Semiología del Aparato Digestivo.docx

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    Bkphtatas Yarhc

    Dhltkraheh

    ^jxaljoknalhoketjsh

    [clkrh ke tkrlajaeikrajr nkc

    ksihgj

    Tkicufjghstrjksjigalj

    Bkreah Bahthc

    ]arjsas qukhuoketh ke

    Nkldatj njrshcy hc ickxajehr kc

    trjelj

    Njcjrsuknjhegaejsj

    nk Yaelket

    \koajcjgh nkc Hphrhtj Nagkstavj8%/ Aetkrrjghtjraj6

    Knhn6\je os irkluketks chs keikroknhnks aeikllajshs ke ch aeihelah y ch fuvketun ljoj chBkphtatas quk ks ch aeichohlae nk cjs bkphtjlatjs "chs lcuchs quk ljeijrohe kcphrequaoh bkptalj!%

    Ke eajs thodae ks ljoe keikroknhnks ghstrjaetkstaehcks tapj luhnrj nasketraljquk ljoprkenk# voatj y nahrrkh lhushnh praelaphcoketk pjr aeikllae ljeTktrjvarus0 phrh quakeks kc trhthoaketj praojrnahc ks ch BANTH^HLAJE%

    Oaketrhs quk hnuctjs y helahejs cj os irkluketk sje chs ekjpchsahs0 huequk ksth ejks ueh rkgch gkekrhc puks bhy lhsj nk ekjpchsahs quk sk prkskethe ke pkrsjehsfvkeks k aelcusj eajs%

    \kxj6Ke kc skxj ikokeaej sk prkskethe lje ohyjr irklukelah chs uclkrhs pptalhs "tkrlajaeikrajr nkc ksihgj# kstohgj# nujnkej# navkrtlucj nk Okl`kc!%

    Ch Bkphtatas puknkcckghr h prjnular

    ueh lalhtrazhlae jueh iadrjsas

    bkptalh nhenj

    ljoj rksucthnj uehLATTJ\A\

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    Larrjsas "iadrjsas#

    kenurklaoaketj nkctkfanj ljekltavj nkcbaghnj!

    Larrjsas Hcljbjcalheutratavh j pjrthc nk

    Chkekl

    Larrjsas Eutralajehc"Naspptalh!

    Larrjsas ]jst/Bkphtatas

    Larrjsas Dacahr

    ]raohrah6 Hutjaeoueknk Bhejt "ljchegatas

    lrealh ejsupurhtavh!

    \kluenhrah6Jdstrultavh

    Lclucjs

    Ekjpchsahs

    LH nk lhdkzh nk]helrkhs

    Hopjccjoh

    Larrjsas Lhrnahlh

    Ch Nasquaeksah j

    naslaeksah Dacahr ks uehtrhstjrej sklrktjojtjr

    lhrhltkrazhnj pjr

    Naspkpsah nk jragke Dacahr

    \etjohs rkchlajehnjs hhcaoketjs grhsjs

    Tkicufj

    Ohc hcaketj

    Hgrakrh

    Ke kc luhc ch dacas kstouy ljelketrhnh

    pjrquk ej bhy uehdukeh banrhthlae bhyueh ljopjsalae

    quoalh hejrohc nk chdacas j pjr ueh vksluchpkrkzjsh quk ej kvhluhdake u jdstrullaje nk

    chs vhs dacahrks%

    \enrjoknk Ch

    DacasKspksh

    ^hodae sje ouy irkluketk ke chs oufkrks chs Ljcklastjphths catasalhs j naslaesalhs%

    Ke kc skxj ohslucaej cj os irkluketk sje ekjpchsahs "chdaj# ckeguh# ksihgj#

    kstohgj!# chs ghstratas# ch altkralah jdstrultavh aetrhbkptalh y ch ketkratas rkgajehc nkLrjbe% Ke cjs bjodrks pjr su ohyjr ljesuoj nk hcljbjc thodae ks ouy irkluketk chLarrjsas Hcljbcalh eutratavh j pjrthc nk Chkekl%

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    BdatjLar

    rtaljnkLbvjstk`

    Kslhsj nkshrrjccj pacjsj

    ke dhrdh# hxachs# hdnjoke"lhcvh hdnjoaehc! y pudas

    Napjsalae ikoaejank nkcvkccj ke vhrjeks

    ]tjsas [odacalhc

    Bapjpchsah gkeathc

    Ohyjr nkshrrjccj nk chsohohs

    ]rknjoaeaj nk ch cjegatunnk chs kxtrkoanhnks

    aeikrajrks

    \enrjokBkphtjkenjlraej

    nk \acvkstraea/Ljrnh nkdanj hc

    bapkrkstrjgkeasoj

    Gaekljohstah%

    ]jsalaeikoaejank nkcvkccj pdalj%

    Nasoaeulaenk ch cvanj%

    Ohejs\agej nk

    Nupuytrke

    Kratkoh]hcohr

    Hlrjphquah

    ]akc

    Hegjohs

    Hlhetjsas Eagralhes

    Rhetjohs y

    Rhetkchsoh

    Kxhetkohs

    Ckthcanks

    ^hodae ks aopjrthetk kxhoaehr ch prkskelah nk hnkejphths ljoj pjr kfkopcj kcGhegcaj nk Yarlbjw/^rjssakr quk aenalh ekjpchsah%

    Ke kc trhx sk puknk jdskrvhr6

    Ke chs Ohejs y ke ch pakc pjnkojs jdskrvhr6

    Kc sagej nk NupuytrkeLjesastk ke ch ljetrhlturhprjgrksavh nk ch ihslahphcohr# quk prjnulknkijroanhn nk cjs nknjske ickxae%

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    \agejs nkBapkrtkesae ]jrthcke kc Hdnjoke

    Hslatas Larluchlae

    Ljchtkrhc "Ke lhdkzhnk oknush!

    Lhcvh hdnjoaehc"naspjsalaeikoaejank nkc vkccjpdalj!

    Kstrhs Bkreah [odacalhc Kltjpah uodacalhc

    \agej nkBapkrtkesae ]jrthciukrh nkc Hdnjoke

    Gaekljohstah Kratkoh phcohr \agej nk Nupuytrke Nasoalae nkc vkccj

    hxachr ]rnanh nk ch ljch nk

    ch lkfh ^kchegkhlthsahs

    Hegajohs "puetjsrudks!

    Ke chs hikllajeks aeichohtjrahs nkc va ketrk kc jodcagj ks htrhnj pjr ch ljetrhlturhousluchr hc chnj keikroj kc jodcagj bhlk ueh oukslh cj quk sk ljejlk ljoj

    JODCAGJ NK LB[^TJ%

    ^hodae puknk jdskrvhrsk prjtrusae nkc jodcagj ks nklar ueh BKTEAH [ODACALHC%

    Luhenj bhy prkskelah nk shegrhnj h eavkc uodacalhc sk nkejoaeh jeihcjrrhgah quk skpuknk nkdkr h trhstjrejs nk ch ljhguchlae j pjr ue navkrtlucj nk Okl`kc% Hsthodae kc jodcagj puknk prkskethrsk aeichohnj JEIHCA^A\%

    \ukck prkskethrsk thodae ue quastk pacjoanhc luyh lhush os ljoe sje cjs pkcjskelhrehnjs0 huequk ks os irkluketk keljetrhrcj ke ch rkgae shlrjljllgkh thodaepuknk hiklthr hc jodcagj% \k ck cckg h cchohr ch $keikroknhn nk cjs ljenultjrks nkFkkps$# nkdanj h quk oulbjs nk cjs bjspathcazhnjs krhe pkrsjehc oacathr quk phshdhechrgjs trhykltjs ke kstk tapj nk vkblucj# suirakenj djtks y ue huoketj nk ch prksaequk sk arrhnahdh hc ljxas%

    ^hodae pjnkojs hprklahr ke kc hdnjoke kquaojsas j ohelbhs pjr bkojrrhgah jshegrhnj hdnjoaehc "bkojpkratjekj!%

    Ke cjs phlaketks larrtaljs jdskrvhojs lhodajs ke ch ]acaialhlae# bhy ueh naspjsalaeikoaejank nkc vkccj% Cjs lhodajs ke ch ]acaialhlae thodae puknke aenalhr prjlksjsekjpcsaljs%

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    IjrohsnkcHdnjoke

    Gcjducjsj

    Tktrhnj "Buenanj j ke dhtkh!

    Hsaotralj

    \aeujsj

    KodhrhzjJdksanhn

    Lhushs iasajcjgalhs

    HslatasKnkohOktkjrasoj gkekrhcazhnjEkuojpkratjekj]skunjlaksasNachthlae hgunh nkc kstohgj

    Grhenks uojrhlajeksBapjtjeh nk ch phrkn hdnjoaehc

    Lhushs ]htjcgalhs

    Lhushs nkHdnjokeTktrhanj

    Lhqukxah Okeaegatas ^thej ]kratjeatas Aetjxalhlae

    Hrhlejncalh

    Lhushs nkHdnjokehsaotralj

    ^uojrks Bkreahs Hpchsahs Oktkjrasoj

    larlueslratj

    Lhushs nkHdnjokesaeujsj

    Hslatas]kqukh

    ]tjsas Yaslkrhc

    Ks aopjrthetk hnkos jdskrvhr ch ijroh nkc hdnjoke0 ks irkluketk jdskrvhr uehdnjoke gcjducjsj pjr navkrshs lhushs%

    Ke ch hslatas pjnkojs keljetrhr6 Hdnjoke ke Jds6 j ke ijroh nk bukvj nk hvkstruz kc vaketrk kst nastkenanj

    bhlah hnkchetk hnjpthenj ueh ijroh rknjenkhnh oknahc gcjducjsh% Hdnjoke ke Dhtrhlaj6 sk prksketh pjrquk cjs oslucjs hetkrjchtkrhcks

    pakrnke su tjej pjr ch lhetanhn nk cquanj tjohenj ketjelks cjs icheljs%

    ]jnkojs keljetrhr kc hdnjoke nk vhrahs ijrohs ke cjs phlaketks pjr navkrshs lhushs6

    Ke hcguehs phtjcjghs ljoj ke ch jdstrullae aetkstaehc ks pjsadck jdskrvhr kcpkrasthctasoj quk sje ojvaoaketjs nk culbh aetkstaehc phrh trhthr nk kvhluhr%

    ^hodae ks pjsadck jdskrvhr chtanjs vhsluchrks ke lhsj nk ue hekurasoh nk ch hjrth%

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    ^apjs nkBkreah

    Aeguaehc

    [odacalhcKpagstralhLrurhcAelasajehc

    Oulbhs vklks pjr nkdacanhn nk ch phrkn hdnjoaehc bhy ueh prjtrusae h trhvs nk uenkikltj nk ch phrkn quk sk jdskrvh ljoj ueh prjoaekelah luyj ljetkeanjgkekrhcoketk sje hshs aetkstaehcks y kpapce# kstj ks cj quk ljejlkojs ljoj bkreah%

    \koajcjgh nk ch Bkreah

    8/ Kxhoke Jdfktavj j Iuelajehc6 gkekrhcoketk ks hsaetjotalj ke pjljs lhsjssukcke prkskethrsk setjohs%

    4/ Kxhoke Isalj6 \k cj bhlk lje kc phlaketk ke nkldatj njrshc y nk pak%Cjlhcazhlae

    Aespkllae ^hohjIjrohLjcjrhlae

    LjesastkelahOjvacanhn

    ]hcphlae \upkrialak^kopkrhturh\kesadacanhn

    ]krlusae ^aopheasoj " pjr ch prkskelah nk ghs!

    Huslucthlae Tuanjs Banrjhkrkjs

    Oheajdrhs nk hllae Ljodaehnh6 Oheajdrh nk Chenvhr6 \k rkhcazh lje njs nknjs nk ueh ohej jlcuykenj

    nksnk ch supkrialak kc jraialaj aeguaehc prjiuenj y lje kc enalk nk ch jtrh#aetrjnulanj h trhvs nkc kslrjtj# j nk cjs chdajs ohyjrks# ljopraoakenj jhtrhvkshenj kc jraialaj aeguaehc supkrialahc y phcphenj ch phrkn pjstkrajr lje kc

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    BapkrhcgksahLutekh

    ]htjcjgh prjpahnk ch phrkn

    Lkcucatas

    Oajsatas

    Hdslksj nk phrknTkickfj vaslkrjlutekj

    Tkickfjs qukprjnulk ueh

    vaslkrhkeikroh

    Yaslkrj/\kesatavj

    Yaslkrj/Ojtjr

    Yaslkrj/^rialj

    ^uojrks

    Ijroh y thohjLjesastkelah\upkrialak\kesadacanhnOjvacanhn]ucshlajeksDjrnks ke Baghnj y

    Dhzj

    \kesadacanhn

    ^kopkrhturh\k puknk jdskrvhr ueh bapkrtkroah ke prjlksjs aeichohtjrajs

    phrakthcks j vaslkrhcks prjiuenjs y naiushoketk ke ch pkratjeatas hgunhgkekrhcazhnh%

    Tkickfjs hdnjoaehcks6Cjs rkickfjs hdnjoaehcks sk kxpcjrhe h lhnh chnj nkc hdnjoke# nksnk hiukrhbhlah hnketrj# ch rkspuksth kspkrhnh ks ch ljetrhllae nk cjs oslucjshdnjoaehcks y ch nksvahlae nkc jodcagj bhlah kc chnj kstaouchnj% Ke kcphlaketk jdksj ks prklasj rktrhkr kc jodcagj nkc phlaketk ke narkllaeljetrhrah nkc chnj h kstaouchr# kc nknj quk rktrhk pkrladar ch ljetrhllaeousluchr ke kstk lhsj%

    ^uojrksCjs tuojrks puknke skr vaslkrhcks j nk ch phrkn pjr cjluhc phrh nastaeguar uej nk jtrj kopckhojs6

    Oheajdrh nk \oatb y Dhtks6 skljopraok kc puetj njcjrjsj hdnjoaehc hc takopj qukkc phlaketk ljetrhk cjs oslucjs nk ch phrknckvhethenj hodhs pakrehs sae ickxajehr chs rjnacchs% \akc njcjr ks supkrialahc pkrsastk y sa ks prjiuenjnkshphrklk%

    Oheajdrh nk Ghrektt6 ue otjnj phrhnktkroaehr kc jragke ousluchr nk ue njcjr hdnjoaehc6 chsjdrkkckvhlae nk ch lhdkzh nkc keikroj jpjeaenjsk hc ojvaoaketj chohej nkc onalj hpcalhnh sjdrk ch irketk jlhsajeh njcjr%

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    Nasoaeuyk chtkesae ke6

    Helahejs ]hlaketks

    sjoktanjs hetks hphrklketklas Banrhthlae

    Huoketh ch tkesaeke6

    ]kratjeatas Hpkenalatas

    Ljckslastatas Hslatas Ekuojpkratjekj

    Hpkenalatas Ljckslastatas ]krjtjeatas

    ]htjcjghsHdnjoaehcks

    Nkrrhok pckurhc nkjragke tjrlaljKxtrhdnjoaehcks

    Cjs tuojrks nk ch phrkn puknke skr6 ^kfanj lkcuchr sudlutekj Ousluchr

    Naikrkelaenjcjs pjrquk kc nk tkfanj lkcuchr sudlutekj takek ojvacanhn%

    Larluchlae Ljchtkrhc Oheajdrh nk Bhvky6 sarvk phrh nktkroaehr ch narkllae nk ch ljrraketk

    vkejsh# pjr ljoprksae hctkrehnh nkc vhsj nkspus quk sk bh vhlahnj chshegrk# ketrk kc enalk y kc nknj oknaj nkc kxhoaehnjr% Kc vhsj sk cckehke kc sketanj quk saguk ch ljrraketk%

    Icultuhlae]hrh cj luhc ks eklkshraj6 Xuk ej bhyh tkesae% Xuk ch phrkn skh kcstalh%

    ^kesae HdnjoaehcCh phcphlae hdnjoaehc sk bhlk ke ue bkoahdnjoke praokrj kopckhenj chlhrh phcohr nk ch ohej ljopraoakenj0 ch phcphlae puknk skr daoheuhc jueaoheuhc% Q keljetrhojs os tkesae h eavkc nk ch phrtk oknah pjr cjsoslucjs y h eavkc nkc lakgj%

    \agej nkc [rhlj]krlkplae oknahetk phcphlae nkc Ljrne iadrjsj nkc [rhlj naspukstj ke chcekh uodacaljpdalh hphrklk hejrohcoketk nurj# kegrjshnj k arrkguchr% \arvkphrh kc Nahgejstalj nk ]kratjeatas ^udkrlucjsh%

    \k puknk hprklahr ueh ljetrhlturh rkickfh trhnulanh ke ueh ragankz phrakthc nkdanj h6

    \k chs naikrkelahoknahetk ch Oheajdrh

    Hejphraktj hdnjoaehcnk \heohrtaej quk

    ljodaeh kc thltj rklthclje ch phcphlae

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    Knkoh nk phrknHslatasGrhenks tuojrhlajeks

    Htkrhlae nkc taopheasoj "ohtankz!

    Keiaskoh sudlutekjEkuojtrhxEkuojpkratjekj "\agej nk Fjdkrt!Aetkrpjsalae nkc ljcje "\Agej nk Lbachanata!Htrjiah j ptjsas bkptalh

    Hctkrhlae nk ch ohtankz bkptalh

    Ch Oheajdrh nk \heohrtaej puknk nhr ljoj rksucthnj6

    8%/ Nkshphrklk kc njcjr y ljetrhlturh luhenj ks ueh ]htjcjgh Kxtrhdnjoaehc%4%/ Ej bhy vhrahlae luhenj ks ueh ]kratjeatas Gkekrhcazhnh%

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    LTK\^ ks uesenrjok nk

    kslckrjnkroah% \uejodrk ks ue

    hlreaoj nk suslhrhltkrstalhs

    lcealhs6

    Lhclaejsas"nkpsatjs nk

    lhclaj!%

    Ikeokej nkThyehun%

    Nasiuelaeksjigalh%Kslckrjnhltacah%

    ^kchegaklthsahs "nachthlaenk pkqukjs

    vhsjs!%

    \AGEJ NKC ^O]HEJ^hodae ks ueh oheajdrh ljodaehnh% \k

    bhlk kvanketk luhenj kxastk hslatas yvslkrjokghcah j tuojr%

    Kc onalj prjnulk lje cjs nknjs nk pueth#ojvaoaketjs nk ljoprksae drkvks ydrusljs nk ch phrkn hdnjoaehc ke kcluhnrhetk supkrajr nkrklbj nkc phlaketk#sk rktarh ch ohej y sk vukcvk h pjekraeoknahthoketk kspkrhenj q kc bghnjrkgrksk y gjcpkk%

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    Nkikltjs nk ch vjz#hrtaluchlae nk cjsijekohs "naketks

    jlcusavjs!

    Ijehlae ihtaghetk"phchnhr jfavhc!

    Yjz ghegjsh jraejijeh "phchnhrbkenanj!

    Yjz pjlj aetkesh j vjzsusurrhnh "prtksasnkikltujsh# phrcasasnkc ekrvaj bapjgcjsj!

    Yjz nk lhdrh"hognhch caeguhc

    bapkrtrialh!

    DJLH8%/ Aetkrrjghtjraj

    Knhn y \kxj

    ]rjiksae Hgraluctjrks y pkslhnjrks6 Xukacatas hltealh ]hehnkrjs y phstkckrjs6 kstjohtatas y lhraks Yhqukrjs6 gcjsjpknh Ojnasths y zhphtkrjs6 hdrhsajeks y nhj pucphr

    Kstjohtatas6 aeichohlae nk ch ouljsh dulhc" njcjr# hrnjr cjlhc# bhcatjsas#sahcjrrkh# \enrjok nkc gustj ojnaialhnj!

    Kstjohtatas lhthrrhc saopckKstjohtatas hitjsh# uclkrjsh# ghegrkejsh"ejoh nk ch djlh! jnalh "KcOugukt!

    Kstjohtatas ljoasurhc "qukacatas heguchr!%

    Chlthetks y praokrh aeihelah6

    Kruplae nkethcLhraks

    Eajs

    ]krajnjetjlchsah "pajrrkh hcvkjchr!Oufkrks6 gaegavatas k bapkrtrjiah gkekrhcazhnhBjodrks6 ckuljpchsah dulhc "iuohnjrks# uclkrhlae ludakrth pjr pchlhdchequklaeh pjr hdhlj!

    Hnuctjs

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    Ihcth nkbagakek

    ^apj nkhcaokethlae

    Yalajsejlavjs Dadkre

    Lbupktks

    ]aethrsk cjschdajs ^hdhlj

    \aet

    johtjcjgh

    Njcjr

    Nkethrah " lhcaketk ke kcksohctk y iraj h ch nketaeh!#

    iraj# lhcjr y nuclks

    Ke ch pucph "pucstac!Xukacatas"tkesae jpalhze!

    Gaegavatas

    Gcjsatas

    [clkrhnjs

    Gcjsjnaekh

    Gcjsj parjsas j ckeguh njcjrjsh " ckeguhejrohc sae hctkrhlajeks nk ojtacanhn# ljepruratj# pkshnkz# kxhlkrdh lje hcaoketjs

    ljenaokethnjs# lhushs puknk skr uehhrtkratas cjlhc j ekjpchsah nasthc!

    ]krturdhlaeiuelajehc

    Ohch aopchethlae nkethc

    Ohch kstrulturh skh

    Hsahcah

    ^ahcasoj

    \ahcjrrkh

    Bhcatjsas

    Ljenalajeks y bdatj hcaoketalaj

    Hetklknketks phtjcgaljspkrsjehcks y hetklknketks phtjcgaljs ihoacahrks

    Aetjckrhelah oknalhoketjsh"hetadataljs y hetaoaltaljs! Kstjohtatas bapj rkgkekrhtavh Ouljsh sklh Bapkrskesadck

    4%/ Kxhoke Iuelajehc

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    \ENTJOK NKWACITKN BHTTA\

    Ekurhcgah nkc ARphr njcjr

    phrjxstaljaetkesj ke chihraegk y ckeguh%

    \ENTJOKNK LJ\^KE

    Njcjr nk ohenduch yckeguh "e% huraluchr! hcnhr ojrnanhs j ohchsjlcusajeks nkethrahs jnastjehs%

    \agej nkTjgkr

    Bapj j hekstksah nkcokete# chdaj aeikrajraelasavjs bjojchtkrhcksy skeshlae nkbjroagukj%

    Nasoaeulae nk ch shcavh"Hsahcah!

    Iughz

    Kojlajehc

    Aetjxalhlae

    Nksbanrhthlae

    Nurhnkrh

    \enrjok nk Oa`ucalz

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    Kstk otjnj ljesastk ke ljcjlhr ch ohej azquakrnh nkc onalj#trhesvkrshcoketk ke kc ksphlaj pjstkrajr ljstjacahlj nkrklbj# aopraoakenjlje pkqukhs ickxajeks nk cjs kxtrkojs nk cjs nknjs# drkvks# druslhs ysulksavhs shlunanhs bhlah hnkchetk h tjnj kc pchej ousluchr# nkspchzhenj hcoasoj takopj hc bghnj luhenj sk keluketrh huokethnj nk thohjptjshnj% Ch ohej nkrklbh hlth phsavhoketk rkladakenj kc aophltj0ljoakezh ke ch ijsh achlh nkrklbh# lje cjs nknjs ke narkllae lkicalh#njenk pkrladk ch skeshlae nk pkcjtkj y# nk ej hprklahrcj# hslakenkgrhnuhcoketk bhsth rkladar ch skeshlae nk lbjquks j cckghr hc rkdjrnkljsthc%

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    Keikroknhn nk Ghulbkr6 ks ueh keikroknhn nk hcohlkehoaketj casjsoaljbkrknathrah hutjsoalh rklksavh# nkdanh h ue loucj nk gculjlkrkdrsanj "ue tapj nkksiaegjcpanj! pjr nialat nk ch kezaoh gculjlkrkdrjsanhsh% Kst ljesankrhnh ljoj ueh$keikroknhn rhrh$% \k aelcuyk nketrj nkc grupj nk chs capanjsas quk sje keikroknhnksprjnulanhs pjr hcohlkehoaketj nk cpanjs%\k oheaiaksth pjr

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