כאב כרוני ופיברומיאלגיה: הבנת הסבל והטיפול המומלץ

1. מהי הבעיה וסיבותיה

פיברומיאלגיה היא מצב רפואי כרוני שמתבטא בכאב נפוץ, תשישות ובעיות שינה. מדובר בבעיית בריאות מורכבת, שמעורבים בה גורמים פיזיים ונפשיים גם יחד. אנשים הסובלים מפיברומיאלגיה חווים לעיתים קרובות תחושת כאב עזה, הפוגעת באורח חייהם היומיומי. הבעיה נפוצה בעיקר בקרב נשים, אך גם גברים יכולים לסבול ממנה. משערים ש-2-8% מהאוכלוסייה סובלים מהמצב, כשהיא עולה עם הגיל.

לגבי סיבות השורשיות, במרבית המקרים לא ניתן לאתר סיבה ברורה לכאב הכרוני. עם זאת, קיימים מספר גורמים שיכולים להיות מעורבים בהתפתחות הפיברומיאלגיה, ביניהם טראומות פיזיות כמו תאונות דרכים או פציעות קשות, טראומות נפשיות כמו אבל או עבר של התעללות. ישנן גם הוכחות לכך שהמצב יכול לנבוע מגורמים גנטיים, כאשר במהלך מחקרים נמצאה שכיחות גבוהה של פיברומיאלגיה בקרב בני משפחה של סובלים.

סיבות נפוצות נוספות הן עומס נפשי או סטרס כרוני. חוויות של לחץ נפשי תמידי עלולות להוביל לתגובה גופנית מתמשכת, שבה הכאב מתפשט למערכות שונות בגוף. גורמים כמו בעיות הורמונליות, דלקת כרונית, או מחלות אוטואימוניות גם יכולים להשפיע על התפתחות הכאב כרוני.

בכל הנוגע לגורמים פחות נפוצים, מחקרים מצביעים על כך שבחלק מהמקרים הבעיה נגרמת על ידי תנאים של מחלה נוספות, כגון תסמונת העייפות הכרונית או הפרעות שינה. חרדה ודיכאון הם גם ערוצים שכיחים שסובלים מהם חולי פיברומיאלגיה, וכך הם עשויים לשמש כמרכיב בהתפתחות המחלה.

להבין את הפיברומיאלגיה זו משימה עשויה להיות מורכבת. לעיתים קרובות, הכאב יכול להשתנות ממקום למקום בגוף ולהימשך זמן רב. מצב זה משפיע על איכות חייהם של הסובלים ממנו ועלול להקשות על ביצוע פעולות יום יומיות פשוטות. בכדי להתמודד עם הכאב, חשוב לאתר את הסיבות השורשיות ולפעול בהתאם.

2. הסימפטומים והאבחנה

הסימפטומים של פיברומיאלגיה משתנים מאדם לאדם, אך הכאב הוא הסימפטום המרכזי. בעיות נוספות שמופיעות לעיתים קרובות כוללות עייפות מתמשכת, הפרעות בשינה, וכאבי ראש. פעמים רבות הסובלים מהמצב מרגישים תסמינים כמו כאבי שרירים, חוסר נוחות בעור, תחושת נימול או זרמים בגפיים. אלה עשויים להוביל לתחושת אי נוחות כללית ולחוסר ריכוז.

אבחון פיברומיאלגיה מתבצע לרוב על ידי רופאים מומחים, וההליך כולל סקירה צמודה בהיסטוריה הרפואית והשאלות על הסימפטומים. על מנת לקבוע אם מדובר בפיברומיאלגיה ולא במצב אחר, יש להיעזר בבדיקות פיזיות, בדיקות דם וסקירה כללית של התסמינים. חשוב לפנות לרופא כאשר הסימפטומים משפיעים על איכות החיים, מרגישים לא רגילים או משפיעים על התפקוד היומיומי.

ההבדל בין מקרים קלים לחמורים נוגע בעיקר לעוצמת הכאב והיקף ההשפעה. מקרים קלים עשויים לכלול תסמינים כמו תחושת עייפות קלה או כאב קל שלא פוגע בתפקוד. לעומתם, מקרים חמורים עשויים לכלול כאב עז המתמשך לאורך זמן, תחושת נואשות ולחץ נפשי משמעותי.

3. פתרונות טבעיים ושינויי אורח חיים

אחת הדרכים לתמוך בהתמודדות עם פיברומיאלגיה היא לבצע שינויים באורח החיים. לדוגמה, תזונה מאוזנת עשויה במקרים מסוימים להפחית תחושת כאב. מומלץ לצרוך מזון עשיר בחומצות שומן אומגה 3, ירקות, פירות ודגנים. תזונה נמוכה בסוכר ומזון מעובד עשויה גם לתמוך בהקטנת דלקות בגוף.

פעילות גופנית סדירה היא פתרון נוסף שיכול להקל על הכאב. הפעילות מפעילה את שמני החלבוניים ומסייעת בייצור אנדורפינים – הורמונים שיכולים להפחית כאב ולהגביר את מצב הרוח. סוגי ספורט כמו יוגה, פילאטיס והליכה נחשבים ליעילים במיוחד. חשוב להאזין לגוף ולבחור בפעילויות שמתאימות לרמה האישית של כל אדם.

שינה מספקת ואיכותית גם היא קריטית. מחקרים מראים ששינה לא מספקת עלולה להחמיר תסמינים של פיברומיאלגיה. מומלץ לגבש שגרת שינה קבועה, להימנע מצריכת קפאין לפני השינה, וליצור סביבת שינה נוחה ורגועה.

הפחתת לחץ היא מרכיב נוסף בהפחתת הסימפטומים. טכניקות כמו מדיטציה, נשימות עמוקות ותרגילים להרפיה עשויות לתמוך בשיפור איכות החיים. בנוסף, חשוב שנספק לגוף את התמיכה הרגשית הנדרשת, בין אם זה באמצעות שיחות עם חברים ומשפחה או טיפול מקצועי.

כמו כן, כדאי לשקול לעסוק בטיפולים משלימים כמו דמיון מודרך, טיפול בעיסוי או אקופונקטורה. טיפולים אלו עשויים לסייע בהפחתת הכאב ובשיפור התחושה הכללית. חלק מהאנשים מדווחים על שיפורים משמעותיים בקיום היומיומי שלהם לאחר שילוב של טיפולים אלו.

4. סופר אומגה 3 ו-פוראוור MOVE כתוסף תומך

תוספי תזונה כמו סופר אומגה 3 ופוראוור MOVE יכולים להוות תוספות מועילות לתכנית טיפול בפיברומיאלגיה. סופר אומגה 3 מכיל חומצות שומן אומגה 3, הידועות בתכונותיהן באיזון דלקת וכאב. חומצות אלו עשויות לתמוך בבריאות הלב, המפרקים והעור, בהתבסס על מידע שנמצא במחקר.

פוראוור MOVE הוא תוסף נוסף שכולל רכיבים כגון גלוקוזאמין, אשר עשוי לתמוך בשמירה על בריאות המפרקים. תוסף זה מתהדר ברכיב נוסף המוכר בעבודתו בחיזוק והתמודדות עם בעיות של תנועה. תוספים אלו עשויים להיות לעזר לעוסקים בספורט, אך חשוב להקפיד על שימוש נכון, לפי הכוונתו של איש מקצוע.

5. טיפים מעשיים לשגרת יום-יום

כדי לשפר את איכות החיים והשגרה כשמתמודדים עם פיברומיאלגיה, כדאי להתחיל להקפיד על שעות שינה קבועות, במטרה לייצב את פעילות הגוף. קביעת לוח זמנים לשינה וער awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awakeawake awake awake awake awake awake awake awake awake awake awake awake awake awakeawake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awakeawake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awakeawake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awake awaken