Crush hauv caj pas: ua rau, tsos mob, kuaj mob, kab mob ua tau, lus qhia kho mob thiab kev kho mob

Cov txheej txheem:

Crush hauv caj pas: ua rau, tsos mob, kuaj mob, kab mob ua tau, lus qhia kho mob thiab kev kho mob
Crush hauv caj pas: ua rau, tsos mob, kuaj mob, kab mob ua tau, lus qhia kho mob thiab kev kho mob

Video: Crush hauv caj pas: ua rau, tsos mob, kuaj mob, kab mob ua tau, lus qhia kho mob thiab kev kho mob

Video: Crush hauv caj pas: ua rau, tsos mob, kuaj mob, kab mob ua tau, lus qhia kho mob thiab kev kho mob
Video: Noj Vitamin Pab Koj/Kom Plaub Hlau Tsis Hle. 2024, Lub Xya hli ntuj
Anonim

caj pas qhuav, nqhis dej, khaus, kub hnyiab, squeezing pob, o ntawm cov qog submandibular, kub siab thiab belching - tag nrho cov no tuaj yeem ua rau pob hauv caj pas thiab ua rau ntau yam kab mob. Txhawm rau ua qhov kev kuaj mob kom raug thiab tsim kom muaj qhov tshwm sim ntawm qhov tshwm sim ntawm qhov mob hauv lub caj pas ntawm qhov xwm txheej, nws yog ib qho tsim nyog los sab laj tag nrho cov kws kho mob tshwj xeeb. Thawj theem ntawm kev tshawb nrhiav cov laj thawj yog cuam tshuam nrog kev mus ntsib kws kho mob ENT. Yog tias cov kab mob no tsis cuam tshuam nrog lub caj pas, qhov ntswg thiab pob ntseg, tus kws kho mob yuav muab kev xa mus rau kev sab laj nrog lwm tus kws kho mob tshwj xeeb. Muaj tsawg zaus, nws tsim nyog kuaj mob nrog kev pab ntawm ultrasound, CT lossis MRI. Hom kev kuaj mob yuav raug txiav txim los ntawm tus kws kho mob.

Yog tias tsis muaj ib tus kws tshaj lij pom muaj kab mob hauv lawv thaj chaw, cov kev sim thiab kev kuaj mob tsis tau qhia tawm qhov sib txawv ntawm cov qauv, ces qhov kev xav tias ib yam dab tsi yog nias hauv caj pas tuaj yeem yog kev puas siab puas ntsws. Hauv qhov no, koj yuav tsum tau teem sijhawm nrog tus kws kho mob hlwb. Nws yog ib qho tsim nyog xav txog ntau yam yuav ua li cas yog tias nws nias hauv caj pas, qhov ua rau thiab cov tsos mob ntawm qhov nokab mob.

ua rau lub siab nyob hauv caj pas
ua rau lub siab nyob hauv caj pas

Kab mob ENT kab mob

Qhov feem ntau ua rau lub pob nyem hauv lub caj pas tuaj yeem yog kab mob ntawm cov kab mob ENT. Hauv qhov no, ib tus neeg yuav hnov mob thaum nqos, ua pa, hnov lub cev txawv teb chaws, tsis xis nyob hauv caj pas. Cov kab mob no tuaj yeem yog:

  • laryngitis;
  • tonsillitis;
  • pharyngitis.

Yog tias koj xav tias ib qho ntawm cov kab mob no, koj yuav tsum mus ntsib kws kho mob tam sim ntawd, vim tias kev kho tus kheej tsis muaj txiaj ntsig, thiab tuaj yeem ua rau tsis zoo.

Txoj kev xav

Ib qho kev xav kuj tuaj yeem ua rau caj pas ua kom khaus. Txhua tus kws kho mob tshwj xeeb yuav tsum daws qhov teeb meem no ua ntej txheeb xyuas qhov kev kuaj mob. Yog hais tias lub hauv nruab nrog cev muaj kev noj qab haus huv, ces qhov kev xav tsis zoo no tuaj yeem tshwm sim ntawm lub paj hlwb. Nrog rau qhov pib ntawm kev ntxhov siab, kev txaus ntshai lossis kev poob siab, lub caj pas tuaj yeem ua rau mob thiab tsoo. Qhov xwm txheej yuav tshwm sim ib ntus thiab dhau ntawm nws tus kheej sai li sai tau thaum qhov xwm txheej ntxhov siab dhau mus. Tej zaum yuav muaj kev txhim kho tsis zoo. Piv txwv li, qhov tshwm sim ntawm panic tawm tsam. Nyob rau hauv cov ntaub ntawv no, ib tug neeg muaj lub plawv dhia ceev thiab ceev ceev, nws yog ib qho nyuaj rau ua pa thiab nias lub caj pas. Lub xeev tom kawg tuaj yeem nyob rau lub sijhawm ntev, thiab tus neeg mob muaj kev ntshai ntawm kev tuag. Cov xwm txheej no xav tau kev kho mob tshwj xeeb, thiab tus kws kho mob yuav tsum kho ncaj qha.

mob thiab mob caj pas
mob thiab mob caj pas

mob khaub thuas

Qhov ua rau tus kab mob tuaj yeem yog mob hauv caj pas. Tej zaum nws yuav yog me me thiabpib nrog mob caj pas, thiab tuaj yeem ua rau mob tonsillitis. Yog tias koj hnov mob hnyav, nyem, tom qab ntawd koj yuav tsum tau mus rau tom tsev kho mob tam sim ntawd, vim tias qhov o ntawm cov ntaub so ntswg ua rau kev loj hlob ntawm asphyxia. Nrog mob caj pas, koj tuaj yeem tam sim gargle nrog dej qab zib. Txoj kev no tau sau tseg los ntawm ntau tus kws kho mob, vim dej qab zib yog ib qho tshuaj tua kab mob zoo heev thiab tiv thaiv angina ntawm thawj theem zoo dua li lwm txoj kev. Hauv qhov no, kev siv tshuaj tua kab mob uas lom rau lub cev tsis tas yuav tsum tau siv. Tab sis ceev faj heev, yog tias koj tsis paub meej txog qhov kev kuaj mob, nws yog qhov zoo dua mus ntsib tus kws kho mob tshwj xeeb.

mob qog nqaij hlav

Ib lub siab nyob hauv caj pas tuaj yeem tshwm sim los ntawm qhov o ntawm caj pas. Xws li ib tug kab mob yuav tsum tau ceev nrooj kuaj nyob rau hauv thawj theem, txij li thaum lub qog yuav tsis tau tsuas yog benign, tab sis kuj malignant. Thaum muaj qog nqaij hlav, tus neeg mob muaj ntau yam tsos mob xws li:

  • nrawm nrawm thaum hais lus;
  • kev ua pa luv lossis lub xeev ntawm kev ua pa;
  • mob pob ntseg;
  • suab nrov;
  • mob thaum noj;
  • ua pa tsis zoo;
  • hemoptysis.

Cov tsos mob no tuaj yeem tshwm sim ob qho tib si hauv kev nyuaj thiab hu nkauj. Qee zaum cov tsos mob sib cais yuav yog qhov muaj asphyxia. Txawm li cas los xij, kev kho mob los ntawm tus kws kho mob tshwj xeeb tsuas yog tsim nyog, vim tias txhua qhov xwm txheej tuaj yeem thiab yuav tsum kho.

nias rau ntawm caj dab thiab caj pas
nias rau ntawm caj dab thiab caj pas

Thyroid dysfunction

Nrog tsis muaj iodine hauv lub cev, cov thyroid ua haujlwm tsis zoo. Raws li txoj cai, nws nce qhov loj me, hauv tib neegqhov nqos muaj nuj nqi cuam tshuam, muaj qhov hnov ntawm lub cev txawv teb chaws hauv caj pas, Kuv xav nqos tas li. Qhov pom kev cuam tshuam yog protrusion ntawm lub qhov muag thiab poob ntawm lub cev hnyav. Cov kab mob no hu ua Basedow's disease. Thaum kuaj pom, tus kws kho mob sau ntawv kuaj thiab ultrasound. Yog hais tias lub caj pas yog nias nyob rau hauv lub cheeb tsam ntawm Adas lub kua, ces kev kho mob yuav tsum tau lub sij hawm kom rov zoo, nws yog heev muaj peev xwm kom rov zoo los ntawm tus kab mob no.

Osteochondrosis

Lwm qhov laj thawj tuaj yeem ua txhaum ntawm lub ncauj tsev menyuam-lub xub pwg pob txha. Yog tias muaj pob hauv caj pas thiab lub siab nyob rau hauv lub sternum, nrog rau qhov mob nyob rau hauv lub nraub qaum thiab lub taub hau, peb tuaj yeem tham txog thawj cov tsos mob ntawm tus kab mob. Osteochondrosis yuav luag tsis tuaj yeem txiav txim siab ntawm nws tus kheej, vim nws muaj cov tsos mob sib txawv heev. Kev kho mob ntawm tus kab mob no yog ua los ntawm kev siv tshuaj thiab kev siv lub cev, uas yog kws kho mob tau sau tseg. Ib txheej ntawm kev tawm dag zog yog xaiv tus kheej rau txhua tus neeg mob. Thiab qhov muaj pob hauv caj pas tsuas yog ib qho tsos mob uas tuaj yeem txiav txim siab osteochondrosis.

nias lub caj pas hauv cheeb tsam ntawm Adas lub kua
nias lub caj pas hauv cheeb tsam ntawm Adas lub kua

Symptoms

Ntau tus neeg tau rov xav tias lawv tau nias hauv lub caj pas, qhov tshwm sim no ua rau muaj kev tsis xis nyob tshwj xeeb. Los ntawm nws tus kheej, tus mob no tsis ua rau muaj kev phom sij rau kev noj qab haus huv. Txawm li cas los xij, qee zaum, qhov kev xav tsis zoo no yuav qhia tau tias muaj kab mob loj ntawm cov thyroid caj pas lossis caj pas. Txhawm rau kom tsis txhob ua rau muaj kev pheej hmoo ntawm kev noj qab haus huv, nws yog ib qho tsim nyog yuav tsum muaj peev xwm paub qhov txawv ntawm qhov tshwm sim tsis sib haum xeeb thiab lub tswb ceeb toom txog kev mob tshwm sim. Tab sis ua ntej koj yuav tsum paub seb puas muajcov tsos mob ntawm qhov teeb meem no los yog tsis. Muaj peev xwm tshwm sim:

  1. Zoo siab tom qab noj mov.
  2. Tseeb kub hnyiab thiab mob caj pas.
  3. ua pa nyuaj.
  4. Zoo siab kawg.
  5. Ntawm tawm hws thiab siab, qee zaum txias.
  6. Khxeev siab thiab lub plab zom mov chim.
  7. Pulsating mob taub hau.

Yog tias koj muaj ntau yam tsos mob, koj yuav tsum xav txog qhov ua rau nws tshwm sim thiab nrhiav kev qhia los ntawm tus kws tshaj lij uas muaj peev xwm. Koj yuav tsum tsis txhob ncua mus ntsib kws kho mob, vim tias tsuas yog kev kho mob raws sij hawm xwb thiaj li yuav pab kuaj tau tus kab mob.

Diagnosis

Yog nws nias ntawm caj dab thiab caj pas, ces muaj ntau yam laj thawj. Koj tuaj yeem sim sib txawv koj tus kheej txoj kev xav ntawm koj tus kheej, tab sis tsuas yog tus kws kho mob tuaj yeem tsim qhov kev kuaj mob zaum kawg thiab txiav txim siab txog kev kho mob. Txhawm rau tshem tawm cov kab mob uas ua rau muaj kev phom sij rau lub neej, nws yog ib qho tsim nyog mus ntsib kws kho mob.

Ua ntej tshaj, koj yuav tsum tau mus ntsib kws kho mob. Tom qab kev kuaj mob, tus kws kho mob tuaj yeem xa mus rau ib qho kev pabcuam rau tus kws kho mob otolaryngologist, endocrinologist, vertebrologist lossis neuropathologist. Yog tias tsim nyog, kev sab laj ntawm lwm tus kws kho mob, piv txwv li, tus kws kho mob gastroenterologist, yuav raug pom zoo. Ib pob hauv caj pas yog suav tias yog ib qho cim ntawm ntau yam kab mob, thiab thiaj li yuav tau txais kev kho kom raug thiab tsim nyog, nws yog ib qho tseem ceeb heev uas yuav tsum tsim kom muaj kev kuaj mob kom raug. Diagnostic method:

  • Tau suav suav.
  • Ua tiav urinalysis.
  • Yog xav tau, kuaj ntshav biochemical.
  • Kev kuaj mob ntawm caj dab, qog nqaij hlav hauv tsev menyuam, thyroid caj pas.
  • Kev kuaj kab noj hniav, hauv paus ntawm tus nplaig, palatine tonsils (oropharyngoscopy).
  • Kev kuaj mob caj pas, epiglottis, suab thiab vestibular qaum, subglottis, piriform sinuses (indirect laryngoscopy).
  • YThyroid ultrasound, kuaj cov thyroid hormones.
  • X-ray ntawm lub ncauj tsev menyuam qaum.
  • CT, MRI cervical spine.
ib pob nyob rau hauv caj pas presses nyob rau hauv lub sternum
ib pob nyob rau hauv caj pas presses nyob rau hauv lub sternum

Kev kho mob ntawm psychosomatic pathologies

Hauv 95% ntawm txhua qhov kev tsis txaus siab, nyem hauv caj pas tuaj yeem tshwm sim los ntawm neurosis, kev ntxhov siab. Qhov no yog li cas tib neeg lub paj hlwb reacts, ib tug spasm ntawm lub caj dab cov nqaij ntshiv tshwm sim, uas yuav ua tau nrog belching, kub hnyiab, heartburn, khaus, mob thiab dryness nyob rau hauv lub caj pas. Tom qab ua tib zoo kawm tus mob, tus kws kho mob tau sau ntawv kho mob rau lub hauv paus ntawm tus kab mob. Yog hais tias lub caj pas yog nias nyob rau hauv ib tug psycho-lub siab lub ntsws lub xeev, ces cov tshuaj nrog ib tug sedative nyhuv yog muab. Tinctures los yog ntsiav tshuaj raws li motherwort, valerian, ntau yam relaxing thiab soothing npaj, St. John's wort, mint thiab lwm yam yog siv. Nyob rau hauv lub complex muaj kev ua hauj lwm kev kho mob ntawm ib tug calming xwm, nyob rau hauv mob hnyav, tus neeg mob xav tau kev pab kho mob. Noj cov tshuaj xws li Nervo-VIT, Novopassit, Grandaxin, Apitonus-P. Cov tshuaj ntsuab thiab tshuaj ntsuab yuav zoo dua yog tias tus neeg mob ua kev kho mob tshwj xeeb ua ke nrog lawv.gymnastics, ua rau kom so ntawm cov leeg ntawm caj dab thiab relieving spasm nyob rau hauv caj pas.

Nrog kev puas siab puas ntsws, kev kho mob raws li cov tshuaj ntsuab hauv qab no pab:

  • motherwort;
  • valerian;
  • chamomile;
  • St. John's wort.

Txhua yam mob tuaj yeem tshwm sim los ntawm cov hlab ntsha thiab cov xwm txheej ntxhov siab, uas feem ntau tus neeg tsav nws tus kheej. Yog tias koj ua raws li txoj kev noj qab haus huv, ces koj yuav tsis ntshai tej teeb meem ntawm caj pas thiab lwm yam kabmob.

Kev sib tw gymnastics

Nias thiab pa tawm ob peb zaug rau hauv lub hnab. Tib lub sijhawm, sim ua pa nrog koj lub plab. Ntawd yog, txhawm rau txhawm rau cov leeg nqaij hauv plab ntau dua, tsis yog caj pas. Rov ua qhov kev tawm dag zog tsib mus rau rau lub sijhawm nrog lub sijhawm so ntawm tsib mus rau kaum feeb. Qhov kev tawm dag zog no tso cai rau koj kom tshem tawm cov suab nrov ntawm cov leeg ntawm caj dab, muaj txiaj ntsig zoo.

Qhov cuam tshuam ntawm kev ua neej ntawm pathology

Kev kho mob zoo tshaj plaws yog kev tiv thaiv! Thiab qhov no tsis pub leejtwg paub. Txhawm rau tiv thaiv qhov tshwm sim loj, koj yuav tsum ua tsis tu ncua ua ntau yam dej num:

  1. Kho cov tsos mob ntawm tus kab mob ENT.
  2. Tsis txhob nqus tshuaj lom.
  3. Tshuaj kho kab mob hauv plab.
  4. Yaug koj lub qhov ntswg thiab qhov ncauj tsis tu ncua nrog baking soda lossis ntsev.
  5. Kho cov kab mob thyroid tam sim.
  6. Kho ncaws pob.
  7. Ua kom cov chav koj nyob tsawg kawg ib hnub ib zaug.
  8. Tawm sab nraum zoov.
  9. Noj zaub mov kom txaus. Koj yuav tsum ntxiv dag zog rau koj cov zaub movtxiv hmab txiv ntoo thiab zaub tshiab.
  10. Tsis txhob strain koj lub suab.

Ib pob hauv caj pas tsis tas yuav ua rau mob hnyav. Nws kuj tuaj yeem ua rau muaj kev cuam tshuam los ntawm kev ua neej tsis zoo, uas yuav tsum tau ua kom muaj kev sib npaug thiab ua kom muaj tus cwj pwm zoo. Qhov tseem ceeb tshaj plaws yog tsis txhob cua koj tus kheej ua ntej. Yog tias koj raug kev txom nyem los ntawm somatic pathology, ces nws yog feem ntau contraindicated rau koj yuav ntshai thiab txhawj xeeb. Hauv qhov no, koj xav tau:

  • dej qab zib soothing, tshuaj ntsuab tshuaj yej;
  • ntxiv cov zaub mov uas muaj iodine rau koj noj;
  • ua soothing kev kho mob xws li massages, da dej, yoga, thiab lwm yam.
  • ua kom tsaug zog, txhim kho tus cwj pwm ntawm kev mus pw thiab sawv ib txhij.

Kev kho mob uas ua rau muaj kab mob

Nyob rau hauv cov xwm txheej uas ua rau muaj kev xav hauv lub caj pas yog teeb meem nrog kev ua haujlwm ntawm cov thyroid caj pas, ces kev kho tus kab mob yuav tsum tau ua kom tag nrho cov hauv paus ntsiab lus. Ntawd yog, kev kho mob suav nrog kev tshem tawm cov haujlwm tsis zoo ntawm cov thyroid caj pas. Cov tshuaj xws li Endocrinol, Iodine Active tuaj yeem pab tau. Cov mob hnyav dua yuav tsum muaj kev kuaj mob thiab kho kom tsim nyog.

Yog tias nws nias hauv caj pas vim muaj teeb meem ntawm caj dab thiab lub ncauj tsev menyuam qaum, tom qab ntawd siv cov tshuaj tua kab mob, tshuaj tua kab mob ("Diclofenac", "Ketanov", "Etodin Fort") thiab ntxiv rau phau ntawv, laser thiab reflex. kev kho mob.

Crushing hauv caj pas vim muaj teeb meem hauv txoj hlab pas? Ces tus neeg mobCov tshuaj tshwj xeeb raug sau tseg rau kev kho mob ntawm lub plab zom mov ("Creon", "Rennie", "Gastal"), ntxiv rau kev noj zaub mov. Yog hais tias nws nias nyob rau hauv lub caj pas vim yog ib tug hernia ntawm txoj hlab pas, ces lub ntsiab kev kho mob thiab kev kho mob ntawm tus kab mob no yog ib tug phais phais kom tshem tawm cov hernia. Nov yog tib txoj hauv kev los daws qhov teeb meem.

Nias hauv caj pas vim muaj kab mob ntawm cov kab mob ENT, tom qab ntawd tus kws kho mob muab tshuaj tua kab mob ("Amicacin", "Gentamicin") lossis lwm yam tshuaj, nrog rau gargling nrog tshuaj ntsuab infusions, tshuaj furacilin lossis dej qab zib. Qhov no yuav tua tus kab mob, yog li no relieving tus neeg mob ntawm cov teeb meem ntawm squeezing nyob rau hauv caj pas. Hauv qhov xwm txheej hnyav, kev phais raug qhia.

Nias hauv caj pas tuaj yeem yog vim mob qog noj ntshav thiab benign neoplasms. Qhov kev kho mob tseem ceeb hauv qhov no yog hluav taws xob lossis kws khomob. Hauv cov xwm txheej hnyav, kev phais yog ua kom tshem tawm cov qog. Lub sijhawm no, qhov laj thawj uas nws nias hauv caj pas tsis tau txiav txim siab, nws raug pom zoo:

  • hloov kev ua neej;
  • muab tus cwj pwm phem;
  • suav nrog ntau cov zaub mov, zaub thiab txiv hmab txiv ntoo hauv koj cov zaub mov;
  • khoom noj;
  • haus cov tshuaj yej soothing thiab decoctions;

Qhov no yuav pab tau koj cov leeg nqaij hauv caj dab thiab tuaj yeem tshem tawm pob hauv koj caj pas kom zoo. Txoj kev kho mob yog txiav txim los ntawm cov txiaj ntsig ntawm cov ntaub ntawv tau los ntawm kev kuaj mob thiab kev tshawb fawb.

Kho rau lymphadenitis:

  1. UHF txoj kev kho.
  2. Kev kho mob ntawm kev mob siab rau kev kis mob (piv txwv li, kev tuagabscesses, qhib purulent streaks).
  3. Tshuaj tua kab mob kuj muab.
  4. Kev kho mob phais. Ntawd yog, kev phais tshem tawm ntawm qhov tseem ceeb ntawm kev kis kab mob, ua raws li kev siv tshuaj kho mob:

    "Tubazid"; "Streptomycin" ua ke nrog PAS; "Ethionamide"; "Pyrazinamide"; "Protionamide"; "Ethambutol".

Kev kho mob tas li ntawm 8 mus rau 15 lub hlis hauv tsev kho mob, thaum kho, tshuaj tua kab mob tau txhaj rau hauv cov qog nqaij hlav, cov ntaub qhwv ntub dej hauv cov tshuaj tiv thaiv kab mob yog siv rau cov qog nqaij hlav.

tshuaj kho mob
tshuaj kho mob

Nyob rau hauv cov ntaub ntawv uas purulent lymphadenitis yog pronounced, nws yog ib qho nyuaj, ces nyob rau hauv cov ntaub ntawv no tus kws kho mob muab tshuaj tua kab mob broad-spectrum:

  • "Penicillin";
  • "Augmentin";
  • "Amoxicillin";
  • "Amoxiclav";
  • "Amoxiclad";
  • "Cirolet";
  • "Azithromycin";
  • "Cifran";
  • "Biseptol".

Qhov kev cia siab rau kev kho mob lymphadenitis feem ntau yog qhov zoo. Qhov tseem ceeb tshaj plaws yog los tiv thaiv kev hloov mus rau purulent kab mob ntawm tag nrho cov kab mob.

siab hauv caj pas
siab hauv caj pas

Kev Tiv Thaiv

Tsuas muaj 10 txoj cai yooj yim koj yuav tsum ua raws uas tuaj yeem zam qhov kev xav ntawm nyem hauv caj pas:

  • Mus ntsib kws kho mob ntawm thawj cov tsos mob ntawm cov kab mob ENT. Txhawm rau kuaj xyuas kom raug thiab kho tau zoo, nws kuj yog qhov tsim nyogcov kws tshaj lij tswv yim.
  • Ua raws li kev tiv thaiv kev nyab xeeb thaum ua haujlwm nrog cov tshuaj lom.
  • Saib xyuas cov av noo hauv chav. Txhawm rau ua qhov no, koj tuaj yeem yuav lub tshuab humidifier tshwj xeeb lossis ua haujlwm ntub dej.
  • Nquag mus ntsib kws kho mob thiab kws kho mob otolaryngologist kom tsis txhob nco cov kev hloov pauv tseem ceeb hauv lub cev thiab, yog tias tsim nyog, pib kho raws sijhawm.
  • Taug kev tsawg kawg 40 feeb hauv ib hnub, ua 15 feeb ntawm kev tawm dag zog ib hnub, nyob twj ywm yog tias ua tau.
  • Tiv thaiv caj pas kom tsis txhob raug cov khoom noj kub thiab txias los yog dej haus.
  • Saib cov hauv paus ntawm kev noj zaub mov kom raug thiab saib xyuas lub xeev ntawm lub plab zom mov.
  • Txhob haus luam yeeb vim cov pa luam yeeb nicotine tuaj yeem ua rau khaus, hnoos thiab lwm yam tsis xis nyob hauv caj pas.
  • Kho kom zoo rau kev ua haujlwm txhua hnub, qhov no yuav pab txo qis kev ntxhov siab thiab, vim li ntawd, txhawb kev tiv thaiv.
  • Ua tib zoo saib xyuas qhov ncauj thaum sawv ntxov thiab yav tsaus ntuj kom tsis txhob muaj kab mob loj hlob.

Pom zoo: