2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:39
Kev nce hauv lub cev kub thaum muaj mob qhia tias lub cev tiv thaiv kab mob, tab sis qee zaum qhov kev nyab xeeb tau dhau los thiab qhov kub thiab txias yuav tsum tau muab tshuaj maj mam txo qis.
Rau cov menyuam yaus, ntau tus niam txiv thiab cov kws tshaj lij feem ntau pom zoo siv "Paracetamol", vim nws suav tias yog qhov nyab xeeb tshaj plaws. Cov tshuaj muaj ib tug kaj analgesic thiab antipyretic nyhuv thiab yog ib tug non-narcotic non-steroidal analgesic. Cov menyuam yaus "Paracetamol" niaj hnub no tuaj yeem yuav los ntawm yuav luag txhua lub tuam txhab tshuaj, tsuas yog nyob hauv cov npe sib txawv. Nyob rau tib lub sijhawm, nws qhov kev ua, kev qhia thiab ntau npaum li cas tsis hloov pauv.
Pharmacology
Cov khoom xyaw tseem ceeb ntawm cov tshuaj uas muaj paracetamol yog para-acetaminophenol.
Kev nqus mus rau hauv cov ntshav yog nrawm heev, thiab qhov siab tshaj plaws hauv lub cev tau mus txog hauv peb caug feeb tom qab noj, thaum lub sijhawm koj tuaj yeem pom qhov txo qis hauv qhov kub thiab txias. Cov menyuam yaus "Paracetamol" muaj cov nyhuv siab tshaj plaws tom qab 60-90 feeb, thaum lub cev kub nce mus txog qhov tsawg kawg nkaus.ua tau nyob rau hauv qhov teeb meem no cim. Cov tshuaj tau tawg hauv daim siab, tsim cov metabolites, thiab tawm hauv lub cev nrog cov zis.
Ib daim ntawv
Cov tshuaj no yog ib qho ntawm cov neeg nyiam tshaj plaws thoob ntiaj teb, yog li nws tau tsim ntau hom. Nyob rau tib lub sijhawm, txawm tias nyob hauv cov tebchaws uas muaj kev tswj hwm nruj ntawm kev muag tshuaj, cov menyuam yaus Paracetamol tuaj yeem yuav yam tsis muaj teeb meem. Yog li, cov tshuaj tuaj yeem yuav hauv daim ntawv:
- ntsiav tshuaj ntawm ntau koob tshuaj (200mg, 325mg thiab 0.5g);
- neeg laus capsules;
- effervescent ntsiav tshuaj rau cov neeg laus;
- xov tshuaj;
- me nyuam syrup thiab suspension;
- lub qhov quav suppositories nrog cov ntsiab lus ntawm 50 mg rau 0.5 g.
Suppositories, suspensions, syrups thiab tsis tshua muaj ntsiav tshuaj yog siv los kho cov menyuam yaus. Hauv qhov xwm txheej hnyav, thiab tsuas yog nyob rau hauv kev saib xyuas ntawm cov kws tshaj lij, kev txhaj tshuaj tuaj yeem siv tau.
Syrup dosage
Cov menyuam yaus qhov kev ncua "Paracetamol" ib txwm muaj qhov qab ntxiag saj thiab tsis ua rau cov menyuam mos tsis xis nyob, yog li nws raug pom zoo rau kev kho mob ntawm cov neeg mob me tshaj plaws. Nyob ntawm cov chaw tsim khoom thiab kev kuaj mob, daim ntawv no raug tso cai siv los ntawm thawj lub hlis thib peb ntawm lub neej. Qhov ntau npaum li cas yog tus kheej txiav txim los ntawm tus kws kho mob nkaus xwb, thiab nws yog ntsuas nrog lub ntsuas tshwj xeeb los yog rab diav, uas yog nyob rau hauv txhua pob ntawm cov tshuaj.
Rau cov menyuam yaus hnub nyoog 6-12 lub hlis, nws raug tso cai muab 2.5-5 ml ntawm cov kua dej ib zaug, uas, raws li, sib npaug 60-120 mg ntawm cov tshuaj, nyob ntawm qhov hnyav.
rauRau cov menyuam yaus hnub nyoog 1-3 xyoos, ib koob tshuaj tau txiav txim siab lawm hauv 5-7.5 ml ntawm kev ncua, thiab rau cov menyuam yaus hnub nyoog 3-6 xyoo - 7.5-10 ml.
Kev noj tshuaj rau menyuam yaus "Paracetamol" yuav tsum nco ntsoov coj mus rau hauv tus account qhov hnyav ntawm tus menyuam, thiaj li tsis pub tshaj qhov tso cai txhua hnub ntawm cov tshuaj. Rau cov menyuam yaus hnub nyoog qis dua 12 xyoos, qhov siab tshaj plaws koob tshuaj yog 15 ml, uas sib haum rau 360 mg. Qee qhov xwm txheej, tus menyuam hnub nyoog no yuav raug muab tshuaj rau cov neeg laus thiab noj tshuaj, tshwj xeeb tshaj yog tias nws rog dhau lawm.
Nws yog ib qho tseem ceeb heev uas yuav tsum tau soj ntsuam lub sij hawm ntawm koob tshuaj tsawg kawg yog 4 teev, txwv tsis pub muaj kev pheej hmoo ntawm kev noj tshuaj ntau dhau. Yog hais tias lub sij hawm no nws yuav tsum tau ntxiv qhov kub thiab txias, ces koj yuav tsum tau siv ib tug antipyretic tus neeg saib xyuas raws li lwm yam active tshuaj, piv txwv li, Nurofen. Koj yuav tsum haus cov tshuaj ib teev tom qab noj mov. Nws yog txwv tsis pub txawm rau cov me nyuam yaus kom dilute syrup nrog kua ua ntej siv, tab sis nws tsis yog tsuas yog ua tau, tab sis tsim nyog, haus nws nrog dej, thiab nyob rau hauv loj qhov ntau. Kev ncua ua haujlwm sai dua li lwm cov qauv ntawm qhov ncauj.
Suppositories
Cov me nyuam tswm ciab "Paracetamol" kuj yog tsim los ntawm ntau lub tuam txhab tshuaj raws li lawv lub npe. Lawv yog siv nyob rau hauv kev kho mob ntawm cov me nyuam mos ntau npaum li syrup. Lawv qhov zoo dua yog tias lub sijhawm ntawm kev tswj hwm tsis nyob ntawm txhua txoj hauv kev ntawm cov zaub mov, thiab kev nqus ntawm cov tshuaj nquag mus rau hauv lub cev los ntawm cov kab mob hauv cov hnyuv tag tshem tawm cov kev mob plab rau cov tshuaj. Nws yog ib qho tsim nyog los qhia cov tswm ciab rau hauv qhov quav, muab tus menyuam tso rau ntawm nws sab thiab khoov nws ob txhais ceg me ntsis. Qhov zaus ntawm kev tswj hwm yuav tsum tsis pub tshaj 4 zaug hauv ib hnub ntawm 4 teev. Yog hais tias kev kho mob yog nqa tawm ib txhij nrog syrup thiab suppositories, ces lawv yuav tsum tau alternated tom qab 4 teev, tsis yog ua ntej, vim hais tias, txawm nyob rau hauv daim ntawv ntawm kev tso tawm, ib tug siab concentration ntawm tib active tshuaj nkag mus rau hauv lub cev..
Cov tshuaj suppositories rau cov menyuam mos txog 3 lub hlis tsuas yog txiav txim los ntawm tus kws kho mob tshwj xeeb thiab tsuas yog siv raws li kev saib xyuas ntawm cov kws kho mob.
Rau cov neeg mob me me hnub nyoog qis dua 1 xyoos, cov menyuam yaus "Paracetamol" yog muab 1 suppository nrog ib koob ntawm 0.08 g. Rau cov menyuam yaus hnub nyoog qis dua 3 xyoos, ib koob tshuaj yog ob npaug. Cov menyuam mos thaum muaj hnub nyoog 3-6 xyoos tuaj yeem siv qhov concentration ntawm cov tshuaj mus txog 330 mg hauv ib qho kev txhaj tshuaj, thiab cov laus dua, nyob ntawm qhov hnyav thiab hnub nyoog (txog 12 xyoos), nce qhov ntau npaum li cas rau cov neeg laus ntawm 0.5 g ib zaug. txhaj tshuaj.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias noj "Paracetamol" nyob rau hauv ib daim ntawv yog tso cai rau 3 hnub xwb. Raws li kev saib xyuas ntawm tus kws kho mob, kev kho mob tuaj yeem txuas ntxiv mus txog 5 hnub.
Tablet form
Rau kev kho cov menyuam yaus, daim ntawv tshuaj no yog siv tsis tshua muaj. Cov menyuam yaus "Paracetamol" nyob rau hauv cov ntsiav tshuaj muaj nyob rau hauv ib koob ntawm 200 mg thiab tso cai rau kev kho mob ntawm cov neeg mob uas tsis muaj hnub nyoog qis dua 2 xyoos.
Lub ntsiab lus ntawm no feem ntau yuav tsis yog qhov koob tshuaj ntawm nws tus kheej, tab sis qhov tseeb tias cov neeg mob hluas tsis kam haus cov hmoov ntawm cov ntsiav tshuaj crushed, uas saj tsis kaj siab, thiab tsis tuaj yeem nqos tau tag nrho.
Pills ntawm cov xim dawb nrog lub thais thiab ib lub chamfer tau ntim rau hauv daim duab los qhiapacks nrog annotation thiab hlwv nyob rau hauv. Cov menyuam yaus hnub nyoog 6-12 xyoos tuaj yeem noj tau tag nrho cov ntsiav tshuaj, tab sis cov menyuam hnub nyoog 2-6 xyoos yuav tsum tau faib txhua lub ntsiav tshuaj hauv ib nrab. Cov neeg mob uas muaj hnub nyoog tshaj 12 xyoos tau muab 2 ntsiav tshuaj rau ib koob.
Txhawm rau kom ntseeg tau tias qhov ntau npaum li cas ntawm cov menyuam yaus "Paracetamol" hauv txhua daim ntawv tsis pub dhau, nws yuav tsum tau noj ib ntus nkaus xwb 4 teev lossis ntau dua.
Indications rau nkag
Thaum siv cov tshuaj no, nws yuav tsum nkag siab tias cov tshuaj tsis kho txhua yam kab mob, tab sis tsuas yog txo qee qhov mob thiab txo lub cev kub, uas yog, nws tsuas yog tso tseg cov tsos mob xwb. Nws yog ib qho tsim nyog yuav tsum muab cov kua dej Paracetamol rau tus menyuam yog tias qhov kub siab tshaj 38.5 degrees kom tsis txhob qaug dab peg thiab txo nws qhov mob. Yog tias qhov ntsuas kub tsuas yog nce mus txog 38 degrees, ces nws raug nquahu kom siv cov tshuaj suppositories qhov quav.
Nws raug tso cai siv cov tshuaj los txo qhov mob thiab cov menyuam mos thaum lub sij hawm ua hniav, nrog rau cov menyuam yaus mob taub hau, neuralgia thiab lwm yam kab mob.
Ntau tshaj
Txawm tias cov niam txiv uas saib xyuas zoo tshaj plaws tuaj yeem ua yuam kev thaum kho lawv tus menyuam thiab ua rau muaj tshuaj lom. Feem ntau ua rau muaj kev noj ntau dhau yog nrawm, thaum cov niam txiv pib ntshai vim qhov nce hauv lub cev kub hauv tus menyuam thiab xav kom txo qis kom sai li sai tau. Tsis tas li ntawd, kev siv cov menyuam yaus "Paracetamol" hauv kev kho mob ntawm ntau yam kab mob yog ib txwm ua nyob rau hauv tib lub sijhawm nrog rau lwm cov tshuaj, uas kuj tseem muaj.kom muaj cov active ingredient. Yog li, qhov ntau npaum li cas yuav tsum raug kho kom coj mus rau hauv tus account ntxiv kev noj tshuaj paracetamol los ntawm lwm cov tshuaj.
Cov niam txiv ntshai txog qhov ntsuas kub tsis tau tuaj yeem ua rau muaj qhov tso cai ntawm mg ntawm cov menyuam cov lus qhia "Paracetamol" uas tsis ua raws li lub sijhawm ntawm cov koob tshuaj. Yog li, qhov concentration ntawm cov tshuaj hauv cov ntshav yuav dhau. Raws li tau hais ua ntej, nyob rau hauv cov xwm txheej zoo li no, nws yog ib qho tsim nyog yuav tau hloov cov tshuaj nquag ntawm cov tshuaj. Kev noj tshuaj ntau dhau kuj tuaj yeem tshwm sim los ntawm kev faib cov tshuaj tsis raug.
Tseem muaj sij hawm uas tus me nyuam yuav tau txais cov tshuaj thiab haus nws. Yog li ntawd, txhua yam tshuaj yuav tsum khaws cia kom deb ntawm menyuam yaus.
Txhais tau
Raws li txoj cai, qhov tshwm sim tsis zoo ntawm kev noj tshuaj ntau dhau tsuas yog pom nyob rau hauv cov xwm txheej uas tau dhau mus rau qib tshuaj lom. Rau cov menyuam mos uas hnyav dua 10 kg, qhov no yog 1.5 g ib hnub, thiab rau cov neeg mob hnyav dua 20 kg, 3 g. Yog li ntawd, ntuav, xeev siab, thiab mob plab yuav tshwm sim.
Yam tsawg kawg ib tus tsos mob yuav tsum tau hu tam sim rau kev pab kho mob. Kev taw qhia raws sij hawm ntawm cov tshuaj tua kab mob (hauv 8-10 teev tom qab noj tshuaj ntau dhau) thiab cov tshuaj enterosorbents yuav pab kom tsis txhob muaj qhov tshwm sim loj, suav nrog kev tuag.
Siv thaum cev xeeb tub
Ntau zaus, cov menyuam yaus cov tshuaj raug pom zoo siv rau kev kho mob thaum cev xeeb tub lossis pub niam mis.pub. "Paracetamol" hauv cov xwm txheej no tuaj yeem ua rau muaj kev phom sij ntau dua, txij li kev tshawb fawb tau ua pov thawj tias thaum noj nyob rau lub peb hlis ntuj thib ob ntawm cev xeeb tub, cov menyuam mos yug tshiab muaj mob ua pa, mob hawb pob lossis ua xua. Tias yog vim li cas nws thiaj li tau sau tseg tsis tshua muaj thiab tsuas yog thaum tsis muaj lwm txoj kev kho mob. Hauv peb lub hlis thib peb, cov tshuaj raug txwv nruj heev.
Los ntawm cov kua mis, cov tshuaj kuj tuaj yeem muaj tshuaj lom rau tus menyuam, yog tias tsim nyog, nws yog qhov zoo dua los nrhiav cov tshuaj hloov pauv.
txwv tsis pub siv
Kev ncua ntawm menyuam yaus "Paracetamol", nrog rau ib qho ntawm nws lwm hom, yog txwv tsis pub siv rau cov neeg mob uas muaj tus kheej intolerance rau cov tshuaj nquag. Thaum muab tshuaj rau me nyuam, qhov rhiab ntawm cov neeg txheeb ze rau cov tshuaj no yog thawj zaug kawm.
Txoj kev txwv tsis pub ncua thiab suppositories yog lub hnub nyoog txog li ib hlis thiab rau cov ntsiav tshuaj - txog 2 xyoos.
Ntxiv rau, nruj contraindications yog kab mob ntawm lub raum, siab, plab hnyuv thiab intolerance rau NSAIDs.
Nrog ceev faj, cov tshuaj yog siv rau hauv cov neeg mob ntshav qab zib mellitus, kab mob siab viral kab mob, haus dej cawv ntev ntev, ua rau lub siab puas tsuaj thiab kev kho mob ib txhij nrog cov tshuaj tiv thaiv coagulants lossis glucocorticosteroids. Nrog rau kev siv ntev, cov tshuaj ua rau kev txhim kho ntawm nephropathy thiab mob raum tsis ua haujlwm, thiab tuaj yeem ua rau mob plab lossis hnyuv los ntshav. Cov neeg laus yuav tsum nco ntsoov qhov ntawdhaus cawv nrog rau cov tshuaj paracetamol provokes mob toxic siab puas tsuaj.
Txoj kev tsis zoo tshwm sim
Cov kev mob tshwm sim los ntawm kev siv cov menyuam yaus ncua "Paracetamol" tsuas yog pom nyob rau hauv cov koob tshuaj ntau dua lossis nce lub sijhawm ntawm kev kho mob rau lub sijhawm ntau dua 5 hnub. Yog tias tsim nyog, tus neeg mob yuav tsum nyob rau hauv kev saib xyuas ntawm cov kws kho mob tshwj xeeb uas yuav tsum tau saib xyuas nws cov ntshav thiab daim siab tsis tu ncua.
Yog tias kev kho mob hauv tsev, nws yuav tsum tau ua tib zoo saib xyuas cov tsos mob hauv qab no, qhia txog cov tshuaj lom ntawm paracetamol ntawm lub cev:
- tiv thaiv kab mob - tawv pob khaus, khaus khaus, ua xua tshwm sim;
- digestive system - xeev siab, mob plab, cov tsos mob ntawm dyspepsia, daim siab ua haujlwm tsis zoo;
- hematopoiesis - ntshav ntshav, hloov ntshav suav;
- kab mob plawv - txo cov ntshav siab, ua haujlwm tsis zoo ntawm lub plawv;
- urinary system - cov tsos mob ntawm nephritis, lub raum tsis ua haujlwm.
Nrog rau qhov raug suav ntau npaum li cas thiab lub sijhawm ntawm kev kho mob, cov tshuaj tsis ua rau muaj qhov tshwm sim tsis zoo hauv ib qho ntawm nws daim ntawv.
Kev Sib Tham Tshuaj
Ntxiv rau qhov tseeb tias thaum noj tshuaj nrog cov ntsiab lus ntxiv hauv cov tshuaj paracetamol, nws yog ib qho tsim nyog yuav tsum tau kho cov tshuaj, cov tshuaj hauv nqe lus nug tuaj yeem ua rau muaj kev phom sij loj rau lub cev thaum siv ib txhij nrog Analgin.. Lawv kev sib cuam tshuamtuaj yeem ua rau hypothermia, anaphylactic shock thiab vau. Yog tias muaj qhov xav tau ceev kom txo lub cev kub hauv lub sijhawm luv luv, Paracetamol yuav tsum tau hloov nrog lwm cov tshuaj.
Analogues ntawm cov tshuaj
Nws yog qhov tsis ncaj ncees rau kev hu cov tshuaj los ntawm cov tuam txhab sib txawv nrog cov tshuaj sib xyaw ua ke zoo ib yam. Tag nrho cov ntawm lawv yog tib yam Paracetamol, lawv tsuas yog tsim nyob rau hauv lawv tus kheej lub npe hom thiab txawv nyob rau hauv txawv flavors nyob rau hauv muaj pes tsawg leeg. Ntawm chav kawm, qhov nrov dua lub hom, qhov kim dua nws cov khoom yuav raug nqi. Ntawm cov syrups nrov tshaj plaws yog Panadol, Efferalgan, Kalpol thiab lwm yam. Kev ncua hauv tsev "Paracetamol" nrog cov muaj pes tsawg leeg zoo sib xws yuav raug nqi ib qho kev txiav txim ntawm qhov loj me uas pheej yig dua li cov teev.
Hauv daim ntawv ntsiav tshuaj, kev xaiv cov tshuaj raws li paracetamol yog ntau dua, vim tias cov concentration ntawm cov tshuaj twb tau xam rau kev kho mob ntawm cov neeg laus.
Raws li cov khoom siv hauv lub cev, cov tshuaj muaj cov tshuaj analogues raws li ibuprofen. Kev xaiv ntawm cov niam txiv nyob ntawm feem ntau ntawm cov menyuam yaus "Paracetamol" ua haujlwm ntau npaum li cas. Qhov tseeb yog tias paracetamol txo qis lub cev kub ntawm 1-2 degrees, tab sis tib lub sijhawm khaws nws cov nyhuv tsuas yog 4 teev, thiab qee zaum tsawg dua. Cov tshuaj raws li ibuprofen (Nurofen, Nise thiab lwm yam) tuaj yeem ua tau ntev txog 8 teev thiab tseem muaj cov tshuaj tiv thaiv kab mob, tab sis tib lub sijhawm lawv muaj cov npe dav dua ntawm contraindications thiab cov kev mob tshwm sim. Nws yog txwv tsis pub siv tshuaj Aspirin lossis Analgin rau cov menyuam mos.
Pom zoo:
Yuav ua li cas thiaj li tso tus menyuam tso tseg los ntawm leej txiv: cov txheej txheem, cov ntaub ntawv tsim nyog thiab cov lus qhia kev cai lij choj
Qee zaum ib tug txiv neej txiav txim siab tso nws tus menyuam. Nyob rau hauv rooj plaub no, nws yuav tsum tau muab ib daim ntawv thov sib raug thiab thov rau lub tsev hais plaub. Txawm li cas los xij, ua ntej ntawd, nws tsim nyog paub tag nrho cov nuances ntawm cov txheej txheem zoo li no thiab qhov tshwm sim tuaj yeem tshwm sim
"No-Shpa" rau miv: lub hom phiaj, muaj pes tsawg leeg, ntau npaum li cas, daim ntawv tso tawm, cov xwm txheej ntawm kev nkag thiab cov lus pom zoo ntawm tus kws kho tsiaj
Muaj ntau cov lus tsis sib haum xeeb hauv lub vev xaib hais txog qhov muaj peev xwm siv "No-Shpa" rau miv. Ib tug neeg paub tseeb tias cov tshuaj no yog qhov txaus ntshai rau lub neej ntawm tus tsiaj, nws tsuas yog tsis pom zoo kom muab nws. Tab sis, txawm li cas los xij, ntau tus kws kho tsiaj tau sau cov tshuaj no rau lawv cov neeg mob furry txhua hnub. Hauv tsab xov xwm no, peb yuav txheeb xyuas seb nws puas tuaj yeem siv "No-Shpu" rau miv. Cov lus qhia rau kev siv, indications thiab contraindications yuav qhia nyob rau hauv tsab xov xwm
Boric cawv hauv pob ntseg thaum cev xeeb tub: cov lus qhia los ntawm gynecologist, muaj pes tsawg leeg, piav qhia, lub hom phiaj, cov lus qhia rau kev siv, tus kws kho mob cov tshuaj thiab ntau npaum li cas
Kev xeeb tub yog lub sijhawm tshwj xeeb hauv poj niam lub neej. Nws yog ib qho tsim nyog yuav tsum ua raws li cov lus pom zoo ntawm tus kws kho mob thiab paub seb cov tshuaj twg tuaj yeem siv tau. Puas muaj boric cawv siv los kho pob ntseg thaum cev xeeb tub?
Kev tso tawm tus menyuam mos los ntawm tsev kho mob maternity: hnub tso tawm, cov ntaub ntawv tsim nyog, khaub ncaws rau tus menyuam thiab npaj cov xwm txheej rau lub neej thiab kev loj hlob ntawm tus menyuam hauv tsev
Kev tso tus menyuam mos tawm hauv tsev kho mob maternity yog qhov xwm txheej tseem ceeb hauv lub neej ntawm ib tsev neeg hluas thiab nws cov txheeb ze ze. Txhua leej txhua tus tab tom tos ntsoov yuav ntsib cov neeg hauv tsev neeg tshiab, lawv txhawj xeeb thiab sim npaj lub rooj sib tham kom tsim nyog. Yuav kom cov extract yuav tsum nco ntsoov rau ntau xyoo thiab dhau mus tsis muaj fuss, nws yog tsim nyog los ua tib zoo npaj rau nws
"De-Nol" thaum cev xeeb tub: lub hom phiaj, daim ntawv tso tawm, cov yam ntxwv ntawm kev tswj hwm, ntau npaum li cas, muaj pes tsawg leeg, cov lus qhia, contraindications, muaj peev xwm txaus ntshai rau tus menyuam hauv plab thiab qhov tshwm sim
Thaum lub sijhawm yug menyuam, tus poj niam feem ntau tuaj yeem ua rau nws mob hnyav heev. Qhov no yog yooj yim los ntawm kev hloov hormonal keeb kwm yav dhau thiab tsis muaj zog tiv thaiv kab mob. Cov teeb meem ntawm plab hnyuv tsis tshua muaj tsawg ntawm cov poj niam cev xeeb tub. Txawm li cas los xij, cov tshuaj dab tsi tau txais txiaj ntsig los txo qhov exacerbation thiab cov tsos mob tsis zoo thaum cev xeeb tub? Tshwj xeeb, nws puas tuaj yeem haus "De-Nol" thaum cev xeeb tub? Tom qab tag nrho, cov tshuaj no zoo tiv thaiv lub plab mucosa. Cia peb suav daws ua ke