Sinus irrigation - thaum twg nws tsim nyog ua? Teeb meem tom qab rinsing lub sinuses

Nyob rau hauv txoj kab nrog nws lub luag haujlwm, Pawg Thawj Saib Xyuas Haujlwm ntawm MedTvoiLokony ua txhua yam los muab cov ntsiab lus kho mob txhim khu kev qha txhawb nqa los ntawm kev paub txog kev tshawb fawb tshiab. Tus chij ntxiv "Cov Ntsiab Lus Tshawb Fawb" qhia tias tsab xov xwm tau raug tshuaj xyuas los ntawm lossis sau ncaj qha los ntawm tus kws kho mob. Qhov kev pov thawj ob kauj ruam no: tus kws sau ntawv kho mob thiab kws kho mob tso cai rau peb muab cov ntsiab lus zoo tshaj plaws raws li kev paub txog kev kho mob tam sim no.

Peb txoj kev mob siab rau hauv cheeb tsam no tau txais txiaj ntsig zoo, thiab lwm yam, los ntawm Lub Koom Haum ntawm Cov Neeg Sau Xov Xwm rau Kev Noj Qab Haus Huv, uas tau muab khoom plig rau Pawg Thawj Coj ntawm MedTvoiLokony nrog lub npe qhuas ntawm Tus Kws Qhia Ntawv Zoo.

Sinus irrigation yog txoj hauv kev zoo tshaj plaws los tshem tawm cov kua dej ntau dhau thiab cov kab mob uas tsim nyob rau hauv koj lub sinuses. Clogged sinuses feem ntau yog tshwm sim los ntawm kev tso tawm los ntawm tus mob khaub thuas, sinusitis los yog ua xua rhinitis. Cov menyuam yaus thiab cov neeg laus tuaj yeem ntsib qhov mob sinus vim yog txhaws lossis dhau qhov ntswg. Tau kawg, sinusitis tuaj yeem kho tau tshuaj, tab sis ib qho ntawm txoj hauv kev zoo tshaj plaws kom tau txais kev zoo sai sai yog kev tso dej hauv qhov dej, los yog dej, uas tuaj yeem ua hauv tsev lossis hauv chaw kho mob.

Sinuses - cov yam ntxwv dav dav

Mob sinuses yog ib kab lus siv los ntawm ntau tus neeg mob uas tawm tsam nrog kev tso tawm ntau dhau, tshwj xeeb tshaj yog tom qab mob khaub thuas, nrog rau qhov ntswg qhov ntswg. Dab tsi yog cov sinuses? Feem ntau hais lus, cov sinuses yog qhov chaw nyob hauv cov pob txha ntawm lub ntsej muag. Cov chaw no tau ntim nrog huab cua thiab npog nrog lub mucosa. Tus txiv neej muaj 4 khub ntawm sinuses, cov no yog: qhov ntswg qhov ntswg, ethmoid hlwb, sphenoid sinuses, thiab maxillary sinuses.

Txhua ntawm 4 khub ntawm sinuses yog txuas nrog lub qhov ntswg kab noj hniav, uas yuav pab kom tshem tawm cov secretion uas tsim. Cov huab cua sab nraud tuaj yeem nkag mus rau hauv cov bays yooj yim thiab tso pa tawm tau yooj yim. Cov qauv no txo ​​cov kev pheej hmoo ntawm cov kab mob tsub zuj zuj thiab sib npaug hauv cov sinuses.

Dab tsi yog qhov ua haujlwm ntawm cov sinuses hauv cov qauv ntawm pob txha taub hau? Txog tam sim no, muaj ntau txoj kev xav txog lub luag haujlwm ntawm sinuses hauv tib neeg lub cev. Txawm li cas los xij, tsis muaj ib qho ntawm cov kev xav no tau lees paub. Piv txwv li, ua tsaug rau cov sinuses, uas tsis cuam tshuam qhov hnyav ntawm pob txha taub hau nyob rau hauv ib txoj kev, lub hlwb yog zoo dua tiv thaiv. Thaum muaj kev raug mob, cov pob txha puas ua ntej mus rau qhov sinuses, piv txwv li, qhov chaw khoob, uas ua rau lub hlwb cushions zoo.

Tsis tas li ntawd, qhov chaw ntawm sphenoid sinuses nyob ze ntawm pob ntseg qhia tias lawv txoj haujlwm muaj feem cuam tshuam nrog kev hnov ​​​​lus. Qhov chaw tsis muaj nyob hauv cov sinuses tuaj yeem txo qhov kev vibrations ntawm lub suab ua ntej xa mus rau ossicles. Tsis tas li ntawd, cov sinuses tuaj yeem txhawb txoj kev ua pa vim tias lawv moisturize thiab sov huab cua thiab tswj qhov sib txawv siab.

Yog tias koj xav kawm ntxiv txog hom thiab kev ua haujlwm ntawm sinuses, nco ntsoov nyeem: Sinuses - hom, tsos mob, kev kho mob

Mob sinuses - ua rau

Sinusitis yog ib qho ntawm cov kab mob uas feem ntau kuaj pom, cov txheeb cais qhia tias txhua tus thib peb Ncej raug kev txom nyem los ntawm sinusitis tsawg kawg ib zaug hauv nws lub neej. Cov kab mob, cov kab mob thiab cov fungi tawm tsam cov sinuses, tsis hais tus neeg mob lub hnub nyoog, poj niam txiv neej lossis kev noj qab haus huv tam sim no, yog li qhov tshwm sim siab heev.

Nrog sinusitis, muaj o uas tshwm nyob rau hauv ob sab phlu ntawm lub sinuses. Qhov no o obstructs lub sinuses rau hauv lub qhov ntswg kab noj hniav, tiv thaiv cov hnoos qeev los ntawm lub qhov ntswg, thiab nws muaj peev xwm tsim nyob rau hauv lub sinuses.

Qhov ua rau clogged sinuses yog kab mob ntawm lub ntsws sab sauv. Cov no yog kab mob, kab mob, fungal thiab kuj kis kab mob. Feem ntau ua rau mob sinusitis yog cov kab mob xws li rhinoviruses, coronaviruses, adenoviruses thiab kab mob khaub thuas.

Sinusitis, uas yog qhov tshwm sim ntawm kev tsis haum tshuaj, yog tshwm sim los ntawm kev tsis pom zoo lossis kho tsis raug. Qhov tseem ceeb, sinusitis tuaj yeem tshwm sim los ntawm kev khaus ntawm cov mucosa nrog rau lub cev, xws li, piv txwv li, luam yeeb. Cov neeg uas muaj qhov sib txawv ntawm qhov ntswg septum kuj tseem muaj feem cuam tshuam nrog sinusitis.

Koj tuaj yeem kawm paub ntau ntxiv txog qhov ua rau muaj teeb meem sinus hauv kab lus no: Qhov twg sinusitis tuaj ntawm

Cov tsos mob ntawm mob sinuses yog dab tsi?

Thawj cov tsos mob ntawm sinusitis feem ntau tsis meej pem nrog cov kab mob raws caij nyoog. Cov tsos mob no muaj xws li mob taub hau thiab mob nqaij, khaus caj pas, qhov ntswg qhov ntswg thiab nce lub cev kub. Yog tias cov tsos mob no tshwm sim ob peb zaug hauv ib xyoos, lawv yuav tsim nyog los saib ze dua vim lawv yuav qhia tau tias muaj teeb meem sinus.

Qhov tseem ceeb tshaj plaws thiab cov tsos mob tseem ceeb ntawm sinusitis yog mob taub hau. Nws qhov chaw nyob yog nyob ntawm qhov chaw kis kab mob thiab mob tshwm sim. Nrog maxillary sinusitis, tus neeg mob ntsib qhov mob hauv qab ob lub qhov muag thiab ib ncig ntawm lub cheekbones.

Yog hais tias qhov mob cuam tshuam rau frontal sinuses, qhov mob hnyav tshaj plaws yog hnov ​​​​ntawm qhov muag thiab tag nrho saum npoo ntawm lub hauv pliaj. Cov tsos mob ntawm ethmoid sinus mob tshwm sim ntawm lub qhov muag thiab ntawm lub hauv paus ntawm lub qhov ntswg. Ntawm qhov tod tes, qhov mob ntawm qhov muag qhov muag thiab sab nraub qaum ntawm lub taub hau qhia tias muaj kev mob ntawm sphenoid sinuses.

Ntxiv nrog rau qhov mob, sinusitis tuaj yeem tshwm sim los ntawm qhov ntswg tas li, tsis hnov ​​​​tsw, thiab oozing purulent tawm ntawm qhov ntswg. Cov tsos mob ntawm sinusitis kuj yog cov dej ntws tawm hauv qab ntawm caj pas, uas ua rau cov mucosa thiab ua rau hnoos lossis hnoos. Qee zaum, sinusitis ua rau tus neeg mob hnov ​​​​tsw tsw phem.

Kev txom nyem los ntawm cov teeb meem sinus rov? Rau kev kho mob thiab kev txhawb nqa, haus ZATTOKI - tshuaj ntsuab tshuaj ntsuab muaj nyob rau ntawm Medonet Market.

Cov kab mob dab tsi tuaj yeem ua rau mob taub hau? Tshawb xyuas: mob taub hau

Ntxuav cov sinuses - indications thiab contraindications

Hmoov tsis zoo, tsis yog txhua tus neeg muaj peev xwm ua tau cov dej hauv sinus. Ua ntej ntawm tag nrho cov, cov neeg uas muaj ib tug tag nrho thaiv qhov ntswg septum tsis tuaj yeem muaj dej ua tiav, vim hais tias cov kua dej los yog cov dej yaug yuav tsis dhau los ntawm qhov txhaws.

Cov neeg uas muaj lub qhov ntswg qhov ntswg los yog cov uas nyuam qhuav tau phais, xws li phais qhov ntswg, ncaj lub qhov ntswg septum, yuav tsum tau ceev faj thiab siv lwm txoj kev ntawm qhov ntswg debridement yog ua tau, los yog ua raws li cov lus pom zoo ntawm tus kws kho mob, leej twg yuav tso cai rau. yaug los yog qhia lwm txoj kev daws teeb meem.

Tsis tas li ntawd, cov neeg mob pob ntseg lossis cov neeg ua xua rau qhov dej hauv qhov dej, xws li sodium chloride, yuav tsum tsis txhob muaj qhov dej hauv qhov dej. Kev yaug cov sinuses kuj tsis pom zoo rau cov neeg uas tawm tsam nrog cov ntshav ntws rov qab los yog ua rau lub qhov ntswg puas vim muaj ntau yam kab mob.

tas li ntawd, sinus irrigation yuav tsum tsis txhob siv los ntawm cov neeg uas kuaj pom tias muaj kev tsis sib haum xeeb. Thaum yaug cov sinuses, lub siab nyob rau hauv lub qhov ntswg kab noj hniav hloov, uas nyob rau hauv lem yuav ua rau ib tug siab sib txawv nyob rau hauv lub taub hau thiab ua rau mob taub hau.

Qhov taw qhia rau sinus irrigation feem ntau yog sinusitis, tab sis koj tuaj yeem yaug cov sinuses nyob rau hauv rooj plaub ntawm kev tsis haum rhinitis los yog nyob rau hauv lwm yam kab mob. Sinus irrigation kuj tuaj yeem ua rau muaj kev ntxhov siab rau cov neeg uas siv tshuaj kho qhov ntswg txhua hnub, xws li kev siv dej hauv qhov ntswg yuav pab tsim cov mucosa. Rau qee qhov kev phais qhov ntswg, yaug cov sinuses yog qhia, tab sis yuav tsum tau qhia los ntawm tus kws kho mob. Cov sinuses tseem tuaj yeem yaug prophylactically txhawm rau tswj kev huv ntawm lub qhov ntswg thiab qhov ntswg.

Nasal thiab sinus mob uas tuaj yeem kho nrog sinus irrigation muaj xws li:

  1. mob mob los yog mob ntev sinusitis;
  2. rhinitis vim yog kab mob los yog ua xua;
  3. ua ntej thiab tom qab phais qhov ntswg thiab qhov ntswg;
  4. kev sib cuag nrog cov hmoov av ntau hauv huab cua.

Yuav kho Blocked Sinuses li cas? Tshawb xyuas: Blocked sinuses - kev kho mob ntawm sinusitis

Frontal sinus irrigation - dab tsi yuav tsum tau?

Lavage ntawm frontal lossis paranasal sinuses tsis yog qhov nyuaj thiab tuaj yeem ua tau hauv tsev, tab sis nws yuav siv ob peb yam los ua. Ua ntej tshaj plaws, koj xav tau cov cuab yeej xws li lub raj mis me me nrog lub tshuab nqus tsev, xws li cov dej ntxhia, lub qhov ntswg pear lossis lub qhov ntswg aspirator.

Koj tuaj yeem yuav ib lub raj mis tshwj xeeb rau qhov ntswg los yog tsuas yog cov khoom siv tshuaj tua kab mob uas tsim nyog tsis yog nrog cov khoom siv tsim nyog nkaus xwb, tab sis kuj muaj cov hnab ntim, xws li sodium chloride, uas yuav tsum tau ua kom cov kua qaub.

Npaj-ua sinus irrigation cov khoom sivuas tuaj yeem yuav ntawm txhua lub tsev muag tshuaj suav nrog:

  1. lub raj mis los yog irrigator - lawv feem ntau muaj nyob rau hauv ob ntim npaj rau cov menyuam yaus lossis cov neeg laus;
  2. sachets nrog hmoovNws cov khoom tseem ceeb yog sodium chloride. Cov khoom xyaw ntxiv yog sodium bicarbonate, xylitol, potassium chloride, calcium chloride thiab magnesium chloride. 

Cov khoom siv uas muaj pub rau koj npaj isotonic lossis hypertonic kua. Lawv txawv nyob rau hauv concentration thiab zog. Ib qho tshuaj isotonic yog siv los ntxuav lub sinuses ntawm plua plav, allergens thiab tej yam kab mob uas kis nyob rau hauv cov huab cua. Qhov kev daws teeb meem no tseem yuav ua haujlwm zoo thaum lub sijhawm cua sov, thaum lub mucosa qhuav thiab kis tau tus kab mob. Nyob rau hauv lem, cov tshuaj hypertonic muaj ib tug ntau dua concentration ntawm NaCl, uas txo qhov o ntawm mucosa thiab clears lub qhov ntswg.

Koj tuaj yeem xaj Rhino Clear Mobile rechargeable nasal thiab sinus irrigator hnub no ntawm medonetmarket.pl.

Koj tuaj yeem tiv thaiv cov tsos mob ntawm Blocked Sinus li cas? Nyeem: Cov tshuaj hauv tsev rau sinuses. 5 txoj hauv kev los tawm tsam qhov mob sinus

Ntxuav cov sinuses nrog saline

Sinus irrigation nrog saline tsuas yog ib tug sinus irrigation nrog ntsev los yog sodium chloride ua ke nrog cov dej sov. Cov tshuaj yuav hauv lub tsev muag tshuaj feem ntau yog 0,9 feem pua ​​thiab txaus los yaug qhov ntswg los yog qhov ntswg los ntawm qhov seem tso tawm, thiab tib lub sij hawm moisturize lub ntsws thiab qhov ntswg mucosa.

Yuav ua li cas ua inhalations rau clogged sinuses? Tshawb xyuas: Sinus inhalations - cov tshuaj hauv tsev rau kev noj qab haus huv sinuses

Ntxuav cov sinuses nrog hydrogen peroxide

Hauv tsev, qhov dej hauv qhov dej kuj tseem ua nrog kev siv hydrogen peroxide. Rau cov txheej txheem zoo li no, yuav tsum siv 3 feem pua ​​​​cov tshuaj hydrogen peroxide. Yaug cov sinuses nrog hydrogen peroxide loosens qhov seem tso tawm, yog li nws tuaj yeem yooj yim dua los ntawm lub qhov ntswg tom qab.

Ib qho txiaj ntsig ntxiv ntawm kev yaug cov sinuses nrog hydrogen peroxide yog tias nws tua cov kab mob mucosa, muaj cov nyhuv antibacterial, uas txo qhov kev pheej hmoo ntawm kev kis kab mob. Yog hais tias hydrogen peroxide yog siv los yaug cov sinuses, nco ntsoov tsis txhob nqos cov secretion ntws mus rau hauv caj pas, tab sis kom nti tawm tag nrho tom qab cov txheej txheem.

Nws yog ib qho tseem ceeb heev uas yuav tsum tau ua kom zoo los ntawm hydrogen peroxide. Ntxuav cov sinuses nrog undiluted hydrogen peroxide yog txaus ntshai rau tus neeg mob txoj kev noj qab haus huv. Tsuas yog ob peb tee ntawm qhov kev npaj no tov nrog dej sov yog siv rau kev kho mob. Txhawm rau txhim kho cov nyhuv ntawm qhov sib tov, saline tuaj yeem ntxiv rau cov tshuaj.

Dab tsi yog cov yam ntxwv ntawm hydrogen peroxide? Tshawb xyuas: Hydrogen peroxide

Yuav ua li cas ua sinus lavage hauv tsev?

Kev yaug cov sinuses tuaj yeem ua tsis tau tsuas yog hauv ENT chaw ua haujlwm, tab sis kuj nyob hauv tsev. Cov txheej txheem, uas tau ua kom raug, tsis mob thiab zoo heev. Thaum npaj cov sinus irrigation tov, xyuas kom meej tias cov kua yog kwv yees li ntawm lub cev kub.

Ua ntej koj pib yaug koj cov sinuses, koj yuav tsum tshuab koj lub qhov ntswg kom huv si. Kev yaug cov sinuses yog qhov zoo tshaj plaws ua rau zaum los yog sawv nrog lub taub hau me ntsis tilted rau pem hauv ntej ntawm lub dab da dej los yog dab dej.

Ib lub raj mis nrog ib tug tov rau yaug lub sinuses koj yuav tsum xub muab tso rau ntawm ib lub qhov ntswg thiab nias maj mam kom cov kua tuaj yeem khiav los ntawm lwm lub qhov ntswg. Peb rov ua tib yam nkaus nrog rau lwm lub qhov ntswg, nco ntsoov ua pa ntawm lub qhov ncauj txhua lub sijhawm. Yog hais tias cov tshuaj los yog secretion nkag mus rau hauv lub caj pas thaum lub sij hawm tus txheej txheem, nws yuav tsum tau hnoos thiab nti tawm. Tom qab lub sinus irrigation tiav lawm, koj yuav tsum tau tshuab koj lub qhov ntswg dua thiab ntxuav cov irrigation khoom nyob rau hauv cov dej ntws.

Nws tseem ceeb heev kom tsis txhob pw tsawg kawg ib teev tom qab kev kho mob. Yog li ntawd, rinsing lub sinuses yuav tsum tsis txhob ua tam sim ntawd ua ntej mus pw.

Kev ywg dej hauv tsev hauv tsev yog ib txoj hauv kev nyab xeeb, tab sis qee zaum nws yuav tsum tau nres. Cov txheej txheem yuav tsum raug txiav tam sim ntawd yog tias koj muaj qhov kub hnyiab hauv qhov ntswg, qhov ntswg los ntshav, lossis muaj kev zoo siab ntawm pob ntseg thaum yaug cov sinuses. Kev mob taub hau yuav tsum tsis txhob ua rau koj ntxhov siab vim nws txhais tau tias koj cov sinuses maj mam qhib. Tsis tas li ntawd, qhov kev hnov ​​​​ntxhiab ntawm pob ntseg tsis yog vim li cas thiaj li tso tseg txoj haujlwm vim nws qhia tias muaj kev hloov pauv hauv lub siab ntawm Eustachian raj.

Cov tshuaj tua kab mob dab tsi yuav pab tua cov mob sinuses? Tshawb xyuas: Tshuaj tua kab mob rau cov sinuses

Rinsing lub sinuses nyob rau hauv ib tug kws kho mob lub chaw ua hauj lwm

Rinsing lub sinuses yog ib qho ntawm cov txheej txheem ua nyob rau hauv lub chaw ua hauj lwm ENT. Tus kws kho mob ENT yuav qhia tau tias koj muaj mob hnyav lossis mob hnyav sinus irrigation siv txoj kev Proetz.

Nws yog ib txoj kev qub qub, tab sis kuj zoo heev. Txoj kev Proetz ntawm sinus irrigation yog ua nrog ntsev chloride tov. Thaum tus txheej txheem, tus neeg mob pw ntawm nws nraub qaum, nrog nws lub taub hau me ntsis qaij rov qab.

Ib qho kev npaj kom zoo yog nkag mus rau hauv ib qho ntawm lub qhov ntswg uas siv lub nozzle tshwj xeeb. Nyob rau tib lub sijhawm, lub tshuab nqus tsev nqus tau nkag rau hauv lub qhov thib ob, uas nqus cov kua dej nkag ua ke nrog rau cov kua dej tawm. Ib qho tshuaj tua kab mob feem ntau yog ntxiv rau kev daws kom ua tau zoo ntawm kev kho mob. Ntxuav cov sinuses siv txoj kev Proetz tsis mob rau tus neeg mob, tab sis thaum lub sij hawm tus txheej txheem, tus neeg mob yuav hnov ​​compression nyob rau hauv lub pob txha taub hau.

Cov kev kho mob rau sinusitis yog dab tsi? Nyeem: Sinusitis - kev kho mob

Cov txiaj ntsig ntawm sinus irrigation yog dab tsi?

Rinsing lub sinuses feem ntau tsub kom lub neej zoo rau tus neeg mob uas txiav txim siab mus rau tus txheej txheem no. Rinsing lub sinuses tso cai rau koj tshem tawm tsis tau tsuas yog cov residual secretion, tab sis kuj muaj allergens, plua plav, los yog lwm yam av uas nkag mus rau hauv lub qhov ntswg.

Tsis tas li ntawd, kev kho mob tuaj yeem txo qhov o ntawm mucosa, soothe, tab sis kuj moisturize lub mucosa, uas yog qhov tseem ceeb heev tshwj xeeb tshaj yog thaum lub sij hawm cua sov.

Koj puas paub tias lub teeb sinus yog dab tsi thiab thaum twg siv? Tshawb xyuas: Puas yog lub teeb sinus siv tau?

Puas yog sinus irrigation muaj kev nyab xeeb?

Sinus irrigation yog ib txoj kev nyab xeeb, yog tias koj irrigate kom zoo, tau kawg. Teeb meem yuav tshwm sim thaum sinus irrigation yog ua txawm contraindications. Nws kuj yog qhov tsis tsim nyog siv cov dej tsis tau kuaj lossis tsis muaj kab mob.

Nws tseem yog ib qho tseem ceeb yuav ua li cas lub sinus irrigation tov yog npaj. Tsis tas li ntawd, nco ntsoov tias kev ywg dej ntawm cov sinuses yog cov txheej txheem uas yuav tsum tsis txhob ua ntau zaus. Kev siv dej ntau dhau tuaj yeem cuam tshuam kev txav mus los ntawm cilia, uas yog lub luag haujlwm rau kev tu lub qhov ntswg.

Thaum twg yuav tsum tau ua CT scan ntawm cov sinuses? Tshawb xyuas: Xam tomography ntawm lub sinuses - indications, contraindications thiab cov chav kawm ntawm kev kuaj

Puas rinsing lub sinuses mob?

Raws li twb tau hais lawm, rinsing lub sinuses yog ib txoj kev tsis mob. Txawm li cas los xij, nws tsis yog ib qho kev zoo siab thiab xis nyob rau tus neeg mob. Thaum pib ntawm tus txheej txheem, tus neeg mob yuav hnov ​​​​qhov kub hnyiab me ntsis, tshwj xeeb tshaj yog thaum cov dej ua tiav nrog kev daws dej thiab ntsev.

Koj puas tuaj yeem yaug koj cov sinuses thaum cev xeeb tub? Tshawb xyuas: Puas yog kev nqus pa thaum cev xeeb tub?

Sinus irrigation thiab teeb meem ntawm o

Kev yaug cov sinuses yog qhov tseem ceeb heev rau kev noj qab haus huv ntawm tag nrho lub cev. Cov sinuses nyob ze rau lub hlwb, qhov muag, hniav, pob txha taub hau thiab qhov ncauj. Yog li yog tias nws tsis kho kom raug, sinusitis tuaj yeem ua rau muaj teeb meem loj.

Cov teeb meem ntawm kev kho tsis tau lossis kho tsis tau zoo sinusitis muaj xws li cov teeb meem orbital lossis intracranial, osteomyelitis ntawm pob txha taub hau thiab txawm tias sepsis. Cov teeb meem uas tuaj yeem tshwm sim muaj xws li, piv txwv li, meningitis, optic neuritis, orbital phlegmon, lossis intrathecal thiab epidural abscesses.

Cov kev npaj dab tsi tuaj yeem siv rau kev nqus pa? Tshawb xyuas: Inhalations rau qhov ntswg - yuav ua li cas siv thiab yuav siv li cas rau inhalation?

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