पेट का हर्निया (हाइटस हर्निया) का इलाज़ | Hiatus Hernia Treatment | Dr Arvind Namdeo

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  • Опубликовано: 25 дек 2024

Комментарии •

  • @neerajpaterya2288
    @neerajpaterya2288 6 месяцев назад +1

    Bahut dhanyvaad Dr. sab aapne dono tarah ke hernia ki bahut sahi spasth jankari di 👏👏🤗

  • @mazharkhan-gc3pz
    @mazharkhan-gc3pz 7 месяцев назад +1

    MOST EVER INFORMATIVE THAN ANY OTHER VIDEO I HAVE SEEN...THANX FOR GUIDING Dr. Arvind

  • @arogyayogafitness6563
    @arogyayogafitness6563 4 месяца назад

    Wow super hits explanation sir... Apke tarah Sare doctor👨‍⚕ advice karne lg jaye toh... Phir se doctor👨‍⚕ ko log bhagwaan ka darja dene lg jayenge

  • @mansitekale9022
    @mansitekale9022 6 месяцев назад +1

    So helpfull sir...mere thodasa dar khatam ho gaya

  • @ankittiwari-tv3sp
    @ankittiwari-tv3sp Год назад +5

    Sir mere ko asid riflex ho raha safed kaf aata h chpchipa 5 sal se abhi andoskopi me hstke harniya bataya h kya opresan karwau kya pet me jalan sine me jalan ho rahi he

  • @RameshSingh-bx9gg
    @RameshSingh-bx9gg 7 месяцев назад +1

    Very informative video. Thanks sir.❤

  • @nirmalkalia4643
    @nirmalkalia4643 7 месяцев назад

    Very informative and satisfactory.

  • @narendra5159
    @narendra5159 Год назад +1

    Nice explanation dr sheb

  • @AjaypatelPatel-d9e
    @AjaypatelPatel-d9e Год назад +2

    2cm he sir to kya kare

  • @TLVillageLife
    @TLVillageLife Год назад +1

    Sir endocsopy kitne sal me karna chaye

  • @taukirkhan1996
    @taukirkhan1996 3 месяца назад

    Sir very nice video but aap se ek question tha kya 70 + wale ki surgery ho sati hai

  • @NarendraYadav-kv1qy
    @NarendraYadav-kv1qy Год назад +1

    Thanks 🙏. Dr g🙏

  • @kiranbhandari7509
    @kiranbhandari7509 7 месяцев назад +11

    सर मेरा 2019 में हाइट्स हर्निया निकला था फिर 2022 मे nhi निकला लेकिन मुझे लगा मै ठीक हूं ये सोचकर खूब एक्सरसाइज किया मशीनों में खुद ऊपर उठाना अब परेशान हूं छाती में भारी और पीठ पीछे भी दर्द खाते ही परेशान बीच छाती में दर्द बताए सर क्या करूं खट्टे डकार या जलन nhi होती

  • @ajaysinghsarwa3891
    @ajaysinghsarwa3891 Год назад +1

    Thankyou very much sir ji

  • @BishnuHariRimal-s4d
    @BishnuHariRimal-s4d 11 месяцев назад +1

    Thank s forinformation

  • @ArvindKumar-rw3hg
    @ArvindKumar-rw3hg Месяц назад

    Sir haitus kese hota hai

  • @prahladkirtaniyachourasia5269
    @prahladkirtaniyachourasia5269 2 месяца назад

    Sir muje hiatus harniya larg 5mm graed B bataya hai tobisme सर्जरी compulsory hai kya

  • @arbazofficial397
    @arbazofficial397 Год назад

    Kuch solution bataiye hume kya karna chaiye

  • @satpalkhullar2302
    @satpalkhullar2302 2 дня назад

    Thanks beta

  • @Justtravelwithshri
    @Justtravelwithshri Год назад +1

    Sir swansenali ke upar just fefdo ke niche kuch mash ka ubhar hi raha h kya ye harniya h

    • @A.N.V.777
      @A.N.V.777 8 месяцев назад

      Bhai PTA chla kya hua tha to please btaa bhaaii

    • @shabjikhanna9387
      @shabjikhanna9387 7 месяцев назад

      ​@@A.N.V.777bhai mujhe hitus harniya h yr please help me bta de bhai kase tik kru😢😢😢bhot dukhe hu😢

    • @jeetnaama9920
      @jeetnaama9920 3 месяца назад

      Harniya ka koi ilaz nhi bus operation k
      Me khud 4-5 sal se lad raha hu
      2022 m pata lga tha
      Kbhi naram kabhi garam thi life chal raha is bimari ka

  • @aamolpadwal1605
    @aamolpadwal1605 Год назад

    Doc Mỹ haitus hernia size 4 cm simtance are normal can I do Gym ? Or kapalbharti

  • @subhamchauhan4179
    @subhamchauhan4179 3 месяца назад

    I have small hiatus hernia, can I do gym with that and if yes, then what type of exercises should i do?

  • @devrahababa11
    @devrahababa11 Год назад +1

    Thanks dr 🙏

  • @ashishchauhan7250
    @ashishchauhan7250 4 месяца назад

    Sir sliding hiatus harniya grade 4 me operation karana jaruri hai kya

  • @mansooralam948
    @mansooralam948 6 месяцев назад

    Sir 65 ke age me iske liye operation possible hai kya??

  • @asifreza4373
    @asifreza4373 Год назад +1

    Sir,
    Les, hill grade2
    Medications se thik ho santa hai?
    Please reply me...

    • @pujakumari-576
      @pujakumari-576 8 месяцев назад

      Thik ho gya aapka

    • @shadowinvisible9989
      @shadowinvisible9989 7 месяцев назад

      ​@@pujakumari-576 Mera v same problem h AIG Hyderabad me dikhaya medicine Diya h bola thik ho jayega apna symptoms batao gala me problem hota h lagta h kuch fasa hua h ?

    • @qizrawarsi6626
      @qizrawarsi6626 6 месяцев назад

      Same problem 😭 what to do​@@shadowinvisible9989

    • @physicsguy993
      @physicsguy993 4 месяца назад

      ​@@shadowinvisible9989 same problem bro. How are you?

    • @shadowinvisible9989
      @shadowinvisible9989 4 месяца назад +1

      @@physicsguy993 now i am good now. Just don't stress too much because stress and depression can cause ibs, acidity etc as my doctor said

  • @sidduwankhade8029
    @sidduwankhade8029 Год назад

    Sir muze hitus hernia baya gaya hai.... Mai kya kru

  • @PoojaRajput-bs1zg
    @PoojaRajput-bs1zg 6 месяцев назад

    sir mujse hitus hernia 2cm m Japan and pain hota h sir Kya solution h

  • @benirambaghel7396
    @benirambaghel7396 Год назад

    Pl.tell about port site hernia

  • @AnjaliKumari-ke6jz
    @AnjaliKumari-ke6jz Год назад +1

    Thankuu sir kya hm apse bt kr skte ho hmko samjh nhi aa rha h ki IBS ki problm h ya haitus harniya ki....

    • @drarvindnamdeo6454
      @drarvindnamdeo6454  Год назад

      Behtar hai aap aakar mile. Without examining its not fair to treat.

    • @AYUSHKUMAR-mx1cg
      @AYUSHKUMAR-mx1cg Год назад

      Kya lakshan aa raha bro

    • @snowy-19
      @snowy-19 Год назад

      ​@@AYUSHKUMAR-mx1cg.
      Hi bro...how are u now...
      Mjy b hiatus hernia aaya hai report mai...bht darr lag rha hai ab kya karu Please help

  • @kartikvloger1972
    @kartikvloger1972 29 дней назад

    Respected sir
    I am Kuldeep from jabalpur
    Mujhe bhi hiatus hernia ki problem he meri report me likha he
    Moderate size hiatus hernia 3cm
    With marked linear erosive changes extending proximatily upto mid esophagus.no ulcer,varix growth.
    Sir plz suggestion de.

  • @ChandanSingh-lw7qm
    @ChandanSingh-lw7qm 3 месяца назад

    Sar 41 cm hlatus haniya hai aapse baat karna hi aor sas fulata hai sine me kvi kvi dardar hota hai

  • @rishibiswakarma5564
    @rishibiswakarma5564 Год назад +2

    Surgery ke liye Kitna Paisa lagta hai sir

  • @ManishRaj-qs7ie
    @ManishRaj-qs7ie Год назад +1

    Sir...mera greade 4 haital harnia endoscopy me aaya hai... Kya mujhe opretion krwna pdega ya dwa se thik ho jayega...pzl reply jarur kre...
    Or aapse milne k liya kaha aana pdega..apki clinc kaha pr hai sir

    • @nkr0409-z7w
      @nkr0409-z7w 8 месяцев назад +1

      Bhai aap doctor ko dikhaye, maine bhi dikhaya tha doctor bole operation ki jaroort nahi hai dawai se thik ho jayega

    • @DharmeshVaghela-xv2jx
      @DharmeshVaghela-xv2jx 6 месяцев назад +1

      Muje bhi 4 hai kya ye thik ho sakta hai operation se bhi taklif rehti hai ayurved kehta hai

    • @saikrishnamadupuri7333
      @saikrishnamadupuri7333 3 месяца назад

      How is your health now

  • @Vasu613
    @Vasu613 10 месяцев назад

    Sir mere pet ka upari hissa fula rhta h
    Khanan khane ke baad pet ka upari hissa bhot jyada ful jata h konsa Test krvao

  • @carton0000
    @carton0000 Год назад +2

    Esophagus shows normal mucosa . Sliding hiatus harnia present report me diya hai sir

  • @rohitkumarrohit20
    @rohitkumarrohit20 6 месяцев назад

    Sir ji mujhe hiatus harnia h a gred ka or mujhe chest bhari or sansh lene me dikat hoti h jalan ir acid bhot jada bnta h to ye sb is k karn h kya

  • @bilaldar240
    @bilaldar240 Год назад +3

    Sir endoscopy report small hiatus hernia

    • @snowy-19
      @snowy-19 Год назад

      Same bro...
      How are u now

    • @kuntalsahu1628
      @kuntalsahu1628 4 месяца назад

      How are u now ​@@snowy-19

    • @snowy-19
      @snowy-19 4 месяца назад

      @@kuntalsahu1628
      I really am do depressed bro...
      Not feeling good every time I have new symptom ...
      How about you...

    • @paramveersingh7523
      @paramveersingh7523 4 месяца назад +1

      Same here.....but medicine se control ho jata h...

    • @kuntalsahu1628
      @kuntalsahu1628 4 месяца назад

      @@snowy-19 jab tak medicine chalta ulti ni hoti medicine band krte hu turnt vomit chalu

  • @PoojaRajput-bs1zg
    @PoojaRajput-bs1zg 6 месяцев назад

    sir hitus hernia ka solution Kya h

  • @deepakkothari1152
    @deepakkothari1152 10 месяцев назад

    Sir mujhe bi large hitus harnia hai par kabi kabi asash hota hai kya mai surgery karana jaruri hai

  • @jatinkoli2235
    @jatinkoli2235 3 месяца назад +1

    Hiatus hernia 3cm hai Jalan or pain rhta hai gas rhti h khuch khane se jaln hoti dard jota khuc hart pr jaln dawai bhi khuch kaam nh kr rhi

  • @मनीषमनीष-ङ4र
    @मनीषमनीष-ङ4र 2 года назад +9

    Namaste sir . Hamko sir पेट के ऊपरी हिस्से में फूलनेस हों जाता है खाने के बाद सीने जलन नहीं होती है और कब्ज रहता है सर कुछ बताय हमको क्या करें। दर्द नहीं होता है सर

    • @drarvindnamdeo6454
      @drarvindnamdeo6454  2 года назад

      Iske kai karan ho sakte hain. Hosake to ek bar doctor ko dikhaiye aur contact 6262106767

    • @ayahali8346
      @ayahali8346 Год назад

      Navi mai hai sir batay

    • @pujakumari-576
      @pujakumari-576 7 месяцев назад

      ​@@Krishnapal-uuehdaapko kya problem h

    • @Mr.vikram74
      @Mr.vikram74 4 месяца назад

      Bhai same to same mere bhi

  • @dharmendravyas9039
    @dharmendravyas9039 Год назад

    after surgery person can do exsercise ?

  • @krishnasikarwar9605
    @krishnasikarwar9605 2 года назад +1

    Very nice video sir 🙏🌹🙏🌹🙏🌹

  • @Travelpix2.0
    @Travelpix2.0 Год назад

    ❤ thanks

  • @chayanmanna9702
    @chayanmanna9702 3 месяца назад

    Sir mera endoscopy report ma Hill's grade III hiatal hernia eska matlab kya mera operation karna parega yeh medicine se thik hoga ?

  • @guddurana3529
    @guddurana3529 5 месяцев назад +1

    Sir dakar ruk jaata hai or pasina a jaata hai ji ghabrane lagta hai

  • @deepakkothari1152
    @deepakkothari1152 10 месяцев назад

    Sir kya aapse se phn pr baat ho sakti hai

  • @prahladkirtaniyachourasia5269
    @prahladkirtaniyachourasia5269 2 месяца назад

    Doctors ne kaha hai ki surgery karvani paegi

  • @sadiya1790
    @sadiya1790 3 месяца назад

    Thanksir

  • @BantyShing-m7r
    @BantyShing-m7r 7 месяцев назад +1

    Sar Mera Hiatus hernia operation ho chuka hai Mera pet phoolta hai sar kya Karun main kuchh upay bataiye sar

    • @Nayak-k2d
      @Nayak-k2d 6 месяцев назад

      Aub kese ho

    • @reshmasinha823
      @reshmasinha823 2 месяца назад

      Ab apki tbyt kaisi hai
      Or operation kitna success hua

    • @ShailySingh-ig7cs
      @ShailySingh-ig7cs 2 месяца назад

      Operation kitne me hua h apka

  • @hemrajsharma6003
    @hemrajsharma6003 2 года назад +1

    Sir nose throat dryness difficult in swallow strain stomach soreness but nothing comes in ultrasound and endoscopy sir please suggest should I go for capsule endoscopy. Body is dehydrated .I never feel thirst, appetite sleepy. Problem from childhood sir always indigestion

    • @bhaveshsharma8422
      @bhaveshsharma8422 5 месяцев назад

      Same problem from last 2 months. Please help if you are fine

    • @killer_style007
      @killer_style007 3 месяца назад

      ​@bhaveshsharma8422 kya kara

  • @SajjadAlam-np9gn
    @SajjadAlam-np9gn 2 месяца назад

    Sir mai to abhi 18 sal ki hu mujhe v khana khane ke bad gale me atka hua mahsus hota h aur bar bar dhakar aata h aur gas bnne jaise feeling hoti h mai kya kru........

  • @varshajain4136
    @varshajain4136 Год назад

    Sir mujhe mild.... 3.. cm .. hiatus harniya hai ...but mare goliya chal rahi h....but mujhe khoon ki ulti hoti h....mare sene me pain rahta h.... Acid reflux ki porblm bhi ho rahi h.... To mere operation ho sakta hai ki nahin....

    • @snowy-19
      @snowy-19 Год назад

      Hi Abhi Kaise ho aap....

  • @sangeetgaverma3552
    @sangeetgaverma3552 Год назад +1

    Sir Mujhe 6 month se hiatus hernia hain.. Heart burn dakar Raat me sone me problem hoti hain. Sans atakne jaisa lgta hain bhut problem hain sir... Kya kru Dr. Ko b dikha rhi hu pr control nhi ho rha hain.. 😢😢

    • @ahmedmemon6283
      @ahmedmemon6283 Год назад

      कितना टाइम हुआ आपको इस प्रॉब्लम को आपने इंडस कॉपी करवाई थी क्या और क्या प्रॉब्लम होती है आपको बताएं प्लीज

    • @vaasalirao844
      @vaasalirao844 Год назад

      Test kraya apne

    • @sazidkhan9606
      @sazidkhan9606 Год назад +1

      me bhi feel kr rha hu sans rukne jesa lgta hai

    • @snowy-19
      @snowy-19 Год назад

      Mjy b same problem hai

  • @sukhakamal9909
    @sukhakamal9909 2 года назад

    Hello sir mere gale kuj atka sa lagta hye or 2cm hights harina aa es ki vje se lagta hye

    • @shabjikhanna9387
      @shabjikhanna9387 7 месяцев назад

      Bhai Aram hua ya nhi mujhe bhi harniya h hitas harniya 😢hh bhai please help me bta de bhai😢

  • @kriteshgayri3146
    @kriteshgayri3146 9 месяцев назад

    Grade 4 hiatus hernia requires surgery or not ???

    • @abdulsiddiqui2669
      @abdulsiddiqui2669 7 месяцев назад

      Aapka thik hua bhai please btaiye mujhe bhi grad 4 hai

    • @kriteshgayri3146
      @kriteshgayri3146 6 месяцев назад

      @@abdulsiddiqui2669 bhai surgery karvani padi .

    • @saikrishnamadupuri7333
      @saikrishnamadupuri7333 3 месяца назад

      ​@@abdulsiddiqui2669
      Did you go for surgery

  • @gpl4208
    @gpl4208 Год назад

    Medicine kitne din tak leni chahiye aur agr 1-2 month tak Medicine lene k bad bahut thoda aram ho to kya surgery krwani chahiye ya Medicine hi leni chahiye?

  • @abhishekpathak4833
    @abhishekpathak4833 Год назад

    Sir mera large hiatus hernia nikala hai lekin symptoms itne nahi hain bas vomating feel hota hai aur acidity ki problem rahti hai par jab se medicine lena start kiye hain sab kuchh control hai bas thoda khane me interest kam hai aur taste ka thoda issue hai to isme surgery ki jarurat to nahi padegi na 🙏🏻🤔

  • @masudalam7852
    @masudalam7852 Год назад

    Sir,
    I am from Bangladesh
    My need Endoscopy surgery Gerd-x
    Please tell me sir, Endoscopy surgery Gerd-x cost How much.

    • @drarvindnamdeo6454
      @drarvindnamdeo6454  Год назад

      Pls contact gastroenterologist near you , aur GERDX and lap fundoplication discuss kar ke nirnay le

  • @PradeepYadav-wq6dm
    @PradeepYadav-wq6dm Год назад +2

    Sir hme hmesha hichki aati rhi hai aur womiting ki woki aati hai bhoot preshan hai 2sal se dwa kha rhe hai gas sir pr chadti hai endoscopy me 37cm hitus herniya aaya hai sir kya operation Krane ki situation hai ya nhi plz reply sir

  • @pihujaiswal2460
    @pihujaiswal2460 Год назад

    Sir mera 3 month pehle hi operation hua but abhi bhi bohot pain hai sir acid gle me aata sir pain kb jayega plz reply

  • @joginderkamboj9494
    @joginderkamboj9494 10 месяцев назад

    सर नमस्कार मैं 4 जनवरी को एंडोस्कोपी करवाई थी उसमें पता चला कि मुझे टाइटल हर्निया है ना फूड पाइप में खाना फसता है ना छाती में जलन वैसे मैं ठीक हूं क्या मुझे स्लाइडिंग हर्निया है सुना है अगर सर्जरी न करी कैंसर हो सकता है धन्यवाद

  • @PraveshkumarPrajapati-ef8hy
    @PraveshkumarPrajapati-ef8hy 7 месяцев назад

    Sar namaste

  • @rumaroybhowmick
    @rumaroybhowmick Год назад

    Sir Mera 2021 me operation hua tha aur do sal tak theek thi but av recently firse petme bahut dard ho Raha he Khana atak raha he , sas ful rahe he kya Karu sir?

  • @shivKumar54121
    @shivKumar54121 2 года назад +2

    Sir humko hitas hernia ki problem hai
    2 mahine se dawa le raha hu lekin aram nahi mil raha hai please help me kya karna chahiye please bataiye sir

  • @shivangrana02
    @shivangrana02 Год назад

    what is the best time to connect with you? and can you please provide the video consultation?

  • @VijayPal-ec7is
    @VijayPal-ec7is Год назад

    Sir ap se phone pr bat karni thi

    • @drarvindnamdeo6454
      @drarvindnamdeo6454  Год назад

      6262106767

    • @masudalam7852
      @masudalam7852 Год назад

      Sir
      I am from Bangladesh
      My need Endoscopy surgery Gerd-x
      Please help me sir, Endoscopy surgery Gerd-x cost How much money?

  • @PradeepTiwari-lr2mv
    @PradeepTiwari-lr2mv 9 месяцев назад

    Sir hm ne apna endoscopy jun2022me karaya tha to small haitus hernia thi abhi 8march ko phir endoscopy karaya to report normal hai.
    Aisa ho sakta hai kya?

  • @its_abhimanyu731
    @its_abhimanyu731 Год назад

    Sir mere endoscopy me LAX GEJ+maild antral gastritis hai kya hai sir please reply 🙏

  • @arbazofficial397
    @arbazofficial397 Год назад +1

    Sir hume khana khane ke baad turant aaisa lagta hai khana nali me hai or dakar nahi aati h uljhan ke mare dakar ke sath khana upar aata hai or jabardasti dakar ke sath khana upar nikalna padta h aisa nahi karte hai to saas lene me dikkat hoti hai bas lagta hai saas nahi aarahi h or kuch fasa hai

    • @ahmedmemon6283
      @ahmedmemon6283 Год назад

      कब से प्रॉब्लम है आपको और कहां रहते हो आप एंडोस्कोपी कराइए अपने

    • @searshab9473
      @searshab9473 10 месяцев назад

      Sam problem thi

    • @ranacreators6995
      @ranacreators6995 5 месяцев назад

      Abhi kaise ho ap

    • @bhaveshsharma8422
      @bhaveshsharma8422 5 месяцев назад

      Did you find any solution

    • @arbazofficial397
      @arbazofficial397 3 месяца назад

      Nahi sir abhi bhi vahi h endoscopy report bhi normal hai

  • @utkarshsahu4756
    @utkarshsahu4756 8 месяцев назад

    Sir mai bahut hi patla hu aur mujhe hital hernia hai aur mujhe bahut hi riflux ka problem hai

    • @rohantiwari2517
      @rohantiwari2517 4 месяца назад

      Same mai bhi bhout patla hua muje bhi mild haital hernia hai khana gale me return ata hai😢😢😢

  • @jitendrapanchal8989
    @jitendrapanchal8989 Год назад

    Sar mujhe bhi 35 cm hiatus hernia hai do mahine se dawai Kha Raha hau par koi Aram nai hai gale me jalan bahut hoti hai

  • @princebeniwal2342
    @princebeniwal2342 10 месяцев назад

    Sir meri report me muje 𝙝𝙞𝙖𝙩𝙪𝙨 𝙝𝙚𝙧𝙣𝙞𝙖 𝙬𝙞𝙩𝙝 𝙥𝙖𝙣 𝙜𝙚𝙨𝙩𝙧𝙞𝙩𝙞𝙨 hai kya kru sir

    • @pujakumari-576
      @pujakumari-576 8 месяцев назад +1

      Thik huaa aapka

    • @princebeniwal2342
      @princebeniwal2342 7 месяцев назад

      ​@@pujakumari-576 Hare Krishna mai thik ho gya ab ek doctor tha bhut he acha bina operation ke thik kr diya

    • @pujakumari-576
      @pujakumari-576 7 месяцев назад

      @@princebeniwal2342 kaha dikhte the

    • @princebeniwal2342
      @princebeniwal2342 7 месяцев назад

      @@pujakumari-576 actually hmare yhaia he hai ek doctor Uttar Pradesh ke bagpat district mein

    • @pujakumari-576
      @pujakumari-576 7 месяцев назад

      @@princebeniwal2342 kitne din me thik ho gya tha

  • @hemantchaturvedi1510
    @hemantchaturvedi1510 Год назад

    Mujhe khana khate hi ulti jesa feel hota hai or acidity bhi bahut banti hai kya kru

    • @pujakumari-576
      @pujakumari-576 8 месяцев назад

      Thik huaa aapka

    • @hemantchaturvedi1510
      @hemantchaturvedi1510 8 месяцев назад

      @@pujakumari-576 खाने पर कण्ट्रोल किए हूँ थोड़ा थोड़ा करके खाता हूँ और टाइम भी बहुत लगता है स्पीड से नहीं खा पाता

  • @sidradigitalseva
    @sidradigitalseva Год назад

    Mucosal breaks> 5 mm in distal Esophagus
    Please details is me operation karana hoga

  • @krrishcherry2564
    @krrishcherry2564 Год назад

    Sir mine is 35 cm sliding hiatus hernia what to do sir for this please answer me?

  • @amritbirsingh
    @amritbirsingh 10 месяцев назад

    Sir Sliding hernia ka treatment medicine se ho sakta hai sir apna phone number aur email share kare

  • @mahandraambatkar9992
    @mahandraambatkar9992 Год назад +1

    Thank you sir

  • @RanjeetKumar-mi9nb
    @RanjeetKumar-mi9nb 4 месяца назад

    Thank you sir