Hernia Home Care Guide - After Surgery | Dr. Vishal Tomar | Open Consult

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  • Опубліковано 23 вер 2020
  • How to take care of yourself after your hernia surgery? Applicable to both open and laparoscopic hernia repair.
    Time codes :
    00:14 - Diet
    01:39 - Daily Routine
    03:31- Reason for Hernia
    03:54 - Heavy gym exercises
    05:13 - Bathing
    06:27 - Dressing
    07:09 - Swelling
    07:57 - Pain
    08:54 - Emergency..!!!
    ================================================================
    Subscribe here: bit.ly/2Ltb1br
    Hi, I am Dr. Vishal Tomar. I am a General Surgeon and I love sharing interesting knowledge from the world of medicine relevant to everyday use for the common man.
    email: openconsultonline@gmail.com
    Instagram : / openconsult
    Twitter : ivishalt?lang=en
    Blog : openconsultonline.wordpress.com/
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    Quora : www.quora.com/profile/Vishal-...
    =====================================================
    For clinic appointment: www.medroid.in/tomar-nursing-...
    Online consultation: www.reclica.com/dr-vishal-tomar
    Practo : www.practo.com/mumbai/doctor/...
    =====================================================
    Playlists :
    The Open Up Podcast - shorturl.at/bwKM4
    CORONA VIRUS- bit.ly/2vqTnAJ
    AFTER SURGERY CARE : bit.ly/2IeCLPo
    LIVER PROBLEMS : shorturl.at/dehpS
    GALL BLADDER STONE- tiny.cc/fyynfz
    VARICOSE VEINS- bit.ly/2TzMh4R
    LAPAROSCOPY A-Z - tiny.cc/9zynfz
    APPENDIX PROBLEM - tiny.cc/g2ynfz
    PILES AND FISSURE - tiny.cc/33ynfz
    HERNIA - tiny.cc/27ynfz
    OUTDOOR HEALTH - tiny.cc/n9ynfz
    WEIGHT LOSS - tiny.cc/abznfz
    KIDNEY PROBLEMS - tiny.cc/vcznfz
    LIFE HACKS - tiny.cc/keznfz
    CASE STORIES : shorturl.at/iszAO
    REPRODUCTIVE HEALTH - tinyurl.com/v459axr
    ALCOHOL AWARENESS ;shorturl.at/hpEY2
    DOCTOR VLOGS - tiny.cc/fcnzhz
    OPERATION VIDEOS - tinyurl.com/t6gmgef
    All the information shared on this channel are general guidelines simplified for easy understanding by non-medical audience. It does not replace an actual consultation with a real doctor in person.
    Please do not self medicate or ask for prescription drugs without getting examined or consulted by a relevant specialist.
    Violence towards healthcare professionals is a big moral offence, not to mention a serious crime as well. They are the only people whose job is to be on your side in the time of illness.
    Save money for illness before illness strikes you.
    Live Healthy Live Smart.

КОМЕНТАРІ • 301

  • @DrVishalT
    @DrVishalT  3 роки тому +11

    www.reclica.com/dr-vishal-tomar 👈 Online Consultation Link

    • @mr_goku7908
      @mr_goku7908 3 роки тому +2

      Help

    • @fanifani5557
      @fanifani5557 3 роки тому +1

      Dr sb mra 20 din ho gy inguinal henia ka oppretion hova open surgry hova h lkn upar wala stich open hogy h wo thek h lkn jo andr wala zahm h na wo thora swiilng h asy lgta h chalii bni hoyi h kb tk thek hoga

    • @fanifani5557
      @fanifani5557 3 роки тому

      Plz help me

    • @RekhaSoni-ot3kw
      @RekhaSoni-ot3kw 3 роки тому +1

      @@fanifani5557 ye thik ho gaya kya ab aapka plz rply

    • @fanifani5557
      @fanifani5557 3 роки тому

      @@RekhaSoni-ot3kw nai abi nai thek hova pain wegar ni h lkn sojan h

  • @STARLORDisLIVE1v4
    @STARLORDisLIVE1v4 3 роки тому +3

    bhot informative vedio h sir saari tension halki ho gyi ye vedio dekh ke

  • @avibasu78
    @avibasu78 Рік тому +2

    Thanks Dr. Tomar.. A very helpful video.

  • @milap3695
    @milap3695 3 роки тому +2

    Thank you very much for this informative video.

  • @rohitsharmapatna8426
    @rohitsharmapatna8426 3 роки тому +2

    Ur information is very helpful thanks a lot sir 🙏🙏

  • @lokeshlrs6334
    @lokeshlrs6334 2 роки тому

    Sir apne bahut hi achi tarhe smjhaya h....thanku

  • @sheetalrathore1832
    @sheetalrathore1832 3 роки тому +1

    Great explanation sir.
    Thanku so much

  • @sathiyasegaran4475
    @sathiyasegaran4475 3 роки тому +1

    Thanks sir for wonderful information

  • @Taz2967
    @Taz2967 10 місяців тому

    Thank you very much for your information Dr!

  • @mazharaltaf4899
    @mazharaltaf4899 3 роки тому +6

    I am from Lahore, got operated for hernia open surgery a few days ago . Your video is very helpful, thank you doctor.

    • @waniafatima9453
      @waniafatima9453 Рік тому

      Konsa hernia tha apko? Kis hospital sa surgery krwae apna?

    • @waniafatima9453
      @waniafatima9453 Рік тому

      Laparoscopic or open surgery?

    • @mazharaltaf4899
      @mazharaltaf4899 Рік тому

      @@waniafatima9453Open surgery, Farooq hospital Allama Iqbal town Lahore . Healed up within few days. Operated by surgeon Aftab Chaudhry.

  • @ezaanmd3707
    @ezaanmd3707 Рік тому +1

    Thanks sir I'm also aperated last week thanks for nice information

  • @ameliasamrina4586
    @ameliasamrina4586 10 місяців тому +1

    Very well explained

  • @ravit6223
    @ravit6223 3 роки тому +1

    Very nice information 👌🏻

  • @renukagasti5353
    @renukagasti5353 3 роки тому +1

    Thank you sir

  • @paramjeetgulati1229
    @paramjeetgulati1229 3 роки тому

    Thanks ji

  • @user-xd9wm7jb5j
    @user-xd9wm7jb5j Рік тому +1

    Very good information

  • @dr.sabajaved5186
    @dr.sabajaved5186 3 роки тому +2

    Thanks realy you have helped me alot
    My grand son has been oprated
    Just an hour before and iwas worried but youhelped me
    God bless you

    • @DrVishalT
      @DrVishalT  3 роки тому

      Thanks a lot sir. Please share and help others

  • @SumanSingh-wi7zb
    @SumanSingh-wi7zb 3 роки тому +1

    Thank you so much for this information 🙏

  • @abdulkader4527
    @abdulkader4527 Рік тому +1

    Hello sir,
    You are so awesome after watching your video i got motivated, sir I have one question, after hernia operation how many days later and which Core excercise is good for making strong abdominal wall by which not happen again please

  • @dsaab6549
    @dsaab6549 2 роки тому

    Very usefyl information for me

  • @devrajkumar7448
    @devrajkumar7448 3 роки тому

    Very good...

  • @ahmerkhan1743
    @ahmerkhan1743 2 роки тому

    Thanks sir🙏

  • @vikashsharma3068
    @vikashsharma3068 3 роки тому

    Thankyou sir

  • @JotibaKhannukar-sb6mx
    @JotibaKhannukar-sb6mx 25 днів тому

    Sir, nice information, I am from Karnataka Belgaum

  • @marfi4934
    @marfi4934 10 місяців тому

    Thanks

  • @yogendrapalsingh5276
    @yogendrapalsingh5276 7 місяців тому

    Very nice sir

  • @whistlersachu
    @whistlersachu Рік тому

    धन्यवाद सर जी ❤️🍫🌹🤗👏🏻🙏🏻
    #whistlersachu 🙏🏻

  • @shaq56uspk
    @shaq56uspk 3 роки тому +1

    Thanks 👍

    • @shaq56uspk
      @shaq56uspk 3 роки тому

      Kindly explain small hematoma at surgical site ?

  • @Triptraveler1
    @Triptraveler1 Рік тому +1

    Hello, i had a inguinal hearnia in my right Bally. Had lecoproskopy. Now feeling better after two weeks alreday.

  • @tingdan3210
    @tingdan3210 3 роки тому +1

    Very informative

    • @DrVishalT
      @DrVishalT  3 роки тому +1

      Glad it was helpful!

  • @vijaykumar-tp1rf
    @vijaykumar-tp1rf 3 роки тому

    Thanku sir

  • @paramjeetgulati1229
    @paramjeetgulati1229 3 роки тому

    Nice video

  • @ArumugamA-oi2uh
    @ArumugamA-oi2uh Місяць тому

    Good sir

  • @golapsow4996
    @golapsow4996 24 дні тому

    Good morning,Dr Tomar inguinal hernia k operation k bad latren indian wala men jana sahi hoga kaya pl. reply in hindi.G Sow

  • @poojahitaishi9597
    @poojahitaishi9597 3 роки тому +2

    My mother had h surgery for hermia in 2020 feb, but she has a bulgh on surgery area. After sitting and lying for some time she have a heavy fluffy bulgh. What can we do please suggest?

  • @sonuarora3608
    @sonuarora3608 3 роки тому +1

    Sir pls doctor ne medicine di h usse mesh m koi dikkat to nhi aaygi

  • @sumanregmi9514
    @sumanregmi9514 3 роки тому

    Plzzz help me 3month hogya fervi swelling ho rw ha hai?kiu operation ki nichey place mai

  • @akshayverma9949
    @akshayverma9949 3 роки тому +1

    🙏 Hello sir. . Sir Tej sikhane se ya jor se hansne se Dobara harniya To Nahin Hoga Na. Ya us ke tako pr koi asar to nhi hoga? Reply me sir.... I will be wait your ans....

  • @abhaykumar5505
    @abhaykumar5505 Рік тому

    hi @dr very nice information you provide. open operation ek month ho gya operation ko lekin mujhe bich me ek baar tez khashi aayi thi us din saam ko funny video dekh k hasi aayi to hasi (laughing) aane pr dard start hua kya ye andar se problem ho gya kya jabki stitch sukh Gaya hai

  • @mukeshpadharia569
    @mukeshpadharia569 Рік тому

    Sir Mera nabhi ke uper harniya tha harniya opretion ke sath nabhi nikal Diya he to bhavishya me koi taklif ho shakta he
    Pl answer me

  • @panu1899
    @panu1899 2 роки тому

    Hi sir muze inguinal hernia hai mere age 19 hai toere liya konsa operation theek rahega

  • @lemo_ade5445
    @lemo_ade5445 2 роки тому +2

    I had inguinal hernia surgery and its been 4 weeks with medtronic pro grip mesh !! I have stomach tightness and becomes tight since 3 4 days whenever i eat food !! Is this normal ??

  • @Ammuismai
    @Ammuismai 2 роки тому

    Thank you bro

    • @Ammuismai
      @Ammuismai 2 роки тому

      Sir u r number please sir
      Recently muje inguinal hernia huva hai some doubt hai
      Apse baat karna hai

    • @Ammuismai
      @Ammuismai 2 роки тому

      Our app ka vedio bahoot acha laga moje

  • @izzanfatima6231
    @izzanfatima6231 Рік тому

    Harniya operation k baad lumber coset use karti saktay hain?

  • @Punitthorat
    @Punitthorat 3 роки тому +1

    I had my hernia laproscopic surgery in May. I want to loose weight.
    Can I do all types of pranayama including kapalbhati?

  • @raj1410ful
    @raj1410ful 3 роки тому

    Sir I had done operations date 04.01.2021 umbilical hernia ( laparoscopy surgery) hui hai.. Mujhe yeah ptta krna hai ki ab mein exercise kr skta hu regular ( yoga, HIIT, CARDIO) PLEASE SIR REPLYY ME... WAITING FOR UR REPLY

  • @priyankanaik14
    @priyankanaik14 3 роки тому +1

    Sir mera baby ka harnia and hydrocil dono tha ham surgery v karvaye 1 month hua hai .. kal maine dekha ki uska right testis jahan pe uska hydrocil tha wo bala testis thoda sa full gaya hai pehle se jyada.... Surgery k bad to thik tha achanak kal ese hua hai PLZZ sir batayiye ye kyn hua...

  • @nooriansari5088
    @nooriansari5088 3 роки тому

    Hello sir Meri mom ka herniya operation hoke 20 days hochuka hey per stitches abhi Tak sukhe nai hey aur 2 stitches open huve hey iska koi prblm toh nai hogi na sir plz help me

  • @meridebbarma2870
    @meridebbarma2870 3 роки тому

    How many months after can i play after the surgery

  • @Ahmedmalik275-u7y
    @Ahmedmalik275-u7y 11 місяців тому

    Your video is informed for me,my hernia mash release water , when it stopped

  • @travelservice4291
    @travelservice4291 11 місяців тому +2

    I liked your video for sincere advise as I have undergone Hernia surgery. I follow it.

  • @anjalikhurana2283
    @anjalikhurana2283 2 роки тому

    Sir mere papa ka harniya operation 1 months phale hua hain aab achanack under stitches main pain ho rahi hain kya kare

  • @sanjitmalakar2942
    @sanjitmalakar2942 Рік тому +1

    Dear doctor I have 8.1m.m hernia above umbilicus what steps should I take for this please tell me🙏🙏🙏

  • @dsaab6549
    @dsaab6549 2 роки тому

    Mera aaj lap opertion ka 4 th day hai thanks

  • @DrVishalT
    @DrVishalT  3 роки тому +1

    👉ua-cam.com/video/9GKWdAglgRc/v-deo.html 👈 do you have Hernia?

    • @divyakotian3480
      @divyakotian3480 3 роки тому +1

      My mother is facing problem with passing stools. 2weeks after hernia operation. Her diet includes fiber then why is this happening?

    • @DrVishalT
      @DrVishalT  3 роки тому +1

      @@divyakotian3480 other problems like too much bed rest, medication, dehydration etc

    • @nihalmulla9851
      @nihalmulla9851 3 роки тому

      @@DrVishalT sir kal Maine nind main hi
      Jor se alas nikala toh mere harnia operation ki jagah par bahot load aa Gaya lekin ab kya
      Huwa Hain sir ab waha par koi bhi khichaw mahsoos nahi ho Raha Hain .kya andar ke take khulne se Aisa hota Hain
      Mere operation Ka aaj 23 wa din Hain.
      Please reply kijiye ga sir

  • @SaffronLand
    @SaffronLand 2 роки тому

    sir after 3 years inguanal harnia surgery jym workout kar skty ha

  • @fanifani5557
    @fanifani5557 3 роки тому

    Sir mra inguinal hernia ka oprtion hova h 20 din hogy h lkn bhr wala zahm thek h andr m thora sa chali bna hova h kb thek hoga

  • @gurdevmalhotra2395
    @gurdevmalhotra2395 3 роки тому

    Sir harnia ki open surgery de baad jaldi recovery ke leya Keya krye or jo pain ho rahi ho to Keya kare

  • @languagelabavaniyakumar7847
    @languagelabavaniyakumar7847 2 роки тому

    I have been operated before two days.everything is ok but khasi aa rhi he.and that stretches whole stomach and causes much pain due to that.what to do

  • @sumitghosh674
    @sumitghosh674 3 роки тому

    Sir oparation 1 month badh hum daily 6 Ghanta karke par sakta hoon bayth key??

  • @sudamscm4227
    @sudamscm4227 Місяць тому

    No.of daysof rest agtet SURGERY?plz.

  • @Babita19959
    @Babita19959 2 роки тому

    Sir hrniya ke operation ke baad khashi aa rhi h kya cough syrup de skte h

  • @Lrzain482
    @Lrzain482 2 роки тому

    Mere dad ko Parkinson disease hai or aj harnia open operation hua hai
    Kuch advise dijiye

  • @anjumali978
    @anjumali978 3 роки тому

    Mere operation ko 6 sal go gye h or wet BHI bhut bad gya h Mene halki fulki exosize start ki h ab to mere harniya Vali jghe m halki chubhan hone lge h pls btaye m kha kro

  • @sanaafrin778
    @sanaafrin778 Рік тому

    Mera harniya ka operation 1 month pehle woh h mera weight 67 h to kya sahi weight

  • @AjayYadav-zv7eo
    @AjayYadav-zv7eo 2 роки тому +2

    Very informative video
    Please sir replay sir Maine January me hernia surgery krai thi Kya ab me cycle chla skte hai

    • @DrVishalT
      @DrVishalT  2 роки тому

      Yes koi problem nahi honi chiaye

  • @sohelahmed9520
    @sohelahmed9520 14 днів тому

    Sir meri congenital inguinal hernia ki surgery hokar 3week hogaye but mare scotum me sujan aur naso me mota pan dhikh raha hai muje batahiye sab acha hai kya yah kuch problem hai plzzz sir

  • @DulalChBasak
    @DulalChBasak 5 місяців тому

    Gana ga sakti hai kitne dino ki bad sir.

  • @prpatelsdop6024
    @prpatelsdop6024 Рік тому +1

    I HAVE GONE TWO HERNIA REPAIR BY LAPROSCOPIC AT A TIME BUT I HAVE LITTLE PAIN MAY BE AFTER TWO MONTH IS IT NORMAL

  • @lavanyalavanya7923
    @lavanyalavanya7923 9 місяців тому

    Hope u me give answer most of them r not answered
    Open surgery is good or laproscopic is good

  • @ayeshasheriz4880
    @ayeshasheriz4880 9 місяців тому

    Hy sir mjhy umbilical hernia hogyi thi ...almost 2 years mjhy pain raha baad me pta Chala ke bht zyada barh chuki h hernia..5/ sep/ 23 ko Mera open surgery hui wit staple stitches 7 days k bad mjhy discharge mili ...2/3 din ghr pe rhi or pus discharge bht zyada start ho gya tha stitches se or 2 blood drainage hole tha usme se b ....again mjhy 7 days k lie admit Kia gya or ab 1 mahine pe mere stitches ko nikala gya hai ...leki. abhi b mjhy uthny Bethany ya koi b activity me dikkat ati h

  • @mahirunbegum8961
    @mahirunbegum8961 3 роки тому

    Sir meri maa ki harnia operation hua hai openly but jaha operation hua hai usi jagah ki thodi uper infections hua hai 1 month ho gya hai operation but abtak nhi thik hui plz aap kuch information denge

  • @sardaareditz62
    @sardaareditz62 Місяць тому

    I had the right inguinal hernia operation, and my testicles are swollen. Is it going to be the same, or will the swelling come down? Please tell me I'm worried.

  • @pradeepmarchuwan1125
    @pradeepmarchuwan1125 2 роки тому +1

    सर 2017 में हर्नियां का आपरेशन हुआ था उसी समय जलन शुरू हो गई थी लेकिन अब बहुत ज्यादा जलन हो रही है, जलन का कारण क्या हो सकता है। कृपया सुझाव जरूर दें।

  • @abhisekhbaba8741
    @abhisekhbaba8741 3 роки тому

    Sir mere operation 12 sal hua hai lekin abhi GYM karne se kio dard ho rahi hai

  • @user-px7rz2si8s
    @user-px7rz2si8s 4 місяці тому

    DR JI HERNIA OPERATION KAY KITNAY DIN BAAD SCOOTY CHALA SAKTAY HAY

  • @ajaydeswal9566
    @ajaydeswal9566 9 днів тому

    Umbilical hernia operated without mess is it normal?

  • @chintansuthar1235
    @chintansuthar1235 3 роки тому

    I have 9 mm left inguinal hernia. How serious is this?

  • @ravigowswami443
    @ravigowswami443 3 роки тому

    sir i.m 29 year old ...i..m woman ...jab mera opretion hua ...1 sal phle hrniya ka ...mujhe kafiii logo ne daraya ki ye hrniya bar bar hota h sir kya ye bar bar hota h pls reply ...kam aggg me ye sab face krna padha to dare huye h

  • @sanjayhumane583
    @sanjayhumane583 Рік тому

    Sir inguinal hernia Lacroscopic surgery ki Reducible hernia tha
    kya vapas ho sakta h kya mai nhi chahata ki hernia Vapas ho..
    pls 🙏🙏 Reply sir...

  • @236bkeerat4
    @236bkeerat4 3 роки тому

    sir mujhe navi mai hernia ha

  • @ahaan2258
    @ahaan2258 2 роки тому

    Jha open operation hua h wha ka sujan kab khatam ho jata h

  • @rajkumarchoudhary1808
    @rajkumarchoudhary1808 3 роки тому

    Sir agar operation ke bad bhi thoda upper niche h hydrociel to kya defence line yani airforce me koi dikat hogi medical ke samay

  • @AmitKumar-mk9kj
    @AmitKumar-mk9kj 3 роки тому

    Sir mere papa ka harneeya and hidrosil ka operation ka 10din huaa hai operation me dard hota hai kya please🙏 replay

    • @AmitKumar-mk9kj
      @AmitKumar-mk9kj 3 роки тому

      Sir under dhard hota hai sath dono ka operation huaa hai please🙏

  • @monushrivas1706
    @monushrivas1706 3 роки тому

    Hernia ke surgery ke bad bhajan kitne din tak bataen

  • @cricketexpert2765
    @cricketexpert2765 3 роки тому

    3 week ke bad taanki ki jadah thodi kadak or ganth jesi h to kya kare

  • @zakirkazi1960
    @zakirkazi1960 2 роки тому

    Im 4day oppression very nice

  • @sujeetsrajput958
    @sujeetsrajput958 3 роки тому

    Hasne se koi problem toh nhi h. Sir plz reply me

  • @mereplants3449
    @mereplants3449 3 роки тому

    2 saal k bache ko kya den after operation

  • @saanvikapoor3737
    @saanvikapoor3737 9 місяців тому

    मेरा Harina का operation हुआ। है उसके बाद कौन सी belt लगानी चाहिए क्या belt को tide बाधना चाहिए कब तक फ्टि में belt बाँधनी चाहिए क्या उसका benefit हैplease response देना

  • @236bkeerat4
    @236bkeerat4 3 роки тому

    sir kon sa operation sahi hai open ya phir lapocrasy hernia k leea

    • @DrVishalT
      @DrVishalT  3 роки тому

      Dono hi ache hai. Depends size of hernia and facilities available

  • @umeshgehani8955
    @umeshgehani8955 3 роки тому +2

    Pls tell can someone take eggs(without spices and salt) in Food...

    • @DrVishalT
      @DrVishalT  3 роки тому

      Yes. Koi problem nahi honi chiaye

  • @alizamalizam3202
    @alizamalizam3202 3 роки тому

    Thanks FOR Information sir
    Mera ab dosri baar operation hoa hai Hernia ka hi abki baar Mesh nahi rakha gaya...aj month hoye Tu mai kaise care karsakti hoon apny apko....please sir batayen

    • @DrVishalT
      @DrVishalT  3 роки тому

      Wahi jo sab video me bataya hai. Good nutrition, avoid constipation, avoid lifting weight, etc etc

    • @bikashsingh2599
      @bikashsingh2599 3 роки тому

      Aliza jee main bhi isi problem se guzar raha hu. Aapse puchana tha ki first time operation ke kitne din baad hernia phir se ho gya aur surgery ke baad kya constipation ka problem bhi hua tha kya. Abhi app kaise ho pls reply kijiyega.

  • @rajakhizer3322
    @rajakhizer3322 11 місяців тому

    Mera operate laparoscopy sy hua hai

  • @vinaykrsrivastav
    @vinaykrsrivastav 3 роки тому +1

    Hernia operation ke baad pet me paani banna ka kya matlab hai???

  • @syllabusallexam
    @syllabusallexam 3 роки тому

    Sir mera inguinal hernia ka operation 2 mahina hua h or mera tesise wapas andkosh me nahi aya h...
    Mera testise ek hi h to police me mera medical me koi problem hoga kya sir.....

    • @RANJITKUMAR-xm9td
      @RANJITKUMAR-xm9td 3 роки тому

      Bhai Abhi Aapko pain to nhi Rahta hai naa ...Kya Abhi Aap Normal ho Pahle jaisa

  • @abdullahyounashazratyounas3292
    @abdullahyounashazratyounas3292 3 роки тому

    Sir Meri Mother ka umblical hernia ka operation howa Kiya wo dairy products milk le sakte hy

    • @DrVishalT
      @DrVishalT  3 роки тому

      Yes, koi problem nahi honi chiaye

  • @akashdeepmahato8990
    @akashdeepmahato8990 3 роки тому

    Sir sarkari noukri ka medical me hernia se Kya goga

    • @DrVishalT
      @DrVishalT  3 роки тому

      bhai iske baare me mujhe nahi malum

  • @australianscholarshipsfori1983
    @australianscholarshipsfori1983 3 роки тому

    👍🏿💐

  • @vipulvipul4667
    @vipulvipul4667 3 роки тому +1

    Bhai bike kik kab mare bike pe