Pyelonephritis - tus kab mob no yog dab tsi? Ua rau, tsos mob, kuaj mob thiab kho pyelonephritis

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Pyelonephritis - tus kab mob no yog dab tsi? Ua rau, tsos mob, kuaj mob thiab kho pyelonephritis
Pyelonephritis - tus kab mob no yog dab tsi? Ua rau, tsos mob, kuaj mob thiab kho pyelonephritis

Video: Pyelonephritis - tus kab mob no yog dab tsi? Ua rau, tsos mob, kuaj mob thiab kho pyelonephritis

Video: Pyelonephritis - tus kab mob no yog dab tsi? Ua rau, tsos mob, kuaj mob thiab kho pyelonephritis
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Pyelonephritis - tus kab mob no yog dab tsi? Pathology tshwm sim ntau zaus: ntawm ntau yam kab mob raum, qhov mob no yog nyob rau hauv qhov chaw thib ob tom qab urolithiasis. Cov poj niam raug kev txom nyem los ntawm pyelonephritis ntau zaus, lub hnub nyoog nruab nrab ntawm qhov tshwm sim yog qhov nyuaj rau kev paub qhov txawv. Ob tus neeg mob hluas heev thiab cov neeg laus mob. Feem ntau, tom qab tau txais kev kuaj mob, cov neeg mob xav paub tias tus kab mob yog dab tsi. Pyelonephritis yog ib hom kab mob raum tsis tshwj xeeb, cov tsos mob tshwm sim los ntawm kev ua haujlwm ntawm cov kab mob pathogenic.

Cov kab lus piav qhia ntau yam ntawm tus kab mob, nws cov ntaub ntawv (mob, mob ntev), ua rau, txoj kev kho mob, cov tsos mob tseem ceeb. Cov lus qhia kuj tau muab rau yuav ua li cas tiv thaiv kev rov tshwm sim ntawm pyelonephritis.

Mob thiab mob pyelonephritis

Vim tus kab mob no mus li cas, nws txawv thiabcov tsos mob thiab kev ua haujlwm ntawm tus neeg mob. Hauv cov tshuaj, nws yog kev cai los faib cov pyelonephritis raws li mob hnyav lossis mob ntev, txhua yam ntawm cov tshuaj, tuaj yeem yog qhov tshwj xeeb lossis tsis tshwj xeeb (tsis sib xws).

  1. mob pyelonephritis - tus kab mob no yog dab tsi? Daim ntawv tsis yooj yim yog tus cwj pwm los ntawm qhov muaj xws li phenomena xws li bacteriuria, me ntsis proteinuria thiab microhematuria. Koj tuaj yeem txiav txim siab lawv tom qab kev kuaj sim. Cov ntshav suav tag nrho yog tus yam ntxwv ntawm leukocytosis thiab nce ESR. Hauv kwv yees li 30% ntawm cov neeg mob, qhov nce ntawm nitrogenous slags tau sau tseg hauv kev kuaj ntshav biochemical. Mob pyelonephritis nrog rau chav kawm nyuaj yog ua rau muaj kev phom sij rau lub neej thiab xav tau kev kho mob tam sim. Nws tshwm sim hauv cov txiv neej thiab poj niam. Cov theem ntawm pyelonephritis nyob rau hauv ib qho kev mob hnyav yog qhov nyuaj rau kev paub qhov txawv: feem ntau cov kab mob bacteriuria pab txhawb kev tsim cov kab mob microflora ntawm cov kab mob uas nyob sib ze (tshwj xeeb, lub zais zis), thiab cov tsos mob tshwm sim ntau dua - tus neeg mob tsis tuaj yeem ua haujlwm, thiab nws xav tau kev kho mob ceev ceev.
  2. Tus kab mob pyelonephritis feem ntau raug kuaj pom thaum kuaj mob hauv cov neeg muaj hnub nyoog nruab nrab. Tus kab mob no yog dab tsi thiab nws txawv li cas ntawm kev mob hnyav? Pyelonephritis tuaj yeem tshwm sim yam tsis muaj cov tsos mob hnyav, thaum tus naj npawb ntawm cov kab mob pathogenic tsis dhau. Cov txheej txheem zoo li no tuaj yeem kav ntev xyoo - qhov no yog qhov mob pyelonephritis. Nyob rau tib lub sijhawm, lub raum maj mam poob lawv lub peev xwm ua haujlwm: feem ntau, sai lossis tom qab, tus neeg mob no yuav raug kuaj mob raum tsis ua haujlwm. Feem ntau pyelonephritis tau txais ib daim ntawv ntev vim qhov tseeb tias kev kho mob pyelonephritis tsis zoo. Cov kab mob tseem nyob hauv lub plab lossis hauv cov ureters - vim li ntawd, cov kab mob pathogenic tau rov muab tso rau hauv lub raum.

Ntawm qhov chaw dislocation tuaj yeem muaj ob sab pyelonephritis lossis unilateral. Raws li, cov kab mob no yog concentrated nyob rau hauv ob lub raum ib zaug, los yog nyob rau hauv ib tug ntawm lawv. Thaum sau tshuaj kho mob, nws xyaum tsis muaj teeb meem seb pyelonephritis yog ob sab lossis ib sab: cov hauv paus ntsiab lus ntawm kev kho yuav zoo ib yam.

Cov tsos mob ntawm pyelonephritis
Cov tsos mob ntawm pyelonephritis

YCov tsos mob ntawm pyelonephritis

Raws li txoj cai, cov txiv neej thiab poj niam, tsis hais hnub nyoog li cas, muaj cov tsos mob hauv qab no ntawm tus mob pyelonephritis:

  • Kev kos qhov mob hauv thaj tsam lumbar (tej zaum yuav tsis tuaj, lawv lub xub ntiag nyob ntawm hom kab mob thiab tus yam ntxwv ntawm tus neeg mob.
  • Mob tso zis, feem ntau cov zis tawm hauv qhov qub, tab sis dhau los ua huab, nws cov xim hloov.
  • Tus kub subfebrile yog li 37 degrees.
  • Qee zaum, mob pyelonephritis ua rau lub cev kub nce mus txog 39-40 degrees: qhov no, lub tsheb thauj neeg mob yuav tsum tau hu sai sai, tus neeg mob kev kuaj mob thiab kev kho mob yuav tsum tau nqa tawm hauv ib qho tsev kho mob.
  • o ntawm qhov extremities, tsawg dua ntawm lub ntsej muag (tshwm sim vim kev ua txhaum ntawm kev tshem tawm cov kua hauv lub cev thiab ua txhaum ntawm cov dej- ntsev tshuav).
  • Kev qaug zog, tsis qab los noj mov, tawv nqaij daj,mob taub hau ntau zaus thiab ua rau muaj kev ua haujlwm ntau dhau, ob lub cev thiab lub hlwb.

Txoj kev ntawm tus kab mob

Tus mob pyelonephritis hauv cov neeg laus yog pom ntau dua li qhov mob ntev: tso zis cuam tshuam, thaum lub ntim zis tawm tuaj yeem txo qis. Hauv qhov no, tus neeg mob raug kev txom nyem los ntawm kev nce siab hauv lub cev kub, ua npaws, ua daus no, xeev siab. Qab zib ploj. Muaj mob pyelonephritis, tab sis lawv tsis tau hais. Txij li thaum tsis muaj cov hlab ntsha xaus hauv lub raum, tsis muaj cov tsos mob tshwm sim pom tseeb. Mob pyelonephritis yog ib qho kev rub, mob ntau dua.

Nws yuav tsum tau sau tseg qhov sib txawv ntawm cov kab mob hauv cov poj niam: vim qhov sib thooj ntawm cov kabmob ntawm cov menyuam yaus thiab cov zis, cov kab mob feem ntau kuj nkag mus rau cov ntaub so ntswg ntawm qhov chaw mos. Raws li qhov tshwm sim, kev kawm ntawm pyelonephritis kuj nyuaj los ntawm kev muaj cov poj niam cov teeb meem.

Cov tsos mob ntawm lub raum mob ntawm cov kab mob hauv cov menyuam yaus yog tib yam li cov neeg laus. Yog tias niam txiv tau pom tias qhov tso zis ntau zaus thiab xim ntawm cov zis hauv tus menyuam tau hloov, qhov no yog qhov laj thawj zoo uas koj mus ntsib kws kho mob.

YCaus ntawm pyelonephritis

Ntau tus neeg mob raug ntes los ntawm cov tsos mob ntawm pyelonephritis. Cov laj thawj vim li cas tus kab mob no tshwm sim, los ntawm thiab loj, tuaj yeem txheeb xyuas tsuas yog ob qho:

  • lub cev tsis muaj peev xwm tiv thaiv kev ua haujlwm ntawm cov kab mob pathogenic;
  • nkag mus rau hauv cov ntaub so ntswg ntawm lub raum, lub plab mog, ureters lossis zais zis ntawm cov kab mob pathogenic.

Tus kab mob tuaj yeem tshwm sim li cas thiab vim li cas qhov kev tsom mus rau hauvtso zis? Cov laj thawj feem ntau yog:

  • kev tsis txaus ntseeg hauv kev loj hlob ntawm lub raum - ob qho tib si congenital thiab kis tau;
  • kab mob endocrine;
  • hypothermia ntawm ob txhais ceg, ko taw, sab nraub qaum;
  • kab mob autoimmune;
  • tsis ua raws li cov cai ntawm kev nyiam huv ntawm tus kheej;
  • Microtrauma los ntawm kev sib deev;
  • lumbar raug mob;
  • kev tshuaj ntsuam xyuas lossis kev cuam tshuam kev phais ntawm txoj hlab zis;
  • feem ntau cov tsos mob ntawm pyelonephritis yog txuam nrog qhov pib ntawm kev sib deev, tshwj xeeb tshaj yog thaum tsis muaj kev tiv thaiv zoo;
  • remote lithotripsy (sib tsoo ntawm cov pob zeb tso zis);
  • Siv ib lub catheter indwelling urethral;
  • cev xeeb tub (hypotension ntawm cov ureters nyob rau hauv tus mob no heev heev);
  • siv cov tshuaj tiv thaiv kab mob hauv lub cev.

Kev kuaj mob: Kuv yuav tsum hu rau tus kws kho mob twg?

Kev kuaj mob pyelonephritis yog qhov yooj yim heev. Raws li txoj cai, tom qab tau txais cov txiaj ntsig ntawm kev kuaj ntshav biochemical, nws twb dhau los ua qhov tseeb tias qhov ua rau tus neeg mob muaj mob yog ua txhaum ntawm lub raum ua haujlwm. Qhov no tau pom zoo los ntawm kev nce qib ntawm urea thiab creatinine. Los ntawm txoj kev, yog tias creatinine siab tshaj ib theem, peb tuaj yeem txiav txim siab tias tus neeg mob ua rau lub raum tsis ua haujlwm ntev. Tsis tas li ntawd, tus neeg mob yuav tsum xeem dhau cov zis - nws yog ib qho tsim nyog los txiav txim siab qhov ntim ntawm cov zis txhua hnub, thiab tseem kom paub seb cov kab mob twg muaj nyob hauv cov zis. Qhov no yog qhov tsim nyog kom tus kws kho mob tuaj yeem sau ntawvKev kho tshuaj tua kab mob txaus.

Kuv yuav tsum hu rau tus kws kho mob twg yog tus neeg mob xav tias pyelonephritis? Cov kab mob raum raug kuaj thiab kho los ntawm tus kws kho mob tshwj xeeb - nephrologist. Txawm li cas los xij, rau qhov pib, koj tuaj yeem nqa daim pib mus rau tus kws kho mob tsis tu ncua. Hauv nws qhov kev muaj peev xwm yog qhov kev teem sijhawm ntawm cov qauv ntsuas, cov txiaj ntsig uas yuav ua rau nws tuaj yeem txiav txim siab qhov muaj lossis tsis muaj pyelonephritis.

ICD-10 pyelonephritis code yog cais raws li chav kawm:

  • mob pyelonephritis - N10;
  • chronic - N11;
  • calculous pyelonephritis - N20.9.

Tus neeg mob muaj cai so kom mob. Feem ntau (tsis hais hom kab mob), kev kho mob yuav tsum muaj nyob hauv tsev kho mob. Tus lej ICD-10 pyelonephritis yog qhia nyob rau ntawm lub sijhawm so rau tus neeg mob. Cov ntaub ntawv tau lees paub los ntawm lub foob ntawm lub tsev kho mob thiab tom qab ntawd xa mus rau lub tuam txhab nyiaj txiag ntawm lub koom haum uas tus neeg mob ua haujlwm.

Kev kuaj mob pyelonephritis
Kev kuaj mob pyelonephritis

Kev kho mob pyelonephritis hauv tsev kho mob

Thawj txoj haujlwm uas kws kho mob ntsib thaum tus neeg mob nkag mus yog ua kom qhov kub thiab txias. Txhua qhov kev ntsuam xyuas tsim nyog yuav tsum tau ua kom sai li sai tau txhawm rau txheeb xyuas qhov chaw kho mob kom raug. Raws li txoj cai, kev kho mob ntawm pyelonephritis ntev ntev. Nws yog qhov yooj yim dua los nres cov tsos mob ntawm tus mob pyelonephritis, tab sis ntau tus neeg mob tom qab tsim ib daim ntawv ntawm kev kawm ntev. Qhov no yog vim cov kab mob tsis tau puas tag. Qhov kev phom sij tseem ceeb ntawm kev hloov mus rau ib daim ntawv ntev yog ib qho zuj zuskev loj hlob (nws tuaj yeem kav ntev txog 10 xyoo) ntawm lub raum tsis ua haujlwm.

Yog tias muaj kev cuam tshuam rau kev tshem tawm cov kua dej hauv lub cev, tus kws kho mob yuav tsum tau kho cov zis tso zis. Kev kho kom zoo ntawm cov zis tso zis yog ua kom sai (nephropexy nrog nephroptosis, tshem tawm cov pob zeb ntawm lub raum ntawm cov zis, thiab cov txheej txheem tsim nyog zoo sib xws thiab kev phais mob). Kev tshem tawm cov teeb meem uas cuam tshuam nrog kev tso zis, nyob rau hauv ntau rooj plaub, tso cai rau kom ua tiav kev kho mob - nrog rau cov zis, cov kab mob kuj tawm. Nyob rau theem no, kev saib xyuas neeg mob rau pyelonephritis yog ib qho tseem ceeb - kuaj xyuas cov catheters, lawv cov sijhawm ua haujlwm, thiab lwm yam.

Tshuaj yuav tsum tau muab tshuaj los ntawm kws kho mob nephrologist lossis urologist. Nws yog ib qho tseem ceeb heev kom raug thiab raws sij hawm muab tshuaj tua kab mob rau ob qho tib si mob thiab ntev ntawm tus kab mob. Cov tshuaj tiv thaiv kab mob yog sau rau hauv tus account cov ntaub ntawv ntawm cov tshuaj tua kab mob. Ua ntej txiav txim siab qhov rhiab heev ntawm cov kab mob (rau lub hom phiaj no nws yog ib qho tsim nyog yuav tsum tau tos rau cov txiaj ntsig ntawm kev sim), kev kho mob nrog cov tshuaj tua kab mob dav dav yog nqa tawm.

Kev kho mob rau pyelonephritis
Kev kho mob rau pyelonephritis

Txoj kev ntawm tus kabmob thiab nws txoj kev kho rau menyuam yaus

Qhov ua rau pyelonephritis nyob rau hauv cov menyuam yaus yog tib yam li cov neeg laus: vim lub cev tsis muaj peev xwm tiv taus thiab tiv thaiv cov kab mob pathogenic, o tuaj. Hauv cov menyuam yaus, mob pyelonephritis feem ntau tshwm sim, uas, yog tias kho tsis raug lossis luv dhau, tuaj yeem ntws mus rau hauv daim ntawv ntev.

Cov menyuam yaus yuav raug kev txom nyem los ntawm hyperthermia (nce ntxivqhov kub thiab txias rau qhov tseem ceeb), thaum noj tshuaj rau tus kheej tsis tuaj yeem lees txais: cov niam txiv yuav tsum hu rau tus kws kho mob tsim nyog. Feem ntau yuav tsum tau mus pw hauv tsev kho mob thiab kho mob hauv tsev kho mob. Thaum kho cov menyuam yaus nrog pyelonephritis, nws yog ib qho tsim nyog yuav tsum tau rov kuaj dua tom qab siv cov tshuaj kom paub tseeb tias qhov kev rov zoo tau tshwm sim thiab tsis muaj protein ntau, tsis muaj cov qe ntshav dawb, lossis cov kua qaub nyob hauv cov zis. Koj yuav tsum tsis tu ncua saib xyuas qib creatinine thiab urea hauv kev kuaj ntshav biochemical.

Ntau yam tshuaj tua kab mob yog contraindicated rau cov menyuam yaus, yog li koj tsis tuaj yeem xaiv tshuaj tua kab mob koj tus kheej. Tsuas yog tus kws paub txog nephrologist, raws li daim duab kho mob ntawm tus mob thiab tom qab tau txais cov ntaub ntawv tshuaj tua kab mob, tuaj yeem sau tshuaj. Kev sim los ntawm cov niam txiv xaiv cov tshuaj tua kab mob ntawm lawv tus kheej feem ntau tsis yog siv tsis tau xwb, tab sis kuj tsim kev puas tsuaj: tus me nyuam mob zuj zus tuaj, thiab cov tshuaj tua kab mob uas tsis raug xaiv ua txhaum cov kev tiv thaiv tsis muaj zog ntawm lub cev.

Tshuaj kho mob pyelonephritis

Y Yuav siv tshuaj dab tsi rau pyelonephritis? Muaj ntau cov tshuaj uas ua rau pathogenetically, i.e. txo qhov hnyav ntawm cov tsos mob ntawm tus kab mob thiab txo cov yam uas ua rau kev loj hlob ntawm pathology:

  1. "Kanefron" yog cov tshuaj muaj kev nyab xeeb, uas suav nrog cov tshuaj ntsuab. Nws ncav cuag nws qhov siab tshaj plaws nyob rau hauv lub excretory system ntawm ob lub raum, qhov twg nws muaj ib tug zos anti-inflammatory, me ntsis analgesic, antimicrobial thiab antiseptic nyhuv. Nws relieves spasm ntawm cov zis (nws yog vim li noKev txo qis hauv qhov mob syndrome tau ua tiav) vim muaj kev cuam tshuam ntawm cov leeg nqaij ntawm ob lub raum. "Kanefron" muaj cov nyhuv diuretic, nws pab txo qhov o ntawm tus neeg mob.
  2. kanefron rau pyelonephritis
    kanefron rau pyelonephritis
  3. "Biseptol" yog ib qho ua ke los tiv thaiv kab mob. Kev noj zaub mov tsis tu ncua pab txo cov concentration ntawm cov kab mob pathogenic hauv cov ntaub so ntswg ntawm lub raum. Raws li txoj cai, "Biseptol" tau sau ua ke nrog lwm cov tshuaj, vim tias kev ua ntawm "Biseptol" ib leeg tsis txaus los tshem tawm cov kab mob pyelonephritis.
  4. biseptol los ntawm pyelonephritis
    biseptol los ntawm pyelonephritis
  5. "Phytolysin" yog cov tshuaj pleev xim ntsuab tsaus nrog cov tshuaj tsw qab tshwj xeeb. Cov tshuaj muaj anti-inflammatory, antiseptic thiab me me antimicrobial kev txiav txim. Nrog rau kev siv ntev, nws txhawb kev crushing thiab tshem tawm cov pob zeb ntawm lub raum. Nws raug sau tseg rau cov mob pyelonephritis, feem ntau ua ke nrog cov tshuaj tua kab mob.
  6. Phytolysin rau pyelonephritis
    Phytolysin rau pyelonephritis
  7. "Furamag" yog cov tshuaj tua kab mob nrov rau kev kho mob pyelonephritis los ntawm pab pawg nitrofurans. Daim ntawv tso tawm ntawm cov tshuaj yog capsules (25, 50 mg). Teem los ntawm kws kho mob. Txawm tias muaj tseeb hais tias cov tshuaj yog nquag tawm tsam feem ntau cov kab mob, cov kev ua ntawm uas yuav provoke o ntawm lub raum, nyob rau hauv tej rooj plaub, nrog pyelonephritis, Furamag tej zaum yuav siv tsis tau. Yog li ntawd, ua ntej noj nws, koj yuav tsum sab laj nrog koj tus kws kho mob.
  8. "Furadonin" yog cov ntsiav tshuaj hluavtaws antimicrobial. Ntawm chav kawm, niaj hnub no muaj ntau yam tshuaj muaj kev nyab xeeb nrog tsawg dua kev phiv. Thaum noj "Furadonin", plab zom mov, pob khaus, teeb meem dermatological ntawm qhov sib txawv tuaj yeem pom. Txawm li cas los xij, tus nqi qis yog qhov kev sib cav tseem ceeb ntawm Furadonin hauv kev kho mob pyelonephritis.

Puas muaj peev xwm tshem tau pyelonephritis nrog kev pab ntawm cov txheej txheem kev kho mob?

Ntau zaus, cov neeg mob tsis kam mus pw hauv tsev kho mob thiab sim kho lawv tus kheej hauv tsev. Nws yog ib qho tseem ceeb kom nkag siab: yog tias koj txiav txim siab tsis kam kho hauv tsev kho mob, koj tseem yuav tau mus kuaj ua ntej xaiv cov tshuaj. Qhov no yog qhov tseem ceeb rau kev kuaj mob kom raug.

Ntau tus neeg mob tsis ntseeg txog cov txheej txheem ntawm cov tshuaj niaj hnub thiab kws tshuaj thiab nyiam kho lawv lub raum nrog cov txheej txheem pej xeem. Alas, nrog pyelonephritis nws yog qhov txaus ntshai: thaum tsis muaj cov tshuaj tiv thaiv kab mob, txhua txoj hauv kev kho tau raug puas tsuaj. Piv txwv li, millet rau kev kho mob raum yog ib txoj kev nrov ntawm kev ntxuav lub cev ua ke. Millet yuav tsum tau steamed, cia nws brew thiab noj ob peb tablespoons ntawm lub plab khoob. Millet yog qhov muaj txiaj ntsig zoo rau kev kho lub raum, tab sis nws yuav tsis ua haujlwm rau txhua yam ntawm cov tsos mob ntawm pyelonephritis. Ntxiv mus, thaum tus neeg mob sim cov no los yog lwm txoj hauv kev kho mob, cov kab mob sib kis thiab cov kab mob loj tuaj.

Exception - tshuaj ntsuab. Infusions ntawm dais pob ntseg, calendula, dib nplooj muajdiuretic thiab anti-inflammatory nyhuv. Txawm li cas los xij, nyob rau hauv cov nqe lus ntawm kev ua tau zoo, tshuaj ntsuab infusions tseem tsis tuaj yeem muab piv nrog cov tshuaj npaj tshuaj, yog li kev xaiv ntawm cov tshuaj hauv khw muag tshuaj pom tseeb.

tshuaj rau pyelonephritis
tshuaj rau pyelonephritis

Yuav tiv thaiv tus kab mob li cas

Tiv thaiv cov teeb meem ntawm pyelonephritis yog ib qho ntawm cov haujlwm tseem ceeb ntawm tus neeg mob thiab tus kws kho mob. Tom qab cov chav kawm kho mob tas lawm, nws yuav tsum dhau mus kuaj zis thiab kuaj ntshav biochemical. Yog tias ib qho ntawm cov ntsuas tau nce siab, koj yuav tsum tau noj tshuaj ntxiv.

Kev noj haus tseem ceeb heev. Nrog pyelonephritis, ib tug yuav tsum ua raws li cov kev cai noj zaub mov uas tau piav qhia hauv cov khoom noj kho mob No. 7. Nws suav nrog kev txwv tsis pub noj cov zaub mov protein thiab qee hom rog thiab carbohydrates. Tus neeg mob yuav tsum tsis txhob haus cawv, ua raws li kev haus cawv tshwj xeeb. Yog tias, tom qab rov qab los ntawm pyelonephritis, koj tsis ua raws li kev noj haus thiab haus dej haus, ces muaj kev pheej hmoo siab ntawm cov teeb meem lossis qhov mob pyelonephritis yuav ntsiag to rov qab los.

Koj yuav tsum hnav khaub ncaws sov so, tsis suav nrog qhov muaj peev xwm ntawm hypothermia ntawm ko taw thiab sab nraub qaum. Txwv tsis pub ua luam dej hauv dej txias lossis qias neeg. Nyob hauv tsev, koj tsis tuaj yeem taug kev ko taw liab qab rau hauv pem teb txias. Nkawm khau yuav tsum tsis txhob xau, ko taw yuav tsum sov thiab qhuav.

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