{"id":17901,"date":"2026-03-26T10:43:35","date_gmt":"2026-03-26T03:43:35","guid":{"rendered":"https:\/\/benhviendaihocyhaiduong.com\/?p=17901"},"modified":"2026-03-26T10:43:35","modified_gmt":"2026-03-26T03:43:35","slug":"dieu-tri-thanh-cong-ca-viem-mang-nao-nguy-kich-do-nhiem-lien-cau-lon","status":"publish","type":"post","link":"https:\/\/benhviendaihocyhaiduong.com\/?p=17901","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng ca vi\u00eam m\u00e0ng n\u00e3o nguy k\u1ecbch do nhi\u1ec5m li\u00ean c\u1ea7u l\u1ee3n"},"content":{"rendered":"<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">\u00a0 \u00a0 \u00a0Khoa N\u1ed9i T\u1ed5ng h\u1ee3p c\u1ee7a B\u1ec7nh vi\u1ec7n Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc K\u1ef9 thu\u1eadt Y t\u1ebf H\u1ea3i D\u01b0\u01a1ng v\u1eeba ti\u1ebfp nh\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng m\u1ed9t tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh P.H.T (nam gi\u1edbi, 51 tu\u1ed5i, x\u00e3 Th\u01b0\u1ee3ng H\u1ed3ng, Th\u00e0nh ph\u1ed1 H\u1ea3i Ph\u00f2ng) nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch v\u00ec vi\u00eam m\u00e0ng n\u00e3o do li\u00ean c\u1ea7u l\u1ee3n.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-17902\" src=\"https:\/\/benhviendaihocyhaiduong.com\/wp-content\/uploads\/2026\/03\/kho-noi-VCL-1.jpg\" alt=\"\" width=\"1195\" height=\"896\" srcset=\"https:\/\/benhviendaihocyhaiduong.com\/wp-content\/uploads\/2026\/03\/kho-noi-VCL-1.jpg 1195w, https:\/\/benhviendaihocyhaiduong.com\/wp-content\/uploads\/2026\/03\/kho-noi-VCL-1-300x225.jpg 300w, https:\/\/benhviendaihocyhaiduong.com\/wp-content\/uploads\/2026\/03\/kho-noi-VCL-1-1024x768.jpg 1024w, https:\/\/benhviendaihocyhaiduong.com\/wp-content\/uploads\/2026\/03\/kho-noi-VCL-1-768x576.jpg 768w\" sizes=\"(max-width: 1195px) 100vw, 1195px\" \/><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">T\u1eeb ti\u1ebfp x\u00fac khi m\u1ed5 l\u1ee3n \u0111\u1ebfn ranh gi\u1edbi sinh t\u1eed<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">\u00a0 \u00a0 \u00a0Theo l\u1eddi k\u1ec3 c\u1ee7a gia \u0111\u00ecnh, sau 5 ng\u00e0y tham gia m\u1ed5 l\u1ee3n, \u00f4ng T. \u0111\u1ed9t ng\u1ed9t s\u1ed1t cao, \u0111au \u0111\u1ea7u, \u0111\u00e3 t\u1ef1 d\u00f9ng thu\u1ed1c t\u1ea1i nh\u00e0 1 tu\u1ea7n nh\u01b0ng kh\u00f4ng \u0111\u1ee1. Khi v\u00e0o vi\u1ec7n, ng\u01b0\u1eddi b\u1ec7nh trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng: L\u01a1 m\u01a1, s\u1ed1t cao k\u00e8m r\u00e9t run, \u0111au \u0111\u1ea7u d\u1eef d\u1ed9i, n\u00f4n v\u1ecdt, \u00f9 tai, nghe kh\u00f4ng r\u00f5, \u0103n ng\u1ee7 k\u00e9m, c\u1ed5 c\u1ee9ng, ph\u1ea3n x\u1ea1 g\u00e2n x\u01b0\u01a1ng t\u0103ng, v\u1ea1ch m\u00e0ng n\u00e3o d\u01b0\u01a1ng t\u00ednh.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">\u00a0 \u00a0 \u00a0Ngay l\u1eadp t\u1ee9c, c\u00e1c b\u00e1c s\u0129 chuy\u00ean ng\u00e0nh C\u1ea5p c\u1ee9u, Th\u1ea7n kinh v\u00e0 N\u1ed9i t\u1ed5ng h\u1ee3p c\u1ee7a B\u1ec7nh vi\u1ec7n \u0111\u00e3 ti\u1ebfn h\u00e0nh h\u1ed9i ch\u1ea9n, ch\u1ec9 \u0111\u1ecbnh ch\u1ecdc d\u1ecbch n\u00e3o t\u1ee7y v\u00e0 cho k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh v\u1edbi li\u00ean c\u1ea7u khu\u1ea9n l\u1ee3n (Streptococcus suis). \u0110\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i vi khu\u1ea9n nguy hi\u1ec3m c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong nhanh ch\u00f3ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi .<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\"><img decoding=\"async\" class=\"alignnone size-full wp-image-17903\" src=\"https:\/\/benhviendaihocyhaiduong.com\/wp-content\/uploads\/2026\/03\/kho-noi-VCL-2.jpg\" alt=\"\" width=\"960\" height=\"1280\" srcset=\"https:\/\/benhviendaihocyhaiduong.com\/wp-content\/uploads\/2026\/03\/kho-noi-VCL-2.jpg 960w, https:\/\/benhviendaihocyhaiduong.com\/wp-content\/uploads\/2026\/03\/kho-noi-VCL-2-225x300.jpg 225w, https:\/\/benhviendaihocyhaiduong.com\/wp-content\/uploads\/2026\/03\/kho-noi-VCL-2-768x1024.jpg 768w\" sizes=\"(max-width: 960px) 100vw, 960px\" \/><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">\u00a0 \u00a0 \u00a0Sau 3 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c b\u1eb1ng kh\u00e1ng sinh m\u1ea1nh, gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t, dinh d\u01b0\u1ee1ng n\u00e2ng cao th\u1ec3 tr\u1ea1ng, s\u1ee9c kh\u1ecfe c\u1ee7a \u00f4ng T. \u0111\u00e3 \u1ed5n \u0111\u1ecbnh (t\u1ec9nh t\u00e1o, h\u1ebft c\u1ee9ng g\u00e1y, h\u1ebft s\u1ed1t, h\u1ebft \u0111au \u0111\u1ea7u, \u0111i l\u1ea1i b\u00ecnh th\u01b0\u1eddng, \u0103n ng\u1ee7 t\u1ed1t nh\u01b0ng c\u00f2n \u00f9 tai) v\u00e0 \u0111\u01b0\u1ee3c ra vi\u1ec7n ng\u00e0y 16\/03\/2026<\/span><\/p>\n<p style=\"text-align: justify;\"><strong><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">Li\u00ean c\u1ea7u l\u1ee3n nguy hi\u1ec3m nh\u01b0 th\u1ebf n\u00e0o?<\/span><\/strong><\/p>\n<ul>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">Vi khu\u1ea9n li\u00ean c\u1ea7u l\u1ee3n kh\u00f4ng ch\u1ec9 g\u00e2y vi\u00eam n\u00e3o m\u00e0 c\u00f2n l\u00e0 \u201cs\u00e1t th\u1ee7\u201d \u00e2m th\u1ea7m v\u1edbi:<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">T\u1ed1c \u0111\u1ed9 t\u00e0n ph\u00e1: G\u00e2y nhi\u1ec5m khu\u1ea9n huy\u1ebft, s\u1ed1c nhi\u1ec5m khu\u1ea9n v\u00e0 suy \u0111a t\u1ea1ng ch\u1ec9 trong th\u1eddi gian ng\u1eafn.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">Di ch\u1ee9ng n\u1eb7ng n\u1ec1: Kho\u1ea3ng 40% sau khi kh\u1ecfi b\u1ec7nh, ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi t\u00ecnh tr\u1ea1ng \u0111i\u1ebfc v\u0129nh vi\u1ec5n, \u00f9 tai ho\u1eb7c r\u1ed1i lo\u1ea1n ti\u1ec1n \u0111\u00ecnh k\u00e9o d\u00e0i.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">T\u1eed vong: T\u1ec9 l\u1ec7 t\u1eed vong r\u1ea5t cao n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh ch\u1ee7 quan, nh\u1eadp vi\u1ec7n mu\u1ed9n do l\u1ea7m t\u01b0\u1edfng l\u00e0 c\u1ea3m c\u00fam th\u00f4ng th\u01b0\u1eddng.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">Tri\u1ec7u ch\u1ee9ng nh\u1eadn bi\u1ebft \u0111i\u1ec3n h\u00ecnh<\/span><\/strong><\/p>\n<ul>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">C\u1ea7n \u0111\u1eb7c bi\u1ec7t l\u01b0u \u00fd n\u1ebfu xu\u1ea5t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u sau:<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">S\u1ed1t cao k\u00e8m theo r\u00e9t run.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">\u0110au \u0111\u1ea7u d\u1eef d\u1ed9i, th\u01b0\u1eddng \u0111i k\u00e8m n\u00f4n v\u1ecdt (n\u00f4n kh\u00f4ng li\u00ean quan \u0111\u1ebfn \u0103n u\u1ed1ng).<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">C\u1ed5 c\u1ee9ng, kh\u00f3 c\u00fai \u0111\u1ea7u.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">Xu\u1ea5t hi\u1ec7n c\u00e1c m\u1ea3ng xu\u1ea5t huy\u1ebft (b\u1ea7m t\u00edm) tr\u00ean da.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">\u00d9 tai, gi\u1ea3m th\u00ednh l\u1ef1c \u0111\u1ed9t ng\u1ed9t<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">Con \u0111\u01b0\u1eddng l\u00e2y nhi\u1ec5m ch\u00ednh<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">B\u1ec7nh l\u00e2y truy\u1ec1n tr\u1ef1c ti\u1ebfp t\u1eeb l\u1ee3n (l\u1ee3n b\u1ec7nh ho\u1eb7c l\u1ee3n mang vi khu\u1ea9n) sang ng\u01b0\u1eddi qua 2 con \u0111\u01b0\u1eddng:<\/span><\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">\u0110\u01b0\u1eddng ti\u00eau h\u00f3a: \u0102n ti\u1ebft canh, nem ch\u1ea1o, th\u1ecbt t\u00e1i s\u1ed1ng ho\u1eb7c c\u00e1c s\u1ea3n ph\u1ea9m ch\u01b0a n\u1ea5u ch\u00edn k\u1ef9.<\/span><\/li>\n<li><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">\u0110\u01b0\u1eddng ti\u1ebfp x\u00fac: Vi khu\u1ea9n x\u00e2m nh\u1eadp qua c\u00e1c v\u1ebft tr\u1ea7y x\u01b0\u1edbc, v\u1ebft th\u01b0\u01a1ng tr\u00ean da trong qu\u00e1 tr\u00ecnh gi\u1ebft m\u1ed5, ch\u1ebf bi\u1ebfn th\u1ecbt l\u1ee3n s\u1ed1ng ho\u1eb7c ch\u0103n nu\u00f4i<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">Khuy\u1ebfn c\u00e1o t\u1eeb B\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n Tr\u01b0\u1eddng \u0110H K\u1ef9 thu\u1eadt Y t\u1ebf H\u1ea3i D\u01b0\u01a1ng<\/span><\/strong><\/p>\n<ul>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0103n ti\u1ebft canh, nem chua s\u1ed1ng, n\u1ed9i t\u1ea1ng t\u00e1i d\u00f9 l\u00e0 l\u1ee3n nh\u00e0 nu\u00f4i hay l\u1ee3n mua ngo\u00e0i ch\u1ee3.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">Kh\u00f4ng mua th\u1ecbt l\u1ee3n c\u00f3 m\u00e0u s\u1eafc kh\u00e1c th\u01b0\u1eddng, m\u00f9i \u00f4i thiu, kh\u00f4ng r\u00f5 ngu\u1ed3n g\u1ed1c.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">Ch\u1ebf bi\u1ebfn th\u1ecbt l\u1ee3n ch\u00edn k\u1ef9 (n\u1ea5u \u1edf nhi\u1ec7t \u0111\u1ed9 cao, ph\u1ea7n th\u1ecbt trong kh\u00f4ng c\u00f2n m\u00e0u h\u1ed3ng).<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">S\u1eed d\u1ee5ng dao, th\u1edbt ri\u00eang cho \u0111\u1ed3 s\u1ed1ng v\u00e0 \u0111\u1ed3 ch\u00edn. R\u1eeda tay s\u1ea1ch b\u1eb1ng x\u00e0 ph\u00f2ng sau khi ch\u1ebf bi\u1ebfn th\u1ecbt l\u1ee3n s\u1ed1ng.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">Ng\u01b0\u1eddi c\u00f3 v\u1ebft th\u01b0\u01a1ng h\u1edf \u1edf tay tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng ti\u1ebfp x\u00fac v\u1edbi th\u1ecbt l\u1ee3n s\u1ed1ng ho\u1eb7c l\u1ee3n b\u1ec7nh.<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">Khi c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nghi ng\u1edd sau khi \u0103n th\u1ecbt l\u1ee3n ho\u1eb7c ti\u1ebfp x\u00fac v\u1edbi l\u1ee3n, c\u1ea7n \u0111\u1ebfn ngay c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u1ea5t \u0111\u1ec3 \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Kh\u00f4ng t\u1ef1 \u00fd \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">__________________________________________<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">B\u1ec6NH VI\u1ec6N TR\u01af\u1edcNG \u0110\u1ea0I H\u1eccC K\u1ef8 THU\u1eacT Y T\u1ebe H\u1ea2I D\u01af\u01a0NG<\/span><\/p>\n<ul>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">\u0110\u1ecba ch\u1ec9: 229 Nguy\u1ec5n L\u01b0\u01a1ng B\u1eb1ng, Ph\u01b0\u1eddng L\u00ea Thanh Ngh\u1ecb, TP. H\u1ea3i Ph\u00f2ng<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">Hotline: 0972 631 438<\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">Website: <a style=\"color: #000000;\" href=\"http:\/\/benhviendaihocyhaiduong.com\/?fbclid=IwZXh0bgNhZW0CMTAAYnJpZBExaTVQYnpNSU85WkpJSzNzenNydGMGYXBwX2lkEDIyMjAzOTE3ODgyMDA4OTIAAR7dpiPWProB695JEWx8obaCUp5e_8iWfyvp8iBnfZqunhoxh2w6E2K9Wer3tQ_aem_2GbwsrdHazAtlpP66MoWlw\"><strong>benhviendaihocyhaiduong.com<\/strong><\/a><\/span><\/li>\n<li style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%; font-family: tahoma, arial, helvetica, sans-serif;\">Fanpage: <a style=\"color: #000000;\" href=\"https:\/\/www.facebook.com\/Benhviendaihocyhaiduong?__cft__%5b0%5d=AZYzy1RwVg1iTiByPpa4Kt6vqRjRP0G0S48xQo97p8Y20ipASjuu14aLnXKhREtaEI1Lz8gZ60wczVwSvR1zn1In4HSgphbd6m_zGcJJz3jy1dUpmSspEixWhEuubN73EghIjnUmrZmvRQDRi4nhzfPPnWBFu8am5yYNF4vJIg-bFtj4krcfL3TcEGTov3szQy0&amp;__tn__=-%5dK-R\"><strong>facebook.com\/benhviendaihocyhaiduong<\/strong><\/a><\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 \u00a0 \u00a0Khoa N\u1ed9i T\u1ed5ng h\u1ee3p c\u1ee7a B\u1ec7nh vi\u1ec7n Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc K\u1ef9 thu\u1eadt Y t\u1ebf H\u1ea3i D\u01b0\u01a1ng v\u1eeba ti\u1ebfp nh\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng m\u1ed9t tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh P.H.T (nam gi\u1edbi, 51 tu\u1ed5i, x\u00e3 Th\u01b0\u1ee3ng H\u1ed3ng, Th\u00e0nh ph\u1ed1 H\u1ea3i Ph\u00f2ng) nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch v\u00ec vi\u00eam m\u00e0ng n\u00e3o do[Xem ti\u00ea\u0301p&#8230;]\n","protected":false},"author":1,"featured_media":17902,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[49,38],"tags":[],"class_list":["post-17901","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-new-home","category-new-hoat-dong-chuyen-mon"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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