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Masifunde ngale siraphu yemikhuhlane nokukhwehlela? (Dextromethorphan; Phenylephrine; Pyrilamine)

Masifunde ngale siraphu yemikhuhlane nokukhwehlela? (Dextromethorphan; Phenylephrine; Pyrilamine)

Akukho nto imbi ngaphezu kokukhwehlela kunye nempumlo evalekileyo xa unomkhuhlane. Awukwazi ukuphefumla kakuhle, awukwazi ukulala ebusuku, kwaye awukwazi kwenza nto. Ngoko ke xa usiya kugqirha ngexesha elinje, unokukunika isiraphu yokulawula ezi mpawu. Namhlanje, sithetha ngelinye lamayeza adibeneyo asetyenziswa rhoqo. Linezithako ezintathu ezidibeneyo.

Luhlobo luni lonyango olu?

Ngamafutshane, le yindibaniselwano yamayeza amathathu, ngalinye lawo lenza umsebenzi owahlukileyo.

1. I-Dextromethorphan: Le isetyenziselwa ukulawula ukukhwehlela . Ithintela okwethutyana isignali yokukhwehlela eya engqondweni.

2. I-Phenylephrine: Le yi- decongestant . Inciphisa imithambo yegazi engaphakathi kwempumlo okwethutyana, inciphisa ukuxinana kwempumlo kunye nempumlo egobhozayo.

3. I-Pyrilamine: Le yi- antihistamine esetyenziselwa ukunyanga ii-allergies . Ilawula iimpawu ze-allergy ezifana nokurhawuzelelwa, impumlo egobhozayo, nokuthimla.

Eyona nto ibalulekileyo kukuba eli yeza lilawula kuphela iimpawu zomkhuhlane okanye i-allergy. Alinakunyanga usulelo emzimbeni wakho.

Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza

Kulungile, ngoku le yeyona nxalenye ibalulekileyo. Ngaphambi kokuba ugqirha wakho akunike eli yeza, kuya kufuneka azi imbali yakho epheleleyo yezonyango . Ingakumbi ukuba unenye yezi meko zilandelayo zezonyango, ngokuqinisekileyo kufuneka umxelele ugqirha wakho .

  • Isifuba
  • Izifo zemithambo yegazi
  • Isifo seswekile
  • I-Eczema okanye ezinye izifo zesikhumba
  • I-Glaucoma, imeko yoxinzelelo oluphezulu emehlweni
  • Uxinzelelo lwegazi oluphezulu okanye isifo sentliziyo
  • Isifo sezintso okanye sesibindi
  • Iingxaki zeprostate okanye ubunzima bokuchama
  • Izilonda zesisu okanye ezinye izifo zesisu
  • Isifo se-thyroid
  • Ukuba une-allergy kuyo nayiphi na izithako ezikweli yeza okanye nakweyiphi na enye iyeza, ukutya, okanye isithinteli.
  • Ukuba ukhulelwe, okanye ulindele umntwana kungekudala
  • Ukuba ungumama oncancisayo

Ndingayisebenzisa njani le mithi?

Qaphela la manqaku xa usebenzisa eli yeza.

  • Le yisiraphu eselwayo.
  • Sela idosi echazwe ngugqirha wakho, ngexesha elifanelekileyo. Musa ukuyisela rhoqo okanye ngokugqithisileyo.
  • Musa ukusebenzisa iitisipuni zasekhaya okanye amacephe okulinganisa ukulinganisa amayeza. Azichanekanga. Sebenzisa kuphela ikomityi okanye icephe elikhethekileyo eliza namayeza okanye elinokufumaneka kwikhemesti kwaye linokulinganisa ngokuchanekileyo ngeemililitha (ml).
  • Ukuba linikwa abantwana: Nangona eli yeza ngamanye amaxesha linikwa abantwana abangaphezu kweminyaka emi-2 ubudala, kufuneka lenziwe kuphela phantsi kwengcebiso kagqirha wabantwana. Musa ukulinika abantwana wedwa.
  • Abantu abangaphezu kweminyaka engama-65 ubudala: Abantu abadala banokuziva kakhulu iziphumo zale mithi, ngoko ke badla ngokunikwa idosi ephantsi.

Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?

Ukuba ucinga ukuba uthathe ngaphezu komlinganiselo omiselweyo wale mayeza, musa ukulibazisa. Tsalela umnxeba iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.

Ezinye izinto ezinokusebenzisana nale mithi

Xa usebenzisa eli yeza, kunokubakho iziphumo ezingalunganga (ukusebenzisana) nezinye izinto ozisebenzisayo. Ngoko ke qaphela oku.

Ukusebenzisana neziyobisi
Musa ukuthatha amayeza kunye nezi.
Amanye amayeza amadala okudakumba abizwa ngokuba zii-MAOIs (umz., iCarbex, iEldepryl, iMarplan, iNardil, iParnate). Qiniseka ukuba uxelele ugqirha wakho ukuba usebenzisa naliphi na kula mayeza.
Ukuba uhamba nazo ezi, buza ugqirha wakho.
Utywala okanye nayiphi na imveliso equlethe utywala Iziphumo ebezingalindelekanga zeyeza (ukozela) zinokuba yingozi kakhulu.
Amayeza okudakumba, ixhala, okanye ezinye izifo zengqondoUkozela kunye nezinye iziphumo ebezingalindelekanga zinokwanda.
Amayeza oxinzelelo lwegazi oluphezulu Ingaphazamisa ukusebenza kakuhle kwamanye amayeza.
Iipilisi zokulala Ubuthongo obugqithisileyo bunokubakho.
Amanye amayeza okukhwehlela nawomkhuhlane Ubuninzi kakhulu bohlobo olufanayo lwamayeza bunokungena emzimbeni.

Olu luhlu lusenokungaphelelanga, ngoko ke qiniseka ukuba uxelela ugqirha wakho ngayo yonke imithi oyithathayo (nkqu neevithamini, amayeza esintu, kunye nezongezo).

Iziphumo ebezingalindelekanga ezinokubakho zokuthatha iyeza

Njengalo naliphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezinye zazo zinzima, ezinye ziqhelekile.

Ukuba ufumana ezi mpawu, xelela ugqirha wakho ngoko nangoko.
Iimpendulo ze-allergy Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, okanye ulwimi.
Ubunzima bokuphefumla Ukuphefumla ngokukhawuleza, ukuphefumla ngokukhawuleza.
Utshintsho lombono Umbono ofipheleyo.
Utshintsho kwisantya sentliziyoUkuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngendlela engaqhelekanga.
Utshintsho kuxinzelelo lwegazi Ukunyuka okanye ukwehla kakhulu koxinzelelo lwegazi.
Izifo zengqondo nezemithambo-luvo Ukungazoli, ukushukuma, ukungcangcazela, ukuxhuzula.
Iingxaki zokuchama Ubunzima bokuchama okanye utshintsho kubungakanani bomchamo owuvelisayo.
Ukudinwa okungaqhelekanga Ukuziva udiniwe kakhulu okanye ubuthathaka.
Ukuba ezi mpawu ziyaqhubeka okanye ziyakhathaza, xelela ugqirha wakho.
Intloko ebuhlungu Ubunzima bokulala
Umnqweno wokutya Uvakalelo lolusu kwilanga
Isicaphucaphu, ukuhlanza Isisu esibuhlungu

Ungayigcina njani iyeza?

  • Yigcine ikhuselekile kwaye ikude nabantwana. Oku kubaluleke kakhulu.
  • Gcina kubushushu begumbi (phakathi kwama-20 nama-25 degrees Celsius).
  • Gcina kude nelanga elithe ngqo kunye nokufuma.
  • Gcina isiciko sebhotile sivaliwe kakuhle.
  • Lahla amayeza aphelelwe lixesha.

Umyalezo Wokuya Ekhaya

  • Eli yeza lidibaniso lamayeza anikwa ukulawula iimpawu zomkhuhlane kunye ne-allergies, ezifana nokukhohlela kunye nokuxinana kweempumlo. Alinyangi izifo.
  • Ngaphambi kokuba usebenzise amayeza, xelela ugqirha wakho ngazo zonke iimeko zempilo onazo kunye nawo onke amanye amayeza owasebenzisayo.
  • Sebenzisa icephe okanye ikomityi ekhethekileyo kuphela enomlinganiselo ochanekileyo wokulinganisa iyeza. Musa ukusebenzisa amacephe asekhitshini ekhaya.
  • Eli yeza lingakwenza ulale, ngoko ke kuphephe ukuqhuba nokwenza imisebenzi efuna ukulumka. Kuphephe ukusela utywala ngokupheleleyo.
  • Ukuba ukrokrela ukuba uthathe amayeza amaninzi kakhulu, qhagamshelana neZiko loLwazi lweTyhefu leSizwe ngoko nangoko okanye uye kwiSebe leNgxamiseko lesibhedlele elikufutshane.
  • Ukuba ufumana naziphi na iziphumo ebezingalindelekanga, ezinje ngobunzima bokuphefumla, ukudumba okukhulu, okanye ukukrweleka, yazisa ugqirha wakho ngoko nangoko.

Iyeza lokukhwehlela, iyeza lokubanda, isiraphu, i-dextromethorphan, i-phenylephrine, i-pyrilamine, iziphumo ebezingalindelekanga

👩🏽‍⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)

💬 Iipilisi zeAlosetron (Alosetron / Lotronex) zezona ndlela zokugqibela zokuthintela isifo?

Eli asiloyeza eliqhelekileyo! Eli liyeza elinamandla kakhulu (i-5-HT3 receptor antagonist) elisetyenziswa ekugqibeleni (elikhawulelweyo/eli-REMS) elinikwa ngokukodwa 'Abafazi kuphela' abane-'IBS-D' enzima (Irritable Bowel Syndrome eneDiarrhea), kwaye akukho linye iyeza elinokuphelisa, kwaye likuvumela ukuba ulawule urhudo olunzima kunye nentlungu yesisu ephazamise ubomi bakho!

💬 Ipilisi (i-Alosetron) enikwe aba bafazi ithintela njani iintlungu zesisu/urhudo xa onke amanye amayeza engaphumeleli?

Uninzi lwemithambo-luvo emathunjini abasetyhini ichukunyiswa/iba buthathaka kakhulu kwikhemikhali ebizwa ngokuba yi-'Serotonin (5-HT3)'! Xa eli yeza lingena esiswini, livala i-100% yee-serotonin receptors (5-HT3) kuloo mathumbu lize liwavale. Ekubeni kungekho ndlela yokuba umyalezo uhambe, ubuthathaka obukhulu bemithambo-luvo (i-Visceral hypersensitivity) buyanyamalala ngoko nangoko kwaye ungxamiseko lokuya ngasese kwaye iintlungu zesisu ziyanyamalala.

💬 Kutheni amazwe aliqela kwihlabathi liphela eye ayivala le pilisi? Zithini iingozi ezibulalayo (Izilumkiso zeBlack Box)?

Iingozi zimbi kakhulu! Eyona ngozi inkulu kukuba oku kuyekisa ukuhamba kwegazi ukuya esiswini kwaye amathumbu abole nge-100% (Ischemic Colitis)! Xa isigulane siphuma igazi ngequbuliso esiswini, kufuneka silaliswe esibhedlele, kwaye abanye bade bafe. Kwakhona, oku kunokubangela ukuba ukuqhina kufikelele kwinqanaba lokugqibela elibi kakhulu (Severe Complicated Constipation), kwaye amathumbu anokuvinjwa aze aqhume, ngoko oku kufuneka kuthathwe kuphela phantsi kweliso elikhethekileyo likagqirha.

⚠️ 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)

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Nceda ubale: 5 + 9 =
Masifunde ngale siraphu yemikhuhlane nokukhwehlela? (Dextromethorphan; Phenylephrine; Pyrilamine)
AmayezaJulayi 16, 2026

Masifunde ngale siraphu yemikhuhlane nokukhwehlela? (Dextromethorphan; Phenylephrine; Pyrilamine)

Akukho nto imbi ngaphezu kokukhwehlela kunye nempumlo evalekileyo xa unomkhuhlane. Awukwazi ukuphefumla kakuhle, awukwazi ukulala ebusuku, kwaye awukwazi kwenza nto. Ngoko ke xa usiya kugqirha ngexesha elinje, unokukunika isiraphu yokulawula ezi mpawu. Namhlanje, sithetha ngelinye lamayeza adibeneyo asetyenziswa rhoqo. Linezithako ezintathu ezidibeneyo.

Luhlobo luni lonyango olu?

Ngamafutshane, le yindibaniselwano yamayeza amathathu, ngalinye lawo lenza umsebenzi owahlukileyo.

1. I-Dextromethorphan: Le isetyenziselwa ukulawula ukukhwehlela . Ithintela okwethutyana isignali yokukhwehlela eya engqondweni.

2. I-Phenylephrine: Le yi- decongestant . Inciphisa imithambo yegazi engaphakathi kwempumlo okwethutyana, inciphisa ukuxinana kwempumlo kunye nempumlo egobhozayo.

3. I-Pyrilamine: Le yi- antihistamine esetyenziselwa ukunyanga ii-allergies . Ilawula iimpawu ze-allergy ezifana nokurhawuzelelwa, impumlo egobhozayo, nokuthimla.

Eyona nto ibalulekileyo kukuba eli yeza lilawula kuphela iimpawu zomkhuhlane okanye i-allergy. Alinakunyanga usulelo emzimbeni wakho.

Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza

Kulungile, ngoku le yeyona nxalenye ibalulekileyo. Ngaphambi kokuba ugqirha wakho akunike eli yeza, kuya kufuneka azi imbali yakho epheleleyo yezonyango . Ingakumbi ukuba unenye yezi meko zilandelayo zezonyango, ngokuqinisekileyo kufuneka umxelele ugqirha wakho .

  • Isifuba
  • Izifo zemithambo yegazi
  • Isifo seswekile
  • I-Eczema okanye ezinye izifo zesikhumba
  • I-Glaucoma, imeko yoxinzelelo oluphezulu emehlweni
  • Uxinzelelo lwegazi oluphezulu okanye isifo sentliziyo
  • Isifo sezintso okanye sesibindi
  • Iingxaki zeprostate okanye ubunzima bokuchama
  • Izilonda zesisu okanye ezinye izifo zesisu
  • Isifo se-thyroid
  • Ukuba une-allergy kuyo nayiphi na izithako ezikweli yeza okanye nakweyiphi na enye iyeza, ukutya, okanye isithinteli.
  • Ukuba ukhulelwe, okanye ulindele umntwana kungekudala
  • Ukuba ungumama oncancisayo

Ndingayisebenzisa njani le mithi?

Qaphela la manqaku xa usebenzisa eli yeza.

  • Le yisiraphu eselwayo.
  • Sela idosi echazwe ngugqirha wakho, ngexesha elifanelekileyo. Musa ukuyisela rhoqo okanye ngokugqithisileyo.
  • Musa ukusebenzisa iitisipuni zasekhaya okanye amacephe okulinganisa ukulinganisa amayeza. Azichanekanga. Sebenzisa kuphela ikomityi okanye icephe elikhethekileyo eliza namayeza okanye elinokufumaneka kwikhemesti kwaye linokulinganisa ngokuchanekileyo ngeemililitha (ml).
  • Ukuba linikwa abantwana: Nangona eli yeza ngamanye amaxesha linikwa abantwana abangaphezu kweminyaka emi-2 ubudala, kufuneka lenziwe kuphela phantsi kwengcebiso kagqirha wabantwana. Musa ukulinika abantwana wedwa.
  • Abantu abangaphezu kweminyaka engama-65 ubudala: Abantu abadala banokuziva kakhulu iziphumo zale mithi, ngoko ke badla ngokunikwa idosi ephantsi.

Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?

Ukuba ucinga ukuba uthathe ngaphezu komlinganiselo omiselweyo wale mayeza, musa ukulibazisa. Tsalela umnxeba iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.

Ezinye izinto ezinokusebenzisana nale mithi

Xa usebenzisa eli yeza, kunokubakho iziphumo ezingalunganga (ukusebenzisana) nezinye izinto ozisebenzisayo. Ngoko ke qaphela oku.

Ukusebenzisana neziyobisi
Musa ukuthatha amayeza kunye nezi.
Amanye amayeza amadala okudakumba abizwa ngokuba zii-MAOIs (umz., iCarbex, iEldepryl, iMarplan, iNardil, iParnate). Qiniseka ukuba uxelele ugqirha wakho ukuba usebenzisa naliphi na kula mayeza.
Ukuba uhamba nazo ezi, buza ugqirha wakho.
Utywala okanye nayiphi na imveliso equlethe utywala Iziphumo ebezingalindelekanga zeyeza (ukozela) zinokuba yingozi kakhulu.
Amayeza okudakumba, ixhala, okanye ezinye izifo zengqondoUkozela kunye nezinye iziphumo ebezingalindelekanga zinokwanda.
Amayeza oxinzelelo lwegazi oluphezulu Ingaphazamisa ukusebenza kakuhle kwamanye amayeza.
Iipilisi zokulala Ubuthongo obugqithisileyo bunokubakho.
Amanye amayeza okukhwehlela nawomkhuhlane Ubuninzi kakhulu bohlobo olufanayo lwamayeza bunokungena emzimbeni.

Olu luhlu lusenokungaphelelanga, ngoko ke qiniseka ukuba uxelela ugqirha wakho ngayo yonke imithi oyithathayo (nkqu neevithamini, amayeza esintu, kunye nezongezo).

Iziphumo ebezingalindelekanga ezinokubakho zokuthatha iyeza

Njengalo naliphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezinye zazo zinzima, ezinye ziqhelekile.

Ukuba ufumana ezi mpawu, xelela ugqirha wakho ngoko nangoko.
Iimpendulo ze-allergy Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, okanye ulwimi.
Ubunzima bokuphefumla Ukuphefumla ngokukhawuleza, ukuphefumla ngokukhawuleza.
Utshintsho lombono Umbono ofipheleyo.
Utshintsho kwisantya sentliziyoUkuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngendlela engaqhelekanga.
Utshintsho kuxinzelelo lwegazi Ukunyuka okanye ukwehla kakhulu koxinzelelo lwegazi.
Izifo zengqondo nezemithambo-luvo Ukungazoli, ukushukuma, ukungcangcazela, ukuxhuzula.
Iingxaki zokuchama Ubunzima bokuchama okanye utshintsho kubungakanani bomchamo owuvelisayo.
Ukudinwa okungaqhelekanga Ukuziva udiniwe kakhulu okanye ubuthathaka.
Ukuba ezi mpawu ziyaqhubeka okanye ziyakhathaza, xelela ugqirha wakho.
Intloko ebuhlungu Ubunzima bokulala
Umnqweno wokutya Uvakalelo lolusu kwilanga
Isicaphucaphu, ukuhlanza Isisu esibuhlungu

Ungayigcina njani iyeza?

  • Yigcine ikhuselekile kwaye ikude nabantwana. Oku kubaluleke kakhulu.
  • Gcina kubushushu begumbi (phakathi kwama-20 nama-25 degrees Celsius).
  • Gcina kude nelanga elithe ngqo kunye nokufuma.
  • Gcina isiciko sebhotile sivaliwe kakuhle.
  • Lahla amayeza aphelelwe lixesha.

Umyalezo Wokuya Ekhaya

  • Eli yeza lidibaniso lamayeza anikwa ukulawula iimpawu zomkhuhlane kunye ne-allergies, ezifana nokukhohlela kunye nokuxinana kweempumlo. Alinyangi izifo.
  • Ngaphambi kokuba usebenzise amayeza, xelela ugqirha wakho ngazo zonke iimeko zempilo onazo kunye nawo onke amanye amayeza owasebenzisayo.
  • Sebenzisa icephe okanye ikomityi ekhethekileyo kuphela enomlinganiselo ochanekileyo wokulinganisa iyeza. Musa ukusebenzisa amacephe asekhitshini ekhaya.
  • Eli yeza lingakwenza ulale, ngoko ke kuphephe ukuqhuba nokwenza imisebenzi efuna ukulumka. Kuphephe ukusela utywala ngokupheleleyo.
  • Ukuba ukrokrela ukuba uthathe amayeza amaninzi kakhulu, qhagamshelana neZiko loLwazi lweTyhefu leSizwe ngoko nangoko okanye uye kwiSebe leNgxamiseko lesibhedlele elikufutshane.
  • Ukuba ufumana naziphi na iziphumo ebezingalindelekanga, ezinje ngobunzima bokuphefumla, ukudumba okukhulu, okanye ukukrweleka, yazisa ugqirha wakho ngoko nangoko.

Iyeza lokukhwehlela, iyeza lokubanda, isiraphu, i-dextromethorphan, i-phenylephrine, i-pyrilamine, iziphumo ebezingalindelekanga

👩🏽‍⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)

💬 Iipilisi zeAlosetron (Alosetron / Lotronex) zezona ndlela zokugqibela zokuthintela isifo?

Eli asiloyeza eliqhelekileyo! Eli liyeza elinamandla kakhulu (i-5-HT3 receptor antagonist) elisetyenziswa ekugqibeleni (elikhawulelweyo/eli-REMS) elinikwa ngokukodwa 'Abafazi kuphela' abane-'IBS-D' enzima (Irritable Bowel Syndrome eneDiarrhea), kwaye akukho linye iyeza elinokuphelisa, kwaye likuvumela ukuba ulawule urhudo olunzima kunye nentlungu yesisu ephazamise ubomi bakho!

💬 Ipilisi (i-Alosetron) enikwe aba bafazi ithintela njani iintlungu zesisu/urhudo xa onke amanye amayeza engaphumeleli?

Uninzi lwemithambo-luvo emathunjini abasetyhini ichukunyiswa/iba buthathaka kakhulu kwikhemikhali ebizwa ngokuba yi-'Serotonin (5-HT3)'! Xa eli yeza lingena esiswini, livala i-100% yee-serotonin receptors (5-HT3) kuloo mathumbu lize liwavale. Ekubeni kungekho ndlela yokuba umyalezo uhambe, ubuthathaka obukhulu bemithambo-luvo (i-Visceral hypersensitivity) buyanyamalala ngoko nangoko kwaye ungxamiseko lokuya ngasese kwaye iintlungu zesisu ziyanyamalala.

💬 Kutheni amazwe aliqela kwihlabathi liphela eye ayivala le pilisi? Zithini iingozi ezibulalayo (Izilumkiso zeBlack Box)?

Iingozi zimbi kakhulu! Eyona ngozi inkulu kukuba oku kuyekisa ukuhamba kwegazi ukuya esiswini kwaye amathumbu abole nge-100% (Ischemic Colitis)! Xa isigulane siphuma igazi ngequbuliso esiswini, kufuneka silaliswe esibhedlele, kwaye abanye bade bafe. Kwakhona, oku kunokubangela ukuba ukuqhina kufikelele kwinqanaba lokugqibela elibi kakhulu (Severe Complicated Constipation), kwaye amathumbu anokuvinjwa aze aqhume, ngoko oku kufuneka kuthathwe kuphela phantsi kweliso elikhethekileyo likagqirha.

⚠️ 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)

Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.

Faka uluvo lwakho

Nceda ubale: 5 + 9 =