Домой Бородавки Рана после удаления бородавки лазером

Рана после удаления бородавки лазером

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Правила обработки и ухода за раной после удаления бородавки лазером

Избавиться от нароста на коже, именуемого специалистами невусом, а попросту бородавкой, легко. Особенно при помощи современных возможностей эстетической медицины. Пациента может смутить лишь рана после удаления бородавки лазером . Не всегда понятно, как ускорить ее заживление и не допустить появления новых проблем.

Лечение и обработка раны после удаления бородавки лазером

После удаления бородавки лазером нужна ежедневная обработка раны антисептиками (йод, раствор марганцовки, Фукорцин), а затем проводится лечение мазями с ранозаживляющим эффектом (Контрактубекс, Актовегин, Пантенол).

Чем залечить открытую рану

При открытой ране необходимо для лечения использовать подсушивающие средства, для этого 2-3 раза в день смазывают поверхность одним из препаратов:

  • йодом,
  • зеленкой,
  • крепким раствором марганцовки,
  • Фукорцином,
  • Хлоргексидином,
  • Мирамистином.

Подсушивающие средства создают на поверхности корочки, под которыми образуется новый кожный покров.

С первых дней рекомендуется прием витаминных препаратов и настоек с иммуномодулирующим эффектом (например, лимонник, эхинацея). Их назначает врач для того, чтобы укрепить иммунитет и ускорить заживление. Они помогут также избежать рецидива болезни. После того, как плотные корки самостоятельно отпадут, на рану наносят мази, гели, которые обладают восстанавливающим действием:

  • Актовегин,
  • Солкосерил,
  • Алантан,
  • Пантенол,
  • Вульнузан,
  • Бепантен,
  • Метилурацил,
  • Левомеколь,
  • Куриозин.

Обработка ступни после операции

Для обработки ступни после прижигания бородавки применяют антисептические средства: используют стерильный бинт или салфетки, смачивают их в растворе Хлоргексидина или перекиси водорода и аккуратно протирают ступни. Нужно избегать трения раны. На ее поверхность ватной палочкой наносится йод или фурацилиновый раствор, Фукорцин. После этого обязательно нужно выждать время до полного высыхания.

Если пациент находится дома, то следует стараться как можно чаще обеспечивать свободный доступ воздуха к месту коагуляции, так заживление пройдет быстрее. Когда планируется выход на улицу, то на рану накладывается стерильная салфетка и фиксируется лейкопластырем. Затем надевают носки из натуральных материалов.

После отторжения струпа ногу можно мыть теплой водой с применением детского мыла. Рану промокают салфеткой или ватным диском и наносят ранозаживляющую мазь с антибактериальным эффектом:

Важно, чтобы до полного заживления не было контакта с потенциальными источниками инфекции – пляж, бассейн, спортивный зал, баня. Обувь должна быть закрытой, но вентилируемой, в зимнее время обязательно в помещении использовать сменную.

Чем обработать обувь

Рекомендуется после лазерного прижигания обработать обувь антисептиками, для этого вначале ее хорошо моют и высушивают электросушилками, затем внутреннюю поверхность тщательно протирают одним из растворов:

  • Мирамистин,
  • Хлоргексидин,
  • Перекись водорода,
  • Формидрон.

Обработка обуви антисептиком

Это важно, так как вирус, вызывающий бородавки, может хорошо сохраняться во внешней среде.

Уход за раной

Реабилитация после лазерной процедуры направлена на восстановление целостности кожи. Для этого необходимо:

  • Предохранение от механического повреждения. Особенно это важно после удаления подошвенной бородавки лазером , здесь кожу легко травмировать, сорвав раньше времени струп. Чтобы этого не произошло, следует носить удобную обувь. А лучше обеспечить себе возможность 3 — 5 дней побыть дома и ходить босиком. Воздушные ванны способствуют заживлению.
  • Предохранение от воды. Минимум 3 дня ранку нельзя мочить. А лучше избегать попадания на нее жидкости до отпадения корки. Мыться можно в душе теплой водой, не тереть участок, где была бородавка, мочалкой.
  • Использование наружных средств. Обязательно нужно обеззаразить ранку антисептиком. Это может быть 0,5% раствор хлоргексидина, марганцовка или настой календулы. Назначают также противовоспалительные кремы и гели.
  • Когда отвалится корка, и обнаружится обновленный участок, его можно мазать «Контрактубексом» во избежание образования выраженного рубца. Уточнить после удаления бородавки лазером, чем обрабатывать кожу, следует у врача.

  • Предохранение от внешнего воздействия. Нельзя минимум месяц ходить в баню, принимать горячую ванну, загорать, плавать в бассейне или открытом водоеме. Все это чревато занесением инфекции, появлением гипертрофического или келоидного рубца, нарушением пигментации кожи. Пользоваться декоративной косметикой запрещено по меньшей мере до отпадения корки.
  • Еще месяц нельзя воздействовать на область зажившей раны агрессивными ухаживающими средствами.

Один из часто задаваемых вопросов про удаление бородавок лазером — сколько заживает повреждение. В норме корка отваливается через 5 — 10 дней. Это зависит от обширности раны, способности кожи к регенерации, возраста пациента.

Сколько заживает рана после удаления бородавки лазером

После удаления лазером маленькой бородавки рана обычно заживает за 5-7 дней. Если диаметр образования от 1 см, то процесс растягивается на 3-4 недели. Более длительный срок возможен при:

  • несоблюдении правил обработки подсушивающими средствами;
  • частом намокании;
  • трение одеждой, травмировании;
  • заболеваниях – низкий иммунитет, сахарный диабет, нарушения кровообращения;
  • вредных привычках – курение, злоупотребление алкоголем;
  • неправильном питании – нехватка белка (мясо, рыба, творог, сыр), витаминов (шиповник, черная смородина, свежая зелень).

Причины долгого заживления

Иногда видимых проблем с кожей, подвергшейся лазерному воздействию, нет, но регенерация идет слишком долго. Это уже фактор риска возникновения и других осложнений. Что может способствовать продлению процесса:

  • Имеющиеся у пациента заболевания. Это сахарный диабет, пониженная свертываемость крови, дисбаланс гормонов. Если палец после удаления бородавки лазером долго выглядит распухшим, болит, не заживает, имеет смысл обследоваться. Хотя лучше это сделать еще до процедуры.
  • Угнетенный иммунитет. Даже если пациент не имеет патологий, являющихся противопоказаниями к воздействию лазера, организм может не справляться с восстановлением небольшого участка кожи. Нужна помощь в виде приема витаминов, иммуномодуляторов. Но это следует обсудить с врачом.
  • Несоблюдение условий реабилитации. Не все понимают, что даже пустяковая ранка нуждается в особом уходе.
  • Вредные привычки. Курение и алкоголь мешают нормальному кровообращению, нарушают выработку фибробластов. Это приводит к замедлению процессов развития эпителия, образования грануляционной ткани и соединительной. Отказаться от привычек следует еще за несколько дней до процедуры и придерживаться здорового образа жизни хотя бы неделю потом.

Смотрите в этом видео о причинах долго незаживающих ран:

Можно ли мочить ногу после удаления бородавки

Мочить ногу после удаления бородавки можно после отпадения сухих корочек. В первые 3 дня рекомендуется только протирать влажными салфетками и полностью избегать попадания воды. Важно, чтобы обувь была вентилируемой, а носки из хлопчатобумажных или шерстяных нитей. Повышенная потливость стоп нередко становится причиной долгого затягивания раны и воспаления.

Через неделю при хорошем заживлении и отторжении корочек разрешается мыть ногу, но нельзя тереть полотенцем место прижигания. Лучше не использовать косметические средства, кроме обычного детского мыла.

Возможные последствия после процедуры

Исчезновение бородавки под воздействием лазерного луча происходит за короткое время. Но все же этот процесс поэтапный, так как представляет собой поочередное выжигание слоев живой ткани. После завершения манипуляции кожа остается поврежденной. Это проявляется образованием на ней струпа, то есть сухой корки. Поверхность после этого должна восстановиться.

В самом процессе обработки новообразования лазером не исключены ошибки, например, слишком длительное или глубокое воздействие. Невыполнение правил реабилитации тоже может нанести дополнительные травмы коже. А еще существуют индивидуальные особенности организма, способные повлиять на результат. И предвидеть реакцию живой ткани удается не всегда. Любой из этих факторов может привести к тому, что удаление бородавки лазером последствия вызовет негативные:

  • Нагноение раны. Проявляется тем, что кожа вокруг струпа краснеет, опухает, болит. Если корка отслаивается, из-под нее вытекает гнойное содержимое.
  • Формирование грубого рубца. Нормальное восстановление кожи происходит благодаря образованию клеток эпителия, грануляционной ткани, затем соединительной. Но если синтез веществ нарушается, возникает их дефицит или избыток. Проблемы могут появиться из-за воспалительного процесса, или виной становятся особенности организма. В результате вместо гладкой кожи формируется выступающий над ее поверхностью рубец или вмятина.
  • Повреждение окружающих тканей. На них сразу после процедуры возникает краснота, повышается локальная температура, образуются водянистые пузыри, а сам участок выглядит отечным. Это все признаки ожога, означающие избыточное воздействие излучения во время манипуляции.

  • Нарушение пигментации. На участке, подвергшемся лазерному воздействию, может образоваться темное или белое пятно. Так бывает при неверной настройке аппарата или игнорировании условия ухода. Но не стоит переживать по поводу того, что после отпадения корки остается краснота. В норме пятно вскоре побледнеет.
  • Долгое заживление. Осложнение таит в себе опасность возникновения нагноения, формирования рубца или гиперпигментации.

Осложнения в реабилитационный период после удаления подошвенной бородавки лазером

Последствиями удаления подошвенной бородавки лазером бывает боль, отек (опухает палец), ожог, шрам. В реабилитационном периоде можно столкнуться и с осложнениями – рана плохо заживает, сочится, кровит. Часть из них является реакцией организма, возможно и присоединение инфекции, что часто объясняется нарушениями ухода за раневой поверхностью.

Опух палец

Если бородавка находилась на пальце, то после лазерной терапии он может опухнуть. Такая реакция вызвана термическим воздействием на ткани и бывает не более 2-3 дней. Более серьезная ситуация возникает, если отечность не спадает, а кожа становится горячей на ощупь. Нередко так проявляется инфекционный процесс.

Рекомендуется сразу же обратиться к хирургу, особенно если отек пальца сопровождается:

  • сильной болью;
  • пульсированием (дергает палец);
  • повышением местной или общей температуры.

До и после удаления бородавки лазером (рана заживает без осложнений)

Могут понадобиться прием антибиотиков и хирургическая обработка раны.

Рана не заживает

Если рана не заживает, то причиной этого бывает ослабление организма, а также микробное заражение. Препараты для активизации восстановления тканей назначает врач. Он может рекомендовать:

  • иммуномодуляторы – Метилурацил, Апилак;
  • витамины – А, Е и аскорбиновая кислота, фолиевая, группа В;
  • микроэлементы – кремний, цинк;
  • активаторы обменных процессов – Актовегин, Солкосерил;
  • ферменты – Вобэнзим, Флогэнзим;
  • биостимуляторы – сок алоэ, каланхоэ, мумие.

Часть из них может наноситься на рану (мази с метилурацилом, апилаком, Солкосерил), но большинство применяют внутрь в виде таблеток или вводят в инъекциях. Активное ранозаживляющее действие проявляют также следующие наружные средства:

Если причиной стало нагноение, то необходимо:

  • применение антибиотиков;
  • вскрытие очага для оттока гноя;
  • использование антисептиков (Декаметоксин, Диоксидин);
  • введение ферментов (Трипсин, Химотрипсин);
  • нанесение антибактериальных мазей (Банеоцин, Бондерм).

Возникновение ожога чаще бывает при особо чувствительной коже. Он проявляется покраснением, болезненностью, отеком. Возможно и образование пузырьков, заполненных жидкостью. В таком случае рекомендуется участок воспаленной кожи смазывать Аргосульфаном, а рану обрабатывать Мирамистином или Диоксидином. Если пренебречь уходом, то состояние кожных покровов может ухудшиться, покраснение распространяется, а процесс заживления затягивается.

Шрам после удаления

Образование шрама после удаления бородавки возможно при индивидуальной реакции на повреждение. У пациентов со склонностью к усиленному разрастанию соединительной ткани возникают гипертрофические и келоидные рубцы. В первом случае они характеризуются утолщением в области прижигания, а во втором распространяются за пределы раны. Для предотвращения необходимо использовать такие средства:

Их назначают при локализации удаленной бородавки преимущественно на открытых частях тела – лицо, зона декольте, руки. Применяют после того, как отпадут корочки. Втирают в новообразованную кожу легкими массирующими движениями 2-3 раза в день.

Если рубец не удалось предотвратить, то существуют методы для избавления от такого косметического дефекта:

  • обработка жидким азотом;
  • лазерная шлифовка;
  • введение препаратов ультразвуком (фонофорез);
  • инъекции гормонов и гиалуроновой кислоты.

Смотрите в этом видео о последствиях удаления бородавок лазером:

Рецидив бородавки после удаления лазером

Так как вирус папилломы, вызывающий бородавки, находится в организме и проявляет себя при ослаблении иммунитета, то очень часто возможен рецидив бородавки после удаления лазером. Она может возникать на том же самом месте или неподалеку. Риск ее образования не зависит от метода лечения, правильности прижигания. Для профилактики повторного образования рекомендуют:

  • противовирусные средства – Гроприносин, Протефлазид;
  • иммуномодуляторы – Иммуномакс, Циклоферон;
  • местные препараты для уничтожения вируса – Кераворт, Панавир.

Сочится рана, выделяется жидкость, кровь

При удалении крупных бородавок раны заживают достаточно долго, сочатся, кровят, из них выделяется жидкость. При локализации на стопе это усиливается травмированием при ходьбе, влажностью в обуви, трением. Корочки могут отойти раньше положенного срока, а кожа под ними обладает высокой ранимостью.

В таких случаях нужно применение препаратов, которые будут подсушивать и ускорять эпителизацию – образование нового поверхностного слоя. К ним относятся:

  • Актовегин гель,
  • Солкосерил гель,
  • Пантексол,
  • присыпка Банеоцин.

Пошел гной: опасно ли это?

Если в месте прижигания лазером пошел гной из раны, то это опасно, так как нагноение может распространиться на соседние ткани, а в условиях низкой иммунной защиты возможны серьезные осреднения – абсцесс, флегмона, сепсис. Для лечения назначается антибиотикотерапия, но только после того, как обеспечен достаточный отток гноя. Поэтому следует немедленно обратиться к хирургу для осмотра раны.

Если болит

Болеть место лазерного лечения бородавки может от 3-5 дней до 2 недель. Это зависит от индивидуальной чувствительности, локализации, размера кожного образования. Для уменьшения болевых ощущений врач может назначить Парацетамол, Нимесил. Если боль не уменьшается, а состояние окружающей кожи ухудшилось – есть выраженный отек, краснота, повысилась температура тела, то это признаки инфекции. Следует посетить в обязательном порядке хирурга для осмотра.

После такой несложной манипуляции, как удаление бородавок лазером, заживление в большинстве случаев идет быстро. Стоит лишь приложить незначительные усилия к восстановлению. Тогда и результатом будет гладкая кожа с ровным оттенком и без малейших следов вмешательства.

Полезное видео

Смотрите в этом видео о том, что происходит после удаления бородавок:

1013 КОММЕНТАРИИ

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  317. Следует разом отметить, что ни один основание не сможет справиться с самим явлением проституции, но силы государства должны заключаться направлены на улучшение положения женщин. Здесь должен обратить почтение для эксперимент европейских стран, уже давнехонько решившихся на “нестандартные”, для украинский воззрение, подходы к этому вопросу.

    Европейские государства на данном этапе пытаются законодательно закрепить статус занятых в секс-индустрии граждан. В Нидерландах и Германии проституция была легализована. В Греции проституция также легализована, но сообща с тем предписана обязательная регистрация и регулярные медицинские обследования. Каковой бы ни была политика государственного подхода к этой проблеме, является очевидным ее прямое обаяние на ситуацию со здоровьем каждой из проституток, а суть – со здоровьем каждого из ее (его) многочисленных клиентов.

    Так, положим, в Германии 1 января 2002 года вступил в силу положение о проституции, первой статьей которого является закрепление за проституцией статуса трудовой деятельности. Новый начало обязывает занимающихся проституцией проступить регулярные обследования в медицинских учреждениях, которые они могут выбрать сами. Этот пункт важен с учетом опыта таких стран как Греция, где для обследования проституирующих созданы контролирующие органы, деятельный которых зачастую приводит к тому, что женщины и мужчины избегают регистрации, чем перекрывают себе доступ к услугам медиков.

    Немецкий закон о проституции предлагает занятым в этой сфере мужчинам и женщинам кончать трудовые договора, которые, будто и во всякой противоположный отрасли, предусматривают социальное страхование, то закусить дают право на помощь по безработице, бесплатную переквалификацию и так далее. Таким образом, когда занимающийся проституцией не доволен своим доходом тож сообразно каким либо другим соображениям, хочет отказаться от этого занятия, он становится на биржу труда, где ему, вдруг и любому другому безработному, предлагают переквалификацию с получением пособия на время учебы вплоть предварительно устройства сообразно новой специальности.

    Безусловно, Украина для нынешний день не может для столь высоком уровне предоставить социальную защиту ни одному из своих граждан, но нам важно обратить почтение на либеральные подходы к этой проблеме, целью которых является столп мужчин и женщин, вынужденных таким образом добывать себе на жизнь. Чиновники и сотрудники правоохранительных органов, говорящие “о борьбе с проституцией”, похоже, мыслят в первую очередь категориями борьбы с преступностью, которая на практике выливается в борьбу с самими проститутками. Однако с ними нуждаться не ратоборствовать, им нуждаться дать альтернативу, шанс выбраться.

    Вернемся к европейскому опыту. В Швеции, Великобритании и Ирландии общественность и парламентарии поддержали принцип о криминализации клиента. Это вероятно, сколько преступлением является не деятельный проститутки, а покупка клиентом ее сексуальных услуг. Таким образом эти государства обозначили свою позицию сообразно отношению к проституции точно явлению. Понимая причины проституции словно результат дискриминации женщин и спроса со стороны мужчин, они через этого закона сообщили своим гражданам, что пользоваться бедностью, бесправием и необразованностью женщин преступно.

    Вследствие введения закона состоятельные мужчины стали пользоваться в другие страны, где проституция разрешена, но обломок мужчин решила, что им это не сообразно карману.

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    Лишь более половины украинцев не считают необходимым законодательно разрешить в стране проституцию. Таковы причина опроса, проведенного социологической службой Центра имени А.Разумкова в ноябре 2003 возраст во всех регионах Украины. Опрошено более 2 тысяч респондентов старше 18 лет. Заблуждение выборки составила 2,3%.

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    Немногим менее трети опрошенных (30,2%) считают эту меру оправданно, а почти каждого восьмого респондента (13,5%) вопрос легализации проституции не интересует. Затруднились с ответом 6,1%.

    В целом в украинском обществе преобладает негативное известие к проблеме легализации проституции. Впрочем мужчины оказались более толерантны в этом вопросе, нежели женщины. Между представителей сильного пола более трети (36,8%) высказались ради легализацию проституции, тутто наподобие среди женщин – лишь четверть (24,7%). Насупротив – 42,9% мужчин и 56,4% женщин.

    То лопать, между мужчин будто в 1,5 раза больше сторонников законодательного разрешения проституции, нежели между представительниц прекрасного пола.

    Полученные в ходе опроса причина свидетельствуют о существенных различиях в позициях респондентов разных возрастных групп. С возрастом доля тех, который считает необходимым узаконить на Украине проституцию, уменьшается. Беспричинно, среди 18-29-летних сходство сторонников и противников легализации проституции составляет 36,2% и 46,4%; в возрастной группе 30-39-летних – 36,1% и 48,6% соответственно; в группе 40-49-летних – 32,3% и 45,9%; между респондентов 50-59 лет – 30,1% и 47,3%; между опрошенных старше 60 лет – 17,9% и 60,5%.

    Таким образом, группу противников легализации проституции для Украине составляют наипаче представители старшего поколения, в то срок наравне между сторонников законодательного разрешения секс-услуг преобладают более молодые респонденты.

    На задача “Почему надо легализовать проституцию?” респонденты отвечали, который это позволит предотвратить расширение передающихся половым через заболеваний (такого мнения придерживаются 23,7% всех опрошенных и 78,6% из числа тех, кто поддерживает идею легализации проституции).

    Исключая того, это позволит поставить проституцию перед контроль правоохранительных органов (17,2% всех респондентов и 57,1% сторонников легализации); получить дополнительные поступления в местные бюджеты (13% и 42,9%); защитить женщин-проституток от криминальных группировок (9,9% и 32,7%) и от сотрудников милиции (8,1% и 27%).

    И, едва, легализация проституции может обеспечить социальную защиту лиц, занимающихся проституцией (так считают 8% всех респондентов и 26,5% сторонников легализации).

    Согласно данным опроса Украинского института социологических исследований (УИСИ), трудолюбивый в секс-бизнесе нравится только 20% из 636 представительниц древнейшей профессии, опрошенных УИСИ в 12 городах Украины. Быть этом 73% из них выбрали эту работу, дабы “не заниматься за копейки в какой-нибудь конторе”; 61% надеется заработать денег и оставить это занятие; 27% сообщили, сколько работают в секс-бизнесе вынужденно.

    Около этом лишь 66% опрошенных женщин пользуются презервативами.

    Сиречь отметила наедине из авторов сборника, преемник директор УИСИ Ольга Балакирева, основным выводом, вытекающим из исследований, является нужда усовершенствования правового законодательства, касающегося сексуальной индустрии.

    Беспричинно, новый Уголовный кодекс Украины предусматривает пеня чтобы лиц, предоставляющих секс-услуги, всетаки в отношении организаторов этого бизнеса наказание не предусмотрено. Среди тем, согласно данным опроса, женщины, занимающиеся секс-бизнесом, получают на руки только близко 20% заработанных денег. В то же век сообразно неофициальной информации, украинские проститутки зарабатывают от 300 предварительно 1000 долларов в месяц.

    По словам Балакиревой, должен также уделить забота профилактической работе – создать условия чтобы того, дабы женщины могли реализовать себя в других сферах жизнедеятельности, расширить козни негосударственных предприятий, предоставляющих данной категории женщин медицинскую, информационную и юридическую помощь.

    На Украине несть статистики о количестве женщин, занятых в секс-индустрии, подчеркнула Балакирева. По ее оценке, секс-бизнесом в Украине в той или иной степени занимается близ 250 тысяч женщин.

    Что может дать легализация проституции на Украине?

    Те, который выступает за такой непуританский действие, полагают, что в первую очередь это поспособствует приостановлению роста венерических заболеваний на Украине, кто наблюдается в последние годы и совпал именно с ростом проституции в стране, а также сможет мешать “девятый волна” СПИДа, кто уже поднялся над страной и может бранить для нее не ныне завтра.

    В настоящее время на Украине сложилась крайне неблагоприятная положение с венерическими заболеваниями, сиречь, сиречь днесь говорят, болезнями, передающимися половым путем, пояснил данный украинский авторитет, профессор-дерматовенеролог, доктор медицинских наук, глава Всеукраинского общества дерматовенерологов Борис Глухенький. Практически она уже достигла уровня 1947-1948 годов – самого высокого в истории нашей страны – тутто для 100 тысяч населения Украины приходилось 280 случаев заболевания сифилисом.

    К сказанному авторитет добавил, сколько статистика по венерическим заболеваниям весьма условна. Считается: для того, для испытывать истинное состав заболевших, “нуждаться статистические причина по сифилису увеличить в 5-10 раз, а заболеваемость гонореей в 86 раз”.

    Как полагают не один сторонники легализации проституции, но и некоторые чиновники из правоохранительных органов, выведение этого явления, именовавшегося в советские времена буржуазным, из подполья, посодействует и улучшению общей криминогенной обстановки в стране. Ибо проститутки, как известно, по-настоящему не могут подвизаться без отбирающих у них львиную долю выручки посредников-сутенеров. Те же, в свою очередь, отнюдь не подрабатывают в свободное от сутенерства срок учителями словесности в средних школах, а, якобы обыкновенный, принадлежат к преступным группировкам.

    Многие украинские эксперты считают, который легализация проституции в нашей стране не довольно столь эффективной, якобы в странах Западной Европы. Однако, вдруг мы видим, подходы существуют различные, нужна только политическая желание, чтобы найти действенный чтобы нашей страны механизм. Его надо обшарить, а не скрывать голову в песок, тем глубже, чем больше мы ужесточаем меры наказания, забывая о защите людей.

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