{"id":5479,"date":"2018-07-24T08:43:06","date_gmt":"2018-07-24T01:43:06","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/07\/24\/dot-quy-do-xuat-huyet\/"},"modified":"2024-03-17T04:05:51","modified_gmt":"2024-03-16T21:05:51","slug":"dot-quy-do-xuat-huyet","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/dot-quy-do-xuat-huyet\/","title":{"rendered":"\u0110\u1ed9t qu\u1ef5 do xu\u1ea5t huy\u1ebft"},"content":{"rendered":"<p><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> \u1ede Hoa K\u1ef3, kho\u1ea3ng 13% tr\u01b0\u1eddng h\u1ee3p \u0111\u1ed9t qu\u1ef5 x\u1ea3y ra do xu\u1ea5t huy\u1ebft, t\u1ee9c l\u00e0 do \u0111\u1ee9t m\u1ea1ch m\u00e1u b\u00ean trong ho\u1eb7c g\u1ea7n n\u00e3o.<br \/>\nKhi xu\u1ea5t huy\u1ebft x\u1ea3y ra, m\u00e1u t\u00edch t\u1ee5 trong n\u00e3o g\u00e2y h\u1ea1i cho m\u00f4 n\u00e3o v\u00e0 khi\u1ebfn cho c\u00e1c t\u1ebf b\u00e0o \u1edf v\u00f9ng b\u1ecb \u1ea3nh h\u01b0\u1edfng y\u1ebfu \u0111i v\u00e0 ch\u1ebft.<br \/>\nC\u00f3 hai lo\u1ea1i \u0111\u1ed9t qu\u1ef5 do xu\u1ea5t huy\u1ebft l\u00e0 <strong> xu\u1ea5t huy\u1ebft n\u00e3o v\u00e0 xu\u1ea5t huy\u1ebft d\u01b0\u1edbi m\u00e0ng nh\u1ec7n.<\/strong>\u00a0Trong hai lo\u1ea1i n\u00e0y <strong> xu\u1ea5t huy\u1ebft n\u00e3o <\/strong> l\u00e0 lo\u1ea1i \u0111\u1ed9t qu\u1ef5 do xu\u1ea5t huy\u1ebft th\u01b0\u1eddng g\u1eb7p h\u01a1n. <\/span> <\/span><\/p>\n<h2 id=\"hai-loai-dot-quy-do-xuat-huyet-khac-nhau-nhu-the-nao\">Hai lo\u1ea1i \u0111\u1ed9t qu\u1ef5 do xu\u1ea5t huy\u1ebft kh\u00e1c nhau nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> <strong> <em> <u> <span style=\"font-size: 18px;\"> Xu\u1ea5t huy\u1ebft trong n\u00e3o <\/span> <\/u> <\/em> <\/strong> <\/span> <\/span><\/p>\n<ul>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> X\u1ea3y ra khi m\u1ea1ch m\u00e1u b\u1ecb v\u1ee1 g\u00e2y ch\u1ea3y m\u00e1u v\u00e0o m\u00f4 s\u00e2u b\u00ean trong n\u00e3o. <\/span> <\/span><\/li>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> Th\u01b0\u1eddng do cao huy\u1ebft \u00e1p m\u00e3n t\u00ednh ho\u1eb7c l\u00e3o h\u00f3a m\u1ea1ch m\u00e1u g\u00e2y n\u00ean. <\/span> <\/span><\/li>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> \u0110\u00f4i khi do d\u1ecb d\u1ea1ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch (AVM). AVM l\u00e0 m\u1ed9t b\u00fai m\u1ea1ch m\u00e1u c\u00f3 h\u00ecnh d\u1ea1ng b\u1ea5t th\u01b0\u1eddng v\u00e0 r\u1ea5t d\u1ec5 v\u1ee1. Xu\u1ea5t huy\u1ebft t\u1eeb AVM g\u00e2y ra ch\u1ea3y m\u00e1u trong n\u00e3o. <\/span> <\/span><\/li>\n<\/ul>\n<p><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> <em> <u> <span style=\"font-size: 18px;\"> <strong> Xu\u1ea5t huy\u1ebft d\u01b0\u1edbi m\u00e0ng nh\u1ec7n <\/strong> <\/span> <\/u> <\/em> <\/span> <\/span><\/p>\n<ul>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> X\u1ea3y ra khi m\u1ed9t \u0111o\u1ea1n ph\u00ecnh m\u1ea1ch (m\u1ed9t t\u00fai ch\u1ee9a \u0111\u1ea7y m\u00e1u ph\u00ecnh ra ngo\u00e0i \u0111\u1ed9ng m\u1ea1ch) tr\u00ean ho\u1eb7c g\u1ea7n b\u1ec1 m\u1eb7t n\u00e3o b\u1ecb v\u1ee1 g\u00e2y ch\u1ea3y m\u00e1u v\u00e0o kho\u1ea3ng kh\u00f4ng gian gi\u1eefa n\u00e3o v\u00e0 s\u1ecd. <\/span> <\/span><\/li>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> Th\u01b0\u1eddng do huy\u1ebft \u00e1p cao g\u00e2y n\u00ean. <\/span> <\/span><\/li>\n<\/ul>\n<h2 id=\"nhung-yeu-to-nguy-co-khac-ngoai-cao-huyet-ap\">Nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c ngo\u00e0i cao huy\u1ebft \u00e1p?<\/h2>\n<p><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> Nh\u1eefng y\u1ebfu t\u1ed1 kh\u00e1c l\u00e0m t\u0103ng nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 do xu\u1ea5t huy\u1ebft bao g\u1ed3m: <\/span> <\/span><\/p>\n<ul>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> H\u00fat thu\u1ed1c <\/span> <\/span><\/li>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> U\u1ed1ng thu\u1ed1c tr\u00e1nh thai (\u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng lo\u1ea1i c\u00f3 h\u00e0m l\u01b0\u1ee3ng estrogen cao) <\/span> <\/span><\/li>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> U\u1ed1ng r\u01b0\u1ee3u bia qu\u00e1 m\u1ee9c <\/span> <\/span><\/li>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> D\u00f9ng ma t\u00fay v\u00e0 c\u00e1c d\u01b0\u1ee3c ch\u1ea5t b\u1ea5t h\u1ee3p ph\u00e1p <\/span> <\/span><\/li>\n<\/ul>\n<h2 id=\"dot-quy-do-xuat-huyet-duoc-chan-doan-nhu-the-nao\">\u0110\u1ed9t qu\u1ef5 do xu\u1ea5t huy\u1ebft \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> Khi m\u1ed9t ng\u01b0\u1eddi c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a \u0111\u1ed9t qu\u1ef5 ho\u1eb7c c\u01a1n thi\u1ebfu m\u00e1u n\u00e3o tho\u00e1ng qua (transient ischemic attack, TIA), b\u00e1c s\u0129 s\u1ebd thu th\u1eadp th\u00f4ng tin v\u00e0 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n. Nh\u1eefng vi\u1ec7c b\u00e1c s\u0129 th\u01b0\u1eddng l\u00e0m l\u00e0: <\/span> <\/span><\/p>\n<ul>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> Xem x\u00e9t b\u1ec7nh s\u1eed (bao g\u1ed3m c\u1ea3 b\u1ec7nh s\u1eed gia \u0111\u00ecnh, ngh\u1ec1 nghi\u1ec7p, th\u00f3i quen,\u2026) <\/span> <\/span><\/li>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> Th\u0103m kh\u00e1m t\u1ed5ng tr\u1ea1ng v\u00e0 h\u1ec7 th\u1ea7n kinh <\/span> <\/span><\/li>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> L\u00e0m m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m (m\u00e1u) <\/span> <\/span><\/li>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> Ch\u1ee5p CT v\u00e0 MRI <\/span> <\/span><\/li>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> Xem x\u00e9t c\u00e1c k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m c\u1ea7n thi\u1ebft kh\u00e1c <\/span> <\/span><\/li>\n<\/ul>\n<p><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> C\u00e1c x\u00e9t nghi\u1ec7m cung c\u1ea5p th\u00f4ng tin v\u1ec1 c\u1ea5u tr\u00fac (h\u00ecnh d\u1ea1ng), ch\u1ee9c n\u0103ng (c\u00e1ch ho\u1ea1t \u0111\u1ed9ng) c\u0169ng nh\u01b0 t\u00ecnh tr\u1ea1ng m\u1ea1ch m\u00e1u (s\u1ef1 t\u01b0\u1edbi m\u00e1u) c\u1ee7a b\u1ed9 n\u00e3o. T\u1eeb nh\u1eefng th\u00f4ng tin n\u00e0y, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u01b0a ra nh\u1eadn \u0111\u1ecbnh v\u1ec1 v\u00f9ng n\u00e3o b\u1ecb t\u1ed5n th\u01b0\u01a1ng. <\/span> <\/span><\/p>\n<p><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> C\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c chia th\u00e0nh ba nh\u00f3m: <\/span> <\/span><\/p>\n<ul>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> X\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh (CT, MRI,\u2026) cho th\u1ea5y h\u00ecnh d\u1ea1ng c\u1ee7a b\u1ed9 n\u00e3o. <\/span> <\/span><\/li>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> \u0110i\u1ec7n n\u00e3o \u0111\u1ed3 (EEG) ghi l\u1ea1i c\u00e1c xung \u0111i\u1ec7n ph\u1ea3n \u00e1nh ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u1ed9 n\u00e3o. <\/span> <\/span><\/li>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> Kh\u1ea3o s\u00e1t d\u00f2ng ch\u1ea3y c\u1ee7a m\u00e1u \u0111\u1ec3 t\u00ecm ra nguy\u00ean nh\u00e2n l\u00e0m thay \u0111\u1ed5i t\u00ecnh tr\u1ea1ng t\u01b0\u1edbi m\u00e1u \u1edf n\u00e3o.\u00a0<\/span><\/span><\/li>\n<\/ul>\n<pre><em><strong>Xem th\u00eam b\u00e0i vi\u1ebft\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/chan-doan-dot-quy\/\" target=\"_blank\" rel=\"noopener\">Ch\u1ea9n \u0111o\u00e1n \u0111\u1ed9t qu\u1ef5<\/a>\u00a0c\u1ee7a\u00a0<a href=\"https:\/\/yhoccongdong.com\/profile\/pham-nguyen-quy\/\" target=\"_blank\" rel=\"noopener\">TS.BS Ph\u1ea1m Nguy\u00ean Qu\u00fd<\/a><\/strong><\/em><\/pre>\n<h2 id=\"dieu-tri-dot-quy-do-xuat-huyet-nhu-the-nao\">\u0110i\u1ec1u tr\u1ecb \u0111\u1ed9t qu\u1ef5 do xu\u1ea5t huy\u1ebft nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> V\u00ec s\u1ef1 xu\u1ea5t huy\u1ebft c\u00f3 th\u1ec3 \u0111e d\u1ecda \u0111\u1ebfn t\u00ednh m\u1ea1ng, b\u1ec7nh nh\u00e2n PH\u1ea2I \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c t\u1ea1i b\u1ec7nh vi\u1ec7n. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c s\u1ebd \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p. C\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 gi\u1ea3m ph\u00f9 n\u00e3o sau \u0111\u1ed9t qu\u1ef5.<br \/>\nT\u00f9y theo nguy\u00ean nh\u00e2n g\u00e2y xu\u1ea5t huy\u1ebft, can thi\u1ec7p b\u1eb1ng ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 l\u00e0 c\u1ea7n thi\u1ebft. Ph\u1eabu thu\u1eadt th\u01b0\u1eddng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u0111\u1ec3 x\u1eed l\u00fd ch\u1ed7 ph\u00ecnh m\u1ea1ch (b\u1eb1ng c\u00e1ch \u0111\u1eb7t k\u1eb9p kim lo\u1ea1i \u1edf g\u1ed1c c\u1ee7a ch\u1ed7 ph\u00ecnh m\u1ea1ch) ho\u1eb7c \u0111\u1ec3 lo\u1ea1i b\u1ecf nh\u1eefng m\u1ea1ch m\u00e1u b\u1ea5t th\u01b0\u1eddng c\u1ea5u th\u00e0nh d\u1ecb d\u1ea1ng m\u1ea1ch m\u00e1u (AVM).<br \/>\nM\u1ed9t s\u1ed1 th\u1ee7 thu\u1eadt \u00edt x\u00e2m l\u1ea5n h\u01a1n c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh nh\u01b0 can thi\u1ec7p n\u1ed9i m\u1ea1ch. Trong th\u1ee7 thu\u1eadt n\u00e0y, b\u00e1c s\u0129 \u0111\u01b0a \u1ed1ng th\u00f4ng (catheter) v\u00e0o \u0111\u1ed9ng m\u1ea1ch ch\u00ednh \u1edf ch\u00e2n ho\u1eb7c tay v\u00e0 lu\u1ed3n t\u1edbi v\u1ecb tr\u00ed c\u00f3 t\u00fai ph\u00ecnh ho\u1eb7c AVM \u0111\u1ec3 \u0111\u1eb7t c\u00e1c thi\u1ebft b\u1ecb gi\u00fap ng\u0103n ch\u1ea3y m\u00e1u nh\u01b0 keo, coil (d\u00e2y kim lo\u1ea1i r\u1ea5t nh\u1ecf). <\/span> <\/span><\/p>\n<p><strong> Nh\u1eefng c\u00e2u h\u1ecfi c\u00f3 th\u1ec3 h\u1ecfi b\u00e1c s\u0129 v\u00e0 y t\u00e1 <\/strong><\/p>\n<p><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> H\u00e3y d\u00e0nh v\u00e0i ph\u00fat \u0111\u1ec3 vi\u1ebft ra c\u00e1c c\u00e2u h\u1ecfi m\u00e0 b\u1ea1n quan t\u00e2m \u0111\u1ec3 h\u1ecfi nh\u00e2n vi\u00ean y t\u1ebf. M\u1ed9t trong s\u1ed1 \u0111\u00f3 c\u00f3 th\u1ec3 l\u00e0: <\/span> <\/span><\/p>\n<ul>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> T\u00f4i c\u00f3 th\u1ec3 l\u00e0m g\u00ec \u0111\u1ec3 ph\u00f2ng ng\u1eeba m\u1ed9t c\u01a1n \u0111\u1ed9t qu\u1ef5 kh\u00e1c? <\/span> <\/span><\/li>\n<li><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> T\u00f4i c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p cao b\u1eb1ng c\u00e1ch n\u00e0o? <\/span> <\/span><\/li>\n<\/ul>\n<h2><span style=\"font-size: 16px;\"> <span style=\"font-family: arial,helvetica,sans-serif;\"> <span style=\"font-size: 20px;\"> <strong> T\u00e0i li\u1ec7u tham kh\u1ea3o <\/strong><\/span><\/span><\/span><\/h2>\n<p><span style=\"font-size: 16px;\"><span style=\"font-family: arial,helvetica,sans-serif;\">1. <a href=\"http:\/\/www.strokeassociation.org\/idc\/groups\/stroke-public\/@wcm\/@hcm\/documents\/downloadable\/ucm_309710.pdf\"> http:\/\/www.strokeassociation.org\/idc\/groups\/stroke-public\/@wcm\/@hcm\/documents\/downloadable\/ucm_309710.pdf <\/a><br \/>\n2. <a href=\"http:\/\/www.mayfieldclinic.com\/PE-Coiling.htm\"> http:\/\/www.mayfieldclinic.com\/PE-Coiling.htm <\/a> <\/span> <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u1ed9t qu\u1ef5 do xu\u1ea5t huy\u1ebft x\u1ea3y ra khi m\u1ea1ch m\u00e1u b\u00ean trong ho\u1eb7c g\u1ea7n n\u00e3o b\u1ecb \u0111\u1ee9t l\u00e0m m\u00e1u t\u00edch t\u1ee5 trong n\u00e3o g\u00e2y h\u1ea1i cho c\u00e1c t\u1ebf b\u00e0o n\u00e3o.<\/p>\n","protected":false},"author":108,"featured_media":5481,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5148,5149,5230,4363,5278],"tags":[3899,3338,3331,4366],"series":[2118],"coauthors":[1441],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0110\u1ed9t qu\u1ef5 do xu\u1ea5t huy\u1ebft - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"\u0110\u1ed9t qu\u1ef5 do xu\u1ea5t huy\u1ebft x\u1ea3y ra khi m\u1ea1ch m\u00e1u b\u00ean trong ho\u1eb7c g\u1ea7n n\u00e3o b\u1ecb \u0111\u1ee9t l\u00e0m m\u00e1u t\u00edch t\u1ee5 trong n\u00e3o g\u00e2y h\u1ea1i cho c\u00e1c t\u1ebf b\u00e0o n\u00e3o.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/dot-quy-do-xuat-huyet\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0110\u1ed9t qu\u1ef5 do xu\u1ea5t huy\u1ebft - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"\u0110\u1ed9t qu\u1ef5 do xu\u1ea5t huy\u1ebft x\u1ea3y ra khi m\u1ea1ch m\u00e1u b\u00ean trong ho\u1eb7c g\u1ea7n n\u00e3o b\u1ecb \u0111\u1ee9t l\u00e0m m\u00e1u t\u00edch t\u1ee5 trong n\u00e3o g\u00e2y h\u1ea1i cho c\u00e1c t\u1ebf b\u00e0o n\u00e3o.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/dot-quy-do-xuat-huyet\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/beequy\" \/>\n<meta property=\"article:published_time\" content=\"2018-07-24T01:43:06+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T21:05:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2013\/04\/dot-quy-do-xuat-huyet.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BS.TS. 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