關于做好本市社區衛生服務機構重點人群動態服務和新冠救治相關工作的通知
【信息來源:】
【信息時間:2024-01-16 閱讀次數: 】
shixiaquweishengjianlianghaowei:
anzhaoqizhejiangshengrenminzhengfulianfangliankongyuanyou《guanyudaidongxinguanguanjianrenmenjishuxingzuoyepeixunhe“guanzhayiwei”shiyedegaozhishuduanxin》hezhejiangshengrenminzhengfulianfangliankongyuanyou、zhongyangzhengfunongcaishiyelingdaoganbuketizu《guanyubanbudaidongtedingnongcaizhongnanbuzuixinxingguanzhuangleimumaxijunranshangfeiyanyiqingyouxiaofangfanshiyeshejidegaozhishuduanxin》wenjianziliaoyao,weituidongbendijiedaobanshichuweishengjianduzuoyepeixundanweiwangdishiyong,shizhongjianchi“zaofajue、zaozhongyaozhiliao、zaobinggui”,youxiaofangfanhesuoduanxinguanleimumaxijunranshangweizhongzhengshi꧙youfasheng,xianjiudaidongtedingxiangguanshiyegaozhishuduanxinruxiasuoshi:
yi、yanxujiaqiangshequjuweihuixinguanzhiliaonenglisuzhi
(一)進行片區新冠治療增容增能
gegequganjingshentiweiyaoliyongjijiugongzuoyiyuan,xietongzuozhanjumingxiaoquxiangyingbu,huanmantuijinxiangmujichujiansheshixiaqujiedaobanshichuganjingtigonggongnengpingtaixinguanjijiukongjiankuojianjichujianshe,yangeluoshixiangyingtixidesheshidengzengnengcunchu,shuyuyiliaokongjian、diaopingkongjian、yangliaokongjian、zhuyuanbubingqudeng,zuihaoxindianjianguan、xueyangjiankong、gongyangdengtixidesheshifenpei。duidaijubeitiaojiandejiedaobanshichuganjingtigonggongnengpingtai,feichangyaoqianghuactdengdesheshidefenpei,yindaoxitongjumingshepiantijianxiaceng。anzhuangtigonggongnengrenkoushujutongjishumude15%-20%jishuxingcunchuzhongcaoyao、tuireyao、huatanzhikeyaojikangyuanjiacehuaxueshi𒊎jiheshebei,henzhuaqiyebaojianyaopincunchuliangrengranyaobaochizai2zhouyishangneirong,renkoushujutongjiximizhongnanbukeliyongshijixiaoguozengduocunchuliang。
(二)提高街道辦事處升溫醫用服務培訓
quxiangepingtaigonggongganjingfangyiqingkuangbaozhanggongsimeijiduwutianjunyingzhanshichanshengreliangzhiliaobaozhang(hanjiexiuxiri),bingjingyoushelichanshengreliangzhiliaoyeyiyuanyiyuanmenzhen,shixianlechanshengreliangzhiliaoshenyeyanchibaozhang;quxiangepingtaigonggongganjingfangyiqingkuangbaozhangfengongsimeiji🤡duwutianjunyingzhanshichanshengreliangzhiliaobaozhang(hanjiexiuxiri),youyijiandekekaizhanyeyiyuanyiyuanmenzhen。quxiangepingtaigonggongganjingfangyiqingไkuangbaozhangzhan、cungonggongganjingfangyiqingkuangshiyingchentuochanshengreliangshaodianzhensuo、lingshichanshengreliangzhiliaoliuguanqudeng,chongfenmanzuchanshengreliangdenglinchuangbiaoxianderenquyiyuanxuqiufenxi。
er、jingjiunaiyongzuodaozhongdaleirengengjiankangjianceqiyudongxiangshouhoufuwu
(一)實施著重客戶群應管雖然
chongfenyinlingjiezhen、jucunwei,gejiedaogonggongweishengdefuwuguanligongzuofangfazhongxinzhanyaodalijiaqiangjishijieru,zaijiezhenjiangguanjianxingxiaofeiqunbingruwanggehuaguanligongzuofangfajichukuangjiashang,🐬duiguanjianxingxiaofeiqunzuohaowendingjiancejishuyuguanligongzuofangfa。yinlingxiaojiatingyakeyishenglianxisheqingminyihejishidefuwuguanligongzuofangfafanying,jiagaolada6wusuishangmiandezhongguo60suilaorenchengjiaodefuwuguanligongzuofangfashejimian,chabuduojianliguanjianxingxiaofeiqunchengjiaoquansheji。liyuyundefuwuguanligongzuofangfa、rexian、xiaochengxu、shipinbofangdengfeixuexicelvehuoshangmenjinxingsuifangdengzhengquekandaimiandefuwuguanligongzuofangfacelve,zuoshi“hong、huang、lv”biaoshipaiguanjianxingxiaofeiqunwendingdefuwuguanligongzuofangfa,quebao“qigeqiaodingwanmei”。
1.yijiezhenweijiliangdanwei,zhenghewanggehuafuwuguanligongshijizhi,renzhenzhixing“jiedaoshequsirenyunzuozu”yunzuozhinengbumen。
2.sanzhongcezhonghuanzheshenxinjiankangdiaochatongjifenleibiefenming,dongtaizhanshigenggaibingjiarutaizhang,chulixiangqinduixiangchanpinxinxifenming。
3.jiedaobanshen🔴xinjiankangdefuwubaozhanggongsi24xiaodefuwubaozhangfuwudianhuahulianhutong,putongjiatingmazuiyishenglianjiewanfajijizhudongjiaodaiguanjianxingxiaofeizhe,youshenxinꦡjiankangsuoxushijishixingmeiyouxiangying。
4.anzhaoduozhongduoyangxingshi,duiyaodiansangaoxiaofeiquntiwenjianjiamijijibaochirenshixiangmuduijie🅠,dui“wanghong”yaodiansangaoxiaofeiquntimeiyuebaochirenshibuchaoguo3ci,dui“danhuangse”ciyaodiansangaoxiaofeiqunti,meiyuebaochirenshibuchaoguo2ci。
5.jishizhangkongzhuyaokequnjichukuangjiawentiwentihejiankangshenghuodexianxiang。
6.duishengjizhongdianzhongrenfukeganranxinguanyiqinghuodijixiaohuadaojibinggengzhongdengqingkuang,likejiankangdepeixun、diaochayuzhuanzhen。
(二)認真落實側重人們細分管控
dui“hong、huang、lv”yaodianxiaofeizhefenbiezhidingyige“yi、er、siji”gongzuotigongfuwu,dui“molvse”xiaofeizhe,qiaoding“1jieduantigongfuwu”,daidonglvsedejiaoyu,lejiemeigerenlvsefangfang。dui“heise”xiaofeizhe,zaiqiaoding“1jieduantigongfuwu”dejichuliluntiaojianshang,duiyangxingfanyingjujiashenghuozhiliaogongrenzhidingyige“sanjishipintigongfuwu”,daidongkangyuanceliang、lvsejiancexitongzhan、♔lvsezaixianzixun、yongyaoliangjiaoyuzhidaodeng。dui“zhuhongse”xiaofeizhe,zaiqiaoding“yi、sanjishipintigongfuwu”jichuliluntiaojianshang,zhidingyige“sijitigongfuwu”,zengfulvsejiancexitongzhan,duiyizhongfukejibingjiaoqingdezhuoqingzhuanzhenducu。
san、zhuashizengjinweizhongqianqichuxian、kaizhanyufenke
quxianhuanbaojiankangbaojianweiyaoyijiayi🐷tuoyushi、qujiuzhuzhuanyeyishengzujingshenliliang,tigaoduitebiehuanbaobaozhangzhongjianzhanlianjieyujiaoyuzhidao,weichi“zaofazhan、zaoyeliao、zaoguodu🌺”guifan,liyongtebiehuanbaobaozhangzhongjianzhan“guanzhalagao”jiaose。
(一)進行新冠危重早感覺
gejuweihuiganjingweishengfuwuyubumenxinxihuajucunwei,zengjiaduixinguanganqizhedejiankangdejiancefanganwang,youweishi♉zhuyaoxiaofeirenqunganqizhe,zaidaoluodaowei“yi、er、san”jizhilidejibentiaojiankuangjiashang,yaozhuyaozengjiaxinguanzhengzhaoyujibentiaojiankuangjiaxingbingzhengzhaobutongꦍdejiancefanganwang。
qieshijiaqiangduixinguanchuanranzheyangdadaoshichuyugongdayuqiuzhuangtaizhuangtaidushujujiancefangan。gejuweihuihuanweijingzhunjingzhunfuwuzhiliangxiangmuqiyeyaopeiyongzuliangdezhijiashimoboxueyangyi(xiashusuoxiezhiyangyi),zhuashimeigejuweihuihuanweijingzhunjingzhunfuwuzhiliangxiangmutuchuhefentuchushaoyupeiyong20geyinei🍎、meigejuweihuihuanweijingzhunjingzhunfuwuzhiliangxiangmuzhanhecunhuanweishishaoyupeiyong6geyinei,meigejucunweishaoyupeiyong7geyinei。xiangweimeigejialiyakeyishengrenyuanpeiyongtedingshiyongliangdezhiyangyi,jieruhaojucunweiyali,jiangyangdadaoshichuyugongdayuqiuzhuangtaizhuangtaidushujujiancefanganbingrutuchudaxueshengxiaofeiquntichuanranzhejihusuifangwangzhanneirong。gejuweihuihuanweijingzhunjingzhunfuwuzhiliangxiangmuqiyeyaozhengmianyitihuajucunwei,wei6sisuiyineiyouxinguanaizibingduchuanranweizhongwentiqiejihuabubianyudetuchudaxueshengxiaofeiquntishenqingzhiyangyi,zhiyinzhujiazhenduanxueyangdadaoshichuyugongdayuqiuzhuangtaizhuangtaidu。
(二)持續推進新冠病情比較重的時候早改善
yaochongfenfahuishi、quchuzhizhuanyerenyuanzujingshenli𝄹liang,quanmianluoshishequjuweihuiweishengfangyifuwuxiangmubumenduixinguanbingduzhezhen♛duizhongyaozhiliao,yebaokuojiankangdezhichi、yangliao、guashui、xiaotanyuanziyaojibianyong、quelijiarenhulichuangdeng。
1.大力加強針對性診治。shixiaquganjinghuanjinggonggonganquananquanjiankangshenghuoweihuibangjuweihuanjinggonggonganquananquanganjinghuanjinggonggonganquananquanfuwubaozhangguanlipeixunzuzhi zhuangbeicishuheshideeryanghuatanqipingdai、eryanghuatanqipingpinggezhongzhiyangjiไdengdeshebei,jiaqiangzuzhilingdaodangjiweiyiyuanyiyuanyonghu、jiayongshoushudiaoliyonghuzhanshiyangliaohuoeryanghuatanqipingguanzhuangfuwubaozhangguanlipeixun。gejuweihuanjinggonggonganquananquanganjinghuanjinggonggonganquananquanfuwubaozhangguanlipeixunzhong、fenzhongjunyaoshezhiyiyuanyiyuan“xiyangqu”;juweihuanjinggonggong🉐anquananquanganjinghuanjinggonggonganquananquanfuwubaozhangguanlipeixunzhanyucunganjinghuanjinggonggonganquananquanshidebiaozhunshangjunyaocaiyongyuanyouxunlianchangdiquyukongjian,xuanpeieryanghuatanqipingguan,zhanshi“yangliao”fuwubaozhangguanlipeixun,yongyouchengshijuminzhuanchejiesongyangliaofuwubaozhangguanlipeixunxuyao。shenrutuijinxiwushoushudiaoli,gejuweihuanjinggonggonganquananquanganjinghuanjinggonggonganquananquanfuwubaozhangguanlipeixunzhong、fenzhongdebiaozhunshangjunyaozhanshixiwushoushudiaolifuwubaozhangguanlipeixun。ciwai,xiehaogandongzheyingyangsuzhicheng,shixingjiankangshenghuohuoshizhidaoxing,anguifanbiaozhunzhankaidadiandidenggongneng,bianshaoweizhongzhengzaoshougaofengxian。
2.快速選用抵抗毒物物治愈。duitebiexiaofeizhebingduzhecaiqu♒kaoping,zaishizhongxinquzhongyizhuanjiatuankaohepingjiaxia,duijuyouyuanzedebingduzhe,li𒉰jikaohepingjiashiyongdekangbinglijieyaowu,zuoqilikeyufang。
3.充分的推動中草藥進行治療效果。jiandingbuyidongxifangyixiangjiehe、zhongyaoyexueyaohuoyong,jiaokuai“sanyaoliangfang”dengzhongyaopeifangzaishequnweishengqingkuangfangyidefuwuyuqiyedepeizhihecaozuo。geshequnweishengqingkuangfangyidefuwuyuzhongyaomianxiangxinguanaizibingduxijunganranputongchuqi𓆉zhengzhuang,yinshizhiyi,bianzhengshizhi。wozhu“zao”“kuai”debiaozhun,rangzhongyaofangzaixinguanleibingduxijunganranchengchangqijinkuaideganyuyizhi,likeyizhiqingzhengbingyuanxiangchaozhongxing、weichaozhongxingjinbu。
(三)深化新冠危重早分配
1.盡早援助轉診。duixinguanbingzhenghuoyijuxingyiqingjialiaodepifuxiedaizhe,geshequjuweihuiweishengxuefuwubaozhangfuwuguanlipingtai、jiarenzhuzhiyishengjingyingtuanduiyaozhuanghao120yingjizuiyouzhuangyunlvhuaanquantongdao,fuzhujiaochabingduxiedaizheanshizhuanzhen。duiyuneixiejibenshouzhendebingqingbijiaozhongdeshihouaimeizhe,yaojiaokuaijingzhundebianshi,kegenjuxianshizhenshiqingkuang,anshigongyang,zhi🌺dinggenghaodijiuyuanjuticuoshi,zuodaoweihuaimeizhewodeshengmingxianxiangshunchang,zaiyihuyuangongzaichangxiaanshizhuanzhen。
2.寬敞通暢雙邊轉診。gexiaoquhuanweigongnenghexinyaochentuodiquxingyiliaohexin、yiliantishangjiayiyuankeshi,changshunxinguanjiuhujiaochazhuanzhenchedao,gegequhuanweilvsewei、geyiliaozhuangzhiyaopanbietuoshanchengjiezhuanzhengongzhong,jiandanweizhongzhengbingrenzhuanzhenfangan,zengchangzhuanzhennengliꦑ。shi,yaoquanmianfahuichulaigerencaiwuxinxihuazhizhuxiaoyong,jinxingshoujiyuanchengguanliyingzhen、꧅shoujiyuanchengguanlijianyandengxingshi,yibaozhengbingrenyingdeyaojishiyouxiaoxingjiuhu。
duijiedaobanganjingfuwudezhiliangguanliguanlizhongxinzhanshangzhuanxinguanfukebingduganranzhe,yujiashiguanjiandaxueshengxiaofeiquntifukebingduganranzhe,lingdaozhensuoyaochenglishouzhijingcaifenchengduanxintongdao。zailingdaozhensuoshixianyajixingshoushuzhiliaohou,zhuangkuangbaochiwendingdefukebingduganranzhekexiayizhi🌞jiedaobanganjingfuwudezhiliangguanliguanlizhongxinzhanicubingfang,jiedaobanyiwuyuangongyaojiaruzhuanzhenjutibuzou,zuohaofuwudezhiliangguanlishigongzongchengbao。
gegequganjingqingkuang🧸anquanjiankangweiyingzongheyidingbaoxianpianquneidifangdangweigeyidingpingtaidanchuangwangluoziyuan,debutongdebutongdengjiyidingpingtaidanchuangjibengongnengpinpaidingwei,baochizongheyidingbaoxian、guileibianyongdeguanlijizhi,yaozongheyidingbaoxiananpaihaopianquneidifangdangweigeyidingpingtaiyiwurenshu,nenggou xiapaizhuru、weipaishouhuidengfangfa,zhijitebiejingzhunbao♔zhangxiangmuzhanganjingqingkuangjingzhunbaozhangxiangmudiandianzhenshijingzhunbaozhangxiangmu。shezaiyiliaochuangdetebiejingzhunbaozhangxiangmuzhanganjingqingkuangjingzhunbaozhangxiangmudiandian,jinhuanjiedanchuangbianyonglvyingkedadao95%zhe,weiruheshezhiyiliaochuangdetebiejingzhunbaozhangxiangmuzhanganjingqingkuangjingzhunbaozhangxiangmudiandian,duibaohantiaojiandezhanranzhe,yingnenggou qiyeyiliaochuangnenggoumanzuzaijiazhiliaogezhongxuqiu。
si、dalijiaqiangtebiezhongyaoxiaofeirenqunzhenzhiziyuanyingwenchengxiangyiliaobaoxianhezhichilizhiliangbaozhang
(一)徹底的依賴街鎮網格化標準化管理機能
gejiedaoweishengfangyijianlianquandefuwuyuzhuyaozidongduijiedegejiezhen、jucunwei,wanquanzuzhibaozhangjiezhenwanggehuajianlitixi,genghaodifahuijiezhen、jucunweizhudaoquanxiaoguo,zhuahaogongzuodededuineirongzhongrenjiedaojianli,ganhaoshentijiankangshenghuojiancejishuyuxindongtaianquandefuwuyu。zuzhibaozhang“jiedao3renxiaozunei”gongzuodedetixi,zhuahaogongzuodededuineirongzhongrendebaobaojiehe。gejiedaoweishengfangyijianlianquandefuwuyuzhongjiejigouyaojiashangjiezhen,zunzhaoquyingjichuzhibangongzuodedeshezhi,ganhaoduibashisuichang🔥bei、youjichuzhishixinghuanbinghuanerdengweizhonggaofengxianzhongrenhejiongjingertongdedengzhongren“🌜shentijiankangshenghuobao”shenling,tuijinjucunwei,zuohaoduiyigerenzhuchangbei、jinyushangcanrensunbeigongtongtishenghuolaonianxingrenderichangdejiehe。
(二)增強空間醫遼產品社會統籌支撐架
gegequganjinglvseweiyaotongdengquyuneifenleiyiyongtiexinfuwuyiyuanyiwuyuan,liyongxiaxianxunzhen、yuanpaizhu、baochiyuankongyiyongtiexinfuwufengongxiezuowangdengxingwei,wanchengjicengdangzuzhidangzuzhirenshiyiyongtiexinfuwuganjingyiyuanrencaiquefashiqing,youxiaoquebaoquyuxinguanjiuzhutiexinfuwuwendingxingkaifa。goujianshizhongxinquduojijiuzhulingyupingshenzuheshangjiayiyongtiexinfuwuyiyuanxiangguanxunhuifangtantigangchangxiaojizhi,duiquyuganjingtiexinfuwuyiyuankaifajimufangtantigang,jishupei🐻xunjicengdangzuzhidangzuzhirenshiyiwuyuanguanliguifancaozuoxiaofenzishiyaohezhongyao🐓“sanyaodisanfang”,yibuduantigaojicengdangzuzhidangzuzhirenshifangweizhongzhengxiaoguo。zuohaoyiyongtiexinfuwujizhendeziyuantongdeng,jiadayiyongtiexinfuwujizhencheliayujingshenlilianganzhuang,weiquyuganjingtiexinfuwuzhongxin、renzixunshizhuanyetuanduibaochiyouxianjizhuanyungongsilutongdao。
(三)加大基層工作醫務員工培訓課
zhutuishineiliangjiyeliaoquanweilingdaoxiaozuꦍ,nidingguanjianxingjichengyiwugongrenzhuanyepeixunjihuafangan,dalikaizhanwangshangyingxiao、xianxiahuodong、zhubanxingyiyuankouqiangkechendaodaijiaodengduozhongduoyangzhuanyepeixun。youxiaoliyongdiqu、shilidengyouguanxizhuanyepeixunziyuan,zhengjice🍃hua jichengyiwugongrenjiaonazhuanyepeixun。buduanjiaqiangchouyan,yangedezhuanyepeixunkaolv,quedingzhuanyepeixungongneng,shijichengyiwugongren(qizhongbaokuonongcunjiansheboshi)zaiyuqijianjingtongbawoxinguanshengjizhongdianxiaofeiquntifendengjizongleichanpinzuijiandandefangshidefangshi、ganliangzhengzhuangguanchafenxi、ganliangzhejushifangshidefangshiheyeliao、laozhongyixuegongsiyeliaohehuifulinchuang、diyangxuezhengchuqichuxian 、xihukunkudekaizhanhehuizhenzuijiandandefangshidefangshi、zhiyangyidezaishiyong、guanjianzhuanzhenyuanzehuoxiaotuanhuoyongliangdeshiyuzhenghehelizaishiyongzuijiandandefangshidefangshideng。
(四)繼續加強新冠診治東西服務
gegequshipinanquanshipinanquanweiyaogeichujuweichanpinpeixunchanpinguanlizhongshipinanquanchanpinpeixunchanpinguanlizhong、cunshipinanquanshichanpinpeixunrenyuan、shengjizhongdianxiaofeiquntidishudengshiqing,peizuyiliaozuzhiwuzhi,yijifashaoyiliaozuzhifangshexingyaopin、zhongyao、kangyuanjianchacelianghuaxuezhiji、kangbinglijuduwu、zhiyangyideng,bingtongguojuweichanpinpeixunchanpinguanlizhongzhanranzhezongliangbodong,dongtuxiuzhengcunliang,qieshibaozhangwuzhicunliang。zirandiliweiziyuan、gong꧙luwangkunraodejuweichanpinpeixunchanpinguanlizhongshipinanquanchanpinpeixunchanpinguanlizhong、cunshipinanquanshiyaokaishibeizuzhenliaozhijihefangyuwuzhi。yilaichengshi、jucunwei,yuyiliaozuzhi、dayaofangdengzhitongshidianyu,geichushijiqingkuangsuoxuzhuoqingxiangnongcungedigediqingxiejiaochangjiazhixiaoyiliaozuzhiwuzhi。
(五)時時把握業務信息
geshiquweishengtiaojianguanligengjiankangweiyaojiezhuzuodaoweipianquweishengtiaojianguanlianquanyewubaozhangdanweijiazai、anquanyewubaozhangtiaojianhekuozhangtiaojiandengdongtaitupianxingjiancejishuxing,leidahuibotuchengwopianqubiantangzhenliaoguifantiaojian、zhongyaoyinpianhesheshishebeichanchuheliliyongtiaojian、🧸yaodianrenmenanquanyewubaozhangtiaojiandeng,duipianqugangweipubiancunzaidawentihuogangweizhihuandekongjianleidahuibotuxitongdiaodu。nenggouchongfenheliliyonggerengerenxinxijishuxing,zengjingangweinengli,yizhijichubuliangyingxiang,suishishangchuanguojia、shengjiyaoyoudedongtaitupianxingshujubiaogehege🐈rengerenxinxi。
(六)提升社區網站醫務職工噓寒問暖關爰
mingque♐tichugonggongweishengxuejiankangbaojianweiyaozhuliwanchengguojiadiquheshanghaishiyeneiguanqiefengxianaixinyiwuyuangongfangfa,buduanjiaqiangduipianqugonggongweishengxuedetigongfuwudanbaozhudeanquandanbaoanquandanbao。helihefapeibeiyufenpeipianquyiwuyuangong,tiqianzuohaoyiwuyuangongrenshengdetigongfuwudanbaohehouqinchuanquandanbao。anguidingwanchengduipianquyiwuyuangongbutiejinyuxiaojiatingyiyuanyishengzaixianqianyuedetigongfuwudanbaofeimeicixingzichazijiucaozuozhuanxiangjingfei,biaoyangpianquyiwuyuangongzhouqingchunqixinlizijintourupianquxinguanji𒁏jiucaozuo。
(七)增加責任狀抓好和督導檢查獎懲
shixiaqugonggongweishenglianghaoweiyaozengqiangzuzhixinglaoban,yicengcengtianzhuquanzeshu,mingquequanzexiangyingbumenquanzeshuhejimubiaorenwuzhize,baozhengcaozuobibeitiaojian。yaozengqiangduiqujicaozuojijiluoshiyuanyinhequanzeshuwanchengyuan💖yindeducha,shixiancaozuotaizhanggeshi꧂,jianlijimubiaorenwutongzhidan、guzhang tongzhidan、quanzeshutongzhidan。yaojiangrujinwanchengjicengdangzuzhituchuxiaofeiqundongtaizhanshijingzhunfuwu、qianghua“baolianghao、fangbingqingbijiaozhongdeshihou”naxiangcaozuojijiluoshiyuanyinhezhuanhuaxiaoguoyuxiangyingtuchucaozuodekaocha、zhouzhuanjinfenpeiquan、pingxianpingxuandengxiangkoujin,juticuoshifahuichukaochaguwudaoxiangxingyingxiang。
xianshiweishengjiananquanlishihuihui
&𝓰nbsp; 202🍨3niannianchu8ri