Домой Бородавки Вирус папилломы человека – причина бородавок, кондилом и папиллом

Вирус папилломы человека – причина бородавок, кондилом и папиллом

963
182

Вирус папилломы человека – причина бородавок, кондилом и папиллом

Вирус папилломы человека – это семейство вирусов, вызывающих у человека бородавки, папилломы, кондиломы дисплазию или рак шейки матки и половых органов.
Общее семейство: Papillomaviridae. Латинское название: Human Papillomavirus.
Аббревиатура: ВПЧ или HPV (так пишется в анализах).
1. За 50 лет открыто более 100 типов вируса папилломы человека. Патогенные для человека — 80 типов.
2. По данным ВОЗ, 70% населения Земли инфицировано ВПЧ.
3. ВПЧ 16 и 18 типов чаще других типов приводят к раку шейки матки.
4. ВПЧ в подавляющем большинстве является причиной рака половых органов у женщин и у мужчин.
5. Самой эффективной профилактикой от рака шейки матки и половых органов во всем мире считается вакцина от 6, 11, 16 и 18 типов папилломавирусов.

Источник вируса клетки кожи или слизистой больного человека
Если у больного есть папиллома, даже небольшого по виду размера, именно она является непосредственным источником вируса!
При этом у больного при осмотре может еще не быть бородавки или кондиломы. Изменения могут быть еще микроскопическими, не видны глазом (субклиническая стадия заболевания). Но такой человек уже может передать вирус другому человеку.
Инфицирование обычно возникает еще в детском возрасте. Через микроповреждения кожных покровов ребенка (царапины, ссадины) папилломавирус проникает в кожу и вызывает появление бородавок.
У взрослых людей определенные типы вируса (будут рассмотрены ниже) вызывают развитие аногенитальных бородавок, или остроконечных кондилом на половых органах. Механизм передачи таких типов – преимущественно половой.
Но теоретически возможен и контактно-бытовой путь передачи — через общие гигиенические принадлежности, ободок унитаза, прием ванны, посещение бани, бассейна и т.д.
Через микротравмы половых органов вирус передается от одного полового партнера к другому. При этом у больного также может не быть никаких видимых глазом изменений. Но микроскопические изменения на слизистой половых органов могут быть. И эти измененные клетки являются источниками вируса.

Далее вирус проникает в кожу или в слизистую и его встречают различные клетки иммунной системы человека. В большинстве случаев иммунные клетки уничтожают вирус. Но если иммунная система ослаблена, вирус успевает проникнуть в клетки базального слоя эпителия кожи или слизистых оболочек, встраивается в хромосомы клеток и изменяет работу этих клеток. Клетки начинают чрезмерно делиться и разрастаются на ограниченном участке, внешне превращаясь в бородавки и папилломы.
Помните:
— типы ВПЧ, вызывающие бородавки, проникают в организм еще в детстве,
— типы ВПЧ, вызывающие остроконечные кондиломы, проникают в организм преимущественно при половом контакте.
В редких случаях развитие папилломавирусной инфекции в организме человека может привести к малигнизации (то есть перерождению в рак). Поэтому все типы папилломавирусов классифицируют по степени онкогенности (то есть по степени возможного развития рака).

Классификация типов ВПЧ по онкогенности
(по данным исследований McConcl D. J., 1991; LorinczA. T., 1992; Bosch E X. et al., 2002; Козлова В. И., ПухнерА. Ф., 2003; Syrjanen S., 2003; Шахова Н. М. и др., 2006;).
1) Типы папилломавирусов, никогда не вызывающие рак: 1, 2, 3, 4, 5, 10, 28, 49
2) Типы низкого онкогенного риска (очень редко вызывают рак): 6, 11, 13, 32, 34, 40, 41, 42, 43, 44, 51, 72.
3) Типы среднего онкогенного риска (процент ракового перерождения средний): 26, 30, 35, 52, 53, 56, 58, 65.
4) Типы высокого онкогенного риска (из всех типов вируса именно эти типы чаще всего дают перерождение): 16, 18, 31, 33, 39, 45, 50, 59, 61, 62, 64, 68, 70, 73. Это особенно важно у женщин.
Кстати, иногда классификация изменяется. Например ВПЧ 58 типа у женщин уже не является высокоонкогенным. Его стали относить к типам со средней онкогенностью.

Встречаемость при заболеваниях:
• В 73-90% случаях при раке шейки матки находят: 16, 18 и 45 тип ВПЧ
• В 77-93% случаях при раке шейки матки находят: 16, 18, 45, 31 и 59 тип ВПЧ
• В 80-94% случаях при раке шейки матки находят: 16, 18, 45, 31, 33 и 59 тип ВПЧ
• Предраковые состояния в урологии и гинекологии сочетаются часто с 61, 62, 68, 70, 73 типами ВПЧ.

Наиболее часто в анализах встречаются:
• human papillomavirus 16 (пишется HPV 16) — 50%
• human papillomavirus 18 (HPV 18) — 10%

Симптомы и клиника
Симптомы и проявления ВПЧ-инфекции — это бородавки, папилломы и
дисплазия шейки матки.

А) Бородавки.
Их вызывают следующие типы ВПЧ – 1, 2, 3, 4, 5, 10, 28, 49.
• юношеские (или плоские) бородавки — вызываются 3 и 5 типами вируса. Это мелкие плоские возвышения на коже, возникают преимущественно у детей.
• шипицы (или подошвенные бородавки) — вызываются 1 и 2 типами вируса (более подробно про них можно прочитать.
• вульгарные бородавки на пальцах рук — вызываются вирусами 2 типа.

Это плоские бородавки на лице

Это вульгарные бородавки на руке

Б) Остроконечные кондиломы.
Локализация
: на половых органах, в области ануса, в полости рта и на губах (типы – 6, 11, 13, 16, 18, 31, 35).

Это остроконечные кондиломы​

Основной механизм передачи этого заболевания у взрослых людей – половой. Очень редко может встречаться контактный путь передачи — через общие предметы туалета, через грязный ободок унитаза, пользование общей ванной, в бане и т.д.
Если у матери, страдающей остроконечным кондиломатозом, рождается ребенок, он также инфицируется и впоследствии у него также могут появиться остроконечные кондиломы или папилломатоз гортани и дыхательных путей (рассмотрено выше). Однако частота таких симптомов у грудных детей крайне низкая. У детей достаточно высокий уровень иммунитета, который предохраняет их от подобных проявлений инфекции.

В) Папилломатоз гортани.

На голосовых связках появляются множественные наросты-папилломы. Вызывается вирусом 11 типа. Иногда появляется у детей, рожденных женщинами, имеющих остроконечные кондиломы.

Это папилломатоз гортани

Запомните:
— эрозия шейки матки и ВПЧ — ДАЛЕКО не одно и то же. Подробная статья о том, что такое эрозия шейки матки и чем она отличается от дисплазии и ВПЧ — здесь.

Современная медицина со 100% уверенностью заявляет, что рак шейки матки вызван исключительно папилломавирусами типов 16, 18, 31, 33, 35, 39, 40, 42, 43, 55, 57, 59, 61, 62, 66, 67.
На схеме — развитие ВПЧ-инфекции с годами

Е) Рак кожи полового члена (болезнь Боуэна).
Вызывается типами вируса – 16 и 18.

Ж) Сегодня некоторые зарубежные ученые считают, что вирус папилломы человека является причиной появления рака любой локализации. Поскольку рак – это злокачественная опухоль эпителия кожи или слизистой оболочки, следовательно, вирус ВПЧ, вызывающий диспластические явления как раз в эпителии, и вызывает появление рака. И с раком шейки матки это доказано на 100%.
Есть доказательства при раке молочной железы и раке гортани, правда еще не оформленные в общемировые рекомендации. И, как считают некоторые исследователи рака, не за горами тот день, когда рак другой локализации (например, кишечника) также признают результатом деятельности в организме человека вируса папилломы человека.

Помните:
— любая вирусная инфекция, постоянно находящаяся в организме человека (а ВПЧ относится именно к таким), активизируется только при снижении иммунитета.

Диагностика
1) ПЦР-анализ.
Основной способ диагностики папилломавируса – реакция ПЦР. Наиболее распространенные виды анализа на ВПЧ — 16, 18 типы вируса, а также ряд других высокоонкогенных типов.
Материал для анализа берут со слизистой влагалища и шейки матки женщины. У мужчин — со слизистой полового члена.
Реакция ПЦР может дать и ложный результат, причем как ложноположительный, так и ложноотрицательный результат, особенно если нарушены условия ее проведения (даже толчок стола, на котором проводится исследование, может привести к такому ложному результату).
Так, по данным современных исследователей на Западе, до 20% всех результатов ПЦР к папилломавирусу были ложными. И этот факт не зависел от сложности оборудования и от качества реактивов.

2) Digene-тест.
Новое исследование, набирающее популярность в медицинской среде. Этот тест используется для определения наличия клинически значимых концентраций вируса. Благодаря этому тесту, можно выявить — высокая степень онкогенности у вирусов, находящихся в организме больного, или низкая.
Digene-тест используется в комплексе с цитологическим исследованием шейки матки, и оцениваются они также комплексно.
3) Осмотр гинекологом и/или урологом.
4) Цитологическое исследование.
Исследуется мазок, взятый при гинекологическом осмотре. Это исследование часто называют «жидкостная цитология», или просто — «цитология».
При этом врач-лаборант под микроскопом определяет наличие или отсутствие патологически измененных клеток, которых в норме быть не должно, а появляются они только при развитии заболевания. Наличие таких измененных клеток может свидетельствовать о наличии CIN (или дисплазии шейки матки) у женщины.
5) Гистологическое исследование.
Исследуется микроскопический кусочек ткани, взятый также при гинекологическом или урологическом обследовании. Другое название этого исследования — «биопсия». Под микроскопом врач оценивает степень изменения ткани, взятой на исследование.

Как расшифровать анализ на ВПЧ?

Единицей измерения является количество геном-эквивалентов (если по-простому, то количество вирусов) на 100 000 клеток эпителия человека (то есть на 10 в 5 степени).
Сокращенно пишется: Lg
Градации:
1. 5 Lg. Высокая вирусная нагрузка. Обязательно следует пройти полноценное обследование для исключения дисплазии шейки матки.
Что такое референсное значение
Это означает средние статистические показатели по данному исследованию у данной возрастной группы. То есть, по-простому, референсные значения – это норма.
По ВПЧ референсные значения – отрицательны. То есть в норме ВПЧ в анализах быть не должно.

Что такое КВМ?
КВМ – это контроль взятия материала. В норме врач должен взять соскоб таким образом, чтобы в образце материала было не менее 10 000 (или 10 в 4 степени, или 4Lg) клеток эпителия.
Если значение КВМ меньше 4Lg, это значит – мало клеток для анализа. Проведение анализа не рекомендуется, так как он будет неинформативным, и врачу рекомендуется повторить забор материала.

В лечении вируса папилломы человека надо знать: вирус может полностью не удалиться из организма. Главная цель лечения – поднять иммунитет, стабилизировать вирус, удалить проявления вируса и снизить его концентрацию в организме, чтобы иммунитет человека сам подавлял вирус.

Обязательны 3 направления в лечении (проводится профильным специалистом- инфекционистом, иммунологом, дерматологом или гинекологом)
• прием противовирусных средств
• укрепление иммунитета
• удаление проявлений – бородавок, кондилом, дисплазии (эрозии) или рака шейки матки.
Все 3 направления эффективно проводятся современной медициной.
Самолечение имеет низкую эффективность и может привести к прогрессированию. Особенно опасно самолечение при заболеваниях половой сферы.

1) Противовирусные препараты
• Изопринозин (или гроприносин), Аллокин-альфа,
• 5% крем Алдара. Действующее вещество — имиквимод.
2) Препараты, повышающие иммунитет
Полиоксидоний, Реаферон, ронколейкин, иммунал и другие.
Основным препаратом при запущенных формах на настоящий момент является ронколейкин, который применяется по определенной схеме (назначается иммунологом или инфекционистом)
3) Удаление папиллом, бородавок, кондилом может быть
-Скальпелем –классическая хирургия, электрокоагуляцией или электрокножом-петлей, радиоволновое удаление, жидким азотом. Это устаревшие методики, которые травматичны, не всегда эффективны и могут приводить к рецидивам и постожоговым рубцам в местах удаления.
-Лазером – на сегодня это лучший способ по эффективности, безопасности, эстетичности
Не рекомендуется использовать местнонекротизирующие препараты (кислоты, щелочи):Суперчистотел, Солкодерм, Дуофилм, Колломак, Веррукацид, ферезол, Кондилин — и ряд других, так как их нанесение на кожу может способствовать распространению вируса на здоровые, непрошеные ранее участки кожи, а также приводит к ожогам кожи и последующим рубцовым изменениям

Обязательно: здоровый образ жизни, повышающий иммунитет.
Запомните: Сначала врач должен поставить верный диагноз, а это уже половина лечения. В том числе лечения вируса папилломы человека.
Поэтому при наличии множественных бородавок, рецидивах рекомендуется сначала провести курс противовирусной и иммуномодулирующий терапии под контролем врача инфекциониста или иммунолога!

Профилактика ВПЧ
Предупреждение – лучшее лечение. Запомните эту фразу, особенно если дело касается половой сферы.
Природа придумала для человека замечательный механизм излечения и профилактики, который потом помогает ему опять не заболеть. Это иммунная система.
Если у человека уже один раз были бородавки или папилломы, то впоследствии у него образуется иммунитет к этому типу вируса. Поэтому у взрослых очень редко появляются юношеские бородавки, шипицы и вульгарные бородавки.
Именно поэтому ТАК ВАЖНО поддерживать свой иммунитет на высоком уровне.
Перечислим основные направления профилактики папилломавирусной инфекции у человека:
• Меры личной гигиены в общественных местах
• Здоровый образ жизни, поддерживающий иммунитет на высоком уровне
• Правильный режим труда и отдыха
• Умеренная физическая культура
• Прием витаминов, фруктов, соков
• Только один половой партнер (в идеале)
• Использование презерватива при половом контакте

Предлагаем Вашему вниманию 3 видео по удалению папиллом и бородавок в клинике Аврора.


182 КОММЕНТАРИИ

  1. I just want to say I am just new to blogging and certainly enjoyed this web-site. Very likely I’m going to bookmark your site . You absolutely have exceptional articles. Regards for sharing your blog site.

  2. I just want to mention I am just very new to blogs and seriously savored your web site. Likely I’m going to bookmark your site . You amazingly come with tremendous articles. With thanks for revealing your webpage.

  3. I discovered your blog website on google as well as examine a few of your very early blog posts. Remain to maintain the great operate. I just added up your RSS feed to my MSN News Reader. Looking for ahead to reading more from you later!?

  4. Can I just say what a relief to find somebody that in fact knows what theyre discussing online. You most definitely recognize exactly how to bring a concern to light and make it essential. Even more individuals need to read this as well as recognize this side of the tale. I cant think youre not a lot more popular due to the fact that you certainly have the gift.

  5. Nice blog here! Also your site loads up fast! What web host are you using? Can I get your affiliate link to your host? I wish my web site loaded up as quickly as yours lol|

  6. Hello there! I simply would love to provide a big thumbs up for the great info you have below on this post. I will be coming back to your blog for more quickly.

  7. I?m satisfied, I have to claim. Truly seldom do I experience a blog site that?s both enlightening and also enjoyable, and let me inform you, you have actually hit the nail on the head. Your idea is impressive; the issue is something that inadequate individuals are speaking wisely around. I am extremely delighted that I stumbled across this in my search for something connecting to this.

  8. After looking into a few of the articles on your site, I seriously like your way of writing a blog. I book-marked it to my bookmark website list and will be checking back in the near future. Please check out my web site as well and let me know your opinion.

  9. I was very happy to find this web-site. I wanted to many thanks for your time for this remarkable read!! I certainly enjoying every little of it as well as I have you bookmarked to take a look at brand-new things you post.

  10. GEM-CAR auto repair shop management software is arguably the most comprehensive software of its kind currently available. Lauded for its easy to use modules including CRM, digital inspection and electronic punch clock: it provides the repair shop operator with a complete system to run the business. GEM-CAR puts the shop operator firmly in the driver’s seat. And if you are a fleet operator look for GEM-FLEET our fleet management software.

  11. One more thing. I believe that there are quite a few travel insurance websites of trustworthy companies that allow you enter holiday details and get you the insurance quotes. You can also purchase this international travel insurance policy online by using your current credit card. All you should do is always to enter the travel specifics and you can be aware of the plans side-by-side. Just find the system that suits your budget and needs after which it use your credit card to buy them. Travel insurance on the web is a good way to do investigation for a dependable company for international travel insurance. Thanks for revealing your ideas.

  12. A person essentially assist to make significantly articles I might state. This is the very first time I frequented your website page and up to now? I surprised with the analysis you made to create this actual put up extraordinary. Magnificent task!

  13. Hi! Would you mind if I share your blog with my zynga group? There’s a lot of folks that I think would really enjoy your content. Please let me know. Thanks

  14. I was recommended this website by means of my cousin. I’m not certain whether this submit is written by way of him as no one else understand such special about my trouble. You are incredible! Thanks!

  15. This internet site is actually a walk-through for all of the info you desired concerning this and didn?t understand who to ask. Glimpse below, as well as you?ll absolutely discover it.

  16. I have noticed that service fees for on-line degree authorities tend to be an awesome value. For instance a full Bachelors Degree in Communication from The University of Phoenix Online consists of 60 credits from $515/credit or $30,900. Also American Intercontinental University Online gives a Bachelors of Business Administration with a full program feature of 180 units and a cost of $30,560. Online degree learning has made obtaining your certification much simpler because you can earn your own degree in the comfort of your dwelling place and when you finish working. Thanks for all other tips I have certainly learned from your blog.

  17. I’m not sure where you are getting your info, but great topic. I needs to spend some time learning more or understanding more. Thanks for magnificent information I was looking for this information for my mission.

  18. Tiger Zinda Hai movie down,Tiger Zinda Hai film movie,Tiger Zinda Hai movie tamil,Tiger Zinda Hai movie telugu,Tiger Zinda Hai full movie in hindi hd online,Tiger Zinda Hai full hd,Tiger Zinda Hai hindi mein,Tiger Zinda Hai full movie youtube,Tiger Zinda Hai songs tamil,Tiger Zinda Hai film,Tiger Zinda Hai song hindi,total collection of Tiger Zinda Hai,Tiger Zinda Hai malayalam,film Tiger Zinda Hai,Tiger Zinda Hai movie online,Tiger Zinda Hai mp3,Tiger Zinda Hai box office collection,Tiger Zinda Hai comedies,Tiger Zinda Hai comedy,Tiger Zinda Hai full movie on youtube,Tiger Zinda Hai hd movie,Tiger Zinda Hai song mp3,Tiger Zinda Hai movie video,Tiger Zinda Hai bengali movie,songs Tiger Zinda Hai a to z,Tiger Zinda Hai songs videos,Tiger Zinda Hai mp3 songs,Tiger Zinda Hai movie songs,Tiger Zinda Hai songs telugu,Tiger Zinda Hai tamil full movie,odia film Tiger Zinda Hai,box office collection of Tiger Zinda Hai,Tiger Zinda Hai full movie in tamil,Tiger Zinda Hai full movie in tamil tamilrockers,Tiger Zinda Hai movies,Tiger Zinda Hai full movie dailymotion,Tiger Zinda Hai telugu movie downloading,Tiger Zinda Hai telugu mp3 songs,Tiger Zinda Hai full hindi movie,Tiger Zinda Hai full movie,Tiger Zinda Hai south movie,Tiger Zinda Hai movie hd,Tiger Zinda Hai tamil full movie youtube,Tiger Zinda Hai full movie in hindi hd,Tiger Zinda Hai hindi full movie,Tiger Zinda Hai video songs,Tiger Zinda Hai release date,Tiger Zinda Hai director,Tiger Zinda Hai malayalam full movie,odia Tiger Zinda Hai,Tiger Zinda Hai song down,Tiger Zinda Hai tamil full movie tamilyogi,Tiger Zinda Hai movie hd downloading,aamir khan Tiger Zinda Hai,Tiger Zinda Hai cinema telugu,hindi picture film Tiger Zinda Hai,uwatchfree Tiger Zinda Hai,Tiger Zinda Hai hindi mai,Tiger Zinda Hai meaning,Tiger Zinda Hai world wide collection,Tiger Zinda Hai full movie down,Tiger Zinda Hai song hindi mai,Tiger Zinda Hai full movie online,Tiger Zinda Hai reviews,telugu Tiger Zinda Hai,Tiger Zinda Hai movie full,Tiger Zinda Hai ka film,Tiger Zinda Hai telugu film,Tiger Zinda Hai total collection,Tiger Zinda Hai odia film,Tiger Zinda Hai ki picture,Tiger Zinda Hai kannada movie,Tiger Zinda Hai full movie online watching,Tiger Zinda Hai collection,Tiger Zinda Hai song mp3 a to z,Tiger Zinda Hai video film,Tiger Zinda Hai writer,Tiger Zinda Hai full movie tamil,Tiger Zinda Hai kannada,Tiger Zinda Hai songs malayalam,bangla movie Tiger Zinda Hai,Tiger Zinda Hai telugu full movie,Tiger Zinda Hai hindi film,hindi Tiger Zinda Hai,Tiger Zinda Hai full movie video,Tiger Zinda Hai full movie in hindi,Tiger Zinda Hai telugu video songs,Tiger Zinda Hai ka song,Tiger Zinda Hai cinema,Tiger Zinda Hai telugu video,Tiger Zinda Hai trailer,hd Tiger Zinda Hai,Tiger Zinda Hai full movie telugu,Tiger Zinda Hai hd,hindi picture Tiger Zinda Hai,Tiger Zinda Hai telugu,Tiger Zinda Hai full movie hindi,Tiger Zinda Hai audio song,Tiger Zinda Hai full movie downloading,Tiger Zinda Hai the beginning,Tiger Zinda Hai full movie hd,Tiger Zinda Hai movie reviews,Tiger Zinda Hai full movie in telugu,Tiger Zinda Hai full hd video,Tiger Zinda Hai film hd,telugu Tiger Zinda Hai movies,Tiger Zinda Hai movie full hd downloading,Tiger Zinda Hai picture,Tiger Zinda Hai picture video,Tiger Zinda Hai movie online watching,Tiger Zinda Hai movie mp3 song downloading,producer of Tiger Zinda Hai,Tiger Zinda Hai all song,Tiger Zinda Hai fight,Tiger Zinda Hai girls,Tiger Zinda Hai poster,Tiger Zinda Hai full movie online youtube,Tiger Zinda Hai telugu movie,Tiger Zinda Hai tamil songs,Tiger Zinda Hai cast,Tiger Zinda Hai full movie hd hindi,Tiger Zinda Hai hindi movie,Tiger Zinda Hai hindi movies,Tiger Zinda Hai full movie youtube online in hindi,Tiger Zinda Hai mp3 song downloading,Tiger Zinda Hai full film,Tiger Zinda Hai song,Tiger Zinda Hai hindi picture,Tiger Zinda Hai sets,Tiger Zinda Hai mp3 songs downloading,online movies Tiger Zinda Hai,Tiger Zinda Hai movie,Tiger Zinda Hai movie in tamil,Tiger Zinda Hai tamil padam,Tiger Zinda Hai full movie watch online,wach online movie Tiger Zinda Hai,Tiger Zinda Hai movie full hd,Tiger Zinda Hai telugu songs,hindi song Tiger Zinda Hai,Tiger Zinda Hai movie in telugu,Tiger Zinda Hai hindi,Tiger Zinda Hai beginning,Tiger Zinda Hai hindi video,Tiger Zinda Hai full movie in hindi hd 1080p,Tiger Zinda Hai songs downloading,Tiger Zinda Hai cinema video,Tiger Zinda Hai telugu movie cinema,Tiger Zinda Hai film video,Tiger Zinda Hai first day collection,Tiger Zinda Hai casting,Tiger Zinda Hai Tiger Zinda Hai song,Tiger Zinda Hai film full movie,Tiger Zinda Hai tamil,Tiger Zinda Hai box office,Tiger Zinda Hai hindi songs,Tiger Zinda Hai tamil movie,Tiger Zinda Hai scene,wach online Tiger Zinda Hai,Tiger Zinda Hai film video mein,Tiger Zinda Hai full movie watch online dailymotion,Tiger Zinda Hai song Tiger Zinda Hai song,Tiger Zinda Hai movie songs downloading,Tiger Zinda Hai film song,Tiger Zinda Hai film hindi,hindi film Tiger Zinda Hai,Tiger Zinda Hai songs,hindi movie Tiger Zinda Hai,Tiger Zinda Hai hd video,Tiger Zinda Hai tamil movie downloading,Tiger Zinda Hai video,Tiger Zinda Hai story,Tiger Zinda Hai full hd movie,Tiger Zinda Hai movie downloading,Tiger Zinda Hai movie song,Tiger Zinda Hai songs list a to z,Tiger Zinda Hai mp3 song,Tiger Zinda Hai imdb,Tiger Zinda Hai movie youtube,Tiger Zinda Hai full movie hotstar,Tiger Zinda Hai downloading,Tiger Zinda Hai movie online hotstar,Tiger Zinda Hai telugu cinema,Tiger Zinda Hai video song,Tiger Zinda Hai full movie youtube online,Tiger Zinda Hai film Tiger Zinda Hai film,Tiger Zinda Hai picture movie

  19. There are absolutely a great deal of information like that to take into consideration. That is a great point to raise. I provide the thoughts over as general motivation however clearly there are concerns like the one you raise where one of the most essential point will certainly be working in honest good faith. I don?t know if finest methods have arised around points like that, however I make certain that your task is clearly determined as an up for grabs. Both children as well as ladies really feel the impact of just a moment?s pleasure, for the remainder of their lives.

  20. Great web site. A lot of useful information here. I am sending it to several friends ans also sharing in delicious. And certainly, thanks for your sweat!

  21. An interesting conversation deserves remark. I think that you must create extra on this subject, it might not be a taboo topic but typically people are not enough to speak on such subjects. To the next. Thanks

  22. you are really a good webmaster. The site loading speed is amazing. It seems that you are doing any unique trick. In addition, The contents are masterpiece. you have done a wonderful job on this topic!

  23. I?m impressed, I need to claim. Really rarely do I experience a blog that?s both informative as well as enjoyable, and let me tell you, you have hit the nail on the head. Your suggestion is superior; the problem is something that insufficient people are speaking intelligently about. I am extremely satisfied that I stumbled across this in my look for something connecting to this.

  24. Its excellent as your other articles : D, thankyou for putting up. «Say not, ‘I have found the truth,’ but rather, ‘I have found a truth.'» by Kahlil Gibran.

  25. Hey, you used to write excellent, but the last few posts have been kinda boring… I miss your great writings. Past several posts are just a little bit out of track! come on!

  26. I just could not go away your website prior to suggesting that I extremely enjoyed the usual info an individual provide to your visitors? Is gonna be back ceaselessly in order to inspect new posts

  27. obviously like your website but you need to test the spelling on quite a few of your posts. Several of them are rife with spelling problems and I find it very bothersome to inform the reality nevertheless I¡¦ll definitely come back again.

  28. Hello this is kinda of off topic but I was wondering if blogs use WYSIWYG editors or if you have to manually code with HTML. I’m starting a blog soon but have no coding expertise so I wanted to get guidance from someone with experience. Any help would be enormously appreciated!

  29. I truly appreciate this post. I have been looking all over for this! Thank goodness I found it on Bing. You’ve made my day! Thx again

  30. Good post and straight to the point. I don’t know if this is really the best place to ask but do you people have any ideea where to get some professional writers? Thanks in advance 🙂

  31. An impressive share, I simply provided this onto an associate who was doing a little evaluation on this. As well as he in fact bought me breakfast since I found it for him. smile. So let me reword that: Thnx for the reward! However yeah Thnkx for investing the moment to review this, I feel strongly concerning it and enjoy learning more on this subject. Ideally, as you become know-how, would certainly you mind upgrading your blog with even more details? It is extremely valuable for me. Huge thumb up for this post!

  32. Just wish to say your article is as astounding. The clarity to your submit is just spectacular and i could think you’re an expert in this subject. Well with your permission let me to take hold of your RSS feed to keep updated with forthcoming post. Thank you one million and please carry on the enjoyable work.

  33. I’m really enjoying the theme/design of your site. Do you ever run into any internet browser compatibility problems? A couple of my blog readers have complained about my site not working correctly in Explorer but looks great in Chrome. Do you have any solutions to help fix this problem?

  34. Good day! This post could not be written any better! Reading through this post reminds me of my good old room mate! He always kept talking about this. I will forward this article to him. Fairly certain he will have a good read. Thanks for sharing!

  35. Thanks for your entire effort on this web site. My mother take interest in working on investigations and it’s really easy to see why. My spouse and i hear all regarding the lively ways you offer rewarding tactics through your website and in addition cause participation from other people on this theme so our own daughter is in fact becoming educated a great deal. Take pleasure in the remaining portion of the year. You have been carrying out a great job.

  36. I am really loving the theme/design of your web site. Do you ever run into any web browser compatibility problems? A number of my blog readers have complained about my website not operating correctly in Explorer but looks great in Firefox. Do you have any solutions to help fix this problem?

  37. Have you ever thought about adding a little bit more than just your articles? I mean, what you say is important and everything. But think of if you added some great photos or video clips to give your posts more, «pop»! Your content is excellent but with pics and videos, this blog could undeniably be one of the very best in its field. Wonderful blog!

  38. Hey, you used to write excellent, but the last few posts have been kinda boring… I miss your great writings. Past few posts are just a little bit out of track! come on!

  39. This is the best blog for anybody that wishes to discover this topic. You recognize a lot its almost tough to suggest with you (not that I really would want?HaHa). You definitely put a new spin on a subject thats been discussed for many years. Fantastic things, just excellent!

  40. I loved as much as you’ll receive carried out right here. The sketch is attractive, your authored material stylish. nonetheless, you command get got an impatience over that you wish be delivering the following. unwell unquestionably come further formerly again as exactly the same nearly a lot often inside case you shield this hike.

  41. What your declaring is absolutely real. I know that everyone should say the exact same matter, but I just believe that you put it in a way that everyone can realize. I also love the images you set in right here. They suit so well with what youre hoping to say. Im positive youll attain so quite a few folks with what youve received to say.

  42. Nearly everything seems to jump off the screen, but at the same time the film doesn’t really have any standout moments where the effect is utilized in a way that really wows its audience.

  43. I’ve learn several just right stuff here. Certainly worth bookmarking for revisiting. I wonder how so much attempt you put to create the sort of fantastic informative web site.

  44. magnificent points altogether, you just gained a new reader. What would you recommend about your post that you made a few days ago? Any positive?

  45. Thanks a bunch for sharing this with all of us you actually know what you are talking approximately! Bookmarked. Please also consult with my site =). We will have a hyperlink trade agreement among us!

  46. Hello my family member! I wish to say that this post is amazing, nice written and come with approximately all important infos. I would like to peer more posts like this.

  47. I am not sure where you are getting your info, but good topic. I needs to spend some time learning much more or understanding more. Thanks for fantastic information I was looking for this information for my mission.

  48. Thank you for another magnificent post. Where else could anybody get that kind of information in such an ideal way of writing? I’ve a presentation next week, and I am on the look for such information.

  49. I’ve been browsing on-line more than three hours these days, yet I never discovered any fascinating article like yours. It¡¦s lovely value enough for me. In my view, if all website owners and bloggers made just right content material as you did, the web might be a lot more helpful than ever before.

  50. I carry on listening to the news broadcast talk about receiving boundless online grant applications so I have been looking around for the finest site to get one. Could you advise me please, where could i get some?

  51. Have you ever considered about adding a little bit more than just your articles? I mean, what you say is important and everything. However imagine if you added some great visuals or videos to give your posts more, «pop»! Your content is excellent but with images and videos, this website could definitely be one of the most beneficial in its field. Awesome blog!

  52. Thanks for the recommendations shared using your blog. Another thing I would like to convey is that weight reduction is not exactly about going on a dietary fads and trying to lose as much weight as you can in a few days. The most effective way to burn fat is by acquiring it bit by bit and right after some basic points which can make it easier to make the most out of your attempt to lose fat. You may understand and be following these tips, although reinforcing information never does any damage.

  53. This website online is known as a stroll-by way of for all the data you wished about this and didn’t know who to ask. Glimpse right here, and also you’ll positively discover it.

  54. F*ckin’ remarkable things here. I’m very happy to peer your article. Thanks so much and i am taking a look ahead to contact you. Will you please drop me a e-mail?

  55. you are really a just right webmaster. The website loading pace is incredible. It kind of feels that you’re doing any distinctive trick. In addition, The contents are masterwork. you have performed a fantastic job on this topic!

  56. I’ve been surfing online greater than three hours as of late, yet I never found any fascinating article like yours. It¡¦s beautiful price sufficient for me. In my view, if all web owners and bloggers made just right content as you probably did, the web will likely be a lot more useful than ever before.

  57. This is the ideal blog site for anyone who wishes to find out about this topic. You realize a lot its almost hard to suggest with you (not that I in fact would want?HaHa). You certainly placed a new spin on a topic thats been written about for many years. Fantastic things, simply terrific!

  58. Excellent read, I just passed this onto a friend who was doing some research on that. And he actually bought me lunch since I found it for him smile So let me rephrase that: Thanks for lunch!

  59. The following time I read a blog site, I wish that it doesn’t disappoint me as long as this set. I imply, I know it was my selection to check out, yet I really assumed youd have something fascinating to state. All I listen to is a lot of grumbling about something that you might deal with if you werent as well busy seeking attention.

  60. You really make it seem so easy with your presentation but I find this matter to be actually something which I think I would never understand. It seems too complicated and very broad for me. I am looking forward for your next post, I’ll try to get the hang of it!

  61. Another issue is that video gaming became one of the all-time largest forms of recreation for people of various age groups. Kids have fun with video games, and also adults do, too. The XBox 360 has become the favorite gaming systems for individuals that love to have hundreds of video games available to them, plus who like to relax and play live with others all over the world. Many thanks for sharing your opinions.

  62. excellent points altogether, you simply gained a new reader. What might you suggest about your post that you simply made a few days in the past? Any positive?

  63. Needed to put you that little bit of remark to thank you so much as before for the stunning ideas you have discussed on this page. It’s simply remarkably generous of you giving without restraint precisely what a few individuals would’ve sold for an ebook in order to make some profit on their own, most notably considering that you could have done it in the event you considered necessary. These tips likewise served to provide a fantastic way to understand that someone else have the same zeal just like my personal own to find out a little more in regard to this problem. I am certain there are some more pleasant periods up front for individuals who read your site.

  64. I must convey my affection for your generosity giving support to those individuals that absolutely need assistance with this important concept. Your real commitment to getting the solution around turned out to be exceptionally invaluable and has in every case encouraged workers just like me to realize their goals. Your valuable help and advice means much to me and far more to my mates. Regards; from everyone of us.

  65. I’ve been absent for some time, but now I remember why I used to love this blog. Thanks, I’ll try and check back more often. How frequently you update your site?

  66. Thanks a lot for providing individuals with an extraordinarily wonderful possiblity to read articles and blog posts from this web site. It is usually very awesome plus full of fun for me and my office mates to search the blog at minimum 3 times weekly to learn the new stuff you have got. Not to mention, I am also usually contented for the unique opinions you give. Certain 4 tips on this page are particularly the most beneficial we have all had.

  67. I needed to put you one very small remark so as to thank you very much as before for the gorgeous secrets you have provided on this page. This is so pretty generous with people like you to allow freely all a number of people could possibly have made available for an ebook to generate some dough on their own, chiefly considering the fact that you could possibly have tried it if you ever wanted. These principles as well acted to provide a great way to understand that most people have a similar keenness much like my own to realize whole lot more on the subject of this problem. I believe there are millions of more fun moments in the future for individuals who view your blog post.

  68. F*ckin’ tremendous things here. I am very glad to look your post. Thanks a lot and i am having a look forward to touch you. Will you kindly drop me a e-mail?

  69. I and my pals happened to be studying the good helpful tips found on the website while all of the sudden came up with an awful suspicion I had not thanked the blog owner for those tips. All of the young men happened to be consequently thrilled to study them and have extremely been taking advantage of these things. We appreciate you indeed being well thoughtful as well as for obtaining this sort of incredibly good ideas most people are really eager to understand about. My honest regret for not expressing gratitude to earlier.

  70. I am just commenting to make you know what a fine encounter my cousin’s princess enjoyed viewing your webblog. She picked up numerous issues, most notably what it is like to possess an amazing coaching spirit to get many more quite simply gain knowledge of a variety of hard to do issues. You undoubtedly surpassed readers’ expected results. Many thanks for showing the beneficial, safe, revealing and in addition cool tips on your topic to Emily.

  71. Thank you for the good writeup. It in fact was a amusement account it. Look advanced to far added agreeable from you! However, how can we communicate?

  72. hello there and thank you for your info – I have certainly picked up anything new from right here. I did however expertise some technical points using this site, as I experienced to reload the web site a lot of times previous to I could get it to load properly. I had been wondering if your web host is OK? Not that I am complaining, but sluggish loading instances times will sometimes affect your placement in google and can damage your quality score if advertising and marketing with Adwords. Well I’m adding this RSS to my email and can look out for much more of your respective exciting content. Make sure you update this again very soon..

  73. I would like to get across my appreciation for your kind-heartedness supporting those people who must have help with the question. Your personal dedication to passing the message all over has been really invaluable and have usually allowed some individuals like me to realize their ambitions. The interesting guideline implies much to me and much more to my mates. With thanks; from all of us.

  74. Have you ever thought about adding a little bit more than just your articles? I mean, what you say is fundamental and all. Nevertheless just imagine if you added some great pictures or video clips to give your posts more, «pop»! Your content is excellent but with pics and videos, this website could definitely be one of the most beneficial in its niche. Good blog!

  75. Hi, Neat post. There is a problem with your website in internet explorer, would test this IE still is the market leader and a big portion of people will miss your wonderful writing due to this problem.

  76. I really wanted to write a comment to be able to say thanks to you for all of the unique points you are placing here. My time intensive internet look up has finally been compensated with brilliant facts and techniques to talk about with my colleagues. I would express that many of us site visitors actually are definitely lucky to be in a good network with so many brilliant professionals with good tricks. I feel pretty privileged to have seen your entire webpage and look forward to many more enjoyable times reading here. Thanks again for everything.

  77. Thank you for your own hard work on this site. My niece really loves working on investigations and it’s simple to grasp why. My spouse and i hear all regarding the lively tactic you provide great tactics through the web site and as well inspire participation from visitors on the content while my girl is undoubtedly studying so much. Have fun with the remaining portion of the new year. You are performing a splendid job.

  78. A lot of thanks for all your valuable efforts on this web site. My niece really likes doing investigation and it’s really easy to see why. Most people learn all relating to the powerful manner you deliver useful guidelines through the blog and welcome participation from some other people on the area while my girl is undoubtedly understanding a lot of things. Have fun with the rest of the year. You are always doing a wonderful job.

  79. Simply wish to say your article is as amazing. The clearness to your post is just nice and i can think you are an expert on this subject. Fine together with your permission allow me to seize your feed to keep updated with approaching post. Thank you one million and please carry on the enjoyable work.

  80. I am only commenting to let you understand of the exceptional encounter my wife’s princess encountered using your site. She picked up a wide variety of pieces, with the inclusion of how it is like to possess an excellent teaching heart to let most people without hassle fully understand specific tricky subject matter. You actually did more than her expectations. Thanks for supplying these precious, healthy, edifying not to mention fun tips about this topic to Janet.

  81. A lot of thanks for all your labor on this site. My mom really likes going through investigation and it’s really obvious why. Almost all know all of the compelling medium you provide reliable guidelines on this website and therefore boost contribution from others on the concept then our own princess is without a doubt learning a lot. Take pleasure in the rest of the year. You have been performing a very good job.

  82. I want to express some appreciation to the writer for rescuing me from this type of setting. After scouting through the online world and getting basics which are not powerful, I believed my entire life was done. Living minus the solutions to the issues you’ve sorted out all through your entire short post is a critical case, and those that would have negatively affected my entire career if I had not come across your web blog. Your personal training and kindness in maneuvering all the pieces was important. I’m not sure what I would have done if I had not encountered such a subject like this. I am able to now look ahead to my future. Thanks so much for this expert and sensible guide. I won’t hesitate to recommend the blog to any individual who should receive guidelines on this situation.

  83. I really appreciate this post. I’ve been looking all over for this! Thank goodness I found it on Bing. You have made my day! Thx again

  84. I wish to express some thanks to this writer for bailing me out of this type of challenge. As a result of looking out throughout the world-wide-web and meeting things that were not beneficial, I was thinking my entire life was done. Existing without the presence of approaches to the issues you have fixed by means of the guide is a crucial case, as well as the kind which might have in a wrong way damaged my career if I hadn’t noticed the blog. Your main natural talent and kindness in handling all things was invaluable. I don’t know what I would’ve done if I had not come upon such a solution like this. It’s possible to at this time look forward to my future. Thanks very much for your high quality and result oriented help. I will not be reluctant to endorse the blog to anyone who would need guide on this matter.

  85. You really make it seem so easy together with your presentation however I to find this matter to be actually one thing that I think I would by no means understand. It sort of feels too complicated and very vast for me. I am having a look forward in your next post, I will attempt to get the dangle of it!

  86. We are a group of volunteers and starting a new scheme in our community. Your site provided us with valuable info to work on. You’ve done a formidable job and our whole community will be thankful to you.

  87. I simply had to appreciate you all over again. I do not know the things that I would have done without the type of creative concepts revealed by you about such a question. It has been a very intimidating condition in my position, however , looking at your specialised avenue you treated that made me to leap for gladness. I’m grateful for your advice and believe you comprehend what a great job that you’re putting in instructing people today using your webblog. I am certain you’ve never got to know all of us.

  88. Wow! This could be one particular of the most beneficial blogs We’ve ever arrive across on this subject. Actually Great. I’m also an expert in this topic therefore I can understand your effort.

  89. With havin so much content do you ever run into any issues of plagorism or copyright violation? My site has a lot of exclusive content I’ve either written myself or outsourced but it seems a lot of it is popping it up all over the web without my permission. Do you know any techniques to help stop content from being stolen? I’d definitely appreciate it.

  90. Aw, this was a very nice post. In idea I want to put in writing like this moreover – taking time and precise effort to make an excellent article… but what can I say… I procrastinate alot and under no circumstances seem to get something done.

  91. Thank you for another informative blog. Where else may just I get that kind of info written in such a perfect method? I have a venture that I am simply now working on, and I’ve been on the look out for such info.

  92. The next time I review a blog, I hope that it does not dissatisfy me as much as this one. I suggest, I recognize it was my choice to read, yet I actually thought youd have something interesting to claim. All I listen to is a lot of whimpering regarding something that you could deal with if you werent too active seeking attention.

  93. One other thing I would like to convey is that as opposed to trying to fit all your online degree training on times that you conclude work (since most people are exhausted when they return home), try to obtain most of your instructional classes on the weekends and only 1 or 2 courses for weekdays, even if it means taking some time away from your weekend break. This is fantastic because on the saturdays and sundays, you will be much more rested and concentrated with school work. Thx for the different recommendations I have mastered from your blog.

  94. Hey There. I found your blog the use of msn. That is a very well written article. I’ll make sure to bookmark it and come back to read extra of your helpful information. Thank you for the post. I will certainly comeback.

  95. I’ve been exploring for a bit for any high-quality articles or weblog posts on this sort of area . Exploring in Yahoo I eventually stumbled upon this web site. Reading this information So i am glad to express that I’ve a very excellent uncanny feeling I found out exactly what I needed. I so much definitely will make sure to do not disregard this site and provides it a glance on a constant basis.

  96. Aw, this was a truly wonderful article. In idea I would love to put in composing such as this in addition? taking time and real effort to make a very good article? however what can I say? I postpone alot as well as never appear to get something done.

  97. When I initially commented I clicked the -Notify me when new remarks are added- checkbox and also now each time a remark is included I obtain four emails with the exact same comment. Exists any way you can remove me from that solution? Many thanks!

  98. I found your blog website on google and inspect a few of your very early posts. Remain to keep up the excellent run. I simply additional up your RSS feed to my MSN News Visitor. Seeking onward to learning more from you later on!?

  99. An excellent share, I just offered this onto a coworker who was doing a little analysis on this. And he in fact purchased me morning meal due to the fact that I located it for him. smile. So let me rephrase that: Thnx for the treat! Yet yeah Thnkx for spending the time to discuss this, I feel highly regarding it as well as enjoy learning more on this topic. If possible, as you end up being know-how, would you mind updating your blog with even more details? It is highly valuable for me. Large thumb up for this article!

  100. I?m satisfied, I should say. Truly hardly ever do I come across a blog site that?s both informative as well as entertaining, and also let me inform you, you have actually struck the nail on the head. Your suggestion is superior; the concern is something that inadequate individuals are speaking intelligently about. I am really delighted that I came across this in my look for something connecting to this.

  101. The following time I review a blog site, I wish that it doesn’t dissatisfy me as long as this. I suggest, I understand it was my option to check out, yet I actually assumed youd have something intriguing to state. All I listen to is a bunch of grumbling about something that you could repair if you werent as well active trying to find interest.

  102. I am really loving the theme/design of your blog. Do you ever run into any web browser compatibility problems? A few of my blog readers have complained about my site not working correctly in Explorer but looks great in Safari. Do you have any solutions to help fix this issue?

  103. The following time I check out a blog, I hope that it does not dissatisfy me as high as this one. I indicate, I recognize it was my option to review, yet I actually assumed youd have something interesting to claim. All I hear is a number of whimpering concerning something that you could deal with if you werent also busy seeking interest.

  104. Do you mind if I quote a couple of your articles as long as I provide credit and sources back to your webpage? My website is in the exact same area of interest as yours and my visitors would certainly benefit from some of the information you present here. Please let me know if this okay with you. Cheers!

  105. Great article and straight to the point. I am not sure if this is really the best place to ask but do you people have any ideea where to employ some professional writers? Thank you 🙂

  106. Pretty nice post. I just stumbled upon your weblog and wished to say that I’ve really enjoyed browsing your blog posts. After all I will be subscribing to your feed and I hope you write again very soon!

  107. Woah! I’m really enjoying the template/theme of this website. It’s simple, yet effective. A lot of times it’s tough to get that «perfect balance» between usability and visual appearance. I must say you have done a amazing job with this. Also, the blog loads super fast for me on Chrome. Exceptional Blog!

  108. Wonderful beat ! I would like to apprentice while you amend your web site, how could i subscribe for a weblog site? The account helped me a appropriate deal. I were a little bit acquainted of this your broadcast provided vibrant transparent idea

  109. I do agree with all the ideas you have presented in your post. They’re really convincing and will definitely work. Still, the posts are very short for beginners. Could you please extend them a little from next time? Thanks for the post.

  110. Thanks a lot for sharing this with all of us you actually know what you are talking about! Bookmarked. Kindly also visit my site =). We could have a link exchange agreement between us!

  111. Fantastic beat ! I would like to apprentice while you amend your web site, how could i subscribe for a blog site? The account helped me a appropriate deal. I have been tiny bit acquainted of this your broadcast offered brilliant clear concept

  112. I like what you guys are up too. Such clever work and reporting! Keep up the superb works guys I have incorporated you guys to my blogroll. I think it will improve the value of my website 🙂

ОСТАВЬТЕ ОТВЕТ

Please enter your comment!
Please enter your name here