Ayak Serçe Parmak Kırığı: Belirtileri ve Tedavi Rehberi

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Ayak Serçe Parmak Kırığı: Belirtileri ve Tedavi Rehberi

12 Haziran 2024 Geliştiren: Hüsnü Samet Demirci

Ayak Serçe Parmak Kırığı Nedir?

Ayak serçe parmağı, küçük boyutuna rağmen günlük aktivitelerde önemli bir rol oynar. Küçük bir travma, darbe veya düşme sonucunda kolayca kırılabilir. Ayak serçe parmak kırığı, acı verici olabilir ve doğru tedavi edilmediğinde uzun vadeli sorunlara yol açabilir. İşte ayak serçe parmak kırığının belirtileri, tanı yöntemleri ve tedavi süreci hakkında detaylı bir rehber.

Ayak Serçe Parmak Kırığının Belirtileri

Ağrı ve Hassasiyet En belirgin belirti, parmakta ani ve şiddetli ağrıdır. Kırık bölgeye dokunulduğunda veya üzerine ağırlık verildiğinde ağrı artar.

Şişlik ve Morarma Kırık olan serçe parmak hızla şişebilir ve morarma görülebilir. Bu belirtiler, kırığın ciddiyetine bağlı olarak değişiklik gösterebilir.

Hareket Kısıtlılığı Kırık parmak hareket ettirildiğinde ağrı artar ve hareket kısıtlılığı yaşanır. Parmak normalden daha az hareket edebilir veya tamamen hareketsiz hale gelebilir.

Deformasyon Parmakta anormal bir şekil veya eğrilik fark edilebilir. Bu durum, kırığın yerinden oynamış olduğunu gösterebilir.

Duyarlılık Kaybı Bazı durumlarda, kırık parmakta duyarlılık kaybı veya uyuşma hissedilebilir. Bu, sinir hasarının bir belirtisi olabilir.

Ayak Serçe Parmak Kırığının Tanısı

Fiziksel Muayene Doktor, parmağınızın durumunu değerlendirmek için fiziksel muayene yapar. Ağrı noktalarını ve şişlik derecesini kontrol eder.

Röntgen Kırığın yerini ve ciddiyetini belirlemek için röntgen çekilir. Röntgen, kemik kırıklarının kesin tanısı için en yaygın kullanılan yöntemdir.

MRI veya CT Tarama Nadir durumlarda, röntgen yeterli olmadığında MRI veya CT tarama yapılabilir. Bu yöntemler, kemik ve çevre dokuların daha ayrıntılı görüntülenmesini sağlar.

Ayak Serçe Parmak Kırığının Tedavisi

İlk Yardım

Dinlenme: Kırık parmağı zorlamamak ve üzerine ağırlık vermemek önemlidir.
Buz Uygulama: Şişliği azaltmak için kırık parmağa buz uygulanabilir. Buzu ince bir bezle sararak direkt cilde temas etmesini önleyin.
Yüksekte Tutma: Şişliği azaltmak için ayağı kalp seviyesinin üzerinde tutun.

Tıbbi Tedavi

Atel veya Alçı: Kırık parmak sabitlenmek için atel veya alçı ile sarılabilir. Bu, kemiklerin doğru şekilde kaynamasını sağlar.
Bantlama: Hafif kırıklar için kırık parmak yanındaki parmakla bantlanarak sabitlenir. Bu yöntem, hareketi kısıtlar ve iyileşmeyi destekler.
Ağrı Kesiciler: Doktor, ağrıyı yönetmek için reçetesiz veya reçeteli ağrı kesiciler önerebilir.

Cerrahi Müdahale Ciddi kırıklar veya yerinden oynamış kırıklar için cerrahi müdahale gerekebilir. Bu durumda, kemiklerin doğru şekilde kaynaması için plakalar, vidalar veya teller kullanılabilir.

Fizik Tedavi ve Rehabilitasyon İyileşme sürecinde, parmağın eski fonksiyonunu geri kazanması için fizik tedavi önerilebilir. Egzersizler, parmağın hareketliliğini ve gücünü artırmaya yardımcı olur.

İyileşme Süreci

İyileşme Süresi Ayak serçe parmak kırığının iyileşme süresi, kırığın ciddiyetine bağlı olarak değişir. Genellikle 4-6 hafta arasında tam iyileşme sağlanır.

İyileşme Takibi Doktorunuz, iyileşme sürecini takip etmek için düzenli kontroller yapacaktır. Röntgen veya diğer görüntüleme yöntemleriyle kemiklerin doğru şekilde kaynadığından emin olunur.

Önleyici Tedbirler İyileşme sürecinde, ayağınızı korumak ve tekrar yaralanmamak için uygun ayakkabılar giymek önemlidir. Ayrıca, aktiviteler sırasında dikkatli olmak ve riskli hareketlerden kaçınmak faydalı olacaktır.

A realistic image showing a close-up of a person's foot with a broken little toe (serçe parmak). The toe is visibly swollen and bruised, indicating the break. The person is gently touching the injured toe with a concerned expression. The background features a home setting with a first aid kit nearby, emphasizing the need for immediate care and treatment for the injury.

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7711580061732, 7570857951268, 7686705053732, 7682387476516, 7585047969828, 7585042726948, 7549704503332, 7549711777828, 7549711679524, 7549689233444, 7549684252708, 7549680812068, 7549681565732, 7549680877604, 7570877186084, 7568198402084, 7570838454308, 7570873090084, 7549711646756, 7549708664868, 7568265969700, 7549691002916, 7549711482916, 7549711417380, 7549691363364, 7567902244900, 7570851004452, 7549696933924, 7549685956644, 7599686549540, 7549686841380, 7549686612004, 7549686382628, 7549686317092, 7549686186020, 7549686120484, 7549683892260, 7549667737636, 7545264013348, 7545262768164, 7545262407716, 7545260998692, 7545260343332, 7545260179492, 7545221513252, 7545221414948, 7545221382180, 7545221251108, 7545220497444, 7545220399140,

7545239535652, 7545238093860, 7545238061092, 7545237962788, 7545237241892, 7545227280420,

7545267060772, 7545265356836, 7545239928868, 7545239502884, 7545239437348, 7545239175204, 7545239076900, 7545238847524, 7545238781988, 7545238650916, 7545238552612, 7545238159396, 7545238028324, 7545237176356, 7545237143588, 7545236815908, 7545235996708, 7545235046436, 7545234915364, 7545232195620, 7545232162852, 7545232130084, 7545232097316, 7545232031780, 7545231966244, 7545231933476, 7545231900708, 7545231867940, 7545231704100, 7545231474724, 7545231278116, 7545231245348, 7545231212580, 7545231081508, 7545231015972, 7545230983204, 7545230917668, 7545230884900, 7545230819364, 7545230786596, 7545230753828, 7545230655524, 7545230622756, 7545230557220, 7545230491684, 7545230458916, 7545230426148, 7545230327844, 7545230262308, 7545230229540,

7545240354852, 7545229934628, 7545223970852,

7545239633956, 7545239339044, 7545238519844,

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7570861916196, 7545117900836, 7545117573156, 7545117507620, 7545110855716, 7545110724644, 7545109250084, 7545109217316, 7545109086244, 7545108987940, 7545108955172, 7545108889636, 7545107775524, 7545107415076, 7545106989092,

7545251332132, 7545118228516, 7545118031908, 7545108365348, 7545108168740, 7545107644452, 7545107284004, 7545107087396, 7545104957476,

7585048526884, 7545251463204, 7545109282852, 7545108791332, 7545108529188, 7545108234276, 7545108070436, 7545107939364, 7545107480612, 7545107316772, 7545107120164, 7545107021860, 7545106300964, 7545104859172,

7549697490980, 7549698572324, 7549698670628, 7549698736164, 7549698867236, 7545252544548, 7545252479012, 7549682221092, 7549699260452, 7549698080804, 7549707517988, 7549707124772, 7549712793636, 7549699096612, 7549697982500, 7549697884196, 7549697818660, 7549699194916, 7687452688420, 7585047216164, 7585054130212, 7585048526884, 7585049673764, 7570869190692, 7568092790820, 7585043382308, 7549706862628, 7570871255076, 7570841960484, 7568241000484, 7570843402276, 7568048521252, 7568075259940, 7549696933924, 7585052098596, 7570861916196, 7549708369956, 7549708206116, 7549707681828, 7549704503332, 7549700767780, 7549700210724, 7549698441252, 7549697261604, 7549696278564, 7549696114724, 7549695819812, 7549695754276, 7549695262756, 7549694869540,

7545173377060, 7545171148836, 7545169870884, 7545168724004, 7545167970340, 7545166299172, 7545166233636, 7545259687972, 7545259065380, 7545258901540, 7545258442788, 7545258377252, 7545258278948, 7545258213412, 7545183469604, 7545183240228, 7545182879780, 7545182847012, 7545182322724, 7545181274148, 7545181175844, 7545180979236, 7545180028964, 7545179963428, 7545179865124, 7545179766820, 7545178914852, 7545178718244, 7545178685476, 7545177899044, 7545177800740, 7545175998500, 7545175900196, 7545175867428, 7545175638052, 7545175605284, 7545174130724, 7545172983844, 7545171804196, 7545171738660, 7545171705892, 7545171673124, 7545171640356, 7545171607588, 7545171509284, 7545171476516, 7545171443748, 7545171378212, 7545171345444, 7545171279908,

7545170886692, 7545170591780,

7549696507940, 7549712269348, 7549696409636, 7549712400420, 7549697032228, 7549687758884, 7549687496740, 7549692805156, 7549685563428, 7549695328292, 7549683269668, 7549712138276, 7549711876132, 7549687922724, 7549711941668, 7549712072740, 7549712465956, 7549687365668, 7549712236580, 7549691658276, 7549712007204, 7549690347556, 7549670391844, 7545259950116, 7545259261988, 7545258999844, 7545258541092, 7545258016804, 7545257885732, 7545183305764, 7545183272996, 7545183010852, 7545182814244, 7545181765668, 7545179013156, 7545178652708, 7545178456100, 7545178292260, 7545177702436, 7545177341988, 7545177047076, 7545176981540, 7545176424484, 7545176293412, 7545175146532, 7545175080996, 7545175015460, 7545174261796, 7545173999652, 7545173803044,

7549710172196, 7549710106660, 7549710008356, 7549709811748, 7549709582372, 7549709549604, 7549709385764, 7549709287460, 7549709189156, 7549708959780, 7549708861476, 7549690544164, 7545267191844, 7545237241892,

7570877186084, 7570873090084, 7570871255076, 7570841960484, 7567854632996, 7545263816740, 7545254871076, 7545247563812, 7545243369508, 7545242484772, 7545236357156, 7545223053348, 7545209454628, 7545209356324, 7545209323556, 7545198313508, 7545197461540, 7545195626532, 7545183174692, 7545181634596, 7545174982692, 7545174360100, 7545173344292, 7545169838116, 7545140117540, 7545136873508, 7545135988772, 7545135267876, 7545135235108, 7545135202340, 7545135169572, 7545135136804, 7545128058916, 7545110233124, 7545110003748, 7545106268196, 7545104138276, 7545100533796, 7545100369956, 7545100337188, 7545089785892, 7545089753124, 7545089556516, 7545056362532, 7545048367140,

7549682221092, 7549708206116, 7549707616292, 7549698506788, 7549695328292, 7549694869540, 7549687267364, 7549687103524, 7549686939684, 7549683564580, 7549683269668, 7549678780452, 7545262768164, 7545261621284, 7545252282404, 7545230917668, 7545226756132, 7545226690596, 7545223053348, 7545222922276, 7545222725668, 7545222561828, 7545218859044, 7545218138148, 7545209815076, 7545199558692, 7545195626532, 7545195528228, 7545175703588, 7545172918308, 7545170690084, 7545129566244, 7545115934756, 7545114820644, 7545114787876, 7545114722340, 7545111642148, 7545097093156, 7545045221412, 7545045188644, 7545045057572,

7545139986468, 7545126944804, 7545137561636, 7545137102884, 7545131270180, 7545130549284, 7545130450980, 7545130418212, 7545130156068, 7545129926692, 7545129861156, 7545129697316, 7545255755812, 7545255690276, 7545254379556, 7545253920804, 7545253855268, 7545144803364, 7545144508452, 7545143885860, 7545143558180, 7545143492644, 7545142247460, 7545141821476, 7545141526564, 7545141493796, 7545140707364, 7545140183076, 7545139920932, 7545139560484, 7545139396644, 7545139363876, 7545138085924, 7545137397796, 7545137365028, 7545136578596, 7545136218148, 7545135071268, 7545132711972, 7545132220452, 7545132154916, 7545132089380, 7545132056612, 7545132023844, 7545131991076, 7545131860004, 7545131794468, 7545131565092, 7545131434020, 7545130909732,

7545253822500, 7545253789732, 7545141985316, 7545141887012, 7545141297188, 7545140150308, 7545140019236, 7545139331108, 7545137791012, 7545135300644, 7545131728932, 7545131630628, 7545131368484, 7545131008036, 7545129664548, 7545129205796, 7545125109796, 7545124290596,

7545254838308, 7545253625892, 7545253527588, 7545253494820, 7545253396516, 7545141362724, 7545140969508, 7545140903972, 7545139265572, 7545138053156, 7545137463332, 7545137201188, 7545137168420, 7545136185380, 7545135005732, 7545131892772, 7545131401252, 7545131204644, 7545131171876, 7545131139108, 7545131073572, 7545130844196, 7545130811428, 7545130745892, 7545130516516, 7545130352676, 7545130287140, 7545130221604, 7545130057764, 7545129992228, 7545129631780, 7545129500708, 7545125634084, 7545125437476, 7545125371940,

7615411421220, 7615411191844, 7545135595556, 7545139986468, 7545126944804, 7570855133220, 7549690937380, 7549690216484, 7545255231524, 7545255100452, 7545254608932, 7545254019108, 7545253363748, 7545253265444, 7545145229348, 7545145065508, 7545144082468, 7545143951396, 7545143656484, 7545143230500, 7545142509604, 7545140510756, 7545138970660, 7545136939044, 7545136513060, 7545136152612, 7545133072420, 7545131499556, 7545254772772, 7545254674468, 7545254641700, 7545253724196, 7545253691428, 7545253560356, 7545241796644, 7545144967204, 7545144901668, 7545144868900, 7545144737828, 7545144377380, 7545143787556, 7545143722020, 7545143623716, 7545143590948, 7545143132196, 7545142870052, 7545142804516, 7545142214692, 7545142181924, 7545142018084,

7545247563812, 7545247465508, 7545247399972, 7545247367204, 7545247301668, 7545083920420,

7545245040676, 7545243303972, 7545243205668, 7545243172900, 7545243107364, 7545242943524, 7545070223396, 7545069633572, 7545069469732, 7545056821284, 7545048956964,

7545244090404, 7545243566116, 7545242845220, 7545241698340, 7545241239588, 7545056362532, 7545056100388, 7545055608868, 7545245106212, 7545245073444, 7545244942372, 7545244876836, 7545243926564, 7545243828260, 7545243762724, 7545243729956, 7545243467812, 7545243369508, 7545242877988, 7545070092324, 7545068617764, 7545061998628, 7545061933092, 7545060032548, 7545059672100, 7545059541028, 7545055707172, 7545245040676, 7545243303972, 7545243205668, 7545243172900, 7545243107364, 7545243009060, 7545242943524, 7545070223396, 7545069633572, 7545069469732, 7545059508260, 7545058361380, 7545056821284, 7545056034852, 7545055346724, 7545048956964,

7549704503332, 7549706534948, 7549705977892, 7549701685284, 7549701357604, 7549700767780, 7549700636708, 7549700374564, 7549700210724, 7549673635876, 7549672849444, 7549672521764, 7545249136676, 7545090179108, 7545090146340,

7545251037220, 7545250480164, 7545250218020, 7545250152484, 7545250119716, 7545249824804, 7545249759268, 7545249660964, 7545249333284, 7545249234980, 7545098764324, 7545098010660, 7545097453604, 7545097093156, 7545095651364, 7545093750820, 7545091620900, 7545091063844, 7545090932772, 7545103515684,

7545250775076, 7545098141732,

7545250054180,

7545100730404, 7549668294692, 7549706403876, 7549710860324, 7549680746532, 7545090474020, 7545045352484, 7545250873380, 7545250742308, 7545250709540, 7545250676772, 7545250611236, 7545250545700, 7545250447396, 7545250349092, 7545250316324, 7545249562660, 7545249366052, 7545249333284, 7545249234980, 7545100599332, 7545093914660, 7545091620900, 7545091063844, 7545090932772, 7545251004452, 7545250906148, 7545250840612, 7545250512932, 7545250414628, 7545250250788, 7545250054180, 7545249923108, 7545249857572, 7545249792036, 7545249693732, 7545249529892, 7545104138276, 7545103450148, 7545101484068, 7545100533796, 7545100369956, 7545100337188, 7545099812900, 7545095225380, 7545095192612, 7545094144036, 7545251037220, 7545250775076, 7545250480164,

7545264308260, 7545260212260, 7545248579620, 7545240289316, 7545238847524, 7545237143588, 7545230786596, 7545229639716, 7545229508644, 7545228328996, 7545227575332, 7545224953892, 7545224888356, 7545220497444, 7545217450020, 7545216204836, 7545213943844, 7545209552932, 7545198673956, 7545193857060, 7545193332772, 7545193103396, 7545192775716, 7545190907940, 7545190875172, 7545190842404, 7545190580260, 7545190514724, 7545189400612, 7545188155428, 7545188122660, 7545186418724, 7545186385956, 7545176522788, 7545176227876, 7545173442596, 7545169084452, 7545168429092, 7545167806500, 7545167740964, 7545167708196, 7545166987300, 7545143558180, 7545143492644, 7545136218148, 7545135366180, 7545126453284, 7545126387748, 7545126027300, 7545125437476,

7545247268900, 7545247203364, 7545247072292, 7545247039524, 7545246941220, 7545246842916, 7545241468964, 7545082511396, 7545082478628, 7545082380324, 7545082347556,

7545249038372, 7545089785892, 7545089753124,

7545241534500,

7545232293924, 7545226625060, 7545223151652, 7545215680548, 7545172951076, 7545134841892, 7545117835300, 7545117474852,

7545264406564, 7545253199908, 7545249857572, 7545215483940, 7545211060260, 7545194119204, 7545193529380, 7545178751012, 7545174491172, 7545139232804, 7545137889316,

7545253625892, 7545250054180, 7545248022564, 7545239076900, 7545230491684, 7545230000164, 7545216303140, 7545213157412, 7545200869412, 7545200214052, 7545197264932, 7545186189348, 7545175801892, 7545175605284, 7545171214372, 7545169805348, 7545141362724, 7545140150308, 7545139101732, 7545137233956, 7545130876964, 7545130287140, 7545108791332, 7545108365348, 7545087983652, 7545087524900,

7682387476516, 7545263849508, 7545250676772, 7545241239588, 7545227968548, 7545222856740, 7545221677092, 7545221644324, 7545220694052, 7545217679396, 7545217646628, 7545217351716, 7545215254564, 7545215221796, 7545214631972, 7545214107684, 7545210961956, 7545190449188, 7545179734052, 7545178161188, 7545177636900, 7545174229028, 7545141329956, 7545139527716, 7545135956004, 7545120260132, 7545110691876, 7545110528036, 7545110396964, 7545103450148, 7545101484068, 7545095225380, 7545094144036, 7545090474020, 7545070092324, 7545067044900, 7545060032548, 7545059672100, 7545059541028, 7545059508260, 7545052561444, 7545052397604, 7545052233764, 7545052168228, 7545052135460, 7545051971620, 7545051938852, 7545045549092, 7545045483556, 7545044566052,

7545209323556, 7545140117540, 7545135169572, 7545110003748,

7545231540260, 7545231507492, 7545219678244, 7545219547172, 7545214533668, 7545214468132, 7545143787556, 7545143722020,

7545251332132, 7545222397988, 7545199362084, 7545141297188, 7545118031908, 7545089327140, 7545067143204, 7545056034852, 7545045352484,

7545255395364, 7545252904996, 7545220202532, 7545181863972, 7545180323876, 7545140510756, 7545117147172,

7570873090084, 7570871255076, 7570841960484, 7567854632996, 7545236357156, 7545209454628, 7545209356324, 7545209323556, 7545198313508, 7545183174692, 7545181634596, 7545174982692, 7545174360100, 7545173344292, 7545140117540, 7545136873508, 7545135988772, 7545135267876, 7545135235108, 7545135202340, 7545135169572, 7545135136804, 7545110233124, 7545110003748, 7545104138276, 7545100533796, 7545100369956, 7545100337188, 7545089785892, 7545089753124, 7545089556516, 7545056362532, 7545048367140,

7549682221092, 7549683269668, 7545252282404, 7545226756132, 7545226690596, 7545218859044, 7545218138148, 7545209815076, 7545195528228, 7545175703588, 7545172918308, 7545114820644, 7545114787876, 7545114722340,

7549708206116, 7549698506788, 7549694869540, 7549687267364, 7549687103524, 7545045221412, 7545045188644, 7545045057572,

7545201983524, 7545191268388, 7545167609892,

7545262768164, 7545261621284, 7545230917668, 7545199558692, 7545170690084, 7545129566244, 7545097093156,

7549714628644, 7549714432036, 7549713678372, 7549713547300, 7549705388068, 7549697261604, 7549693788196, 7549693624356, 7549691953188, 7549691822116, 7549691625508, 7549691330596, 7549690282020, 7549689561124, 7549686841380, 7549685858340, 7549685563428, 7549679829028, 7549679730724, 7549679697956, 7549676027940, 7549675601956, 7545261621284, 7545251004452, 7545223348260, 7545180487716, 7545140641828, 7545119703076, 7545105219620,

7545069469732, 7545230786596, 7545190875172, 7545190842404,

7545186385956,

7545236520996, 7545220005924, 7545216958500, 7545216925732, 7545216532516, 7545216466980, 7545211912228, 7545200443428, 7545182191652, 7545176358948, 7545164005412, 7545144377380, 7545143132196, 7545137430564, 7545130516516, 7545067012132, 7545066979364, 7545051906084, 7545051840548,

7545207062564,

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7549669638180, 7568304144420, 7545265553444, 7545265029156, 7545264865316, 7545264472100, 7545262571556, 7545262342180, 7545255264292, 7545249497124, 7545248481316, 7545240584228, 7545239830564, 7545239273508, 7545238388772, 7545238323236, 7545237766180, 7545236783140, 7545236324388, 7545234260004, 7545234161700, 7545233440804, 7545233408036, 7545233309732, 7545233244196, 7545233113124, 7545233047588, 7545232982052, 7545232916516, 7545228525604, 7545228460068, 7545228099620, 7545227903012, 7545227771940, 7545226133540, 7545225084964, 7545213878308, 7545213845540, 7545213747236, 7545213714468, 7545213583396, 7545212436516, 7545211650084, 7545211125796, 7545210601508, 7545208078372, 7545197101092, 7545197068324, 7545196806180, 7545196773412,

7545196904484, 7545196609572,

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7570857951268, 7568293658660, 7545139986468, 7545126944804, 7706034765860, 7570861916196, 7570851004452, 7570838454308, 7568265969700, 7568241000484, 7568198402084, 7549696933924, 7549695131684, 7549695033380, 7549694967844, 7545267060772, 7545265356836, 7545265160228, 7545265127460, 7545264930852, 7545264373796, 7545264111652, 7545263718436, 7545263456292, 7545262735396, 7545261391908, 7545261228068, 7545261031460, 7545260933156, 7545260736548, 7545260507172, 7545260408868, 7545260343332, 7545260212260, 7545259065380, 7545255690276, 7545255165988, 7545254838308, 7545253527588, 7545253396516, 7545253363748, 7545252806692, 7545252741156, 7545252020260, 7545251463204, 7545251168292, 7545250775076, 7545249824804, 7545249693732, 7545249562660,

7570877186084, 7545263816740, 7545254871076, 7545247563812, 7545243369508, 7545242484772, 7545223053348, 7545197461540, 7545195626532, 7545169838116, 7545140117540, 7545128058916, 7545106268196,

7570877186084, 7570873090084, 7570871255076, 7570841960484, 7567854632996, 7545265815588, 7545265782820, 7545263816740, 7545263161380, 7545260998692, 7545260671012, 7545259393060, 7545254871076, 7545254445092, 7545252872228, 7545250742308, 7545250512932, 7545249923108, 7545247563812, 7545247367204, 7545247072292, 7545243729956, 7545243369508, 7545242484772, 7545242452004, 7545240191012, 7545237667876, 7545237078052, 7545236357156, 7545232392228, 7545232293924, 7545231638564, 7545227083812, 7545225052196, 7545223151652, 7545223053348, 7545215713316, 7545215680548, 7545215057956, 7545211748388, 7545211355172, 7545210994724, 7545210437668, 7545210241060, 7545209454628, 7545209356324, 7545209323556, 7545201786916, 7545198313508, 7545197494308,

7545215713316,

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7545261686820, 7545254346788, 7545253822500, 7545253789732, 7545252577316, 7545251659812, 7545241108516, 7545238650916, 7545217450020, 7545210142756, 7545209651236, 7545209520164, 7545201983524, 7545200214052, 7545198247972, 7545193332772, 7545191268388, 7545186353188, 7545185894436, 7545179799588, 7545176391716, 7545173508132, 7545168429092, 7545167609892, 7545136218148, 7545135398948, 7545135333412, 7545130287140, 7545108889636, 7545104564260, 7545095192612, 7545067831332, 7545049088036,

7549715251236, 7549714890788, 7549703389220, 7549695262756, 7545232293924, 7545231671332, 7545223151652, 7545215680548, 7545215483940, 7545211060260, 7545199198244, 7545194119204, 7545190809636, 7545174491172, 7545173344292, 7545172951076, 7545164529700, 7545137889316, 7545135136804, 7545134841892, 7545129205796, 7545117474852, 7545100337188, 7545064882212, 7545055346724,

7549706862628, 7549694705700, 7549693493284, 7549690937380, 7549688086564, 7545116327972,

7585051377700, 7585049673764, 7570869190692, 7549707517988, 7549707419684, 7549707124772, 7549707092004, 7549706305572, 7549706240036, 7549698998308, 7549695229988, 7549694345252, 7549693100068, 7549688872996, 7549688774692, 7549688643620, 7549687365668, 7549680746532, 7549670195236, 7545266208804, 7545265225764, 7545263390756, 7545262604324, 7545262211108, 7545259130916, 7545253560356, 7545252151332, 7545250349092, 7545248317476, 7545248251940, 7545240780836, 7545240649764, 7545236258852, 7545234620452, 7545234587684, 7545234423844, 7545234358308, 7545234325540, 7545234292772, 7545233965092, 7545233899556, 7545233834020, 7545233768484, 7545233735716, 7545232850980, 7545232818212, 7545229180964, 7545227739172, 7545227673636, 7545226428452,

7549669638180, 7549704503332, 7568304144420, 7570869190692, 7585051377700, 7585049673764, 7560966668324, 7549712007204, 7549711941668, 7549711482916, 7549711417380, 7549711188004, 7549710860324, 7549710172196, 7549709549604, 7549709385764, 7549709189156, 7549708959780, 7549707517988, 7549707419684, 7549707124772, 7549707092004, 7549706305572, 7549706240036, 7549706043428, 7549705781284, 7549705289764, 7549705256996, 7549704831012, 7549704667172, 7549704568868, 7549702340644, 7549701881892, 7549701554212, 7549700931620, 7549699883044, 7549699784740, 7549699719204, 7549699653668, 7549699588132, 7549699522596, 7549699424292, 7549698998308, 7549697884196, 7549695229988, 7549694410788, 7549694345252, 7549693919268, 7549693853732, 7549693100068,

7711580061732, 7549711876132, 7549711122468, 7549711056932, 7545216368676, 7545204375588, 7545203687460, 7545203621924, 7545118982180,

7545251889188, 7545251856420, 7545251790884, 7545236389924, 7545196085284, 7545196052516, 7545196019748, 7545195954212, 7545189138468, 7545169477668, 7545169444900, 7545169346596, 7545169281060, 7545115017252, 7545112199204,

7711580061732, 7585046036516, 7585045119012, 7606152888356, 7549709582372, 7549689593892, 7545266733092, 7545266700324, 7545266470948, 7545266012196, 7545265913892, 7545265520676, 7545265487908, 7545264701476, 7545264439332, 7545263620132, 7545263357988, 7545262440484, 7545262145572, 7545262112804, 7545262047268, 7545261883428, 7545261850660, 7545261555748, 7545261326372, 7545260474404, 7545260048420, 7545259950116, 7545259425828, 7545258999844, 7545258836004, 7545258606628, 7545258541092, 7545258180644, 7545257984036, 7545257885732, 7545253691428, 7545251987492, 7545251889188, 7545251856420, 7545251790884, 7545250611236, 7545250545700, 7545250447396, 7545240518692, 7545239732260, 7545239207972, 7545238454308, 7545236586532, 7545236553764,

7711580061732, 7549704503332, 7585046036516, 7585045119012, 7606152888356, 7560966668324, 7549712007204, 7549711941668, 7549711482916, 7549711417380, 7549711188004, 7549710860324, 7549710172196, 7549709582372, 7549709549604, 7549709385764, 7549709189156, 7549708959780, 7549706043428, 7549705781284, 7549705289764, 7549705256996, 7549704831012, 7549704667172, 7549704568868, 7549702340644, 7549701881892, 7549701554212, 7549700931620, 7549699883044, 7549699784740, 7549699719204, 7549699653668, 7549699588132, 7549699522596, 7549699424292, 7549697884196, 7549694410788, 7549693919268, 7549693853732, 7549692182564, 7549689954340, 7549689593892, 7549689462820, 7549689004068, 7549686186020, 7549686120484, 7549683892260, 7549683040292, 7549680025636,

7549688610852, 7545263620132, 7545263030308, 7545258967076, 7545254608932, 7545252806692, 7545247268900, 7545244778532, 7545244090404, 7545217712164, 7545216761892, 7545212272676, 7545210077220, 7545208274980, 7545205817380, 7545202901028, 7545185370148, 7545185337380, 7545185206308, 7545180946468, 7545180061732, 7545178652708, 7545178619940, 7545177210916, 7545176817700, 7545174786084, 7545119047716,

7570883739684, 7570878562340, 7570872139812, 7570864078884, 7570839535652, 7570836258852, 7570832752676, 7568374399012, 7568217735204, 7568017457188,

7549696016420,

7612474753060,

7545243009060, 7545055346724,

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7545232162852, 7545199853604, 7545170788388, 7545129959460,

7545232162852, 7545215713316, 7545201524772, 7545199853604, 7545199034404, 7545186156580, 7545171378212, 7545170788388, 7545140903972, 7545131434020, 7545129959460, 7545129664548, 7545087197220, 7545050693668,

7570851004452, 7545223184420, 7545221972004, 7545182584868, 7545141657636, 7545106169892, 7545049088036, 7545054756900,

7545266962468, 7545254805540, 7545251135524, 7545250840612, 7545214435364, 7545214205988, 7545214173220, 7545204867108, 7545204834340, 7545204768804, 7545204637732, 7545203884068, 7545203785764, 7545203458084, 7545203392548, 7545176588324, 7545167380516, 7545120227364, 7545118949412, 7545118097444, 7545117212708,

7545265455140, 7545264537636, 7545248907300, 7545248186404, 7545247399972, 7545241698340, 7545241567268, 7545241534500, 7545237372964, 7545228984356, 7545227935780, 7545225412644, 7545224691748, 7545224265764, 7545221382180, 7545211387940, 7545204506660, 7545194250276, 7545194184740, 7545187827748, 7545107742756, 7545064554532,

7545201524772, 7545199034404, 7545186156580, 7545171378212, 7545140903972, 7545131434020, 7545129664548, 7545087197220, 7545050693668,

7545250906148, 7545250873380,

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7585043382308, 7549710303268, 7545264734244, 7545263357988, 7545251889188, 7545251856420, 7545251790884, 7545248448548, 7545239732260, 7545236389924, 7545229148196, 7545229049892, 7545228230692, 7545228197924, 7545225150500, 7545202704420, 7545197625380, 7545196085284, 7545196052516, 7545196019748, 7545195954212, 7545189335076, 7545189138468, 7545189105700, 7545188483108, 7545187696676, 7545187663908, 7545185992740, 7545185861668, 7545174163492, 7545171673124, 7545169477668, 7545169444900, 7545169346596, 7545169281060, 7545167052836, 7545166528548, 7545166463012, 7545165381668, 7545164234788, 7545132056612, 7545115017252, 7545112199204,

7545220202532,

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7545246842916, 7545231212580, 7545230819364, 7545216663588, 7545195167780, 7545194053668, 7545186320420, 7545178456100, 7545177440292, 7545174556708, 7545165709348, 7545165381668, 7545135530020, 7545110790180, 7545110495268,

7568293658660, 7568241000484, 7545235046436, 7545232359460, 7545230426148, 7545218465828, 7545218433060, 7545202343972, 7545200050212, 7545188319268, 7545186254884, 7545179963428, 7545170821156, 7545140019236, 7545139920932, 7545107316772, 7545107284004, 7545103515684, 7545098764324, 7545090932772, 7545090146340, 7545068617764, 7545064947748, 7545056821284, 7545049448484, 7545049219108,

7545221906468, 7545064947748, 7545053184036, 7545049448484, 7545049219108, 7545050300452, 7545065340964, 7545067208740, 7545248579620, 7545249005604, 7545216237604, 7545208995876, 7545202343972, 7545218465828, 7545218433060, 7545198903332, 7545217056804, 7545200050212, 7545186615332, 7545201295396, 7545200508964, 7545200082980, 7545260212260, 7545202114596, 7545201459236, 7545199394852, 7545186254884, 7545263718436, 7545217581092, 7545212534820, 7545220431908, 7545188319268, 7545260408868, 7545186648100, 7545219219492, 7545200574500, 7545199722532, 7545199951908, 7545210568740, 7545199919140, 7545193037860, 7545210339364, 7545193005092, 7545195102244, 7545214959652, 7545218236452, 7545210306596, 7545201492004, 7545196707876, 7545196740644,

7549714432036, 7545266569252, 7545263849508, 7545263816740, 7545261817892, 7545261621284, 7545261293604, 7545260277796, 7545260179492, 7545258442788, 7545258377252, 7545258213412, 7545258115108, 7545254871076, 7545253920804, 7545253855268, 7545253330980, 7545252741156, 7545251004452, 7545250414628, 7545250218020, 7545250152484, 7545249660964, 7545247563812, 7545243369508, 7545242484772, 7545242222628, 7545236357156, 7545235865636, 7545235800100, 7545235734564, 7545235701796, 7545235636260, 7545235537956, 7545235308580, 7545235275812, 7545235243044, 7545235210276, 7545235144740, 7545235111972, 7545234849828, 7545232588836, 7545231376420, 7545230622756, 7545230458916, 7545230196772, 7545230032932, 7545223053348, 7545222823972, 7545220300836,

7545209454628, 7545209356324, 7545198313508, 7545183174692, 7545173344292, 7545135235108, 7545135202340, 7545135136804, 7545110233124, 7545104138276, 7545100533796, 7545100369956, 7545100337188, 7545089785892, 7545089753124, 7545089556516, 7545056362532, 7545048367140,

7545067012132, 7545066979364,

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7545132417060, 7545129926692,

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