Une kurwadziwawo here kurutivi rwerudyi rwemudumbu mako? Ngatidzidzei nezvematombo emudumbu.

Fungidzira kuti uri kudya chikafu chinonaka wobva wangoerekana wanzwa kurwadziwa kwakanyanya mudumbu. Dzimwe nguva zvinoita sekunge unodada uye ungatorutsa. Izvi zvinogona kunge zvichikonzerwa nematombo emudumbu, ayo anoumbwa mudumbu rako. Vanhu vazhinji havazvizivi. Saka ngatitaurei nezvematombo emudumbu zvakadzama nhasi, zvakanaka here?

Matombo aya emunduru chii?

Zvichitaurwa zviri nyore, matombo enduru zvidimbu zvakaoma, zvakaita sematombo zvenduru zvinoumbwa munduru yako kana mumigero yenduru. "Gall" zvinoreva nduru. Saka "Gallstones" i "gallstones." Gallstone yako yakafanana nebhegi diki rinounganidza nekuchengetedza nduru. Rinochengeta nduru kuti ishandiswe gare gare. Chiropa chedu chinoita nduru iyi, uye yobva yafamba nemumigero yenduru kuenda kunhengo dziri muhurongwa hwedu hwenduru. Dzimwe nguva vanachiremba vanodana chirwere ichi kuti "cholelithiasis." "Chole" zvinoreva nduru, uye "lithiasis" zvinoreva kugadzirwa kwematombo. Matombo aya enduru anoumbwa kana zvimwe zvinhu zviri munduru zvikaungana uye zvikaoma nekufamba kwenguva. Izvi zvinowanzoitika kana chimwe chezvinhu zvikuru zviri mubhatiri chakawedzerwa.

Matombo aya emunduru anogona kunge akakomba zvakadii?

Kuva nematombo emunduru (cholelithiasis) hazvirevi kuti une matambudziko. Vanhu vazhinji vanawo uye havatombozvizivi. Asi kana matombo aya akatanga kufamba nemumigero yemunduru yako onamatira kune imwe nzvimbo, anogona kuva nengozi. Kana akadaro, anogona kuvhara migero yemunduru yako, zvichikonzera kurwadziwa kwakanyanya uye matambudziko akakomba. Dambudziko nderekuti matombo aya anokura. Anotanga sejecha, uye sezvo nduru inoramba ichiyerera pamusoro pawo, zvinhu zvakawanda zvinounganidzwa, zvichiita kuti dombo rikure. Dzimwe nguva matombo aya anogona kukura zvakakwana kuti avhare kuyerera kwenyongo, kunyanya kana akanamatira panzvimbo yakamanikana semugero wenyongo.

Izvi zvakajairika zvakadii?

Zvinofungidzirwa kuti vanhu vakuru vanosvika gumi muzana muUnited States vane matombo emunduru, uye 75 muzana yavo vakadzi. Zvisinei, 20% chete yeavo vanoonekwa vaine chirwere ichi vanova nezviratidzo kana kuti vanoda kurapwa. Mamiriro ezvinhu aya anogona kuonekwa zvakanyanya kana zvishoma munyika yedu, Sri Lanka.

Ndezvipi zviratidzo zvematombo emunduru?

Matombo emunduru haawanzo kukonzera zviratidzo kusvika apinda munduru okonzera kuvharika. Kuvharika uku ndiko kunokonzera zviratidzo. Zviratidzo zvinowanzoonekwa marwadzo emudumbu repamusoro uye kuda kurutsa. Izvi zvinogona kuuya zvoenda, kana kuti zvinogona kugara zviripo. Kana kuvharika kwacho kwakanyanya kana kuti kwenguva yakareba, unogona kusangana nezvimwe zviratidzo, zvakaita se:

• Kudikitira .
• Hunhu hwefivha.
• Kurova kwemoyo kwakawedzera.
• Kuzvimba uye kurwadziwa kana zvabatwa.
• Jaundice (kutsvuka kweganda nemaziso))`.
• Weti ine ruvara rwakasviba uye tsvina ine ruvara rwakajeka.

Marwadzo anokonzerwa nematombo emunduru anonzwa sei?

Kurwadziwa kwedombo remunduru rinowanzoonekwa kamwe kamwe, kurwadziwa kwakanyanya. Kunogona kunzwa sekunge dumbu rako rava kuda kuputika. Izvi zvinonziwo "gallstone attack" kana "gallbladder attack." Unogona kunzwa kurwadziwa uku kazhinji mushure mekudya. Izvi zvinokonzerwa nekuti gallbladder yako iri kudzika, zvichiwedzera kudzvanya nyongo yako. Dzimwe nguva unogona kutomuka kubva kuhope nekurwadziwa uku. Kurwadziwa kunowedzera zvishoma nezvishoma, kusvika pakakwirira, uye kwozodzikira zvishoma nezvishoma kunonzi "biliary colic." Kunoitika nguva nenguva. Kunogona kugara kubva pamaminitsi kusvika maawa. Kurwadziwa kunowanzopera kana dombo richifamba kana kudzvanywa kwadzikira. Vanhu vanotambura nekurwadziwa uku vanoti kwakanyanya, kubaya, kudzvanya, kana kudzvanya . Kunogona kuva kwakanyanya zvekuti haugone kumira wakamira.

Kurwadziwa kwematombo emunduru kuri kupi?

Nzira yako yekugaya iri kumusoro kurudyi kwedumbu rako, pasi pembabvu dzako dzekurudyi. Vanhu vazhinji vanonzwa kurwadziwa kwematombo emunduru pano. Asi dzimwe nguva kurwadziwa kunogona kupararira kune dzimwe nzvimbo. Vamwe vanhu vanonzwa kurwadziwa muruoko rwavo rwerudyi, pafudzi, kana kumusana pakati pemapendekete. Vamwe vanhu vanonzwa kurwadziwa kwematombo emunduru pakati pedumbu kana pachipfuva. Izvi zvinogona kuvhiringidza zvishoma, nekuti kurwadziwa kunogona kufanana nezvimwe zvirwere. Vamwe vanhu vanokanganisa kurwadziwa kwematombo emunduru nechirwere chegastritis kana chirungurira. Vamwe vangafunga kuti chirwere chemwoyo, chinova chirwere chekurapa.

Zviratidzo zvegallstone zvakasiyana here kuvakadzi?

Kwete, zviratidzo zvinowanzofanana. Asi vakadzi vanowanzova ne "marwadzo anotaurwa" - kureva kuti, marwadzo anonzwa kune imwe nzvimbo isiri kwayakatangira. Saka vanogona kunge vachinzwa marwadzo ematombo emunduru muruoko, pafudzi, pachipfuva kana kumusana. Vakadzi vanowanzovawo nemarwadzo asingaperi. Saka vanogona kusanyanya kutarisisa marwadzo anouya nekuenda, akadai se "biliary colic". Chinhu chakakosha ndechekuona chiremba kana uine marwadzo akakomba kana anoramba achiitika, kunyangwe apera. Kana wakambova ne "gallstone attack" kamwe chete, unogona kunge uine rimwe.

Chii chinokonzera kurwadziwa uku kwematombo emunduru?

Kurwadziwa nematombo emunduru kunoitika kana dombo remunduru rakabatwa mumugero wenyongo, zvichikonzera kuvharika. Kana riri vharika rakakura, unobva warinzwa ipapo ipapo. Kana riri vharika diki, rakazara nematumbu, unogona kusazviona kusvika nduru yako yavharika uye woisa kumanikidzwa kwakanyanya panhengo dzemuviri. Kuvharika uku kunokonzerwa nekudya, kunyanya chikafu chinorema, chine mafuta .Kana uchidya, gallbladder inobonderana zvakasimba. Fungidzira kana ukadya biryani yakanaka, mupunga wakakangwa, kana kudya mupunga une chili sauce yakagadzirwa nemafuta, ura hwedu hudiki hunoona huwandu hwemafuta ari muchikafu ichocho uye hunoudza gallbladder kuti inoda nyongo yakawanda sei kuti ibatsire kuigaya. Mukupindura, gallbladder inosvina huwandu hunodiwa hwenyongo yoitumira kumaburi enyongo. Ndipo panobva kurwadziwa kubva padombo iroro rakanamira.

Ndezvipi zviratidzo zvakakosha zvekurwara nematombo emunduru?

"Biliary Colic" ingangove ndiyo chete chiratidzo chekunyevera chaunowana. Chinoitika kana dombo remunduru rikadzivira duct yenyongo kwenguva pfupi, rozofamba-famba rotanga kuyerera zvakare. Kunyangwe kurwadziwa kwacho kuchizopera, zvakakosha kuziva zviratidzo izvi zvekunyevera.

Kana dombo remunduru rakambovhara nyongo yako kamwe chete, zvingangoitika zvakare.

Pamwe dombo riri kufamba-famba panzvimbo imwe chete parakanamatira, richikura zvakanyanya. Kana kuti panogona kunge paine mamwe matombo enduru. Rimwe zuva, dombo renduru rinogona kunamatira roramba rakanamatira ipapo. Izvozvo zvinogona kuva dambudziko rekukurumidza.

Ndezvipi zvinetso zvinogona kuitika nekuda kwematombo emunduru?

Kana dombo remunduru rikadzivira kufamba kwenyongo kuburikidza nehurongwa hwenyongo, rinogona kukanganisa chero nhengo iri muhurongwa ihwohwo. Nyongo isingakwanise kuyerera inogona kudzokera mumigero yenyongo uye nhengo dzemuviri, zvichikonzera kuzvimba kwakanyanya uye hutachiona hwebhakitiriya . Matambudziko aya anogona kutyisidzira hupenyu kana akanyanya. Matambudziko anogona kusanganisira:

• Cholecystitis : Kuzvimba kwenyongo.
• Pancreatitis : Kuzvimba kwepancreas .
• Cholangitis: Kuzvimba kwemutsinga dzenyongo .
• Chiropa: Kuzvimba kwechiropa.
• Jaundice: kuungana kwenyongo muropa (kutsvuka kweganda).
• Septicemia: Utachiona hunopinda muropa.

Matombo emunduru anokonzera kuneta nedzungu here?

Dzungu uye kuneta zviratidzo zveBP yakaderera. Izvi hazvisi zviratidzo zvinowanzoonekwa zvematombo emunduru. Zvisinei, BP yakaderera inogona kuitika semhedzisiro yematambudziko anokonzerwa nematombo emunduru. Kana uine kuzvimba kwakanyanya kana hutachiona mudumbu rako, kurova kwemoyo wako kunogona kuwedzera uye BP yako inogona kuderera.

Ndezvipi zvinokonzera matombo emunduru?

Matombo emunduru anoumbwa kana paine chimwe chezvinhu zvikuru zvemunduru chakawandisa. Chikamu ichi chakawandisa chinogara munduru kana mumigero yemunduru, zvishoma nezvishoma chichioma kuita matombo. Matombo echolesterol ndiwo anonyanya kuwanikwa. Rumwe rudzi imatombo e "pigment", ari matombo ebilirubin. Zvinhu zvakasiyana-siyana zvinogona kukanganisa maitiro aya, zvinosanganisira:

• Kuva necholesterol yakawandisa: Chiropa chako chinotora cholesterol kubva muropa rako kuti chigadzire bile. Kana uine cholesterol yakawandisa muropa rako, chiyero chezvikamu zviri mubile yako chinochinja. Panofanira kuva nekuenzana pakati pemafuta nemaacids kuti zvese zviri mubile yako zvibatane. Kana uine chero chinhu chakawandisa, chinoiswa.
• Bilirubin yakakwira: Bilirubin inokonzerwa nekuputsika kwemasero matsvuku eropa ekare. Kana uine chirwere cheropa (chinokonzera kuparadzwa kwakanyanya kwemasero matsvuku eropa), kana chiropa chako chakakuvara uye chikaomerwa nekushandura huwandu hwakajairika hwebilirubin kuita bile, unogona kunge uine bilirubin yakakwira mumuviri wako.
• Kusakwana kwemaasidhi e bile (anonziwo munyu we bile): Zvimwe zvirwere zvinokonzera kuti maasidhi e bile asanyatsopinda mumuviri (bile acid malabsorption) uye anoburitswa mutsvina. Kana paine kurasikirwa kwakawanda kwe bile acid, chiropa hachina maasidhi e bile akakwana ekugadzira bile. Kana bile acids dzisina kukwana, huwandu hwemafuta (cholesterol) mubile hunowedzera.
• Kusashanda zvakanaka kwenyongo kana kuti gallbladder stasis: "Stasis" zvinoreva kusashanda zvakanaka. Kana maburi enyongo kana gallbladder yako asingafambise nyongo zvakanaka kuburikidza ne nyongo, nyongo inowanzo ungana youmba matombo. Izvi zvinogona kuva dambudziko netsandanyama kana zviratidzo zvemakemikari zvinodziudza kuti dzishande zvakanaka.

Ndezvipi zvinhu zvinokonzera matombo emunduru (Cholelithiasis)?

Zvirwere zvakasiyana-siyana zvinogona kukanganisa kuyerera kwenyongo yako kana huwandu hwecholesterol, bilirubin, uye bile acid. Asi havasi vese vane matombo emunduru vane chirwere chavo. Zvimwe zvezvinhu zvinowanzo kukonzera njodzi zvinowanzoonekwa, zvakaita sezera rako, majini, huwandu hwemahormone, uye kuchinja kwehuremu. Zvinhu zvinokonzeresa njodzi zvinosanganisira:

• Zera: Zvinotora nguva kuti matombo emunduru aumbe uye ave makuru zvakakwana zvekuti anokonzera kuvharika. Varume vanowanzova nawo mushure memakore makumi matanhatu. Vakadzi vanowanzova nawo mumakore avo ekubereka, pakati pemakore makumi maviri nemakumi mashanu.
• Mahormone: Vakadzi vane mukana wekuva nematombo emunduru katatu. Njodzi iyi inowedzera uye inoderera nemazinga avo eestrogen neprogesterone. Estrogen inowedzera mazinga echolesterol, uye progesterone inononoka kubuda kwenyongo kubva munduru.
• Kurema:Mafuta emuviri paanowedzera, kugadzirwa kweestrogen kunowedzerawo, izvo zvinowedzera mazinga eestrogen nemazinga echolesterol. Kune rumwe rutivi, kudzikira kwehuremu kamwe kamwe, semuenzaniso mushure mekuvhiyiwa kwekudzikisa huremu, kunogonawo kukonzera matombo emudumbu. Kana mafuta emuviri akadzikira kamwe kamwe, huwandu hwakawanda hwecholesterol hunoungana munyongo.
• Majini: Kana uri werudzi (Native American) kana (Mexican) , majini ako anogona kukuisa panjodzi huru yekubatwa nematombo emunduru nekuda kwehuwandu hwakawanda hwemafuta munduru yako. Kana mumwe munhu mumhuri yako akambobatwa nematombo emunduru, une mukana mukuru wekuva nawo, zvisinei nerudzi rwako.

Ungaziva sei kana uine matombo emunduru?

Kana uine zviratidzo zvematombo emunduru, chiremba wako achakuraira kuongororwa kweropa uye kuongororwa kwemifananidzo. Kuongororwa kweropa kunogona kuona kuzvimba, hutachiona, kana jaundice, uye kunogonawo kukupa ruzivo rwekuti ndeapi nhengo dziri kukanganiswa. Kuongororwa kwemifananidzo kunogona kubatsira kuona kuti mudumbu mako makavharirwa kupi.

Ndezvipi zviedzo zvinoshandiswa kuongorora matombo emunduru?

Kutanga, chiremba wako achaita ultrasound yemudumbu. Iyi bvunzo inokurumidza uye iri nyore isingade kugadzirira kwakakosha. Ultrasound inogona kuwana matombo mazhinji emunduru mukati nepakapoteredza nduru. Zvisinei, kana dombo remunduru rakanamira kune imwe nzvimbo mu nyongo, mhando yakasiyana yekuongororwa ichadiwa kuti riwanikwe. Mimwe miedzo inogona kuitwa inosanganisira:

• MRCP (Magnetic Resonance Cholangiopancreatography)
• Kuskena kweHIDA `(HIDA scan)`
• Ultrasound ye endoscopic
• ERCP (endoscopic retrograde cholangiopancreatography)

Matombo emunduru anorapwa sei?

Kana usati wambosangana nedambudziko rematombo emunduru, ungasada kurapwa. Asi kana matombo emunduru achivhara duct yako yenyongo, chiremba wako achaedza kuabvisa—kwete chete kuvharika kwacho, asi ese. Nekuti kana wangovharika matombo emunduru, une mukana wekuwanazve. Vanhu vazhinji vanoda kurapwa matombo emunduru vanovhiyiwa kuti vaabvise. Kuvhiyiwa ndiyo chete nzira yekuona kuti matombo emunduru haakonzeri matambudziko zvakare. Asi kana usingakwanise kana kuti usingade kuvhiyiwa, kune mamwe marapirwo aunogona kuedza, anosanganisira mishonga nedzimwe nzira.

Kuvhiyiwa kwematombo emunduru

Kubviswa kwecholecystectomy ndiyo chete nzira yakavimbika uye inogara kwenguva refu yekubvisa matombo emunduru.Uku kuvhiyiwa kunowanzoitwa pasi rose, kunowanzoitwa ne laparoscopically (kuburikidza nekuchekwa kudiki uye kamera). Unogona kurarama zvakanaka usina gallbladder. Apa ndipo apo bile rinobva muchiropa rinopinda zvakananga muura hwako hudiki. Dzimwe nguva, vamwe vanhu vanoda kurapwa kwematombo emunduru vanogona kunge vasina hutano hwakakwana hwekuvhiyiwa kuti vabvise gallbladder yavo. Muzviitiko zvakadaro, "cholecystostomy" isarudzo. Iyi inzira diki inosanganisira kuisa catheter mugallbladder uye kubvisa bile nematombo.

Kurapwa kwematombo emunduru (mushonga)

Vanachiremba havawanzopa mishonga yematombo emunduru nekuti haashande zvakanyanya. Mishonga yakaita seUrsodiol neChenodiol inoshanda chete pamatombo madiki asina kuoma echolesterol. Inogona kutora mwedzi kusvika kumakore kuti inyungudike, uye inogona kudzoka zvakare. Iyi haisi nzira inoshanda yekurapa matombo emunduru kuvanhu vazhinji. Zvisinei, mune dzimwe nguva, mishonga inogona kubatsira kwenguva pfupi kana kudzivirira. Kana usiri munhu akanaka wekuvhiyiwa matombo emunduru, chiremba wako achakurukura mazano avo newe.

Mamiriro angu achange akaita sei mushure mekurapwa kwematombo emunduru (Cholelithiasis)?

Mushure mekuvhiyiwa, vanhu vazhinji havambofaniri kurapwa matombo emunduru zvakare. Matambudziko haawanzoitiki, asi vamwe vanhu vanogona kuva nematambudziko akadai semanyoka asingaperi. Izvi zvinokonzerwa nekuti nduru yava kuyerera ichipinda mudumbu nguva dzose, kwete panguva yainodiwa chete. Izvi zvinogona kurapwa nemishonga inonzi "bile acid binders."

Ndingadzivirira sei matombo emunduru?

Hapana nzira yekudzivirira matombo emunduru zvachose. Asi unogona kutora matanho ekuderedza njodzi yako yese. Semuenzaniso, unogona kuderedza njodzi yako yekuwana matombo emunduru anowanzo wanikwa nekuderedza huwandu hwecholesterol mukudya kwako. Zvisinei, izvi hazvizodziviriri kuumbwa kwematombo e "pigment". Kana wakafuta kana kuti wakafuta, kuderedza huremu hushoma kunogona kuderedza njodzi yako yekuwana matombo emunduru. Zvisinei, kuderedza huremu kamwe kamwe kunogona kuwedzera njodzi yako. Kana uchitarisira kuderedza huremu nekukurumidza kuburikidza nenzira kana kurapwa, chiremba wako anogona kukukurudzira kuti utore mishonga yekudzivirira matombo emunduru pachine nguva.

Matombo emunduru anopera ega here?

Matombo emunduru haaperi asina kurapwa. Dzimwe nguva matombo emunduru anogona kubuda mumuviri wako netsvina yako, asi kwete ese. Kunyangwe chiremba wako akabvisa dombo remunduru kubva mune imwe yemigero yako yemunduru, panogona kunge paine matombo asara, uye unogona kutanga matsva. Kubvisa nduru yako ndiyo chete nzira yekumisa zvachose kuumbwa kwawo.

Matombo emunduru anobuda sei netsvina?

Dombo renduru rinenge rapinda mu common bile duct, kana risina kuvharwa, rinogona kupinda muura roburitswa pamwe chete netsvina. Izvo zvine rombo rakanaka, asi haasi matombo ese enduru anoita izvozvo, uye haugone kuamanikidza kuti aite izvozvo. Hapana nzira yekumanikidza matombo ako enduru kupinda mu common bile duct, uye hapana vimbiso yekuti achapinda zvakachengeteka muura. Anogona kuramba ari mu duct okura. Kazhinji, zvine njodzi kuva nematombo enduru mu common bile duct pakutanga.

Zvinonzwa sei kana dombo remunduru rikapfuura?

Pamwe hauzonzwi dombo renduru richipfuura nemuviri wako. Dombo renduru rinofanira kunge riri diki kupfuura mamirimita mashanu kuti ripfuure nemumugero wenyongo. Izvo hazvina kukura zvakakwana kuti uzvinzwe muura hwako, asi unogona kunzwa kurwadziwa parinopfuura nemumugero wenyongo.

Matombo emunduru anoonekwa sei muchimbuzi?

Dombo renduru diki zvekuti harigone kupfuura nemumugero wenyongo rinogona kunge riri diki zvekuti harigone kuonekwa mutsvina yako, kunyangwe ukaritsvaga. Asi kana ukaona dombo renduru muchimbuzi, richataridzika sedombo diki. Rinogona kunge risina chimiro chakajairwa, rakakombama zvishoma. Mazhinji acho eyero, asi mamwe anogona kunge ari brown.

Matombo emunduru anogona kuburitswa neweti here?

Haugone kubvisa matombo emunduru muweti yako nekuti matombo emunduru haana nzira yekuenda kunzira yako yeweti. Matombo ari munzira yeweti anonzi matombo emunduru. Matombo emunduru nematombo emunduru akafanana, asi anofamba nenzira dzakasiyana. Kuweta kunorwadza chiratidzo chematombo emunduru, kwete matombo emunduru.

Ndinofanira kuona chiremba rini nezvematombo emunduru?

Kana ukangoerekana wanzwa kurwadziwa kunobaya mudumbu rako rekumusoro kurudyi kana papfudzi, kunyanya mushure mekudya, kunogona kunge kuri kurwiswa nenduru. Tsvaga rubatsiro rwechiremba nekukasika. Usamirire kuti kupere, nekuti kungasadaro. Chiremba anogona kukubatsira kuona chikonzero chekurwadziwa kwako ukuwo achirerutsa. Kana uchifunga kuti wakambova nedambudziko renduru, kunyangwe rikabva, ona chiremba. Vanogona kuongorora system yako yenduru kuti vaone kana paine matombo enduru. Kana avapo, vanogona kukurudzira kuti urapwe asati akonzera mamwe matambudziko. Pasina kurapwa, matombo enduru anogona kuramba achiumbwa uye achikura. Matombo enduru akajairika, uye vanhu vazhinji havambove nematambudziko nawo. Kana ari panzvimbo imwe chete, ungasatomboziva kuti aripo. Asi paanotanga kufamba-famba, anova nengozi. Zvinhu zvidiki izvi, zvakaita sematombo zvinogona kukonzera kukuvara kukuru kana zvikabatwa munzvimbo dzakamanikana dzesystem yako yenduru.

Kumirira kuti "kurwiswa nematombo emunduru" kukuudzire kuti une matombo emunduru kunogona kuva chiitiko chisingafadzi. Ungatonyanya kunetseka paunoziva kuti mushonga unokurudzirwa ndewekuvhiyiwa. Zvisinei, kuvhiyiwa kwekubvisa nduru inzira inowanzoitwa ine mhedzisiro yakanaka kwazvo. Dambudziko rako rese rinogona kupera mukati memaawa mashoma kubva pazviratidzo zvekutanga.

Tora meseji kumba

Saka, matombo emunduru chinhu chinogona kunyaradzwa, asi kana akatanga kukunetsa, anogona kurwadza zvikuru. Chinhu chakakosha ndechekuti, kana ukasangana nekurwadziwa kusingawanzoitiki, kwakanyanya mudumbu, kuda kurutsa, kana zvimwe zviratidzo, usazviregeredza. Kunyanya kana zvikaitika mushure mekudya chikafu chine mafuta, iva nechokwadi chekuona chiremba kuti akupe mazano. Kuonekwa nekukurumidza kunogona kudzivirira matambudziko makuru. Ramba uine hutano hwakanaka!

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