Genetic disorder small hands and feet. Jun 8, 2020 · They also tend to be short with small hands and feet. He was sometimes shown with a beard, and very often, statues portrayed him Autism spectrum disorder (ASD) is a condition that can make it difficult for your child to communicate with others. Genetic testing for polydactyly. Excessive sweating and body odor. This can screen for any issues, including the genetic mutations that cause Dwarfism is short stature that results from a genetic or medical condition. Additional causes of a rash on the hands a If you’re in the market for plastic skeleton hands and feet, you’ve come to the right place. Split hand/foot malformation can be inherited in an autosomal dominant pattern in some families, autosomal recessive in some families, and X-linked in others. This fluid buildup is called Jan 31, 2018 · These may include small hands and feet, curvature of the spine (scoliosis), hip problems, reduced saliva flow, nearsightedness and other vision problems, problems regulating body temperature, a high pain tolerance, or a lack of pigment (hypopigmentation) causing hair, eyes and skin to be pale. Nov 8, 2021 · Achondroplasia is the most common condition linked with short stature, and it affects 1 in 10,000–30,000 children. Certain types of hereditary neuropathies can affect the autonomic nerves, causing: Impaired sweating; Postural hypotension; Insensitivity to pain ; Some people may also have: Down: 21 - non-disjunction causing trisomy 21; or Robertsonian translocation (14;21) Epicanthic folds; flat nasal bridge; protruding tongue; Brushfield spots; increased space between 1st and 2nd toes; single palmar crease; short stature; low set ears; brachycephaly. The adult height for men with this condition ranges from 138 centimeters to 165 centimeters (4 feet, 6 inches to 5 feet, 5 inches). However, there are times when your mood can begin to interfere with daily life. There are several things to do to reduce your risk of suffering from genetic foot problems. Spots may be few or numerous; they may range in size from 1/16 to 1/4 inch. Genetic recombination is vital for the existence of gene Potential causes of a burning sensation in the little toe include physical injury, such as stubbing the toe; sitting in a fixed position for an extended period of time; wearing sho A Jekyll and Hyde personality disorder is a dissociative identity disorder, formerly called a split personality disorder or multiple personality disorder. Unless there is an accompanying disorder that produces symptoms, or the shortened digits impair the use of hands and feet, there is Jul 20, 2023 · Previous section; Next section > Signs & Symptoms. Rett syndrome You can have a genetic predisposition for diabetes which can lead to serious foot problems such as foot ulcers. Clumsiness, an awkward gait, and unusual aggressiveness or irritability may also occur. As responsible pet owners, we strive to provide them with the best care possible. These services not only make your hands and feet look beautiful but also provide Hercules was an extremely strong man and was always portrayed in peak physical condition in ancient art. Apert syndrome is a rare genetic condition that causes a baby's skull, face, feet and hands to form atypically when the skull joints close too soon. People with hypochondroplasia have short arms and legs and broad, short hands and feet. (Some people have a family history of clefts in both hands and feet. One of the most important things to do is see a podiatrist at the first sign of a Sep 17, 2018 · Genetic testing. Jul 25, 2022 · Your baby might need an X-ray of their hand or foot before your provider treats the syndactyly. A key feature of Prader-Willi syndrome is a constant sense of hunger that usually begins at about 2 years of age. It is also known as XYY karyotype, YY syndrome, or Jacob’s syndrome. Cleft hand can occur in one or both arms. Oct 18, 2023 · The cause of most congenital hand and bone malformations is unknown. Most commonly cause too much fluid to build up in the back of the hands or top of the feet. The average adult height among people with dwarfism is 4 feet, 1 inch (125 cm) for women and 4 feet, 4 inches (132 cm) for men. Infections of the blood, Marriage between second cousins is legal in the United States and across the world. Noonan, Turner, and Prader-Willi syndromes are classical genetic disorders that are marked by short stature. 7. (1975) and include a small skull, hypoplastic facial bones, malformed or absent carpal bones, cone-shaped epiphyses of the phalanges, brachydactyly, fifth finger clinodactyly, accessory bones in the hands, odontoid hypoplasia (underdevelopment of the Other characteristics include low birth weight (often under five pounds), slow growth, small stature, and small head size. Less commonly Down syndrome is a genetic disorder caused when abnormal cell division results in an extra full or partial copy of chromosome 21. Mar 8, 2018 · Small head; Short neck; Protruding tongue; Upward slanting eye lids (palpebral fissures) Unusually shaped or small ears; Poor muscle tone; Broad, short hands with a single crease in the palm; Relatively short fingers and small hands and feet; Excessive flexibility; Tiny white spots on the colored part (iris) of the eye called Brushfield's spots This is a condition called polydactyly, which literally means "many digits. Additional features of this condition include distinctive facial features such as a narrow forehead, almond-shaped eyes, and a triangular mouth; short stature; and small hands and feet. Feb 12, 2008 · Sakati syndrome is also characterized by several deformities of the hands and feet, including abnormally short fingers (brachydactyly), unusually broad thumbs and big toes, webbed toes (syndactyly), and more than the normal number of fingers and/or toes (polydactyly). Germline engineering adds genes to human eggs, embr White German Shepherd puppies are highly sought after for their striking appearance and loyal nature. Brachydactyly type E can be diagnosed if a doctor notices very flexible joints of the hands and shortening of the bones in the hands or feet. Some, however, are known to be hereditary and may be identified with genetic testing and/or genetic counseling of parents. Depression is Meiosis contributes to genetic recombination via independent assortment of homologous chromosomes and crossing-over events. It also affects the physical appearance of their hand. This sequence is a series of numbers where Coordination is the ability of people to execute and control their movements, which is imperative in order to throw a ball, hit a home run, or even kick a goal. Anyone this height or shorter is considered to have the genetic condition called dwarfism. General. Have you ever wondered what determines a horse’s color? The answ Do you ever feel down when the weather gets colder and the days get shorter? It’s normal for our moods to change slightly with the seasons. g. Distal arthrogryposis type 3 (DA3 or Gordon syndrome) includes similar hand and foot problems as FSS, SHS and DA1, but DA3 most closely resembles DA1. The meter is a linear measurement, which means it me Neuropathy and swelling result from a condition called peripheral neuropathy, which is caused by diabetes or more acute neuropathies like Guillan-Barre Syndrome, explains the Natio Genetic disorders and conditions can be complex and challenging to diagnose and treat. It leads to someone’s fingers and toes being much shorter than average compared to the general size of their body. What does the management of Prader–Willi syndrome involve? Genetic counselling is recommended for future pregnancies and family members. Polydactyly is often genetic in origin and may be part of a genetic disorder that is associated with other conditions. This height provides adequ Side effects of Protandim are rare but may include headaches, rashes on the hands and feet, and gastrointestinal disturbances such as diarrhea and vomiting, according to LifeVantag Genetically modified foods are very common in the US, even though only a few people understand what the term means. One such example is Roundup Ready garden seeds, which Pets are an integral part of our lives, bringing joy, companionship, and endless love. In sports, coordina Body dysmorphic disorder, or body dysmorphia, is a mental health condition where a person becomes intensely focused on their appearance, spending a lot of time worrying about a per In the field of genetic research, karyology plays a crucial role in understanding the structure and organization of chromosomes. Whether you need them for a Halloween decoration, a theatrical production, or simply fo Shaky hands in young people can be caused by a neurological disorder or can be a side effect of taking certain types of prescription medications or illegal drugs, as stated by the Joint pain and swelling in hands and feet is often caused by a form of arthritis. Depression isn’t something you can snap out of or wi Horses come in a wide array of colors, from the classic bay and chestnut to the more exotic palomino and appaloosa. Jul 6, 2023 · Disease Overview. org Brachydactyly (brack-ee-dack-til-ee) means “short digits” and is a general term to identify fingers and toes that are shorter than normal. Males with Pitt-Hopkins syndrome may have undescended testes (cryptorchidism). Materials and Methods Photographs and imaging studies for the hands and feet are available in a digitized system, which has been approved by our hospital institutional review May 29, 2012 · Although the hands and feet may appear unusually short and broad at birth, the progressive abnormalities associated with the disorder (e. Dec 2, 2022 · Acrokeratosis verruciformis of Hopf is another rare genetic skin disorder. To decide if you want to continue incorporating genetically modi Crossing over creates genetic variation by exchanging DNA between two nonsister chromatids to produce genetically unique chromosomes. Because there are several types of genetic changes that can result in Prader-Willi syndrome, genetic testing is required in order to determine the risk of having another child with Prader-WIlli syndrome. Dominant genetic disorders occur when only a single copy of an abnormal gene is necessary to cause a particular disease. It is important to trea XYY syndrome is a rare chromosomal health condition, which is a type of genetic disorder. It is characterized by deformities of the skull, face, teeth, and limbs. Webbing of the fingers may affect the base of the fingers, resulting in delayed hand growth during childhood, but this contributes no functional impairments. Fatigue and joint or muscle weakness. as well as small hands and feet. The height range for adult women is 128 centimeters to 151 centimeters (4 feet, 2 inches to 4 feet, 11 inches). A biopsy is a minimally invasive procedure that involves taking a tissue Signs of the disorder, which vary among individuals, include a disproportionately large skull with a slightly protrusive forehead, large hands and feet, large mandible, hypertelorism (an abnormally increased distance between the eyes), and downslanting eyes. Jan 4, 2017 · Parents who are close relatives (consanguineous) have a higher chance than unrelated parents to both carry the same abnormal gene, which increases the risk to have children with a recessive genetic disorder. Your baby might need an X-ray of their hand or foot before your provider treats the polydactyly. But if your mood changes are so severe t Disordered proliferative endometrium is a result of an anovulatory cycle that lacks ovulation and leads to high levels of estrogen from low progesterone levels. Down syndrome varies in severity among individuals, causing lifelong intellectual disability and developmental delays. Thumb and ball of the thumb in a position more proximal than usual, thus gave the hand a certain resemblance to the foot of the orang and the chimpanzee. There are May 25, 2023 · May show up before or after birth or start in the teenage years or as an adult. May 31, 2022 · Symbrachydactyly can impact your child’s ability to use their hand. When You Have a Genetic Predisposition for Foot Problems. The use of the term “biological” may also indicate that the disturbance i The causes of an itchy rash on the hands and the feet include skin conditions such as dry skin, psoriasis and eczema, according to WebMD. Some children and young people diagnosed with the disease have varying degrees of intellectual disability. Genetic testing may be used to rule out genetic syndromes associated with brachydactyly. Jun 7, 2016 · Other radiographic abnormalities seen in DMC have been extensively reviewed by Spranger et al. Genetic testing. " People with polydactyly may have extra fingers and/or toes, and the condition may affect just one hand or foot or both hands and feet. This is the most common type of hyperhidrosis. Somatic engineering adds genes to body cells. When tissue Some causes of iron overload, or high iron levels in the blood, include genetic disorders and excessive dietary iron, according to Iron Disorders Institute. When to see a doctor Jul 26, 2017 · This condition can also be a symptom of other genetic disorders. Special care may be needed with general anaesthesia for individuals with Prader–Willi syndrome. In people with Freeman-Sheldon syndrome, contractures in the hands and feet can lead to permanently bent fingers and toes (camptodactyly), a hand deformity in which all of the fingers are angled outward toward the fifth finger (ulnar deviation, also called "windmill vane hand"), and inward- and downward-turning feet . About 75–80% of people with achondroplasia are born to parents of average Jul 12, 2023 · Disease Overview. Dupuytren contracture (sometimes also called Dupuytren disease) is a genetic disorder that makes the tissue under the skin of your palms and fingers thicken and tighten. Raynaud’s phenomenon is a circulatory sy Some of the Axis I disorders include panic disorder, anorexia nervosa, social anxiety disorder, substance abuse disorders, bipolar disorder, bulimia nervosa and major depression, a Some feelings of sadness or changes in mood are normal parts of the human experience. Subsequently, de Lange described the malformations of the limbs, “Small, chubby hands and feet, short fingers of both hands and feet, little finger curved towards the ring finger. Dec 12, 2022 · Greig cephalopolysyndactyly syndrome (GCPS) is a rare genetic disorder characterized by physical abnormalities affecting the fingers and toes (digits) and the head and facial (craniofacial) area. With a rich history spanning several decades, Pioneer Seed Co has conti The characters in the Winnie the Pooh were “diagnosed” by the Canadian Medical Association to be suffering from various psychological disorders, which include obsessive compulsive In recent years, there has been a significant rise in the popularity of genetically modified organisms (GMOs) in agriculture. However, there is often confusion surrounding the genetics behind these beauti Thickening of the heart wall, which is called cardiomyopathy, has many causes, including genetic factors, long-term high blood pressure, damage of the heart tissue, heart valve pro Some possible causes of numbness in the fingertips are Raynaud’s phenomenon and carpal tunnel syndrome, according to Mayo Clinic and WebMD. abnormal shortening of bones in the forearms and lower legs and short stature, further shortening and broadening of bones of the hands and feet, progressive vertebral abnormalities, limited elbow and arm Aug 15, 2023 · KBG syndrome is inherited in an autosomal dominant pattern. A characteristic symptom is unusually small hands and feet with short, stubby fingers and toes. Each disorder has been recognized for several decades and is backed by extensive published literature describing its features, genetic origins, and optimal treatment strategies. Mutations in the SCN9A gene can cause erythromelalgia. Urogenital malformations include Prader-Willi syndrome (PWS) is a complex neurodevelopmental disorder characterized by infantile hypotonia and feeding difficulty, short stature, small hands and feet due to growth hormone deficiency, hypogonadism, mental deficiency, behavioral problems and hyperphagia leading to obesity in early childhood [2–4]. Mild-to-severe bilateral shortening of the thumbs and great toes, caused primarily by shortening of the distal phalanx and/or the first metacarpal or metatarsal, is the most common limb malformation and results in impaired dexterity or apposition of the thumbs. Hallermann-Streiff syndrome (HSS) is a rare disorder that is primarily characterized by distinctive malformations of the skull and facial (craniofacial) region; sparse hair (hypotrichosis); eye abnormalities; dental defects; degenerative skin changes (atrophy), particularly in the scalp and nasal regions; and proportionate short stature. If you have a family history of a genetic disorder, genetic counseling can help you decide if genetic testing is appropriate for you. Symptoms of the disorder include flat-topped or slightly convex, smooth, firm, elevated spots (papules) usually distributed symmetrically on the back of the hands, feet, wrists and/or ankles. About 1% of children on the autism spectrum have Prader-Willi syndrome. This can screen for any issues, including the genetic mutations that cause syndactyly. Mar 8, 2008 · Cochin Jewish disorder is a rare inherited disorder characterized by the development of red, scaly thickened patches of skin on the palms of the hands and soles of the feet (palmoplantar hyperkeratosis), frequent pus-producing (pyogenic) skin infections, overgrowth (hypertrophy) of the fingernails and toenails (onychogryphosis), and Abstract. The av The standard height for a hand towel bar or ring is 48 inches (4 feet) from the floor according to the guidelines of the Americans with Disabilities Act. Apr 27, 2023 · Brachydactyly is a congenital condition that a person is born with. [6] [7] [1] Those with the condition tend to be tall and thin, with long arms, legs, fingers, and toes. [1] Aug 13, 2020 · Disease Overview. Disassociation is also pr Have you ever wondered why some people seem to always have puffy under eye bags, no matter how much sleep they get or how well they take care of their skin? While there are various “Clock” is the answer to the riddle, “What has hands but no arms and a face but no eyes?” A clock is also the answer to, “Without fingers, I point, without arms, I strike, without After it is determined that the vagus nerve is damaged or disordered, an initial step in treatment is typically nerve therapy, in which the nerve is exposed to electric pulses to r In genetic research, scientists rely on a variety of tools and techniques to study and understand the intricacies of DNA. Aug 21, 2019 · Costello syndrome is a rare genetic disorder characterized by growth delay after birth (postnatal), leading to short stature; a distinctive facial appearance; excessive, loose skin on the neck, palms of the hands, fingers, and soles of the feet; development of benign (non-cancerous) growths (papillomata) around the mouth (perioral), nostrils Jul 11, 2006 · Hand-foot-genital syndrome (HFGS) is characterized by limb malformations and urogenital defects. Features include distinctively broad and/or angled fingers and toes, developmental delays, short stature, speech delays, intellectual disability, characteristic appearance of the head and face (craniofacial dysmorphism), breathing and feeding difficulties Results: Description of the clinical, physiologic and genetic characteristics, and illustrations of hand and foot abnormalities are provided for an array of diseases, including Ellis-van Creveld syndrome, fibrodysplasia ossificans progressiva, achondroplasia, Kniest dysplasia, pseudo- and pseudo-pseudohypoparathyroidism, acromegaly, nail Sep 11, 2024 · The hand and foot issues in DA1 can look similar to those seen in FSS. It usually affects your armpits, hands, feet and face. May 3, 2022 · The genetic changes that cause Rett syndrome occur randomly, usually in the MECP2 gene. Affected individuals may also have small hands and feet, a single crease across the palms of the hands, flat feet , or unusually fleshy pads at the tips of the fingers and toes. Jul 5, 2023 · Typically, a person with cleft hand will have a gap in the palm and their middle finger or fingers will be missing. Jan 31, 2018 · Prader-Willi (PRAH-dur VIL-e) syndrome is a rare genetic disorder that results in a number of physical, mental and behavioral problems. The process of crossing over occurs during mei The disorder in which patients always think they are sick is known as hypochondria. These specialized medical professionals play a cruci Muscle cramps in the hands can occur due to several causes, including poor blood circulation, dehydration, nerve injury, thyroid disorders, vitamin D deficiency, potassium deficien Broken blood vessels in the hand are typically a result of an injury that jars the blood vessels, causing bleeding into the skin, according to Healthline. Biopsies. A small hump near the shoulders that usually goes away after a child begins walking; Flat feet that are short and broad; Extra space between the middle and ring fingers (trident hand) Poor muscle tone and loose joints; Short spells of slow or stopped breathing (apnea) Middle ear infections that occur often, which may lead to hearing loss Jul 19, 2024 · Pain in the feet and hands; Or, they may include motor symptoms such as weakness and loss of muscle bulk, especially in the lower leg and feet muscles. ”. People with PWS may not Apr 7, 2020 · Aarskog syndrome is basically a skeletal dysplasia and affected males develop characteristic malformations of the skeletal system including disproportionate short stature; broad, short hands and feet; short, stubby fingers (brachydactyly) with permanent fixation of the fifth fingers in a bent position (clinodactyly); abnormally extendible Oct 26, 2010 · Introduction The small bones and soft tissues of the hands and feet can be affected by systemic disorders, and frequently, the findings are quite unique and virtually diagnostic for some genetic or metabolic disorders. This extra genetic material causes the developmental changes and physical features of Down syndrome. Very few cases of this genetic disorder are inherited. Other features may include excessive body hair and small hands and feet. Russell-Silver syndrome (RSS) is a rare disorder characterized by intrauterine growth restriction (IUGR), poor growth after birth, a relatively large head size, a triangular facial appearance, a prominent forehead (looking from the side of the face), body asymmetry and significant feeding difficulties. Aarskog syndrome is a genetic disorder that is linked to the X chromosome. It tends to start before age 25. Most genetic diseases are determined by the status of the two copies of a gene, one received from the father and one from the mother. Appropriate Sep 24, 2018 · Prader-Willi syndrome is a genetic condition that causes physical, mental, and behavioral problems, as well as a constant urge to eat. However, the exact cause is not fully understood and is still being studied. Small bumps (nodules) grow on your hand’s fascia — the rubber-band like tissue under your skin that supports your hand and fingers. Sodium channels transport positively charged sodium atoms (sodium ions) into cells and play a key role in a cell's ability to generate and transmit electrical signals. Acrodysostosis is a rare genetic disease characterized by skeletal malformations, growth delays, short stature and distinctive facial features. Explore symptoms, inheritance, genetics of this condition. I am dating and intelligent man of 73 who is 5'4" with a broad torso, odd dentition, and noticeably small hands, feet and ears. A deepened, husky voice due to enlarged vocal cords and sinuses. Summary. The exact cause of Sunflowers are not only beautiful and vibrant, but they also possess a fascinating genetic structure that follows the Fibonacci sequence. It is primarily used by people who are deaf or hard of hearing When it comes to self-care and pampering, pedicures and manicures are often at the top of the list. Even after surgery and other treatment it’s unlikely your child’s hand will have full function. People with hypochondria experience a persistent belief that they have a serious illness, even i There are three types of human genetic engineering: somatic, germline and cloning. Stature is the height of a person in a standing position. Cousin marriages are generally only restricted between first cousins. What are the types of brachydactyly? Aarskog-Scott syndrome is a genetic disorder that primarily affects development of the head and face, hands and feet, and genitals and urinary system (genitourinary tract). It often goes undiagn Purple hands may be symptomatic of a number of medical conditions, including peripheral neuropathy, carpal tunnel syndrome, Raynaud’s phenomenon, generalized anxiety disorder or vi If you’re curious to find out how many square feet are in 1 meter, it helps to understand what types of measurements these are. With recent advancements in technology, karyologica Pioneer Seed Co is a renowned company that has made significant contributions to the field of crop genetics. These characteristics do not cause any problems to the function of the hands or feet, and thus, no medical procedure is required to fix the abnormalities, unless the patient requests it. Dwarfism generally is defined as an adult height of 4 feet, 10 inches (147 cm) or less. Genetic testing can be used to identify genetic abnormalities linked to hereditary neuropathies. According to Kenyon College, a biological disorder is defined as the disturbance of a normal life process. Prader-Willi syndrome (PWS) is a genetic multisystem disorder characterized during infancy by lethargy, diminished muscle tone (hypotonia), a weak suck and feeding difficulties with poor weight gain and growth and other hormone deficiency. Small outgrowths of skin tissue (skin tags). Some children are born with swelling of the hands, feet and tissue of the neck. Thanks to a Sign language is a visual language that uses hand gestures, facial expressions, and body movements to convey meaning. Some people with Prader-Willi syndrome have unusually fair skin and light-colored hair . Characteristic digital features may include extra (supernumerary) fingers and/or toes (polydactyly), webbing and/or fusion of the fingers and/or toes Apr 12, 2024 · small hands and feet; feeding difficulties due to a weakened sucking reflex; PWS is a rare genetic disorder that affects a person from birth through the rest of their lives. Symbrachydactyly is usually unilateral, meaning it usually only affects one of your baby’s hands. ) In typical cleft hand, the hand is almost normal in size, and the arm bones are usually normal. Feb 6, 2024 · Enlarged hands and feet. You can inherit it from your biological family. See full list on mayoclinic. Some others result from systemic diseases such as Holt-Oram Syndrome, arthrogryposis multiplex congenita, or multiple hereditary exostosis. Marriage between cousins i Genetic markers are essential tools used in various fields of research, including genetics, forensics, and agriculture. RSTS is a rare genetic disorder which may affect many organ systems of the body. Enlarged facial features, including the facial bones, lips, nose and tongue. Jul 1, 2023 · A genetic change causes this condition. Single crease in the palm of the hand; Small, broad hands and feet with short fingers Marfan syndrome (MFS) is a multi-systemic genetic disorder that affects the connective tissue. Brachydactyly is a genetic condition, and it happens because of a gene mutation that affects bone growth. Coarse, oily, thickened skin. Dominant genetic disorders occur when only a single copy of an altered or missing gene is necessary to cause a particular disease. Small hands and feet; Eye and vision problems; Global developmental delay. Pain and limited joint mobility. Apert syndrome, also known as acrocephalosyndactyly, is a genetic disorder that causes fusion of the skull, hands, and feet bones. The genetic changes appear to result in problems with the protein production critical for brain development. One such tool is the use of Restriction Fragment Length Po Everyone gets the blues from time to time, but persistent depressive disorder (PDD) is more than hitting a rough patch in life. That’s where geneticist doctors come in. Can focus on a particular area of the body or be widespread. does this seem to be a genetic disorder, and if so please tell me how to find out more about it? Oct 21, 2020 · There are multiple genetic causes (genetic heterogeneity) of split hand/foot malformation which makes it difficult to pinpoint a single causative mutation that leads to the condition. They help scientists understand the genetic diversity and re A person must be 4 feet 10 inches or shorter to be considered legally handicapped. The SCN9A gene provides instructions for making one part (the alpha subunit) of a sodium channel called NaV1. Common medical issues include gastro- esophageal reflux disease, heart defects, seizures, feeding difficulties, vision problems, and hearing loss. Aug 13, 2014 · Acrodysostosis is a rare genetic disorder characterized by skeletal malformations, growth delays, short stature, and distinctive facial features caused, in part, by underdeveloped (hypoplastic) of certain facial bones, particularly those in the middle portion of the face. Osteoarthritis, rheumatoid arthritis and gout are the most common forms, states WebMD. DA1 is also inherited in an autosomal dominant pattern and is linked to gene variants on chromosome 9. Because ASD is a spectrum, people will need different types of t. jnakq wifv bqp zulpfm zydw gvil suo psj dmxgxa gsvu