{"id":30079,"date":"2023-05-03T16:38:07","date_gmt":"2023-05-03T09:38:07","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30079"},"modified":"2023-05-03T16:38:07","modified_gmt":"2023-05-03T09:38:07","slug":"phau-thuat-cat-da-thua-hau-mon-nhu-the-nao","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/phau-thuat-cat-da-thua-hau-mon-nhu-the-nao\/","title":{"rendered":"Ph\u1eabu thu\u1eadt c\u1eaft da th\u1eeba h\u1eadu m\u00f4n nh\u01b0 th\u1ebf n\u00e0o?"},"content":{"rendered":"

Da th\u1eeba h\u1eadu m\u00f4n g\u1eb7p khi da v\u00f9ng quanh l\u1ed7 h\u1eadu m\u00f4n to l\u00ean v\u00e0 k\u00e9o d\u00e0i ra. Da th\u1eeba h\u1eadu m\u00f4n kh\u00e1 th\u01b0\u1eddng g\u1eb7p, c\u00f3 th\u1ec3 l\u00e0 di t\u00edch \u0111\u1ec3 l\u1ea1i sau m\u1ed9t \u0111\u1ee3t tr\u0129 t\u1eafc m\u1ea1ch tho\u00e1i tri\u1ec3n. Ph\u1eabu thu\u1eadt c\u1eaft da th\u1eeba h\u1eadu m\u00f4n l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p<\/a> ph\u1eabu thu\u1eadt quan tr\u1ecdng v\u00ec c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m ho\u1eb7c lo\u1ea1i b\u1ecf c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n nh\u01b0 \u0111au, ng\u1ee9a, ch\u1ea3y m\u00e1u, v\u00e0 kh\u00f3 kh\u0103n trong vi\u1ec7c \u0111i tngo\u00e0i.<\/strong><\/p>\n

\"\"<\/p>\n

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

– Da th\u1eeba h\u1eadu m\u00f4n l\u1edbn g\u00e2y kh\u00f3 v\u1ec7 sinh s\u1ea1ch, b\u1ea5t ti\u1ec7n cho ng\u01b0\u1eddi b\u1ec7nh, m\u1ea5t th\u1ea9m m\u1ef9.<\/p>\n

– Da th\u1eeba h\u1eadu m\u00f4n l\u00e0m ng\u01b0\u1eddi b\u1ec7nh kh\u00f3 ch\u1ecbu do c\u1ea3m gi\u00e1c ng\u1ee9a, vi\u00eam nhi\u1ec5m (C\u1ea7n t\u00ecm nh\u1eefng b\u1ec7nh l\u00fd v\u00f9ng h\u1eadu m\u00f4n n\u1ebfu c\u00f3 ch\u1ea3y m\u00e1u v\u00e0 \u0111au h\u1eadu m\u00f4n, c\u0169ng nh\u01b0 lo\u1ea1i tr\u1eeb nh\u1eefng b\u1ec7nh l\u00fd kh\u00e1c g\u00e2y ng\u1ee9a v\u00f9ng h\u1eadu m\u00f4n.)<\/p>\n

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

– Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh chung c\u1ee7a can thi\u1ec7p ngo\u1ea1i khoa.<\/p>\n

– H\u1eadu m\u00f4n vi\u00eam nhi\u1ec5m<\/p>\n

– Da th\u1eeba h\u1eadu m\u00f4n ph\u00f9 n\u1ec1, ph\u00ecnh to d\u1ea1ng c\u1ee5c c\u1ea7n l\u00e0m bilan ch\u1ea9n \u0111o\u00e1n b\u1ec7nh Crohn \u1ed1ng h\u1eadu m\u00f4n.<\/p>\n

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

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

Ph\u1eabu thu\u1eadt vi\u00ean ti\u00eau h\u00f3a hay ngo\u1ea1i chung \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o chuy\u00ean s\u00e2u ho\u1eb7c c\u00f3 ch\u1ee9ng ch\u1ec9 v\u1ec1 ph\u1eabu thu\u1eadt v\u00f9ng h\u1eadu m\u00f4n tr\u1ef1c tr\u00e0ng – t\u1ea7ng sinh m\u00f4n.<\/p>\n

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

– \u0110\u00e8n chi\u1ebfu s\u00e1ng t\u1ed1t, \u00e1nh s\u00e1ng l\u1ea1nh.<\/p>\n

– B\u1ed9 d\u1ee5ng c\u1ee5 ph\u1eabu thu\u1eadt h\u1eadu m\u00f4n: c\u00f3 \u00f4ng soi h\u1eadu m\u00f4n, van h\u1eadu m\u00f4n, que th\u0103m d\u00f2, dao \u0111i\u1ec7n, m\u00e1y h\u00fat, panh, k\u00e9o, k\u1eb9p ph\u1eabu t\u00edch,\u2026<\/p>\n

– C\u00e1c lo\u1ea1i ch\u1ec9 kh\u00e2u, thu\u1ed1c b\u00f4i tr\u01a1n (vaselin), oxy gi\u00e0, xanh metylen,\u2026<\/p>\n

– B\u00e0n ph\u1eabu thu\u1eadt: th\u01b0\u1eddng d\u1eb7t \u0111\u01b0\u1ee3c ng\u01b0\u1eddi b\u1ec7nh t\u01b0 th\u1ebf ph\u1ee5 khoa, b\u00e0n c\u00f3 th\u1ec3 xoay \u0111\u01b0\u1ee3c c\u00e1c t\u01b0 th\u1ebf.<\/p>\n

– B\u00e0n \u0111\u1ec3 d\u1ee5ng c\u1ee5: n\u00ean c\u00f3 2 b\u00e0n (b\u00e0n \u0111\u1ec3 d\u1ee5ng c\u1ee5 chung v\u00e0 b\u00e0n \u0111\u1ec3 d\u1ee5ng c\u1ee5 c\u1ea7n thi\u1ebft trong khi m\u1ed5 \u0111\u1eb7t tr\u01b0\u1edbc m\u1eb7t ph\u1eabu thu\u1eadt vi\u00ean 50cmX30cm).<\/p>\n

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

Gi\u1ea3i th\u00edch cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh bi\u1ebft r\u00f5 t\u00ecnh tr\u1ea1ng b\u1ec7nh t\u1ea1i ch\u1ed7 v\u00e0 t\u00ecnh tr\u1ea1ng chung c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, v\u1ec1 kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt s\u1ebd th\u1ef1c hi\u1ec7n, v\u1ec1 c\u00e1c 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

Gi\u1ea3i \u0111\u00e1p nh\u1eefng kh\u00fac m\u1eafc c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 b\u1ec7nh t\u1eadt, v\u1ec1 ph\u1eabu thu\u1eadt,\u2026trong ph\u1ea1m vi cho ph\u00e9p.<\/p>\n

–\u00a0T\u1ed1i h\u00f4m tr\u01b0\u1edbc ng\u00e0y ph\u1eabu thu\u1eadt:<\/i><\/p>\n

Th\u1ee5t th\u00e1o s\u1ea1ch ph\u00e2n, c\u00f3 th\u1ec3 th\u1ee5t thu\u1ed1c t\u1ea9y nh\u01b0 Fleet,\u2026Kh\u00f4ng c\u1ea7n t\u1ea9y s\u1ea1ch nh\u01b0 ph\u1eabu thu\u1eadt \u0111\u1ea1i tr\u1ef1c tr\u00e0ng.<\/p>\n

D\u00f9ng thu\u1ed1c an th\u1ea7n nh\u01b0 seduxen 5mg\u00a0x\u00a0<\/span>1 vi\u00ean, u\u1ed1ng l\u00fac 20 gi\u1edd.<\/p>\n

– C\u1ea1o l\u00f4ng quanh h\u1eadu m\u00f4n: n\u00ean th\u1ef1c hi\u1ec7n tr\u00ean b\u00e0n ph\u1eabu thu\u1eadt sau khi g\u00e2y t\u00ea v\u00f9ng ho\u1eb7c g\u00e2y m\u00ea.<\/p>\n

–\u00a0Ng\u00e0y ph\u1eabu thu\u1eadt<\/i>: nh\u1ecbn \u0103n, u\u1ed1ng, \u0111i ti\u1ec3u tr\u01b0\u1edbc khi l\u00ean b\u00e0n m\u1ed5.<\/p>\n

3.4. H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n:<\/b><\/h3>\n

– Ho\u00e0n th\u00e0nh c\u00e1c th\u1ee7 t\u1ee5c h\u00e0nh ch\u00ednh theo qui \u0111\u1ecbnh. Ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh ghi h\u1ed3 s\u01a1 nh\u01b0 \u0111\u00e3 n\u00eau \u1edf m\u1ee5c 3 tr\u00ean \u0111\u00e2y (ghi r\u00f5 \u0111\u00e3 \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch r\u00f5 r\u00e0ng v\u00e0 hi\u1ec3u v\u1ec1 nh\u1eefng \u0111i\u1ec1u b\u00e1c s\u1ef9 gi\u1ea3i th\u00edch n\u00eau tr\u00ean).<\/p>\n

– Ho\u00e0n thi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 c\u00e1c b\u01b0\u1edbc kh\u00e1m l\u00e2m s\u00e0ng, c\u1eadn l\u00e2m s\u00e0ng c\u1ea7n thi\u1ebft \u0111\u1ec3 c\u00f3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1ec7nh (t\u00f9y thu\u1ed9c c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n, c\u01a1 s\u1edf y t\u1ebf). \u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng to\u00e0n th\u00e2n nh\u01b0 tu\u1ed5i, c\u01a1 \u0111\u1ecba, nh\u1eefng b\u1ec7nh m\u00e3n t\u00ednh n\u1eb7ng ph\u1ed1i h\u1ee3p c\u00f3 \u1ea3nh h\u01b0\u1edfng t\u1edbi cu\u1ed9c ph\u1eabu thu\u1eadt, trong th\u1eddi k\u1ef3 h\u1eadu ph\u1eabu. \u0110\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt \u0111\u1ec3 chu\u1ea9n b\u1ecb cho cu\u1ed9c m\u1ed5 di\u1ec5n ra an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t.<\/p>\n

\u0110\u1ed1i v\u1edbi c\u00e1c th\u1ee7 thu\u1eadt \u0111\u01a1n gi\u1ea3n h\u01a1n (v\u00ed d\u1ee5 l\u1ea5y m\u00e1u c\u1ee5c do tr\u0129 t\u1eafc m\u1ea1ch, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt v\u00e0 ra v\u1ec1 ngay trong ng\u00e0y. Hay ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i m\u1ed5 c\u1ea5p c\u1ee9u nh\u01b0 \u00e1p xe c\u1ea1nh h\u1eadu m\u00f4n) th\u00ec c\u00e1c b\u01b0\u1edbc chu\u1ea9n b\u1ecb c\u00f3 th\u1ec3 r\u00fat g\u1ecdn \u0111\u01a1n gi\u1ea3n h\u01a1n, ph\u00f9 h\u1ee3p v\u1edbi t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3.<\/p>\n

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

30 – 60 ph\u00fat<\/p>\n

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

4.1. T\u01b0 th\u1ebf<\/b>:<\/h3>\n

Ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ng\u1eeda \u1edf t\u01b0 th\u1ebf ph\u1ee5 khoa hay n\u1eb1m s\u1ea5p \u0111\u1eb7t g\u1ed1i d\u01b0\u1edbi b\u1ee5ng \u0111\u1ec3 b\u1ed9c l\u1ed9 r\u00f5 v\u00f9ng h\u1eadu m\u00f4n – tr\u1ef1c tr\u00e0ng.<\/p>\n

4.2. V\u00f4 c\u1ea3m<\/b>:<\/h3>\n

T\u00f9y theo lo\u1ea1i th\u1ee7 thu\u1eadt, ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn c\u00e1c h\u00ecnh t\u1ee9c g\u00e2y t\u00ea t\u1ea1i ch\u1ed7, ch\u00e2m t\u00ea, g\u00e2y t\u00ea v\u00f9ng, g\u00e2y m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n hay t\u0129nh m\u1ea1ch.<\/p>\n

C\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n d\u01b0\u1edbi g\u00e2y t\u00ea t\u1ee7y s\u1ed1ng ho\u1eb7c d\u01b0\u1edbi g\u00e2y t\u00ea t\u1ea1i ch\u1ed7.<\/p>\n

4.3. K\u0129 thu\u1eadt:<\/b><\/h3>\n

Nguy\u00ean t\u1eafc k\u1ef9 thu\u1eadt:<\/i><\/p>\n

– B\u1ea3o t\u1ed3n t\u1ed1i \u0111a c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu v\u00e0 ch\u1ee9c n\u0103ng sinh l\u00fd c\u1ee7a h\u1ec7 th\u1ed1ng c\u01a1 th\u1eaft h\u1eadu m\u00f4n \u0111\u1ec3 b\u1ea3o \u0111\u1ea3m ch\u1ee9c n\u0103ng t\u1ef1 ch\u1ee7 c\u1ee7a \u1ed1ng h\u1eadu m\u00f4n.<\/p>\n

– Kh\u00f4ng t\u1ea1o ra c\u00e1c s\u1eb9o l\u00e0m bi\u1ebfn d\u1ea1ng v\u00f9ng t\u1ea7ng sinh m\u00f4n, \u1ed1ng h\u1eadu m\u00f4n tr\u1ef1c tr\u00e0ng g\u00e2y \u0111au v\u00e0 \u1ea3nh h\u01b0\u1edfng t\u1edbi ch\u1ee9c n\u0103ng \u0111\u1ea1i ti\u1ec7n.<\/p>\n

C\u1ee5 th\u1ec3:<\/i><\/p>\n

a\/ \u0110\u00e1nh gi\u00e1 th\u01b0\u01a1ng t\u1ed5n:<\/p>\n

– \u0110\u1eb7t van Hill – Ferguson v\u00e0o h\u1eadu m\u00f4n<\/p>\n

– \u0110\u00e1nh gi\u00e1 c\u00e1c th\u01b0\u01a1ng t\u1ed5n ph\u1ed1i h\u1ee3p<\/p>\n

– K\u1eb9p pince v\u00e0o ph\u1ea7n da th\u1eeba h\u1eadu m\u00f4n<\/p>\n

b\/ Ti\u00eam th\u1ea5m dung d\u1ecbch Xylocain c\u00f3 Adrenalin pha lo\u00e3ng \u0111\u1ec3 d\u1ec5 ph\u1eabu t\u00edch b\u00f3c t\u00e1ch. C\u1eaft da \u1edf m\u00e9p da th\u1eeba h\u1eadu m\u00f4n, ph\u1eabu t\u00edch b\u00f3c t\u00e1ch t\u1ed5 ch\u1ee9c d\u01b0\u1edbi da t\u1edbi ni\u00eam m\u1ea1c h\u1eadu m\u00f4n.C\u1eaft da th\u1eeba h\u1eadu m\u00f4n.Kh\u00e2u m\u00e9p c\u1eaft t\u1eeb trong ra ngo\u00e0i, k\u1ebft th\u00fac \u1edf da r\u00eca h\u1eadu m\u00f4n.C\u00f3 th\u1ec3 kh\u00e2u m\u0169i r\u1eddi ho\u1eb7c kh\u00e2u v\u1eaft.N\u00ean d\u00f9ng lo\u1ea1i ch\u1ec9 nh\u1ecf, t\u1ef1 ti\u00eau (Vicryl 4.0 ho\u1eb7c 5.0).<\/p>\n

c\/ Ki\u1ec3m tra l\u1ea1i v\u1ebft m\u1ed5: C\u1ea7m m\u00e1u. B\u0103ng betadine.<\/p>\n

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

4.1. Theo d\u00f5i:<\/b><\/h3>\n

– Th\u01b0\u1eddng cho kh\u00e1ng sinh, thu\u1ed1c gi\u1ea3m \u0111au 3 – 5 ng\u00e0y. Ng\u00e0y \u0111\u1ea7u d\u00f9ng \u0111\u01b0\u1eddng ti\u00eam, t\u1eeb ng\u00e0y th\u1ee9 2 d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng. U\u1ed1ng th\u00eam thu\u1ed1c nhu\u1eadn tr\u00e0ng, tr\u00e1nh t\u00e1o b\u00f3n \u0111\u1ecdng ph\u00e2n trong tr\u1ef1c tr\u00e0ng g\u00e2y k\u00edch th\u00edch \u0111\u1ea1i ti\u1ec7n, g\u00e2y \u0111au k\u00e9o d\u00e0i. B\u1eaft \u0111\u1ea7u \u0103n tr\u1edf l\u1ea1i sau m\u1ed5 6 gi\u1edd.<\/p>\n

– S\u0103n s\u00f3c t\u1ea1i ch\u1ed7: Gi\u1eef s\u1ea1ch v\u1ebft m\u1ed5 (sau \u0111\u1ea1i ti\u1ec7n r\u1eeda sach h\u1eadu m\u00f4n, th\u1ea5m kh\u00f4).<\/p>\n

Th\u01b0\u1eddng kh\u00f4ng c\u1ea7n \u0111\u1eb7t vi\u00ean \u0111\u1ea1n \u0111i\u1ec1u tr\u1ecb tr\u0129 (Proctolog) v\u00e0o h\u1eadu m\u00f4n.Kh\u00f4ng ng\u00e2m r\u1eeda h\u1eadu m\u00f4n tr\u00e1nh b\u1ee5c \u0111\u01b0\u1eddng kh\u00e2u da ni\u00eam m\u1ea1c.<\/p>\n

4.2. X\u1eed tr\u00ed tai bi\u1ebfn:<\/b><\/h3>\n

– Ph\u1eabu thu\u1eadt c\u1eaft da th\u1eeba h\u1eadu m\u00f4n \u0111\u01a1n gi\u1ea3n, \u00edt m\u1ea5t m\u00e1u, \u00edt \u0111au, \u00edt bi\u1ebfn ch\u1ee9ng sau m\u1ed5.<\/p>\n

– Ch\u1ea3y m\u00e1u: c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n d\u1ea1ng t\u1ee5 m\u00e1u v\u00f9ng kh\u00e2u treo. N\u1ebfu m\u1ee9c \u0111\u1ed9 ch\u1ea3y m\u00e1u nhi\u1ec1u, kh\u00f4ng t\u1ef1 c\u1ea7m c\u1ea7n ki\u1ec3m tra l\u1ea1i v\u1ebft m\u1ed5 \u0111\u1ec3 c\u1ea7m m\u00e1u b\u1eb1ng \u0111\u1ed1t \u0111i\u1ec7n hay kh\u00e2u.<\/p>\n

– \u0110au nhi\u1ec1u: D\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au.<\/p>\n

– B\u00ed \u0111\u00e1i: Th\u01b0\u1eddng g\u1eb7p sau g\u00e2y t\u00ea t\u1ee7y s\u1ed1ng, ho\u1eb7c do ng\u01b0\u1eddi b\u1ec7nh \u0111au nhi\u1ec1u c\u0169ng g\u00e2y kh\u00f3 ti\u1ec3u ti\u1ec7n. N\u1ebfu c\u1ea7n thi\u1ebft ph\u1ea3i \u0111\u1eb7t \u1ed1ng th\u00f4ng b\u00e0ng quang.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

Da th\u1eeba h\u1eadu m\u00f4n g\u1eb7p khi da v\u00f9ng quanh l\u1ed7 h\u1eadu m\u00f4n to l\u00ean v\u00e0 k\u00e9o d\u00e0i ra. Da th\u1eeba h\u1eadu m\u00f4n kh\u00e1 th\u01b0\u1eddng g\u1eb7p, c\u00f3 th\u1ec3 l\u00e0 di t\u00edch \u0111\u1ec3 l\u1ea1i sau m\u1ed9t \u0111\u1ee3t tr\u0129 t\u1eafc m\u1ea1ch tho\u00e1i tri\u1ec3n. Ph\u1eabu thu\u1eadt c\u1eaft da th\u1eeba h\u1eadu m\u00f4n l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt quan tr\u1ecdng […]<\/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 c\u1eaft da th\u1eeba h\u1eadu m\u00f4n nh\u01b0 th\u1ebf n\u00e0o? - Vinmec<\/title>\n<meta name=\"description\" content=\"Da th\u1eeba h\u1eadu m\u00f4n g\u1eb7p khi da v\u00f9ng quanh l\u1ed7 h\u1eadu m\u00f4n to l\u00ean v\u00e0 k\u00e9o d\u00e0i ra. 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