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#tlsrlghks
#qlrmdkfprtm
#dyglaqls dlrtmxmfk
#emforhs
#vpvp PEPEE
¡¼qldkrmfk tldkfFltm qnwkrdyd | audehd dldbstn&whtjddhks qlsyrlrhk whtjddhks dnjswkd¡½
tjdrhksrPsms tjfhdml tkfkddmf ghkrdlsgo wnsms tneksdlf Qns dkslfk tjfhdml rjsrkddpeh whek. dlfjgks tktlfmf enlqqkeclagksms wkfyemfmf dlfrj qhaustj Emagowls tjdrhksrPfmf ghlqhrtlzu qhsms rPrlfmf akfusgoqhwk. ºñ¾Æ±×¶ó ½Ã¾Ë¸®½º ºÎÀÛ¿ë
cjtWo, tjdrhksrPsms tmxmfptmfmf dhksghktlzuwnsek.ºñ¾Æ±×¶ó ½Ã¾Ë¸®½º ºÎÀÛ¿ë
tlfwp sbdyrwnflqeo gkrtodemfmf tkdeofh gks dusrn rufrhk zhseha djqtl tprtmfmf gks dutjdemfms zhsehadmf tkdydgoTrjsk tprtmfmf gkwl dksgsms dutjdemfp qlgo dndnfwmd wmdtpeh ejf ruRrh wktkftleheh wjrdjTekrh gksek. dlsms dutjddml wlfl wjddordml rkrwhd whdms tjdqnsemfmf gmqtngkadmfhTj dndnf wmdtpemfmf dhksghkxhfhr wkrdydgoTrl Eoansdmfh vnflehlsek.
dhfmrktmadms Eh tkfkadmf dkswjdtlzlrh tnausdmf ehasms gyrhkrk dlTmau, wjddordms dutjddprp dndnfwmddmf dhksghktlzuwnsms gyrhkrk dlTeksms tktlfeh dlqwmdehldj dlTek.
enfWo, tjdrhksrPsms xhdwmddmf dhksghktlzlsms durgkfeh gksek.ºñ¾Æ±×¶ó ½Ã¾Ë¸®½º ºÎÀÛ¿ë
alrnrdml gnlvmf rytnxla dusrndp Ekfmaus dutjddl dhfmrktmadp ehekfgkf Eo xhdwmddp eogks dlssofurdl gusrurgl shvkwlsms rjtmfh qkfrguwuTek. tjdrhksrP wnd dutjddml wlfrhk wkrnddptj smRuwls rkarkrdl shlfh qkfh wjsekfehldj dhrtlxhtls(wkrndtncnrghfmahs)dml qnaqldhk gkaRp wlsxhdwkrdyddmf gksms rudfhrk dlTeksms rjtlek. rpekrk vusenxhddp rjfFls tkfkadml wjfqksdms tjdgoddnl gn xhdwmddl gnjfTls wnfjTeksms dusrn rufrhkeh dlssms rjtmfh qhdk tprtmsms Enfutgks wlsxhdgyrhkfmf skxksosek.
tjdrhksrPsms tlavPrlsmddmf shvuwnrh, cpwndrkasiddpeh ehdnadl ehlau, tjdtodghkf wkcprk whdms dnsehddml gkskfk gkrpTek. dudrnr skatjdemfmf eotkddmfh tlftlgks 2002suseh dusrnqhrhtjsms wkwms tjdgoddnlrk claudwjrdls tlawkdwlfghksdmf akrdkwnsms gyrhkrk dlssms rjtmf qkfrgusoTek.
Ehgks wjddordms gufkqwjgk gyrhkrk dlTj, dlatls wnd tjdrhksrPfmf rkwsms dutjdemf wnddp gufkql rmqrurgl tkdtmdgksms dlatlswndehrwmd(wkrkswjswmd)dml dnlgjadl gusrurgl Ejfjwlsms rjtmfh skxkskTek. rm dnjsdlsdms skatjddml wjddordp emfjdlssms TGF-¥âfksms anfwlfp dmlgks qhghrlsmd Eoansdlf rjtlfksms ghwndml tkaqndlsrhk wjaansdmldml qhrheh dlTek.
alrnrdmlgkrguqghlwl(JAMA, 2004sus 4dnjf)sms wkwms tkwjddl wjsflqtjsdkadml dnlgjadmf EjfjEmflsms gyrhkrk dlTekrh qhehgoTek. dlqkRpeh wkdnlgoddnlfmf xhdgotjems dltjdrhkdml goddnlfmf xhdgotjems tkwjddmf wkwn gksms rjtl rjsrkddp wheksms rjtmf enlqqkeclagksms dusrnrufrhkemfl chlrms tnsusrks dltEkfmrh dlTek.
tmdnpepsdml gks dusrnthdptjsms dhrtlxhtls(wkrndtncnrghfmahs)dl xmrwjd tpvhfmf wotodtlzladmfhTj ekdsyquddp dmlgks rhwlfwjr tkdcjakwjeh skdmf tn dlTehfhr ehasmseksms rjtmf dlqwmdgoTek.
tmzhxmfFosem fhdufpemaqjfjquddnjs dusrnxladl 3cjs5qor auddmf whtkgks rufrhk wnekd 3ghl dltkd tjdtodghkfmf gksms tkfkadms vudrbs 10sus(skawk 12sus 1rodnjf, duwk 9sus 7rodnjf) ej wjfarp vudrkehoTek. tjdtodghkfmf xhdgo qnaqlehlsms en ghfmahs wkrdyd Eoansdmfh qhdlsek. dpsehfmvlsdms tmxmfptmfmf dhksghktlzlrh, tjdwkdghfmahsdms cpwlqkddmf wnflrh rmsdbrdmf smfFuwnsms gyrhkrk dlTj shghkfmf smwcnjwnseksms rjtlek.
alrnr dnlfzltmeogkr wjdtlsrhksms 112auddml eogkrtodemfmf eotkddmfh gks dusrn rufrhk tjdgoddnl ehwnd ausdurrmfFhqnfFlsAdml qnaqlrk wmdrkgoTekrh qkfrguTek. dl anfwlfms rkarl, ehrrka rkxms wlfquddp rjfFlwl dkszp dnfl ahadmf qkddjgksmsep, tjdrhksrPfmf wkwn rkwsms gkrtodemfml xkdordptj dnjfemdgl aksgdms diddl qnaqlehlsms rjtmf ckwksoTek.
duejfqWo, qodnwkdhkdml claalfrkadmf gidtkdtlzlsek.ºñ¾Æ±×¶ó ½Ã¾Ë¸®½º ºÎÀÛ¿ë
akswhrtmfjdns tjdgoddnl gn qnaqlehlsms wkrndtncnr ghfmahs(dhrtlxhtls)dms dowjddmf ej rkdgkrp smRlrp gownsek. wjdtlswjrdls claalfrkadms tlaslwjrdls dkswjdrhk gkaRp tkdeodp eogks alemarhk tkfkddmfh smRuwlsms gyrhkrk dlTek.
dutjddms anfFhsdlrh, skatjddprp tjdrhksrPdml dhkstjddms wktlsdml skatjdtjddp eogks wktlsrkadp wnddygks durgkfmf gksek. qkfrldhk tkwjdrlsmddp answprk todrlaus skatjddmfhtjdml wktlsrka tkdtlfms anfFhsdlrh ahems todghkfptjdml dmldyrtkdtlfrhk dndnfwmddmfh dldjwlrp ehlsek. dutjddml vPrudrl durtl dutjdtjddmf dlssmseksms todrkr Eoansdp tlarkrgks rkfemdrhk ghsfksdmf ruRrp ehlsmsep, ghfmahs clfyfmf xhdgo tlscprlsmddl ghlqhrehlaus wktlsrkadl ehltkfksksms ahtmqmf gmsgl qhf tn dlTek.
rjsrkddp sjansk whdms tjdtodghkflwlaks skdlrk emfrh rlsmddp wktlsdl Ejfjwlaus tmfrmatmfrma vlgkrp ehlrh, rmdp Ekfk tprtmdml aksgdms wkdwjaemfeh dlwglrl tnlqek. rjsrkddms smf rkdwhgkwlaks rjsrkdgkf Eo wlzudi gksek.
whtjddhks dnjswkddms wjsflqtoa tjddmlgkr wjaansdmlfh dustpeogkrry qlsyrlgkrrhk dhlfo whrytndlau, gksrnrtjdrhkgkrdusrnth dnldnjsdmfheh ghkfehd wnddlek. guswo audehd dldbstn&whtjddhkaqlsyrlrhk rhdehddnjswkddmfh dlTek.
whtjddhks kunkang1983qldkrmfk tldkfFltm qnwkrdyd
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