Munyori: Janice Evans
Zuva Rekusika: 4 Chikunguru 2021
Gadziridza Zuva: 16 Mbudzi 2024
Anonim
Estrogen uye Progestin (Transdermal Patch Zvirongwa zvekudzivirira) - Mushonga
Estrogen uye Progestin (Transdermal Patch Zvirongwa zvekudzivirira) - Mushonga

Zvemukati

Kusvuta fodya kunowedzera mukana wekukuvara kwakakomba kubva pakubata nhumbu, zvinosanganisira kurwadza kwemoyo, kugwamba kweropa, uye kurova. Iyi njodzi yakakwira kune vakadzi vanopfuura makore makumi matatu nemashanu uye vanosvuta zvakanyanya (gumi nemashanu kana kupfuura fodya pazuva) uye mumadzimai ane body mass index (BMI) ye30 kg / m2 kana zvimwe. Kana iwe ukashandisa chigamba chekudzivirira, haufanirwe kuputa.

Estrogen uye progestin transdermal (chigamba) mishonga yekudzivirira inoshandiswa kudzivirira kubata nhumbu. Estrogen (ethinyl estradiol) uye progestin (levonorgestrel kana norelgestromin) mahormone echikadzi echikadzi. Kusanganiswa kweestrogen uye progestin inoshanda nekudzivirira ovulation (kuburitswa kwemazai kubva mumazai) uye nekushandura iyo yemumuromo memukoko uye mudumbu wechibereko.Chikamu chekudzivirira nhumbu inzira inoshanda kwazvo yekudzivirira kuberekwa, asi hachidziviriri kupararira kwehutachiona hwehutachiona hweHIV (hutachiona; hutachiona hunokonzeresa kuti uwane immunodeficiency syndrome [AIDS]) nezvimwe zvirwere zvepabonde.


Transdermal estrogen uye progestin yekudzivirira inouya sechigamba kuisa kune iro ganda. Chimwe chigamba chinoiswa kamwe chete pasvondo kwemavhiki matatu, ichiteverwa nevhiki isina-chigamba. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa chigamba chekudzivirira nhumbu chaizvo sekurairwa.

Kana iwe uchangotanga kushandisa iyo Twirla brand estrogen uye progestin yekudzivirira chigamba, iwe unofanirwa kuisa chigamba chako chekutanga pazuva rekutanga rekuenda kwako kumwedzi. Kana iwe uchangotanga kushandisa iyo Xulane brand estrogen uye progestin yekudzivirira kubata, unogona kuisa chigamba chako chekutanga pazuva rekutanga rekuenda kwako kumwedzi kana paSvondo yekutanga mushure mekunge nguva yako yatanga. Kana iwe ukaisa chigamba chako chekutanga mushure mezuva rekutanga rekuenda kwako kumwedzi, iwe unofanirwa kushandisa nzira yekuchengetedza yekuzvarwa (senge kondomu uye / kana spermicide) kwemazuva manomwe manomwe ekutanga kutenderera. Taura nachiremba wako kana wemishonga kuti uone kana uri mukutenderera kwako paunofanira kutanga kushandisa chigamba chako chekudzivirira.


Paunenge uchichinja chigamba chako, gara uchishandisa chigamba chako chitsva pazuva rimwe chete revhiki (iyo Patch Shanduko Zuva). Isa chigamba chitsva kamwe pasvondo kwevhiki nhatu. Pakati pevhiki 4, bvisa chigamba chekare asi usashandise chigamba chitsva, uye tarisira kutanga yako yekutevera. Pazuva rapera Vhiki yechina, isa chigamba chitsva kuti utange mutsva-wevhiki ina kunyangwe nguva yako yekutevera isati yatanga kana kuti isina kupera. Iwe haufanire kupfuura mazuva manomwe usina chigamba.

Isa chigamba chekudzivirira nhumbu kunzvimbo yakachena, yakaoma, isina kugadzikana, ine hutano paganda padumbu, dumbu, ruoko rwekunze rwekunze, kana torso yepamusoro, munzvimbo isingazokweshwe nembatya dzakakamira. Usaise chigamba chekudzivirira pamuviri pamazamu kana paganda rakatsvuka, rakatsamwa, kana rakachekwa. Usaise mafuta ekuzora, mafuta, mafuta ekuzora, hupfu, kana zvimwe zvinogadzirwa nemusoro kunzvimbo yeganda kunoiswa chigamba chekudzivirira nhumbu. Chikamu chimwe nechimwe chitsva chinofanira kuiswa panzvimbo nyowani paganda kubatsira kudzivirira kutsamwa.

Usacheke, kushongedza, kana kushandura chigamba neimwe nzira. Usashandise imwe tepi, glue, kana kuputira kubata chigamba panzvimbo yacho.


Imwe neimwe brand yeestrogen uye progestin yekudzivirira nhumbu inofanirwa kuiswa ichiteedzera yakatarwa nzira yakapihwa muruzivo rwemugadziri wemurwere. Verenga ruzivo urwu mushe usati watanga kushandisa esrogen uye progestin yekudzivirira zvigamba uye pese paunozadza mushonga wako. Kumbira chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Aya anoteedzera madhairekitori anogona kukubatsira kuyeuka zvimwe zvakakosha zvinhu zvaunofanira kuita kana iwe ukashandisa chero mhando yeestrogen uye progestin yekudzivirira kubata.

  1. Bvarura vhura homwe nezvigunwe. Usavhure homwe kusvikira wagadzirira kuisa chigamba.
  2. Bvisa chigamba kubva muhomwe. Ive nekuchengera kuti usabvise yakajeka plastiki liner sezvo iwe uchibvisa chigamba.
  3. Bvisa hafu kana chikamu chikuru chepurasitiki. Dzivisa kubata iyo inonamira pamusoro pechigamba.
  4. Isa nzvimbo inonamira yechigamba kuganda uye bvisa chimwe chikamu chepurasitiki. Dhinda pasi zvakasimba pachigamba nechanza cheruoko rwako kwemasekondi gumi, uchiita chokwadi chekuti makona anonamira zvakanaka.
  5. Mushure mevhiki imwe, bvisa chigamba kubva paganda rako. Peta chigamba chakashandiswa nehafu kuitira kuti chinamatire pachacho uye nekuchirasa kuitira kuti chisasvika kune vana nezvipfuwo. Usatsve chigamba chakashandiswa pasi pechimbuzi.

Tarisa chigamba chako zuva rega rega kuti uone kuti chiri kunamira. Kana chigamba chikave chikamu kana chakanyatsobviswa kweasingasviki zuva rimwe, edza kuchinyorera zvakare munzvimbo imwechete ipapo. Usaedze kunyorera zvekare chigamba chisingachabatike, chakanamatira pachacho kana imwe nzvimbo, icho chine chero chinhu chakanamatira kumusoro kwayo kana chakasununguka kana kudonha pamberi. Isa chigamba chitsva panzvimbo. Yako Patch Shanduko Zuva rinogara rakafanana. Kana chigamba chave chakaganhurirwa kana kunyatsoparadzaniswa kweinopfuura zuva rimwe, kana kana iwe usiri kuziva kuti chigamba chakavezwa kwenguva yakareba sei, unogona kusadzivirirwa kubva pakubata. Iwe unofanirwa kutanga mutsva kutenderera nekushandisa chigamba chitsva ipapo; zuva raunoshandisa chigamba chitsva rinova rako Nyowani Rachinja Zuva. Shandisa backup kubara kwevhiki yekutanga yeiyo nyowani kutenderera

Kana ganda riri pasi pechigamba chako rakatsamwa, unogona kubvisa chigamba uye woisa chigamba chitsva pane imwe nzvimbo paganda. Siya chigamba chitsva munzvimbo yacho kusvika yako yenguva Patch Shanduko Zuva. Ive neshuwa yekubvisa yekare chigamba nekuti haufanire kupfeka inopfuura imwechete chigamba panguva.

Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati washandisa chigamba chekudzivirira nhumbu isrogen uye progestin,

  • udza chiremba wako uye wemishonga kana uri weergergen kune maestrogen, progestin, chero mimwe mishonga, kana chero chinhu chinosanganiswa muestrogen uye progestin yekudzivirira mabara. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
  • udza chiremba wako kana iwe uri kushandisa chero imwe mhando yehormone yekuberekwa, senge mapiritsi, mhete, majekiseni, kana ma implant. Chiremba wako anokuudza kuti sei uye riini paunofanirwa kurega kushandisa imwe mhando yekuzvarwa uye wotanga kushandisa chigamba chekudzivirira. Usashandise chero imwe mhando yehormone yekudzivirira kuberekwa iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchingeita
  • udza chiremba wako kana uri kutora mubatanidzwa we ombitasvir, paritaprevir, uye ritonavir (Technivie) uine kana usina dasabuvir (muViekira Pak). Chiremba wako angangokuudza kuti usashandise estrogen uye progestin yekudzivirira kubata kana iwe uri kutora iyi mishonga.
  • udza chiremba wako uye wemishonga mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvinovaka muviri zvaunotora. Ive neshuwa yekutaura chero eanotevera: acetaminophen (APAP, Tylenol); anticoagulants ('blood thinner') senge warfarin (Coumadin); antifungals senge fluconazole (Diflucan), itraconazole (Onmel, Sporanox, Tolsura), ketoconazole, uye voriconazole (Vfend); aprepitant (Simbisa); ascorbic acid (vitamini C); atorvastatin (Lipitor, muCaduet); barbiturates senge phenobarbital; boceprevir (haichawanikwi muU.S.); bosentan (Tracleer); clofibrate (haichawanikwi muUS); colesevelam (Welchol); cyclosporine (Gengraf, Neoral, Sandimmune); griseofulvin (Gris-PEG); mishonga yeHIV yakadai seatazanavir (Reyataz, muEvotaz), darunavir (Prevista, muSymtuza, muPrezcobix), etravirine (Intelence), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (muKaletra), nelfinavir (Viracept) nevirapine (Viramune), ritonavir (Norvir, muKaletra, muViekira Pak) uye tipranavir (Aptivus); mishonga yekubatwa kwakadai se carbamazepine (Carbatrol, Equetro, Tegretol, vamwe), felbamate (Felbatol), lamotrigine (Lamictal), oxcarbazepine (Oxtellar XR, Trileptal), phenytoin (Dilantin, Phenytek), rufinamude (Banzel , Topamax, Trokendi, muQysmia); morphine (Kadian, MS Kuenderera mberi); muromo steroid senge dexamethasone (Hemady), methylprednisolone (Medrol), prednisone (Rayos), uye prednisolone (Orapred ODT, Prelone); rifampin (Rifadin, Rimactane, muRifamate, muRifater); rosuvastatin (Ezallor Sprinkle, Crestor); tizanidine (Zanaflex); telaprevir (haichawanikwi muU.S.); temazepam (Kudzorera); theophylline (Theo-24, Theochron); uye mishonga yetachiona sevothyroxine (Levo-T, Levoxyl, Synthroid, Tirosint, vamwe). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kusangana pamwe nesrogen uye progestin yekudzivirira matinji, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
  • udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya zvigadzirwa zvine St. John's wort.
  • udza chiremba wako kana iwe uchangobva kuvhiyiwa kana kana uri pamubhedha. Uyezve udza chiremba wako kana iwe wakamborwara nemoyo kana kuti wakambove; sitiroko; kuvhara ropa mumakumbo ako, mapapu, kana maziso; thrombophilia (mamiriro umo ropa rinogwamba nyore); kurwadziwa kwepfupa nekuda kwechirwere chemwoyo; kenza yemazamu, mutsetse wechibereko, wechibereko, kana wemukadzi; kusangana nekutsi kwemukadzi kubuda ropa panguva yekuenda kumwedzi; hepatitis (kuzvimba kwechiropa); yero yeganda kana maziso, kunyanya pawaive nepamuviri kana kushandisa mahormone ekudzivirira kubata pamuviri. bundu rechiropa; kutemwa nemusoro kunoitika nezvimwe zviratidzo sekushaya simba kana kunetsekana kuona kana kufamba; kukwirira kweropa; chirwere cheshuga chakakonzera matambudziko neitsvo dzako, maziso, tsinga, kana tsinga dzeropa; kana chirwere chevhavha yemoyo. Chiremba wako angangokuudza kuti haufanire kushandisa chigamba chekudzivirira.
  • udza chiremba wako kana iwe uchangobva kusununguka kana kuve nepamuviri kana kubvisa pamuviri, kana iwe uchirema 198 lbs kana kupfuura, uye kana iwe uchishambira nguva dzose kana kwenguva refu yenguva (maminitsi makumi matatu kana kupfuura). Uyezve udza chiremba wako kana paine munhu mumhuri mako akambove nekenza yemazamu uye kana iwe kana wakambove nemabundu emuzamu, chirwere chefibrocystic chezamu (mamiriro ayo mapundu kana mhomho dzisiri kenza fomu mumazamu), kana chisina kujairika mammogram (x-ray yemazamu). Uyezve udza chiremba wako kana iwe kana chero munhu mumhuri yako akambove kana akambove neakakwira ropa cholesterol uye mafuta; chirwere cheshuga; asima; migraines kana mamwe marudzi emusoro; kushushikana; pfari; zvishoma kana zvisina kujairika kumwedzi; angioedema (mamiriro anokonzeresa kumedza kana kufema uye kuzvimba kunorwadza kwechiso, huro, rurimi, miromo, maziso, maoko, tsoka, makumbo, kana makumbo ezasi); kana chiropa, moyo, nduru, kana chirwere cheitsvo.
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa estrogen uye progestin yekudzivirira matinji, daidza chiremba wako nekukurumidza. Unofanirwa kufungidzira kuti une nhumbu wodaidza chiremba wako kana wakashandisa chigamba chekudzivirira nhumbu nemazvo uye warasikirwa nenguva mbiri dzakateedzana, kana kana usati washandisa chigamba chekudzivirira nhumbu nenzira kwayo uye watadza imwe nguva.
  • kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa chigamba chekudzivirira nhumbu chinonzi estrogen uye progestin Taura nachiremba wako nezve izvi nekukurumidza apo kuvhiya kwako kwakarongwa nekuti chiremba wako angangoda kuti iwe umire kushandisa chigamba chekudzivirira nhumbu mavhiki mashoma usati wavhiyiwa.
  • udza chiremba wako kana iwe ukapfeka malensi ekubatana. Kana iwe ukaona shanduko mune chako chiono kana kugona kupfeka malenzi ako iwe uchishandisa estrogen uye progestincontraceptive chigamba, ona chiremba weziso.
  • iwe unofanirwa kuziva kuti kana iwe ukashandisa chigamba chekudzivirira nhumbu, avhareji huwandu hwesrogen muropa rako unenge wakakwira kupfuura zvaungave kana ukashandisa mushonga wekudzivirira kubata pamuromo (piritsi rekudzivirira kuberekwa), uye izvi zvinogona kuwedzera njodzi yemhedzisiro kuvhara ropa mumakumbo kana mumapapu. Taura nachiremba wako nezve njodzi dzekushandisa dziviriro yekubata pamuviri.

Taura nachiremba wako nezve kudya mazambiringa uye kunwa jisi remuzambiringa paunenge uchishandisa mushonga uyu.

Kana iwe ukakanganwa kuisa chigamba chako pakutanga kwechimwe chigamba (Svondo 1, Zuva 1), unogona kusadzivirirwa kubva pakubata. Isa chigamba chekutanga cheiyo nyowani nguva iwe paunenge uchayeuka. Ikozvino kwave nePatch Shanduko yeZuva nyowani uye neZuva nyowani 1. Shandisa nzira yekuchengetedza yekudzivirira kuberekwa kwevhiki rimwe chete.

Kana iwe ukakanganwa kushandura chigamba chako pakati pechigamba kutenderera (Svondo 2 kana Svondo 3) kwemazuva kana maviri mazuva, isa chigamba chitsva nekukasira wozadza chidimbu chinotevera pane waunogara Patch Shanduko Zuva. Kana iwe ukakanganwa kushandura chigamba chako mukati mekutenderera kweanopfuura mazuva maviri, unogona kusadzivirirwa kubva pakubata. Misa iyo yazvino kutenderera uye tanga iyo nyowani kutenderera nekukurumidza nekuisa chigamba chitsva. Ikozvino kwave nePatch Shanduko Yezuva nyowani uye neZuva nyowani 1. Shandisa nzira yekuchengetedza yekudzivirira kuberekwa kwevhiki rimwe chete.

Kana iwe ukakanganwa kubvisa chigamba chako pakupera kwechigamba kutenderera (Svondo 4), chibvise nekukurumidza iwe pauchayeuka. Tanga iyo inotevera kutenderera pane yakajairwa Patch Shanduko Zuva, zuva rinotevera Zuva 28.

Iyo estrogen uye progestin yekuzvidzivirira chigamba inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

  • kutsamwa, kutsvuka, kana kukurumidza panzvimbo yawakaisa chigamba
  • unyoro hwepazamu, kuwedzera, kana kuburitsa
  • kusvotwa
  • kurutsa
  • kurwadziwa nemudumbu kana kuzvimba
  • kurema kuwedzera
  • chinja mukuda kudya
  • acne
  • kurasikirwa nevhudzi
  • kubuda ropa kana kuona pakati pemwedzi
  • shanduko mukuyerera kwekuenda kumwedzi
  • inorwadza kana kurasikirwa nguva
  • kuvava kwemukadzi kana kutsamwa
  • chena kusangana nekutsi kwemukadzi kubuda

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:

  • kamwe kamwe musoro wakakomba, kurutsa, dzungu, kana kupera simba
  • zvinetso zvekutaura kamwe kamwe
  • kushaya simba kana kushama ruoko kana gumbo
  • kamwe-kamwe kukwana kana kukwana kurasikirwa kwemaonero
  • kuona kaviri kana kushanduka pakuona
  • maziso anobuda
  • kupwanya kurwadziwa kwepfupa
  • uremu hwechipfuva
  • kukosora ropa
  • mweya wekufema
  • kurwadziwa musana wegumbo rezasi
  • kurwadziwa kwakanyanya mudumbu
  • matambudziko ekurara, manzwiro anochinja, uye zvimwe zviratidzo zvekuora mwoyo
  • yero yeganda kana maziso; kurasikirwa nenzara; weti yakasviba; kuneta kwakanyanya; kushaya simba; kana kupenya-kujeka ura kufamba
  • matema matema eganda pahuma, matama, muromo wepamusoro, uye / kana chin
  • kuzvimba kwemaziso, kumeso, rurimi, huro, maoko, tsoka, makumbo, kana makumbo ezasi

Iyo estrogen uye progestin yekuzvidzivirira chigamba inogona kuwedzera njodzi yekuvandudza endometrium uye kenza yemazamu, chirwere chenduru, maronda echiropa, kurwisa kwemoyo, sitiroko, uye kugwamba kweropa. Taura nachiremba wako nezve njodzi dzekushandisa mushonga uyu.

Ethinyl estradiol uye norelgestromin dziviriro yekudzivirira inogona kukonzera mimwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchishandisa mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Panzvimbo iyoyo, nzira yakanakisa yekurasa mishonga yako ndeyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe uye kusvika kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. http://www.upandaway.org

Muchiitiko chekuwedzeredza, bvisa zvese zvigamba zvakaiswa uye fonera nzvimbo yako yekudzivirira chepfu pa1-800-222-1222. Kana munhu wacho akadonha kana kuti asiri kufema, fonera nhare dzenharaunda munzvimbo dzinosvika 911.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Iwe unofanirwa kuve nekuongororwa kwakakwana kwemuviri gore rega, kusanganisira kuyerwa kweropa uye kuyedza kwemazamu uye kwepamuviri. Tevedza zvirevo zvechiremba wako zvekuongorora mazamu ako; mhan'ara chero mapundu ipapo ipapo.

Usati waita chero bvunzo dzemarabhoritari, udza vashandi ve murabhoritari kuti unoshandisa chigamba chekudzivirira nhumbu cheestrogen uye progestin, sezvo mushonga uyu ungakanganisa kumwe kuyedzwa kwerabhoritari.

Usarega mumwe munhu achishandisa mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

  • Xulane® (iine Ethinyl Estradiol, Norelgestromin)
  • Twirla® (iine Ethinyl Estradiol, Levonorgestrel)
  • chekubata chigamba
Yekupedzisira Yakagadziridzwa - 02/15/2021

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