ధైరాయిడ్ గురుంచి మనకు తెలియని నిజాలు - Unknown Facts About Thyroid | Symptoms and Treatment || THF

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  • Опубліковано 13 січ 2025

КОМЕНТАРІ • 704

  • @TeluguHealthFocus
    @TeluguHealthFocus  3 роки тому +48

    For Online and Direct Consultation With Dr Pradeep Gaaru please call on this number : 8121172353

    • @maruthisarumaruthisaru3404
      @maruthisarumaruthisaru3404 3 роки тому +5

      Naku reply evvaledu

    • @pesalasreelatha7571
      @pesalasreelatha7571 2 роки тому +5

      @@maruthisarumaruthisaru3404 0

    • @Ahmedali-cw9ib
      @Ahmedali-cw9ib Рік тому

      Naku 11.5 thyroid level indho sir, doctor thyronorm 75mg tablets ichaaru...... Merh Vere tablet chepparu kadha... Edi better sir

    • @divyavangala494
      @divyavangala494 Рік тому

      Sir Naku 5.41 thyroid undhi ani cheppru . Naku marriage aayi 5 month aindi sir but pregnancy vachindi but 8th week's ki miscarriage ayyindi sir.adi thyroid vallana sir malli pregnancy vaste problem avuthunda sir. Thyroid tablet vestunna pregnancy confirm aina 10day nunche.. em cheyali sir

    • @rajeswariv4982
      @rajeswariv4982 Рік тому

      nice talking sir

  • @VeeraswamyParese
    @VeeraswamyParese 10 місяців тому +16

    చాలా వీడియోలు చూసినాము కానీ మీలాగా ఎవ్వరు చెప్పివుండలేదు supper sir

  • @Kamaniyamramaniyam
    @Kamaniyamramaniyam 3 роки тому +275

    నాకొక అనుమానం 2000-2010 మధ్యలో డెలివరీ అయిన 98% మహిళలకి క థైరాయిడ్ కామన్ ప్రాబ్లెమ్ గా ఉంది అంటె ప్రెగ్నెన్సీ లో వాడిన మందుల్లోకాని డెలివరీ కి వాడిన మందుల్లోకాని ఏదైన ఫార్మా కల్తీ జరిగుంటుందా. ఇండియా లో తల్లి ఆరోగ్యం పాడుచేస్తే రెండు తరాల ప్రజలను బలహీనుల్ని చేయొచ్చనే ఉద్దేశంతో మెడికో టెర్రరిజం జరగలేదు కదా అనిపిస్తుంది. లేకపోతే ఎందుకు 30 దాటిన ప్రతివాళ్ళకీ ఈ థైరాయిడ్ ఉంది అదీ మహిళల్లో ఎక్కువగా ఉంది.

    • @uthanusha3895
      @uthanusha3895 2 роки тому +22

      Yes sister nenu kuda kaduptho uvnapdu thiryed vachindi

    • @Kamaniyamramaniyam
      @Kamaniyamramaniyam 2 роки тому +18

      @@uthanusha3895 కదా ఏదో జరుగుతోంది. థైరాయిడ్, షుగర్, యూట్రస్ ప్రాబ్లెమ్స్ ఒకప్పుడు చాలా చాలా రేర్ గా తక్కువమందికి అదీ వయసైపోయిన వాళ్ళకి వచ్చేవట. ఇప్పుడు ప్రతి పదిమంది ఆడవాళ్ళలో ఒకరికి ఉంటోంది

    • @uthanusha3895
      @uthanusha3895 2 роки тому +4

      @@Kamaniyamramaniyam s sister naku vachindi

    • @sandysandhya5254
      @sandysandhya5254 2 роки тому +7

      @@Kamaniyamramaniyam nakuda thyroid bundi sister.. na age 24

    • @anjumkhan3269
      @anjumkhan3269 2 роки тому +7

      Naku kuda 28

  • @ramuchandolu4535
    @ramuchandolu4535 9 місяців тому +9

    డాక్టర్ గారికి ధన్యవాదాలు.థైరాయిడ్ గురించి చాలా చక్కగా వివరించారు.

  • @nakkashanti8217
    @nakkashanti8217 3 роки тому +39

    చాలా చాలా బాగుంది అన్న థాంక్యూ మంచి పాటలు పాడుతూ వునా మీకు శుభం కలుగుతుంది దేవుని దివెనాలు మీకు వుండే ను గాక ఆమెన్

  • @deepthivani59
    @deepthivani59 3 роки тому +50

    After listening to u sir I got lot of strength to my heart🙏👏

  • @SanthuJagavarapu-d6h
    @SanthuJagavarapu-d6h 10 місяців тому +2

    చాలా బాగా చెప్పారు సార్ థ్యాంక్ సార్

  • @TeluguHealthFocus
    @TeluguHealthFocus  3 роки тому +14

    Dear All Meeru Comments Lo Adigina Questions Ki Answers Chestoo Doctor Gaaru Inko Video Release Chestunnaru. Within 2 Days Lo Upload Chestamu. Thank You. Andariki Replies Ivvadam Ibandi Kaabatti ila Chestunnam

  • @Chinna-kh9do
    @Chinna-kh9do Рік тому +3

    Thank you doctor garu chala clearga chepparu .Naku unna doubts Anne clear chesaru thank you so much

  • @vinutharamesh3522
    @vinutharamesh3522 13 днів тому

    Very gooçd information and willpower also who face the thyroid problem. Thank you so much sir.

  • @goddisimhachalam7371
    @goddisimhachalam7371 Рік тому +1

    Chala Baga chepparu sir... tq for your valuable information about Thyroid disease

  • @padmapriya509
    @padmapriya509 3 роки тому +3

    Excellent explanation.maa son ku hypothyroid undhi.ma vadu sudden weight thaggadu.yenduvalsna?

  • @alekyakote2988
    @alekyakote2988 Рік тому +4

    I like the way you explained. Half of the pain goes if we listen your explanation

  • @sadmekjyothi7741
    @sadmekjyothi7741 2 роки тому +2

    Thank u sir chala clear ga chepparu

  • @bharathigoud9376
    @bharathigoud9376 3 роки тому +2

    Super sir chala baga explain chesaru

  • @naseebjan6661
    @naseebjan6661 10 місяців тому +2

    Thank you sir na problem solution miru clear chayasaru

  • @nunduri1289
    @nunduri1289 3 роки тому +11

    Nice explaination sir. I want ur clear address sir 🙏. wait ,hairfall ,bones pain , dispersion, 😴 all problems are there.

    • @UshaRajavaram
      @UshaRajavaram 3 роки тому +1

      ఇంకా కాన్స్టిపేషన్ , అలసట కూడా

  • @mrekha3553
    @mrekha3553 3 роки тому +7

    Chala baga explain chesaru sir 🙏..thanku very munch sir

  • @tajuddeen9763
    @tajuddeen9763 Рік тому +5

    What a beautiful explanation sir ...thanku soo much for your valuable information....please do more videos regarding those types of dieses...

  • @Anumadhu_143
    @Anumadhu_143 2 роки тому

    Thank you brother chala Baga cheyparu Naku unna doughts Anni clear ainaie

  • @revanthvagu614
    @revanthvagu614 Рік тому +1

    Super clear ga chepparu doctor

  • @satyanarayana7356
    @satyanarayana7356 10 місяців тому

    Full clarity excellent ga cheypparu intha varaku yavaru ila cheyppaleshu

  • @chittutirupathi8069
    @chittutirupathi8069 3 роки тому +4

    Tq sir for given more information....lot of love 💘sir

  • @HaleemaCollections
    @HaleemaCollections 7 місяців тому

    Thank u so Mach sar thyroid gurinchi chala ch veva rin Charu

  • @ramyavarma5706
    @ramyavarma5706 3 роки тому +6

    Hi sir naku t3, t4 normal ga undi but tsh 4.2 undi nenu thyronorm 25 mg vaduthunanu but nenu chala sanaga(thin) ga unta .diet ame follow avali

  • @vyjuvlogs7405
    @vyjuvlogs7405 3 роки тому +3

    TQ doctor good information

  • @kotaabhi2881
    @kotaabhi2881 Рік тому +1

    Valuable Information Thank You Sir🙏🙏

  • @radhap5053
    @radhap5053 Рік тому +2

    GOOD INFORMATION SIR THANKS

  • @chakrichakri6887
    @chakrichakri6887 3 роки тому +4

    Sir Namaste..naku hypo tyroid vundi..50 mg vesukuntunnanu...naku oka doubt naku chala chala heal oain vundi..hypo vunnavallani heal pain vastunda...

  • @swarnakumari1035
    @swarnakumari1035 2 роки тому +4

    Thank you brother, I am pregnant 1st trimester..just now detected with hyperthyroidism..I tensed a lot after seeing ur video, I got positive spirit ,thank you

  • @maheswarikasumurthi6802
    @maheswarikasumurthi6802 3 роки тому +2

    Dr. Garu antibodies unnavaru elanti treatment theesukovali. Cheppagalara. Pl.

  • @sunandag3733
    @sunandag3733 Рік тому +1

    Sir chala baga chepparu

  • @idumalavennela3088
    @idumalavennela3088 Рік тому +3

    Sir I have small doubt sir my TSH 0.005 can I use medicine

  • @jyothibasamsetti3141
    @jyothibasamsetti3141 Рік тому +1

    Tq sir Naku pragency lo thyroid vachindi .miru cheppina simptams vinnaka Naku hiper thyroid vachindi Ani telisindi. Naku 12.5 mg tablets echaru doctor . Naku abosition ayyindi. Twaraga taggutunda sir plz ans me

  • @pudarinaveenkumar5063
    @pudarinaveenkumar5063 3 місяці тому

    Thank you Sir for valuable information Thank you so Much sir

  • @yesunambaru9678
    @yesunambaru9678 11 місяців тому +1

    After listening I got lot of strength my heart

  • @AkshayKumar-fc5me
    @AkshayKumar-fc5me 2 роки тому +3

    Sir my age 23 t3 and t4 normal but tsh 11.63
    I am first time use thyroid medication ur suggestion which mg tablet use cheyalli sir

  • @mounikab-zs8pq
    @mounikab-zs8pq 6 місяців тому

    Chala correct ga cheyparu

  • @sowjanyadama1906
    @sowjanyadama1906 2 роки тому +7

    T3-136.8ng/dl
    T4-9.33microg/dl
    TSH -1.89microlU/ML
    I am using 100mg tablets
    Is it normal or abnormal? Please suggest some tips to reduce my 100mg to less power.for past 4 years full hairloss and no regrowth,hair getting thin.please suggest what to do sir? Is their solution for hair regrowth. I tired homemade tips of applying fenugreek,flaxseeds paste on my hairand oiling weekly two times.

  • @telugudesigningmuggulu4137
    @telugudesigningmuggulu4137 3 роки тому +2

    nenu wait gain avvalante em cheyali cheppandi sir...nenu chala sannaga untanu..sir

  • @harshajermy5479
    @harshajermy5479 3 роки тому +1

    Tq sir your clarifications nd defferent thyroidsm ,, vijaya rmp.

  • @arunachowdary9192
    @arunachowdary9192 Рік тому +1

    Hypothyroidism nunchi hyperthyroidism ki vachanu... 150 mg vaduthunnanu... dosage thaggintala maneseya tablets

  • @ramyasrangoli
    @ramyasrangoli 3 роки тому +14

    Sir... Naku hyper thyroidism... Kani 6 years nunchi medicine vadutune vunna... Mimmalni ela consult avvali... Dayachesi cheppandi

    • @sravankumar-sg5nm
      @sravankumar-sg5nm 9 місяців тому +1

      ua-cam.com/video/c1NU7qgTEzc/v-deo.htmlsi=cVh_LjhAjMSUp3kS

  • @leelakata4511
    @leelakata4511 3 роки тому +3

    Exlent expilanatin sir thankq

  • @spandanan1036
    @spandanan1036 Рік тому

    Chala clear ga chepparu sir tq so much sir

  • @p.raghavendarreddy6832
    @p.raghavendarreddy6832 22 дні тому

    Dear sir. *Thyronorm* 100 mcg *Thyroxine sodium tablet. I P. Medicine use chestunamu.

  • @sapalraju7108
    @sapalraju7108 Рік тому +1

    Sir naku hypertyroid vundi weit gein avvadaniki medicen cheppandi plj

  • @rl7632
    @rl7632 2 дні тому

    Sir Naku thyroid gland butterfly shape lo clear ga kanipistundi
    Kani irregularity emi ledu sir.
    Idi normal or abnormal a please cheppandi sir

  • @jayaramireddyreddymalle2116
    @jayaramireddyreddymalle2116 3 роки тому +6

    Sir nenu thyroid operation cheyinchukunnanu throat daggara
    8years back then nunchi tablets vaduthunnanu ila total life time tablets vaadala sir

    • @satyatsatya9280
      @satyatsatya9280 2 роки тому

      Hi mam thyroid operation ayyaka medicine vadara naku kuda operation iendi but medicine use cheyatledu emailna problema plz reply ivvandi

  • @DivyaGalla-i2x
    @DivyaGalla-i2x 11 місяців тому

    Hi sir .Naku TSH

  • @ramsubbaraop6815
    @ramsubbaraop6815 3 роки тому +4

    Naku t3 0.70 t4. 3.94 tsh. 26.70 vunadhi 100 mg vadutunanu solution chepandi plzz naa peru anuradha na age 30

  • @abdulvaheb6929
    @abdulvaheb6929 Рік тому

    masha allah bhayya merku aapi baat sunebaad bahut der aagaya hayye thanks

  • @NandhuNandhu-m4u
    @NandhuNandhu-m4u 6 місяців тому

    Thank you so much sir for clarification

  • @ananya2399
    @ananya2399 3 роки тому +4

    Heloo sir naku throid pregnancy lo vachhindi 2011 after that nenu tablets use chestunnaru present 100mcg use chestunna full hair loss avtundi throid vunna vallu em food items avoid cheyali cheppandi plz 🙏🙏🙏

  • @Ahmedali-cw9ib
    @Ahmedali-cw9ib Рік тому +2

    Naku 11.5 thyroid level indho sir, doctor thyronorm 75mg tablets ichaaru...... Merh Vere tablet chepparu kadha... Edi better sir

  • @gangadharasravanthi610
    @gangadharasravanthi610 10 місяців тому

    Auto immunity problem gurchii evarina dr to vivrimchagalara

  • @abrahamjilugu7620
    @abrahamjilugu7620 3 роки тому +1

    Very good information sir. God bless t

  • @padmavathi1017
    @padmavathi1017 3 роки тому +1

    Super gaa chepparu sr tq

    • @darsanapumadhavi1101
      @darsanapumadhavi1101 2 роки тому

      Namasthi sir naku thairardu undhi nennu50mg 75mg vaduthunanu amaina prablam vasthundha yamukulaki

  • @RuhiKhan-s4o
    @RuhiKhan-s4o 10 місяців тому

    Sir naku ipdu 8th mnth pregnent, pregnancy lo hyper thyroid undi PTU tablet 50mg use chesthuna,, after delivery thyroid pothunda?

  • @UshaRajavaram
    @UshaRajavaram 3 роки тому +2

    Anti tpo, ఆంటీబాడీస్ టెస్ట్ ఏ క్లినిక్ లొ చేస్తారు?

  • @banothjhansi7515
    @banothjhansi7515 3 роки тому +5

    Sir.. Naku t3,T4,and Tsh Anni normal GA ney unnai.. But koncham lavu ga egg shape Lo undi.. Is it any problem.

    • @sravankumar-sg5nm
      @sravankumar-sg5nm 9 місяців тому

      ua-cam.com/video/c1NU7qgTEzc/v-deo.htmlsi=cVh_LjhAjMSUp3kS

  • @marthichinababu6582
    @marthichinababu6582 2 роки тому +1

    Sir Naku T3-163. T4- 12.9 TsH- 6.10 undi narmala laka heavy na please reply sir

  • @bhavanigandepalli4812
    @bhavanigandepalli4812 2 роки тому +2

    Sir naku thyroid undhi present 100 mcg and 12.5 mcg use chesthunnanu eppudu ha thyroid ni hypothyroid antara....?hyperthyroid antara...?

  • @ravinderreddy878
    @ravinderreddy878 Рік тому +1

    TSH 25.4 vunte a tablets vadali sir

  • @eswarichinni6770
    @eswarichinni6770 Рік тому +1

    Sir kallu Baga ponguthnnave yanda lo teragatanike avvatam ledu Baga nopplu vastunnave Mari kallu taggydyla sir

  • @pavithraprince4824
    @pavithraprince4824 3 роки тому +10

    Sir... thyroid vasthe life long tablet veskovala...??. e tablet life long veskunte yemaina side effects unda??..yav time ki e tablet veskovala...? Thyroid level 5 lopala unte yenni mg tablet veskovali...I'm taking 75mg is good sir...pls reply doctor gaaru...??

    • @Anusha-wellness
      @Anusha-wellness 2 роки тому

      Hi andi, I'm Anusha wellness coach, healthy ga weight lose/gain, gastrouble, thyroid, pcod, pcos, belly fat lose,b.p, sugar, skintone changes vanti problems emaina untea manchi nutrition tesukovadam dwara better chesukovachu ma community lo chala mandhi better results tesukunna vallu unnaru, meeru kuda healthy ga problems ni better cheskovali anukuntea e profile lo unna number ki msg cheyyandhi,meeku help avuthundhi.

  • @harithaethakoti1369
    @harithaethakoti1369 3 роки тому +6

    My thyorid level is 44 and prolatic is 44 can i able to get pregnant

  • @mohachannel5540
    @mohachannel5540 3 роки тому +8

    Sir naku pregnancy lo Thyroid start ayyindi. Ippudu normal ga undi. 12.5 MCG vaduthunnanu. Inka tablets continue cheyyala, cheppandi, please

  • @yengantiprathipa9857
    @yengantiprathipa9857 3 роки тому

    Tq sir and hypothyroidism ela control cheyalo chepandi sir

  • @velpula.shankarivelpula2152

    Hi sir nenu pregenancy naku hyperthyroid annaru t3,t4normal ga unnayi, kani tsh 8.91,present tablet propylthiouracil 50mg, mrng off, evng off, vesukuntunna edi correct a naa cheppandi pls

  • @shwetha9893
    @shwetha9893 Рік тому

    Naku alanti lakshanalu lev ante hair loss over weight m lev but naku T3-34.8
    T4-1.6
    TSH >150 vundhi nenu life long treatment thiskovala

  • @karnayanasujatha8938
    @karnayanasujatha8938 Рік тому +1

    Hi sir
    I have a thyroid problem in hypo
    In this thyroid problem I'm loss weight sir
    No chance of gaining weight or any chance to gain the weight sir
    I want to reply this question sir please sir

  • @padduande3831
    @padduande3831 11 місяців тому +1

    Chala clear ga chepparu doctor garu thank you so much sir

  • @durgamrajabapu568
    @durgamrajabapu568 3 роки тому +1

    Sir nak hay prolactin hormone undhi adhi endhukala avthundhi em medicine use cheyyali please video cheyyandi please

  • @SanthiB-l8c
    @SanthiB-l8c 5 місяців тому

    Hii sir pls reply sir i am suffer from thyroid naku tablet vesukontay.. Vikaram ga vanthing sension simles padakapovadam chala ibbadhi padutunanu

  • @khyathiramyasnehansrisneha9983
    @khyathiramyasnehansrisneha9983 2 роки тому +1

    T3-1.1 ng/ml undi
    T4-7.5 ug/dl undi
    Nd TSH-3.1mclu/ml
    Nenu 25 MG vadutunnanu sir
    Plz nenu vadacha?
    Lekapote stop cheyyachaa
    Stop cheste problem avutunda plz cheppindi sir

  • @Sai-h4y
    @Sai-h4y 10 місяців тому

    Sir
    Please hyper thyroid food diet cheppandi please..

  • @sridevik9909
    @sridevik9909 8 місяців тому

    Namaste dr pradeep garu na age 42 na TSH 3.400 vundhi which medicine I have to use now

  • @malleswaridessinni2100
    @malleswaridessinni2100 3 роки тому +1

    Sir.naku hypo thyroid undhi.thyroid testku mundhu table vesukokodadaa.asalu test fasting undi ivvala.dayachesi cheppandi

  • @shaiksalma7358
    @shaiksalma7358 3 роки тому +2

    Hi sir naku 2 kidss China babu putyka naku thyrad vachindi Kani last yerss nakuu gonthu nopi ekuva ga vasty Canning chesyaruu fnsc test chesyaru auto immunity thyrad Ani telsendii
    Eminaa prabalam halogen Future loo
    6 yers nunchi thyrad to badapadthunanuuuu sirr

  • @SaiKumar-xw6ux
    @SaiKumar-xw6ux 4 роки тому +5

    Good information sir.

  • @manojkumarch776
    @manojkumarch776 Рік тому

    Very good explanation sir

  • @ChanduMahanya
    @ChanduMahanya Рік тому

    Tanq sir valuable information

  • @kranthiraparthi3533
    @kranthiraparthi3533 2 роки тому +1

    Hello sir...naku pregnancy lone thyroid vachindi.,.TSH 7 undi....ippudu 4 month 25 McG vadutunna saripotundantara....pls cheppandi.... Sir na waight 57 kg present

  • @nirmalaboddana5330
    @nirmalaboddana5330 3 роки тому

    Good sir chala baga cheparu tq sir.

  • @prakashinjeti4464
    @prakashinjeti4464 3 роки тому

    Super Anna baga chepputunnaru

  • @archanaccc
    @archanaccc 9 місяців тому

    Hyper or hypo thyroid ani Ela telusukovali any test unda sir

  • @poornimak8563
    @poornimak8563 3 роки тому +2

    Superb doctor

  • @rr9793
    @rr9793 3 роки тому +1

    Good information sir tq🙏🙏🙏

  • @sayyadjaveed304
    @sayyadjaveed304 Рік тому

    Superb explanation sir...

  • @tanujatanuja7938
    @tanujatanuja7938 2 роки тому +1

    Sir please 🥺🙏 reply sir thyroid operation aiyaka pregnance vasthada sir

  • @vijaynaik1149
    @vijaynaik1149 3 місяці тому

    Sir Thyroid lo two lobes untai ga sir andulo Naku right side lobe chala chinna undi breathing problem undi , chest kuda uneven undi , legs kuda uneven undi sir em cheyali . Malli thyroid anedi normal ga undi t3 t4 and TSH Anni normal ga unnai . Em cheyalo cheppandi sir

  • @kalyanimeka4366
    @kalyanimeka4366 Рік тому +1

    TSH:9.19 UIU/ml unte pregnancy ki problem avthunda.. Please reply sir

  • @joicypraisy7641
    @joicypraisy7641 3 роки тому +9

    Thyronorm Or thyroxine edhi better sir thyroid ki

  • @marabathulaprasanthimaraba9451
    @marabathulaprasanthimaraba9451 3 роки тому +1

    Sir t3 t4 normal ga vundi tsh taggindi duniki treactment ela idhi hipo thryoud ki vasunda plz ripley me

  • @praneethathamakuri6161
    @praneethathamakuri6161 3 роки тому +2

    Sir Naku delivery Aina taruvata haipo thyroid vachindi 150mcg vadutunnanu.thyroid ki sambandinchi canser test cheyinchukovacha.

  • @joicypraisy7641
    @joicypraisy7641 3 роки тому +8

    Sir 100mcg tablets vesukuntunnaa health asalu bagovadam ledhu. Throat lo edho unnattu undi breathing ibhandhiga untundhi. Okkosaari food mingudu padatam ledhu dhayachesi reply ivvagalaru

    • @poojithayannam8621
      @poojithayannam8621 3 роки тому

      Epdu nunchi ela ?

    • @joicypraisy7641
      @joicypraisy7641 3 роки тому

      @@poojithayannam8621 3 months anukuntunna andi exact ga gurthu ledhandi

    • @poojithayannam8621
      @poojithayannam8621 3 роки тому

      Actuall gah throat pain ,breathe prblm anteh covid symptoms anukuna ,3 months antunar gah doc ni consult cheyandi

    • @joicypraisy7641
      @joicypraisy7641 3 роки тому +1

      @@poojithayannam8621 ok andi thank u

    • @reddyraju7943
      @reddyraju7943 3 роки тому

      Meeku thyroid normal chesukovachhu ok na ande .maku Cal cheyande thank you

  • @mihran-tinythoughts.....1554
    @mihran-tinythoughts.....1554 3 роки тому +2

    In my second delivery I got thyroid tsh ...since 6yrs its border line like 6 but am not taking any medicine till now

  • @sonusonu-zq6eo
    @sonusonu-zq6eo 10 місяців тому +1

    Hello Doctor,
    My TSH is 4.91 now
    and I'm using medicine 62.5 when my TSH is 6.91 before.
    Suggest me dosage

  • @shakilashaik8565
    @shakilashaik8565 3 роки тому +1

    ela telusukovali em cheyali chepandi sir