FrancophonIA/ELRC3.0 huggingface dataset:
English: In the presence of atopic dermatitis, the application time should be reduced.
Croatian: U slučaju atopijskog dermatitisa potrebno je skratiti vrijeme primjene.
English: Care should be taken when applying EMLA to patients with atopic dermatitis.
Croatian: Potreban je oprez kada se EMLA primjenjuje bolesnicima s atopijskim dermatitisom.
English: For children the amount of EMLA used and how long depends on their age.
Croatian: - Kod djece, količina lijeka EMLA koja se primjenjuje i trajanje primjene ovisi o njihovoj dobi.
English: Table 2 Paediatric patients 0-11 years of age
Croatian: Tablica 2 Pedijatrijski bolesnici u dobi od 0-11 godina Dobna skupina
English: • Medicines used to treat epilepsy, called phenytoin and phenobarbital.
Croatian: • lijekove za liječenje epilepsije koji se zovu fenitoin i fenobarbital.
English: The sum of the maximum plasma concentrations of lidocaine and prilocaine is less than one-third of those associated with toxic reactions, with no apparent accumulation over 10 days.
Croatian: Zbroj maksimalnih plazmatskih koncentracija lidokaina i prilokaina iznosi manje od jedne trećine koncentracija povezanih s toksičnim reakcijama, bez vidljive kumulacije tijekom 10 dana.
English: The cream is put on under an airtight dressing such as plastic wrap.
Croatian: - Krema se primjenjuje pod zrakonepropusnim oblogom poput plastične folije.
English: Approx. 5-10 g of cream for 5-10 minutes1) 3) 4).
Croatian: Približno 5-10 g kreme tijekom 5-10 minuta1) 3) 4).
English: The most frequently observed adverse drug reactions (ADRs) are related to administration site conditions (transient local reactions at the application site), reported as common.
Croatian: Najčešće primijećene nuspojave na lijek povezane su s promjenama na mjestu primjene (prolazne lokalne reakcije na mjestu primjene), koje su prijavljene često.
English: • Medicines to treat an uneven heartbeat, such as amiodarone.
Croatian: • lijekove za liječenje nepravilnih otkucaja srca, kao što je amiodaron.
English: 3 - 12 months
Croatian: 3 - 12 mjeseci
English: Symptoms of local anaesthetic toxicity become increasingly apparent at increasing plasma concentration from 5 to 10 μg/mL of either active substance.
Croatian: Simptomi toksičnosti lokalnih anestetika postaju sve vidljiviji s povećanjem plazmatske koncentracije bilo koje od djelatnih tvari s 5 na 10 μg/ml.
English: 2) On female genital skin, EMLA alone applied for 60 or 90 minutes does not provide sufficient anaesthesia for thermocautery or diathermy of genital warts.
Croatian: 2) Na koži ženskih spolnih organa primjena samo EMLA kreme tijekom 60 ili 90 minuta ne pruža dostatnu anesteziju za termokauterizaciju ili dijatermiju genitalnih bradavica.
English: There is also a risk of ‘acute methaemoglobinaemia' (a problem with blood pigment levels).
Croatian: - postoji rizik od ‘akutne methemoglobinemije' (problema s razinama krvnog pigmenta).
English: Risk assessments comparing the calculated maximum human exposure from intermittent use of lidocaine and prilocaine, with the exposure used in preclinical studies, indicate a wide margin of safety for clinical use.
Croatian: Procjene rizika koje su uspoređivale izračune maksimalne izloženosti kod ljudi nakon intermitentne primjene lidokaina i prilokaina s izloženošću u pretkliničkim ispitivanjima, upućuju na široku marginu sigurnosti za kliničku primjenu.
English: EMLA should not be used on an area of newly shaven skin larger than 600 cm² (600 square centimetres, e.g. 30 cm by 20 cm) in size.
Croatian: EMLA se ne smije primijeniti na svježe obrijanom području kože većem od 600 cm² (600 kvadratnih centimetara, npr. 30 cm puta 20 cm).
English: 5) No clinically significant increase in methaemoglobin levels has been observed after an application time of up to 4 hours on 16 cm2.
Croatian: 5) Nije zabilježen klinički značajan porast razina methemoglobina nakon primjene u trajanju do 4 sata na površini od 16 cm2.
English: The duration of anaesthesia following the application of EMLA for 1 to 2 hours is at least 2 hours after removal of the dressing, except in the face where the duration is shorter.
Croatian: Nakon primjene lijeka EMLA tijekom 1 do 2 sata, trajanje anestezije iznosi najmanje 2 sata nakon skidanja obloga, osim na licu, gdje traje kraće.
English: Therefore, a decrease in clearance, such as in patients with severely impaired liver function, has limited effects on the systemic plasma concentrations after a single dose of EMLA, and after single doses repeated once daily short term (up to 10 days).
Croatian: Stoga smanjeni klirens, primjerice kod bolesnika s teškim oštećenjem jetrene funkcije, ograničeno utječe na sistemske koncentracije u plazmi nakon jednokratne doze lijeka EMLA i nakon kratkotrajne ponovljene primjene jednokratne dnevne doze (do 10 dana).
English: After a 5-10 minute application of EMLA to female genital mucosa the average duration of effective analgesia to an argon laser stimulus, which produced a sharp, pricking pain was 15-20 minutes (individual variations in the range 5-45 minutes).
Croatian: Nakon 5-10 minuta primjene lijeka EMLA na sluznici ženskih spolnih organa prosječno trajanje učinkovite analgezije na podražaj argonskim laserom koji je izazivao oštru ubodnu bol iznosilo je 15-20 minuta (individualne varijacije kretale su se u rasponu od 5-45 minuta).
English: Because of thin facial skin and high tissue blood flow, maximal local anaesthetic effect is obtained after 30-60 minutes on the forehead and on the cheeks.
Croatian: Zbog tanke kože lica i jake prokrvljenosti tkiva, maksimalni lokalni anestetski učinak na čelu i obrazima postiže se nakon 30-60 minuta.
English: These metabolites have been shown to have carcinogenicity potential in preclinical toxicological studies evaluating chronic exposure.
Croatian: Kancerogeni potencijal tih metabolita pokazao se u pretkliničkim toksikološkim ispitivanjima u kojima se ocjenjivalo kronično izlaganje.
English: If you accidentally get EMLA in your eye, you should immediately rinse it well with lukewarm water or salt (sodium chloride) solution.
Croatian: Ako Vam EMLA slučajno dospije u oči, morate ih odmah dobro isprati mlakom vodom ili fiziološkom otopinom (otopinom natrijeva klorida).
English: (≥1/10), common (≥1/100 to <1/10), uncommon (≥1/1,000 to <1/100), rare (≥1/10,000 to <1/1,000), very rare (<1/10,000).
Croatian: Unutar svakog organskog sustava, nuspojave su navedene po kategorijama učestalosti: vrlo često (≥1/10), često (≥1/100 i <1/10), manje često (≥1/1000 i <1/100), rijetko (≥1/10 000 i <1/1000), vrlo rijetko (<1/10 000).
English: Rare cases of clinically significant methaemoglobinaemia have been reported.
Croatian: Prijavljeni su rijetki slučajevi klinički značajne methemoglobinemije.
English: Where there is a skin rash or eczema.
Croatian: - gdje je prisutan kožni osip ili ekcem.
English: Both active substances were shown to have a low oral acute toxicity, providing a good safety margin in the event that EMLA is inadvertently swallowed.
Croatian: Obje djelatne tvari pokazale su malu akutnu toksičnost nakon peroralne primjene, što pruža dobru sigurnosnu rezervu u slučaju da se EMLA nehotice proguta.
English: Patients treated with anti-arrhythmics of class III (e.g. amiodarone) should be carefully monitored and ECG monitoring considered, as cardiac effects may be additive.
Croatian: Bolesnike koji se liječe antiaritmicima skupine III (npr. amiodaronom) potrebno je pomno nadzirati i razmotriti praćenje EKG-a zbog mogućih aditivnih učinaka na srce.
English: The depth of cutaneous anaesthesia increases with application time.
Croatian: Dubina kutane anestezije povećava se s duljim vremenom primjene.
English: In 90% of patients the anaesthesia is sufficient for the insertion of a biopsy punch (4 mm diameter) to a depth of 2 mm after 60 minutes and 3 mm after 120 minutes EMLA treatment.
Croatian: Kod 90% bolesnika anestezija je dostatna za uvođenje biopsijskih kliješta (promjera 4 mm) do dubine od 2 mm nakon 60 minuta, odnosno 3 mm nakon 120 minuta primjene lijeka EMLA.
English: The usual dose is 5 g to 10 g of cream for 10 minutes.
Croatian: - Uobičajena doza je 5 g do 10 g kreme tijekom 10 minuta.
English: EMLA is equally effective and has the same anaesthetic onset time across the range of light to dark pigmented skin (skin types I to VI).
Croatian: EMLA je jednako djelotvorna i ima isto vrijeme nastupa anestezije u rasponu od svijetle do tamno pigmentirane kože (tipovi kože I-VI).
English: Fertility Animal studies have shown no impairment of the fertility of male or female rats (see section 5.3).
Croatian: Ispitivanja na životinjama nisu pokazala poremećaje plodnosti kod mužjaka i ženki štakora (vidjeti dio 5.3).
English: The procedure should be commenced immediately after removal of the cream.
Croatian: Postupak treba započeti odmah nakon uklanjanja kreme.
English: Local anaesthetic toxicity is manifested by symptoms of nervous system excitation and, in severe cases, central nervous and cardiovascular depression.
Croatian: Toksičnost lokalnih anestetika manifestira se simptomima ekscitacije živčanog sustava te u teškim slučajevima depresijom središnjeg živčanog i kardiovaskularnog sustava.
English: Minor procedures, e.g. needle insertion and surgical treatment of localised lesions.
Croatian: Manji postupci, npr. uvođenje igle i kirurško liječenje lokaliziranih lezija.
English: Methaemoglobin formation is related to the cumulative amount of prilocaine percutaneously absorbed, and may therefore increase with prolonged application times of EMLA.
Croatian: Stvaranje methemoglobina povezano je s kumulativnom količinom perkutano apsorbiranog prilokaina te se stoga može povećati s duljim vremenom primjene lijeka EMLA.
English: Half a 5 g tube corresponds to about 2 g EMLA.
Croatian: Pola tube od 5 g odgovara količini od približno 2 g EMLA kreme.
English: Consideration should be given to the fact that pulse oximeter values may overestimate the actual oxygen saturation in case of increased methaemoglobin fraction; therefore, in cases of suspected methaemoglobinaemia, it may be more helpful to monitor oxygen saturation by cooximetry.
Croatian: Treba uzeti u obzir činjenicu da u slučaju povišene methemoglobinske frakcije pulsni oksimetar može pokazati veće vrijednosti saturacije kisikom od stvarnih; stoga u slučaju sumnje na methemoglobinemiju može biti korisno pratiti saturaciju kisikom kooksimetrijom.
English: The cream is then covered by a dressing [plastic wrap].
Croatian: Krema se zatim prekriva oblogom [plastičnim pokrovom].
English: Due to the potentially enhanced absorption on the newly shaven skin, it is important to adhere to the recommended dosage, area and time of application (see section 4.2).
Croatian: Zbog moguće pojačane apsorpcije na svježe obrijanoj koži, važno je pridržavati se preporučenog doziranja, područja i trajanja primjene (vidjeti dio 4.2).
English: Absorption from the genital mucosa is more rapid and onset time is shorter than after application to the skin.
Croatian: Apsorpcija iz genitalne sluznice je brža, a vrijeme do nastupa anestezije kraće nego nakon primjene na koži.
English: EMLA should not be used in preterm newborn infants.
Croatian: EMLA se ne smije primjenjivati kod prerano rođene novorođenčadi.
English: 2 Genital mucosa 3 Leg ulcer
Croatian: 2 genitalna sluznica 3 ulkusi na nogama
English: 1 hour
Croatian: 1 sat
English: On the genitals of children.
Croatian: - na spolnim organima kod djece.
English: Although topical application is associated with only a low level of systemic absorption, the use of EMLA in pregnant women should be undertaken with care because insufficient data are available concerning the use of EMLA in pregnant women.
Croatian: Iako se topikalna primjena povezuje samo s malim stupnjem sistemske apsorpcije, ELMA se trudnicama mora primjenjivati uz oprez jer su podaci o primjeni lijeka EMLA kod trudnica nedostatni.
English: Medicinal products that reduce the clearance of lidocaine (e.g. cimetidine or betablockers) may cause potentially toxic plasma concentrations when lidocaine is given in repeated high doses over a long time period.
Croatian: Lijekovi koji smanjuju klirens lidokaina (npr. cimetidin ili beta-blokatori) mogu dovesti do potencijalno toksičnih koncentracija u plazmi kada se lidokain primjenjuje u višekratnim visokim dozama tijekom duljeg razdoblja.
English: Clinical studies involved more than 2,300 paediatric patients of all age groups and demonstrated efficacy for needle pain (venipuncture, cannulation, sc and im vaccinations, lumbar puncture), laser treatment of vascular lesions, and curettage of molluscum contagiousum.
Croatian: Klinička ispitivanja obuhvatila su više od 2300 pedijatrijskih bolesnika svih dobnih skupina i pokazala su djelotvornost kod uboda iglom (venepunkcija, kanilacija, s.c. i i.m. cijepljenje, lumbalna punkcija), laserskog liječenja krvožilnih lezija i kiretaže kontagioznih moluska.
English: In patients with atopic dermatitis, a similar but shorter vascular reaction is seen, with erythema occurring after 30-60 minutes, indicating more rapid absorption through the skin (see section 4.4).
Croatian: Kod bolesnika s atopijskim dermatitisom opažena je slična no kraća krvožilna reakcija, uz pojavu eritema nakon 30-60 minuta, koji je upućivao na bržu apsorpciju kroz kožu (vidjeti dio 4.4).
English: • Topical anaesthesia of the genital mucosa, e.g. prior to superficial surgical procedures or infiltration anaesthesia; in adults and adolescents ≥12 years
Croatian: • topikalnu anesteziju genitalne sluznice, primjerice prije površinskih kirurških zahvata ili infiltracijske anestezije; kod odraslih i adolescenata u dobi od ≥12 godina.
English: Following application to leg ulcers, the characteristics of the ulcers may also affect the absorption.
Croatian: Nakon primjene na ulkusima na nogama, na apsorpciju mogu utjecati i značajke ulkusa.
English: A metabolite of lidocaine, 2,6-dimethylaniline, and a metabolite of prilocaine, σ-toluidine, showed evidence of genotoxic activity.
Croatian: Metabolit lidokaina, 2,6-dimetilanilin, i metabolit prilokaina, orto-toluidin, pokazali su znakove genotoksičnog djelovanja.
English: EMLA reduces the number of cleansing sessions required to achieve a clean ulcer compared to debridement with placebo cream.
Croatian: EMLA smanjuje broj postupaka čišćenja potrebnih za postizanje čistog ulkusa u usporedbi s debridmanom uz primjenu placebo kreme.
English: The EMLA tube is intended for single use when used on leg ulcers: The tube with any remaining contents should be discarded after each occasion that a patient has been treated.
Croatian: Tuba EMLA kreme namijenjena je za jednokratnu uporabu kada se primjenjuje kod ulkusa na nogama: tubu s preostalim sadržajem treba baciti nakon svake primjene bolesniku.
English: Safety and efficacy for the use of EMLA on genital skin and genital mucosa have not been established in children younger than 12 years.
Croatian: Sigurnost i djelotvornost primjene lijeka EMLA na kožu i sluznicu spolnih organa kod djece mlađe od 12 godina nisu ustanovljene.
English: Dosage and Application Time
Croatian: Doza i vrijeme primjene
English: Animals with an intact tympanic membrane, however, show no abnormality when exposed to EMLA in the external auditory canal.
Croatian: Međutim, u životinja s intaktnim bubnjićem nisu primijećene abnormalnosti nakon primjene lijeka EMLA u vanjski slušni kanal.
English: Should other symptoms of systemic toxicity occur, the signs are anticipated to be similar in nature to those following the administration of local anaesthetics by other routes of administration.
Croatian: Nastupe li drugi simptomi sustavne toksičnosti, pretpostavlja se da će znakovi biti slične naravi kao oni nakon primjene lokalnih anestetika drugim putovima primjene.
English: Cleansing should start without delay after removal of the cream.
Croatian: Čišćenje treba započeti bez odlaganja nakon uklanjanja kreme.
English: What you need to know before you use EMLA Do not use EMLA
Croatian: Što morate znati prije nego počnete primjenjivati lijek EMLA
English: Due to the potentially enhanced absorption on the newly shaven skin, it is important to follow the recommended dosage, skin area and application time.
Croatian: Zbog moguće pojačane apsorpcije na svježe obrijanoj koži, važno je pridržavati se preporučenog doziranja, područja kože i vremena primjene.
English: Your doctor, pharmacist or nurse will put the cream on or show you how to do it yourself.
Croatian: - Vaš liječnik, ljekarnik ili medicinska sestra će nanijeti kremu ili Vam pokazati kako da to sami učinite.
English: This is taken off just before the procedure starts.
Croatian: On se skida neposredno prije početka postupka.
English: One gram of EMLA pressed out of a tube of 30 g is approximately 3.5 cm.
Croatian: Jedan gram EMLA kreme istisnute iz tube od 30 g dug je približno 3,5 cm.
English: • Having a needle put in (for example, if you are having an injection or a blood test).
Croatian: uvođenja igle (primjerice, radi injekcije ili vađenja krvi).
English: Irrespective of the vascular response, EMLA facilitates the needle procedure compared to placebo cream.
Croatian: Neovisno o krvožilnom odgovoru, EMLA olakšava postupak uvođenja igle u usporedbi s placebo kremom.
English: For further guidance on the appropriate use of the product in such procedures, please refer to Method of administration.
Croatian: Za dodatne smjernice o pravilnoj primjeni lijeka u takvim postupcima, pročitajte dio
English: It can also be used to numb the skin before:
Croatian: Odrasli Može se koristiti i za umrtvljivanje osjeta na koži prije:
English: Toddlers and children 1-5 years
Croatian: Mala djeca i djeca od 1-5 godina
English: Hypersensitivity to lidocaine and/or prilocaine or local anaesthetics of the amide type or to any of the excipients listed in section 6.1.
Croatian: Preosjetljivost na lidokain i/ili prilokain ili na lokalne anestetike iz skupine amida ili na neku od pomoćnih tvari navedenih u dijelu 6.1.
English: Do not use this medicine after the expiry date which is stated on the package and tube after “EXP:”.
Croatian: Ovaj lijek se ne smije upotrijebiti nakon isteka roka valjanosti navedenog na kutiji i tubi iza “Rok valjanosti:”.
English: At doses below the maternal toxic range in the rat, lidocaine has no effect on the postnatal development of the offspring.
Croatian: Pri dozama manjima od raspona toksičnog za majku u štakora lidokain nije utjecao na postnatalni razvoj potomaka.
English: EMLA may cause a transient increase in skin thickness, partly caused by hydration of the skin under the occlusive dressing.
Croatian: EMLA može uzrokovati prolazan porast debljine kože, dijelom uslijed hidratacije kože pod okluzivnim oblogom.
English: Occasional use of EMLA during pregnancy is unlikely to have any adverse effects on the foetus.
Croatian: Nije vjerojatno da bi povremena primjena lijeka EMLA tijekom trudnoće mogla štetno utjecati na plod.
English: Within each frequency grouping, adverse reactions are presented in order of decreasing seriousness.
Croatian: Unutar svake kategorije učestalosti nuspojave su navedene u padajućem nizu prema ozbiljnosti.
English: Read all of this leaflet carefully before you start using this medicine because it contains important information for you.
Croatian: [Vidjeti Dodatak I - Ispunjava država članica] Pažljivo pročitajte cijelu uputu prije nego počnete primjenjivati ovaj lijek jer sadrži Vama važne podatke.
English: Application times of longer than 30 minutes in patients with atopic dermatitis may result in an increased incidence of local vascular reactions, particularly application site redness and in some cases petechia and purpura (see section 4.8).
Croatian: 30 minuta kod bolesnika s atopijskim dermatitisom može dovesti do povećane incidencije lokalnih krvožilnih reakcija, osobito crvenila na mjestu primjene te u nekim slučajevima petehija i purpure (vidjeti dio 4.8).
English: Prior to cervical curettage
Croatian: Prije kiretaže cerviksa
English: Lidocaine Prilocaine
Croatian: Lidokain Prilokain
English: Dermal procedures on newly shaven skin of large body areas, e.g. laser hair removal (self-application by patient)
Croatian: Dermatološki postupci na svježe obrijanoj koži na velikim područjima tijela, npr. lasersko uklanjanje dlaka (samoprimjena od strane bolesnika)
English: 2 - 3 years
Croatian: 2 - 3 godine
English: Animal studies have shown no impairment of male or female fertility.
Croatian: Ispitivanja na životinjama nisu pokazala poremećaj plodnosti mužjaka ni ženki.
English: See table 4.
Croatian: Vidjeti tablicu 4.
English: Do not spread the cream under the dressing.
Croatian: Nemojte razmazivati kremu pod oblogom.
English: Increasing the ulcer area by 1 cm2 results in an increased Cmax for the sum of lidocaine and prilocaine concentrations of 7.2 ng/mL.
Croatian: Povećanje područja ulkusa za 1 cm2 dovodi do porasta Cmax zbrojenih koncentracija lidokaina i prilokaina za 7,2 ng/ml.
English: This is done for 30 to 60 minutes before the ulcer is to be cleansed.
Croatian: 60 minuta prije čišćenja ulkusa.
English: Hepatic impairment A reduction of a single dose is not necessary in patients with impaired hepatic function (see section 5.2).
Croatian: Nije potrebno smanjivati jednokratnu dozu kod bolesnika s oštećenjem jetrene funkcije (vidjeti dio 5.2).
English: • Topical anaesthesia of leg ulcers to facilitate mechanical cleansing/debridement in adults only
Croatian: • topikalnu anesteziju ulkusa na nogama kako bi se omogućilo mehaničko čišćenje/debridman samo kod odraslih.
English: Warnings and precautions Talk to your doctor or pharmacist before using EMLA if you or your child have a rare inherited illness that affects the blood called ‘glucose-6phosphate dehydrogenase deficiency'.
Croatian: Obratite se svom liječniku ili ljekarniku prije nego primijenite lijek EMLA - ako Vi ili Vaše dijete bolujete od rijetke nasljedne bolesti krvi pod nazivom ‘deficijencija glukoza-6-fosfat dehidrogenaze'. - ako Vi ili Vaše dijete imate problem s razinama krvnog pigmenta, što se zove
English: Methaemoglobinaemia (blood disorder) during treatment of the skin.
Croatian: - Methemoglobinemija (poremećaj krvi) tijekom primjene na koži.
English: Plasma concentrations of lidocaine and prilocaine in paediatric age groups from 0 months to 8 years of age
Croatian: Tablica 4. Plazmatske koncentracije lidokaina i prilokaina u pedijatrijskim dobnim skupinama od 0 mjeseci do 8 godina
English: A thick layer of EMLA should be applied to the skin, including genital skin, under an occlusive dressing.
Croatian: Debeli sloj EMLA kreme treba nanijeti na kožu, uključujući i kožu na genitalijama, pod okluzivnim oblogom.
English: Eleven clinical studies in newborn infants and infants showed that peak methaemoglobin concentrations occur about 8 hours after epicutaneous EMLA administration, are clinically insignificant with recommended dosage, and return to normal values after about 12-13 hours.
Croatian: Jedanaest kliničkih ispitivanja kod novorođenčadi i dojenčadi pokazalo je da se vršne koncentracije methemoglobina postižu približno 8 sati nakon epikutane primjene lijeka EMLA; one nisu klinički značajne kod preporučenog doziranja i vraćaju se na normalne vrijednosti nakon 12-13 sati.
English: Plasma concentrations after treatment with EMLA are 20-60% lower for prilocaine than for lidocaine, because of a larger volume of distribution and more rapid clearance.
Croatian: Nakon liječenja lijekom EMLA, koncentracije prilokaina u plazmi su 20-60% niže nego koncentracije lidokaina zbog većeg volumena raspodjele i bržeg klirensa.
English: Reliable anaesthesia for the cleansing of leg ulcers is achieved after an application time of 30 minutes in most patients.
Croatian: Pouzdana anestezija za čišćenje ulkusa na nogama kod većine se bolesnika postiže nakon 30-minutne primjene.
English: Allergic reactions, which in rare cases may develop into anaphylactic shock (skin rash, swelling, fever, respiratory difficulties and fainting) during treatment of skin, genital mucosa or leg ulcers.
Croatian: - Alergijske reakcije koje se u rijetkim slučajevima mogu razviti u anafilaktički šok (kožni osip, oticanje, vrućica, otežano disanje i nesvjestica) tijekom primjene na koži, sluznici spolnih organa ili ulkusima na nogama.