Tshuaj pleev "Zirtek": cov lus qhia rau kev siv, muaj pes tsawg leeg, analogues

Cov txheej txheem:

Tshuaj pleev "Zirtek": cov lus qhia rau kev siv, muaj pes tsawg leeg, analogues
Tshuaj pleev "Zirtek": cov lus qhia rau kev siv, muaj pes tsawg leeg, analogues

Video: Tshuaj pleev "Zirtek": cov lus qhia rau kev siv, muaj pes tsawg leeg, analogues

Video: Tshuaj pleev
Video: nkaujxw, mus xawb tshuaj zoo hnoos sawv ntxov 2024, Hlis ntuj nqeg
Anonim

Hnub no, koj tsis tuaj yeem nrhiav Zirtek tshuaj pleev hauv cov khw muag tshuaj: tsuas yog tee thiab ntsiav tshuaj tau tsim los ntawm lub npe no. Tab sis muaj ntau cov tshuaj pleev nrog rau lwm cov tshuaj uas muaj txiaj ntsig zoo thaum muaj kev fab tshuaj. Vim li cas Zyrtec thiaj li nrov thiab vim li cas cov kws kho mob tau sau ntau zaus? Xav txog cov yam ntxwv ntawm cov cuab yeej no. Cia peb xyuam xim rau cov tshuaj pleev, uas feem ntau tau sau rau hauv cov ntaub ntawv ntawm kev ua xua, yog tias cov ntsiav tshuaj thiab cov tee tsis muaj txiaj ntsig lossis tsis siv rau hauv qee kis.

Technical info

Hloov cov tshuaj pleev, Zyrtec tau nthuav tawm rau cov neeg tuaj saib hauv daim ntawv tee thiab ntsiav tshuaj. Cov tee yog tsim los rau kev tswj qhov ncauj. Cov ntsiav tshuaj yog tsim nyob rau hauv daim ntawv ntawm film-coated capsules. Lawv yog ua nyob rau hauv dawb, muaj ib tug oblong duab, ob qhov chaw yog convex. Ib sab yog supplemented nrog engraving, pheej hmoo. Cov tee yog cov kua uas tsis muaj xim, pob tshab. Yog koj hniakoj tuaj yeem hnov qhov tshwj xeeb aroma. Cov khoom xyaw tseem ceeb yog cetirizine hydrochloride. Txhua ntsiav tshuaj muaj 10 mg. Ib milliliter ntawm tee muaj tib tus nqi ntawm cov khoom xyaw nquag.

zyrtec cov lus qhia
zyrtec cov lus qhia

Hauv kev tsim cov ntsiav tshuaj, opadry, cellulose, lactose, magnesium, silicon, thiab titanium compounds yog siv los ua cov khoom xyaw ntxiv. Cov khoom siv hauv kev tsim cov tee yog sodium molecules, acetic acid, tshwj xeeb npaj dej, glycerol, methyl-, propylparabenzene, propylene glycol.

tshuaj kho mob

Zoo li qee cov tshuaj pleev uas tau nthuav tawm hauv khw muag tshuaj, "Zirtek" yog ib qho cuab yeej uas muaj txiaj ntsig zoo hauv kev tawm tsam kev ua xua. Cov khoom xyaw tseem ceeb ntawm cov tshuaj no inhibits histamine hom H1 receptors. Nyob rau hauv kev sib tw hom, tus neeg sawv cev yog ib tug histamine antagonist. Ntawm nws cov nuj nqis, nws tiv thaiv, pab txhawb lub rhiab heev ntawm lub cev. Cov tshuaj muaj cov teebmeem uas tshem tawm qhov khaus thiab txo qhov tso tawm ntawm exudate.

Cetirizine, uas yog ib feem ntawm Zirtek (cov tshuaj pleev nrog cov tshuaj no tseem tsis tau tsim), muaj peev xwm kho cov kev ua xua thaum ntxov, nyob ntawm cov tshuaj histamine. Raws li nws cov kev cuam tshuam, kev tso tawm ntawm cov neeg kho mob inflammatory nyob rau theem kawg ntawm kev nkag siab yog txwv. Kev tsiv teb tsaws ntawm neutro-, baso-, eosinophils ua haujlwm tsawg. Cov tshuaj normalizes mast cell daim nyias nyias, ua rau cov phab ntsa capillary tsawg permeable, tiv thaiv cov ntaub so ntswg o thiab tshem tawm cov leeg nqaij spasms. Cov tawv nqaij tshwm sim los ntawm histamine raug tshem tawmcuam tshuam ntawm kev ua xua. Cov chav kawm ntawm urticaria yog yooj yim vim qhov txias ntawm cov ntaub so ntswg. Txo bronchial constriction tiv thaiv keeb kwm yav dhau ntawm histamine, pom nyob rau hauv mob hawb pob.

Pharmacology nuances

Cov lus qhia rau kev siv nrog Zirtek (koj tsis tuaj yeem yuav tshuaj pleev nrog lub npe no, tab sis muaj tee thiab ntsiav tshuaj) qhia tias cov tshuaj tsis muaj cov nyhuv antiserotonin, anticholinergic. Siv nyob rau hauv ib koob tshuaj kho mob tsis suav nrog cov teebmeem sedative.

Tom qab ib qho kev noj ib zaug ntawm 10 mg ntawm cov khoom tseem ceeb, cov txiaj ntsig tseem ceeb tuaj yeem pom hauv thawj peb ntawm ib teev hauv txhua qhov thib ob, hauv 95% ntawm cov neeg mob nws raug kho hauv thawj teev. Lub sij hawm yog ntau tshaj ib hnub. Thaum siv cov chav kawm, tsis muaj kev zam. Tom qab tso tseg txoj kev kho mob, cov nyhuv yuav kav ntev li peb hnub.

dab tsi zoo dua zyrtec
dab tsi zoo dua zyrtec

Kinetics

Muaj ib qho kev hloov pauv hauv cov kev ntsuas kinetic ntawm cov khoom tseem ceeb ntawm cov tshuaj - cetirizine, uas nws cov yam ntxwv tau piav qhia hauv cov lus qhia rau kev siv Zirtek. Tsis muaj tshuaj pleev nrog cov tshuaj no ntawm kev muag, tee thiab ntsiav tshuaj raug tsim. Yog li ntawd, ceev faj tsis txhob yuav tus cuav.

Nws tau sau tseg tias thaum siv, tus neeg sawv cev tau nrawm nrawm thaum lub sijhawm ua haujlwm ntawm txoj hnyuv. Nrog rau ib koob tshuaj ntawm kev kho mob ntim rau hauv tus neeg laus lub cev, qhov siab tshaj plaws concentration yog tsau nyob rau hauv ib teev nrog ib tug ua tau deviation nce thiab nqis rau ib nrab ib teev. Lub parameter yog kwv yees li ntawm 300 units. Cov pluas noj tsis kho qhov nqus nqus.

Lub peev xwm los khi rau cov ntshav plasma protein yog kwv yees li ntawm 93%, thiab qhov ntim ntawm cov ntshav xa tawm mus txog ib nrab litre ib kilo. Thaum siv 10 mg rau ib chav kawm kaum-hnub, tsis muaj cov teebmeem tshwm sim.

Kinetics

Raws li koj tuaj yeem pom los ntawm cov lus qhia rau "Zirtek" (tsis muaj tshuaj pleev, tab sis tee, ntsiav tshuaj tuaj yeem yuav ntawm txhua lub tsev muag tshuaj), cov khoom tseem ceeb uas thaiv cov tshuaj histamine tau hloov pauv me ntsis hauv daim siab. Cov tshuaj tiv thaiv yog dealkylation. Cov tshuaj tiv thaiv cov khoom tsis muaj cov tshuaj pharmacological. Qhov no txawv heev ntawm tus neeg sawv cev hauv nqe lus nug los ntawm lwm cov khoom uas thaiv histamine receptors, txij li cov cytochrome enzyme yog siv rau lawv cov metabolism hauv lub siab.

Ib nrab-lub neej ntawm tus neeg laus yog kwv yees li ntawm 10 teev. Kwv yees li ob feem peb ntawm cov tshuaj tau raug tshem tawm los ntawm lub raum hauv daim ntawv ntawm cov qauv qub.

Zyrtec contraindications
Zyrtec contraindications

Ntawm thiab sijhawm

Rau cov neeg hauv pawg hnub nyoog txij li rau lub hlis txog rau hnub nyoog ob xyoos, ib nrab lub neej kwv yees li ntawm 3.1 teev, rau cov menyuam yaus hnub nyoog qis dua rau xyoo nws mus txog tsib teev, thiab rau cov menyuam yaus hnub nyoog qis dua kaum ob xyoos. kwv yees li ntawm rau teev. Hauv cov neeg laus, hauv cov neeg mob uas muaj kab mob siab ntev, kev siv ib zaug yog nrog los ntawm kev nce hauv ib nrab-lub neej nyob rau nruab nrab ntawm ib nrab nrog kev txo qis hauv cov txheej txheem tshem tawm los ntawm 40%. Nrog rau kev tshem tawm creatinine ntau dua 40 units, kinetic nta zoo ib yam li cov ntaub ntawv sau tseg hauv tib neeg lub cev nrog rau lub raum noj qab haus huv.

Zoo ntau yam tshuaj,cov kev daws teeb meem, tshuaj pleev, hauv Zirtek, cov lus qhia qhia qhov sib txawv ntawm kinetics ntawm cov tshuaj nyob rau hauv cov ntaub ntawv ntawm lub raum teeb meem. Yog hais tias qhov tsis muaj zog ntawm lub cev yog xws li qhov kev tshem tawm creatinine tsawg dua li xya units, kev siv cov koob tshuaj yog nrog rau kev ncua ntev ntawm ib nrab lub neej. Lub sij hawm yog nyob rau nruab nrab tripled. Lub cev tshem tawm poob los ntawm kwv yees li 70% piv rau cov yam ntxwv ntawm cov neeg uas muaj lub raum ua haujlwm. Qhov no yuam koj xaiv cov koob tshuaj ib tus zuj zus. Nws yuav tsum tau nco ntsoov tias ntshav lim ntshav yuav luag tsis tshem cov khoom nquag tawm ntawm lub cev.

Thaum twg yuav pab tau?

Cov lus qhia qhia hauv cov lus qhia rau Zirtek suav nrog angioedema. Cov tshuaj yog siv rau kev tsis haum dermatoses, yog hais tias lawv provoked cheeb tsam ntawm pob khaus, khaus ntawm daim tawv nqaij. Koj tuaj yeem siv cov tshuaj rau kev kho mob ntawm urticaria, nrog rau daim ntawv idiopathic ntawm tus kab mob. Cov tshuaj no tau sau tseg rau hay fever.

Nws tau ua pov thawj nws tus kheej zoo hauv kev tshem tawm cov tsos mob ntawm rhinitis, conjunctivitis vim kev ua xua - ob qho tib si raws caij nyoog thiab cuam tshuam txhua xyoo puag ncig. te, ntsiav tshuaj sai sai thiab zoo nres txham, khaus, profuse sib cais ntawm kua muag. Raws li kev siv tshuaj, qhov liab ntawm cov ntaub so ntswg ploj, lub rhinorrhea disappears.

Yuav siv li cas?

Koj tuaj yeem thiab yuav tsum siv Zirtek sab hauv. Cov neeg muaj hnub nyoog tshaj li rau xyoo tau pom tias noj ntsiav tshuaj txhua hnub. Lwm txoj kev - 20 tee ib hnub twg. Cov neeg laus tau pom tias siv koob tshuaj txhua hnub ib zaug, cov menyuam yaus yuav tsum tau muab faib ua ob feem lossis siv ib zaug. Qee zaum, koj tuaj yeem pib chav kawm nrog 5 mg. Nws yog paub tias raurau qee tus neeg mob, qhov ntim no txaus kom ua tiav cov txiaj ntsig xav tau.

Rau cov neeg mob uas muaj hnub nyoog ob mus rau rau xyoo, tsib tee yuav tsum tau noj ob zaug ib hnub. Lwm txoj hauv kev yog kev noj ib hnub ntawm ib lub kaum os tee uas muaj 5 mg ntawm cov khoom xyaw nquag.

Muab "Zirtek" tuaj yeem yog menyuam yaus hnub nyoog ib xyoos. Rau cov neeg uas tsis muaj hnub nyoog tshaj li ob xyoos, nws pom tau tias tau txais tsib tee ntawm cov tshuaj ob zaug ib hnub twg. Rau cov menyuam yaus hnub nyoog qis dua rau lub hlis, qhov koob tshuaj zoo tshaj yog tsib tee ib zaug ib hnub.

zyrtec cov khoom xyaw nquag
zyrtec cov khoom xyaw nquag

Tsis xav tau

Cov tshuaj nquag muaj nyob hauv Zirtek tuaj yeem ua rau thrombocytopenia, pw tsaug zog, thiab kev pab. Ib txhia yws tias lawv mob thiab kiv taub hau. Kev nyuaj siab, tshee, tshee, nystagmus yog ua tau. Muaj kev phom sij ntawm rhinitis, tachycardia, pharyngitis. Muaj cov mob ntawm enuresis, kev tsis haum tshuaj, qhov hnyav nce, quav quav, qhov ncauj qhuav, thiab xeev siab. Ib txhia xav tias nkees, lwm leej lwm tus muaj teeb meem los ntawm o thiab malaise. Ua tau asthenia. Cov kev tshawb fawb qhia tau tias muaj kev cuam tshuam tsis zoo tshwm sim nyob rau hauv ib qho me me ntawm cov neeg mob.

Qee zaum koj ua tsis tau

Nws yog txwv tsis pub siv Zyrtec nyob rau hauv txhua txoj kev nyob rau hauv cov ntaub ntawv ntawm lub davhlau ya nyob twg theem ntawm lub raum tsis muaj zog. Ntawd yog, lub xeev thaum qhov kev tshem tawm creatinine tsawg dua kaum units. Koj tsis tuaj yeem sau tshuaj rau cov poj niam uas nqa lossis pub niam mis rau menyuam. Hauv daim ntawv ntsiav tshuaj, cov tshuaj yog contraindicated rau cov menyuam yaus hnub nyoog qis dua rau xyoo.hnub nyoog, thiab nyob rau hauv daim ntawv ntawm tee yog txwv tsis pub rau cov me nyuam mus txog rau lub hlis. Tsis txhob siv cov khoom yog tias muaj kev nkag siab zoo rau cov khoom siv los ntawm cov chaw tsim khoom, nrog rau hydroxyzine. Contraindications yog lactase deficiency, hypersensitivity rau galactose, malabsorption qabzib-galactose syndrome.

Ua tib zoo, cov tshuaj siv rau lub raum tsis muaj zog nyob rau hauv daim ntawv ntawm cov kab mob. Tus kws kho mob yuav tsum kho qhov koob tshuaj. Nws yog ib qho tsim nyog yuav tsum ua tib zoo siv cov tshuaj rau cov kab mob siab ntev thiab cov laus. Cov yav tas yog piav qhia los ntawm qhov txaus ntshai ntawm deterioration nyob rau hauv qhov zoo ntawm glomerular filtration.

Nyob zoo?

Raws li tuaj yeem txiav txim siab los ntawm kev tshuaj xyuas, Zirtek cov lus qhia yooj yim thiab meej, cov cai nkag tsis ua rau muaj kev ntxhov siab. Cov neeg siv cov cuab yeej paub txog nws txoj kev ntseeg siab. Nws tsis tshua muaj neeg pom nyob rau hauv cov lus teb tsis txaus siab txog qhov tsis zoo ntawm qhov kev kawm. Cov neeg siv lees paub: ob lub tee thiab cov ntsiav tshuaj pab sai heev, cov nyhuv ruaj khov, txhim khu kev qha, hais tau.

Puas muaj lwm txoj?

Muaj ntau ntau cov analogues ntawm Zirtek ntawm lub khw. Cov lus qhia rau cov tshuaj no muaj ib qho kev qhia ntawm tib lub ntsiab active ingredient - cetirizine. Cov kev xaiv muaj peev xwm no suav nrog:

  1. Alerza.
  2. Zodak.
  3. Cetirizine.

Ntawm ntau yam khoom uas muaj cetirizine, tsis muaj cov tshuaj pleev muaj nyob rau hauv daim ntawv. Tsuas muaj ntau yam tshuaj rau kev siv sab hauv. Kev xaiv lwm txoj kev pom zoo kom pom zoo nrog tus kws kho mob. Kev tshuaj xyuas txogCov analogues ntawm "Zirtek" uas muaj cetirizine feem ntau yog qhov zoo. Qhov no yog vim qhov zoo ntawm cov khoom no, ua siab ntev los ntawm tib neeg lub cev.

Tseeb tiag, qhov kev paub zoo tshaj yog tseem nrog cov neeg siv cov tshuaj uas kws kho mob tau sau tseg, thiab tseem mus kuaj tsis tu ncua. Kev noj tshuaj rau tus kheej tuaj yeem ua rau tsis xav tau thiab tsis tuaj yeem xav txog. Thaum kawm cov lus teb ntawm qhov ua tau zoo ntawm cov tshuaj, koj yuav tsum tau them nyiaj tshwj xeeb rau cov duab ntxiv. Zyrtec, zoo li nws cov kev xaiv tseem ceeb, feem ntau nthuav tawm hauv cov peev txheej xws li kev kho kom ntseeg tau thiab nyab xeeb.

Tshuaj pleev rau qhov tsis haum: "Advantan"

advantan tshuaj pleev
advantan tshuaj pleev

Tau kawg, ib tus tsis tuaj yeem hais tias qhov twg zoo dua: Zyrtec lossis Advantan. Thawj yog npaj rau kev siv lub cev, qhov thib ob yog siv hauv zos, nws yuav pab kom txo tau qhov xwm txheej ntawm kev tsom xam, uas tshwm sim nws tus kheej vim yog qhov kev xav ntawm kev xav. "Advantan" muaj nyob rau hauv daim ntawv ntawm cov tshuaj pleev, emulsion, cream. Txhua daim ntawv yog npaj rau kev thov sab nraud hauv zos. Cov khoom xyaw tseem ceeb yog methylprednisolone aceponate.

Ib gram ntawm cov tshuaj muaj ib milligram ntawm cov khoom xyaw nquag. Cov tshuaj yog cais raws li ib tug glucocorticosteroid rau hauv zos daim ntawv thov. Kev siv sab nraud ntawm cov khoom siv tshuaj tso cai rau koj kom txo tau qhov mob, ua xua. Tsis tas li ntawd, qhov kev kho mob zoo rau kev loj hlob zuj zus, cov tsos mob inflammatory, kev tshwm sim ntawm qhov tsis zoo tshwm sim.

Daim ntawv thov hauv zos muaj feem cuam tshuam nrog kev pheej hmoo tsawg kawg ntawm kev ua haujlwmcuam tshuam rau tib neeg thiab tsiaj txhu. Ntau daim ntawv thov nyob rau thaj chaw loj (li ib nrab ntawm tag nrho cov tawv nqaij ntawm lub cev) tsis yog nrog kev ua txhaum ntawm adrenal ua haujlwm. Tsis muaj qhov zoo li no thaum siv cov khoom hauv qab hnav khaub ncaws occlusive. Circadian rhythms nyob ruaj khov, ntshav cortisol yog qhov qub, thiab cov ntsiab lus ntawm cov tshuaj hauv cov zis txhua hnub tsis hloov.

About security

Kev sim tau ua tiav 12 lub lis piam nrog kev koom tes ntawm cov menyuam yaus. Nyob rau tib lub sijhawm, kev tshawb fawb plaub-lub lim tiam tau teeb tsa nrog kev koom tes ntawm cov menyuam yaus, suav nrog cov menyuam yaus. Tsis pom muaj kab mob ntawm daim tawv nqaij atrophy lossis striae, tsis muaj pob txuv zoo li pob khaus tshwm, tsis muaj telangiectasias tau kaw.

Methylprednisolone aceponate thiab cov khoom tseem ceeb ntawm nws txoj kev hloov hauv lub cev muaj peev xwm khi rau cov receptors tshwj xeeb nyob hauv cov hlwb. Lub complex piav qhia txog kev hloov pauv hauv lub cev tiv thaiv kab mob, pib ua ib qho kev cuam tshuam ntawm kev lom neeg.

Thaum twg yuav pab tau?

Koj tuaj yeem paub txog qhov no los ntawm kev kawm cov lus qhia hauv lub block uas tau mob siab rau cov lus qhia (nrog rau hauv cov lus qhia piav txog dab tsi Zirtek pab nrog). Cov tshuaj nplaum thiab tshuaj pleev, nrog rau cov tshuaj pleev uas muaj cov roj ntau ntau, tau muab rau cov kab mob inflammatory ntawm daim tawv nqaij, kev kho mob uas tuaj yeem ua tiav siv cov tshuaj steroid. Cov kev kuaj mob no suav nrog qhov tseeb, microbial, menyuam yaus, dyshidrotic thiab kev ua haujlwm eczema, nrog rau cov kab mob dermatitis - yooj yim, tsis haum, atopic. Cov tshuaj no tau sau tseg rau neurodermatitis.

YEmulsionsiv yog tias ib tug neeg raug kev txom nyem los ntawm atopic, tiv tauj, ua xua, seborrheic, photodermatitis. Koj tuaj yeem siv Advantan emulsion los tawm tsam cov kab mob eczema: menyuam yaus, qhov tseeb, vim muaj kab mob microbes. Kev kho mob yog siv yog tias ib tug neeg tau txais tshav ntuj.

Zyrtec analogues
Zyrtec analogues

Rules of application

"Advantan" yog npaj rau kev siv sab nraud. Tsis zoo li Zirtek, cov tshuaj no muaj nyob rau hauv daim ntawv ntawm cov tshuaj pleev (nrog rau qab zib, emulsion). Nws yog siv rau lub hnub nyoog ntawm plaub lub hlis. Cov tshuaj yog siv ib hnub ib zaug, kis ib txheej nyias ntawm cov kab mob. Cov neeg laus tuaj yeem siv cov khoom mus txog 12 lub lis piam ua ke, cov menyuam yaus - tsis pub ntau tshaj plaub lub lis piam. Cov emulsion feem ntau yog siv rau ob lub lis piam thiab siv sijhawm luv dua.

Vim tias muaj roj tsawg thiab dej ntau hauv cov nplaum, daim ntawv no yog qhov zoo rau kev mob o, subacute course, yog tias tsis muaj zog quaj. Nyob rau hauv cov tshuaj pleev, tus nqi ntawm cov dej, fatty fractions yog sib npaug, yog li daim ntawv no yog haum rau ib tug ntev, subacute txheej txheem, yog hais tias tsis muaj kev quaj. Cov tshuaj pleev tsis yog tsuas yog kho cov integument xwb, tab sis kuj normalizes qib roj cov ntsiab lus, noo noo saturation.

Fatty ointment tsis muaj dej thiab yog qhov zoo rau kev siv nrog nce dryness ntawm daim tawv nqaij. Cov emulsion tsuas yog siv tau yog tias tsis muaj qhov qhuav heev. Yog tias kev siv cov tshuaj muaj pes tsawg leeg nrog cov nyhuv zoo li no, koj yuav tsum hloov daim ntawv mus rau tshuaj pleev.

Elokom tshuaj

Cov tshuaj pleev no, zoo, zoo li kev npaj ntawm Zyrtec kab, rau kev ua xua, ua haujlwm los ntawm kev suav nrog mometasone furoate hauv nws cov muaj pes tsawg leeg. hauv ib gramCov khoom muaj ib milligram ntawm cov active tshuaj. Cov khoom yog mos, homogeneous, dawb los yog ze rau cov xim dawb. Yuav tsum tsis muaj cov khoom xyaw ntxiv. Cov khoom tseem ceeb yog ib qho khoom tsim tawm glucocorticosteroid rau kev siv hauv zos. Nws muaj peev xwm tiv thaiv exudate, khaus thiab mob.

elokom tshuaj pleev
elokom tshuaj pleev

Cov tshuaj yog qhia rau khaus, o, nrog rau dermatosis. Cov tshuaj tau sau tseg yog tias tus kab mob tuaj yeem kho nrog tshuaj steroid. Cov tshuaj yog siv rau psoriasis, nws yog siv nyob rau hauv cov ntaub ntawv ntawm atopic dermatitis. "Elocom" raug tshuaj rau cov neeg mob txij li ob xyoos.

Elocom siv tsis tau rau rosacea thiab pob txuv. Cov tshuaj yog txwv tsis pub nyob rau hauv daim tawv nqaij atrophy thiab yog contraindicated nyob rau hauv ib co hom ntawm dermatitis. Nws tsis yog siv rau khaus ntawm thaj chaw perianal, qhov chaw mos. Tus neeg sawv cev steroid tsis qhia yog tias muaj kab mob, kab mob, fungi raug tsim. Contraindications yog syphilis, tuberculosis, rwj. Ua tau hypersensitivity rau cov khoom xyaw ntawm cov khoom. Hauv qhov no, kev siv tshuaj pleev Ecolom tsis raug tso cai.

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