食品伙伴网服务号
 
 
当前位置: 首页 » 专业英语 » 英语短文 » 正文

关于肥胖医生不说什么

放大字体  缩小字体 发布日期:2009-05-08
核心提示:If there's one place where it's a good idea to come clean, it's the doctor's office. Patients with an ache, a symptom or a bad habit like smoking do no one any good if they keep it to themselves. Yet there's one time doctors are often less than fort


If there's one place where it's a good idea to come clean, it's the doctor's office. Patients with an ache, a symptom or a bad habit like smoking do no one any good if they keep it to themselves. Yet there's one time doctors are often less than forthcoming: when they have to tell patients they need to lose weight.

Researchers at the Mayo Clinic in Rochester, Minn., recently released the results of a survey of more than 2,500 obese patients who went to their doctor for a regular checkup over the course of a year. The investigators found that the charts of only 1 in 5 of those people listed them as obese. What isn't on the charts is probably not communicated between doctor and patient either, and that means trouble. Those in the study who got the diagnosis were more than twice as likely to have developed a weight-management plan with their doctor than were the other obese patients.

"If you don't have a plan, you're not going to lose weight," says the study's author, preventive-medicine specialist Dr. Warren Thompson, whose research was published in August's Mayo Clinic Proceedings.

Obesity, of course, means a higher risk of heart disease, diabetes, hospitalization and early death, so how come doctors are so lax about putting the scarlet O on the chart? Sometimes, Thompson says, doctors perceive that a patient isn't motivated to change, so they just don't bother. Other times, the patient's likely embarrassment silences the physician, or time constraints get in the way as more immediately pressing health concerns get dealt with.

Discussing weight becomes even more complicated with children. According to a 2005 study in the journal Pediatrics, doctors diagnosed obesity less than 1% of the time among 2-to-18-year-olds—a figure far below the one-third of young Americans struggling with weight.

Dr. Mark Jacobson, an adolescent-medicine specialist with the American Academy of Pediatrics, explains that parents may feel guilty about having an overweight kid because they know it's partly hereditary and because they feel it's their responsibility to control their youngster's exercise levels and diet. Parents also worry about a child's developing eating disorders if weight becomes an issue, so they say nothing at all.

"I've had a patient whose mother whispered the letters w-e-i-g-h-t to me, with her hand over her mouth so the child couldn't see. I could tell it was something they had thought about and didn't want to bring up with the child," says Jacobson. Still, he insists that doctors must discuss the topic. One way to do so gently, he says, is to avoid the word obese and instead say the child has a weight problem. Doctors may also tell kids that their weight is a couple of years ahead of their age. Then, Jacobson says, he focuses the discussion more on the behaviors that could help improve the situation—like watching less TV and playing outside more—instead of concentrating principally on shape.

"You don't want to make people feel embarrassed and not want to come back to you. You want them to get treated," he says. Jacobson stresses that every pediatrician should determine a child's body-mass index (BMI)—a figure arrived at by factoring weight and height to produce a two-digit number that roughly diagnoses obesity. BMI is an imperfect metric, in part because it does a poor job of taking body type and muscle mass into consideration, meaning that a stocky person with low body fat can be labeled obese. But as a starting point, BMI helps.

None of this absolves patients or parents from stepping forward and bringing up weight on their own. But whoever raises the topic, it's important for patients and doctors alike to remember that modest amounts of weight loss can disproportionately benefit overall health, even if the loss doesn't feel or look like much. That fact may be the best reason for everyone to show a little courage and say what needs to be said — even if it hurts a bit.

如果有一个地方在那儿全盘托出是一个好的主意,它就是医生的办公室。一个有疼痛,一个像吸烟这样的症状或者坏习惯的病人如果他把秘密留给自己是对谁都没什么好处的。然而有一段时间当医生们经常地而不是热心的必须告诉病人们需要减肥。

在明尼苏达州罗切斯特·马尤诊所的研究人员. 透漏了在一年多的时间里到他们的医生那儿进行常规检查的两千五百多个肥胖病人的调查。研究者发现图表中只有五分之一的人被列为肥胖之列。 没列在表格上的很可能是既没有和医生交流也没有和病人交流。那意味着麻烦。那些在调查中被确诊的可能已经和医生发展了体重管理计划的人比其他的肥胖病人要多出两倍还多。

这个研究的作者预防医学专家,也是在八月份出版的《梅奥临床进展》的作者Dr. Warren Thompson说:“如果你没有计划,你的体重就不会减少”。。

解决肥胖当然是意味着高风险的疾病,糖尿病,住院和早早的死亡。因此医生们怎么会如此轻率地在表格上按上朱红的O呢?Thompson说,有时医生病人没有改变的动机因此就不想打扰。有的的时候病人好像对医生或者是需要立即着手解决的强制性的保健事宜的制约时间保持沉默。

在英国儿童科学院的青春期医学专家马克Jacobson医生解释道,父母们对超重的孩子有负罪感因为他们知道超重大部分有遗传的因素,同时也因为他们感觉对控制年轻人的运动水平和饮食他们有义务。父母们也正在不断发展的孩子的饮食紊乱而担心体重是否变成一个重要问题,因此他们什么也不说。

Jacobson 说:“我有一个病人他的妈妈用手捂着嘴巴(从而使他的孩子看不见)小声对我耳语.体重这个词。我能够分辨出他们已经思考了并且不想对孩子提及这个问题。”但是他仍然坚持医生们必须讨论这个问题。想温柔的做这一点的方法就是避免说肥胖这个词儿说孩子有体重问题。医生也可以告诉孩子们他们的体重是十几年前就存在了。然后,Jacobson说,他更多的集中讨论能够帮助提高改善环境的的活动像少看电视和到户外玩耍而不主要集中在体型上。

“你不想让人们感到窘迫也不想让他们再来,你想让他们得到治疗。”Jacobson说。他还强调每一个儿科医生应该确定孩子的人体重量指数(BMI)通过选配体重和身高产生一个大致能确诊为肥胖的两位数,BMI是一个非完美的公用制。部分是因为他不能考虑体型和肌肉的因素,一个有很少脂肪的敦实的人也可能被定义为肥胖。但是作为一个开始点,BMI是有用的。

没有这样的人赦免病人或者父母们使他们更进一步或者对自己提及体重这个问题,但是无论谁提起这个问题,记住谦虚的减肥可能对整体有很大的利益这一点对于病人和医生都是重要的,即使这个减少感觉或者看起来很不像。彰显勇气并且说他需要有人说这样问题,对于每一个人来说事实总是最好的理由——即使受了点伤害。

更多翻译详细信息请点击:http://www.trans1.cn
 
关键词: 肥胖 医生
[ 网刊订阅 ]  [ 专业英语搜索 ]  [ ]  [ 告诉好友 ]  [ 打印本文 ]  [ 关闭窗口 ] [ 返回顶部 ]
分享:

 

 
推荐图文
推荐专业英语
点击排行
 
 
Processed in 7.208 second(s), 1181 queries, Memory 4.65 M
闂傚倸鍊搁崐鎼佸磹閹间礁纾归柟闂寸绾惧綊鏌熼梻瀵割槮缁炬儳缍婇弻鐔兼⒒鐎靛壊妲紒鐐劤缂嶅﹪寮婚悢鍏尖拻閻庨潧澹婂Σ顔剧磼閻愵剙鍔ゆ繝鈧柆宥呯劦妞ゆ帒鍊归崵鈧柣搴㈠嚬閸欏啫鐣峰畷鍥ь棜閻庯絻鍔嬪Ч妤呮⒑閸︻厼鍔嬮柛銊ョ秺瀹曟劙鎮欏顔藉瘜闂侀潧鐗嗗Λ妤冪箔閹烘挶浜滈柨鏂跨仢瀹撳棛鈧鍠楅悡锟犮€侀弮鍫濋唶闁绘棁娓归悽缁樼節閻㈤潧孝闁挎洏鍊濆畷顖炴偋閸喐鐝℃繝鐢靛Х閺佸憡鎱ㄩ銏犵;闁瑰墽鍋ㄩ埀顒佸笒椤繈鏁愰崨顒€顥氬┑鐘愁問閸犳牠鏁冮妸銉㈡瀺闁挎繂娲﹂~鏇㈡煙閻戞ê娈鹃柣鏂垮悑閹偤姊洪锝囥€掔紒鈧崘銊㈡斀闁绘ɑ顔栭弳顖涗繆閹绘帗鍤囩€规洘鍨垮畷鐔碱敇濞戞ü澹曞┑顔斤供閸樼晫娆㈤崣澶堜簻闁哄浂浜炵粔顔锯偓瑙勬磸閸斿秶鎹㈠┑瀣妞ゎ厽鍨熼崑鎾诲箻閸撲胶锛濇繛鎾磋壘濞层倝鎮橀埄鍐闁告瑥顧€閼拌法鈧鍣崜鐔煎春閳ь剚銇勯幒鎴濐仾闁抽攱甯掗湁闁挎繂鐗婇鐘绘偨椤栨稓娲撮柡灞诲妼椤繈鎳滈悽闈涘箺闂備線娼ч悧鍡涘箠韫囨柨绶為柛鏇ㄥ幘绾惧ジ鏌¢崘銊モ偓鎼佸几鎼淬劍鎳氶柨婵嗩槹閻撶姵绻涢弶鎴剱婵炲懎妫濋弻銊モ槈濡偐顔掑┑顔硷龚濞咃絽鈽夐悽绋挎そ濞达絽婀辩粔鐑芥⒒娴e憡鍟炴俊顐e灩缁骞樺畷鍥ㄦ闂傚倸鐗婄粙鍫ュ几鎼淬劍鐓欓柟顖嗗苯娈堕梺鍛娚戦幑鍥蓟閿濆鍋勯柛婵勫劜閸Q囨煟鎼淬垹鍤柛鎾跺枛楠炲啫顫滈埀顒勭嵁濮椻偓椤㈡瑩鎮剧仦钘夌濠碉紕鍋戦崐鏍涙笟鈧敐鐐村緞婵炵偓鐎烘繝鐢靛Т鐎氀囧磻閹捐埖鍠嗛柛鏇ㄥ墰閳规稓绱撴担绋跨骇闁稿孩濞婇、姘跺Ψ閳轰胶顦板銈嗘尰缁嬫垶绂嶆ィ鍐╃叆婵犻潧妫濋妤€霉濠婂嫮鐭掗柡灞界Х椤т線鏌涢幘璺烘灈閽樼喖鏌熼幑鎰厫妞ゎ偅娲熼弻鐔煎箲閹伴潧娈紒鐐劤閸氬鎹㈠☉銏犲耿婵☆垵娅f禒瀛樼節绾版ǚ鍋撻懠顒傜厯濠殿喖锕ュ钘夌暦閵婏妇绡€闁告劧绲剧€氬姊绘担铏瑰笡妞ゃ劌鐗婄换娑㈠焵椤掆偓閳规垿鍩勯崘鈺佸攭閻庤娲橀敃銏ゅ春閿熺姴绀冩い蹇撴椤矂姊婚崒娆戝妽闁诡喖鐖煎畷鏇炩堪閸繂鑰垮┑鈽嗗灥椤曆囧汲椤愶附鈷掗柛灞捐壘閳ь剙鍢查湁闁搞儜鈧弸鏍煛閸ャ儱鐏╃紒鎰殜閺岀喖骞嗚閹界娀鏌涘▎蹇曠闁哄瞼鍠撶槐鎺楀閻樺磭浜堕梻浣呵归敃銈夊床閺屻儱鐓橀柟杈鹃檮閸嬫劙鏌涘▎蹇fЦ妞わ腹鏅犲铏圭磼濡纰嶉梺鍝ュ枑濞兼瑩顢氶敐澶婇唶闁哄洨鍠庨埀顒傚厴閺屸剝寰勭€n亞鍔稿┑鈽嗗亜濡繂顫忓ú顏勫窛濠电姴鍟伴崣鍡欑磽娴e壊妲哥紓宥咃工椤曪絾绻濆顓熸珳闂佸壊鍋侀崹濠氬级閹间焦鐓欓柤鍦瑜把呯磼閹绘帗鍋ラ柟顔诲嵆婵偓闁绘﹩鍋呴弬鈧俊鐐€栧濠氬Υ鐎n亶鍟呴柕澶嗘櫆閻撴瑧鐥弶鍨埞濞存粈鍗抽弻鐔碱敋閳ь剛绮婚弽顓炵畺婵犲﹤鐗婄€电姴顭跨捄楦垮闁逞屽墰閸嬨倕顫忓ú顏咁棃婵炴番鍔岀紞濠傜暦閺囥垹钃熼柕澶涚畱娴犵厧顪冮妶鍡楃瑨闁稿﹨宕垫竟鏇熺鐎n偆鍘遍柣蹇曞仜婢т粙骞婇崨顔轰簻闁挎柨銈稿顕€鏌曢崶褍顏柡浣稿€垮畷褰掝敊閼测斂鍋栧┑掳鍊楁慨鐑藉磻閻愬搫绀夋繛鍡樻尵瀹撲線骞栧ǎ顒€濡介悗鐢靛Т椤法鎹勬笟顖氬壉閻炴熬缍佸濠氬磼濞嗘帒鍘$紓渚囧櫘閸ㄨ泛鐣峰┑瀣嵆闁靛繒濮烽鎰渻閵堝棗濮傞柛濠冾殕缁嬪顓兼径瀣弳濠电娀娼уΛ顓炍hぐ鎺撶厽闁规儳宕崝锕傛煛瀹€瀣瘈鐎规洘锕㈡俊鎼佹晝閳ь剟藝閳轰緡娓婚柕鍫濆暙閸旀碍銇勯敂璇茬仸婵犫偓娴g硶鏀介柣妯款嚋瀹搞儵鏌涢悢绋款棆缂侇喗妫冮幃婊兾熺拠鎻掍紟濠电姷鏁告慨鎾疮椤栫偛桅婵犻潧鐗冮崑鎾舵喆閸曨剛顦梺绋跨箲閿曘垽濡存担鍓叉建闁逞屽墴楠炲啴鍩¢崨顔兼濡炪倖甯掗ˇ顖涚瑜版帗鈷掗柛灞剧懅閸斿秹鏌i鍕Ш鐎规洘妞藉畷鐔碱敍濮橆剛鈧參姊绘笟鍥у缂佸鐓¢崺鈧い鎺嗗亾闁哥喐娼欓悾鐑藉Ω閳轰胶楠囬梺鐟邦嚟婵挳鐛幒妤佲拻濞达絿鐡斿ḿ鎰偓瑙勬礃閿曘垹鐣峰ú顏勫唨鐟滃繘寮抽敃鈧…璺ㄦ崉閸涢潧缍婇崺鈧い鎺嶇缁楁帗銇勯锝囩疄闁诡喒鍓濋幆鏃堟晲閸曨厽鏆伴梻鍌欐祰椤曆囨煀閿濆懇缂氱憸鏃堝箚瀹€鍕<婵ê鍚嬬紞搴♀攽閻愬弶鈻曞ù婊勭箞钘熼柛顐ゅ枔缁犻箖鏌熺€电ǹ浠╁瑙勆戦妵鍕晲閸℃ǜ浠㈠┑顔硷龚濞咃絿鍒掑▎鎾崇闁炽儱鍟块~鐘绘⒒娴d警鏀版繛鍛礋楠炴垿宕堕鈧弰銉╂煏韫囨洖顎岄柛姘儏椤法鎹勯悮纾嬪惈闂佸摜鍋涢悥鐓庮潖濞差亝顥堟繛鎴i哺椤庡棛绱撴担鍝勑i柛銊ユ健瀹曟椽鍩€椤掍降浜滈柟鍝勬娴滈箖姊虹紒妯煎ⅹ闁靛牊鎮傞獮鍐晸閻欌偓閺佸啴鏌ㄩ弴妤€浜鹃梺缁樺姇閿曨亪寮婚弴鐔虹瘈闊洦鑹鹃幃鍛存⒑閻熸澘妲绘い顓炲槻椤繐煤椤忓懎浠梺鍝勵槹鐎笛冃掗幇顑芥斀闁绘劕寮堕埢鏇㈡煕濞嗗繐鏆欐い鏇悼閹风姴霉鐎n偒娼旈梻渚€娼х换鎺撴叏閻戣棄鍌ㄩ柟缁㈠枟閳锋垿鎮归崶锝傚亾瀹曞洠鍋撴繝姘厱閻忕偞鍎抽崵顒佷繆椤愶絿鐭婇柍瑙勫灴閹晛鈻撻幐搴㈩唶缂傚倷娴囨ご绋棵洪悢椋庢殾闁硅揪绠戠粻锝夋煥閺囨浜剧紒鐐劤缂嶅﹪寮婚垾宕囨殼妞ゆ棁澹堢€氫即鏌¢崨顖毿g紒缁樼箞閹粙妫冨ù璁圭秮閺屻倝鎮烽弶搴撴寖婵犮垼顫夊ú妯兼崲濠靛棭娼╂い鎾跺Т楠炲秹姊绘担鍛婂暈闁圭ǹ妫濆畷銊╊敇閻欌偓閸嬔囨⒒閸屾瑨鍏岀紒顕呭灦楠炴劗鎷犵憗浣告惈铻i柤濮愬€愰弨铏節閻㈤潧孝婵炴潙鍊垮顐㈩吋閸℃瑧鐦堥梻鍌氱墛缁嬫帡藟濠婂牊鐓欐い鏍ㄧ矊娴犺鲸鎱ㄦ繝鍌涙儓閻撱倝鎮归崶銊ョ祷缂佺姵妞介弻锝夊閳轰胶浠梺绋款儍閸婃繂鐣峰ú顏勭劦妞ゆ帊闄嶆禍婊堟煙閻戞ê鐏ラ柡瀣ㄥ€栫换娑㈠礂閻撳骸顫嶇紓浣虹帛閻╊垰鐣烽敐鍡楃窞婵炴垶澹曢崑鎾舵崉閵娿垹浜鹃悷娆忓缁€鈧紓鍌氱Т閿曘倝鎮炬搴g煓閻犲洨鍋撳Λ鍐ㄧ暦濮椻偓婵℃瓕顦伴柛瀣工閳规垿鎮╁▓鎸庢瘜濠碘剝褰冮幊妯虹暦瑜版帗鍋ㄧ紒瀣硶閿涙盯姊鸿ぐ鎺戜喊闁哥姵鐗犺棢婵ǹ鍩栭悡鏇㈢叓閸ャ劎鈯曢柨娑氬枔缁辨帞鎷犻崣澶樻!闂侀潧娲ょ€氭澘顕f禒瀣╃憸蹇涙偂閳ь剟姊哄Ч鍥х労闁搞劋鍗抽幃銉︾附缁嬭法鐣烘繛瀵稿Т椤戞劙寮鍡欑闁硅揪缍侀崫娲煟閵堝嫮绐旀慨濠冩そ瀹曨偊宕熼鐘插Ы缂傚倸鍊哥粔宕囨濮樺墎宓侀柛鎰靛枛椤懘鏌曢崼婵囧櫢缂佸崬鐖煎娲濞戝磭纭€闂佸憡渚楅崢鑲╃箔閹烘梻纾介柛灞捐壘閳ь剚鎮傚畷鎰槹鎼淬埄鍋ㄩ梺璺ㄥ枔婵绮eΔ浣风箚闁靛牆鎳忛崳鍦磼閻樺崬宓嗛柡宀€鍠栧鑽も偓鐢登规俊浠嬫⒑缁嬫鍎岄柡鍛箞閸┾偓妞ゆ帒鍊归崵鈧柣搴㈠嚬閸樼晫绮╅悢琛″亾閿濆骸鏋涢梺鍗炴处閵囧嫯绠涢幘璺侯杸闂佺粯鎸诲ú鐔煎蓟閻旂厧绾ч柛顭戝櫘閺嗐垻绱撴担鍓插剰妞ゎ厾鍏樺濠氭晲閸℃ê鍔呴梺瀹犳濡盯宕ョ€n亖鏀芥い鏃傘€嬮弨缁樹繆閻愯埖顥夐柣锝囧厴閹粎绮电€n偅娅嶉梻浣虹帛閸旀牞銇愰崘顔光偓鏍幢濞戞瑢鎷绘繛杈剧秬椤宕戦悩缁樼厱闁哄倽娉曢悘杈╃磼鏉堚晛浠︾紒缁樼箞瀹曟帒饪伴崟顒夊晭闂傚倷绀佸﹢杈ㄦ櫠濡も偓椤灝螣閼测晙绗夐梺瑙勫劶婵倝鎮″▎鎾村€垫繛鎴烆伆閹达箑鐓曢柟鎵閻撴盯鏌涚仦缁㈡當濞存粓绠栧濠氬磼濮橆兘鍋撻悜鑺ュ€块柨鏃堟暜閸嬫挾绮☉妯诲櫧闁活厽鐟╅弻鐔衡偓鐢登硅ⅴ闂佺ǹ顑嗛幐鎼侊綖濠靛鍋傞幖绮规濞肩晫绱撻崒娆戭槮闁稿﹤鎽滅划鏃堟偨閻㈢數澶勬繛瀵稿Т椤戝懎顔忓┑鍡忔斀闁绘ɑ褰冮鈺傤殽閻愯尙澧曢柍瑙勫灴閹晠宕归锝嗙槑濠电姵顔栭崰妤呭箰閸愯尙鏆︽い鏍仦閸嬪鏌涢銈呮瀾闁绘繂鍢查—鍐Χ閸涱垳顔囬梺缁橆殔閿曨亜鐣烽幋锕€纾奸柣鎰嚟閸橆亪姊洪崜鎻掍簼缂佽鍟扮划鍫濈暆閸曨剛鍘遍柣搴秵閸嬪懎鐣峰畝鍕厽婵炴垵宕▍宥団偓瑙勬礀缂嶅﹪銆佸▎鎾村亗閹兼惌鍠楃紞鎾寸節绾板纾块柛瀣灴瀹曟劘顦撮柍褜鍓熷ḿ褔鎯岄崒姘辨殾鐟滅増甯楅幆鐐淬亜閹扳晛鈧銇愭ィ鍐┾拺闁告繂瀚婵嬫煕閻樿櫕灏电€殿啫鍥х劦妞ゆ巻鍋撻柍瑙勫灴椤㈡瑩寮妶鍕繑闂備礁鎲¢敃銏㈢不閺嵮呮殾闁靛繈鍊栭崑銊╂煕濞戞☉鍫ュ箯濞差亝鈷戦柛娑橈功閳藉鏌ㄩ弴妯哄姢闁逞屽墮閻忔岸鎮烽埡鍛摕婵炴垶菤濡插牓鏌涘Δ鍐ㄤ粶缂佺姾顕ч—鍐Χ閸℃顫岄梺闈涚墢鏋い顐㈢箳缁辨帒螣鐠囧樊鈧捇姊洪幆褏绠抽柟铏尵缁參鏁撻悩鏂ユ嫼闂侀潻瀵岄崢鎰亹閹哄棌鍋撻敃鍌涘€婚柦妯侯槺閻f椽姊虹紒妯虹伇濠殿喓鍊濆鎻掆攽鐎n偆鍘遍柣蹇曞仧閾忓酣宕甸妶澶嬬叆闁哄洨鍋涢埀顒€缍婇幃锟犲即閵忥紕鍘搁梺鎼炲劘閸庤鲸淇婃總鍛婄厽闊洦娲栭埢鍫ユ煛鐏炲墽娲存鐐叉喘婵℃悂濡烽妶鍜佹闂傚倸鍊搁崐鎼佸磹妞嬪孩顐芥慨姗嗗厳缂傛氨鎲搁弮鍫澪фい蹇撶墕閸ㄥ倹銇勯幇鍓佺?缂佺姵宀稿娲箹閻愭彃濡ч梺閫炲苯澧寸€殿喗鎮傚顕€宕奸悢鍝勫妇闂備礁澹婇崑鍛崲瀹ュ憘锝堛亹閹烘挾鍘介梺瑙勫劤椤曨參鍩ユ径鎰梿濠㈣埖鍔栭悡銉︾節闂堟稒顥為柛锝嗘そ閺岀喖鎳犻銏犵秺閳ワ箓鎳楅锝嗩€夐梻鍌氬€哥€氼剛鈧矮鍗抽悰顕€宕奸妷銉庘晠鏌ㄩ弬鍨挃闁伙箑鐗撳娲川婵犲啫顦╅梺绋款儏鐎氼厽绌辨繝鍥т紶闁告洏鍔嶉弬鈧梻浣虹帛閸旀銆傛禒瀣闁炽儴绉悷鎵冲牚閹煎瓨绻堥崑妤呮⒑缂佹ü绶遍柛鐘崇墵椤㈡﹢宕楅悡搴g獮濠碘槅鍨崇划顖氣枍閹剧粯鈷掑ù锝堟鐢盯鏌熺粙鎸庢喐闁逞屽墮閻忔氨鏁敓鐘茬畺婵°倕鎳庣粻缁樸亜閺冨泦鎺楀箯婵犳碍鈷戠紒瀣濠€浼存煟閻旀繂娉氶崶顒佹櫆闁伙絽鐬奸惁鍫ユ⒑闁偛鑻晶鎾煛鐏炶姤顥滄い鎾炽偢瀹曘劑顢涘⿰鍕偓顕€姊婚崒娆愮グ妞ゎ偄顦悾宄拔熼懖鈺冪厠濡炪倖姊圭粊鐟懊洪宥嗘櫆閻庡箍鍎卞Λ娆忊枍瀹ュ鈷掑ù锝堟鐢盯鏌涢妸鈺傛锭閾荤偞淇婇妶鍌氫壕闂佸磭绮幑鍥ㄤ繆閹间礁唯妞ゆ棁妫勯惁婊堟⒒娓氣偓濞佳囨偋閸℃あ娑樜旀担鐟板伎閻熸粌绻掑Σ鎰板箳濡や礁浜归梺鍛婂姌鐏忔瑦绂掗懖鈺冪=濞撴艾娲ら弸娑欍亜椤撶姴鍘存鐐诧躬閺佹捇鎮╅崣鍌冨洦鐓曢柕澶堝灪濞呮梻绱掗崡鐐叉毐闁宠鍨块幃娆撴嚋闂堟稒閿紓鍌氬€哥粔顕€宕戦幘缁樷拺缂佸顑欓崕蹇涙煕婵犲倹鍋ラ柣娑卞枤閳ь剨缍嗘禍鏍绩娴犲鐓曢柟鑸妽濞呭洭鏌嶈閸撴艾顪冮挊澶樻綎婵炲樊浜濋ˉ鍫熺箾閹寸偞鐨戦柣銈呭濮婅櫣绮欓崠鈩冩暰闂佺粯顨堟繛鈧€规洖鎼埥澶愬閻樻鍚呴梻浣瑰濡礁螞閸曨剛顩锋い鏍仦閳锋垿鎮归崶锝傚亾閸愯尙顔戦梺姹囧焺閸ㄨ京鏁Δ浣衡攳濠电姴娲ょ粈鍌炴煠濞村娅囨い鏃€娲熷娲川婵犱胶绻侀梺鍝ュУ閻楁骞堥妸銉悑濠㈣泛顑囬崢鎼佹倵閸忓浜鹃梺閫炲苯澧寸€规洑鍗冲鍊燁槾闁哄棴闄勭换娑㈠幢濡纰嶉柛銉︽尦濮婅櫣鍖栭弴鐐测拤濡炪們鍔岀换鎴犫偓闈涖偢閺佹捇鏁撻敓锟�