Thaum twg Cervical Spine Fusion Yuav Tsum Tau?

Cervical fusion yog xav tau thaum koj muaj teeb meem loj. Cov no suav nrog lub caj dab tsis ruaj khov, lub paj hlwb uas yuav tsis nres, lossis qhov mob uas tsis zoo nrog lwm yam kev saib xyuas. Cov kws kho mob kuj tuaj yeem hais qhia qhov kev phais no rau tej yam xws li pob txha pob txha, deformities, lossis lwm yam kev phais tsis ua haujlwm. Cov lus hauv qab no teev qee qhov laj thawj tseem ceeb rau kev xav tau ntawm ncauj tsev menyuam fusion:

Koj tuaj yeem ntseeg XC Medico thiab cov Spine System . Lawv muab kev nyab xeeb thiab cov kev daws teeb meem zoo. Cov no ua tau raws li cov qauv kev kho mob niaj hnub no.

Ntsiab Cai

• Cervical fusion yog xav tau rau lub caj dab tsis zoo, qhov mob tsis tu ncua, lossis paj hlwb uas tsis zoo nrog lwm yam kev kho mob.

• Qee qhov laj thawj rau lub tsev me nyuam fusion yog degenerative disc kab mob, herniated discs, txha nraub qaum, thiab qog.

• Cov tsos mob xws li mob caj dab tsis tu ncua, cov tsos mob ntawm cov paj hlwb, thiab teeb meem txav koj lub caj dab tuaj yeem txhais tau tias koj xav tau kev sib txuas ntawm ncauj tsev menyuam.

• Cov kws kho mob feem ntau sim cov kev kho mob uas tsis yog phais ua ntej ua ntej lawv tawm tswv yim fusion ntawm ncauj tsev menyuam, kom paub tseeb tias txhua qhov kev xaiv raug sim.

• Cervical fusion tuaj yeem pab nrog qhov mob, muab kev ruaj ntseg zoo dua, thiab pab koj txav tau zoo dua, uas tuaj yeem ua rau koj lub neej zoo dua.

Thaum Cervical Fusion xav tau

Cervical fusion yog xav tau thaum koj lub caj dab xav tau kev txhawb nqa ntxiv. Cov kws kho mob qhia qhov kev phais no rau cov teeb meem loj. Tej zaum koj yuav xav tau yog tias koj muaj qhov tsis zoo, qhov mob uas yuav tsis nres, lossis cov paj hlwb uas tsis zoo nrog lwm yam kev saib xyuas. XC Medico Spine System muab cov kws kho mob tshwj xeeb cog thiab cov cuab yeej. Cov no pab kws phais kho cov teeb meem no kom nyab xeeb.

Nov yog ib lub rooj uas qhia tau hais tias feem ntau yog vim li cas rau lub ncauj tsev menyuam fusion thiab yog vim li cas cov kws kho mob xaiv qhov kev phais no:

Kev tsis sib haum xeeb

Kev tsis ruaj khov hnyav txhais tau hais tias cov pob txha lossis ligaments hauv koj lub caj dab tsis tuaj yeem ua rau koj tus txha nraub qaum tsis tu ncua. Qhov no tuaj yeem tshwm sim tom qab kev sib tsoo, pob txha tawg, lossis kev raug mob ligament. Instability tuaj yeem ua rau koj tus txha caj qaum thiab cov hlab ntsha. Cov kws kho mob feem ntau ua rau lub ncauj tsev menyuam fusion kom koj cov hlab ntsha muaj kev nyab xeeb thiab tsis txhob raug mob ntxiv.

Qee qhov ua rau thiab cov tsos mob ntawm kev tsis ruaj khov hnyav yog:

• Tus txha caj qaum tam sim ntawd los yog pob txha tawm ntawm qhov chaw

• Ligament raug mob los ntawm kev sib tsoo

• Nerve siab tom qab tawg

• Cov qog los yog cysts uas ua rau cov pob txha tawg

• Kab mob xws li tuberculosis lossis discitis

• Atlantoaxial instability (nruab nrab ntawm thawj ob lub caj dab pob txha)

• Loj deformity nrog cov hlab ntsha

Yog tias koj muaj kev ntxhov siab, koj yuav hnov ​​​​mob, qaug zog, lossis loog loog. Tej zaum koj yuav pom koj lub taub hau qaij lossis muaj teeb meem txav koj caj dab. Cervical fusion tuaj yeem ua rau cov teeb meem no tsis zoo.

Cov kws kho mob xaiv lub ncauj tsev menyuam fusion rau qhov tsis ruaj khov vim lub caj dab txav ntau. Kev txav ntau dhau tuaj yeem ua rau cov pob txha tsis zoo. Cov kws phais mob siv cov pob txha muaj zog thiab cov pob txha grafts los pab cov pob txha loj hlob ua ke. Hauv cov xwm txheej nyuaj, lawv tuaj yeem siv ob qho tib si pem hauv ntej thiab nraub qaum rau kev txhawb nqa ntxiv.

Kab mob Degenerative Disease

Degenerative disc kab mob tshwm sim thaum cov discs ntawm koj cov pob txha caj dab hnav tawm. Qhov no tshwm sim thaum cov neeg laus. Hnav discs tuaj yeem ua rau mob, txhav, thiab teeb meem paj hlwb. Yog tias cov tshuaj, kev kho mob, lossis kev txhaj tshuaj tsis pab, koj tus kws kho mob tuaj yeem hais qhia cervical fusion.

Ib daim duab hauv qab no qhia tias qhov teeb meem no tshwm sim ntau npaum li cas:

• Kwv yees li 28% ntawm cov tib neeg pom kev hloov pauv ntawm cov duab xoo hluav taws xob.

• Kwv yees li 13% muaj cov tsos mob.

• Kwv yees li 6% xav tau kev phais ntxiv.

Cervical fusion tuaj yeem pab tau los ntawm kev txwv qhov mob txav thiab tiv thaiv cov hlab ntsha. Cov neeg feem coob ua tau zoo tom qab kev phais. Cov teeb meem tsis tshua muaj, tshwj xeeb tshaj yog nrog cov cog tshiab zoo li cov hauv XC Medico Spine System. Cov kws phais pom tau qhov txiaj ntsig zoo, tshwj xeeb tshaj yog rau cov fusions ib leeg.

Herniated Discs

Lub herniated disc txhais tau hais tias qhov muag ntawm lub disc thawb tawm thiab nias rau ntawm lub paj hlwb. Qhov no tuaj yeem ua rau mob hnyav, tingling, lossis qaug zog hauv koj txhais tes. Yog tias so, tshuaj, lossis kev kho mob tsis pab, yuav tsum muaj kev sib txuas ntawm ncauj tsev menyuam.

Cov kws kho mob siv qhov kev phais hu ua anterior cervical discectomy and fusion (ACDF). Lawv tshem tawm qhov phem disc thiab fuse cov pob txha ua ke. Qhov no nres qhov mob thiab ua rau koj lub caj dab tsis tu ncua.

Ntawm no yog ib lub rooj qhia thaum lub ncauj tsev menyuam fusion xav tau rau herniated discs:

Ob lub ncauj tsev menyuam fusion thiab disc hloov pauv tuaj yeem pab qhov mob thiab txav mus los. Fusion nres txav ntawm qhov chaw kho, thaum hloov disc cia koj txav ntau dua. Kev kho los ntawm fusion yuav siv sij hawm ntev dua, tab sis ob qho kev phais ua haujlwm zoo.

Pob txha pob txha

Tus txha caj qaum txhais tau hais tias ib lossis ntau lub caj dab tawg. Qhov no tuaj yeem tshwm sim hauv tsheb sib tsoo, ntog, lossis kis las. Qee cov pob txha kho nrog lub brace, tab sis lwm tus xav tau kev phais. Yog tias cov pob txha txav ntau dhau los yog nias rau ntawm cov hlab ntsha, lub ncauj tsev menyuam fusion yog qhov kho zoo tshaj plaws.

Feem ntau cov pob txha uas xav tau fusion yog:

• C1-C2 pob txha pob txha (sab saum toj ob lub caj dab pob txha)

• C1 tawg nrog kev txav loj

• Upper ncauj tsev menyuam raug mob uas tsis kho nrog ib tug brace

Cov kws kho mob pom txog 90% kev ua tiav rau ib lossis ob theem ntawm ncauj tsev menyuam fusion hauv cov xwm txheej no. Cov teeb meem thaum ntxov ntawm cov implants yog tsawg.

Cov qog nqaij hlav thiab kab mob

Cov qog nqaij hlav thiab kab mob tuaj yeem ua rau koj cov pob txha caj dab tsis muaj zog. Qhov no tuaj yeem ua rau mob, tsis ruaj khov, thiab cov hlab ntsha puas. Cervical fusion pab los ntawm kev tshem tawm cov ntaub so ntswg mob thiab ua rau koj tus txha nraub qaum tsis tu ncua.

Cov kws kho mob siv cervical fusion rau:

• Kho cov qog nqaij hlav hauv cov pob txha, cov nqaij mos, lossis cov hlab ntsha

• Txhim kho qhov tsis ruaj khov tom qab tshem tawm cov qog lossis kab mob

• Yooj yim rau paj hlwb los ntawm o los yog pob txha poob

Cov lus hauv qab no qhia tau hais tias lub ncauj tsev menyuam fusion pab tau li cas hauv cov xwm txheej no:

Tej zaum koj yuav xav tau qhov kev phais no yog tias koj muaj mob, ua npaws, lossis teeb meem paj hlwb tshiab uas tsis tau txais tshuaj zoo dua.

Cov pob txha deformities

Tus txha nqaj deformities txhais tau tias koj lub caj dab nkhaus hauv txoj kev coj txawv txawv. Qhov no tuaj yeem tshwm sim los ntawm kev yug me nyuam, mob nqaij, lossis lwm yam kab mob. Feem ntau deformities yog scoliosis (sideway curve) thiab kyphosis (forward curve).

Cov kws kho mob siv cervical fusion rau:

• Kho qhov nkhaus thiab pab lub cev

• Tsis txhob muaj teeb meem paj hlwb tsis zoo

• Tiv thaiv kev mob thiab teeb meem yav tom ntej

Hom deformities kho nrog ncauj tsev menyuam fusion:

• Idiopathic scoliosis

• Congenital scoliosis

• Neuromuscular scoliosis

• Postural kyphosis

• Scheuermann's kyphosis

• Congenital kyphosis

Cov kev tshawb fawb pom tau hais tias lub ncauj tsev menyuam fusion tuaj yeem pab lub caj dab zoo thiab lub paj hlwb ua haujlwm. Cov kws phais yuav siv tau tshwj xeeb implants thiab txoj kev rau tawv nkhaus. XC Medico Spine System muab ntau txoj kev xaiv rau cov kev phais nyuaj no.

XC Medico Spine System pab cov kws phais kho txhua yam teeb meem no. Nws muaj cov khoom cog zoo thiab cov cuab yeej siv rau cov rooj plaub yooj yim thiab nyuaj. Koj tuaj yeem ntseeg txhua yam khoom ua tau raws li kev nyab xeeb nruj thiab cov cai zoo.

Cov tsos mob ua rau Cervical Fusion

Thaum koj xav txog lub ncauj tsev menyuam fusion, koj yuav tsum nrhiav qee yam tsos mob uas tsis ploj mus nrog kev saib xyuas tsis tu ncua. Cov tsos mob no feem ntau qhia tau hais tias koj lub caj dab xav tau kev txhawb nqa ntau dua lossis cov hlab ntsha ntawm lub siab.

Mob caj dab tas li

Tej zaum koj yuav hnov ​​mob caj dab uas tsis tau zoo dua nrog kev so, tshuaj, lossis kho. Cov kws kho mob hu qhov mob caj dab tsis tu ncua. Kwv yees li 27% ntawm cov neeg uas xav tau lub tsev me nyuam fusion muaj qhov mob zoo li no. Qhov mob no tuaj yeem ua haujlwm nyuaj txhua hnub. Tej zaum koj yuav pom tias qhov mob nyob twj ywm rau lub lis piam lossis ntau hli, txawm tias tom qab sim ua kev kho mob sib txawv.

Yog tias koj qhov mob caj dab rov qab los lossis hnyav dua, koj yuav tsum nrog koj tus kws kho mob tham.

Nerve Compression Signs

Nerve compression tshwm sim thaum ib yam dab tsi nias ntawm koj tus txha nqaj qaum. Koj tuaj yeem pom:

• Mob uas nyob ntawm koj txhais caj npab

• loog lossis tingling ntawm koj txhais tes lossis ntiv tes

• Cov leeg tsis muaj zog hauv koj txhais tes

Cov cim qhia no txhais tau tias koj cov hlab ntsha tsis ua haujlwm zoo. Tej zaum koj yuav hnov ​​​​qhov 'pins thiab koob' kev xav. Tsis muaj zog lossis qeeb reflexes tuaj yeem tshwm sim.

Poob ntawm Mobility lossis Kev Ua Haujlwm

Tej zaum koj yuav pom tias nws nyuaj rau txav koj caj dab. Tig koj lub taub hau los yog saib thiab nqis tuaj yeem ua rau mob. Qee tus neeg poob lub zog ntawm lawv txhais tes lossis txhais tes. Tej zaum koj yuav poob khoom lossis muaj teeb meem nqa khoom. Txwv tsis pub txav tuaj yeem ua rau tsav tsheb lossis nyeem ntawv nyuaj.

Neurological Deficits

Cov kws kho mob nrhiav kev tsis txaus ntawm cov paj hlwb thaum lawv txiav txim siab txog kev phais. Cov no suav nrog:

Yog tias koj pom ib qho ntawm cov tsos mob no, koj yuav tsum mus ntsib kws kho mob txha caj qaum. Kev saib xyuas thaum ntxov tuaj yeem pab tiv thaiv teeb meem ntxiv.

Cov kws kho mob txiav txim siab li cas ntawm Cervical Fusion

Thaum koj mus ntsib koj tus kws kho mob kom mob caj dab, lawv ua raws li cov kauj ruam los pab txiav txim siab seb puas yuav tsum tau fusion ntawm ncauj tsev menyuam. Cov kws kho mob siv cov kev sim, saib koj cov kev kho mob yav dhau los, thiab xyuas seb koj qhov teeb meem phem npaum li cas.

Kev kuaj mob

Cov kws kho mob pib nug txog koj cov tsos mob. Lawv xav paub seb koj puas mob caj dab lossis qaug zog. Lawv kuj nug seb koj puas hnov ​​mob hauv koj txhais caj npab. Tom qab ntawd, lawv ua kev kuaj lub cev. Lawv xyuas seb koj txav koj caj dab li cas. Lawv kuaj koj cov leeg nqaij thiab reflexes.

Ntawm no yog ib lub rooj uas qhia cov kev xeem uas muaj thiab txhua qhov kev xeem ua li cas:

Tswv yim: MRI thiab CT scans pab kws kho mob pom koj tus txha nraub qaum kom meej. Cov kev ntsuam xyuas no qhia tau tias cov hlab ntsha raug nias los yog discs raug mob.

Kev saib xyuas tsis zoo

Cov kws kho mob tsis xaiv txoj kev phais tam sim ntawd. Lawv xub sim tshuaj, kho, lossis so. Yog tias cov no tsis ua haujlwm, koj yuav xav tau kev sib txuas ntawm ncauj tsev menyuam. Cov kws kho mob nrhiav cov cim qhia tias koj qhov mob lossis qaug zog tsis zoo dua tom qab cov kev kho mob no.

Nov yog lub rooj uas qhia tau hais tias thaum kev saib xyuas kev saib xyuas tsis tau ua tiav:

Yog tias koj tseem muaj mob lossis qaug zog tom qab sim txhua yam, koj tus kws kho mob yuav tham txog kev phais.

Mob hnyav

Cov kws kho mob siv cov qhab nia los saib seb koj qhov mob caj dab cuam tshuam rau koj lub neej npaum li cas. Lub Neck Disability Index (NDI) yog ib qho qhab nia. Nws qhia tias mob caj dab ntau npaum li cas ua rau koj tsis ua tej yam. Lwm cov qhab nia yog Visual Analogue Scale (VAS) rau qhov mob thiab Japanese Orthopedic Association cov qhab nia (JOA).

Nov yog ib lub rooj uas piav qhia txog qib NDI:

Kev tshawb fawb qhia tias cov neeg uas muaj NDI cov qhab nia siab yuav siv sijhawm ntev dua los kho tom qab phais. Cov kws kho mob siv cov qhab nia no los pab txiav txim siab seb lub ncauj tsev menyuam puas yog qhov kev xaiv zoo.

Lus Cim: Yog tias mob caj dab ua rau koj tsis ua tej yam qub, nrog koj tus kws kho mob tham txog yam koj ua tau.

Lwm txoj rau Cervical Fusion

Yog tias koj muaj mob caj dab lossis teeb meem paj hlwb, tej zaum koj yuav xav tau lwm txoj kev xaiv dua li ntawm ncauj tsev menyuam fusion. Ntau tus neeg xav tias zoo dua nrog kev kho mob uas tsis xav tau kev phais lossis nrog kev phais me. Cov kev xaiv no tuaj yeem pab koj kom tsis txhob fusion lossis tos ntev dua ua ntej xav tau. Lawv kuj pab koj txav koj caj dab.

Cov kev xaiv uas tsis yog phais

Cov kws kho mob feem ntau sim cov kev kho mob uas tsis yog phais ua ntej. Cov no tuaj yeem pab kho mob thiab ua kom yooj yim txav mus los. Lawv kuj pab koj rov qab mus rau koj lub neej qub. Nov yog qee qhov kev xaiv uas tsis yog phais:

Tswv yim: Kev kho lub cev thiab kev txhaj tshuaj txha caj qaum pab ntau tus neeg. Tej zaum koj yuav tsis xav tau kev phais yog tias cov kev kho mob no ua haujlwm rau koj.

Lwm cov txheej txheem phais

Yog tias kev saib xyuas tsis yog phais tsis pab, koj tseem muaj lwm yam kev phais uas yuav sim. Cov kev phais no kho qhov teeb meem thiab pab koj lub caj dab kom hloov tau.

• Cervical Disc Replacement (CDR): Ua kom koj lub caj dab txav mus thiab ua rau lub siab tawm ntawm cov hlab ntsha.

• Endoscopic Lumbar Discectomy: Siv lub koob yees duab me me thiab cov cuab yeej tshem tawm cov khoom siv disc thiab yooj yim mob.

• Coflex Lumbar Interlaminar Device: Muab koj tus txha nraub qaum thiab cia koj txav mus.

• Endoscopic Rhizotomy: Kho qhov mob ntev nrog lub koob yees duab me me thiab cov cuab yeej. Nws ua rau muaj kev phom sij tsawg rau cov ntaub so ntswg.

• Cov txheej txheem Intracept: Targets mob hlab ntsha hauv cov pob txha yam tsis tau txiav loj.

Koj yuav tsum tham nrog koj tus kws kho mob txog cov kev xaiv no. Qhov kev xaiv zoo tshaj yog nyob ntawm koj cov tsos mob, hnub nyoog, thiab kev noj qab haus huv. Ntau tus neeg xav zoo dua yam tsis xav tau fusion ntawm ncauj tsev menyuam.

Cervical Fusion Risks and Benefits

Cov txiaj ntsig rau cov neeg mob

Tej zaum koj yuav nug seb qhov ncauj tsev menyuam fusion pab tau li cas. Ntau tus neeg xav tias zoo dua tom qab qhov kev phais no. Nov yog qee qhov txiaj ntsig tseem ceeb:

• Mob nyem: Koj yuav muaj mob caj dab tsawg dua. Txoj kev phais nres qhov mob txav mus los thiab ua kom cov hlab ntsha yooj yim.

• Txhim kho kev ruaj ntseg: Koj lub caj dab yuav zoo li khov kho. Qhov no ua rau koj muaj feem yuav raug mob dua.

• Txhim khu kev txav mus los: Ntau tus neeg tuaj yeem txav lawv lub caj dab zoo dua. Cov haujlwm niaj hnub tau yooj yim dua.

• Tiv thaiv kev degeneration ntxiv: Kev phais tuaj yeem ua rau koj qhov teeb meem tsis zoo.

• Ua kom lub neej zoo: Nrog kev mob tsawg dua thiab kev txav mus los zoo dua, koj tuaj yeem ua ntau yam uas koj nyiam.

Cov neeg mob feem ntau hais tias lawv qhov mob thiab kev txav mus los tau zoo dua tom qab kev phais. Ib txoj kev tshawb nrhiav pom tias 71% muaj mob tsawg. Kwv yees li 88% tau hais tias lawv txoj kev noj qab haus huv tau zoo dua.

Tswv yim: Yog tias koj tau phais sai dua, koj tuaj yeem kho tau zoo dua.

Muaj peev xwm txaus ntshai

Txhua qhov kev phais muaj kev pheej hmoo. Koj yuav tsum paub seb yuav nrhiav dab tsi tom qab lub ncauj tsev menyuam fusion. Qee qhov kev pheej hmoo feem ntau yog:

• Kab mob qhov chaw phais tau ua tiav

• Los ntshav los yog ntshav txhaws

• Kev raug mob los yog qaug zog

• Teeb meem nqos los yog hais lus

Qhov kev pheej hmoo ntawm cov teeb meem tom qab lub ncauj tsev menyuam fusion yog nyob nruab nrab ntawm 13.2% thiab 19.3%. Rau posterior fusion, nws yog hais txog 15% mus rau 25%.

'Ntau tus neeg tuaj yeem tau txais segmental lub cev tuag tes tuag taw tom qab fusion. Qhov no tuaj yeem tshwm sim yog tus txha nraub qaum txav thaum lub sijhawm phais. Nws tuaj yeem nyem lub paj hlwb thiab ua rau tuag tes tuag taw. Cov neeg muaj teeb meem ua pa, xws li mob hawb pob, muaj kev pheej hmoo kis mob tom qab phais ntau dua li cov tsis muaj mob hawb pob.'

Koj yuav tsum tham nrog koj tus kws kho mob txog koj txoj kev noj qab haus huv ua ntej kev phais. Qhov no tuaj yeem pab txo koj txoj kev pheej hmoo thiab muab cov txiaj ntsig zoo rau koj.

Tej zaum koj yuav xav tau lub ncauj tsev menyuam fusion yog tias koj muaj mob hnyav lossis koj lub caj dab tsis ruaj khov. Qee zaum, cov teeb meem paj hlwb tsis zoo dua nrog lwm cov kev kho mob. Qhov kev phais no tuaj yeem pab koj ntau txoj hauv kev:

• Nws txo qhov mob thiab ua kom koj lub caj dab tsis tu ncua.

• Nws yuav siv lub siab tawm ntawm koj tus txha caj qaum thiab paj hlwb.

• Nws pab koj txav tau zoo dua thiab txaus siab rau lub neej ntau dua.

Cov cuab yeej tshiab xws li navigation thiab robotics pab kws kho mob ua kev phais kom zoo dua. Lawv kuj ua rau kev phais kom meej dua. Koj yuav tsum tau nug ib tus kws kho mob txha caj qaum kom tau tswv yim. XC Medico's Spine System muab kev saib xyuas nyab xeeb rau koj thiab cov kws tshaj lij pab koj tuaj yeem ntseeg tau.

FAQ

Dab tsi yog cervical spine fusion?

Cervical spine fusion yog ib qho kev phais uas koom nrog ob lossis ntau dua cov pob txha hauv koj lub caj dab. Qhov no pab nres qhov mob txav thiab tiv thaiv koj tus txha caj qaum. Cov kws kho mob siv cov tshuaj cog tshwj xeeb, zoo li cov los ntawm XC Medico , kom koj lub caj dab ruaj khov.

Nws yuav siv sij hawm ntev npaum li cas kom rov zoo los ntawm ncauj tsev menyuam fusion?

Cov neeg feem coob rov qab mus ua haujlwm li qub hauv 6 mus rau 12 lub lis piam. Koj tus kws kho mob tuaj yeem hais qhia txog kev kho lub cev. Lub sijhawm kho yog nyob ntawm koj txoj kev noj qab haus huv thiab hom kev phais.

Kuv puas yuav plam caj dab txav tom qab lub ncauj tsev menyuam fusion?

Tej zaum koj yuav poob qee qhov txav ntawm cov pob txha. Cov neeg feem coob tseem txav caj dab zoo. XC Medico's Spine System pab ua kom koj lub caj dab ruaj khov thaum tso cai rau kev txav mus los.

Lub ncauj tsev menyuam puas muaj kev nyab xeeb?

Cervical fusion yog ib qho kev phais ntau thiab muaj kev nyab xeeb. Cov kws kho mob siv cov tshuaj cog qoob loo zoo, xws li cov los ntawm XC Medico, kom txo qis kev pheej hmoo. Cov neeg mob feem ntau zoo siab tom qab kev phais.

Thaum twg kuv yuav tsum tham nrog kws kho mob txog kev sib txuas ntawm ncauj tsev menyuam?

Koj yuav tsum tham nrog kws kho mob yog tias koj mob caj dab, tsis muaj zog, lossis loog loog uas tsis zoo. Kev saib xyuas thaum ntxov tuaj yeem pab koj kom tsis txhob muaj teeb meem ntxiv.