almost all the inhabitants of our country, they say it is sciatica. this is a hernia and everyone begins to treat the spine, but back pain is a very serious issue and it is far from always the case in the spine, so start treatment just like that, without going through any examination. this is wrong and dangerous. for each of us, we have several guests in the studio today. i want sania to tell us what happened to her. i was sick, sick, back at 19:00. well, everything was shaggy nineties, a long time ago i thought that it's related to the profession. and who are you by profession, i worked in communication at long-distance telephone exchanges , and there we had tripods of 2 m each, and 20 boards each. and so, to top not paying, fun 12 kg. 13 kg hugged two dreams hurt almost

everyone. yes, that's how people say that it's just sciatica. i thought everything would pass with time, but now i retired, and my back began to hurt even more and it wasn’t enough for me , and uh, my limbs became, the numbness became just strong with needles, something and at the beginning i i woke up with pain in my lower back, when i even rolled over from one side to the other. god, i, uh, well, at least i wanted to scream, even you went through some kind of examination, as such there was none. i went to my auropathologist, who told me about it later, well, somehow they didn’t even do an x-ray, they didn’t do anything , painkillers extraction manual therapy, really. it's gone, but it really

helps me. for a short period of time, and in the nineteenth year, i just got into the speech pathology center, and there they did an mri and said, that i have two vertebral hernias in the lumbar. this is very important. this is an mri examination. this is a fundamentally important examination for back pain. i want the first word, of course, and dmitry nikolayevich's fur coat. he is just a neurologist here, only a neurologist, a modern one who owns all the technologies. treatment of pain in these people so the first diagnosis is a herniated disc, can it cause pain or not? sure, maybe, uh, an acute herniated disc, can cause pain locally here in the back. yes, if it the hernia is already formed, and it's squeezing like this. the nerve that exits at this level is the spinal

nerve, yellow, these lumbar nerves go down into the leg or control this leg, both in the motor sense and in the sensory one. here but then the pain is here, as our sick pain says, local pain in the back will be considered with pain in the leg, and not at all mandatory. this is also a sign that one is squeezed without signs, very bright, which already indicates that there is stenosis not only at the level of one nerve, but also at the level of the spinal canal where all the lumbar sacral nerves pass and therefore impaired sensitivity such as they are less tingling, burning sensation that a person walks on cottony legs, weakness of the legs. all this indicates that they are suffering, and the space through which the nervous structures come out. the main examination for back pain. this is magnetic resonance imaging. she shows the spine and everything. organs are the only way a

diagnosis is made. and only this way the treatment begins. here modern medicine can help you today. this is true called interventional methods of pain relief, of course, dmitry nikolayevich shumin masters all this brilliantly, and right now on the screen you see how he works, the essence of the matter is simple at the beginning , contrast is introduced under x-ray control and the doctor finds the point of pain, he physically finds the place where the hernia is, if it is, it compresses the oil, and then , in the same way, under the control of an x-ray, it introduces two drugs into this place, one removes inflammation, this is a steroid hormone. the second instantly anesthetizes the person. this is a principle i talk about often. you will come to us with pain audiote without pain, this is the principle by which dr. shubin works. can this procedure be applied to our guests? well, yes,

you can, if we don’t see any news there. by studying the mri and the clinical picture of our guest , you can apply there, look, i must say so, in difficult situations, when we see severe pain in the leg. in violation of the sensitivity, weakness of the leg , the use of our procedures in about 90 percent of cases makes life much easier for a person, and only about. in 7-8% of cases have to operate. unfortunately, in russia there is no full-fledged pain service, but fortunately we are doing this , so we are at your service. there is another organ that can give severe pain in the lower back and has nothing to do with the spine of germany - this is the pancreas. here we remove the liver, remove the stomach, because it is pancreatic. you see that just the pancreas is adjacent to the spine. uh,

and when there is any process it can be inflammation or even worse heat the person can feel pain in the back, girdle, uh, soreness, if we are talking about cancer, then this is already a fairly advanced stage of pancreatic cancer, it is absolutely impossible, to warm, to wear some kind of warming belts if you have cancer, so once again this diagnosis is magnetic , resonance imaging pain in pancreatic cancer in the lower back can be terrible. but today there are technologies when this pain can be relieved right now, you see on our screen. how dr. galperi works, what he does is a very complicated procedure. he introduces needle. to the solar plexus blocks the solar

plexus and the person passes pain is not a treatment for pancreatic cancer and improves the quality of life of a person with cancer. it gives a person with pancreatic cancer. just live normally to be treated without suffering. this is the second problem of back pain pancreatic cancer is and the third. i want natasha to tell us her story. it all started, uh, with very sharp pains, and in the lumbar region and not behind the abdomen, they were so strong that they were simply impossible it was tolerable, about 3 days. i tried to fight it with painkillers, but with some drugs. well, i realized that nothing helps. and the temperature began to rise, so i called an ambulance, they didn’t bring me to the hospital. they examined me there. or uh, this is the mri and was

diagnosed with pyelonephritis and uh, urolithiasis , the pain was also in the lower back, so we are now continuing to disassemble our mock-up. so kidneys billanephritis is a bacterial inflammation of the tissues of the kidneys due to this inflammation, stretching occurs kidney capsules is a very painful process, especially if we make any movements. and for our guest, the situation was complicated by urolithiasis . when the outflow of urine was still impaired, that the capsule of russia was not stretched anyway, and all this pain spreads to the lower back in milder cases, even we have such a symptom of tapping. and when we knocked like that. and then the person feels this pain. it's just sw. diseases are in the kidneys here, of course, a picture

will help, but we see urine analysis helps urine leukocytes, and we see, uh, the growth of bacteria is treated with a course of antibiotic therapy with a certain sensitivity, and in general a person will be cured, but if he has a urolithiasis, this issue must be resolved, because otherwise in this case too all back pain will go away, and you will be absolutely healthy summary of lower back pain, which you always consider more than the spine. you can treat it wrong, so remember one rule lower back hurts on an mri mri did an mri to the doctor. if the diagnosis is not made. if you examine it no, think that what is wrong, because it is

fundamentally important, correct diagnosis and correct treatment is important for you, our program continues. so, dear friends, we have a medical procedure for a demotion. salt juice falls directly into the mouth of our time to alexei rug. dmitry nikolaevich our topic is the cream of everything , we are what it is we are friends about plum juice plum juice is ready. and right away, together with the plums, they bring us plum juice to the studio. so dmitry nikolaevich why plum juice? well , look in the world there is such a trend that already,

apparently, scientists are bored with drugs. they experiment with food rightly so. yes, this is life and japanese scientists were concerned about the properties of plums, they gave 300 ml of plum juice per day or at the same time or up to three times 100 ml of plum juice, 1 2 3 and the people who were given them were divided into two groups of older people older, 60 years old people relatively young age of 30-40 years. it turned out that taking such a dose of prune juice leads to a decrease in blood pressure by more than 10 in older people. mm, mercury column, that is, the system. indeed much we know how difficult it is to influence high blood pressure. how to discipline patients. how much to reduce salt reduce weight do the right exercise 300 ml per day, minus 10

mmhg blood pressure is well known to us, that is, this is the blood pressure on the vessel wall, which can be fixed cardiologists believe that 120 and 80 mmhg. and below is the target blood pressure in any person. and it must be supported with selection of drugs and disciplinary measures to influence a particular person. here a therapists believe that it is 130 and 80 is also not higher. that is, even small people in 10 mm. that is, we understand that e arterial vessels have a certain resistance, that is, they become more and more rigid with age. and they don’t know how, and just like young people, look at the right moment and expand at the right time to narrow, that is, changing blood pressure, but normally it should be the one that i was told, it turned out to be, they looked like such a stranger, as follows, this juice was divided into two groups. uh,

chemical compounds. they are all called anthocyanins, that is, these are substances that caused such a red color, plums, including we know that where there is this rich purple color. there are always prices for substances on the one hand. they act on the inner wall of the vessel. yes, we know, and we know that it is there that nitric oxide is produced, which is the substrate for vessel expansion. so here is the second one, there is a very important detail, that is, another group of anthocyanins affects lipid oxidation within blood vessels. that is, it prevents or reduces the formation of atherosclerosis. plaques in front of us, the lumen of what a bad vessel can be seen even as the blood flow stopped. that's it, that's why the action of two groups of e-e substances. these are called anthocyanins , it is fundamentally

important to keep good pressure normal, because the first pressure is the main cause of a stroke. what other target organs of pressure must be said about this, because it is, so to speak, an asymptomatic killer judgments that at high pressure there are pains in the head. this is extremely rare. usually people do not feel high pressure and a paradoxical situation results. one side. high blood pressure due to tight blood vessels. secondly, constant high pressure further reduces the elasticity of blood vessels, of course, the brain is under attack, because this can lead to a stroke as a result of a rupture or heart vessel. it will be an eye infarction, of course, with high blood pressure on retinal dystrophy in the kidneys occurs irreversible changes develop, kidney failure and target organs, of course, the vessels themselves are, therefore, when the product suddenly appears in all respects, a pleasant, quite

affordable dose of 300 ml per day, of course, we are happy dmitry nikolaevich well, at school, we actually talked about the medical purpose of plum is high, please, dose and time of reception. yes 300 ml. that is, here was the dose with which we are guided, but you need to understand that juice in russia is plum, that is, well, any juice, this is, uh, a legally defined unit, so you don’t should, when choosing this juice, see a drink of plum or plum nectar. this is a piece, but it has legal significance, what does it mean? what is there, except for juice, there is nothing, there are no dyes, there are no preservatives. as a preservative only vitamin c , there are no others, sugar pressure is nothing, so this is a sour drink. so i just tried it, that is, juice in russia according to technical regulations is legally, a certain status of a drink only from plums and no additives and not a

drop of water 100 g three times a day 300. yes or 300 g per day, minus 10 mm, they did it to the mouth, after all, not very late, because anyway, some part of the prick was present there and it would be better for them. and it can replace one of the meals or there, well, 100 g three times a day. do not find fault with 100 g three times a day. well, how much is 50 kg 75, well, 75 is gone. okay, 50, by the way, most often in plum juice, this can be allowed. such a wonderful plum, our program came out. continue the silence premiere of a multi-part film, watch after the program time opa opa tube for a telescope millions of goods for all signs of the horoscope tires,

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a special topic, random, nakhodka well, here's what you can find, by chance you can find myocardial infarction in the human body. today we have a case history . svetlana vladimirovna levashova svetlana vladimirovna come to us svetlana vladimirovna seems to feel absolutely normal and suddenly in some random examination , scars are found on her ecg and they tell what happened. well, i decided to check my health and went to the doctor. after going through all the procedures, you prescribed an ecg for me. this he said that i had a heart attack, so i did not bother anything, not a heart, no nothing anywhere. that is, as if i were in shock, to be honest, scars were found on the ecg, that is, not a fresh heart attack, but scars are a sign that maybe, yes, at least six months, there it was right back herman shayk, here we are now murmuring blood flow.

let's show you, when you uh arises wrong, when the lumen of the court is blocked for some relatively long time, the blood does not flow to a certain one. what is the heart and there necrosis occurs, tissue is washed, then this vessel may open ; how does one not feel pain? after all, we are used to the fact that pain must be severe , but there is no pain, how is it at all, perhaps, firstly, it is possible, that is, there are people who do not feel god, for example, uh, more often asymptomatic heart attacks, maybe be in a patient with diabetes, which is damaged nerves and he does not feel. you have a sugar day. he maybe, when was the last time you measured your blood sugar. that's back, probably a year ago, you know,

we are now taking an ecg measurement, but i will ask our doctors to measure our patient's blood sugar. please go while the ekg is done. we'll take their blood sugar one at a time. also, if you start talking. with the patient can find out that six months ago he felt some kind of malaise, general weakness of pain in the abdomen. and then there are pains that he is not associated with anymore in the heart. and it was a heart attack heart scars. whether it is necessary do something? well, of course, you need to continue to live . i explain. why, if one heart attack was without symptoms, i already closed one vessel of the second , too, maybe, then you just die. you must determine the status of your heart. here we have such a layout, this is the heart, this is the heart vessels. here they go red is the heart arteries, which are called coronary,

because here, as if the crown on the heart is randomly going down. and that's what happens to the vessels of the heart examination, which is mandatory we need to guide our patients. what needs to be done the first thing is to do an echocardiography and see how reduced or not damaged, maybe both general heart function, the second. this is at the discretion of your personal cardiologist. there are two options, or you go for coronary angiography. check all three of your coronary vessels. see. to what degree of narrowing in each of them, it can be normal, or it can be completely closed by coronary angiography, which allows the eye to see. up to the heart vessels, if you're feeling ok, you're doing loads, there's no mistake. send you for a heart scan and see if

you have residual ischemia, if you have you will be sent for coronary angiography. if not, he will only prescribe pills. the essence of this examination is that luminous isotone is injected into the vein of patients. this glow is seen by a special device. this isotope is distributed throughout the heart and in areas where there is a scar, where there is no blood flow, or where there is poor blood flow. it does not accumulate and in these large pictures the doctor sees voids in the muscles of the heart, where this isotope did not accumulate. this is a very bright survey and very informative when seen too. what is the problem with this study, it is especially recommended for women, because women often have large ones. yes , the heart is open, and the blood flow is changed in the capillaries, and in this line of small vessels, which we have with svetlana vladimirovna's blood sugar,

sugar is nine and two. wow, the small norm for days above six 9.2 has no right to be even after eating 50% higher, so you can say for sure, well, with a 99% chance that you have diabetes and diabetes is also an asymptomatic disease, and now it is absolutely clear why we are informing you, and just don’t pay attention to yourself, that is, the nerve endings are so affected by fighting sugar that they don’t feel pain. so your situation is it come to us. she is an extremely serious germashevich. come on, she's extremely serious. uh, globally. here, they found out, i would send you to the inventory inventory to see

if the scar leads to rhythm disturbances, but there are 100%, two groups of drugs that a patient with an asymptomatic heart attack is indicated, if you do not take them, the first is drugs that prevent closure again, and blood clots are antiplatelet drugs that prevent platelets from sticking together all the most common of them aspiri. and the second group of drugs are drugs that stabilize the plaques that you saw, and in the vessels it is that tina, all other drugs are already dependent on yours. from the pressure of the sugar level of the function what is your current life protocol, if you have never been examined, and what are you must understand high blood sugar - this is the worst thing that a person can have, it worsens. all

life forecasts are five times worse than if even with such obesity even with all your risk factors, if sugar were normal, it’s clear but they brought us this model, and this wall of the vessel, what does blood sugar in germany, it starts when it is elevated, and the blood circulates, it makes such small cuts of the hole, and in the wall of the vessels and there the priestess of cholesterol already enters and forms a plaque, which then the vessel is closed to you unequivocally from my point of view the coronary angiography is shown. contrast study. vessels of the heart. if there was such a situation, what do we do coronary angiography through the arm. and even if we open the vessel after 3 hours, we sometimes discharge the patient there in your situation is serious. i don't scare you. i tell you the truth

of life, you need to be examined to the end. understandable, understandable. that's how she accidentally came to our program, by chance, sugar, reconciled. please sit down, everyone who is watching us. i want to say, if you did not have time to hear or record something in our program. you will find everything today in the television program magazine. our program continues the first thought when the acute pain came soon. ten percent on the encyclopedia book umka and children's toys and tents play together at

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