thiab xav tias poob me ntsis lub sijhawm no. Tab sis paub tias koj tsis nyob ib leeg. Pab pawg kho mob ntawm koj tus menyuam npaj txhij los pab koj nkag siab txog qhov tshwm sim thiab teb cov lus nug uas koj muaj. Lawv yuav txhawb nqa koj thiab koj tus menyuam thaum lawv loj hlob. Yog tias koj pom cov tsos mob tshiab lossis muaj lus nug txog kev kho mob ntawm koj tus menyuam, tsis txhob yig tham nrog lawv tus kws kho mob.
Cov yam tseem ceeb tshaj plaws uas peb xav coj los tsev los ntawm tsab xov xwm no
Zoo, yog li peb tau tham ntau txog Sturge-Weber Syndrome hnub no, puas yog? Nov yog qee yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov:
- Cov xim av caw: Lub cim tseem ceeb ntawm qhov no yog ib qho xim liab dawb mus rau xim av tsaus ntawm lub ntsej muag ntawm tus menyuam, tshwj xeeb tshaj yog ntawm lub hauv pliaj thiab saum lub qhov muag. Txawm li cas los xij, tsis yog txhua tus neeg uas muaj qhov chaw no muaj Sturge-Weber Syndrome.
- Qhov no yog ib qho mob caj ces: tab sis nws tsis yog ib yam dab tsi uas tau txais los ntawm noob caj ces, nws yog ib yam dab tsi uas tshwm sim los ntawm txoj hmoo.
- Cov tsos mob: Ntxiv rau qhov macula, lwm cov tsos mob suav nrog kev nce siab ntawm lub qhov muag (glaucoma), qaug dab peg vim muaj teeb meem nrog cov hlab ntsha hauv lub hlwb, thiab kev loj hlob qeeb. Tsis yog txhua tus neeg yuav muaj tag nrho cov tsos mob.
- Muaj kev kho mob: Kev kho mob feem ntau yog tsom mus rau kev tswj cov tsos mob. Muaj cov khoom xws li lasers, tshuaj, phais, thiab kev kho lub cev.
- Txhawb nqa koj tus menyuam: Nws yog ib qho tseem ceeb heev uas yuav tsum pab koj tus menyuam kom muaj lub siab zoo txog lawv qhov tsos. Nrhiav kev pab los ntawm cov kws kho mob thiab, yog tias tsim nyog, nrhiav kev pab los ntawm cov kws pab tswv yim txog kev puas siab puas ntsws.
- Tsis txhob ntshai, nrhiav kev qhia: Nws yog ib qho ib txwm muaj kev ntxhov siab thaum koj paub txog tus mob zoo li no. Tab sis qhov tseem ceeb tshaj plaws yog kom tau txais kev qhia kho mob kom zoo thiab paub txog qhov no. Tham nrog koj tus kws kho mob txog txhua yam.
Peb xav kom koj thiab koj tus menyuam muaj kev zoo siab thiab noj qab nyob zoo tas mus li!
` Sturge-Weber Syndrome, Port wine stain, birthmark, glaucoma, mob, cov kab mob caj ces, kev noj qab haus huv ntawm menyuam yaus











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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus