أحدث الطرق العلاجية لحصوة الكلى والمثانة والوقاية وفقا للتاريخ المرضي
شهد القطاع الطبي في المملكة تطورا كبيرا في العقود الأخيرة, وانتشرت الأساليب العلاجية الحديثة المسايرة لآخر المستجدات الطبية العالمية في طرق العلاج , أما عمليات التوعية فما زالت تلاحق هذه التطورات لإكساب المجتمع مفاهيم صحية جديدة, ففي حالات الإصابة بحصوة الكلى و المثانة كان علينا أن نتعرف على أسباب الإصابة بها, وأعراض المرض وطرق الوقاية منها وأساليب المعالجات المختلفة وأيها أكثر فاعلية في الحالات المرضية….
وفي هذا السياق أفاد الدكتور طلال مرداد استشاري جراحة المسالك البولية والتناسلية والعقم – عضو الجمعية الأمريكية للمسالك البولية والتناسلية – عضو الجمعية الأمريكية للخصوبة والذكورة والعقم – مدير عام مركز” مان كلينك ” بالرياض أن أغلب المشكلات الخاصة بمرضى حصوة الكلى والمثانة يتمثل في الإهمال وعدم المتابعة الطبية بصورة دورية للاطمئنان من ناحية والوقاية من ناحية أخرى, فعلى الرغم من عدم وجود سبب مؤكد لإصابة شخص دون آخر بتكوين الحصوة إلا أن العلم الحديث قد توصل إلى بعض الروافد المسببة لتكون حصوة الكلى والمثانة لبعض الحالات ومنها الجينات الوراثية كأثر واضح بنسبة 7% بالإضافة للأسلوب الغذائي الذي يعتمده البعض أوما يعرف بالتمثيل الغذائي المسبب للإصابة بها والمعروف باسم hyperoxalutia / cystinuria وما ينتج عنه من إفراز كمية كبيرة من الحامض الأميني الذي لا يذوب في البول, وبتراكمه في بعض الحالات يتسبب في تكوين الحصوة أما ارتفاع درجة الحرارة وقلة شرب الماء والسوائل فيتسبب فيما نسبته 35%, وكذلك زيادة كمية الأملاح التي تؤدي أيضا لتكوين الحصوة أما التهابات الجهاز البولي والكلى فتتسبب بنسبة 25%.
وأضاف الدكتور طلال مرداد أن أعراض الإصابة بحصوات الكلى والمثانة تتمثل في الآلام المبرحة إذا ما تحركت الحصوة في مجرى البول وما يصاحب ذلك من تقلصات عضلية على جانبي منطقة الكلية أسفل البطن ,يصاحب ذلك في بعض الأحيان القيء والغثيان , وتزداد حدة الألم كلما زاد حجم الحصوة, كما يمثل ظهور الدم في البول والشعور المستمر بالحاجة للتبول والحرقان الشديد أثناء التبول إحدى علامات الإصابة بها, وقد تصل الأعراض إلى حالة رعشة وارتفاع درجة حرارة المصاب.
وأشار الدكتور مرداد أن التطور الطبي الكبير في كافة المجالات الطبية ومنها أساليب علاج حصوات الكلى والمثانة قد فتح الباب على مصراعيه لعدد كبير من الخيارات في معالجة هذه الإصابات المرضية, ويتم تحديدها وفقا لمستوى الإصابة وحالة المريض وحجم الحصوة… وإننا بناءً على قاعدة أساسية لايمكن أن نلجأ إلى الجراحة في الكثير من الحالات التي يمكن فيها إنجاز الأساليب العلاجية بنجاح, فهناك عملية المعالجة بالعقاقير كمستوى أول لكثير من الحالات وأيضا عملية المعالجة بتفتيت الحصوة, أما عمليات الجراحة فنلجأ إليها إذا كان حجم الحصوة كبيرا, أو كانت الحصوة مسببة لانسداد عملية تدفق البول وحدوث الالتهابات المستمرة.
ونستطيع مع التطور الطبي الحديث في الفترة الحالية القيام بتفتيت الحصوات من خارج الجسم باستخدام تقنية الذبذبات المعتمدة على الأجهزة الحديثة ( ( E.S.W.L, وفي حال اللجوء إلى الجراحة لإزالة الحصوة من المثانة فتكون في الحالات المتأخرة والتي تظهر فيها الحصوة من خلال الأشعة كبيرة بصورة قد تصل في بعض الحالات إلى حجم (بيضة كبيرة) تزن (200 جرام) لمريض كان يشكو من عدم القدرة على التبول إلا وهو نائم وكان عمره 28 عاما, وهناك أشكال عديدة للحصوات التي تم استخراجها بالعمليات الجراحية والتي تزيد على (1770) عملية خلال خمسة عشر عاما.
وأكد الدكتور مرداد على أهمية الأخذ بمبدأ الوقاية في استشارة الطبيب في حال وجود تاريخ مرضي بالحصوة في العائلة أوظهور الأعراض السابق ذكرها وأن كل حالة من الحالات تحتاج إلى أسلوب خاص, وأن اكتشاف الحالات المصابة مبكرا تعطي الفرصة لتفادي تفاقم الإصابة.
Very nice article and straight to the point.
I don’t know if this is in fact the best place to
ask but do you guys have any thoughts on where to get some professional writers?
Thx 🙂 Escape room lista
I like this web blog very much, Its a real nice berth to read and find information.!
Spot on with this write-up, I really think this site needs a great deal more attention. I’ll probably be returning to read more, thanks for the info.
You are so awesome! I don’t believe I have read through something like that before. So good to discover someone with some genuine thoughts on this topic. Seriously.. thank you for starting this up. This website is something that is required on the web, someone with a little originality.
Aw, this was an extremely nice post. Taking a few minutes and actual effort to produce a superb article… but what can I say… I put things off a lot and never manage to get anything done.
I truly love your blog.. Excellent colors & theme. Did you develop this web site yourself? Please reply back as I’m planning to create my own personal site and would like to learn where you got this from or what the theme is called. Appreciate it!
The next time I read a blog, Hopefully it doesn’t disappoint me as much as this particular one. I mean, I know it was my choice to read through, however I really thought you would probably have something interesting to talk about. All I hear is a bunch of crying about something that you can fix if you were not too busy looking for attention.
I used to be able to find good info from your blog posts.
Oh my goodness! Awesome article dude! Thank you, However I am encountering problems with your RSS. I don’t understand why I cannot join it. Is there anybody getting similar RSS problems? Anyone that knows the answer will you kindly respond? Thanx!
Great blog you’ve got here.. It’s difficult to find high-quality writing like yours these days. I seriously appreciate individuals like you! Take care!!
May I simply say what a comfort to discover a person that genuinely knows what they are discussing online. You actually realize how to bring a problem to light and make it important. More and more people ought to look at this and understand this side of your story. I was surprised you aren’t more popular because you definitely have the gift.
I wanted to thank you for this fantastic read!! I definitely loved every bit of it. I have got you saved as a favorite to look at new things you post…
I must thank you for the efforts you have put in penning this site. I’m hoping to see the same high-grade blog posts from you later on as well. In fact, your creative writing abilities has encouraged me to get my own website now 😉
An impressive share! I have just forwarded this onto a co-worker who has been doing a little research on this. And he actually bought me dinner due to the fact that I discovered it for him… lol. So let me reword this…. Thanks for the meal!! But yeah, thanx for spending some time to talk about this issue here on your site.
This website was… how do you say it? Relevant!! Finally I have found something which helped me. Thanks a lot!
Hello! I could have sworn I’ve been to this website before but after going through a few of the articles I realized it’s new to me. Anyhow, I’m certainly delighted I discovered it and I’ll be book-marking it and checking back often.
I would like to thank you for the efforts you have put in penning this website. I am hoping to check out the same high-grade blog posts from you in the future as well. In truth, your creative writing abilities has motivated me to get my own, personal site now 😉
Hi there! This blog post couldn’t be written any better! Going through this article reminds me of my previous roommate! He constantly kept talking about this. I am going to forward this information to him. Fairly certain he’s going to have a great read. Thank you for sharing!
I really like reading a post that can make men and women think. Also, thanks for allowing for me to comment.
Aw, this was an exceptionally good post. Finding the time and actual effort to create a good article… but what can I say… I hesitate a lot and never manage to get anything done.
I absolutely love your site.. Very nice colors & theme. Did you create this site yourself? Please reply back as I’m attempting to create my own personal website and want to learn where you got this from or what the theme is called. Thank you!
That is a really good tip particularly to those fresh to the blogosphere. Simple but very precise information… Thanks for sharing this one. A must read article.
Good info. Lucky me I discovered your blog by chance (stumbleupon). I have saved it for later.
I like looking through an article that can make men and women think. Also, thanks for allowing for me to comment.
I blog quite often and I really appreciate your information. This great article has really peaked my interest. I’m going to book mark your website and keep checking for new information about once a week. I subscribed to your RSS feed as well.
I absolutely love your blog.. Great colors & theme. Did you create this website yourself? Please reply back as I’m looking to create my own website and would love to learn where you got this from or just what the theme is called. Cheers.
Oh my goodness! Awesome article dude! Thank you so much, However I am having problems with your RSS. I don’t know why I can’t subscribe to it. Is there anybody else getting the same RSS issues? Anyone that knows the answer can you kindly respond? Thanx!
An impressive share! I’ve just forwarded this onto a colleague who was doing a little homework on this. And he actually ordered me dinner because I stumbled upon it for him… lol. So let me reword this…. Thanks for the meal!! But yeah, thanx for spending time to talk about this issue here on your site.
Excellent post. I am going through a few of these issues as well..
Howdy! I could have sworn I’ve visited your blog before but after browsing through some of the articles I realized it’s new to me. Anyways, I’m definitely delighted I stumbled upon it and I’ll be book-marking it and checking back frequently!
Hi there! This blog post could not be written any better! Looking at this post reminds me of my previous roommate! He constantly kept preaching about this. I’ll forward this information to him. Fairly certain he’ll have a great read. I appreciate you for sharing!
Oh my goodness! Incredible article dude! Thanks, However I am experiencing troubles with your RSS. I don’t understand the reason why I can’t subscribe to it. Is there anyone else getting the same RSS problems? Anybody who knows the answer will you kindly respond? Thanx!!
Everyone loves it when people get together and share opinions. Great site, keep it up.
Hi there, I think your site may be having internet browser compatibility problems. Whenever I look at your site in Safari, it looks fine however, when opening in Internet Explorer, it has some overlapping issues. I merely wanted to provide you with a quick heads up! Apart from that, excellent site!
Great information. Lucky me I recently found your site by chance (stumbleupon). I’ve bookmarked it for later.
Greetings! Very helpful advice in this particular post! It’s the little changes which will make the biggest changes. Thanks a lot for sharing!
Everything is very open with a very clear clarification of the issues. It was truly informative. Your site is very useful. Many thanks for sharing.
I blog frequently and I truly thank you for your content. This great article has truly peaked my interest. I will bookmark your site and keep checking for new information about once a week. I subscribed to your Feed too.
I must thank you for the efforts you have put in penning this website. I’m hoping to see the same high-grade content by you in the future as well. In truth, your creative writing abilities has motivated me to get my own website now 😉
I must thank you for the efforts you’ve put in penning this blog. I’m hoping to view the same high-grade blog posts from you later on as well. In fact, your creative writing abilities has encouraged me to get my own blog now 😉
Excellent article. I’m going through a few of these issues as well..
Can I simply say what a relief to discover a person that truly knows what they are talking about over the internet. You certainly understand how to bring an issue to light and make it important. A lot more people must look at this and understand this side of your story. I was surprised that you aren’t more popular because you certainly possess the gift.
This is the perfect website for anybody who would like to understand this topic. You understand so much its almost hard to argue with you (not that I personally will need to…HaHa). You definitely put a new spin on a topic that has been written about for many years. Wonderful stuff, just great.
Next time I read a blog, Hopefully it does not disappoint me as much as this one. I mean, Yes, it was my choice to read through, but I really thought you would probably have something helpful to talk about. All I hear is a bunch of moaning about something you could fix if you were not too busy looking for attention.
Great post! We are linking to this great article on our website. Keep up the great writing.
Way cool! Some very valid points! I appreciate you penning this post plus the rest of the website is also very good.
An intriguing discussion is worth comment. I think that you need to write more on this issue, it might not be a taboo matter but generally people do not discuss such issues. To the next! Kind regards.
I truly love your site.. Excellent colors & theme. Did you make this website yourself? Please reply back as I’m attempting to create my very own blog and want to find out where you got this from or just what the theme is named. Appreciate it.
I love it when folks get together and share views. Great site, continue the good work!
Next time I read a blog, I hope that it does not disappoint me just as much as this particular one. After all, Yes, it was my choice to read, nonetheless I genuinely believed you’d have something interesting to say. All I hear is a bunch of whining about something that you could fix if you were not too busy seeking attention.
I truly love your blog.. Great colors & theme. Did you make this web site yourself? Please reply back as I’m looking to create my own personal website and would like to find out where you got this from or what the theme is called. Many thanks!
Can you be more specific about the content of your article? After reading it, I still have some doubts. Hope you can help me.
Hello there! This post could not be written any better! Looking at this post reminds me of my previous roommate! He always kept preaching about this. I’ll send this article to him. Pretty sure he will have a great read. Thank you for sharing!
Excellent post. I certainly appreciate this website. Stick with it!
You have made some decent points there. I checked on the web for more information about the issue and found most people will go along with your views on this web site.
Good day! I just would like to offer you a big thumbs up for your excellent info you have got right here on this post. I will be coming back to your website for more soon.
Good post. I’m facing some of these issues as well..
This page truly has all of the info I wanted about this subject and didn’t know who to ask.
Excellent site you have here.. It’s hard to find excellent writing like yours these days. I really appreciate people like you! Take care!!
An impressive share! I have just forwarded this onto a colleague who has been doing a little research on this. And he actually bought me dinner simply because I found it for him… lol. So allow me to reword this…. Thanks for the meal!! But yeah, thanx for spending time to talk about this matter here on your web site.
Right here is the perfect website for everyone who really wants to find out about this topic. You know so much its almost tough to argue with you (not that I personally will need to…HaHa). You certainly put a new spin on a subject which has been discussed for many years. Great stuff, just excellent.
Oh my goodness! Amazing article dude! Thanks, However I am encountering problems with your RSS. I don’t know the reason why I cannot join it. Is there anybody else getting similar RSS issues? Anyone that knows the answer will you kindly respond? Thanks.
Oh my goodness! Awesome article dude! Thank you, However I am going through issues with your RSS. I don’t know the reason why I can’t join it. Is there anybody having identical RSS problems? Anybody who knows the solution can you kindly respond? Thanx!
Good article! We will be linking to this great content on our website. Keep up the good writing.
You made some good points there. I looked on the net for more information about the issue and found most people will go along with your views on this site.
Excellent web site you’ve got here.. It’s difficult to find good quality writing like yours nowadays. I really appreciate people like you! Take care!!
May I simply just say what a comfort to find somebody who genuinely knows what they’re talking about on the net. You actually know how to bring a problem to light and make it important. More people really need to read this and understand this side of your story. It’s surprising you are not more popular because you most certainly have the gift.
Having read this I thought it was really enlightening. I appreciate you taking the time and energy to put this article together. I once again find myself personally spending a lot of time both reading and posting comments. But so what, it was still worth it.
I’d like to thank you for the efforts you have put in writing this blog. I’m hoping to see the same high-grade content by you in the future as well. In fact, your creative writing abilities has motivated me to get my very own blog now 😉
Hi there! This article couldn’t be written any better! Going through this article reminds me of my previous roommate! He always kept talking about this. I am going to send this post to him. Fairly certain he will have a very good read. Thanks for sharing!
I blog often and I seriously thank you for your information. This great article has truly peaked my interest. I’m going to bookmark your website and keep checking for new details about once a week. I subscribed to your Feed too.
There’s certainly a lot to learn about this subject. I like all of the points you’ve made.
Everyone loves it when folks come together and share thoughts. Great website, stick with it.
Hello there! I could have sworn I’ve visited this website before but after looking at many of the posts I realized it’s new to me. Regardless, I’m certainly happy I found it and I’ll be book-marking it and checking back regularly!
I used to be able to find good information from your blog posts.
Hi there! I simply would like to offer you a huge thumbs up for your excellent information you’ve got here on this post. I’ll be returning to your web site for more soon.
Very good post. I will be facing a few of these issues as well..
I like it when individuals come together and share views. Great blog, stick with it!
It’s nearly impossible to find educated people in this particular subject, however, you sound like you know what you’re talking about! Thanks
I could not resist commenting. Very well written.
Greetings! Very helpful advice within this post! It’s the little changes which will make the greatest changes. Many thanks for sharing!
There’s definately a great deal to know about this subject. I like all of the points you made.
Right here is the right webpage for anybody who hopes to understand this topic. You realize so much its almost tough to argue with you (not that I actually will need to…HaHa). You definitely put a brand new spin on a topic which has been discussed for ages. Great stuff, just wonderful.
Good information. Lucky me I found your blog by accident (stumbleupon). I have saved it for later.
A fascinating discussion is worth comment. I believe that you should publish more on this subject, it might not be a taboo subject but usually people do not speak about these topics. To the next! Cheers!
I truly love your site.. Pleasant colors & theme. Did you build this amazing site yourself? Please reply back as I’m planning to create my own site and would love to learn where you got this from or exactly what the theme is named. Thanks.
Saved as a favorite, I love your blog!
I’m impressed, I have to admit. Rarely do I come across a blog that’s both educative and engaging, and let me tell you, you’ve hit the nail on the head. The issue is something not enough men and women are speaking intelligently about. Now i’m very happy I found this in my hunt for something regarding this.
This website really has all of the info I needed concerning this subject and didn’t know who to ask.
There is definately a great deal to know about this issue. I love all of the points you’ve made.
You’re so awesome! I don’t believe I’ve read anything like that before. So nice to find somebody with a few original thoughts on this subject matter. Really.. thanks for starting this up. This web site is something that is needed on the internet, someone with a bit of originality.
Hi! I could have sworn I’ve visited this web site before but after looking at a few of the articles I realized it’s new to me. Anyhow, I’m definitely pleased I stumbled upon it and I’ll be book-marking it and checking back frequently!
Howdy! This blog post couldn’t be written any better! Looking through this post reminds me of my previous roommate! He constantly kept talking about this. I’ll send this information to him. Pretty sure he’s going to have a great read. Thank you for sharing!
There is certainly a great deal to know about this subject. I really like all the points you have made.
There’s definately a lot to know about this issue. I like all the points you’ve made.
You are so cool! I do not think I have read anything like that before. So wonderful to discover another person with a few genuine thoughts on this subject matter. Really.. thank you for starting this up. This site is something that is required on the web, someone with a little originality.
Howdy! This blog post couldn’t be written much better! Looking through this post reminds me of my previous roommate! He always kept preaching about this. I’ll forward this article to him. Fairly certain he will have a good read. I appreciate you for sharing!
I am extremely impressed with your writing skills and also with the layout on your blog.
Is this a paid theme or did you modify it yourself? Either
way keep up the nice quality writing, it’s rare to see a nice blog like this one
today.
This is the right website for everyone who wishes to understand this topic. You realize so much its almost tough to argue with you (not that I really would want to…HaHa). You certainly put a brand new spin on a topic that’s been written about for ages. Great stuff, just wonderful.
There’s certainly a lot to know about this subject. I really like all the points you have made.
Everything is very open with a clear explanation of the issues. It was truly informative. Your site is useful. Thank you for sharing!
I blog frequently and I really appreciate your information. This great article has truly peaked my interest. I am going to book mark your site and keep checking for new information about once per week. I opted in for your RSS feed as well.
Hello! I simply want to offer you a big thumbs up for the excellent info you’ve got here on this post. I’ll be coming back to your web site for more soon.
After looking at a handful of the blog articles on your site, I truly like your technique of writing a blog. I saved as a favorite it to my bookmark site list and will be checking back soon. Please check out my website too and let me know your opinion.
You’re so cool! I do not believe I’ve truly read through something like this before. So good to discover another person with some unique thoughts on this topic. Seriously.. many thanks for starting this up. This web site is something that is required on the internet, someone with some originality.
Профессиональный сервисный центр по ремонту бытовой техники с выездом на дом.
Мы предлагаем: сервис центры бытовой техники москва
Наши мастера оперативно устранят неисправности вашего устройства в сервисе или с выездом на дом!
I don’t think the title of your article matches the content lol. Just kidding, mainly because I had some doubts after reading the article.
I read your post and I found it amazing! thank! 스포츠 중계
I can see that you are an expert at your field! I am launching a website soon, and your information will be very useful for me .. Thanks for all your help and wishing you all the success in your business 해외축구중계사이트
Can I simply say what a relief to discover an individual who truly understands what they’re talking about online. You certainly realize how to bring an issue to light and make it important. A lot more people should read this and understand this side of the story. I can’t believe you aren’t more popular given that you most certainly possess the gift.
In the world of www, there are countless blogs. But believe me, this blog has all the perfection that makes it unique in all. I will be back again and again crypto mining machines
Nice post. I learn some thing tougher on different blogs everyday. Most commonly it is stimulating to read content off their writers and practice something at their store. I’d opt to use some with all the content in my weblog whether or not you do not mind. Natually I’ll provide a link with your internet weblog. Thank you for sharing 링크모음
I like it whenever people get together and share views. Great blog, continue the good work.
There you can download for nothing, see the first of these information 카지노사이트
Extremely decent blog and articles. I am realy extremely glad to visit your blog. Presently I am discovered which I really need. I check your blog regular and attempt to take in something from your blog. Much obliged to you and sitting tight for your new post 올인구조대
You’ve made some really good points there. I checked on the net to find out more about the issue and found most people will go along with your views on this web site.
This is a good tip especially to those new to the blogosphere. Simple but very accurate info… Many thanks for sharing this one. A must read post!
I ought to declare scarcely that its astonishing! The blog is instructive additionally dependably manufacture astonishing entities 토토사이트
What a information of un-ambiguity and preserveness of valuable familiarity concerning unexpected feelings. 카지노 커뮤니티
After looking at a handful of the blog posts on your site, I truly like your technique of writing a blog. I book-marked it to my bookmark website list and will be checking back soon. Please visit my website as well and let me know how you feel.
Hello there! This article couldn’t be written much better! Reading through this post reminds me of my previous roommate! He continually kept preaching about this. I am going to send this article to him. Fairly certain he’s going to have a great read. Many thanks for sharing!
Your style is so unique in comparison to other folks I’ve read stuff from. Thank you for posting when you have the opportunity, Guess I’ll just book mark this page.
Your style is really unique in comparison to other folks I’ve read stuff from. I appreciate you for posting when you have the opportunity, Guess I will just bookmark this web site.
I would like to thank you for the efforts you have made in writing this article. I am hoping the same best work from you in the future as well. In fact your creative writing abilities has inspired me to start my own Blog Engine blog now. Really the blogging is spreading its wings rapidly. Your write up is a fine example of it. 먹튀검증
The following time I learn a blog, I hope that it doesnt disappoint me as a lot as this one. I imply, I know it was my choice to learn, but I actually thought youd have one thing fascinating to say. All I hear is a bunch of whining about something that you may fix should you werent too busy searching for attention 슬롯 커뮤니티
I would like to say that this blog really convinced me to do it! Thanks, very good post 에볼루션바카라
I just found this blog and have high hopes for it to continue. Keep up the great work, its hard to find good ones. I have added to my favorites. Thank You. soi cau mb
I read this article. I think You put a great deal of exertion to make this article. I like your work. soi cầu 247
What a information of un-ambiguity and preserveness of valuable familiarity concerning unexpected feelings. 구글계정판매
Next time I read a blog, I hope that it won’t fail me as much as this one. I mean, Yes, it was my choice to read through, nonetheless I truly thought you would probably have something useful to say. All I hear is a bunch of moaning about something you could possibly fix if you were not too busy searching for attention.
Aw, this was an exceptionally nice post. Taking a few minutes and actual effort to create a really good article… but what can I say… I procrastinate a lot and don’t seem to get anything done.
I used to be able to find good info from your articles.
Thank you for the auspicious writeup. It in fact was an amusement account it. Look advanced to far added agreeable from you! By the way, how could we communicate
온라인홀덤
Thank you for the auspicious writeup. It in fact was an amusement account it. Look advanced to far added agreeable from you! By the way, how could we communicate 토토솔루션
Right here is the perfect web site for anyone who hopes to understand this topic. You realize so much its almost hard to argue with you (not that I actually would want to…HaHa). You definitely put a brand new spin on a topic that’s been discussed for a long time. Wonderful stuff, just excellent.
You…are…my…hero!!! I cant believe something like this exists on the internet! Its so true, so honest, and more than that you dont sound like an idiot! Finally, someone who knows how to talk about a subject without sounding like a kid who didnt get that bike he wanted for Christmas. 카지노사이트
I’ve been looking for info on this topic for a while. I’m happy this one is so great. Keep up the excellent work Layanan Slot PBN
I couldn’t resist commenting. Very well written!
Right here is the right website for everyone who really wants to find out about this topic. You understand a whole lot its almost hard to argue with you (not that I actually will need to…HaHa). You certainly put a fresh spin on a subject that’s been discussed for a long time. Wonderful stuff, just wonderful.
I must thank you for the efforts you’ve put in writing this website. I really hope to view the same high-grade blog posts by you later on as well. In truth, your creative writing abilities has motivated me to get my own blog now 😉
This piece of writing is actually a fastidious one it helps new internet people, who are wishing in favor of blogging.
You are so interesting! I don’t think I have read anything like that before. So wonderful to discover somebody with some original thoughts on this topic. Really.. many thanks for starting this up. This website is one thing that’s needed on the internet, someone with a little originality.
I blog often and I seriously thank you for your content. This article has truly peaked my interest. I will bookmark your site and keep checking for new information about once per week. I opted in for your Feed as well.
Casino’nun sunduğu bonuslar sayesinde slot oyunlarında daha fazla şans elde ediyorum.
An intriguing discussion is definitely worth comment. I think that you ought to publish more about this subject matter, it might not be a taboo matter but usually people don’t discuss these topics. To the next! Many thanks!
En sevdiğim slot oyunu The Dog House Megaways, büyük kazançlar elde ediyorum.
Casino’daki slot oyunlarının grafikleri ve ses efektleri harika, her oyun keyifli.
Casino’daki slot oyunlarının grafikleri ve ses efektleri harika, her oyun çok eğlenceli!
Futbol bahislerinde doğru tahminlerle her zaman büyük ödüller kazanıyorum!
Oyunlarda hiç donma veya kesilme yaşamadım, mükemmel performans!
Touche. Sound arguments. Keep up the amazing work.
May I just say what a comfort to discover an individual who actually understands what they are discussing on the internet. You certainly know how to bring a problem to light and make it important. A lot more people need to read this and understand this side of your story. I can’t believe you aren’t more popular since you most certainly have the gift.
Hi, I do believe this is a great web site. I stumbledupon it 😉 I am going to revisit once again since i have bookmarked it. Money and freedom is the best way to change, may you be rich and continue to guide other people.
You need to take part in a contest for one of the greatest websites on the web. I am going to recommend this website!
Good blog you’ve got here.. It’s hard to find high-quality writing like yours these days. I seriously appreciate people like you! Take care!!
Everything is very open with a clear clarification of the challenges. It was definitely informative. Your site is useful. Thank you for sharing!
I’m amazed, I must say. Seldom do I encounter a blog that’s both educative and amusing, and let me tell you, you’ve hit the nail on the head. The problem is something which not enough folks are speaking intelligently about. Now i’m very happy I stumbled across this in my search for something concerning this.
Spot on with this write-up, I absolutely think this site needs a lot more attention. I’ll probably be returning to read more, thanks for the information!
Canlı krupiyelerle oynamak, gerçek casinoda gibi hissettiriyor.
Very good article. I definitely love this site. Keep it up!
Casino’nun sunduğu promosyonlar sayesinde slot oyunlarında her zaman şansım açık.
It is perfect time to make some plans for the future and it is time to be happy. I’ve read this post and if I could I desire to suggest you few interesting things or tips. Perhaps you could write next articles referring to this article. I want to read more things about it! 지니카지노
A to a great degree brilliant blog passage. We are really grateful for your blog passage. fight, law usage You will find an extensive measure of techniques in the wake of heading off to your post. I was absolutely examining for. An obligation of appreciation is all together for such post and please keep it up. Mind blowing work. 고광렬카지노 도메인 주소
Hey There. I found your blog using msn. This is a very well written article. I will be sure to bookmark it and return to read more of your useful information. Thanks for the post. I will definitely return. 히츠벳 도메인 주소
Everything is very open with a precise clarification of the challenges. It was definitely informative. Your site is very useful. Many thanks for sharing!
Casino’daki slot oyunlarının grafikleri ve ses efektleri mükemmel bir oyun deneyimi sunuyor.
I genuinely like you’re making style, inconceivable information, thankyou for posting 베팅의민족
Casino’daki slot oyunlarında her spin büyük bir kazanç şansı sunuyor.
Having read this I believed it was rather enlightening. I appreciate you finding the time and energy to put this informative article together. I once again find myself personally spending a lot of time both reading and leaving comments. But so what, it was still worthwhile.
Wonderful article! We will be linking to this particularly great content on our website. Keep up the good writing.
After exploring a handful of the articles on your website, I really like your technique of writing a blog. I book-marked it to my bookmark webpage list and will be checking back in the near future. Please visit my website too and tell me how you feel.
Can I simply just say what a relief to uncover an individual who actually understands what they are talking about over the internet. You actually understand how to bring an issue to light and make it important. A lot more people have to read this and understand this side of the story. I can’t believe you’re not more popular because you most certainly possess the gift.
Greetings! Very useful advice in this particular post! It is the little changes that will make the most important changes. Thanks for sharing!
You should be a part of a contest for one of the greatest websites on the web. I will recommend this blog!
Spot on with this write-up, I honestly believe that this website needs a lot more attention. I’ll probably be back again to read more, thanks for the information!
I like reading a post that will make people think. Also, thanks for allowing me to comment.
I blog frequently and I genuinely thank you for your information. This article has really peaked my interest. I am going to bookmark your blog and keep checking for new details about once a week. I subscribed to your Feed as well.
Bu casino’da slot oynamak büyük bir keyif, kazanmak ise daha da büyük bir mutluluk.
There’s certainly a lot to find out about this topic. I like all of the points you have made.
Great site you have got here.. It’s hard to find quality writing like yours nowadays. I truly appreciate individuals like you! Take care!!
Hi, I do think this is a great web site. I stumbledupon it 😉 I am going to return yet again since i have book-marked it. Money and freedom is the greatest way to change, may you be rich and continue to guide others.
Howdy! I just want to give you a big thumbs up for your great information you have got here on this post. I’ll be returning to your website for more soon.
Slot oyunları ve canlı casino birleşince, bu site rakipsiz!
Hello there! I just wish to give you a huge thumbs up for the great info you have got right here on this post. I’ll be returning to your web site for more soon.
Good information. Lucky me I ran across your website by chance (stumbleupon). I’ve saved as a favorite for later.
Bu casino’nun sunduğu geniş futbol bahis seçenekleri her maçta kazanç fırsatları yaratıyor!
Casino’nun sunduğu düşük bahis seçenekleri, her bütçeye uygun oyun fırsatları sağlıyor.
Oh my goodness! Impressive article dude! Thank you, However I am going through issues with your RSS. I don’t know the reason why I am unable to join it. Is there anybody else getting the same RSS problems? Anyone who knows the answer can you kindly respond? Thanks.
Hi, I do believe this is an excellent site. I stumbledupon it 😉 I’m going to return once again since I bookmarked it. Money and freedom is the greatest way to change, may you be rich and continue to help others.
Good post. I learn something totally new and challenging on blogs I stumbleupon every day. It will always be helpful to read articles from other authors and use a little something from their sites.
Deneme bonusu sayesinde hiçbir para yatırmadan kazandım, herkes denemeli!
Way cool! Some extremely valid points! I appreciate you writing this write-up plus the rest of the website is very good.
Howdy, I do believe your web site might be having web browser compatibility problems. When I take a look at your website in Safari, it looks fine but when opening in IE, it’s got some overlapping issues. I merely wanted to give you a quick heads up! Besides that, great website.
bookmarked!!, I like your site!
Bahis sitelerinde deneme bonusu ile oyunlara bedava başlayarak kazanabilirsiniz!
Casino’nun sunduğu canlı bahis seçenekleri, futbol maçlarını izlerken ekstra heyecan katıyor!
Aw, this was a really good post. Finding the time and actual effort to make a very good article… but what can I say… I procrastinate a whole lot and never seem to get anything done.
Bu casino’nun sunduğu slot oyunları, her gün büyük kazançlar sağlıyor.
Bahis sitelerinde deneme bonusu ile bedava oyunlara başlayarak kazanç sağlamaya başladım.
Casino’daki slot oyunları sayesinde büyük jackpot kazançlarına ulaştım, şansınızı denemelisiniz!
Bu bahis sitesinin sunduğu deneme bonusu ile bedava bahis yaparak anında kazanç sağladım!
Deneme bonusu ile bahis yaparken risk almadan büyük ödüller kazandım!
En sevdiğim slot oyunu Book of Ra, her spin büyük bir heyecan ve kazanç sağlıyor.
Hi, I do think this is an excellent web site. I stumbledupon it 😉 I’m going to come back once again since i have bookmarked it. Money and freedom is the greatest way to change, may you be rich and continue to guide others.
This excellent website truly has all of the information and facts I wanted about this subject and didn’t know who to ask.
An impressive share! I have just forwarded this onto a co-worker who was conducting a little research on this. And he in fact ordered me lunch due to the fact that I found it for him… lol. So allow me to reword this…. Thank YOU for the meal!! But yeah, thanks for spending time to talk about this matter here on your internet site.
En sevdiğim slot oyunu Wolf Gold, grafikler harika ve kazançlar çok yüksek!
Good blog you have here.. It’s hard to find excellent writing like yours these days. I seriously appreciate individuals like you! Take care!!
Favori slot oyunlarım arasında Sweet Bonanza ve Reactoonz var, her ikisi de çok kazandırıyor!
An impressive share! I’ve just forwarded this onto a coworker who had been conducting a little homework on this. And he in fact bought me dinner due to the fact that I found it for him… lol. So let me reword this…. Thank YOU for the meal!! But yeah, thanks for spending the time to discuss this topic here on your web site.
Bu casino’da slot oyunlarıyla her zaman büyük kazançlar elde ediyorum!
Профессиональный сервисный центр по ремонту компьютеров и ноутбуков в Москве.
Мы предлагаем: вызвать мастера по ремонту macbook
Наши мастера оперативно устранят неисправности вашего устройства в сервисе или с выездом на дом!
En sevdiğim slot oyunu Legacy of Egypt, grafikler harika, kazançlar büyük!
Futbol bahislerimde aldığım bonuslar sayesinde kazançlarım katlanıyor, her maçta daha fazla şansım oluyor!
Bahis siteleri deneme bonusu ile bedava bahis yaparak büyük kazançlar elde etmek çok kolay!
Futbol bahislerinde aldığım bonuslarla daha fazla maç tahmini yapabiliyorum ve kazancımı artırıyorum!
An interesting discussion is definitely worth comment. I do believe that you ought to publish more on this topic, it may not be a taboo subject but generally people don’t talk about these issues. To the next! Cheers.
I like it when folks get together and share views. Great site, stick with it!
Deneme bonusu ile crash oyunlarına, özellikle Aviator’a, sıfır yatırımla başlamak çok eğlenceli!
Bu casino’daki futbol bahis seçenekleri her maç için harika kazanç fırsatları sunuyor!
Casino’nun sunduğu turnuvalar ile slot oyunlarında ekstra ödüller kazanmak çok eğlenceli.
Deneme bonusu kullanarak ilk bahisimi kazandım, gerçekten harika bir deneyimdi!
This website was… how do I say it? Relevant!! Finally I’ve found something that helped me. Cheers.
Slot oyunları oynamak bu casino’da çok eğlenceli ve kazançlı, herkese tavsiye ederim.
Bu casino’da bahis stratejilerimi geliştirerek her oyunda daha fazla kazanıyorum.
Deneme bonusu ile crash oyunlarına, özellikle Aviator’a sıfır yatırımla başlamak harika bir fırsat!