{"id":30041,"date":"2023-05-02T15:59:49","date_gmt":"2023-05-02T08:59:49","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30041"},"modified":"2023-05-02T15:59:49","modified_gmt":"2023-05-02T08:59:49","slug":"phau-thuat-khau-cam-mau-o-loet-da-day","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/phau-thuat-khau-cam-mau-o-loet-da-day\/","title":{"rendered":"Ph\u1eabu thu\u1eadt kh\u00e2u c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y"},"content":{"rendered":"

Ch\u1ea3y m\u00e1u \u1ed5 lo\u00e9t l\u00e0 m\u1ed9t c\u1ea5p c\u1ee9u nguy hi\u1ec3m do \u0111\u00e1y \u1ed5 lo\u00e9t th\u1ee7ng th\u00f4ng v\u00e0o m\u1ed9t \u0111\u1ed9ng m\u1ea1ch nu\u00f4i c\u1ee7a d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng. Trong tr\u01b0\u1eddng h\u1ee3p c\u00e1c \u0111i\u1ec1u tr\u1ecb<\/a> n\u00fat m\u1ea1ch ti\u00eam x\u01a1 kh\u00f4ng gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c th\u00ec c\u1ea7n ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u. Ph\u1eabu thu\u1eadt kh\u00e2u c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t th\u01b0\u1eddng ph\u1ea3i ph\u1ed1i h\u1ee3p v\u1edbi ph\u1eabu thu\u1eadt th\u1eaft \u0111\u1ed9ng m\u1ea1ch nu\u00f4i c\u1ee7a d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng.<\/strong><\/p>\n

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H\u00ecnh \u1ea3nh ch\u1ea3y m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y<\/figcaption><\/figure>\n

1. Ch\u1ec9 \u0111\u1ecbnh<\/h2>\n

Ch\u1ea3y m\u00e1u do lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng<\/p>\n

2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n

Ph\u1eabu thu\u1eadt kh\u00e2u c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 ng\u0103n ch\u1eb7n ch\u1ea3y m\u00e1u t\u1eeb c\u00e1c v\u1ebft lo\u00e9t tr\u00ean d\u1ea1 d\u00e0y. Kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i. Tuy nhi\u00ean, nh\u01b0 b\u1ea5t k\u1ef3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0o kh\u00e1c, n\u00f3 c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i, bao g\u1ed3m:<\/p>\n

– T\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n qu\u00e1 nghi\u00eam tr\u1ecdng: N\u1ebfu b\u1ec7nh nh\u00e2n \u1edf tr\u1ea1ng th\u00e1i b\u1ec7nh t\u1eadt qu\u00e1 nghi\u00eam tr\u1ecdng, ph\u1eabu thu\u1eadt kh\u00e2u c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y c\u00f3 th\u1ec3 kh\u00f4ng ph\u00f9 h\u1ee3p v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 nhi\u1ec5m tr\u00f9ng ho\u1eb7c suy tim.<\/p>\n

– T\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u nghi\u00eam tr\u1ecdng: N\u1ebfu b\u1ec7nh nh\u00e2n \u0111ang trong t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u nghi\u00eam tr\u1ecdng, ph\u1eabu thu\u1eadt kh\u00e2u c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nh\u01b0 truy\u1ec1n m\u00e1u hay s\u1eed d\u1ee5ng thu\u1ed1c c\u1ea7m m\u00e1u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt.<\/p>\n

– T\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n kh\u00f4ng \u1ed5n \u0111\u1ecbnh: N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng \u1ed5n \u0111\u1ecbnh, ph\u1eabu thu\u1eadt kh\u00e2u c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y c\u00f3 th\u1ec3 kh\u00f4ng ph\u00f9 h\u1ee3p v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 suy tim ho\u1eb7c suy h\u00f4 h\u1ea5p.<\/p>\n

– B\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u1ed3ng \u00fd v\u1edbi ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb: N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u1ed3ng \u00fd v\u1edbi ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ho\u1eb7c kh\u00f4ng th\u1ec3 hi\u1ec3u r\u00f5 v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb, ph\u1eabu thu\u1eadt kh\u00e2u c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n.<\/p>\n

Tuy nhi\u00ean, trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, ph\u1eabu thu\u1eadt kh\u00e2u c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ebft lo\u00e9t d\u1ea1 d\u00e0y. Quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0a ra sau khi th\u1ea9m \u0111\u1ecbnh k\u1ef9 l\u01b0\u1ee1ng t\u1eeb c\u00e1c chuy\u00ean gia y t\u1ebf v\u00e0 b\u1ec7nh nh\u00e2n n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a b\u00e1c s\u0129 tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y.<\/p>\n

3. Chu\u1ea9n b\u1ecb<\/b><\/h2>\n

3.1. Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n:<\/b><\/h3>\n

– 01 Ph\u1eabu thu\u1eadt vi\u00ean chuy\u00ean khoa ti\u00eau h\u00f3a ho\u1eb7c ngo\u1ea1i chung<\/p>\n

– 02 ph\u1ee5 m\u1ed5<\/p>\n

– K\u00edp g\u00e2y m\u00ea: 01 B\u00e1c s\u0129 g\u00e2y m\u00ea, 01 \u0110i\u1ec1u d\u01b0\u1ee1ng ph\u1ee5 g\u00e2y m\u00ea<\/p>\n

– K\u00edp d\u1ee5ng c\u1ee5: 01 D\u1ee5ng c\u1ee5 vi\u00ean, 01 nh\u00e2n vi\u00ean ch\u1ea1y ngo\u00e0i<\/p>\n

3.2. Ng\u01b0\u1eddi b\u1ec7nh<\/b><\/h3>\n

– \u0110\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh, x\u00e9t nghi\u1ec7m sinh h\u1ecdc, \u0111\u00e1nh gi\u00e1 to\u00e0n tr\u1ea1ng b\u1ec7nh ph\u1ed1i h\u1ee3p v\u00e0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, nu\u00f4i d\u01b0\u1ee1ng, c\u00e2n b\u1eb1ng \u0111\u1ee7 \u0111\u1ea3m b\u1ea3o cho cu\u1ed9c ph\u1eabu thu\u1eadt d\u1ef1 ki\u1ebfn.<\/p>\n

– N\u00e2ng cao th\u1ec3 tr\u1ea1ng, c\u00e2n b\u1eb1ng nh\u1eefng r\u1ed1i lo\u1ea1n do h\u1eadu qu\u1ea3 c\u1ee7a b\u1ec7nh ho\u1eb7c do c\u01a1 \u0111\u1ecba, b\u1ec7nh m\u00e3n t\u00ednh, tu\u1ed5i\u2026<\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch r\u00f5 tr\u01b0\u1edbc m\u1ed5 v\u1ec1 t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 t\u00ecnh tr\u1ea1ng chung, v\u1ec1 nh\u1eefng kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt s\u1ebd th\u1ef1c hi\u1ec7n, v\u1ec1 nh\u1eefng tai bi\u1ebfn, bi\u1ebfn ch\u1ee9ng, di ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p do b\u1ec7nh, do ph\u1eabu thu\u1eadt, do g\u00e2y m\u00ea, t\u00ea, gi\u1ea3m \u0111au, do c\u01a1 \u0111\u1ecba c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

– Nh\u1ecbn \u0103n, th\u1ee5t th\u00e1o, v\u1ec7 sinh v\u00f9ng ph\u1eabu thu\u1eadt v\u00e0 to\u00e0n th\u00e2n.<\/p>\n

3.3. Ph\u01b0\u01a1ng ti\u1ec7n: <\/b><\/h3>\n

B\u1ed9 d\u1ee5ng c\u1ee5 \u0111\u1ea1i ph\u1eabu, dao si\u00eau \u00e2m, Ligasure, ch\u1ec9 ph\u1eabu thu\u1eadt, thu\u1ed1c, d\u1ecbch truy\u1ec1n,\u2026<\/p>\n

3.4. D\u1ef1 ki\u1ebfn th\u1eddi gian ph\u1eabu thu\u1eadt: <\/b>90 ph\u00fat<\/h3>\n

4. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh<\/b><\/h2>\n

T\u01b0 th\u1ebf n\u1eb1m ng\u1eeda, k\u00ea g\u1ed1i l\u01b0ng<\/p>\n

B\u01b0\u1edbc 1:\u00a0<\/b>R\u1ea1ch da \u0111\u01b0\u1eddng tr\u1eafng gi\u1eefa v\u00e0o b\u1ee5ng<\/p>\n

B\u01b0\u1edbc 2:\u00a0<\/b>M\u1edf d\u1ea1 d\u00e0y theo \u0111\u01b0\u1eddng r\u1ea1ch d\u1ecdc m\u1eb7t tr\u01b0\u1edbc d\u1ea1 d\u00e0y. Ki\u1ec3m tra ph\u00e1t hi\u1ec7n th\u01b0\u01a1ng t\u1ed5n lo\u00e9t ch\u1ea3y m\u00e1u tr\u1ef1c ti\u1ebfp v\u00e0o \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/p>\n

B\u01b0\u1edbc 3:\u00a0<\/b>Ph\u1eabu t\u00edch \u1ed5 lo\u00e9t ph\u00eda b\u00ean ngo\u00e0i t\u01b0\u01a1ng \u1ee9ng b\u1ed9c l\u1ed9 v\u1ecb tr\u00ed ch\u1ea3y m\u00e1u. D\u00f9ng ch\u1ec9 ph\u1eabu thu\u1eadt kh\u00e2u \u0111\u00f3ng \u1ed5 lo\u00e9t v\u00e0 c\u1ea7m m\u00e1u. C\u1ea7n ph\u1ed1i h\u1ee3p ph\u1eabu thu\u1eadt th\u1eaft \u0111\u1ed9ng m\u1ea1ch nu\u00f4i d\u1ea1 d\u00e0y g\u00e2y ch\u1ea3y m\u00e1u (\u0111\u1ed9ng m\u1ea1ch v\u1ecb ph\u1ea3i, \u0111\u1ed9ng m\u1ea1ch v\u1ecb tr\u00e1i, \u0111\u1ed9ng m\u1ea1ch v\u1ecb t\u00e1 tr\u00e0ng..)<\/p>\n

B\u01b0\u1edbc 3:\u00a0<\/b>Ki\u1ec3m tra hi\u1ec7u qu\u1ea3 c\u1ea7m m\u00e1u<\/p>\n

B\u01b0\u1edbc 4:\u00a0<\/b>Kh\u00e2u \u0111\u00f3ng m\u1eb7t tr\u01b0\u1edbc d\u1ea1 d\u00e0y b\u1eb1ng ch\u1ec9 ph\u1eabu thu\u1eadt ho\u1eb7c m\u00e1y kh\u00e2u \u1ed1ng ti\u00eau h\u00f3a. L\u01b0u \u1ed1ng th\u00f4ng m\u0169i d\u1ea1 d\u00e0y<\/p>\n

B\u01b0\u1edbc 5: <\/b>\u0110\u00f3ng b\u1ee5ng<\/p>\n

5. Theo d\u00f5i v\u00e0 x\u1eed tr\u00ed bi\u1ebfn ch\u1ee9ng<\/b><\/h2>\n

– Theo d\u00f5i h\u1eadu ph\u1eabu nh\u01b0 th\u01b0\u1eddng quy: Theo d\u00f5i h\u1eadu ph\u1eabu l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng b\u1ec7nh nh\u00e2n \u0111ang h\u1ed3i ph\u1ee5c m\u1ed9t c\u00e1ch an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3. Theo d\u00f5i h\u1eadu ph\u1eabu th\u01b0\u1eddng bao g\u1ed3m c\u00e1c ho\u1ea1t \u0111\u1ed9ng v\u00e0 quy tr\u00ecnh sau:<\/p>\n

    \n
  • Gi\u00e1m s\u00e1t ch\u1ec9 s\u1ed1ch\u1ee9c n\u0103ng s\u1ed1ng: Sau khi ph\u1eabu thu\u1eadt, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t c\u00e1c ch\u1ec9 s\u1ed1 nh\u01b0 huy\u1ebft \u00e1p, nh\u1ecbp tim, t\u00ecnh tr\u1ea1ng h\u00f4 h\u1ea5p v\u00e0 b\u00e3o h\u00f2a oxy trong m\u00e1u \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng c\u00e1c ch\u1ec9 s\u1ed1 n\u00e0y \u0111ang \u1edf m\u1ee9c b\u00ecnh th\u01b0\u1eddng v\u00e0 kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng x\u1ea3y ra.<\/li>\n
  • Qu\u1ea3n l\u00fd \u0111au: B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c gi\u1ea3m \u0111au sau khi ph\u1eabu thu\u1eadt. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3m \u0111au c\u00f3 th\u1ec3 bao g\u1ed3m s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au ho\u1eb7c ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3m \u0111au kh\u00f4ng d\u00f9ng thu\u1ed1c.<\/li>\n
  • Ki\u1ec3m tra v\u1ebft m\u1ed5: V\u1ebft m\u1ed5 c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o kh\u00f4ng c\u00f3 nhi\u1ec5m tr\u00f9ng ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c x\u1ea3y ra. N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 g\u00ec, b\u00e1c s\u0129 c\u1ea7n ph\u1ea3i x\u1eed l\u00fd ngay \u0111\u1ec3 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng.<\/li>\n
  • Cung c\u1ea5p ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 ch\u0103m s\u00f3c sau ph\u1eabu thu\u1eadt: B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c cung c\u1ea5p ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 ch\u0103m s\u00f3c sau ph\u1eabu thu\u1eadt ph\u00f9 h\u1ee3p \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o h\u1ed3i ph\u1ee5c nhanh ch\u00f3ng v\u00e0 hi\u1ec7u qu\u1ea3.<\/li>\n<\/ul>\n

    Theo d\u00f5i h\u1eadu ph\u1eabu l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u00fang c\u00e1ch \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 cho b\u1ec7nh nh\u00e2n. B\u1ec7nh nh\u00e2n n\u00ean th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 c\u1ee7a m\u00ecnh v\u1ec1 c\u00e1c quy tr\u00ecnh theo d\u00f5i h\u1eadu ph\u1eabu \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p ch\u0103m s\u00f3c sau ph\u1eabu thu\u1eadt ph\u00f9 h\u1ee3p.<\/p>\n

    – Theo d\u00f5i h\u1ed9i ch\u1ee9ng thi\u1ebfu m\u00e1u, c\u00e1c d\u1ea5u hi\u1ec7u ch\u1ea3y m\u00e1u t\u00e1i ph\u00e1t<\/p>\n

    – Theo d\u00f5i li\u1ec1n v\u1ebft m\u1ed5 v\u00e0 t\u00ecnh tr\u1ea1ng \u1ed5 b\u1ee5ng<\/p>\n

    – Ph\u00e1t hi\u1ec7n bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u t\u00e1i ph\u00e1t: x\u1eed tr\u00ed \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n ho\u1eb7c ph\u1ea3i m\u1ed5 l\u1ea1i c\u1ea7m m\u00e1u (c\u1eaft d\u1ea1 d\u00e0y)<\/p>\n

    Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

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Ph\u1eabu thu\u1eadt kh\u00e2u c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t th\u01b0\u1eddng ph\u1ea3i […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[],"yoast_head":"\nPh\u1eabu thu\u1eadt kh\u00e2u c\u1ea7m m\u00e1u \u1ed5 lo\u00e9t d\u1ea1 d\u00e0y - Vinmec<\/title>\n<meta name=\"description\" content=\"Trong tr\u01b0\u1eddng h\u1ee3p c\u00e1c \u0111i\u1ec1u tr\u1ecb n\u00fat m\u1ea1ch ti\u00eam x\u01a1 kh\u00f4ng gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c th\u00ec c\u1ea7n ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u. 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