Skip to main content

Me ako tātou mō ngā rongoā e hoatu ana mō te mate ngakau me te ngoikore o te moepuku? (Ngā aukati phosphodiesterase)

Me ako tātou mō ngā rongoā e hoatu ana mō te mate ngakau me te ngoikore o te moepuku? (Ngā aukati phosphodiesterase)

Tērā pea kua kite koe i tētahi o tō whānau, i tō matua tāne, i tō matua kēkē rānei, e tango ana i ngā rongoā mō te mate manawa, te toto toto tiketike, te ngoikore rānei o te ure. Waihoki, ka tohua e ngā tākuta ngā momo rongoā mō ngā mate kiri, ngā mate manawa pēnei i te mate huango, me ētahi atu. I mōhio koe he momo rongoā tino nui e whakamahia ana hei rongoā i te nuinga o ēnei mate? Ko taua momo rongoā, arā, ko ngā Phosphodiesterase Inhibitors, koinei tā tātou e kōrero ai i tēnei tuhinga i tēnei rā, he māmā noa iho, he ātaahua hoki.

He aha ēnei aukati Phosphodiesterase?

Ahakoa te ahua uaua o tēnei ingoa, he tino māmā noa iho. He momo rongoā ēnei hei āwhina i te whakangā me te whakawhānui i ngā oko toto i roto i ō tātou tinana, kia māmā ake ai te rere o te toto. Ina pai ake te rere o te toto, ka whakahaeretia hoki te toto toto. Koia te take e whakamahia ai ēnei rongoā hei rongoā i te whānuitanga o ngā mate, mai i te kiri, te hononga, te ngākau, me ngā mate pūkahukahu tae atu ki te koretake o te moepuku.

He pēhea te mahi a tēnei rongoā i roto i te tinana?

Kei roto i ō tātou tinana tētahi momo whākōkī e kiia nei ko ngā Phosphodiesterases (PDEs) . He rite ngā whākōkī ki ngā kaiawhina iti e tere ake ai ngā tukanga matū i roto i ō tātou tinana. He maha ngā momo o ēnei whākōkī PDE. Kua tauhia, kua wehea hoki. Ko te mea motuhake ko ia momo whākōkī PDE ka kitea i ngā wāhi motuhake o te tinana.

Momo whākōkī PDE He maha ngā wā kei reira, ā, he whai hua hoki
PDE-3 Kei roto i tō ngākau me tō pūnaha tohanga toto ēnei. Ka whai wāhi hoki rātou ki te toto totoka.
PDE-4 Kei roto i ngā pukahukahu ēnei. Ka whakawhāiti, ka whakawhāiti hoki i ngā uaua o ngā ara manawa.
PDE-5 Ka kitea ēnei i roto i ngā pukahukahu me te ure o ngā tāne.

Ko te mahi a ngā Ārai Phosphodiesterase (ngā Ārai PDE) mā te aukati i te mahi a ngā whākōkī PDE kua whakahuatia ake nei. He rite ki te kati i tētahi tatau. Ko ētahi Ārai PDE e aro ana ki tētahi momo whākōkī anake (whiriwhiri), ko ētahi ka pā ki ngā whākōkī PDE whānui (korewhiriwhiri).

He aha ngā mate matua e rongoatia ana ki tēnei rongoā?

Kua whakaaetia ēnei rongoā hei rongoā mō ngā mate maha atu i te tekau mā rua. Me titiro tātou ki ētahi o ngā kāwai matua.

Ngā mate o te ngakau me te pūnaha tohanga toto

  • Te ngoikore o te ngākau kua kore e ea te utu: Ina ngoikore te ngākau, ā, kāore e taea te pupuhi toto ki te tinana ina hiahiatia.
  • Te toto toto tiketike o te pūkahukahu: Te toto toto tiketike i roto i ngā oko toto o ngā pūkahukahu.
  • Te hekenga o te rere o te toto ki ngā peka (Te mate o te uaua peripheral - PAD): Kāore i te rawaka te rere o te toto, inā koa ki ngā waewae.
  • Te ārai i ngā toto totoka i muri i te pokanga: Ka taea e ngā toto totoka i muri i te pokanga te arahi ki ngā āhuatanga morearea pēnei i te whiu, te mate ngakau, me te embolism pūkahukahu. Āraia.
  • Thrombocythemia: Te nui rawa o te hanga o ngā pereti toto, e āwhina ana ki te totoka.

Ngā mate mumura o te kiri me ngā hononga

  • Ekisema (Atopic dermatitis): Mumura, mākūkū, whero o te kiri.
  • Psoriasis: He mate mumura o te kiri e puta mai ana i te kaha rawa o te pūnaha ārai mate.
  • Te mate rumatiki psoriatic: Te mumura o ngā hononga e puta mai ana me te psoriasis.

Ngā mate e pā ana ki te pūnaha whakaputa uri tāne

  • Te hyperplasia prostatic benign: Te pupuhi o te repe prostate nā te mea ehara i te matepukupuku.
  • Te ngoikore o te ure: Te uaua ki te whakatū ure.

Ngā mate o te pūnaha manawa

  • Mate pūkahukahu ārai mau tonu (COPD): He rōpū mate e uaua ai te manawa.
  • Apnea o te pēpi hou: Ngā uauatanga manawa e pā ana ki ngā pēpi i whānau wawe , inā koa ko ērā i whānau i mua i te 7 wiki.

He aha ngā painga o tēnei rongoā?

He maha ngā painga o te whakamahi i ēnei rongoā.

  • Ngā momo rongoā watea: Kei te wātea ēnei i roto i te ahua o ngā pire ā-waha, ngā kirimi ā-papa, me ngā werohanga IV. Ko ētahi rongoā me tango i ia rā, ko ētahi ia ka taea te tango i te wā e tika ana.
  • Te rongoā arotahi:E ai ki tā tātou i kōrero ai i mua ake nei, nā te mea ka taea te arotahi ki tētahi momo whākōkī PDE anake, ka tino whakaitihia ngā pānga taha kāore e hiahiatia.
  • He maha ngā painga o te rongoā kotahi: I ētahi wā ka taea te rongoā i ngā mate e rua e puta tahi ana ki te rongoā kotahi. Hei tauira, ka taea te hoatu ki te tangata he nui te repeure me te ngoikore o te ure te tadalafil . Waihoki, ka whakamahia te Apremilast hei rongoā i te psoriasis me te mate rumatiki psoriatic.

Kia tūpato hoki tātou ki ngā pānga taha me ngā mōrearea.

Pērā i ngā rongoā katoa, ka pā mai pea ngā pānga taha. Ko te nuinga o ēnei pānga taha ka whakawhirinaki ki te momo aukati PDE e tangohia ana e koe.

He mea tino nui: Ki te tango koe i tētahi aukati PDE-5 (hei tauira, Sildenafil, Tadalafil) ā, ka pāngia koe e te mamae o te uma i roto i ngā haora 24, ā, ka tango koe i tētahi papa nitroglycerin i raro i te arero, haere tonu ki te rūma ohorere o te hōhipera (ETU). Ka taea e te huinga o ēnei rongoā e rua te whakaheke i te toto toto.

Kei raro nei ētahi pānga taha pea e pā ana ki ngā momo rongoā matua.

Kāwai rongoā Ngā pānga taha iti me ngā pānga taha taurite Ngā pānga taha nui/morearea
Ngā Ārai PDE-3
(Hoatu ki te ngākau)
Te ānini o te upoko, te ngoikore, te pupuhi, te mamae o te puku (whakapaipai, ruaki), te korere. Ngā rerekētanga o te manawa o te ngakau (arrhythmia), te mamae o te uma, te toto rerekē, te iti o ngā pereti toto.
Ngā Ārai PDE-4
(Hoatu mō ngā mate manawa/kiri)
Te whakahekenga taumaha, te whakapairuaki, te korere, te ānini, te kore moe, te mumura i te wāhi i pania ai te kirīmi.Te pikinga ake o te pouri, ngā whakaaro whakamomori, ngā tauhohenga pāwera (te mākati nui, te pupuhi).
Ngā Ārai PDE-5
(I hoatu mō te ngoikore o te moepuku)
Te ānini o te upoko, te whero o te kiri, te mamae o te puku, te ihu pupū, te mamae o ngā uaua, te whanoke. Priapism: He ure mamae e roa ana neke atu i te 4 hāora me te kore he whakaohooho moepuku. Haere tonu ki te ETU. Ngā huringa o te tirohanga, te ngoikore, te ngaro rānei o te rongo.
Ngā Ārai PDE Kore-whiriwhiri
(hei tauira, te Kawheine, te Theophylline)
Te kore okiokinga, te kore moe, te wiri, te mamae o te puku, te mamae o te upoko. Te tere o te manawa, te manawa koretake, ngā haurangi.

Āhea koe e kore ai e tango i tēnei rongoā?

Tērā pea he morearea tēnei rongoā mō ētahi tāngata. Mēnā kei a koe tētahi o ngā āhuatanga e whai ake nei, me kōrero koe ki tō tākuta i mua i te tango i tēnei rongoā.

  • Mō tētahi aukati PDE: Mena kua pāngia koe e te mate pāwera nui (mate pāwera nui) ki tētahi rongoā, ki tētahi matū rānei i mua.
  • Cilostazol (PDE-3): Kāore tēnei e tūtohutia mēnā he momo ngoikore o te ngākau tōu.
  • Ngā aukati PDE-5: Kaua e tango i ēnei mēnā he mate ngākau kino tōu, kua pāngia koe e te mate ngākau, te whiu rānei i ngā wā tata nei, he angina kore pumau rānei tōu.
  • Mena kei te tango koe i ngā nitrates , ka taea e te tango i ngā aukati PDE-5 te whakaheke i tō toto toto ki raro rawa.
  • Kāore e tika ana ētahi aukati PDE (hei tauira, Cilostazol) mēnā he mate toto tōu.

Whakamahia i te wā e hapu ana

Mena kei te hapu koe, kei te whakaaro rānei kia hapu, he mea whakaaro nui kia kaua e tango i ētahi momo aukati PDE. Me kōrero ki tō tākuta mō tēnei.

Āhea koe me toro atu ki te tākuta tonu?

He mea pai kia kōrero ki tō tākuta mēnā ka pāngia koe e ētahi tohu rerekē i a koe e whakamahi ana i tēnei rongoā. Heoi, ki te puta tētahi o ēnei e whai ake nei, haere tonu ki te Tari Ohotata (ETU) o te hōhipera.

  • Ngā tohu o te whakaeke ngakau:Ngā āhuatanga pēnei i te mamae o te uma, te kikī o te uma, te uaua ki te manawa, te werawera, te whanoke, te whakapairuaki.
  • Priapism: He ure mamae e roa ana mō te neke atu i te 4 hāora me te kore e whakaohooho i te moepuku. He mate tēnei e hiahia ana kia rongoatia tonutia.
  • Te ngaronga/te hekenga ohorere o te tirohanga, o te whakarongo rānei: Me rongoā ēnei i mua i te pānga mai o te kino tuturu.

He mea tino nui ēnei rongoā, he mea whakaora i te ora, he mea whakapai ake hoki i te kounga o te ora. Engari me tango noa i runga i te taunakitanga a te tākuta, me te horopeta kua tohua.

Karere Tangohia ki te Kāinga

  • He momo rongoā kaha ngā aukati phosphodiesterase e rongoā ana i te whānuitanga o ngā āhuatanga, tae atu ki te mate manawa, te ngoikore o te ira tangata, ngā mate kiri, me ngā mate manawa.
  • Me tango noa ēnei rongoā i runga i te taunakitanga a te tākuta . Kaua e tono ki ō hoa, kaua hoki e tono ki te whare rongoā mō ēnei, ā, kaua e whakamahia ko koe anake.
  • Me whakamōhio atu ki tō tākuta mō ētahi atu rongoā e tangohia ana e koe me ō mate katoa.
  • Mena ka pāngia koe e ngā pānga kino pēnei i te mamae o te uma, te priapism neke atu i te 4 hāora te roa, te ngaronga ohorere o te tirohanga, o te rongo rānei, haere tonu ki te Tari Ohotata o te hōhipera (ETU).
  • Kaua rawa e tohaina tō rongoā ki tētahi atu. Tērā pea he tino morearea te rongoā e tika ana mō tētahi atu.

Ngā Rongoā, Ngā Ārai Phosphodiesterase, Ngā Ārai PDE, Ngā Mate Manawa, Te ngoikore o te Ira Tangata, Sildenafil, Tadalafil, Sri Lanka
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.

Tāpirihia to korero

Tātaihia koa: 2 + 4 =
Me ako tātou mō ngā rongoā e hoatu ana mō te mate ngakau me te ngoikore o te moepuku? (Ngā aukati phosphodiesterase)
Ngā rongoā6 Hūrae 2026

Me ako tātou mō ngā rongoā e hoatu ana mō te mate ngakau me te ngoikore o te moepuku? (Ngā aukati phosphodiesterase)

Tērā pea kua kite koe i tētahi o tō whānau, i tō matua tāne, i tō matua kēkē rānei, e tango ana i ngā rongoā mō te mate manawa, te toto toto tiketike, te ngoikore rānei o te ure. Waihoki, ka tohua e ngā tākuta ngā momo rongoā mō ngā mate kiri, ngā mate manawa pēnei i te mate huango, me ētahi atu. I mōhio koe he momo rongoā tino nui e whakamahia ana hei rongoā i te nuinga o ēnei mate? Ko taua momo rongoā, arā, ko ngā Phosphodiesterase Inhibitors, koinei tā tātou e kōrero ai i tēnei tuhinga i tēnei rā, he māmā noa iho, he ātaahua hoki.

He aha ēnei aukati Phosphodiesterase?

Ahakoa te ahua uaua o tēnei ingoa, he tino māmā noa iho. He momo rongoā ēnei hei āwhina i te whakangā me te whakawhānui i ngā oko toto i roto i ō tātou tinana, kia māmā ake ai te rere o te toto. Ina pai ake te rere o te toto, ka whakahaeretia hoki te toto toto. Koia te take e whakamahia ai ēnei rongoā hei rongoā i te whānuitanga o ngā mate, mai i te kiri, te hononga, te ngākau, me ngā mate pūkahukahu tae atu ki te koretake o te moepuku.

He pēhea te mahi a tēnei rongoā i roto i te tinana?

Kei roto i ō tātou tinana tētahi momo whākōkī e kiia nei ko ngā Phosphodiesterases (PDEs) . He rite ngā whākōkī ki ngā kaiawhina iti e tere ake ai ngā tukanga matū i roto i ō tātou tinana. He maha ngā momo o ēnei whākōkī PDE. Kua tauhia, kua wehea hoki. Ko te mea motuhake ko ia momo whākōkī PDE ka kitea i ngā wāhi motuhake o te tinana.

Momo whākōkī PDE He maha ngā wā kei reira, ā, he whai hua hoki
PDE-3 Kei roto i tō ngākau me tō pūnaha tohanga toto ēnei. Ka whai wāhi hoki rātou ki te toto totoka.
PDE-4 Kei roto i ngā pukahukahu ēnei. Ka whakawhāiti, ka whakawhāiti hoki i ngā uaua o ngā ara manawa.
PDE-5 Ka kitea ēnei i roto i ngā pukahukahu me te ure o ngā tāne.

Ko te mahi a ngā Ārai Phosphodiesterase (ngā Ārai PDE) mā te aukati i te mahi a ngā whākōkī PDE kua whakahuatia ake nei. He rite ki te kati i tētahi tatau. Ko ētahi Ārai PDE e aro ana ki tētahi momo whākōkī anake (whiriwhiri), ko ētahi ka pā ki ngā whākōkī PDE whānui (korewhiriwhiri).

He aha ngā mate matua e rongoatia ana ki tēnei rongoā?

Kua whakaaetia ēnei rongoā hei rongoā mō ngā mate maha atu i te tekau mā rua. Me titiro tātou ki ētahi o ngā kāwai matua.

Ngā mate o te ngakau me te pūnaha tohanga toto

  • Te ngoikore o te ngākau kua kore e ea te utu: Ina ngoikore te ngākau, ā, kāore e taea te pupuhi toto ki te tinana ina hiahiatia.
  • Te toto toto tiketike o te pūkahukahu: Te toto toto tiketike i roto i ngā oko toto o ngā pūkahukahu.
  • Te hekenga o te rere o te toto ki ngā peka (Te mate o te uaua peripheral - PAD): Kāore i te rawaka te rere o te toto, inā koa ki ngā waewae.
  • Te ārai i ngā toto totoka i muri i te pokanga: Ka taea e ngā toto totoka i muri i te pokanga te arahi ki ngā āhuatanga morearea pēnei i te whiu, te mate ngakau, me te embolism pūkahukahu. Āraia.
  • Thrombocythemia: Te nui rawa o te hanga o ngā pereti toto, e āwhina ana ki te totoka.

Ngā mate mumura o te kiri me ngā hononga

  • Ekisema (Atopic dermatitis): Mumura, mākūkū, whero o te kiri.
  • Psoriasis: He mate mumura o te kiri e puta mai ana i te kaha rawa o te pūnaha ārai mate.
  • Te mate rumatiki psoriatic: Te mumura o ngā hononga e puta mai ana me te psoriasis.

Ngā mate e pā ana ki te pūnaha whakaputa uri tāne

  • Te hyperplasia prostatic benign: Te pupuhi o te repe prostate nā te mea ehara i te matepukupuku.
  • Te ngoikore o te ure: Te uaua ki te whakatū ure.

Ngā mate o te pūnaha manawa

  • Mate pūkahukahu ārai mau tonu (COPD): He rōpū mate e uaua ai te manawa.
  • Apnea o te pēpi hou: Ngā uauatanga manawa e pā ana ki ngā pēpi i whānau wawe , inā koa ko ērā i whānau i mua i te 7 wiki.

He aha ngā painga o tēnei rongoā?

He maha ngā painga o te whakamahi i ēnei rongoā.

  • Ngā momo rongoā watea: Kei te wātea ēnei i roto i te ahua o ngā pire ā-waha, ngā kirimi ā-papa, me ngā werohanga IV. Ko ētahi rongoā me tango i ia rā, ko ētahi ia ka taea te tango i te wā e tika ana.
  • Te rongoā arotahi:E ai ki tā tātou i kōrero ai i mua ake nei, nā te mea ka taea te arotahi ki tētahi momo whākōkī PDE anake, ka tino whakaitihia ngā pānga taha kāore e hiahiatia.
  • He maha ngā painga o te rongoā kotahi: I ētahi wā ka taea te rongoā i ngā mate e rua e puta tahi ana ki te rongoā kotahi. Hei tauira, ka taea te hoatu ki te tangata he nui te repeure me te ngoikore o te ure te tadalafil . Waihoki, ka whakamahia te Apremilast hei rongoā i te psoriasis me te mate rumatiki psoriatic.

Kia tūpato hoki tātou ki ngā pānga taha me ngā mōrearea.

Pērā i ngā rongoā katoa, ka pā mai pea ngā pānga taha. Ko te nuinga o ēnei pānga taha ka whakawhirinaki ki te momo aukati PDE e tangohia ana e koe.

He mea tino nui: Ki te tango koe i tētahi aukati PDE-5 (hei tauira, Sildenafil, Tadalafil) ā, ka pāngia koe e te mamae o te uma i roto i ngā haora 24, ā, ka tango koe i tētahi papa nitroglycerin i raro i te arero, haere tonu ki te rūma ohorere o te hōhipera (ETU). Ka taea e te huinga o ēnei rongoā e rua te whakaheke i te toto toto.

Kei raro nei ētahi pānga taha pea e pā ana ki ngā momo rongoā matua.

Kāwai rongoā Ngā pānga taha iti me ngā pānga taha taurite Ngā pānga taha nui/morearea
Ngā Ārai PDE-3
(Hoatu ki te ngākau)
Te ānini o te upoko, te ngoikore, te pupuhi, te mamae o te puku (whakapaipai, ruaki), te korere. Ngā rerekētanga o te manawa o te ngakau (arrhythmia), te mamae o te uma, te toto rerekē, te iti o ngā pereti toto.
Ngā Ārai PDE-4
(Hoatu mō ngā mate manawa/kiri)
Te whakahekenga taumaha, te whakapairuaki, te korere, te ānini, te kore moe, te mumura i te wāhi i pania ai te kirīmi.Te pikinga ake o te pouri, ngā whakaaro whakamomori, ngā tauhohenga pāwera (te mākati nui, te pupuhi).
Ngā Ārai PDE-5
(I hoatu mō te ngoikore o te moepuku)
Te ānini o te upoko, te whero o te kiri, te mamae o te puku, te ihu pupū, te mamae o ngā uaua, te whanoke. Priapism: He ure mamae e roa ana neke atu i te 4 hāora me te kore he whakaohooho moepuku. Haere tonu ki te ETU. Ngā huringa o te tirohanga, te ngoikore, te ngaro rānei o te rongo.
Ngā Ārai PDE Kore-whiriwhiri
(hei tauira, te Kawheine, te Theophylline)
Te kore okiokinga, te kore moe, te wiri, te mamae o te puku, te mamae o te upoko. Te tere o te manawa, te manawa koretake, ngā haurangi.

Āhea koe e kore ai e tango i tēnei rongoā?

Tērā pea he morearea tēnei rongoā mō ētahi tāngata. Mēnā kei a koe tētahi o ngā āhuatanga e whai ake nei, me kōrero koe ki tō tākuta i mua i te tango i tēnei rongoā.

  • Mō tētahi aukati PDE: Mena kua pāngia koe e te mate pāwera nui (mate pāwera nui) ki tētahi rongoā, ki tētahi matū rānei i mua.
  • Cilostazol (PDE-3): Kāore tēnei e tūtohutia mēnā he momo ngoikore o te ngākau tōu.
  • Ngā aukati PDE-5: Kaua e tango i ēnei mēnā he mate ngākau kino tōu, kua pāngia koe e te mate ngākau, te whiu rānei i ngā wā tata nei, he angina kore pumau rānei tōu.
  • Mena kei te tango koe i ngā nitrates , ka taea e te tango i ngā aukati PDE-5 te whakaheke i tō toto toto ki raro rawa.
  • Kāore e tika ana ētahi aukati PDE (hei tauira, Cilostazol) mēnā he mate toto tōu.

Whakamahia i te wā e hapu ana

Mena kei te hapu koe, kei te whakaaro rānei kia hapu, he mea whakaaro nui kia kaua e tango i ētahi momo aukati PDE. Me kōrero ki tō tākuta mō tēnei.

Āhea koe me toro atu ki te tākuta tonu?

He mea pai kia kōrero ki tō tākuta mēnā ka pāngia koe e ētahi tohu rerekē i a koe e whakamahi ana i tēnei rongoā. Heoi, ki te puta tētahi o ēnei e whai ake nei, haere tonu ki te Tari Ohotata (ETU) o te hōhipera.

  • Ngā tohu o te whakaeke ngakau:Ngā āhuatanga pēnei i te mamae o te uma, te kikī o te uma, te uaua ki te manawa, te werawera, te whanoke, te whakapairuaki.
  • Priapism: He ure mamae e roa ana mō te neke atu i te 4 hāora me te kore e whakaohooho i te moepuku. He mate tēnei e hiahia ana kia rongoatia tonutia.
  • Te ngaronga/te hekenga ohorere o te tirohanga, o te whakarongo rānei: Me rongoā ēnei i mua i te pānga mai o te kino tuturu.

He mea tino nui ēnei rongoā, he mea whakaora i te ora, he mea whakapai ake hoki i te kounga o te ora. Engari me tango noa i runga i te taunakitanga a te tākuta, me te horopeta kua tohua.

Karere Tangohia ki te Kāinga

  • He momo rongoā kaha ngā aukati phosphodiesterase e rongoā ana i te whānuitanga o ngā āhuatanga, tae atu ki te mate manawa, te ngoikore o te ira tangata, ngā mate kiri, me ngā mate manawa.
  • Me tango noa ēnei rongoā i runga i te taunakitanga a te tākuta . Kaua e tono ki ō hoa, kaua hoki e tono ki te whare rongoā mō ēnei, ā, kaua e whakamahia ko koe anake.
  • Me whakamōhio atu ki tō tākuta mō ētahi atu rongoā e tangohia ana e koe me ō mate katoa.
  • Mena ka pāngia koe e ngā pānga kino pēnei i te mamae o te uma, te priapism neke atu i te 4 hāora te roa, te ngaronga ohorere o te tirohanga, o te rongo rānei, haere tonu ki te Tari Ohotata o te hōhipera (ETU).
  • Kaua rawa e tohaina tō rongoā ki tētahi atu. Tērā pea he tino morearea te rongoā e tika ana mō tētahi atu.

Ngā Rongoā, Ngā Ārai Phosphodiesterase, Ngā Ārai PDE, Ngā Mate Manawa, Te ngoikore o te Ira Tangata, Sildenafil, Tadalafil, Sri Lanka
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.

Tāpirihia to korero

Tātaihia koa: 2 + 4 =