Tshuaj raws li sildenafil yog vasodilators uas ua rau lub cev cavernous, uas nyob hauv tib neeg qhov chaw mos. Cov tshuaj ntawm pab pawg no tau pom tias muaj txiaj ntsig zoo tshaj plaws hauv kev kho mob ntawm erectile kawg hauv cov txiv neej, nrog rau kev ua haujlwm ntawm lub ntuj teb rau kev sib deev arousal. Raws li ib qho tshuaj, sildenafil kuj tseem siv los kho mob ntsws ntsws. Cov tshuaj nto moo tshaj plaws uas muaj sildenafil, tshuaj xyuas uas feem ntau zoo, yog Viagra. Tus so ntawm cov cuab yeej yog tsim los siv tib yam, tab sis pheej yig dua. Cov tshuaj no hu ua generics.
Cov lus nug uas nquag nug los ntawm cov neeg siv khoom zoo li no yog qhov twg yuav sildenafil? Tom qab tag nrho, hauv cov khw muag tshuaj network thiab cov khw muag khoom online muaj ntau cov tshuaj txhawb zog thiab txhawb nqa, uas yog ib feem ntawmuas cov khoom no tau hais. Puas muaj cov tshuaj sildenafil? Txhua qhov nyiaj no raug nqi pes tsawg? Cov poj niam puas tuaj yeem siv cov tshuaj no? Rau tag nrho cov lus nug no, txhua tus neeg siv khoom xav hnov cov lus teb meej thiab meej heev.
Kev npaj muaj sildenafil - qhov txawv li cas?
Hnub no, muaj ntau yam tshuaj uas muaj sildenafil nyob rau hauv khw muag tshuaj Lavxias teb sab. Analogs, tus nqi ntawm uas nyob rau hauv tej rooj plaub yog me ntsis qis dua tus paub zoo Viagra, yog nyob rau hauv zoo thov ntawm buyers. Cov npe ntawm cov tshuaj tsis tas yuav muaj lub npe ntawm cov tshuaj nquag. Cov ntsiab lus hauv qab no ntawm sildenafil tuaj yeem pom hauv kev muag khoom pheej yig: Viagra-LF, Silafil, Sildenafil nrog dapoxetine, Sildigra, Rusk, Sildenafil Ratiopharm, Edera, Tornetis, Revacio, "Cialis" thiab ntau lwm tus.
Cov npe sib txawv ntawm cov ntsiav tshuaj tsis txhais tau tias lawv yog cov tshuaj uas muaj cov tshuaj sib txawv. Yuav ua li cas, dua li cov npe, cov tshuaj muaj sildenafil txawv ntawm ib leeg? Tus nqi yog thawj qhov uas txhua tus neeg siv khoom nyiam. Qhov kim tshaj plaws yog thawj "Viagra", patented nyob rau hauv lub xyoo pua xeem. pheej yig dua analogues, uas yog tsim nyob rau hauv teb chaws Poland, Ukraine, Is Nrias teb thiab lwm lub teb chaws, muaj ib tug kiag li tus nqi ntawm active ingredient. Tus nqi qis dua yog vimsiv cov khoom siv pheej yig dua, nrog rau kev tsim khoom.
Qhov "ntshiab" tshaj plaws ntawm cov ntsiab lus ntawm impurities yog cov ntsiav tshuaj "Sildenafil" ua nyob rau hauv Croatia. Qhov loj tshaj plaws ntawm ntau yam impurities muaj nyob rau hauv cov tshuaj uas tsim los ntawm cov tuam txhab tshuaj hauv Is Nrias teb. Txawm li cas los xij, nws yuav tsum raug coj mus rau hauv tus account tias tus naj npawb ntawm txawv teb chaws suav nrog hauv cov tshuaj nquag siv tsis cuam tshuam rau kev ua haujlwm ntawm cov tshuaj.
Cov tshuaj
Cov khoom xyaw tseem ceeb ntawm cov tshuaj zoo ib yam li Viagra yog sildenafil citrate ntawm ib koob ntawm 25, 50 lossis 100 mg rau ib ntsiav tshuaj. Tsis tas li ntawd, txhua lub ntsiav tshuaj muaj cov khoom ntxiv: lactose, titanium dioxide, triacetin thiab indigo carmine, uas muab cov ntsiav tshuaj rau lawv cov xim xiav. Sildenafil ntsiav tshuaj feem ntau zoo li lub teeb xiav biconvex rhombus.
Analogues ntawm "Viagra", lossis lub npe hu ua generics, tsim los ntawm Indian kws muag tshuaj, tuaj yeem ua cov ntsiav tshuaj uas tsis tas yuav ntxuav los yog jelly nrog ntau yam tsw. Cov hom tshuaj no yooj yim siv, vim lawv pib nqus tau nyob rau hauv qhov ncauj kab noj hniav, uas yog vim li cas lawv qhov kev ua tau tshwm sim sai dua li ntawm Viagra.
Pharmacological zog ntawm Sildenafil
Cov khoom lag luam tshuaj ntawm kev npaj muaj sildenafil yog raws li nws lub peev xwm los cuam tshuam nrog cov enzymes ntuj uas muaj kev cuam tshuam ncaj qha rau hauv cov ntshav ntawm qhov chaw mos, uas yog nrog cyclic.guanosine monophosphate. Qhov no enzyme stabilizes tus nqi ntawm nitric oxide, uas tswj cov hlab ntsha ntawm noov nyob rau hauv ib tug nthuav lub xeev. Sildenafil tiv thaiv kev tawg ntawm cGMP los ntawm lwm cov enzymes, ua kom erections ntev dua thiab ruaj khov.
Nws yuav tsum raug sau tseg tias thaum siv cov tshuaj "Sildenafil" cov lus qhia rau kev siv ceeb toom txog qhov xav tau kev sib deev arousal, vim hais tias cov tshuaj tsis muaj peev xwm los ntawm nws tus kheej pib ntshav ntws mus rau hauv lub cev los yog cavernous. hauv noov. Tias yog vim li cas, thiaj li yuav ua tiav qhov tshwm sim, nws yog ib qho tsim nyog los ua kev sib deev stimulation ntawm ib tug txiv neej, uas yuav ua rau erection. Tsis muaj kev txhawb nqa tuaj yeem txhais tau tias tsis muaj qhov o ntawm noov tag nrho.
Dhau li ntawm tus txiv neej version, muaj kev npaj zoo sib xws rau lawv cov neeg koom tes. Sildenafil rau cov poj niam (ua raws li poj niam poj niam, poj niam, Cenforice tus neeg sawv cev, kev ua kom muaj cov ntshav, uas yuav pab kom cov kev paub txog ntawm cov kabmob caj ces. Vim yog cov cuab yeej no, lawv nce qhov chaw mos lubrication, intensify thiab lengthen orgasm, thiab muaj ib tug nyiam mus ntev kev sib deev. Sildenafil rau cov poj niam muaj zog dua, yog li nyob rau hauv ntau zaus tsis muaj kev xav tshwj xeeb.
Tshuaj raws li sildenafil yog siv los kho erectile kawg hauv cov txiv neej. Vim lub fact tias activeCov tshuaj muaj txiaj ntsig zoo rau cov hlab ntsha hauv lub cev, muaj ntau cov lus qhia thiab contraindications rau nws siv.
Cov lus qhia rau kev siv
Cov tshuaj nquag muaj txiaj ntsig hauv cov organic, psychogenic lossis sib xyaw ntawm cov kab mob. Cov lus qhia rau kev siv qhia txog kev noj sildenafil txawm tias tsis muaj erection vim muaj hnub nyoog txog kev hloov hauv lub cev. Tsis tas li ntawd, kev kho mob yog nquag nyob rau hauv cov ntaub ntawv ntawm tsis muaj zog erection los ntawm cov kab mob xws li rog rog, metabolic ntshawv siab, nrog rau hom 1 los yog hom 2 mob ntshav qab zib, tsis muaj prostate caj pas vim nws tshem tawm, rov qab raug mob nrog tus txha caj qaum raug mob.
Contraindications rau kev siv
Hais txog contraindications rau cov tshuaj "Sildenafil", cov lus qhia rau kev siv muaj ib tug ncaj ncees daim ntawv teev cov kab mob thiab concomitantly noj tshuaj, nyob rau hauv uas kev siv ntawm cov tshuaj yuav tsum tau txwv los yog tsis suav tag nrho.
Kev tshem tawm cov tshuaj kom tiav yog qhov tsim nyog nyob rau hauv xws li:
- Muaj cov kab mob ntawm cov hlab plawv - aortic stenosis, plawv tsis ua haujlwm, angina pectoris, cardiomyopathy, nrog rau hauv 6 lub hlis tom qab lub plawv nres lossis mob stroke.
- Kev pom kev tsis zoo - ischemic optic neuropathy, retinitis pigmentosa thiab lwm yam kab mob ntawm lub qhov muag.
- Cov kab mob siab ntau - kab mob siab, cirrhosis.
- ntshav siab qis (hauv 90/50 mmHg) lossis siab (ntau dua 170/100 mmHg).
- Intolerance rau sildenafil lossisLwm cov khoom uas tsim cov tshuaj.
- Sildenafil yuav tsum tsis txhob noj nrog tshuaj xws li Nitroglycerin, Vasotropin, Molsidomin, Erythromycin, Clarithromycin, Nefazodone, Iloprost.
Cov txheeb ze contraindications rau kev siv cov tshuaj uas muaj sildenafil, cov lus qhia rau kev siv hu rau cov xwm txheej hauv qab no:
- Kab mob ntawm cov kab mob hematopoietic thiab cov kab mob hauv lub cev - leukemia, thrombocytopenia, mob kab mob ntawm tes.
- Penile deformity - Peyronie's syndrome thiab angulation.
- Peptic ulcer ntawm plab hnyuv nyob rau theem mob.
Yuav ua li cas noj sildenafil rau erectile kawg
Npaj muaj sildenafil, cov lus qhia pom zoo kom noj qhov ncauj nrog cov kua dej txaus. Cov koob tshuaj ntawm thawj zaug noj tshuaj raws li cov tshuaj nquag no yuav tsum yog 50 mg. Nyob ntawm cov tshuaj tiv thaiv ntawm lub cev thaum noj tshuaj ntxiv, nws tuaj yeem kho cov koob tshuaj sildenafil nce lossis nqis. Nws yuav tsum tau nco ntsoov tias qhov siab tshaj plaws koob tshuaj uas muaj kev nyab xeeb yog 100 mg.
Siv Sildenafil cov lus qhia qhia ib teev ua ntej kev sib deev xav tau. Ib koob tshuaj 25, 50 lossis 100 mg ntawm cov tshuaj suav hais tias yog ua tau rau txhua pawg hnub nyoog, pib txij li 18 xyoo. Nws tsis pom zoo kom nws tus kheej nce qhov koob tshuaj ntawm cov tshuaj rau tib neegthaum muaj hnub nyoog laus thiab muaj hnub nyoog txog kev txo qis hauv cov leeg nqaij ntawm tag nrho lub cev.
Nyob ntawm cov metabolism thiab ntawm cov kab mob uas twb muaj lawm, muaj cov txheej txheem rau kev noj sildenafil, uas muab kev kho cov tshuaj rau ib koob. Nyob rau hauv cov ntaub ntawv ntawm lub raum tsis ua hauj lwm nrog ib tug glomerular pom tus nqi tsis pub tshaj 30 ml ib feeb, qhov siab tshaj plaws pub koob tshuaj ntawm sildenafil 25 mg yog pom zoo. Nrog rau kev ua haujlwm tsis zoo nyob rau hauv daim siab thiab lub gallbladder, qhov siab tshaj plaws tso cai ib zaug ntawm cov tshuaj yuav tsum tsis pub tshaj 25 mg.
Thaum noj cov tshuaj uas muaj sildenafil, cov lus qhia rau kev siv, tshuaj xyuas qhia tias qhov no tsis cuam tshuam rau lub peev xwm tsav tsheb thiab lwm yam kev phom sij ntxiv. Muaj tsawg zaus, cov neeg siv tau ntsib teeb meem tsis pom kev xim thiab cov ntshav siab me ntsis. Cov kev mob tshwm sim no tshwm sim feem ntau thaum cov koob tshuaj pom zoo tshaj ntawm cov tshuaj los yog tom qab thawj koob tshuaj.
Yog tias muaj qhov tsis zoo nyob hauv lub xeev tsis hnov lus lossis tsis pom kev (ib nrab lossis ua tiav lag ntseg, suab nrov thiab lub suab nrov hauv pob ntseg ntev li ob peb teev tom qab siv cov tshuaj), koj yuav tsum tsis txhob noj sildenafil.
Txoj cai rau kev noj Sildenafil rau pulmonary hypertension
Raws li tshuaj, sildenafil tuaj yeem siv rau txhua hom kev mob ntsws ntsws. Nws raug nquahu kom noj cov tshuaj peb zaug hauv ib hnub, qhov ntau npaum ntawm cov tshuaj yog 25 mg rau txhua koob. Kev tawg ntawmnoj txhua ntsiav tshuaj yuav tsum tsawg kawg yog 6 teev. Txoj kev kho mob no muaj txiaj ntsig zoo hauv kev kho mob pulmonary vascular hypertension txhua hnub nyoog.
Hais txog contraindications thiab txwv tsis pub noj cov tshuaj "Sildenafil", cov lus qhia hais tias nrog cov teeb meem uas twb muaj lawm ntawm cov zis thiab cov plab hnyuv siab raum, nws tau pom tias txo cov koob tshuaj txhua hnub rau 50 mg, muab faib ua ob. koob tshuaj.
Kev tswj hwm ntawm sildenafil nrog lwm cov tshuaj
Zoo li lwm yam tshuaj, nws raug nquahu kom noj sildenafil cais los ntawm lwm cov tshuaj, vim yog tias cov tshuaj tsis sib haum tau noj ib txhij, tus neeg yuav muaj kev cuam tshuam deb ntawm cov tshuaj tiv thaiv zoo.
Muaj ntau pab pawg tshuaj, thaum sib cuam tshuam nrog cov tshuaj twg raws li sildenafil tuaj yeem hloov pauv lawv cov khoom. Kev noj tshuaj antacids, tshuaj tiv thaiv kev ntxhov siab, diuretics, thiab tshuaj tiv thaiv ntshav siab ua ke nrog sildenafil muaj qhov tsis zoo rau lub cev. Nrog rau kev tswj hwm ib txhij ntawm sildenafil nrog adrenergic blockers, qhov txo qis hauv cov ntshav siab mus rau qib qis yuav tshwm sim. Tsis tas li ntawd, cov tshuaj sildenafil txhim kho cov nyhuv ntawm "lub plawv" tshuaj xws li nitroglycerin thiab sodium nitroprusside. Nrog rau lawv kev siv ib txhij nrog cov tshuaj tua kab mob ntawm tetracycline thiab erythromycin pawg, kev nce hauv lub sijhawm ntawm kev ua ntawm sildenafil tau pom.
Cov teebmeem ntawm kev noj Sildenafil
Kev txhim kho cov kev mob tshwm sim ntawm cov tshuaj raws li sildenafil citrate ncaj qha nyob ntawmkoob tshuaj txais. Cov kev mob tshwm sim feem ntau yog me me mus rau nruab nrab, thiab cov tsos mob thiab cov tsos mob ntawm ntau yam teeb meem daws lawv tus kheej, tsis tas siv cov tshuaj kho.
| Lub cev thiab lub cev | Frequency | Symptoms and signs |
| Nervous system and sense organs | Nyob | Kev qaug zog, kiv taub hau, mob taub hau, tinnitus, pw tsaug zog cuam tshuam, photosensitivity |
| Tsis tshua muaj | Migraine, paresthesia, hypoesthesia, tsis muaj zog reflexes, hemorrhage nyob rau hauv lub qhov muag, mob pob ntseg thiab qhov muag qhov muag | |
| Rare | Daws, cataract, tremor, neuralgia, syncope, xerophthalmia | |
| Cov kab mob plawv thiab hemostasis | Nyob | palpitations, tachycardia, anemia, leukopenia |
| Tsis tshua muaj | arterial lossis orthostatic hypotension, ischemia | |
| Rare | thrombosis, mob plawv raug ntes, Lub plawv tsis ua haujlwm | |
| plab hnyuv | Nyob | x |
| Tsis tshua muaj | Y Stomatitis, gingivitis, glossitis, gastritis, colitis | |
| Rare | Rectal los ntshav, esophagitis, dysphagia | |
| Urinary system | Nyob | tso zis ntau zaus, qhov chaw mos edema |
| Tsis tshua muaj | Anorgasmia, cystitis, ejaculation teeb meem | |
| Rare | YUs tsis taus, gynecomastia | |
| Ntxhais | Nyob | pob khaus thiab khaus, tawm hws, ntau hom kab mob dermatitis |
| Tsis tshua muaj | YHerpes simplex, edema thiab hyperemia | |
| Rare | tshuaj tsis haum, rwj |
Txhawm rau zam qhov tshwm sim ntawm kev tawm tsam hnyav heev rau kev siv cov tshuaj uas muaj sildenafil, cov tuam txhab muab tag nrho cov ntaub ntawv tsim nyog ntawm cov tshuaj, uas tsis muaj kev nyab xeeb ntau dua.
Sildenafil tshuaj xyuas
Kev tshuaj xyuas ntawm sildenafil feem ntau yog qhov zoo, tab sis cov tshuaj tsis suav tias yog cov kws tshaj lij ua panacea rau kev ua haujlwm tsis zoo ntawm erectile kawg. Qhov txiaj ntsig zoo tau ua tiav hauv 80% ntawm cov neeg mob noj sildenafil. Tus nqi ntawm cov tshuaj hauv pab pawg no kuj ua rau muaj kev tawm tswv yim zoo. Kev xaiv dav ntawm Viagra analogues tso cai rau cov neeg uas muaj nyiaj nruab nrab lossis nyiaj tsawg los yuav tshuaj. Cov neeg teb coob tshaj plaws hu ua "Sildenafil North Star" raws li kev kho mob pheej yig tshaj plaws, tshuaj xyuas ntawmuas nws cov txiaj ntsig tsis tuaj yeem hu ua qhov tsis zoo.
Sildenafil tau txais cov lus pom zoo tshaj plaws los ntawm cov txiv neej uas siv nws los ua kev nyab xeeb, vim lawv xav tias tsis muaj kev nyab xeeb hauv lawv lub peev xwm. Cov nyhuv, raws li lawv, kav ntev li 4 teev tom qab noj cov tshuaj, thiab ib tug ruaj khov erection tshwm sim nyob rau hauv txhua leej txhua tus nyob rau hauv ntau txoj kev - los ntawm 30 feeb mus rau ib teev tom qab noj tshuaj. Cov kab mob sib cais ntawm qhov tsis ruaj khov erection tau raug sau tseg tom qab noj cov tshuaj pom zoo thawj zaug ntawm 25 mg. Txawm li cas los xij, tom qab rov siv cov koob tshuaj ntxiv ntawm 25 mg, qhov erection tsis tu ncua tau pib rau 4-5 teev.
Ntxiv rau lwm qhov tshwm sim uas cuam tshuam rau lub zog ntawm cov tshuaj uas muaj sildenafil, cov lus qhia rau kev siv, tus nqi ntawm cov neeg siv khoom txaus siab tag nrho, muaj ntau lwm yam ntawm kev soj ntsuam cov txiaj ntsig ntawm cov tshuaj. Piv txwv li, kev tshuaj xyuas txog kev sib raug zoo ntawm cov tshuaj nrog cawv tsis yog li tsis meej. Kwv yees li 50% ntawm cov txiv neej tshawb fawb tau sau tseg tias tsis muaj qhov tsis zoo ntawm cov tshuaj cawv me me ntawm kev ua haujlwm ntawm cov tshuaj, kwv yees li tib tus txiv neej pom qhov tsis muaj zog ntawm erection. Tsis tas li ntawd, qhov kev ua tiav ntawm qhov ua tau zoo tshaj plaws hauv ntau tshaj li ib nrab ntawm cov txiv neej tau ncua vim qhov "jamming" ntawm cov khoom nrog cov khoom noj muaj roj ntau.
Hais txog qhov tshwm sim ntawm cov kev mob tshwm sim, cov txiv neej hauv kev tshuaj xyuas ntawm sildenafil feem ntau hais txog mob taub hau thiab liab ntawm lub ntsej muag. Tsis tas li ntawd, ib nrab ntawm cov neeg teb tau sau tseg qhov pom ntawm qhov ntswg congestion thiab me me los ntswg qhov ntswg. Txawm li cas los xij, qhov no tsis tau dhau los ua ib qho laj thawj rau kev tsis kam siv sildenafil, txij li cov txiaj ntsig ntawm nws them rau cov teeb meem me me no.
Los ntawm cov poj niam uas tau noj sildenafil (cov lus qhia rau kev siv, tus nqi rau feem ntau yog qhov zoo thiab nkag siab), ob qho tib si zoo heev thiab tsis zoo tshuaj xyuas tau txais. Kwv yees li 48% ntawm cov neeg sawv cev xam phaj ntawm cov poj niam cev xeeb tub tsis txaus siab rau cov txiaj ntsig ntawm cov tshuaj, txawm li cas los xij, lawv tau sau tseg tias tom qab qee lub sijhawm tom qab noj nws, lawv muaj mob plab thiab quav quav.
Tus nqi tshuaj
Kev hloov pauv tseem ceeb ntawm cov nqi tshuaj los ntawm cov pab pawg ntawm cov tshuaj sildenafil yog vim lub tebchaws uas cov tshuaj tau tsim. Yog hais tias tus thawj Viagra, uas muaj xws li sildenafil, tus nqi nyob rau hauv feem ntau lub tsev muag tshuaj yog hais txog 800 rubles ib 100 mg ntsiav tshuaj, ces analogues yuav yuav ob peb zaug pheej yig dua. Qee zaum qhov sib txawv ntawm tus nqi ntawm cov tshuaj no nce mus txog ntau pua rubles. Hais txog kev npaj muaj sildenafil: ntau npaum li cas ntawm lawv cov nqi tuaj yeem pom hauv cov lus hauv qab no.
| Tshuaj npe (chaw tsim khoom), tus lej ntawm cov ntsiav tshuaj ib pob | Dose, mg | Nyiaj, rub. |
| "Viagra" (Pfizer), 1 pc | 25 | 380–510 |
| 50 | 630–670 | |
| 100 | 720–850 | |
| "Viagra" (Pfizer), 4 daim | 50 | 2250–2380 |
| 100 | 2580–2893 | |
| "Sildenafil" (PLIVA HRVATSKA D. O. O.), 1 pc | 50 | 188–225 |
| 100 | 268–288 | |
| "Sildenafil" (PLIVA HRVATSKA D. O. O.), 4 pcs | 50 | 498–590 |
| 100 | 760–825 |
Hais txog qhov zoo thiab kev ua tau zoo ntawm lwm cov tshuaj uas suav nrog sildenafil, kev tshuaj xyuas qhia qhov txawv me ntsis nrog tus thawj. Txawm hais tias tsis tshua muaj txiaj ntsig, generics tau nrov nrog ntau tus, vim lawv pheej yig dua.
Qhov twg yuav cov tshuaj sildenafil-raws li?
Muaj ob txoj kev xaiv rau kev yuav sildenafil: los ntawm cov khw hauv online thiab hauv cov khw muag tshuaj ib txwm muaj. Txawm li cas los xij koj xaiv, muaj qhov txaus ntshai ntawm kev tau txais cov khoom cuav, tshwj xeeb tshaj yog rau cov khw muag tshuaj hauv online, txij li cov khw muag tshuaj ib txwm muaj peev xwm txheeb xyuas cov tshuaj zoo tom qab tau txais kev tsis txaus siab los ntawm cov neeg siv khoom. Tias yog vim li cas nws yog ib qho tseem ceeb los xyuas cov ntaub ntawv hais txog tus neeg muag khoom ua ntej yuav khoom. Txhawm rau ua qhov no, tsuas yog ua tib zoo saib rau ntu "kev tshuaj xyuas" ntawm cov peev txheej hauv Internet uas cov khoom muag, lossis tshawb nrhiavcov ntaub ntawv ntawm ntau lub rooj sab laj.
Hnub no, nws tuaj yeem xa cov tshuaj yuav khoom mus kuaj, qhov twg cov tshuaj muaj pes tsawg leeg yuav raug tsim, nrog rau cov ntaub ntawv hais txog nws txoj kev nyab xeeb rau cov neeg siv khoom yuav raug tshaj tawm. Txhawm rau ua qhov no, koj yuav tsum tau yuav cov nyiaj tsawg kawg nkaus hauv ib lub tsev muag tshuaj thiab hu rau lub chaw kuaj mob. Kev tsom xam yog nqa tawm hauv ib hnub, qhov siab tshaj plaws ntawm ob. Yog tias qhov zoo ntawm cov tshuaj tau lees paub, koj tuaj yeem yuav cov tshuaj raws li sildenafil ntawm tib lub tsev muag tshuaj.
