Qoraa: Virginia Floyd
Taariikhda Abuurista: 14 Ogost 2021
Taariikhda Cusboonaysiinta: 14 Noofeembar 2024
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Adderall 90 Second Overview | Amphetamine/dextroamphetamine dosage, warnings and side effects
Dareemoleyad: Adderall 90 Second Overview | Amphetamine/dextroamphetamine dosage, warnings and side effects

Qanacsan

Dextroamphetamine waxay noqon kartaa caado sameysasho. Ha qaadan qadar ka weyn, qaad inta badan, ama ha qaadan muddo ka badan intii uu dhakhtarku kuu qoray. Haddii aad qaadato xaddi badan oo dextroamphetamine ah, waxaad sii wadi kartaa inaad dareento baahi aad u qabto qaadashada tiro badan oo daawada ah, waxaadna la kulmi kartaa isbeddellada aan caadiga ahayn ee dhaqankaaga .. Adiga ama daryeel-bixiyahaagu waa inaad isla markiiba u sheegtaan dhakhtarkaaga, haddii aad la kulanto mid ka mid ah kuwa soo socda astaamaha: dhakhso, garaacid, ama wadno garaac aan caadi ahayn; dhidid; ardayda la ballaadhiyey; niyadda aan caadiga ahayn xanaaq; degganaansho la’aan; dhibaato xagga hurdada ah ama hurdo la'aan; cadaawad; gardaro; walaac; cunto xumo; luminta isku xirnaanta; Dhaqdhaqaaqa aan la xakamayn karin ee qayb ka mid ah jidhka; maqaarka la daadiyay; matagid; calool xanuun; ama aad ka fikirto inaad wax yeeleyso ama isdileyso naftaada ama dadka kale ama aad qorsheyneyso ama aad isku dayeyso inaad sidaas sameyso. Daawada xad dhaafka ah ee loo yaqaan 'dextroamphetamine' waxay kaloo sababi kartaa dhibaatooyin wadne oo halis ah ama geeri lama filaan ah.

Haddii aad qaadato dexmethylphenidate aad u badan, waxaad sii wadi kartaa inaad dareento baahi loo qabo inaad qaadato qaddar badan oo daawada ah, waxaadna la kulmi kartaa isbeddello aan caadi ahayn oo dhaqankaaga ah


U sheeg dhakhtarkaaga haddii adiga ama qof ka mid ah qoyskaaga aad cabto ama aad waligaa cabto qamri aad u tiro badan, isticmaasho ama waligaa isticmaasho daroogada waddooyinka, ama aad si xad dhaaf ah u isticmaasho daawooyinka laguu qoray. Dhakhtarkaaga ayaan kuu qori doonin dextroamphetamine.

Ha u joojin qaadashada dawada loo yaqaan 'dextroamphetamine' adiga oo aan la hadlin dhakhtarkaaga, gaar ahaan haddii aad si xad dhaaf ah u isticmaashay daawada. Dhakhtarkaaga ayaa laga yaabaa inuu si tartiib tartiib ah u yareeyo qiyaastaada oo uu si taxadar leh kuu kormeero inta lagu jiro waqtigan. Waxaad la kulmi kartaa niyad jab iyo daal xad dhaaf ah haddii aad si lama filaan ah u joojiso qaadashada dawada loo yaqaan 'dextroamphetamine' ka dib markii aad u badisay.

Ha iibin, ha bixin, ama ha u oggolaan qof kale inuu qaato daawadaada. Iibinta ama bixinta dextroamfetamine waxay ka soo horjeedaa sharciga waxayna waxyeeleyn kartaa dadka kale. Ku kaydi dextroamphetamine meel aamin ah si aan cid kale ugu qaadin si kama 'ah ama ula kac ah. La soco inta kiniinno ama kaabsol ay hartay si aad u ogaato haddii wax ka maqan yihiin.

Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha (Hagaha Daawada) markaad bilawdo daaweynta dextroamphetamine iyo markasta oo aad hesho daawo dheeraad ah. Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid. Waxa kale oo aad booqan kartaa websaydhka Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ama websaydhka soosaaraha si aad u hesho Hagaha Daawada.


Dextroamphetamine waxaa loo isticmaalaa qayb ka mid ah barnaamijka daaweynta si loo xakameeyo astaamaha cillad la'aanta feejignaanta (ADHD; dhib badan oo diiradda la saaro, xakameynta ficilada, iyo ka aamusnaanta ama aamusnaanta dadka kale ee isku da'da ah) dadka waaweyn iyo carruurta. Dextroamphetamine sidoo kale waxaa loo isticmaalaa in lagu daaweeyo narcolepsy (cillad hurdo oo keenta hurdo badan oo maalintii ah iyo weeraro kadis ah oo hurdo ah). Dextroamphetamine waxay ku jirtaa nooc dawooyin ah oo loo yaqaan kiciyeyaasha nidaamka neerfaha. Waxay ku shaqeysaa iyadoo la beddelayo xaddiga maaddooyinka dabiiciga ah qaarkood ee maskaxda ku jira.

Dextroamphetamine waxay u timaadaa sidii dareeraha, kaniiniga, iyo kaabsol sii-daayay-sii-dheereyn ah oo afka lagu qaato. Kiniiniga sida caadiga ah waxaa la qaataa 2 ilaa 3 jeer maalin kasta iyada oo aan la cunin ama aan la cunin. Kaabsol-sii-fidinta-dheer waxaa badanaa la qaataa hal mar maalintii ama iyada oo aan la cunin. Dareeraha ayaa sida caadiga ah la qaataa mar ama laba jeer maalintii iyada oo aan la cunin ama aan la haysan. Qaado dawada loo yaqaan 'dextroamfetamine' qiyaastii isla waqtigaas (maalin kasta). Haddii aad qaadanayso kiniinnada loo yaqaan 'dextroamphetamine', qaado qiyaastaada ugu horreysa isla marka aad subaxda ka toosto, oo tallaalkaaga u dhig 4 ilaa 6 saacadood. Ha u qaadan dextroamphetamine fiidkii maxaa yeelay waxay kugu keeni kartaa hurdo la'aan ama inaad seexato. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado dextroamphetamine sida saxda ee lagu faray.


Ha calalin ama ha burburin kaabsoolooyinka la sii dheereeyey.

Dhakhtarkaagu wuxuu kugu bilaabi doonaa qadar yar oo ah dextroamphetamine wuxuuna si tartiib tartiib ah u kordhin doonaa qiyaastaada, ugu badnaan badiyaa hal jeer usbuuc kasta.

Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad joojiso qaadashada dawada loo yaqaan 'dextroamphetamine' waqti ka waqti si loo arko in daawada weli loo baahan yahay iyo in kale. Raac tilmaamahan si taxaddar leh.

Dextroamphetamine waa in aan loo isticmaalin in lagu daaweeyo daalka xad dhaafka ah ee aan sababi karin daroogada.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor intaadan qaadan dextroamphetamine,

  • u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay dextroamphetamine, dawooyin kale, ama wax kasta oo ka mid ah waxyaabaha ku jira diyaarinta dextroamphetamine. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
  • u sheeg dhakhtarkaaga haddii aad qaadanaysid ama aad qaadanaysid dawooyinka soo socda ama aad joojisey qaadashadooda 14kii maalmood ee la soo dhaafey: monoamine oxidase (MAO) inhibitors ay ka mid yihiin isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline ( Eldepryl, Emsam, Zelapar), iyo tranylcypromine (Parnate). Haddii aad joojiso qaadashada dawada loo yaqaan 'dextroamphetamine', waa inaad sugtaa ugu yaraan 14 maalmood ka hor intaadan bilaabin qaadashada MAO inhibitor.
  • u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, iyo wax soo saarka dhirta aad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: acetazolamide (Diamox); alfa blockers sida alfuzosin (Uroxatral), doxazosin (Cardura), prazosin (Minipress), tamsulosin (Flomax, in Jalyn), iyo terazosin; chloride ammonium; dawooyinka antacids iyo dawooyinka kale ee laabjeexa ama boogaha sida omeprazole (Prilosec); antihistamines (daawooyinka hargabka iyo xasaasiyadda); ascorbic acid (Vitamin C); beta beta blockers sida atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), iyo propranolol (Inderal, InnoPran); buspirone; chlorpromazine; durayaasha ('kaniiniyada biyaha'); fentanyl (Actiq, Duragesic, Lacag, kuwa kale); guanethidine (Ismelin; hadda lagama heli karo Mareykanka); haloperidol (Haldol); lithium (Lithobid); daawooyinka dhiig karka; dawooyinka madax xanuunka dhanjafka sida almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, in Treximet), iyo zolmitriptan (Zomig); daawooyinka suuxdinta sida ethosuximide (Zarontin), phenobarbital, iyo phenytoin (Dilantin, Phenytek); meperidine (Demerol); methenamine (Hiprex, Urex); propoxyphene (Darvon, Darvon-N; mar dambe lagama heli karo Mareykanka); quinidine (oo ku taal Nuedexta); keydka; ritonavir (Norvir, Kaletra); xakameeyayaasha serotonin-reuptake inhibitors sida citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), iyo sertraline (Zoloft); serotonin iyo norepinephrine reuptake inhibitors sida desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), iyo venlafaxine (Effexor); sodium bicarbonate (Gacanta iyo dubista dubista soodhada, soodhada miiska); sodium fosfate; tramadol; ama tricyclic antidepressants ('mood elevators') sida desipramine (Norpramin) iyo protriptyline (Vivactil), Dhakhtarkaaga waxaa laga yaabaa inuu u baahdo inuu beddelo qaddarka daawooyinkaaga ama uu si taxaddar leh kuugu kormeero dhibaatooyinka soo raaca.
  • u sheeg dhakhtarkaaga waxa ka soo baxa dhirta aad qaadanaysid, gaar ahaan St. John's wort iyo tryptophan ama waxa nafaqada ah ee aad qaadanaysid oo ay ku jiraan glutamic acid (L-glutamine).
  • u sheeg dhakhtarkaaga haddii aad qabtid glaucoma (cadaadiska indhaha oo kordha oo u horseedi kara aragti la'aan), hyperthyroidism (xaalad aad ugu badan tahay hormoonka tayroodh ee jirkaaga); dareenka walaaca, kacsanaanta, ama kacsiga. Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan qaadan dextroamphetamine.
  • u sheeg dhakhtarkaaga haddii qof qoyskaaga ka mid ah uu qabo ama uu weligiis garaacay wadna aan caadi ahayn ama uu si lama filaan ah u dhintey. Sidoo kale u sheeg dhakhtarkaaga haddii aad dhawaan wadno xanuun qabtid iyo haddii aad leedahay ama aad waligaa cillad wadne qabtid, dhiig kar, wadna garaac aan caadi ahayn, wadnaha ama xididdada dhiigga, xididdada oo adkaada, ama dhibaatooyin kale oo wadnaha ah. Dhakhtarkaaga ayaa ku baari doona si loo arko haddii wadnahaaga iyo xididdada dhiiggaagu ay caafimaad qabaan. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan dextroamphetamine haddii aad qabto xaalad wadne ama haddii ay jirto khatar sare oo ah inaad ku dhacdo xaalad wadne.
  • u sheeg dhakhtarkaaga haddii adiga ama qof kale oo qoyskaaga ka mid ahi uu leeyahay ama weligiis isku buuqay, cudurka laba-cirifoodka (niyadda oo isu beddelaysa niyad jab ama farxad aan caadi ahayn), ama mania (frenzied, xaalad aan caadi ahayn oo farxad leh), waji ama mootooyin (dhaqdhaqaaqyo aan la xakamayn karin soo noqnoqda), hadal hadal ah (ku celcelinta codadka ama ereyada oo ay adag tahay in la xakameeyo) ama cudurka Tourette's syndrome (xaalad lagu garto baahida loo qabo in la sameeyo dhaqdhaqaaqyo soo noqnoqda ama ku celcelinta codadka ama ereyada), ama ka fekeray ama isku dayay in uu is dilo. Sidoo kale u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa qabtid jirro maskaxeed, suuxdin, ama koronto aan caadi ahayn (EEG; tijaabinta cabbiraysa dhaqdhaqaaqa korantada ee maskaxda). Haddii ilmahaagu u qaato dawada loo yaqaan 'dextroamphetamine' inuu ku daaweeyo ADHD, u sheeg dhakhtarka ilmahaaga haddii ilmahaagu dhowaan la soo kulmay walwal aan caadi ahayn.
  • u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato inta aad qaadanaysid dawada loo yaqaan 'dextroamphetamine', wac dhakhtarkaaga. Ha nuujin naaska inta aad qaadaneysid dawada loo yaqaan 'dextroamphetamine'.
  • kala hadal dhakhtarkaaga khataraha iyo waxtarka u leh qaadashada dawada loo yaqaan 'dextroamphetamine' haddii aad tahay 65 sano jir ama ka weyn. Dadka waayeelka ah waa inaysan badiyaa qaadan dextroamphetamine maxaa yeelay ammaan uma ahan dawooyinka kale ee loo isticmaali karo in lagu daaweeyo isla xaaladdii.
  • waa inaad ogaataa in dextroamphetamine ay kugu adkeyneyso inaad sameyso howlo u baahan feejignaan ama isuduwid jireed. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.
  • waa inaad ogaataa in dextroamphetamine loo isticmaalo qayb ka mid ah wadarta barnaamijka daaweynta ee ADHD, oo ay ku jiri karaan la-talin iyo waxbarasho gaar ah. Hubso inaad raacdo dhammaan tilmaamaha dhakhtarkaaga iyo / ama daaweeyahaaga.
  • waa inaad ogaataa in dextroamphetamine uu sababi karo geeri kadis ah oo ku timaada caruurta iyo dhalinyarada, qaasatan caruurta iyo dhalinyarada leh cilladaha wadnaha ama dhibaatooyinka wadnaha ee halista ah. Daawadan sidoo kale waxay sababi kartaa dhimasho lama filaan ah, wadno xanuun, ama istaroog dadka waaweyn, gaar ahaan dadka waaweyn ee cilladaha wadnaha qaba ama dhibaatooyinka wadnaha ee halista ah. Wac dhakhtarkaaga ama ilmahaaga isla markiiba haddii adiga ama ilmahaagu aad qabtid wax calaamado ah oo ah dhibaatooyinka wadnaha inta aad qaadanaysid dawadan oo ay ka mid yihiin: xabad xanuun, neef-qabad, ama suuxdin.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Qaado qiyaasta la seegay isla marka aad xasuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

Dextroamphetamine waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

  • madax xanuun
  • afka qalalan
  • dhadhan aan fiicnayn
  • calool istaag
  • miisaanka oo yaraada
  • isbeddelada kufsiga galmada ama awoodda

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga:

  • daal fara badan
  • gaabis ah ama hadal adag
  • dawakhaad
  • daciifnimo ama kabuubyo gacan ama lug ah
  • qalal
  • isbedelka niyadda
  • rumaysashada waxyaabo aan run ahayn
  • dareemid shaki aan caadi ahayn oo kuwa kale ah
  • kacsan, dhalanteed (aragtida wax ama maqalka codad aan jirin), qandho, dhidid, jahwareer, garaaca wadnaha oo dhaqso ah, gariir, muruq xanuun daran ama qallooc, isku xirnaan la'aan, lallabbo, matag, ama shuban
  • dhalanteed (aragtida wax ama maqalka codad aan jirin)
  • dhaqdhaqaaq aan caadi ahayn
  • hadal hadal ah
  • isbeddellada aragga ama aragga oo xumaada
  • finan
  • cirro ama midab buluug ah oo faraha ama suulasha ah
  • xanuun, gubasho, ama ruxruxasho gacmaha ama cagaha
  • nabarro aan la sharraxin oo ka muuqda faraha ama suulasha

Dextroamphetamine wuxuu sababi karaa dhimasho kadis ah oo ku timaada caruurta iyo dhalinyarada, gaar ahaan caruurta iyo dhalinyarada leh wadno cilladaha ama dhibaatooyinka wadnaha ee halista ah. Daawadan sidoo kale waxay sababi kartaa dhimasho lama filaan ah, wadno xanuun ama istaroog dadka waaweyn, gaar ahaan dadka waaweyn ee qaba cilladaha wadnaha ama dhibaatooyinka wadnaha ee halista ah. Wac dhakhtarkaaga isla markiiba haddii adiga ama ilmahaagu aad isku aragtaan wax calaamado ah dhibaatooyinka wadnaha ah inta aad qaadanaysaan daawadan oo ay ka mid yihiin: xabad xanuun, neef-qabad, ama suuxdin. Takhtarkaaga kala hadal halista qaadashada daawadan.

Dextroamphetamine wuxuu yareyn karaa koritaanka carruurta ama culeyska. Dhakhtarka ilmahaaga ayaa si taxaddar leh u ilaalin doona koritaankiisa. La hadal dhakhtarka ilmahaaga haddii aad ka welwelsan tahay koritaanka ilmahaaga ama culayskiisa inta uu qaadanayo dawadan. Kala hadal dhakhtarka ilmahaaga khataraha ku jira siinta ilmahaaga dawada loo yaqaan 'dextroamphetamine'.

Dextroamphetamine waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

  • degganaansho la'aan
  • gariir aan la koontarooli karin qayb ka mid ah jirkaaga
  • kaadida midabka casaanka ah ee guduudka ah
  • daciifnimo muruq ama xanuun
  • daal ama daciifnimo
  • neefsasho degdeg ah
  • qandho
  • jahwareer
  • dabeecad dagaal badan
  • dhalanteed (aragtida wax ama maqalka codad aan jirin)
  • cabsi
  • niyad jab
  • garaaca wadnaha oo aan joogto ahayn
  • dawakhaad
  • miyir beelid
  • aragga oo xumaada
  • calool xanuun
  • matagid
  • shuban
  • calool xanuun
  • qalal
  • miyir beelid (miyir beelid muddo ah)

Dhammaan ballamaha la dhig dhakhtarkaaga.

Kahor baaritaanka shaybaarka, u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad qaadanayso dawada loo yaqaan 'dextroamphetamine'.

Rijeetadan lama buuxin karo. Hubso inaad ballan la sameysatid dhakhtarkaaga si joogto ah si aan lagaa helin daawada.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

  • Dexampex®
  • Dexedrine®
  • DextroStat®
  • Ferndex®
  • LiquADD®
  • ProCentra®

Shaygaan sumadda leh kuma sii jiro suuqa. Beddelka guud ayaa la heli karaa.

Markii ugu dambeysay ee dib loo eegay - 04/15/2019

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