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Autologus Nupleus Pulposus yoyikidwa mu fupa la lumbar kuyika chizindikiro cha nyama zosintha

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Kukhazikitsidwa kwa mitundu ya nyama ya kusintha kwa kusintha kwa masinthidwe (MC) ndikofunikira pophunzira MC. Akalulu makumi asanu ndi anayi ndi anayi ku New Zealand adagawika gulu la opareshoni, gulu lokhalamo la minofu (gulu) la mapposus apposus (NPE). Mu gulu la NPE, discybral discy idawululidwa ndi opaleshoni yopalamula komanso singano idagwiritsidwa ntchito kukangana thupi la L5 pafupi ndi mbale yomaliza. NP idachotsedwa ku L1 / 2 Convertebal disc ndi syringe ndikulowetsedwa. Kubowola dzenje m'mafupa a subchirl. Njira zopangira ndi njira zobowola mu gulu lokhala ndi minofu ndipo gulu la opareshoni linali lofanana ndi omwe ali pagulu la NP. Mu kagulu kake, chidutswa cha minofu chinaikidwa mdzenje, ndili pagulu la opareshoni, palibe chomwe chinaikidwa m'dzenjemo. Pambuyo pa opareshoni, kuyesera kwa Mripo komanso kayendedwe kalengedwe kunachitika. Chizindikiro mu gulu la NPE adasinthiratu, koma palibe kusintha kwa chizindikiro cha Sham-Active-Oct. Kuwona mbiri yakale kunawonetsa kuti kuchuluka kwa minofu kuchulukitsa kumawonetsedwa pamalo osindikizira, ndi mawu a Il-4, Il-17 ndi Aswe. Kulowetsa NP kulowa m'mafupa a subchondral kumatha kupanga mawonekedwe a mc.
Kusintha kwa mosintha (MC) ndi zotupa za vertebral zigawo za vertebral ndi zoyandikana ndi mafupa owoneka pamagalasi a maginito (MRI). Ndiofala kwambiri mwa anthu omwe ali ndi zizindikiro zokhudzana ndi zizindikiro. Kafukufuku ambiri agogomezera kufunika kwa MC chifukwa cha kuyanjana kwake ndi ululu wammbuyo (LBP) 2,3. de Roos et al.4 ndi ma modzic et al.5 podziyimira pawokha adalongosola mitundu itatu yosiyanasiyana ya zizindikiro za subzondel m'matumbo a vertebral. Mtundu wa mosintha ndimasintha ndi phypoennase pa t1-yolemera (T1W) ndi hyperinteese pa T2-Weiges (T2W). Zotupa izi zikuwulula zokhazikika zokhazikika ndi minofu yoyandikana ndi mitengo yamagetsi mu fupa. Kusintha kwa mosintha kwa II kumawonetsa chizindikiro cha T1W ndi T2W. Mu mtundu uwu wa lesion, chiwonongeko chaputala chimatha kupezeka, komanso mafuta ambiri osinthira m'mafupa oyandikana nawo. Kusintha kwa mawonekedwe a fiii kumawonetsa chizindikiro chotsika mu T1W ndi T2W. A SCTotic ogwirizana ofanana ndi ma enplates awonedwa6. MC imadziwika kuti ndi matenda a msana ndipo imalumikizidwa kwambiri ndi matenda ambiri osatetezeka a msana7,8,9.
Poganizira za zomwe zilipo, maphunziro angapo apereka mwatsatanetsatane mu etiology ndi njira zatha za MC. Albert et al. adanenanso kuti MC ikhoza kuchitika ndi chekeni. Hu et al. otchedwa MC kupita ku sheckeneration10. Kur anafunsa kuti Krol amalosera za "chotupa chamkati cha" chotupa chamkati, "chomwe chimati vuto lobwereza la shack limatha kubweretsa micromars mu thumba. Pambuyo pa mapangidwe a cleft, chiwonongeko chapulaptu cha nyukiliya (NP) ingayambitse kuyankha kwa Autoimmine, komwe kumayambitsa chitukuko cha MC11. Ma et al. Ankachitanso chimodzimodzi ndipo adanenanso kuti NP-ISUNMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMIMICE MAFUNSO MOYO WABWINO KWA MC12.
Maselo amthupi, makamaka CD4 * t othandizira lymphocytes, amatenga gawo lofunikira kwambiri pathogenesis ya autoimenicity13. Katswiri wa Ty17 wopezeka wa mankhwalawa umatulutsa ma cytokine a creakokinel, ndipo amathandizira maselo m'maliseche kuti apange IF. γ14. Maselo a th2 amagwiranso ntchito yapadera mu matenda a mtima. Kufotokozera kwa IL-4 ngati woimira th2 kumatha kubweretsa zovuta kwambiri.
Ngakhale maphunziro ambiri azachipatala achitidwa ku Mc16,17,19,22,24,24, pakukhalabe ndi mitundu yovomerezeka ya MC yomwe imatha kukhalapo ankakonda kufufuza etiology kapena chithandizo chatsopano monga mankhwala oyeserera. Mpaka pano, mitundu yocheperako ya nyama yokha ya MC yomwe yanenedwa kuti iphunzire njira zathanzi.
Kutengera ndi chiphunzitso cha autoimmune wofunsidwa ndi Albert ndi ma, kafukufukuyu adakhazikitsa mtundu wosavuta komanso wobzala a SC Commute ndi Autonsplantulanting NP yopanda vertebral Plate. Zolinga zina ndikuwonetsetsa kuti mbiri ya zinyama ya nyama ndikuwunika njira zina za np pakukula kwa MC. Kuti tigwiritse ntchito maluso monga maselo a biology, MRI, ndi maphunziro a mbiri yakale kuti muphunzire izi za MC.
Akalulu awiri adamwalira chifukwa chotuluka magazi pakuchita opaleshoni, ndipo akalulu anayi adamwalira nthawi ya opaleshoni pakati pa Mri. Akalulu otsala 48 omwe anapulumuka ndipo sanawone zozizwitsa zamikhalidwe kapena zamitsempha zitatha.
Mri akuwonetsa kuti kukula kwa minyewa yolumikizidwa m'mabowo osiyanasiyana ndikosiyana. Kulimba kwa mtunda wa L5 mlengalenga pang'onopang'ono kunasintha patatha 12, 16 kapena 20 Mwa magulu ena awiri a magawo ophatikizidwa adakhazikika nthawi yomweyo (mkuyu. 1a, b).
. Palibe zonyansa zizindikiro zomwe zidapezeka m'mafanizo a gulu la opareshoni. . . Kuyambira sabata la 12 mpaka nthawi ya sabata 20, zizindikiro zapamwamba zapamwamba zozungulira zizindikiro zotsika mu T2W dongosolo.
Mafupa odziwikiratu amatha kuwoneka pa malo oyandikira a thupi mu gulu la NPE, ndipo fupa la mafupa limachitika mwachangu kuchokera ku 12 mpaka 20, palibe kusintha kofunikira matupi; Gulu la Sham ndi ine gulu (mkuyu. 2C) 2A, b).
. . (C) Mapa fupa Hyperplasia adakumana ndi tsamba lomwe lili ndi gulu la NPE. Mafupa Hyperplasia adakula mwachangu komanso mpaka kufikiridwa ndi disclerbol disc to the conterteral vertil.
Kusanthula mbiri kumapereka zambiri za mapangidwe mafupa. Chithunzi 3 chikuwonetsa zithunzi za zigawo za postoperative zigawo za H & E. M'magulu a Sham-opareshoni, chokoleti cha chondrocytes chidakonzedwa bwino ndipo palibe kuchuluka kwa cell (mkuyu. 3A). Zinthu zomwe zili mgululi zinali zofanana ndi zomwe zili pagulu la opareshoni (mkuyu. 3b). Komabe, mu gulu la NPE, ambiri a chundrocyte ndi kuchuluka kwa maselo a NP-NTHAWI ZINAYIMA amawonedwa patsamba lolowera (mkuyu. 3C);
. . Trabeculae ndi Chondrocyte amatha kuwoneka, koma palibe zambiri zowoneka bwino pamagawo obwerawo (40). .
Mawu owonetsera kwa interleukin 4 (Il-4) mrna, Interleukin 17 (Il-17) mrna, ndi interferon γ (ist-γ). Pamene magawo a zonena za zolembedwazo adaziyerekeza, mawonekedwe a Il-4, El-17, (P <0.05). Poyerekeza ndi gulu la Action Action, mawu a Il-4, Il-17, ndipo ngati-γ mu gulu lomwe limangowonjezera pang'ono ndipo silinasinthe (P> 0.05).
MRNA kufotokozera kwa Il-4, Il-17 ndi ifn-γ mu gulu la NPA adawonetsa kwambiri kuposa omwe ali pagulu la Action And And (P <0,05).
Mosiyana ndi izi, magawo omwe ali m'gulu la ine sanali kusiyana kwakukulu (P> 0,05).
Kusanthula Western Blot kunachitika pogwiritsa ntchito ma antibodies omwe ali ndi malonda otsutsana ndi IL-4 ndi El-17 kuti atsimikizire njira yokhazikika ya Mrna. Monga taonera pa 3a, B, poyerekeza ndi gulu la ntchito ndi gulu la ntchito ya Sham, gulu la ma protein a Il-4 ndi El-17). Poyerekeza ndi gulu la opaka la sham, ma protein miyeso ya Il-4 ndi Il-17 mu gulu lomwe adalephera kusinthanso (P> 0.05).
. (B) Bloogram yakumadzulo.
Chifukwa cha kuchuluka kwa zitsanzo za anthu zomwe zimapezeka pakuchita opaleshoni, maphunziro omveka bwino komanso atsatanetsatane pathogeneisis a MC ndiovuta. Tinayesa kukhazikitsa mtundu wa MC kuti tikaphunzire njira zake zomwe zingachitike pathanzi. Nthawi yomweyo, kuwunika kwa radiology, kuwunika kwakale ndi kuwunika kwa zinthu zachilengedwe kunagwiritsidwa ntchito kutsatira njira ya MP yojambulidwa ndi NP. Zotsatira zake, mtundu wa NP Inventing idapangitsa kuti pakhale pang'onopang'ono mu sabata limodzi mpaka masabata 20 mpaka a T1W) Kuwongolera kwachilengedwe kumatsimikizira zotsatira za kafukufuku wa radiological.
Zotsatira za kuyesaku kuwonetsa kuti kusintha kowoneka ndi mbiri yakale kunachitika pamalo a vertebral mlengalenga mu gulu la NPE. Nthawi yomweyo, mawu a Il-4, Il-17 Thupi lingayambitse kusintha kwa chizindikiro ndi morphological. Ndikosavuta kupeza kuti mawonekedwe a zizindikiro za ma vertebral matope a chitoliro cha T1W, siginecha yotsika mtengo kwambiri) ndi ofanana ndi ma cell a anthu Tsimikizani zomwe mwawona za hisewn ndi Anatomy, ndiye kuti, kusintha kwa maselo a mthupi kumapita patsogolo. Ngakhale kuyankha kotupa komwe kumachitika chifukwa cha zowawa pachimake kumatha kuwonekera posachedwa, zotsatira za Mri adawonetsa kuti zikuyenda mosapita m'mbali masabata 12 popanda kusinthika kwa MRI. Zotsatirazi zikuwonetsa kuti nthawi yama votilogral np ndi njira yodalirika yokhazikitsa MV yotsatira mu akalulu.
Mtundu wopukutira uwu umafuna luso lokwanira, nthawi, komanso kuyesetsa kuchita opaleshoni. Pakuyesera koyambirira, kusonkhetsa kapena kukondoweza kwa magulu ambiri osinthika kumatha kuyambitsa mapangidwe a ma vertebophyte ostebophytes. Kusamalira sikuyenera kuwonongeka kuti asawonongeke kapena kukhumudwitsa ma disc. Popeza kupendekeka kwakuya kuyenera kulamulidwa kupeza zotsatira zosasinthika komanso zobereka, timapanga mapulagi podula chingwe chachitatu mm. Kugwiritsa ntchito pulogalamuyi kuwonetsa kuya kwa ma yunifolomu yobowola mu thupi la vertural. Kuyesa koyambirira, madokotala atatu opangira ma rthopedic omwe akukhudzidwa ndi opaleshoni omwe amapezeka osavuta kugwira ntchito ndi singano kapena njira zina. Kuti mupewe kutaya magazi kwambiri pobowola, kugwira singanoyo kwakanthawi kochepa kumapereka dzenje lolowera kwambiri la MC ikhoza kulamuliridwa mwanjira imeneyi.
Ngakhale maphunziro ambiri ayang'ana MC, zochepa amadziwika za etiology ndi Pathogneisis wa Mc25,26,27. Kutengera ndi maphunziro athu am'mbuyomu, tapeza kuti kuperewera kumathandizanso kuti pakhale mbali yofunika kwambiri pakupanga MC12. Phunziroli limafufuza kuchuluka kwa kuchuluka kwa ma e-4, El-17, ndipo ngati γ, omwe ndi osiyana ndi njira zazikuluzikulu za CD4 + pambuyo pa kukondoweza. Pakuphunzira kwathu, poyerekeza ndi gulu loipali, gulu la NPE-17, ndipo iF.
Zachipatala, Il-17 MRNA Kuchulukitsidwa maselo a NP kuchokera kwa odwala omwe ali ndi Disc Heck28. Kuchuluka kwa Il-4 ndi IFN-γ Il-17 imagwira gawo lalikulu pakutupa, kuvulala kwa minofu ku autoimmune matenda a ku Autoimneune. Kubwezeretsa minofu ya minofu yaina komwe kwanenedwa ku MRL / LP3 ndi mbewa. Il-4 imatha kulepheretsa ma cytokinesm omwe (monga Il-1β) ndi macphathage active34. Zinanenedwa kuti MrNA kufotokozera kwa Il-4 kunali kosiyana ndi gulu la NPE poyerekeza ndi Il-17 ndi Ifn-γ panthawi yomwe ilonso; MRNA kutanthauzira kwa IFN-γ mu gulu la NPE linali lalikulu kwambiri kuposa momwe m'magulu enawo. Chifukwa chake, ngati kupanga kukhala mkhalapakati wa point yotupa kunapangitsa kuti NP Intercation. Kafukufuku wawonetsa kuti ngati mtundu wa maselo angapo, kuphatikiza mtundu wa ma cell 1 othandizira, maselo achilengedwe akupha, ndi Macolage35,36, ndipo ndi ma cytokine otupa omwe amalimbikitsa mayankho a mthupi.
Kafukufukuyu akunena kuti yankho lautoimemine lingatengedwe pochita ndi chitukuko cha MC. Luoma et al. anapeza kuti mawonekedwe a MC ndi Otchuka a NP ndi ofanana pa Mri, ndipo onse akuwonetsa chizindikiro chachikulu mu T2W Seerduc38. Ma cytokines ena atsimikiziridwa kuti amagwirizana kwambiri ndi kupezeka kwa MC, monga Il-139. Ma et al. adanenanso kuti kutulutsa kwammwamba kapena pansi pa NP kungalimbikitse kwambiri pakuchitika ndi chitukuko cha MC12. Bobechko40 ndi Herzbein et al.41 adanena kuti NP impirolelent minofu yomwe siyingalowetsedwe kufalitsidwa. Zojambula za NP zimayambitsa matupi akunja m'magazi, potero oigwiritsa ntchito autoimmune. Zochita za Autoimmune zimatha kuyambitsa zinthu zingapo zathupi, ndipo izi zikakhala zitamveka mosalekeza ndi minyewa, zimatha kusintha maginizi. Mu kafukufukuyu, mafano ambiri a Il-4, Il-17 ndi isn-γ ndi zinthu zazing'ono zazing'ono, zomwe zimatsimikizira ubale wapamtima pakati pa NPS44. Mtundu wa nyama uwu umatsatira BUTTOMS NTHAWI ZONSE ZOPHUNZITSIRA. Njirayi idawululiranso za kuwongolera pa MC.
Monga momwe zimayembekezeredwa, mtundu uwu umatipatsa nsanja yotheka kuphunzira MC. Komabe, chitsanzochi chilipobe choperewera: Pakangopita kwa gawo la zinyama, akalulu ena apakatikati amayenera kuyezetsa ku mbiri yakale komanso yoyeserera. Kachiwiri, ngakhale nthawi itatu yakhazikitsidwa mu kafukufukuyu, mwatsoka, timangosintha mtundu umodzi wa MC (mosinthana ndikusintha), motero sikokwanira kuyimira njira yaumunthu, ndipo mfundo zambiri zimayenera kukhazikitsidwa Bwino kuwona zosintha zonse. Chachitatu, kusintha kwa mawonekedwe a minofu kumatha kuwonetsedwa ndi chida chambiri, koma njira zina zapadera zitha kuwulula zosintha zamtunduwu. Mwachitsanzo, ma microscopy owala amagwiritsidwa ntchito posanthula mapangidwe a fibrocartilage mu disbitlebaldi dists45. Zotsatira zazitali za NP pa MC ndi thumba zimafunikiranso kuphunzira.
Kalulu wa New Zealand New Zealand whillet (kulemera pafupifupi 2,5-3 makilogalamu, zaka 3-3) miyezi 3 mpaka 3,5 gulu la minofu (gulu) la minofu (NEPV). Njira zonse zoyesera zimavomerezedwa ndi Komiti ya Makhalidwe a Chipatala cha Tianjin, ndipo njira zoyesera zidachitika mogwirizana ndi malangizo ovomerezeka.
Zosintha zina zachitika panjira yochita opaleshoni ya S. SEBAjima 46. Kalulu aliyense adayikidwa mu malo ofananira ndi athertior wa ma discle a Lumbar otsatizana (IVDs) adawonetsedwa pogwiritsa ntchito njira yanyumba yanyumba. Kalulu aliyense adapatsidwa opaleshoni yayikulu (20% urethane, 5 ml / kg kudzera pa vein khutu). Kukhazikika pakhungu kumapangidwa kuchokera kumphepete mwa nthiti ku Pelvic Brim, 2 masentimita molingana ndi minofu ya parairetebral. Mphete yakumanja yochokera ku L1 mpaka L6 idawululidwa ndi kusokonekera kwa minyewa yopanda minyewa, minyewa yam'madzi, ndi minofu (mkuyu. Vutoli lidatsimikizika pogwiritsa ntchito chipongwe cha pelvic ngati chinsinsi cha L5-L6 CHEC. Gwiritsani ntchito mankhwala osokoneza bongo 16 kuti mugule dzenje pafupi ndi mbale ya L5 vertebra kupita kuzama 3 mm (mkuyu. Gwiritsani ntchito syringe ya 5 ml kuti musunge pulpiology pulposus ya L1-L2 intermpicral disc (mkuyu. 6C). Chotsani zamkati za nyukiliya kapena minofu malinga ndi zofunikira za gulu lirilonse. Pambuyo pa bowo la kubowola litayatsidwa, kutulutsa kokongola kumayikidwa pakhungu lakuya kwambiri, khungu labwino kwambiri, kusamalira kusawononga minofu ya veriosteal ya mthupi pakuchita opaleshoni.
. . (C) Modololooloous mfs amakololedwa.
Ally opaleshoni idaperekedwa ndi 20% urethane (5 ml / kl / kg) kuperekedwa kudzera pa mitsempha ya khutu, ndipo ma radiograph a Lumbar adabwereza.
Akalulu adaperekedwa nsembe ndi jekeseni wa mnofu wa matimini. Ma msana wonse adachotsedwa kuti athe kuwunika mbiri yakale komanso kusanthula kwenikweni kunachitika. Maudindo osinthika (RT-Q-QPCR) ndi kunyezimira kwakumadzulo kunagwiritsidwa ntchito kuzindikira kusintha kwa chuma.
Kuyesedwa kwa MRI kunachitika mwa akalulu omwe amagwiritsa ntchito maginito azachipatala a 3.0 t (gen Akalulu anali osirira ndi 20% urethane (5 ml / kl / kl / kl / kl / kg) kudzera pachimake ndikuyika dera lozungulira lozungulira la maginisi 5 (gen zamankhwala). Zithunzi za Coronal T2-Weined Try-Starty (tr, 1445 ms; te, 37 mts) adapezeka kuti afotokozetse malowa kuchokera ku L3-L4 mpaka L5-L6. Magawo a sagittal t2-olemera adapeza zosintha zotsatirazi: Kuthamanga kwa Spie-Echo ndi nthawi 2200 ms ndi nthawi ya 70, matrix; gawo lowoneka la 260 ndi zisanu ndi zitatu; Makulidwe odula anali 2 mm, kusiyana kwake kunali 0,2 mm.
Chithunzi chomaliza chidatengedwa ndipo kalulu womaliza adaphedwa, Sham, ophatikizidwa, ophatikizidwa ndi minofu, ndi NP DECS idachotsedwa kuti ayesedwe. Times zidakonzedwa mu 10% yosalowerera kwa sabata 1 Minofu ya minofu idaphatikizidwa mu paraffin ndikudula m'magawo a sagittal (5 μm wandiweyani) pogwiritsa ntchito microtome. Magawo anali odetsedwa ndi hematoxylin ndi esin (h & e).
Pambuyo potolera ma disclents asterebal discs kuchokera ku akalulu m'gulu lirilonse, RNA yonse idachotsedwa pogwiritsa ntchito malangizo a UNID-10., China) malinga ndi dongosolo la wopanga , Madison, Wi, USA). Kulemba kosinthika kunachitika.
RT-QPCR idachitika pogwiritsa ntchito prism 7300 (yogwiritsa ntchito bioshasts Inc., USA Buku la PCR lomwe limachitika pa 20 μl ndipo linali ndi 1.5 μl ya kuchepetsedwa CDNA ndi 0,5 μm wa primer iliyonse. Primers were designed by OligoPerfect Designer (Invitrogen, Valencia, CA) and manufactured by Nanjing Golden Stewart Biotechnology Co., Ltd. (China) (Table 1). Zinthu zotsatirazi zidagwiritsidwa ntchito: Gawo loyambirira la polymesese chofiyira pa 94 ​​° C kwa 2 min, ndiye 40 Miyeso idachitidwa kwa 1 min pa 72 ° C. Zitsanzo zonse zimakulitsidwa katatu ndipo mtengo wamba udagwiritsidwa ntchito kuwunika kwa RT-QPCR. Zambiri za Empnication zidasanthula pogwiritsa ntchito kusinthasintha masinthidwe atatu (ma molecular zida, dzuwa, ca, USA). 4, Il-17, ndipo ngati @ γ New mawu anali osinthika kwa endogenous (Actb). Miyezo yowerengeka ya chandamale MRNA idawerengeredwa pogwiritsa ntchito njira ya 2-ΔΔCT.
Ma protein onse adachotsedwa pamlingo pogwiritsa ntchito minofu homogenizer ku Ria nesi buffer (wokhala ndi mapuloteni ndi phostifuread ku 13,000 pa 4 min pa 4,000 pa 4 Makina makumi asanu a ma protein amadzaza ndi msewu uliwonse, wolekanitsidwa ndi masamba 10% SDS, kenako ndikusamukira ku PVDF. Kuletsa kunachitidwa mu 5% yosasunthika mkaka wa Tris-Sher-Busted Salnes (TBS) yokhala ndi 0.1% Thrinnthenzi 20 kwa 1 h Pa firiji. Membrane anali atayikiridwa ndi kalulu wotsutsa antibody (wodetsa 1: 200; bostern 1: A Bos) (kuchepetsedwa, China) usiku wambiri; Ndi mantiketi achiwiri (mbuzi anti-kalulu sannoglobulin g pa 1: 40,000 Dinces) kuphatikiza ndi horseradish peroxidase (woponya, China) kwa ola limodzi kutentha 1 Zizindikiro zakumadzulo zidapezeka ndikuwonjezeka kwa mankhwala ophatikizika pa mankhwala a mankhwala a ma tchelingunent pambuyo pa X-ratradiation. Kwapenda kusanthula kwa densitometric, ma bliots adasambitsidwa ndikugwiritsa ntchito pulogalamu ya BandCan ndipo zotsatira zake zidafotokozedwa ngati kuchuluka kwa mtundu wa gentin immunin summunoreapulo.
Zowerengera zowerengera zidachitika pogwiritsa ntchito pulogalamu ya SPSS16.0 (SPSS, USA). Zambiri zomwe zasonkhanitsidwa panthawi yophunzira zidafotokozedwa monga kutanthauza kupatuka kwa ± sd) ndikusanthula kugwiritsa ntchito njira imodzi yosinthira kusiyanasiyana (kudzoza) kuti mudziwe kusiyana pakati pa magulu awiriwa. P <0.05 idawonedwa kuti ndi yofunika.
Chifukwa chake, kukhazikitsidwa kwa mtundu wa MC mwa kuyika mologious nps mu thupi la ma vertural ndipo kusanthula kwachikhalidwe ndi kuwunika kofunikira kwa mac ndikupanga njira zatsopano kulowererapo.
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