Ayurveda is ancient in its origin but its concepts like Janapadodhvamsa (epidemics) and Aupasargika Roga (communicable diseases) still holds importance in this modern era.
Charaka Samhith; one of the classical text in Ayurveda written in 1000BC states that, the Vaidya (physician/Ayurveda Doctor) should foresee the epidemics and take needed measures to prevent and control it. Charaka describes the epidemics in the chapter named Janapadpdhwamsa which means mass people get afflicted with diseases and destroy the whole region and inhabitants there.
Diseases and its causes can be classified into several groups by many factors and pathology behind it. In general the diseases can be classified in to two groups.
- Those common to all living beings in general (Epidemics)
- Those specific to individual ( eg. Diseases due to wrong food and regimens or specific fault done by the individual and the body constitution)
Eventhough there is dissimilarity in the physical constitution, mentality, food habits, strength and adaptability of human beings, still there are some factors common to all individuals and vitiation or contamination of these factors with pathogens and toxins leads to the simultaneous manifestation of diseases with same types of symptoms, leading to the destruction of that particular region or country. (Caharak Samhitha).
Factors which are common for all the inhabitants of a country are air, water location and season and it get vitiated or destabilized by adharma (the wrong doings) of the mankind. Adharma is the opposite of dharma. Dharma is a unique word in Sanskrit language and in Indian civilization and there is no appropriate equivalent word for it in English language.
Nature impels man to keep doing something without any cessation. There for he should learn the proper methods of doing things and by doing so, cleanses his mind, acquire good character and habits and then transcend the habits and become a good person for his family, society and for the entire world. Ayurveda advise one to follow Dharma that which nurtures the subjects and, in turn, the society.Β
So dharma is not just rules and regulation, it is the proper and right way of doing things for the welfare of the entire world and any action against that is adharma. Charaka says, this adharma also leads to the formation of demoniac unseen agents which kills the mass people.
Ayurveda also says the most root cause of all kind of diseases is pranjaparadha (Intellectual blasphemy) which means willfully ignoring oneβs inner knowing and going against norms, intuition and common sense.
Ayurveda states that this adharma and pranjaparadha leads to the destabilization or vitiation or the contamination of water, land, rain, season, farming etc. which in turn bring epidemics and destroy the region or the entire country.
Β
Mode of Spread of Communicable Diseases
Susruth (350BC) in his book named Susrutha Samhitha grouped some diseases under the heading Aupasargika rogas and described its mode of transmission. Aupasargika rogas are those infectious diseases communicated from one person to another; Communicable Diseases.
The mode of spread of infectious diseases has been described clearly by Sushruta in reference to Kustha (skin diseases), Jwara (pyrexia), Shosha (tuberculosis), Netrabhishyanda (conjunctivitis) etc., spread from human beings to human beings due to Prasangat (sexual route), Gatra-samsparsat (body contact), Nihshwasat (Droplet infection), Saha-bhojanat (taking food with diseased person), Saha-shayyasanat (sitting or sleeping with infected person), Vastramalyaanulepanat (using clothes, cosmetics and ornaments of patient).
COVID-19
COVID-19 is a newly discovered Corona virus infectious disease. Corona means βcrown,β and the viruses are named for the proteins on the outside of the viruses that look like crowns and were identified in the mid of 1960s. Corona Viruses are a large family of viruses that cause illness ranging from common cold to more severe disease such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV).Β
Virus – Viruses are the smallest microorganisms causing human diseases. Their genome is composed of either DNA or RNA and this genome structure is used as the basis of Virus classification.
The virus genome is enclosed in a protein shell and in some cases a lipid envelope. Unlike bacteria which can grow in cell free medium, all viruses are obligate intracellular pathogens. Glycoprotien on the surface of viruses recognize specific cellular receptor and thus infect specific cells and produces specific diseases.
Mode of spread of SARS CoV-2
Corona viruses are zoonotic. This means they first develop in animals before developing in humans. For the virus to pass from animal to humans, a person has to come into close contact with an animal that carries the infection.
A new study found the virus may have originated in bats and then spread to humans via a snake or pangolin. βThey found that the sequence of the corona virus strain assembled from metagenomes of pangolin was 99 percent identical to that of infected people in the recent coronavirus outbreak,βΒ If a person contracts the virus, the result is the disease called COVID-19. (Corona Virus Disease 2019). Once the virus develops in people, being it as a respiratory virus, corona viruses can be spread from person to person through respiratory droplets. If the nearby infected person doesnβt cover his/her mouth and nose while sneezing or coughing, they could potentially spray you with respiratory droplets from their nose or mouth. The droplets that land on you will likely contain the virus or perhaps you meet someone who contracted the virus, and they touched their mouth or nose with their hand. When that person shakes your hand, they transfer some of the virus to your hand. If you then touch your mouth or nose without washing your hands first, you may accidentally give that virus an entry point into your own body. Itβs also possible that theΒ virus can be transmitted via touching virus-contaminated surfaces and then touching your mouth or nose.
Studies suggest that corona viruses may persist on surfaces for a few hours or up to several days. This may vary under different conditions (e.g. type of surface, temperature or humidity of the environment).
Itβs possible that someone with a novel corona virus infection could transmit it to others even if they donβt show any symptoms, or have such mild symptoms that they donβt really know theyβre sick.
Incubation Period
An incubation period is the time between when you contract a virus and when your symptoms start. Currently, according to the Centers for Disease Control and Prevention (CDC) the incubation period for the novel coronavirus is somewhere between 2 to 14 days after exposure.
More than 97 percent of people who contract SARS-CoV-2 show symptoms within 11.5 days of exposure. The average incubation period seems to be around 5 days.
Signs and Symptoms
Symptoms of COVID-19 are usually mild and develop slowly.
The main symptoms are:
- Fever (low grade fever that gradually increases in temperature)
- shortness of breath
- cough that gets more severe over time
- fatigue
Other less common symptoms may include:
- achiness
- nasal congestion
- sore throat
- runny nose
- diarrhoea, nausea or a runny nose.(Very Rare).
COVID-19 has more respiratory symptoms than a cold, which usually causes a runny nose, congestion, and sneezing. Also, a fever isnβt too common with a cold. The flu has similar symptoms to COVID-19. However, COVID-19 is more likely to cause shortness of breath and other respiratory symptoms.
About 80 percent of people recover from the symptoms of COVID-19 without needing any special medical treatment. However, some people can become seriously ill after contracting COVID-19. Older adults and people with compromised immune systems are at the highest risk of developing more severe symptoms.
Treatment
Currently there is no specific treatment approved for COVID-19, and no cure for an infection, although treatments and vaccines are currently under study. Instead, treatment focuses on managing symptoms as the virus runs its course.
Complications
The most serious and specific complication of a SARS-CoV-2 infection is a type of pneumonia
thatβs been called 2019 novel coronavirus-infected pneumonia (NCIP).
Researchers have seen the following complications in people who have developed COVID-19:
- Novel Coronavirus Infected Pneumonia (NCIP).
- Acute Respiratory Failure leading to death
- Acute Respiratory Distress syndrome (ARDS)
- Acute Liver Injury
- Acute Cardiac Injury
- Acute Kidney Injury
- Secondary Infection
- Septic Shock
- Disseminated Intravascular Coagulation
- Irregular heart rate (arrhythmia)
- Cardiovascular shock
- Severe muscle pain (myalgia)
- Fatigue
- Heart damage or heart attack
- Acute Respiratory Distress Syndrome (ARDS)
- Rhabdomylosis (Extremely rare condition)
Prevention
The most effective ways to protect yourself and others against COVID-19 are to frequently clean your hands, cover your cough with the bend of elbow or tissue, and maintain a distance of at least 1 meter (3 feet) from people who are coughing or sneezing.
- Wash your hands frequently for at least 20 seconds at a time with warm water and soap.
- Donβt touch your face, eyes, nose, or mouth when your hands are dirty.
- Donβt go out if youβre feeling sick or have any cold or flu symptoms.
- Stay at least 3 feet away from anyone who is coughing or sneezing.
- Cover your mouth with the inside of your elbow whenever you sneeze or cough. Dispose any tissues you use right away.
- Clean any objects you touch a lot. Use disinfectants on objects like phones, computers, utensils, dishware, and doorknobs.
An Ayurvedic Perspective of COVID-19
According to Ayurveda daily routine and dietary habits play a major role in health and diseases. If our digestive fire is normal, our immunity will remain powerful and thus no infection can overrule. Ayurvedic herbals and preventive aspects help to detoxify the liver, improve digestion and boost up immunity. Ayurvedic preparations have anti-viral, cleansing and antioxidant properties. They are excellent for balancing Vata and Kapha, which are the prominent Dosha in COVID19 or any similar respiratory tract infections.
This COVID19 can be correlated to Abhinyasa Jwara and Abhishanga Jwara described in Ayurveda.
Abhinyasa Jwara: is one of the thirteen types of Sannipataja Jwara where all three Doshas are vitiated and affect rasavaha and pranavaha srotas ( nutritional system and respiratory system).
Bhuthabhishanga jwara is one among the aganthujaΒ jwara (fever caused by external factor) due to the infectious microorganism like bacteria, virus etc.
It severely affects the circulation of Rasa dhathu and thereby causes the depletion of Ojas; factor responsible for life and death, which results in death of patient. As the microorganism is the direct factor for the causation of this Abhinyasa Jwara (COVID19), it can be categorized as a Bhutabhisanga Jwara; a type of Agantuja Jwara.
Agantuja jwara are at first an independent malady without any primordial symptoms but later they get mixed up with the signs and symptoms of nija jwara(Fever due to intrinsic factors). However agantuja jwara has its own independent etiological factors and therapeutics.(charak Samhitha Chikitsa Sthana 3/128-129)
Management
Ojas is the product of a healthy digestive system, which helps the body in resisting infection. Low Ojas is the lack of immunity at the physical level and the absence of mental strength at the mind level. We can prevent the spread of epidemics by strengthening the Ojas and enhancing our body immunity. According to Ayurveda daily routine and dietary habits plays a major role in any disease. If your digestive fire is normal, your immunity will remain powerful and thus no infection can overrule you. So one should follow the ideal dietary regimen especially during the periods of epidemics.Β
The treatment can be divided in following steps:
- Nidana Parivarjana
- Shamana Chikitsa (Pacification Therapy)
- Shodhana Chikitsa (Purification Therapy)
- Rasayana Prayoga (Rejuvenation Therapy)
- Pranayama, yoga, meditation etc.
Nigraha Hetu (Coping factors): Sage Sushruta while describing the four Nigraha Hetu i.e. four factors which should be duly employed in order to successfully cope up with a disease, which are sanshodhana (purification), sanshamana (pacification), ahara and achara (regimes of diet & conduct), included adravyabhuta chikitsa (non pharmacological techniques) in the form of Achara (code of conduct/custom/ manner of action/good behavior).
Preventive and Prophylactic
- Nidanaparivarjana (Refrain from etiological factors): ΔcΔrya SuΕruta has mentioned that βNidΔna Parivarjanamβ is the foremost treatment principle of any disease in this world i.e. abstinence from the disease causing factors can treat the disease.
- Avoid or limit contact with people who are showing symptoms of COVID-19 or any respiratory infection.
- Stay at least 3 feet (1 meter) away from anyone who is coughing or sneezing. Use mask.
- Avoid personal contact, such as kissing, sharing cups or food or cloths etc. with sick people.
- practice good hygiene
- Wash your hands frequently for at least 20 seconds at a time with warm water and soap.
- Cough or sneeze into your elbow or by covering your mouth and nose with tissues.
- Put used tissues in the bin or a bag immediately.
- Donβt touch your face, eyes, nose, or mouth when your hands are dirty.
- Clean any objects you touch a lot. Use disinfectants on objects like phones, computers, utensils, dishware, and doorknobs.
- Fumigate the room and premises with herbal preparations like Aparajitha Choorna.
- Social distancing to prevent bacteria and viruses from spreading.
- Donβt go out especially if youβre feeling sick or have any cold or flu symptoms.
- Avoid or limit contact with people who are showing symptoms of COVID-19 or any respiratory infection.
- Ahara (Diet); If your digestive fire is normal, your immunity will remain powerful and thus no infection can overrule you. So one should follow the ideal dietary regimen.
- Always choose warm and light food.
- Avoid cold heavy and oily food.
- Drink boiled warm water. Tulasi, Ginger, black pepper tea is beneficial.
- Shadanga paneeya for drinking
- Avoid Regular use of sweets, butter, cheese, paneer, Dairy products especially curd and butter.
- Avoid Refrigerated, re warmed, day old stale food, etc.
- Avoid Non-vegetarian food.
Treatment
Treatment based on shadkriyakala (vyadhikriyakala); stage wise disease management should be adopted here. Acharya Susrut in susruthasamhitha suthrasthan 35th chapter named aturopakramaneeya(clinical observation) states that, in aupasargika rogas (Communicable Diseases) the treatment should be specific to the disease and its accompanying symptoms. A violent unfavorable symptom should be first attended and checked in a case where it would be found to have grown stronger and more distressing and dangerous than the original malady.
Clinically, the immune responses induced by SARS-CoV-2 infection are two phased. During the first stage; incubation and non-severe stages, a specific adaptive immune response is required to eliminate the virus and to stop the advancement of the disease to the next severe stage.
Therefore, strategies to boost immune responses at this stage are certainly important. For the development of an endogenous protective immune response at the incubation and non-severe stages, the host should be in good general health and body constitution.
- To improve the immunity in this one can have Indukantham and guduchyadi kashayam with tab Sudarsanachoornam or Tab.Mahasudarsanachoornam.
- Shadangapaneeyam for drinking, (Musta, parpata,Usira,Chandana,Udeechya,Sundi)
- Tab.Guduchi,Haridra and Tulasi
- Avoid food substances which are burning, heavy, unwholesome and antagonistic.
- Patient should abstain from excessive exhaustion and over eating.
However, when a protective immune response is impaired, virus will propagate and massive destruction of the affected tissues will occur. The damaged cells induce innate inflammation in the lungs that is largely mediated by pro-inflammatory macrophages and granulocytes. Lung inflammation is the main cause of life-threatening respiratory disorders at the severe stage. Therefore, good general health may not be advantageous for patients who have advanced to the severe stage: once severe lung damage occurs, efforts should be made to suppress inflammation and to manage the symptoms where some times life supportive measures become necessary.
- Ayurveda consider individual patient constitution and variations in disease manifestation and its stages. So Ayurveda adopt an individualized care approach.
After discharge from hospital too there may some patients remain or return viral positive and others even relapse.
- In Ayurveda specific rasayanayogas are adviced to improve the health and to prevent the relapse of the disease.
Medicines
Though there are numerous medicines advised in Ayurveda Classics to treat the disease with the same signs and symptoms above mentioned(Abhinyasa Jwara, Abhishanga Jwara), the specific medicines has to be given based on the individual constitution, vitiation, disease and its specific manifestation and stages. So the medicines given here should be used under the strict supervision of qualified Ayurveda Physician.
- Kashayam
- Shadangam Kashayam, Guluchyadi Kashayam, Indukantham Kashayam
- Amruthotharam Kashayam, Dasamoolakatuthrayam Kashayam, Panchathikthakam Kashayam
- Tablets
- Tab.Sudarsanachoorna, Tab.MahasudarsanaChoorna, Sooryaprabha, Tribhuvanakeerthirasa, Lakshmivilasarasa, Mrityunjayarasa,Β Vilwadi Gutika, Arogyavardhini Vati.
- Arishtam
- Amritharishtam, Sudarsanasavam, Vasarishtam, Kanakasavam
- Choornam
- Thaleesapatradi Choornam, Sitopaladichoornam, Rasnadi Choornam
- Vatakam
- Vyoshadivatakam
- Ghritam
- Indukanthamgritham, Kalyanakaghritam, Sathavari Ghritam, Vidaryadi Ghritam.
- Lehyam
- Pippalirasayanam, Gulardrakam, Agasthyarasayanam, Brahmarasayanam, Chyavanaprasam.
- Thailam
- Anuthalam
- Lakshadi Keram, Balaswagandadi Thailam
References
https://www.who.int/news-room/q-a-detail/q-a-coronaviruses
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30251-8/fulltext
Davidsonβs Principles and Practice of Medicine.
https://www.webmd.com/lung/coronavirus-complications#2
https://www.cdc.gov/coronavirus/2019-ncov/index.html
Bibliography
Caraka Samhita- English Translation and critical exposition on Cakrapani dattaβs Ayurveda deepika by Vaidya Bhagavan Das and Dr.Ram Karan Sharma Published by Chowkhamba Sanskrit Series Office, Reprint 2016.
Davidsonβs Principles and Practice of Medicine, edited by Christopher Haslett, Edwin R. Chilvers, John A.A. Hunter, Nicholas A. Boon Published by Harcourt Publishers Ltd, Churchill Livingstone,18th edition ,1999
Susrut Samhitha, Text with English translation By Kaviraj Kunjalal Bhishagratna , prologued and edited by Dr.Laxmidhar Dwivedi, published by Chowkhamba Sanskrit Series Office, Reprint 1999
Ashtanga Hridayam, Arunodaya Vyakhyanam By P.M.Govindan Vaidyar, Puplished by Devi BookStall, Kodungalloor, 9th Reprint 2002
MadvaNidanam , Sararthadeepika vyahyana collated by Vaidya S.Janardhanan Pilla, Published by Devi Bookstall, Kodungalloor, 4th Reprint, 1998.
Sahasrayogam, Vaidyapriya Vykhanam, by Velayudha Kurup published by Devi Book stall, 1st edition 2017.
Bhaishajya Ratnavali, Malayalam Commentary by M.Narayanan Vaidyar, Published by M.Narayan Vaidyar,Kannur Print 1997
A Text Book Of Kayacikitsa by Dr.Parameswarappa.S.Byadgi and Dr.Ajay Kumar Pandey, Published by Chowkhambha Publications, New Delhi,2nd Edition, 2015.
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ΠΠΎΡΠ΄ΡΡ ΡΡΠΎΡΡΠ°ΡΠ½ΡΠΉ ΠΈΡΠΏΠΎΠ»ΡΠ·ΡΠ΅ΡΡΡ Π΄Π»Ρ ΠΎΡΠ΄Π΅Π»Π΅Π½ΠΈΡ ΠΏΡΠΎΠ΅Π·ΠΆΠ΅ΠΉ ΡΠ°ΡΡΠΈ ΠΎΡ ΠΏΠ΅ΡΠ΅Ρ ΠΎΠ΄Π½ΡΡ Π·ΠΎΠ½, Π³Π°Π·ΠΎΠ½ΠΎΠ² ΠΈ ΠΊΠ»ΡΠΌΠ±, Π° ΡΠ°ΠΊΠΆΠ΅ Π΄Π»Ρ ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π°ΠΊΠΊΡΡΠ°ΡΠ½ΡΡ ΠΊΡΠ°ΡΠ² Π΄ΠΎΡΠΎΠΆΠ΅ΠΊ ΠΈ ΡΡΠΎΡΡΠ°ΡΠΎΠ². ΠΠ½ ΠΈΠ·Π³ΠΎΡΠ°Π²Π»ΠΈΠ²Π°Π΅ΡΡΡ ΠΈΠ· ΠΏΡΠΎΡΠ½ΠΎΠ³ΠΎ Π±Π΅ΡΠΎΠ½Π°, Π²ΡΠ΄Π΅ΡΠΆΠΈΠ²Π°Π΅Ρ Π½Π°Π³ΡΡΠ·ΠΊΡ ΠΈ ΠΏΠΎΠ³ΠΎΠ΄Π½ΡΠ΅ ΡΡΠ»ΠΎΠ²ΠΈΡ, ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠΈΠ²Π°Ρ Π΄ΠΎΠ»Π³ΠΎΠ²Π΅ΡΠ½ΠΎΡΡΡ ΠΎΠ±ΡΡΡΡΠΎΠΉΡΡΠ²Π°. ΠΠ°ΠΊ Π²ΡΠ±ΡΠ°ΡΡ Π±ΠΎΡΠ΄ΡΡ ΡΡΠΎΡΡΠ°ΡΠ½ΡΠΉ
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ΠΡΠ»ΠΈ Π²Ρ Π·Π°Π½ΡΡΡ Π² ΠΎΠ±Π»Π°ΡΡΠΈ ΠΈΠ½Π΄ΡΡΡΡΠΈΠΈ ΠΈ ΡΡΠΎΠ»ΠΊΠ½ΡΠ»ΠΈΡΡ Ρ Π½Π΅ΠΎΠ±Ρ ΠΎΠ΄ΠΈΠΌΠΎΡΡΡΡ Π² Π·Π°ΠΊΡΠΏΠΊΠ΅ ΡΠ΅ΡΡΠΈΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΡ ΡΡΠ³ΠΎΠΏΠ»Π°Π²ΠΊΠΈΡ ΠΌΠ΅ΡΠ°Π»Π»ΠΎΠ², ΡΠΎ ΠΠΠ “Π ΠΠ‘” β ΡΡΠΎ Π²Π°ΡΠ΅ ΠΎΠΏΡΠΈΠΌΠ°Π»ΡΠ½ΠΎΠ΅ ΡΠ΅ΡΠ΅Π½ΠΈΠ΅. ΠΠ°ΡΠ° ΠΊΠΎΠΌΠΏΠ°Π½ΠΈΡ ΠΏΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎ ΡΠ°Π±ΠΎΡΠ°Π΅Ρ Π² ΡΡΠ΅ΡΠ΅ ΠΏΠΎΡΡΠ°Π²ΠΎΠΊ ΡΡΠ³ΠΎΠΏΠ»Π°Π²ΠΊΠΎΠΉ ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠΈ Π½Π° ΠΏΡΠΎΡΡΠΆΠ΅Π½ΠΈΠΈ Π΄Π΅ΡΡΡΠΈΠ»Π΅ΡΠΈΠΉ, ΡΡΠΎ Π΄Π°Π΅Ρ Π½Π°ΠΌ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ ΠΏΡΠ΅Π΄ΠΎΡΡΠ°Π²Π»ΡΡΡ ΡΠΎΠ»ΡΠΊΠΎ Π²ΡΡΠΎΠΊΠΎΠΊΠ»Π°ΡΡΠ½ΠΎΠ΅ ΡΡΡΡΠ΅ ΡΠ²ΠΎΠΈΠΌ Π·Π°ΠΊΠ°Π·ΡΠΈΠΊΠ°ΠΌ.
ΠΡ ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠΈΠΌ ΠΏΠΎΡΡΠ°Π²ΠΊΠΈ Π»ΡΠ±ΠΎΠ³ΠΎ ΡΠΎΠ½Π½Π°ΠΆΠ°.
ΠΠ½ΠΎΠ³ΠΎΠ³ΡΠ°Π½Π½ΡΠΉ ΡΠΏΠ΅ΠΊΡΡ ΡΡΠ³ΠΎΠΏΠ»Π°Π²ΠΊΠΈΡ ΠΌΠ΅ΡΠ°Π»Π»ΠΎΠ².
ΠΠΎΠ»Π½ΠΎΠ΅ Π΄ΠΎΠΊΡΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΠ΅ ΡΠΎΠΏΡΠΎΠ²ΠΎΠΆΠ΄Π΅Π½ΠΈΠ΅.
ΠΡΡΠ³Π»ΠΎΡΡΡΠΎΡΠ½Π°Ρ ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠΊΠ°.
ΠΠ°ΡΠ΅ΠΌ ΠΏΠΎΠ΄Π±ΠΈΡΠ°ΡΡ Π°Π»ΡΡΠ΅ΡΠ½Π°ΡΠΈΠ²Ρ, Π΅ΡΠ»ΠΈ Π½Π° rms-ekb.ru Π²ΡΠ΅Π³Π΄Π° ΡΠΊΡΠΏΠ΅ΡΡΠ½ΡΠΉ ΠΏΠΎΠ΄Ρ ΠΎΠ΄?
ΠΠ°ΡΠΈ ΡΠΊΡΠΏΠ΅ΡΡΡ Ρ ΡΠ°Π΄ΠΎΡΡΡΡ ΠΏΠΎΠΌΠΎΠ³ΡΡ Π²Π°ΠΌ ΡΠ°Π·ΠΎΠ±ΡΠ°ΡΡΡΡ Π² Π»ΡΠ±ΡΡ Π½ΡΠ°Π½ΡΠ°Ρ .. ΠΠ²ΠΎΠ½ΠΈΡΠ΅ ΠΏΡΡΠΌΠΎ ΡΠ΅ΠΉΡΠ°Ρ ΠΈ ΠΏΡΠΎΠ²Π΅ΡΡΡΠ΅ Π»ΠΈΡΠ½ΠΎ Π² Π±Π΅ΡΡΠΏΠΎΡΠ½ΡΡ Π΄ΠΎΡΡΠΎΠΈΠ½ΡΡΠ²Π°Ρ Π½Π°ΡΠ΅Π³ΠΎ ΠΏΡΠΎΠ΄ΡΠΊΡΠ°.
Π Π΅Π°Π»ΠΈΠ·ΡΠ΅ΠΌΡΠΉ Π°ΡΡΠΎΡΡΠΈΠΌΠ΅Π½Ρ:
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Π±Π°Π·Π° Π΄Π°Π½Π½ΡΡ ΡΠ΅Π»Π΅ΡΠΎΠ½ΠΎΠ² ΠΊΠΎΠΌΠΏΠ°Π½ΠΈΠΉ gabasego1.ru .
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ΠΠΎΠ΄Π±ΠΈΡΠ°Π΅ΡΠ΅ Π½Π°Π΄Π΅ΠΆΠ½ΠΎΠ³ΠΎ Π΄ΠΈΠ»Π΅ΡΠ° Π°Π²ΡΠΎΡΠΈΠ½ Π΄Π»Ρ ΡΡΠ°Π½ΡΠΏΠΎΡΡΠ½ΠΎΠ³ΠΎ ΡΠ΅Ρ Π°, ΠΊΠΎΠΌΠΏΠ°Π½ΠΈΠΈ ΠΏΠΎ ΠΏΠ΅ΡΠ΅Π²ΠΎΠ·ΠΊΠ°ΠΌ ΠΈΠ»ΠΈ ΡΠΈΡΠ΅ΠΉΠ»Π΅ΡΠΎΠ²? ΠΡΡΡΠ΅ΡΡΠ²Π»ΡΠ΅ΠΌ Π²Π·Π°ΠΈΠΌΠΎΠ²ΡΠ³ΠΎΠ΄Π½ΠΎΠ΅ ΡΠΎΡΡΡΠ΄Π½ΠΈΡΠ΅ΡΡΠ²ΠΎ Ρ ΡΡΠ°Π½ΡΠΏΠΎΡΡΠΈΡΠΎΠ²ΠΊΠΎΠΉ ΠΏΠΎ ΡΠ΅ΡΡΠΈΡΠΎΡΠΈΠΈ Π ΠΎΡΡΠΈΠΉΡΠΊΠΎΠΉ Π€Π΅Π΄Π΅ΡΠ°ΡΠΈΠΈ!
ΠΠΎΡΠ΅ΠΌΡ ΠΏΡΠ΅Π΄ΠΏΠΎΡΠΈΡΠ°ΡΡ ΡΠΎΡΡΡΠ΄Π½ΠΈΡΠ΅ΡΡΠ²ΠΎ Ρ Π½Π°ΠΌΠΈ?
β’ ΠΡΠΎΠΌΠ°Π΄Π½ΡΠΉ Π°ΡΡΠΎΡΡΠΈΠΌΠ΅Π½Ρ: ΠΡΡΠ·ΠΎΠ²ΡΠ΅ ΡΠΈΠ½Ρ, Π»Π΅Π³ΠΊΠΎΠ²ΡΠ΅ ΡΠΈΠ½Ρ, ΡΠ΅Π»ΡΡΠΊΠΎΡ ΠΎΠ·ΡΠΉΡΡΠ²Π΅Π½Π½ΡΠ΅ ΠΈ ΠΈΠ½Π΄ΡΡΡΡΠΈΠ°Π»ΡΠ½ΡΠ΅ ΡΠΈΠ½Ρ Π³Π»Π°Π²Π½ΡΡ ΠΈΠ·Π³ΠΎΡΠΎΠ²ΠΈΡΠ΅Π»Π΅ΠΉ.
β’ Π Π°Π·Π½ΡΠ΅ ΠΏΠ°ΡΡΠΈΠΈ: ΡΠΎΡΡΡΠ΄Π½ΠΈΡΠ°Π΅ΠΌ c Π±ΠΎΠ»ΡΡΠΈΠΌ, ΡΠΎ ΡΡΠ΅Π΄Π½ΠΈΠΌ ΠΈ ΠΌΠ΅Π»ΠΊΠΈΠΌ ΠΎΠΏΡΠΎΠΌ. ΠΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡΠ°Π»ΡΠ½ΡΠ΅ ΡΡΠ»ΠΎΠ²ΠΈΡ Π΄Π»Ρ ΠΊΠ»ΠΈΠ΅Π½ΡΠΎΠ².
β’ ΠΠΎΡΡΠ°Π²ΠΊΠ° ΠΏΠΎ ΡΡΡΠ°Π½Π΅: Π½Π°Π»Π°ΠΆΠ΅Π½Π½Π°Ρ Π»ΠΎΠ³ΠΈΡΡΠΈΠΊΠ° ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ Π½Π°ΠΌ ΡΡΠΎΡΠ½ΠΎ ΠΈ Π±Π΅Π· ΡΠΈΡΠΊΠ° ΠΎΡΡΡΠ΅ΡΡΠ²Π»ΡΡΡ Π΄ΠΎΡΡΠ°Π²ΠΊΡ Π²ΠΎ Π²ΡΠ΅ Π½Π°ΡΠ΅Π»Π΅Π½Π½ΡΠ΅ ΠΏΡΠ½ΠΊΡΡ.
β’ ΠΠΎΡΡΡΠΏΠ½ΡΠ΅ ΡΠ΅Π½Ρ: ΠΠ·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΡΠ΅ΠΌ Ρ Π·Π°Π²ΠΎΠ΄Π°ΠΌΠΈ-ΠΈΠ·Π³ΠΎΡΠΎΠ²ΠΈΡΠ΅Π»ΡΠΌΠΈ, Π±Π»Π°Π³ΠΎΠ΄Π°ΡΡ ΡΠ΅ΠΌΡ ΡΡΡΠ°Π½Π°Π²Π»ΠΈΠ²Π°Π΅ΠΌ ΠΌΠΈΠ½ΠΈΠΌΠ°Π»ΡΠ½ΡΠ΅ ΠΎΠΏΡΠΎΠ²ΡΠ΅ ΡΠ΅Π½Ρ.
ΠΠ΅ ΡΡΡΠ°ΡΠΈΠ²Π°ΠΉΡΠ΅ Π²ΡΠ³ΠΎΠ΄Ρ Π²ΡΠ»Π΅Π΄ΡΡΠ²ΠΈΠ΅ ΡΠ±ΠΎΠ΅Π² Ρ ΡΠ΅Π·ΠΈΠ½ΠΎΠΉ! Π‘Π½Π°Π±Π΄ΠΈΡΠ΅ Π²Π°ΡΡ ΠΊΠΎΠΌΠΏΠ°Π½ΠΈΡ Ρ ΠΎΡΠΎΡΠΈΠΌΠΈ ΠΏΠΎΠΊΡΡΡΠΊΠ°ΠΌΠΈ Π±Π΅Π· Π·Π°Π΄Π΅ΡΠΆΠ΅ΠΊ.
ΠΡΡΡΠ°Ρ ΡΠ΅Π½Π° Π½Π° ΡΡΠ½ΠΊΠ΅:
β’ ΠΡΠ΅Π΄ΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΠΎΡ ΠΏΠΎΡΡΠ°Π²ΡΠΈΠΊΠ°
β’ Π‘ΠΈΡΡΠ΅ΠΌΠ° ΠΌΠ°ΡΠΊΠΈΡΠΎΠ²ΠΊΠΈ Π§Π΅ΡΡΠ½ΡΠΉ Π·Π½Π°ΠΊ
β’ Π‘Π΅ΡΡΠΈΡΠΈΠΊΠ°ΡΡ ΠΠ²ΡΠ°Π·ΠΈΠΉΡΠΊΠΎΠ³ΠΎ ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΠΈΡ
β’ ΠΡΠ±ΡΠ΅ ΡΠΎΡΠΌΡ ΠΎΠΏΠ»Π°ΡΡ ΡΠΈΠ·ΠΈΡΠ΅ΡΠΊΠΈΠΌ ΠΈ ΡΡΠΈΠ΄ΠΈΡΠ΅ΡΠΊΠΈΠΌ Π»ΠΈΡΠ°ΠΌ
β’ ΠΡΡΠ΅ΡΠ½ΠΎΡΡΡ Ρ ΠΠΠ‘
ΠΡΡΠΏΠ½ΡΠΉ ΠΎΠΏΡ ΡΠΈΠ½:
β’ ΠΠ°Π»ΡΠ½Π΅ΠΌΠ°Π³ΠΈΡΡΡΠ°Π»ΡΠ½ΡΠ΅ ΡΠΈΠ½Ρ
β’ Π Π΅Π³ΠΈΠΎΠ½Π°Π»ΡΠ½ΡΠ΅ ΡΠΈΠ½Ρ
β’ Π¨ΠΈΠ½Ρ Π΄Π»Ρ Π΄ΠΎΡΠΎΠΆΠ½ΠΎ-ΡΡΡΠΎΠΈΡΠ΅Π»ΡΠ½ΠΎΠΉ ΡΠ΅Ρ Π½ΠΈΠΊΠΈ
β’ ΠΠ½Π΄ΡΡΡΡΠΈΠ°Π»ΡΠ½ΡΠ΅ ΡΠΈΠ½Ρ
β’ Π¨ΠΈΠ½Ρ Π΄Π»Ρ Π°Π²ΡΠΎΠ±ΡΡΠΎΠ²
β’ ΠΠ°ΡΡΠ΅ΡΠ½ΡΠ΅ ΡΠΈΠ½Ρ
β’ Π¨ΠΈΠ½Ρ Π΄Π»Ρ Π»Π΅Π³ΠΊΠΎΠ²ΡΡ Π°Π²ΡΠΎΠΌΠΎΠ±ΠΈΠ»Π΅ΠΉ
Π’Π΅ΠΊΡΡΠΈΠ΅ ΡΠ°ΡΡΠ΅Π½ΠΊΠΈ https://asiancatalog.ru/cena
I’m truly grateful!
https://t.me/Asiapsi
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ΠΠΎΡΠ΄ΡΡ ΡΡΠΎΡΡΠ°ΡΠ½ΡΠΉ ΠΈΡΠΏΠΎΠ»ΡΠ·ΡΠ΅ΡΡΡ Π΄Π»Ρ ΠΎΡΠ΄Π΅Π»Π΅Π½ΠΈΡ ΠΏΡΠΎΠ΅Π·ΠΆΠ΅ΠΉ ΡΠ°ΡΡΠΈ ΠΎΡ ΠΏΠ΅ΡΠ΅Ρ ΠΎΠ΄Π½ΡΡ Π·ΠΎΠ½, Π³Π°Π·ΠΎΠ½ΠΎΠ² ΠΈ ΠΊΠ»ΡΠΌΠ±, Π° ΡΠ°ΠΊΠΆΠ΅ Π΄Π»Ρ ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π°ΠΊΠΊΡΡΠ°ΡΠ½ΡΡ ΠΊΡΠ°ΡΠ² Π΄ΠΎΡΠΎΠΆΠ΅ΠΊ ΠΈ ΡΡΠΎΡΡΠ°ΡΠΎΠ². ΠΠ½ ΠΈΠ·Π³ΠΎΡΠ°Π²Π»ΠΈΠ²Π°Π΅ΡΡΡ ΠΈΠ· ΠΏΡΠΎΡΠ½ΠΎΠ³ΠΎ Π±Π΅ΡΠΎΠ½Π°, Π²ΡΠ΄Π΅ΡΠΆΠΈΠ²Π°Π΅Ρ Π½Π°Π³ΡΡΠ·ΠΊΡ ΠΈ ΠΏΠΎΠ³ΠΎΠ΄Π½ΡΠ΅ ΡΡΠ»ΠΎΠ²ΠΈΡ, ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠΈΠ²Π°Ρ Π΄ΠΎΠ»Π³ΠΎΠ²Π΅ΡΠ½ΠΎΡΡΡ ΠΎΠ±ΡΡΡΡΠΎΠΉΡΡΠ²Π°. ΠΠ°ΠΊ Π²ΡΠ±ΡΠ°ΡΡ Π±ΠΎΡΠ΄ΡΡ ΡΠ°Π΄ΠΎΠ²ΡΠΉ Π±Π΅ΡΠΎΠ½Π½ΡΠΉ
thank you for articles
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Π½Π°ΡΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠ° Π½Π°ΡΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠ° .
Kazzino Yeni Site GiriΕi
ΡΠΊΠ°ΡΠ°ΡΡ Ρ ΡΡΡΠ±Π° Π² ΠΎΡΠ»ΠΈΡΠ½ΠΎΠΌ ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅ skachat-video-s-youtube-1.ru .
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Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Π½Π°ΡΠΊΠΎΠΌΠ°Π½ΠΈΠΈ vyvod-iz-zapoya-na-domu-nizhnij-novgorod.ru .
Π½Π°ΡΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΏΠΎΠΌΠΎΡΡ Π½Π°ΡΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΏΠΎΠΌΠΎΡΡ .
Hmm is anyone else having problems with the images on this blog loading? I’m trying to figure out if its a problem on my end or if it’s the blog. Any responses would be greatly appreciated.|
ΠΊΠ°ΠΏΠ΅Π»ΡΠ½ΠΈΡΠ° ΠΎΡ Π·Π°ΠΏΠΎΡ ΠΊΠ°ΠΏΠ΅Π»ΡΠ½ΠΈΡΠ° ΠΎΡ Π·Π°ΠΏΠΎΡ .
Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Π½Π°ΡΠΊΠΎΠΌΠ°Π½ΠΈΠΈ kapelnica-ot-zapoya-nizhnij-novgorod-1.ru .
ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΠΎΠ½Π½ΡΠΉ ΡΠ΅Π½ΡΡ Π΄Π»Ρ Π½Π°ΡΠΊΠΎΠ·Π°Π²ΠΈΡΠΈΠΌΡΡ vyvod-iz-zapoya-na-domu-ekaterinburg-2.ru .
ΠΊΠΎΠ΄ΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΠΎΡ Π°Π»ΠΊΠΎΠ³ΠΎΠ»ΠΈΠ·ΠΌΠ° ΠΊΠΎΠ΄ΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΠΎΡ Π°Π»ΠΊΠΎΠ³ΠΎΠ»ΠΈΠ·ΠΌΠ° .
Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Π½Π°ΡΠΊΠΎΠΌΠ°Π½ΠΈΠΈ vyvod-iz-zapoya-na-domu-voronezh-8.ru .
ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΡ Π½Π°ΡΠΊΠΎΠΌΠ°Π½ΠΎΠ² vyvod-iz-zapoya-na-domu-samara-9.ru .
ΡΠΊΠ°ΡΠ°ΡΡ Π²ΠΈΠ΄Π΅ΠΎ ΠΈΠ· youtube ΡΠΊΠ°ΡΠ°ΡΡ Π²ΠΈΠ΄Π΅ΠΎ ΠΈΠ· youtube .
ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΡ Π½Π°ΡΠΊΠΎΠΌΠ°Π½ΠΎΠ² vyvod-iz-zapoya-na-domu-voronezh-10.ru .
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Π½Π°ΡΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠ° Π½Π°ΡΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠ° .
Greatly appreciated!
ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΡ Π°Π»ΠΊΠΎΠ³ΠΎΠ»ΠΈΠΊΠΎΠ² ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΡ Π°Π»ΠΊΠΎΠ³ΠΎΠ»ΠΈΠΊΠΎΠ² .
ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΠΎΠ½Π½ΡΠΉ ΡΠ΅Π½ΡΡ Π΄Π»Ρ Π½Π°ΡΠΊΠΎΠ·Π°Π²ΠΈΡΠΈΠΌΡΡ vyvod-iz-zapoya-na-domu-voronezh-9.ru .
ΠΊΠ°ΠΏΠ΅Π»ΡΠ½ΠΈΡΠ° ΠΎΡ Π·Π°ΠΏΠΎΡ ΠΊΠ°ΠΏΠ΅Π»ΡΠ½ΠΈΡΠ° ΠΎΡ Π·Π°ΠΏΠΎΡ .
Π½Π°ΡΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ΅Π½ΡΡ Π½Π°ΡΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ΅Π½ΡΡ .
Π½Π°ΡΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠ° Π½Π°ΡΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠ° .
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Π½Π°ΡΠΊΠΎΠ»ΠΎΠ³ Π½Π° Π΄ΠΎΠΌ Π½Π°ΡΠΊΠΎΠ»ΠΎΠ³ Π½Π° Π΄ΠΎΠΌ .
ΠΊΠ°ΠΏΠ΅Π»ΡΠ½ΠΈΡΠ° ΠΎΡ ΠΏΠΎΡ ΠΌΠ΅Π»ΡΡ vyvod-iz-zapoya-v-staczionare-sankt-peterburg-3.ru .
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Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Π½Π°ΡΠΊΠΎΠΌΠ°Π½ΠΈΠΈ vyvod-iz-zapoya-na-domu-nizhnij-novgorod-4.ru .
Π²ΡΠ²ΠΎΠ΄ ΠΈΠ· Π·Π°ΠΏΠΎΡ Π½Π° Π΄ΠΎΠΌΡ Π²ΡΠ²ΠΎΠ΄ ΠΈΠ· Π·Π°ΠΏΠΎΡ Π½Π° Π΄ΠΎΠΌΡ .
Π²ΡΠ²ΠΎΠ΄ ΠΈΠ· Π·Π°ΠΏΠΎΡ Π² ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ΅ vyvod-iz-zapoya-v-staczionare-sankt-peterburg.ru .
ΠΎΠ½Π»Π°ΠΉΠ½ ΡΠΊΠΎΠ»Ρ Π΅Π³Ρ ΠΎΠ½Π»Π°ΠΉΠ½ ΡΠΊΠΎΠ»Ρ Π΅Π³Ρ .
ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΡ Π½Π°ΡΠΊΠΎΠΌΠ°Π½ΠΎΠ² vyvod-iz-zapoya-v-staczionare-sankt-peterburg-1.ru .
ΠΏΠ΅ΡΠ²ΡΠΉ ΠΊΠ»Π°ΡΡ ΠΎΠ½Π»Π°ΠΉΠ½ ΠΏΠ΅ΡΠ²ΡΠΉ ΠΊΠ»Π°ΡΡ ΠΎΠ½Π»Π°ΠΉΠ½ .
ΠΊΠ°ΠΏΠ΅Π»ΡΠ½ΠΈΡΠ° ΠΎΡ ΠΏΠΎΡ ΠΌΠ΅Π»ΡΡ narkolog-na-dom-moskva-2.ru .
Π²ΡΠ²ΠΎΠ΄ ΠΈΠ· Π·Π°ΠΏΠΎΡ Π² ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ΅ Π²ΡΠ²ΠΎΠ΄ ΠΈΠ· Π·Π°ΠΏΠΎΡ Π² ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ΅ .
https://t.me/Asiapsi
ΠΎΠ½Π»Π°ΠΉΠ½ ΡΠΊΠΎΠ»Π° Π² ΠΌΠΎΡΠΊΠ²Π΅ ΠΎΠ½Π»Π°ΠΉΠ½ ΡΠΊΠΎΠ»Π° Π² ΠΌΠΎΡΠΊΠ²Π΅ .
ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΠΎΠ½Π½ΡΠΉ ΡΠ΅Π½ΡΡ ΠΎΡ Π°Π»ΠΊΠΎΠ³ΠΎΠ»ΠΈΠ·ΠΌΠ° narkolog-na-dom-moskva-1.ru .
thank you for articles
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ΠΏΠ°ΡΠ°Π»ΠΎΠ΅ ΠΏΠ°ΡΠ°Π»ΠΎΠ΅ .
ΠΊΡΠΏΠΈΡΡ ΠΏΠΎΡΠΎΠ»ΠΎΠ½ Π»ΠΈΡΡΠΎΠ²ΠΎΠΉ ΠΊΡΠΏΠΈΡΡ ΠΏΠΎΡΠΎΠ»ΠΎΠ½ Π»ΠΈΡΡΠΎΠ²ΠΎΠΉ .
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ΠΏΠ»ΠΎΡΠ½ΡΠΉ ΠΏΠ°ΡΠ°Π»ΠΎΠ½ ΠΏΠ»ΠΎΡΠ½ΡΠΉ ΠΏΠ°ΡΠ°Π»ΠΎΠ½ .