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October 10, 2025
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Ka puta te hernias o te whakaheke ina heke tetahi wahi, te katoa rānei o tō whakaheke, ka pehia atu ki tō tara, ka tahuri ki roto ki waho ano he tohutu. Whakaarohia ko te wāhanga whakamutunga o tō whekau nui e ngaro ana tōna tūnga noa, ka heke atu ki waho ki te wāhi e kore ai e tika.
Ka pā tēnei āhuatanga ki te iwi o ngā tau katoa, ahakoa he tino noa ki ngā kaumātua, ina koa ngā wāhine neke atu i te 50. Ahakoa ka rongo pea he wehi, he āhuatanga taea te whakaora te hernias o te whakaheke, kāore hoki e whakatupato tūturu i tō hauora.
Ka taea e te hernias te rere mai i te ngawari, kei reira noa te paparanga o roto e heke ana, ki te katoa, kei reira te mātotorutanga katoa o te pakitara o te whakaheke e puta atu ana i tō tinana. Ko te mārama ki te mea kei te puta ka āhei te awhina i a koe ki te whakapono atu ki te rapu i te tiaki tika.
E toru ngā momo matua o te hernias o te whakaheke, ia momo kei roto ngā paparanga rerekē o te pakitara o tō whakaheke. Ka whakatau tō tākuta ko wai te momo kei a koe hei whakarite i te huarahi maimoatanga pai.
Te hernias wāhanga (te hernias o te papamuri) ka puta ina heke noa te paparanga o roto o tō whakaheke. Koinei te ahua ngawari rawa atu, a ka puta pinepine i ngā wā e haere ana te whekau, ka hoki anō ki tōna wāhi ake.
Te hernias katoa (te hernias mātotoru katoa) kei roto ngā paparanga katoa o te pakitara o tō whakaheke e puta atu ana i te tara. Ko tēnei momo te nuinga ka noho ki waho o tō tinana, me te hiahia ki te pehi whakahoki i roto, ki te whakauru rānei a te hauora.
Te hernias o roto (intussusception) ka puta ina koikoi tō whakaheke ki runga i a ia ano, engari kāore e puta ki waho o tō tinana. Ahakoa kāore e taea e koe te kite, ka rongo pea koe i ngā tohu penei i te kore e whakaoti, te pehanga rānei.
Ka taea te whanake haere māmā o ngā tohu o te tūahu o te tūāpapa, ā, ka rerekē pea i runga i te kino o tō mate. He tokomaha ngā tāngata e kite ana i ngā huringa o ō rātou tikanga o te wheako i mua i te kitenga o ētahi tohu e kitea ana.
Ko ēnei ngā tohu tino noa ka pā pea ki a koe:
Ka pā pea ki ētahi atu tāngata ngā tohu kaore i te noa e taea te pā kino ki te oranga o ia rā. Ka uru pea ēnei ki te kōpū kōpū roa, ngā hiahia maha ki te wheako ahakoa kua kore kē tō kōpū, te mamae o te tua iho e rite ana ki ō raruraru o te pūnaha kai.
I etahi wā, ka puta pea ngā tohu nui ake pēnei i te toto nui, te mamae nui, te kore rānei e taea te whakahaere i ō wheako. Me whai āwhina hauora tonu ēnei tohu, i te mea ka tohu pea i ngā raruraru e hiahia ana ki te rongoā wawe.
Ka whanake te tūahu o te tūāpapa ina ngoikore, ina rōpū rānei ngā uaua me ngā hononga e pupuri ana i tō tūāpapa i te wāhi tika. Ka taea e tēnei ngoikore te ngaro o ngā tohutohu o tō tūāpapa, ā, ka taka atu i te wāhi.
He maha ngā take ka āwhina ki tēnei ngoikore i te wā:
Ka taea hoki e etahi āhuatanga hauora te whakapiki ake i tō tūponotanga. Ko te cystic fibrosis i ngā tamariki e āhei ana te arahi ki te prolapse o te tūturu nā te maha o te kōhinga me ngā raruraru o te pūnaha kai. Ko ngā mate neurological pēnei i te multiple sclerosis, te whara o te rōpū tuaiwi rānei e pā ana ki ngā tohu mai i ngā nerve e āwhina ana ki te whakahaere i ō uaua tūturu.
I ētahi wā onge, ko ngā āhuatanga whānau e puta mai ana i te whānau ka taea te whakawaiwai i ngā hanganga tautoko a tawhio noa i tō tūturu atu i te noa. I tua atu, ko ngā āhuatanga e pā ana ki te whakapiki ake tonu i te pehanga o te kopu, pēnei i te whakaara i te taimaha nui, te pupuri toto i te mimi rānei, ka taea te whakauru atu ki te whanaketanga o te prolapse.
Me whakarite koe i te whakatau me tō taote ki te kite koe i tetahi kiko e puta mai ana i tō tūturu, te rerekētanga tonu rānei o ō tikanga o te wheako. Ka taea e te aromatawai wawe te āwhina i te aukati i te āhuatanga mai i te kino ake me te whakapai ake i ngā hua whakaora.
Rapua te tiaki hauora i te wa poto ki te wheako koe i te toto mai i tō tūturu, ina koa ki te whero mārama te tae, te whakaranu rānei ki te mucus. Ko ngā rerekētanga i te mana o te wheako, te āhua tonu o te kore e whakaoti, te pehanga o te upoko rānei e hiahiatia ana te aromatawai ngaio.
Whakaarohia te tiaki hauora ohorere ki te whanake koe i te mamae nui, kaore e taea te tuku i te kiko prolapsed ki roto, te kite rānei i te kiko e puta mai ana kua rerekē te tae ki te whero pouri, te puru rānei. Ka taea e ēnei tohu te tohu i ngā raruranga pēnei i te whakaheke, kei reira te rere o te toto ki te kiko ka pakaru.
Kaua e whakama ki te kōrero mō ēnei tohu ki tō kaiwhakarato hauora. He āhuatanga noa te prolapse o te tūturu e taea ana e ngā taote te whakatau me te whakaora, ā, ko te whakauru wawe e āhei ana te arahi ki ngā hua pai ake me ngā maimoatanga iti ake.
Mā te mōhio ki ngā take pāngarau e āhei ai koe te mahi i ngā mahi hei ārai i te heke o te tūpae, te hopu rānei i te wā. Ko ētahi take ka taea e koe te whakahaere mā ngā huringa oranga, ko ētahi atu kei tua atu i tō mana whakahaere.
Ka kaha ake ngā take pāngarau e pā ana ki te pakeke i te wā e koroheke ana koe:
Ko ngā āhuatanga hauora me ngā take oranga e piki ai tō pāngarau ko te koretake o te toto i te nuinga o te wā, te mate pūkahukahu ārai i te wā roa, me ngā āhuatanga neurological e pā ana ki te mana whakahaere o te kopu. Ka taea hoki e te ruaki roa me ngā mate pūkahukahu mumura te whakawai i ngā hanganga tautoko tūpae i te wā roa.
Ka taea e ētahi āhuatanga ira tino onge te whakarite i a koe ki te heke o te tūpae mai i te wā iti. Kei roto i ēnei ngā mate kōpū hono e pā ana ki te kaha o ō kōpū tautoko, me ngā āhuatanga penei i te cystic fibrosis e puta ai ngā tohu pūkahukahu me te pūnaha kai roa.
Ka taea hoki e tō hītori whānau te whai wāhi, i te mea ka whiwhi etahi i ngā kōpū hono ngoikore ka piki ake te heke. Heoi, ki te whai koe i ngā take pāngarau, ehara i te tikanga ka puta mai te heke o te tūpae, a he maha ngā take e puta ana i ngā tāngata kahore he take pāngarau marama.
Ahakoa ehara te heke o te tūpae i te mea kino tonu, ki te kore e tukatukahia, ka taea te arahi ki te maha o ngā raruraru e pā ana ki tō kounga oranga me tō hauora. Mā te mōhio ki ēnei take pea ka taea te whakaohooho i a koe ki te rapu i te rongoā tika.
Ko ngā raruraru tino noa ka whanake haere haere mai ana, ā, kei roto i ēnei:
Ka taea te puta mai o ētahi raruraru nui ake ki te whara te kiko i pakaru, ki te mutu rānei tōna whānuitanga toto. Ka taea e te kiko o te tūāpapa i whakaputaina te whākōkō mai i te whakakīkī tonu ki ngā kakahu, ki te pepa horoi rānei, ā, ka ara ake te toto me te nui haere o te tūponotanga o te mate.
I etahi wā, ka taea te kōtiti o te tūāpapa, arā, ka mutu te whānuitanga o tōna toto. Ko tēnei te āwangawanga hauora e hiahia ana ki te whakaora wawe kia kaua e mate te kiko. Ko ngā tohu ko te mamae nui, te kiko e huri ana ki te whero pouri, ki te puru rānei, me te kore e taea te pana i te kōtiti ki roto.
Ka whanake ano etahi tangata i nga raruraru hinengaro mai i te whakahaere i nga tohu roa. Ko te pouri, te awangawanga, me te wehe atu i te hapori he mea noa ina āwangawanga ngā take whakahaere o te kopu ki ngā mahi o ia rā me ngā whanaungatanga.
Ahakoa kaore e taea e koe te aukati i ngā take katoa o te pakaru o te tūāpapa, ina koa ngā mea e pā ana ki te koroheketanga, ki ngā take ira rānei, ka taea e ētahi rautaki oranga te whakaiti nui i tō tūponotanga. Ko te arotahi ki te pupuri i ngā tikanga hauora o te kopu te turanga o te aukati.
Ko te aukati i te kōpū kōpū tō mahi nui rawa atu. Kai atu i te nui o ngā kai whai muka, pēnei i ngā hua, ngā huawhenua, me ngā witi katoa hei pupuri i ō kōpū ngawari me te ngāwari ki te pāwhiri. Inu wai nui i te rā katoa, kia whākawae atu ki te 8 ipu, ki te kore tō tākuta e whakahau ke.
Kia kaua e whakarahi i te wā e whakapaea ana te whekau, kaua rawa e whakarahi, kei pupuri i tō manawa i te wā e ngana ana ki te tukuna te paru. Ki te whai koe i te hiahia, whakautu wawe atu i te whakaroa. Whakaarohia te whakamahi i te tuuru waewae hei whakanui ake i ō turi iti ake i ō hope i te noho i runga i te wharepaku, ka taea te whakamaarama i te whakakorenga.
Whakakahangia ō uaua papa pelvic mā ngā whakakori auau pēnei i ngā Kegel. Ko ēnei whakakori e whakauru ana i te whakawhānui me te whakaheke i ngā uaua e whakamahia ana e koe ki te mutu i te mimi i waenganui. Ko ngā uaua papa pelvic kaha ka whakarato i te tautoko pai ake mō tō tūāpapa me ētahi atu okana pelvic.
Whakaritea te hauora whānui mā te noho mahi tinana, ka whakatairanga i te nakunaku hauora me te aukati i te mate pūkahukahu. Ki te whai koe i te mare i te roa mai i ngā āhuatanga pēnei i te mate huango, i te COPD rānei, mahi tahi me tō tākuta ki te whakahaere pai kia whakaitihia te whakarahi i tō rohe pelvic.
Ko te whakatau i te prolapse tūāpapa e tīmata ana i te nuinga o te wā mā tō tākuta e tango i te hītori taipitopito o ō tohu me te mahi i te whakamātautau tinana. I roto i te maha o ngā take, e kitea ana te prolapse i te wā o te whakamātautau, ka ngāwari te whakatau.
Ka ui atu tō tākuta ki ō tikanga whekau, ki tetahi mamae, ki te kore ranei e pai ana koe, me te roa o te kitenga o ō tohu. Ka hiahia hoki rātou ki te mohio ki tō hītori hauora, ki ngā pokanga o mua, me ētahi rongoā e inu ana koe ka pā pea ki tō pūnaha nakunaku.
I te wā o te whakamātautau tinana, ka tono pea tō tākuta ki a koe kia whakarahi, kia mau ki raro pēnei i te whakapaea o te whekau kia kitea ai te prolapse. Ka taea hoki e rātou te mahi i te whakamātautau tūāpapa matihiko, te whakauru māngai i te maihao karapu ki tō tūāpapa hei aromatawai i te ngākau o te uaua me te tirotiro i ētahi atu rerekētanga.
He mea tika pea etahi whakamātau atu hei aromatawai i te nui o tō whakahekenga, ā, hei whakakore i ētahi atu āhuatanga. I roto i ēnei, pea he colonoscopy hei tirotiro i tō kōrōre katoa, ngā X-ray motuhake e kiia nei he defecography e whakaatu ana i te mahi a tō tūtaratanga i te wā e haere ana te kakau, te manometry anal rānei hei ine i te kaha o ngā uaua o tō sphincter anal.
I etahi wā, ka tono pea tō tākuta i te MRI o tō upoko hei tiki i ngā whakaahua taipitopito o ngā uaua o tō papa upoko me ngā hanganga e karapoti ana. Ka āwhina tenei ki a rātou ki te mōhio ki te nui o te ngoikoretanga o te papa upoko, ā, ki te whakarite i te rongoā tino tika.
Ko te rongoā mō te whakahekenga tūtaratanga e whakahaeretia ana e te nui o tō āhuatanga, tō hauora whānui, me te nui o te pānga o ngā tohu ki tō oranga o ia rā. Ka mahi tahi tō tākuta me koe ki te whiriwhiri i te huarahi e tuku ana i te tupono pai rawa atu o te angitu me te iti rawa o te tūponotanga.
Mō ngā take ngawari, ā, mō te whakahekenga wāhanga, ka whakamātauhia ngā rongoā māori i te tuatahi. I roto i ēnei, ngā huringa kai hei ārai i te kōpuku, ngā whakakori papa upoko hei whakakaha i ngā uaua tautoko, me ngā mea whakangawari i te kakau hei whakaiti i te whakamātautau i te wā e haere ana te kakau.
Ngā kōwhiringa kore-mātauranga e āwhina pea:
Ina kore ngā rongoā māori e tuku i te whakaora tika, ka waiho te pokanga hei kōwhiringa e tūtohutia ana. He maha ngā huarahi pokanga kei reira, ā, ka whiriwhiri tō taote e whakahaere ana i runga i tō āhuatanga motuhake, tō tau, me tō hauora whānui.
Ko ngā pokanga o te puku e pā ana ki te mahi i te tapahanga i roto i tō puku hei tae atu me te whakatika i te heke mai i runga. Ko ēnei tukanga te nuinga o te wā he iti ake te hokinga mai, engari e hiahiatia ana te whakaora whānui me te roa o te wā whakaora. Ka taea e te taote te tango i tetahi wāhanga o tō kōroke mena kei te whakauru ki te raruraru.
Ko ngā pokanga perineal ka mahia mā te rohe kei te taha o tō tara, ā, ka pai pea mō ngā tūpuna pakeke rānei e whai take hauora nui ana. Ahakoa he tere tonu te whakaora, ko ēnei tukanga i etahi wā he nui ake te hokinga mai i ngā huarahi o te puku.
I roto i ngā take onge kaore e taea te pokanga na te kino o ngā āhuatanga hauora, ka taea e tō taote te tūtohutia he colostomy. Ka hanga tēnei i te whakatuwheratanga i roto i te pakitara o tō puku mō te whakakorenga o te paru, mā te whakarereke i te rohe o te tūtae katoa.
Ahakoa kaore e taea e te whakahaere kāinga te whakaora i te heke o te tūtae, he maha ngā rautaki ka taea te awhina i a koe kia pai ake te ahua me te aukati i te kino ake i a koe e tatari ana rānei e ora ana i te rongoā. Ko ēnei huarahi e arotahi ana ki te whakaiti i te kaha me te tautoko i ngā tukanga whakaora taiao o tō tinana.
Ko te whakahaere i ō tikanga o te whekau te pūtake o te tiaki kāinga. Whakatūria ngā wā kaukau noa, pai ake i muri i ngā kai ina ka nui ake te mahi o tō pūnaha kai. Kaua rawa e kaha ki te pupuri i tō manawa i te wā e haere ana te whekau, na te mea ka nui ake te pehanga ki tō papa pelvic.
Ka taea e ngā whakarerekētanga kai te whakarereke nui i tō taumata pai:
Whakahaerehia te noho tika i roto i te wharepaku mā te whakamahi i te tuuru waewae iti hei whakaara i ō turi kia piki ake i ō hope i te noho i runga i te wharepaku. Ka whakatika tenei tūnga i tō tūwhenua i te āhua taiao, ka ngāwari ake te whakakore i te kore e ngākau kino.
Kia ma, kia maroke hoki te wāhi o tō tūwhenua kia kore ai e puta te mamae o te kiri. Whakamahia ngā tauera ngawari, kāore hoki he kakara, kāore rānei e horoi ki te wai mahana i muri i te nekehanga o te whekau. Whakamahia ngā kirikiri ārai mena ka pāngia koe e te rerenga kia tiaki ai tō kiri.
Mena ka taea e koe te tuku i te kiko kua hinga ki roto, horoia ō ringa ki te tino pai tuatahi, ā, whakamahia te pehanga ngawari ki te kākahu ma, makuku. Kaua rawa e aki, ā, rapuhia te tiaki hauora tonu mena kaore e taea e koe te whakaiti i te hinga, kāore rānei e mamae.
Ko te whakarite mō tō hui ka āhei te whakarite kia whiwhi koe i te tautuhi tino tika me te mahere rongoā tika. Ko te kohikohi i ngā mōhiohio e tika ana i mua ka whakaora i te wā, ā, ka āhei hoki i tō taote te mārama ki tō āhuatanga katoa.
Tūhonohia he tātai tohu mo te kotahi wiki iti rawa i mua i tō hui. Tūhonohia te wā e puta ai ngā tohu, ngā mea e whakaohooho ana i a rātou, me te āhua o te pānga ki ō mahi o ia rā. Tāpirihia ngā kōrero mō ō nekehanga o te whekau, te mamae, te kore rānei e pai, me te mea ka taea e koe te tuku i te hinga ki roto.
Hangaia he rārangi o ngā rongoā katoa e inu ana koe i tēnei wā, tae atu ki ngā rongoā tākuta, ngā rongoā kore-tākuta, me ngā taapiri. Ka taea e ētahi rongoā te pā ki te mahi o te whekau, kāore rānei e whakawhāiti i ngā kōwhiringa rongoā, no reira he mea nui te tika katoa.
Tuhia ngā pātai e hiahia ana koe ki te ui ki tō taote, pēnei i:
Kohikohia ngā mōhiohio e pā ana ki tō whānau,inā, ko ētahi whānau kei a rātou te mate o te tūahu o te tūāpapa, ētahi atu mate o ngā tūāpapa o te kopu, me ngā raruraru o te pūnaha kai. Ka taea e ēnei mōhiohio te āwhina i tō tākuta ki te mōhio ki ngā take irahiko pea.
Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, i tētahi mema rānei o tō whānau ki tō whakatau. Ka taea e rātou te āwhina i a koe ki te maumahara ki ngā mōhiohio nui me te whakarato i te tautoko hinengaro i ngā wā pea ka rongohia he kōrero whakama.
He mate e taea te whakaora te tūahu o te tūāpapa, ahakoa he kore ngāwari, ā, he whakama pea, kāore e whakawehi tika ana ki tō hauora. Ko te mea nui rawa atu kia mahara ko te rapu āwhina hauora i te wā e āhua pai ai ka ārahi ki ngā hua pai ake me ngā maimoatanga iti ake.
He tokomaha ngā tāngata e whakahaere pai ana i ō rātou tohu mā ngā huarahi whakarite penei i ngā huringa kai me ngā whakakori i te papa o te kopu,inā, i te wā e mau tonu ana te tūahu. Āe, ahakoa ka hiahiatia te pokanga, he tino whai hua ngā tikanga hou me ngā reiti angitu pai mō te wā roa.
Kaua e tuku i te whakama ki te aukati i a koe ki te whiwhi i te tiaki e hiahia ana koe. He wheako ngā kaiwhakarato hauora i te whakatau me te whakaora i te tūahu o te tūāpapa, ā, e mōhio ana rātou ki te nui o te pānga o ēnei tohu ki tō kounga ora. Mā te whakaora tika, ka hoki te nuinga o te iwi ki ngā mahi noa me te pai ake o ō rātou tohu.
Kia mahara ko te tūahu o te tūāpapa ka tupu haere pea mā ngā take e hangaia ana i te wā roa. Ko te tikanga tenei ko ngā huringa ora e mahi ana koe i tēnei rā, penei i te pupuri i ngā tikanga pūnaha hauora me te whakakaha i ngā uaua o tō papa kopu, ka taea te āwhina i te aukati i ngā raruraru o muri mai me te tautoko i tō hauora kopu katoa.
Ko te tūtoru o te tūtae ka rāre e ora katoa kahore he rongoā, tērā pea mō te hunga pakeke. Ka pai ake pea ngā mate iti mō te wā poto mā ngā tikanga whakaora ngāwari penei i ngā huringa kai me ngā whakakori i te papa pelvic, engari ko te ngoikore i puta ai te tūtoru ka noho tonu.
I ngā tamariki tino kōhungahunga, ina koa ngā pēpi, ka ora pea te tūtoru o te tūtae i te tipu o te tamaiti me te kaha o ōna uaua pelvic. Heoi, ko ngā mate o te hunga pakeke ka hiahia pea ki te whakahaere mahi hei aukati i te kino me te whakapai ake i ngā tohu.
Kāo, he rerekē ngā āhuatanga o te tūtoru o te tūtae me ngā hemorrhoids, ahakoa ka raruraru pea i te mea ka taea e ngā mea e rua te tuku i te kiko mai i te tara. Ko ngā hemorrhoids he ngā oko toto pupū i tō rohe tara, i te wā e pā ana te tūtoru o te tūtae ki te pakitara o te tūtae e ngākau ana i waho o tōna wāhi.
Ko te tikanga he ngawari me te ngākau ngā hemorrhoids, i te wā e kaha ake ana te kiko o te tūtae kua tūtoru. Ka taea e tō tākuta te wehewehe ngāwari i waenga i ngā mea e rua i te wā o te tirotiro me te tūtohu i te rongoā tika mō tō āhuatanga motuhake.
Kāo te tikanga he mea tika te mahi rongoā mō te tūtoru o te tūtae, ina koa i ngā mate iti, i te wā rānei e whakahaere pai ana ngā tikanga whakaora ngāwari i ō tohu. Ka whakamātauhia e tō tākuta ngā huarahi kore-rongoā penei i ngā whakarerekētanga kai, ngā whakakori i te papa pelvic, me ngā rongoā hei whakapai ake i te mahi o te kopu.
Ka tūtohuhia te mahi rongoā ina kore e homai e ngā tikanga whakaora ngāwari te whakaora tika, ina pā kino te tūtoru ki tō kounga ora, i te wā rānei e puta mai ana ngā raruraru. He maha ngā whiringa mahi rongoā, a ka tīpako tō taote i te huarahi e pai ana ki tō āhuatanga motuhake me tō hauora whānui.
Te roa o te whakaora ka rerekē te roa, kei te tūmomo pokanga i mahia, ā, kei tō hauora whānui. Ko ngā pokanga perineal e tika ana kia 2-4 wiki te whakaora tuatahi, ā, ko ngā pokanga puku pea ka roa atu i te 4-6 wiki i mua i tō hokinga ki ngā mahi noa.
Ka taea e te nuinga o te iwi te whakahoki i ngā mahi māmā i roto i ngā rā torutoru ki te wiki i muri i te pokanga, engari me karo koe i te kawe i ngā mea taimaha me te whakakino i te tinana mō ngā wiki maha. Ka homai e tō taote ngā aratohu motuhake e tū ana ki tō mahi me te whakaora.
Ka taea te hoki mai te hinga o te tūtae i muri i te rongoā, ahakoa ka rerekē ngā auau o te hokinga mai kei te tikanga rongoā i whakamahia. He nui ake ngā auau o te hokinga mai o ngā rongoā whakahaere i ngā mahi pokanga, engari he nui tonu te uara mō te whakahaere i ngā tohu, ā, pea ka whakaroa, kāore rānei e aukati i te hiahia mō te pokanga.
Ko ngā auau o te hokinga mai o te pokanga e whakawhirinaki ana ki te tikanga pokanga motuhake i mahia, ā, ko ngā pokanga puku te iti rawa o ngā auau o te hokinga mai i ngā huarahi perineal. Ka kōrero tō taote mō ngā rerenga angitu e tumanakohia ana mō tō āhuatanga motuhake, ā, ka āwhina ia koe ki te whiriwhiri i te rongoā pai rawa atu mō te roa.
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