Tshem tawm cov cyst yam tsis muaj hniav rho tawm: cov ntsiab lus ntawm cov txheej txheem

Cov txheej txheem:

Tshem tawm cov cyst yam tsis muaj hniav rho tawm: cov ntsiab lus ntawm cov txheej txheem
Tshem tawm cov cyst yam tsis muaj hniav rho tawm: cov ntsiab lus ntawm cov txheej txheem

Video: Tshem tawm cov cyst yam tsis muaj hniav rho tawm: cov ntsiab lus ntawm cov txheej txheem

Video: Tshem tawm cov cyst yam tsis muaj hniav rho tawm: cov ntsiab lus ntawm cov txheej txheem
Video: Tshuaj theem vim li cas thiaj tau nqi ?/ Siv kho mob dab tsi?/paris polyphylla use for? 2024, Lub Xya hli ntuj
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Yuav luag txhua tus tau ntsib kev mob hniav tsawg kawg ib zaug hauv lawv lub neej. Thaum nws los txog rau cov kab mob zoo tib yam, feem ntau ib qho mus ntsib kws kho hniav txaus - thiab qhov teeb meem yuav daws tau. Tab sis tej zaum yuav muaj ib qho mob hnyav dua uas yuav tsum tau muaj kev cuam tshuam tam sim ntawd, thiab qee zaum yuav tsum ceev faj xaiv txoj kev kho. Piv txwv li, ib tug hniav cyst, nws tshwm sim. Tom qab ntawd cov lus nug tshwm sim: nws puas tuaj yeem tshem tawm cyst yam tsis tau tshem cov hniav? Peb yuav sim teb nws kom ntxaws li sai tau.

cyst yog dab tsi?

Nov yog cov qog nqaij hlav zoo uas tshwm sim raws li cov lus teb ntawm lub cev tiv thaiv kab mob rau kev nkag mus ntawm cov kab mob pathogenic. Qhov ua rau nws tsim tuaj yeem ua rau tus hniav raug mob lossis kho tsis raug ntawm cov kab mob ntawm qhov ncauj.

cyst tshem tawm yam tsis muaj hniav rho tawm
cyst tshem tawm yam tsis muaj hniav rho tawm

Feem ntau, cov cyst tsim nyob rau sab sauv ntawm cov hniav. Hmoov tsis zoo, nws yuav luag tsis yooj yim sua kom txiav txim siab qhov muaj xws li kev tsim nyob rau hauv thawj theem ntawm txoj kev loj hlob ntawm cov txheej txheem pathological, txawm tias thaum kuaj los ntawm kws kho hniav. Tau ntau xyoo, tus kab mob tuaj yeem tshwm sim yam tsis muaj qhov tshwm sim, thiab tom qab ntawd cov lus nug tshwm sim: nws puas tuaj yeem kho tus hniav cyst yam tsis tau tshem tawm?

Txhua tusCov kws kho mob yuav koom ua ke qhia rau koj tias xws li pathology yuav tsum tau kho, txwv tsis pub muaj qhov tshwm sim loj tuaj yeem tshwm sim hauv daim ntawv ntawm fistulas, thiab tsis deb ntawm cov ntshav lom, tsis hais txog qhov poob ntawm cov hniav, lossis ntau tshaj ib qho.

Tsis ntev los no, vim tsis muaj cov cuab yeej kho hniav niaj hnub no, nws muaj peev xwm daws tau qhov teeb meem no tsuas yog los ntawm txoj kev cardinal - tshem cov cyst nrog rau cov hniav. Tab sis tam sim no nws muaj peev xwm kho tus hniav cyst yam tsis muaj kev rho tawm. Kazan, piv txwv li, zoo siab qhib lub qhov rooj ntawm lub tsev kho mob rau nws cov neeg nyob hauv, qhov chaw uas cov neeg ua haujlwm paub txog yuav txo koj ntawm qhov teeb meem no thiab khaws cov pob txha kom ntau li ntau tau. Lub tsev kho mob nyob ntawm qhov chaw nyob: Chistopolskaya txoj kev, 77/2. Koj tuaj yeem hu ua ntej thiab teem caij.

kho tsis tau tshem tawm

Yog tias qhov tsim no tau kuaj pom nyob rau theem pib ntawm kev txhim kho, ces tus kws kho hniav tuaj yeem hais qhia txog kev kho tshuaj. Qhov no yog ua tau yog hais tias ib tug neoplasm ntawm connective cov ntaub so ntswg tau tshwm sim nyob rau hauv lub hauv paus ntawm cov hniav, tab sis tseem tsis tau muaj cov kua. Nws hu ua granuloma. Koj tuaj yeem sim tshem nws yam tsis muaj kev pab ntawm kev phais. Nov yog qhov nws zoo li:

  1. Thaum mus ntsib kws kho hniav, qhib qhov kwj dej kom nkag mus rau qhov neoplasm ntawm cov hauv paus hniav.
  2. Txhua tus channel thiab kab noj hniav tau ntxuav zoo.
  3. Tus kws kho mob yuav muab cov tshuaj tso rau hauv kom tsis txhob kis kab mob ntxiv.
  4. Ib ntus ntim rau saum kom cov tshuaj tsis poob tawm thiab cov khoom noj thiab cov kua dej tsis nkag mus rau hauv.

Kev kho mob ntawm qhov kev mus ntsib no tsis yogkawg. Tus kws kho mob feem ntau yuav sau cov tshuaj tua kab mob los txo cov txheej txheem inflammatory. Ib ntus, koj yuav tau mus ntsib kws kho mob saib xyuas cov txheej txheem kho.

kho hniav cyst tsis muaj extraction
kho hniav cyst tsis muaj extraction

Yog tus kws kho hniav pom tias lub cyst maj mam kho thiab txo qhov loj, ces txoj kev kho yuav ua tiav. Txwv tsis pub, cov lus nug tshwm sim: puas tuaj yeem kho tus hniav cyst yam tsis tau tshem tawm?

Qhia rau kev tshem tawm cyst

Thaum lub cyst yog nyob rau theem pib ntawm kev loj hlob, nws yog qhov teeb meem zoo los kuaj pom nws, qhov no yog tag nrho nws qhov kev phom sij. Nws tuaj yeem txhim kho asymptomatically rau lub sijhawm ntev, tus neeg mob yuav tsum paub tseeb tias txhua yam nyob rau hauv kev txiav txim nrog nws cov hniav, kom txog rau thaum ib lub sijhawm zoo nws hnov qhov tho, mob ntse. Cov tsos mob hauv qab no kuj tseem tuaj yeem pom:

  • nce lub cev kub.
  • Gum thiab plhu o.
  • Kev noj qab haus huv tsis zoo.
  • Cyst formation headache tshwm.
  • Lymph nodes loj tuaj.

Kev tshem tawm cov cyst yam tsis tau tshem cov hniav los yog ua ke nrog nws tsuas yog tsim nyog, vim nws tsis yog tsuas yog cov hniav ntawm cov hauv paus hniav uas nws tau tsim, tab sis kuj cov neeg nyob sib ze. Loj hlob, nws displaces lawv, injures cov hauv paus hniav. Tib neeg kev tiv thaiv raug kev txom nyem, nrog rau yuav luag txhua yam kabmob tseem ceeb.

Nws puas tuaj yeem kho tus hniav cyst yam tsis muaj kev rho tawm
Nws puas tuaj yeem kho tus hniav cyst yam tsis muaj kev rho tawm

Kev kho tshuaj nyob rau hauv cov xwm txheej zoo li no yuav tsis ua rau muaj txiaj ntsig zoo, yog li koj yuav tsum tau sivphais kev cuam tshuam. Tab sis koj yuav tsum tsis txhob txhawj txog qhov no: tam sim no cov kws kho hniav paub yuav kho tus hniav cyst yam tsis tau tshem tawm. Yog tus hniav nws tus kheej tsis puas lawm ces tus kws kho mob yuav tsis tshem nws.

Yuav ua li cas kho tus hniav cyst yam tsis tau tshem tawm?

Cov tshuaj niaj hnub niaj hnub tau txav mus ntxiv thiab ntxiv hauv kev paub txog cov txheej txheem tshiab tshaj plaws ntawm kev kho mob thiab kev siv dag zog. Tam sim no, nrog rau txhua yam pathology, kev tshem tawm cov hniav tsuas yog ua tiav yog tias nws cov yas tsis tuaj yeem rov qab los.

Ib cyst rau cov kws kho hniav niaj hnub no kuj tsis yog qhov teeb meem loj, feem ntau ib qho kev mus ntsib kws kho mob txaus los daws cov kab mob no. Tshem tawm cov cyst yam tsis tau tshem cov hniav yog yooj yim dua ua dua li txheeb xyuas tus kab mob no. Qhov khoom yog tias lub cyst tsuas tuaj yeem lees paub ntawm x-ray, thiab qhov kev xa mus yog muab rau thaum muaj xwm txheej ceev xwb.

Txoj kev kho cov hlwv uas tsis muaj hniav rho tawm

Thaum tus neeg mob tuaj ntsib kws kho hniav nrog kev tsis txaus siab ntawm cov tsos mob saum toj no, thaum kuaj xyuas, tus kws kho mob txiav txim siab txog qib ntawm cov nqaij mos puas thiab qhov chaw ntawm neoplasm. Tom qab ntawd, nws txiav txim siab seb puas tuaj yeem kho tus hniav cyst yam tsis muaj kev tshem tawm. Muaj ntau ntau txoj hauv kev ntawm kev kho mob hauv arsenal ntawm kws kho hniav:

  1. Kev kho mob.
  2. Kev phais.
  3. Laser.

Txhua tus muaj nws qhov zoo thiab qhov tsis zoo, tab sis qhov kev xaiv yuav nyob ntawm qhov hnyav ntawm cov kab mob.

yuav ua li cas kho tus hniav cyst yam tsis muaj extraction
yuav ua li cas kho tus hniav cyst yam tsis muaj extraction

Peb yuav tshuaj xyuas kom meej txhua txoj kev kho cyst.

kev kho mob

hom kev kho no yog ua los ntawm cov kwj dej hauv paus. Cov hniav tsis raug kev txom nyem tom qab kev kho mob zoo li no. Nws ntseeg tau tias txoj kev no ntawm kev soj ntsuam nrog lub cyst yog qhov kev nyab xeeb tshaj plaws. Nov yog cov kauj ruam ua raws:

  1. Tus kws kho mob ntxuav cov kwj dej ntawm cov hniav thiab tshem tawm cov tawv nqaij.
  2. Npaj ntawm kev tsim raug txiav tawm, thiab tag nrho cov ntsiab lus purulent raug tso tawm ntawm nws.
  3. Tag nrho cov kab noj hniav yog kho nrog tshuaj tua kab mob.
  4. Tus kws kho mob muab tshuaj pleev ib ce rau hauv, uas yuav pab ua kom lub cev rov tsim dua tshiab.
  5. Ib ntus ntim kom tsis txhob muaj zaub mov nkag mus hauv.

Kev tshem tawm cov cyst yam tsis tau tshem cov hniav tuaj yeem ua rau lwm txoj kev kho:

  1. Khuv hniav qhib thiab tshem tawm cov kua paug tag.
  2. tooj liab-calcium oxide yog nchuav rau hauv cov kab noj hniav thiab cov hluav taws xob tsis muaj zog yog siv rau nws.

Raws li qhov tshwm sim ntawm cov txheej txheem no, cov khoom hauv cov kab noj hniav txav mus thiab muab faib rau tag nrho saum npoo, tshem tawm cov kab mob feem ntau. Nyob rau hauv ib txoj kev zoo li no, nws yuav tsis muaj peev xwm tiv tau tag nrho cov pathology, koj yuav tau ua nws ob peb zaug.

Tom qab ib ntus, tus neeg mob tuaj rau lub sijhawm thib ob, thiab tus kws kho mob, tshem tawm cov ntim ib ntus, ntsuas qhov kho kom zoo. Yog hais tias tus txheej txheem mus raws li kev npaj, ces tom qab ib pliag nws yuav muaj peev xwm muab ib tug tas mus li filling thiab tsis nco qab txog qhov teeb meem.

Ntawm no peb tuaj yeem xav tias kev kho cov hniav cyst yam tsis tau tshem tawm tau ua tiav thiab ua tiav.

Kev tshem tawm cov cyst

Peb twb yogtau sau tseg tias lub cyst yog ib qho insidious neoplasm, vim hais tias nyob rau hauv thawj theem ntawm nws txoj kev loj hlob nws tsis qhia tej yam tshwm sim thiab tsis thab tus neeg mob. Kev kuaj mob qog nqaij hlav hauv cov theem tom ntej yuam cov kws kho hniav mus rau kev phais kom pab tus neeg mob. Kev kho cov hniav cyst yam tsis tau tshem tawm hauv Vitebsk, piv txwv li, tuaj yeem ua tau zoo ntawm qhov chaw kho hniav "Dentamari". Cov kws tshaj lij, siv cov cuab yeej siv niaj hnub no thiab cov thev naus laus zis tshiab, cawm lawv cov neeg mob los ntawm kev txom nyem thiab tshem tawm cov cyst sai thiab tsis mob.

Txhawm rau tshem tawm cov qog, cov kws kho hniav siv ntau txoj kev:

  1. YCystotomy. Thaum lub sijhawm ua haujlwm zoo li no, tus kws kho mob ib nrab tshem tawm lub plhaub ntawm neoplasm kom tshem tawm cov ntsiab lus purulent. Raws li txoj cai, txoj kev no yog siv rau thaum lub cyst loj heev, los yog muaj kev pheej hmoo ntawm kev puas tsuaj rau cov ntaub so ntswg nyob sib ze. Tag nrho cov kev tswj hwm tau ua raws li kev siv tshuaj loog hauv zos, yog li tus neeg mob yuav tsis muaj qhov tsis xis nyob.
  2. Cystectomy yog qhov tshem tawm tag nrho ntawm lub cyst. Cov neeg mob tuaj yeem nyob twj ywm: cov txheej txheem, tsis zoo li lwm txoj hauv kev, tsis mob, thiab cov hniav yuav nyob twj ywm thiab tsis zoo.
  3. Kev txiav txim. Thaum siv cov txheej txheem no, tus kws kho mob tshem tawm cov cyst thiab ib feem ntawm lub apex ntawm cov hauv paus hniav uas nws nyob. Tsuas yog tus tswv tiag tiag ntawm nws cov khoom siv tes ua tuaj yeem ua txoj haujlwm. Yog tias kev kho mob ntawm cov hniav cyst yam tsis muaj kev tshem tawm, Ryazan tuaj yeem khav ntawm cov kws kho mob tshwj xeeb, piv txwv li, hauv Lyudmila clinic.
  4. Yog qhov tshuaj ntsuam pom tias lub hauv pauscov hniav yog qhov tsis zoo, nws yog qhov zoo dua los nqa tawm hemisection thaum lub cyst raug tshem tawm nrog rau cov hniav. Qhov no yog qhov tsim nyog ntau dua, txij li tus kab mob, tseem tshuav nyob rau hauv cov ntaub so ntswg, yuav ua rau cov txheej txheem inflammatory. Nws muaj peev xwm ua tiav kev kho kom tiav tom qab tshem tawm cov kab mob hniav, yog li tus neeg mob lub luag nyav yuav tsis raug kev txom nyem.

txheej txheem tshem tawm lub cyst

Kev ua haujlwm txhawm rau tshem tawm cov cyst yuav tsum tau npaj qee yam, yog tias tsis muaj qhov xwm txheej tshwj xeeb, tus kws kho mob thiab tus neeg mob tham txog lub sijhawm tshem tawm cov neoplasm. Txawm hais tias cov txheej txheem yuav ua raws li kev siv tshuaj loog, nws tseem yog ib qho kev ua haujlwm nrog kev phais hauv cov pos hniav thiab tshem tawm cov hlab ntsha, yog li los ntshav tuaj yeem ua tau. Txhawm rau txo qhov kev pheej hmoo ntawm qhov tsis zoo, tus neeg mob tau qhia rau:

  • Tsis txhob haus cawv ib hnub ua ntej kev phais.
  • Txo cov luam yeeb uas koj haus luam yeeb.
  • Ntawm caffeinated haus.

Txhob noj mov yuav tsum tsis txhob tsis kam yuav, ntawm qhov tsis sib xws, ua ntej mus rau tom tsev kho mob, koj yuav tsum noj, vim tias tom qab ntawd nws yuav ua tsis tau ib ntus.

Kev kho hniav cyst tsis muaj kev tshem tawm Kazan
Kev kho hniav cyst tsis muaj kev tshem tawm Kazan

Kev ua haujlwm ntawm kws kho hniav yuav muaj cov kauj ruam hauv qab no:

  1. Qhov chaw tseeb ntawm lub cyst yog txiav txim siab siv x-rays. Qhov no tuaj yeem ua tiav siv suav tomography.
  2. Tshuaj loog nyob rau hauv kev kawm.
  3. Tom qab qhov mob tau txais txiaj ntsig, tus kws kho mob yuav tho ib qhov ntawm cov hniav thiab tshem tawm cov hlab ntsha.
  4. kauj ruam tom ntej yog kev ntxuav cov kwj dej kom huv thiab kho nrog tshuaj tua kab mob.
  5. Ib lub foob raug ntsia.
  6. Tom ntej no, tus kws kho mob txiav cov pos hniav thiab tshem cov cyst nrog rau cov hauv paus hniav lossis ib feem ntawm nws.
  7. Cov kab mob uas tshwm sim tau muaj cov ntshav plasma los ntawm tus neeg mob cov ntshav lossis cov tshuaj lom neeg tshwj xeeb.
  8. qhov txhab yog sutured.

Kev ua cystectomy

Kev tshem cov hniav cyst yam tsis muaj kev phais ib txwm ua tsis tau, yog li cystectomy tau ua ntau zaus yog tias koj xav tshem tawm cov neoplasm. Rau cov txheej txheem, tus kws kho mob yuav xav tau cov cuab yeej ultra-thin, kho hniav kho qhov muag thiab laser, uas yog siv los ua kom tsis muaj kab noj hniav. Koj tuaj yeem siv ultrasound rau cov laj thawj no.

Txoj haujlwm tag nrho yog raws li hauv qab no:

  1. tshuaj loog hauv zos tswj hwm.
  2. Kws kho hniav drills ib qhov ntawm cov hniav kom ntxuav cov hauv paus hniav.
  3. Ib lub koob yees duab micro-lub koob yees duab tau ntxig rau hauv cov kab noj hniav npaj, thiab qhov tseeb qhov chaw ntawm lub cyst tuaj yeem pom ntawm lub monitor.
  4. Siv cov cuab yeej tshwj xeeb, tus kws kho mob ntxuav cov kwj dej hauv paus thiab ua kom dav.
  5. Tom ntej, lub cyst qhib thiab nws cov ntsiab lus raug tshem tawm.
  6. Txhua qhov chaw raug kho nrog lub laser los rhuav tshem cov kab mob.
  7. Yuav tshuaj tua kab mob rau hauv lub cyst.
  8. Tom qab tag nrho, koj tuaj yeem sau cov kwj dej thiab pib kho tus hniav.

Nws siv sijhawm li ib teev rau txhua qhov kev tswj hwm los ntawm tus kws kho mob. Tom qab ua haujlwm, tus neeg mob tseem nyob hauv lub rooj zaum rau qee lub sijhawm kom nws tus mob tuaj yeem saib xyuas, thiab tom qab ntawd nws mus tsev. Raws li txoj cai, tsis tas yuav mus ntsib kws kho hniav thib ob, txij li thaum nyob rau hauv kev cuam tshuam ntawm cov tshuaj txhaj, lub cyst.thaum kawg yaj. Yog tias koj nyob hauv Moscow thiab koj xav tau kev kho mob ntawm cov hniav cyst yam tsis tau tshem tawm, Eastern Administration Okrug (Eastern Administration District) qhib lub qhov rooj ntawm lub chaw kho mob ntawm 32 Sirenevy Boulevard rau nws cov neeg nyob. Cov kws tshaj lij yuav ua txhua yam sai thiab ua tau zoo.

Kev kho hniav cyst tsis tshem tawm hauv Vitebsk
Kev kho hniav cyst tsis tshem tawm hauv Vitebsk

Siv lub laser tshem tawm cyst

Cov chaw kho hniav niaj hnub tuaj yeem muab lawv cov neeg mob rau lwm txoj hauv kev - laser hniav tshem tawm. Cov txheej txheem no yog ua los ntawm kev kho laser. Txoj kev no tsis mob kiag li, ntxiv mus, nws muaj peev xwm tiv tau cov qog sai sai thiab zoo.

txheej txheem yog raws li hauv qab no:

  1. Kwv txhiaj tawm tshiab.
  2. Ib lub laser txhaj rau hauv nws, uas rhuav tshem lub plhaub ntawm neoplasm thiab hlawv phab ntsa, tshuaj tua kab mob.

Kev kho hniav cyst tsis muaj laser tshem tawm muaj nws qhov zoo:

  • Yuav tshem tawm cov neoplasm, tsis tas yuav tsum tau npaj.
  • Relapses yog xyaum tsis suav nrog.
  • Tom qab raug tshem tawm, tus neeg mob rov zoo sai heev.

Tau kawg, kuj tseem muaj qhov tsis zoo: thawj zaug, qhov no yog tus nqi siab ntawm cov txheej txheem, yog li tsis yog txhua tus neeg mob tuaj yeem them taus, thiab qhov thib ob, qhov muaj peev xwm ntawm kev siv cov qauv no tsuas yog muaj cov qog me me xwb.

laser hniav cyst tshem tawm
laser hniav cyst tshem tawm

tshuaj ntsuab tiv thaiv kab mob

Koj tuaj yeem sim kho tus hniav cyst yam tsis tau rho tawm,pej xeem tshuaj. Lawv yuav pab txo qhov o, yaj cov qog. Yog li ntawd, cov zaub mov hauv qab no tuaj yeem muab tau:

  1. Siv dej ntsev. Ua li no, noj 250 ml ntawm boiled dej thiab ntxiv 1 tsp. ntsev los yog dej qab zib. Yaug ntau zaus hauv ib hnub. Qhov no yuav pab txo qhov mob.
  2. Npaj ib qho infusion nrog 1 tablespoon txhua ntawm horsetail, sage, eucalyptus, thyme, chamomile, thiab calendula. Ncuav dej npau npau thiab tawm rau 4 teev. Siv yaug 2 zaug ib hnub twg.
  3. Koj tuaj yeem siv cov cawv cawv los tua kab mob, tab sis lawv tuaj yeem ua rau mob. Nws tseem yuav tsum nco ntsoov tias tsuas yog cov neeg laus raug tso cai siv cov tshuaj no.
  4. Cov tshuaj tua kab mob ntawm hydrogen peroxide paub, yog li nws tuaj yeem siv los yaug, tab sis ua ntej diluted nrog dej hauv qhov sib piv ntawm 1: 1.
  5. txiv qaub kua txiv, thaum diluted 1: 1 nrog dej, tuaj yeem siv los yaug tom qab txhua pluas noj. Nws yuav txo qhov o thiab tshem tawm qhov liab. Cov neeg uas ua xua rau citrus txiv hmab txiv ntoo yuav tsum ceev faj nrog cov tshuaj no.
  6. Nrov heev hauv kev tawm tsam qej cyst. Siv nws nyob rau hauv daim ntawv ntawm rubbing rau hauv cov pos hniav. Hauv thawj lub sijhawm, qhov mob hnyav yuav tshwm sim, tab sis tom qab ntawd nws yuav hnov mob tsawg dua. Cov tshuaj tua kab mob ntawm qej yog paub, yog li nws siv yuav tsis ua mob.
  7. Koj tuaj yeem siv cov roj tseem ceeb los ua kev kho mob, nws yog qhov zoo tshaj plaws xaiv almonds lossis mint. Lawv tiv tau zoo nrog tus kab mob thiab txo qhov mob. Koj tuaj yeem yuav ntawm txhua lub tsev muag tshuaj thiab siv rauyaug ob peb zaug hauv ib hnub.

Thaum pib kho cov hlwv nrog cov tshuaj pej xeem, nws yog ib qho tseem ceeb kom paub tias cov kev kho mob zoo li no yuav tsis pab. Qhov pom kev nyem yuav zais qhov kev loj hlob ntxiv ntawm neoplasm. Ntawm thawj cov cim qhia ntawm pathology, nws yog qhov zoo dua mus ntsib tus kws kho mob tshwj xeeb uas yuav paub txog qhov teeb meem thiab muab txoj hauv kev zoo tshaj plaws kom tshem tau nws. Lub cyst yog ib qho insidious tsim, thiab yog tias koj tsis xyuam xim rau nws, tab sis txo qhov mob nrog tshuaj tua kab mob thiab yaug, tom qab ib pliag nws tuaj yeem kis tau los ntawm ib tus hniav mus rau lwm qhov. Yog li nws puas tsim nyog tso koj tus kheej kom pheej hmoo poob ntau cov hniav ib zaug, yog tias koj tuaj yeem mus ntsib kws kho mob tam sim ntawd?

Pom zoo: