{"id":30222,"date":"2023-05-04T17:18:56","date_gmt":"2023-05-04T10:18:56","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30222"},"modified":"2023-05-04T17:18:56","modified_gmt":"2023-05-04T10:18:56","slug":"nang-don","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/nang-don\/","title":{"rendered":"Nang \u0111\u01a1n th\u1eadn: Kh\u00e1i qu\u00e1t, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

Nang \u0111\u01a1n th\u1eadn l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf th\u1eadn, trong \u0111\u00f3 m\u1ed9t\u00a0 nang \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh tr\u00ean b\u1ec1 m\u1eb7t c\u1ee7a th\u1eadn. Nang \u0111\u01a1n th\u1eadn th\u01b0\u1eddng kh\u00f4ng g\u00e2y ra tri\u1ec7u ch\u1ee9ng, tuy nhi\u00ean n\u1ebfu k\u00edch th\u01b0\u1edbc c\u1ee7a nang qu\u00e1 l\u1edbn ho\u1eb7c c\u00f3 bi\u1ebfn ch\u1ee9ng, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p kh\u00f3 kh\u0103n trong vi\u1ec7c ti\u1ec3u ti\u1ec7n, \u0111au l\u01b0ng ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 huy\u1ebft \u00e1p. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nang \u0111\u01a1n th\u1eadn, c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng s\u1eed d\u1ee5ng si\u00eau \u00e2m, ch\u1ee5p CT ho\u1eb7c MRI. Trong tr\u01b0\u1eddng h\u1ee3p nang g\u00e2y ra tri\u1ec7u ch\u1ee9ng ho\u1eb7c bi\u1ebfn ch\u1ee9ng, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt \u0111\u1ec3 lo\u1ea1i b\u1ecf nang ho\u1eb7c th\u1eadn b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/strong><\/p>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/h1>\n

Nang \u0111\u01a1n th\u1eadn l\u00e0 m\u1ed9t kh\u1ed1i d\u1ecbch b\u1ea5t th\u01b0\u1eddng t\u1ea1i th\u1eadn, c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf m\u1ed9t ho\u1eb7c hai b\u00ean th\u1eadn. Nang th\u1eadn th\u01b0\u1eddng tr\u00f2n, d\u1ecbch trong v\u00e0 kh\u00f4ng th\u00f4ng v\u1edbi \u0111\u00e0i b\u1ec3 th\u1eadn. Nang \u0111\u01a1n th\u1eadn kh\u00e1c v\u1edbi c\u00e1c nang th\u1eadn \u1edf b\u1ec7nh th\u1eadn \u0111a nang, nguy\u00ean nh\u00e2n do r\u1ed1i lo\u1ea1n v\u1ec1 di truy\u1ec1n.<\/p>\n

Nang \u0111\u01a1n th\u1eadn kh\u00f4ng ph\u00e1t tri\u1ec3n \u1edf to\u00e0n b\u1ed9 th\u1eadn, thay th\u1ebf c\u1ea5u tr\u00fac b\u00ecnh th\u01b0\u1eddng c\u1ee7a th\u1eadn, kh\u00f4ng ph\u1ea3i l\u00e0 nguy\u00ean nh\u00e2n l\u00e0m gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn nh\u01b0 \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb th\u1eadn \u0111a nang.<\/p>\n

Nang \u0111\u01a1n th\u1eadn th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi c\u00f3 tu\u1ed5i. Kho\u1ea3ng 25% ng\u01b0\u1eddi tr\u00ean 40 tu\u1ed5i v\u00e0 50% ng\u01b0\u1eddi tr\u00ean 50 tu\u1ed5i c\u00f3 nang \u0111\u01a1n th\u1eadn v\u00e0 t\u1edbi tr\u00ean 90 % \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u00ean 70 tu\u1ed5i.<\/p>\n

\"\"
Ngu\u1ed3n: Simple Kidney Cysts – Saint Luke’s<\/strong><\/figcaption><\/figure>\n

2. Nguy\u00ean nh\u00e2n nang \u0111\u01a1n th\u1eadn<\/strong><\/h2>\n
    \n
  • C\u00e1c nang th\u1eadn c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n t\u1ea1i v\u00f9ng v\u1ecf th\u1eadn, v\u00f9ng t\u1ee7y th\u1eadn nhu m\u00f4 th\u1eadn. Nguy\u00ean nh\u00e2n c\u1ee7a nang \u0111\u01a1n th\u1eadn \u0111\u1ebfn nay v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5.<\/li>\n
  • C\u00f3 s\u1ef1 ph\u00e1 h\u1ee7y c\u1ea5u tr\u00fac c\u1ee7a c\u00e1c \u1ed1ng th\u1eadn ho\u1eb7c thi\u1ebfu m\u00e1u cung c\u1ea5p cho th\u1eadn c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y nang th\u1eadn .<\/li>\n
  • T\u00fai th\u1eeba t\u1eeb \u1ed1ng th\u1eadn c\u00f3 th\u1ec3 t\u00e1ch ra t\u1ea1o th\u00e0nh nang th\u1eadn.<\/li>\n
  • Kh\u00f4ng th\u1ea5y vai tr\u00f2 c\u1ee7a gen trong h\u00ecnh th\u00e0nh v\u00e0 ph\u00e1t tri\u1ec3n nang \u0111\u01a1n th\u1eadn.<\/li>\n<\/ul>\n

    3. Ch\u1ea9n \u0111o\u00e1n nang \u0111\u01a1n th\u1eadn<\/strong><\/h2>\n

    3.1. L\u00e2m s\u00e0ng <\/strong><\/h3>\n

    – Nang \u0111\u01a1n th\u1eadn th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c g\u00e2y \u1ea3nh h\u01b0\u1edfng t\u1edbi th\u1eadn.<\/p>\n

    – Tuy nhi\u00ean, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 c\u00f3 \u0111au v\u00f9ng s\u01b0\u1eddn ho\u1eb7c h\u00f4ng n\u1ebfu nang l\u1edbn v\u00e0 \u0111\u00e8 \u00e9p v\u00e0o c\u00e1c c\u01a1 quan kh\u00e1c.<\/p>\n

    – Khi c\u00f3 nhi\u1ec5m tr\u00f9ng nang ho\u1eb7c ch\u1ea3y m\u00e1u nang s\u1ebd g\u00e2y s\u1ed1t, \u0111au v\u00e0 r\u00e9t run. C\u01a1n \u0111au c\u00f3 th\u1ec3 d\u1eef d\u1ed9i gi\u1ed1ng nh\u01b0 c\u01a1n \u0111au qu\u1eb7n th\u1eadn s\u1ecfi th\u1eadn ho\u1eb7c t\u1eafc ngh\u1ebdn \u0111\u00e0i b\u1ec3 th\u1eadn.<\/p>\n

    – Nang \u0111\u01a1n th\u1eadn kh\u00f4ng g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u1eadn, nh\u01b0ng m\u1ed9t nghi\u00ean c\u1ee9u \u0111\u00e3 cho th\u1ea5y c\u00f3 s\u1ef1 ph\u1ed1i h\u1ee3p gi\u1eefa nang th\u1eadn v\u00e0 gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn \u1edf ng\u01b0\u1eddi d\u01b0\u1edbi 60 tu\u1ed5i<\/p>\n

    – C\u00f3 th\u1ec3 c\u00f3 t\u0103ng huy\u1ebft \u00e1p: n\u1ebfu c\u00f3 \u0111\u00e8 \u00e9p v\u00e0o \u0111\u1ed9ng m\u1ea1ch th\u1eadn.<\/p>\n

    3.2. C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/h3>\n

    C\u1ea7n ti\u1ebfn h\u00e0nh m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m v\u00e0 th\u0103m d\u00f2 ch\u1ee9c n\u0103ng sau:<\/p>\n

    – C\u00e1c x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn: ure, creatinin, acid uric<\/p>\n

    – T\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u v\u00e0 t\u1ebf b\u00e0o n\u01b0\u1edbc ti\u1ec3u: ph\u00e1t hi\u1ec7n b\u1ea1ch c\u1ea7u ni\u1ec7u ho\u1eb7c h\u1ed3ng c\u1ea7u ni\u1ec7u khi c\u00f3 nhi\u1ec5m tr\u00f9ng nang th\u1eadn.<\/p>\n

    – Protein ni\u1ec7u: kh\u00f4ng c\u00f3 ho\u1eb7c r\u1ea5t \u00edt<\/p>\n

    – H\u1ed3ng c\u1ea7u ni\u1ec7u: c\u00f3 th\u1ec3 c\u00f3 ti\u1ec3u m\u00e1u vi th\u1ec3 ho\u1eb7c \u0111\u1ea1i th\u1ec3 do ch\u1ea5n th\u01b0\u01a1ng, nhi\u1ec5m tr\u00f9ng nang.<\/p>\n

    – Si\u00eau \u00e2m: X\u00e1c \u0111\u1ecbnh s\u1ed1 l\u01b0\u1ee3ng nang, k\u00edch th\u01b0\u1edbc v\u00e0 th\u00e0nh nang th\u1eadn.<\/p>\n

    + Nang th\u1eadn tr\u00ean si\u00eau \u00e2m c\u00f3 h\u00ecnh tr\u00f2n ho\u1eb7c b\u1ea7u d\u1ee5c, b\u1edd \u0111\u1ec1u, d\u1ecbch trong, l\u00e0 kh\u1ed1i tr\u1ed1ng \u00e2m, kh\u00f4ng c\u00f3 b\u00f3ng c\u1ea3n ph\u00eda sau, kh\u00f4ng th\u00f4ng v\u1edbi \u0111\u00e0i b\u1ec3 th\u1eadn.<\/p>\n

    + Nang th\u1eadn c\u00f3 \u0111\u1eadm \u0111\u1ed9 echo kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t ho\u1eb7c \u0111\u1eb7c echo b\u00e1o hi\u1ec7u c\u00f3 d\u1ea5u hi\u1ec7u c\u1ee7a t\u1ed5n th\u01b0\u01a1ng c\u00e1c t\u00ednh.<\/p>\n

    – Ch\u1ee5p th\u1eadn c\u00f3 thu\u1ed1c c\u1ea3n quang: Cho th\u1ea5y s\u1ef1 \u0111\u00e8 \u0111\u1ea9y v\u00e0o nhu m\u00f4 th\u1eadn n\u1ebfu nguy\u00ean nh\u00e2n do nang th\u1eadn, ph\u00e2n bi\u1ec7t v\u1edbi nguy\u00ean nh\u00e2n g\u00e2y \u1ee9 n\u01b0\u1edbc th\u1eadn.<\/p>\n

    3.3. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh nang \u0111\u01a1n th\u1eadn<\/strong><\/h3>\n

    – H\u1ea7u h\u1ebft c\u00e1c nang \u0111\u01a1n th\u1eadn \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n khi l\u00e0m si\u00eau \u00e2m \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 th\u0103m d\u00f2 m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n kh\u00e1c. Khi ph\u00e1t hi\u1ec7n nang th\u1eadn th\u00ec c\u1ea7n theo d\u00f5i b\u1eb1ng si\u00eau \u00e2m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh l\u00e0 nang \u0111\u01a1n th\u1eadn hay m\u1ed9t b\u1ec7nh l\u00fd kh\u00e1c. Nang th\u1eadn th\u01b0\u1eddng c\u00f3 h\u00ecnh tr\u00f2n ho\u1eb7c b\u1ea7u d\u1ee5c, d\u1ecbch trong, tr\u1ed1ng \u00e2m v\u00e0 c\u00f3 b\u1edd r\u00f5.<\/p>\n

    – Khi c\u1ea7n thi\u1ebft c\u00f3 th\u1ec3 cho ng\u01b0\u1eddi b\u1ec7nh ch\u1ee5p CT scan ho\u1eb7c c\u1ed9ng h\u01b0\u1edfng t\u1eeb \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t nang th\u1eadn v\u1edbi u th\u1eadn.<\/p>\n

    3.4. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi nang \u0111\u01a1n th\u1eadn<\/strong><\/h3>\n

    C\u1ea7n ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t nang \u0111\u01a1n th\u1eadn v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd kh\u00e1c sau \u0111\u00e2y:<\/p>\n

    – U th\u1eadn l\u00e0nh ho\u1eb7c \u00e1c t\u00ednh<\/p>\n

    – Kh\u1ed1i m\u00e1u t\u1ee5 ( do ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c kh\u00f4ng)<\/p>\n

    – \u00c1p xe th\u1eadn<\/p>\n

    – U nang b\u00e0o s\u00e1n<\/p>\n

    – B\u1ec7nh nang th\u1eadn th\u1ee9 ph\u00e1t ( \u1edf c\u00e1c ng\u01b0\u1eddi b\u1ec7nh c\u00f3 b\u1ec7nh th\u1eadn t\u1eeb tr\u01b0\u1edbc v\u00e0 c\u00f3 suy th\u1eadn).<\/p>\n

    – Gi\u1ea3 nang ( u nang n\u01b0\u1edbc ti\u1ec3u).<\/p>\n

    4. \u0110i\u1ec1u tr\u1ecb nang \u0111\u01a1n th\u1eadn<\/strong><\/h2>\n

    4.1<\/strong>. N\u1ebfu nang th\u1eadn d\u01b0\u1edbi 3 cm v\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng th\u00ec kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb. C\u1ea7n theo d\u00f5i \u0111\u1ecbnh k\u1ef3 nang \u0111\u01a1n th\u1eadn b\u1eb1ng si\u00eau \u00e2m, x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u v\u00e0 ch\u1ee9c n\u0103ng th\u1eadn \u0111\u1ecbnh k\u1ef3 v\u00e0 tr\u00e1nh c\u00e1c va ch\u1ea1m m\u1ea1nh .<\/p>\n

    4.2.<\/strong> Nang \u0111\u01a1n th\u1eadn > 6 cm ho\u1eb7c g\u00e2y n\u00ean tri\u1ec7u ch\u1ee9ng v\u00e0 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ch\u00e8n \u00e9p \u0111\u00e0i b\u1ec3 th\u1eadn v\u00e0 ni\u1ec7u qu\u1ea3n th\u00ec c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng li\u1ec7u ph\u00e1p g\u00e2y x\u01a1 h\u00f3a: Nang th\u1eadn c\u1ea7n \u0111\u01b0\u1ee3c d\u1eabn l\u01b0u h\u1ebft d\u1ecbch b\u1eb1ng kim ch\u1ecdc qua da d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m sau \u0111\u00f3 b\u01a1m v\u00e0o m\u1ed9t l\u01b0\u1ee3ng c\u1ed3n tuy\u1ebft \u0111\u1ed1i g\u00e2y x\u01a1 h\u00f3a t\u1ed5 ch\u1ee9c. Kh\u00f4ng n\u00ean ch\u1ecdc h\u00fat c\u00e1c nang \u1edf v\u1ecb tr\u00ed quanh r\u1ed1n th\u1eadn.<\/p>\n

    4.3.<\/strong> N\u1ebfu nang th\u1eadn l\u1edbn: c\u1ea7n ph\u1ea3i m\u1ed5. Th\u01b0\u1eddng \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p m\u1ed5 n\u1ed9i soi \u0111\u1ec3 d\u1eabn l\u01b0u d\u1ecbch nang th\u1eadn ho\u1eb7c c\u1eaft b\u1ecf.<\/p>\n

    4.4. \u0110i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng<\/strong>:<\/p>\n

    + Ch\u1ea3y m\u00e1u:<\/p>\n

    – N\u1eb1m ngh\u1ec9<\/p>\n

    – Thu\u1ed1c c\u1ea7m m\u00e1u (n\u1ebfu c\u1ea7n)<\/p>\n

    – U\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc<\/p>\n

    – N\u1ebfu ch\u1ea3y m\u00e1u n\u1eb7ng th\u00ec truy\u1ec1n m\u00e1u v\u00e0 xem x\u00e9t ngo\u1ea1i khoa<\/p>\n

    + Nhi\u1ec5m tr\u00f9ng: d\u00f9ng kh\u00e1ng sinh.<\/p>\n

    Nang \u0111\u01a1n th\u1eadn l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn \u1edf th\u1eadn, th\u01b0\u1eddng kh\u00f4ng g\u00e2y ra tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n ng\u1eabu nhi\u00ean trong qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh th\u1eadn. Tuy nhi\u00ean, n\u1ebfu k\u00edch th\u01b0\u1edbc c\u1ee7a nang qu\u00e1 l\u1edbn ho\u1eb7c c\u00f3 bi\u1ebfn ch\u1ee9ng, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p kh\u00f3 kh\u0103n trong vi\u1ec7c ti\u1ec3u ti\u1ec7n, \u0111au l\u01b0ng ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 huy\u1ebft \u00e1p. Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nang \u0111\u01a1n th\u1eadn th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng si\u00eau \u00e2m, ch\u1ee5p CT ho\u1eb7c MRI. Trong tr\u01b0\u1eddng h\u1ee3p nang g\u00e2y ra tri\u1ec7u ch\u1ee9ng ho\u1eb7c bi\u1ebfn ch\u1ee9ng,\u00a0 c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt \u0111\u1ec3 lo\u1ea1i b\u1ecf nang ho\u1eb7c th\u1eadn b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/p>\n

    Ngu\u1ed3n tham kh\u1ea3o<\/strong>:\u00a0 H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb m\u1ed9t s\u1ed1 b\u1ec7nh th\u1eadn \u2013 ti\u1ebft ni\u1ec7u theo B\u1ed9 Y t\u1ebf 2015<\/p>\n","protected":false},"excerpt":{"rendered":"

    Nang \u0111\u01a1n th\u1eadn l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf th\u1eadn, trong \u0111\u00f3 m\u1ed9t\u00a0 nang \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh tr\u00ean b\u1ec1 m\u1eb7t c\u1ee7a th\u1eadn. Nang \u0111\u01a1n th\u1eadn th\u01b0\u1eddng kh\u00f4ng g\u00e2y ra tri\u1ec7u ch\u1ee9ng, tuy nhi\u00ean n\u1ebfu k\u00edch th\u01b0\u1edbc c\u1ee7a nang qu\u00e1 l\u1edbn ho\u1eb7c c\u00f3 bi\u1ebfn ch\u1ee9ng, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p kh\u00f3 kh\u0103n trong vi\u1ec7c […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[29,33],"tags":[],"yoast_head":"\nNang \u0111\u01a1n th\u1eadn: Kh\u00e1i qu\u00e1t, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"Nang \u0111\u01a1n th\u1eadn l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf th\u1eadn, trong \u0111\u00f3 m\u1ed9t\u00a0 nang \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh tr\u00ean b\u1ec1 m\u1eb7t c\u1ee7a th\u1eadn. 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