Probiotics for restoration of microflora in gynecology. Preparations for restoring vaginal microflora - first aid for dysbiosis

Normal vaginal microflora is, first of all, acidic environment, in which quantity beneficial bacteria higher than harmful. How to restore vaginal microflora? There are several harmless, but very effective ways.

The first signs of problems with microflora

Violations of the vaginal microflora are completely invisible at first glance. However, some abnormalities appear in the body. First of all, this manifests itself in discharge. They acquire an unnatural shade and smell. Sometimes they cause itching and irritation. This is the first symptom indicating that there are fewer beneficial bacteria in the microflora, and more pathogenic ones.

Secondly, the vaginal microflora is disturbed if there is absolute dryness of the vagina during sexual intercourse. This is only a symptom if dryness is not an anatomical feature. Lack of lubrication during sexual intercourse signals a change in the state of the acidic environment of the vagina.

Violation of the vaginal microflora cannot always be noticed immediately

“Thrush” or Candida fungus is also a type of vaginal microflora disorder that requires treatment under the supervision of a specialist. Unsystematic and self-treatment can lead to aggravation of the microflora.

If there are no signs of disruption of the vaginal microflora, then only a doctor can determine it based on tests (smear). The smear determines the number of lactobacilli and bifidobacteria in the vagina, as well as the percentage of other bacteria that do not lead to disease. Any deviation from the norm is a reason for treatment or prevention of the development of sexual diseases.

Causes of microflora disturbance?

To relieve symptoms and begin treatment, first of all, you need to understand the causes of problems with microflora. The most common reason the occurrence of vaginal dysbiosis is a weakening of the general immune system. For example, after hypothermia or suffering serious illness. Also causing disturbances in the vaginal microflora is the use of antibiotics, which “kill” all bacteria not only in the intestines, but also in the vagina. In mind anatomical features For women, these two areas are closely interconnected.

Another popular cause of problems with microflora in the vagina is hormonal imbalance. For example, due to taking hormonal medications or during pregnancy. Failure of the menstrual cycle also leads to a change in the state of the normal acidic environment in the vagina. Climate change also affects female body. It is noted that a sharp flight from winter to summer leads to vaginal dysbiosis.

Any sexually transmitted diseases can cause vaginal dysbiosis. Before restoring the microflora, it is necessary to undergo a course of treatment for the causative disease. In parallel with this, you can use drugs preventive action to maintain an acidic environment in the vagina.

How and with what to restore the normal acidic environment in the vagina?

All medications should be prescribed by a gynecologist, since only he can take into account everything physical features each specific woman. Treatment is mostly local, that is, in the form of suppositories, sprays and vaginal tablets. As a complement to local treatment General medications are also prescribed. These can be probiotics, which contain a sufficient amount of lactobacilli to restore the vaginal microflora and components that help restore the vaginal epithelium.

It’s easy to restore healthy microflora

Among all modern drugs The following are popular:

  • Lactobacterin suppositories to restore vaginal microflora (administered at night);
  • “Kipferon” suppositories used in courses;
  • vaginal tablets"Gynoflor", used in one course;
  • Epigem spray, intended both for the treatment of vaginal dysbiosis and for the prevention of this disease.

These three proven remedies do not harm the body and are designed for women of any age, regardless of the causes of problems with microflora.

Traditional methods can also help restore normal condition vaginal microflora. And, above all, washing with kefir. To do this, dilute kefir 1:1 and warm water, wash with this solution at night, then rinse with running water.

Douching is no less effective. chamomile decoction. The only thing you should be prepared for is that chamomile dries out the skin; you need to use it extremely carefully. Pour a tablespoon pharmaceutical chamomile two glasses of boiling water, let it brew and cool. Douche every evening for ten days.

But it is better not to use tampons with kefir or honey, which are widely used in folk medicine at night. Firstly, store-bought kefir is not as healthy as it is advertised. Secondly, such tampons can only worsen the condition of the microflora.

In order not to restore the vaginal microflora, it is necessary to minimize the risks of problems arising against this background. When prescribing courses of antibiotics, pay attention to what parallel drugs are prescribed to you, and whether any of them support the normal environment of the vagina and intestines.

The vaginal microflora consists of many bacteria present in every woman on the mucous membrane of the internal genital organs. Normally, the number of beneficial microorganisms is 6-8 x 104 CFU/ml. Gynecologists distinguish four degrees of vaginal cleanliness, each of which directly indicates the quantitative and qualitative composition of microorganisms, that is, depends on the presence or absence of certain bacteria.

Norm and pathology

The first degree of purity indicates an acidic reaction of the environment, where the vast majority of microorganisms are lactobacilli. This is the normal vaginal microflora in an adult woman.

The second degree is set when the reaction of the environment is slightly acidic and there is a small number of lactobacilli. In this case, coccal microorganisms are observed - streptococci, staphylococci and the like.

The third degree means a neutral or weak alkaline environment, single lactobacilli and a large number of leukocytes.

The last, fourth degree, is determined by the pronounced alkaline reaction and the absence of lactobacilli. The microflora is represented by cocci, as well as pathogenic microorganisms and abnormal a large number leukocytes.

The third and fourth stages are a pronounced violation of the vaginal microflora. With these cleanliness indicators, inflammation or infections are most often diagnosed. If you feel discomfort, observe atypical discharge from the genitals, which is accompanied by a sharp and extremely unpleasant smell, you need to see a doctor immediately. Improving and restoring the vaginal microflora is easiest to do in the initial stages of the disease (for example, vaginitis or vaginosis), and more difficult in “advanced” cases. At the same time, self-medication is not recommended. All medical supplies: suppositories, vaginal tablets, applications or other dosage form should be selected by a doctor. The basis for prescribing drugs is the results of the smear sample taken.

Below are the means and preparations for the vaginal microflora. Please note that the information provided is strictly for informational purposes only.

Restoring balance with medications

There are many factors that influence the state of the vaginal microflora. Among them are poor nutrition with an abundance of carbohydrates, hormonal disorders, hypothermia and stress, improper use of personal hygiene products, in particular tampons, as well as indiscriminate sex life. And if the doctor determines that the bacterial balance is disturbed, it must be restored without unnecessary delay.
To normalize the vaginal microflora it is used the following drugs: “Vaginorm S”, “Linex”, “Ginoflor E”, “Ecofemin”, “Vagilak”, “Lactozhinal”. Also popular are suppositories for vaginal microflora - “Bifidumbacterin”, “Lactobacterin” or “Acilact”. If you are diagnosed with candidiasis, otherwise known as thrush, you must first cure the disease and then restore the vaginal microflora. The drugs Diflucan, Pimafucin or Livarol cope well with the Candida fungus.

It should be noted that the listed drugs have very mixed reviews from patients. This is explained by the characteristics of the female body, age, and the stage of the disease. Thus, most individual medicines cannot cope with “neglected” cases that require complex therapy. Therefore, do not rush to diagnose yourself, relying on your own experience or advice from friends. Adequate treatment vaginal dysbiosis and recommendations you should get from your doctor.

Lives in the human body great amount microbes and bacteria. They inhabit the skin, mucous membranes, intestines, and in women, the reproductive organs and vagina. They can be beneficial or pathogenic when in balance. Treatment for pathogenic microorganisms is prescribed, after which suppositories are used to restore the vaginal microflora.

By various reasons it happens that the balance is disturbed, the number of pathological organisms increases, complex biological system crashes. If the vaginal microflora is disturbed, vaginal dysbiosis or dysbiosis occurs, when it is necessary to take measures to restore the microflora.

Healthy vaginal microflora has most(90%) lactobacilli and about 9% biphylobacteria. Opportunistic organisms occupy the remaining part of the flora. They are called opportunistic because their number increases under certain conditions.

Such a small number (about 1%) rarely causes women's diseases, since lacto- and bifidobacteria successfully fight them, especially with healthy immunity. But with a decrease in the number of beneficial bacteria, there is an increase in harmful fungi, chlamydia, streptococcus, gardnerella and others, in which the microflora is disturbed.

Provoking factors for microflora imbalance are:

  • anatomical features of the female reproductive system;
  • hypothermia, which reduces immunity;
  • modified hormonal background– during pregnancy, menopause, after abortion, childbirth, menstrual irregularities;
  • climate change;
  • stress;
  • change of sexual partners without protection;
  • inflammation, infections of the reproductive and urinary systems;
  • condition after treatment of female diseases;
  • taking antibiotics;
  • intestinal infections;
  • improper use of tampons;
  • failure to maintain intimate hygiene.

On initial stage Signs of the disease are not always possible to determine; they may simply be absent. As the disease progresses, you may experience:

  • discharge of a different nature and color - white, yellow, greenish, having varying thickness, curdled;
  • smell of discharge;
  • discomfort in the groin area;
  • vaginal dryness during sex;
  • pain and itching in the labia area;
  • itching and burning when urinating.

The symptoms themselves are not dangerous, but the infection can affect the cervix and move further, affecting the uterus, the fallopian tubes and ovaries. Symptoms should be alarming and be a reason to contact an antenatal clinic.

How to eliminate dysbiosis

It is necessary to restore the microflora due to the anatomical features of the female genital organs. Closely located urinary tract, intestines contribute to the penetration of their infection into the vagina. If the number of beneficial bacteria is normal, they fight the foreign environment, suppressing it.

Treatment to restore vaginal flora is divided into three stages:

  1. Eliminating the cause of the disease, fighting the virus or fungus that caused the disease;
  2. Strengthening immunity;
  3. Restoration of lost vaginal microflora.

After you have cured the underlying disease and strengthened your immune system, you need to restore the normal healthy environment of the genital organs. For this purpose, suppositories are suitable for restoring the vaginal microflora.

Vaginal suppositories are probiotics, used after drug treatment, after thrush, and after for the regeneration of vaginal walls. It is necessary to restore the walls of the vagina, since with any infection of the genital tract, as well as its treatment, the vaginal epithelium dies. Vaginal suppositories help restore the epithelium.

Preparations to improve vaginal microflora


The principle of operation of vaginal suppositories with lactobacilli is simple: it consists in increasing the number of beneficial lactobacilli and biphylobacteria. They restore the acid-base level to pH 3.5-4.5. Acid produced by lactobacilli, as well as Excipients candles help fight harmful microorganisms vagina.

Vaginal suppositories with bifidobacteria have an anti-inflammatory effect and improve immunity. As a result, the development of a pathogenic environment accidentally introduced from the outside does not occur; its reproduction will be stopped by our beneficial bacteria.

It is good if the drug contains lacto- and bifidobacteria together, in which case their complex interaction will accelerate the effect of treatment.

Vagikak (Vagikal, Laktogin)

Has a gentle effect on the vaginal walls, suppresses pathogenic microorganisms, interferes with their development and growth. Contains calendula flowers and is natural natural remedy from inflammation. Suppositories are an antioxidant, perfectly heal, restore the cellular epithelium of the vagina. The course of treatment is 10 days.

Bifidumbacterin

Gynoflor

To restore microflora, they contain lactobacilli, and also contain the hormone estriol and lactose. Estriol promotes the restoration of vaginal epithelial tissue, and lactose helps actively reproduce beneficial microorganisms. The drug is harmless, it should be used for 7 days, if necessary, the course can be increased to two weeks. After two weeks, the course of treatment can be repeated.

Lactozhinal

Suppositories to improve vaginal flora. Administer while lying on the bed before going to bed. Often used after. Use 1 suppository in the morning and evening for 7 days, or 1 suppository at night for 14 days.

Vaginorm S

Contains ascorbic acid, inhibits the growth of microbes, normalizes vaginal pH. The course is 7 days, suppositories must be administered at night, this is done for 6 days, if necessary, can be extended to two months.

Kipferon

Vaginal and rectal suppositories, complex drug, increases immune cells vagina and intestines, restores the vaginal and intestinal environment. Treatment lasts 10 days; complete cure requires 2-3 courses; in between, microflora smears are taken.

Suppositories for local application, best candles for women who really like to prescribe in gynecology. Doesn't have side effects, highly effective.

Acylact

Suppositories can be used in antibiotic treatment; they interact well with other medications.

All vaginal suppositories containing lactobacilli and bifidobacteria are recommended for use after antibacterial therapy, since beneficial acidophilus bacteria can be destroyed by other drugs. Read the instructions carefully.

When not to use candles

Despite the fact that suppositories for the treatment of flora are used very often in gynecology, they are not dangerous, it is better to consult a doctor before use. Suppositories themselves have no side effects, but every woman’s body has individual characteristics. When candles are not used:

  • at hypersensitivity to drug substances;
  • with cancer of the uterus, vagina, ovaries or suspicion of them;
  • with a diagnosis of endomitriosis;
  • at uterine bleeding of various origins;
  • with untreated endometrial hyperplasia;
  • girls who have not yet begun their sexual life.

Some people may develop an allergy when using it, which will also have to be treated. If you are intolerant to the components of the suppositories, the amount of discharge may increase, and itching and burning in the labia area may occur.

What are the types of vaginal discharge and how to choose the right treatment? at your webinar gynecologist Irina Viktorovna Zhgareva. Anyone can listen to and watch a lecture by a certified doctor with experience without leaving home.

Sometimes it makes sense to preventive treatment at least once a year, then the risk of genital infection is reduced to zero. This will change your life, including your sex life. better side, because at least one problem will be less.

To restore the vaginal microflora, they become necessary when the body itself cannot regulate the ratio of bacteria. The causes of this condition may be previous infectious diseases, poor hygiene, hypothermia or change in climatic conditions.

Female dysbiosis, or a violation of the female microflora, leads to the fact that the vaginal flora, which normally should help immune system fight harmful bacteria, viruses and fungi, and ceases to cope with its functions. This leads to a decrease in immunity, to frequent illnesses genitourinary system, unpleasant sensations in the genitals - burning, itching, pain, dryness, irritation.

There are now a large number vaginal suppositories that will help solve the problem.

Vagical

Vagikal are female suppositories, the active ingredient of which is vegetable origin. Thanks to calendula, which is part of the drug, the suppositories act as an anti-inflammatory and bactericidal agent. Women's suppositories promote rapid regeneration of the vaginal mucosa, and also increase protective function body from external stimuli.

Part medicinal calendula includes acids: salicylic and pentadecyl. Thanks to their action, streptococcus and staphylococcus bacteria stop multiplying and die. But at the same time, calendula does not act on the female body as aggressively as antibiotics; it restores dead mucosal cells and prevents scars from forming.

Women's suppositories improve blood circulation in the pelvic organs, so inflammation goes away faster. The drug is able to heal erosions of the genital tract.

The female drug Vagikal improves the quality of life of women who are in menopause. Thanks to calendula extract, rich in plant mucilage and polysaccharides, the drug fights dryness, irritation and itching.

Before insertion into the vagina, a woman should moisten the suppository with warm boiled water. The candle quickly dissolves. Daily dose The medication is prescribed by the attending physician, in most cases it is 2 suppositories per day. The course of treatment lasts about a week.

Vagical is prescribed in the following cases

Side effects include an allergic reaction to the composition of the drug. It can manifest as itching and vaginal dryness.

Suppositories for improving female microflora have no contraindications. During pregnancy and breastfeeding, a woman should consult a doctor before using suppositories.

Women's Vakigal candles are produced in Poland, available in packs of 10 pcs. Approximate price - 110 rubles.

Analogues of the product:

  • Vagilak;
  • Tsifran;
  • Labilact.

Gynoflor

Gynoflor - female pills for the treatment of vaginal dysbiosis, normalization of microflora. They contain beneficial lactobacilli and the synthetic hormone estriol.

Lactobacilli, settling in the vagina, normalize the microflora, create acidity, which prevents harmful microorganisms from multiplying. Produced sufficient quantity lactic acid in order to regenerate and protect the mucous membrane of the genital tract.

During the activity of lactobacilli, which are included in women's pills, bacteriocins are produced. They have an inhibitory effect on pathogenic microorganisms.

Estriol is an analogue of estrogen produced by the ovaries. This substance is necessary in the preparation in order to stimulate the growth of mucosal cells for speedy regeneration. This improves the condition of the vaginal walls. Estriol helps fight unpleasant symptoms during menopause.

Gynoflor increases the ability of the female body to resist external irritants thanks to barrier function vaginal mucosa.

Women's pills are effective for the following conditions:

  • after treatment with antibiotics;
  • after chemotherapy;
  • during menopause;
  • with nonspecific discharge;
  • for the treatment of candidiasis (as an adjuvant);
  • with vaginitis.

Before use, female tablets are moistened with water and inserted into the vagina. The doctor prescribes 1–2 tablets per day. The course of treatment lasts from 7 to 14 days.

During the course of treatment you should abstain from sexual intercourse.

Side effects occur in case of intolerance to the substances that are included in the drug. This may cause swelling of the mucous membrane, burning and itching. In this case, it is better to stop treatment and consult a doctor.

Gynoflor is contraindicated:

  • with bleeding;
  • in the presence of tumors of the reproductive system or breast;
  • with endometriosis.
  • It is not recommended for use by women who have not reached puberty.

The country of origin of the product for improving female microflora is Switzerland. The medication is available in 12 tablets per package. Approximate price - 950 rubles.

Analogues of the product:

  • Hexicon;
  • Venro Kit;
  • Gynekit;

Bifidumbacterin

Bifidumbacterin is a product that is available in the form of rectal-vaginal suppositories. It contains anaerobic bifidobacteria. They kill harmful microflora, maintain the necessary acidity in the female body, and increase the barrier protective function.

The product removes toxins from the body. Bifidobacteria stimulate the production of lactic acid, vitamins B and K, and strengthen local immunity.

The drug can be prescribed as additional remedy in the treatment of chlamydia, gonorrhea, genital herpes.

Bifidumbacterin has an anti-inflammatory effect, helps with colpitis, vaginitis, and urethritis.

Prescribed by a doctor after undergoing operations on genitourinary system, to prevent complications. IN menopause the drug helps combat excessive vaginal dryness or excessive discharge.

Candles treat dysbiosis after long-term use antibiotics, bring it back to normal female microflora.

Approved for use in pediatrics, pregnant women and nursing mothers.

The doctor prescribes 1–2 suppositories per day. The course of treatment ranges from 7 to 12 days.

At simultaneous administration with antibiotics, Bifidumbacterin can reduce the effectiveness of the latter.

Increases the effect of vitamin-containing products.

Available in a package of 10 pieces, the manufacturer of the drug is Russia. Approximate price - 390 rubles.

Vaginorm

Vaginorm-S is an antimicrobial and antiseptics, which improve female microflora. Main active substance is ascorbic acid. Its content in 1 suppository is 250 mg.

The product can increase the acidity of the vagina, which prevents further proliferation of pathogens.

At the same time, lactobacilli and bifidobacteria continue their vital activity. In this way, the microflora inside the genital organs is normalized.

Women's pills increase immunity and act as an anti-inflammatory agent.

The doctor prescribes the drug for the following diseases:

  • colpitis;
  • vaginitis;
  • dysbiosis.

It is not recommended to use for candidal colpitis, since increasing the pH can aggravate the situation. There is no need to stop taking Vaginorm during menstruation and infectious diseases. The drug reduces the effectiveness of anticoagulants. You can use women's tablets to normalize microflora during pregnancy and lactation.

The doctor prescribes 1 tablet in the evening for a week.

Side effects may occur in the form of:

The manufacturer of the tablets is Germany, there are 6 pieces in one package. Approximate price - 620 rubles.

Analogues of the drug:

  • Lactonorm;
  • Lactobacterin;
  • Acylact;
  • Vagilak.

Kipferon

Kipferon is available in the form of rectal and vaginal suppositories. It includes:

  • interferon;
  • immunoglobulin complex;
  • Excipients.

Candles have antiviral effect And antibacterial effect against chlamydia.

The drug fights inflammation and intoxication of the body as a result of the activity of harmful bacteria. Kipferon promotes fast healing mucous membrane, prevents the formation of scar tissue, improves female microflora.

Suppositories increase local and general immunity of the body. Kipferon helps with cervical erosion. Improves blood circulation in the pelvic organs. Prevents the occurrence of vaginal dysbiosis.

The drug is prescribed by a doctor in the following cases:

Used before surgery to reduce the risk of post-operative infections.

Can be used in the second and third trimesters of pregnancy as prescribed by a doctor. Assigned in the form rectal suppositories children under one year old.

The drug has no contraindications. No side effects were observed.

Kipferon is available in 5 and 10 pcs. packaged. Manufacturer of the product - Russia. Approximate price - 600 rubles.

Analogues of the drug:

  • Giaferon;
  • Altevir;
  • Laifferon;
  • Viferon.

Estriol

Estriol is a vaginal suppository for women, the active ingredient of which is exogenous estriol. Most often, the drug is prescribed to women who feel a lack of the hormone estrogen. This condition causes dryness and burning in the vagina, disruption in the regeneration of the mucosa and its atrophic changes.

Suppositories restore microflora, help in the division of mucosal cells, and normalize acidity.

Thanks to action feminine remedy Estriol increases local immunity, chronic diseases worsen less frequently.

Doctors prescribe female suppositories:

The drug is contraindicated:

  • if there is a tendency to allergic reactions to components;
  • when blood clots form;
  • for cancer;
  • with uterine bleeding;
  • with liver failure;
  • with hyperplasia of the endometrial walls;
  • with atherosclerosis;
  • after recently suffering a heart attack.

Prohibited for use by pregnant and lactating women.

TO side effects can be attributed:

The doctor prescribes 1 suppository at night. The course of treatment ranges from 7–14 days.

Estriol enhances the effect of glucocorticosteroids and also changes the effect of anticoagulants and beta-blockers.

The manufacturer of the drug is the Republic of Moldova. The drug is available in packages of 15 pcs. Approximate price - 230 rubles.

Analogs women's candles Estriol is considered:

  • Ovestin;
  • Estrocad;
  • Esterlan;
  • Klymen;
  • Menostar.

Strange as it may seem, the state of health of that person completely depends on the army of microorganisms. In the case when the mass of beneficial bacteria exceeds the number of pathogenic microorganisms, health will correspond to the norm. But a violation of such a balance is fraught with malfunctions in the functioning of the body’s systems and inevitably leads to certain diseases.

The same is true with the health of the genital organs: microflora that corresponds to the norm is a guarantee of sexual health. The presence of such disorders in the vagina inevitably leads to inflammatory processes and infections. And here a question arises, the solution of which entirely depends on the restoration of the vaginal microflora. But first, it is necessary to find signs indicating violations.

Vaginal microflora: determination of the norm

The restoration of the vaginal microflora completely depends on the performance of the functions assigned by nature. The main function of this organ is to protect against attacks by pathogenic organisms, which is only possible with the formation of an acidic environment.

Only a sufficiently acidic environment contributes to the destruction of sperm, as a result of which only the healthiest and strongest ones reach their intended destination. And increased synthesis of antibodies and protective proteins depends on the vaginal lactoflora, which increases local immunity.

Signs that indicate a violation of the vaginal microflora

And although the disruption of the microflora in the vagina is not particularly noticeable, treatment that guarantees normalization is extremely important.

The main thing is to prevent problems arising due to the proliferation of pathogenic bacteria, the foundation of which can be considered an imbalance of microflora in the vagina. This is where you should recognize the signs accompanying changes in the state of the microflora. And the first thing you should pay attention to is the changed discharge and the smell, which cannot be called pleasant.

Methods for restoring vaginal microflora

In this matter, you should carefully listen to the doctor’s recommendations and carefully use the prescribed medications. An experienced doctor prescribes medications that can solve three problems:

  • stop the proliferation of pathogenic bacteria;
  • restore microflora;
  • activate the immunity of the vaginal walls.

So, the prescription of antibacterial suppositories, antibiotics, probiotics, as well as local immunomodulators can be considered completely justified and natural. A to folk remedies should be resorted to after consulting a doctor.

Folk remedies that restore vaginal microflora

A noticeable effect is promised by using tampons soaked in kefir or honey for 10 days, which should be inserted into the vagina at night. And the best thing is to alternate kefir and honey. But before you resort to this method treatment, you should make sure that you are not allergic to honey. Tampons with sea ​​buckthorn oil, which must be used for 10 days.

IN traditional medicine It is popular to use chamomile preparations, which have a positive effect on restoring the vaginal microflora. Treatment occurs by douching. An infusion is prepared from one spoon of chamomile flowers and two glasses of boiling water. The strained infusion is suitable for douching while warm. The procedures should be carried out over 10 days.

Prevention of vaginal microflora disorders

To avoid the costs of treating dysbacteriosis, you should carefully monitor compliance with the preventive rules:

  • external hygiene of the genital organs and lack of antibacterial agents in the care of intimate places;
  • diet containing dairy products and food of plant origin;
  • avoid self-medication with antibiotics and antibacterial drugs;
  • exclude synthetic underwear, which is especially dangerous in hot weather;
  • sexual intercourse with mandatory use of a condom;
  • refusal of sanitary tampons in case of allergic reaction on them.
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