Kwayar cuta ta metabolic - yaya ake gano shi da kulawa

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Samun abinci mai kalori mai yawa, sufuri na sirri, da aikin kwance-ɗaki ya haifar da gaskiyar cewa a cikin ƙasashe masu tasowa, kusan kashi ɗaya cikin uku na yawan mutane suna da matsalolin rayuwa. Kwayar cuta ta metabolism cuta ce mai irin wannan cuta. An kwatanta shi da kiba, wuce haddi na cholesterol da insulin, lalacewa a cikin kwararar glucose daga jini zuwa cikin tsokoki. Marasa lafiya suna da cutar hawan jini, gajiya kullun, ƙara yawan yunwar.

Daga qarshe, rikice-rikice na rayuwa suna haifar da atherosclerosis, thrombosis, ciwon sukari mellitus, cututtukan zuciya, da bugun jini. An yi hasashen cewa a cikin shekaru goma masu zuwa, mutanen da ke fama da cutar sankara za su zama sau 1.5, kuma a cikin tsofaffi ƙungiyar cutar za ta kai 50%.

Maganin cutar metabolic - menene

A cikin shekarun karni shida na karshe, an samo dangantaka tsakanin kiba, nau'in ciwon sukari na 2, angina pectoris da hauhawar jini. An gano cewa waɗannan rikice-rikicen sun fi yawa a cikin mutanen da ke da kiba bisa ga nau'in android, lokacin da aka adana mafi yawan kitse a saman jiki, galibi a cikin ciki. A ƙarshen 80s, an tsara ma'anar karshe na ciwo na metabolism: wannan haɗuwa ne na rayuwa, rashin lafiyar hormonal da rikice-rikice masu alaƙa, babban dalilin wanda shine juriya na insulin da haɓaka samar da insulin.

Ciwon sukari da hauhawar jini zai zama abin da ya wuce

  • Normalization na sukari -95%
  • Cirewa kan jijiyoyin mara wuya - 70%
  • Cire zuciyar mai karfin zuciya -90%
  • Rabu da cutar hawan jini - 92%
  • Increasearuwar kuzarin rana, inganta bacci da dare -97%

Sakamakon yanayin haɓakar hormonal, ciwo na rayuwa mafi yawan lokuta bincikar lafiya a cikin maza. Abin da ya sa suna da mafi yawan mutuwa mutuwa daga cutar zuciya. A cikin mata, haɗarin yana ƙaruwa sosai bayan menopause, lokacin da samarwar estrogen ya tsaya.

Babban abin da ke haifar da cututtukan metabolism ana daukar shi karuwa ne a jure kwayar da kwayar halittar mahaifa. Saboda yawan carbohydrates a abinci, akwai yawan sukari a cikin jini fiye da yadda jiki yake buƙata. Babban mabukaci na glucose shine tsokoki, yayin aiki mai kyau na abinci mai gina jiki suna buƙatar sau goma mafi yawa. Idan babu aiki na jiki da kuma wuce haddi na sukari, sel jikinsu suna iyakance matakin glucose a jikinsu. Masu karɓar ba su daina sanin insulin, wanda shine babban mai gudanar da sukari a cikin nama. A hankali, nau'in ciwon sukari na 2 ya haɓaka.

Pancreas, bayan da ya sami bayani wanda glucose a hankali ya fara shiga sel, ya yanke shawarar hanzarta haɓaka ƙwayoyin carbohydrates kuma yana haɓaka adadin insulin. Increasearuwar matakin wannan ƙwayar haɓakar halittar jiki na sanya ƙwayar tsopose nama, har ƙarshe zuwa kiba. Tare da waɗannan canje-canje a cikin jini, dyslipidemia yana faruwa - ƙarancin ƙarancin cholesterol da triglycerides sun tara. Canje-canje a cikin al'ada abun da ke ciki na jini jiyya tasoshin.

Baya ga juriya na insulin da hyperinsulinemia, ana ɗauka abubuwa masu zuwa sanadin cututtukan metabolism:

  1. Significantarin haɓaka mai a cikin ƙwayar visceral saboda yawan adadin kuzari a abinci.
  2. Rashin damuwa na Hormonal - cortisol mai wuce haddi, norepinephrine, rashin progesterone da hormone girma. A cikin maza - raguwa a cikin testosterone, a cikin mata - karuwarsa.
  3. Yawan cin mai mai yawa.

Wanene ya fi saukin kamuwa da MS

An ba da shawarar yin gwaje-gwaje na yau da kullun don gano cututtukan metabolism ga duk mutanen da ke cikin haɗari.

Alamun kasancewar wannan rukunin:

  • karuwa lokaci lokaci (> 140/90);
  • kiba mai nauyi ko ciki (cikin ciki);
  • ƙananan matakin motsa jiki;
  • sadaukar da kai ga abincin da ba shi da lafiya;
  • yawaita haɓakar gashi a kan fuska da ƙafafu cikin mata;
  • gano ciwon sukari mellitus ko raunin haƙuri na glucose;
  • cututtukan zuciya da na jijiyoyin jini;
  • matsaloli tare da tasoshin jini a kafafu;
  • atherosclerosis da hatsarin cerebrovascular;
  • gout
  • polycystic ovary, rashin daidaituwa na al'ada, rashin haihuwa a cikin mata;
  • erectile tabarbarewa ko rage iko a cikin maza.

Bayyanar cututtuka na cututtukan metabolism

Maganin metabolic yana farawa tare da rikicewar ƙananan ƙwayar cuta, haɓakawa a hankali, sannu a hankali yana tara cututtuka masu haɗuwa. Ba shi da alamun tabbas - zafi, asarar hankali ko zazzabi mai zafi, saboda haka yawanci ba sa kula da canje-canje a cikin jikin mutum, kamawa yayin da cututtukan metabolism ke sarrafawa don kawo babban lahani ga jiki.

Hanyar bayyanar cututtuka:

  • abinci ba tare da carbohydrates mai sauri ba mai gamsarwa. Miyar nama tare da salatin bai isa ba, jiki yana buƙatar kayan zaki ko kayan yaji tare da shayi mai zaki;
  • abincin da aka jinkirta yana haifar da jin haushi, damuwa yanayi, haifar da fushi;
  • Da maraice akwai mai gajiya, koda kuwa ba wani aiki na yau da kullun;
  • nauyi yana ƙaruwa, ana sanya mai a baya, kafadu, ciki. Baya ga kitse mai ƙyalli, mai kauri wanda yake sauƙin ji, ƙarar ciki yana ƙaruwa saboda adon mai da ke kewaye da gabobin ciki;
  • yana da wahala ka tilasta kanka ka tashi da wuri, tafiya ta kilomaya kilomita, hawa matakala, ba kan bene ba;
  • lokaci-lokaci, bugun zuciya mai ƙarfi yana farawa, wanda ya haifar da karuwa a cikin matakan insulin a cikin ciwo na rayuwa;
  • mara nauyi mara nauyi ko jin wani irin yanayi wani lokaci ana ji a kirji;
  • da yawan ciwon kai yana ƙaruwa;
  • amai, tashin zuciya sun bayyana;
  • ja saboda vasospasm ana iya gani a wuya da kirji;
  • increasedara yawan shan ruwa saboda yawan jin ƙishi da bushewar baki;
  • farjin abubuwan da ke cikin hanji an karya su, maƙarƙashiya ya zama mai yawa. Hyperinsulinemia a cikin cuta na rayuwa yana taimakawa rage yawan narkewar abinci. Saboda yawan carbohydrates, yawan gas yana ƙaruwa;
  • karuwar gumi, musamman da daddare.

An tabbatar da cewa ana haifar da tsinkayar cuta ga cututtukan ƙwayar cuta, saboda haka, ƙungiyar haɗari ta haɗa da mutane waɗanda iyayensu ko 'yan uwanta suna da kiba a ciki, hawan jini, ciwon sukari mellitus ko juriya insulin, matsalolin zuciya, cututtukan zuciya daban-daban.

Alamun alamu na halin rayuwa wanda gwajin jini ya gano:

Nazarin dakin gwaje-gwajeSakamakon da ke nuna ciwo na rayuwa, mmol / lDalilin karkatar da al’ada
Azumin glucose

> 5,9,

tsofaffi> 6.4

Rashin samun glucose daga jini cikin kyallen, sukari bashi da lokacin da zai daidaita koda bayan awa 8 na bacci.
Gwajin gwajin haƙuri> 7.8 a ƙarshen gwajinRage gushewar glucose ta sel saboda tsayayyar insulin da ƙananan buƙatun makamashi.
Babban yawa na Lipoprotein Cholesterol

<1 cikin maza

<1.2 cikin mata

An rage matakin saboda rashin aiki na jiki da kuma rashin abinci mai gina jiki na ƙoshin abinci mai ƙoshi.
Darancin Daskararren ƙwayoyin Lipoprotein> 3Haɓakawa ya faru ne saboda wuce haddi mai ɗorawa na shiga cikin jinin kitsen visceral ɗinsu.
Karkacewar> 1,7Sun fito ne daga abinci da tsotse nama kuma hanta ke haɗa shi saboda yawan insulin.
Uric acid

> 0.42 a cikin maza,

> 0.35 a cikin mata

Matsayi yana ƙaruwa lokacin da ciwo na rayuwa ya shafi musayar purines - muhimmin ɓangaren kwayoyin nuclei.

Cutar Cutar MS

Ciwon mara lafiyar mai haƙuri yana da ƙaruwa 23 a cikin yiwuwar mutuwa daga bugun zuciya, a cikin rabin abubuwan da waɗannan rikice-rikice ke haifar da ciwon sukari mellitus. Abin da ya sa yana da mahimmanci a gano asali a farkon matakin, yayin da karkacewa daga ƙa'idar aiki kaɗan.

Idan kuna tsammanin ciwo na rayuwa, kuna buƙatar tuntuɓar likita na endocrinologist. Sauran kwararru na iya shiga cikin kula da cututtukan cututtukan cututtukan zuciya - likitan zuciya, likitan jijiyoyin bugun jini, likitan kwantar da hankali, majinyata, mai gina jiki.

Hanyar gano cutar:

  1. Binciken mai haƙuri don gano alamun cutar cuta, rashin gado, ƙarancin aiki, da halayen abinci mai gina jiki.
  2. Tattara cutar anamnesis na cutar: lokacin da mahaukacin ya zama sananne, yawan kiba ya bayyana, ya yi matsi sosai, akwai sukari mai yawa.
  3. Mata suna gano matsayin tsarin haihuwa - cututtukan da suka gabata, samun juna biyu, tsarin haila.
  4. Gwajin jiki:
  • ƙayyade nau'in kiba, manyan wuraren don haɓakar nama adi adi;
  • An auna karkatarwa. Tare da OT> 80 cm a cikin mata da 94 cm a cikin maza, ana lura da ciwo na rayuwa a cikin mafi yawan lokuta;
  • yayi lissafin rabo daga kugu zuwa kwatangwalo. Earancen da ke sama haɗin kai a cikin maza da 0.8 a cikin mata yana nuna babban yiwuwar rikicewar metabolism;
  • ana lissafta ƙirar taro na jikin mutum (rabo daga nauyi zuwa tsawo mai girman squir, an bayyana nauyi a cikin kilogiram, tsayi a cikin m). BMI sama da 25 yana ƙara haɗarin ciwo na metabolism, tare da BMI> 40, yuwuwar cin zarafi ana ɗauka sosai.
  1. Magana game da nazarin halittu don gano abnormalities a cikin abun da ke cikin jini. Baya ga karatun da ke sama, ana iya rubuto gwajin insulin da leptin:
  • insulin na insulin yawancin lokaci yana nufin juriyawar insulin a cikin mai haƙuri. Ta hanyar matakan glucose na insulin da azumi, mutum na iya yin hukunci da tsananin juriya a cikin mara lafiya har ma da hango farkon ci gaban ciwon sukari;
  • leptin ya tashi tare da kiba, yawan abinci mai gina jiki, yana haifar da karuwa a cikin sukarin jini.
  1. Girman matsin lamba, yin rikodin cardiogram.
  2. Domin kiba, za ku iya buƙatar:
  • bioimpedanceometry don tantance abun ciki na ruwa da mai a jiki;
  • kaikaitacce don yin lissafin adadin adadin kuzari mai haƙuri yana buƙatar kowace rana.

Binciken cututtukan cututtukan cututtukan metabolism a cikin sabon rarrabuwa na kasa da kasa an cire shi. Dangane da sakamakon binciken, a ƙarshe, an bayyana dukkanin abubuwan da ke tattare da cutar: hauhawar jini (lambar don ICB-10 I10), kiba (lambar E66.9), hyperglycemia, dyslipidemia, raunin glucose mai rauni.

Hanyar Maganin cutar Hanyar Hanyar Hannu

Dalili don lura da ciwo na rayuwa yana kawar da nauyin wuce kima. Don wannan, an daidaita abun da ke ciki, an rage yawan adadin kuzari, ana gabatar da azuzuwan koyar da ilimin jiki a kowace rana. Sakamakon farko na irin wannan magani ba magani ya zama a bayyane lokacin da mai haƙuri tare da ƙwayar ciki yana rasa kusan 10% na nauyi.

Bugu da ƙari, likita na iya ba da umarnin bitamin, abubuwan abinci masu gina jiki, magunguna waɗanda ke haɓaka haɓakar metabolism kuma yana daidaita abubuwan da ke cikin jini.

Dangane da shawarwarin asibiti don magance cututtukan metabolism, farkon watanni 3 na farko, ba a ba wa marasa lafiya magunguna. An gyara abinci mai gina jiki a garesu, an gabatar da tsarin motsa jiki. Sakamakon haka, tare da asarar nauyi, matsa lamba, cholesterol yawanci al'ada ne, ƙwayar insulin yana inganta.

Kasancewa - marasa lafiya da ke da BMI> 30 ko BMI> 27 a hade tare da hauhawar jini, rashin lafiyar lipid mai narkewa ko nau'in ciwon sukari na 2. A wannan yanayin, ya fi dacewa a kula da ciwo na rayuwa tare da kiba mai yawa tare da tallafin magani.

Tare da kiba mara nauyi, yin amfani da hanyoyin tiyata na bariatric mai yiwuwa ne: tiyata na ciki da ƙyallen gastroplasty. Suna rage girman ciki kuma suna baiwa marassa lafiya matsalar rashin cin abinci ji daɗin koshin abinci.

Idan ƙididdigar jinin ba ta koma al'ada ba a cikin watanni 3, an wajabta magunguna don kula da sauran matsalolin: masu daidaita kitse da metabolism metabolism, da kwayoyi don rage karfin jini.

Amfani da kwayoyi

Kungiyar magungunaAbu mai aikiKa'idojin aikiSunayen kasuwanci

Taimakawa Rasa nauyi

Abubuwan saukar jini

Orlistat

Yana hana kitsen mai daga hanji, 30% na triglycerides an kebe shi a cikin feces, wanda ke rage yawan adadin kuzari abinci.

Orsoten, Xenical, Orliksen, Listata

Gyara metabolism

Biguanides

Metformin

Rage juriya na insulin da kwayar glucose a cikin hanta, rage shigar da shi cikin jini daga karamin hanji. Shiga tare da ciwo na rayuwa da kashi 31% na rage hadarin kamuwa da cutar siga.

Glucophage, Bagomet, Siofor, Glycon

Alfa Glucosidase Inhibitors

Acarbose

Yana lalata aikin enzymes wanda ke rushe polysaccharides. Sakamakon haka, ƙarancin sukari ya shiga cikin jini.

Glucobay

Gyara aikin metabolism

Statins

Rosuvastatin

Da kyau rage mummunar cholesterol (har zuwa 63% na ainihin asalin). Ana amfani dasu don kula da atherosclerosis a cikin ciwon sukari mellitus da cuta na rayuwa.Rosulip, Roxer
Atorvastatin

Atoris, Liprimar, Tulip

Fibrates

Fenofibrate

Rage triglycerides jini, ƙara kyau cholesterol.

Tricor, Lipantil

Nicotinic acid, abubuwan da ya samo asali

Nikitinic acid + laripiprant

Yana hana sakin mai mai kitse daga mai mai visceral. Laropiprant yana kawar da tasirin sakamako na haɗarin nicotine.

Kullali

Cholesterol sha inhibitors

Ezetimibe

Yana hana musayar cholesterol daga abinci ta hanyar epithelium na karamin hanjin cikin jini.

Ezetrol, Ezetimibe, Lipobon

Matsi na matsakaici

ACE masu hanawaFosinoprilFadada hanyoyin jini. Karka rage aiki da mai mai mai yawa. Kada ku cutar da metabolism cikin damuwa.Monopril, Fozicard
RamiprilHartil, Amprilan
Alkalumman tashar alliVerapamilYana toshe hanyoyin zubar da alli a cikin tasoshin, wanda ke haifar da fadada su. Ana amfani dasu don kula da ischemia na myocardial da nephropathy a cikin ciwon sukari.Isoptin, Finoptin
FelodipineFelodip

Zaɓin shugabanci na jiyya da takamaiman hanya shine mahimmancin likitan halartar. Dukkanin magungunan da ke sama suna da matukar mahimmanci kuma, idan an ɗauka ba daidai ba, ba zai iya kawai ba warkar da ciwo na rayuwa ba, har ma yana ƙara tsananta yanayin.

Rage cin abinci

Hanya guda kawai na ainihi don magance wuce haddi a cikin ciwo na rayuwa shine ƙirƙirar raunin makamashi na tsawan lokaci. A wannan yanayin, jiki yana amfani da ajiyar mai don samar da makamashi. Yawan kiba a jiki cuta ce ta kullum. Ko bayan rasa nauyi zuwa ga al'ada, koyaushe akwai barazanar sake dawowa. Sabili da haka, babu abin da ya rage, yadda za a bi da cuta na rayuwa har abada, don sauran rayuwata, galibi saboda hanyoyin rashin magunguna - ilimin jiki da abinci mai dacewa. Bayan cimma sakamakon da ake so, kokarin likitocin da mai haƙuri yakamata a yi jinkiri da riƙe shi na dogon lokaci.

Ana lasafta yawan ƙwayar kalori ta yadda mai haƙuri yai ƙasa da kilogiram 2 2-4 a kowane wata. An haifar da raunin makamashi saboda raguwa mai ƙarfi a cikin kitsen dabbobi da kuma sashi - carbohydrates. Minimumarancin adadin kuzari na yau da kullun ga mata shine 1200 kcal, ga maza - 1500 kcal, tare da kitsen ya kamata ya zama kusan 30%, carbohydrates - 30-50 (30% idan sukari ya karu ko gagarumin juriya insulin), sunadarai - 20-30 (idan ba haka ba nephropathy).

Ka'idodin abinci mai warkewa a cikin cututtukan metabolism:

  1. Akalla abinci 3, zai fi dacewa 4-5. Ba a yarda da tsaka-tsakin “yunwa” ba.
  2. Fats ɗin da ba a gamsarwa ba (kifi, man kayan lambu) yakamata ya haɗu da rabin adadin adadinsu. Cin abinci mai kitse yakamata ya kasance tare da hidimar ganye ko kayan lambu.
  3. Mafi kyawun tushen furotin shine kifi da kayayyakin kiwo. Daga nama - kaji da naman sa.
  4. Carbohydrates an fi son jinkirin aiki (ƙari game da jinkirin carbohydrates). Sweets, kayan lambu, farin shinkafa, soyayyen dankali an maye gurbinsu da buckwheat da oatmeal, burodin burodi.
  5. Abincin yakamata ya samar da akalla 30 g na fiber a rana. Don yin wannan, menu ya kamata ya sami kyawawan kayan lambu.
  6. Tare da ƙara matsa lamba, gishiri yana iyakance zuwa 1 teaspoon a rana.Idan ka dan kara gishiri a abinci, za ka iya samun sabon abin dandano a cikin makonni biyu.
  7. Don ƙara yawan ƙwayar potassium, kuna buƙatar haɗa da kayan lambu kore, legumes, karas mai a cikin abincin.
  8. Don kilogiram na 1 na jiki ya kamata ya zama aƙalla 30 ml na ruwa. Tea, ruwan 'ya'yan itace da sauran abubuwan sha an maye gurbinsu da ruwa mai tsabta. Iyakar abin da banda shine rosehip broth.

Jiyya ga kiba ya zama na lokaci-lokaci: da ƙwaƙƙwaran asarar mai na tsawon watanni shida, sannan don lokaci ɗaya, ƙara adadin kuzari don daidaita nauyi. Idan kana buƙatar rasa nauyi tukuna, maimaita sake zagayowar.

General Life Tips

Idan ka kiyaye da karancin kalori na dogon lokaci, metabolism din dake cikin jiki yayi saurin sauka, a cewar majiya daban-daban, daga 15 zuwa 25%. A sakamakon haka, an rage tasirin rasa nauyi. Don haɓaka yawan kuzari a cikin jiyya na cututtukan metabolism, aikin jiki yana zama wajibi. Hakanan, tare da ƙwayar tsoka mai aiki, juriya na insulin, raguwar triglycerides, ƙwaƙwalwar ƙwayar mai kyau tana haɓaka, jirgin yana motsa jiki, ƙarfin huhu da wadatar oxygen zuwa gabobin.

An gano cewa marasa lafiya da ke fama da cutar sikila wadanda suka gabatar da horo na yau da kullun a rayuwarsu ba su da yiwuwar fuskantar cutar komawa baya. Aerobic motsa jiki rage gudu mafi kyau. Trainingarfafa horo tare da nauyi mai nauyi ba a so, musamman idan matsi ya tashi lokaci-lokaci.

Horar da jijiyoyin iska kowane wasa ne wanda wani sashi na tsoka yana aiki na dogon lokaci, saurin zuciya yana ƙaruwa. Misali, tsere, wasan tennis, kekuna, iska. Classes fara hankali don kada su cika yawan marasa lafiya tare da ciwo na rayuwa, wanda yawancin su sunyi wasan karshe a cikin matasa masu nisa. Idan akwai wata shakka cewa mai haƙuri zai iya jimre da su, suna gwada aikin zuciya da jijiyoyin jini a kan treadmill ko bike motsa jiki - gwajin treadmill ko ergometry na keke.

Ma'aikata suna farawa da tafiya na mintina 15, a hankali yana ƙaruwa da sauri da tsawon lokaci har zuwa awa ɗaya a rana. Don samun sakamako da ake so, ya kamata a gudanar da horo a kalla sau uku a mako, kuma zai fi dacewa kullun. Loadarancin ƙaramar mako shine minti 150. Alamar ingantaccen motsa jiki shine karuwa a cikin zuciya zuwa kashi 70% na matsakaicin mitar (wanda aka kirga kamar shekaru 220 a raina).

Baya ga abinci mai kyau da aiki na zahiri, lura da cututtukan metabolism ya kamata ya haɗa da dakatar da shan sigari da ƙuntataccen barasa. Rayuwa ba tare da taba ba yana haifar da haɓaka mai kyau a cikin 10%, ba tare da barasa ba - by 50% yana rage matakin triglycerides.

Yin rigakafin

Kowane mazaunin Rasha na uku yana fama da ciwo na rayuwa. Domin kada ku fada cikin darajojin su, kuna buƙatar jagorantar rayuwa mai kyau da kuma gudanar da gwaje-gwaje a kai a kai.

Shawarwari don hana rikice-rikice na rayuwa:

  1. Ci abinci mai inganci, a ɗan sarrafa abinci kaɗan. Yawan ba da kayan lambu yayin kowane abinci, 'ya'yan itãcen kayan zaki a maimakon cake za su rage haɗarin cin zarafi.
  2. Kada ku ji matsananciyar yunwa, in ba haka ba jikin zai yi ƙoƙarin ajiye kowane adadin kuzari.
  3. Yi rayuwa mafi kyau. Tsara ranar ku don ya sami wuri don tafiya na lokacin bacci da motsa jiki.
  4. Yi amfani da kowace dama don motsawa da yawa - yi motsa jiki da safe, yi tafiya wani ɓangare na aiki don tafiya akan ƙafa, sami kare da tafiya tare da ita.
  5. Nemi wasanni wanda zaku ji farin ciki na motsi. Zabi dakin da yafi dacewa, kayan aiki masu inganci, kayan wasanni masu haske. Shiga tare da mutane masu irin wannan ra'ayin. Sai kawai lokacin da kuka ji daɗin wasanni zaku iya yin shi duk rayuwar ku.
  6. Idan kun kasance cikin hadari, lokaci-lokaci kuyi gwajin cholesterol. Idan akwai masu cutar sukari a tsakanin danginku ko kuma kun cika shekaru 40 - ƙarin gwajin haƙuri na gubar.

Kamar yadda kake gani, kasancewa cikin koshin lafiya da rayuwa tare da nishadi ba mai wahala bane.

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