Dolichosigma hauv menyuam yaus: ua rau, tsos mob, kuaj mob thiab kho

Cov txheej txheem:

Dolichosigma hauv menyuam yaus: ua rau, tsos mob, kuaj mob thiab kho
Dolichosigma hauv menyuam yaus: ua rau, tsos mob, kuaj mob thiab kho

Video: Dolichosigma hauv menyuam yaus: ua rau, tsos mob, kuaj mob thiab kho

Video: Dolichosigma hauv menyuam yaus: ua rau, tsos mob, kuaj mob thiab kho
Video: Tshuaj haus yug me nyuam tsis mob plab - Tshuaj cawm seej TV 2024, Hlis ntuj nqeg
Anonim

Cov niam txiv paub tias muaj teeb meem thiab kev txhawj xeeb npaum li cas rau cov menyuam yaus. Tshwj xeeb tshaj yog thaum nws los txog kev noj qab haus huv. Yog hais tias ib tug me nyuam raug cem quav, ces nws yog tsis yooj yim sua kom tsis txhob hnov qab txog qhov no. Tej zaum yog vim li cas yog kev noj zaub mov tsis txaus (kev noj haus muaj ntau cov khoom noj starchy, khoom qab zib, tsis muaj dej). Lwm qhov ua rau cem quav yuav yog dolichosigma hauv menyuam yaus.

Qhov no yog dab tsi?

Tus kab mob no tsis tshua muaj tshwm sim, thiab tej zaum yuav txawv ntawm cov qauv, yog tias nws tsis ua rau tsis xis nyob. Dolichosigma ntawm txoj hnyuv hauv cov menyuam yaus - yog dab tsi? Qhov kev txhais no hais txog qhov txawv txav ntawm qhov ntev ntawm lub mesentery, lub plab ntawm sigmoid nyuv. Lub ntsiab lus tseem ceeb yog qhov tuab thiab txoj kab uas hla ntawm cov phab ntsa hauv cov hnyuv tsis hloov.

Dolichosigma nyob rau hauv cov me nyuam yog dab tsi
Dolichosigma nyob rau hauv cov me nyuam yog dab tsi

Qhov kev sib txawv no tuaj yeem ua tau thiab tau txais. Dolichosigma nyob rau hauv cov me nyuam feem ntau ua rau mob plab hnyuv motility thiab, vim li ntawd, txoj hnyuv plab.

Lub elongated sigmoid nyuv yog tus cwj pwm los ntawm qhov tseeb tias nws pib muaj kev txav mus los ntau dua, thiab qhov no ua rau muaj kev ua txhaum ntawm kev txav ntawm cov quav los ntawm txoj hnyuv. Congenital anomaly ntawm txoj hnyuv yuav muaj daim ntawv ntawm lub voj lossis ib qho txawv. Cov duab ntawm txoj hnyuv, nws qhov ntev thiab qhov muaj lossis tsis muaj lub voj voog cuam tshuam rau cov tsos mob tshwm sim ntawm tus kab mob.

Cov tsos mob ntawm plab hnyuv dolichosigma hauv tus menyuam muaj raws li hauv qab no:

  1. cem quav ntau zaus los yog ntev.
  2. plab, plab thiab flatulence, uas tej zaum yuav mus tas li.
  3. Kev mob plab.

Kev tshwm sim

Raws li twb tau sau tseg lawm, qhov tsis zoo no tuaj yeem ua rau los yog kis tau. Qhov ua rau ntawm congenital dolichosigma nyob rau hauv cov me nyuam tej zaum yuav ib tug intrauterine teeb meem, heredity.

Raws li daim ntawv tau txais, qhov mob no yog provoked los ntawm digestion. Daim ntawv no feem ntau cuam tshuam rau cov neeg laus. Yog vim li cas tej zaum yuav muaj kev cuam tshuam ntawm tshuaj, tshuaj, ecology tsis zoo, kev noj haus tsis zoo rau tib neeg.

Dolichosigma nyob rau hauv ib tug me nyuam
Dolichosigma nyob rau hauv ib tug me nyuam

theem ntawm tus kab mob:

  1. thawj theem yog theem them nyiaj. Qhov no yog thawj theem, tus me nyuam noj qab nyob zoo, tsis muaj kev txhawj xeeb. Nrog me me zaus, nws tsim cem quav, uas yooj yim tshem tawm los ntawm kev noj tshuaj me me, ua kom lub cev, thiab noj zaub mov tshwj xeeb.
  2. theem ob yog theem ntawm kev them nyiaj rov qab. Tus me nyuam muaj mob hauv plab, colic. Feem ntau ntawm cov tsos mob no tshwm sim tom qab noj mov. daim ntawv mobtau cem quav. Kev ua kis las thiab kev noj zaub mov ua rau tsis muaj txiaj ntsig. Txhawm rau txo tus mob, cov niam txiv muab cov tshuaj ntxuav kom huv thiab siv cov tshuaj laxative
  3. theem thib peb yog theem decompensation. Qhov hnyav tshaj plaws ntawm tus kab mob. Mob plab yuav nyob mus li. Xav tias hnyav dua, cem quav yuav kav ntev li ob lub lis piam. Cov plab hnyuv muaj peev xwm ua tau, qab los noj mov thiab pw tsaug zog cuam tshuam, qhia txog kev qaug cawv.

Cov cim qhia ntawm kev txhim kho pathology

Cov tsos mob ntawm dolichosigma
Cov tsos mob ntawm dolichosigma

Cov tsos mob thiab kev kho mob ntawm dolichosigma hauv cov menyuam yaus muaj feem cuam tshuam ncaj qha. Cov cim qhia hauv qab no ntawm lub xub ntiag ntawm pathology tau sau tseg:

  • cem quav ntev txog 10 hnub. Nws tshwm sim vim qhov no, ib tug neeg muaj lub plab zom mov uas xav tau, yuav luag tswj tsis tau.
  • Txoj kev hla dhau cov quav yog mob, nws muaj ntxhiab tsw thiab ntom ntom.
  • mob sab laug ntawm lub plab, uas feem ntau yog mob.
  • Dry, daj ntseg ntawm daim tawv nqaij. Qhov no yog vim lub cev tsis muaj cov as-ham.
  • Npaj ntim plab hnyuv. Thaum lub sij hawm palpation, qhov mob tau sau tseg rau ntawm sab laug, qhov twg cov nyuv sigmoid nyob.
  • Tus me nyuam muaj roj ntau lawm nrog rau qhov kev xav ntawm qhov puv.

Nws yuav tsum tau muab sau tseg tias tag nrho cov tsos mob no qhia tsis tau tsuas yog muaj dolichosigma. Cov tsos mob zoo sib xws kuj tuaj yeem tshwm sim nrog cov kab mob inflammatory ntawm lub plab zom mov, muaj cov neoplasms, thiab kuj tseem tuaj yeem qhia txog lwm yam txawv txav.hauv kev ua haujlwm ntawm cov hnyuv. Hais txog qhov no, yog tias pom muaj cov tsos mob tshwm sim, nws yuav tsum tau mus ntsib kws kho mob, vim tias tus menyuam txoj sia yuav muaj kev phom sij.

Kev kho mob

Massage nrog dolichosigmoid
Massage nrog dolichosigmoid

Cov menyuam yaus uas muaj tus kab mob no yuav raug saib xyuas tas li ntawm tus kws kho menyuam yaus thiab kws phais mob. Tam sim ntawd tom qab tsim kev kuaj mob kom raug, tus menyuam yuav tsum tau sau npe nrog lub tsev kho mob, qhov chaw kho mob theem ntawm tus kab mob yuav tsum tau txiav txim kom sai li sai tau.

Nyob rau theem them nyiaj, tus menyuam raug kuaj hauv tsev kho mob ib xyoos ib zaug, lawv muab cov lus pom zoo txog kev noj zaub mov kom raug, ua raws li kev tswj hwm dej, thiab kev tawm dag zog lub cev. Nyob rau theem subcompensated, kev siv tshuaj ntxiv rau kev kho mob thiab tshuaj xyuas 2 zaug hauv ib xyoos. Nyob rau theem decompensated, tus neeg mob tau kuaj xyuas thiab kho tsis tu ncua 3 zaug hauv ib xyoos.

Thaum tsis muaj cov tsos mob tshwm sim rau 2, qee zaum 4 xyoos tom qab kho, tus menyuam raug txiav txim siab rov zoo thiab tshem tawm ntawm lub tsev kho mob.

Kev tswj hwm dej nrog dolichosigma
Kev tswj hwm dej nrog dolichosigma

Txoj hauv kev tseem ceeb los kho tus kab mob yog ua raws li kev noj zaub mov tshwj xeeb thiab tawm dag zog. Nyob rau hauv txhua rooj plaub, txhua yam nyob ntawm ntau yam: theem ntawm tus kab mob, lub hnub nyoog ntawm tus menyuam, thiab cov ntaub ntawv tshawb fawb ntxiv. Raws li kev txheeb xyuas, hauv kev kho mob plab hnyuv dolichosigma hauv cov menyuam yaus hnub nyoog qis dua 3 xyoos, nws yuav ua tau zoo rau kev ua haujlwm ntawm kev zaws tshwj xeeb, nrog rau kev siv tshuaj laxative suppositories.

Yog tus kab mob nruab nrab lossis hnyav, tus kws kho mob tuaj yeem ua tausiv txoj kev ua haujlwm. Txoj kev no muaj nyob rau hauv lub fact tias tus kws phais ua manipulations uas restore ib txwm cov quav nyob rau hauv tus me nyuam. Tab sis nws tsuas yog siv yog tias txoj kev khaws cia tsis ua haujlwm.

Cov ntawv qhia zaub mov rau dolichosigma hauv cov menyuam yaus yuav tsum tsis txhob suav nrog mov, nplej zom, nqaij liab, semolina, qhob cij dawb. Qhov no yog vim qhov tseeb tias cov khoom noj no muaj cov nyhuv kho, uas yog contraindicated heev nyob rau hauv tus kab mob no.

Raws li kev kho mob thiab niam txiv tshuaj xyuas, tus menyuam uas muaj dolichosigma tuaj yeem ua tiav ntawm nws tus kheej nrog cov tsos mob ntawm tus kab mob hauv cov mob me me. Cov niam txiv yuav tsum tau ua kom tiav kev noj zaub mov kom raug thiab ua si lub cev rau lawv tus menyuam.

Kev noj haus rau dolichosigmoid
Kev noj haus rau dolichosigmoid

Vim qhov tseeb tias lub cev muaj kev txwv hauv cov khoom noj khoom haus, nws yog ib qho tsim nyog los txhawb nws nrog cov tshuaj uas ntxiv dag zog rau lub cev tiv thaiv kab mob, vitamin complexes. Cov niam txiv yuav tsum paub yuav ua li cas kho dolichosigma hauv cov menyuam yaus, thiab tsis txhob quav ntsej qhov mob no. Cov vitamins C, B6, B12 thiab E yog qhov tseem ceeb tshwj xeeb tshaj yog rau menyuam yaus lub cev.

Tshuaj thiab noj cov tshuaj tua kab mob, tshuaj tua kab mob rau qhov mob hnyav yuav tsum tau ua los ntawm tus kws kho mob uas tuaj koom rau ntawm tus kheej. Feem ntau, nrog dolichosigma nyob rau hauv ib tug me nyuam thaum muaj hnub nyoog 3 xyoos, cov kws kho mob muab tshuaj Platifillin thiab Drotaverin. Nws tseem yuav tsum tau noj cov tshuaj uas txhawb nqa kev tshem tawm roj.("Espumizan"), tshwj xeeb tshaj yog tias nws yog menyuam yaus.

Tshem tawm spasms thiab mob pab nrog dolichosigma hauv cov menyuam yaus, zaws plab, qoj ib ce kho mob. Cov txheej txheem no tsis yog tsuas yog txhawb nqa, tab sis kuj pab txhawb cov leeg nqaij, uas muaj txiaj ntsig zoo rau kev kho mob thiab tiv thaiv cem quav.

Tshuaj kho mob

Nyob rau hauv txoj kev kho mob ntawm kev kho mob, cov tshuaj hauv qab no yog qhov txawv uas txhim kho tus mob:

  • tshuaj ntsuab enemas;
  • txhais tau tias pab txo cov nyiaj tso quav;
  • Yprokinetics;
  • laxatives (syrups, suppositories, tablets).

kho lub cev kho mob muaj txiaj ntsig zoo:

  • kub;
  • laser kho;
  • hluav taws xob stimulation ntawm txoj hnyuv los ntawm qhov quav thiab sab nraud influences.

Kev ua haujlwm

Nrog cov tsos mob hnyav, kev kho mob plab hnyuv dolichosigma hauv tus menyuam yog ua los ntawm txoj kev ua haujlwm. Txoj kev no yog siv rau hauv cov xwm txheej hauv qab no:

  • kev qaug cawv loj hlob hauv lub cev, uas yog hem;
  • kev kho mob hauv txoj kev khaws cia tsis coj cov txiaj ntsig xav tau;
  • tshwm sim ntawm plab hnyuv;
  • twisted loops thiab kinks nyob rau hauv lub sigmoid nyuv;
  • kev txhim kho ntawm intussusception - ib feem ntawm txoj hnyuv tau muab tso rau hauv lwm qhov.

Kev kuaj kab mob

Tus kws kho mob menyuam yaus yuav tsum ceev faj yog tias niam txiv tsis txaus siab txog kev khaws cov quav hauv tus menyuam. Kev kuaj mob ntawm dolichosigma hauv cov menyuam yaus yog nqa mus rau hauv tus account cov lus piav qhiacov tsos mob thiab cov txiaj ntsig ntawm kev kuaj ntxiv. Nyob rau hauv ib tug me nyuam me, pathology tuaj yeem tshwm sim nws tus kheej los ntawm lub sijhawm qhia txog cov khoom noj ntxiv.

Tus kws kho mob nws tus kheej yuav tsum, los ntawm palpation, txheeb xyuas cov voj voog uas muaj cov quav hauv cov hnyuv. Thaum thawj qhov kev tsis txaus siab tshwm sim, txhawm rau txhawm rau txheeb xyuas qhov tseeb, tus kws kho mob yuav tsum tau ua qhov kev kuaj mob digital-qhov quav. Yog hais tias lub qhov quav khoob, ces tus me nyuam yuav tsum tau muab ib qho ultrasound plab, uas yuav qhia tau tias muaj los yog tsis muaj ntxiv txoj hnyuv loops.

Kev kuaj mob ntawm dolichosigma
Kev kuaj mob ntawm dolichosigma

Thaum kuaj pom cov kab mob no, nws yuav tsum nkag siab tias nws yog ib qho ntawm cov qauv ntawm lub cev thiab yuav tsis ploj mus ntawm nws tus kheej nrog rau lub hnub nyoog ntawm tus menyuam. Cov menyuam yaus uas muaj cov tsos mob ntawm plab hnyuv dolichosigmoid yuav tsum tau sau npe nrog tus kws kho mob plab tsis ua haujlwm. Qee zaum, nws raug nquahu kom siv x-rays ntawm lub plab kab noj hniav, uas txiav txim siab qhov muaj thiab qib ntawm pathology.

Nyob rau hauv kev kuaj mob ntawm dolichosigma hauv cov menyuam yaus, irrigography yog siv dav. Qhov no yog, nyob rau hauv lub hauv paus ntsiab lus, tib x-ray, tab sis thaum lub sij hawm tus txheej txheem no, tus neeg mob tau txhaj tshuaj tshwj xeeb, uas ua rau nws muaj peev xwm kom meej meej xav txog cov duab kho mob thiab txiav txim kom meej, raws li zoo raws li txiav txim lub xub ntiag. ntxiv loops nyob rau hauv txoj hnyuv. Koj yuav tsum paub tias cov menyuam yug tshiab tsis tau txais kev kawm zoo li no, txij li hauv lawv lub cev nws tseem tsis tuaj yeem paub qhov txawv ntawm cov qauv thiab pathology.

Cov txheej txheem colonoscopy kuj tseem siv. Siv lub koob yees duab nyob ntawm lub hose, tus kws kho mob tshuaj xyuas qhov mob ntawm cov hnyuv: ntxivcov hlab ntsha, neoplasms, thiab lwm yam. Yog tias tsim nyog, muab cov ntaub so ntswg biopsy. Sigmoidoscopy yog lwm txoj hauv kev los ntsuas qhov mob ntawm lub plab hnyuv mucosa siv qhov endoscope.

Tsis tas li ntawd, tus neeg mob yuav siv ntau qhov kev kuaj sim uas ua tiav tag nrho cov duab ntawm tus kab mob:

  • biochemical thiab kuaj ntshav dav dav;
  • tshuaj ntsuam fecal (qhov muaj lossis tsis muaj ntshav txhaws yuav tsum tau kuaj);
  • nrog kev pab los ntawm kev tshawb fawb tshwj xeeb, ntau yam cuam tshuam hauv microflora thiab muaj cov khoom tsis zoo hauv cov quav kuj raug kuaj pom.

Kev noj qab haus huv

Hauv kev noj zaub mov yuav tsum muaj cov khoom noj uas muaj pectin ntau. Nws stimulates plab hnyuv zoo. Pectin muaj nyob rau hauv ci pears, txiv apples, taub dag tais diav, zucchini thiab zaub tshiab. Cov zaub yuav tsum muab rau tus menyuam hauv daim ntawv uas nws nyiam lossis nws yooj yim dua rau nws siv.

Tsis tas li, tsis txhob hnov qab txog kev noj txiv hmab txiv ntoo txhua hnub, uas yuav ua rau lub cev muaj fiber ntau. Nws muaj txiaj ntsig zoo rau cov hnyuv, tiv thaiv qhov tshwm sim ntawm cem quav.

Kev noj haus rau dolichosigmoid
Kev noj haus rau dolichosigmoid

Nrog dolichosigma hauv cov menyuam yaus, cov khoom noj fermented mis nyuj tshiab yuav tsum tau ntxiv rau hauv kev noj haus. Thaum xaiv cov tais diav, nws yog qhov zoo dua los muab kev nyiam rau nqaij qaib nqaij, nrog rau ntses. Nws yog ib qho tseem ceeb los saib xyuas kev tswj hwm dej. Kev siv cov dej huv uas tsis yog carbonated yuav tsum tau nqa tawm hauv qhov xav tau; cov txiv hmab txiv ntoo qhuav compotes kuj tau tso cai ua dej haus. Thaum xaiv cereals, nws yog qhov zoo dua los nres ntawm millet, buckwheat, oatmeal.

Ib hnub, tus menyuam yuav tsum haus dej kom ntau (txog 3 litres). Ib qho dej haus zoo heev yog dej zoo tib yam nrog txiv qaub. Txiv qaub nyiam tsim ib qho chaw acidic uas ua rau cov quav. Ib qho ntawm cov khoom noj tseem ceeb yuav tsum yog ntses, nws tuaj yeem noj txhua qhov ntau. Txwv tsis pub - kas fes thiab tshuaj yej muaj zog.

Qee zaum chocolate tuaj yeem muab rau tus menyuam, tab sis nws yog ib qho tseem ceeb kom paub cov cai rau nws siv thiab ua raws li lawv. Chocolate yog contraindicated ua ke nrog lwm yam khoom. Tus menyuam yuav tsum tau muab qhov kev kho no tsuas yog ib teev ua ntej lossis tom qab noj mov. Noj qhob noom xim kasfes nrog lwm cov zaub mov yuav ua rau cem quav.

kev kho neeg zoo

Nws yog dab tsi - plab hnyuv dolichosigma hauv cov menyuam yaus, koj twb paub lawm. Nws puas tuaj yeem kho nrog cov tshuaj pej xeem? Cov kev kho tsis zoo no muaj rau tus kab mob no, tab sis lawv yuav tsum tsis txhob ua lwm txoj hauv kev rau tus kws kho mob cov tshuaj.

Thaum tus menyuam raug kuaj pom tias muaj tus kabmob dolichosigma, cov niam txiv kev tshuaj xyuas ntawm cov tshuaj ib txwm siv raws li kev pabcuam kev kho mob zoo.

Recipes:

  1. Tincture raws li celandine thiab qab zib. Cov khoom xyaw no yog tov nyob rau hauv sib npaug proportions, muab tso rau ntawm ib tug gauze bandage thiab khi nyob rau hauv ib tug knot. Tom ntej no, koj yuav tsum tau muab txhua yam tso rau hauv lub thawv nrog cov ntshav rau 14 hnub. Cov tincture yuav tsum tau noj 100 grams tauj ib hnub.
  2. Cov roj zaub pab txo cov tsos mob ntawm kev kho tus mob dolichosigma hauv cov menyuam yaus. Tsis tu ncua sunflower thiab linseed roj yuav ua. Lawv muaj ib tug laxative nyhuv. Yuav tsum tau siv raws li2.5 ml ua ntej noj mov. Nws raug nquahu kom ua kom tsis muaj roj hauv lub da dej.
  3. Ib decoction ntawm buckthorn thiab prunes kuj muaj txiaj ntsig zoo rau kev kho cem quav. Prunes yuav tsum tau ntim nrog dej hauv qhov nyiaj ntawm 6-7 npaug ntau dua li nws qhov ntim. Tom ntej no, koj yuav tsum coj cov sib tov mus rau ib tug boil thiab cia nws boil tshaj tsawg cua sov rau 25-30 feeb. Cov muaj pes tsawg leeg yuav tsum tau txias ib txwm nyob rau hauv chav tsev kub thiab ntxiv buckthorn. Nws qhov ntim yog 1/10 ntawm qhov ntim ntawm prunes. Tom qab ntawd muab lub lauj kaub nrog cov sib tov rov qab rau hauv hluav taws, coj mus rau ib tug boil thiab simmer rau lwm ib nrab ib teev. Lub decoction yog noj txhua hnub hauv 100 ml.
  4. Flax noob kuj tseem ua rau cov tshuaj laxative me me. Noob yog nchuav nrog dej txias boiled thiab infused rau 1 teev, co qee zaus. Cov kua yog qaug dej qaug cawv hauv txhua qhov ntau ntawm lub plab khoob. Koj tuaj yeem muab cov hmoov flaxseed rau koj tus menyuam (0.5 teaspoon ib hnub ib zaug).
  5. Sprouted nplej yog qhov tseem ceeb rau normalizing metabolism thiab txhim kho txoj hnyuv motility. Sprouted nplej yuav tsum tau soaked rau 12 teev nyob rau hauv dej. Tom qab ntawd lawv yuav tsum tau txav mus rau hauv ib txheej txawm ntawm ib daim ntaub ntub dej. Ib hnub tom qab, cov khoom tau npaj rau kev siv. Nws tuaj yeem ntxiv rau ntau yam tais diav (cereals, kua zaub, kefir).
  6. Cabbage kua txiv kuj muaj ntau yam khoom muaj txiaj ntsig. Qhov tseem ceeb yog kev tiv thaiv thiab tshem tawm cem quav. Cabbage kua txiv yog muab rau tus menyuam txhua hnub, 80 ml rau ob lub lis piam.

Kev tshwm sim thiab muaj teeb meem tshwm sim

Kev kuaj mob ntawm dolichosigma hauv cov menyuam yaus
Kev kuaj mob ntawm dolichosigma hauv cov menyuam yaus

Cov tsos mob thiab kev kho mobdolichosigma hauv cov menyuam yaus yuav tsum tau ua sai sai los ntawm cov niam txiv thiab kws kho mob. Txwv tsis pub, lub xeev kev noj qab haus huv poob qis, ntau yam teeb meem tshwm sim:

  • poob ceeb thawj, nkim;
  • txhim kho ntshav ntshav, hloov ntshav muaj pes tsawg leeg;
  • purulent lesions ntawm daim tawv nqaij;
  • tawv ntawm cov quav tso quav thiab, vim li ntawd, tsim cov pob zeb los ntawm cov quav uas tsis tuaj yeem tawm hauv lub cev ntawm lawv tus kheej;
  • obstruction hauv plab hnyuv;
  • tshuaj lom neeg lub cev - fecal intoxication.

Cov kws kho mob tseem tsis pom zoo seb tus kab mob no puas yog pathological. Nws yog ib qho tseem ceeb rau kev tswj thiab saib xyuas tus neeg mob, tshwj xeeb tshaj yog tias nws cuam tshuam tus menyuam lub cev.

Thaum kho tus mob dolichosigma hauv cov menyuam yaus, qhov kev cia siab thiab tus mob ntawm tus menyuam nyob ntawm seb cov niam txiv mob hnyav npaum li cas. Nws yog ib qho tsim nyog yuav tau mus ntsib kws kho mob, kuaj xyuas kev kho mob, ultrasound, kuaj, ua raws li kev noj haus, haus dej haus thiab kev kho mob qoj ib ce.

Thaum cov tsos mob ntawm tus kab mob no tshwm sim, nws yog ib qho tsim nyog yuav tsum ua raws li lub sijhawm los tiv thaiv qhov tshwm sim tsis zoo thiab muaj teeb meem.

Pom zoo: