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: 】
區縣清潔更健康委:
anzhaoguojialianfangliankongchangxiaoyuanze《guangyugaohaoxinguanhexin🥀zhongrendongtaishujuyewuhe“guanzhalagao”shiyedegaosu》heguojialianfangliankongchangxiaoyuanze、zhongxincunlijiansheshiyelingdaobanzixiaozudegongzuorenwu《guangyufabutigaotedingcunlijianshedongnanbuhuanbaoxingguanzhuangxijunhuanshangxinguanyiqingzhilishiyefanganzen♏mexiedegaosu》wenjianmingguidingyaoqiu,weituidongdangdishequwangzhananquanweishengyewuzuzhiwangdishiyong,yangeyaoqiuziji“zaochuxian 、zaoliaofa、zaofenpei”,gaishanhebimianxinguanxijunhuanshangbingqingbijiaozhongdeshihouzaicifasheng,xianjiugaohaotedingshejidaoshiyegaosuneirongruxia:
yi、bujianduanjiakuaijiedaoshequxinguanjiuzhubenshi
(一)持續推進街道新冠診治擴存增能
mingquetichuganjinghuanweilvsejiankangweiyaoyaoyijujijiushangbanshiyongxuqiu,xietongguanlijuminjiatingquguanyujianguanbumen,🧸jiaokuaizhutuiguanqushequnganjinghuanweibaozhangzuzhi xinguanjijiujingyingchangsuokuochongtoujian,zhuahaoguanyuzhuangzhizhujizhujidengzengnengchanchu,baohanzhensuokongjian、diaopingkongjian、yangliaokongjian、icubingfangbingqudeng,lejiexindianzhongzhengjianhu、xueyangpinggu、gongyang❀dengzhuangzhizhujizhujiyunxinghuanjingdan。zheduiyuhehubiaozhundeshequnganjinghuanweibaozhangzuzhi ,bijiaoqianghuactdengzhujideyunxinghuanjingdan,zhiyinjuminjiatingshepianjianyaowangxiachen。tongguobaozhangrenshushuliangshuliangtongjide15%-20%dongtaituchanchuzhongyaofang、tuireyao、zhikerunfeiyaojikangyuanjiancehuaxuezhijihejubei,zhuashizuzhi yiyaochanchuliangshizhongjianchijianchizai2zhouyinei,renshushuliangmijiqudifangkeyaoyijuxianshiqingkuangtigaochanchuliang。
(二)增強社區衛生發燒會診保障
quanzhengexiaoquhuanbaoguanliguanlitiexinfuwuxingbaozhangxuexiaodeyingdangmeizhoudexingqidouwutianjunyingchujufagaoshaoyiliaotiexinfuwuxingtiexinfuwuxingbaozhang(hanjiejiaqilvyou),bingjingguoshezhifagaoshaoyiliaotiexinfuwuxingyezhensuo,goujianfagaoshaoyiliaotiexinfuwuxingbaodaodingshiqitiexinfuwuxingbaozhang;quanzhengexiaoquhuanbaoguanliguanlitiexinfuwuxingbaozhangfenxuexiaodeyingdangmeizhoudexingqidouwutianjunyingchujufagaoshaoyiliaotiexinfuwuxingtiexinfuwuxingbaozhang(hanjiejiaqilvyou),yitiaojiandekechengliyezhensuo。quanzhengexiaoquhuanbaoguanliguanlitiexinfuwuxingbaozhangzhan、cunhuanbaoguanliguanlishiyingzhiliyufagaoshaoshaodianzhensuo、yongjiuxingfagaoshaoyiliaotiexin🐎fuwuxingliuguanqudeng,tigongfagaoshaodengzhengzhaohuanyouyidiyibaoxiaofeixuqiu。
er、dalaozhunbeihaoguanjiandiankehuqunjiankangjianceyudedongtaiyewu
(一)開展側重點年齡層應管盡可能
chongfenhuifajiezhen、jucunwei,geshequwangzhanganjingjingzhunanquanjingzhunfuwuzhiliangxiangmupeixunzixunzhongxinyaojinyibuqianghuajishiduijiede,zaijiezhenjiangshengjicezhongrenmenhuaweiwanggehuaanquangongzuodejichushang,duishengjicezhongrenmendalikaizhanjiankangjianceqiyuanquangongzuo。huifahunyinyakeyishenglianxiqilaishiminhejishijingzhunanquanjingzhunfuwuzhiliangxiangmupeixundegongxiao,ruyidingchengduzengjialefangda6wusuizongshangsuoshuzhonglaonianjieduanrenruzhujingzhunanquanjingzhunfuwuzhiliangxiangmupeixunpugaimian,changguishixingshengjicezhongrenmenruzhuquanpugai。jiezhuyunjingzhunanquanjingzhunfuwuzhiliangxiangmupeixun、zixundianhua、wodeweixin、duanshipindengfeipengchubanfahuoshangmenjinxingsui🎃fangdengtanranmianfujinjingzhunanquanjingzhunfuwuzhiliangxiangmupeixunbanfa,zuoshi“hong、huang、lv”biaotieshengjicezhongrenmenjiankangjingzhunanquanjingzhunfuwuzhiliangxiangmupeixun,zuodao“7getuijinjiuwei”。
1.yijiezhenweiyuanxiao,pingjiewanggehuaguanlixitongcelve,renzhenluoshi“pingtailiurenbanji”shiyexingzhengzhineng。
2.sanzhongzhongdiancunleirenjiankangkaochajidaleimingxi,qingkuangdiaozhengbingbaochitaizhangzenmezuo,biaozhunhuaguanliduixiangtupiandexinximingxi。
3.jiedaoshequshipinweishengbaozhangxiangmugongsi24xiaobaozhangxiangmudianhuatongchang,zhongguojia♔tingfukeyishenglianxuxiguanhuiquzhudong๊gaozhishuzhongdiancunkehuqunti,youlvsebiaozhunshijinkuaixiangying。
4.yongduozhongfangfa,duizhongyaorenmen🦩jiamifangshijijigaohaoguanxixietonggongzuo,dui“xianhongse”zhongyaorenmenmeiyuegaohaoguanxibuchaoguo3ci,dui♌“huangbaise”cizhongyaorenmen,meiyuegaohaoguanxibuchaoguo2ci。
5.jizaozhangwoleshengjizhongdianzhongrenzhishijichujibingzhengzhuangtiaojianhejiankangshenghuoqingkuang。
6.duizhongdiancunrenbingjunganranxinguanbingjunhuolilunzhishichangjianjibingbingkuangdengqingxing,jinkuaigengjiankangdezhidao、jieruyuzhuanzhen。
(二)到落到位著重眾人歸類維護
dui“hong、huang、lv”guanjianxingzhongrenqubiejutituijin“yi、er、sanlei”guanlifangfabaozhangzhiliangdepeixun,dui“molvse”zhongren,wancheng“1jieduanbaozhangzhiliangdepeixun”,jixuzhuahaodelvsedeyoujiao,zhunbeihaogedelvsedegerenfanghu。dui“chenghuangse”zhongren,zaiwancheng“1jieduanbaozhangzhiliangdepeixun”dekuangjiashang,duichengyangxingshenghuokaizhanrenjutituijin“2jibaozhangzhiliangdepeixun”,jixuzhuahaokangyuanjiancegongju、delvsedejiancefanganfangan、delvsedexunwen、yongyaozhiliaozhidiandeng。dui“hongbaise”zhongren,zaiwancheng“yi、2jibaozhangzhiliangdepeixun”kuangjiashang,jutituijin“sanleibaozhangzhiliangdepei💝xun”,zengqiangdelvsedejiancefanganfangan,duijibingdezhengzhuangdanwudeyingyuzhuanzhenshouquanweituo。
san、zhulizhuahaoquanmiantishengweizhongwanqifaxianle、zhiliaoyufenpei
quxianjiankangjiankangweiyaopingjieshi、quchuzhiyishengzunengliang,zengjiaduijuweijiankangfuwudezhiliangguanliguanlizhongxinxianjieyujiandu,guanche“𝐆zaofaxianle、zaogaishan、zaofenli”biaozhun,biaoxianjuweijiankangfuwudezhiliangguanliguanlizhongxin“guanzhayiwei”bangzhu。
(一)促進新冠病情比較重的時候早察覺到
geshequgongzuozhanlvsegongzuogouzaoxietongfangfajucunwei,zengqiangduixinguangandongzhedelvsepingguqi,shifenshiguanjiandianzhongrengandongzhe,zaiguancheluoshi“yi、er、san”jifangfa💧degenben𝄹shang,yaoguanjiandianzengqiangxinguanzhengzhaoyugenbenxingmanxingbingzhengzhaobiandepingguqi。
zengqiangduixinguanranshangzheyangbaomandujiancexitongxitong。gequyuhuanbaojianduchanpinpeixunzuzhijigouyaoyouzuliangdezhijiashixinlvxueyangyi(xialiesuoxiezhiyangyi),baozhangmeixiangquyuhuanbaojianduchanpinzhongjianhefenzhongjianyingweiyou20gejizuoyou、meixiangquyuhuanbaojianduchanpinzhanhecunhuanbaojiandushiyingweiyou4gejizuoyou,meixiangjucun꧋weiyingweiyouyigejizuoyou。xiangweimeixiangjiazhongzhuzhiyishengduiwuyoutedingxuqiuliangdezhiyangyi,lianjiehaojucunweishili,jiangyangbaomandujiancexitongxitongrongru tuchuxiaofeiquntiranshangzhechangguisuifangwanfa。gequyuhuanbaojianduchanpinpeixunzuzhijigouyaojijidiyitihuajucunwei,wei64suijizuoyouyouxinguanbingduganliangranshangbingqingbijiaozhongdeshihoudefengxianqieleitingxingdongbulidetuchuxiaofeiquntishenlingzhiyangyi,zhiyinjujiazhuangxiuceshixueyangbaomandu。
(二)助推新冠危重早調理
yaozhiliyushi、quyizhizhuanyezunengliang,guanchequyuhuanweitigongfuwushebeiduixinguanranshangzheheshizhiyu,qizhongbaokuoyouyingyangpinguozhichi、yangliao、jingmozhushe、xiaotuanhuoyaoxuan🐻yong、zhidingqiyeyiyuanbingchuangdeng。
1.提高對癥下藥診療。quxianhuanbaoshenxinjiankangweiweilexiaoquwangzhanhuanbaochanpinzhuangzhidazaishujufeichangshiyideco2dai、co2pingbingqiezhiyangjidengji,jiaqiangzuzhilingdaoanshiꩵweimenzhenkehu、jiajukongzhikehujubeiyangliaohuoco2fenzhuangchanpin。gexiaoquwangzhanhuanbaochanpinxinzhong、fenxinzhongjunyaoshezhimenzhen“xiyangqu”;xiaoquwangzhanhuanbaochanpinzhanyucunhuanbaoshiqiantishangjunyaoyunyongzhuyaochangsuogerenkongjian,yingjianpeizhico2guan,jubei“yangliao”chanpin,yaoqiuchengshijuminbenshiyangliaochanpinxuyao。zuozuowuhuaxirukongzhi,gexiaoquwangzhanhuanbaochanpinxinzhong、fenxinzhongqiantishangjunyaojubeizuowuhuaxirukongzhichanpin。detongshi,zhuahaogandongzhedanbaizhirenke,luoshijiankangshenghuoyingyangyinshimingling,anguifanqilaikaishediaopingdengfuwubaozhang,keyijianshaoweizhongzhenghuichuxianfengxianxing。
2.按時使用的抗病力慢性毒藥物方法。duizhongzhongzhizhongrenmenpifubingduxiedaizhexuanzefenxipinggu,zaiquneiyixuelingdao✤xiaozuzhi🍰dianxia,duishiheshiyingzhengdepifubingduxiedaizhe,xunsuzhidianxuanzedikangjibingmanxingduyaowu,nengzuodaolikejiaozhi。
3.更加充分派揮中葯治療方法角色。baochidongxifangyipeihe、zhongyixuegongsiyaoheyong,huanman“sanyaosanfangxieyishu”dengzhongyaochazaipingtaiqingjietigongfuwuxingzuzhi dechangbeiheshiyong。gepingtaiqingjietigongfuwuxingzhongxinyaomianxiangxinguanhongbingduchuanranshuxilinchuangzhengzhuang,jijitansuo,bianzhengshizhi。liyong“zao”“kuai”defangshi,rangzhongchengyaozaixinguanhongbingduganliangjieduanyingjizaojiarudezhiliao,jishixingdajiqingzhengquefaxiangchaozhongxing、weiꦇchaozhongxingweilaifazhan。
(三)積極推進新冠病情比較重的時候早分離
1.即時請求轉診。duixinguanchuqizhengzhuanghuojichuxingxingchangdaojibingjianruodeganliangzhe,geshequshouhoufuwudeqingkuangweishengdeqingkuangshouhoufuwufuwubangongshi、jiaboshixiangmutuanduishiyonghao120jiuyuanxianxingzhuangyuncuilvserukou,bangzhudaofukebingduxiedaizheyaojinzaodezhuanzhen。guanyumiancengshouzhendeweizhongzhengkehu,yaoshifenxunsuzhengquebianshi,kegenjuyuqideqingkuang,yaojinzaodegongyang,caiyongzhengjijiuzhianquancuoshi,buyingdadaokehushengmingzhizhengxiangpingjing,zaiyihuzhepeihu🌠xiayaojinzaodezhuanzhen。
2.暢通無阻雙相轉診。geshequfuwuxingxuexiaoyingyangjiankangfuwuxingxuexiaoyaoyinlingchengshixingzhenliaobaojianxuexiao、yiliantishangjilingdaoyisheng,changtongwuzuxinguanyizhishuangbianzhuanzhentongchang,geshiquyingyangjiankangyingyangjiankangwei、gezhenliaobaojianxuexiaoyaoxuanzerenyuanchengdangzhuanzhengangweishang,jiandanbingqing𝔉bijiaozhongdeshihouhuanyouzhuanzhenhuanjie,shangshengzhuanzhengongzuoxiaolv。tongyi,yaokuanyujifaziliaohuazuoweizhichengdiangongxiao,yingyongyuankongshipinwenzhen、yuankongshipinwulizhenduandengdefangfa,baozhenghuanyoudejianshishinenggouyizhi。
duijiedaoweishengxuejiangongzuoxiangmupeixunpingtaishangzhuanxinguanzhanranzhe,tebieshizaishishengjizhongdianrenqundangzhanranzhe,shangjiajigouyaokaifashouzhihuanbaolutongdao。zaishangjiajigoulejieyaaizibingchuangkouqizhiliaohou,qingkuangnengbaochiwendingdezhanranzhekexiayizhijiedaoweishengxuejiangongzuoxiangmupeixunpingtaizhuyuanbu,jiedaoyiwurenshuyaojinruzhuanzhengongzuoliucheng,lejiegongꦑzuoxiangmupeixunguanli。
quxianshipinqingjiejiankangjiankangbaojianweiyingshehuizongheguihuapianquneigexiangdangxiayidingzuzhidanrenjianjiaoyuziyuan,genjubuxiangtongjibieyidingzuzhidanrenjiangongnengxingdiwei,baochishehuizongheguihua、fenleibieshiyongdegongshijizhi⛎,yaoshehuizongheguihuapeibeipianquneigexiangdangxiayidingzuzhiyiwugongren,jiezhuxiapairuzhu、shouquanweituoshushouhuidengcelve,pinguozhichitebieanquanfuwuzhanshipinqingjiejiankanganquanfuwubangongshidianzhongzhengjianhushianquanfuwu。anzhuangyoushoushuchuangdetebieanquanfuwuzhanshipinqingjiejiankanganquanfuwubangongshidian,jinguanjianqidanrenjianshiyonglvyingtigao95%shangmiande,weishezhichengshoushuchuangdetebieanquanfuwuzhanshipinqingjiejiankanganquanfuwubangongshidian,duiqiheshoushuzhizhengdejiaochabingduganranzhe,yingjiezhujialishoushuchuangmanzuxuyaojiatingzhuangxiuzhiyubiaozhun。
si、jinyibuqianghuashequweishengguanjianhuanzhezhiliaoxinxichengxiangyiliaobaoxianhexiechengbaozhangcuoshi
(一)徹底一家依托于街鎮網格化治理體制
gequyuanquandefuwubaozhangxingfuwubaozhangxingbuyaoxianghuliantonggejiezhen、jucunwei,zuohaogoujianjiezhenwanggehuaguankongtizhi,qieshifahuijiezhen、jucunweishichangdaoxiangfanying,zhuahaoduituchurenmenquyuguankong,zuohaolianghaodejiancejishuyudongtaihuadefuwubaozhangxing。goujian“quyusangerenxiaozuchang”zuoyetizhi,zhuahaoduituchurenmendebaobaolianjie。gequyuanquandefuwubaozhangxingyiliaojigouyaoxianghupeihejiezhen,caiyongquyinhuanpaichazhilibanzuoyezhaokaihuiyi,zuohaoduidalinglaodaye、youdijixingzhongdajibingtigaodengweizhonggaowentirenmenhejiongjingyoutongdengdengmen“lianghaodebao”lingqu,🎃xinxihuajucunwei,jiadaduidujushenghuolaodaye、jinyucanzhangzhixiqinshuyizhijusuozhongchangzhederichanggongzuolianjie。
(二)不斷加強區域性醫療器械影視資源統籌醫療保險承受
gegequhuanbaoqingkuangqingkuangfangyiwendingweiyaoshehuitongchouguihuaxiaoquneiyijiyiyuangouzaoguanlibaozhanggongsiyiwuyuan,shiyongdechendaoxunzhen、yuanpaizhu、shixianyuanchengdiannaoyiyuangouzaoguanlibaozhangxietonghezuowangdengdefangfa,wanchengbiaocengyiyuangouzaoguanlibaozhanghuanbaoqingkuangqingkuangfangyigongsiderenyuanbuchongfennanti,baochijiedaobanshichuxinguanqiangjiushouhoufuwuxingbaozhangyouxuzhankaidiaoyan。chongfenfahuishineiduojiqiangjiuyixuelingdaoxiaozuheshangyijiyiyuangouzaoguanlibaozhanggongsiduiyingxunhuimianfeifudaogongshijizhi,duijiedaobanshichuhuanbaoqingkuangqingkuangfangyishouhoufuwuxingbaozhanggongsizhankaidiaoyanjishuyingyongmianfeifudao,zhidaobiaocengyiwuyuanguifanxingshiyongdexiaotuanhuoyaohezhongyaopeifang“sanyaochengbaofang”,yitinggaobiaocengfangbingqingbijiaozhongdeshihougongzuonengli。zuohaoyiyuangouzaoguanlibaozhangjinjiuhuyuanjiaoyuziyuanshehuitongchouguihua,kuodayiyuangouzaoguanlibaozhangjinjiuhuyuan💖huocheyuhuolidapei,weijiedaobanshichuhuanbaoqingkuangqingkuangfangyishouhoufuwuxingbaozhangzhongyang、putongjiatingdafutuanduishi🅠xianzhongyaozhuangyunrukoutongdao。
(三)強化面層醫務人數技能培訓
jiezhuyuxianchengyoujichuzhijishuzhuanjiatuan,queliduijicengdangzuzhirenshuchuliyuangongmazuiyishenghushichulipeixunfangangeshi,fazhanxianshangqudao、quanqudao、lingdaoxiaozuyiliaojigouhuixiachendaoyouzhajidedaijiaodengxuduopeixun。nenggou𒆙chongfenliyudiqu、dishijidengguanyipeixundeziyuan,zhengmiantuanduijicengdangzuzhirenshuchuliyuangongmazuiyishenghushichulicanyuhuodongpeixun。buduanjiaqiangchoujian,yangeguifanpeixunkaohebiao,qieshibaozhangpeixungongneng,shijicengdangzuzhirenshuchuliyuangongmazuiyishenghushichuli(juyouxinnongcunmazuiyisheng)zaiduanshijianneishulianchengdubawohaoxinguanguanjianxinghuanzhejibiehuafenfenleibieanquanfuwuxingshi、yingxiangchuqizhengzhuangkan、yingxiangzhezaijiachulihezhiyu、zhongyifukeyaochuzhihequanyucaozuo、diyangxuezhengzuizaoqikanjian、huxidaonanchudepingguhezixunyishengxingshi、zhiyangyideyingyong、guanjianzhuanzhenyuanzegezhongxiaodafenzizhijiderenzhizhenghezhengguiyingyongxingshideng。
(四)強化新冠診療運輸質量保障
quxiananquanganjingwendingweiyaogenjujiedaoshequanquanganjinggongnengxingxinzhong、cunanquanganjingshigongnengxingrenshu、guanjianquntidishudengjutiqingkuang,peizuzhiliaogongchengcailiaoyuancailiaoshebei,shouluchanshengrelianghuizhenfangshexingyaopin、zhongyao、kangyuanjianzezhiji、dikangjibingjuduwu、zhiyangyideng,binglianxijiedaoshequranshangzheshujubianhuan,dongtaixinxixiugaizhubei,houqinbaozhanggongchengcailiaoyuancailiaoshebeizhubei。gaozhongdilididianpianyuanshengshi、tielujiaotongkunraodejiedaoshequanquanganjinggongnengxingxinzhong、cunanquanganjingshiyaojinzaobeizuzhiliaoyaowujilianghefangzhigongಞchengcailiaoyuancailiaoshebei。yijujiedaoshequ、jucunwei,yuyiliaoshebeiyiliaomeirongjigou、zhongyaofangdengzhitongshidianhua,genjuxianshiqingkuangsuoxuheshidexiangcunkoushengshiqingxiejiaoshengchanzhiliaogongchengcailiaoyuancailiaoshebei。
(五)立即熟知事業技術性
geshiquganjingweishengxianxiangwendingweiᩚᩚᩚᩚᩚᩚᩚᩚᩚ𒀱ᩚᩚᩚyaoyizhizuojiedaobanshichuganjingweishengxianxianganquanyewupingtaizidongyunxing、anquanyewuxianxianghekuocunxianxiangdengzuixinjianceshujuziliao,24xiaoshishijianshujijiedaobanshichufatangzhenzhixianxiang、baojianyaopinheji chanchucaiyongxianxiang、tuchuqunzhonganquanyewuxianxiangdeng,duiguanqushiqingcunzaizhudawentihuoshiqingjiaomandetedian24🤪xiaoshishijiandiaoduyuan。youlicaiyongxinxichaxunchaxunhuafangfa,yanchangshiqingshiyonglv,tigaojibensunshi,youxiaochengbaoguojiadiqu、shilikeyidezuixinshujuziliaohexinxichaxunchaxun。
(六)切實加強社區服務中心醫務專業人員考慮喜愛
quxianganjingyingyangweiyaoqinglitixiangeguoheshanghaishiguanyu zaiyiguanailiushouertongyiwurencuoshi,dalijiaqiangduishequnweishengjuweihuiwangzhanganjingtiexinchanpinyuguanlizhongxindedezhichengweihu。helihefazhidingjihua😼yudiaozhengshequnweishengjuweihuiwangzhanyiwuren,lejieyiwurenjuzhutiexinchanpinyuhexingzhenghouqinweihu。anguidingtixianduishequnweishengjuweihuiwangzhanyiwurenbutiejinyuqiyeyayichengjiaotiexinchanpinyufeiyitianxingzhuandingdeshangbanjiedaifei,jijingshequnweishengjuweihuiwangzhanyiwurenhunziwoyishijinxingshequnweishengjuwei🐼huiwangzhanxinguanqiangjiudeshangban。
(七)加大主責落到實處和督查綜合考核
gexianquweishengxuedejiankangweiyaojixuzengjinzuzhianpaiganbu,cengcengluoshiyigangshuangzehuitiantuquanzeshu,henmingquebuweiquanzeshuherenwufengongfuze,youxiaobaozhanglebenzhibenzhibangongbiyaotiaojian。yaojixuzengjinduiqujibenzhibenzhibangongzuzhikaizhanyewuzhuangtaihequanzeshuluoshiyigangshuangzezhuangtaidezhuanxiangducha,jiarubenzhibenzhibangongzhangbiao,zhidingrenwushenbaodan、xiangguandewentishenbaodan、quanzeshushenbaodan。yaojiangyanxiajiaqiangbiaocengzhuyaoxiaofei🥀quntidongxiangyewu、cuilian“baodejiankang、fangweizhong”mouxiangbenzhibenzhibangongzuzhikaizhanyewuzhuangtaiheshixiaoyuxiangguandezhuyaobenzhibenzhibangongdekaochabiao、chengbendiaozheng、pingxianpingxiandengxiangguakou,tigaosixiangrenshifahuichulaikaochabiaojiliyuangongzhudaoxingxiaoyong。
wuhanshiqingjieweishengjiankangbaojianlishihuihui
&nbsꦍp; &nb💎sp; 2023nian10yue8ri