䋱∸ᇐ㟈ⱘ㟈⅏ᗻ咏⯍ᗻ䋱㉏Ё↦

(1)

ᲈথ䇗ᶹ᡹ਞ

WPSAR Vol 6, No 2, 2015 | doi: 10.5365/wpsar.2015.6.1.004

www.wpro.who.int/wpsar

1

a 㧆ᕟᆒ偀ሐᢝ೷कᄫि⫳䚼೑ᆊ⌕㸠⮙ᄺЁᖗ⦄എ⌕㸠⮙ᄺ෍䆁乍ⳂǄ

b 㧆ᕟᆒ偀ሐᢝ೷कᄫि⫳䚼Ǆ

ᡩ〓᮹ᳳ˖2015ᑈ1᳜15᮹˗থ㸼᮹ᳳ˖2015ᑈ5᳜8᮹ doi: 10.5365/wpsar.2015.6.1.004

2013 ᑈ 8 ᳜㧆ᕟᆒ㽓㧼偀ⳕϔ䍋⬅亳⫼㖵㖴䌏

䋱∸ᇐ㟈ⱘ㟈⅏ᗻ咏⯍ᗻ䋱㉏Ё↦

Paola Katrina Ching

^ab

ˈRuth Alma Ramos

^ab

ˈVikki Carr de los Reyes

^b

ˈMa Nemia Sucaldito

^b

੠Enrique Tayag

^b

䗮䆃԰㗙˖Paola Katrina Ching (⬉ᄤ䚂ㆅ˖paolaching@gmail.com)Ǆ

᳝

^{ᆇ ⱘ 㯏 ढ ˄}

^{H A B}

˅ ˈ 䗮 ᐌ 㹿⿄ Ў Ā䌸╂āˈৃҹ⬅໮⾡㉏ԐᏈᣓ偀呺⬆㯏 ᠕ᑇব⾡˄

Pbc

˅⬆㯏䖭ḋⱘᖂ㯏㉏๲Ⅺ᠔ ᇐ㟈Ǆ

HAB

Џ㽕থ⫳೼ࣙᣀ㧆ᕟᆒ೼ݙⱘ⛁ᏺഄऎˈ

⬅

Pbc

⬆㯏ѻ⫳ⱘ咏⯍ᗻ䋱㉏↦㋴ᇐ㟈咏⯍ᗻ䋱㉏Ё↦

˄

PSP

˅Ǆ䖭⾡⼲㒣↦㋴ᰃ∈⒊ᗻⱘˈᇍ䝌〇ᅮˈे

֓೼催⏽ϟᇍ⛁гⳌᇍ〇ᅮ^[1]Ǆ

120

㟇

180ug

ⱘ↦㋴ৃ

ҹᇐ㟈䕏ᑺ⮛⢊ˈ

400

㟇

1060ug

㛑໳ᇐ㟈Ҏ⅏ѵ^[2]Ǆ

೼

5

㟇

30

ߚ 䩳 ݙ ˈ ষ ਼ ࠎ ⮯ ᛳ ੠ 咏 ᳼ Ӯ 㫧 ᓊ 㟇䴶䚼੠乜䚼Ǆ䞡⮛⮙՟Ӯথ⫳༅䇗ǃ੐਌ೄ䲒੠ᛳ㾝ব

࣪^[3]Ǆ೼亳⫼ৢ

1–12

ᇣᯊৃ㛑থ⫳⅏ѵ^[4]Ǆ㚗㙴䘧⮛

⢊ࣙᣀ਩৤ǃ㝍⋏੠㝍䚼㒲⮯Ǆ

Ң

1983

㟇

2002

ᑈˈ㧆ᕟᆒ᡹ਞথ⫳ⱘ

PSP

⮙՟

᭄೼Ѯ⌆᳔໮^[5]ˈ᳝

2124

՟

PSP

੠

120

՟⅏ѵǄ໮᭄

⮙՟থ⮙Ϣ㖵㖴䌏䋱੠݊Ҫঠ໇䋱㉏᳝݇Ǆ

1983

ᑈ 㽓㧼偀ഄऎ᡹ਞথ⫳њ㄀ϔ䍋

PSP

ᲈথˈϢᴀ⃵ᲈ থᰃৠϔഄऎǄ䖭⃵ᲈথⱘعᒋ亢䰽੠⼒Ӯ㒣⌢ᕅ ડ֗䖯㧆ᕟᆒᬓᑰ೼

1984

ᑈᓎゟњ᳝↦䌸╂ⲥ⌟乍 ⳂǄ

ᆠ㧹ݏ࣪៪∈Ё䖛໮ⱘ㧹ݏ⠽㛑֗䖯㯏ढǄᴹ 㞾∵∈੠ݰϮᕘ⌕ⱘ⻋∂๲ࡴ᳝߽Ѣ㯏㉏๲ⅪǄϔѯ

㧆ᕟᆒҎሙԣ೼⊓⍋ഄऎˈձ䴴∈ඳ㦋পᬊܹ੠⫳

ᄬǄ೼

Tarangnan

ഄऎˈ

Cambatatay

⍋⑒ೈ㒩ⴔ

Bahay

੠

Gallego

⊓⍋ᴥᑘˈᰃᔧഄ⼒ऎ⫳⌏ⱘЏ㽕ᴹ⑤Ǆ 䖭䞠ҹ㖵㖴䌏䋱ݏⅪഎ੠䌏䋱ᴵǃ䌏䋱ᑆ੠䌏䋱佐ᑆ 䖭ѯѻક㗠䯏ৡǄ

Tarangnan

ࣙᣀ

41

ϾᴥᑘˈҎষЎ

25 703

ҎǄ

2013

ᑈ

7

᳜ˈ೑ᆊ⌕㸠⮙ᄺЁᖗҹџӊЎ෎⸔

ⱘⲥ⌟੠ᑨᇍ䚼䮼ˈᬊࠄ㽓㧼偀ⳕ

Tarangnan

ⱘ

Gallego

ᴥথ⫳咏⯍ᗻ䋱㉏Ё↦˄

PSP

˅੠՟⅏ѵⱘ᡹ਞǄ

ि⫳䚼ⱘϔᬃ䯳ӡ㹿⌒ᕔᔧഄᓔሩᲈথ䇗ᶹˈҹ䆚߿

ᲈথᴹ⑤੠䆘Ԅॅ䰽಴㋴Ǆ

ᮍ⊩

⌕㸠⮙ᄺ䇗ᶹ

⭥Ԑ⮙՟ᅮНЎᴹ㞾㽓㧼偀ⳕ

Tarangan

ⱘ䑿ԧعᒋ㗙 Ёˈ

2013

ᑈ

6

᳜

29

᮹㟇

7

᳜

4

᮹ᳳ䯈೼亳⫼䋱㉏Пৢ

ᥦ䰸݊ҪӏԩᏆⶹⱘॳ಴ߎ⦄㚗㙴䘧⮛⢊੠ӏԩ䖤ࡼ

੠៪ᛳ㾝⮛⢊㗙Ǆ⹂䆞⮙՟Ў㸔⎆៪ሓ⎆咏⯍ᗻ䋱㉏

↦㋴䰇ᗻǄᲈথᑨᇍ䯳ӡ೼ᔧഄि⫳Ёᖗ੠ഄऎए䰶 ᶹ䯙њ䮼䆞੠ԣ䰶ᙷ㗙ⱘए⭫䆄ᔩǄ೼᡹ਞ⮙՟ⱘ

2

Ͼ

(2)

WPSAR Vol 6, No 2, 2015 | doi: 10.5365/wpsar.2015.6.1.004 www.wpro.who.int/wpsar

2

Chingㄝ㧆ᕟᆒ㽓㧼偀ⳕϔ䍋⬅⬅㖵㖴䌏䋱ᇐ㟈ⱘ咏⯍ᗻ䋱㉏Ё↦

䇗ᶹ㗙೼㕍ᙷ⥛᳔催ⱘϸϾᴥᑘˈ㾖ᆳњि⫳⢊

މঞሙ⇥ⱘ佂亳㸠Ўдᛃˈᑊ৥⍋ኌഄऎⱘሙ⇥䯂䆶 њҪӀᰃ৺᳒㾖ᆳࠄ㯏ढǄ

㒧ᵰ

⮙՟⡍ᕕ

݅থ⦄њ31ৡ⮙՟Ǆ┰ӣᳳ㣗ೈЎ

1ᇣᯊ㟇23ᇣᯊ

˄Ёԡ᭄11ᇣᯊ˅ˈ佪՟থ⫳Ѣ2013ᑈ6᳜29᮹ˈ 催 ዄ ߎ ⦄ ೼

2013

ᑈ

7

᳜

1

᮹ ˄

೒ 1˅ Ǆ 28ৡ ⮙ ՟

˄90%˅᡹ਞߎ⦄ষ਼੠㙶ッ咏᳼ˈ20՟˄65%˅

᡹ ਞ ༈ ᰩ ˈ

17՟ ˄ 55%

˅ ᳝ 䕏 ᑺ ༈ ⮯ Ǆ

8ৡ ⮙ ՟

˄

2 6 %

˅ ԣ 䰶 ⊏ ⭫ ˗

2

՟ ⅏ ѵ ˄ ⮙ ՟ ⅏ ѵ ↨ ՟

=6%˅Ǆ᳝18ৡ˄58%˅⬋ᗻ⮙՟˗ᑈ啘㣗ೈЎ3㟇 59

ቕ ˄ Ё ԡ ᭄=26ቕ ˅ Ǆ ফ ᕅ ડ ᳔ ໻ ⱘ ᑈ 啘㒘 Ў

21–30ቕ੠51–60ቕ˄৘Ў23%˅Ǆ

᠔᳝ⱘ⮙՟䛑᡹ਞ亳⫼њ㖵㖴䌏䋱ˈ亳⫼ᮍᓣ

ࣙᣀ⫳亳ǃ∈❂៪㪌ৢ亳⫼˗ᘏ䅵亳⫼᭄䞣㣗ೈЎ

3

㟇

50

Ͼ˄Ёԡ᭄

=15

Ͼ˅Ǆ᡹ਞ佂⫼∸ⱘ䞣ҢᇥѢ

1

ᵃࠄ

6

ᵃϡㄝǄ

2

ৡ ⅏ 㗙䛑 ᰃ ⬋ ᗻ ˈ ᑈ 啘 ߚ ߿ Ў

3

ቕ ੠

50

ቕ ˈ ᴹ㞾ৠϔϾᆊᒁǄᑈ啘໻ⱘ⬋ᗻ೼থ⮙

15

ᇣᯊৢ⅏Ѣ ᖗ䏇੐਌偸ذǄҪ亳⫼њ

50

Ͼ㖵㖴䌏䋱ˈ᮶ࣙᣀ⫳

亳ˈгࣙᣀ⛍伾ৢ亳⫼Ǆܓス೼থ⮙

10

ᇣᯊৢ㹿ᅷᏗ

⅏ѵǄҪ佂⫼њ䍙䖛

2

ᵃ䌏䋱∸Ǆ≵᳝㦋ᕫ

2

ৡ⮙՟П

ࠡⱘህए৆Ǆ ᴥᑘᓔሩњ⼒ऎݙⱘЏࡼ⮙՟᧰㋶Ǆ䆓䇜њ⼒ऎݙ᳔

䖥⅏ѵሙ⇥ⱘᆊሲǄ

ᓔሩњ᳾ऍ䜡ⱘ⮙՟ᇍ✻˄

1:3

˅ⷨおǄᇍ✻ᰃ

೼ϸϾᴥᑘЁҢৠϔᆊᒁ៪䰘䖥ᆊᒁЁ䱣ᴎ䗝ᢽⱘ عᒋᴥ⇥Ǆབᵰᇍ✻ߎ⦄ӏԩ䖤ࡼǃᛳ㾝៪㚗㙴䘧

⮛⢊ˈ៪㗙Ẕ⌟咏⯍ᗻ䋱㉏↦㋴䰇ᗻˈ߭㹿ᥦ䰸Ǆ ៥ӀՓ⫼ᷛޚ࣪䯂ोᬊ䲚⮙՟੠ᇍ✻ⱘֵᙃˈࣙᣀ Ҏষᄺǃ⮛⢊˄ϡࣙᣀᇍ✻˅ˈि⫳㸠Ў੠䖛এ

3

໽ 亳⠽亳⫼৆ǄՓ⫼

EPI Info 3.5.4

⠜ᴀ䖯㸠㒳䅵ߚᵤˈ 䅵ㅫ↨ؐ↨˄

OR

˅੠ৃֵऎ䯈ǄᇍѢऩ಴㋴ߚᵤ᳝㒳䅵ᄺᛣНⱘॅ䰽಴㋴ˈ㒇ܹ໮಴㋴ߚᵤ䖯㸠Ẕ偠Ǆ ᅲ偠ᅸ䇗ᶹ

೼ থ ⮙ ϔ ਼ ৢ Ң ⮙ ՟ ੠ ᇍ ✻ Ё 䞛䲚 њ

25

ӑ ሓ ḋ ੠

100

ӑ㸔ḋˈ೼༢ᵒජ䖾߽᳐㧆ᕟᆒ໻ᄺ⍋⋟⾥ᄺ 䰶Փ⫼ࠡ㕂⇻࣪催ᬜ⎆Ⳍ㡆䈅⊩ᇍ咏⯍ᗻ䋱㉏↦㋴

˄

PSTs

˅䖯㸠Ẕ⌟Ǆ

⦃๗ि⫳ᄺ䇗ᶹ

䇗ᶹ㒘Ң3Ͼ⊓⍋ഄऎüCamabatutay⍋⑒ǃBahayᴥ

੠Gallegoᴥ䞛䲚њ500ml⍋∈੠30–40Ͼ㖵㖴䌏䋱Ǆ

೼ഄऎ⏨Ϯ੠∈䌘⑤ሔՓ⫼ᇣ哴⌏ԧ䡈ᅮẔ⌟㖵㖴䌏䋱ḋᴀǄ⍋⋟⾥ᄺ䰶Փ⫼䜡໛㤻ܝẔ⌟ⱘ乘ሖᵤ⇻࣪

ডⳌ催ᬜ⎆Ⳍ㡆䈅ߚᵤẔ⌟⍋∈੠䋱㉏ḋᴀЁⱘ咏⯍

ᗻ䋱㉏↦㋴੠⬆㯏^[10]Ǆ

೒1. 2013ᑈ6᳜㟇7᳜㧆ᕟᆒ㽓㧼偀ⳕTarangan PSP⮙՟⌕㸠᳆㒓˄n = 31˅

PSPˈ咏⯍ᗻ䋱㉏Ё↦Ǆ 0

1 2 3 4 5 6 7 8 9

12:00 AM 12:00 PM 12:00 AM 12:00 PM 12:00 AM 12:00 PM 12:00 AM 12:00 PM 12:00 AM 12:00 PM 12:00 AM 12:00 PM 12:00 AM 12:00 PM 12:00 AM 12:00 PM

6᦬28ᣣ 6᦬29ᣣ 6᦬30ᣣ 7᦬1ᣣ 7᦬2ᣣ 7᦬3ᣣ 7᦬4ᣣ 7᦬5ᣣ

⮙՟᭄⮙՟᭄

থ⮙᮹ᳳ੠ᯊ䯈 থ⮙᮹ᳳ੠ᯊ䯈

ᱫ੢

ᱫ੢ ∛଀∛଀

(3)

WPSAR Vol 6, No 2, 2015 | doi: 10.5365/wpsar.2015.6.1.004

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3

㧆ᕟᆒ㽓㧼偀ⳕϔ䍋⬅⬅㖵㖴䌏䋱ᇐ㟈ⱘ咏⯍ᗻ䋱㉏Ё↦

Chingㄝ

ⱘ⍋ኌऎඳ䱣ᛣ϶ᓗൗഒǄᴥ䭓᡹ਞ䇈೼

6

᳜ᮽᳳ᳝ϔ ԡᴥ⇥᳒㾖ᆳࠄ⍋∈㸼䴶ⱘ买㡆ᬍবǄ

៥Ӏ೼

Cambatutay

⍋⑒䞛䲚ḋᴀᳳ䯈≵᳝㾖ᆳࠄ

⍋∈㸼䴶买㡆ব࣪Ǆ✊㗠ˈҢ⍋∈㸼䴶㉇ҹϟ䞛䲚ⱘ

⍋∈ḋᴀ᳝ᖂ㑶㡆买㡆ᬍবǄ

䅼䆎

䖭 ⃵

PSP

ᲈ থ ᰃ ⬅ 亳 ⫼ ೼ 㽓㧼偀 ⳕ

Tarangnan

ⱘ

Cambatutay

⍋⑒䞛䲚ⱘ㖵㖴䌏䋱ᇐ㟈ˈ⡍߿ᰃ佂⫼䌏䋱∸Ǆ೼㖵㖴䌏䋱੠⍋∈ḋᴀЁẔ⌟ࠄ催↦ᗻⱘ咏⯍

ᗻ䋱㉏↦㋴ˈ⮙՟Џ㽕㸼⦄Ў⼲㒣⮛⢊ˈϢ݊Ҫ

PSP

ᲈথϔ㟈^[6]Ǆ

থ⦄佂⫼㟇ᇥϔᵃ∸ᰃথ⮙ⱘॅ䰽಴㋴ǄᏆⶹ咏

⯍ᗻ䋱㉏↦㋴೼ᆊᒁ໘⧚䖛⿟Ё100°C⏽ᑺϟ೼䋱㉏Ё ᰃᇍ⛁〇ᅮⱘˈ಴ℸৃҹҢ㖵㖴䌏䋱Ёᠽᬷࠄ❂ࠊⱘ

∈Ёˈᑊ೼∸Ё⌧㓽^[7]Ǆ೼঺໪ϔ䍋ᲈথЁˈথ⦄咘

⊍㲸∸Ё᳝催⌧ᑺⱘ咏⯍ᗻ䋱㉏↦㋴^[8]ˈ䖯ϔℹᬃᣕ

೼∈Ё❂ࠊ䋱㉏ϡ㛑⸈ണ↦㋴Ǆ

⮙՟ᇍ✻ⷨお

⮙ ՟ ᇍ ✻ ⷨ お ࣙ ᣀ

31

ৡ ⮙ ՟ ੠

93

ৡ ᇍ ✻ Ǆ ऩ ಴ ㋴ ߚᵤ᳝㒳䅵ᄺᛣНⱘॅ䰽಴㋴˖⬋ᗻǃ㞾Ꮕ䞛䲚亳

⠽ǃ亳⫼⫳ⱘ亳⠽ǃ佂⫼㟇ᇥᵃ䌏䋱∸੠亳⫼㟇ᇥ

15

Ͼ㖵㖴䌏䋱Ǆ᳝䍷ⱘᰃˈ⺇䝌佂᭭Ϣথ⮙ਜ⦄䋳 Ⳍ݇݇㋏˄㸼

1

˅Ǆ✊㗠ˈা᳝ᕜᇣ᭄䞣ⱘ㹿䇗ᶹ㗙

˄

4

Ͼ⮙՟੠

2

Ͼᇍ✻˅佂⫼⺇䝌佂᭭Ǆ೼໮಴㋴ߚᵤ

ৢˈা᳝佂⫼㟇ᇥ

1

ᵃ㖵㖴䌏䋱∸ᰃ᳝ᰒ㨫ᗻ݇㘨ⱘ಴

㋴˄

OR

˖

12.0

˗

95%

ৃֵऎ䯈˖

2.1–63.2

˅Ǆ ᅲ偠ᅸẔ⌟

೼

3

ӑ∈ḋᴀЁẔߎњ咏⯍ᗻ䋱㉏↦㋴੠

Pbc

⬆㯏Ǆ 㖵㖴䌏䋱੠⠵㲢ḋᴀЁⱘ

PSTs

∈ᑇ催Ѣ೑䰙ᷛޚ䰤

ؐǄ

100

ӑ㸔⏙੠

25

ӑሓḋ

PSTs

Ẕ⌟䰈ᗻǄ

⦃๗ि⫳ᄺ䇗ᶹ

៥Ӏ㾖ᆳࠄϔѯᆊᒁ೼ቅϞǃ⊇੠⊓⍋ഄऎ䱣ഄ֓

⒎Ǆ≵᳝ᓎゟൗഒᬊ䲚㋏㒳˗ሙ⇥೼㞾ᆊৢ䰶੠䰘䖥

㸼1. 2013ᑈ6᳜㟇7᳜㧆ᕟᆒ㽓㧼偀ⳕTarangnanϢPSPⳌ݇ⱘॅ䰽಴㋴

⡍ᕕ ⮙՟n˄%˅ ᇍ✻n˄%˅ ㉫OR˄95% CI˅ 䇗ᭈOR˄95% CI˅

ᗻ߿

⬋ᗻ 18 (58) 33 (36) 2.5 (1.1–5.7) –

ཇᗻ 13 (42) 59 (64) –

佂⫼䌏䋱∸

1ᵃ៪᳈໮ 13 (42) 8 (10) 7.6 (2.5–23.9) 12.0 (2.1–63.2)

ᇥѢ1ᵃ 18 (58) 84 (90) –

亳⠽ᴹ⑤

䞛䲚 18 (58) 24 (26) 3.9 (1.6–10.2) –

䌁ф 13 (42) 69 (74)

亳⫼亳⠽⾡㉏

⫳亳 27 (87) 44 (47) 7.5 (2.3–27.7) –

⛍ࠊ 4 (13) 49 (53) –

亳⫼䌏䋱䞣

1Ͼ䌏䋱 0 (0) 2 (2) 0 (0–12.7) –

2–4Ͼ䌏䋱 0 (0) 8 (9) 0 (0–1.8)

5–10Ͼ䌏䋱 1 (3) 13 (14) 0.2 (0.01–1.6)

11–14Ͼ䌏䋱 2 (6) 21 (23) 0.2 (0.04–1.2)

15Ͼ៪ҹϞ 28 (90) 49 (53) 8.4 (2.2–37.3)

佂⫼⺇䝌佂᭭

ᰃ 4 (0.1) 2 (0) 0.1 (0.0–0.9)

ORˈ↨ؐ↨˗CIˈৃֵऎ䯈˗PSPˈ咏⯍ᗻ䋱㉏Ё↦Ǆ

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WPSAR Vol 6, No 2, 2015 | doi: 10.5365/wpsar.2015.6.1.004 www.wpro.who.int/wpsar

4

Chingㄝ㧆ᕟᆒ㽓㧼偀ⳕϔ䍋⬅⬅㖵㖴䌏䋱ᇐ㟈ⱘ咏⯍ᗻ䋱㉏Ё↦

ᓩ⫼ᴀ᭛ഄഔ˖

Ching PK et al. Paralytic shellfish poisoning from consumption of green mussel broth, Western Samar, Philippines, August 2013. Western Pacific Surveillance and Response Journal, 2015, 6(2):16–20. doi:10.5365/

wpsar.2015.6.1.004

খ㗗᭛⤂

1. Hughes JM, Merson MH. Current concepts fish and shellfish poisoning. The New England Journal of Medicine, 1976, 295: 1117–1120. doi:10.1056/NEJM197611112952006 pmid:988478

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Western Journal of Emergency Medicine, 2014, 15:378–381.

doi:10.5811/westjem.2014.4.16279 pmid:25035737

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೼⦃๗䇗ᶹЁ៥Ӏ䖬㾖ᆳࠄᴥ⇥ϡ㡃ⱘि⫳㸠 ЎǄ೼⍋ኌഄऎ䱣ഄ֓⒎੠϶ᓗൗഒৃ㛑ᓩ䍋∈∵

ᶧǄᥦᬒ᳾㒣໘⧚ⱘ∵∈Փ⬆㯏㦋ᕫ᳈໮ⱘ㧹ݏ⠽ˈ

๲ࡴHABথ⫳ⱘৃ㛑ᗻ^[9]Ǆ

ᴀⷨお᳝ϔѯሔ䰤ᗻǄ㄀ϔˈ≵᳝ᴹ㞾Ⳍ݇令⃵

ⱘ࠽ԭ㖵㖴䌏䋱ৃկẔ⌟Ǆ㄀Ѡˈሑㅵ㦋ᕫњ⮙՟㸔

⏙ḋᴀ䖯㸠咏⯍ᗻ䋱㉏↦㋴Ẕ⌟ˈԚ⬅Ѣ咏⯍ᗻ䋱㉏

↦㋴ҙ೼ᨘ亳ৢ8ᇣᯊݙ㒣ሓ⎆ᥦߎˈ಴ℸḋᴀ䞛䲚ⱘ ᓊ䖳ҹঞ䆩ࠖⱘৃ㦋ᕫᗻৃ㛑ᕅડњᇍ咏⯍ᗻ䋱㉏↦

㋴ⱘẔ⌟^[10]Ǆ㄀ϝˈ䇗ᶹ䯳೼ᲈথথ⫳ϔ਼ৢࠄ䖒ˈ 䖭ৃ㛑ᕅડњᇍ⌏ࡼᗻ੠᳝⮛⢊⮙՟ⱘẔ⌟Ǆ✊㗠ˈ ៥Ӏ䖬ᰃ㛑໳䗮䖛⌕㸠⮙ᄺ੠⦃๗䇗ᶹ㒧ᵰথ⦄ᴀ⃵

ᲈথⱘᴹ⑤Ǆ

䇗 ᶹ ৢ ˈ ៥ Ӏ ᓎ 䆂

Tarangan

ഄ ᮍ ᬓ ᑰ ⽕ ℶ ೼

Cambatutay

⍋⑒䞛䲚䋱㉏Ǆᑊᇚ

Cambatutay

⍋⑒԰Ў ϔϾ઼⚍ᇍ⬆㯏੠咏⯍ᗻ䋱㉏↦㋴䖯㸠ⲥ⌟Ǆᓔሩњ ϔ乍Āֱᡸ

Cambatutay

⍋⑒āⱘ⌏ࡼˈ೼⼒ऎݙࡼਬ њḌᖗಶԧ៤ਬǄ䖭Ͼ⌏ࡼ䞡⚍݇⊼ড়䗖ⱘᑳ⠽໘⧚

㸠Ў੠⏙⧚⌏ࡼǄ㞾ᲈথ㒧ᴳৢ≵᳝ᮄⱘ

HAB

џӊ੠

PSP

⮙՟থ⫳Ǆ

߽Ⲟކさ

᮴Ǆ

䌘ࡽ

ᴀ⃵亳⑤ᗻᲈথ䇗ᶹ⬅㧆ᕟᆒि⫳䚼䌘ࡽǄ

㟈䇶

៥Ӏᛳ䇶೼⦄എ䇗ᶹᳳ䯈ᴹ㞾ϰ㓈㧼Ѯᮃعᒋ੠থ ሩЁᖗǃ㧼偀ⳕि⫳ࡲ݀ᅸǃ

Tarangnan

ഄᮍᬓᑰ䚼䮼ǃ

Tarangnan

Ꮦि⫳ࡲ݀ᅸঞᔧഄሙ⇥ⱘᬃᣕǄ៥Ӏ гᛳ䇶⍋⋟⾥ᄺ䰶

Christopher Mendoza

ⱘᅲ偠ᅸẔ⌟

Ꮉ԰Ǆ