Psoriasis hauv menyuam yaus: ua rau, tsos mob, kho

Cov txheej txheem:

Psoriasis hauv menyuam yaus: ua rau, tsos mob, kho
Psoriasis hauv menyuam yaus: ua rau, tsos mob, kho

Video: Psoriasis hauv menyuam yaus: ua rau, tsos mob, kho

Video: Psoriasis hauv menyuam yaus: ua rau, tsos mob, kho
Video: Saib Mis paub Poj niam (hluas nkauj) tus yam ntxwv lub siab 2024, Lub Xya hli ntuj
Anonim

Zoo siab yog tus txiv neej uas tsis tau ntsib kws kho mob hauv nws lub neej. Zoo siab ob leeg yog cov niam txiv uas tsis tas yuav muaj teeb meem txog kev noj qab haus huv ntawm tus menyuam. Hmoov tsis zoo, niaj hnub no cov duab zoo li no tau rov nco txog zaj dab neeg zoo heev. Cov menyuam yaus txhua xyoo mob ntau dua thiab ntau zaus, cov kab mob ua rau mob hnyav dua. Ib tug ntawm lawv yog psoriasis (scaly versicolor). Nws yog qhov no pathology uas feem ntau cuam tshuam rau menyuam mos. Hauv kab lus no, peb yuav saib yuav ua li cas psoriasis tshwm sim nws tus kheej hauv cov menyuam yaus, ua rau thiab kho.

Daim duab thiab piav qhia ntawm tus kab mob

Psoriasis yog ib yam kab mob ntawm qhov xwm txheej, uas tshwm sim nws tus kheej nyob rau hauv daim ntawv ntawm silvery-dawb papules ntawm daim tawv nqaij. Tus kab mob no tshwm sim hauv cov menyuam yaus hnub nyoog sib txawv, suav nrog cov menyuam mos thiab cov menyuam yug tshiab.

psoriasis hauv cov menyuam yaus thaum ntxov
psoriasis hauv cov menyuam yaus thaum ntxov

Ib txwm keratinocytes (cov hlwb ntawm daim tawv nqaij) tau rov ua dua txhua 28 hnub. Nrog rau txoj kev loj hlob ntawm tus kab mob no, kev ua kom lub cev tiv thaiv thiab ib txhij stimulation ntawm T-lymphocytes yog pom, uas entails tso tawm ntawm ib tug loj tus naj npawb ntawm cov proteins ntawm lub mob theem ntawm o. Macrophages thiab neutrophils pib tsiv mus rautawv nqaij. Yog li ntawd, cov txheej txheem no xaus nrog kev loj hlob ntawm keratinocytes ntau dhau ntawm 2-3 hnub. Txij li thaum daim tawv nqaij tsis tuaj yeem plam keratinized epithelium sai sai, cov hlwb tshiab, nrog rau kev tsim tawm, tsa nws nyob rau hauv daim ntawv ntawm cov yam ntxwv plaques.

Feem ntau, psoriasis ntawm tus menyuam loj hlob yog tias nws niam nws txiv tau kuaj pom tus kab mob no yav dhau los. Tus kab mob no tsis kis tau thiab tsis tuaj yeem kis tau los ntawm cov tee dej. Cov tsos mob tshwm sim feem ntau tshwm sim hauv cheeb tsam hauv puab tais, ntawm lub pob tw, hauv cheeb tsam lumbar. Raws li cov pathology zuj zus, cov ceg thiab nraub qaum raug cuam tshuam. Hauv cov menyuam mos, cov pob khaus feem ntau yog nyob hauv thaj chaw sib cuag nrog daim pawm.

Kev kuaj tus kab mob yog qhov yooj yim thiab tsis xav tau kev tshawb fawb loj. Qee qhov xwm txheej, tus kws kho mob kuj tseem tuaj yeem muab khawb los ntawm qhov chaw cuam tshuam los ua kev kuaj ntshav thiab tsis suav nrog lwm cov kab mob uas zoo sib xws.

Kev kho yog nyob ntawm qhov mob hnyav, qhov muaj cov kab mob sib kis, lub hnub nyoog ntawm tus neeg mob thiab yav dhau los kev kho mob. Feem ntau, cov kws kho mob sim txo qis kev siv tshuaj nrog cov tshuaj hormones, vim qhov no tuaj yeem cuam tshuam rau lub cev tsis muaj zog. Peb yuav qhia koj ntxiv txog cov kev kho mob hauv qab no.

Ua rau psoriasis

Raws li tau sau tseg saum toj no, lub voj voog ib txwm ntawm kev loj hlob ntawm cov tawv nqaij yog 28 hnub. Hauv psoriasis, nws txo qis mus txog peb hnub, uas yog tshwm sim los ntawm kev tsim cov plaques.

Cov kws tshawb fawb tau pom tias hauv cov tawv nqaij noj qab haus huv ntawm tus menyuam muaj kev hloov pauv zoo ib yam li ntawm thaj chaw cuam tshuam. Tsis tas li ntawd, hauv cov neeg mobFeem ntau, kev cuam tshuam hauv kev ua haujlwm ntawm lub cev tiv thaiv kab mob thiab endocrine, metabolism, thiab lwm yam kev hloov pauv pathological tau sau tseg. Tag nrho cov no qhia tias psoriasis yog kab mob.

Qhov laj thawj tseem ceeb ntawm psoriasis hauv cov menyuam yaus tuaj yeem muab faib ua ntau pawg:

  • Wednesday;
  • kab mob.

Heredity yog ib qho tseem ceeb ntawm qhov tshwm sim ntawm tus kab mob. Qhov tseeb no tau lees paub los ntawm kev tshawb fawb mus sij hawm ntev ntawm dermatosis hauv cov menyuam ntxaib thiab cov txheeb ze ze hauv tsev neeg, nrog rau kev tshawb fawb biochemical ntawm cov neeg hauv tsev neeg noj qab haus huv. Yog hais tias tus pathology tau lees paub nyob rau hauv ib tug ntawm cov niam txiv, qhov tshwm sim ntawm psoriasis nyob rau hauv ib tug me nyuam yog 25%, thaum tus kab mob no tau kuaj nyob rau hauv ob leeg - 60-70%.

Qhov kev hu ua ib puag ncig muaj xws li kev hloov pauv raws caij nyoog, cuam tshuam rau tus menyuam lub siab lub ntsws ntawm cov xwm txheej ntxhov siab, kev sib cuag ntawm khaub ncaws nrog daim tawv nqaij. Kev tsom mus rau tus menyuam muaj mob hauv tsev kawm ntawv lossis qib kindergarten, txwv tsis pub muaj kev sib cuag vim kev ntshai kis kab mob - cov no tsuas yog qee qhov piv txwv uas ua rau muaj kev mob hnyav ntxiv thiab ua rau muaj kev puas tsuaj ntau ntxiv. Nws ntseeg tau tias kev puas siab puas ntsws tshwj xeeb yog qhov tsis zoo thaum lub hnub nyoog laus laus vim yog kev hloov pauv hormonal hauv lub cev. Yog li, feem pua ntawm cov neeg mob tau kuaj pom hauv cov tub ntxhais hluas.

Qhov ua rau psoriasis hauv menyuam yaus feem ntau kis tau. Influenza, pneumonia, kab mob siab - tag nrho cov kab mob no ua rau cov kab mob sib kis-xws li kev ua xua. Daim ntawv hu ua tom qab kis kab mob kuj yog qhov txawv, thaum muaj papular pob liab liab nyob rau hauv daim ntawv ntawm tee kis.thoob plaws lub cev.

psoriasis nyob rau hauv ib tug me nyuam
psoriasis nyob rau hauv ib tug me nyuam

Txoj kev ntawm tus kab mob

Nyob ntawm lub sijhawm tshwm sim ntawm exacerbation, lub caij ntuj sov thiab lub caij ntuj no txawv ntawm tus kab mob no txawv. Hauv kev kho mob tom kawg, hluav taws xob ultraviolet yog qhov zoo heev.

Tsis tas li ntawd, pathology tau muab faib ua cov sijhawm hauv qab no ntawm kev txhim kho:

  • Latent (lub sijhawm ua ntej thawj cov tsos mob ntawm psoriasis tshwm sim hauv menyuam yaus).
  • Manifest (tus yam ntxwv ntawm qhov tshwm sim ntawm qhov chaw kho mob tseem ceeb).
  • Kev zam txim (cov tsos mob tshwm sim ploj mus).
  • Relapse (rov tshwm sim ntawm cov tsos mob).

Lub sijhawm ntawm kev zam txim yog qhov tseem ceeb ntawm kev ntsuas qhov ua tau zoo ntawm kev kho mob. Nws tuaj yeem ua tiav (tag nrho cov pob khaus ntawm daim tawv nqaij tau ploj mus) thiab tsis tiav. Nyob rau hauv rooj plaub tom kawg, ob peb lub ntsiab lus tseem nyob, uas cov kws kho mob hu ua "cov plaques."

Kuj tseem muaj peb theem ntawm cov kab mob: mob, nyob ruaj khov thiab rov ua dua. Thawj theem yog tus cwj pwm los ntawm txoj kev loj hlob ntawm cov txheej txheem pathological nrog cov tsos ntawm cov pob liab liab tshiab, qhov chaw nyob ruaj khov yog tus cwj pwm los ntawm nws txoj kev qeeb qeeb, thiab qhov thib peb - los ntawm regression.

Yuav ua li cas psoriasis manifests nws tus kheej hauv cov menyuam yaus (duab)

Thawj theem yog qhov tshwm sim ntawm qhov tshwm sim ntawm cov pob liab liab ntawm daim tawv nqaij nyob rau hauv daim ntawv ntawm cov kob liab nrog cov xim dawb-dawb uas tsis tu ncua flaky thiab khaus. Tom qab qhov kawg tsim ntawm cov kab nrib pleb ntawm cov plaques, los ntshav tshwm sim, uas ua rau muaj kev kis tus kab mob thib ob.

Outwardly, papules ntawm daim tawv nqaij ntawm cov menyuam yaus zoo ib yamnrog cov neeg laus, tab sis muaj qee qhov sib txawv. Rau cov neeg mob hluas nrog qhov kev kuaj mob no, Koebner's syndrome yog tus yam ntxwv, uas yog, qhov tshwm sim ntawm pob khaus hauv thaj chaw cuam tshuam los ntawm kev raug mob lossis khaus.

Nyiaj-dawb plaques tuaj yeem tso rau ntawm txhua qhov ntawm lub cev. Qhov chaw uas feem ntau cuam tshuam yog lub pob tw, hauv caug, lub plab, thiab tawv taub hau. Hauv txhua qhov thib peb, cov kws kho mob kuaj cov ntsia hlau psoriasis hauv cov menyuam yaus. Qhov no yog lub npe hu ua cov tsos mob ntawm lub thimble, thaum lub qhov me me tsim ntawm cov ntsia hlau daim hlau, zoo li lub qhov ntawm lub thimble. Feem ntau cov plaques tuaj yeem pom nyob rau hauv daim tawv nqaij.

psoriasis nyob rau hauv cov me nyuam yees duab pib theem
psoriasis nyob rau hauv cov me nyuam yees duab pib theem

Hom psoriasis hauv menyuam yaus

  • Plaque-shaped. Hom kab mob no feem ntau tshwm sim. Nws yog tus cwj pwm los ntawm cov tsos ntawm me me reddish me ntsis ntawm daim tawv nqaij. Lawv cov txheej sab sauv feem ntau yog xoob thiab scaly, thiab qis dua yog ntom heev. Thaum cov nplai raug tshem tawm, cov plaques pib loj tuaj.
  • Teardrop-shaped. Hom kab mob no yog tus cwj pwm los ntawm cov tsos ntawm ntau cov me me liab uas zoo li ib qho poob. Papules nce saum npoo ntawm daim tawv nqaij, sai sai hauv qhov loj. Feem ntau yog nyob rau hauv ob txhais ceg thiab caj npab, ntawm lub taub hau. Guttate psoriasis hauv cov menyuam yaus, uas feem ntau pib pom cov tsos mob ntawm hnub nyoog plaub thiab tsib xyoos, tshwm sim feem ntau tom qab tus kab mob streptococcal.
  • Pustular. Qhov no yog ib hom kab mob hnyav heev, feem ntau kuaj pom hauv cov menyuam yaus thaum hluas. Cov papules tau ntim nrog cov kab mob tsis kis kab mob.
  • Postular Generalizedpsoriasis. Hauv cov menyuam yaus, thawj theem ntawm tus kab mob tshwm sim tam sim ntawd, cov kab mob pathology tau nrawm nrawm ntawm daim tawv nqaij. Tus kab mob feem ntau cuam tshuam rau kev ua haujlwm ntawm lub plawv, ob lub raum thiab lwm yam kab mob hauv nruab nrog cev.
  • Flexion nto. Tus kab mob yog nrog los ntawm cov tsos ntawm du papules uas me ntsis nce saum npoo ntawm daim tawv nqaij. Daim ntawv no feem ntau cuam tshuam rau sab hauv ncej puab, puab tais.
  • Erythrodermic. Pathology tshwm sim los ntawm qhov mob thiab khaus khaus heev. Tsis muaj kev kho mob raws sij hawm ua rau muaj teeb meem loj, thiab qee qhov kev tuag.
  • Arthropathic psoriasis hauv menyuam yaus. Cov duab ntawm qhov txawv ntawm cov kab mob pathology tuaj yeem pom hauv cov ntawv kho mob tshwj xeeb. Nws yog tus cwj pwm los ntawm cov tsos mob ntawm kev tsis xis nyob, cov leeg rigidity, o ntawm cov ntiv taw, kev loj hlob ntawm conjunctivitis.

Diagnosis

Kev kuaj mob ntawm tus kab mob yog ua los ntawm cov ntaub ntawv anamnesis, cov txiaj ntsig ntawm kev tshuaj xyuas ntawm daim tawv nqaij, tawv taub hau thiab rau tes. Qee lub sij hawm lawv mus rau microscopy ntawm epithelial nplai.

Yog tus kws kho mob tau lees paub tias psoriasis hauv tus menyuam, cov niam txiv yuav tsum tsis txhob poob siab. Raws li tag nrho cov lus pom zoo ntawm tus kws kho mob tshwj xeeb thiab tus cwj pwm kom raug rau qhov teeb meem tam sim no, lub neej ntawm tus menyuam tsis muaj kev phom sij. Tus cwj pwm zoo hauv kev kho tus kab mob no yog qhov tseem ceeb. Nws qhov exacerbation feem ntau yog pom nyob rau hauv cov hlab ntsha tawg, muaj kev ntxhov siab, yog li tus menyuam yuav tsum tau muab lub siab zoo.

kev kho mob psoriasis hauv cov menyuam yaus
kev kho mob psoriasis hauv cov menyuam yaus

Tshuajkev kho mob

Yuav ua li cas psoriasis zoo li hauv cov menyuam yaus, peb twb tau hais lawm, tam sim no nws yog lub sijhawm los tham txog cov hau kev tseem ceeb ntawm kev kho tus kabmob no. Kev kho mob ntawm tus kab mob yog cov txheej txheem ntev, lub hom phiaj tseem ceeb ntawm kev tswj hwm tus neeg mob me thiab txhim kho nws lub neej zoo. Tam sim no, cov kws kho mob tsis tuaj yeem muab ib txoj kev kho mob uas yuav ua rau nws tsis nco qab txog qhov teeb meem no mus ib txhis. Kev noj tshuaj pab txo qis qhov hnyav ntawm psoriasis ib ntus.

Txhawm rau txiav txim siab qhov kev kho mob zoo tshaj plaws, nws yog qhov yuav tsum tau coj mus rau hauv tus account tus kab mob, qhov hnyav ntawm cov txheej txheem pathological, thiab lub hnub nyoog ntawm tus neeg mob. Raws li txoj cai, cov menyuam yaus raug pom zoo siv tshuaj pleev ib ce nrog tshuaj pleev thiab tshuaj pleev tshwj xeeb. Hauv qab no peb yuav ua tib zoo saib seb cov tshuaj twg raug sau rau tus kab mob no.

  • Desensitizing (10% calcium chloride tov) thiab sedatives (valerian tincture).
  • Thaum khaus khaus hnyav, psoriasis hauv cov menyuam yaus raug kho nrog tshuaj tiv thaiv kab mob (Suprastin, Tavegil).
  • Cov neeg mob me yog cov tshuaj B vitamins (Pyridoxine, Riboflavin, Cyanocobalamin).
  • Txhawm rau qhib lub cev tiv thaiv, tshuaj nrog pyrogenic cov khoom raug sau tseg. Lawv txo qis tus nqi ntawm tes faib, normalize vascular permeability ("Pyrogenal", "Prodigiosan").
  • Txhawm rau tiv thaiv cov quav hniav ntawm xib teg, hnav khaub ncaws nrog salicylic lossis prednisolone ointment yog siv. Yog hais tias psoriasis nyob rau hauv cov me nyuam nyob rau hauv lub taub hau, papaverine tshuaj pleev yog pom zoo.

Yog tias tsis muaj peev xwmCov kev kho mob saum toj no, tus kws kho mob yuav muab tshuaj glucocorticoids. Qhov ntau npaum yog xaiv tus kheej.

Nrog cov kab mob sib kis, nws yog ib qho tseem ceeb heev rau kev ntxuav cov kab mob: kho cov hniav carious, deworming.

Yuav ua li cas noj?

Kev kho mob psoriasis hauv cov menyuam yaus tsis yog tsuas yog noj tshuaj xwb, tab sis kuj kho cov khoom noj. Nrog me nyuam mos, txhua yam yog yooj yim heev - lawv tsis noj qab zib thiab rog lawm. Kev noj zaub mov ntawm cov menyuam yaus txij li ib xyoos mus txog 12 xyoos yuav tsum tau hloov pauv. Raws li koj paub, teeb meem nyob rau hauv txoj hnyuv manifest lawv tus kheej externally nyob rau hauv daim ntawv ntawm irritations thiab pob khaus ntawm daim tawv nqaij. Tseeb tiag, kev ua haujlwm tsis zoo ntawm lub plab zom mov tuaj yeem ua rau psoriasis hauv menyuam yaus, lossis nws qhov exacerbation.

Ua ntej tshaj plaws, muffins thiab pastries, ntsim thiab kib yuav tsum raug tshem tawm ntawm kev noj haus. Nws yog ib qho tsim nyog kom txo qis kev noj cov txiv hmab txiv ntoo citrus thiab qee cov txiv hmab txiv ntoo, nrog rau chocolate.

Rau tus me nyuam, qhov tsis lees txais cov khoom qab zib feem ntau suav tias yog qhov phem tshaj plaws hauv kev kho mob. Cov niam txiv yuav tsum piav qhia qhov xav tau rau ib kauj ruam li no kom raug raws li qhov ua tau. Cov khoom qab zib tuaj yeem hloov nrog cov txiv hmab txiv ntoo qhuav, cov khoom noj kib - steamed. Nws yuav zoo dua yog tias cov niam txiv tshuaj xyuas lawv cov khoom noj txhua hnub ua ke nrog tus menyuam. Tus menyuam yuav tsum muaj kev sib koom siab ntawm cov neeg laus, tom qab ntawd cov kev hloov pauv hauv kev noj haus yuav tsis ua rau nws tsis xis nyob.

psoriasis hauv menyuam yaus ua rau thiab kho
psoriasis hauv menyuam yaus ua rau thiab kho

Cia tham txog kev tu cev

Yog tias tus kws kho mob tau kuaj pom tus mob psoriasis hauv tus menyuam, yuav tsum tau saib xyuas tshwj xeeb rau nws txoj kev nyiam huv. Qhov zoo tshaj plaws, txhua txhua hmo nws raug pom zoo kom ua kom sovda dej nrog ntxiv ntawm sage, chamomile los yog flax noob. Koj tsis tuaj yeem siv cov ntaub ntxhua khaub ncaws thiab txhuam hniav, thiab nws yog qhov zoo dua los hloov cov tshuaj zawv plaub hau thiab xab npum nrog cov kev kho tshwj xeeb. Raws li txoj cai, lawv tsis muaj ntxhiab tsw, tab sis lawv zoo heev rau kev txo qhov khaus.

Tam sim ntawd tom qab da dej, koj yuav tsum tau muab daim tawv nqaij qhuav, thiab tsis txhob qhuav nws. Nws yuav tsis yog superfluous siv cov roj tshwj xeeb rau moisturizing.

psoriasis nyob rau hauv cov me nyuam ua rau thiab kev kho mob yees duab
psoriasis nyob rau hauv cov me nyuam ua rau thiab kev kho mob yees duab

Psoriasis hauv cov menyuam yaus (cov duab ntawm cov neeg mob tau nthuav tawm hauv kab lus no) suav tias yog kab mob autoimmune. Lub cev tiv thaiv tsis muaj zog uas lawv tsis ua lawv cov haujlwm tseem ceeb. Txhawm rau kho tus kab mob kom tau txais txiaj ntsig zoo, nws yuav tsum tau ua kom lub cev tiv thaiv kab mob ntxiv.

Vitamin npaj tau los ntawm kws kho mob, thiab cov niam txiv yuav tsum nce cov vitamins hauv ntuj. Qhov no txhais tau hais tias cov txiv hmab txiv ntoo, zaub, thiab cov khoom siv mis nyuj yuav tsum nyob ntawm lub rooj. Nco ntsoov ventilate lub tsev, nrog rau ua ntej mus pw. Hardening tuaj yeem cob qhia, tab sis tsuas yog tom qab kev sab laj nrog tus kws tshaj lij.

Tus me nyuam mob psoriasis yuav tsum ua li cas?

Peb twb tau piav qhia meej tias dab tsi ua rau psoriasis hauv menyuam yaus. Cov ua thiab kev kho mob ntawm tus kab mob no yog inextricably txuas. Yuav ua li cas ntxiv mus txog thaum cov tsos mob ntawm tus kab mob dhau lawm? Yuav ua li cas tus me nyuam muaj tus kab mob no?

Ua ntej ntawm tag nrho, nws yog ib qho tseem ceeb heev los tiv thaiv kev loj hlob ntawm pathologies ntawm tus kab mob sib kis. Tonsillectomy thiab adenotomy tuaj yeem ua tau tsuas yog tom qab peb xyoos. Hauv 90% ntawm cov xwm txheej, qhov kev cuam tshuam kev phais zoo li no cuam tshuam rau cov txheej txheem. 10%Cov neeg mob nrog qhov kev kuaj mob no txuas ntxiv exacerbations.

Ntau qhov kev tshawb fawb hauv cheeb tsam no qhia tau tias kev rov tshwm sim tsawg dua thaum tus me nyuam loj hlob tuaj, ntau hom kab mob hloov pauv los ntawm qhov txwv.

Cov menyuam yaus uas kuaj pom tus mob psoriasis raug pom zoo saib xyuas tas li hauv lub tsev kho mob tshwj xeeb. Txoj hauv kev no txo qhov muaj feem yuav rov tshwm sim dua. Rau cov hom phiaj no, cov neeg mob hluas tau muab cov kev kawm ntawm ultraviolet irradiation, vitamin therapy thiab kev huv ntawm foci ntawm tus kab mob.

psoriasis zoo li cas hauv cov menyuam yaus
psoriasis zoo li cas hauv cov menyuam yaus

Zoo kawg

Hauv kab lus no, peb piav qhia yuav ua li cas psoriasis manifests nws tus kheej hauv cov menyuam yaus (duab). Thawj theem ntawm tus kab mob no yog cov tsos mob ntawm cov quav hniav thiab khaus ntawm daim tawv nqaij. Yog tias cov tsos mob no tshwm sim, koj yuav tsum tau nrhiav kev pab tam sim los ntawm kws kho mob, kuaj xyuas qhov tsim nyog thiab dhau qhov kev ntsuam xyuas tsim nyog. Ntawm chav kawm, kev kho mob ntawm psoriasis yuav tsum tau ib tug tshwj xeeb tsim nyog mus kom ze. Koj yuav tsum tsis txhob noj tshuaj rau tus kheej lossis mus rau kev pab ntawm peb pog cov zaub mov txawv. Tsuas yog ib tus kws kho mob tshwj xeeb tuaj yeem lees paub qhov kev kuaj mob zaum kawg thiab sau ntawv kho kom muaj peev xwm. Cov niam txiv muaj cai tswj cov txheej txheem thiab paub txog lwm txoj hauv kev.

Psoriasis yog ib hom kab mob autoimmune. Yog tias koj tus menyuam tau kuaj pom tus mob zoo li no, koj yuav tsum tsis txhob txhawj xeeb ua ntej, vim tias tus cwj pwm tsis zoo yog kis mus rau tus menyuam nws tus kheej. Cov kws tshawb fawb thoob plaws ntiaj teb tseem tab tom ua haujlwm los nrhiav kev kho thoob ntiaj teb rau tus kab mob no. Hmoov tsis zoo covcov tshuaj muab los ntawm cov tshuaj niaj hnub tsuas tuaj yeem txo qhov tshwm sim ntawm cov tsos mob. Txawm li cas los xij, kev kho mob yuav tsum tsis txhob ncua. Noj qab nyob zoo!

Pom zoo: