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    Myanmar is probably one of the fastest changing countries in the world right now. With its economic liberalization in 2013 its has shown some impressive development and is currently even ranked as one of the world’s fastest growing economies. Myanmar’s shape resembles that of an elephant’s head and this elephant is about to awake! There are many blog posts about tips and guides for Myanmar but we have found that many of them are already outdated. Things change pretty much on a monthly basis so we thought we might give a short update here as we visited the country just a month ago (March 2016). Despite its rapid economic changes there are also a few other things that should be mentioned and shown to any traveler planning to visit this country. Burmese are probably one the nicest, kindest and most welcoming people we have ever met. ပန္းေသ-ပန္းညွိဳးျဖစ္တာကို ကုစားနည္းေတြ ၾကိဳးစား ပမ္းစား ရွာေဖြခဲ့ၾကရတယ္။ ေနာက္ဆံုးေပၚလဲျဖစ္ ေနာက္ထပ္ ေပၚစရာ မလိုေတာ့ဘူး ေျပာႏိုင္မဲ့ Viagra ေဆးကို ၁၉၉၈ မတ္လ ၂၇ ရက္ကစျပီး ဆိုင္တင္ခဲ့ပါျပီ။ ေဆးက တကယ္ အစြမ္းထက္သလို ေဘးထြက္ဆိုးက်ိဳးက သိပ္ထူးလွတာ မဟုတ္လို႔ အလြန္ေအာင္ျမင္တဲ့ အသစ္တီထြင္မႈ ျဖစ္တယ္။ ေဒၚလာ သန္းေထာင္ေက်ာ္ စီးပြါးေရးလဲ ျဖစ္ပါတယ္။Viagra ေသာက္လိုက္ရင္ Phosphodiesterase type 5 (PDE5) (အင္ဇိုင္း) ကို တားဆီးေပးတယ္။ PDE5 နည္းလာရင္ Smooth muscle ၾကြက္သားႏုေတြကို ေျပာ့ေစေျပီး၊ လိင္တံမွာ ေသြးပိုေလွ်ာက္လာေစတယ္။ ရလဒ္အျဖစ္ Erection လိင္တံ သန္မာလာေစတယ္။ေဆးတိုင္းမွာ Generic name ေဆးနာမယ္နဲ႔ Trade name အေရာင္းအယ္လုပ္ဘို႔ေပးတဲ့ နာမယ္ဆိုျပီး ႏွစ္မ်ိဳး ရွိရာမွာ Viagra က Generic နာမယ္ပါ။ တျခားနာမယ္ေတြ Caverta, Sildenafil citrate, Revatio စသျဖင့္ ရွိေသးတယ္။ Viagra ကို Nicknames တင္စားေခၚတာေတြလဲ ရွိတယ္။ Vitamin V, Mo Mojo, Woodmaker, The pill for men, Soft Tabs, Blue Pill စသျဖင့္။ Kamagra ကေတာ့ တရား၀င္နာမယ္ ျဖစ္လာတယ္။Sildenafil citrate ေဆးဟာ Pfizer Company ရဲ႕ Generic Viagra ဆိုျပီးေပးတဲ့ မူပိုင္ျဖစ္လို႔ ေနာက္လူေတြ ဒီနာမယ္ အတိုင္း ေရာင္းလို႔မရပါ။ Herbal Viagra, Natural Viagra ဆိုတာေတြက အတုလို႔ ေျပာႏိုင္တယ္။ (အြန္လိုင္း) ကေန ၀ယ္ျခင္ရင္ သတိထားေပးတာထဲမွာ “အဆိုးဆံုးက တရုပ္-ကုမၸဏီ ျဖစ္တယ္” လို႔ ဆိုတယ္။ ေဆးကို စစ္ၾကည့္ေတာ့ Sildenafil citrate မပါဘူးတဲ့။Generic Viagra ေဆးအစစ္ကုိ အသံုးမျပဳခင္ နာရီ၀က္ ၾကိဳေသာက္ရျပီး၊ အစြမ္းက ၄-၆ နာရီအထိ ရွိတယ္။ လက္ေတြ႔ သံုးသူေတြ ေျပာတာက ေဆးေသာက္ျပီး၊ ၁ နာရီနဲ႔ ၂ နာရီအတြင္း အစြမ္းထက္ဆံုးဘဲတဲ့။ 25, 50, 100 mg pills အေနနဲ႔ ေရာင္းပါတယ္။ 50 mg က အမ်ားဆံုးသံုးတဲ့ စံျဖစ္ပါတယ္။ စသံုးသူေတြကို 50 mg ဘဲ ေသာက္ရတယ္။ အသက္ၾကီးတိုင္း မ်ားရတာ မဟုတ္ပါ။ ၆၅ ႏွစ္ေက်ာ္သူ၊ ေက်ာက္ကပ္၊ အသဲ ခ်ိဳ႕ယြင္းေနသူေတြကို 25 mg သာ ေပးပါတယ္။တခါေသာက္ရင္ 100 mg ထက္မေက်ာ္နဲ႔။ ၂၄ နာရီအတြင္း တျခားသတၲိတူရွိတဲ့ Tadalafil (Cialis), Vardenafil (Levitra) ေဆးေတြနဲ႔ တြဲမေသာက္ပါနဲ႔။ ဒါေတြကလဲ Phosphodiesterase inhibitor ေဆးေတြဘဲ။ မ်ားသြားရင္ Priapism လို႔ ေခၚတဲ့ ေတာင့္တင္းေနတဲ့ လိင္တံ ျပန္မက်တာ အႏၲရာယ္ရွိႏိုင္ပါတယ္။သာမန္ ေဘးထြက္ဆိုးက်ိဳးေတြသာ ရွိပါတယ္။ မ်က္ႏွာနီျမန္း၊ ေခါင္းကိုက္၊ ႏွာေစးသလိုျဖစ္၊ အစာမေက်၊ ပ်ိဳ႕ခ်င္တာ ျဖစ္တတ္တယ္။ အလင္းေရာင္ၾကည့္တာ နဲနဲထိခိုက္တတ္တယ္။ ခဏပါ။ ႏွလံုးေရာဂါ အခံရွိသူေတြအတြက္ မသင့္ပါ။ ႏွလံုး ေသြးေၾကာက်ဥ္း ေရာဂါေဆး၊ Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Isosorbide ေတြနဲ႔အတူ မေသာက္ရပါ။ အရက္က Viagra ေဆးစြမ္းကို ယာယီနည္းေစတယ္။ ေဆးကို အစာမရွိခ်ိန္ေသာက္ရင္ ျမန္တယ္။ အစာမွာ အဆီမ်ားရင္ သတၲိျပတာ ေႏွးမယ္။ HIV နဲ႔ အသဲေရာင္ စီ ရွိေနသူေတြကိုေပးတဲ့ Protease inhibitors ေဆး ေပးေနရင္ ဂရုစိုက္ရတယ္။Viagra 50mg ၁၀ လံုးကို $19.95 ေဒၚလာ၊ 100 mg ၁၀ လံုးကို $29.95 ေဒၚလာ၊ 150 mg ၁၀ လံုးကို $39.95 ေဒၚလာ ေစ်းရွိတယ္။ Viagra နဲ႔ တူတဲ့ Revatio စားေဆး 20 mg Tablets နဲ႔ ထိုးေဆး Injection 10 mg per 12.5 m L ျဖစ္တယ္။Kamagra tablet ဆိုတာ Ajanta Pharmaceuticals ကေန ထုတ္တာပါ။ Sildenafil Citrate ပါတာပါဘဲ။ ၁ နာရီ ၾကိဳေသာက္ရမယ္။ ၄ နာရီအထိ ခံတယ္။ အသက္ သိပ္မၾကီးေသးရင္ 50 mg ေသာက္ပါ။ ၆၅ ႏွစ္ေက်ာ္ရင္ 25 mg သာ ေသာက္ပါ။ တေန႔ထဲမွာ 100 mg ထက္ မမ်ားေစနဲ႔။ 12 လံုးကို $40 ေဒၚလာ၊ 100 လံုးကို $130 ေဒၚလာ (အြန္လိုင္း) မွာ ေၾကာ္ညာတယ္။ Kamagra ကို အမ်ိဳးသမီးေတြမွာ သံုးရတယ္လို႔ သက္ေသမျပႏိုင္ေသးဘူး။ Viagra ကေတာ့ အမ်ိဳးသမီးေတြပါ လိင္စိတ္သန္ေစဘို႔ သံုးႏိုင္တယ္ဆိုတာ ေျပာလာ ေနၾကပါျပီ။စားေဆးအျပင္ Kamagra Oral Jelly လဲ လာတယ္။ ဆြဲေဆာင္မႈရွိတဲ့ အနံ႔ပါ ေသျခာ ထည့္ထားေသးတယ္။ ေၾကာ္ညာတဲ့အခါ Natural aphrodisiacs သဘာ၀ လိင္စိတ္ၾကြအနံ႔ Myriad flavors ပါတယ္လို႔ ေရးတယ္။ ဖတ္တာနဲ႔ေတာင္ ဆြဲေဆာင္မႈ ရွိေနျပီ။ သရက္သီး၊ ေခ်ာ့ကလက္၊ ငွက္ေပ်ားသီး၊ စေထာဘယ္ရီ၊ ဗနီလာ၊ အနံ႔ေတြ ပါတယ္။ မိနစ္ ၂၀ ဆိုရင္ အစြမ္းျပတယ္လို႔ ဆိုတယ္။ ၅ ထုပ္ကို $35 ေဒၚလာ၊ 10 ထုပ္ကို $40 ေဒၚလာ။Tadalis SX ေဆးကေတာ့ ၃၆ နာရီအထိ ၾကာၾကာ အစြမ္းျပတယ္ဆိုတယ္။ 20 mg ၁၀ လံုးကို $59 ေဒၚလာ ေပးရတယ္။ ေစ်းခ်ိဳတဲ့ အမ်ိဳးအစားေတြလည္း ရွိပါတယ္။ Apcalis, Caverta, Forzest, Levitra, Lovegra, Silagra, Slimona, Tadacip, Womenra, Xenical, Zenegra စတာေတြ ျဖစ္တယ္။ အိႏၵိယမွာ Vigora ေဆးကို သံုးၾကပါတယ္။ 100 mg ေလးလံုးပါ တကပ္ကို ရူးပီး ၁၀၀ (က်ပ္ ၁၉၀၀) ေပးရတယ္။ အနီေရာင္ ေဆးလံုးပါ။ 50 mg က မီးခိုးျပာေရာင္၊ စိန္ပြင့္ပံု၊ အသဲပံု လာတယ္။Viagra လိုေဆးကို ပန္းေသ-ပန္းညွိဳးအျပင္ Pulmonary arterial hypertension (PAH) ဆိုတဲ့ အဆုပ္ေရာဂါကို ကုရာမွာလဲ သံုးပါတယ္။ ဒါ့ျပင္ ေတာင္တက္သမားေတြမွာ ျဖစ္တတ္တဲ့ Pulmonary edema အဆုပ္ေရာင္တာ အတြက္လဲ သံုးပါေသးတယ္။Viagra ဆိုတဲ့ ေ၀ါဟာရကို တရုတ္နဲ႔ ရုရွားေတြအေခၚက Widget နဲ႔ တူတယ္။ ကြန္ျပဴတာနဲ႔ ဆိုင္တဲ့ တတိယလူလဲ ယူသံုးႏိုင္တဲ့ Stand-alone application ကို ဆိုလိုတာပါ။ ကြန္ျမဳနစ္ အမွတ္ေပးစနစ္အရ စီးပြါးေရးပညာသင္တဲ့ ေက်ာင္းသားေတြ ေနာက္ဆံုး (ပေရာဂ်က္) ကို တင္တဲ့အခါ (အီးေမးလ္) နဲ႔ လူတကာဆီ ေလွ်ာက္ပို႔ခြင့္ ရွိသတဲ့။ ဒီလို လုပ္တာကို Viagra Spam လို႔ တင္စားေျပာၾကတယ္။လိင္တံ မသန္မာႏိုင္တဲ့ Erectile dysfunction ဆိုတာ အမ်ားဆံုးက စိတ္ပိုင္းခ်ိဳ႕ယြင္းခ်က္ တခုခု ရွိလို႔ပါ။ Stress စိတ္ဖိအားမ်ား၊ Fatigue အားကုန္၊ Anxiety စိုးရိမ္စိတ္ကဲ၊ Depression စိတ္က်။ ဒီလိုျဖစ္ရသူေတြအတြက္ Viagra ေဆးက ၉၀% ထိေရာက္ျပီး၊ စိတ္ေၾကာင့္ မဟုတ္တဲ့ တျခားအေၾကာင္းနဲ႔ ျဖစ္သူေတြမွာ ၇၀-၈၀% ထိေရာက္ပါတယ္။ တခ်ိဳ႕က လိင္စိတ္လာေစဘို႔၊ လိင္ဆက္ဆံတာမွာ ပိုသာယာေစဘို႔၊ လိင္အဂၤါ အျမဲၾကီးထြားဘို႔ ရည္ရြယ္ျပီး သံုးၾကေပမဲ့ အေထာက္အထား မရွိပါ။Dr.

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