Mmmh&Mc Catheterization Laboratory

Mmmh&Mc Catheterization Laboratory The Catheterization Laboratory is specialized unit that uses radiologic guidance in the performance

๐Ÿ“ŒANOTHER MILESTONE UNLOCKED IN INTERVENTIONAL NEURORADIOLOGY! โ˜ขWitness the FIRST SUCCESFUL ENDOVASCULAR COILING OF A BR...
23/12/2024

๐Ÿ“ŒANOTHER MILESTONE UNLOCKED IN INTERVENTIONAL NEURORADIOLOGY! โ˜ขWitness the FIRST SUCCESFUL ENDOVASCULAR COILING OF A BRAIN ANEURYSM. ๐Ÿง 

PROCEDURE: โ€œCEREBRAL ANGIOGRAM WITH ENDOVASCULAR COILING OF ANTERIOR COMMUNICATING ARTERY ANEURYSM"

Cerebral angiogram with endovascular coiling is a minimally invasive procedure used to treat brain aneurysms. It involves inserting a catheter (a thin, flexible tube) through a small incision, either in the groin or wrist, and guiding it in the brain using fluoroscopy (a type of real-time X-ray imaging).
Once the catheter is in place, a special dye is injected through the catheter, and X-ray images are taken to visualize the blood flow to the brain and identify the aneurysm.
A microcatheter is then placed within the aneurysm wherein tiny platinum coils are threaded through it and deployed into the aneurysm. These coils promote clot formation within the aneurysm which helps to seal it off from the blood flow and reduces the risk of rupture.
This procedure offers an alternative to traditional open brain surgery, because it is less invasive , has a short recovery time, and generally involves fewer complications.

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Case: A 45-year-old male diagnosed with subarachnoid hemorrhage Hunt and Hess Grade 2; Hypertension Stage II Uncontrolled. Diagnostic imaging confirmed a small saccular aneurysm of the anterior communicating artery. The procedure was completed within 1 hour with no periprocedural complications. The patient was transferred to Post Anesthesia Care Unit and Neuro Cardiovascular Care Unit for post procedure care and management.

Team consists of:
Interventional Radiologist: Dr. Lemuel Marquez Narcise - Main Operator, Primary Attending Doctor
Interventional Radiologist: Dr. Marc Dominic Rosario- 1st Assist
Neurosurgeon: Dr. Milagros Andrea Victoria Lazo
Anesthesiologists: Dr. Ma. Ellen Raguindin & Dr. Ralph Caรฑete
Scrub Nurses: Vivien Eunice F. Marquez, RN, Vina Jane Santos, RN
Circulating Nurse: Clifford Amodo, RN
Cardiovascular Nurse Technologists: Jhun Cabinian, RN , Christian Hernando, RN
Hemodynamic Nurse: Joenathan Jones A. Pacol, RN
Radiologic Technologist: Arwynn L. Sanchez, RRT

For inquiries and concerns. contact:
โ˜Ž๏ธ: (077) 600-8000
๐Ÿ“ฑ: +639994261876
๐Ÿ“ง: [email protected]

๐Ÿ“ข๐Ÿ“ขโ€ผ๏ธ๐Ÿ“ŒThe Mariano Marcos Memorial Hospital & Medical Center (MMMH&MC)- Catheterization Laboratory will be conducting a we...
15/12/2023

๐Ÿ“ข๐Ÿ“ขโ€ผ๏ธ๐Ÿ“ŒThe Mariano Marcos Memorial Hospital & Medical Center (MMMH&MC)- Catheterization Laboratory will be conducting a webinar lecture entitled โ€œInterventional Neuro Radiology: Current and Personal Experiences in Neurointervention โ€œon December 22, 2023 @ 3:00 PM.
We are inviting all doctors, nurses, allied health professionals and students taking up health and allied health courses.
This webinar is FREE! Invite your friends and register through the link ๐Ÿ‘‡๐Ÿ‘‡๐Ÿ‘‡ or you can scan the QR code.
Link: https://forms.gle/uZPvnPKWbYKaGbPr7
See you there! ๐Ÿ˜Š

07/08/2023

ANOTHER MILESTONE UNLOCKED IN PEDIATRIC CARDIAC INTERVENTION: Witness the FIRST successful Atrial Septal Defect (ASD) device closure in a pediatric patient in our hospital! โค๏ธ

Atrial septal defect (ASD) is a heart condition where there is an abnormal hole in the wall (septum) between the two upper chambers of the heart, called the atria. This hole allows some of the oxygen-rich blood from the left atrium to mix with the oxygen-poor blood from the right atrium. As a result, the heart has to work harder to pump the mixed blood throughout the body.

Percutaneous transcatheter closure of atrial septal defect (ASD) is a minimally invasive procedure used to repair the abnormal hole in the wall between the two upper chambers of the heart. Instead of open-heart surgery, this procedure is done using a catheter, which is a thin tube inserted through a small incision in the groin and guided to the heart.

The procedure is called "percutaneous" because it does not require opening the chest or stopping the heart. It offers a less invasive alternative to traditional surgery and usually results in shorter recovery times and less scarring. However, the suitability of this procedure depends on the size and location of the ASD, as well as the individual patient's condition.

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Case: An 8 year old female diagnosed with Congenital Heart Disease, Atrial Septal Defect (ASD) secundum in Congestive Heart Failure underwent Percutaneous Transcatheter Closure of the ASD (ASD device) with Transesophageal Echocardiography (TEE). The procedure was completed within 25 minutes and was well- tolerated by the patient. The patient was discharged 1 day after the procedure.

Team consists of:
Pediatric Interventional Cardiologists: Dr. Ma. Rosita Quitola-Manangan & Dr. Jean Antonio Villeareal
Pediatric Non-invasive Cardiologist: Dr. Ma. Eloisa Lazaro- Salvador
Anesthesiologist: Dr. Mary Ann O. Sanchez
First Assist: Dr. Jun Carlos R. Maruquin
Scrub Nurse: Vivien Eunice F. Marquez, RN
Circulating Nurses: Vina Jane T. Santos, RN & Suerte G. Domingo, RN
Cardiovascular Nurse Technologist: Gladys P. Domingo, RN
Hemodynamic Nurse: Joenathan Jones A. Pacol, RN
Radiologic Technologists: Arwynn L. Sanchez, RRT, Kareem Joshua S. Asuncion, RRT, Mark Laurence Oredina, RRT & Louwella Fallet, RRT

For inquiries and concerns,pls. contact:
โ˜Ž๏ธ: (077) 600-8000
๐Ÿ“ฑ: +639177799144/+639994261876
๐Ÿ“ง: [email protected]

โš•๏ธ๐–๐ก๐š๐ญ ๐ข๐ฌ ๐๐š๐ฅ๐ฅ๐จ๐จ๐ง ๐€๐ญ๐ซ๐ข๐š๐ฅ ๐’๐ž๐ฉ๐ญ๐จ๐ฌ๐ญ๐จ๐ฆ๐ฒ?๐๐š๐ฅ๐ฅ๐จ๐จ๐ง ๐€๐ญ๐ซ๐ข๐š๐ฅ ๐’๐ž๐ฉ๐ญ๐จ๐ฌ๐ญ๐จ๐ฆ๐ฒ (๐๐€๐’) ๐ข๐ฌ ๐š ๐ฆ๐ข๐ง๐ข๐ฆ๐š๐ฅ๐ฅ๐ฒ ๐ข๐ง๐ฏ๐š๐ฌ๐ข๐ฏ๐ž ๐ฉ๐ซ๐จ๐œ๐ž๐๐ฎ๐ซ๐ž ๐ญ๐ก๐š๐ญ ๐ฎ๐ฌ๐ž๐ฌ ๐š ๐›๐š๐ฅ๐ฅ๐จ๐จ...
14/10/2022

โš•๏ธ๐–๐ก๐š๐ญ ๐ข๐ฌ ๐๐š๐ฅ๐ฅ๐จ๐จ๐ง ๐€๐ญ๐ซ๐ข๐š๐ฅ ๐’๐ž๐ฉ๐ญ๐จ๐ฌ๐ญ๐จ๐ฆ๐ฒ?
๐๐š๐ฅ๐ฅ๐จ๐จ๐ง ๐€๐ญ๐ซ๐ข๐š๐ฅ ๐’๐ž๐ฉ๐ญ๐จ๐ฌ๐ญ๐จ๐ฆ๐ฒ (๐๐€๐’) ๐ข๐ฌ ๐š ๐ฆ๐ข๐ง๐ข๐ฆ๐š๐ฅ๐ฅ๐ฒ ๐ข๐ง๐ฏ๐š๐ฌ๐ข๐ฏ๐ž ๐ฉ๐ซ๐จ๐œ๐ž๐๐ฎ๐ซ๐ž ๐ญ๐ก๐š๐ญ ๐ฎ๐ฌ๐ž๐ฌ ๐š ๐›๐š๐ฅ๐ฅ๐จ๐จ๐ง ๐œ๐š๐ญ๐ก๐ž๐ญ๐ž๐ซ ๐ญ๐จ ๐๐ข๐ฅ๐š๐ญ๐ž ๐ญ๐ก๐ž ๐ซ๐ž๐ฌ๐ญ๐ซ๐ข๐œ๐ญ๐ข๐ฏ๐ž ๐ข๐ง๐ญ๐ž๐ซ๐š๐ญ๐ซ๐ข๐š๐ฅ ๐ฌ๐ž๐ฉ๐ญ๐ฎ๐ฆ ๐จ๐ฉ๐ž๐ง๐ข๐ง๐  ๐จ๐Ÿ ๐ฉ๐š๐ญ๐ข๐ž๐ง๐ญ๐ฌ ๐ฐ๐ข๐ญ๐ก ๐œ๐ซ๐ข๐ญ๐ข๐œ๐š๐ฅ ๐œ๐จ๐ง๐ ๐ž๐ง๐ข๐ญ๐š๐ฅ ๐ก๐ž๐š๐ซ๐ญ ๐๐ข๐ฌ๐ž๐š๐ฌ๐ž๐ฌ.

๐“๐ก๐ž ๐ข๐ง๐ญ๐ž๐ซ๐ฏ๐ž๐ง๐ญ๐ข๐จ๐ง๐š๐ฅ ๐œ๐š๐ซ๐๐ข๐จ๐ฅ๐จ๐ ๐ข๐ฌ๐ญ ๐›๐ž๐ ๐ข๐ง๐ฌ ๐›๐ฒ ๐ฆ๐š๐ค๐ข๐ง๐  ๐š ๐ญ๐ข๐ง๐ฒ ๐ข๐ง๐œ๐ข๐ฌ๐ข๐จ๐ง ๐ข๐ง ๐ญ๐ก๐ž ๐ ๐ซ๐จ๐ข๐ง ๐ญ๐จ ๐š๐œ๐œ๐ž๐ฌ๐ฌ ๐ญ๐ก๐ž ๐Ÿ๐ž๐ฆ๐จ๐ซ๐š๐ฅ ๐ฏ๐ž๐ข๐ง ๐ฐ๐ข๐ญ๐ก ๐š ๐œ๐š๐ญ๐ก๐ž๐ญ๐ž๐ซ. ๐Ž๐ง๐œ๐ž ๐ญ๐ก๐ž ๐œ๐š๐ญ๐ก๐ž๐ญ๐ž๐ซ ๐ข๐ฌ ๐ข๐ง ๐ฉ๐ฅ๐š๐œ๐ž, ๐š ๐๐ž๐Ÿ๐ฅ๐š๐ญ๐ž๐ ๐›๐š๐ฅ๐ฅ๐จ๐จ๐ง ๐œ๐š๐ญ๐ก๐ž๐ญ๐ž๐ซ ๐ข๐ฌ ๐ข๐ง๐ฌ๐ž๐ซ๐ญ๐ž๐ ๐š๐ง๐ ๐ ๐ฎ๐ข๐๐ž๐ ๐ญ๐จ ๐ญ๐ก๐ž ๐ก๐ž๐š๐ซ๐ญ ๐›๐ฒ ๐ฎ๐ฌ๐ข๐ง๐  ๐š ๐Ÿ๐ฅ๐ฎ๐จ๐ซ๐จ๐ฌ๐œ๐จ๐ฉ๐ฒ ๐ฆ๐š๐œ๐ก๐ข๐ง๐ž ๐ญ๐ก๐š๐ญ ๐ฉ๐ซ๐จ๐๐ฎ๐œ๐ž๐ฌ ๐ซ๐ž๐š๐ฅ-๐ญ๐ข๐ฆ๐ž ๐ข๐ฆ๐š๐ ๐ข๐ง๐  ๐จ๐Ÿ ๐ญ๐ก๐ž ๐ก๐ž๐š๐ซ๐ญ ๐ญ๐ก๐ซ๐จ๐ฎ๐ ๐ก ๐ฌ๐ž๐ซ๐ข๐ž๐ฌ ๐จ๐Ÿ ๐ฑ-๐ซ๐š๐ฒ๐ฌ. ๐Ž๐ง๐œ๐ž ๐ญ๐ก๐ž ๐›๐š๐ฅ๐ฅ๐จ๐จ๐ง ๐œ๐š๐ญ๐ก๐ž๐ญ๐ž๐ซ ๐ซ๐ž๐š๐œ๐ก๐ž๐ฌ ๐ญ๐ก๐ž ๐ซ๐ข๐ ๐ก๐ญ ๐š๐ญ๐ซ๐ข๐ฎ๐ฆ, ๐ข๐ญ ๐ข๐ฌ ๐ฉ๐š๐ฌ๐ฌ๐ž๐ ๐ญ๐ก๐ซ๐จ๐ฎ๐ ๐ก ๐ญ๐ก๐ž ๐ซ๐ž๐ฌ๐ญ๐ซ๐ข๐œ๐ญ๐ข๐ฏ๐ž ๐ข๐ง๐ญ๐ž๐ซ๐š๐ญ๐ซ๐ข๐š๐ฅ ๐ฌ๐ž๐ฉ๐ญ๐ฎ๐ฆ ๐ข๐ง๐ญ๐จ ๐ญ๐ก๐ž ๐ฅ๐ž๐Ÿ๐ญ ๐š๐ญ๐ซ๐ข๐ฎ๐ฆ ๐š๐ง๐ ๐ข๐ง๐Ÿ๐ฅ๐š๐ญ๐ž๐. ๐€๐Ÿ๐ญ๐ž๐ซ ๐ข๐ญ ๐ข๐ฌ ๐ข๐ง๐Ÿ๐ฅ๐š๐ญ๐ž๐, ๐ญ๐ก๐ž ๐›๐š๐ฅ๐ฅ๐จ๐จ๐ง ๐œ๐š๐ญ๐ก๐ž๐ญ๐ž๐ซ ๐ข๐ฌ ๐ฉ๐ฎ๐ฅ๐ฅ๐ž๐ ๐›๐š๐œ๐ค ๐ญ๐จ ๐ญ๐ก๐ž ๐ซ๐ข๐ ๐ก๐ญ ๐š๐ญ๐ซ๐ข๐ฎ๐ฆ, ๐œ๐ซ๐ž๐š๐ญ๐ข๐ง๐  ๐š ๐ฅ๐š๐ซ๐ ๐ž๐ซ ๐จ๐ฉ๐ž๐ง๐ข๐ง๐  ๐›๐ž๐ญ๐ฐ๐ž๐ž๐ง ๐ญ๐ก๐ž ๐ซ๐ข๐ ๐ก๐ญ ๐š๐ง๐ ๐ฅ๐ž๐Ÿ๐ญ ๐š๐ญ๐ซ๐ข๐š, ๐ž๐ง๐š๐›๐ฅ๐ข๐ง๐  ๐ญ๐ก๐ž ๐จ๐ฑ๐ฒ๐ ๐ž๐ง๐š๐ญ๐ž๐ ๐š๐ง๐ ๐๐ž๐จ๐ฑ๐ฒ๐ ๐ž๐ง๐š๐ญ๐ž๐ ๐›๐ฅ๐จ๐จ๐ ๐ญ๐จ ๐ฆ๐ข๐ฑ.
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๐€๐ง ๐Ÿ๐Ÿ–-๐๐š๐ฒ ๐จ๐ฅ๐ ๐ฆ๐š๐ฅ๐ž ๐ฐ๐š๐ฌ ๐›๐จ๐ซ๐ง ๐š๐ญ ๐Œ๐š๐ซ๐ข๐š๐ง๐จ ๐Œ๐š๐ซ๐œ๐จ๐ฌ ๐Œ๐ž๐ฆ๐จ๐ซ๐ข๐š๐ฅ ๐‡๐จ๐ฌ๐ฉ๐ข๐ญ๐š๐ฅ & ๐Œ๐ž๐๐ข๐œ๐š๐ฅ ๐‚๐ž๐ง๐ญ๐ž๐ซ ๐š๐ง๐ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐ ๐š๐ฌ ๐š ๐œ๐š๐ฌ๐ž ๐จ๐Ÿ ๐‚๐จ๐ง๐ ๐ž๐ง๐ข๐ญ๐š๐ฅ ๐ก๐ž๐š๐ซ๐ญ ๐๐ข๐ฌ๐ž๐š๐ฌ๐ž, ๐“๐ซ๐ข๐œ๐ฎ๐ฌ๐ฉ๐ข๐ ๐ฌ๐ญ๐ž๐ง๐จ๐ฌ๐ข๐ฌ, ๐ฌ๐ž๐ฏ๐ž๐ซ๐ž, ๐๐ฎ๐ฅ๐ฆ๐จ๐ง๐š๐ซ๐ฒ ๐ฏ๐š๐ฅ๐ฏ๐ž ๐š๐ญ๐ซ๐ž๐ฌ๐ข๐š, ๐ฅ๐š๐ซ๐ ๐ž ๐๐š๐ญ๐ž๐ง๐ญ ๐๐ฎ๐œ๐ญ๐ฎ๐ฌ ๐š๐ซ๐ญ๐ž๐ซ๐ข๐จ๐ฌ๐ฎ๐ฌ, ๐‘๐ž๐ฌ๐ญ๐ซ๐ข๐œ๐ญ๐ข๐ฏ๐ž ๐ฉ๐š๐ญ๐ž๐ง๐ญ ๐Ÿ๐จ๐ซ๐š๐ฆ๐ž๐ง ๐จ๐ฏ๐š๐ฅ๐ž ๐ฐ๐ข๐ญ๐ก ๐ฌ๐ข๐ ๐ง๐ฌ ๐จ๐Ÿ ๐ฅ๐จ๐ฐ ๐œ๐š๐ซ๐๐ข๐š๐œ ๐จ๐ฎ๐ญ๐ฉ๐ฎ๐ญ. ๐‡๐ž ๐ฐ๐š๐ฌ ๐ซ๐ž๐Ÿ๐ž๐ซ๐ซ๐ž๐ ๐ญ๐จ ๐๐ž๐๐ข๐š๐ญ๐ซ๐ข๐œ ๐ˆ๐ง๐ญ๐ž๐ซ๐ฏ๐ž๐ง๐ญ๐ข๐จ๐ง๐š๐ฅ ๐‚๐š๐ซ๐๐ข๐จ๐ฅ๐จ๐ ๐ฒ ๐Ÿ๐จ๐ซ ๐๐š๐ฅ๐ฅ๐จ๐จ๐ง ๐€๐ญ๐ซ๐ข๐š๐ฅ ๐’๐ž๐ฉ๐ญ๐จ๐ฌ๐ญ๐จ๐ฆ๐ฒ (๐๐ข๐ฅ๐š๐ญ๐š๐ญ๐ข๐จ๐ง ๐จ๐Ÿ ๐ข๐ง๐ญ๐ซ๐š๐ญ๐ซ๐ข๐š๐ฅ ๐œ๐จ๐ฆ๐ฆ๐ฎ๐ง๐ข๐œ๐š๐ญ๐ข๐จ๐ง) ๐š๐ง๐ ๐ฉ๐จ๐ฌ๐ฌ๐ข๐›๐ฅ๐ž ๐๐š๐ญ๐ž๐ง๐ญ ๐ƒ๐ฎ๐œ๐ญ๐ฎ๐ฌ ๐€๐ซ๐ญ๐ž๐ซ๐ข๐จ๐ฌ๐ฎ๐ฌ ๐ฌ๐ญ๐ž๐ง๐ญ๐ข๐ง๐ .

๐“๐ก๐ž ๐ฉ๐š๐ญ๐ข๐ž๐ง๐ญ ๐ฐ๐š๐ฌ ๐ฌ๐œ๐ก๐ž๐๐ฎ๐ฅ๐ž๐ ๐Ÿ๐จ๐ซ ๐๐š๐ฅ๐ฅ๐จ๐จ๐ง ๐€๐ญ๐ซ๐ข๐š๐ฅ ๐’๐ž๐ฉ๐ญ๐จ๐ฌ๐ญ๐จ๐ฆ๐ฒ ๐š๐Ÿ๐ญ๐ž๐ซ ๐š ๐ฌ๐ž๐ซ๐ข๐ž๐ฌ ๐จ๐Ÿ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ญ๐ข๐œ ๐š๐ง๐ ๐ฅ๐š๐›๐จ๐ซ๐š๐ญ๐จ๐ซ๐ฒ ๐ญ๐ž๐ฌ๐ญ๐ฌ ๐š๐ง๐ ๐ฐ๐š๐ฌ ๐จ๐ฉ๐ญ๐ข๐ฆ๐ข๐ณ๐ž๐ ๐ฉ๐ซ๐ข๐จ๐ซ ๐ญ๐จ ๐ญ๐ก๐ž ๐ฉ๐ซ๐จ๐œ๐ž๐๐ฎ๐ซ๐ž. ๐“๐ก๐ž ๐ฉ๐ซ๐จ๐œ๐ž๐๐ฎ๐ซ๐ž ๐ฐ๐š๐ฌ ๐ญ๐ก๐จ๐ซ๐จ๐ฎ๐ ๐ก๐ฅ๐ฒ ๐ž๐ฑ๐ฉ๐ฅ๐š๐ข๐ง๐ž๐ ๐ญ๐จ ๐ญ๐ก๐ž ๐ฉ๐š๐ซ๐ž๐ง๐ญ๐ฌ ๐จ๐Ÿ ๐ญ๐ก๐ž ๐ฉ๐š๐ญ๐ข๐ž๐ง๐ญ, ๐ข๐ญ๐ฌ ๐ซ๐ข๐ฌ๐ค๐ฌ ๐š๐ง๐ ๐œ๐จ๐ฆ๐ฉ๐ฅ๐ข๐œ๐š๐ญ๐ข๐จ๐ง๐ฌ ๐š๐ง๐ ๐ž๐ฏ๐ž๐ง๐ญ๐ฎ๐š๐ฅ๐ฅ๐ฒ, ๐œ๐จ๐ง๐ฌ๐ž๐ง๐ญ ๐ฐ๐š๐ฌ ๐ฌ๐ž๐œ๐ฎ๐ซ๐ž๐.
๐‚๐š๐ญ๐ก๐ž๐ญ๐ž๐ซ๐ข๐ณ๐š๐ญ๐ข๐จ๐ง ๐ฐ๐š๐ฌ ๐ฉ๐ž๐ซ๐Ÿ๐จ๐ซ๐ฆ๐ž๐ ๐ฏ๐ข๐š ๐ญ๐ก๐ž ๐Ÿ๐ž๐ฆ๐จ๐ซ๐š๐ฅ ๐ฏ๐ž๐ข๐ง. ๐€ ๐›๐š๐ฅ๐ฅ๐จ๐จ๐ง ๐œ๐š๐ญ๐ก๐ž๐ญ๐ž๐ซ ๐ฐ๐š๐ฌ ๐ญ๐ก๐ž๐ง ๐ข๐ง๐ฌ๐ž๐ซ๐ญ๐ž๐ ๐š๐ง๐ ๐ข๐ฌ ๐š๐๐ฏ๐š๐ง๐œ๐ž๐ ๐ข๐ง๐ญ๐จ ๐ญ๐ก๐ž ๐ซ๐ข๐ ๐ก๐ญ ๐š๐ญ๐ซ๐ข๐ฎ๐ฆ. ๐“๐ก๐ž๐ง ๐ญ๐ก๐ž ๐Ÿ๐จ๐ซ๐š๐ฆ๐ž๐ง ๐จ๐ฏ๐š๐ฅ๐ž ๐ข๐ฌ ๐œ๐ซ๐จ๐ฌ๐ฌ๐ž๐ ๐š๐ง๐ ๐ญ๐ก๐ž ๐œ๐š๐ญ๐ก๐ž๐ญ๐ž๐ซ ๐ข๐ฌ ๐ฉ๐จ๐ฌ๐ข๐ญ๐ข๐จ๐ง๐ž๐ ๐ข๐ง ๐ญ๐ก๐ž ๐ฅ๐ž๐Ÿ๐ญ ๐š๐ญ๐ซ๐ข๐ฎ๐ฆ. ๐‚๐จ๐ซ๐ซ๐ž๐œ๐ญ ๐ฉ๐จ๐ฌ๐ข๐ญ๐ข๐จ๐ง ๐ข๐ฌ ๐๐จ๐œ๐ฎ๐ฆ๐ž๐ง๐ญ๐ž๐ ๐ฏ๐ข๐š ๐Ÿ๐ฅ๐ฎ๐จ๐ซ๐จ๐ฌ๐œ๐จ๐ฉ๐ฒ ๐ฆ๐š๐œ๐ก๐ข๐ง๐ž. ๐“๐ก๐ž ๐›๐š๐ฅ๐ฅ๐จ๐จ๐ง ๐ฐ๐š๐ฌ ๐ช๐ฎ๐ข๐œ๐ค๐ฅ๐ฒ ๐ข๐ง๐Ÿ๐ฅ๐š๐ญ๐ž๐ ๐ฐ๐ข๐ญ๐ก ๐š ๐ง๐จ๐ง-๐ข๐จ๐ง๐ข๐œ ๐œ๐จ๐ง๐ญ๐ซ๐š๐ฌ๐ญ ๐ญ๐จ ๐๐ข๐ฅ๐š๐ญ๐ž ๐ญ๐ก๐ž ๐ซ๐ž๐ฌ๐ญ๐ซ๐ข๐œ๐ญ๐ข๐ฏ๐ž ๐๐…๐Ž. ๐“๐ก๐ž ๐š๐๐ž๐ช๐ฎ๐š๐œ๐ฒ ๐จ๐Ÿ ๐ญ๐ก๐ž ๐ข๐ง๐ญ๐ž๐ซ๐š๐ญ๐ซ๐ข๐š๐ฅ ๐œ๐จ๐ฆ๐ฆ๐ฎ๐ง๐ข๐œ๐š๐ญ๐ข๐จ๐ง ๐ฉ๐จ๐ฌ๐ญ -๐›๐š๐ฅ๐ฅ๐จ๐จ๐ง ๐ฐ๐š๐ฌ ๐ฆ๐ž๐š๐ฌ๐ฎ๐ซ๐ž๐ ๐๐ข๐ซ๐ž๐œ๐ญ๐ฅ๐ฒ ๐›๐ฒ ๐ญ๐ซ๐š๐ง๐ฌ๐ญ๐ก๐จ๐ซ๐š๐œ๐ข๐œ ๐ž๐œ๐ก๐จ๐œ๐š๐ซ๐๐ข๐จ๐ ๐ซ๐š๐ฉ๐ก๐ฒ.

๐“๐ก๐ž ๐ฉ๐ซ๐จ๐œ๐ž๐๐ฎ๐ซ๐ž ๐ฐ๐š๐ฌ ๐œ๐จ๐ฆ๐ฉ๐ฅ๐ž๐ญ๐ž๐ ๐ฎ๐ง๐ž๐ฏ๐ž๐ง๐ญ๐Ÿ๐ฎ๐ฅ๐ฅ๐ฒ ๐š๐ง๐ ๐ฐ๐š๐ฌ ๐ฐ๐ž๐ฅ๐ฅ-๐ญ๐จ๐ฅ๐ž๐ซ๐š๐ญ๐ž๐ ๐›๐ฒ ๐ญ๐ก๐ž ๐ฉ๐š๐ญ๐ข๐ž๐ง๐ญ.

๐“๐ž๐š๐ฆ ๐œ๐จ๐ง๐ฌ๐ข๐ฌ๐ญ๐ฌ ๐จ๐Ÿ:
๐๐ž๐๐ข๐š๐ญ๐ซ๐ข๐œ ๐ˆ๐ง๐ญ๐ž๐ซ๐ฏ๐ž๐ง๐ญ๐ข๐จ๐ง๐š๐ฅ ๐‚๐š๐ซ๐๐ข๐จ๐ฅ๐จ๐ ๐ข๐ฌ๐ญ๐ฌ: ๐ƒ๐ซ. ๐Œ๐š. ๐‘๐จ๐ฌ๐ข๐ญ๐š ๐’. ๐๐ฎ๐ข๐ญ๐จ๐ฅ๐š- ๐Œ๐š๐ง๐š๐ง๐ ๐š๐ง & ๐ƒ๐ซ. ๐‰๐ž๐š๐ง ๐€๐ง๐ญ๐จ๐ง๐ข๐จ ๐•๐ข๐ฅ๐ฅ๐š๐ซ๐ž๐š๐ฅ
๐€๐ง๐ž๐ฌ๐ญ๐ก๐ž๐ฌ๐ข๐จ๐ฅ๐จ๐ ๐ข๐ฌ๐ญ: ๐ƒ๐ซ. ๐Œ๐š๐ซ๐ฒ ๐€๐ง๐ง ๐Ž. ๐’๐š๐ง๐œ๐ก๐ž๐ณ
๐’๐œ๐ซ๐ฎ๐› ๐๐ฎ๐ซ๐ฌ๐ž: ๐•๐ข๐ฏ๐ข๐ž๐ง ๐„๐ฎ๐ง๐ข๐œ๐ž ๐…. ๐Œ๐š๐ซ๐ช๐ฎ๐ž๐ณ, ๐‘๐
๐‚๐ข๐ซ๐œ๐ฎ๐ฅ๐š๐ญ๐ข๐ง๐  ๐๐ฎ๐ซ๐ฌ๐ž๐ฌ: ๐†๐ฅ๐š๐๐ฒ๐ฌ ๐. ๐ƒ๐จ๐ฆ๐ข๐ง๐ ๐จ, ๐‘๐ & ๐๐ข๐ง๐š ๐Š๐š๐ซ๐ฅ๐š ๐’. ๐๐ฎ๐ข๐๐š๐ง๐ , ๐‘๐
๐‚๐š๐ซ๐๐ข๐จ๐ฏ๐š๐ฌ๐œ๐ฎ๐ฅ๐š๐ซ ๐๐ฎ๐ซ๐ฌ๐ž ๐“๐ž๐œ๐ก๐ง๐จ๐ฅ๐จ๐ ๐ข๐ฌ๐ญ: ๐‰๐จ๐ž๐ง๐š๐ญ๐ก๐š๐ง ๐‰๐จ๐ง๐ž๐ฌ ๐€. ๐๐š๐œ๐จ๐ฅ, ๐‘๐
๐‡๐ž๐ฆ๐จ๐๐ฒ๐ง๐š๐ฆ๐ข๐œ๐ฌ ๐๐ฎ๐ซ๐ฌ๐ž: ๐‘๐ข๐œ๐ก๐š๐ซ๐ ๐ˆ๐ซ๐ฏ๐ข๐ง ๐Œ. ๐๐ข๐ฌ๐ฆ๐จ๐ง๐ญ๐ž, ๐‘๐, ๐Œ๐€๐
๐‘๐š๐๐ข๐จ๐ฅ๐จ๐ ๐ข๐œ ๐“๐ž๐œ๐ก๐ง๐จ๐ฅ๐จ๐ ๐ข๐ฌ๐ญ๐ฌ: ๐€๐ซ๐ฐ๐ฒ๐ง๐ง ๐‹. ๐’๐š๐ง๐œ๐ก๐ž๐ณ, ๐‘๐‘๐“ & ๐Š๐š๐ซ๐ž๐ž๐ฆ ๐‰๐จ๐ฌ๐ก๐ฎ๐š ๐’. ๐€๐ฌ๐ฎ๐ง๐œ๐ข๐จ๐ง, ๐‘๐‘๐“

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