{"id":1273,"date":"2024-08-04T14:42:19","date_gmt":"2024-08-04T14:42:19","guid":{"rendered":"https:\/\/tramedhealth.com\/?p=1273"},"modified":"2024-08-05T14:36:50","modified_gmt":"2024-08-05T14:36:50","slug":"discover-the-carpal-tunnel-syndrome-in-one-click","status":"publish","type":"post","link":"https:\/\/tramedhealth.com\/vi\/musculoskeletal-disease\/discover-the-carpal-tunnel-syndrome-in-one-click\/","title":{"rendered":"T\u00ecm hi\u1ec3u H\u1ed9i ch\u1ee9ng \u1ed0ng c\u1ed5 tay trong m\u1ed9t n\u00fat \u1ea5n!"},"content":{"rendered":"

Gi\u1edbi thi\u1ec7u<\/h2>\n\n\n\n

Ng\u00e0y nay, v\u1edbi t\u00ednh ch\u1ea5t c\u00f4ng vi\u1ec7c v\u0103n ph\u00f2ng m\u00e0 ng\u00e0y c\u00e0ng nhi\u1ec1u ng\u01b0\u1eddi g\u1eb7p t\u00ecnh tr\u1ea1ng nh\u01b0 \u0111au v\u00f9ng c\u1ed5 tay, t\u00ea b\u00e0n tay, gi\u1ea3m ho\u1eb7c m\u1ea5t c\u1ea3m gi\u00e1c b\u00e0n tay, \u2026<\/strong> nh\u1eefng d\u1ea5u hi\u1ec7u tr\u00ean g\u1ee3i \u00fd \u0111\u1ebfn H\u1ed9i ch\u1ee9ng \u1ed0ng c\u1ed5 tay.<\/strong><\/p>\n\n\n

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\u0111au v\u00f9ng c\u1ed5 tay, t\u00ea b\u00e0n tay, gi\u1ea3m ho\u1eb7c m\u1ea5t c\u1ea3m gi\u00e1c b\u00e0n tay<\/em><\/figcaption><\/figure><\/div>\n\n\n

\u0110\u1ecbnh ngh\u0129a<\/h2>\n\n\n\n

H\u1ed9i ch\u1ee9ng \u1ed0ng c\u1ed5 tay:<\/strong> CTS l\u00e0 b\u1ec7nh l\u00fd c\u1ee7a d\u00e2y th\u1ea7n kinh gi\u1eefa b\u1ecb ch\u00e8n \u00e9p trong \u1ed1ng c\u1ed5 tay, \u0111\u00e2y l\u00e0 h\u1ed9i ch\u1ee9ng hay g\u1eb7p nh\u1ea5t trong c\u00e1c b\u1ec7nh l\u00fd ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh ngo\u1ea1i vi.<\/p>\n\n\n\n

Sinh l\u00ed b\u1ec7nh ch\u01b0a \u0111\u01b0\u1ee3c t\u00ecm hi\u1ec3u r\u00f5 nh\u01b0ng c\u00f3 th\u1ec3 do c\u01a1 ch\u1ebf t\u0103ng \u00e1p l\u1ef1c trong \u1ed1ng c\u1ed5 tay g\u00e2y r\u1ed1i lo\u1ea1n vi m\u1ea1ch nu\u00f4i d\u01b0\u1ee1ng \u1edf bao ngo\u00e0i v\u00e0 bao trong, t\u1eeb \u0111\u00f3 xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng do t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh gi\u1eefa.<\/p>\n\n\n\n

Nguy\u00ean nh\u00e2n<\/h2>\n\n\n\n

\u0110a s\u1ed1 h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay l\u00e0 nguy\u00ean ph\u00e1t hay c\u00f2n g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay v\u00f4 c\u0103n (Idiopathic Carpal Tunnel Syndrome).
H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay th\u1ee9 ph\u00e1t th\u01b0\u1eddng do c\u00e1c nguy\u00ean nh\u00e2n sau: Kh\u1ed1i cho\u00e1n ch\u1ed7 v\u00f9ng \u1ed1ng c\u1ed5 tay, ch\u1ea5n th\u01b0\u01a1ng, nhi\u1ec5m khu\u1ea9n, b\u1ec7nh l\u00ed v\u1ec1 kh\u1edbp, b\u1ec7nh l\u00ed n\u1ed9i ti\u1ebft, b\u00e9o ph\u00ec, \u2026
C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay g\u1ed3m: Gi\u1edbi n\u1eef, thai k\u00ec, ngh\u1ec1 nghi\u1ec7p s\u1eed d\u1ee5ng tay nhi\u1ec1u.<\/p>\n\n\n\n

Tri\u1ec7u ch\u1ee9ng<\/h2>\n\n\n\n

B\u1ec7nh nh\u00e2n th\u01b0\u1eddng c\u00f3 c\u1ea3m gi\u00e1c t\u00ea b\u00ec, d\u1ecb c\u1ea3m nh\u01b0 ki\u1ebfn b\u00f2, \u0111au bu\u1ed1t nh\u01b0 kim ch\u00e2m ho\u1eb7c \u0111au r\u00e1t b\u1ecfng \u1edf v\u00f9ng da thu\u1ed9c v\u00f9ng chi ph\u1ed1i c\u1ee7a d\u00e2y th\u1ea7n kinh gi\u1eefa \u1edf b\u00e0n tay (ng\u00f3n c\u00e1i, ng\u00f3n tr\u1ecf, ng\u00f3n gi\u1eefa v\u00e0 m\u1ed9t n\u1eeda ng\u00f3n nh\u1eabn) \u0111\u00f4i khi l\u00e0 c\u1ea3 b\u00e0n tay. Giai \u0111o\u1ea1n s\u1edbm th\u01b0\u1eddng ch\u1ec9 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean khi s\u1eed d\u1ee5ng b\u00e0n tay c\u1ed5 tay l\u00e2u nh\u01b0 l\u00e1i xe m\u00e1y, c\u1ea7m n\u1eafm \u0111\u1ed3 v\u1eadt l\u00e2u, s\u1eed d\u1ee5ng m\u00e1y t\u00ednh nhi\u1ec1u, \u2026 ho\u1eb7c v\u00e0o ban \u0111\u00eam do \u1ee9 tr\u1ec7 tu\u1ea7n ho\u00e0n t\u0129nh m\u1ea1ch ngo\u1ea1i vi.<\/p>\n\n\n\n

Bi\u1ec3u hi\u1ec7n v\u1ec1 r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng c\u1ee7a d\u00e2y th\u1ea7n kinh gi\u1eefa trong h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay \u00edt g\u1eb7p h\u01a1n r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c v\u00e0 hay x\u1ea3y ra \u1edf giai \u0111o\u1ea1n mu\u1ed9n c\u1ee7a b\u1ec7nh. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng m\u00f4 t\u1ea3 b\u00e0n tay tr\u1edf n\u00ean y\u1ebfu v\u00e0 v\u1ee5ng v\u1ec1 h\u01a1n, kh\u00f3 c\u00e0i n\u00fat khuy \u00e1o, hay l\u00e0m r\u01a1i \u0111\u1ed3 v\u1eadt khi c\u1ea7m n\u1eafm.<\/p>\n\n\n\n

Ch\u1ea9n \u0111o\u00e1n<\/h2>\n\n\n
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Ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay<\/em><\/figcaption><\/figure><\/div>\n\n\n

\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u00e2n c\u00f3 m\u1eafc h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay hay kh\u00f4ng, b\u00e1c s\u0129 c\u1ea7n khai th\u00e1c k\u0129 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng v\u00e0 th\u1ef1c th\u1ec3 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh c\u0169ng nh\u01b0 k\u1ebft h\u1ee3p c\u00e1c c\u1eadn l\u00e2m s\u00e0ng trong ch\u1ea9n \u0111o\u00e1n c\u1ee7a m\u00ecnh \u0111\u1ec3 ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c b\u1ec7nh c\u1ea3nh kh\u00e1c.<\/p>\n\n\n\n

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  • Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng g\u1ed3m nh\u1eefng tri\u1ec7u ch\u1ee9ng v\u1ec1 c\u1ea3m gi\u00e1c v\u00f9ng da do th\u1ea7n kinh gi\u1eefa chi ph\u1ed1i \u1edf b\u00e0n tay: \u0111au, t\u00ea, d\u1ecb c\u1ea3m, ch\u00e2m ch\u00edch, ki\u1ebfn b\u00f2<\/em><\/li>\n\n\n\n
  • Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3 g\u1ed3m: d\u1ea5u hi\u1ec7u Tinel d\u01b0\u01a1ng t\u00ednh, nghi\u1ec7m ph\u00e1p Phalen d\u01b0\u01a1ng t\u00ednh, gi\u1ea3m ho\u1eb7c m\u1ea5t c\u1ea3m gi\u00e1c n\u00f4ng v\u00f9ng da th\u1ea7n kinh gi\u1eefa chi ph\u1ed1i ho\u1eb7c test d\u1eabn truy\u1ec1n th\u1ea7n kinh cho th\u1ea5y c\u00f3 s\u1ef1 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea7n kinh gi\u1eefa v\u00f9ng c\u1ed5 tay.<\/li>\n\n\n\n
  • V\u00c0 b\u1eb1ng ch\u1ee9ng y\u1ebfu t\u1ed1 nguy c\u01a1 - ti\u1ec1n c\u0103n li\u00ean quan tr\u01b0\u1edbc khi c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a CTS.<\/li>\n<\/ul>\n\n\n\n

    C\u00e1c c\u1eadn l\u00e2m s\u00e0ng th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb g\u1ed3m:<\/p>\n\n\n\n

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    • Xquang c\u1ed5 tay:<\/strong> th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 c\u1ea5u tr\u00fac x\u01b0\u01a1ng c\u1ed5 tay v\u00e0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng lo\u1ea1i tr\u1eeb.<\/li>\n\n\n\n
    • Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb c\u1ed5 tay (MRI):<\/strong> c\u00f3 th\u1ec3 th\u1ea5y \u0111\u01b0\u1ee3c c\u00e1c ch\u1ea5n th\u01b0\u01a1ng ph\u1ea7n m\u1ec1m, h\u1eb9p, t\u1ed5n th\u01b0\u01a1ng c\u1ee7a bao x\u01a1.<\/li>\n\n\n\n
    • \u0110i\u1ec7n c\u01a1 (EMG):<\/strong> \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a s\u1ee3i tr\u1ee5c th\u1ea7n kinh, ti\u00ean l\u01b0\u1ee3ng h\u1ed3i ph\u1ee5c c\u1ee7a b\u1ec7nh.<\/li>\n\n\n\n
    • Si\u00eau \u00e2m c\u1ed5 tay:<\/strong> \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh gi\u1eefa d\u1ef1a v\u00e0o k\u00edch th\u01b0\u1edbc ti\u1ebft di\u1ec7n c\u1eaft ngang tr\u00ean si\u00eau \u00e2m.<\/li>\n\n\n\n
    • C\u00f4ng th\u1ee9c m\u00e1u:<\/strong> th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c b\u1ec7nh l\u00fd vi\u00eam to\u00e0n th\u00e2n, lao, u, \u2026<\/li>\n<\/ul>\n\n\n\n

      C\u1ea7n ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay nguy\u00ean ph\u00e1t v\u00e0 th\u1ee9 ph\u00e1t, c\u00e1c b\u1ec7nh th\u1ea7n kinh v\u00e0 c\u01a1 x\u01b0\u01a1ng kh\u1edbp \u1edf chi tr\u00ean.<\/p>\n\n\n\n

      \u0110i\u1ec1u tr\u1ecb<\/h2>\n\n\n\n

      N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng n\u1eb7ng nh\u1ea5t l\u00e0 m\u1ea5t c\u1ea3m gi\u00e1c v\u00e0 ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a b\u00e0n tay.<\/p>\n\n\n\n

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      • \u0110i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c<\/strong>\n
          \n
        • B\u1ec7nh nh\u00e2n c\u1ea7n thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng v\u00e0 sinh ho\u1ea1t: th\u01b0 gi\u00e3n c\u1ed5 tay, b\u00e0n tay khi l\u00e0m vi\u1ec7c; t\u1eadp v\u1eadn \u0111\u1ed9ng c\u1ed5 tay \u0111\u00fang c\u00e1ch; tr\u00e1nh c\u00e1c t\u01b0 th\u1ebf x\u1ea5u nh\u01b0 n\u1eb1m ng\u1ee7 \u0111\u00e8 l\u00ean tay ho\u1eb7c b\u1ebb c\u1ed5 tay, \u2026<\/li>\n\n\n\n
        • C\u1ed1 \u0111\u1ecbnh c\u1ed5 tay b\u1eb1ng n\u1eb9p \u0111\u1ebb gi\u1ea3m ch\u00e8n \u00e9p.<\/li>\n\n\n\n
        • \u1ed4n \u0111\u1ecbnh c\u00e1c b\u1ec7nh n\u1ec1n \u0111\u1ec3 tr\u00e1nh h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay th\u1ee9 ph\u00e1t.<\/li>\n\n\n\n
        • C\u00e1c ph\u01b0\u01a1ng ph\u00e1p v\u1eadt l\u00fd tr\u1ecb li\u1ec7u: \u0111i\u1ec7n xung, si\u00eau \u00e2m tr\u1ecb li\u1ec7u, ch\u01b0\u1eddm l\u1ea1nh\/n\u00f3ng.<\/li>\n\n\n\n
        • C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u00e2m c\u1ee9u y h\u1ecdc c\u1ed5 truy\u1ec1n \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 hi\u1ec7u qu\u1ea3 k\u00e9o d\u00e0i v\u00e0 gi\u1ea3m \u0111au h\u01a1n so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01a1n thu\u1ea7n.<\/li>\n\n\n\n
        • Xoa b\u00f3p b\u1ea5m huy\u1ec7t gi\u00fap gi\u1ea3i ph\u00f3ng \u00e1p l\u1ef1c v\u00f9ng c\u1ed5 tay, t\u0103ng c\u01b0\u1eddng dinh d\u01b0\u1ee1ng \u0111\u1ebfn b\u00e0n tay t\u1eeb \u0111\u00f3 gi\u00fap gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au, t\u00ea.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
        • \u0110i\u1ec1u tr\u1ecb d\u00f9ng thu\u1ed1c<\/strong>\n
            \n
          • Nh\u00f3m thu\u1ed1c gi\u1ea3m \u0111au theo b\u1eadc nh\u01b0 Paracetamol\/Codein.<\/li>\n\n\n\n
          • Nh\u00f3m thu\u1ed1c kh\u00e1ng vi\u00eam gi\u1ea3m \u0111au NSAID (Meloxicam, Diclofenac)<\/li>\n\n\n\n
          • Nh\u00f3m thu\u1ed1c gi\u1ea3m \u0111au th\u1ea7n kinh (Gabapentin, vitamin 3B)<\/li>\n\n\n\n
          • Ti\u00eam corticoid v\u00e0o \u1ed1ng c\u1ed5 tay<\/li>\n<\/ul>\n<\/li>\n\n\n\n
          • \u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa<\/strong>\n
              \n
            • Ch\u1ec9 d\u00f9ng khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa kh\u00f4ng \u0111\u00e1p \u1ee9ng, m\u1ee5c \u0111\u00edch d\u00f9ng \u0111\u1ec3 gi\u1ea3i ph\u00f3ng \u00e1p l\u1ef1c c\u1ee7a th\u1ea7n kinh gi\u1eefa, c\u00f3 2 ph\u01b0\u01a1ng ph\u00e1p l\u00e0 m\u1ed5 n\u1ed9i soi v\u00e0 m\u1ed5 h\u1edf.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n
              \n
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              Ph\u1eabu thu\u1eadt h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tay<\/em><\/figcaption><\/figure><\/div>\n\n\n

              Ph\u00f2ng ng\u1eeba<\/h2>\n\n\n\n
                \n
              • Thay \u0111\u1ed5i t\u01b0 th\u1ebf l\u00e0m vi\u1ec7c tr\u00e1nh c\u00e1c t\u01b0 th\u1ebf x\u1ea5u nh\u01b0 t\u00ec \u0111\u00e8 c\u1ed5 tay, n\u1eb1m ng\u1ee7 \u0111\u00e8 l\u00ean tay, ch\u0103m s\u00f3c v\u00e0 ngh\u1ec9 ng\u01a1i cho \u0111\u00f4i b\u00e0n tay h\u1ee3p l\u00fd \u0111\u1ec3 tr\u00e1nh g\u00e2y \u00e1p l\u1ef1c l\u00ean th\u1ea7n kinh gi\u1eefa.<\/li>\n\n\n\n
              • V\u1eadn \u0111\u1ed9ng v\u00f9ng c\u1ed5 tay \u0111\u00fang c\u00e1ch, \u0111\u00fang t\u1ea7m, k\u1ebft h\u1ee3p n\u1eb9p c\u1ed1 \u0111\u1ecbnh c\u1ed5 tay.<\/li>\n<\/ul>\n\n\n\n
                \n
                \n

                <\/p>\n<\/div><\/div>\n<\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

                Introduction Nowadays, with the nature of office work, more and more people experience conditions such as wrist pain, hand numbness, reduced or lost sensation in the hand, etc. The above signs suggest Carpal Tunnel Syndrome. Definition Carpal tunnel syndrome: CTS is a pathology of the median nerve being compressed in the carpal tunnel; this is […]<\/p>\n","protected":false},"author":2,"featured_media":1279,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[50],"tags":[65,55,62,63,51,64],"class_list":["post-1273","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-musculoskeletal-disease","tag-ban-tay","tag-co-xuong-khop","tag-dau","tag-dau-co-tay","tag-musculoskeletal-disease","tag-te-tay"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1273"}],"collection":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/comments?post=1273"}],"version-history":[{"count":0,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1273\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/media\/1279"}],"wp:attachment":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/media?parent=1273"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/categories?post=1273"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/tags?post=1273"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}