Kev kho mob neuralgia tom tsev

Cov txheej txheem:

Kev kho mob neuralgia tom tsev
Kev kho mob neuralgia tom tsev

Video: Kev kho mob neuralgia tom tsev

Video: Kev kho mob neuralgia tom tsev
Video: ua kom plaub hau ntev thiab ntau tuaj 2024, Lub Xya hli ntuj
Anonim

Kev poob ntawm cov hlab ntsha peripheral thiab kev cuam tshuam hauv lawv txoj haujlwm yog qhov ntau heev. Tus kab mob yog nrog los ntawm khaus, mob heev nyob rau hauv lub cheeb tsam ntawm innervation ntawm lub paj hlwb thiab raws nws tag nrho ntev. Kev kho mob ntawm neuralgia yuav tsum tau ua kom muaj peev xwm thiab ceev faj heev, vim nws cuam tshuam rau cov txheej txheem nyuaj ntawm peb lub cev. Kab lus no yuav qhia txog yuav ua li cas tus kab mob no tshwm sim nws tus kheej thiab yuav ua li cas nrog nws hauv tsev.

Neuralgia yog dab tsi?

Peripheral paj hlwb receptors xa cov ntaub ntawv hais txog lub xeev ntawm ib tus neeg lub cev thiab cov kabmob mus rau lub hlwb thiab qaum qaum. Raws li qhov tshwm sim ntawm kev nyem cov hlab ntsha hauv ib qho chaw, cov ntaub ntawv nkag mus rau cov chaw tsim nyog tau hloov pauv thiab tus neeg xav tias mob hnyav.

Peb lub cev tau nruab nrog qhov hu ua tunnels rau kev nkag ntawm cov hlab ntsha. Nyob rau hauv qhov chaw uas cov channel no yog nqaim, muaj peev xwm ua txhaum cai. Nws yog nyob rau hauv cov cheeb tsam ntawm lub cev uas pathology feem ntau pib mus zuj zus. Lub pathogenesis ntawm tus kab mob ncaj qha nyob ntawm qhov degree ntawm irritation ntawm cov hlab ntsha txheej txheem. Qhov no yog ib qho ntawm cov txheej txheem uascais raws li neuritis. Cov kws kho mob txheeb xyuas ntau cov hlab ntsha tshwj xeeb uas tus kab mob cuam tshuam rau thawj qhov chaw, lawv suav nrog:

  • intercostal;
  • dorsal;
  • occipital;
  • lingopharyngeal;
  • triple;
  • ischial.

Neurologist feem ntau cuam tshuam nrog cov tsos mob thiab kev kho mob ntawm neuralgia. Raws li etiology, tus kab mob tau muab faib ua thawj thiab theem nrab. Nws yog ib qho tseem ceeb uas qhov kev kuaj mob tau ua kom raug, txij li kev kho mob ntawm cov ntau yam no txawv heev. Qhov ua rau tus kab mob no txawv heev. Thawj qhov tshwm sim raws li tus kab mob ywj pheej, qhov thib ob yog cov paj hlwb uas tshwm sim los ntawm cov txheej txheem inflammatory hauv cov ntaub so ntswg los yog yav dhau los pathology.

Neuralgia: cov tsos mob thiab kev kho mob
Neuralgia: cov tsos mob thiab kev kho mob

Ua rau thiab cov tsos mob tshwm sim

yam uas ua rau muaj kev loj hlob ntawm cov kab mob cuam tshuam nrog kev puas hlwb muaj xws li:

  • nquag hypothermia;
  • pathologies ntawm qaum;
  • kev mob nkeeg;
  • kev tawm dag zog ntau dhau;
  • osteochondrosis;
  • kub.

Dab tsi yog qhov tseem ceeb kom paub txog kev kho mob neuralgia thiab cov tsos mob tshwm sim? Qhov tseeb yog tias nyob rau hauv txhua rooj plaub, tus kab mob ua rau nws tus kheej xav txawv. Nws tag nrho yog nyob ntawm cov hlab ntsha uas puas lawm. Txawm li cas los xij, peb yuav sim piav qhia txog cov tsos mob ntawm tus kab mob: tam sim ntawd tom qab kev ua txhaum ntawm cov hlab ntsha fiber ntau, paroxysmal mob tom qab, uas yog ua ntej los ntawm kev hnov mob nraub qaum; nrog rau qhov no, thaj tsam ntawm binnervation swells thiab dhau los ua liab, qee zaum twitching thiabmob taub hau. Txawm li cas los xij, kev kho mob ntawm tus kab mob neuralgic yuav tsum muaj ntau qhov kev ntsuas ua tiav.

Kev kho mob ntawm neuralgia hauv tsev
Kev kho mob ntawm neuralgia hauv tsev

Diagnosis

Thaum cov paib qhia tias tus kab mob no tshwm sim, koj yuav tsum ceev nrooj nrhiav kev pab los ntawm tus kws tshaj lij. Ua ntej pib nrog kev kho mob ntawm neuralgia, koj yuav tsum tau mus kuaj mob kom tiav. Nws suav nrog ob qho tib si ntsuas ntsuas thiab ntsuas ntsuas. Qee lub sij hawm tus mob neuralgic tsuas yog txiav txim siab los ntawm qhov muaj cov qauv puas nyob ib puag ncig cov hlab ntsha, lossis cov neoplasms loj ntawm qhov xwm txheej. Nws tuaj yeem yog ntau yam qog los yog protrusions ntawm discs ntawm tus txha nraub qaum. Yog tias tsis muaj lwm yam kab mob tshwm sim tom qab CT, MRI thiab kev tshuaj ntsuam xyuas, ces qhov kev kuaj mob yog neuralgia.

siv tshuaj kho

Kev kho mob ntawm neuralgia nyob rau theem ntawm exacerbation yog ua los ntawm kev siv tshuaj noj. Kev mob tshwm sim los ntawm cov kab mob ntawm cov hlab ntsha hauv paus, uas tuaj yeem tshwm sim los ntawm hernial protrusions, nqaij spasms, qog thiab ntau yam kab mob ntawm tus txha caj qaum, tsis tuaj yeem tso rau hauv lub sijhawm. Cov kab mob ntawm cov kab mob neuralgic yuav tsum tau kho tam sim ntawd. Hauv kev siv ib qho kev sib koom ua ke rau kev sau tshuaj, ntau lub hom phiaj tau ua raws:

  • relieve mob mob;
  • tswj cov metabolism hauv paj hlwb;
  • stabilization los ntawm kev siv tshuaj tua kab mob, tshuaj tiv thaiv kab mob thiab sedatives;
  • ntxiv dag zog rau kev tiv thaiv lub cev tag nrho;
  • nqis tes rauKev tiv thaiv rov qab;
  • rov ntxiv ntawm microelements thiab vitamins tsim nyog rau lub cev.

Txhawm rau tshem tawm qhov mob, cov tshuaj siv hauv daim ntawv tshuaj ntsiav, gels, tshuaj pleev, ntsiav tshuaj thiab tshuaj txhaj tshuaj. Ntau hom tshuaj tua kab mob tso cai rau txhua tus neeg mob xaiv qhov kev xaiv yooj yim tshaj plaws rau lawv tus kheej. Cov hauv qab no txhais tau tias yog nrov: "Spazmalgon", "Baralgin", "Analgin", "Bral", "Tempalgin". Lawv raug tso cai noj rau thawj peb hnub.

Lub luag haujlwm tseem ceeb yog muab rau cov tshuaj uas tsis yog tshuaj steroidal, vim lawv tswj qhov kub thiab txias hauv tus neeg mob lub cev. Vim lawv cov lus tshaj tawm, kev tawm tsam ntawm neuralgic syndrome tau raug tshem tawm tiav thiab cov xwm txheej zoo tuaj. Feem ntau cov tshuaj tau sau tseg xws li Diclofenac, Ketoprofen, Voltaren, Piroxicam. Cov tshuaj pleev hauv zos tau muab tshuaj txhuam ob zaug ib hnub.

Hauv kev kho mob nyuaj, muaj cov tshuaj uas txo cov leeg nqaij, koom nrog pab pawg ntawm cov leeg nqaij. Nrog rau lawv cov kev pab, cov leeg nqaij relaxes, lub zog quab yuam ntawm cov hlab ntsha puas ntsoog txo. Cov tshuaj no suav nrog Mydocalm, Clonazepam, Sirdalud, Tizanidin, Baclofen.

Vitamin complexes, feem ntau ntawm pab pawg B, raug tshuaj raws li cov tshuaj tonic. Lawv muaj txiaj ntsig zoo rau peripheral paj hlwb thiab lub paj hlwb. Cov npe tshuaj muaj txiaj ntsig suav nrog: Neurobion, Mexidol, Milgama, Actovegin.

Yog tias koj ua raws li tag nrho cov lus pom zoo ntawm tus kws kho mob thiab nws tau pom zoo siv cov txheej txheem pej xeem hauv koj cov ntaub ntawv, ces koj tuaj yeem txuas ntxiv kev kho mob ntawm neuralgia hauv.cov xwm txheej hauv tsev. Cia peb xav txog qhov nthuav dav yam uas tsis yog ib txwm siv tau rau qee hom kab mob.

Kev kho mob ntawm thoracic neuralgia
Kev kho mob ntawm thoracic neuralgia

Yuav ua li cas nrog neuralgia tom qab lub taub hau tom tsev?

Muaj ntau yam ua rau muaj tus kabmob tshwm sim. Qhov ua rau tuaj yeem ua rau cov nqaij ntshiv ntev, kev raug mob, thiab txawm tias me me ntawm cov hlab ntsha xaus. Cov tsos mob, raws li txoj cai, ua raws li hauv qab no: kev mob tshwm sim tshwm sim, qee zaum tshwm sim hauv kev mob nraub qaum, kis mus rau sab nraub qaum ntawm lub taub hau, caj dab qaum thiab qab pob ntseg. Localization ntawm qhov txhab tuaj yeem yog ib leeg lossis ob sab.

Kom ua tiav cov kev daws teeb meem thiab kev txhim kho cov txiaj ntsig, occipital neuralgia tuaj yeem kho nrog cov compresses sov. Rau lub hom phiaj no, koj yuav xav tau turpentine (1 diav) thiab ib lub qe dawb. Cov khoom xyaw yuav tsum tau tov kom txog thaum tus du, thov rau ib daim ntaub linen hauv ib txheej me me thiab siv rau lub caj dab. Tom qab qhov kub hnyiab, cov ntaub qhwv tau khaws cia rau lwm 10 feeb, thiab tom qab ntawd tshem tawm. Cov txheej txheem yuav tsum tau ua thaum sawv ntxov thiab yav tsaus ntuj.

Tseem muaj lwm txoj hauv kev los pab cov neeg mob nyob ntawm txoj kev kom rov zoo. Nyob rau hauv cov chav kawm ntawm phytotherapeutic kev tshawb fawb, ib tug txaus daim ntawv teev cov tshuaj ntsuab tau tsim uas yog lub sij hawm-tested thiab muaj peev xwm tiv nrog xws li ib tug mob xws li occipital neuralgia. Kev kho mob nrog cov tshuaj ntuj tsis tas yuav siv zog ntau, thiab nws yooj yim los nqa. Qhov xwm txheej nkaus xwb yog kom tuaj yeem npaj koj tus kheej. Nov yog qee cov zaub mov txawv:

  1. Tshuaj,npaj rau lub hauv paus ntawm willow, yuav txo tau qhov mob debilitating. Koj yuav tsum ib txwm muaj crushed qhuav ntoo bark muaj. Qhov no yuav ua rau nws yooj yim dua los txiav txim nws qhov ntau npaum li cas. Rau 250 ml ntawm dej, 100 g ntawm kev kho mob yog nqa tawm thiab muab tso rau hauv ib lub thawv. Cov ntsiab lus yuav tsum tau coj mus rau ib lub boil thiab simmer rau li 20 feeb tshaj tsawg tshav kub. Lub decoction yuav tsum tau strained. Noj txhua 4 teev thaum nruab hnub, 15 ml (1 tablespoon).
  2. Ncua ib khob zib ntab thiab txiv qaub (grated ua ke nrog daim tawv nqaij), sib tov kom txog thaum tus. Tom qab ntawd ncuav rau hauv lub tiav loj ib qho ntxiv los ntawm crushed apricot pits ntawm cov neeg tseem ceeb ntau yam (20 grams). Noj rau 45 hnub, sawv ntxov thiab yav tsaus ntuj, 18 grams (khoom qab zib diav nrog ib tug swb).
Kev kho mob ntawm neuralgia ntawm lub paj hlwb occipital
Kev kho mob ntawm neuralgia ntawm lub paj hlwb occipital

Thoracic neuralgia

Hom kab mob, tshwj xeeb, muaj qhov thib ob etiology. Qhov no txhais tau hais tias nws qhov tshwm sim tshwm sim tawm tsam keeb kwm yav dhau los ntawm lwm yam kev hloov pauv pathological uas, qee qhov, tau tsim nyob rau hauv tib neeg lub cev.

Thaj chaw thoracic yog ib feem ntawm lub cev uas muaj ntau yam tsis zoo tuaj yeem tshwm sim. Txhawm rau tsim kev kuaj mob ntawm tus kab mob insidious ntawm koj tus kheej yuav yog qhov yuam kev loj. Hauv thaj tsam ntawm cov tav, lub paj hlwb yog cov ceg tawv heev, yog li qhov mob tuaj yeem tawg mus rau thaj chaw uas lub plab, lub xub pwg hniav, lub plawv, thiab sab nraub qaum.

Raws li nrog rau lwm hom kab mob zoo sib xws, cov tsos mob tseem ceeb tshwm sim nws tus kheej yog qhov mob sai sai. Tus neeg mob tsis tso qhov kev xav ntawm qhov tawv nqaij hauv siab. Ua kepinching, mob, kub hnyiab yog hnov, uas nce nrog txhua yam kev ua ntawm lub hauv siab: hnoos, txham, sighing.

Yog tias koj xaiv cov tshuaj zoo ntawm lub hauv paus chiv keeb, koj tuaj yeem tau txais txiaj ntsig zoo hauv tsev yam tsis tas yuav nkim sijhawm mus rau tsev kho mob (thaum lub sijhawm so). Hauv kev kho mob ntawm thoracic neuralgia, cov hauv qab no yog siv:

  1. Brew immortelle li ib txwm - ib tablespoon ntawm qhuav tws tshuaj ntsuab nyob rau hauv ib khob ntawm boiling dej. Insist, faib ua peb ntu thiab noj thaum nruab hnub.
  2. Squeeze cov kua txiv hmab txiv ntoo los ntawm rhizome ntawm horseradish los yog dub radish thiab RUB nrog ib tug me ntsis txav ntawm ob txhais tes mus rau hauv lub cheeb tsam ntawm innervation ntawm cov hlab ntsha cuam tshuam.
  3. Ncuav dej npau npau hla cov noob flax, cia nws brew rau 5 feeb. Tom qab ntawd nteg tawm ib qho sov so rau ntawm daim ntaub thiab siv rau qhov chaw mob. Sab saum toj npog nrog cellophane thiab qhwv nrog woolen shawl.
  4. Ib da dej nrog hiav txwv ntsev yog qhov tseem ceeb heev los ua ke nrog decoction ntawm sage. Koj yuav tsum ncuav 8 tablespoons ntawm sage 0.5 liv ntawm me ntsis dej kub thiab tawm rau ib teev. Siv cov kev daws teeb meem hauv ob qho tib si. Tam sim ntawd ua ntej txheej txheem, ncuav dej hiav txwv ntsev (4 tablespoons) rau hauv da dej. Txhawm rau kom muaj kev zoo siab, nws yuav txaus los ua 10 qhov kev kho mob rau 5-10 feeb txhua hnub. Zoo li cov tshuaj ntsuab immortelle, sage muaj cov nyhuv calming thiab anti-inflammatory.
Cov tsos mob thiab kev kho mob ntawm neuralgia ntawm sab laug
Cov tsos mob thiab kev kho mob ntawm neuralgia ntawm sab laug

Intercostal hlab ntsha entrapment

Nov yog ib yam kab mob uas tshwm sim thiab ceeb heev. Cov hauv qab no piav qhia txog cov tsos mob thiabKev kho mob ntawm neuralgia ntawm sab laug.

Lub teeb liab ntawm tus kab mob no yog mob caj dab nrog ntau yam kev hloov pauv hauv etiology thiab lub zog. Qee lub sij hawm nws yog ntse thiab cramping, thiab lub sij hawm mob thiab tsis tu ncua. Npog lub plawv, subscapularis thiab sternum. Nws tuaj yeem ua ke nrog cov ntshav siab, angina pectoris, tachycardia thiab plawv arrhythmias. Kev txheeb cais qhia tau tias cov kab mob cuam tshuam rau sab laug ntau dua. Tus kab mob no tsis meej pem nrog cov kab mob ntawm lub gallbladder, mob ntsws thiab nrog lub plawv nres. Vim li no, cov kws kho mob tshwj xeeb tau saib xyuas qhov tseeb.

Nyob hauv txoj kev kho nyuaj, kev kho mob ntawm intercostal neuralgia ntawm sab laug koom nrog cov xwm txheej ntxiv. Txhawm rau normalize qhov txav ntawm tus txha nraub qaum thiab so cov leeg nqaij, lub tshuab nqus tsev, acupressure lossis classic massage yog sau. Nws yog qhov zoo rau kev sib xyaw ua ke ntawm cov tshuaj uas muaj cua sov nrog cov hluav taws xob ultraviolet, magnetotherapy, physiotherapy ce, thiab ultrasound. Nws yog ib qho tseem ceeb kom nco ntsoov tias cov kev ntsuas no tso cai tsuas yog nyob rau theem kev zam txim xwb.

Tus kws kho mob yuav pom tias nws tsim nyog hnav lub tsho txhawb nqa. Nws yuav pab txo qhov mob tawm tsam thiab ua kom yooj yim rau cov hlab ntsha pinched.

Raws li kev siv sab nraud, txhuam nrog cov kua txiv tshiab ntawm horseradish thiab dub radish, nrog rau valerian tincture, yog pom zoo. Chamomile thiab peppermint tshuaj yej yog qhov zoo. Cov kws kho mob feem ntau pom zoo tias lawv cov neeg mob siv txoj kev ziab tshav kub. Qhov mob ntawm lub cev yuav tsum tsuas yog qhwv hauv cov khoom siv ntaub plaub, xws li phuam qhwv caj dab. Hauv tsev, nws yooj yim dua los siv txoj kev kho mob no - neuralgia ntawm sab laugsab yuav dhau mus nrawm dua, vim tus neeg mob yuav txias thiab tsis zoo.

Kev kho mob ntshav qab zib neuralgia
Kev kho mob ntshav qab zib neuralgia

Kev mob ntawm tus txha caj qaum

Ob qho tib si ua rau thiab cov tsos mob ntawm neuralgic back disorder muaj ntau heev. Nws tuaj yeem pib tawm tsam keeb kwm yav dhau los ntawm kev tsav tsheb xws li kev nkag mus ntawm cov kab mob ntawm cov paj hlwb, kev mob hnyav ntawm lub cev, aortic aneurysm, raug mob, thiab lwm yam. Ib qho ntawm cov laj thawj uas cov kws kho mob txheeb xyuas yog carpal tunnel syndrome. Lub etiology ntawm neuralgia nyob ntawm qhov nqaim (ntev thiab dav) ntawm cov channel uas ua rau cov paj hlwb. Hauv qhov no, cov tsos mob ntawm tus kab mob yog tshwm sim los ntawm cov kev hloov tsis zoo: cov ntshav ncig hauv cov kwj dej tau cuam tshuam, kho cov caws pliav nce, siab hauv qhov nce.

Yog hais tias muaj cov kab mob neuralgic ntawm lub nraub qaum, qhov mob ntawm ntau lub hauv paus chiv keeb tau pom: neuropathic, psychogenic, irritative (reflex), tej zaum nrog cov leeg-tonic convulsions. Raws li koj tau pom, tus kab mob no hnyav heev.

Yog tias koj mus rau hauv tsev kho mob kom tsim nyog tau txais kev pab, tag nrho cov kev ntsuas tsim nyog tau raug coj mus thiab qhov txaus ntshai dhau lawm, tom qab ntawd koj tuaj yeem siv qee txoj hauv kev tsis yog ib txwm siv hauv tsev los sib sau ua ke cov txiaj ntsig.

Rau kev kho mob ntawm neuralgia ntawm nraub qaum, koj tuaj yeem siv cov zaub mov nram qab no:

  1. Npaj cov kua dej tuab lossis decoction ntawm nplooj geranium. Siv nws ua lub hauv paus rau sov compresses. Qhwv thaj chaw uas tau ua tiav cov txheej txheem nrog lub phuam qhwv caj dab. Cov nplooj tshiab yuav coj cov txiaj ntsig ntau dua, uasqhwv hauv gauze, muab tso rau ntawm qhov mob kom pom tseeb thiab insulated.
  2. Koj tuaj yeem tsim cov tshuaj pleev raws li cov nroj tsuag tshuaj thiab nqaij npuas rog. Cov tshuaj aqueous yog npaj ua ntej los ntawm birch buds los yog lilacs, thaum nws yog zoo infused, nws yog tov nrog rog nyob rau hauv sib npaug proportions. Nrog rau kev npaj kho mob sab nraud, koj yuav tsum tau txhuam cov teeb meem ntau zaus hauv ib hnub.
  3. Qej roj muaj npe nrov rau nws cov txiaj ntsig zoo. Txhawm rau txhim kho cov nyhuv, nws yuav tsum tau ua ke nrog vodka. Ib tablespoon ntawm npaj ua tshuaj tincture ntawm qej yog tov nrog 400 ml ntawm vodka. Cov tshuaj zoo siv los tiv thaiv kab mob.
Kev kho mob ntawm occipital neuralgia
Kev kho mob ntawm occipital neuralgia

Trigeminal raug mob

Cov hlab ntsha trigeminal (sib xyaw) nyob rau hauv lub ntsej muag thiab muaj lub luag haujlwm rau nws qhov kev nkag siab zoo thiab zom cov nqaij ua haujlwm. Nws muaj ib tug peculiar qauv nrog peb ceg. Thawj ceg innervates lub orbital cheeb tsam, lub thib ob - lub Upper di ncauj, qhov ntswg thiab lub puab tsaig, lub thib peb - cov pos hniav, lub puab tsaig thiab di ncauj. Qhov txaus ntshai ntawm tus kab mob yog nyob rau hauv qhov tseeb hais tias thaum kawg nws yuav ua rau lub ntsej muag tuag tes tuag taw los yog kev loj hlob ntawm asymmetry. Cia peb saib seb dab tsi ua rau paj hlwb neuralgia, cov tsos mob thiab kev kho mob.

Ua rau: raug mob rau lub taub hau thiab lub ntsej muag, hypothermia, siab roj cholesterol, shingles, gout, aneurysm, o ntawm qhov ncauj, qog, herpes.

Cov tsos mob: mob, loog, mob leeg, tsis hnov tsw, hloov pauv.

Kev kho mob ntawm neuralgia los ntawm pej xeem txoj kev:

  1. Yog paj hlwb txias, koj yuav tsum tausov koj ob txhais taw ua ntej ib hmo so thiab haus dej haus tshuaj ntsuab, xws li chamomile, txiv qaub balm, thiab motherwort. Ncuav ib tablespoon ntawm qhuav nyom nrog ib khob ntawm boiling dej thiab tawm mus brew rau ib teev. Qhov koob tshuaj no yog rau ob koob. Nruab nrab ntawm haus tshuaj yej thiab noj zaub mov, lub sijhawm yuav tsum yog tsawg kawg 20 feeb.
  2. Rau kev siv sab hauv, koj tuaj yeem npaj cov cawv cawv ntawm hops. Koj yuav tsum noj ib feem ntawm lub cones ntawm cov nroj tsuag thiab ncuav peb feem ntawm vodka. Ntxiv 10 tee tshuaj rau ½ khob dej thiab haus. Cov tshuaj no yog qhov zoo rau noj thaum sawv ntxov thiab yav tsaus ntuj ib teev ua ntej yuav mus pw.
  3. Ib qho compress los ntawm marshmallow cag pab tau zoo. Rau lub hom phiaj no, lawv yuav tsum tau insisted. Qhuav powdery loj los ntawm cov hauv paus hniav ntawm cov nroj tsuag yog nchuav nrog ib khob dej kub, sab laug rau 8-10 teev. Ua ntej siv, lub infusion yuav tsum tau warmed. Ib tug sov compress yog thov rau ob peb teev. Yuav kom ua tiav qhov tshwm sim, qhov no yuav tsum tau ua tsis tu ncua txhua lub lim tiam.

Zaj lus

Tom qab tshuaj xyuas cov tsos mob thiab kev kho mob ntawm neuralgia tom tsev, tsis txhob hnov qab txog cov tshuaj raug cai. Cov nroj tsuag tshuaj tsuas yog pab raws li kev ntsuas hauv kev tawm tsam tus kab mob uas tuaj yeem ua rau muaj teeb meem loj.

Pom zoo: