Txawm tias menyuam yaus yuav tsum tau txhaj tshuaj tiv thaiv lossis tsis, txhua leej niam txiav txim siab rau nws tus kheej. Cov kws kho mob hais kom txhaj tshuaj tiv thaiv thiab thov tias qhov no yog lub sijhawm kom tsis txhob muaj ntau yam kab mob hauv cov neeg laus. Kev txhaj tshuaj tiv thaiv zoo txuag sijhawm thiab pab kom tsis txhob muaj lub sijhawm tsis zoo uas tus menyuam yuav tsum tau nyiaj dhau yog tias txhua qhov tshuaj tiv thaiv tau muab cais tawm. Nrhiav seb thaum twg txhaj tshuaj tiv thaiv kab mob qhua pias-rubella-mumps thiab yuav ua li cas cov me nyuam me thiab cov me nyuam preschool zam tau.
sijhawm txhaj tshuaj
Daim ntawv teev npe thiab lub sijhawm ntawm kev qhia tshuaj tiv thaiv yog txiav txim los ntawm National Immunization Calendar. Cov ntaub ntawv no tau pom zoo los ntawm Ministry of He alth ntawm Lavxias Federation thiab txiav txim siab lub sijhawm ntawm kev tiv thaiv kev tiv thaiv rau pej xeem. Cov tshuaj tiv thaiv tseem ceeb tau pom zoo los ntawm kws kho mob menyuam yaus thiab lub chaw saib xyuas kev noj qab haus huv hauv tebchaws yog:
- Txhaj ntawmkab mob siab B, uas yog siv rau thawj hnub ntawm lub neej, ntawm ib, ob thiab rau lub hlis.
- Cov tshuaj tiv thaiv kab mob TB tau muab txij hnub thib peb mus rau hnub xya ntawm tus menyuam lub neej.
- tshuaj tiv thaiv kab mob ntsws pneumococcal yog muab rau cov menyuam mos thaum ob thiab tom qab plaub lub hlis ib nrab.
- Ib qho tshuaj tiv thaiv kab mob diphtheria, hnoos hawb pob, tetanus yog muab rau peb, plaub thiab ib nrab thiab rau lub hlis.
- Tshuaj tiv thaiv kab mob polio kuj tau muab rau ntawm 3, 4, 5 thiab 6 lub hlis.
- -Measles-Rabirow-Mumps tshuaj tiv thaiv tau qhia tau ib xyoos.
- Kev rov tshuaj tiv thaiv kab mob pneumococcal yog ua tiav ntawm ib xyoos thiab peb hlis.
- Tiv thaiv tus mob polio, kev txhaj tshuaj rov ua dua yog ua nyob rau ib xyoos thiab ib nrab, ntawm ib xyoos thiab yim hli, ntawm 14 xyoo.
- Rau tus kab mob diphtheria, hnoos hawb pob thiab tetanus, kuj yuav tsum tau txhaj tshuaj tiv thaiv kab mob ntawm ib xyoos thiab ib nrab xyoo, ntawm rau rau thiab kaum plaub xyoos.
- Raws li lub sijhawm, " qhua pias-rubella-mmps" rov pib dua thaum 6 xyoo.
- Tuberculosis revaccination kuj muaj thaum muaj hnub nyoog 6 xyoo.
Kev phom sij rau tib neeg
Txhua peb kab mob tuaj yeem ua rau muaj qhov tshwm sim loj, thiab txij li lawv kis tau los ntawm cov tee dej hauv huab cua, qhov kev pheej hmoo ntawm kev kis kab mob siab heev. Cov tsos mob ntawm txhua tus mob txawv.
Measles yog tus yam ntxwv ntawm qhov ncauj thiab ua pa, ua npaws, thiab pob liab liab me ntsis. Nws txo lub cev tiv thaiv kab mob, ua rau muaj kab mob kab mob, ua rau kab mob siab, tracheobronchitis, panencephalitis.
Nrog rubella, pob liab liab tshwm, intoxication ntawm lub cev tshwm sim thiabloj lymph nodes. Tus poj niam cev xeeb tub uas kis tus kab mob rubella tuaj yeem kis tus kab mob mus rau nws tus menyuam hauv plab, ua rau muaj qhov tsis zoo lossis tuag ntawm tus menyuam hauv plab.
Mumps cuam tshuam rau lub paj hlwb, hlwb, qog parotid, noob qes, ua rau txiv neej muaj menyuam.
Nov yog tus kab mob kis tau tus kab mob tuaj yeem kis tau hauv 99.9% ntawm cov neeg mob los ntawm kev sib cuag nrog tus neeg mob. Cov tsos mob tseem ceeb yog cov pob liab me me, kev ua tsis taus pa, ua npaws, reddened conjunctiva ntawm lub qhov muag. Tus kab mob nws tus kheej tsis txaus ntshai thiab tsuas yog nyob rau hauv cov xwm txheej hnyav xwb yuav tsum tau tus neeg mob nyob hauv tsev kho mob. Yog tias muaj teeb meem tshwm sim, lawv tuaj yeem ua rau tuag taus. Cov mob uas tshwm sim feem ntau muaj xws li encephalitis, raws plab nrog lub cev qhuav dej hnyav, otitis media, mob ntsws, thiab qhov muag tsis pom kev.
Cov tshuaj tiv thaiv kab mob qhua pias Lavxias hu ua "mob-measles" vim tias nws tseem muaj kev tiv thaiv kab mob qog noj ntshav. Lub tuam txhab kws tshuaj hauv tsev kuj tseem tsim cov tshuaj tiv thaiv kab mob tsuas yog tiv thaiv kab mob qhua pias. Qee zaum cov tsev kho mob Lavxias siv tshuaj tiv thaiv Fab Kis Ruvax. Tsis zoo li cov qauv hauv tsev, tus neeg sawv cev tuaj txawv teb chaws yog tsim nyob rau hauv lub embryo ntawm ib tug qaib qe, uas tej zaum yuav contraindicated nyob rau hauv cov me nyuam nrog ib tug tsis zoo tshuaj tiv thaiv rau cov protein. Japanese quail embryo yog siv rau kev npaj Lavxias.
Mumps
Lub npe thib ob rau tus kab mob no yog mumps. Nws yog ib hom kab mob viral uas nyob rau tib pab pawg kis kab mob xws li qhua pias, rubella thiab kab mob qhua pias. Parotitis feem ntau cuam tshuamcov kab mob hauv lub cev. Feem ntau, cov qog ua kua qaub, pancreas lossis cov noob qes hauv cov menyuam yaus raug cuam tshuam. Txij li thaum mumps yog mob los ntawm peb mus rau yim xyoo, nws yog ib qho tsim nyog yuav tsum tau ua raws li lub sijhawm txhaj tshuaj. Thaum muaj hnub nyoog thaum txhaj tshuaj tiv thaiv, qhov loj tshaj plaws ntawm cov neeg mob parotitis tau sau tseg. Qhov kev pheej hmoo yuav nce ntxiv thaum tus me nyuam mus rau hauv kindergarten, cov tsev kawm ntawv me me thiab cov chaw pej xeem nrog cov neeg coob coob, vim tias tus kab mob kis tau los ntawm cov tee dej. Muaj qee kis thaum menyuam mos kis los ntawm cov khoom, xws li menyuam yaus cov khoom ua si.
Thaum xub thawj, cov tsos mob ntawm tus kab mob zoo ib yam li cov kab mob kis. Qhov kub thiab txias nce, mob taub hau tshwm sim, qhov kev mob loj zuj zus tuaj. Tom ntej no, cov qog parotid swell thiab lub ntsej muag zoo li rog heev, thiab qhov muag feem ntau ua rau nqaim.
Cov teeb meem tshwm sim thaum tus kab mob kis mus rau pancreas, uas yog qhov mob ntawm sab laug thiab ntuav. Tsis hnov lus tau. Kev mob ntawm cov noob qes hauv cov tub thiab zes qe menyuam hauv cov menyuam ntxhais ua rau muaj qhov tshwm sim loj, tshwj xeeb tshaj yog tias tus kab mob tshwm sim thaum lub sijhawm puberty. Nws tshwm sim tias thaum lub hauv nruab nrab lub paj hlwb raug cuam tshuam, meningitis tshwm sim, uas yog kho tau nyob rau hauv feem ntau nrog rau sij hawm mus rau lub tsev kho mob.
Feem ntau, cov tshuaj tiv thaiv kab mob qog noj ntshav yog ib feem ntawm cov khoom lag luam hauv tsev thiab muab kev tiv thaiv tam sim ntawm qhua pias thiab mumps, lossis yog muab raws li ib feem ntawm peb cov khoom siv lyophilizate.
Rubella
Tus kab mob no muaj lub sijhawm incubation ntev tshaj plaws thiab tuaj yeem ua tauua mob rau cov menyuam yaus thiab cov neeg laus. Lub cev ntawm tus poj niam cev xeeb tub thiab tus menyuam hauv plab hauv plab tuaj yeem hnov mob tshwj xeeb. Hauv 80% ntawm cov neeg mob, rubella hauv thawj peb lub hlis twg ntawm cev xeeb tub yuav ua rau nchuav menyuam, tuag lossis kev tsis haum xeeb ntawm tus menyuam. Yog li ntawd, kev txhaj tshuaj tiv thaiv kab mob qhua pias, rubella, mumps yog qhov tseem ceeb heev tsis yog rau cov menyuam yaus xwb, tab sis kuj rau cov neeg laus, uas yuav tsum tau ua txhua kaum xyoo.
Txhaj tshuaj tiv thaiv kab mob monocomponent hauv tsev lossis cov khoom lag luam uas muaj peb hom kab mob nyob ib zaug.
Tshuaj tiv thaiv
Thaum txhaj koob tshuaj tiv thaiv kab mob qhua pias-rubella-mumps, koj tuaj yeem tshawb pom los ntawm National Calendar. Nws tau sau tseg txog kev qhia txog kev tiv thaiv kab mob tiv thaiv kab mob ntawm ib xyoos thiab rau rau xyoo.
Hmoov tsis zoo, tsis muaj cov tshuaj tiv thaiv peb yam hauv Lavxias. Yog tias koj tau thov mus rau lub tsev kho mob hauv xeev thiab muaj lub siab xav txhaj tshuaj tiv thaiv dawb, uas koj muaj txhua txoj cai, koj yuav tau txhaj ob zaug. Nyob rau hauv ib lub syringe yuav muaj ib tug monocomponent domestic tov rau qhua pias, thiab nyob rau hauv lwm yam - ib tug dicomponent ncua kev kawm ntawv rau rubella thiab mumps. Kev sib xyaw ob qhov tshuaj tiv thaiv los tswj lawv tib lub sijhawm yog qhov tsis tsim nyog, vim qhov no tuaj yeem ua rau muaj kev cuam tshuam ntau yam.
Tus kws kho mob tuaj yeem pom zoo ib qho ntawm cov tshuaj tuaj txawv teb chaws, uas yog siv los ua tshuaj tiv thaiv kab mob qhua pias, rubella, mumps. Cov npe ntawm cov tshuaj tiv thaiv muag nyob rau hauv Russia tsis yog li ntawd nrov. Cov nto moo tshaj plaws ntawm lawv:
- MMR II - Tsim nyob hauv Asmeskas tab sis tsim hnub no hauvHolland. Cov ntawv luv yog rau qhua pias, mumps, rubella, uas txhais tau tias "measles, mumps, rubella." Cov kab mob nyob rau hauv muaj pes tsawg leeg yog attenuated, uas tsis ua rau muaj kab mob, tab sis tsuas yog pab mus rau tsim ntawm tiv thaiv protein molecules. Hauv kev tsim cov lyophilisate, tag nrho peb cov kab mob sib xyaw. Lawv tau ntxiv nrog cov khoom xws li sorbitol, sucrose, neomycin, fetal calf serum thiab albumin. Yog tias cov tshuaj tiv thaiv rau tus menyuam mos raws li daim ntawv qhia hnub pom zoo hauv tebchaws Russia, uas yog thaum muaj hnub nyoog 1 xyoos, cov tshuaj tiv thaiv kab mob qhua pias-rubella-mumps los ntawm cov chaw tsim khoom no yuav ua haujlwm txog hnub nyoog kaum ib.
- Priorix yog Belgian cov chaw tsim tshuaj tiv thaiv nyob rau peb kab mob. Cov kab mob nyob rau hauv muaj pes tsawg leeg, raws li zoo raws li nyob rau hauv lub dhau los version, yog tsis muaj zog. Cov khoom xyaw ntxiv yog qe protein thiab neomycin sulfate. Cov tshuaj siv tau ob qho tib si rau kev txhaj tshuaj txhua hnub thiab txhaj tshuaj tiv thaiv sai rau cov neeg uas nyuam qhuav tau ntsib nrog cov neeg mob.
Planned introduction
Yog tias koj nug cov niam Lavxias thaum txhaj tshuaj tiv thaiv kab mob qhua pias-rubella-mumps, feem ntau yuav nco ntsoov tias lawv tau ntsib cov tshuaj tiv thaiv zoo li no hauv xyoo thib ob ntawm tus menyuam lub neej. Lub hnub nyoog no suav hais tias yog qhov zoo tshaj plaws, vim tias thaum yau tus menyuam yaus muaj kev pheej hmoo tshaj plaws thaum ntsib tus kab mob.
Txawm li cas los xij, cov kws tshaj lij tau sau tseg tias kev txhaj tshuaj ib zaug tsis muaj kev tiv thaiv txaus rau tus menyuam. Tias yog vim li cas, raws li daim ntawv qhia hnub hais, kev rov qhia txog cov kab mob attenuated yog nqa tawm thaum tus menyuam muaj hnub nyoog rau rau xyoo. Nws ntseeg tau tias cov tshuaj tiv thaiv tsis nyob mus ib txhisua haujlwm. Nws pab ib tug neeg tsis muaj mob rau 10 xyoo, thiab tiv thaiv ib tug neeg rau 25 xyoo. Lub sijhawm ua haujlwm tsuas yog cuam tshuam nrog cov yam ntxwv ntawm lub cev.
Nws tshwm sim tias tus menyuam muaj kev zam kev kho mob los ntawm kev txhaj tshuaj ib ntus. Hauv qhov no, cov kab mob attenuated tsuas yog siv tom qab kawg ntawm lub sijhawm no. Lub hnub nyoog ntawm revaccination tiv thaiv qhua pias, rubella, mumps yog tsis tseem ceeb rau tus me nyuam. Nws ntseeg tau tias lub sijhawm nruab nrab ntawm kev txhaj tshuaj yuav tsum yog tsawg kawg yog plaub xyoos.
Cov tshuaj tiv thaiv yog txhaj rau hauv qab lub xub pwg hniav lossis hauv xub pwg sab xis.
Kev npaj
Ib ob peb hnub ua ntej txhaj tshuaj tiv thaiv, nws yog ib qho tsim nyog yuav tsum tshem tawm kev mus ntsib cov chaw uas muaj neeg coob coob. Nyob rau hnub txhaj tshuaj tiv thaiv, nws yog ib qho tsim nyog los tshuaj xyuas tus menyuam hauv tsev, thiab tom qab ntawd mus rau tus kws kho mob. Nws yuav kuaj xyuas tus menyuam tus mob, mloog nws thiab ntsuas qhov ntsuas kub. Yog tias tus kws kho mob muaj qhov tsis txaus ntseeg, nws yuav sau ntawv mus kuaj ntshav kuaj ntshav, thiab tseem tuaj yeem pom zoo mus ntsib kws kho mob nqaim. Cov menyuam yaus uas muaj pathologies ntawm lub paj hlwb yuav tsum tau mus ntsib kws kho mob hlwb uas tuaj yeem sau tshuaj tiv thaiv kab mob. Cov menyuam mos uas muaj kab mob ntev raug tso cai txhaj tshuaj tiv thaiv thaum tshem tawm. Hauv qhov no, kev txhaj tshuaj tiv thaiv tuaj yeem tiv thaiv keeb kwm yav dhau los ntawm kev kho mob.
Yuav ua li cas thiab tsis txhob nyob rau hnub txhaj tshuaj tiv thaiv
Nws raug nquahu kom tsis txhob tawm hauv tsev kho mob tam sim ntawd, tab sis nyob ze li ib nrab teev. Tsis tas yuav da dej rau tus menyuam. Tab sis yog tias tsim nyog, nws yog qhov zoo dua los da dej yam tsis muaj xab npum. Nws yog tsis tsim nyog muab ib tug me nyuam qhob noom xim kasfes, citrus thiab lwm yam allergens, nrog rau cov tshiab rau nws.cov khoom. Taug kev ntawm txoj kev yog ua tau, tab sis deb ntawm cov neeg coob coob. Cov khw thiab chaw ua si yuav tsum zam.
Post-injection condition
Thaum txhaj tshuaj tiv thaiv kab mob qhua pias-rubella-mumps, cov menyuam mos zam nws txawv. Qhov no yog vim ob qho tib si rau tus kheej tus yam ntxwv ntawm lub cev, thiab rau cov tshuaj tiv thaiv. Qhov tshwm sim ntawm kev txhaj tshuaj tiv thaiv thaum muaj hnub nyoog 6 xyoo tsis txawv ntau ntawm qhov kev taw qhia thaum yau. Cov kab mob kab mob tuaj yeem tshwm sim rau lawv tus kheej hauv daim ntawv ntawm otitis media, bronchitis, mob caj pas, thiab pob khaus ntawm qhov chaw txhaj tshuaj kuj tseem ua tau. Qee cov menyuam yaus yuav muaj kev cuam tshuam rau ib qho tshwj xeeb ntawm cov tshuaj tiv thaiv.
Teeb meem ntawm tus mob qhua pias ntawm cov tshuaj tiv thaiv
Tom qab txhaj tshuaj tiv thaiv kab mob qhua pias-rubella-mumps, cov tshuaj tiv thaiv ntawm 1 xyoos sib txawv thiab lawv tuaj yeem tshwm sim ntawm ntau yam tshuaj tiv thaiv. Ntawm cov ntsiab lus tseem ceeb tshwm sim:
- o thiab liab ntau hnub.
- Zoo hnoos rau hnub rau.
- Kub nce.
- Kev qab los noj mov.
- Rash.
- Cov qog nqaij hlav o.
- caj pas liab.
- Txhawj xeeb.
- Quicke's edema.
Kev tiv thaiv kab mob qog noj ntshav
Txawm tias txhaj tshuaj tiv thaiv zaum ob thaum muaj hnub nyoog 6 xyoos, lossis txhaj tshuaj thawj zaug hauv ib xyoos, cov teeb meem tshwm sim lawv tus kheej ib yam nkaus. Pediatricians nco ntsoov tias cov tsos mob tsis zoo tsis tshua tshwm sim. Feem ntau, cov tshuaj tiv thaiv zoo rau cov menyuam mos. Tab sis muaj cov xwm txheej thaum, tom qab yim mus rau kaum hnub, cov niam pom qhov nce hauv cov qog ua kua qaub,rhinitis, mob taub hau, qaug zog, xeev siab thiab ntuav, convulsions thiab kub taub hau.
Yuav ua li cas lub cev ua haujlwm rau rubella tivthaiv
Tau kawg, kev txhaj tshuaj tiv thaiv yog ib txoj hauv kev tiv thaiv kab mob qhua pias, rubella, mumps. Cov teeb meem tsis tshwm sim feem ntau, tshwj xeeb tshaj yog nyob rau hauv cov kab mob rubella. Lawv tuaj yeem tshwm sim ua npaws, mob qog nqaij hlav, mob pob qij txha. Qee zaum cov pob liab liab yog pom tau.
Niam yuav tsum nco ntsoov tias qee qhov kev tshwm sim, xws li pob khaus thiab ua npaws, yog ib qho kev xaiv ib txwm muaj thiab koj yuav tsum tsis txhob txhawj. Tau kawg, nws muaj peev xwm thiab tsim nyog los muab kev kho mob, xws li txo qhov kub thiab txias, muab tshuaj rau tus menyuam, tshuaj rau kev ua xua lossis mob.
Cov mob hnyav, tshwm sim los ntawm convulsions, tsis nco qab, mob hnyav, yuav tsum tau mus ntsib tus kws kho mob tshwj xeeb, thiab qee zaum, hu rau lub tsheb thauj neeg mob tam sim.
YContraindications
Txhua tus kws kho mob menyuam yaus sau tshuaj tiv thaiv raws hnub nyoog. Txawm li cas los xij, muaj cov xwm txheej thaum txhaj tshuaj tiv thaiv yuav tsum tau ncua lossis tso tseg tag nrho. Contraindications suav nrog:
- Tshuaj pom zoo los ntawm kws kho mob vim qhov mob hnyav ntawm tus menyuam, kaw tam sim tom qab yug menyuam.
- Kev cuam tshuam rau cov tshuaj tiv thaiv yav dhau los.
- kab mob oncological.
- AIDS.
- Kev tsis haum rau qe dawb thiab aminoglycosides.
- ARVI.
- tshuaj kho mob.
- Kev tswj cov ntshav cov khoom lossis immunoglobulin.
Yuav txhaj tshuaj dab tsi hauv tsev kawm ntawv
Feem ntau tus menyuam nkag mus rau hauv tsev kawm ntawv twb tau txhaj tshuaj tiv thaiv ib nrab. Yog tias leej niam tsis kam txhaj tshuaj tiv thaiv tus menyuam, ces nws yuav tsum xav txog qhov tshwm sim. Nkag mus rau hauv pab pawg loj, cov tub ntxhais kawm tsis tau txhaj tshuaj tiv thaiv muaj kev pheej hmoo kis mob ntau yam. Ntxiv nrog rau qhov tseeb tias lub voj voog kev sib raug zoo nce zuj zus, kev tiv thaiv kab mob txo qis vim muaj ntau yam kev ntxhov siab ntawm lub cev thiab lub hlwb. Tej zaum cov tshuaj tiv thaiv yuav tsis cawm koj ntawm tus kab mob, tab sis nws yuav ua rau koj muaj mob me me.
Raws li daim ntawv qhia hnub, ua ntej nkag mus kawm ntawv, tus menyuam yuav tsum muaj daim npav qhia tias txhaj tshuaj tiv thaiv kab mob siab B, tuberculosis, polio, hnoos hawb pob, diphtheria, tetanus, rubella, qhua pias thiab mumps.
Lub sijhawm kawm ntawv, yog tus menyuam kawm ntawv tau txhaj tshuaj tag nrho raws li lub sijhawm, ob qhov kev txhaj tshuaj rov qab: ib qho tiv thaiv kab mob polio, qhov thib ob tiv thaiv kab mob diphtheria, hnoos hawb pob, tetanus. Tsis tas li ntawd, kev tshuaj xyuas txhua xyoo rau tuberculosis yog siv Mantoux lossis Diaskintest. Cov kev ntsuam xyuas no tso cai rau koj los txiav txim seb tus kab mob ntawm lub cev nrog mycobacteria.
Txhua yam kev kho mob nrog tus menyuam, suav nrog kev txhaj tshuaj tiv thaiv lossis kuaj tuberculin, yuav tsum tau ua tsuas yog nrog kev tso cai sau los ntawm niam txiv lossis tus neeg sawv cev raug cai.
Qee zaum cov menyuam kawm ntawv tau muab tshuaj tiv thaiv kab mob khaub thuas. Cov kws kho mob hais tias tus kab mob no tuaj yeem ua rau muaj teeb meem ntau thiab muaj teeb meem, yog li lawv xav kom cov niam pom zoo rau hom tshuaj tiv thaiv no.
Feem ntau tom qab 14 xyoos ntawm kev txhaj tshuaj tiv thaiv menyuam kawm ntawv, tshwj tsis yogTsis tau txhaj tshuaj tiv thaiv kab mob npaws. Tsuas yog revaccination ntawm lub hnub nyoog laus dua yog ua tau. Txawm li cas los xij, txij li xyoo 2013, cov lus pom zoo tshiab tau qhia, raws li tib neeg cov tshuaj tiv thaiv kab mob papillomavirus tau muab rau cov menyuam ntxhais hnub nyoog 15 xyoo. Cov tshuaj tiv thaiv ntawm hom no tuaj yeem tiv thaiv tus kab mob, tab sis nws kho tsis tau. Yog vim li cas thiaj tseem ceeb kom txhaj tshuaj tiv thaiv ua ntej sib deev.
Ntse
Nws yuav tsum tau muab sau tseg tias txhua yam tshuaj tiv thaiv tau piav qhia tuaj yeem siv rau tib hnub li lwm tus suav nrog hauv daim ntawv txhaj tshuaj. Ib qho kev zam tsuas yog BCG, uas tsis tso cai rau kev tswj hwm ib txhij. Koj kuj yuav tsum nco ntsoov tias kev hloov ntshav tuaj yeem nqa tau peb lub hlis ua ntej txhaj tshuaj tiv thaiv lossis ob lub lis piam tom qab nws.
Feem ntau, qhov tshwm sim loj tom qab txhaj tshuaj tiv thaiv kab mob MMR tsis tshua muaj. Feem ntau, tsis tshua pom qhov o ntawm qhov chaw txhaj tshuaj thiab qhov liab liab uas ploj mus tom qab ob peb hnub.
