IimpawuJulayi 16, 2026🔄 Updated: Jul 16, 2026⏱ 5 min

Ngaba nawe uhlala uziva ushushu? Masifunde yonke into malunga nomkhuhlane!

Creator: Dr. Priya Sammani
Published: 2026-07-15T22:50:47.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Xa siziva sidiniwe kancinci, sibuhlungu kancinci, okanye sishushu kancinci, into yokuqala efika engqondweni yethu kukuba, "Ndiyazibuza ukuba ndifumana umkhuhlane na." Ngamanye amaxesha, ngumkhuhlane nje onyuka unyuka. Kodwa ngamanye amaxesha, unokuba luphawu lwesifo. Ngoko ke, namhlanje, masithethe ngokuba yintoni umkhuhlane, kutheni usenzeka, into esifanele siyenze xa sinomkhuhlane, kwaye kufuneka sibone ugqirha nini.

Yintoni kanye kanye i-fever?

Ngamafutshane, umkhuhlane liqondo lobushushu eliphezulu kuneliqhelekileyo emzimbeni wakho. Oku kwenzeka rhoqo xa umzimba wakho unentsholongwane, oko kukuthi, intsholongwane. Oogqirha badla ngokucinga ukuba umkhuhlane liqondo lobushushu lomlomo elingama-37.8 degrees Celsius (100 degrees Fahrenheit) okanye ngaphezulu.

Cinga ngemizimba yethu njengenkqubo yokuzikhusela ephucukileyo. Xa intsholongwane (intsholongwane okanye iibhaktheriya) ingena emzimbeni, umzimba wethu uqala ukulwa nayo. Inxalenye yale mpi kukunyusa ubushushu bomzimba wethu. Oku kungenxa yokuba iintsholongwane ezininzi zinobunzima bokusinda kobu bushushu buphezulu. Oku kwenziwa ngokuthumela isignali kwiziko lokulawula ubushushu bomzimba engqondweni yethu (njenge-thermostat kwi-AC).

Oko kuthetha ukuba, umkhuhlane awusisifo, kodwa luphawu lokuba umzimba ulwa nesifo.

Ingaba ubushushu bomzimba 'obuqhelekileyo' buyi-98.6°F (37°C) okanye akunjalo?

Sonke besisoloko siva kwasebuntwaneni ukuba ubushushu bomzimba obuqhelekileyo bomntu ophilileyo buyi-98.6°F (37°C). Esi sisiphumo sophando olwenziwe ngugqirha waseJamani ngeminyaka yoo-1800.

Nangona kunjalo, oko ngokwenene kubushushu "obuqhelekileyo" kunokwahluka kancinci kumntu nomntu. Bunokusuka kwi-97°F (36.1°C) ukuya kwi-99°F (37.2°C). Bunokwahluka nasemini yonke. Bunokuba sezantsi kancinci kusasa, bunyuke kancinci emini. Bunokwahluka ngezinto ezifana namanqanaba eehomoni zakho, umsebenzi wakho, kunye nokulala.

Uphando olutsha lufumanise ukuba ubushushu bomzimba womntu obuqhelekileyo buye behla kancinci, ukuya kuthi ga kwi-97.5°F (36.4°C). Oogqirha bakholelwa ukuba oku kungenxa yezi zinto zilandelayo:

Ukwehla kwezinga lokuguqulwa kwemizimba ibe sempilweni: Ngenxa yendlela esiphila ngayo, izinga lokuguqulwa kwemizimba libe liphantsi kunangaphambili, nto leyo ebangela ukuba umzimba ungabi nabushushu bungako.
Ukwehla kwezifo: Izifo ezingapheliyo ezifana nesifo sephepha kunye ne-syphilis, ezazixhaphakile ngaphambili, ngoku azixhaphakanga kangako. Oku kunokukhokelela ekwehleni kobushushu obuqhelekileyo.
Ii-thermometers ezichanekileyo ngakumbi: Ii-thermometers ezikhoyo namhlanje zichaneke ngakumbi kunezo zazikho ngaphambili.

Ziziphi iintlobo zomkhuhlane kunye namanqanaba obushushu?

Oogqirha bahlulahlula imikhuhlane ngokwendalo yayo kunye nobushushu bayo. Oku kulula ukukuqonda xa ujonga itafile.

Uhlobo/inqanaba lomkhuhlane	Inkcazo elula
Iipateni zomkhuhlane
Umkhuhlane ongapheliyo	Umkhuhlane uyaphakama, uze ubuyele esiqhelweni emva kosuku olunye.
Umkhuhlane ohlala uhleli	Nokuba umkhuhlane uyancipha, awubuyeli ngokupheleleyo kwisiqhelo.
Umkhuhlane oqhubekayo	Umkhuhlane uhlala ulingana, akuyi kubakho tshintsho lungako.
Ukuhlelwa ngokwamanqanaba obushushu
Umkhuhlane ophantsi	Phakathi kwama-37.3°C - 38°C (99.1°F - 100.4°F). Oku kuthetha ukuba inkqubo yomzimba yokuzikhusela iqalisa ukusebenza.
Umkhuhlane ophakathi	Phakathi kwama-38.1°C - 39°C (100.6°F - 102.2°F). Oku kunokuchaphazela kancinci abantu abanezifo ezingapheliyo.
Umkhuhlane ophezulu	Phakathi kwama-39.1°C - 41°C (102.4°F - 105.8°F). Ngamanye amaxesha umkhuhlane oqhelekileyo unokukhokelela kumkhuhlane ophezulu.
Ubushushu obuphezulu (iHyperthermia)	Ubushushu obungaphezulu kwama-41°C (105.8°F). Le yimeko eyingozi. Inokubangelwa kukuvezwa kubushushu obugqithisileyo, usulelo oluqatha (i-sepsis), njl.

Ziziphi ezinye iimpawu ezihambisana nomkhuhlane?

Ngenxa yokuba umkhuhlane luphawu lwesifo esithile esingabonakaliyo, ezinye iimpawu zinokuvela kunye nomkhuhlane.

Ukuziva ubanda kwaye uqhaqhazela (sikubiza ngokuba 'yingqele yomkhuhlane')
Intloko ebuhlungu
Intlungu yomzimba
Ukubila
Ukunyuka kwesantya sentliziyo
Ndiziva ndidiniwe kakhulu
Ubomvu besikhumba okanye ukuziva ushushu

Kubantu abadala, ingakumbi abantu abadala, usulelo oluqatha lunokubonakala luneempawu ezifana nokudideka okanye ukwehla kobunzima endaweni yokuba nomkhuhlane ophezulu.

Abantwana abancinci banokuba neempawu ezifana nezi kunye nomkhuhlane:

Ukwala ukutya okanye ukusela
Intlungu yendlebe
Umlomo owomileyo nokuba sele usele amanzi
Ukungachami ngokwesiqhelo
Inkangeleko ephaphathekileyo okanye ukurhawuzelela kobuso

Yintoni esifanele siyenze ukunciphisa umkhuhlane?

Ekubeni umkhuhlane luphawu lokuba umzimba ulwa nesifo, ayizizo zonke iimfiva ekufuneka zinyangwe ngamayeza. Nangona kunjalo, ukuba umkhuhlane uphezulu (ngaphezulu kwe-101°F/38.3°C), okanye ukuba uziva ungakhululekanga, ungathatha amayeza okunciphisa umkhuhlane.

Amayeza

Iindidi eziphambili zamayeza okunciphisa umkhuhlane afumaneka kwimarike anokuthatyathwa ngaphandle kwemvume kagqirha zezi:

I-Paracetamol (`(Acetaminophen)`)
Amayeza e-NSAID, umzekelo `(Ibuprofen)`

Okubaluleke kakhulu: Ukuba usela amayeza, kubalulekile ukuthatha idosi echanekileyo ngexesha elifanelekileyo . Funda imiyalelo ekwiphakheji ngononophelo. Ukuba unamathandabuzo, buza ugqirha wakho.

Musa ukunika abantwana i-aspirin!
Ukunika abantwana i-aspirin xa benomkhuhlane kunokubangela imeko embi ebizwa ngokuba yi-Reye syndrome, eyonakalisa isibindi nengqondo. Ngoko ke, musa ukunika abantwana i-aspirin ngaphandle kokuba ugqirha ekucebisile ngokukodwa.

Izinto onokuzenza ekhaya

Sela amanzi amaninzi kunye nolwelo . Xa unomkhuhlane, unokubila uze uphelelwe ngamanzi emzimbeni.
Phumla ngokwaneleyo . Umzimba udinga amandla okulwa nesi sifo.
Hlamba umzimba wakho ngamanzi afudumeleyo . Musa ukusebenzisa amanzi abandayo kakhulu.
Nxiba impahla elula, yekotoni endaweni yeyobunzima.

Ufanele uye nini kugqirha?

Ngokuqhelekileyo, kungcono ukubona ugqirha ukuba umkhuhlane awupheli kwiintsuku ezimbini ukuya kwezintathu. Nangona kunjalo, kwiimeko ezilandelayo, kufuneka ufune iingcebiso zonyango ngokukhawuleza.

Yekabani?

Ixesha lokubona ugqirha ngoko nangoko

Kubantwana abancinci

Ukuba umntwana ongaphantsi kweenyanga ezi-3 ubudala unomkhuhlane ongama-38°C (100.4°F) nangaphezulu. (Le yimeko engxamisekileyo, mse kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.)

Ukuba umntwana ongaphantsi kweminyaka emi-2 ubudala unomkhuhlane ixesha elingaphezu kosuku.

Ukuba umntwana oneminyaka engaphezu kwemi-2 ubudala unomkhuhlane kangangeentsuku ezingaphezu kwe-3.

Ukuba umkhuhlane ubangela ukuba umntu axhuzule aze abanjwe ngumkhuhlane.

Ukuba umntwana uhlala ekhala kwaye akakwazi ukuthuthuzelwa.

Ukuba uyala ngokupheleleyo ukutya nokusela.

Ukuba unentamo eqinileyo, intloko ebuhlungu kakhulu, irhashalala lolusu, okanye ubunzima bokuphefumla.

Kwabantu abadala

Ukuba umkhuhlane ungaphezulu kwama-38.9°C (102°F) kwaye awupheli kwisithuba seyure e-1-2 emva kokuthatha amayeza anjenge-paracetamol.

Ukuba uneempawu ezifana nentloko ebuhlungu kakhulu, intamo eqinileyo, ukungakwazi ukubona ukukhanya, kunye nokudideka kunye nomkhuhlane (ezi zisenokuba ziimpawu zesifo esibi kakhulu njenge-meningitis).

Ukuba unengxaki yokuphefumla okanye intlungu esifubeni.

Ukuba uhlanza rhoqo okanye uneentlungu eziqatha esiswini.

Ukuba uvela nerhashalala eluswini engaziwayo.

Umyalezo Wokuya Ekhaya

Umkhuhlane awusisifo, kodwa luphawu lokuba umzimba wakho ulwa nosulelo.

Ukuba unomkhuhlane, sela amanzi amaninzi uze uphumle. Amayeza akasoloko efuneka.

Ukuba usela amayeza omkhuhlane, ingakumbi i-paracetamol (`(Acetaminophen)`), yisele ngomlinganiselo ochanekileyo. Musa ukunika abantwana i-aspirin.

Ukuba umntwana ongaphantsi kweenyanga ezi-3 ubudala unomkhuhlane, yingxamiseko leyo. Bonana nogqirha ngokukhawuleza.

Hlala uqaphela iimpawu ezilumkisayo ezifana nentloko ebuhlungu kakhulu, ukuqina kwentamo, ubunzima bokuphefumla, kunye nokudideka.

Ukuba unenkxalabo malunga nomkhuhlane wakho okanye imeko yomntwana wakho, bonana nogqirha wakho ngokukhawuleza.

Umkhuhlane, iimpawu zomkhuhlane, amayeza omkhuhlane, ubushushu bomzimba, ukuphelisa umkhuhlane, umkhuhlane wabantwana, umlinganiselo womkhuhlane

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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IimpawuJulayi 16, 2026
Ngaba nawe uhlala uziva ushushu? Masifunde yonke into malunga nomkhuhlane!
Dr. Priya SammaniMedical Verification
⏱ 5 min read
📋Table of Contents
1. Yintoni kanye kanye i-fever?
2. Ingaba ubushushu bomzimba 'obuqhelekileyo' buyi-98.6°F (37°C) okanye akunjalo?
3. Ziziphi iintlobo zomkhuhlane kunye namanqanaba obushushu?
4. Ziziphi ezinye iimpawu ezihambisana nomkhuhlane?
5. Yintoni esifanele siyenze ukunciphisa umkhuhlane?
6. Amayeza
7. Izinto onokuzenza ekhaya
8. Ufanele uye nini kugqirha?
9. Umyalezo Wokuya Ekhaya
Xa siziva sidiniwe kancinci, sibuhlungu kancinci, okanye sishushu kancinci, into yokuqala efika engqondweni yethu kukuba, "Ndiyazibuza ukuba ndifumana umkhuhlane na." Ngamanye amaxesha, ngumkhuhlane nje onyuka unyuka. Kodwa ngamanye amaxesha, unokuba luphawu lwesifo. Ngoko ke, namhlanje, masithethe ngokuba yintoni umkhuhlane, kutheni usenzeka, into esifanele siyenze xa sinomkhuhlane, kwaye kufuneka sibone ugqirha nini.
Yintoni kanye kanye i-fever?
Ngamafutshane, umkhuhlane liqondo lobushushu eliphezulu kuneliqhelekileyo emzimbeni wakho. Oku kwenzeka rhoqo xa umzimba wakho unentsholongwane, oko kukuthi, intsholongwane. Oogqirha badla ngokucinga ukuba umkhuhlane liqondo lobushushu lomlomo elingama-37.8 degrees Celsius (100 degrees Fahrenheit) okanye ngaphezulu.
Cinga ngemizimba yethu njengenkqubo yokuzikhusela ephucukileyo. Xa intsholongwane (intsholongwane okanye iibhaktheriya) ingena emzimbeni, umzimba wethu uqala ukulwa nayo. Inxalenye yale mpi kukunyusa ubushushu bomzimba wethu. Oku kungenxa yokuba iintsholongwane ezininzi zinobunzima bokusinda kobu bushushu buphezulu. Oku kwenziwa ngokuthumela isignali kwiziko lokulawula ubushushu bomzimba engqondweni yethu (njenge-thermostat kwi-AC).
Oko kuthetha ukuba, umkhuhlane awusisifo, kodwa luphawu lokuba umzimba ulwa nesifo.
Ingaba ubushushu bomzimba 'obuqhelekileyo' buyi-98.6°F (37°C) okanye akunjalo?
Sonke besisoloko siva kwasebuntwaneni ukuba ubushushu bomzimba obuqhelekileyo bomntu ophilileyo buyi-98.6°F (37°C). Esi sisiphumo sophando olwenziwe ngugqirha waseJamani ngeminyaka yoo-1800.
Nangona kunjalo, oko ngokwenene kubushushu "obuqhelekileyo" kunokwahluka kancinci kumntu nomntu. Bunokusuka kwi-97°F (36.1°C) ukuya kwi-99°F (37.2°C). Bunokwahluka nasemini yonke. Bunokuba sezantsi kancinci kusasa, bunyuke kancinci emini. Bunokwahluka ngezinto ezifana namanqanaba eehomoni zakho, umsebenzi wakho, kunye nokulala.
Uphando olutsha lufumanise ukuba ubushushu bomzimba womntu obuqhelekileyo buye behla kancinci, ukuya kuthi ga kwi-97.5°F (36.4°C). Oogqirha bakholelwa ukuba oku kungenxa yezi zinto zilandelayo:
Ukwehla kwezinga lokuguqulwa kwemizimba ibe sempilweni: Ngenxa yendlela esiphila ngayo, izinga lokuguqulwa kwemizimba libe liphantsi kunangaphambili, nto leyo ebangela ukuba umzimba ungabi nabushushu bungako.
Ukwehla kwezifo: Izifo ezingapheliyo ezifana nesifo sephepha kunye ne-syphilis, ezazixhaphakile ngaphambili, ngoku azixhaphakanga kangako. Oku kunokukhokelela ekwehleni kobushushu obuqhelekileyo.
Ii-thermometers ezichanekileyo ngakumbi: Ii-thermometers ezikhoyo namhlanje zichaneke ngakumbi kunezo zazikho ngaphambili.
Ziziphi iintlobo zomkhuhlane kunye namanqanaba obushushu?
Oogqirha bahlulahlula imikhuhlane ngokwendalo yayo kunye nobushushu bayo. Oku kulula ukukuqonda xa ujonga itafile.
Uhlobo/inqanaba lomkhuhlane Inkcazo elula
Iipateni zomkhuhlane
Umkhuhlane ongapheliyo Umkhuhlane uyaphakama, uze ubuyele esiqhelweni emva kosuku olunye.
Umkhuhlane ohlala uhleli Nokuba umkhuhlane uyancipha, awubuyeli ngokupheleleyo kwisiqhelo.
Umkhuhlane oqhubekayo Umkhuhlane uhlala ulingana, akuyi kubakho tshintsho lungako.
Ukuhlelwa ngokwamanqanaba obushushu
Umkhuhlane ophantsi Phakathi kwama-37.3°C - 38°C (99.1°F - 100.4°F). Oku kuthetha ukuba inkqubo yomzimba yokuzikhusela iqalisa ukusebenza.
Umkhuhlane ophakathi Phakathi kwama-38.1°C - 39°C (100.6°F - 102.2°F). Oku kunokuchaphazela kancinci abantu abanezifo ezingapheliyo.
Umkhuhlane ophezulu Phakathi kwama-39.1°C - 41°C (102.4°F - 105.8°F). Ngamanye amaxesha umkhuhlane oqhelekileyo unokukhokelela kumkhuhlane ophezulu.
Ubushushu obuphezulu (iHyperthermia) Ubushushu obungaphezulu kwama-41°C (105.8°F). Le yimeko eyingozi. Inokubangelwa kukuvezwa kubushushu obugqithisileyo, usulelo oluqatha (i-sepsis), njl.
Ziziphi ezinye iimpawu ezihambisana nomkhuhlane?
Ngenxa yokuba umkhuhlane luphawu lwesifo esithile esingabonakaliyo, ezinye iimpawu zinokuvela kunye nomkhuhlane.
Ukuziva ubanda kwaye uqhaqhazela (sikubiza ngokuba 'yingqele yomkhuhlane')
Intloko ebuhlungu
Intlungu yomzimba
Ukubila
Ukunyuka kwesantya sentliziyo
Ndiziva ndidiniwe kakhulu
Ubomvu besikhumba okanye ukuziva ushushu
Kubantu abadala, ingakumbi abantu abadala, usulelo oluqatha lunokubonakala luneempawu ezifana nokudideka okanye ukwehla kobunzima endaweni yokuba nomkhuhlane ophezulu.
Abantwana abancinci banokuba neempawu ezifana nezi kunye nomkhuhlane:
Ukwala ukutya okanye ukusela
Intlungu yendlebe
Umlomo owomileyo nokuba sele usele amanzi
Ukungachami ngokwesiqhelo
Inkangeleko ephaphathekileyo okanye ukurhawuzelela kobuso
Yintoni esifanele siyenze ukunciphisa umkhuhlane?
Ekubeni umkhuhlane luphawu lokuba umzimba ulwa nesifo, ayizizo zonke iimfiva ekufuneka zinyangwe ngamayeza. Nangona kunjalo, ukuba umkhuhlane uphezulu (ngaphezulu kwe-101°F/38.3°C), okanye ukuba uziva ungakhululekanga, ungathatha amayeza okunciphisa umkhuhlane.
Amayeza
Iindidi eziphambili zamayeza okunciphisa umkhuhlane afumaneka kwimarike anokuthatyathwa ngaphandle kwemvume kagqirha zezi:
I-Paracetamol (`(Acetaminophen)`)
Amayeza e-NSAID, umzekelo `(Ibuprofen)`
Okubaluleke kakhulu: Ukuba usela amayeza, kubalulekile ukuthatha idosi echanekileyo ngexesha elifanelekileyo . Funda imiyalelo ekwiphakheji ngononophelo. Ukuba unamathandabuzo, buza ugqirha wakho.
Musa ukunika abantwana i-aspirin!
Ukunika abantwana i-aspirin xa benomkhuhlane kunokubangela imeko embi ebizwa ngokuba yi-Reye syndrome, eyonakalisa isibindi nengqondo. Ngoko ke, musa ukunika abantwana i-aspirin ngaphandle kokuba ugqirha ekucebisile ngokukodwa.
Izinto onokuzenza ekhaya
Sela amanzi amaninzi kunye nolwelo . Xa unomkhuhlane, unokubila uze uphelelwe ngamanzi emzimbeni.
Phumla ngokwaneleyo . Umzimba udinga amandla okulwa nesi sifo.
Hlamba umzimba wakho ngamanzi afudumeleyo . Musa ukusebenzisa amanzi abandayo kakhulu.
Nxiba impahla elula, yekotoni endaweni yeyobunzima.
Ufanele uye nini kugqirha?
Ngokuqhelekileyo, kungcono ukubona ugqirha ukuba umkhuhlane awupheli kwiintsuku ezimbini ukuya kwezintathu. Nangona kunjalo, kwiimeko ezilandelayo, kufuneka ufune iingcebiso zonyango ngokukhawuleza.
Yekabani? Ixesha lokubona ugqirha ngoko nangoko
Kubantwana abancinci
Ukuba umntwana ongaphantsi kweenyanga ezi-3 ubudala unomkhuhlane ongama-38°C (100.4°F) nangaphezulu. (Le yimeko engxamisekileyo, mse kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.)
Ukuba umntwana ongaphantsi kweminyaka emi-2 ubudala unomkhuhlane ixesha elingaphezu kosuku.
Ukuba umntwana oneminyaka engaphezu kwemi-2 ubudala unomkhuhlane kangangeentsuku ezingaphezu kwe-3.
Ukuba umkhuhlane ubangela ukuba umntu axhuzule aze abanjwe ngumkhuhlane.
Ukuba umntwana uhlala ekhala kwaye akakwazi ukuthuthuzelwa.
Ukuba uyala ngokupheleleyo ukutya nokusela.
Ukuba unentamo eqinileyo, intloko ebuhlungu kakhulu, irhashalala lolusu, okanye ubunzima bokuphefumla.
Kwabantu abadala
Ukuba umkhuhlane ungaphezulu kwama-38.9°C (102°F) kwaye awupheli kwisithuba seyure e-1-2 emva kokuthatha amayeza anjenge-paracetamol.
Ukuba uneempawu ezifana nentloko ebuhlungu kakhulu, intamo eqinileyo, ukungakwazi ukubona ukukhanya, kunye nokudideka kunye nomkhuhlane (ezi zisenokuba ziimpawu zesifo esibi kakhulu njenge-meningitis).
Ukuba unengxaki yokuphefumla okanye intlungu esifubeni.
Ukuba uhlanza rhoqo okanye uneentlungu eziqatha esiswini.
Ukuba uvela nerhashalala eluswini engaziwayo.
Umyalezo Wokuya Ekhaya
Umkhuhlane awusisifo, kodwa luphawu lokuba umzimba wakho ulwa nosulelo.
Ukuba unomkhuhlane, sela amanzi amaninzi uze uphumle. Amayeza akasoloko efuneka.
Ukuba usela amayeza omkhuhlane, ingakumbi i-paracetamol (`(Acetaminophen)`), yisele ngomlinganiselo ochanekileyo. Musa ukunika abantwana i-aspirin.
Ukuba umntwana ongaphantsi kweenyanga ezi-3 ubudala unomkhuhlane, yingxamiseko leyo. Bonana nogqirha ngokukhawuleza.
Hlala uqaphela iimpawu ezilumkisayo ezifana nentloko ebuhlungu kakhulu, ukuqina kwentamo, ubunzima bokuphefumla, kunye nokudideka.
Ukuba unenkxalabo malunga nomkhuhlane wakho okanye imeko yomntwana wakho, bonana nogqirha wakho ngokukhawuleza.
Umkhuhlane, iimpawu zomkhuhlane, amayeza omkhuhlane, ubushushu bomzimba, ukuphelisa umkhuhlane, umkhuhlane wabantwana, umlinganiselo womkhuhlane
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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