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Zomwe muyenera kudziwa zokhudza mankhwala apadera ochizira ululu mukatha opaleshoni (Bupivacaine; Meloxicam)

Zomwe muyenera kudziwa zokhudza mankhwala apadera ochizira ululu mukatha opaleshoni (Bupivacaine; Meloxicam)
Kodi mwakonzekera kuchitidwa opaleshoni? Kapena mwachitapo opaleshoni posachedwapa? Chimene anthu ambiri amaopa kwambiri pankhani ya opaleshoni ndi ululu umene umachitika pambuyo pa opaleshoni. Nthawi zina ululuwu umapangitsa kuti zikhale zovuta kugwira ntchito yachibadwa kapena kuyenda. Chifukwa chake, m'nkhaniyi, tikulankhula za njira yapadera yamankhwala yomwe imakupatsani mphamvu yowongolera ululuwu, mwanjira yosiyana pang'ono.

Mwachidule, kodi mankhwala awa ndi chiyani?

Iyi ndi mankhwala osakaniza awiri. Amenewa ndi Bupivacaine ndi Meloxicam . Tiyeni tiwone zomwe zimachitika ndi awiriwa.
  • Bupivacaine : Izi zili ngati mankhwala oletsa dzanzi omwe mumalandira musanachotse dzino. Koma chifukwa chakuti amabayidwa pomwe opaleshoni ikuchitikira, amaletsa dzanzi malo onse. Izi zimaletsa ululu kupita ku ubongo, ndipo mumamva kupweteka kochepa. Timatcha izi " local anesthetic ."
  • Meloxicam: Iyi ndi ya gulu la mankhwala ochepetsa ululu otchedwa NSAID (Nonsteroidal Anti-inflammatory Drug). Imagwira ntchito pochepetsa kutupa ndi kutupa komwe kumachitika chifukwa cha opaleshoni. Kutupako kukachepa, ululu umachepetsedwanso kwambiri.
Mwachidule, kuphatikiza kwa mankhwala awiriwa kumathetsa dzanzi malo ozungulira bala la opaleshoni ndikuchepetsa ululu, komanso kuchepetsa kutupa kwa bala ndikuchepetsa ululu. Iyi si piritsi kapena jakisoni mumtsempha. Iyi ndi madzi omwe dokotala wanu amathira mu bala la opaleshoni kumapeto kwa opaleshoni. Chifukwa chake zotsatira zake zimatha kukhala masiku angapo.

Zinthu zomwe muyenera kuuza dokotala wanu musanakupatseni mankhwala awa:

Chabwino, izi ndizofunikira kwambiri. Musanasankhe ngati mankhwalawa akuyenererani, ndikofunikira kuti dokotala adziwe zonse zokhudza thanzi lanu. Chifukwa, anthu omwe ali ndi matenda enaake ayenera kusamala kwambiri akamapereka mankhwalawa. Ngati muli ndi chilichonse mwa izi, muyenera kuuza dokotalayo.
Matenda kapena vutoN’chifukwa chiyani muyenera kusamala? (mwachidule)
Mphumu Mankhwala a NSAID amatha kuipitsa mphumu mwa anthu ena.
Mavuto otuluka magazi Mankhwalawa angakhudze magazi kuundana.
Ngati muli ndi matenda a mtima, matenda a mtima, sitiroko, kapena mwachitidwa opaleshoni ya bypass (CABG) Mankhwala oletsa kutupa (NSAIDs) amatha kuwonjezera chiopsezo cha matenda a mtima.
Kuthamanga kwa magazi Kuthamanga kwa magazi kungapitirire kukwera.
Matenda a impso kapena chiwindi Chifukwa chakuti mankhwalawa amachotsedwa m'thupi kudzera m'ziwalo izi, ntchito yawo ingakhudzidwe.
Zilonda zam'mimba kapena kutuluka magazi Mankhwala a NSAID angayambitse matenda amenewa kubwereranso kapena kuipiraipira.
Makhalidwe oledzera kapena kusuta fodya Zimawonjezera chiopsezo cha kutuluka magazi m'mimba.
Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa Pa nthawi ya mimba (makamaka patatha milungu 20), pakhoza kukhala zotsatirapo zoipa pa mwana.
Ngati muli ndi ziwengo ku mankhwala ena, zakudya kapena zinthu zina Izi sizikulimbikitsidwa, makamaka ngati muli ndi vuto la aspirin kapena NSAID zina.

Kodi ndingagwiritse ntchito bwanji mankhwalawa ndipo ndingachite chiyani ngati nditagwiritsa ntchito mopitirira muyeso?

Iyi si mankhwala omwe mungapite nawo kunyumba. Iyi ndi mankhwala omwe amagwiritsidwa ntchito ndi dokotala wa opaleshoni yekha kuchipatala kapena kuchipatala . Chifukwa chake, palibe chifukwa chodera nkhawa za kuphonya mlingo kapena momwe mungagwiritsire ntchito. Komabe, ngati mukukumana ndi zizindikiro zachilendo mutamwa mankhwalawa, ikhoza kukhala chizindikiro cha kusalolera mankhwala kapena kumwa mopitirira muyeso. Ngati muli ndi kukayikira kulikonse pa chinthu chotere, muyenera kuyimbira foni nthawi yomweyo National Poisons Information Centre ku Colombo National Hospital kapena kupita ku Emergency Department (ETU) ya chipatala chapafupi.
Chofunika kwambiri ndi chakuti mankhwalawa ndi omwe anaperekedwa kwa inu nokha. Ngakhale mutalankhula ndi ena za mankhwalawa, musauze wina aliyense kuti agwiritse ntchito chifukwa ndi "mankhwala abwino."

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Mankhwalawa angagwirizane ndi mankhwala ena omwe mukumwa, zomwe zingakuwonjezereni chiopsezo cha zotsatirapo zake. Ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini ndi mankhwala azitsamba. Samalani kwambiri ngati mukumwa mankhwala aliwonse awa:
Mankhwala omwe sayenera kumwedwa, choncho uzani dokotala wanu za mankhwala ena aliwonse omwe mukumwa chifukwa angayambitse kusagwirizana.
Mitundu ya mankhwala omwe angayambitse mikangano
Cidofovir Ketorolac (NSAID ina yamphamvu)
- Mankhwala ochepetsa magazi - Aspirin ndi mankhwala ena a NSAID (monga Ibuprofen, Naproxen) - Mankhwala othamanga magazi - Mankhwala ena a shuga - Ma steroids (monga Prednisone) - Mankhwala ena a kuvutika maganizo - Mankhwala ena a khunyu - Mankhwala ena a khansa - Diuretics - Zakudya zina zowonjezera (monga adyo, ginger)

Zinthu zomwe muyenera kusamala nazo mukakhala ndi mankhwala awa m'thupi lanu

Mankhwalawa akalowetsedwa m'thupi lanu, pali zinthu zingapo zomwe muyenera kusamala nazo.

Chenjerani ndi ngozi zomwe zimachitika chifukwa cha dzanzi

Popeza malo ochitira opaleshoni ndi opanda mphamvu, simudzamva kupweteka kulikonse kumeneko. Chifukwa chake, muyenera kusamala kuti musagunde kapena kuphwanya malowo. Ngakhale simukumva kupweteka kulikonse, izi zitha kusokoneza kuchira kwa bala.

Pewani kumwa mankhwala ena ochepetsa ululu (NSAIDs)

Izi ndizofunikira kwambiri. Mankhwalawa ali kale ndi NSAID yotchedwa Meloxicam. Chifukwa chake, simuyenera kumwa mankhwala ena a NSAID monga Ibuprofen, Naproxen, Diclofenac kuchokera ku pharmacy popanda kufunsa dokotala wanu. Kuchita izi kumawonjezera kwambiri chiopsezo cha zotsatirapo zoyipa monga kutuluka magazi m'mimba komanso kuwonongeka kwa impso.

Dziwani ngati m'mimba mwatuluka magazi komanso kuvulala.

Mankhwala a NSAID amatha kuwononga chiwalo choteteza m'mimba. Chifukwa chake ngati mukumva zizindikiro monga kupweteka m'mimba, ndowe zakuda, kusanza komwe kumaoneka ngati khofi wophikidwa, kapena kusanza magazi, izi zitha kukhala chizindikiro cha kutuluka magazi m'mimba. Ngati izi zitachitika , pitani kwa dokotala nthawi yomweyo .

Kuopsa kwa matenda a mtima ndi sitiroko

Kugwiritsa ntchito mankhwala a NSAID kwa nthawi yayitali kungawonjezere pang'ono chiopsezo cha magazi kuundana, matenda a mtima, ndi sitiroko. Ngati muli kale ndi matenda a mtima, ndikofunikira kulankhula ndi dokotala wanu za izi. Ngati mukukumana ndi zizindikiro monga kupweteka pachifuwa, kuvutika kupuma, kapena dzanzi mbali imodzi ya thupi lanu, pitani kuchipatala nthawi yomweyo.

Matenda aakulu a pakhungu omwe angathe kuchitika

Kawirikawiri, anthu ena amakhala ndi vuto lalikulu la ziwengo chifukwa cha mankhwalawa. Ngati mukumva kutentha thupi, kupweteka kwa thupi, ziphuphu zofiira, matuza, kapena khungu lotupa, mwina ndi vuto lalikulu. Choncho pitani kwa dokotala nthawi yomweyo.

Kodi zotsatirapo zake zingakhale zotani?

Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena mwa iwo ndi oopsa, ena ndi ofala.
Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo nthawi zambiri sizikhala zoopsa (koma uzani dokotala ngati zikupitirira).
Mtundu wa zotsatira zoyipa Zizindikiro
Matenda a ziwengo Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma.
Kutuluka magaziChimbudzi chakuda, kusanza magazi kapena khofi wothira, mkodzo wofiira kapena wakuda.
Matenda amtima Kulimba pachifuwa, paphewa, pa mkono, kapena pa nsagwada, kuvutika kupuma.
Stroke Kufooka mwadzidzidzi pankhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda.
Kuvulala kwa impso kapena chiwindi Kuchepa kwa mkodzo, kutupa kwa miyendo, chikasu cha maso kapena khungu, kupweteka kumtunda kwa kumanja kwa m'mimba.
Methemoglobinemia (yosowa) Milomo kapena khungu labuluu, kutopa kwambiri, kupuma movutikira, kugunda kwa mtima mofulumira.
Kudzimbidwa Kawirikawiri imatha kukonzedwa m'masiku ochepa.
Mutu Zingawonekere ndi kuzimiririka pang'ono.
Kusanza Kawirikawiri ndi kwakanthawi.

Uthenga Wopita Nawo Kunyumba

  • Bupivacaine ndi Meloxicam ndi madzi apadera omwe dokotala wa opaleshoni amawaika mu bala la opaleshoni kuti achepetse ululu pambuyo pa opaleshoni.
  • Musanapereke mankhwalawa kwa inu, onetsetsani kuti mwauza dokotala wanu za matenda anu onse ndi mankhwala ena onse omwe mukumwa.
  • Malo ochitira opaleshoni ndi osagwira ntchito, choncho samalani kuti musawavulaze.
  • Mukamamwa mankhwalawa, pewani kumwa mankhwala ena ochepetsa ululu a NSAID monga Ibuprofen ndi Diclofenac popanda kufunsa dokotala.
  • Funani thandizo lachipatala mwachangu ngati mukukumana ndi zizindikiro zazikulu monga ndowe zakuda, kupweteka pachifuwa, kupuma movutikira , kapena kutupa kwambiri pakhungu.
Bupivacaine, Meloxicam, opaleshoni, ululu, mankhwala ochepetsa ululu, opaleshoni, zotsatira zake zoyipa
⚠️ 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.

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Zomwe muyenera kudziwa zokhudza mankhwala apadera ochizira ululu mukatha opaleshoni (Bupivacaine; Meloxicam)
MaopaleshoniDecember 16, 2025

Zomwe muyenera kudziwa zokhudza mankhwala apadera ochizira ululu mukatha opaleshoni (Bupivacaine; Meloxicam)

Kodi mwakonzekera kuchitidwa opaleshoni? Kapena mwachitapo opaleshoni posachedwapa? Chimene anthu ambiri amaopa kwambiri pankhani ya opaleshoni ndi ululu umene umachitika pambuyo pa opaleshoni. Nthawi zina ululuwu umapangitsa kuti zikhale zovuta kugwira ntchito yachibadwa kapena kuyenda. Chifukwa chake, m'nkhaniyi, tikulankhula za njira yapadera yamankhwala yomwe imakupatsani mphamvu yowongolera ululuwu, mwanjira yosiyana pang'ono.

Mwachidule, kodi mankhwala awa ndi chiyani?

Iyi ndi mankhwala osakaniza awiri. Amenewa ndi Bupivacaine ndi Meloxicam . Tiyeni tiwone zomwe zimachitika ndi awiriwa.
  • Bupivacaine : Izi zili ngati mankhwala oletsa dzanzi omwe mumalandira musanachotse dzino. Koma chifukwa chakuti amabayidwa pomwe opaleshoni ikuchitikira, amaletsa dzanzi malo onse. Izi zimaletsa ululu kupita ku ubongo, ndipo mumamva kupweteka kochepa. Timatcha izi " local anesthetic ."
  • Meloxicam: Iyi ndi ya gulu la mankhwala ochepetsa ululu otchedwa NSAID (Nonsteroidal Anti-inflammatory Drug). Imagwira ntchito pochepetsa kutupa ndi kutupa komwe kumachitika chifukwa cha opaleshoni. Kutupako kukachepa, ululu umachepetsedwanso kwambiri.
Mwachidule, kuphatikiza kwa mankhwala awiriwa kumathetsa dzanzi malo ozungulira bala la opaleshoni ndikuchepetsa ululu, komanso kuchepetsa kutupa kwa bala ndikuchepetsa ululu. Iyi si piritsi kapena jakisoni mumtsempha. Iyi ndi madzi omwe dokotala wanu amathira mu bala la opaleshoni kumapeto kwa opaleshoni. Chifukwa chake zotsatira zake zimatha kukhala masiku angapo.

Zinthu zomwe muyenera kuuza dokotala wanu musanakupatseni mankhwala awa:

Chabwino, izi ndizofunikira kwambiri. Musanasankhe ngati mankhwalawa akuyenererani, ndikofunikira kuti dokotala adziwe zonse zokhudza thanzi lanu. Chifukwa, anthu omwe ali ndi matenda enaake ayenera kusamala kwambiri akamapereka mankhwalawa. Ngati muli ndi chilichonse mwa izi, muyenera kuuza dokotalayo.
Matenda kapena vutoN’chifukwa chiyani muyenera kusamala? (mwachidule)
Mphumu Mankhwala a NSAID amatha kuipitsa mphumu mwa anthu ena.
Mavuto otuluka magazi Mankhwalawa angakhudze magazi kuundana.
Ngati muli ndi matenda a mtima, matenda a mtima, sitiroko, kapena mwachitidwa opaleshoni ya bypass (CABG) Mankhwala oletsa kutupa (NSAIDs) amatha kuwonjezera chiopsezo cha matenda a mtima.
Kuthamanga kwa magazi Kuthamanga kwa magazi kungapitirire kukwera.
Matenda a impso kapena chiwindi Chifukwa chakuti mankhwalawa amachotsedwa m'thupi kudzera m'ziwalo izi, ntchito yawo ingakhudzidwe.
Zilonda zam'mimba kapena kutuluka magazi Mankhwala a NSAID angayambitse matenda amenewa kubwereranso kapena kuipiraipira.
Makhalidwe oledzera kapena kusuta fodya Zimawonjezera chiopsezo cha kutuluka magazi m'mimba.
Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa Pa nthawi ya mimba (makamaka patatha milungu 20), pakhoza kukhala zotsatirapo zoipa pa mwana.
Ngati muli ndi ziwengo ku mankhwala ena, zakudya kapena zinthu zina Izi sizikulimbikitsidwa, makamaka ngati muli ndi vuto la aspirin kapena NSAID zina.

Kodi ndingagwiritse ntchito bwanji mankhwalawa ndipo ndingachite chiyani ngati nditagwiritsa ntchito mopitirira muyeso?

Iyi si mankhwala omwe mungapite nawo kunyumba. Iyi ndi mankhwala omwe amagwiritsidwa ntchito ndi dokotala wa opaleshoni yekha kuchipatala kapena kuchipatala . Chifukwa chake, palibe chifukwa chodera nkhawa za kuphonya mlingo kapena momwe mungagwiritsire ntchito. Komabe, ngati mukukumana ndi zizindikiro zachilendo mutamwa mankhwalawa, ikhoza kukhala chizindikiro cha kusalolera mankhwala kapena kumwa mopitirira muyeso. Ngati muli ndi kukayikira kulikonse pa chinthu chotere, muyenera kuyimbira foni nthawi yomweyo National Poisons Information Centre ku Colombo National Hospital kapena kupita ku Emergency Department (ETU) ya chipatala chapafupi.
Chofunika kwambiri ndi chakuti mankhwalawa ndi omwe anaperekedwa kwa inu nokha. Ngakhale mutalankhula ndi ena za mankhwalawa, musauze wina aliyense kuti agwiritse ntchito chifukwa ndi "mankhwala abwino."

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Mankhwalawa angagwirizane ndi mankhwala ena omwe mukumwa, zomwe zingakuwonjezereni chiopsezo cha zotsatirapo zake. Ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini ndi mankhwala azitsamba. Samalani kwambiri ngati mukumwa mankhwala aliwonse awa:
Mankhwala omwe sayenera kumwedwa, choncho uzani dokotala wanu za mankhwala ena aliwonse omwe mukumwa chifukwa angayambitse kusagwirizana.
Mitundu ya mankhwala omwe angayambitse mikangano
Cidofovir Ketorolac (NSAID ina yamphamvu)
- Mankhwala ochepetsa magazi - Aspirin ndi mankhwala ena a NSAID (monga Ibuprofen, Naproxen) - Mankhwala othamanga magazi - Mankhwala ena a shuga - Ma steroids (monga Prednisone) - Mankhwala ena a kuvutika maganizo - Mankhwala ena a khunyu - Mankhwala ena a khansa - Diuretics - Zakudya zina zowonjezera (monga adyo, ginger)

Zinthu zomwe muyenera kusamala nazo mukakhala ndi mankhwala awa m'thupi lanu

Mankhwalawa akalowetsedwa m'thupi lanu, pali zinthu zingapo zomwe muyenera kusamala nazo.

Chenjerani ndi ngozi zomwe zimachitika chifukwa cha dzanzi

Popeza malo ochitira opaleshoni ndi opanda mphamvu, simudzamva kupweteka kulikonse kumeneko. Chifukwa chake, muyenera kusamala kuti musagunde kapena kuphwanya malowo. Ngakhale simukumva kupweteka kulikonse, izi zitha kusokoneza kuchira kwa bala.

Pewani kumwa mankhwala ena ochepetsa ululu (NSAIDs)

Izi ndizofunikira kwambiri. Mankhwalawa ali kale ndi NSAID yotchedwa Meloxicam. Chifukwa chake, simuyenera kumwa mankhwala ena a NSAID monga Ibuprofen, Naproxen, Diclofenac kuchokera ku pharmacy popanda kufunsa dokotala wanu. Kuchita izi kumawonjezera kwambiri chiopsezo cha zotsatirapo zoyipa monga kutuluka magazi m'mimba komanso kuwonongeka kwa impso.

Dziwani ngati m'mimba mwatuluka magazi komanso kuvulala.

Mankhwala a NSAID amatha kuwononga chiwalo choteteza m'mimba. Chifukwa chake ngati mukumva zizindikiro monga kupweteka m'mimba, ndowe zakuda, kusanza komwe kumaoneka ngati khofi wophikidwa, kapena kusanza magazi, izi zitha kukhala chizindikiro cha kutuluka magazi m'mimba. Ngati izi zitachitika , pitani kwa dokotala nthawi yomweyo .

Kuopsa kwa matenda a mtima ndi sitiroko

Kugwiritsa ntchito mankhwala a NSAID kwa nthawi yayitali kungawonjezere pang'ono chiopsezo cha magazi kuundana, matenda a mtima, ndi sitiroko. Ngati muli kale ndi matenda a mtima, ndikofunikira kulankhula ndi dokotala wanu za izi. Ngati mukukumana ndi zizindikiro monga kupweteka pachifuwa, kuvutika kupuma, kapena dzanzi mbali imodzi ya thupi lanu, pitani kuchipatala nthawi yomweyo.

Matenda aakulu a pakhungu omwe angathe kuchitika

Kawirikawiri, anthu ena amakhala ndi vuto lalikulu la ziwengo chifukwa cha mankhwalawa. Ngati mukumva kutentha thupi, kupweteka kwa thupi, ziphuphu zofiira, matuza, kapena khungu lotupa, mwina ndi vuto lalikulu. Choncho pitani kwa dokotala nthawi yomweyo.

Kodi zotsatirapo zake zingakhale zotani?

Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena mwa iwo ndi oopsa, ena ndi ofala.
Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo nthawi zambiri sizikhala zoopsa (koma uzani dokotala ngati zikupitirira).
Mtundu wa zotsatira zoyipa Zizindikiro
Matenda a ziwengo Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, komanso kuvutika kupuma.
Kutuluka magaziChimbudzi chakuda, kusanza magazi kapena khofi wothira, mkodzo wofiira kapena wakuda.
Matenda amtima Kulimba pachifuwa, paphewa, pa mkono, kapena pa nsagwada, kuvutika kupuma.
Stroke Kufooka mwadzidzidzi pankhope, mkono, kapena mwendo, kuvutika kulankhula, kuvutika kuyenda.
Kuvulala kwa impso kapena chiwindi Kuchepa kwa mkodzo, kutupa kwa miyendo, chikasu cha maso kapena khungu, kupweteka kumtunda kwa kumanja kwa m'mimba.
Methemoglobinemia (yosowa) Milomo kapena khungu labuluu, kutopa kwambiri, kupuma movutikira, kugunda kwa mtima mofulumira.
Kudzimbidwa Kawirikawiri imatha kukonzedwa m'masiku ochepa.
Mutu Zingawonekere ndi kuzimiririka pang'ono.
Kusanza Kawirikawiri ndi kwakanthawi.

Uthenga Wopita Nawo Kunyumba

  • Bupivacaine ndi Meloxicam ndi madzi apadera omwe dokotala wa opaleshoni amawaika mu bala la opaleshoni kuti achepetse ululu pambuyo pa opaleshoni.
  • Musanapereke mankhwalawa kwa inu, onetsetsani kuti mwauza dokotala wanu za matenda anu onse ndi mankhwala ena onse omwe mukumwa.
  • Malo ochitira opaleshoni ndi osagwira ntchito, choncho samalani kuti musawavulaze.
  • Mukamamwa mankhwalawa, pewani kumwa mankhwala ena ochepetsa ululu a NSAID monga Ibuprofen ndi Diclofenac popanda kufunsa dokotala.
  • Funani thandizo lachipatala mwachangu ngati mukukumana ndi zizindikiro zazikulu monga ndowe zakuda, kupweteka pachifuwa, kupuma movutikira , kapena kutupa kwambiri pakhungu.
Bupivacaine, Meloxicam, opaleshoni, ululu, mankhwala ochepetsa ululu, opaleshoni, zotsatira zake zoyipa
⚠️ 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)

Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.

Onjezani ndemanga yanu

Chonde werengani: 3 + 7 =