Dzidza zvakawanda nezvezviratidzo zvekuporesa mutswe

Samar samy
2024-02-17T16:30:09+02:00
ruzivo rwakawanda
Samar samyChecked by EsraaMbudzi 26, 2023Yekupedzisira update: XNUMX mwedzi yapfuura

Zviratidzo zvekuporesa mutswe

Anal fissure idambudziko rakajairika uye rinoshungurudza rekurapa rinoitika nekuda kwemamiriro ane chekuita nekudya uye mararamiro.
Kunyange zvazvo kuporesa kuputika kwetsvina kungatora nguva, pane zviratidzo zvekuti kuporeswa kwakaitika kana kuti kuri kuitika zvishoma nezvishoma.

Chimwe chezviratidzo zvinonyanya kukosha zvekuporesa kuputika kweanal fissure kunyangarika kweropa rakabuda panguva yetsvina.
Uku ndiko kuchinja kwakanaka mumamiriro emurwere, sezvo inoratidza kuporesa kwevanga uye kuvandudza kupararira kweropa munzvimbo.

Mushure menguva yekuporesa, murwere anocherechedza kuvapo kweropa rakajeka, sezvo ichi chiri humwe uchapupu hwokuti hutano hwenzvimbo yacho hwakadzorerwa.
Mukuwedzera, murwere anonzwa kurerukirwa munzvimbo yekumashure paanenge agere kana kufamba, izvo zvinoratidza kusununguka kubva pakushatirwa kwekare uye spasms yaaisangana nayo.

Uyezve, murwere anonzwa kuderedzwa kwekugumbura kushungurudza munzvimbo yeanal.
Uku kukwenya kunoonekwa sechimwe chezviratidzo zvinonyanya kuzivikanwa zvine chekuita nekutsemuka kwetsvina, uye kunokonzerwa nekuzvimba uye kushatirwa munzvimbo.
Kusvira kwekukwenya chiratidzo chekuti ronda rapora uye kusvotwa kwapera.

Chimwe chiratidzo chekuti fissure yekumashure apora kuderera kwekuzvimba munzvimbo yekumashure.
Kuputika kunoonekwa munzvimbo iri pedyo neanus kunowanzoonekwa kusati kwashandiswa kurapwa kwefissure, asi sezvo nguva inopfuura uye kuporesa kunowedzera, kuputika kunova kusingaonekwi uye zvishoma nezvishoma kunopera.

Pakupedzisira, kusavapo kwemarwadzo uye manzwiro ekuremerwa munzvimbo yekumashure ndeimwe yezviratidzo zvakakosha kuti fissure yekumashure yapora.
Muchiitiko chekushaya tsvina, murwere anowanzotsanangura kurwadziwa kunorwadza munzvimbo yekumashure uye kupisa, izvo zvinoitika kana chituru chichikwevera paronda.
Apo marwadzo anopera zvishoma nezvishoma uye murwere anonzwa akasununguka panguva yekudzivirira, ichi chiratidzo chakasimba chokuti fissure ye anus yapora.

Kana murwere achinge aona zviratidzo zvekuporesa anal fissure, anofanira kutevera nzira dzakakodzera dzekudzivirira kuti arege kudzoka zvakare.
Zvinokurudzirwa kudya zvikafu zvakapfuma mufiber uye kunwa mvura yakakwana, kuwedzera pakuita maekisesaizi uye kudzivirira kuvimbiswa.
Iwe unofanirwawo kudzivirira kushandisa hutsinye zvigadzirwa zvemakemikari uye kudzivirira zvakanyanya kushushikana mupfungwa.

Kuziva zviratidzo zvekuporeswa kweanal fissure kwakakosha kune varwere vanotambura nedambudziko iri, sezvo richivabatsira kuongorora kufambira mberi kwekuporesa kwavo uye kutora matanho anodiwa kuchengetedza hutano hwenzvimbo yakakanganiswa.

Fissure mu anus 1.jpg - Kududzirwa kwezviroto online

Zvinotora nguva yakareba sei kuti mutswe apore?

Anal fissures idambudziko rinogumbura uye rinorwadza iro vanhu vazhinji vanotambura naro.
Uku kutsemuka kungapora munguva yakasiyana, zvichienderana nerudzi rwekutsemuka uye mamiriro omurwere.

Sekureva kwavanachiremba, nguva yakajairika yekupora kweacute anal fissure muvana inenge mavhiki maviri chete.
Kana vari vanhu vakuru, kuchekwa kunowanzoonekwa sekuporeswa mushure memavhiki maviri.
Kana iyo fissure inopfuurira kweanopfuura mavhiki matanhatu uye mamiriro acho haagadzirisi, mamwe marapirwo echisingaperi fissure anofanira kufungwa.

Chisingaperi fissures anogona kupora ega mukati memavhiki mana kusvika matanhatu.
Dzimwe nguva, mutswe unogona kugara kweanopfuura mavhiki masere.
Nguva yekuporesa yefissure inosiyana kubva kumunhu kusvika kumunhu, uye inowanzodzika kudarika yakaoma anal fissure uye inobatanidza neganda reganda.

Kuzvimbirwa ndicho chikonzero chikuru chekutsemuka kwetsvina, uye mamiriro avo anogona kuvandudza nekupora ari ega mukati menguva inotangira kubva kumasvondo mana kusvika matanhatu.
Kana mutswe wacho ukaramba uripo kweanopfuura mavhiki masere, kukuvara kunova kwenguva refu uye kunoda kumwe kurapwa.

Chirwere chisingaperi fissures chinogonawo kukonzerwa nezvimwe zvinetso zvehutano, zvakadai sehutachiona hwekoloni kana yekare, maronda asina kupora mu anus.
Muchiitiko ichi, kurapwa kwekuvhiya uchishandisa laparoscopic kana nzira dzelaser dzinogona kudiwa, iyo inogona kuitwa muzuva rimwe chete muchipatara.

Zvinofanira kucherechedzwa kuti fissures yokunobuda nako tsvina ingasava dambudziko guru uye inogona kugadzirisa yega pashure pevhiki shomanene netarisiro yapamusha iri nyore.Izvi zvinosanganisira kudya zvokudya zvakapfava uye kudzivisa kupwiswa.
Zvisinei, kana kuputika kuchipfuurira kwemavhiki anopfuura matanhatu pasina kuvandudzwa, zvinokurudzirwa kushanyira chiremba kuti aongorore mamiriro acho uye kuwana kurapwa kwakakodzera.

Ndinoziva sei kana mutswe usingaperi?

Chisingaperi fissure yekumashure inogona kupedza mavhiki anopfuura matanhatu, uye nguva yekuporesa kwayo inosiyana kubva pamunhu nemunhu.
Inowanzodzika kudarika acute anal fissure uye inosanganiswa nemucheka weganda.

Chikuru chinokonzeresa kutsemuka nekunobuda nako tsvina kuvharwa, uye inogona kupora yega mukati memavhiki mana kusvika matanhatu.
Asi kana mutswe ukaramba uripo kweanopfuura mavhiki masere, unogona kushanduka kuita dambudziko risingaperi rinoda kurapwa.

Zviratidzo zvakajairika zvechisingaperi fissure yekumashure ndeinotevera:

  • Kurwadza kwakanyanya mu anus panguva ye defecation, inogara kwemaminitsi kusvika maawa.
  • Kubuda ropa panguva yekufamba, uko ropa rinogona kuoneka pachituru kana pabepa rechimbuzi.
  • Kubuda ropa mushure mekuita tsvina, apo ropa rakachena uye kwete muhuwandu hwakawanda.
  • Mukati kana kunze polyps anogona kukura pamusoro chisingaperi mutswe.

Chisingaperi fissures pakati pezvinetso zvinowanzoitika zvehutano zvinokonzerwa nemaitiro ezuva nezuva uye kudya kusina kunaka, izvo zvinoguma nekubuda ropa uye kurwadziwa munzvimbo yekumashure.

Nokudaro, kana zviratidzo zvikapfuurira kwemavhiki anopfuura 8, zvinokurudzirwa kuona chiremba kuti aongorore chirwere chacho uye kumubvunza nezvekurapa kwakakodzera.
Dzimwe nguva zvingada kurapwa kana kuvhiyiwa kubvisa dambudziko.

Ndoita sei tsvina ine mutswe?

Vanhu vazhinji vanoda kurapwa kunoshanda kwekuvhara uye kutsemuka kwemashure. 
Vanhu vazhinji havakwanisi kubata nekuzvimbirwa nemazvo, izvo zvinoita kuti pave nemafissures ekumashure.

Kushaikwa kwemvura uye fiber mukudya ndicho chimwe chezvikonzero zvinokonzeresa kuvharwa uye fissure yekumashure.
Naizvozvo, zvinokurudzirwa kudya huwandu hwakakwana hwemiriwo nemichero zuva nezuva, nezve 5 servings, uye kuwedzera kunwa kwemvura kune isingasviki 8 makapu pazuva.
Izvi zviri kuwedzera pakusaregeredza kuda kuita tsvina nekushandisa zvinopfavisa zvigaro kana zvichidiwa.

Ukuwo, zviri nani kugara kure nekushandisa zvimbuzi zvine matiles akaomarara uye kushandisa zvimbuzi zvekugara pasi.
Zvimbudzi zvokugara pasi zvingarangarirwa senzira inoshanda zvikuru uye ine utano yokurasa tsvina.

Mukuwedzera, kuongororwa kwechiremba kunogona kudiwa kuti kuve nechokwadi kuti hapana zvimwe zvinokonzera marwadzo uye kuputika, zvakadai sezvirwere.
Ongororo yerectal inogona kuitwa nachiremba vachishandisa chigunwe chegirovhosi uye mafuta ekuzora kuti aongorore tsandanyama uye kuona kuti hapana chakakanganisika munzvimbo.

Kazhinji, kusimbiswa kunofanira kuiswa pakudya kwakakodzera, kunwa mvura yakakwana, uye kusashivirira zviratidzo zvekuvhara uye fissure.
Chiremba anofanirawo kubvunzurudzwa kana marwadzo anoramba aripo kana kuwedzera kuti aone kurapwa kwakakodzera kwechiitiko chimwe nechimwe.

Ndinoita sei nekukasira?

Vanhu vazhinji vanotarisana nechinetso chekuputika kwemashure, iyo chidimbu chiduku mumucheka we anus chinokonzera marwadzo akawanda uye kusagadzikana.
Iyo fissure yekumashure inoda mamwe matanho ari nyore kuti arapwe nekukurumidza uye zvinobudirira.

Kutanga, zvinokurudzirwa kuwedzera kudyiwa kwefiber uye mvura, sezvo izvi zvichiita basa rinokosha mukunyorovesa chigaro, kufambisa nzira yekubvisa, uye kuderedza kudzvinyirira pane fissure.

Mukuwedzera, zvinokurudzirwa kugara mubhati ye-sitz kwemaminitsi 10-20 kakawanda pazuva.
Izvi zvinobatsira kuderedza marwadzo uye kuderedza kuzvimba munzvimbo yakakanganiswa.

Zvikasadaro, pamusoro-the-counter stool softeners inogona kushandiswa kupfavisa chigaro uye kuita kuti zvive nyore kupfuura.
Iwe unofanirwa kubvunza chiremba usati watora laxatives iyi kuti uone muyero wakakodzera.

Muchiitiko chechirwere chisingaperi chine fissure, kupindira kwekuvhiya kunogona kuva mhinduro yakakodzera.
Kuvhiya kurapwa kunobatsira kubata mutswe uye kunoderedza zvakanyanya zviratidzo.

Panewo nzira yekumba inogona kushandiswa kurapa nyuchi nekukasika, iko kushandisa musanganiswa weuchi, mafuta emuorivhi nenamo.
Sanganisa zvinhu izvi mundiro woisa mu microwave kusvikira wakisi yanyungudika zvachose.
Musanganiswa uyu unoshandiswa kukwiza nzvimbo yakakanganisika, sezvo ichivandudza kupihwa kweropa uye kufambisa kupora.

Zvakakosha kubvunza chiremba kana marwadzo anoramba aripo kana zviratidzo zvinowedzera.
Chiremba anogona kutungamirira nzira dzakanakisisa dzokurapa dzakakodzera uye kupa mazano akakodzera ezvokurapa kurapa anal fissure nokukurumidza uye zvinobudirira.

Mvura inodziya nemunyu zvinobatsira here pakutsemuka?

Kushandisa mvura inodziya yakavhenganiswa nemunyu kunogona kubatsira kukurumidzira kupora kwepanzura.
Anal fissure kukuvara kunowanzoitika kune vanhu vazhinji, uye kazhinji kunoperekedzwa nekurwadziwa kwakanyanya munzvimbo yekumashure.

Kushandisa mvura inopisa kunogona kubudirira mukubvisa marwadzo anokonzerwa nekuputika kwemashure uye kuderedza zviratidzo zvakabatana.
Mabhenefiti emvura inopisa kune anal fissures anosanganisira:

  1. Kusununguka kwemarwadzo: Mvura inopisa inogona kubvisa marwadzo anokonzerwa nekuputika kwemashure, zvichiita kuti pave nekuvandudzwa kwehutano hwemurwere.
  2. Muscle relaxation: Zvinotendwa kuti kushandiswa nguva dzose kwekugeza kwemvura inopisa kunogona kubatsira kusunungura misumbu yenzvimbo yakakanganiswa uye kuvandudza kupararira kweropa, izvo zvinobatsira kukurudzira kupora.
  3. Dzivisa zvirwere: Kune vanhu vane fissures, zvingave zvakakosha kurega kudya zvokudya zvinopisa uye zvinonaka, sezvo zvinogona kuwedzera kuoma kwezviratidzo uye kutungamirira kuzvirwere zvisingaperi.
    Muchiitiko ichi, kushandisa mvura inodziya yekugeza kunogona kubatsira kubvisa marwadzo uye kudzivirira mamwe zvirwere.

Dr. Muhammad Al-Sayyed Al-Khatib anotsinhira kuti mushure mekugeza, zviri nani kuti murwere ane fissure yekumashure asashandise mvura inopisa paronda, asi zviri nani kushandisa bhavhu rine mvura inodziya inokwana kuvhara. nzvimbo inobatwa negomba remunanal fissure.

Nokuda kwekuputika kwakanyanya, kazhinji kunoporesa pasina kudiwa kwekupindira kwekuvhiya.
Kuti kukurumidze kupora kwekuputika, zvinogona kukurudzirwa kutora bhati remvura inopisa kwemaminitsi makumi maviri kana kugara mumvura inodziya kwemaminitsi gumi kusvika makumi maviri kakawanda pazuva, kunyanya mushure mekuita tsvina.

Chisingaperi fissure inokonzera gomarara here?

Mazhinji masosi esainzi anoratidza kuti chisingaperi fissures yekumashure haitungamiri kugomarara regomarara kana rectal cancer.
Zvisinei, kucherechedza kunofanira kubhadharwa kune kufanana kwezviratidzo pakati pemamiriro maviri aya, sezvo kubuda kweropa kunogona kuva chimwe chezviratidzo zvekutanga zvinoratidza kuti munhu angave ane kenza yekumashure.
Kunyange zvazvo fissure yekumashure inoda kurapwa ndeimwe yemamiriro ezvinhu anonyanya kushungurudza, haina kubatanidzwa nekuwedzera kwengozi yekenza yekoloni.

Gomarara rekunobuda netsvina rudzi rwekenza isingawanzoitiki, uye pasinei nekushaikwa kwayo, inonzi ihosha ine ngozi zvikuru.
Gomarara rerudzi urwu rinobata mhuno kana mhuno.
Kunyange zvazvo isingabatanidzi zvakananga nekuputika kwemashure, vanhu vane kenza yekoloni vanofanira kutsvaga kurapwa kwefissure uye kuve nechokwadi kuti hapana zviitiko zvisingadiwi.

Zvimwe zvinhu uye zvirwere zvinosanganiswa nekusimudzirwa kwechipiri chechipiri chechirwere, zvakadai sehutachiona hwezvirwere zvakasiyana-siyana zvepabonde, kenza yemarara, kana tuberculosis.
Kana iyo nyuchi yakaporeswa zvachose, iyo fissure inogona kuumba zvakare nekuda kwezvinhu izvi zvechipiri.

Zviratidzo zvechirwere chisingaperi chinoputika zvinosanganisira kubuda ropa paunenge uchiita tsvina, uye kurwadziwa nguva dzose uye kukwenya kumativi e anus.
Zviratidzo izvi zvinoratidza kudiwa kubvunza chiremba nekukurumidza kuti aongorore mamiriro acho uye kutora matanho anodiwa ekurapa.

Kunyange zvazvo mafisi asingagumi asina kubatanidzwa nekenza yekoloni, vanhu vanotambura nekuputika uku vanofanira kuramba vakangwarira uye kutarisa hutano hwavo nguva dzose.
Zvinetso kana kuti zvitsva zvingamuka zvinoda kutariswa nokukurumidza uye kubvunzurudzwa nachiremba.

Vanhu vanotambura nechirwere chisingaperi chine fissure vanofanira kutsvaga rubatsiro rwechiremba uye kutarisa mamiriro avo ehutano zvakanyatsonaka kuti vaone kuti mamiriro acho haaiti kana kuti kune mamwe matambudziko ehutano ane chokuita.

Pane mushonga wekupedzisira wekutsemuka here?

Ongororo ichangoburwa inoratidza kuti kune akawanda marapirwo anowanikwa ekutsemuka netsvina, asi pane mushonga chaiwo here? Hapana mubvunzo kuti fissure yeanal inoonekwa seimwe yezvinetso zvehutano zvinoshungurudza zvinogona kukonzera marwadzo akawanda uye kusagadzikana kune varwere.
Zvisinei, fissure yekumashure inogona kurapwa zvinobudirira muzviitiko zvakawanda.

Maererano navanachiremba, kurapa kweanal fissure kunoenderana nedhigirii uye kuoma kwehutachiona.
Muzviitiko zvakapfava, mutswe ungarapwa pasina kudikanwa kwokuvhiyiwa.
Varwere vanorayirwa kutevera mazano akawanda ekuderedza zviratidzo zvefissure, zvakadai se:

  1. Idya chikafu chakapfuma mufiber: Zvinokurudzirwa kuwedzera fiber kudya mukudya kupfavisa stool uye kufambisa kugaya.
    Unofanira kudya michero, miriwo uye zviyo.
  2. Inwa zvinwiwa zvakaringana: Unofanira kunwa zvinwiwa zvakakwana kudzivirira kuvimbiswa uye kupfavisa chituru.
  3. Kugara mumvura inodziya: Varwere vanogona kugara mumvura inodziya kweimwe nguva zuva nezuva kunyaradza marwadzo nekuvandudza kutenderera kweropa.
  4. Dzivisa kuvimbiswa: Zvinokurudzirwa kutevera kudya kunovaka muviri uye kurovedza muviri nguva dzose kuchengetedza hutano hwakanaka hwekudya.

Kuvhiya ndiyo sarudzo yekupedzisira muzviitiko zvemafisu akakomba asina kupindura kune mamwe marapirwo.
Fissure excision kana kuvhiyiwa kunoita kuvhura kudiki mumhasuru yakapoteredza kunogona kuitwa kuvandudza kuyerera kweropa uye kukurudzira kuporeswa.

Zvakakosha kuti varwere vashandire pamwe navanachiremba vavo mukurapa uye vatevere mirairo inodiwa kuti vawane migumisiro yakanakisisa.
Varwere vanofanirwa kurairwa nezve marapirwo aripo anoenderana nemamiriro avo ehutano uye kuoma kwefissure.

Kazhinji, zviitiko zvakawanda zvekuputika kwemashure zvinogona kurapwa zvinobudirira uye kuporesa mukati memavhiki akawanda.
Zvisinei, dzimwe nguva zvinogona kutora nguva yakareba kuti apore zvizere.
Izvo zvinoenderana nehunhu uye mamiriro ega ega nyaya.

Kazhinji, nekutora mararamiro ane hutano uye kutevera kurapa kwakakodzera, varwere vanogona kubvisa fissures yekumashure uye kunakidzwa nehutano hwakanaka pasina kushandisa nzira dzekuvhiya.

Ndeapi mafuta akanakisa ekurapa hemorrhoids uye fissures?

Hemorrhoids uye fissures idambudziko rakajairika rehutano rinobata vanhu vazhinji.
Muzviitiko zvakawanda, kushandiswa kwemafuta ndiyo inonyanya kufarirwa uye inoshanda kurapa kwekubvisa zviratidzo zvine chekuita neizvi zviviri zvinonetsa.

Pakati pemafuta akanakisa anowanikwa ekurapa hemorrhoids uye fissures ndeye Faktu, iyo inowanikwa muchimiro che suppository uye mafuta ekuzora.
Iyo suppository inoshandiswa nekuisa zvakananga mu anus, uye inoshanda kunyaradza zviratidzo uye kuderedza mapundu uye kuzvimba.
Kana iri yekuzora, inoshandiswa paganda rakapoteredza anus uye inobatsira kubvisa marwadzo uye kuchenesa.

Mukuwedzera, "Sediproct Hemorrhoid Ointment" inoonekwa seimwe yenzira dzinoshanda dzekurapa hemorrhoids uye fissures.
Chizoro ichi chine calcium channel blocker, yakadai sediltiazem, iyo inowedzera kuyerera kweropa kusvika kugomba retsvina uye inozorodza sphincter.

Uyezve, "Sediproct topical cream" inowanikwa, iyo inoonekwa seimwe yemafuta akanakisa ekurapa hemorrhoids uye fissures pasina kuvhiyiwa zvachose.
Chizoro ichi chinoshandiswa munyaya yekunze hemorrhoids uye inoshanda kudzikamisa zviratidzo uye kuderedza kuzvimba.

Uyewo usakanganwa kutora marwadzo emuromo.
Iwe unogona kushandisa acetaminophen (Tylenol, vamwe), aspirin, kana ibuprofen (Advil, Motrin IB) kubvisa marwadzo uye kuzvimba kunobatanidza nehemorrhoids uye fissures.

Zvakakoshawo kuziva kuti kune imwe mafuta anoonekwa seanoshanda kune hemorrhoids, inova Neohealar cream, iyo yakavakirwa pane zvakasikwa zvinhu zvakaita semafuta emuti uye mint.
Chizoro ichi chinonyaradza marwadzo uye chinoderedza kukwenya uye kuzvimba kwemahemorrhoids.

Usakanganwa kuti kubvunza chiremba usati washandisa chero mafuta kana mushonga kurapa hemorrhoids uye fissures zvakakosha.
Kana zviratidzo zvichiramba zvichiwedzera kana kudzokazve, unofanira kushanyira chiremba anovhiya kuti aongorore mamiriro acho uye ape kurapa kwakakodzera.

Zvikonzero zvekusaporesa fissure

Vanhu vazhinji vanotambura nekusaporeswa kwean fissure kunyangwe vachitevera mararamiro ane hutano uye kushandisa maitiro anodiwa ekusimudzira maitiro ekuporesa.
Ndezvipi zvikonzero zvinoita kuti fissure isapora?

Chimwe chinogona kukonzera kuvharwa, sezvo chigaro chinonetsa kupfuudza kubva ku anus uye chinogona kukonzera kubvaruka kwemukati wemukati we anus.
Inogonawo kuwedzera kushushikana pamamhasuru ari mu anus uye kukonzeresa kuderera kwekugadzirwa kwe nitric oxide, iyo inobatsira kuzorodza tsandanyama uye kufambisa maitiro ekuporesa.

Dhata zvakare inoratidza kuti kuvepo kwefissure padhuze nenzvimbo yekumashure kunogona kukanganisa anal fissure kupora maitiro.
Kutsemuka uku kunogona kuitika nekuda kwekuti munhu arikusangana nezvirwere kana maronda munharaunda.

Uyezve, kudya kwakawanda kwefiber kunogona kunge kwakanakira kukurumidza kupora kweanotsemuka, nekuwedzera kuyerera kweropa kunzvimbo yakakanganiswa uye kukurudzira kuporeswa.
Zvisinei, vanhu vanofanira kungwarira kuti vasadye fiber yakawanda, sezvo izvi zvingakonzera kuumbwa kwegasi mudumbu uye kuputika.

Kutsemuka kunonetsa zvikuru kuvanhu, uye kunogona kunyanya kubata vanhu vakura vane dambudziko nekupora kweronda nekuda kwekutapudza kwemuviri kupora.
Nokudaro, vanhu vanotambura nekuputika kwemashure kusina kupora kwenguva yakareba vanofanira kufunga nezvekushanyira uye kubvunza chiremba kuti aongorore mamiriro acho uye zvichida kuenda kuvhiyiwa.

Zviri pachena kuti kuputika kwemashure idambudziko rehutano rinoda kunyatsotarisirwa, uye kushandisa nzira dzakakodzera dzekudzivirira nekurapa kunogona kubatsira kukurudzira nzira yekuporesa uye kudzivisa mamwe matambudziko.

Siya mhinduro

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