Ruwan zuma

Wadatacce

• Yiwuwar tasiri ga ...
• Zai yuwu bashi da tasiri ga ...
• Evidencearancin shaida don kimanta inganci don ...
• Kariya & Gargaɗi na Musamman:

Honey abu ne wanda ƙudan zuma ke samarwa daga tsirin tsire-tsire. Anfi amfani dashi azaman abun zaki a cikin abinci. Hakanan za'a iya amfani dashi azaman magani. Ruwan zuma na iya gurɓata da ƙwayoyin cuta daga tsire-tsire, ƙudan zuma, da ƙura yayin samarwa, tattarawa, da sarrafawa. Kodayake gurbacewa ba ta da yawa, an ba da rahoton botulism a cikin jarirai da aka ba zuma ta baki.

Ana amfani da zuma don ƙonewa, warkar da rauni, kumburi (kumburi) da sores a cikin bakin (mucositis na baki), da tari. Hakanan ana amfani dashi don wasu yanayi da yawa amma babu kyakkyawar shaidar kimiyya don tallafawa yawancin waɗannan amfani.

A masana'anta, ana amfani da zuma a matsayin ƙanshi da moisturizer a sabulai da kayan shafawa.

Kada ku cakuda zuma da furen kudan zuma, dafin kudan zuma, da jelly na sarauta.

Magunguna na Compwararren Bayanan Bayanai ƙimar tasiri bisa ga shaidar kimiyya bisa ga mizani mai zuwa: Inganci, Mai yuwuwa Mai Yiwuwa, Yiwuwar Tasiri, Yiwuwar Mara Inganci, Mai yiwuwa Mara Inganci, Mara Inganci, da suarancin Shaida don Rate.

Effectivenessimar tasiri don RUWAN ZUMA sune kamar haka:

Yiwuwar tasiri ga ...

• Sonewa. Aiwatar da shirye-shiryen zuma kai tsaye zuwa konewa da alama yana inganta warkarwa.
• Tari. Shan karamin zuma a lokacin kwanciya ya bayyana don rage yawan yin tari a yara 'yan shekara 2 zuwa sama. Ruwan zuma ya bayyana aƙalla yana da tasiri kamar dextromethorphan mai hana maye cikin ƙoshin lafiya. Amma bai tabbata ba idan zuma na rage tari a cikin manya.
• Ciwan ƙafa a cikin mutane masu ciwon sukari. Mafi yawan bincike ya nuna cewa shafa kayan sawa da ke dauke da zuma ga marurucin kafar masu ciwon sikari kamar zai rage lokacin warkewa da hana bukatar maganin rigakafi. Amma ba duk bincike ya yarda ba.
• Ido ya bushe. Amfani da takamaiman digo na zumar ido ko gel din ido a cikin ido (Optimel Manuka da digon ido ko Optimel Antibacterial Manuka Eye Gel) na taimakawa sanya busassun idanu jin dadi. Ana iya amfani da waɗannan samfuran tare da shan bushewar ido na yau da kullun kamar su digon mai da lullubin ɗumi akan idanun.
• Yanayin fata wanda ke haifar da jan fuska (rosacea). Bincike ya nuna cewa sanya kayan zuma a jiki ga fata na iya inganta alamun rosacea.
• Kumburi (kumburi) da sores a cikin bakin (mucositis na baki). Kurkurar baki sannan kuma a hankali hadiye zuma a gaba da bayan shan magani ko kuma zaman kulawar da alama yana rage barazanar kamuwa da ciwon baki. Shafa zuma akan ciwon bakin shima alama yana taimakawa wajan warkar da ulcerar bakin da sanadin chemotherapy ko radiotherapy. Amma mafi yawan waɗannan shaidun ba su da ƙima, don haka ana buƙatar karatun mafi girma don tabbatarwa.
• Ciwo da gyambon ciki na baki da gumis wanda kwayar cutar ta herpes ta haifar (gingivostomatitis na herpetic). Kurkurar baki sannan kuma a hankali hadiye zuma a hankali na taimakawa raunuka da olsa a cikin baki daga kwayar cutar ta hepes ta warke da sauri a cikin yara kuma an ba su wani magani da ake kira acyclovir.
• Raunin rauni. Yin amfani da shirye-shiryen zuma kai tsaye ga raunuka ko amfani da suturar da ke ɗauke da zuma da alama yana inganta warkarwa. Yawancin karatuttukan karatu suna bayanin amfani da zuma ko suturar zuma don nau'ikan raunuka, gami da raunuka bayan tiyata, ciwan kafa na wucin gadi, ƙoshin ciki, ƙonewa, ɓarna, yankewa, da wuraren da aka kai fata don daskarewa. Zuma kamar tana rage ƙamshi da ƙura, tana taimakawa tsabtace rauni, rage kamuwa da cuta, rage ciwo, da rage lokacin warkewa. A wasu rahotanni, raunuka sun warke tare da zuma bayan wasu jiyya sun kasa aiki.

Zai yuwu bashi da tasiri ga ...

• Kuraje. Bincike ya nuna cewa sanya zuma a fuska baya taimakawa wajen magance kurajen fuska.
• Kumburi (kumburi) na kogon hanci da sinuses (rhinosinusitis). Mafi yawan bincike ya nuna cewa amfani da zuma a cikin feshin hanci ba ya taimaka wajen rage matsaloli ga mutanen da ke yawan kamuwa da cutar ta sinus idan aka kwatanta da amfani da ruwan gishiri ko maganin rigakafi.

Evidencearancin shaida don kimanta inganci don ...

• Hay zazzabi. Ba a bayyana ba idan zuma na iya taimakawa tare da alamun cutar zazzaɓi. Wasu binciken farko sun nuna cewa shan cokali daya na zuma a kullum, ban da daidaitaccen magani, baya inganta alamun rashin lafiyan. Koyaya, sauran binciken farko sun nuna cewa shan zuma, baya ga daidaitaccen magani, na iya ɗan inganta wasu alamun bayyanar kamar ƙaiƙayi a hanci da atishawa.
• Bushewar soket (alveolar osteitis). Binciken farko ya nuna cewa amfani da zuma don rufe busasshiyar soket ba ya da kyau fiye da amfani da manna da aka yi da zinc da eugenol.
• Wasan motsa jiki. Binciken farko ya nuna cewa zuma na iya inganta matakan jini bayan motsa jiki da haɓaka aikin yayin bayarwa yayin motsa jiki.
• Kumburin ido (blepharitis). Binciken farko ya nuna cewa yin amfani da kirim tare da zuma a kan fatar ido yana inganta alamomi da damuwa a cikin mutanen da ke da wannan yanayin.
• Cututtuka a cikin mutane tare da catheters. Mafi yawan binciken farko ya nuna cewa sanya zuma, yawanci zumar manuka zuwa wuraren fita na wasu nau'ikan shukar hemodialysis yana hana kamuwa da cututtuka daga ci gaba kamar yadda wasu maganin rigakafi ko maganin kashe keɓaɓɓu. Amma sauran bincike sun nuna cewa sanya zumar Manuka a wurin fita ba ya rage faruwar wadannan cututtukan. A zahiri, yana iya ƙara haɗarin kamuwa da cuta ga mutanen da ke fama da ciwon sukari.
• Ciwon mara (ulcer) a kan jijiyar ido. Binciken farko ya nuna cewa amfani da digon ido tare da zuma yana inganta wasu matakan warkewa ga mutanen da ke wannan yanayin.
• Ciwon suga. Wasu binciken farko sun nuna cewa cin zuma mai yawa kowace rana na iya rage matakan cholesterol a cikin mutanen da ke da ciwon sukari na 2. Amma kuma yana da alama ƙara HbA1c, ma'auni na matsakaicin matakan sukarin jini. Sauran bincike na farko sun nuna cewa shan zuma kadan a kowace rana na iya rage yawan suga da ke cikin jini da kuma matakan cholesterol a cikin mutane masu dauke da ciwon sukari na 1.
• Gudawa. Wasu bincike sun nuna cewa sanya zuma a cikin maganin da aka ba don magance rashin ruwa a jiki yana taimakawa rage yawan amai da gudawa kuma yana iya inganta murmurewa ga yara da jarirai masu cutar ciki. Amma wani binciken ya nuna cewa sanya zuma a cikin maganin da aka yi amfani da shi don magance rashin ruwa a jiki yana rage gudawa ga jarirai da yara kanana da ke fama da mura ta ciki wanda kwayoyin cuta ke haifarwa. Zai iya amfani da waɗanda ke fama da mura ta ciki ta hanyar ƙwayoyin cuta ko wasu ƙwayoyin cuta.
• Ciwon mara na al'ada (dysmenorrhea). Binciken farko ya nuna cewa cin zuma kowace rana kafin fara al'ada tana taimakawa rage zafin da zarar ya fara.
• Wani nau'i mai laushi na cututtukan danko (gingivitis). Bincike na farko ya nuna cewa taunar "fatar" da aka yi daga zumar manuka ta ɗan rage laushi da zub da jini idan aka kwatanta da cingam ɗin da ba shi da suga a cikin mutanen da ke fama da cutar gingivitis.
• Basur. Binciken farko ya nuna cewa sanya cokali na hadin wanda ke dauke da zuma, man zaitun, da kudan zuma na rage zubda jini da kaikayi wanda basir ke haifarwa.
• Ciwon sanyi (herpes labialis). Bincike na farko ya nuna cewa sanya shafawar da aka jika da zuma sau hudu a kullum na inganta alamomi da lokacin warkar da ciwon sanyi.
• Babban matakan cholesterol ko sauran mai (lipids) a cikin jini (hyperlipidemia). Wasu bincike na farko sun nuna cewa shan gram 75 na zuma kowace rana har tsawon kwanaki 14 yana rage cholesterol mara nauyi a cikin mata masu yawan cholesterol.Amma sauran bincike na farko sun nuna cewa shan gram 70 na zuma a kowace rana tsawon kwanaki 30 baya rage matakan cholesterol a cikin mutanen da ke da al'ada ko kuma yawan matakan cholesterol.
• Ciwon al'aura. Bincike na farko ya nuna cewa shafa kayan miya da aka jika da zuma sau hudu a kullum ba ya inganta alamun cututtukan al’aura.
• Rashin samun ciki a cikin shekara guda na yunƙurin ɗaukar ciki (rashin haihuwa). Binciken farko ya nuna cewa amfani da zumar kudan zuma ta Masar da jelly na masara a cikin farji na kara yawan ciki ga ma'auratan da ke fama da matsalar daukar ciki saboda rashin haihuwa na maza.
• Kamuwa da cutar fata wanda lalatattun cututtukan Leishmania suka haifar (cututtukan Leishmania). Bincike na farko ya nuna cewa rufe sores tare da sanya zuma zuma sau biyu a rana tsawon makonni 6 ban da allurar shan magani na haifar da saurin warkewa fiye da magunguna kadai.
• Halin da ake haifar da rashin cin abinci mara kyau ko rashin ƙarfin jiki don karɓar abubuwan gina jiki. Binciken farko ya nuna cewa zuma na inganta nauyi da sauran alamomi a jarirai da yara masu rashin abinci mai gina jiki.
• Cutar cin nama (fascit necrotizing). Binciken farko ya nuna sakamakon da ba a sani ba game da tasirin sanya zuma, lokacin da aka yi amfani da shi tare da maganin rigakafi, a matsayin magani ga wani nau'in cututtukan nama da ke haifar da gwaiwa a kusa da al'aura.
• Jin zafi bayan tiyata. Ruwan zuma na iya rage ciwo da buƙatar maganin raɗaɗi ga yara da ke samun ƙoshin jikinsu. Amma ba a bayyana ba idan zuma na taimakawa wajen rage ciwo ga manya masu irin wannan yanayin.
• Itching. Binciken farko ya nuna cewa sanya cream na zuma (Medihoney Barrier Cream ta Derma Sciences Inc.) akan fatar na tsawon kwanaki 21 na iya rage fata mai kaushi sama da maganin zinc na sinadarin zinc a cikin mutanen da ke da matsalar fata sakamakon shafawa.
• Lalacewar fata sakamakon lalacewar radiation (dermatitis radiation). Yin amfani da gazuwar zuma sau ɗaya a rana zuwa raunin fata mai tsanani wanda ke haifar da maganin radiation ba ze inganta warkarwa ba.
• Cire hakori (hakar hakori). Binciken farko ya nuna cewa amfani da zuma na iya inganta warkar da rauni a cikin yara bayan cire haƙori.
• Asthma.
• Karyawar ɓuɓɓugan ruwan dusar kankara.
• Ciwon ido.
• Narkar da marurai na narkewar abinci.
• Kunar rana a ciki.
• Sauran yanayi.

Ana buƙatar ƙarin shaida don kimanta tasirin zuma ga waɗannan amfani.

Wasu sinadarai a cikin zuma na iya kashe wasu ƙwayoyin cuta da naman gwari. Idan aka shafa a fatar, zuma na iya zama abin kariya ga danshi da kuma kiyaye fata daga mannewa a cikin suturar. Hakanan zuma na iya samar da abubuwan gina jiki da sauran sinadarai masu saurin warkar da rauni.

Lokacin shan ta bakin: Ruwan zuma shine LAFIYA LAFIYA ga mafi yawan manya idan aka sha su da baki. Honey ne KIMA INSAFE lokacin da aka samar dashi daga nectar na Rhododendrons kuma aka ɗauke shi ta baki. Irin wannan zumar na dauke da guba wanda ka iya haifar da matsalolin zuciya, hawan jini, da ciwon kirji.

Lokacin amfani da fata ko a cikin bakin: Ruwan zuma shine LAFIYA LAFIYA ga mafi yawan manya lokacin da ya dace ayi amfani da shi ga fata ko kurkurar baki.

Lokacin amfani da shi a cikin hanci: Tsarkakakken maganin zuma shine MALAM LAFIYA ga mafi yawan manya idan aka fesa cikin hanci har zuwa makonni 2.

Kariya & Gargaɗi na Musamman:

Ciki da shan nono: Ruwan zuma shine LAFIYA LAFIYA lokacin da aka sha cikin adadin abinci. Damuwa game da botulism ya shafi jarirai da yara ƙanana ba ga manya ko mata masu ciki ba. Koyaya, ba'a isa isasshe game da amincin zuma lokacin amfani dashi don dalilai na magani ga mata masu juna biyu ko masu shayarwa. Kasance a gefen aminci kuma guji adadin magani da aikace-aikace na jaka.

Yara: Ruwan zuma shine LAFIYA LAFIYA lokacin da aka sha baki a cikin yara shekara ɗaya zuwa sama. Honey ne YIWU KA KIYAYE lokacin da aka sha baki da jarirai da yara ƙanana. Kada a yi amfani da zuma a cikin jarirai da ƙananan yara 'yan ƙasa da watanni 12 saboda damar da ake da ita ta cutar botulism. Wannan ba haɗari bane ga yara manya ko manya.

Ciwon suga: Amfani da zuma mai yawa na iya kara yawan suga a cikin jini ga masu dauke da ciwon sukari na 2. Hakanan, sanya zuma a wuraren fita waje wankin koda na iya kara barazanar kamuwa da mutane masu ciwon suga.

Kwayar cutar Pollen: Ka guji zuma idan kana rashin lafiyan pollen. Honey, wanda aka yi daga pollen, na iya haifar da halayen rashin lafiyan.

Matsakaici

Yi hankali da wannan haɗin.

Magunguna waɗanda ke jinkirta daskarewar jini (Magungunan Anticoagulant / Antiplatelet)

Zuma na iya jinkirta daskarewar jini. A ka'ida, shan zuma tare da magunguna wadanda suma jinkirin daskarewa na iya kara damar yin rauni da zubar jini.

Wasu magunguna da ke jinkirta daskarewar jini sun hada da asfirin; clopidogrel (Plavix); nonsteroidal anti-inflammatory drugs (NSAIDs) kamar diclofenac (Voltaren, Cataflam, wasu), ibuprofen (Advil, Motrin, wasu), naproxen (Anaprox, Naprosyn, wasu); dalteparin (Fragmin); enoxaparin (Lovenox); heparin; warfarin (Coumadin); da sauransu.

Distance Ga-Rankuwa-Phenytoin (Dilantin)

Zuma na iya ƙara yawan phenytoin (Dilantin) da jiki ke sha. Shan zuma tare da phenytoin (Dilantin) na iya kara illoli da kuma illolin phenytoin (Dilantin).

Orananan

Yi hankali da wannan haɗin.

Magunguna da hanta suka canza (Cytochrome P450 3A4 (CYP3A4) substrates)

Wasu magunguna ana canza su ta hanta. Ruwan zuma na iya ragewa yadda hanta ke saurin wargaza wasu magunguna. Shan zuma tare da wasu magunguna wadanda hanta ke farfasawa na iya kara tasiri da illolin wadannan magunguna. Kafin shan zuma, yi magana da mai ba ka kiwon lafiya idan kana shan duk wani magani da hanta ke canzawa.

Wasu magungunan da hanta ta canza sun hada da masu toshe tasoshin alli (diltiazem, nicardipine, verapamil), magungunan chemotherapeutic (etoposide, paclitaxel, vinblastine, vincristine, vindesine), antifungals (ketoconazole, itraconazole), glucocorticoids, cisapride (alfentil) , fentanyl (Sublimaze), losartan (Cozaar), fluoxetine (Prozac), midazolam (Versed), omeprazole (Prilosec), ondansetron (Zofran), propranolol (Inderal), fexofenadine (Allegra), da sauran su.

Ganye da kari wadanda zasu iya rage daskarewar jini

Amfani da wasu ganyayyaki da kari wanda ke jinkirta daskarewar jini tare da zuma na iya ƙara haɗarin zubar jini a cikin wasu mutane. Wannan saboda zuma na iya jinkirta daskarewar jini. Wasu sauran ganyayyaki wadanda zasu iya rage daskarewar jini sun hada da Angelica, clove, danshen, tafarnuwa, ginger, ginkgo, Panax ginseng, da sauransu.

Babu sanannun hulɗa da abinci.

An yi nazarin ƙwayoyi masu zuwa a cikin binciken kimiyya:

MAGABATA

TA BAKI:

• Don tari: Giram 25 na manna mai dauke da gram 20.8 na zuma da gram 2.9 an narkar da su a cikin mil 200 na ruwan dumi ana sha duk bayan awa 8.

ANA NEMAN SHI A FATA KO A CIKIN BAKI:

• Don konewa: Ana amfani da zuma kai tsaye ko a cikin sutura ko auduga. Galibi ana canza kayan miya kowane awa 24-48, amma wani lokacin akan bar su a wuri har zuwa kwanaki 25. Yakamata a duba raunin duk bayan kwana 2. Idan aka yi amfani da shi kai tsaye, an yi amfani da zuma 15 mL zuwa 30 mL kowane sa’o’i 12-48, kuma an rufe shi da gauze mara daɗi da bandeji ko suturar polyurethane.
• Don ciwon ƙafa a cikin mutanen da ke fama da ciwon sukari: Manuka zuma (Medihoney Tulle Dressing) da zumar beri anyi amfani da su wajen ado tsawon lokacin da ake buƙata.
• Don bushe ido: Ciwon ido (Optimel Manuka da digon ido) ko gel din ido (Optimel Antibacterial Manuka Eye Gel) an yi amfani da shi sau biyu a kowace rana tsawon makonni 8 tare da kyallen dumi a idanuwa da kuma digon ido na mai.
• Don kumburi (kumburi) da sores a cikin bakin (mucositis na baki): An shayar da zuma 20 mL a bakin mintuna 15 kafin farfajiyar haskakawa, sannan mintuna 15 da awanni 6 bayan jujjuyawar ko lokacin kwanciya, sannan a haɗiye ko tofa a hankali. Hakanan an sanya zuma a cikin bakin ana sakawa ana sakawa yau da kullun. Hakanan, man zuma / kofi 10 mL ko man zuma shi kaɗai 10 mL, kowannensu yana ɗauke da zuma 50%, an kurkure shi a bakin kuma an haɗiye shi kowane bayan awa 3.
• Ga yanayin fata wanda ke haifar da jan fuska (rosacea): Kashi 90% na zanin kanuka (Honevo) na likitanci tare da glycerine an shafa shi a fata sau biyu kowace rana tsawon makonni 8 kuma a wanke bayan minti 30-60.
• Don warkar da rauni: Ana amfani da zuma kai tsaye ko a cikin sutura ko auduga. Yawancin lokaci ana canza suturar kowane awa 24-48 amma wasu lokuta ana barin su a wuri har zuwa kwanaki 25. Yakamata a duba raunin kowane kwana 2. Idan aka yi amfani da shi kai tsaye, an yi amfani da zuma 15 mL zuwa 30 mL kowane sa’o’i 12-48 kuma an rufe shi da gauze mara daɗi da bandeji ko suturar polyurethane.

YARA

TA BAKI:

• Don tari: 2.5-10 mL (0.5-2 teaspoons) na zuma a lokacin kwanciya.

ANA NEMAN SHI A FATA KO A CIKIN BAKI:

• Don warkar da rauni: An sanya zumar gaƙar zuma a cikin raunuka sau biyu a rana har sai ta warke.
• Don kumburi (kumburi) da sores a cikin bakin (mucositis na baki): Ana shafa zuma har zuwa gram 15 a cikin bakin sau uku a rana.
• Don ciwo da gyambon ciki na baki da gumis wanda kwayar cutar ta herpes ta haifar (gingivostomatitis na herpetic): Ana amfani da zuma har zuwa 5 mil na zuma a cikin bakin kowane awa hudu.

Beri zuma, Apis mellifera, Bulaliyar Honey, Buckwheat Honey, Chestnut Honey, Bayyana Honey, Honeydew Honey, Honig, Jellybush Honey, Langnese Honey, Madhu, Manuka Honey, Medihoney, Mel, Miel, Miel Blanc, Miel Clarifié, Miel de Châtaigni Miel de Manuka, Miel de Sarrasin, Miel Filtré, Tsarkakakken zuma, Tsattsauran Ruwan zuma, Tualang Honey, Furen daji da Thyme Honey.

Don ƙarin koyo game da yadda aka rubuta wannan labarin, da fatan za a duba Magunguna na Compwararren Bayanan Bayanai hanya.

1. Ooi ML, Jothin A, Bennett C, et al. Manuka zuma sinus ban ruwa a cikin sake farfadowa na rhinosinusitis na yau da kullun: lokaci na 1 bazuwar, makafi guda, gwajin sarrafa wuribo. Cibiyar Rhinol ta Allergy Int Forum. 2019; 9: 1470-1477. Duba m.
2. Nejabat M, Soltanzadeh K, Yasemi M, Daneshamouz S, Akbarizadeh AR, Heydari M. Inganci na ƙirar ƙirar zafin jiki a cikin marasa lafiya da cutar gyambon ciki; Gwajin asibiti. Hanyoyin Nazarin Magungunan Curr. 2020. Duba m.
3. Münstedt K, Männle H. Menene ba daidai ba tare da zane-zane game da zuma da ƙoshin ƙwayar mucositis saboda hanyoyin maganin kansar? Kammala Ther Med. 2020; 49: 102286. Duba m.
4. Mokhtari S, Sanati I, Abdolahy S, Hosseini Z. Bincike akan tasirin zuma akan warkar da raunukan cire hakora a cikin yara masu shekaru 4 zuwa 9. Neja J Clin Pract. 2019; 22: 1328-1334. Duba m.
5. Martina SJ, Ramar LAP, Silaban MRI, Luthfi M, Govindan PAP. Tasirin Antiplatelet tsakanin Aspirin tare da zuma akan cututtukan zuciya da suka danganci lokacin zubar jini wanda aka ɗauka akan Beraye. Bude Samun Maced J Med Sci. 2019 Oktoba 14; 7: 3416-3420. Duba m.
6. Geiβler K, Schulze M, Inhestern J, Meiβner W, Guntinas-Lichius O. Sakamakon tasirin amfani da zuma na adjuvant a cikin kula da ciwon bayan bayan tiyata a cikin manya: Nazarin matukin jirgi. Koma Daya. 2020; 15: e0228481. Duba m.
7. Craig JP, Cruzat A, Cheung IMY, Watters GA, Wang MTM. Gwajin da aka rufe masaka na ingancin asibiti na MGO Manuka Honey microemulsion ido na ido don maganin blepharitis. Ocul Surf. 2020 Jan; 18: 170-177. Duba m.
8. Ansari A, Joshi S, Garad A, Mhatre B, Bagade S, Jain R. Nazarin don Tantance Ingancin zuma a cikin Gudanar da Ramin Soke. Clinem Idin Dent. 2019; 10: 52-55. Duba m.
9. Al-Tamimi AM, Petrisko M, Hong MY, Rezende L, Clayton ZS, Kern M. Honey ba ya tasiri tasirin jinin jini na mazan da mata manya: gwajin bazuwar wuce gona da iri. Sakamakon Nutr 2020; 74: 87-95. Duba m.
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Binciken na ƙarshe - 11/24/2020