Exenatide Kev Txhaj Tshuaj
Zoo Siab
- Ua ntej siv kev txhaj tshuaj exenatide,
- Cov tshuaj no tuaj yeem hloov pauv hauv koj cov piam thaj hauv ntshav. Koj yuav tsum paub cov tsos mob uas muaj ntshav qab zib thiab ntshav qab zib thiab yuav ua li cas yog tias koj muaj cov tsos mob no.
- Kev txhaj tshuaj sab nrauv yuav ua rau muaj kev phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
- Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob hauv qab no lossis cov uas tau teev tseg rau hauv seem CEEB TOOM TSEEM CEEB, tsum tsis txhob siv exenatide thiab hu rau koj tus kws kho mob tam sim ntawd lossis tau txais kev kho mob kub ceev:
- Cov tsos mob ntawm kev noj haus ntau heev yuav suav nrog cov hauv qab no:
Kev txhaj tshuaj sab nrauv yuav ua rau muaj kev pheej hmoo tias koj yuav hlav qog ua cov thyroid caj pas, nrog rau medullary thyroid carcinoma (MTC; ib hom mob qog nqaij hlav cancer). Kuaj tsiaj txhu uas tau muab exenatide tsim cov qog, tab sis nws tseem tsis tau paub yog tias cov tshuaj no ua rau muaj kev pheej hmoo ntawm qog hauv tib neeg. Qhia rau koj tus kws kho mob yog tias koj lossis ib tus neeg hauv koj tsev neeg muaj lossis muaj MTC lossis ntau yam Endocrine Neoplasia syndrome hom 2 (MEN 2; tus mob uas ua rau muaj qog nyob hauv ntau dua ib lub cev hauv lub cev). Yog li ntawd, koj tus kws kho mob yuav qhia koj kom tsis txhob siv kev txhaj tshuaj exenatide. Yog tias koj muaj cov tsos mob nram qab no, hu rau koj tus kws kho mob tam sim ntawd: mob qog lossis o ntawm lub caj dab; txhaws qa; teeb meem nqos; lossis txog siav.
Khaws tag nrho cov kev teem caij mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj tus kws kho mob yuav xaj qee yam kev kuaj xyuas koj lub cev qhov lus teb rau exenatide.
Koj tus kws kho mob lossis kws muag tshuaj yuav muab daim ntawv qhia txog cov neeg mob rau koj (phau Qhia Siv Tshuaj) thaum koj pib kho nrog kev tso tshuaj txuas ntxiv thiab txhua zaus koj rov ntim tshuaj. Nyeem cov ntaub ntawv kom zoo thiab nug koj tus kws kho mob lossis kws muag tshuaj yog tias koj muaj lus nug. Koj kuj tuaj yeem mus saib tau Chaw Tswj Xyuas Khoom Noj thiab Tshuaj (FDA) lub vev xaib (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) lossis cov chaw tsim tshuaj paus lub vev xaib kom tau txais Kev Qhia Tshuaj.
Tham nrog koj tus kws kho mob txog cov kev pheej hmoo ntawm kev siv kev txhaj tshuaj exenatide.
Exenatide siv nrog rau kev noj haus thiab kev tawm dag zog los kho ntshav qab zib hom 2 (mob uas lub cev tsis siv insulin ib txwm thiab yog li tsis tuaj yeem tswj cov piam thaj hauv ntshav). Exenatide yog hauv chav kawm ntawm cov tshuaj noj hu ua incretin mimetics. Nws ua haujlwm los ntawm kev txhawb nqa txiav tawm rau cov kua ntshav thaum tso ntshav qab zib cov ntshav siab. Cov tshuaj insulin pab txav cov piam thaj ntawm cov ntshav mus rau lwm cov nqaij hauv lub cev uas nws tau siv ua kom lub zog muaj zog. Exenatide tseem ua rau lub plab zom mov thiab ua rau lub plab nqaj qis. Exenatide tsis raug siv los kho ntshav qab zib hom 1 (mob uas lub cev tsis tsim cov tshuaj insulin thiab yog li tsis tuaj yeem tswj cov piam thaj hauv ntshav). Exenatide tsis siv rau cov tshuaj insulin los kho cov neeg mob ntshav qab zib uas xav tau cov insulin.
Sij hawm dhau mus, cov neeg muaj ntshav qab zib thiab ntshav qab zib yuav tsim teeb meem loj lossis txaus ntshai rau lub neej, nrog rau kev mob plawv, mob hlab ntsha tawg, raum teeb meem, puas hlab ntshav, thiab teeb meem qhov muag. Siv tshuaj noj, hloov pauv txoj kev ua neej (xws li kev noj haus, kev tawm dag zog, txiav kev haus luam yeeb), thiab kev tshuaj xyuas koj cov piam thaj hauv ntshav tas li yuav pab tswj koj cov ntshav qab zib thiab txhim kho koj kev noj qab haus huv. Qhov kev kho no tseem yuav ua rau koj muaj feem yuav muaj mob plawv, mob stroke, lossis lwm yam mob ntsig txog ntshav qab zib xws li lub raum tsis ua hauj lwm, mob hlab hlwb (loog, ceg txias lossis txhais taw; txo qis kev sib deev hauv txiv neej thiab poj niam), teeb meem qhov muag, suav nrog kev hloov pauv los sis tsis pom kev, lossis pos hniav mob. Koj tus kws kho mob thiab lwm tus kws saib xyuas kev noj qab haus huv yuav tham nrog koj txog txoj kev zoo tshaj plaws los tswj koj cov ntshav qab zib.
Koj tus kws kho mob lossis kws muag tshuaj yuav muab daim ntawv qhia txog cov neeg mob rau koj (Phau Ntawv Qhia Tshuaj Kho Mob) thaum koj pib kho nrog exenatide thiab txhua zaus koj rov ntim tshuaj rau koj. Nyeem cov ntaub ntawv kom zoo thiab nug koj tus kws kho mob lossis kws muag tshuaj yog tias koj muaj lus nug. Koj kuj tuaj yeem mus saib zaub mov thiab Tshuaj (FDA) lub vev xaib (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kom tau Phau Ntawv Qhia Tshuaj.
Exenatide tam sim ntawd-tso tawm (Byetta®) los ua kev daws teeb meem (ua kua) hauv ib qho xaum xaum kom tau txhaj tshuaj subcutaneously (hauv qab daim tawv nqaij). Exenatide ncua ntev-tso tawm (ua haujlwm ntev) (Bydureon®) los ua hmoov uas yuav muab sib xyaw nrog kua hauv lub vial lossis ib qho xaum dosing cwj mem los txhaj subcutaneously. Exenatide kev tso tawm tam sim no feem ntau raug txhaj ob zaug ib hnub hauv 60 feeb ua ntej noj thaum sawv ntxov thiab yav tsaus ntuj; tsis txhob txhaj nws tom qab noj mov. Koj tus kws kho mob tej zaum yuav pib koj kev txhaj tshuaj sai sai-tso tawm tam sim ntawd thiab yuav hloov koj mus rau ib tus cwj mem uas tau noj ntau dua yog tias koj cov ntshav qab zib tsis tau zoo tom qab koj siv exenatide rau 1 hlis. Exenatide ncua kev tso tawm tov raug txhaj ib zaug ib zaug nyob rau txhua lub sijhawm ntawm hnub tsis hais txog noj mov. Siv exenatide ncua-tso tawm tib hnub ntawm txhua lub lim tiam thaum lub sijhawm ntawm hnub. Koj tuaj yeem hloov hnub ntawm lub limtiam uas koj siv exenatide ncua-tso tawm yog tias nws tau 3 hnub los yog ntau dua txij li thaum koj siv koj lub koob tshuaj kawg. Ua raws li cov lus qhia ntawm koj daim ntawv sau tshuaj noj kom zoo, thiab nug koj tus kws kho mob lossis kws muag tshuaj kom piav qhia ib feem uas koj tsis nkag siab. Siv kev txhaj tshuaj exenatide raws nraim li qhia. Tsis txhob siv ntau dua los yog tsawg dua ntawm nws lossis siv ntau dua li uas koj tus kws kho mob pom zoo.
Yog tias koj hloov ntawm exenatide tam sim-tso tawm mus rau kev tso tawm ntev, tso koj cov piam thaj (qab zib) theem yuav nce mus ib pliag li 2 rau 4 lub lim tiam tom qab qhov kev hloov no.
Exenatide tswj ntshav qab zib tab sis nws tsis kho nws. Txuas ntxiv siv exenatide txawm hais tias koj xis nyob. Tsis txhob tsum tsis txhob siv exenatide yam tsis tau tham nrog koj tus kws kho mob.
Yog tias koj siv exenatide tam sim ntawd-tso tawm (Byetta®) prefilled dosing pens, koj yuav tsum tau yuav rab koob nyias nyob nyias. Nug koj tus kws kho mob lossis kws muag tshuaj seb yam twg koj yuav tau siv los txhaj koj cov tshuaj. Nco ntsoov nyeem thiab nkag siab lub tuam txhab cov lus qhia rau kev txhaj tshuaj exenatide siv tus cwj mem. Tsis tas li ntawd kom paub tseeb tias koj paub yuav ua li cas thiab thaum twg los tsim tus cwj mem tshiab. Nug koj tus kws kho mob lossis kws muag tshuaj los qhia koj yuav siv tus cwj mem. Ua raws cov lus qhia kom zoo. Tsis txhob tshem tawm daim cartridge los ntawm tus cwj mem lossis sim muab lwm yam tshuaj rau hauv daim cartridge.
Nco ntsoov saib koj cov tshuaj exenatide ua ntej koj txhaj tshuaj. Nws yuav tsum pom tseeb, tsis muaj kob, thiab npliag dej li dej. Tsis txhob siv exenatide yog tias nws muaj xim, pos huab, tuab, lossis muaj cov khoom tawg, lossis yog hnub tas sij hawm ntawm lub raj mis tau dhau los. Tsis txhob sib xyaw nrog exenatide nrog cov tshuaj insulin rau hauv kev txhaj tshuaj ib zaug.
Tsis txhob rov siv rab koob thiab tsis txhob sib qiv koob lossis xaum. Nco ntsoov tshem rab koob tom qab koj txhaj tshuaj. Muab rab koob tso rau hauv lub thawv muaj tshuaj tiv thaiv tsis zoo. Nug koj tus kws kho mob lossis kws muag tshuaj seb yuav ua li cas pov tseg cov thawv ntim tshuaj tiv thaiv.
Exenatide tuaj yeem siv rau hauv tus ncej puab (ceg sab sauv), plab (plab), lossis sab caj npab sab saud. Siv qhov chaw sib txawv rau txhua qhov kev txhaj tshuaj, txog 1 nti (2.5 centimeters) deb ntawm kev txhaj yav dhau los tab sis nyob hauv tib thaj chaw dav (piv txwv, tus ncej puab). Siv tag nrho cov chaw muaj nyob rau tib qho chaw dav dav ua ntej hloov mus rau thaj chaw sib txawv (piv txwv li, sab saud). Tsis txhob siv cov chaw txhaj tshuaj ntau dua ib zaug ib hlis.
Koj tuaj yeem hno cov tshuaj exentadine thiab cov tshuaj insulin nyob rau thaj chaw dav dav hauv lub cev, tab sis cov tshuaj yuav tsum tsis pub rau ntawm ib sab.
Cov tshuaj no tuaj yeem tsim tawm rau lwm txoj kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.
Ua ntej siv kev txhaj tshuaj exenatide,
- qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau exenatide, lwm yam tshuaj noj, lossis ib qho twg hauv kev txhaj tshuaj exenatide. Nug koj tus kws muag tshuaj lossis tshawb xyuas Phau Ntawv Qhia Tshuaj Kho Mob rau cov npe ntawm cov khoom siv.
- qhia rau koj tus kws kho mob thiab kws muag tshuaj uas siv tshuaj thiab cov tshuaj uas tsis yog kws kho mob, cov vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj tau noj lossis npaj yuav noj. Nws yog ib qho tseem ceeb uas yuav tsum tau qhia koj tus kws kho mob txog txhua yam tshuaj koj noj ntawm qhov ncauj vim hais tias exenatide yuav hloov pauv txoj kev koj lub cev nqus cov tshuaj no. Nco ntsoov hais txog ib qho ntawm cov hauv qab no: angiotensin-hloov enzyme (ACE) inhibitors xws li benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc) , perindopril, (Aceon), quinapril (Accupril), ramipril (Altace), thiab trandolapril (Mavika); diuretics ('dej tshuaj'); cov tshuaj aspirin thiab lwm cov tshuaj tiv thaiv tsis haum (NSAIDs) xws li ibuprofen (Advil, Motrin) thiab naproxen (Aleve, Naprosyn); lovastatin (Altoprev, hauv Tus Kws Pab Tswv Yim); tshuaj rau ntshav siab; tshuaj insulin lossis lwm yam tshuaj los kho ntshav qab zib xws li sulfonylureas xws li chlorpropamide (Diabinese), glimepiride (Amaryl, hauv Avandaryl, hauv Duetact), glipizide (Glucotrol), glyburide (DiaBeta, hauv Glucovance), tolazamide, thiab tolbutamide, thiab warfarin ( , Jantoven). Koj tus kws kho mob tej zaum yuav tau hloov qhov tshuaj ntawm koj cov tshuaj lossis saib xyuas koj kom zoo rau kev phiv.
- Yog tias koj noj cov tshuaj tiv thaiv kom txhob muaj me nyuam noj (tshuaj txwv) los yog tshuaj tua kab mob, noj lawv tsawg kawg 1 teev ua ntej koj siv tshuaj exenatide. Yog tias koj tau hais kom noj cov tshuaj no nrog cov zaub mov, coj lawv nrog noj mov lossis noj khoom txom ncauj rau lub sijhawm thaum koj tsis siv exenatide.
- qhia rau koj tus kws kho mob yog tias koj haus dej lossis haus cawv ntau dhau, thiab yog tias koj muaj xeev siab, ntuav, thiab zawv plab lossis xav tias koj lub cev qhuav dej, lossis yog tias koj muaj cov tsos mob no thaum lub sijhawm kho koj. Thiab qhia rau koj tus kws kho mob yog tias koj tau muaj lub raum ua lub raum lossis koj puas tau lossis muaj mob plab tsis zoo, suav nrog rau lub plab zom mov (ua kom qeeb zaub mov los ntawm plab mus rau txoj hnyuv) lossis lwm yam teeb meem zom zaub mov; mob taub hau (o ntawm tus mob vias), mob qa (mob uas ua rau hauv lub plab), lossis qib triglycerides (rog) hauv cov ntshav, lossis mob hlab ntsha hlwb, nplooj siab, lossis mob raum.
- qhia koj tus kws kho mob yog tias koj cev xeeb tub, npaj yuav cev xeeb tub, lossis pub mis niam. Yog tias koj cev xeeb tub thaum siv exenatide, hu rau koj tus kws kho mob.
- nug koj tus kws kho mob txog kev haus dej caw zoo thaum koj siv tshuaj exenatide.
- nug koj tus kws kho mob seb yuav ua li cas yog tias koj mob, kis kab mob lossis ua npaws, muaj kev ntxhov siab txawv txawv, lossis raug mob. Cov mob no yuav cuam tshuam rau koj cov ntshav qab zib thiab cov ntshav siab kawg uas koj xav tau.
Nco ntsoov ua raws li tag nrho cov kev tawm dag zog thiab kev noj haus pom zoo ua los ntawm koj tus kws kho mob lossis tus kws qhia noj zaub mov. Nws yog ib qho tseem ceeb rau kev noj zaub mov zoo hauv lub cev.
Yog tias koj tsis nco qab noj sai li sai tau-tso kev txhaj tshuaj (Byetta)®), Hla lub sijhawm siv cov tshuaj uas tsis nco qab thiab txuas ntxiv rau koj lub sijhawm noj tshuaj kom raws sijhawm. Tsis txhob txhaj ob koob tshuaj ntxiv rau qhov tshuaj uas ploj lawm.
Yog tias koj plam ib koob tshuaj exenatide ncua kev tso tawm txhaj tshuaj (Bydureon®), siv cov koob tshuaj uas ploj lawm sai li sai tau thaum koj nco qab nws thiab tom qab ntawv koj cov sijhawm teem txhua lub lim tiam. Txawm li cas los xij, yog tias muaj tsawg dua 3 hnub (72 teev) txog thaum koj qhov kev teem tshuaj tom ntej, hla qhov koob tshuaj uas tsis nco qab lawm thiab txuas ntxiv rau koj cov sijhawm noj tshuaj tas li. Tsis txhob siv ob koob tshuaj los ua rau qhov ploj lawm.
Cov tshuaj no tuaj yeem hloov pauv hauv koj cov piam thaj hauv ntshav. Koj yuav tsum paub cov tsos mob uas muaj ntshav qab zib thiab ntshav qab zib thiab yuav ua li cas yog tias koj muaj cov tsos mob no.
Kev txhaj tshuaj sab nrauv yuav ua rau muaj kev phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
- xeev siab
- ntuav
- zawv plab
- cem quav
- jittery lawm
- kiv taub hau
- Kev mob siab
- mob taub hau
- tsis muaj zog
- hws
Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob hauv qab no lossis cov uas tau teev tseg rau hauv seem CEEB TOOM TSEEM CEEB, tsum tsis txhob siv exenatide thiab hu rau koj tus kws kho mob tam sim ntawd lossis tau txais kev kho mob kub ceev:
- kev mob tsis tu ncua uas pib hauv sab lauj los yog nruab nrab ntawm lub plab tab sis tuaj yeem kis rau sab nraub qaum nrog lossis tsis ntuav
- khaus
- ua pob
- khaus
- ua pa nyuaj lossis nqos
- txhaj tshuaj ntawm qhov chaw, o, hlwv, khaus, lossis pob tw
- o ntawm lub ntsej muag, lub caj pas, tus nplaig, daim di ncauj, qhov muag, tes, taw, pob taws, lossis ceg qis
- mob nyob rau sab xis lossis hauv nruab nrab plab hauv plab, xeev siab, ntuav, ua npaws, lossis tawv nqaij lossis tawv muag daj
- hloov pauv xim lossis tso zis
- tso zis ntau dua lossis tsawg dua li ib txwm
- o ntawm caj npab, tes, taw, pob taws, lossis ceg qis
- tsis qab los
Exenatide tuaj yeem ua lwm cov kev mob tshwm sim. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum siv cov tshuaj no.
Yog tias koj muaj kev mob tshwm sim loj, koj lossis koj tus kws kho mob tuaj yeem xa ntawv ceeb toom rau Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) lossis hauv xov tooj ( 1-800-332-1088).
Muab cov npuaj exenatide tsis siv tso rau hauv lawv lub qub thawv hauv lub tub yees tiv thaiv los ntawm lub teeb. Thaum siv tas lawm, khaws cov ntawv cwjmem hauv qhov chaw sov (txog li 77 ° F [25 ° C]) tiv thaiv ntawm lub teeb ci. Tsis khov. Tsis txhob siv exenatide yog tias nws tau khov. Tsis txhob muab cov xaum tso rau sab nrauv uas muaj lub koob xav tau. Khaws cov qhov npuaj exenatide tsis txhob ncav cuag cov menyuam.
Thaum taug kev, nco ntsoov khaws cia hauv qhov txhaws pev qhuav. Cov npiv uas tsis siv yuav tsum muab cia hauv tub yees lossis muab cia rau qhov txias txias li ntawm 36 ° F mus rau 46 ° F (2 ° C txog 8 ° C). Cov cwjmem uas siv tau tuaj yeem khaws cia hauv chav sov li 77 ° F (25 ° C) (tsis yog hauv hnab looj tes hauv tsheb lossis lwm qhov chaw kub).
Ua daim ntawv ntawm lub hnub uas koj xub siv tus cwj mem exenatide, thiab pov tseg tus cwj mem tom qab 30 hnub, txawm tias muaj qee qhov kev daws teebmeem hauv cwj mem.
Cov tshuaj tsis siv tshuaj yuav tsum tau muab pov tseg hauv txoj kev tshwj xeeb kom ntseeg tau tias cov tsiaj, menyuam yaus, thiab lwm tus neeg tsis tuaj yeem haus lawv. Txawm li cas los xij, koj yuav tsum tsis txhob yaug cov tshuaj no hauv lub qhov viv. Hloov chaw, txoj hauv kev zoo tshaj plaws hauv kev muab koj cov tshuaj tshem tawm yog los ntawm kev siv tshuaj rov qab. Tham nrog koj tus kws muag tshuaj lossis tiv tauj koj lub chaw khaws khib nyiab / chaw khaws khoom ubno hauv ib cheeb tsam kom paub txog cov haujlwm thim rov qab hauv koj lub zej zog. Saib ntawm FDA's Kev Nyab Xeeb Kev Nyab Xeeb Kev Siv Tshuaj lub vev xaib (http://goo.gl/c4Rm4p) kom paub cov ntaub ntawv ntau ntxiv yog tias koj tsis muaj kev nkag mus saib rov qab.
Nws yog ib qho tseem ceeb kom tsis txhob muaj txhua yam tshuaj rau qhov tsis pom thiab ncav cuag ntawm cov menyuam yaus ntau li ntau ntim (xws li tshuaj ntsiav tshuaj txhua lub limtiam thiab cov tshuaj rau qhov muag, tshuaj pleev, pleev xim, thiab nqus tshuaj) tsis tiv thaiv menyuam yaus thiab cov menyuam yaus tuaj yeem qhib lawv tau yooj yim. Txhawm rau tiv thaiv cov menyuam yaus me los ntawm kev lom, ib txwm kaw lub kaus mom kev nyab xeeb thiab muab cov tshuaj tso rau qhov chaw nyab xeeb - ib qho chaw nyob thiab deb thiab tawm ntawm lawv pom thiab ncav cuag. http://www.upandaway.org
Yog hais tias noj ntau dhau, hu rau kem tus xov tooj kev pab tswj kev lom ntawm 1-800-222-1222. Cov ntaub ntawv tseem muaj nyob online ntawm https://www.poisonhelp.org/help. Yog tus neeg raug tsim txom, tsaus muag, ua tsis taus pa, lossis sawv tsis taus, hu rau 911 tus neeg pab thaum muaj xwm ceev.
Cov tsos mob ntawm kev noj haus ntau heev yuav suav nrog cov hauv qab no:
- mob plab heev
- xeev siab
- ntuav heev
- kiv taub hau
- cov tsos mob ntawm tus mob hypoglycemia
Koj cov piam thaj hauv ntshav thiab glycosylated hemoglobin (HbA1c) yuav tsum kuaj xyuas tsis tu ncua los txiav txim koj cov lus teb rau exenatide. Koj tus kws kho mob tseem yuav qhia koj txog kev tshuaj xyuas koj cov lus teb rau cov tshuaj no li cas los ntawm kev ntsuas koj cov ntshav lossis ntshav qab zib kom ntshav nyob hauv tsev. Ua raws li cov lus qhia no kom zoo.
Tsis txhob cia lwm tus siv koj cov tshuaj. Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev rov ntxiv tshuaj rau koj.
Nws yog ib qho tseem ceeb rau koj kom koj muaj ib daim ntawv sau tag nrho cov tshuaj noj thiab cov tshuaj uas tsis yog kws kho mob sau ntawv (tsis yuav khoom) uas koj tab tom noj, nrog rau txhua yam khoom xws li cov vitamins, minerals, lossis lwm yam tshuaj noj rau lub cev. Koj yuav tsum nqa cov ntawv no nrog koj txhua zaus koj mus ntsib kws kho mob lossis yog tias koj tuaj nyob hauv tsev kho mob. Nws tseem yog cov ntaub ntawv tseem ceeb los nqa nrog koj thaum muaj xwm txheej ceev.
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