Kev sib cuam tshuam ntawm cov yeeb tshuaj thiab zaub mov: lawv yog dab tsi thiab yuav ua li cas kom lawv tsis txhob mob

Zoo Siab

• 1. Cov tshuaj antihypertensive
• 2. Kev tshuaj ntxuav tes
• 3. Cov tshuaj tiv thaiv kab mob ua haujlwm
• 4. Cov tshuaj tiv thaiv qhov ncauj
• 5. Cov tshuaj tiv thaiv tawm tsam
• 6. Qhov ncauj tshuaj tiv thaiv kab mob
• 7. Tshuaj tua kab mob
• 8. Tshuaj tua kab mob siab
• 9. Kev Pleev Xim thiab tiv thaiv hluav taws xob
• 10. Cov Bronchodilators
• 11. Levothyroxine
• 12. Antineoplastics
• 13. Cov Bisphosphonates
• Yuav ua li cas lub plab pH cuam tshuam rau cov tshuaj
• Yuav tsum tau ua li cas ua ntej pib noj tshuaj

Noj zaub mov thiab dej haus nrog qee yam tshuaj tuaj yeem cuam tshuam li cas cov tshuaj no ua haujlwm, tiv thaiv lawv kom tsis txhob muaj kev cia siab lossis nce qhov pheej hmoo ntawm cov kev mob tshwm sim.

Txawm li cas los xij, tsis yog txhua qhov kev sib cuam tshuam tsis zoo, vim hais tias qee yam tshuaj, thaum noj nrog zaub mov, tej zaum yuav muaj lawv qhov kev nqus rov zoo dua, uas ua rau txoj hauv kev kho tau zoo.

Yog li, thaum pib noj cov tshuaj tshiab lossis tau txais kev kho mob ntev, nws yog ib qho tseem ceeb kom ua raws txhua cov lus qhia kho mob rau kev nyab xeeb thiab ua kom zoo, suav nrog cov lus qhia pub mis.

Cov kev sib cuam tshuam ntawm cov tshuaj thiab zaub mov noj yog nyob ntawm chav kawm ntawm cov tshuaj siv:

1. Cov tshuaj antihypertensive

Cov tshuaj antihypertensive yog cov kev kho mob tseem ceeb uas siv los tswj ntshav siab vim tias lawv so cov hlab ntshav, pab txhawb kev ntshav thiab pab lub plawv ua kom lub zog tsis tuaj yeem mob.

Cov tshuaj no tuaj yeem faib ua 3 chav kawm thiab, nyob ntawm chav kawm, koj yuav tsum muaj qee qhov tshwj xeeb pub rau noj:

• Angiotensin-hloov ua enzyme (ACE) inhibitors, xws li captopril, enalapril, lisinopril lossis ramipril: kev noj zaub mov ntau nrog cov poov tshuaj yuav tsum zam, vim tias cov tshuaj no ua rau muaj kev nce ntxiv hauv cov ntxhia hauv cov ntshav, uas tuaj yeem ua rau pom kev tshwm sim xws li nqaij tsis muaj zog lossis lub plawv dhia tsis xwm yeem. Cov. Yog hais tias captopril, tshwj xeeb, nws tseem yog ib qho tseem ceeb uas yuav tsum tau noj tshuaj rau ntawm lub plab khoob, vim tias cov zaub mov txo nws txoj kev nqus;
• Beta blockers xws li propranolol, carvedilol thiab metoprolol: cov tshuaj ntxiv lossis cov zaub mov muaj calcium uas yuav tsum tau zam, vim tias cov ntxhia no tuaj yeem txo cov tshuaj ntawm cov tshuaj no. Qhov zoo tshaj plaws yog noj cov tshuaj 2 teev tom qab noj cov zaub mov no lossis cov tshuaj ntxiv. Hauv propranolol lossis metoprolol, nws raug nquahu kom noj cov ntsiav tshuaj nrog lossis tam sim ntawd tom qab noj mov los txhim kho kev nqus thiab qhov ua tau zoo ntawm kev kho mob;
• Cov calcium calcium blockers xws li nifedipine, amlodipine, nicardipine, verapamil thiab diltiazem: cov tshuaj ntxiv lossis zaub mov nplua nuj calcium yuav tsum raug zam, vim tias cov ntxhia no txo ​​cov kev ua tau zoo ntawm cov tshuaj tiv thaiv kabmob ntshav.

Txuas ntxiv, kua txiv kab ntxwv qaub, tseem muaj lub npe hu ua txiv kab ntxwv qaub, yuav tsum zam thaum lub sijhawm kho nrog antihypertensive tshuaj vim tias nws txo qis kev ua haujlwm ntawm lub enzyme ua lub luag haujlwm rau metabolizing cov tshuaj no, uas yuav ua rau muaj kev nce ntxiv hauv kev phiv lossis intoxication.

2. Kev tshuaj ntxuav tes

Diuretics yog cov tshuaj uas nquag siv los kho ntshav siab, lub plawv tsis ua hauj lwm los yog cov kua dej ntau ntxiv thiab ua haujlwm los ntawm kev ua kom tshem tawm cov dej los ntawm cov zis.

Qee qhov tseem ceeb ntawm kev pub mis rau cov neeg uas siv cov tshuaj no:

• Siv cov tshuaj ntxiv ntxhia: tshwj xeeb tshaj yog muaj cov diuretics uas tseem tshem tawm cov zaub mov tseem ceeb xws li potassium, magnesium lossis calcium. Hom kev lees paub no yuav tsum yog kws kho mob sau ntawv yuav tsum;
• Noj 1 mus rau 2 teev ua ntej noj mov: qee qhov diuretics, xws li bumetanide, furosemide thiab hydrochlorothiazide, tej zaum yuav muaj lawv qhov kev nqus poob thaum noj nrog zaub mov;
• Tsis txhob siv cov nroj tsuag tshuaj: qee cov nroj tsuag tshuaj xws li dawb cascara, foxglove, dawb hawthorn, dandelion hauv paus, ginseng, mackerel, licorice, txiv kab ntxwv ursi, alder thiab St. John lub wort, tuaj yeem ua rau muaj kev pheej hmoo ntawm kev phiv tshuaj diuretics.

Tsis tas li ntawd, thaum lub sij hawm siv cov tshuaj diuretics, ib qho yuav tsum zam kom tsis txhob siv cov ntawv tso cai vim cov zaub mov no tuaj yeem txo qhov kev ua tau zoo ntawm kev kho mob.

3. Cov tshuaj tiv thaiv kab mob ua haujlwm

Antiarrhythmic tshuaj siv los kho mob plawv xws li lub plawv tsis ua haujlwm lossis arrhythmia, raws li lawv ua los ntawm kev nce lub zog ntawm kev mob plawv. Hauv chav kawm ntawm cov tshuaj no, feem ntau siv yog digoxin.

Digoxin muaj qhov ntsuas kho nqaim qis, uas yog, kev hloov pauv me me hauv cov koob tshuaj tuaj yeem ua rau muaj kev phiv loj heev. Yog li, txhawm rau kom cov kev kho mob muaj kev nyab xeeb, qee qhov yuav tsum tau ceev faj, xws li:

• Zam cov khoom noj muaj fiber ntau, piv txwv li cov nplej txhauv, oats, txhuv xim av, zaub cob pob los yog carrots, piv txwv li, raws li lawv txo qhov nqus ntawm digoxin, txo nws cov nyhuv. Qhov zoo tshaj plaws yog noj digoxin 1 teev ua ntej lossis 2 teev tom qab noj mov thiab taug qab nrog tus kws qhia zaub mov noj uas tuaj yeem qhia txoj kev zoo tshaj plaws los txo koj cov roj ntsha tsis muaj teebmeem rau koj kev noj qab haus huv. Txheeb xyuas cov npe ntawm cov khoom noj muaj nplua nuj fiber ntau uas yuav tsum tau zam nrog kev siv digoxin;
• Zam kev muab tshuaj thiab khoom noj uas muaj vitamin D ntauvim tias cov vitamins no tuaj yeem nce cov calcium ntau ntxiv hauv cov ntshav, uas ua rau muaj kev phiv ntau dua ntawm digoxin, uas tuaj yeem ua rau qaug cawv nrog cov tsos mob ntawm lub cev poob siab, poob siab, tsis meej pem, xeev siab, ntuav, raws plab, mob plab, pom kev plooj lossis lub plawv dhia tsis xwm yeem;
• Zam kev ua kua txiv kab ntxwv qaub lossis txiv kab ntxwv qaub, vim hais tias cov kua txiv ntawm cov txiv hmab txiv ntoo no tuaj yeem nce qhov kev txiav txim siab ntawm digoxin hauv cov ntshav thiab ua rau intoxication lossis noj ntau dhau.

Kev siv Digoxin yuav tsum tau soj ntsuam thiab ua tib zoo xyuas los ntawm kws kho plawv kom kho qhov kev siv tshuaj thaum tsim nyog, ntsuas qhov ua tau zoo ntawm kev kho thiab zam qhov tshwm sim ntawm cov kev mob tshwm sim.

4. Cov tshuaj tiv thaiv qhov ncauj

Cov tshuaj tiv thaiv qhov ncauj, xws li warfarin lossis acenocoumarol, ua rau cov ntshav txhaws khov kho, ua rau cov ntshav txhaws ntau, txo qis kev pheej hmoo ntawm cov hlab plawv xws li mob hlab ntsha tawg, mob plawv lossis mob ntsws.

Cov tshuaj no, tshwj xeeb tshaj yog warfarin, ua haujlwm los ntawm inhibiting vitamin K, uas yog cov vitamins tseem ceeb uas koom nrog cov ntshav txhaws. Vim li no, cov zaub mov muaj txiaj ntsig nyob rau hauv cov vitamins no ua rau cov tshuaj warfarin tsis tshua muaj txiaj ntsig, zam kev noj zaub mov los yog cov zaub mov ntau nyob rau hauv cov vitamin K xws li zaub cob pob, zaub qhwv, kale, zaub ntsuab, zaub ntsuab thiab zaub paj ntoo. Txheeb xyuas tag nrho cov zaub mov ntau nyob hauv cov vitamin K uas yuav tsum tau zam.

Warfarin tuaj yeem noj rau ntawm lub plab lossis khoob tag nrho, txawm li cas los xij, koj yuav tsum tsis txhob noj nws nrog kua txiv blueberry, tseem paub txiv puv luj, lossis hmoov txiv puv luj ziab hauv tsiav tshuaj, kua txiv pomegranate, kua txiv blackcurrant thiab cov roj blackcurrant, vim lawv tuaj yeem nce cov nyhuv ntawm warfarin thiab ua rau muaj kev pheej hmoo los ntshav lossis los ntshav.

5. Cov tshuaj tiv thaiv tawm tsam

Cov tshuaj tiv thaiv anti-hypercholesterolemic, tseem hu ua statins, yog cov tshuaj uas ua haujlwm los ntawm kev txo cov roj thiab cov roj triglycerides, xws li simvastatin, lovastatin, fluvastatin, pravastatin, rosuvastatin lossis atorvastatin.

Qee qhov tseem ceeb ntawm kev noj zaub mov zoo thaum siv hom tshuaj no yog:

• Noj thaum tsaus ntuj, vim hais tias kev sib sau ntawm cov roj (cholesterol) los ntawm lub cev sib txawv thaum nruab hnub, nce ib qho siab kawg ntawm ib tag hmo txog 5 lossis 6 teev sawv ntxov;
• Tsis txhob noj cov zaub mov muaj fiber ntau lossis pectin, raws li lawv tuaj yeem cuam tshuam nrog kev nqus ntawm statins;
• Zam txhob haus kua txiv kab ntxwv qaub lossis txiv kab ntxwv qaub tshwj xeeb tshaj yog thaum siv atorvastatin, lovastatin lossis simvastatin, vim cov kua txiv no nce cov tshuaj no ntau ntxiv hauv cov ntshav thiab kev pheej hmoo ntawm cov kev mob tshwm sim xws li mob leeg, ntau tsis muaj zog, kub ib ce, malaise lossis tsaus xim tso zis.

Lwm yam statins xws li fluvastatin, pravastatin thiab rosuvastatin tsis cuam tshuam nrog cov kua txiv kab ntxwv qaub thiab muaj kev pheej hmoo tsawg dua los ntawm kev phiv.

6. Qhov ncauj tshuaj tiv thaiv kab mob

Cov tshuaj tiv thaiv kab mob rau hauv lub qhov ncauj, xws li metformin, glimepiride, acarbose lossis glipizide, ua haujlwm los ntawm kev txo qis cov ntshav qabzib kom tswj tau ntshav qab zib thiab yog li tiv thaiv kev cuam tshuam ntawm tus kab mob.

Piv txwv li Metformin, glimepiride lossis glibenclamide, acarbose yuav tsum tau noj tam sim ntawd thaum pib noj mov xws li noj tshais lossis thawj cov zaub mov tseem ceeb ntawm lub hnub, piv txwv. Qhov kev tso tawm sai sai glipizide, glimepiride, glibenclamide lossis gliclazide yuav tsum muab 30 feeb ua ntej noj mov kom muaj kev kho mob zoo dua.

7. Tshuaj tua kab mob

Tshuaj tua kab mob yog cov tshuaj siv los kho tus kab mob los ntawm cov kab mob thiab ua haujlwm los ntawm kev tiv thaiv kev loj hlob lossis tua cov kab mob uas ua rau muaj tus kabmob.

Thaum siv cov tshuaj tua kab mob, nws yog ib qho tseem ceeb uas yuav tsum noj nws txhua khob dej, vim cov khoom noj siv mis xws li mis thiab cov khoom noj siv mis muaj cov zaub mov, xws li calcium thiab magnesium, uas tiv thaiv nws txoj kev nqus, txiav nws cov nyhuv. Tsis tas li, cov tshuaj ntxiv uas muaj cov tshuaj ntxhia yuav tsum tsis txhob noj tib lub sijhawm kev noj tshuaj, nrog tsawg kawg 2 teev nruab nrab ntawm cov tshuaj tiv thaiv thiab tshuaj ntxiv.

Lwm qhov ceev faj nrog qee cov tshuaj tua kab mob tshwj xeeb suav nrog:

• Ciprofloxacino: tsis txhob noj nws nrog kua txiv hmab txiv ntoo, vim nws txo qhov nqus ntawm cov tshuaj tua kab mob no, thiab koj yuav tsum tos 2 teev ntawm kev noj tshuaj thiab haus ib co kua txiv txiv;
• Azithromycin: yuav tsum noj rau ntawm lub plab khoob, vim tias cov zaub mov txo nws txoj kev nqus. Qhov zoo tshaj plaws yog noj cov tshuaj no 1 teev ua ntej lossis 2 teev tom qab noj mov;
• Tetracycline, doxycycline lossis minocycline: lawv yuav tsum tau noj ntawm lub plab khoob txhawm rau txhim kho lawv qhov kev nqus, yog li ntawd, tsawg kawg 2 teev yuav tsum ncua ntawm kev noj zaub mov thiab qhov siv tshuaj tua kab mob;
• Penicillins, xws li amoxicillin lossis ampicillin: yuav tsum noj thaum pib noj mov me me kom txo lub plab ua pa. Txawm li cas los xij, tsis txhob noj zaub mov zoo li mis thiab mis nyuj nrog rau cov tshuaj tua kab mob no;
• Erythromycin: yuav tsum noj rau ntawm lub plab khoob vim tias cov zaub mov txo qis kev nqus ntawm cov tshuaj tua kab mob no. Qhov tsim nyog, noj cov tshuaj no 30 feeb ua ntej lossis 2 teev tom qab noj mov.

Nws kuj tseem ceeb kom tsis txhob haus dej cawv thaum lub sij hawm kho nrog txhua yam tshuaj tua kab mob, vim tias dej cawv tuaj yeem ua rau lub siab thiab cuam tshuam cov metabolism ntawm cov tshuaj tua kab mob, ua rau txo qis ntawm cov nyhuv, intoxication lossis nce ntxiv hauv phiv.

8. Tshuaj tua kab mob siab

Antidepressants yog cov tshuaj siv los kho kev ntxhov siab, ntxhov siab, schizophrenia, kev npau taws lossis pw tsaug zog, piv txwv.

Muaj ntau yam tshuaj tiv thaiv kev ntxhov siab, tab sis ntawm lawv, muaj chav kawm uas xav tau kev noj zaub mov tshwj xeeb ntau ntxiv. Cov chav kawm no hu ua monoaminoxidase inhibitors thiab suav nrog amitriptyline, clomipramine, imipramine, phenelzine, tranylcypromine, isocarboxazide lossis selegiline. Cov tshuaj no tuaj yeem cuam tshuam nrog cov zaub mov uas muaj tyramine thiab ua rau muaj kev kub ntxhov nrog cov tsos mob ntawm kiv taub hau, nce tawm hws ntau dhau, nkees nkees ntau, pom kev plooj plooj, poob siab, ntxhov siab, mob taub hau thiab mob caj dab.

Tyramine tuaj yeem pom tshwj xeeb hauv cov khoom noj uas muaj c nraub lossis cov khoom noj hauv hnub nyoog xws li kho cov nqaij npuas, nqaij npuas, nqaij hnyuv ntxwm, salami, nqaij npua, zaub ntsuab, zaub qhwv, kua ntses, npias thiab cawv, piv txwv. Cov zaub mov no yuav tsum zam nyob rau thaum kho nrog monoamine oxidase inhibitors.

9. Kev Pleev Xim thiab tiv thaiv hluav taws xob

Cov tshuaj pleev xim thiab tshuaj siv los kho cov mob me me thiab mob ib ce thiab ua npaws thiab tuaj yeem cuam tshuam nrog qee yam zaub mov:

• Paracetamol: yuav tsum noj rau hauv lub plab khoob vim tias cov zaub mov, tshwj xeeb tshaj yog cov uas muaj pectin, tuaj yeem txo qhov lawv nqus, txo lawv cov hauj lwm zoo. Ib qho ntxiv, ib qho yuav tsum zam kom tsis txhob haus cawv thaum nws tuaj yeem ua rau daim siab ua kom lub siab thiab pabcuam tus neeg mob ua paug lossis mob rau daim siab. Txheeb xyuas cov npe ntawm cov zaub mov muaj txiaj ntsig hauv pectin uas yuav tsum tau zam.
• Acetylsalicylic acid, ibuprofen, naproxen thiab ketoprofen: yuav tsum noj nrog zaub mov kom tsis txhob mob plab.

Tsis tas li ntawd, qee cov nroj tsuag tshuaj ntsuab xws li St. John lub wort lossis ginkgo biloba yuav tsum zam thaum siv tshuaj tiv thaiv kab mob, vim tias lawv yuav ua rau muaj kev pheej hmoo lossis ua ntshav tawm hauv plab.

10. Cov Bronchodilators

Bronchodilators yog cov tshuaj siv los kho thiab tiv thaiv kev tawm tsam rau cov neeg muaj teeb meem ua pa xws li hawb pob, mob ntsws, mob ntsws, mob ntsws lossis mob ntsws tsis txawj zoo.

Qee qhov ceeb toom tseem ceeb nrog zaub mov noj, tshwj xeeb tshaj yog thaum siv tshuaj bronchodilators ntev, yog:

• Tsis txhob nrog cov foxglove medicinal tsob nroj vim tias nws tuaj yeem nce ntxiv qhov tshwm sim ntawm bronchodilators lossis ua rau intoxication;
• Zam tsis txhob noj cov zaub mov thiab dej haus uas muaj cov khoom ua muaj caffeine, xws li kas fes, tshuaj yej ntsuab, dub tshuaj yej, chocolate, dej haus lossis dej qab zib zog, vim tias lawv yuav ua rau muaj kev pheej hmoo ntau tshwm sim, xws li kev ntxhov siab, tshee lossis lub plawv dhia ceev;
• Zam kev haus cawv, feem ntau hauv kev siv theophylline vim tias cawv yuav ua rau muaj kev phom sij ntxiv, xws li xeev siab, ntuav, mob taub hau lossis txob taus.

Qee tus kab mob bronchodilators, tshwj xeeb tshaj yog salbutamol thiab theophylline, thaum siv lub sijhawm ntev, tuaj yeem ua rau cov khoom noj muaj ntxhiab ntau ntxiv xws li calcium, magnesium thiab potassium thiab, yog li ntawd, kev siv tshuaj pab qhia los ntawm kws kho mob tej zaum yuav tsim nyog.

11. Levothyroxine

Levothyroxine yog lub cev cov thyroid hluavtaws siv los kho hypothyroidism lossis thaum tsis muaj cov tshuaj no hauv cov hlab ntshav.

Cov tshuaj no yuav tsum noj rau ntawm lub plab khoob, vim zaub mov txo nws txoj kev nqus, txo nws cov hauj lwm zoo. Yog li, nws raug nquahu kom noj levothyroxine thaum sawv ntxov nyob rau ntawm lub plab khoob, tsawg kawg 30 txog 60 feeb ua ntej noj tshais.

12. Antineoplastics

Antineoplastic agents yog cov tshuaj siv los kho mob qog noj ntshav thiab tuaj yeem txo lawv cov txiaj ntsig yog tias lawv noj nrog qee yam zaub mov. Qee cov qauv yog:

• Tamoxifen: ib qho yuav tsum tsis txhob noj cov zaub mov thiab cov khoom lag luam nrog kua qoob loo thaum lawv txo cov kev ua tamoxifen, txo qis nws cov hauj lwm zoo hauv kev kho mob cancer mis;
• Mercaptopurine: yuav tsum noj rau ntawm lub plab khoob thiab ib txwm nrog khob dej, tsis txhob muaj mis nyuj. Khoom noj khoom haus txo nws txoj kev nqus, txo cov roj ntsha ntawm kev kho mob nqaij hlav. Qhov zoo tshaj plaws yog noj cov tshuaj no 1 teev ua ntej lossis 2 teev tom qab noj;
• Capecitabine: yuav tsum tau noj nyob hauv 30 feeb tom qab noj mov, vim tias cov zaub mov txhim kho nws txoj kev nqus, uas nce cov txiaj ntsig ntawm kev kho mob ntawm lub mis, plab hnyuv lossis lub plab.

Thaum pib kho mob qog noj ntshav, tus kws kho mob lossis kws kho oncology yuav tsum tawm tswv yim txog kev sib cuam tshuam ntawm cov kab mob antineoplastic nrog zaub mov ib leeg zuj zus, raws li cov tshuaj noj thiab hom kev kho mob.

13. Cov Bisphosphonates

Bisphosphonates yog cov tshuaj siv rau hauv kev tiv thaiv thiab kho ntau yam mob pob txha, xws li txha, mob cancer nrog pob txha metastasis, muaj calcium ntau ntxiv nyob rau hauv cov ntshav lossis ntau yam mob myeloma.

Cov tshuaj no yuav tsum tau noj rau ntawm lub plab khoob, tsawg kawg 30 feeb ua ntej noj mov, vim tias muaj cov khoom noj hauv lub plab zom mov txo qis kev nqus thiab txo qhov ua tau zoo ntawm kev kho mob.

Yuav ua li cas lub plab pH cuam tshuam rau cov tshuaj

Qee cov tshuaj nyob ntawm lub pH ntawm lub plab ua haujlwm kom raug, xws li omeprazole lossis esomeprazole, piv txwv li, uas xav tau lub plab acid yuav ua kom muaj zog thiab muaj lawv qhov kev txiav txim siab, thiab yuav tsum noj rau hauv lub plab khoob.

Lwm qhov piv txwv zoo yog tshuaj tua kab mob, xws li ketoconazole, uas ua haujlwm zoo dua thaum muaj pH acidic hauv plab. Hauv qhov no, nws yuav pom zoo kom xaiv cov tshuaj tom qab noj mov nrog cov zaub mov acidic, xws li qe, cheese lossis ntses. Ib qho ntxiv, nws raug nquahu kom tsis txhob siv cov tshuaj antacid, piv txwv.

Zoo li no, probiotics kuj ua haujlwm tau zoo tshaj thaum muaj qee qhov acidic ib puag ncig hauv plab. Yog li, cov lus qhia zoo yuav tsum noj cov probiotic tom qab noj mov me ntsis, xws li noj khoom txom ncauj thaum sawv ntxov, nyiam dua muaj cov khoom noj uas txhawb cov kua qaub qis xws li mis lossis kua mis nyeem qaub. Saib ib daim ntawv ua tiav los ntawm cov zaub mov tseem ceeb acidic.

Nyob rau hauv rooj plaub uas cov tshuaj yuav muaj nws qhov kev txiav txim siab los ntawm kev ua haujlwm hauv lub plab los yog uas yuav ua rau lub plab ua pa, cov ntsiav tshuaj lossis tshuaj ntsiav muaj tshuaj pleev, hu ua enteric coating, yog li cov tshuaj yuav nqus ncaj qha los ntawm txoj hnyuv, zam kom tsis txhob txo cov nyhuv thiab sab Piv txwv li cov teebmeem xws li kub siab, hlawv lossis mob plab, piv txwv.

Yuav tsum tau ua li cas ua ntej pib noj tshuaj

Qee qhov kev pom zoo tseem ceeb thaum pib siv tshuaj muaj xws li:

• Txhua zaus yuav tsum noj cov tshuaj nrog khob dej, tsis txhob muaj kua lossis kua mis;
• Nug kws kho mob lossis kws muag tshuaj txog cov khoom noj uas yuav noj lossis tsis tuaj yeem noj thaum kho;
• Yuav tsum tau ua raws li cov lus qhia kho mob txog lub caij nyoog noj tshuaj thiab seb cov tshuaj noj yuav tsum noj ntawm lub plab lossis puv plab;
• Qhia rau koj tus kws kho mob yog tias koj muaj kev phiv.

Ntxiv rau, nws yog ib qho tseem ceeb uas yuav tsum tau qhia rau tus kws kho mob ntawm txhua yam tshuaj, nroj tsuag tshuaj ntsuab los yog kev noj zaub mov noj uas tau siv kom tsis txhob nce lossis txo qis kev ua haujlwm ntawm cov tshuaj.