so, dear friends, instead of the brain of a light bulb, the light does not burn in them, because the great bows of knowledge have not yet touched these light sources. today we will sow the reasonable good eternal and debunk the myths about dementia, answering your questions. and then the light of truth will shine on us all, please. first question. i noticed that my mother began to forget the simplest things - someone's birthday phone number. i began to worry. uh, advised her to see a doctor, since it could be dementia, but mom claims that forgetfulness. it's just a sign of old age. as they say, the norm, dmitry nikolaevich, is forgetfulness a normal aging process or not? this is a myth, meaning forgetfulness is not a normal aging process. ah,

forgetfulness in some form in a small one in a large one, or forgetfulness, and well-known well-known names , forgetfulness of the routes along which people go, and back and forth of familiar routes, forgetfulness of things that we put somewhere. this is not a normal process. these are the first and second or third signs of dementia senile dementia. and these are the signs of the terrible whether you will go to the brain to tell what is happening, what is the process of memorization in general. and what is being lost? see the memorization process arranged. uh, incredibly complicated in a simplified way , it looks like this, that is, memorization is the formation of new connections between brain cells between nerve cells. these are the cells in the gray areas of the brain. and just like that, in contact with other cells, creating new ways of interaction and for street memory, that is,

these new paths are a huge pedestrian waste, but this is the mechanism of memory. that is, these are paths of the path of a nerve impulse. each action has its own, but they always exist. and now, if you stopped creating them or if they began to collapse for various reasons, then it’s bad, so no. mom is absolutely wrong in everything, you need to find out what is happening and fight it without fail. next question. i recently heard that a distant relative was diagnosed with dementia. she 's taking some kind of medication for this disease, but everywhere i heard that there is no cure for dementia. the cure for dementia no, is it a myth or is it true herman is it true at the moment we do not have a drug that can cure or prevent

dementia, that we have, we have drugs that make these connections work a little easier. they slightly reduce the symptoms of dementia, but, unfortunately, not as they are today. when will people receive immediately the nobel prize time. i just want to say, here germashevich is right, the light of truth burns direct cures for dementia, which effectively stop it or warn no. but what, we have great cardiac drugs used to be diagnosed as vascular going away. what can a person do? it's a different matter, what if a person controls blood pressure cholesterol levels? the chance of developing dementia is significantly reduced. why? because we level the so-called vascular dementia, because these cells receive blood

flow as long as there is blood flow. there are nutrients . they live if this is not there, if you have diabetes atherosclerosis hypertension here, nothing arrives. these connections are dying. they need nutrition and drugs to treat hypertension. we have a drug to treat diabetes. we have a drug to lower cholesterol. we have this we have had for many years, we have divided dementia into vascular dementia caused by hypertension, atherosclerosis and diabetes, and true dementia of alzheimer's disease when it forms amyloid plaques. now both conditions have been combined into one, as there are no special drugs, so we are definitely talking about vascular drugs, and from pressure from father's cholesterol. sugars help, which further improves brain blood flow. and this is also proven to be important. and maybe the most important part of our life is physical activity, as we say, cardio load is feasible for a person

of explosive age. daily for at least 30 minutes, it provides sufficient blood flow. and here in the brain and thereby maintains nerve connections in good condition. the next question is recently with a girlfriend. we discussed dementia. she had read on the internet that this disease did not controlled. and i think that its development can be seen. well, you personally assume slow dementia, well vitamins take vitamins. what kind of vitamin c vitamins do we have from all diseases in russia andrey petrovich helps two brains. answer me the question dementia can be slowed down is it a myth or truth? of course, you can slow it down, because please look, this is the brain we have with dementia, and this is a normal brain and business. just everything in the bloodstream in supplying oxygen to the brain with nutrients, and we

they said that if we have, uh, diabetes, hypertension, high cholesterol, these factors bring dementia closer. and all that we can do in the form of proper exercise treatment that we have just discussed, they can slow the onset of dementia. or even exclude its presence in our lives , remember, maybe it will be. these are the ones i want to say separately about diabetes, because with diabetes , nerve endings are destroyed in such a way that even sensitivity is a problem. not only that the vessels that bring blood to the nerve cells suffer , and even the most nervous tissue is damaged by high sugar, and we have the term diabetic encephalopathy, a direct lesion. many levels of sugar need to eliminate the bad habit of chicken

drinking and it is very important for people with incipient dementia to correct hearing, because hearing loss is a very large component for progression. these diseases are another question. listen to my mom. a diagnosis of dementia was made. i'm now worried, will i have something same thing, dementia is inherited. dementia is inherited, is it a myth or is it true, and this is a myth, that is, genes that would regulate the development of dementia have not been found now, but once again we will return to the fact that there is a predisposition predisposition, your own is now regulated by modern life by you. if you control your blood pressure , we will tell you more about it, if you correlate correctly, and your blood sugar, if you have regular cardio, exercise and

your cholesterol level is normal, thus you prevent the onset of dementia. that is, this is not a direct hereditary disease, but a predisposition to dementia is transmitted how to reduce your risk factors, we told me my dad had alzheimer's disease real in all its glory. your mother has alzheimer's disease that is, whatever one may say, despite the fact that there is no direct inheritance, but you and i are in a high risk group, because relatives had dementia in the first place, therefore, we no one needs to monitor the pressure of zachlisterin for sugar. it is necessary to at least die to monitor the blood flow of the brain and engage in physical education and do not need to sleep a lot. here is for you and me. these are not just words. we are indeed from a high risk group and continue

our program. thinner dmitry nikolaevich well , please, thinner. but the bread can be thicker , we started not sleeping. today we will talk about the fat of forbidden joy, today we have fat, bring us a larger piece to the studio. so the fat we go up a piece. so, it's not kosher fat. completely rehabilitated all the accusations that lard e causes heart attacks, strokes and somehow it doesn’t affect you, cardiologists treat lard

well. and as an eminent cardiologist. herman shayd. gandelman, no, no, yes, and yes, he eats a piece of earth, no matter what. why forbidden fruit? why lard was considered a forbidden fruit even, uh, not a few years ago. e representation, and we are talking about medical representations. they are just about some everyday things, but they consisted in the fact that fat has two two vices. threshold. the first one is high level cholesterol, a, and it seemed that cholesterol negatively affects our blood vessels and there they form this sclerotic plaque. the second threshold is the high calorie content of this sal a 800, approximately kilocalories per 100 g. there were two things that were discussed all the time and cardiologists talked about it in the first place, then other times of research came, which made it possible to understand the essence more subtly. a-a cholesterol metabolism in the body, the role

of cholesterol in the body and the place where it is produced in the body has allowed us to change our in relation to the very fact, a subtle analysis of the fats contained in lard has led to the fact that we not only began to ignore or condemn this product. and more than that, we began to recommend it. there it is. note. note, which means that professor malysheva is lard with cucumber. from herman i got to this a little later. so that they themselves have a good explanation, then the chemical compound that was the cause of the polarization. now the reason for our enthusiasm is that cholesterol in lard is contained in 100 g of approximately 50% daily norm of cholesterol. note that we are talking about the norm that a person should eat. cholesterol

is produced in the liver, approximately 80 percent in poland, approximately 80% of what is needed. us cholesterol is produced in the liver. it means 20. we must eat, we can eat 30 g of salo for example, and get the proper portion, cholesterol, cholesterol, you can’t live without cholesterol, cholesterol creates all the membranes of all cells in the human body, holding the veins. uh, plastic. membranes. these are, firstly, permeable things. secondly, these are elastic things. yes, the second, the second cholesterol is a precursor of sex hormones. men's in the first place, including male sex hormones, is it possible to ignore this big lord, we have a given product with god, which is called lard. i just want to emphasize until we realized that 80% of the elevated or strin contributes to our liver. we

thought that if you stop eating fats, then cholesterol will fall, it turned out to be a frog illusion. no that is, in principle, our body synthesizes a very large amount of cholesterol, and we should not depend on the cholesterol we take in from food. so actually, the diet is not very helpful now. yes, this is the most interesting thing that we say fats are vegetable fats. here in such sala contains about 50% of those fats that are e, and in vegetable fats it is not saturated. against it in pork fat, pork fat in general, in principle, is better than beef from the point of view of medicine. there are almost all saturation fats, and unsaturated fats are just eaten with wine themselves, therefore and in this sense, lard is a good product, that is, we have now come up with an unexpected topic that

omega-3 unsaturated fatty acids are found not only in vegetable oil. well, let's compare olive lard and beef from beef from cow butter very simply woman butter here at 70 more than seventy percent of cholesterol 50 about here there is nothing true vegetable product. well, let us emphasize once again that the study that rehabilitated solid fats in the form of sala showed that the fact that we we eat. this is not the best, but it does not affect the forecast in any way. eh, atherosclerosis, and moreover, if we talk, for example, about a stroke, then solid fats reduce the risk of stroke in such an interesting way. i want to say that this fat is very tasty here. i ate bacon, probably 1,000 years

ago, unlike hermann how to choose how to store, how to eat the first question? how to choose? if we are talking about ready-made fat? yes , not cheese, but the choice is entirely to the taste of a particular person, fat is not done in this way. here's how germany cut. look at a solid bar of one garden, the most is being done. here in this form. it depends on what kind of pig, at what point her life was ruined there. what part of the body, the fat was taken from her, is done like lard, when the fat is ground it can be spread, that is, there are many options for you to choose how we should. yes, well, that is, this is what you must, so to speak, determine by taste and color and by smell. if you came to the market, you must definitely consult, if

there are all non-packaged services, on this site for this i will show you the most important aspect now, look. here it is stamping, that is, it is confirmed that the meat and the sauna are healthy in this force, as a rule, it is market everything else within the framework. your taste. which one do you love the most. there is a lot of delicious food, but in israel, in order for lard to be kosher, one of your former prime ministers made a farm where pigs do not touch the ground and thus kosher lard is made, imagine how people love lard . it seems to me that the second question is not exterminable, how to properly store fat. i should to say that to our enlightened gaze. we

suggest storing fat in the freezer, in general there is a sanitary period of a year, sala can be in the freezer of your refrigerator and completely, without changing. this is fat , its contacts with light from oxygen leads to fat oxidation, the sauce becomes tasteless, bad and it is a prophet in the freezer and it will be very convenient to cut it at the right time, the three of us grew up in siberia how to properly store lard lard should be immediately cut into bars that you will you cut it then? that's all the fat, melted any a siberian will tell you that it is impossible to cut it, you need this bar of fat. they got it out of the freezer and sawed it in the thinnest pieces so that they put it on the tongue, but it melted, you understand, if it is in such agro-cosmonies. here even here in such which you will not cut. it

should be wrong right away a bar that you cut into the thinnest pieces in a different way cannot be right in the world. we have more storage on the balcony in the ground. we kept it on the balcony. all these were real huge freezers. the last question is how fat to eat properly. there are lisa must say the dose, of course there are 12 grams, our recommended dose. why because, firstly, in this dose you will receive, and we forgot to know what to say, we knew that vitamin d is still there, that you are, of course, a vitamin and there 100 grams up to a quarter of the daily dose sat down, so that is not a sin of lard 12 g lard is a high-calorie product limited so as not to get extra calories that we do not spend like that. let's cut this one

wrong like this. that is, when you take bacon take a carbohydrate, that is, bread delicious gray bread. you get a very serious threat, because a carbohydrate with a combination of fatty fat in the body gives a necklace, but sincerely pickles are somehow a small dose of everything. , loved and believed in themselves and did not think and did not think, slava were generally thin, our chef alexei combo prepared something for us dashing. yes , look what nature is here, in fact. everything already comes up with this and onion, this and pepper for serving, and most importantly, interesting things can be served on

dried things. that is, you can dry the cabbage, you can dry the turnips, dry the beets , make some beetroot chips with cabbage, you want something crispy, like crackers, and so fly in, i made two types of lard here, one is pressed lard along with meat and lard, that is, 50 per 50 and there is just the classic one, which i salted, well, according to the usual technology opa, look at dried beets, chips and beets and such a nice little piece. sala yes, there is somewhere on average 12 grams. a prerequisite for dr. galman, how do you like garmoshevich. delicious thanks, and delicious indeed. well, it wasn’t for long, we’ll take a break, and then we’ll continue new series according to the laws of wartime, watch dusty roses or berry sherbet after the time program on public or on your own

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our program continues, dear friends, and we have gemini disease, two apoplexy or ovarian rupture and acute appendicitis and patients. we also have two girls, young and beautiful cars, yulenka come to us, please. i will ask yulia to stand here, and tanya to come closer to the professor. so in july it was appendicitis right. tanya has an ovarian rupture. andrei petrovich nausea was andrey petrovich pain in the abdomen was in the abdomen in the lower

abdomen. yul what happened in the case of appendicitis, since we already know how you felt. where they took me, what they did, suddenly at night a very strong unbearable pain began. i think that i will endure it, but in the end i decided to call an ambulance, they took me to the hospital , they operated on it and, as it were, there was acute appendicitis. was he torn or what? what the doctors said there, they simply said that the island had appendicitis without a rupture. that is, uh, everything, as it were, was more or less well operated on laparoscopic and already, in principle, everything is fine that i was an instructor with you for medical culture and for me everyday training physical exercises. you were considered normal, but on june 10 i had again an abdominal workout on her stomach, so intense and in the evening it suddenly didn’t happen badly, terrible pain

, nausea could not move. i rather called an ambulance, they took me away and hospitalized for 10 days. here is yulia, we have a future doctor at the first moscow medical university named after sechenov yulia's question what mandatory examination should we do if this happened to a young beautiful girl acute abdominal pain? pretty girls obligatory examination for a girl is obligatory the first test we need to do is a pregnancy test for sure you both had a pregnancy test. i also did in the lobby were not pregnant. yes, and now we are moving on, i have a uterus and an ovary, here they are . after all, when the vishnik follicle is formed in certain situations. i'll bring it to us now.

see here the ovary. here it is very famous. the obstetrician-gynecologist, says, so what is the mask, this is the fallopian tubes - this is the ovary. and now the ovary, in an enlarged size, shows andrey petrovich where the follicles are. here it grows, grows, grows, and at some point in a situation where, let's say, our hotel does not have this situation. well, it's just that the risks during exercise are considered large. a gap occurs, bleeding occurs. acute pain. why are these diseases similar, because the peritoneum begins to be involved? the peritoneum has a lot of nerve endings. and therefore such a sharp pain, which sometimes spills over the entire abdomen and then focuses in the zone of diseases. and we, as doctors,

sometimes don't know exactly before certain tests, this is appendicitis, because it's on the lower right. and if it's right, yes, or it's right, the ovary is right underneath. i want let's go girls to another layout , let's look at yulia's situation. this is a man. this is the human intestine. this is the sigmoid colon. here, if like this, ok, let's take it. this is where we all fell apart. here it is for the appendix. here globally here is vishniac. that is, it's all very close, so it's very similar, but there is an examination that makes a diagnosis. what andrey petrovich we definitely do two things, ultrasound, uh, abdominal cavity and small pelvis. we must definitely look at the ultrasound and do. we look at the inflammatory and inflammation. these are two things that we do without fail. ultrasound diagnoses whether it is an ovarian rupture, or

whether it is appendicitis. and let's go over here. here we come, because it is very important here is yulia operated on, but since she is studying at the faculty of medicine of the future, it must be said that today very often appendicitis does not operate. here is the appendix. how is appendicitis treated? if there is no rupture, if there is no threat to life, in this case, antibiotic therapy is prescribed for the patient to be monitored, because this is an inflammation of the appendix, in fact, it is a blind process, with a huge amount of lymphoid tissue, which becomes inflamed. and if this inflammation can be controlled and there is no danger of rupture, that is, the occurrence of peritonitis, then we we can handle this situation conservatively. apoplexy ovarian rupture you were not operated on correctly? how were you led? for a certain amount of time they put painkillers, i was under supervision in the hospital.

yes, yes, absolutely correct. if there is no bleeding, if it ruptured and everything stopped, then you can do nothing. i will say more. i want to return. here to this ovary of ours, so that just girls understand the matter, here's the thing is that in a sense, the ovary ruptures once a month, when the egg comes out, that is a little tear and it comes out in your case. this is usually the middle of the cycle, the fourteenth day of the cycle, and the beginning of the cycle is the first day of menstruation, so these girls are watched, most likely, everything will close and be fine. but if it bursts and bleeds, bleeds and bleeds then when