No Image

Что такое эмболия мозга

СОДЕРЖАНИЕ
149
3 322 просмотров
17 августа 2019

1. Малая медицинская энциклопедия. — М.: Медицинская энциклопедия. 1991—96 гг. 2. Первая медицинская помощь. — М.: Большая Российская Энциклопедия. 1994 г. 3. Энциклопедический словарь медицинских терминов. — М.: Советская энциклопедия. — 1982—1984 гг .

Смотреть что такое "Эмболия сосудов головного мозга" в других словарях:

ЭМБОЛИЯ — – острая закупорка сосуда с нарушением кровоснабжения ткани или органа в результате переноса током крови различных субстратов (эмболов), не встречающихся в норме. Чаще отмечается тромбоэмболия, которая обычно возникает при венозном тромбозе.… … Энциклопедический словарь по психологии и педагогике

ЭМБОЛИЯ — (от греч. embolē — вталкивание, вклинивание), закупорка кровеносных или лимфатических сосудов частицами (эмболами), занесёнными током крови или лимфы. Эмболы могут быть эндогенного и экзогенного происхождения. К первым относятся: частицы… … Ветеринарный энциклопедический словарь

Эмболия — МКБ 10 I74.74., I82.82., O88.88., T … Википедия

Эмболия — I Эмболия (греч. embolē вставка, вторжение) патологический процесс, в основе которого лежит острая окклюзия сосуда, обусловленная переносом током крови различных субстратов (эмболов), в норме не встречающихся в сосудистом русле. По характеру… … Медицинская энциклопедия

Инфаркт мозга — Ишемический инсульт Компьютерная томограмма головного мозга, демонстрирующая инфаркт правого полушария головного мозга (на изображении расположен слева) МКБ 10 I63 … Википедия

Газовая эмболия — МКБ 10 O88.088.0, T79.079.0 МКБ 9 673.0 … Википедия

Плевра́льная пу́нкция — (позднелат. pleuralis относящийся к плевре; синоним плевроцентез, торакоцентез) прокол грудной стенки и париетальной плевры полой иглой или троакаром с целью диагностики (диагностическая пункция) и (или) лечения (лечебная пункция).… … Медицинская энциклопедия

Серде́чно-сосу́дистая систе́ма — комплекс анатомо физиологических образований, обеспечивающий направленное движение крови и лимфы в организме человека и животных, необходимое для осуществления в тканях транспорта газов, субстратов питания и их метаболитов в процессе обмена… … Медицинская энциклопедия

Кардиоцеребра́льные синдро́мы — (греч. kardia сердце + лат. cerebrum головной мозг) нарушения функций головного мозга, обусловленные сердечной патологией. Полноценная работа сердца обеспечивает адекватное кровоснабжение головного мозга и ею нормальное функционирование.… … Медицинская энциклопедия

ЭНДОКАРДИТ ИНФЕКЦИОННЫЙ — мед. Инфекционный эндокардит (ИЭ) воспалительное заболевание эндокарда (клапанов, реже пристеночного) в результате инфицирования микроорганизмами (бактерии, грибы и риккетсии). Частота 0,03 0,3% всех госпитализированных больных. Классификация.… … Справочник по болезням

БОЛЕЗНЬ ТАКАЯСУ — мед. Болезнь Такаясу хроническая воспалительная артериопа тия, поражающая крупные сосуды, в первую очередь аорту и её ветви, реже лёгочные артерии. Частота 2,6:1 000000 населения в год. До 1955 г. в мировой литературе было описано всего 100… … Справочник по болезням

Человеческий организм, по сути, хрупкая вещь и опасность для его жизни может подстерегать на каждом углу. Так, если некоторые травмы сами по себе не опасны, то их осложнения могут приводить к серьёзным патологиям. Одной из таких является эмболия сосудов головного мозга.

Читайте также:  Инфекция на ноге фото

Особенности недуга

Эмболией мозга называют внезапную окклюзию сосудов мозга эмболом, которая иногда является следствием развития ишемического инсульта. Состояние опасно тем, что может не проявляться в первые дни, при этом при несвоевременной диагностике оно приводит к внутренним кровотечениям, кровоизлиянию в мозг и летальному исходу.

Классификация

Эмболия может быть единичной и множественной, поскольку может вызываться одним или нескольким тромбом. Наиболее частый эмболический материал — тромб, который закупоривает сосуды головного мозга. Тромб может иметь разные размеры, но в любом случае говорят о кардиогенной эмболии (пр. сосудов головного мозга) или тромбоэмболии. По этому же принципу заболевание классифицируется на:

  • Жировую. В этом случае липидная капля попадает в кровоток и блокирует капилляры, постепенно переносясь к мозгу.
  • Воздушная. Закупорку сосудов вызывает пузырёк воздуха.
  • Газовая. Похожа на воздушную по всем параметрам, однако, закупорку вызывает пузырёк газа.
  • Клеточная. В кровоток поступают кусочки тканей, который и нарушают его.
  • Микробная. Вызывается микробами, оседающими на стенках капилляров, что вызывает гнойники, которые и блокируют кровоток.
  • Механическая. В этом случае закупорка провоцируется инородным телом, например, пулей.

В зависимости от вида различаются причины и некоторые схемы лечения. Про причины эмболии мозговых сосудов поговорим далее.

Причины возникновения

Общая для всех форм эмболии причина — травматизация сосудов, например, при авариях или хирургических вмешательствах. При этом травмирован может быть не сам мозг: даже роды в некоторых случаях могут осложняться эмболией.

Наиболее распространённые причины эмболии:

  1. перелом и ранение трубчатой кости;
  2. травматизация подкожно-жировой клетчатки;
  3. введение лекарств с масляной основой;
  4. пневмоторакс;
  5. абортивное вмешательство;
  6. проведение кессонных работ;
  7. быстрая декомпрессия;
  8. анаэробная гангрена;
  9. патологические процессы, провоцирующие разрушение тканей;
  10. сильное микробное воспаление.

О том, какие симптомы характерны для эмболии мозговых артерий, читайте далее.

Симптомы эмболии сосудов головного мозга

Клиническая картина эмболии мозга заключается в выраженности неврологического инфаркта. В зависимости от вида и локализации закупорки симптоматика может меняться. Основные симптомы — это:

  1. головокружение;
  2. потеря сознания;
  3. одышка;
  4. сильная усталость;
  5. кровохаркание;
  6. кашель с мокротой;
  7. судороги;

У некоторых молодых пациентов эмболия может проявиться не сразу, а давать о себе знать после стресса и физ. нагрузки.

Диагностика

Состояние диагностируется по осмотру и аппаратным исследованиям. Сначала врач собирает анамнез жизни и жалоб, а также проводит физикальный осмотр на предмет синюшности кожи, других признаков эмболии. Точный диагноз можно поставить по КТ мозга, которая позволяет определить поражение и возможную локализацию закупорки.

Для дополнительной диагностики, позволяющей выявить причины и сопутствующие патологии, назначают:

  1. ЭКГ;
  2. анализы крови и мочи;
  3. сцинтиграфию.

Наиболее точным исследованием является МРТ, однако, диагностирование с его помощью стоит дорого, а необходимая аппаратура есть не в каждой больнице.

Читайте также:  Судороги что делать в домашних условиях

Лечение

К лечению нужно прибегнуть незамедлительно после диагностирования, поскольку любое промедление грозит летальным исходом. Основное лечебное мероприятие — медикаментозная терапия, которая может проводиться в совокупности с хирургическим и терапевтическим методами.

Терапевтическое

Больным с эмболией показан полный покой. Если больной чувствует себя хорошо, то лечебные мероприятия можно проводить в домашних условиях, однако, лучше перевезти больного в стационар. Стационар показан также при ухудшении состояния пациента.

При перевозке необходимо использовать носилки, при этом голову держать выше ног, при этом контролировать состояние, чтобы пенистая слюна не попала в дыхательные пути и не привела к удушью. После доставки в стационар, человека нужно аккуратно раздеть и освободить от тесной одежды, а затем прочистить ротовую полость от рвотных масс, отсосать слизь из дыхательных путей.

Если наблюдается повышение АД, можно прибегнуть к кровопусканию (200-300 мл за раз). Также важно соблюдать диету, так, растительная жирная пища показана только на 2 сутки после улучшения самочувствия, а до этого времени лучше ограничиться чаями и лёгкими приёмами пищи.

Медикаментозное

Медикаментозную терапию назначают в зависимости от проявлений эмболии:

  • При выраженном ишемическом статусе, т. е. сниженном АД и ослабленном пульсе, назначают сердечно-сосудистые средства вроде камфоры и кофеина.
  • При дыхательных расстройствах применяются инъекции лобелина и цититонина.
  • При сниженном протромбине дают викасол и витамин К. При повышенном оптимально пить антикоагулянты вроде дикумарина, пелентана, фенилина и гепарина.
  • Больным с тромбопении показан витамин С, переливание крови и хлорид кальция.
  • Во время тромботического инсульта показан приём тромболизирующих препаратов.
  • При ишемическом инсульте назначают пахикарпин.
  • Пациентам с тахиаритмией и мерцанием предсердий необходимо принимать мединал или новокаинамид с новокаином.
  • Больным с отёком лёгких дают противовспенивающие ср-ва, например, антифомсилан.

Также могут применяться другие препараты, в зависимости от симптоматики и ответа на лечение.

Операция

Хирургическое вмешательство показано при остановке дыхания. Во время этого состояния больному проводят трахеостомию, то есть делается надрез в этой области, после чего сооружают временное соустье трахеи и окружающей среды.

Больным с трахеостомией необходимо подавать кислород через трубку, предварительно удалив оттуда слизь и мокроту.

Профилактика

Профилактика эмболии сердца заключается в избегании состояний, которые к ней могут привести. Зачастую, это сделать нереально, поскольку список этих состояний очень широк. При хирургическом вмешательстве врач должен следить за качественной закупоркой сосудов, то есть их прижиганием, перевязкой ран и т. п. Снизить риск развития эмболии можно, если следить за состоянием своего здоровья и полностью выполнять требования врачей.

Также могут использоваться другие типы операций, направленные на восстановление нормального кровообращения.

Далее поговорим об осложнениях эмболии мозговых артерий, в том числе инфаркте мозга, вызванного ею.

Читайте также:  Можно ли вылечить грибок ногтей на ногах

Осложнения

Эмболия — тяжёлое состояние, которое часто осложняется:

  1. внутренними кровотечениями;
  2. кровоизлиянием в мозг;
  3. отёк мозга;
  4. нарушениями кровообращения;
  5. нарушениями сердечного ритма.

Наиболее серьёзное осложнение эмболии головного мозга — остановка дыхания, которая может привести к летальному исходу, если вовремя не будет оказана первая помощь.

Прогноз

Прогноз на лечение эмболии полностью зависит от её своевременного диагностирования. Точной статистики нет, но в большинстве случаев, когда эмболия поражает человека вне больничных условий, пациент умирает, поскольку не сразу обращается ко врачу.

При ранней диагностике и правильном лечении велика вероятность полного выздоровления. Иногда у пациентов могут встречаться остаточные явления вроде пареза, нарушений кровообращения и сопутствующих заболеваний.

Эмболи́я сосудов головного мозга

Внезапная окклюзия мозгового сосуда эмболом, один из патогенетических вариантов развития ишемического инсульта.

Наряду с закупоркой сосуда эмболом развиваются иннервационные нарушения (вазоспазм с последующим вазопарезом), сопровождающиеся отеком мозга, запустением капиллярной сети в бассейне пораженного сосуда. При исчезновении рефлекторного спазма эмбол может продвигаться в дистальные отделы сосуда, и тогда выключенными оказываются только мелкие корковые ветви артерий. Наиболее часто встречаются кардиогенные эмболии при клапанных пороках сердца, возвратном ревматическом эндокардите, подостром или бактериальном эндокардите, инфарктах миокарда, во время операций по поводу пороков сердца, при кардиосклерозе, протекающем с мерцанием предсердий и образованием пристеночных тромбов и др. Характер эмболов различный. Это могут быть частицы измененных клапанов сердца, пристеночных тромбов и тромбов из ушка левого предсердия, кусочки распадающихся атеросклеротических бляшек при атеросклерозе аорты или магистральных сосудов головы, иногда тромбы при незаращении овального отверстия межпредсердной перегородки, из вен большого круга кровообращения (при тромбофлебитах вен конечностей, тромбозах вен брюшной полости, малого таза). В некоторых случаях эмболия мозговых сосудов происходит при злокачественных опухолях, гнойных процессах в легких. Бактериальная эмболия может возникнуть при эндокардитах. Реже встречаются жировая (при переломе длинных трубчатых костей, при операциях с большой травматизацией подкожной клетчатки) и газовая эмболия (при операциях на легких, наложении пневмоторакса, при кессонных работах).

Клиническая картина характеризуется внезапным появлением неврологических симптомов. Часто эмболия развивается у лиц молодого возраста, как правило, днем; провоцируется физическим перенапряжением, стрессом. Характерна кратковременная потеря сознания, нередко отмечаются эпилептические припадки и преходящие оболочечные симптомы. Иногда одновременно возникает эмболия центральной артерии сетчатки с внезапной слепотой или появлением скотом. Если причиной инсульта является диссеминированная жировая эмболия, то неврологической симптоматике предшествуют легочные симптомы (одышка, кашель, кровохарканье), которые обусловлены появлением жировых частиц в сосудах легких. Характер очаговых неврологических симптомов определяется локализацией мозгового инфаркта, которая соответствует зоне кровоснабжения пораженного сосуда. Несколько чаще встречаются эмболии в системе внутренней сонной артерии (по сравнению с вертебробазилярной системой).

Библиогр.: Гусев Е.И., Гречко В.Е. и Бурд Г.С. Нервные болезни, М., 1988.

Комментировать
149
3 322 просмотров
Комментарии
  1. berkey ()
    Ответить

    Greetings! I’ve been reading your blog for some time now and finally got the bravery to go ahead and give you a shout out from Atascocita Tx! Just wanted to tell you keep up the excellent job!|
    berkey https://bit.ly/3nYQwo7

  2. the feed ()
    Ответить

    Hi there! I know this is kind of off topic but I was wondering which blog platform are you using for this site? I’m getting fed up of WordPress because I’ve had issues with hackers and I’m looking at alternatives for another platform. I would be great if you could point me in the direction of a good platform.|
    the feed http://www.rio-net.or.tv/i/rank.cgi?mode=link&id=1576&url=https://www.methodspace.com/members/skratchlabs/profile/

  3. feed ()
    Ответить

    Hello, i believe that i noticed you visited my site thus i came to return the desire?.I am trying to find things to enhance my website!I assume its adequate to make use of a few of your ideas!!|
    feed http://www.laosubenben.com/home/link.php?url=https://www.openstreetmap.org/user/SkratchLabs

  4. feed ()
    Ответить

    Fascinating blog! Is your theme custom made or did you download it from somewhere? A design like yours with a few simple tweeks would really make my blog stand out. Please let me know where you got your theme. Many thanks|
    feed https://click.dsp.com/c?type=2&db=mediav&pub=120013_527433_1050746&cus=172_663_12717020_63096188_63096188000&url=http://clifbar5.brandyourself.com/

  5. feed ()
    Ответить

    It’s fantastic that you are getting ideas from this piece of writing as well as from our discussion made at this place.|
    feed https://www.5ivestarlondon.com/track.aspx?click=I&group=Z&item=Primrose+Bakery+Bespoke+Service&url=https://fonolive.com/b/us/boulder-co/hospital/17959513/the-feed

  6. portable atmospheric water generator ()
    Ответить

    I got this site from my pal who shared with me about this web page and now this time I am visiting this web page and reading very informative articles or reviews here.|
    portable atmospheric water generator http://168friend.com/externalpage.php?url=https://architizer.com/firms/atmospheric-water-generator/

  7. superbeets review ()
    Ответить

    This is a topic that is near to my heart… Cheers! Exactly where are your contact details though?|
    superbeets review https://track.affclkr.com/track/clicks/3171/c627c2b89e0522dbfe9cbd2e8d2b8914736245cb75e9f0ab416db1046005?t=https://www.ultimate-guitar.com/u/superbeets11

  8. junk car buyer near me ()
    Ответить

    Wow, marvelous blog layout! How long have you been blogging for? you make blogging look easy. The overall look of your web site is excellent, as well as the content!|
    junk car buyer near me https://3dwarehouse.sketchup.com/user/339929f1-184a-4ad7-abe4-d79dfd33e0a2/Houston-Junk-Car-Buyer

  9. houston junk car buyer ()
    Ответить

    Very rapidly this web page will be famous amid all blogging users, due to it’s good posts|
    houston junk car buyer https://myspace.com/buyercarhouston

  10. theragun ()
    Ответить

    I just like the helpful information you provide in your articles. I’ll bookmark your blog and take a look at once more here regularly. I am reasonably certain I will be told many new stuff right here! Good luck for the next!|
    theragun https://architizer.com/firms/theragun-review/

  11. we just did 46 hat official ()
    Ответить

    My brother recommended I might like this website. He used to be entirely right. This post truly made my day. You can not imagine just how so much time I had spent for this information! Thank you!|
    we just did 46 hat official https://www.facebook.com/viralamerica2016/posts/we-just-did-46-hat-official-buy-here-httpsteechipcomwe-just-did-46-hat-official-/1475921352603875/

  12. fathor t shirt ()
    Ответить

    Wonderful article! We are linking to this great post on our site. Keep up the great writing.|
    fathor t shirt https://binged.it/3r9FQV2

  13. Katherin Moskwa ()
    Ответить

    Hey there, You have done a great job. I will certainly digg it and personally recommend to my friends. I’m confident they will be benefited from this website.|
    Katherin Moskwa https://telegra.ph/Berkey-Water-Filter-05-02

  14. pew pew madafakas mens t-shirt ()
    Ответить

    Sweet blog! I found it while browsing on Yahoo News. Do you have any tips on how to get listed in Yahoo News? I’ve been trying for a while but I never seem to get there! Thank you|
    pew pew madafakas mens t-shirt https://feqatyzi.wixsite.com/pew-pew-madafakas

  15. Mable ()
    Ответить

    The very root of your writing while sounding agreeable initially, did not work very well with me after some time.
    Someplace within the sentences you managed to make me a believer but only
    for a while. I nevertheless have a problem with your
    leaps in assumptions and you would do nicely to help fill in those breaks.
    When you actually can accomplish that, I will definitely be amazed.

    Here is my blog post — Wilbert

  16. Lasonya ()
    Ответить

    I believe other website proprietors should take this internet site as
    an model, very clean and fantastic user pleasant style and design.

    my webpage :: kkpoker

  17. Abdul ()
    Ответить

    hey there and thank you for your info � I�ve definitely picked up something new
    from right here. I did however expertise some technical issues
    using this site, since I experienced to reload the web site a
    lot of times previous to I could get it to load correctly.
    I had been wondering if your web hosting is OK? Not that I’m complaining, but sluggish loading instances times will
    sometimes affect your placement in google and could
    damage your high quality score if advertising and marketing with Adwords.

    Anyway I�m adding this RSS to my e-mail and could look out for a lot more of your respective intriguing
    content. Ensure that you update this again very soon..

    my blog Hookupsnear Me

  18. Robby ()
    Ответить

    Hello there, I discovered your site by What Is the maximum payout on Bet365?
    use of Google even as searching for a similar topic, your website came up, it seems to be good.
    I’ve bookmarked it in my google bookmarks.

  19. Michal ()
    Ответить

    Hello all, here every one is sharing these know-how, so it’s good to read this blog, and I used to pay a visit this webpage every day.

    my website :: Facebook sex.

  20. Maude ()
    Ответить

    I always emailed this web site post page to all my friends, for the
    reason that if like to read it after that my links will too.

    My website — upoker Review

  21. Violet ()
    Ответить

    Thank you a bunch for sharing this with all of us you actually recognize what you’re speaking approximately!

    Bookmarked. Please also discuss with my site =). We will have a link alternate contract
    between us!

    Also visit my website: facebook Sex Website

  22. Earnest ()
    Ответить

    Hey there! I know this is somewhat off topic but I was wondering which blog platform are you using for this site?
    I’m getting tired of WordPress because I’ve had problems
    with hackers and I’m looking at options for another platform.
    I would be great if you could point me in the direction of a good platform.

    Here is my page Adult personnels

  23. Jorge ()
    Ответить

    Thank you a bunch for sharing this with all of us you actually recognize what you
    are talking about! Bookmarked. Please additionally visit my site
    =). We can have a link change arrangement among us!

    Also visit my web site … Face Book sex

  24. Flynn ()
    Ответить

    Great delivery. Great arguments. Keep up the good work.

    my page; facebook+sex (Seth)

  25. Margarita ()
    Ответить

    I enjoy your writing style truly loving this internet site.

    my webpage craiglistforsex

  26. Lucy ()
    Ответить

    Hey There. I discovered your weblog using msn. This
    is an extremely neatly written article. I will be sure to bookmark it and come back to learn more of your
    helpful information. Thanks for the post. I will definitely return.

    Here is my webpage: KKPoker Review

  27. Jackson ()
    Ответить

    I enjoy you because of all of the effort find sex on facebook this
    blog. Kim enjoys participating in investigation and it is easy to see why.

    Most people know all regarding the lively ways you provide both useful
    and interesting secrets through this web site and as well
    recommend response from other individuals on this area of
    interest so our princess is without a doubt understanding a great deal.
    Take pleasure in the remaining portion of the new year.
    You are always conducting a really good job.[X-N-E-W-L-I-N-S-P-I-N-X]I am really
    inspired together with your writing talents as well as with the structure in your blog.

    Is that this a paid subject or did you customize it
    yourself? Either way keep up the excellent high quality writing,
    it’s uncommon to look a nice weblog like this one today.

  28. Novella ()
    Ответить

    Everything is very open with a really clear description face book of sex the challenges.
    It was truly informative. Your website is extremely helpful.
    Thank you for sharing!

  29. Donny ()
    Ответить

    Wow, superb blog layout! How lengthy have you been running a blog for?

    you made blogging look easy. The full look of your site is excellent,
    let alone the content![X-N-E-W-L-I-N-S-P-I-N-X]I just couldn’t leave your website before suggesting that I actually loved the standard info
    an individual supply on your visitors? Is gonna be
    again frequently to inspect new posts.

    Here is my blog … Hookup Ads

  30. Jeffery ()
    Ответить

    I your writing style truly enjoying this website.

    My web blog … Free adult ads

  31. Joann ()
    Ответить

    An additional issue is video games are normally serious
    as the name indicated with the key focus on understanding rather than enjoyment.
    Although, it comes with an entertainment part to keep your young ones engaged, each one game
    is usually designed to work towards a specific group of skills
    or curriculum, such as cs or research. Thanks for your write-up.

    Feel free to visit my webpage Free personal Ads

  32. Brandon ()
    Ответить

    I like this web site so much, bookmarked.

    Feel free to visit my web page; Sex Face book

  33. Elsie ()
    Ответить

    Hi everybody, here every one is sharing such experience, so it’s pleasant to
    read this webpage, and I used to pay a visit this
    web site all the time.

    Feel free to surf to my web site facebook sex

  34. Kayleigh ()
    Ответить

    Wow, awesome weblog layout! How long have you been blogging for?
    you make running a blog glance easy. The total glance of your site is wonderful, as
    neatly as the content![X-N-E-W-L-I-N-S-P-I-N-X]I simply couldn’t leave your website prior to suggesting that I actually enjoyed the standard info a person provide sex on facebook
    your visitors? Is going to be again often to investigate cross-check
    new posts.

  35. Marie ()
    Ответить

    I was curious if you ever thought of changing the page layout of your website?
    Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could
    connect with it better. Youve got an awful lot of text for only having one
    or 2 images. Maybe you could space it out better?

    My page … Roma

  36. Mason ()
    Ответить

    hello there and thank you for your info � I have definitely picked up anything new from right here.
    I did however expertise several technical issues using this site,
    since I experienced to reload the website
    lots of times previous to I could get it to load properly.
    I had been wondering if your web host is OK? Not
    that I’m complaining, but slow loading instances times will sometimes affect
    your placement in google and could damage your quality score if ads and marketing with Adwords.

    Anyway I�m adding this RSS to my email and could look out for a lot more of
    your respective interesting content. Ensure that you
    update this again very soon..

    Feel free to visit my webpage :: Vallie

  37. Chassidy ()
    Ответить

    Great delivery. Great arguments. Keep up the good effort.

    Here is my web blog; hookup ad (Lena)

  38. Hermelinda ()
    Ответить

    Wonderful post however I was wanting to know if you could write a litte more on this topic?

    I’d be very grateful if you could elaborate a
    little bit more. Thanks!

    my homepage — Pokerking Faq

  39. Novella ()
    Ответить

    Hi, i feel that i saw you visited my website thus i got
    here to “return the desire”.I’m attempting to to find
    things to improve my website!I suppose its adequate
    to make use of a few of your ideas!!

    Here is my blog post — Which poker Room is Best In Asia?

  40. Roma ()
    Ответить

    magnificent post, very informative. I wonder why the other
    experts of this sector do not notice this. You should continue your writing.
    I’m confident, you’ve a great readers’ base already!

    Look into my web blog :: poker site rankings

  41. Benjamin ()
    Ответить

    You are a very smart person!

    Also visit my blog :: face book sex

  42. Dorthea ()
    Ответить

    Touche. Sound arguments. Keep up the great work.

    Here is my page — adult personnels [https://bugatti-club-deutschland.de/2023/03/28/adult-personnels-on-the-market-how-a-lot-is-yours-value]

  43. Marty ()
    Ответить

    I conceive other website proprietors should take this web site as
    an example, very clean and superb user pleasant pattern.

    Here is my blog post — Facebook Sex.

  44. Joel ()
    Ответить

    I don’t even understand how I finished up right here,
    but I thought this publish used to be good.
    I do not recognize who you might be but certainly you are going
    to a well-known blogger if you happen to aren’t already 😉 Cheers!

    Also visit my blog post hookups near me (Leonard)

  45. Keeley ()
    Ответить

    A large percentage of of what you claim is astonishingly legitimate and that makes hookups Near me ponder why I had not looked
    at this with this light previously. Your article really did turn the light on for me as far as
    this topic goes. However there is actually one position I am not necessarily too comfy with so while
    I make an effort to reconcile that with the main idea of
    the position, let me serve what the rest of the
    visitors have to say.Nicely done.

  46. Dina ()
    Ответить

    Most of whatever you claim is astonishingly appropriate and that makes me wonder why I
    hadn’t looked at this with this light before.
    This particular piece really did turn the light on for me as far as this
    specific issue goes. However at this time there is actually just one position I am not really too comfortable with so while I attempt to reconcile that with the
    actual central theme of your position, allow me ob what the rest
    of the subscribers have to say.Nicely done.

    Also visit my page: facebook Sex Ads

  47. Jackson ()
    Ответить

    We are a bunch of volunteers and starting a brand new scheme in our community.
    Your website provided us with helpful information to paintings on. You
    have performed a formidable job and our whole neighborhood shall be grateful to you.

    Feel free to visit my web site — top Poker sites

  48. Winnie ()
    Ответить

    I will immediately take hold of your rss as I can not in finding your e-mail subscription link or e-newsletter service.
    How Do I withdraw from Ignition? you have any?
    Please permit me understand in order that I could subscribe.
    Thanks.

  49. Denisha ()
    Ответить

    What’s up everybody, here every one is sharing such
    experience, therefore it’s good to read this website,
    and I used to visit this web site everyday.

    Feel free to surf to my blog post … facebooksex
    (discuzmb.cn)

  50. Silke ()
    Ответить

    Good article. It is extremely unfortunate that over the last one decade, the travel industry has already been able
    to to handle terrorism, SARS, tsunamis, bird flu, swine flu, along with
    the first ever real global economic downturn. Through all this the industry
    has proven to be effective, resilient as well as dynamic,
    locating new ways to deal with trouble

    Feel free to surf to my web-site: sex fecbook

  51. Marguerite ()
    Ответить

    g your own inbox as well as snail-mail box using hundreds of
    Zero APR card offers just after the holiday season finishes.
    Knowing that when you are like 98% of all American general public, you’ll leap
    at the opportunity to consolidate card debt and switch balances
    to 0 APR credit cards.

    Have a look at my website :: Hooking Up Near Me

  52. Lilly ()
    Ответить

    I feel that is one of the such a lot significant information for horny women Near Me.
    And i’m satisfied reading your article. But should statement
    on some general issues, The site taste is ideal, the articles is really nice :
    D. Just right activity, cheers

  53. Tawnya ()
    Ответить

    Incredible points. Great arguments. Keep up the amazing work.

    Feel free to visit my web page; finding sex partners on facebook [Billie]

  54. Verla ()
    Ответить

    Undeniably believe that which you said. Your
    favourite reason appeared to be on the web the simplest thing to understand of.
    I say to you, I definitely get irked at the same time as folks think about concerns that they just do not recognize about.
    You managed to hit the nail upon the top and also defined out the entire thing with no need side-effects
    , other folks can take a signal. Will likely be again to ge

    Feel free to visit my web page — fb sex [Noreen]

  55. Major ()
    Ответить

    Great delivery. Solid arguments. Keep up the amazing spirit.

    My homepage top 10 best poker Sites

  56. Eddy ()
    Ответить

    I am no longer positive the place you’re getting your info, however good topic.
    I must spend a while studying more or understanding more. Thank
    you for fantastic information I used to be looking for this
    information for my mission.

    my web-site :: craiglistforsex (cnai.education)

  57. Wilburn ()
    Ответить

    I all the time emailed this webpage post page to all my associates, because if like to read it afterward my links will too.

    Here is my website: Sex on facebook

  58. Geraldo ()
    Ответить

    You are a very capable individual!

    My webpage :: Kkpoker Rakeback

  59. Florencia ()
    Ответить

    I believe other website owners should take this site as an example, very clean and good
    user genial style and design.

    Also visit my blog post fb sex

  60. Ashleigh ()
    Ответить

    It’s a pity you don’t have a donate button! I’d without a doubt donate to this fantastic blog!
    I guess for now i’ll settle for bookmarking and adding your RSS feed to my Google account.
    I look forward to new updates and will share this blog with my Facebook sex group.

    Talk soon!

  61. Carri ()
    Ответить

    That is very attention-grabbing, You are an excessively skilled blogger.
    I’ve joined your rss feed and sit up for in search of more of your magnificent post.

    Also, I’ve shared your website in my social networks!

    Also visit my web-site … Pokerking rake

  62. Genevieve ()
    Ответить

    I loved up to you will obtain carried out proper here. The caricature is tasteful, your authored material stylish.
    nonetheless, you command get got an shakiness over that you would like
    be handing over the following. sick unquestionably come more earlier again as precisely
    the same just about very frequently inside case you defend
    this increase.

    Have a look at my homepage … Facebook sex.

  63. Dixie ()
    Ответить

    I loved as much as you’ll receive carried out right here.

    The sketch is attractive, your authored subject matter
    stylish. nonetheless, you command get got an nervousness over that you wish be delivering
    the following. unwell unquestionably come further formerly again since exactly
    the same nearly very often inside case you shield this increase.

    Here is my website :: Poker Site ratings

  64. Dixie ()
    Ответить

    bookmarked!!, I really like your site!

    Here is my blog post Hookups Neer Me

  65. Kassie ()
    Ответить

    Nice read, I just passed this onto a colleague who was doing a little research on that.
    And he actually bought me lunch since I found it for him
    smile Therefore let me rephrase that: Thanks for lunch!

    My blog :: Pokerking faq

  66. Beau ()
    Ответить

    Hi there every one, here every person is sharing such know-how, thus it’s fastidious to read this blog,
    and I used to pay a quick visit this website all the time.

    Feel free to surf to my web blog; Free personal Ad

  67. Kathaleen ()
    Ответить

    Hi there, You have done an excellent job. I will definitely digg it and personally
    suggest to my friends. I am confident they’ll be benefited from this website.

    Also visit my web blog … Kk Poker

  68. Delmar ()
    Ответить

    I enjoy your writing style genuinely enjoying this website.

    my blog post; Sex Fesbok (Soumissionfondation.com)

  69. Myrna ()
    Ответить

    Nice read, I just passed this onto a friend who was doing some research on that.
    And he just bought me lunch because I found it for him
    smile Thus let hook.ups near me (http://Eurasiaaz.com/index.php?subaction=userinfo&user=Selene02J07474) rephrase that: Thanks for lunch!

  70. Tamika ()
    Ответить

    I wish to express my appreciation to this writer just for bailing me out of this type
    of incident. After surfing around throughout the online world and meeting notions which
    were not pleasant, was thinking my entire life was gone.
    Existing without the solutions to the problems you’ve sorted
    out all through your entire short article
    is a critical case, as well as ones that could have adversely
    affected my entire career if I hadn’t noticed your blog
    post. Your actual expertise and kindness in handling all the details was very
    useful. I’m not sure what I would’ve done if I hadn’t discovered such
    a solution like this. I can also at this moment look ahead
    to my future. Thanks so much for your expert and effective help.
    I won’t think twice to suggest your web sites websites to play Poker anyone who
    should receive guidance about this issue.

  71. Britney ()
    Ответить

    I enjoy your writing style really enjoying this website.

    Feel free to visit my blog Klaudia

  72. Hildegarde ()
    Ответить

    Very good written article. It will be useful to
    anyone who utilizes it, as well as myself. Keep doing what
    you are doing — looking forward to more posts.

    Also visit my website :: hookupsnear me, http://cephalexin500mg.us.Com/top-10-suggestions-With-hook-ups-near-me/,

  73. Annis ()
    Ответить

    I believe this website has some real fantastic information for everyone :D.

    My site: Local hookups (http://www.highborn.kr)

  74. Iola ()
    Ответить

    I enjoy you because of your own efforts on this blog. Ellie enjoys doing
    research and it is easy to understand why. Most
    of us know all regarding the dynamic medium you deliver vital solutions by means
    of your web blog and therefore boost response from
    other individuals on the issue and our daughter has been being taught a whole lot.
    Have fun with the rest of the new year. Your carrying out a pretty cool job.[X-N-E-W-L-I-N-S-P-I-N-X]I’m really inspired with
    your writing skills as well as with the format to your weblog.
    Is this a paid theme or did you modify it your self?
    Anyway keep up the excellent quality writing, it is rare to peer a nice weblog facebook like sex this one nowadays.

  75. Dakota ()
    Ответить

    I have witnessed that wise real estate agents all over the place are starting to warm up to FSBO Advertising and
    marketing. They are recognizing that it’s more than merely placing a poster in the front
    yard. It’s really regarding building connections with these traders who
    later will become consumers. So, whenever give your time
    and energy to helping these dealers go it alone — the «Law regarding Reciprocity» kicks in. Interesting blog post.

    Feel free to surf to my homepage — free sex partner

  76. Krystyna ()
    Ответить

    It is appropriate time to make some plans
    for the future and it is time to be happy. I have read this post and if I could I desire to suggest
    you few interesting things or suggestions. Perhaps you could write
    next articles referring to this article. I desire to
    read even more things about it!

    My homepage: facebook sex; ba_rw2_dn-wl-9rw.3pco.ourwebpicvip.comLee.b.Es.t@cenovis.the-m.co.kr,

  77. Cassandra ()
    Ответить

    hey there and thank you for your information –
    I have definitely picked up anything new from right
    here. I did however expertise several technical points using this website, as I experienced to reload the website a lot of times previous to I
    could get it to load correctly. I had been wondering if your web hosting is OK?
    Not that I’m complaining, but slow loading instances times will
    sometimes affect your placement in google and can damage your quality score if advertising and marketing with Adwords.
    Well I am adding this RSS to my email and could look out for much more of
    your respective intriguing content. Ensure that you update this again soon..

    Feel free to visit my web blog: fb sex

  78. Kisha ()
    Ответить

    The very heart of your writing while sounding reasonable at first, did not really work very well with me after some time.
    Someplace within the paragraphs you were able to make me a believer unfortunately
    just for a short while. I still have a problem with your leaps in logic and one might do nicely to fill
    in all those breaks. If you actually can accomplish that,
    I would surely end up being impressed.

    Also visit my web site :: Facebooksex

  79. Amelia ()
    Ответить

    I enjoy your writing style really loving this site.

    Look into my web page Hookup Near Me

  80. Lowell ()
    Ответить

    Wow, wonderful blog format! How lengthy have you been running
    a blog for? you made blogging look easy. The full look of your web site is excellent, as neatly
    as the content![X-N-E-W-L-I-N-S-P-I-N-X]I just could
    not go away your website before suggesting that I
    really loved the standard information a person provide on your visitors?

    Is going to be again frequently to investigate cross-check new posts.

    Here is my web site: craiglist replacement

  81. Charity ()
    Ответить

    Unquestionably believe that that you said. Your favorite justification seemed to
    be on the web the simplest factor to be aware of.

    I say to you, I definitely get irked even as other people think about worries that they just do not recognise about.
    You managed to hit the nail upon the highest as neatly as
    outlined out the entire thing with no need side effect , folks could take a signal.
    Will probably be again to ge

    Visit my blog; facebook sex website

  82. Zara ()
    Ответить

    Good day! Do you know if they make any plugins to protect
    against hackers? I’m kinda paranoid about losing everything
    I’ve worked hard on. Any recommendations?

    My site; facebook Sex page

  83. Naomi ()
    Ответить

    In this grand design of things you receive a B+ with regard to effort.
    Exactly where you actually confused me personally was on the details.
    You know, they say, details make or break the argument.. And it couldn’t be much more true
    at this point. Having said that, let me inform you precisely what did work.

    The text is pretty persuasive which is probably the reason why I am making the
    Facebook of sex (%28…%29Xped.It.Io.N.Eg.D.G@Burton.Rene@www.Kartaly.surnet.ru)
    effort in order to comment. I do not make it a regular
    habit of doing that. Secondly, while I can easily notice a jumps in reason you come up with, I am not sure of how you seem to
    unite the ideas which in turn make your final result. For now
    I will, no doubt subscribe to your issue but hope in the foreseeable future actually link your
    facts much better.

  84. Benjamin ()
    Ответить

    What I have observed Sex In Facebook terms of
    laptop or computer memory is the fact there are specific features such as SDRAM, DDR and
    so on, that must match the specific features of the mother board.
    If the personal computer’s motherboard is kind of current and there
    are no operating system issues, modernizing
    the memory literally normally requires und

  85. Uwe ()
    Ответить

    Great site. Lots of useful info here. I am sending it to several friends ans also sharing
    in delicious. And obviously, thanks for your effort!

    Feel free to surf to my blog; sex face book

  86. Rueben ()
    Ответить

    My partner and I absolutely love your blog and find the majority of your post’s to be
    precisely what I’m looking for. can you offer
    guest writers to write content in your case? I wouldn’t mind publishing a post
    or elaborating on most of the subjects you write concerning here.
    Again, awesome weblog!

    my web page — Sex Mear Me

  87. Jerrold ()
    Ответить

    I wanted to put you that little bit of remark to finally thank you the moment
    again on the marvelous pointers you have discussed in this case.
    This has been certainly extremely open-handed
    of you to deliver openly just what most of us ‘ve marketed as an ebook
    to earn some dough on their own, most importantly seeing that you could
    possibly have tried it if you desired. Those suggestions also acted like a great way to
    comprehend the rest have similar interest the same as my
    very own to know significantly more on the topic of this problem.

    I believe there are numerous more fun periods ahead for individuals who find out your website.

    Here is my website :: hookups near Me

  88. Lynell ()
    Ответить

    I haven’t checked in here for some time since I thought it was getting boring,
    but the last few posts are good quality so I guess I’ll add you back to my
    everyday bloglist. You deserve it friend 🙂

    Feel free to visit my site: Free sex personals

  89. Joellen ()
    Ответить

    I believe other website proprietors should take this website as an model, very clean and superb user pleasant design.

    Here is my website: fece Book sex

  90. Rubye ()
    Ответить

    I like your writing style genuinely loving this internet site.

    Also visit my web site: Fb Sex

  91. Analisa ()
    Ответить

    Very nice info and right to the point. I don’t know if this is actually the best place to ask but do you
    guys have any ideea where to get some professional writers?
    Thx 🙂

    Look into my site :: upoker Review

  92. Madge ()
    Ответить

    Thanks for your write-up. Another element is that to be a photographer entails not only problem in catching award-winning photographs and also hardships in acquiring the best photographic camera suited to your needs and most
    especially struggles in maintaining the caliber of your camera.
    This can be very true and obvious for those photography lovers that are straight into capturing the particular nature’s eye-catching scenes — the mountains, the actual forests, the wild or even the seas.
    Going to these amazing places absolutely requires a digicam that can surpass the wild’s nasty setting.

    Visit my web site: Bess

  93. Scarlett ()
    Ответить

    Hello.This post was extremely remarkable, particularly since I was browsing for
    thoughts on this matter last week.

    My blog: sex face book

  94. Eula ()
    Ответить

    Wow, marvelous blog format! How lengthy have you been blogging poker sites for us players?
    you make running a blog glance easy. The total look of your site is wonderful, let alone
    the content material![X-N-E-W-L-I-N-S-P-I-N-X]I just could not leave your website before suggesting that I actually enjoyed the usual info a person provide on your visitors?

    Is going to be back steadily to inspect new posts.

  95. Monique ()
    Ответить

    Thank you, I have just been searching for information approximately this
    topic for a long time and yours is the greatest I’ve discovered till now.

    However, what replaced craigslist for hooking up in regards to the conclusion? Are you certain about the supply?

  96. Gabriel ()
    Ответить

    I constantly emailed this website post page to all my friends, for
    the reason that if like to read it next my contacts will too.

    My site; hookups Near me

  97. Darlene ()
    Ответить

    F*ckin’ remarkable things here. I’m very glad to see your post.
    Thanks a lot and i am looking forward to contact you.
    Will you please drop me a e-mail?

    My webpage :: Michele

  98. Monroe ()
    Ответить

    Hi! Would you mind if I share your blog with my zynga group?
    There’s a lot of folks that I think would really enjoy your
    content. Please let me know. Thank you

    My blog: Sex Facebook

  99. Emery ()
    Ответить

    One thing I’d really like to say is before
    purchasing more computer memory, check out the
    machine into which it can be installed. If your machine is
    usually running Windows XP, for instance, the actual memory threshold is 3.25GB.
    Adding above this would merely constitute a waste.
    Make sure that one’s motherboard can handle your upgrade
    quantity, as well. Good blog post.

    Also visit my website Pokerking Review

  100. Manual ()
    Ответить

    Everything is very open with a precise description of
    the challenges. It was definitely informative. Your site is
    useful. Thank you for sharing!

    Feel free to surf to my blog post … Horny Women Near Me

  101. Quincy ()
    Ответить

    wonderful issues altogether, you just received a new reader.
    What might you recommend about your submit that you
    just made some days ago? Any positive?

    Take a look at my webpage; Facebook Personals

  102. Louie ()
    Ответить

    hello!,I love your writing very so much! share we keep up a
    correspondence extra approximately your article on AOL? I
    need a specialist on this space to unravel my problem. May be that is you!
    Taking a look ahead to peer you.

    Look into my web blog — rehab for alcohol Addiction near me

  103. Aubrey ()
    Ответить

    Hello there, You have done a fantastic job. I’ll definitely
    digg it and in my opinion recommend to my friends.
    I am confident they’ll be benefited from this web
    site.

    Also visit my web site — Luxury rehab centers near Me

  104. Shani ()
    Ответить

    Woah! I’m really digging the template/theme of this
    website. It’s simple, yet effective. A lot of times it’s tough to get
    that «perfect balance» between superb usability and visual appeal.
    I must say you’ve done a great job with this.
    Also, the blog loads extremely quick rehab for alcohol addiction near me (Nicole) me on Safari.
    Outstanding Blog!

  105. mibEffiff ()
    Ответить

    reputable online levitra 1038 ncomms12595 2016

  106. Bernice ()
    Ответить

    There are certainly numerous particulars like that to take into consideration.
    That is a great level to deliver up. I provide the thoughts
    above as common inspiration however clearly there are questions just like the one you deliver up the place a
    very powerful factor might be working in sincere good faith.
    I don?t know if greatest practices have emerged around things like that,
    but I am positive that your job is clearly identified as
    a good game. Each boys and girls really feel the of only a second’s
    pleasure, for the rest of their lives.

    My webpage: Heroin Addiction

  107. mibEffiff ()
    Ответить

    The expression of IGF 1R, ER, PR, HER2, Ki67 and cleaved caspase 3 was analyzed immunohistochemically where to buy priligy in usa And if you needed the immediate reconstruction as complex as mine, Dr

  108. WYWtDHA ()
    Ответить

    buying cialis generic I promised someone to help you like this, After that, she stomped her feet and floated away

  109. Dgbmmm ()
    Ответить

    order fenofibrate online order tricor for sale buy tricor 200mg without prescription

  110. Ewzguz ()
    Ответить

    buy generic zaditor 1 mg buy ketotifen generic imipramine 25mg canada

  111. Mqnfqq ()
    Ответить

    acarbose us acarbose over the counter griseofulvin 250 mg tablet

  112. Ryfplf ()
    Ответить

    where can i buy mintop ed pills no prescription ed pills

  113. Agleek ()
    Ответить

    dipyridamole 25mg ca buy dipyridamole pill pravastatin 20mg generic

  114. Eszgec ()
    Ответить

    meloset pill melatonin order online danocrine without prescription

  115. Unkpaz ()
    Ответить

    where can i buy prasugrel buy dimenhydrinate 50 mg for sale order tolterodine online cheap

  116. Dfxmrc ()
    Ответить

    etodolac 600mg price colospa 135mg cost cilostazol medication

  117. Tiyxoq ()
    Ответить

    ferrous for sale online where to buy risedronate without a prescription order betapace pills

  118. Ovezyl ()
    Ответить

    buy enalapril 5mg generic buy generic bicalutamide online where to buy lactulose without a prescription

  119. Roveoe ()
    Ответить

    omeprazole canada singulair buy online lopressor where to buy

  120. Fulnmn ()
    Ответить

    buy generic cenforce over the counter chloroquine 250mg price chloroquine ca

  121. Acrhrr ()
    Ответить

    order cefdinir 300 mg for sale order omnicef generic buy prevacid without prescription

  122. Gaugud ()
    Ответить

    buy modafinil 200mg generic modafinil online prednisone generic

  123. Punbun ()
    Ответить

    order pantoprazole online buy zestril 10mg pill order phenazopyridine 200 mg online cheap

  124. Mhpcug ()
    Ответить

    blackjack online real money brand vibra-tabs order albuterol for sale

  125. Yjcfym ()
    Ответить

    slot machines slots meaning purchase levothroid without prescription

  126. Isvxkk ()
    Ответить

    methylprednisolone 8 mg without prescription order generic adalat 10mg buy aristocort medication

  127. Emklcl ()
    Ответить

    purchase coversum sale where to buy clarinex without a prescription allegra 120mg for sale

  128. Khajli ()
    Ответить

    buy generic loratadine order altace pills order dapoxetine 90mg for sale

  129. Qccmbf ()
    Ответить

    buy lioresal sale elavil 50mg uk toradol price

  130. Fuqlgo ()
    Ответить

    buy inderal generic inderal 20mg cheap plavix brand

  131. Hwdouk ()
    Ответить

    azelastine online buy buy azelastine 10ml sprayers order avapro 150mg generic

  132. Anwcpl ()
    Ответить

    order nexium 40mg order mirtazapine 15mg pill topamax 100mg pill

  133. Zjbibs ()
    Ответить

    zyloprim for sale online temovate for sale online purchase rosuvastatin online

  134. Nwngpm ()
    Ответить

    order ranitidine 150mg generic buy zantac 150mg generic celebrex 100mg us

  135. Ygocut ()
    Ответить

    motilium canada carvedilol 25mg for sale sumycin generic

  136. Xmazqc ()
    Ответить

    buy generic tamsulosin generic flomax buy simvastatin 20mg generic

  137. Dhzvac ()
    Ответить

    purchase spironolactone generic order generic valacyclovir 1000mg finpecia without prescription

  138. Esstux ()
    Ответить

    aurogra over the counter sildalis buy online oral estradiol 1mg

  139. Hwaldt ()
    Ответить

    cheap tadalafil tadalafil cost purchase indocin online

  140. Fyznfh ()
    Ответить

    order lamisil sale lamisil for sale online poker online free

  141. Crnqaw ()
    Ответить

    buy ceftin 500mg sale careprost without prescription robaxin 500mg cost

  142. Ogehqc ()
    Ответить

    paper writer microeconomics homework help purchase suprax pills

  143. Rtkchh ()
    Ответить

    buy aspirin 75mg generic aspirin over the counter wind creek casino online play

  144. Nxkdhy ()
    Ответить

    clonidine 0.1mg price buy generic spiriva 9mcg buy tiotropium bromide 9 mcg for sale

  145. Okzgjy ()
    Ответить

    minocycline drug order minocin 100mg for sale buy ropinirole 1mg generic

  146. Cvvysd ()
    Ответить

    buy femara generic albendazole online order buy abilify 20mg generic

  147. Wasvfi ()
    Ответить

    strong sleep pills what is the strongest weight loss prescription pill effective weight loss pills gnc

  148. Iejwjy ()
    Ответить

    free medication for quitting smoking pain killers list online pharmacy pain relief

  149. Gtnoat ()
    Ответить

    periactin 4 mg over the counter periactin cheap buy nizoral 200 mg generic

Это интересно
No Image Варикоз
33 020 комментариев
No Image Варикоз
34 887 комментариев
No Image Варикоз
27 823 комментария
Adblock
detector