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tv   Doktor Myasnikov  RUSSIA1  August 24, 2024 11:50am-1:00pm MSK

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here we were given a task for 2 and a half months, but it seems to me that we coped with it well, angelina svisch, alexander chunaev, vladimir vesti, all news is always available on the media platform, watch in the application or on the vesti website follow the development of events in russia abroad, stay with us!
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kaliningrad, from the caucasus to yakutia, from moscow and st. petersburg to the urals and all the way to siberia, everyone who is ready to share their unique story with us. family of families, a new project by maria sittal, for each of us, for all over russia, to take part in the project, fill out the questionnaire on the website smotrim.ru, send, fill out the questionnaires, we are waiting with impatience. here is a kept woman, has not worked a day. lives on money, husband, today, i think, mistress, and on our bed, either you leave, or we with the children, clear, remember, without me you are an empty space, zero, you thought about the children, i will find a job, carefully, from the wreckage of the old life. it is possible
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to build a new one, at least something in business, do you understand? sometimes it is better than the previous ones, help! oh, the very first contract, i have it worked, let's be informal with me office, maria kulyakova, what the hell are you doing here? mom can, today on rtr. new recommendations for the treatment of lower back pain, who will benefit from massage, and who from acupuncture. we are talking about lower back pain, you will not defeat the lower back with this, to get rid of... more back
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, you need, firstly, if you want to strengthen the core muscles, my lower back will start working, how to take diuretics correctly to get the desired effect, but at the same time not to harm, how to take diuretics correctly, so if we are talking about people, who really have edema, it stagnates there, and after some time from the vessel from the capillaries it begins to pro... if these edemas really interfere with your life, this is called idepathic edema, you should take any diuretics, these are the strongest means that can kill you. who needs to eat apples for the prevention of intestinal diseases, and who needs pears, and can you eat fruits treated with wax? green apples are healthier than red ones. it is believed that an apple contains iron. is an apple healthier or apple juice? is the wax that apples are treated with dangerous?
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pear, hello, says doctor besyakov, you are in my clinic on belorusskaya, on the russia-1 channel, i am without a suitcase today, here are the topics of our programs, this decanter will help tell you how to take diuretic apples, well, it's the season of apples, pears, let's talk about who it is useful for, who it may not be so useful for, well , the bandage will help tell you about - new standards for treating lower back pain, which woz has released, this is a delight, this is a delight, for me for the rubric for body and soul, let's talk about how important it is to look around you, people, get a dog, get a belly, half of the illnesses you won't have, you'll be happy, and it will love you, yes baby , yes even a labrador, well, well, in general, we 're starting, how to do it right, and today we'll talk
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about how to take diuretics correctly, the thing is that if you were all sitting in front of me now, and not somewhere virtually in front of tvs, i would say: raise your hands those who have diuretics in their purses and a lot of hands would rise, these are the honest ones, and the rest are scum. if you open your purse any women, you will definitely find some paracetamol there, you will definitely find some antispasmodic and there will definitely be a diuretic. why? well, because historically it has developed this way, and what is sold here without a prescription, and my face is swollen, and my hand is swollen. and i need to lose weight, here is a machigon, a diuretic, a diuretic, it is in our heads. let's talk, is this so, what do we do and how to take diuretics correctly for those who need them? so, if we are talking about people who really have swelling, swollen hands,
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swollen legs, weight gain, that is, general edema, they can be for various reasons, and let's immediately reject the most classic of them as a result of kidney disease , heart disease, liver disease, these are serious chronic diseases in which edema already belongs to the last third of the development of this disease, that is, this is an advanced form, you already know what you are sick with, doctors also know, they already know how to manipulate machugons there, there are serious machugons and so on, and what are you saying about those, about you, you have more or less healthy heart, healthy liver, you have kidneys, you don't know, sick no, but clearly not kidney, but you by the end of the day plus...
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the time of action, well usually from half an hour to an hour and a half, but the extreme sometimes can start in 4 hours, the duration of action is 2-4 hours, it can be very powerful, if you have never taken, you can lose up to 4 liters of urine, which by the way is dangerous, then i'll tell you why, there are diuretics that start working in 3.4 hours. and works 12 dash 24 dash 48 hours, this is hypo-chlor-kiosit, the one that 48 is valid, it is not available now, it is only in the composition of one combination
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drug for the treatment of hypertension, it is called chlorthoridone, actually, this is what we use, because there are also diuretics. which you all know under different names, but it is a combination of the same hydra chlorothiazide plus triamterene, or plus amylaride, this is what preserves potassium, these are potassium-sparing drugs, and i definitely want to tell you about the drug spirolactone. it is called ve rotra-ta, this spirolactone or this shpiron, it is not a diuretic at all, no, it is roughly speaking a diuretic, and it retains potassium, but it is an aldosterone antagonist, it is practically a hormonal drug, it is used for
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adrenal swell, it is used to treat facial hair in women to treat bad skin, it causes breast swelling. exacerbation of gout, that is, i often meet, says: here is a soft mauretic, it will not act as a mauretic, it is a potassium -sparing drug, yes, it can be taken this and this together, but separately. as a diuretic, it is not used, sometimes used as an additive in the treatment of hypertension, so they are all different, but there are also soft diuretics, but they are, so to speak, they are a little bit of a different area, and they are for very specific situations, but so, roughly speaking, we mean fast-acting and these long-acting diuretics, both are available, look further. you will never remember and will not believe me in such a thing that i will tell you, do not take diuretics for the treatment
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of localized edema, on the face, one leg is swollen, your hands are swollen, so if you imagine that here this is blood, blood plasma, well blood, what is it, this is plasma, this is a saline solution, let's consider: that this is a normal volume of circulating plasma, suddenly you really started to retain water, not in your eyes, not in your arm, not in your leg, but in your whole body, your volume of circulating plasma increased, that's how it happens, for example, with heart failure, you see, it became more, you drain, you give out leukemia, all this is driven through the kidneys and the excess is drained, this is how we should... they work with edema, general, as a result some diseases. what do you have?
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here you have a normal circulatory program volume, but you stand, you are a salesperson, you do not walk very much, by the end of the day your legs swell, both of them, and plus you have gained 1, 2, 3, someone up to 5 kg, how is this not edema? and look. here you have a leg, in this case, supposedly in a sock, but you stand all the time, the blood that goes there through the vessels, it stagnates there, and after some time from the vessel from the capillaries, it begins to sweat into the tissues surrounding us and the leg begins to swell. what happens, what do you have the volume of circulating plasma does not increase
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as a result of edema, retention, you do not retain fluid, it is not that you have retained it, you have fluid going into the surrounding tissues, your legs are swelling, the volume of circulating plasma decreases, it goes straight to the brain, the volume of circulating plasma has decreased, you want to drink and you drink, catching up with the volume ... but if you continue to lose water further, the antidiuretic hormone will plasma to normal, then you no longer want to drink, to be released to retain, it will cause thirst to retain the release of fluid, and you on against this background, you drink diuretics, yes, the swelling goes away, but it immediately fills up with what sweats out of the capillaries, the plasma volume decreases, and the hormones say: stop, we are retaining water, you want to drink, you drink ... it doesn’t go away , you really are already starting to have swelling, that is , the more diuretics you drink in this situation,
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the more weight you gain tomorrow, the more you shake up the hormonal system, if these swellings really interfere with your life, these are so-called swellings, you should drink less liquid, and most importantly, the first recommendation - limit carbohydrates, simple carbohydrates break down into co2 and water, so first of all, a ban on all this sweet delicious stuff. then remember one more thing, especially those who really take mechanolytics daily due to either cardiac, renal, hepatic insufficiency, or to treat hypertension. all these drugs, hydrochlorothiosides, and so on and so forth, they certainly make up a good 2/3 of all hypertension drugs. mechanolytics do not remove water. mechanolytics remove sodium, followed by water, water
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always goes for sodium, the doctor told me to drink 2 liters of liquid, i drank three of them, already 3 liters of liquid can dilute the sodium so much that you will have convulsions. so, the rule is, diuretics, any diuretics are the strongest drugs that can kill you, i don't want to kill you, you can. take one furasimid tablet, drink it, lose 4 liters of urine, fall in convulsions you will have severe hypoanatremia, by the time they arrive, take you away, understand what your problem is, you can die. from cerebral edema, secondly, since this is a powerful drug, it is taken only on doctor's prescription only in dosages agreed upon by the doctor, well we can say that it should be taken in the morning, on an empty stomach, it doesn't matter, but just see for yourself, if a powerful diuretic works in an hour, they will give you 3 hours , drink it at night, you will run at night. third, diuretics are not always taken for
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the treatment of ae edema, but also for the treatment of arterial hypertension. the most important thing is that machagons are not taken for the treatment of local edema, remember that they are all different, because i am talking about spirolactone, which they believe is him, it was not just like that, i have a sora living at my dacha with wife, she came up and said, here is alexander ledinovich, they gave me a mild diuretic, doctors, what are you prescribing, do you even know what it is for, well, because half of them i later wrote this even on social networks, and so many people write to me, yes, many write for potassium-sparing, well done for... well done, doctors, but half write that they give us a mild diuretic in pharmacies and doctors give them and so on, why? be careful, diuretics are not a toy, throw them out of your purse, and we move on. now is the time to answer your questions, which you asked me here send, which were selected. hello,
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irina, the city of nizhny novgorod. alexander leonidovich, please tell me, can? a fairly lively state of its mucous membranes and really protect against a number of diseases, including heart disease, especially bone disease and so on and so forth and the situation when menopause occurs, when all this abruptly ends, a woman begins to age, her skin begins to dry out, the mucous membrane dries out, hence the unpleasant sensations in the throat and during
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sexual intercourse and, accordingly, the most common is a... bones, bone fractures, osteoporosis, and it is logical to assume that if we give hormones - female sex hormones, as a replacement therapy, after that there will be, to make this long story short, i will tell you just a summary: after menopause, if you have symptoms that bother you, dryness, vaginal mucous, irritability, hot flashes, poor sleep, here to treat these symptoms... you can take female sex hormones prescribed to you by a doctor for, before we they said 5 years of menopause, after menopause, now we say 10 years, but if we set the goal of preventing heart attacks, strokes, osteoporosis, we do not give hormones, because here they do more harm than good, including that very oncology, so that's it, nicotine ages a woman, sunlight,
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this is the main thing that affects wrinkles, well, a bad mood, so, good afternoon, good, and mikhail dzementyev, 46 years old, the city of alexandrov, and i have a question about zhelper's syndrome, and not so long ago, through my son, i found out that i also have this syndrome, and i didn't have any symptoms, and you... that's exactly when the child's problems started, a few years later we did an analysis for this syndrome, the question is the following, and since this syndrome is associated with the liver and the substances that are produced there, if the drugs that are harmful for this syndrome, and how best
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to protect - what is better not to eat, use, is some special diet needed, thank you, i have a question to the question, doctors, why don't you explain to patients whom you diagnose gilbert's syndrome that this is not disease, why don't you explain that there is no treatment, no dietary restrictions other than... reasonable and general ones, these patients don't need to do, why don't you explain that this is not a disease in principle, yes, it is a hereditary condition, conditioned... form, therefore it accumulates, but just why do i have here on my phone
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every day gilbert, gilbert, gilbert, i can't do this, i was told, i can't do physical exercise, i can't eat something there, i can't do this, i can't do that, i can't do the fifth, i can't do the tenth, why? listen, zhelbert is not a disease, that 's what it's called, no, it's not zhelbert's disease, it's zhelbert's syndrome. it's just an increase in belerubin, yes, sometimes it's visible, sometimes it's visible on the sclera, it doesn't require any treatment, moreover, despite the fact that patients with a tendency to zhelbert's syndrome have a higher risk of developing gallstones, nevertheless, this group of people occurs in 14% of the population, 14% of the population has an increase in belrubin within the framework of gilbert's syndrome, that is, it's 14 out of 100 people, they all write to me, i have zhelbert. doctor, am i dying or here, well, i have to with what, i say, i sat here, i say this, no one hears, i can’t do it alone, explain this 14%,
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moreover, people with gilbert's syndrome have a lower mortality rate, it is believed that this unextracted belorubin works as an antioxidant, they have less heart disease, less cancer, they live longer, well, be glad that you are zhelbert, it has accumulated. good afternoon, dear doctor, my name is fedyaeva tatyana, i am from the vladimir region, from the city of murom, i have this question for you: and 7 years ago i was diagnosed with varicose veins and the doctor recommended me to do sclerotherapy, which i did, everything was fine, that is, my leg stopped hurting, the vein went away, but six months ago i again saw such a small dilated vein under the knee, now i am in doubt, is it worth doing the operation again? or will the vein come out again over time, and what should i do, do so that maybe, well, this does not happen, thank you, maybe it will come out, maybe it will not, i don’t know, it’s
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a hereditary predisposition, plus lifestyle and so on and so forth, and we don’t know, you know, where it's weak, it breaks, you have it popping out somewhere, you performed an intervention, it disappeared, but the vein, it's a whole mesh , so dense, but somewhere it can... then as it happens, it popped out, well, that means either you put up with it, or if it's small, you sclerothe it, do something else, it can pop out again, but still , i'm not sorry, you don't pull out veins, well, yes, compression underwear, yes, exercise , yes, walking, yes, fighting swelling, yes, yes, yes, but you can pull it out, maybe, so what, and then look, well, what about you, a beautiful woman, take it away you've got this business, that's it, we're going on a... cultural break, we'll catch up, and
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if you want to review it once, this is a platform, watch the app or the site smotrim.ru, next, who needs to eat apples for the prevention of intestinal diseases, and who needs pears and... can you eat fruits treated with wax ? new recommendations for the treatment of lower back pain. who will benefit from massage, and who needs needle pricks? probably 100% of the population thinks that apples are healthy. green apples are healthier than red ones. it is believed that apples contain iron. pears are high in calories apples. is an apple or apple juice healthier ? is the wax used to treat apples and pears dangerous? we are talking about lower back pain. here. your lower back hurts, it hurts and hurts, it hurts and hurts, a needle prick, conditionally recommended, but very low efficiency, but you still
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have to do something, well yes, took a pill, it depends on where and how someone does it, you love your wife, you loved, then everything was erased like an eraser, premiere on rtr, do you have a conscience, my ideal husband, what's the idea? where in the beds of the nymphets? the most cruel loneliness is heartfelt loneliness, and if it is in this life happiness. rain at the end of summer. from monday on rtr. immerse yourself in the world of luxury comfort at rixsos golf. a magnificent world-class golf resort surrounded by lush green fields and endless horizons. enjoy
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to fix everything for the finder. a reward awaits on friday on rtr. well, let's get started? yes. if you don't know how to survive the renovation, experience it with us. there is no comfort and order in the apartment, there is no joy and peace in the heart. we really like our apartment, but we don’t like that it hasn’t been renovated. so, it’s time for big changes. breaking, not building. breathing new life into old walls. we will turn this minus into a plus. we create a soulful atmosphere. i want to wish that your sleeping area always disposes you to rest. we have adapted everything that can be for this. we warm with the warmth of the hearth. we open. i don’t believe it, no, it can’t be. holy shit! big changes, everything is always
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everything is going as it should, big changes, today tomorrow, nerter, well, thank you for staying with us, thank you for watching russia-1, we have a rubric there is time, now is the fruit season, apples, pears and... eternal questions, the fact that apples are healthy is considered by probably 100% of the population, usually i eat this during the rubric, already geoblock, well, let's see, let's go through the questions, green apples are healthier than red ones, you know, absolutely the same
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caloric content, the same content. like vitamins fiber, but if you bake duck, so i still take green apples, those that are more sour, harder, because sweet and loose varieties of apples, and there are a lot of varieties, they just boil down and form porridge, so from the point of greenery and chicken, choose what you do, some apples are used for charlotte, others for duck, baking apples with honey is the third option, yeah, it is believed that if there are holes from a worm in an apple, then the apple is environmentally friendly, i agree, yes, i agree, of course, the worm will not eat it, just as a dog will not eat it, spoiled or a cat, so the worm, rather she won't eat an apple at all, although she won't be able to tell the difference between a genetically modified product, you and i will remain hungry, we'll do this now, we'll make a sandwich.
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eh, and there are also pickled apples, salted apples, so, let's get back to the program, here are the nails in the apple, this is not a joke. this is from my childhood, it is believed that an apple contains iron, and in order to have more iron, you need to stick nails in here and let them lie, this rust forms here, after that you take out the nails and eat the apples, this replenishes your iron reserves, nonsense, why nonsense, i explain, there is iron, there is,
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it will be absorbed, no, it will not be absorbed. that is why all vegans suffer from iron deficiency anemia, although it is in apples, in pears, and in broccoli, in cabbage, iron is everywhere, only in a form that is not absorbed, it is absorbed here... from meat, let's say, this meat, this iron, let it be 10 times less than in an apple, it will be absorbed, but if i wash down this iron from meat with tea, it will not be absorbed, because tannins in tea prevent the absorption of iron, so the answer is no, so what, do i have pears with more calories than apples? listen, why are you counting all these calories? well, all vegetables, fruits have about the same caloric content, okay, pears, apples, banana, here's how many calories are in a banana, let's say there are 80 calories in a banana, in an apple and pear there are 52, 56, well somewhere around 60,
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it seemed like a big difference, but wait, but let's say you eat half a kilo of vegetables, half a kilo of fruit, there's not such a big difference all around, when you eat vegetables and fruit, you think less about the total caloric content. it's low there in any case, whether it's strawberries or plums, what about pears, well, here are grapes, it would seem, bananas, it would seem, you look more at the glycemic index, how much it causes a quick jump in sugar, apples and pears have a very low one, a very useful product for diabetics, for heart patients, for people with obesity or just overweight, in principle, this is an ideal means for losing weight, this is a huge amount of fiber, and both water-soluble. fiber, so especially in pears, insoluble fiber, which has a beneficial effect, naturally, as you well know, for constipation, but most importantly, they have such a beneficial effect on our microbiome that these bacteria from the microbiome
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signal the brain, oh, master, how good we are, or rather, he is not the master, he is a slave, to be precise, oh, it is so good there, as a result, it reduces inflammation of the vascular wall, improves the condition of these... diseases, when you drink juice, you don’t think about how many calories there are, but here it’s a different matter, it’s not just apple juice, sugar is always added here, and so on and so forth, i liked my paterborod, i have there is still some sausage left, there is still some, so i also have there, they say that pears are good for heart health, that is true, true, both apples and pears. i have information that proves that pears are healthier than apples, but that is just bureaucratic, in reality it is not different, yes, there are some substances that may be less in apples, both are healthy, is an apple healthier or apple juice, from an apple, squeezed out the juice,
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let's say, and drank it, and it would seem that you have everything healthy there, but this apple juice begins to oxidize during squeezing, in the mouth it will combine with the enzymes with... the sludge will begin to change through the esophagus, when it enters the hydrochloric acid of the stomach, it will already be a completely different product, a completely different amount of vitamins and so on and so forth, maybe even water-soluble fiber will not act the same way, but there is no other there, when we eat an apple, the same juice, here i chew, i create a food lump. licin, sludge, begins to process this fiber, the juice begins to slizirt, and it is interesting, erased it is sucked in, the blood gets in, bypasses the liver, then it gets in, this fiber gives something,
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gets saturated with acid, then gastric juice, which neutralizes this acid, because it is an alkali, and it will give everywhere, here are vitamins, here is magnesium, here is potassium, the fiber went there, this is one thing, it is a dispenser of useful substances, and ... if you squeeze it into juice like this and drink it, you will only bring harm. okay, let's go see what's next. what kind of apples do you like, doctor, smooth, even, beautiful with barrel battles? well, i don't like them, you know, such picturesque apples, laid out with such shiny sides, do not seem to me so toy-like, is the wax that apples are treated
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with dangerous? a toy, well, if it is a natural louse, probably it is a neutral substance, but that is why i do not like these picturesque non-rotting apples, well, somehow i do not really trust what they are covered with, what they are rubbed with, why do pears make your stomach hurt, but apples do not, well because pears or more, apples also make your stomach hurt, no, i have holes that in pears there is some kind of substance, some kind of fiber, called stony substance, it is rougher, but it is not so rough that you will strip your intestines, if you have a stomach ache from something, you will reduce the amount carefully. okay, i hope you were inspired by my words about the benefits of apples and pears, i hope you appreciated the humor about butterburd with sausage and an apple, although in fact there is more truth in every joke, let's move on. we
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are talking about lower back pain, but you understand that lower back pain is such a broad topic that we probably would not have enough two dozen programs on this topic, let's do this still localize more or less, believe me, statistics say that 85% of people throughout their lives have experienced lower back pain one way or another, well, where is 85, in short , each of us. there are many reasons for lower back pain, your favorite intervertebral disc herniation, muscle spasm, what you call osteochondrosis, pandyliosis, when the vertebrae begin to rub against each other, these are vertebral fractures as a result of osteoporosis, and of course dangerous, so to speak, reasons such as bone metastases, such as myelophobia and so on and so forth further, we... out of the corner of our eye, so to speak, we will also consider these reasons, let's
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talk about non-specific lower back pain, what is non-specific pain? well, acute non-specific pain is if it hurts for up to 3 weeks, chronic, if it hurts for more than a month, so your lower back hurts, it hurts and hurts, it hurts and hurts, of all the patients who came to the doctor with a cough, headache, cramps, itching, acne, you-you-you, 2% of this volume come with pain in the lower back, so out of all of them, something is found, well, the same hernia, the same spasm, the same fibromyalgia, they find it in about 40% of people, in sixty they don’t find anything, well, they are related to non-specific pain in the lower back, then the most interesting part begins, do we need to treat it? well, yes, we have non-steroidal
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anti-inflammatory drugs. let me tell you at first, i’ll make you laugh, but these are such bitter tears. just recently , the world health organization released a new guideline for the treatment of non-specific, that is, when we negate specific causes, pain in the lower back. it collected all the approaches, summarized all the literature that touches on this topic and gave out what they recommend for lower back pain, what they do not recommend and what they are categorically against? here is a summary, i will read it to you now: first: exercise therapy, therapeutic physical training, we cannot recommend due to a very low degree of effectiveness acupuncture: conditionally recommended, but a very low degree
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of effectiveness, spinal manual therapy, chiropractor, we will do a massage now, a very low degree is conditionally recommended effectiveness, massage, very low effectiveness, not recommended, traction, directly not recommended, therapeutic ultrasound not recommended through cutaneous electrical stimulation of nerves not recommended bandage belt not recommended medications nonsteroidal anti-inflammatory drugs recommended moderate effectiveness antidepressants not recommended anticonvulsants not recommended muscle relaxants antispasmodics not recommended steroid hormones not recommended local anesthetic injections sedatives, calming agents, not recommended, paracetamol, no
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recommendations, neither on the shven, neither for nor against, drug-induced weight loss as a way to reduce pain, not recommended, meaning the use of drugs to reduce weight, to make the pain go away, go there, i don't know where, bring that, i don't know what, that's what i always have a question for you, and... but you yourself know that nothing helps, otherwise the question wouldn't be raised, but you still have to do something, well, yes, i took a niceroid pill against...
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maybe that's why if you have access to a competent reflexologist, but i wouldn't say, no, if they asked me, i would say, go, go, what's the problem, will it help, if it helps, then for a short time, well, as for this, now i'll take a physical pause, i'll say everything that i think on this topic, because if we rely on... and the data is vost, but on the other hand, they are all right, you won't die from this, you won't die, we diagnosed you, we can remove the cause of this, we can't do this, it hurts, we tell you honestly, we we can't do anything, it will hurt, get out of here, but we are soviet people, we are optimists, we cannot put up with such
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a bourgeois approach cart, then i will tell you what i think on this topic, do you want to review us? this is a platform, we are watching the application or the site, watch.ru, by the way, i will definitely, you know, musculoskeletal pain, i cannot talk without touching on exercises. i will now pull myself up, you will see how it is done, because i will then, after the break, explain why this way and not otherwise. next, what exercises really help to cope with lower back pain, why is it important to look at the world around you and how to learn to do it? you will not defeat your lower back with this, to get rid of
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back pain, you need, firstly, if you want to strengthen your core muscles. "do as you can, but what is the danger, my lower back will start to work, how to stop being blinkered, how important it is to look around, this callousness of ours comes from the fact that we you stop and look around, and you can distinguish the sunrise from the sunset in the picture, there is only what i see, this i believe exists, i turned away, this does not exist"? here is a kept woman, has not worked a day, lives on her husband's money, today, it turns out, i am a mistress, and on our bed, either you leave, or we with the children, okay, remember, without me you are an empty space, zero, have you
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thought about the children, i will find a job, be careful! from the ruins of the old life you can build a new one, at least something in business, you understand, sometimes it is better than the previous ones, my very first contract, i succeeded, let's be informal with me office, maria kulyakova, what the hell are you doing here, mom, maybe, today on rtr.
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so, thank you for staying with us, thank you for watching russia-1, let's move on, non-specific lower back pain, non -specific, when there is pain, but there is no hernia, no spasm, there seems to be no such reason, but the back hurts, hurts for months, hurts for a long time, interferes with life, this is the most common scenario for lower back pain, to do, we just talked before the break about the recommendations of the vos, which say nothing is effective,
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nothing at all, here a painkiller helps temporarily non-steroidal anti-inflammatory drugs, while antispasmodics are not needed, antidepressants are not needed, sedatives are not needed, nothing is needed, but what to do? physical therapy, maybe it won’t help you, what is physical therapy? a very strong muscular frame and back muscles that hold it straight, and because
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there is still pain, we cannot find the cause, yes, but we can know the mechanism of its occurrence, this is when we have a certain closure in the pain receptor system, the path to the brain, the center of pain perception and back. this is when this begins pain impulse between the lower back and the head to go back and forth to interrupt it, you know, as for one impulse there is always another impulse, if you work on your lower back, and it is impossible to work on it, why did i say pull-ups now, look, i was just showing that you can do it differently, for example, wrestlers, they need to learn to pull up with a jerk, you understand why the grip, hence the rope, pull-ups on one hand
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and so on. if you want to strengthen your core muscles, the core is the inside, we see the muscles on the outside, but most of the muscles are on the inside, along the spine, along the thrown wall and so on. the internal muscles, which are actually flabby, are ultimately the sacrums of pain, and how do you pump them up? dumbbells, you won’t pump them up, burpees, yes, pull-ups, yes, there are a lot of other exercises, this one with a wheel, yes, now i ’ll lift my t-shirt, look specifically at the lower back, so.
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i don’t know what was visible there, but i feel how the back muscles are straining, understand, everyone’s back hurts, but for those who exercise properly , it can hurt from muscle overexertion, well, that's how... the source of chronic pain this will not be, yes, it requires constant exercises, i do not urge you to do as i do, do as you can, but what is the danger, if you do it wrong, you will greatly aggravate the situation, because as soon as we do, for example , a deadlift, but there must be a back absolutely, you can't do it like that, you will ruin your back immediately, with the wheel the same thing. the back should be straight, you see, mine is straight, here i start, it's just that my arms
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are short, that's all. but the mouse exercise is coming soon, remember, i started my first exercises with a balance board here, not only the unfamiliar to me mouse from the legs works on it, the lower back and core muscles work great on it. not only the legs, if i stand like this for a while, my lower back will start working, that's why it's not a laparotomy of physical activity, but i don't know any other, the cart doesn't know any other, and other patients don't know any other, you understand,
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so i think physical education is weight loss. move, just always remember that you need to exclude oncology, you need to exclude infection, you need to exclude a hernia, this definitely, when all this is excluded, take care of yourself, take care of strengthening your muscle frame, by 80 percent, i guarantee you that you will feel much better, the pain will simply go away, well, and we move on, well, today we have a rubric for the soul and body: how to stop being blinkered, how important it is to look around, well, you know, somehow it didn’t touch me, to be honest, i didn’t understand the idea, now i’m holding this miracle in my arms, you are pleased to look at me, you are touched, i am touched, in
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childhood this was the norm, this is the feeling tenderness, when we communicated with animals, cats, rats, mice, butterflies, when we fought with a shoe bag, it was always there, with age we inevitably become callous, well, how could it be otherwise, well, first of all, it is always easier to spit in an open soul, life teaches a lesson, and if you think about it, this callousness of ours occurs because we... stop looking around, we become blinkered, you know, we develop faceted vision, like a fly, only a fly sees us 360°, and we do not, today we see this aspect, this, this, this, these blinkers, which here we should, we see only forward, right, we see the goal, but not always this goal that we see is what we strive for, because you know that
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to set a goal correctly means to succeed in life. in the overwhelming majority of cases we go to the goal, when we achieve it, we understand that it was false, and accordingly, what is beauty and why people deify it, whether it is emptiness in which, or a flickering fire in a vessel, life, in my opinion, is precisely a flickering fire in a vessel, and how can you consider, if you only look there, there's money, there's cars, there's this, here... i have an anthill here, as children we looked at the anthill and saw a whole life, by the way, see, what is she doing, in theory i should let her go, she should get to know the studio, sniff around and get to know life, but i feel sorry to let her go, because she's so cute, well, i'm letting you go, you'll go, yes, somewhere, yes, well, where are you, okay, sit for now, you stop and look around, you
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know, i've been hosting shows for a long time, for a long time you... told different stories, one of them never leaves me, by the way, i won’t draw the right conclusions from it, i was walking through a department in america where severe chronic patients were lying, my gaze fell on an open door where there were two beds, an old woman was lying by the window, well-groomed, well, apparently she was already in deep dementia, so she... lay on the bed and twirled something in her hands like this, catching a bunny, and i looked at her face, she was happy, happy, like a child’s, i thought: my god, here we are we regret that she has dementia, doesn't remember something, doesn't know something, yes, she doesn't remember, does n't know, but she knows how to enjoy
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a ray of sunshine, and we haven't for a long time, my mother... i also told you, six months before her death i sent her to crimea, when she arrived, she said: talik, you've gone crazy, you sent me to the old women, at 92.5 years old, yes, she says, to the old women, she said, you know, i woke up early-early at dawn, i caught when the first ray of sunshine rises, here it falls through the foliage and flowers onto my balcony, i saw this ray, i remembered my childhood understood that life is beautiful, so you can rejoice at the ray, you will see it at all, but i have a question for you, very little. they will say: can you tell the difference in the picture between sunrise and sunset, and there, and there is red, no, without without without cardinal directions, it is very simple, but just by the smell of the picture, in fact it
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is possible, and you know how a small ball smells, this smell, which seems to be not there, but it is there, you understand that all life, as a very famous, one of the most famous world climbers said, you saw sasha abramov on my program on osg, he he said: when you are high on the wall and there is an abyss beneath you, your whole world is 3 m up, 3 m down, 3 m to the right, 3 m to the left, 3 m straight ahead, 3 m back, this is your world, there is no other, and you stop being afraid, because you operate in this world, if you are afraid to look, you are lost, in essence we... and what is not, everything else is an illusion, everything is in the phone, it is an illusion, you remember, bishop berkeley,
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berkeleyans, only what i see exists , this is what i see, it exists, i turned away, it does not exist, you can prove me wrong, tomorrow there will be no electricity, all this will collapse, go for a walk, here... most of our viewers are people already in their second half, the second half of their lives, you understand, we can, yes, we are happy with children, grandchildren, thank god that most have grandchildren, but i think that we need to find joy and pleasure by looking around, that's why i keep saying, go outside, finally break this vicious circle, home, drugstore, there the store and back, you see, just look, well, just remember how we looked at the anthill, where they are, well, that an artificial anthill, but this is a whole
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world, look at the leaf, i , by the way, by the way, apparently, this is already senile sentimentality, i live outside the city, i go back and forth all the time, but i live outside the city, i have 100 km one end, 100 km the other, and i sit and think, what is this, such a small oak leaf fell on me, such a small one, but already carved, listen, it turns out that i have never seen such small decorated leaves in my life, there are some like this , there are some like this, there are different ones, like these i just didn't see the little ones, you know, i sat for about five minutes studying it, i just... said , i think, listen, well, for me this is a miracle-pre, you 'll say, it may be nonsense, but you know how, look around, because it's so nice, well, i understand, the city, but you can still
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do something, how nice it is to look at the same sun, at the same clouds or when the same clouds that begin to change shape, because it's a miracle to look behind the clouds, you know, of course this is nothing to talk about if you are immersed in depression, in business, if you are tormented without money, if you feel anxious that tomorrow there will be a war, then a nuclear war, then a catastrophe, then everything will be bad, none of my beliefs will work on you, they are for them, people who are so depressed, or are not able to enjoy a ray of sunshine or a puppy, they remain behind the scenes, this is not for them, this is for those who feel discomfort from the way they live, who still have this left, who want, but do not understand what to do, who thinks, maybe for this i need to go somewhere, maybe i need to go in... smell it, think about how it grows, and
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how they make a square apple out of it, just life, it's all around us, you don't have to go anywhere, everything is around, it's all in our head, learn to use it correctly, learn to think positively. yes, this is the most important thing, then you will feel that there are many more smells than you feel, many more colors than you see, you hear many more sounds than they are, this is... absolutely true, i have been practicing this for a long time, i can guarantee you that this is so, so join this way of thinking, we are together again, it's a pity, i can't take her away, because eugene will get jealous and die of depression, although it's a girl, he's a boy, in general, the ways of the lord are inscrutable, but he already has one, okay, dr. myasnyakov was with you, i wish you good health and a good mood to live until our next... programs, everything
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will be fine with you, goodbye, here's one woman who left her husband because she found out that he bought two diamond discs for some kind of grinder, all the walls are covered in graffiti, vasya plus olya, i'm at war with my neighbor, she'll live in our bedroom, my throat is dry or in... it's stabbing, my heart is dry, humor, humor, humor, premiere, today on rtr, we present you with comfortable, durable and stylish artex sneakers, in which you will feel comfortable in any situation, these are stylish and durable shoes that will suit both men and women, the sneakers have a soft back and side panels, this design saves your feet from...
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impresses with its original triangular design and innovative tribrush technology: you can easily clean under furniture, where it is usually very difficult to reach, only today the unique, ingenious cordless livington dipper sweeper with smart built-in corner bumpers that protect your furniture, skirting boards and walls from scratches can be yours for only 89.95, but if you call make... order directly now, you will get an incredible discount of 20 euros. and the livington dipper sweeper will be yours for an incredible 6995. but hurry, the offer is strictly limited. good morning, dear comrade, listen to radio molya. we are starting a concert by requests , trudazh. coming home from school, please your neighbors,
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to everyone who is waiting for new hits from vladimir matetsky, i answer, it is not evening yet, now is not the time for food, it is time for spiritual search, time passes, meanwhile they will order olga to make tea, good evening, this is ...
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stackers, a hundred percent guarantee that it is boring there won't be, you're not afraid, there can be polovtsians here, what tourists are looking for in the cave, we have one of the answers, maybe it's the right one, puddles, one hundred percent pleasure from the game, do you know how to zhambivat, i'm just smart, yes , yes, 100 to one, let's go, tomorrow on rtr, sometimes you need to rethink the situation, give me 3 days, i want to understand what's going on, it's often necessary to rebuild tactics. i just wanted us, don't push, please, give me time, it's always important to review the secrets of the investigation, there is a version, from monday to friday on rtr, today in the program big
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changes, how to create a soulful interior? like my dress, a lot of paint in the kitchen, is it safe? the structure turns over, and there is an alpine buttercup, a proud daffodil, a sunny dandelion, all this and much more, watch! in our today's issue,
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today big changes in a family with an interesting surname. moskal, oleg - a former serviceman, larisa - an exemplary officer's wife, daughter nastya has already grown up. the family has a common and very important cause, they collect and transport humanitarian aid to liberated villages zaporizhia region. the muscovites themselves come from zaporizhia. when the special military operation began in the twenty-second year, the lands of our ancestors from the village were first of all liberated literally there in the first weeks. and my relatives, including my younger brother, he decided to serve the people, he immediately went.
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some kind of office supplies, if new, then of course we give them to schools, to kindergartens, toys that are used, well, i have good ones there, and almost not new toys, well, also here is a low-income person in the village, we know who in needs it, this year the older muscovites turn 55, they have been married for 35 years , have known each other for almost 45, when i met her, she was still running around with pigtails, with bows, we met at a pioneer camp, well and... a disco and i liked the boy, such a nice one, but he was too shy, there was a white dance, and i'm not a teenager, i took him and invited him to a slow dance, that's all, oleg finished first the moscow suvorovskaya,

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