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good morning, says dr. mesyakov, we are talking about the most important thing, about our health, by the way, today a specialist will also come, a very good ophthalmologist, director of the center for eye diseases, and we will talk about cataracts, because you know how there are 50 million blind people and 20 million went blind precisely because of cataracts, what to do, how to prevent, what treatment options are today, well, by the way, we’ll talk more about many other interesting things, let's begin: today in the program about the most important thing: cataracts, why does this disease increasingly develop at a young age, how do gadgets affect this and what glasses will help protect against it? how can i not see, you are already

taking off your masks, you have already had an operation, you have already been cured, how dangerous are streaks of blood during a runny nose, how effective are vitamins for immunity? questions from the doctor. alexander myasnyakov asks, you answer. you eat everything and don’t get sick, right? yes. i hate it. streptococcus. for who is this bacteria deadly for? and why, in addition to sore throat, can heart disease and kidneys develop from it? severe inflammation of the skin begins, what we call cellulite. the skin peels off, turns black and becomes nicrotic. 20 million people see the world like this, although they used to see it the same way as you, at first everything in the eyes began to become cloudy, double, then darkness, this is how cataracts develop, but

if you know how to protect yourself from it, how to notice its development in time, then blindness can be avoided, what to do to suspect cataracts at an early stage, how to influence development? who is especially at risk of cataracts and what glasses can protect against it. these questions will be answered by a specially invited expert, an ophthalmologist. gulzhiyana arzhematova, head of the moscow city ophthalmological center of the botkin city clinical hospital, chief freelance ophthalmologist of the moscow health department. well, here we have again a guest from moscow healthcare. well , today this is one of the branches of the botkin hospital, i also have questions for the doctor, because, in principle, there are two cataracts ways, the most common of them is just the process of normal aging, we get old, cataracts can develop, this is one thing, here

’s how to slow it down, well, the second cataract is all sorts of problems, diseases, metabolic and so on, this is probably you already now tell me better than me, come on, well, in the hall we have spectators in masks, black ones, and i think they perfectly understand how bad it is to be blind, not to see, you know, without even wearing a mask, i’ll tell you that it’s bad to be blind . cataract is one of the most common diseases, in terms of number operations that we perform in moscow, cataracts take first place, you are already taking off your masks, look, otherwise you will do this, you have already had an operation, you have already been cured, there is such an optical lens in your eye, here it is white. here it is, if it becomes cloudy, and there are a lot of reasons for clouding the optical lens through which we look, and the lens, by the way, one of the powerful risk factors is smoking, it suppresses the production of antioxidants, on the contrary, it produces more oxidants, which

can lead to washing. nicotine leads to vasospasm, that is, all the drugs that we prescribe for various eye diseases are aimed at expanding the vascular wall. improve nutrition, and we believe that cataracts develop when there is insufficient nutrition, so smoking is a very important factor in the development of cataracts, but also a lot of different somatic diseases, this is severe atherosclerosis, this is hypertension, which also leads to vasospasm, these are patients with diabetes, patients develop diabetic cataracts, here we are now we’ll do an experiment with you, right? this aquarium that we imagine is the lens, now we will drop a drop there, you see, it clouds the lens, clouding in the lens, they can be intense, when the entire lens becomes cloudy equally, by the way, with

diabetic cataracts there are such figurative cloudings, so with a wide we see these opacities in the pupil, but the patient sees well, they are on the periphery, they do not interfere with his vision, but then... today we have many patients, 40 years old, 50 years old, especially since we no longer carry , it's fashionable here sunbathe, be the sun, no one wears dark glasses, and this is a powerful factor, and of course, these gadgets, that the eye is tense, sick, inflamed, yes, environmental factors certainly influence. yes, diabetes mellitus, which we talked about, all the diseases that we encounter are eye injuries, other diseases, glaucoma, myopia, often cataracts are combined with many eye diseases, but

the heredity factor is very important here, so many come when 40 years of cataract surgery, i say why did cataracts appear so early, and they say that my mother had cataracts in her wound, and my grandmother had them. why did you come so late, but this

eye has not seen for a long time, the patient cannot because when you ask patients a question, answered, he says: i didn’t notice, i didn’t notice, and what worries me most in this audience is the drivers , i think, how can this be, he doesn’t see this side, yes, his eyes can’t see anymore, and he’s sitting behind the wheel, how can he, not only can’t he see, he has binocular vision, he can’t, what estimates the distance with two eyes, one is missing, you see, you don’t understand the distance exactly. since some types of cataracts take years to mature, you know, a slight clouding has appeared, we have already been able to adapt to this, and sometimes decades pass, especially with myopia, cataracts mature very slowly, and over the years a person adapts to this poor vision and does not understand that he has poor eyesight, so it is important to check with each vision, but there is no need to be afraid of this cataract disease, it is... of course the most common, then, as for, here i am the head of the moscow city ophthalmological center, over

the past 4 years we have increased the number of operations fourfold, if 4 years ago we performed 1100 operations, but i mean all eye operations, not only cataracts, then in the twenty-third year we have performed over 4,300 operations, because when a person ’s vision declines, he panics, yes, panic, how can i not see, no matter what age... this cataract arose at 40-50, and today we know that many people are retired age continue to work, and teachers, and actors, and musicians continue to work, everyone wants to see well, tell me, the lens itself that you insert is artificial, yes, it is free for the patient, yes, the patient has the opportunity to get high visual acuity by pike perch remedies for cataracts, as far as i know, all therapeutic remedies do not work,

there should only be either a knife or an artificial lens, now we’ll see, am i right? no, glasses, these are glasses, a wig, a wig is also included here, no, well, it’s clear about glasses, we’ve already they said it can contribute to progression when, when at a doctor’s appointment you were diagnosed with cataracts, and you want to go to the south, yes, sunny beach, to relax. another 70 years, this is true, yes, yes, if there are no other reasons, well, there is no need to be deceived,

yes, that is, if the cause of decreased vision is only cataracts, i say for our viewers, i mean to myself, the viewers already understood everything, no , well, really, but no, if only cataracts, we will return one hundred percent vision, but on this one, but cataracts are very friendly with others eye, many people get sick. “well, i agree to the operation, but what will i do then, yes, how will i see later, so you need to explain that if he has retinal dystrophy or serious diabetic retinopathy, yes, which will not allow him to obtain high visual acuity, but the patient this must be understood when he goes for an operation, or when he has it.” such glaucoma, which he did not monitor, yes, which led to atrophy of the optic nerve

, the doctor does not have the opportunity to give him full vision, like any eye surgery the operation also has its indications, its contraindications, everything is as always, only they do not cut the stomach, but god, forgive me, god forbid, decades ago, maybe significantly less, yes, we did one operation for almost an hour, we put a lot of stitches . they made a large incision, sewed up the eye, today there are such high technologies, excellent equipment in moscow clinics, yes, excellent opportunities, they have expanded greatly. an assortment of these artificial lenses that we implant into this bag, and we make seamless ones, that is, an incision 1 mm is made, two 1 mm incisions are made, the main incision is 2 mm, no stitches are applied, the patient leaves on the same day with an absolutely calm eye, and this operation, well,

is done four to five times faster than we did before, and of course here these... high technologies allow us to take on many more patients , help large patients, in the twenty- third year the city performed 50,000 operations, in the twenty-fourth we plan to perform 70,000 operations, at least for patients who need it, because blindness decreased vision is scary, well, it’s scary, i want my vision to be good, you have such energy, such pressure, i just want to go to you to have such... an operation, no, it’s very important when the doctor inspires confidence at the first the same conversation here simply inspires trust, this is extremely important, but of course i’m proud that this is moscow, moscow healthcare, let’s take care of our health, everything will be fine, then, how

dangerous are blood streaks during a runny nose, how effective are vitamins for immunity. questions from the doctor, alexander myasnikov asks, you answer, you eat everything and didn’t say you’ll eat it, but i hate it, trust my own intuition or my neighbor, after masha, i’m no longer scared, they haven’t decided yet, it’s time to decide, catch me if. you can, a great music show, in general, i'm confused, on friday at rtr, allow yourself a first-class holiday slezorts,

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world class golf resort surrounded by lush green fields and endless horizons. enjoy contemporary design in rooms and luxury villas, ideal for couples and families. relax in comfort and style at rixos golf villas and suits sharmash. this little dream will destroy me. well, what about the master? look, your eyes are evil, your hands are small, i’ll call you zinka. my wife just left for a commuting trip, and i can’t sleep without her. "this a very good sedative, i ’m just passing my license today, let’s do it another time, not the history of a big country, the premiere is on friday. on rtr: a few years ago a gypsy woman predicted to your mother that the one you love will get rich and then leave you. what should i do, oleg? run?

don't break my heart, premiere. on saturday on rtr. time for the section questions from the doctor, we ask you questions based on previous programs, if you watched them, you have a chance to answer correctly, which means a chance. get a prize, no, well, i have it anyway the right to send you to do physical exercises so that your head works better, who is ready on these conditions, raise your hands, well, come here, what is your name? natalia! natasha, what are you doing? i am an interior designer. well, it sounds decent, give it a spin! so, pharmacy vitamins, well, the vitamins that we buy at the pharmacy are synthetic, are they effective for

improving the functioning of the immune system? natasha, that’s good, you have a strong immune system, the last time you were sick was before the new year, and before that, well, probably last spring, already i don’t remember exactly, yeah, well... that is , you don’t get sick often, which means you’re strong, you do physical activity, exercise in the morning, well , at least, well, i do it, you don’t overeat, as i see it, i have a fast metabolism, yeah, that means , you eat everything and are not ready, yes, yes, i hate it, good, but you take pharmacy vitamins in the winter to improve immunity, well... and now he answers, so to speak, to the country, are pharmacy vitamins effective for improving the functioning of the immune system? that's

really all the work that exists they say that uh, vitamins, yes, they are very important for the immune system, but they are important when we take them with meat, chicken, fish, vegetables, fruits, and so on and so forth, grains, yes, they are like- then first aid kits are absorbed differently. vitamins, they have a right to be, they are needed, but who? they are needed by people with symptoms of vitamin deficiency, weakened people, alcoholics, pregnant women, by the way, yes, someone else, but if you are a healthy, normal woman, well, they are for you, they are of no use to you, so the answer is correct, are streaks of blood during a runny nose a dangerous symptom? think again, think again, otherwise you’ll scare me now, why not, blood, streaks in the nose, well, my female intuition

tells me that they are not dangerous, it’s like a side effect, it’s very strong, if you try to blow your nose, a blood streak appears, well yes, as a rule, it is absolutely safe, it may burst the blood vessel, especially since we try to blow our nose quite intensely. so basically no, it can be dangerous, but i don’t know somehow, if i’m just pulling the wool over my ears, no, well done, i wrote it correctly, home-made canned food is safer than store-bought, and soon i won’t eat canned food, it’s safer, and i heard what kind of taxin was used, but by the way, it can be both here and there, well, in home-made, probably with more. cleanliness, because we still don’t fully comply with all those, well , precautions, well, let’s 2:1, let it be, we’ll agree, yes, come on, go, you have two

keys, home-canned food is actually such a thing, it’s delicious , but problematic, because bolotoxin is, unfortunately, the most serious poison, and it is home canned happens more often. well, i’m wearing the wrong dress, so, natasha, you’ve put me in a dead end, because now i have to go do some task, well, let’s go, let’s see what you can pull out first, here you go. maybe you'll be lucky, i'm already lucky, i'm already lucky, let's get it,

what does it say? intense running in place for 30 seconds, let's go get the prize, well, i 'll make a girl in a short dress run for 30 seconds, i don't want to, go ahead, it's more pleasant for me to wait. run, open it, little yellow one, only a woman chooses books by color, well done, sit down, if you want to review us, is it a platform,

look, an application or a website. look.ru, we move on. well, let's talk about streptococcus infection, because it is quite an interesting pathogen. again, the question is, there will be some practical advice, and just theoretical calculations. striptococcus, ok. variety, but we will leave this to microbiologists, what is the peculiarity of streptococcus, well, for the time being we are its carriers, and this is part of our, well, if not

normal flora, then we have it, as we know, in the pharynx there is pneumococcus, and meningococcus, streptococcus, streptococcus lives on the skin, that is , it’s not that some dangerous infection has come to our body, it exists, it’s written in the oral cavity, pharynx, intestines, vagina, and so on and so on and so on. the question is, if it causes a disease, then do we need to treat it, do we need to treat carriers, and it causes a serious disease, but the most common of them is, of course, acute foring, it’s not just... a sore throat, it’s enlarged lymph nodes, swollen tonsils, red, covered with white coating, the temperature is under 40, here is streptococcal sore throat, this is a betagelytic streptococcus of group a, this streptococcus of group a is dangerous because it can affect other organs, in general streptococcus can affect other organs, or directly, like a bacterium, spreading with the bloodstream, causing one another , third, and through

immune factors. so these immune factors cause damage to the heart of the kidneys, that is, when we are dealing with farengitis, streptococcal, and it’s easy to determine, just try it with a stick in the office and put it on like a pregnancy test, there are two strips, this means it is streptococcus, then we must treat with antibiotics, not even to cure a sore throat, because as a rule, it can go away without antibiotics for 3-4 days and most likely goes away, we must... treat for 10 days to prevent complications on the heart on the kidney, and before, before, we identified such families, did tests on brothers, sisters, children or parents, and gave them antibiotics to eradicate, today this approach is considered too harsh, but if there is an epidemic of stophylococcus around , or people had history of rheumatism, so we really

give them... antibiotics, if their family members have suffered from streptococcal tonsillitis, then streptococcus, it can be carried - by the bloodstream, firstly, if it gets into the blood, then in general any organ can be affected, this is pneumonia, by the way, very often it is pneumonia, it is also a serious necrotizing psi, that is, your skin peels off, turns black, and becomes necrotic, dies, it’s just pieces by pieces, it’s very difficult to cope with something, and a person often dies from this , that is, this a serious, serious infection that can protect a number of others, for example, there is another group b srepakov, so it is the first cause, for example, in children, meningitis and newborns, pneumonia of newborns, then it is replaced by other bacteria, in general, this is serious. and

the question is: what to do with it? well, then the answer is probably simple. first, try to make sure that she is the carrier, so that it is with you, if.

suddenly it began to appear, sometimes we cannot name the reason, it will be on the skin, suddenly severe inflammation of the skin begins, then, what we call cellulite, you call it cellulite is different, here is an orange peel, but for a doctor cellulite is an inflammation of the skin, serious, caused by streptococcus, which can do all this, then, when is it necessary to treat a streptococcal infection when this is not necessary? what to do about infections? not everything is so linear, just a melody for two in the previous episodes, i was upset that i didn’t have time to take you to work myself, now

i’m late for the office so that you’ll be late somewhere, victoria safonova, director of a large bureau transfers, the year is planned every minute, but it’s boring, she’s used to planning everything, life, work, rest, i’ve already packed my things ... to the airport, but vika’s husband ruins her plans, you’ll leave me without a morning kiss, but here we’re painting, and her peace is being disturbed by an uninvited roommate, forgive me, this is my room, in general you have a conscience, but i ’m not going anywhere, let’s shout, finish your performances, meet victoria, my bride, bride, yes, what do you allow yourself , what kind of bride are you, the deception is on me, here i feel... lying, melody for two, continuation, watch today on rtr.

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fashion weak, i can’t pay for the show of your collection in europe, but i didn’t become a famous musician either, or maybe we were both mistaken, they say that the past cannot be returned, sorry, what year is it now, but you can go back there, but what’s wrong with you, what? you are somehow different, there will be a competition for young designers soon, maybe we can take part together, yes already no, in 17 years you will see him , you will run after him like a cute girl, hello, something is wrong, we met somewhere, you are avoiding me, i thought i could change fate, but but if only until sunday on rta. the program about the most important thing

continues, we are talking about streptococcus, what else is the question, when to treat, not to treat with antibiotics, we are already saying that we treat carriers only if there are symptoms, or the person had problems with the heart, with the kidneys before, or it goes around epidemic, which also happens, then we give antibiotics and just carrier, in other cases we do not treat carriage, just like we do not treat carriage of meningitis, and so on and so forth, because we have long understood that this does not help, there have been studies in kibbutzim, where people live very densely, where there is a high infection rate, in this case, they all burned out meningitis, all this did not affect further outbreaks of pneumonia and er meningitis, as for the vaccine, there is no vaccine, there is no vaccine for streptococcus

at all, and not only streptococcus a, but ib, there is no vaccine for streptococcus, although they work they work, although they don’t really understand how streptococcal antibodies will protect the heart, kidneys, precisely from these immune reactions, and they are carriers and in general it ’s not so simple with the vaccine, yes, that’s all, that’s all ... these are all streptococcal diseases, once again, today we are in a situation where infectious diseases are slowly coming into first place, they were in first place once, then there was a short period of success with antibiotics, and today we are faced with the fact that that atherosclerosis is an infectious inflammatory disease, even there have been attempts to treat atherosclerosis with antibiotics, today we are faced with the fact that...

diseases, so we don’t really understand this, because the old understanding is that any microbe must be eliminated. antibiotics are changing today, firstly, microbes no longer respond to antibiotics, resistance is almost universal, and secondly, we don’t really understand what we are doing, well, okay, now my personal speculation, here is heleobacter pylori, which causes stomach ulcers , but 85% of the population in russia and in many countries, 85, well, almost everyone is infected with it, but in europe there in america they are fighting, they reduced it to 40%, there and so on. why do we actually give an antibiotic only if there are symptoms, just

like with streptococcus, there are symptoms, we treat, there are no symptoms, we don’t treat, well , because we are trying to prevent resistance, the same with helibacter pylori, there is pain, we give antibiotics, no, no, and here’s another reason why i think, i think we will still have us later, because let’s say the geleobacter is known throughout the genome, it goes somewhere to primitive man, we live with geleobacter... that’s it the time that humanity exists is part, the most important part of our microbiome, that’s why it exists, we don’t know why it protects us, and we are its antibiotic, and we are its antibiotic. maybe we can cure the ulcer, but then we still need to look at the consequences, what this means, i think we will see this someday too, because now so many things are being refuted, i think this is the approach to treatment there, for example, we also received a nobel

prize, we were glad that it turns out to cause stomach ulcers, well, yes, in some people causes, some don’t, we don’t know much, i think it’s attraction. infectious diseases, microbiology and so on, we have made a circle from victory, from complete supposed understanding to the fact that we do not understand anything and do not know how to deal with it, we treat the heart and we will install stands very well, we will replace the knee, a shunt let’s put the outflow in mind, do something else there, put him on dialysis instead of a kidney, that’s what to do with infections, not everything is so linearly simple, well, okay. rubric time ask the doctor so who has questions, ask, raise your hands, good morning, alexander leonidovich, my name is galina, good, and i have such an interesting

question, 2 years ago i had a postal ring, the ambulance call was canceled. attack for 2 years nothing bothered me, this year i had pain in the lumbar region, i did an ultrasound of the kidneys, which means on the left - they found a stone of 1 cm 4 mm, which means in the kidney alkhanki, yeah, that means the doctor, the urologist at the clinic said that with you don’t have to do anything about it, you can live with it all your life, i don’t agree, you know, he’s right about in what way? he won’t come out on his own, and if he comes out, it’s only an operation, on the other hand, if there are no symptoms, he’s just lying there, if there are no symptoms, and you live in moscow within reach of medical care, then you can take your time, there’s a chance that it will go and cause pain, one in twenty, that is, you

can live in peace, you have 19 chances against one that it will never go in your life, and if it does, then you need... lithotripsy and so on, already go, but you've already taken a ride in soon and you know what it is, and to climb now in the kidney, but why, if most likely it will never be with you, that is , there is no way to dissolve it, this stone, no, not the size, nothing can be dissolved at all, neither a gallstone, nor a kidney stone, you can reduce stone formation, there is a certain diet , refusal of salt, from meat, large amounts of liquid, alkalization of urine in one case or, on the contrary, oxidation there depending on the stone, if you have gout, treat it with agra, if there are struvates, then this is an antimicrobial treatment, well, he should tell you separately, but it’s stupid to remove it like this or don’t clean it up, wait until you’re sick, then you’ll clean it up, you’re not going to the northern field, if you were going somewhere for medical help, of course you need to clean it up preventively, otherwise you can wait, well, it makes sense to at least do an ultrasound once a year , or

you can just live with it, but what’s the point if there are no symptoms, i understand, thank you, yeah. alexandrovich, good health, good, i have, yes, good health, thank you, good health, yes, thank you, but i have this question, until i was 25, well, i went in for sports, i was rocking there during this bodybuilding, well, i quit because of work and for work, and somewhere around the age of 29-30 i began to experience shortness of breath, and then i went to the pulmonologist and they told me that i have asthma... . here ’s the question, but they diagnose me with asthma, what do i need to do and take medications almost every day, there are all these things, and that is, i get shortness of breath, probably, well, twice a year, where- then every six months, if there is any slight shortness of breath, i remove it myself using the method there there

strelnikova, the method of breathing is correct, that’s all, i just don’t fight the question with the doctors, but that is, well, i say this, but... they tell me: i need to take such and such, such and such drugs every day, i refuse, that’s right am i doing it or not? well, oddly enough, more likely yes than no, i’ll explain why: treatment of asthma is reminiscent of the steps along which the doctor walks with the patient if you are diagnosed with asthma, but at the same time you have practically no attacks, twice a year, it’s not clear what . then it’s enough to lose weight, yeah, do gymnastics, pulmonary gymnastics, breathing exercises, everything, well, really reduce the weight, because , among other things, the lungs.

if you do it once a week or more often, or have used it at least once at night, you must move to another step and another inhaler will be added to you, you... it’s all gone, you do nothing, or it persists, go to the third step, they give you hormones there to breathe and so on and so forth, for some time, you are on this step, you have nothing, a month has passed, everything is fine, we are filming what we were given here, then again there is nothing, we film again, so you walk up and down these steps, if, as you say, you have no symptoms, no shortness of breath, no attacks, and you do not resort to an inhaler. well, live in peace, thank you very much, thank you, good

morning, good, alexander leonidovich, i really love your program, i watch you all the time, so i underwent disponterization and discovered that my tsh was low, how much is there, here i have another ultrasound, this is tsh and for me, well, there are no medications yet. not recommended they said that in 3 months i should retake the tests again, but don’t enjoy life, the question is that i’m suffering from shortness of breath, well, you know, first of all, you need shortness of breath, it’s not like your tests are normal, the tests are normal , it’s not sea-low, he doesn’t talk about anything, nothing at all, not anything at all, then repeat, maybe not repeat, there was no pathology, with shortness of breath you need to understand what it is, it’s overweight, detraining, what is this even like that? has nothing to do with the thyroid gland, thank you very much, i answered all your questions, everyone i wish you good health, good luck, further in the program

women's health, why constipation occurs and how to get rid of it, when your girl turns 18, she will receive a gift, whoever she loves among the men, good luck and wealth will come to him. but as soon as he gets rich, he leaves her, suddenly the gypsies lied, well, hit her, i just realized today how much i like you, how beautiful you are, max, yes, what are you doing, i don’t believe a single word you say, you just don’t lean too hard, otherwise you’ll scare me away, he’ll run away, he won’t run away from me. can you hear it beating, i will protect you, who offends you? a magical gift that became a curse, i made up my mind, i will

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the mystery of the last sixty years , we found the one. the girl in the rain with whom the cult film began, who is she? malakhov, today on rtr. good morning, hello, bowel dysfunction or constipation, unfortunately, is a fairly common problem; this problem has many negative consequences, in addition to bloating, flatulence and other unpleasant sensations. these unpleasant consequences concern both appearance and serious health problems. we asked our audience in the audience today to write down their questions, so let's look at the most frequently asked questions. well, in order for our conversation to be more substantive, i want to invite an expert doctor to the studio. elvira vitalievna fisenko, candidate of medical sciences, associate professor,

general practitioner, nutritionist, leading specialist of the clinical department. first question: what is considered constipation, how often should a person go to the toilet? there is no clear standard for what frequency of defecation today; of course, it is believed that it is better once or twice a day, but at least once every 2 days. nevertheless , this norm is individual, it depends on a large number of factors, what kind of life a person leads, what features of his digestive tract, his motor activity, quality of nutrition, diet , and so on. here the most important and main question is what is the quality of life of a person and whether this brings relief to defecation or, on the contrary, brings a feeling of some kind of discomfort, it was ekaterina,

please raise your hand, good morning, good morning, ekaterina. how often do you have bowel movements? when i was young, it was supposed to be once a day, but now it’s somehow less frequent, once every two days, even once every three days, but i don’t feel any problems. if you don't have any unpleasant symptoms associated with stool retention, you don’t have to strain too much during defecation, then you don’t have to worry, everything is really fine with you, that is , the frequency of defecation is individual, but once a week is the norm, as a rule, people who have defecation. happens once a week, feels bad, diffusion does not bring the relief that it should, and indeed this is a reason to turn to specialists or change your lifestyle, this is probably the first thing, this is exactly the next question we have about about lifestyle changes: is it true that exercise helps in the fight against constipation? this is absolutely true, because our body functions

correctly when we move, the intestines are... smooth muscle muscles, any physical activity, it can be running, it can be fast walking, leads to the fact that the intestines are in a functional position, therefore, due to the fact that we involved... we strengthen her motor skills. the next question is: is constipation itself safe? constipation may be a warning sign or a risk factor for some diseases or pathological conditions. it could be hemorrhoids, it could be cancer. in general, this can contribute to the deterioration of a person’s appearance, his skin condition, and can serve as an increased risk factor. temporary aging, this can lead to displacement, omission of the pelvic organs, and in general be the cause of impaired absorption of vitamins and minerals, that is, there is a fairly wide range of problems that need to be

paid attention to. abnormal bowel movements, constipation is a risk factor for the development of colorectal cancer, colon cancer. colorectal cancer now takes the leading position in terms of mortality from cancer. next question. i heard that in order to avoid constipation, you need to add more dietary fiber to your food, is this true, olga asked a question, hello, hello, yes, i really encountered this, now everything is fine, so a lot of bell peppers and salads have appeared in my diet , vegetables, also porridge in the morning, here’s my husband, he doesn’t join me, i see how he’s suffering, now we need to take it seriously and give some arguments. about the arguments for everyone, please explain why this food is better for the intestines and for defecation than this food, not all food helps fight constipation and not all dietary fiber

helps eliminate constipation and improve the function of the digestive tract, that’s just sweet food , butter, salted, smoked, yes, this contributes to the deterioration of the function of the digestive tract, the compaction of feces aggravates precisely the process of this defecation. so doctors are often there to fight with constipation, they recommend a type of diet with a predominance of proper, good dietary fiber, such as porridge, whole grain bread, sour-milk products and, of course, various vegetables. dietary fiber is divided into two large groups: soluble dietary fiber and insoluble fiber. soluble ones play a very important role in our body. reduce cholesterol levels, lower sugar levels. and, accordingly, reduce the risk of developing diabetes and cardiovascular diseases. but insoluble dietary fiber, they just contribute the formation of the correct food bolus and

its faster movement along the intestinal tube. therefore, we need both types of fiber, but we need to be very careful here, since suddenly adding too much insoluble dietary fiber to the diet can lead to increased excess. formation and belching, that is , again, the quality of life and health of our patient decreases, so the daily norm is 15-20 g per day, and as for soluble fibers, these are actually unique fibers that have incredible absorption capacity, for example, fibers based on the shell of plantain seeds can absorb up to 40 ml of water per 1 g, that is, such a jelly-like mass is formed. which acts in our intestines as a kind of lubricant, helps soften stool and facilitates the process of diffusion. next question: i tried laxative enemas for constipation, but there was no improvement, what

actually works? natalia, please raise your hand, good morning, how often do you use enemas? once a week, but i feel that the microflora is disturbed, so i have to take probiotics, i don’t take it more than once a week. after enemas, you know, i have such heaviness and such discomfort in my stomach, so, if not an enema, what do you use? i took laxatives, they help, but not every time. natasha, indeed, enemas in any case not only disrupt the intestinal microbiota, which is the key to the health of our entire body, but unfortunately, it is always also microtraumatization, the intestinal mucosa and, of course, the risk of hemorrhoids with frequent use enemas it of course increases, so an enema, you know, such an express aid, should not be used often and regularly. let's figure out what we should do. today , there are unique products based on

psyllium fibers, which have unique properties that help eliminate toxins, carcinogens, excess cholesterol, and reduce the risk of developing estrogen-dependent colorectal cancer tumors. they are also completely safe, unlike other laxative enemas, indeed, they do not irritate the intestinal receptors, but enhance, influence intestinal motility and generally soften the process of this defecation, especially with hemorrhoids. psyllium fiber contains both soluble and insoluble components. at the same time, we not only eliminate constipation, but also normalize intestinal function. products based on plantain fibers are a prebiotic, that is , they normalize the functioning of the intestinal microflora, and accordingly affect our entire health throughout our entire body. and what else very important, safe for use during pregnancy. and for nursing women, i think that

many people have plantain growing in their dachas, is harvesting and drying this plantain suitable or do you need some special one? let's see, when choosing such products, you should pay attention to the fact that the active ingredient is of high purity of pharmaceutical quality, because it has the main properties. unlike other types of plantain, the psyllium seed shell, not the husk. collected in special areas of arid zones, hot countries, the shell of such seeds contains a large number of special types of mucilage, which contain up to 80% soluble dietary fiber, this is precisely the system that nature has invented that protects this grain from drying out, allows it to ripen, this is how it exerts its effect medical property, well, really, if we look at... this is a much

darker substance with fairly large pieces of husk, but here we see really very light, small particles, which quickly dissolved, and a very pleasant smell. of course, when you choose a product with highly purified psyllium fibers, you should give preference to well-known russian manufacturers who have many years of experience working with plant raw materials and follow all the technology and control production. according to the international quality standard gmp, as a rule, such manufacturers work with highly purified raw materials, which have the maximum degree of efficiency, observing all raw material quality conditions. thank you very much, dear today our viewers, the questions were really interesting, i hope that it became a little clearer and you spent this time usefully. elvira vitalievna, thank you very much for being with us today, it’s really a disruption to the work of the kiche. a fairly common problem, and

today we tried to reassure you that this problem is completely solvable, and we wish you a good day and a great mood, be healthy, we had a program with you about the most important thing. on the russia channel, evgeniy roshkov hosts in the studio. hello, the main thing is for this hour. our hail covered the polish self-propelled gun krap. aviation destroyed an entire hangar with ukrainian drones. explosions occurred in the rear in kharkov and krivoy rog. they are always guarding the borders of russia.