Skip to main content

Reka twige ku iterwa rya Risankizumab mu buryo bworoshye.

Reka twige ku iterwa rya Risankizumab mu buryo bworoshye.

Ese urwaye indwara y’igihe kirekire, ibabaza nka psoriasis cyangwa rubagimpande? Hari igihe ubudahangarwa bwacu bw’umubiri bukora cyane bugatangira gukora ku mubiri wacu. Ibi tubyita 'indwara ziterwa no kwirwanaho'. Muri ibyo bihe, Risankizumab ni umuti udasanzwe, ugezweho ugenzura imikorere idakenewe y’ubudahangarwa bw’umubiri. Uyu munsi, turaganira kuri uyu muti, imikorere yawo, ibintu ugomba kwitondera mu gihe uwukoresha, n’ingaruka mbi, mu buryo bworoshye cyane ushobora gusobanukirwa.

Mu by'ukuri, uyu ni ubwoko ki bw'umuti?

Mu magambo make, Risankizumab ni uburyo bwo kuvura bwibanda ku mikorere idakenewe y’ubudahangarwa bw’umubiri wawe. Ni mu bwoko bwihariye bw’imiti yitwa "antibodies monoclonal." Tekereza ko ubudahangarwa bwacu bw’umubiri ari ingabo zacu bwite. Buturinda burwanya mikorobe z’abanyamahanga. Ariko rimwe na rimwe iyi ngabo ikora ikosa igatangira kwibasira abantu bacu (ni ukuvuga uturemangingo tw’umubiri wacu). Muri icyo gihe, iyi "antibodies monoclonal" ikora nk'ingufu zidasanzwe zitoranya gusa abasirikare batera mu buryo butari bwo maze zikabohereza kubagenzura.

Uyu muti ukoreshwa cyane cyane mu kuvura indwara zikurikira:

  • Psoriasis: Indwara aho uturemangingo tw'uruhu dukura vuba, tugahinduka umutuku, hanyuma tugashwanyagurika nk'ibihumyo .
  • Arthritis y'amagufwa: Psoriatic ishobora gutera kubyimba no kubabara ingingo.
  • Indwara ya Crohn: Indwara y'igihe kirekire yo kubyimba mu nzira y'igogora.
  • Ulcerative Colitis: Indi ndwara yo kubyimba igaragara mu mara manini.

Uyu muti uboneka ku isoko ku izina rya Skyrizi .

Ibintu ugomba kubwira muganga wawe mbere yo gufata imiti

Mbere yo gutangira uyu muti, ni ngombwa cyane kumenyesha muganga wawe amateka yose y'ubuzima bwawe, cyane cyane ibi bikurikira:

Ikibazo ugomba gutangaza Kuki ibyo ari ingenzi?
Ubwandu ubwo aribwo bwose burihoKubera ko uyu muti ugabanya ubudahangarwa bw'umubiri, ushobora kongera ubwandu buriho, cyane cyane igituntu.
Indwara y'umwijima Umwijima ni urugingo rw'ingenzi rufasha mu gukura imiti mu mubiri. Kubwibyo, niba hari ikibazo ku mwijima, muganga agomba kubimenyeshwa.
Inkingo ziherutse cyangwa iziza Inkingo zimwe na zimwe, cyane cyane inkingo nzima, ntizisabwa mu gihe ufata uyu muti. Kubwibyo, menyesha muganga wawe mbere y'igihe ibijyanye n'inkingo.
Allergie kuri uyu muti cyangwa ikindi kintu icyo ari cyo cyose Menya neza ko wabwiye muganga wawe niba warigeze kugira allergie kuri Risankizumab cyangwa undi muti, ibiryo, cyangwa irangi.
Niba utwite cyangwa ugerageza gutwita Ni ngombwa cyane kuganira na muganga wawe ku mutekano w'uyu muti mu gihe utwite.
Niba uri umubyeyi wonsa (wonsa) Shaka inama kwa muganga ku bijyanye n'uburyo uyu muti ushobora kugira ingaruka ku mwana mu gihe yonsa.

Ukoresha uyu muti ute?

Risankizumab ni urukingo. Hari uburyo bubiri ushobora kuyihabwa:

1. Mu buryo burambuye: Ibi bitangwa n'abakozi bo mu bitaro cyangwa mu ivuriro.

2. Munsi y'uruhu: Iyi ishobora no gutangwa mu bitaro. Hari igihe uzigishwa uburyo bwo kuyitanga ubwawe mu rugo.

Niba ugomba kubitanga mu rugo, ntugahangayike. Uzahabwa amahugurwa yose akenewe, kuva ku buryo bwo gutegura umuti kugeza ku buryo bwo gutanga urukingo.Igikuru ni ugukoresha umuti neza nk'uko byategetswe, neza nk'uko muganga yabigutegetse, ku munsi wagenwe.

Icy'ingenzi cyane: Ntukigere ujugunya inshinge n'inshinge zakoreshejwe mu myanda. Zishobora kwangiza izindi. Zigomba gushyirwa mu kintu cyabigenewe gikoreshwa mu gutwika. Niba udafite, baza muganga wawe uko wazibona.

Uzahabwa agapapuro k'amabwiriza yihariye (`MedGuide` cyangwa `AMABWIRIZA YO GUKORESHA`) hamwe n'imiti yawe. Buri gihe soma kandi usobanukirwe witonze. Niba ufite ikibazo icyo ari cyo cyose, ntutindiganye kubaza muganga wawe.

Ni iki cyakorwa niba ingano y'umuti yongerewe cyangwa yasibwe?

  • Kurenza urugero: Niba utekereza ko wafashe ikinini, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo. Cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe. Ntugafate ibi nk'ibi byoroshye.
  • Kubura dose: Niba wabuze dose, ntugatinye. Vugana na muganga wawe kugira ngo akugire inama y'icyo wakora nyuma. Ntugafate ibyemezo wenyine, ntugakubye kabiri dose, cyangwa ngo ukore ikindi kintu icyo ari cyo cyose.

Ibintu ugomba kwitondera cyane cyane mu gihe ufata imiti

Ni ngombwa kwita cyane ku buzima bwawe mu gihe ufata uyu muti.

Ikizamini cy'igituntu (TB)

Ibi ni ingenzi cyane. Mbere yo gutangira Risankizumab, uzapimwa igituntu (TB). Ibi biterwa nuko hari abantu bafite bagiteri za TB zihishe mu mibiri yabo. Gufata uyu muti bishobora gutuma bagiteri za TB zihishe zikora. Kubwibyo, niba muganga wawe akwandikiye umuti wa TB, ugomba gutangira kuwufata no kurangiza ifunguro ryose mbere yo gutangira Risankizumab.

Ingaruka zo kwandura

Kubera ko uyu muti ugabanya ubudahangarwa bw'umubiri wawe, ushobora kuba ufite amahirwe make yo kwandura indwara. Si ikintu cyo guhangayikishwa cyane, ariko ni ngombwa kubimenya.

  • Niba ugaragaje ibimenyetso nko kugira umuriro, kurwara indwara, kubabara mu muhogo, inkorora, cyangwa ibicurane , ntukiyivurize ngo ubibwire muganga wawe.
  • Tanga raporo ku bikomere bitakira, ububabare cyangwa ubushye mu gihe uri kunyara.
  • Ni byiza kwirinda ahantu hari abarwayi benshi (urugero: abantu barwaye ibicurane cyangwa grippe) uko bishoboka kose.

Inkingo

Mu gihe ufata uyu muti, umubiri wawe ushobora kwanga gato inkingo. Nanone, inkingo nzima ntizisabwa muri iki gihe. Kubwibyo, niba ukeneye inkingo iyo ari yo yose, buri gihe vugana na muganga uguha Risankizumab kuri byo hanyuma uhitemo igihe cyiza cyo kubikora.

Ingaruka mbi zishobora kubaho kuri uyu muti

Kimwe n'indi miti yose, Risankizumab ishobora gutera ingaruka mbi ku bantu bamwe, nubwo atari bose bazibona. Hari ubwoko bubiri bw'ingenzi.

Ubwoko bw'ingaruka mbi Ibimenyetso
Ingaruka mbi ugomba guhita umenyesha muganga wawe
Indwara zikomeye z'ubwivumbure Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi cyangwa umuhogo, no kugorwa no guhumeka.
Ibimenyetso by'ubwandu Umuriro, ubukonje, inkorora idashira, kuribwa mu muhogo, ibikomere bidakira, indwara zo mu nzira y'inkari.
Ibimenyetso by'indwara y'umwijima Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, amacandwe y'umuhondo wijimye/umukara, amaso/uruhu ruhinduka umuhondo, umunaniro udasanzwe.
Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje
Umunaniro Kumva nta buzima ufite.
Umutwe Kuribwa umutwe mu buryo bworoheje kugeza ku buringanire.
Ububabare aho umuntu atewe urushinge Gutukura, ububabare buto, cyangwa kubyimba aho bateye urushinge.
Izuru riva Ibimenyetso bisa n'ibicurane.
Kubabara mu muhogo Ububabare buto cyangwa kutamererwa neza mu muhogo.

Uru rutonde ntirukubiyemo ingaruka mbi zose zishobora kubaho. Niba ubonye ikintu kidasanzwe, nyamuneka bwira muganga wawe.

Ni gute wabika umuti?

Niba uhabwa imiti yo gukoresha mu rugo, ni ngombwa cyane kuyibika neza.

  • Bika ahantu abana n'amatungo batagera.
  • Bika muri firigo mu gice gisanzwe. Ntukigere ubibika muri firigo. Ntugakoreshe umuti niba ufunze.
  • Irinde izuba ryinshi. Ni byiza kubika umuti mu gasanduku kamwe wazanyemo no muri firigo.
  • Kura urukingo muri firigo mu minota 30-45 mbere yo kurutanga hanyuma ureke rugere ku bushyuhe bw'icyumba.
  • Ntuzigere ukoresha imiti yarengeje igihe. Baza muganga wawe inama z'uburyo wayijugunya mu buryo butekanye.

Icyitonderwa: Uyu muti wanditswe kuri wowe gusa. Ntukigere uwusangira n'undi muntu uwo ari we wese.

Ubutumwa bwo kujyana mu rugo

  • Risankizumab ni urukingo rwihariye rugenzura ubudahangarwa bw'umubiri kandi rutangwa mu kuvura indwara ziterwa n'umubiri nka psoriasis na rubagimpande.
  • Mbere yo gutangira imiti, ni ngombwa kubwira muganga wawe amateka yawe yose y'ubuzima, cyane cyane ku ndwara zandurira mu mubiri (cyane cyane igituntu), ubwivumbure, n'indi miti ufata.
  • Kurikiza amabwiriza yo gukoresha urukingo no guta inshinge zakoreshejwe mu mutekano.
  • Mu gihe ufata umuti, menya ibimenyetso by'indwara (umuriro, inkorora). Niba hari ibimenyetso bigaragara, bwira muganga wawe ako kanya.
  • Shaka abaganga vuba niba ugaragaje ibimenyetso by'ubwivumbure bukomeye (kubyimba mu maso, guhumeka bigoranye) cyangwa ibimenyetso by'umwijima wangiritse (amaso ahinduka umuhondo, ububabare mu ruhande rw'iburyo rw'igifu).
  • Vugana na muganga wawe nta guhisha ku kibazo cyangwa impungenge ufite kuri uyu muti.

Risankizumab, Skyrizi, Psoriasis, indwara ya Crohn, indwara y'ibisebe, rubagimpande, ubwirinzi bw'umubiri, inshinge, ingaruka mbi, ingaruka mbi, ubudahangarwa bw'umubiri, urukingo, indwara z'uruhu, rubagimpande
⚠️ 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)

Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha

Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.

Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha 6 + 4 =
Reka twige ku iterwa rya Risankizumab mu buryo bworoshye.
Imiti2026 Nyakanga 15

Reka twige ku iterwa rya Risankizumab mu buryo bworoshye.

Ese urwaye indwara y’igihe kirekire, ibabaza nka psoriasis cyangwa rubagimpande? Hari igihe ubudahangarwa bwacu bw’umubiri bukora cyane bugatangira gukora ku mubiri wacu. Ibi tubyita 'indwara ziterwa no kwirwanaho'. Muri ibyo bihe, Risankizumab ni umuti udasanzwe, ugezweho ugenzura imikorere idakenewe y’ubudahangarwa bw’umubiri. Uyu munsi, turaganira kuri uyu muti, imikorere yawo, ibintu ugomba kwitondera mu gihe uwukoresha, n’ingaruka mbi, mu buryo bworoshye cyane ushobora gusobanukirwa.

Mu by'ukuri, uyu ni ubwoko ki bw'umuti?

Mu magambo make, Risankizumab ni uburyo bwo kuvura bwibanda ku mikorere idakenewe y’ubudahangarwa bw’umubiri wawe. Ni mu bwoko bwihariye bw’imiti yitwa "antibodies monoclonal." Tekereza ko ubudahangarwa bwacu bw’umubiri ari ingabo zacu bwite. Buturinda burwanya mikorobe z’abanyamahanga. Ariko rimwe na rimwe iyi ngabo ikora ikosa igatangira kwibasira abantu bacu (ni ukuvuga uturemangingo tw’umubiri wacu). Muri icyo gihe, iyi "antibodies monoclonal" ikora nk'ingufu zidasanzwe zitoranya gusa abasirikare batera mu buryo butari bwo maze zikabohereza kubagenzura.

Uyu muti ukoreshwa cyane cyane mu kuvura indwara zikurikira:

  • Psoriasis: Indwara aho uturemangingo tw'uruhu dukura vuba, tugahinduka umutuku, hanyuma tugashwanyagurika nk'ibihumyo .
  • Arthritis y'amagufwa: Psoriatic ishobora gutera kubyimba no kubabara ingingo.
  • Indwara ya Crohn: Indwara y'igihe kirekire yo kubyimba mu nzira y'igogora.
  • Ulcerative Colitis: Indi ndwara yo kubyimba igaragara mu mara manini.

Uyu muti uboneka ku isoko ku izina rya Skyrizi .

Ibintu ugomba kubwira muganga wawe mbere yo gufata imiti

Mbere yo gutangira uyu muti, ni ngombwa cyane kumenyesha muganga wawe amateka yose y'ubuzima bwawe, cyane cyane ibi bikurikira:

Ikibazo ugomba gutangaza Kuki ibyo ari ingenzi?
Ubwandu ubwo aribwo bwose burihoKubera ko uyu muti ugabanya ubudahangarwa bw'umubiri, ushobora kongera ubwandu buriho, cyane cyane igituntu.
Indwara y'umwijima Umwijima ni urugingo rw'ingenzi rufasha mu gukura imiti mu mubiri. Kubwibyo, niba hari ikibazo ku mwijima, muganga agomba kubimenyeshwa.
Inkingo ziherutse cyangwa iziza Inkingo zimwe na zimwe, cyane cyane inkingo nzima, ntizisabwa mu gihe ufata uyu muti. Kubwibyo, menyesha muganga wawe mbere y'igihe ibijyanye n'inkingo.
Allergie kuri uyu muti cyangwa ikindi kintu icyo ari cyo cyose Menya neza ko wabwiye muganga wawe niba warigeze kugira allergie kuri Risankizumab cyangwa undi muti, ibiryo, cyangwa irangi.
Niba utwite cyangwa ugerageza gutwita Ni ngombwa cyane kuganira na muganga wawe ku mutekano w'uyu muti mu gihe utwite.
Niba uri umubyeyi wonsa (wonsa) Shaka inama kwa muganga ku bijyanye n'uburyo uyu muti ushobora kugira ingaruka ku mwana mu gihe yonsa.

Ukoresha uyu muti ute?

Risankizumab ni urukingo. Hari uburyo bubiri ushobora kuyihabwa:

1. Mu buryo burambuye: Ibi bitangwa n'abakozi bo mu bitaro cyangwa mu ivuriro.

2. Munsi y'uruhu: Iyi ishobora no gutangwa mu bitaro. Hari igihe uzigishwa uburyo bwo kuyitanga ubwawe mu rugo.

Niba ugomba kubitanga mu rugo, ntugahangayike. Uzahabwa amahugurwa yose akenewe, kuva ku buryo bwo gutegura umuti kugeza ku buryo bwo gutanga urukingo.Igikuru ni ugukoresha umuti neza nk'uko byategetswe, neza nk'uko muganga yabigutegetse, ku munsi wagenwe.

Icy'ingenzi cyane: Ntukigere ujugunya inshinge n'inshinge zakoreshejwe mu myanda. Zishobora kwangiza izindi. Zigomba gushyirwa mu kintu cyabigenewe gikoreshwa mu gutwika. Niba udafite, baza muganga wawe uko wazibona.

Uzahabwa agapapuro k'amabwiriza yihariye (`MedGuide` cyangwa `AMABWIRIZA YO GUKORESHA`) hamwe n'imiti yawe. Buri gihe soma kandi usobanukirwe witonze. Niba ufite ikibazo icyo ari cyo cyose, ntutindiganye kubaza muganga wawe.

Ni iki cyakorwa niba ingano y'umuti yongerewe cyangwa yasibwe?

  • Kurenza urugero: Niba utekereza ko wafashe ikinini, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo. Cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe. Ntugafate ibi nk'ibi byoroshye.
  • Kubura dose: Niba wabuze dose, ntugatinye. Vugana na muganga wawe kugira ngo akugire inama y'icyo wakora nyuma. Ntugafate ibyemezo wenyine, ntugakubye kabiri dose, cyangwa ngo ukore ikindi kintu icyo ari cyo cyose.

Ibintu ugomba kwitondera cyane cyane mu gihe ufata imiti

Ni ngombwa kwita cyane ku buzima bwawe mu gihe ufata uyu muti.

Ikizamini cy'igituntu (TB)

Ibi ni ingenzi cyane. Mbere yo gutangira Risankizumab, uzapimwa igituntu (TB). Ibi biterwa nuko hari abantu bafite bagiteri za TB zihishe mu mibiri yabo. Gufata uyu muti bishobora gutuma bagiteri za TB zihishe zikora. Kubwibyo, niba muganga wawe akwandikiye umuti wa TB, ugomba gutangira kuwufata no kurangiza ifunguro ryose mbere yo gutangira Risankizumab.

Ingaruka zo kwandura

Kubera ko uyu muti ugabanya ubudahangarwa bw'umubiri wawe, ushobora kuba ufite amahirwe make yo kwandura indwara. Si ikintu cyo guhangayikishwa cyane, ariko ni ngombwa kubimenya.

  • Niba ugaragaje ibimenyetso nko kugira umuriro, kurwara indwara, kubabara mu muhogo, inkorora, cyangwa ibicurane , ntukiyivurize ngo ubibwire muganga wawe.
  • Tanga raporo ku bikomere bitakira, ububabare cyangwa ubushye mu gihe uri kunyara.
  • Ni byiza kwirinda ahantu hari abarwayi benshi (urugero: abantu barwaye ibicurane cyangwa grippe) uko bishoboka kose.

Inkingo

Mu gihe ufata uyu muti, umubiri wawe ushobora kwanga gato inkingo. Nanone, inkingo nzima ntizisabwa muri iki gihe. Kubwibyo, niba ukeneye inkingo iyo ari yo yose, buri gihe vugana na muganga uguha Risankizumab kuri byo hanyuma uhitemo igihe cyiza cyo kubikora.

Ingaruka mbi zishobora kubaho kuri uyu muti

Kimwe n'indi miti yose, Risankizumab ishobora gutera ingaruka mbi ku bantu bamwe, nubwo atari bose bazibona. Hari ubwoko bubiri bw'ingenzi.

Ubwoko bw'ingaruka mbi Ibimenyetso
Ingaruka mbi ugomba guhita umenyesha muganga wawe
Indwara zikomeye z'ubwivumbure Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi cyangwa umuhogo, no kugorwa no guhumeka.
Ibimenyetso by'ubwandu Umuriro, ubukonje, inkorora idashira, kuribwa mu muhogo, ibikomere bidakira, indwara zo mu nzira y'inkari.
Ibimenyetso by'indwara y'umwijima Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, amacandwe y'umuhondo wijimye/umukara, amaso/uruhu ruhinduka umuhondo, umunaniro udasanzwe.
Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje
Umunaniro Kumva nta buzima ufite.
Umutwe Kuribwa umutwe mu buryo bworoheje kugeza ku buringanire.
Ububabare aho umuntu atewe urushinge Gutukura, ububabare buto, cyangwa kubyimba aho bateye urushinge.
Izuru riva Ibimenyetso bisa n'ibicurane.
Kubabara mu muhogo Ububabare buto cyangwa kutamererwa neza mu muhogo.

Uru rutonde ntirukubiyemo ingaruka mbi zose zishobora kubaho. Niba ubonye ikintu kidasanzwe, nyamuneka bwira muganga wawe.

Ni gute wabika umuti?

Niba uhabwa imiti yo gukoresha mu rugo, ni ngombwa cyane kuyibika neza.

  • Bika ahantu abana n'amatungo batagera.
  • Bika muri firigo mu gice gisanzwe. Ntukigere ubibika muri firigo. Ntugakoreshe umuti niba ufunze.
  • Irinde izuba ryinshi. Ni byiza kubika umuti mu gasanduku kamwe wazanyemo no muri firigo.
  • Kura urukingo muri firigo mu minota 30-45 mbere yo kurutanga hanyuma ureke rugere ku bushyuhe bw'icyumba.
  • Ntuzigere ukoresha imiti yarengeje igihe. Baza muganga wawe inama z'uburyo wayijugunya mu buryo butekanye.

Icyitonderwa: Uyu muti wanditswe kuri wowe gusa. Ntukigere uwusangira n'undi muntu uwo ari we wese.

Ubutumwa bwo kujyana mu rugo

  • Risankizumab ni urukingo rwihariye rugenzura ubudahangarwa bw'umubiri kandi rutangwa mu kuvura indwara ziterwa n'umubiri nka psoriasis na rubagimpande.
  • Mbere yo gutangira imiti, ni ngombwa kubwira muganga wawe amateka yawe yose y'ubuzima, cyane cyane ku ndwara zandurira mu mubiri (cyane cyane igituntu), ubwivumbure, n'indi miti ufata.
  • Kurikiza amabwiriza yo gukoresha urukingo no guta inshinge zakoreshejwe mu mutekano.
  • Mu gihe ufata umuti, menya ibimenyetso by'indwara (umuriro, inkorora). Niba hari ibimenyetso bigaragara, bwira muganga wawe ako kanya.
  • Shaka abaganga vuba niba ugaragaje ibimenyetso by'ubwivumbure bukomeye (kubyimba mu maso, guhumeka bigoranye) cyangwa ibimenyetso by'umwijima wangiritse (amaso ahinduka umuhondo, ububabare mu ruhande rw'iburyo rw'igifu).
  • Vugana na muganga wawe nta guhisha ku kibazo cyangwa impungenge ufite kuri uyu muti.

Risankizumab, Skyrizi, Psoriasis, indwara ya Crohn, indwara y'ibisebe, rubagimpande, ubwirinzi bw'umubiri, inshinge, ingaruka mbi, ingaruka mbi, ubudahangarwa bw'umubiri, urukingo, indwara z'uruhu, rubagimpande
⚠️ 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)

Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha

Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.

Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha 6 + 4 =