Koj lub plawv puas tsis muaj zog? Cia peb kawm txog Systolic Heart Failure.

Koj puas muaj tej lub sij hawm koj ua tsis taus pa? Koj puas xav tias koj lub plawv tsis muaj zog txawm tias koj ua hauj lwm me ntsis lawm los xij? Los yog koj ob txhais ceg o? Tej zaum qhov no yuav yog cov cim qhia tias koj lub plawv tsis muaj zog me ntsis. Hnub no, peb yuav tham txog tus kab mob plawv no, 'Systolic Heart Failure'. Txawm hais tias qhov no yog ib qho mob hnyav me ntsis los xij, nws yog ib qho mob uas tuaj yeem tswj tau yog tias paub thaum ntxov thiab kho kom zoo.

Lub plawv tsis ua haujlwm zoo (Systolic Heart Failure) yog dab tsi?

Hais yooj yim xwb, koj lub plawv muaj plaub chav loj. Chav qis dua ntawm sab laug, hu ua lub plawv sab laug, tso cov ntshav uas muaj pa oxygen thoob plaws lub cev. Nws ua haujlwm zoo li lub twj tso dej. Tam sim no, nyob rau hauv qhov mob no hu ua systolic heart failure, lub plawv sab laug tsis muaj zog. Qhov ntawd txhais tau tias nws tsis tuaj yeem tso cov ntshav kom zoo thiab ua haujlwm tau zoo.

Yog li ntawd, yuav ua li cas? Xav txog seb yog tias lub tshuab dej tsis muaj zog txaus, cov dej yuav tsis ntws zoo. Ib yam li ntawd, thaum lub plawv tsis tso ntshav kom zoo, cov kua dej tuaj yeem sib sau ua ke hauv lub ntsws. Yog li ntawd, tej yam xws li ua pa nyuaj thiab qaug zog tshwm sim. Lwm qhov ntawm lub cev, tshwj xeeb tshaj yog ob txhais ceg, pob luj taws, thiab lub plab, kuj tseem yuav o . Qhov no yog vim tias cov kua dej hauv lub cev tsis ncig zoo.

Yog li no Ejection Fraction yog dab tsi?

Tam sim no cia peb tham txog Ejection Fraction (EF) yog dab tsi. Qhov no hu ua 'Ejection Fraction' hauv Sinhala. Txawm hais tias qhov no yog ib lo lus kho mob me ntsis, nws yooj yim to taub. Hais yooj yim, qhov no yog feem pua ​​ntawm cov ntshav ntau npaum li cas koj lub plawv sab laug tso rau hauv lub cev thaum nws dhia ib zaug.

Lub plawv noj qab nyob zoo thiab ua haujlwm tau zoo yuav tsum muaj tus nqi EF ntawm 55% thiab 70% . Qhov no txhais tau tias ntau dua ib nrab ntawm cov ntshav nkag mus rau hauv lub plawv sab laug raug nqus tawm hauv ib lub suab. Txawm li cas los xij, yog tias tus nqi EF no poob qis dua 40% , nws yuav yog ib qho cim ntawm lub plawv tsis ua haujlwm systolic. Qhov no txhais tau tias lub plawv lub peev xwm nqus tau txo qis. Yog vim li cas qhov mob no qee zaum hu ua 'Lub plawv tsis ua haujlwm nrog Kev Txo Qhov Kev Tawm Tsam' (HFrEF) .

Leej twg yuav muaj tus mob no ntau dua?

Lub plawv tsis ua haujlwm zoo (systolic heart failure) tuaj yeem cuam tshuam rau txhua tus neeg, tab sis qhov kev pheej hmoo yuav nce ntxiv thaum muaj hnub nyoog. Nws kuj tseem pom ntau dua rau cov neeg uas muaj lwm yam mob plawv, xws li mob plawv nres yav dhau los lossis ntshav siab.

Dab tsi ua rau muaj mob plawv tsis ua haujlwm zoo (HFrEF)?

Feem ntau lub plawv tsis ua haujlwm zoo thaum lub plawv sab laug raug mob los ntawm lwm yam kab mob. Xav txog nws li no: cov leeg nqaij plawv zoo li txoj hlua roj hmab. Nws ncab thiab sib zog. Tab sis yog tias nws raug mob, nws ua tsis tau txoj haujlwm ntawd kom zoo.

Nov yog qee qhov laj thawj tseem ceeb uas yuav cuam tshuam rau qhov no:

• Kab Mob Ntshav Hauv Lub Plawv: Qhov no yog qhov ua rau feem ntau tshwm sim. Cov hlab ntsha uas muab ntshav mus rau lub plawv (cov hlab ntsha hauv lub plawv) raug nqaim lossis raug thaiv los ntawm cov rog, ua rau cov leeg nqaij plawv tsis tau txais cov pa oxygen thiab cov as-ham uas nws xav tau. Qhov no ua rau cov leeg nqaij qaug zog.
• Ntshav Siab (Hypertension): Thaum ntshav siab ntev heev, lub plawv yuav tsum ua haujlwm hnyav dua los tso ntshav. Nws zoo li tso dej rau hauv cov hlab ntsha uas raug txhaws. Raws li lub sijhawm dhau mus, qhov no tuaj yeem ua rau cov leeg nqaij plawv loj hlob thiab thaum kawg qaug zog.
• Kev Mob Plawv Dhau Los: Kev mob plawv nres yog thaum cov ntshav ntws mus rau ib feem ntawm lub plawv raug txiav tawm, ua rau cov leeg nqaij tuag. Qhov chaw tuag ces ua rau muaj qhov txhab, txo qhov peev xwm ntawm lub plawv los nqus.
• Kab mob ntshav qab zib (Diabetes Mellitus): Kab mob ntshav qab zib kuj tseem tuaj yeem ua rau cov hlab ntsha puas tsuaj thiab cuam tshuam ncaj qha rau cov leeg nqaij plawv.
• Lub Plawv Dhia Tsis Zoo: Thaum lub plawv dhia tsis zoo, lub plawv tsis tuaj yeem tso ntshav tau zoo.
• Kab Mob Plawv Valve: Thaum cov valve hauv lub plawv tsis ua haujlwm zoo, cov ntshav tuaj yeem ntws rov qab lossis mus tom ntej, uas tuaj yeem ua rau lub plawv ntxhov siab ntxiv.
• Mob plawv (Myocarditis): Mob plawv o. Qhov no tuaj yeem tshwm sim los ntawm tej yam xws li kev kis kab mob los ntawm cov kab mob viral.

Qhov kev puas tsuaj no tuaj yeem ua rau cov leeg nqaij plawv mob, nthuav dav, lossis tawv ntawm cov hlab ntsha hauv lub plawv. Tag nrho cov no ua rau cov hlab ntsha sab laug tsis muaj zog thiab txo EF. Qhov xov xwm zoo yog tias feem ntau, yog tias qhov ua rau mob raug kho kom zoo, lub plawv ua haujlwm tuaj yeem txhim kho me ntsis.

Cov tsos mob ntawm tus mob no yog dab tsi?

Zoo, koj yuav paub li cas yog tias koj muaj qhov teeb meem no? Nov yog qee cov tsos mob uas yuav tsum tau ceev faj:

• Ua tsis taus pa (Dyspnea): Tej zaum koj yuav ua tsis taus pa, tshwj xeeb tshaj yog thaum ua si nawv, nce ntaiv, lossis txawm tias pw hauv txaj. Yog tias koj xav tau pw nrog ob lossis peb lub hauv ncoo thaum hmo ntuj, qhov ntawd kuj yog ib qho cim qhia.
• Qaug zog thiab tsis muaj zog ntau zaus: Yog tias koj xav tias nkees heev txawm tias tom qab ua cov haujlwm uas yooj yim ua ntej lawm.
• O ntawm ob txhais ceg, pob luj taws, thiab taw: Qhov o no tuaj yeem tshwm sim vim yog cov kua dej khaws cia. Qee zaum lub plab kuj tuaj yeem o.
• Lub plawv dhia ceev lossis tsis xwm yeem: Yog tias koj hnov ​​​​​​qhov kev hloov pauv hauv txoj kev uas koj lub plawv dhia.
• Hnoos tas li los yog ua pa nrov nrov: Hnoos uas tshwj xeeb tshaj yog nrog cov hnoos qeev dawb.
• Txo qis peev xwm tawm dag zog.
• Xeev siab los yog tsis qab los noj mov.
• Mob hauv siab: Qhov no yuav yog vim muaj ib qho laj thawj xws li kab mob plawv.
• Kiv taub hau.

Yog koj muaj ib lossis ntau yam ntawm cov tsos mob no, thov tsis txhob tso tseg thiab mus ntsib kws kho mob. Thaum koj paub lawv sai npaum li cas, nws yuav yooj yim dua rau kev kho.

Cov kws kho mob nrhiav tau qhov no li cas?

Thaum koj mus ntsib kws kho mob, nws yuav kuaj ntau zaus kom paub seb koj puas muaj mob plawv systolic. Qhov tseem ceeb tshaj plaws yog nrhiav seb qhov ua rau mob yog dab tsi kom koj thiaj kho tau zoo.

Cov txheej txheem sim no feem ntau suav nrog cov hauv qab no:

1. Kev kuaj lub cev:

• Tus kws kho mob yuav nug koj txog koj cov tsos mob (lawv muaj ntev npaum li cas, lawv xav li cas).
• Lawv nug txog koj tej kev mob yav dhau los, xws li seb puas muaj leej twg hauv koj tsev neeg muaj mob plawv.
• Siv lub stethoscope los mloog lub plawv thiab lub ntsws (los xyuas seb puas muaj suab txawv txawv thiab cov kua dej hauv lub ntsws).
• Koj cov ntshav siab raug ntsuas.
• Yuav muab koj lub cev hnyav (los saib seb koj puas tau nce phaus sai sai, vim yog koj lub cev khaws dej tsis tau).

2. Kev kuaj ntshav (Kev kuaj ntshav):

• Cov kev kuaj ntshav no tuaj yeem xyuas seb lwm yam kabmob (xws li lub raum thiab lub siab) puas tau raug cuam tshuam los ntawm qhov tsis muaj zog no hauv lub plawv.
• Feem ntau, tej yam xws li 'Albumin' (ib hom protein), 'Creatinine' (ib qho kev ntsuas ntawm kev ua haujlwm ntawm lub raum), thiab sodium thiab potassium (electrolytes) raug ntsuas.
• Muaj kev kuaj ntshav tshwj xeeb hu ua BNP (B-type Natriuretic Peptide). Thaum lub plawv raug kev ntxhov siab, qib ntawm BNP no hauv cov ntshav yuav nce ntxiv. Qhov no pab tau zoo heev rau kev kuaj mob plawv tsis ua haujlwm.

3. Kev kuaj duab ntawm lub plawv:

• Cov kev kuaj no tuaj yeem kuaj xyuas ntau yam, xws li lub plawv zoo li cas thiab loj npaum li cas, cov phab ntsa ntawm cov cell tuab npaum li cas, seb cov valve puas ua haujlwm zoo, thiab seb puas muaj kev puas tsuaj los ntawm kev mob plawv yav dhau los.
• X-ray hauv siab: Yuav saib seb lub plawv puas loj dua lossis puas muaj kua dej hauv lub ntsws.
• `Echocardiogram (Echo)`: Qhov no yog qhov kev kuaj tseem ceeb tshaj plaws. Nws zoo li kev ntsuas ultrasound ntawm lub plawv. Nws tuaj yeem ntsuas qhov nqi EF kom raug. Nws tuaj yeem pom tseeb txog kev ua haujlwm ntawm cov chav plawv thiab cov li qub.
• Electrocardiogram (EKG/ECG): Ib qho kev kuaj uas sau cov haujlwm hluav taws xob ntawm lub plawv. Nws tuaj yeem ntes tau tej yam xws li lub suab thiab qhov ceev ntawm lub plawv dhia, thiab cov cim qhia tias muaj mob plawv nres yav dhau los.
• Qee zaum, lwm yam kev kuaj tshwj xeeb xws li 'Cardiac MRI', 'Cardiac CT scan', 'Cardiac Catheterization' (Angiogram), 'Exercise Stress Test' lossis 'Nuclear Exercise Stress Test', 'Multigated Acquisition Scan' (MUGA)' kuj tseem yuav raug ua.

Qhov no kho li cas?

Zoo, tam sim no cia peb saib seb yuav kho tus mob plawv systolic no li cas. Muaj ntau lub hom phiaj tseem ceeb ntawm kev kho mob:

• Txo cov tsos mob (xws li ua tsis taus pa, o).
• Nres lossis tswj lub plawv kom tsis txhob qaug zog ntxiv.
• Txhim kho qhov zoo ntawm lub neej.
• Pab kom lub neej ntev dua.

Cov kev kho mob muaj peev xwm muab faib ua ntau pawg tseem ceeb:

1. Kev hloov pauv txoj kev ua neej

Cov no tseem ceeb heev. Tsis yog tsuas yog noj tshuaj xwb, koj yuav tsum ua tej yam no rau koj tus kheej thiab.

• Txwv kev noj ntsev: Ntshav (sodium) ua rau lub cev khaws cov kua dej ntau dhau. Qhov no ua rau o thiab ua rau lub plawv ntxhov siab. Txo kev noj ntsev raws li koj tus kws kho mob hais. Feem ntau, nws tsis pom zoo kom noj ntau tshaj 1500-2000 milligrams ntawm sodium ib hnub.
• Txwv cov dej haus: Ib txhia neeg kuj raug qhia kom txwv cov dej haus ib hnub. Qhov no yog ib yam uas koj yuav tsum tham nrog koj tus kws kho mob thiab txiav txim siab.
• Tswj koj qhov hnyav kom noj qab nyob zoo: Yog tias koj rog dhau, sim txo qhov hnyav. Nws yog ib lub tswv yim zoo los ntsuas koj tus kheej txhua hnub. Yog tias koj qhov hnyav nce sai sai (ib lossis ob kilo hauv ib hnub), nws yuav yog ib qho cim qhia tias koj cov kua dej khaws cia. Yog tias qhov no tshwm sim, qhia rau koj tus kws kho mob .
• Tsis txhob haus luam yeeb: Kev haus luam yeeb ua rau lub plawv thiab cov hlab ntsha puas tsuaj heev.
• Txwv lossis tsum tsis txhob haus cawv: Cawv kuj tseem tuaj yeem ua rau cov leeg plawv tsis muaj zog.
• Kev tawm dag zog tsis tu ncua: Tham nrog koj tus kws kho mob txog cov kev tawm dag zog twg yog qhov zoo rau koj. Pib me me thiab maj mam nce koj cov kev ua ub no. Kev taug kev yog ib qho kev tawm dag zog zoo. Nws yuav zoo heev yog tias koj tuaj yeem koom nrog hauv qhov kev pab cuam kho lub plawv.
• Txo kev ntxhov siab, so kom txaus, thiab pw tsaug zog txaus.
• Noj zaub mov kom zoo: noj zaub, txiv hmab txiv ntoo, cov khoom noj uas muaj fiber, thiab cov khoom noj uas muaj roj tsawg.

2. Cov tshuaj (hom tshuaj)

Muaj ntau yam tshuaj kho mob zoo uas siv tau los kho koj lub plawv tsis ua haujlwm zoo (systolic heart failure). Cov tshuaj no tuaj yeem txhim kho koj lub plawv dhia ceev (EF), cov tsos mob, thiab kev ua haujlwm ntawm lub plawv tag nrho. Koj tus kws kho mob yuav sau ib lossis ntau yam tshuaj no ua ke.

• Cov tshuaj Beta-blockers: Cov no ua kom lub plawv ua haujlwm zoo dua los ntawm kev ua kom lub plawv dhia qeeb, txo qhov ua haujlwm ntawm lub plawv. Lawv tuaj yeem pab tswj cov ntshav siab, txo qhov kev pheej hmoo ntawm kev mob plawv, thiab tswj cov plawv dhia tsis xwm yeem.
• Angiotensin-Converting Enzyme (ACE) inhibitors: Cov no tswj cov ntshav siab, nthuav cov hlab ntsha, thiab thaiv cov tshuaj hormones kev ntxhov siab hauv lub cev, txhim kho kev ua haujlwm ntawm lub plawv dhau sijhawm.
• Angiotensin-II Receptor Blockers (ARBs): Cov no yog muab rau cov neeg uas muaj cov kev mob tshwm sim xws li hnoos los ntawm ACE inhibitors. Lawv ua haujlwm zoo ib yam li ACE inhibitors.
• Cov Tshuaj Angiotensin Receptor-Neprilysin Inhibitors (ARNIs): Qhov no yog ib hom tshuaj tshiab, zoo heev. Cov no kuj txo cov tshuaj hormones kev ntxhov siab, qhib cov hlab ntsha, thiab txhim kho kev ua haujlwm ntawm lub plawv.
• Cov Tshuaj Aldosterone Antagonists (Mineralocorticoid Receptor Antagonists - MRAs): Cov no txo ​​cov tshuaj hormones kev ntxhov siab thiab pab lub raum tshem tawm cov kua dej thiab ntsev ntau dhau ntawm lub cev. Koj yuav tsum ceev faj txog koj cov potassium thaum noj cov tshuaj no.
• Cov tshuaj diuretics (tshuaj ntsiav dej): Cov no sai sai pab txo cov tsos mob (tshwj xeeb tshaj yog o thiab ua tsis taus pa) los ntawm kev tshem tawm cov kua dej thiab ntsev ntau dhau ntawm lub raum. Thaum cov kua dej tsawg zuj zus, nws yooj yim dua rau lub plawv los tso ntshav.
• SGLT-2 inhibitors: Cov no yog ib hom tshuaj kho mob ntshav qab zib. Tab sis tom qab ntawd lawv pom tias lawv kuj zoo heev rau cov neeg mob plawv tsis ua haujlwm uas tsis muaj ntshav qab zib. Lawv tso cov kua dej ntau dhau nrog rau qab zib hauv cov zis.

Qhov tseem ceeb tshaj plaws yog noj cov tshuaj uas koj tus kws kho mob sau kom raug, raws sijhawm thiab raws li qhov ntau npaum li cas uas tau sau tseg. Tsis txhob tsum noj cov tshuaj lossis hloov qhov ntau npaum li cas ntawm koj tus kheej.

3. Cov khoom siv thiab kev phais mob

Tej zaum ib txhia neeg mob yuav tsis muaj peev xwm tswj tau lawv tus mob los ntawm kev siv tshuaj thiab kev hloov pauv hauv lub neej xwb. Tej zaum lawv yuav xav tau tej yam xws li:

• ICD (Implantable Cardioverter-Defibrillator): Ib lub cuab yeej me me uas ntes tau lub plawv dhia tsis xwm yeem (arrhythmia) thiab xa hluav taws xob me me rau lub plawv kom rov qab ua haujlwm li qub. Qhov no raug cog rau hauv qab daim tawv nqaij ntawm lub hauv siab.
• CRT (Kev Kho Mob Plawv Rov Ua Dua Tshiab) / Biventricular Pacemaker: Lub cuab yeej no pab kho qhov tsis sib npaug ntawm cov chav sab laug thiab sab xis ntawm lub plawv. Qhov no kuj ua rau lub plawv muaj peev xwm nqus tau zoo dua.
• Kev Siv Txoj Hau Kev Hloov Pauv ntawm Cov Hlab Ntsws (CABG) lossis Angioplasty nrog stenting: Kho cov hlab ntsha hauv lub plawv yog tias lawv raug thaiv.
• Kho lossis phais hloov lub plawv.
• Kev hloov plawv lossis LVAD (Left Ventricular Assist Device): Cov no yog cov kev kho mob feem ntau xav txog rau cov neeg mob uas mob hnyav heev.

Yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm tus mob no?

"Kev tiv thaiv zoo dua li kev kho mob," lawv hais. Yog li, muaj tej yam uas koj ua tau los tiv thaiv lossis txo qhov kev pheej hmoo ntawm kev mob plawv systolic. Kev noj qab haus huv zoo yog qhov tseem ceeb.

• Noj zaub mov kom zoo thiab muaj txiaj ntsig zoo (ntsev tsawg dua, roj tsawg dua, zaub thiab txiv hmab txiv ntoo ntau dua).
• Ua si nawv tsis tu ncua.
• Tswj koj qhov hnyav kom noj qab nyob zoo.
• Tsis txhob haus luam yeeb kiag li.
• Txwv kev haus cawv.
• Yog koj muaj tej yam mob xws li ntshav siab, ntshav qab zib, lossis roj cholesterol, tswj kom zoo. Ua raws li koj tus kws kho mob cov lus qhia kom zoo.
• Txo kev ntxhov siab thiab pw tsaug zog txaus.

Koj muaj peev xwm cia siab li cas thaum koj nyob nrog qhov xwm txheej no?

Lub plawv tsis ua haujlwm zoo (systolic heart failure) yog ib yam mob uas mob ntev, mob hnyav, thiab mob ntev heev. Tej zaum yuav kho tsis tau tag nrho. Txawm li cas los xij, yog tias kho kom zoo thiab hloov pauv txoj kev ua neej, ces yuav tswj tau cov tsos mob thiab ua neej zoo tau.

Qhov tshwm sim nyob ntawm ntau yam:

• Kab mob plawv hnyav npaum li cas.
• Koj txoj kev noj qab haus huv tag nrho thiab seb koj puas muaj lwm yam kab mob (xws li kab mob raum, ntshav qab zib).
• Koj teb li cas rau kev kho mob.
• Qhov laj thawj tseem ceeb rau qhov no yog dab tsi?

Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob ntshai lossis chim siab, tab sis ua raws li tus kws kho mob cov lus qhia kom meej thiab hloov koj txoj kev ua neej. Ua haujlwm ua ke nrog koj pab neeg kho mob.

Thaum twg koj yuav tsum nrhiav kev kho mob tam sim ntawd?

Yog tias koj muaj ib qho ntawm cov tsos mob no, koj yuav tsum nrhiav kev pab kho mob tam sim ntawd, txhais tau tias sai li sai tau :

• Mob hauv siab tam sim ntawd thiab hnyav heev.
• Ua pa nyuaj sai sai thiab hnyav heev.
• Tsaus muag los yog tsis muaj zog heev.
• Mob hauv siab, kiv taub hau, lossis ua tsis taus pa nrog rau lub plawv dhia ceev lossis tsis xwm yeem.
• Ob txhais ceg o los yog hnyav nce sai.

Koj tuaj yeem nug tus kws kho mob li cas?

Thaum koj mus ntsib koj tus kws kho mob, koj tuaj yeem nug cov lus nug zoo li no kom nkag siab zoo dua txog koj tus mob:

• Dab tsi yog qhov ua rau kuv lub plawv tsis ua haujlwm systolic?
• Kuv tus nqi ejection fraction (EF) yog dab tsi? Nws txhais li cas?
• Qhov mob no puas tau cuam tshuam rau kuv lwm yam kabmob (xws li lub raum, siab)?
• Cov kev kho mob twg zoo rau kuv? Cov txiaj ntsig thiab cov txiaj ntsig yog dab tsi?
• Cov kev hloov pauv tseem ceeb tshaj plaws uas kuv yuav tsum tau ua hauv kuv txoj kev ua neej yog dab tsi?
• Kuv yuav tsum noj hom khoom noj thiab dej haus twg thiab kuv yuav tsum tsis txhob noj hom twg?
• Kuv ua tau dab tsi? Kuv yuav tsum ua ntev npaum li cas?
• Kuv yuav tsum tsis txhob ua li cas?
• Cov tshuaj no tej zaum yuav muaj tej yam tshwm sim tsis zoo li cas? Kuv yuav tsum ua li cas yog tias muaj tej yam tshwm sim no?
• Kuv yuav tsum tuaj kuaj mob ntau npaum li cas? Kuv cov qhab nia EF yuav raug kuaj dua thaum twg?
• Kuv yuav tsum ua li cas thaum muaj xwm txheej ceev?

Tej yam tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov

Mob plawv tsis ua haujlwm zoo (systolic heart failure) yog ib qho mob hnyav thiab ntev heev uas lub plawv sab laug tsis tuaj yeem tso ntshav tau zoo. Yog tias koj muaj ib qho ntawm cov tsos mob no, thov mus ntsib kws kho mob. Yog tias koj paub sai npaum li cas, ces yuav kho tau yooj yim dua thiab qhov tshwm sim yuav zoo dua.

Los ntawm kev kho qhov ua rau mob, noj tshuaj uas koj tus kws kho mob sau ntawv, thiab tsim kom muaj tus cwj pwm zoo hauv lub neej, koj tuaj yeem pab tswj koj cov tsos mob thiab ua lub neej noj qab nyob zoo, nquag, thiab ntev mus. Tsis txhob ntshai, nyob ruaj khov! Koj tsis nyob ib leeg, koj cov kws kho mob, tsev neeg, thiab cov phooj ywg txhua tus nyob ntawd los pab koj.

Lub plawv nres, lub plawv tsis ua haujlwm zoo li qub, lub plawv dhia tsis zoo, lub plawv tsis muaj zog, ua pa luv luv, o ntawm ceg, cov tsos mob ntawm lub plawv