Yuav Kho Tus Mob Ntshav Qab Zib Li Cas: 15 Kauj Ruam (nrog Duab)

Cov txheej txheem:

Yuav Kho Tus Mob Ntshav Qab Zib Li Cas: 15 Kauj Ruam (nrog Duab)
Yuav Kho Tus Mob Ntshav Qab Zib Li Cas: 15 Kauj Ruam (nrog Duab)

Video: Yuav Kho Tus Mob Ntshav Qab Zib Li Cas: 15 Kauj Ruam (nrog Duab)

Video: Yuav Kho Tus Mob Ntshav Qab Zib Li Cas: 15 Kauj Ruam (nrog Duab)
Video: Tshuaj theem vim li cas thiaj tau nqi ?/ Siv kho mob dab tsi?/paris polyphylla use for? 2024, Lub peb hlis ntuj
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Sickle cell anemia yog ib qho xwm txheej qub uas ua rau cov ntshav liab tsis zoo, uas txo lawv lub peev xwm nqa cov pa mus rau cov cell. Cov qe los yog cov duab liab qab zoo li lub cev liab kuj tseem nyob hauv cov hlab ntshav me me, uas ua rau qeeb lossis cuam tshuam cov ntshav ntws thiab ua rau mob hnyav. Nrog rau qhov tshwj xeeb ntawm kev hloov pauv pob txha, mob ntshav tsis txaus hauv lub cev tsis tuaj yeem kho tau, txawm hais tias muaj qee qhov kev kho mob uas tuaj yeem tswj hwm cov tsos mob thiab txo qhov mob hnyav.

Cov kauj ruam

Ntu 1 ntawm 2: Kho Mob Sickle Cell Anemia

Kho Sickle Cell Anemia Kauj Ruam 1
Kho Sickle Cell Anemia Kauj Ruam 1

Kauj Ruam 1. Muab tshuaj tua kab mob, tshwj xeeb rau cov menyuam yaus

Sickle cell anemia tau txais qub txeeg qub teg, yog li nws tam sim no thaum yug los thiab tuaj yeem ua rau muaj kev phom sij rau menyuam yaus thiab menyuam yaus vim yog hyposplenism (txo qis kev ua haujlwm ntawm tus po), uas ua rau lawv muaj kev pheej hmoo kis mob hnyav. Tshuaj tua kab mob, feem ntau yog penicillin, feem ntau muab rau menyuam mos thiab menyuam yaus (tab sis kuj yog cov neeg laus hauv qee kis), los pab tiv thaiv kab mob.

  • Cov menyuam mos liab uas muaj ntshav tsis txaus tuaj yeem pib noj tshuaj tua kab mob thaum muaj hnub nyoog 2 hlis thiab feem ntau txuas ntxiv rau thawj 5 xyoos ntawm lub neej.
  • Cov menyuam mos yuav tsum tau noj tshuaj penicillin, thaum cov menyuam loj thiab cov laus tuaj yeem noj tshuaj - feem ntau yog ob zaug ib hnub.
  • Cov kab mob uas txaus ntshai tshaj plaws rau lub neej muaj feem cuam tshuam nrog mob ntshav tsis txaus yog kab mob ntsws.
Kho Sickle Cell Anemia Kauj Ruam 2
Kho Sickle Cell Anemia Kauj Ruam 2

Kauj Ruam 2. Siv tshuaj kho mob

Ntxiv rau feem ntau hnov nkees thiab nkees nkees los ntawm qhov tsis muaj oxygen hauv koj cov ntshav, cov xwm txheej ntawm qhov mob hnyav feem ntau tau ntsib los ntawm cov neeg uas muaj mob qog noj ntshav tsis txaus. Txhawm rau tswj hwm cov xwm txheej no ntawm qhov mob, feem ntau hu ua sickle cell crises, noj cov tshuaj tom khw xws li acetaminophen (Tylenol) lossis ibuprofen (Advil, Motrin) rau ib hnub lossis li ntawd kom txog thaum cov teeb meem daws nws tus kheej. Lub sijhawm mob hnyav tuaj yeem nyob ntev li ob peb teev lossis txawm tias ob peb lub lis piam ntawm ib lub sijhawm.

  • Qhov mob me me-rau-hnyav tshwm sim thaum cov qe liab zoo li cov qe ntshav txo lossis thaiv cov ntshav hauv cov hlab ntshav me me hauv siab, hauv plab thiab nqua.
  • Qhov mob hnyav yuav hnov ntau dua hauv cov pob qij txha thiab cov pob txha - hauv lwm lo lus, nws ib txwm mob hnyav dua li ib qho ntxiv.
  • Rau qhov tshwj xeeb tshaj yog cov xwm txheej hnyav uas kav ntev dua ob peb hnub, koj tus kws kho mob yuav sau ntawv tshuaj muaj zog, xws li tshuaj yeeb tshuaj.
Kho Sickle Cell Anemia Kauj Ruam 3
Kho Sickle Cell Anemia Kauj Ruam 3

Kauj Ruam 3. Thov siv cov cua sov los ua kom lub cev puas tsuaj thaum lub sij hawm muaj mob

Ua ntawv thov cov cua sov los yog lub hnab ntim tshuaj ntsuab rau koj lub cev thaum lub sijhawm mob khaub thuas ntawm tes tuaj yeem pab tau vim cov cua sov zoo li qhib (nthuav dav) cov hlab ntshav thiab tso cai rau cov qe ntshav zoo li cov qe ntshav hla mus. Cov cua sov yog qhov kev xaiv zoo dua cov cua sov los vim tias nws tsis qhuav koj cov tawv nqaij. Siv lub hnab microwavable ntim nrog qee hom qoob loo (Bulgur nplej lossis nplej), tshuaj ntsuab thiab cov roj yam tseem ceeb.

  • Ua kom sov lub hnab tshuaj ntsuab hauv koj lub microwave li ob feeb lossis ntev dua thiab siv nws rau koj cov leeg pob qij txha, pob txha lossis lub plab tsawg kawg 15 feeb, peb txog tsib zaug txhua hnub.
  • Ntxiv cov paj lavender lossis lwm cov roj tseem ceeb tso rau hauv koj lub hnab tshuaj ntsuab tuaj yeem pab txo qhov tsis xis nyob thiab ntxhov siab vim los ntawm koj cov kab mob ntawm tes.
  • Kev da dej yog lwm qhov chaw zoo ntawm cov cua sov. Ntxiv 2 khob Epsom ntsev rau hauv dej kub kom tau txais txiaj ntsig zoo tshaj plaws - magnesium hauv ntsev tuaj yeem ua rau koj lub cev mob ntxiv.
  • Dej khov thiab txias yuav tsum zam vim lawv tuaj yeem ua rau mob.
Kho Sickle Cell Anemia Kauj Ruam 4
Kho Sickle Cell Anemia Kauj Ruam 4

Kauj Ruam 4. Ntxiv nrog folic acid

Cov qe ntshav liab tau tsim nyob rau hauv cov leeg pob txha ntawm koj cov pob txha ntev thiab xav tau qee yam khoom noj kom tsim tau tsis tu ncua. Ib qho tseem ceeb tshaj plaws ntawm cov as -ham rau kev ua thiab hloov cov qe ntshav liab yog folate (vitamin B9), uas tseem hu ua folic acid thaum nyob hauv daim ntawv ntxiv. Xws li, yog tias koj muaj mob ntshav tsis txaus ntshav, noj cov tshuaj folic acid txhua hnub thiab/lossis tsis tu ncua noj cov zaub mov nplua nuj hauv folate.

  • Cov vitamins B6 thiab B12 kuj tseem ceeb rau kev noj qab haus huv cov qe ntshav liab zoo thiab tuaj yeem ua rau muaj tus cwj pwm tsis zoo.
  • Cov peev txheej zoo ntawm cov vitamins B no suav nrog: nqaij, oily lossis rog rog, nqaij qaib, feem ntau ntawm cov nplej, muaj zog ua kom muaj qoob loo, taum pauv, avocados, ci qos yaj ywm (nrog rau cov tawv nqaij), txiv kab ntxwv, txiv tsawb, txiv laum huab xeeb thiab ua rau cov poov xab.
  • Pom zoo txhua hnub ntawm folic acid ntau los ntawm 400 txog 1, 000 mcg (micrograms).
  • Ntau cov vitamins (tsis muaj hlau) kuj tseem yuav pom zoo.
Kho Sickle Cell Anemia Kauj Ruam 5
Kho Sickle Cell Anemia Kauj Ruam 5

Kauj Ruam 5. Siv tshuaj hydroxyurea

Thaum noj tas li, hydroxyurea (Droxia, Hydrea) yog cov tshuaj uas pab txo qis qhov mob ntawm daim tawv nqaij uas muaj ntshav tsis txaus thiab nws kuj tseem tuaj yeem txo qhov xav tau kev tso ntshav hauv qee kis mus rau-mob hnyav. Hydroxyurea yuav txhawb nqa kev tsim cov menyuam hauv plab hemoglobin hauv cov menyuam yaus thiab cov neeg laus, uas pab tiv thaiv kev tsim cov qe ntshav liab.

  • Hydroxyurea tsuas yog cov tshuaj pom zoo los ntawm Food and Drug Administration txhawm rau tiv thaiv qhov mob ntawm mob qog noj ntshav.
  • Fetal hemoglobin ib txwm tshwm sim hauv cov menyuam mos, tab sis lawv sai poob peev xwm los tsim nws li ob peb lub lis piam lossis hli.
  • Hydroxyurea thawj zaug siv tsuas yog rau cov neeg laus uas muaj mob hnyav ua rau cov ntshav tsis txaus, tab sis tam sim no ntau tus kws kho mob tau muab nws rau menyuam yaus nrog cov txiaj ntsig zoo.
  • Ceev faj ntawm qhov tshwm sim muaj tshwm sim, uas suav nrog kev pheej hmoo kis mob ntau ntxiv thiab muaj peev xwm txuas rau mob qog noj ntshav (mob qog noj ntshav ntawm cov ntshav). Nug koj tus kws kho mob yog tias koj lossis koj tus menyuam yog tus neeg sib tw zoo rau hydroxyurea.
Kuaj Aortic Regurgitation Kauj Ruam 4
Kuaj Aortic Regurgitation Kauj Ruam 4

Kauj Ruam 6. Tau txais kev tshuaj xyuas tas li thiab tshuaj xyuas

Yog tias koj muaj ntshav tsis txaus ntawm tes, muaj ntau qhov kev tshuaj xyuas thiab tshuaj xyuas uas tseem ceeb hauv kev kho tus mob thiab txo qis cov teeb meem.

  • Tau txais kev tshuaj xyuas qhov muag, pib thaum muaj hnub nyoog 10 xyoo, txhawm rau txheeb xyuas tus mob retinopathy. Yog tias cov txiaj ntsig ntsuas tau ib txwm muaj, rov tshuaj xyuas txhua txhua ib mus rau ob xyoos. Yog tias cov txiaj ntsig tsis txawv txav, ua raws nrog kws kho qhov muag.
  • Mus kuaj kab mob hauv lub raum pib thaum muaj hnub nyoog 10. Yog tias qhov txiaj ntsig tsis zoo yuav tsum tau ua ib xyoos ib zaug. Yog tias qhov txiaj ntsig tau zoo, yuav tsum ua qhov kev kuaj mob ntxiv.
  • Tsis tu ncua saib xyuas cov ntshav siab. Txawm tias me ntsis nce hauv cov ntshav siab tuaj yeem ua rau muaj kev pheej hmoo ntawm mob hlab ntsha tawg hauv cov neeg mob uas muaj kab mob ntawm daim tawv nqaij.
Kho Sickle Cell Anemia Kauj Ruam 6
Kho Sickle Cell Anemia Kauj Ruam 6

Kauj Ruam 7. Sib ntaus qaug zog nrog kev kho oxygen

Tsis muaj oxygen txaus hauv koj cov hlab ntshav, koj lub cev hnov nkees, tsis muaj zog thiab qaug zog raws sijhawm - qee zaum ua rau nws ua haujlwm kom sawv ntxov thaum sawv ntxov. Cov pa oxygen ntxiv, ntawm lub npog ntsej muag txuas rau lub raj mis uas muaj pa oxygen, tuaj yeem pab koj dhau los ntawm kev kub ntxhov lossis txawm tias niaj hnub nyob, zoo ib yam li cov neeg mob uas mob hnyav ua pa. Nug koj tus kws kho mob txog qhov zoo thiab qhov tsis zoo ntawm kev siv cov pa oxygen ntxiv rau mob ntshav tsis txaus.

  • Ua pa ntxiv cov pa oxygen yuav tsis yuam kom cov qe ntshav liab zoo li nqa nws, tab sis nws tuaj yeem ua rau lwm cov qe ntshav liab noj qab haus huv thiab ua kom tau zoo tshaj plaws tau xa mus rau lwm cov nqaij hauv koj lub cev.
  • Cov pa oxygen ntxiv feem ntau muaj cov pa oxygen ntau dua li cov cua nyob ib puag ncig. Yog tias koj taug kev mus rau qhov siab dua, nqa cov pa oxygen ntxiv tuaj yeem zam qhov teeb meem ntawm kab mob sib kis kom txog thaum koj lub cev tuaj yeem hloov kho rau qhov xwm txheej tshiab.
Kho Sickle Cell Anemia Kauj Ruam 7
Kho Sickle Cell Anemia Kauj Ruam 7

Kauj Ruam 8. Tham nrog koj tus kws kho mob txog kev tso ntshav

Lwm hom kev kho mob uas cuam tshuam ncaj qha nrog kev hloov cov kab mob sib kis nrog cov hlwb noj qab nyob zoo yog kev hloov ntshav. Kev hloov ntshav qhia cov lej ntau ntawm cov qe ntshav liab zoo rau hauv kev ncig, uas pab daws cov tsos mob uas tsim los ntawm cov hnoos qeev. Kev noj qab haus huv cov qe ntshav liab nyob ntev dua li cov qe nyob hauv cov ntshav, mus txog 120 hnub. Hauv kev sib piv, cov kab mob sib kis zoo li yuav nyob ntev dua 20 hnub.

  • Hauv cov menyuam yaus thiab cov neeg laus uas muaj mob ntshav tsis txaus ntawm lub cev thiab muaj kev pheej hmoo mob stroke los ntawm cov hlab ntshav txhaws, cov ntshav tsis tu ncua tuaj yeem txo lawv txoj kev pheej hmoo.
  • Kev tso ntshav tsis tu ncua muaj lawv tus kheej txaus ntshai. Lawv tuaj yeem ua rau muaj feem yuav kis mob ntau ntxiv thiab ua rau cov hlau ntau dhau los tsim hauv lub cev, uas tuaj yeem ua rau lub cev puas tsuaj xws li lub plawv thiab daim siab.
  • Yog tias koj muaj tus mob ntshav tsis txaus ntawm lub cev thiab tau hloov pauv cov ntshav liab tas li, nug koj tus kws kho mob txog deferasirox (Exjade) - tshuaj uas txo qis cov hlau ntau hauv lub cev.
Kho Sickle Cell Anemia Kauj Ruam 8
Kho Sickle Cell Anemia Kauj Ruam 8

Kauj Ruam 9. Nug koj tus kws kho mob txog kev sim tshuaj nitric oxide

Cov neeg uas muaj tus mob ntshav tsis txaus ntshav muaj qib qis ntawm nitric oxide hauv lawv cov ntshav, uas ib txwm ua rau cov hlab ntshav nthuav dav (qhib) thiab txo qis "nplaum" ntawm cov qe ntshav liab. Nug koj tus kws kho mob txog kev kho nrog nitric oxide vim tias nws tuaj yeem tiv thaiv cov kab mob zoo li lub cev los ntawm kev sib sau ua ke thiab txhaws cov hlab ntsha me - kev tshawb fawb tau sib xyaw cov txiaj ntsig ntawm kev ua tau zoo.

  • Kev kho mob suav nrog nqus cov pa roj nitric oxide, txawm hais tias nws nyuaj rau kev tswj hwm thiab koj tus kws kho mob yuav tsis xis nyob nrog cov txheej txheem.
  • Cov tshuaj ntxiv uas tuaj yeem nce qib ntshav ntawm nitric oxide hu ua arginine, cov amino acid. Arginine muaj kev nyab xeeb ntxiv nrog thiab tsis muaj kev paub txog kev phiv.
Kho Sickle Cell Anemia Kauj Ruam 9
Kho Sickle Cell Anemia Kauj Ruam 9

Kauj Ruam 10. Xav txog kev hloov pob txha pob txha

Kev hloov pob txha pob txha (lossis hloov pauv qia cell) cuam tshuam nrog hloov cov pob txha cuam tshuam nrog cov leeg noj qab nyob zoo los ntawm tus neeg pub khoom haum. Nws yog txheej txheem tsev kho mob ntev thiab pheej hmoo uas cuam tshuam nrog kev rhuav tshem tag nrho cov pob txha pob txha hauv tus neeg mob ntshav qab zib nrog rau hluav taws xob lossis tshuaj kho mob, tom qab ntawd txhaj lawv nrog cov qia hlwb los ntawm tus pub dawb. Nws yog qhov tsuas muaj kev kho mob rau kab mob ntawm daim tawv nqaij. Nug koj tus kws kho mob txog qhov zoo thiab qhov tsis zoo thiab yog tias koj yog tus neeg sib tw rau nws.

  • Tsis yog txhua tus neeg uas muaj tus mob ntshav tsis txaus hauv lub cev yog tus neeg sib tw rau kev hloov pauv pob txha thiab cov pub dawb sib xws tuaj yeem nrhiav tau nyuaj. Ib tus nus muag uas tsis muaj tus cwj pwm ntawm tes yog tus muaj peev xwm pub dawb.
  • Tsuas yog kwv yees li 10% ntawm cov menyuam uas muaj mob ntshav tsis txaus ntshav tau sib piv pub dawb nrog cov qia hlwb zoo hauv lawv tsev neeg.
  • Kev pheej hmoo ntawm kev hloov pauv pob txha muaj ntau heev thiab suav nrog kev muaj mob rau lub neej vim yog lub cev tsis muaj zog.
  • Vim tias muaj kev pheej hmoo, kev hloov pauv yog ib txwm pom zoo rau cov tib neeg uas muaj cov tsos mob hnyav thiab mob ntev ntsig txog mob qog noj ntshav tsis txaus.

Ntu 2 ntawm 2: Tiv Thaiv Kab Mob Sickle Cell

Ua Kom Cov Menyuam Yaus Diabetics Noj Tshuaj Kauj Ruam 9
Ua Kom Cov Menyuam Yaus Diabetics Noj Tshuaj Kauj Ruam 9

Kauj Ruam 1. Tsom ntsoov rau kev tiv thaiv kab mob

Qhov no yog qhov tseem ceeb tshaj plaws hauv cov neeg mob uas muaj kab mob hu ua anemia. Lawv muaj feem cuam tshuam rau kis kab mob thiab kab mob ntau vim yog kev ua haujlwm tsis zoo uas feem ntau tshwm sim thaum yau; yog li ntawd, ntxiv rau tshuaj tiv thaiv kab mob tiv thaiv kab mob thaum yau, kev txhaj tshuaj tiv thaiv qee yam kab mob kuj tseem yog qhov tseem ceeb. Cov no suav nrog kev txhaj tshuaj tiv thaiv menyuam yaus, nrog rau kev txhaj tshuaj tiv thaiv kab mob khaub thuas, kab mob meningitis thiab qee yam mob ntsws.

Kho Sickle Cell Anemia Kauj Ruam 10
Kho Sickle Cell Anemia Kauj Ruam 10

Kauj Ruam 2. Zam qhov siab yog tias koj lub cev tsis siv rau nws

Muaj cov pa oxygen tsawg dua ntawm qhov chaw siab dua, uas tuaj yeem ua rau muaj teeb meem ntawm tes mob hnyav yog tias koj lub cev tsis siv rau cov xwm txheej zoo li no. Yog li ntawd, ceev faj yog tias taug kev mus rau qhov chaw siab (thaj tsam roob) thiab txiav txim siab siv cov pa ntxiv yog tias koj mus.

  • Tham nrog koj tus kws kho mob ua ntej kev mus ncig rau thaj chaw siab thiab sib npaug cov txiaj ntsig tiv thaiv kev pheej hmoo ntawm kev noj qab haus huv.
  • Tsuas yog ya ntawm lub dav hlau nrog lub tsev cua nrawm (uas suav nrog txhua lub davhlau kev lag luam ntawm dav hlau loj dua) thiab zam kev ya hauv lub dav hlau me, tsis muaj kev kub ntxhov ntawm qhov chaw siab.
Kho Sickle Cell Anemia Kauj Ruam 11
Kho Sickle Cell Anemia Kauj Ruam 11

Kauj Ruam 3. Khaws cov dej kom zoo

Nws yog ib qho tseem ceeb kom ua kom koj cov ntshav nce ntxiv, tshwj xeeb tshaj yog tias koj muaj cov qe ntshav tsis txaus. Cov ntshav qis (feem ntau nrog lub cev qhuav dej) ua rau cov ntshav tuab dua thiab feem ntau yuav lo lossis sib sau ua ke thiab tuaj yeem ua rau muaj teeb meem ntawm tes xaum. Tiv thaiv kom lub cev qhuav dej los ntawm kev haus tsawg kawg yim 8-ounce tsom iav (li 2 litres) ntawm cov dej huv ib hnub.

  • Tsis txhob haus cov kua nrog caffeine, uas ua raws li cov tshuaj diuretic (ua rau koj tso zis ntau dua) thiab tuaj yeem txo qis ntshav.
  • Caffeine muaj nyob hauv kas fes, tshuaj yej dub, qhob noom xim kasfes, feem ntau dej qab zib, thiab yuav luag txhua lub zog haus.
  • Ua kom muaj dej ntau ntxiv uas koj haus hauv ib hnub yog tias koj siv me ntsis kev ncaj ncees lossis siv sijhawm nyob hauv huab cua kub dua.
Kho Sickle Cell Anemia Kauj Ruam 12
Kho Sickle Cell Anemia Kauj Ruam 12

Kauj Ruam 4. Tsis txhob kub lossis txias heev

Lwm qhov ua rau muaj teeb meem ntawm lub xovtooj ntawm tes yog kub heev - xws li kub dhau lossis txias dhau. Kev kub dhau ua rau tawm hws thiab tuaj yeem ua rau lub cev qhuav dej thiab cov ntshav qis. Kev txias dhau ua rau cov hlab ntshav nruj (tau me dua), uas cuam tshuam cov ntshav ncig.

  • Khaws rau qhov chaw thiab tsheb nrog cua txias yog tias koj pom koj tus kheej hauv qhov kub thiab/lossis huab cua puag ncig. Hnav cov khaub ncaws ua los ntawm cov fibers ntuj (paj rwb) uas tuaj yeem ua pa.
  • Ua kom koj tus kheej sov nyob rau hauv cov huab cua txias los ntawm kev hnav khaub ncaws tiv thaiv, xws li ntaub plaub. Ua kom koj txhais tes sov los ntawm kev hnav hnab looj tes yog qhov tshwj xeeb tshaj yog rau cov neeg uas muaj kab mob ntshav tsis txaus.
Kho Sickle Cell Anemia Kauj Ruam 13
Kho Sickle Cell Anemia Kauj Ruam 13

Kauj Ruam 5. Tsis txhob tawm dag zog ntau dhau

Kev hnyav lub cev xav tau ntawm koj lub cev ua rau nws xav tau oxygen, uas tuaj yeem ua rau muaj teeb meem ntawm lub ntsej muag vim tias tsis muaj hemoglobin txaus los nqa cov pa oxygen mus rau cov uas xav tau. Wile qee qhov kev tawm dag zog ib txwm yog qhov zoo rau kev noj qab haus huv thiab kev ncig, zam cov khoom hnyav, xws li kev khiav mus los ntev, caij tsheb kauj vab thiab ua luam dej.

  • Hloov chaw, tsom mus rau kev qoj ib ce tsawg xws li taug kev, ua lub teeb aerobics, yoga thiab ua haujlwm tsis muaj zog.
  • Kev nqa lub teeb-rau-nruab nrab qhov hnyav yog qhov ua tau los txhim kho thiab tswj cov leeg nqaij, tab sis kev nqa hnyav tsis pom zoo rau cov neeg uas muaj kab mob ntshav tsis txaus.

Lub tswv yim

  • Rov qab rau xyoo 1970, lub neej nruab nrab rau cov neeg uas muaj kab mob ntshav tsis txaus tsuas yog 14 xyoos, tab sis nrog kev txhim kho niaj hnub nrog kev kho mob, tam sim no cov neeg muaj mob tam sim no tuaj yeem mus txog 50 xyoo thiab dhau mus.
  • Cov poj niam uas muaj tus kab mob hu ua ntshav tsis txaus feem ntau muaj cov tsos mob hnyav dua thiab nyob ntev dua li txiv neej.
  • Tsis txhob haus luam yeeb thiab zam kev haus luam yeeb thib ob, tshwj xeeb tshaj yog tias koj muaj mob ntshav tsis txaus ntshav, vim tias nws txo qis kev ncig thiab ua rau cov ntshav ntshav "khov dua."

Pom zoo: