first channel dear friends, we wish you a good day. be happy. the main thing, be healthy, st. petersburg, wishes you all the best and like the neva, the river of live broadcast continues its course and meets on its way. live healthy. with elena malysheva, the spirit of alexander sergeevich pushkin , goodbye. the first channel presents the doctor at home sick happiness three tests, if you take pills to reduce water pressure and swimmer's ear people. how to protect your ears, what to do in youth, so as not to go blind in old age? live

great so friends, what to do in youth, so that in old age i am not examined, i try to run between different risk factors, these people spare me, but life will never spare me. and so today we will talk about the causes of blindness about what you need to know so as not to go blind and i just want to say right away, you can lean on your firm hand, that a whole national demography project with uh, the older generation is dedicated to people who are aging us mikhail is bitter about his own. andrei petrovich germanievich. we are already, as they say, slowly we fall into this category. and this is very important. how to know yourself how to behave in order to stay healthy for a long time is our first topic among all the causes of blindness. this is the main cause of blindness.

the number one reason all over the world ophthalmologists know it better than others what's the matter? diabetes mellitus is a terrible disease, which first of all deteriorates blood vessels in all organs of honesty, and in the eye. naturally, our retina is a nervous tissue that exists due to the fact that it multiplies and it is very good that sugar. it's just that roughly he destroys the wall of the vessel and easily clings to this destroyed wall. that's how we get away with cholesterol. here they are right here refueling and that's it. here we often have this disease. apparently very quickly and very often in the fundus even before, before the patient entered the therapeutic department. so sugar. now on our screen there are sugar norms, and i'm this one which can just heat you up i'm launching, the number one cause

of blindness in the world is diabetes mellitus and high sugar, naturally, because we are talking about nervous tissue eye, so you should measure your blood sugar. you need to know your sugar level, and it should be no higher than 6.1 when measured with a home glucometer if the sugar is high. you should definitely discuss treatment and changes to your lifestyle with your doctor. the second reason is germsha. swing another tree that can grab us. blood pressure pressure should be no matter what age you are less than 130 to 80 mmhg. a clear reflection of our health, because if there is high blood pressure, there are changes in the vessels

ophthalmologists are the first to see changes in the blood vessels of the fundus, and diabetics and all other small blood vessels, the pressure should not rise above 130, it will go up. so , then the chances of you getting hypertonic rivers are so very high, and, accordingly, lose your eyesight. let me remind you once again that today we have a national project. uh, demographics, the older generation, the national health project, it's all about you coming to the hospital to get checked out and take care of yourself, but sugar and pressure. this is something that a person at home can change. this is a glucometer. this is a home appliance. i just measured my sugar. remember that sugar should not be higher than 61 for me. hurray the next paragraph, mikhail egorovich again word to you the sun, what happens when the sun shines in our eyes. here

it is in old age, one of the most common diseases is the age-related macula, dystrophy, tdc on the retina is very important to eat. uh, part of the retina now. she is located. here it is with part of the retina. we actually see there assembled cells of rods and cones, which provide high visual acuity and when the vessels deteriorate on the one hand, and studied this issue of the influence of ultraviolet sunlight. on the state of the macular area. they proved that ultraviolet also adversely affects the state of the central part. yes, therefore, but if we are talking about people, especially those whose iris, so to speak, is permeable to sunlight, you need to wear

light-eyed people, blue-eyed people, you need to wear sunglasses, as a result, goggles and merey has almost black eyes, and mikhail is his growl, he has a man . this could be black glasses - this is the most important thing with special protection. this not only has to be attributed to the summer, but the people who go skiing are reflected. they too must wear sun protection glasses. you need sunscreen. protective glasses. the kids need it too. why? well, because , firstly, sunlight, it is annoying, and if the child demands, if he is so comfortable, of course, this will only be good. and as far as i know, sunglasses are sold for children. the highest factors and buy. they are

only needed in optics, because there must be ultraviolet protection, the presence of dark glass or lenses. this does not mean that there is ultraviolet protection, so look at the designation of the markings that appear on the videos that are written there. not everything is talked about, and another reason for the blindness of the german number to you is the high level of cholesterol mechanisms. it is very simple, one must not forget that the eye of this organ, which it comes to blood vessels, and there is there is such an ophthalmic artery that comes out of the carotid artery. and here is the weed artery, such a plaque appears and an atrop is formed - this is a blood supply disruption, and a person can lose sight in one eye or a blood clot has flown into this glaze. in addition, there is another situation that you you can have a stroke, and in the center of your vision, and

then you will also become blind, therefore, in order to prevent the development of blindness, your cholesterol must be normal or without pills. and if he is tall, it means only with a pill. and here i want now show you. you will now see the wall that mikhail yegorych brought to the studio on the screen, and i simply urge you to look into the eyes of adult children to their parents or to themselves, mikhail is more bitter. this is such a little white rim, it can be full, sometimes incomplete, what is this called an arch, blue is such a rim that we see on the edge of the arch of old age, yes on the edge of the cornea. this suggests that this patient has hypercholesterol, that is, a high cholesterol content in the blood, therefore, of course, it's like a symptom. but what herman shaich said is a very serious problem, because if the illusion of the arteries occurs, which feeds

the nervous tissue of the eye, then the vision disappears instantly, and well, it never comes back . , get your blood pressure checked. your cholesterol level will be checked by your sugar level. and that is, you will know if you are at risk of losing your eyesight in old age or not? i just want to emphasize today national projects are dedicated to this. that is, these are state medical examination projects, state projects, explaining to people how to get treatment, take care of yourself. go through a medical examination and then you will be happy, my friends, this is all done. only for you. this is where we end the fight and game ahead of blindness and i invite you to our kitchen so

dear friends. today we will talk with you about a product called coal. so coal is the taste of a special city and a special region. what andrey petrovich of the leningrad region of the city of kaliningrad and it is called the taste of the baltic, the baltic eel, indeed it is such a specific landmark product for kaliningrad for the kaliningrad region, our plane flew to kaliningrad let's see how the eel is doing for itself in the baltic sea, i’ll say right away that a special product has died and it is the kaliningrad eel that will be brought into our studio right now. here he is andrei

petrovich, hefty. well, this one is not even hefty at all, a very amazing creature, it lives with us in the balta and even finds it in the leningrad region in freshwater rivers in the pskov and through kaliningrad and the baltic. he makes his way to the territory of russia and he breeds near the bermuda triangle of the sargasso sea. that is, this creature that knows how to travel finds its way even where everyone loses the way in the same bermuda triangle , a mysterious magical creature and has the same magical taste and magical medical properties. you see, here are the medical properties, the most important compared to most fish. for example, here, this is sea bass, pike, freshwater fish. and they can also be caught, both in the sea and in the rivers and lakes of the kaliningrad region. so, the calorie content of pike

and perch is somewhere around 110,117,120 kilocalories per 100 g on average. yes, and coal is 220,230, that is, of course, it is so good, fat baltic sea, cold. so fat is needed among all animals. uh, on the ground, it threatens my point of view and, probably, in terms of statistics, the record holder for the content of what you thought of vitamin a is a salesperson and 76.80% of the daily requirement of vitamin a in 100 g, while these fish contain 1%, two percent. why do we need a vitamin, see professor ofta's bread. well, what to do, vitamin a retoxin? of the main ingredients that helps us convert the light seen into an electrical

signal that our brain perceives. that is, i am glad to all of his konovalov mikhail egorovich, we say that there is a lot of vitamin a in acne, a vitamin, a is responsible for the formation of our vision. true, we speak absolutely, but this is not all that the vitamin does and we must pay tribute to the scientific researchers from china who in the fourteenth year and in 2017 did large no analyzes in the first tone, about 300,000 people were included, and it was shown that people with low levels of the vitamin, and fractures and osteoporosis occur more often, because without vitamin a , osteoplasts do not work well, they are building. they are therefore vitamin a needed to maintain good dense bones. this is the first and second meta-analysis

660.000 people. people with higher levels of vitamin a have a lower risk of developing bladder cancer. that is, it is like a protective factor. if a person has little vitamin, the risks are greater, therefore, in addition to everything, the cell. and this is the next question - this is the content of vitamin b12, which is very important for us, and what does vitamin b12 do? vitamin b12 helps us to conduct an impulse to conduct a signal so that the mimic shell is well formed. insulation. you can say that this nerve impulse. if it's broken then yes it will be in this case, you may have something like this. because there is a short circuit. so, you see. there is no normal signal. the b12 signal is there, everything is

fine. vitamin b12 should be carried out - this is also the blood for this. this is the correct absorption of iron and the correct formation of hemoglobin and red blood cells. but uh, i must say that according to this indicator, our ordinary fish are not so strong, but still lag behind coal. in general, in short, fish is very healthy, but fatty, and therefore we have three questions about high-calorie. how to choose? how to store and how eat right and we invite experts anastasia sour to us anastasia you are a specialist, just on those issues. how to choose to save and so on? how to choose an eel? you first of all, our local baltic regional hot -smoked eel is a real delicacy and it is one of the most popular souvenirs of our area and many tourists take it away from us. well, that

is, we just said that there is smoked eel, but i suggest starting with raw eel, first of all, you need to pay attention to the pupils of the fish. they should be transparent without turbidity. like to look at the eyes of a fish, the fish should be smooth and shiny without excess extraneous mucus. and the last phenomenon of pressing, yes in the market, then when pressed. she must return to her original smoked charcoal. you started talking about him, that smoked coal is with him. this is our local delicacy and has a good shelf life. it can be stored for a long time, so you can safely transport it by plane. well, here, as if there are no rules of choice, he will be yes and buying. andrey petrovich will cut me. doctors should be invited , dear doctors, if you want baltic eel we are ready to share with you how to properly store baltic eel fresh fish, of course, cannot be stored. it needs to be frozen right away.

you can only need to first gut the fish, and then freeze, then remove the insides, yes, cut into portioned pieces. well, now this tight one will quickly leave us. well, how germany delicious tasty last question is how to eat eel properly. but as i understand it, the key dish is yours smoked eel, sweetish, and so on, but, of course, we don’t like smoking, to say something here, although it’s very tasty. shish kebab is very popular and the reason here is one because it is a very perishable product, or it needs to be cooked. just right away and it is usually either put on the grill or fried. and how we treat

frying is not good. ah, smoking. again, this is also not the most wonderful. that's why, well, it 's delicious, of course, but in kaliningrad this is practically the only place where you can get fish soup fresh from the mud and very tasty eel fish soup. that's what i personally really like. she is very rich . i want to explain andrey petrovich you are probably a professor, i am an honorary professor and doctor of the baltic federal university in kaliningrad, my famous test of neonatal diagnosis of immunodeficiencies immediately after the birth of a child. that is, this is generally a grandiose project, therefore it is gloomy eats he didn’t bring us even once, so that everyone would understand that’s mikhail yegorovich every time he comes to us, he always treats us with something. yes, mikhail andrey petrovich, not even once did mikhail yegor bring a hint to a person. yes, you are a hint, this is not hiding indignation. let's say that during heat

treatment and smoking, those beneficial properties that you said are killed or remain vitamin b12 is very stable vitamins are also quite stable, so we, in principle, will not lose this very usefulness. unfortunately carcinogens will add lyosha's combo does not spoil our way of the ear at all. it’s delicious, yes, petrovich, you prophetically, in fact, said everything correctly . you don't need to add any frying, my good ones. enjoy your meal. there are also specifics, sometimes they make such an enthusiastic option, they add the already smoked one directly to the finished broth and serve it right away. this is a restaurant feature. well, in order not to keep it for a long time, i’ll serve my own dish, but the true taste is izdyu. if you please, it is by chance here, yes, but in fact

it turns out perfectly from fresh. in general, i don’t want to leave here, but we have to, because our program continues for a short break, and then we will continue tonight in our program the anniversary of the outstanding artist of the hot handsome my fellow countryman. grigory leps happy birthday, georgian surname it matters. please tell me what your real name means. have you competed at the same time in life? i didn't know that you could cook everything is absolute. everything was going there just fine. yes, there was so much food, he does nothing . this, and even a man took babkina with him once a day should sweat from the bike.

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an enzyme or short aps inhibitors, this is lisinopril monopril enalapril pening captopril and the drugs are already well-tested effective with age, which have shown that they reduce mortality and prolong life, but if you drink an effective medicine, you must always remember that there will be some side effects, the positive effects will block them, but check we need to take tests today, a wonderful woman is visiting us. nina nikolaevna she drinks one of our receptions danil nikolaevna what app? you drink i drink a common drug before the prohibition once on an empty stomach before food in the morning. yeah you know why you need to follow? what analyzes do? here's a doctor for you.

how many years have you been drinking? i've only had her for 7 months. last year, they appointed me, because i used to take it there, then they changed this family for a while and started the drive. well, as it were, now you, of all those who drink priloy, should listen to the doctor. gondelman, everything is tested with one injection of ana. blood biochemistry and routine the first thing we need to know is the level of potassium. why because taking these drugs leads to potassium retention and hyperkalemia increased potassium, why is it dangerous? here, look, this is our heart, this is the conduction system of the heart at the moment when the level of potassium will be very high. it's just that the heart can stop globally, because there is

a violation of the rights of vladimir, who are at risk of people with diabetes and people who initially have. uh, impaired kidney function is the norm of potassium now on our screen, you will see it in your analyzes, as a rule. today, in the analyzes, the norms are written necessarily, but just in case, there is a small one. you continue the drug. we are following this. but a person who takes pryls should do at least twice a year blood tests that will check the level of potassium, and then the next test you should do is check the creatinine. this is an indicator of kidney function, that is, why because due to the fact that there is a decrease in blood pressure and a decrease in blood supply to a few , this can lead to a deterioration in the function of increasing

credits, who are again at risk, sick in summer, patients with very insufficiency and people who, in parallel with pril, begin to take pills for pain, most often non-steroidal anti- inflammatory drugs. this can lead to the fact that the vessels of the kidney narrow sharply and arise. chechnya is not enough. right now i want to stop here, because the joints in older people hurt very often and hypertension in older people is the main disease. therefore, if you drink pills and at the same time pain pills, we call them non- steroidal anti-inflammatory drugs. it's all drugs other than paracetamol, then you need to understand that there may be kidney damage this is the interaction of these drugs. and it's checked by the level, creatinine. and another analysis that is

required. yes, this is an analysis. that is nice. they reduce the level of a special substance called erythropolitin, which stimulates the production of red blood cells and, accordingly , blood hemoglobin. when you are diagnosed with anemia, you do not need to stop the drugs, because the most common cause of it is blood loss and gastrointestinal so yes, but if you are another reason, then you can remove the adjuncts and prescribe drugs, the other is the same kind of calcium antagonists. we have a lot of drugs for high blood pressure. they all have special features. they are all highly efficient. once again i want to emphasize these same prily, they prolong people's lives, so even though we are talking about what to check, but in total, if we evaluate these drugs. this is an absolutely unique medicine that reduces

mortality from cardiac accidents and increases life expectancy, but take care of yourself. necessary you can’t cancel them yourself; do these tests grow in six months, which is difficult here. no, let me remind you, medical examinations are carried out all over the country. all these tests are done for free, just come and remember. yes, i remember everything. e. hemoglobin creatine and creatine creatinine and potassium analysis two workers in the clinic you just take blood for analysis and within 24 hours. do you know that everything is fine or there is a problem? if there is a problem you do not take steps yourself you go to the doctor and he will decide what to do let's take a break and then we'll continue. stepfather

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get ready to teach life, or something, gloomy. well , dear friends, that's why we didn't swim when we were kids. these are the black sea inhabitants on the beach. and we swam, swam, dived, and i remember

that at first i dived well, and the water did not get into my ears. then the time came when she began to fall. i stopped doing it because you know why, because the child has a passage between the nose and ear. let the trumpet go up. it is like this, that is, it easily stands out from it, and in an adult it is like this, that is, it rolled up and no longer rolled out. but it was this feeling, okay. i remember, i know, we tried to deal with it on our own . hmm, when the water got in. yes, water intrusion. naturally, it provokes inflammation, you need to lie down on this side, apply a hot stone, an ear and lie down, or in this way they jumped and shook out this water, it helped a lot, but

here, in general, everything helped. you are nothing now helps. this is river water, let's take a look here. let's say that sea water will be better so in river water. who is there on our screen michael vesuvius is there, there are staphylococci, there is something there, there are salmonella, there are all, uh, vibrio cholerae, who are not there, especially in warm water, bacteria, which, for example, we emphasize once again that marine water in this sense still, safety is unconditional, river water, real, especially labors, and lakes and so on and so on symptoms of a swimmer's ear, water and people are our special cycle and you dear, where do you eat to us? can you tell me how you swam there? so our ivan

swam, swam, what arose, but after swimming there was pain in the ears, such an incomprehensible noise was very unpleasant. what can be treated with cotton wool and boric acid, what happens to you water has entered. she stopped there. there are microbes in there. they began to develop. there irritate the surrounding tissues, the so-called outer ear, which leads the first to more than the second, since there is no air conduction hearing loss and a feeling of congestion and natural discharge from that's all, you can still eat additives in the fact that if there is inflammation here in the outer ear, then sometimes there is pressure on the eardrum, and this causes the very pain that is here, and at the same time,

naturally itching scratched at these moments and discharge. that's what you said, now he was. i liked the story of mikhail egorych so much that the older they became children, the more often the water remained in the ear and did not know how to get rid of it. the older, the more changes, the easier it swells, and the more difficult it is to get out. so our boy treated with something. there he picked in his ear in mountain acid dripped. and what to do? most of this bacterial infection, as we say, yes , therefore, in principle, one should use drops containing antibiotics, because it is the local application of antibiotics that will kill the local one. this is a real infection for this, uh, it is sometimes not necessary to prescribe even antibiotics through the mouth systemically. if you prescribed

antibiotic drops in time, that's all. and you will be fine. plus , there are more drops that contain anti-inflammatory components, for example, hormones that relieve inflammation, why does it get worse with inflammation, with inflammation, the hole narrows and the outflow then completely violates, you understand, uh, there is still a problem people try with an ear stick and have to do something to help this matter injure in more superficial and drives the story even more. inside , most often such a story occurs in people who have sulfur plugs, because the north. the cork just interferes with the outflow, and if the outflow no, it arises, inflammation clogged with a sulfuric plug arises such an inflamed abscess, i understand yes, i just want to say two things, few

people understand this, we have the task of this auditory tube, double the first is the conduction of sound, the second function of sulfur is released to cleanse this cavity. it's basically a security secret. the ear stands out from the gray when we talk and chew, if you start with a stick, then you poke the gray and that's it, that's why these sticks are called ear sticks. we are already how many times to say a hole in your skull did they tell you that the sticks are gone, rather harmful, than useful, but nonetheless. it's a huge market , a huge business, and people are taking advantage of it. here people are worse for you andrey petrovich yes, in again, a benign disease is a category of patients for whom it can be dangerous, though patients with immunodeficiencies. yes, because they develop an infection very quickly, and due to the fact that it is so close to the brain, it can develop meningitis by

inflammation of the meninges, which is useful for of death. let's look at the brain already. here is the brain. here, roughly speaking, is the entrance behind the eardrum. hey, this is a bone. she is very, very thin. let's talk about the rule of prevention once again to our beautiful michal, who bathed all his entire childhood with holopops, i probably insist on this, that you told us that there were some other ancient methods wildly popular on the black sea coast, i will say that a hat, of course we do not use no no no before it was just sometimes the living walked in the same clothes. everything the time you come to the beach, you wash the stones, you put them on to dry. further that's what our grandmother sometimes does with us, that is, there was such a method. yes , they took a cloth and dipped it in wax. they made such a cone and laid it, which means that the sick ear

was inserted up this cone and set on fire due to this movement of warm air, sulfur was leaving. that is, if we are talking about the fact that there was still a sulfur plug, of course, the process is aggravated, that is, such a method existed, and, in principle, it helped. even now i'm in quiet horror from this. method, because, well, setting fire to the head. it 's like saying, thank you who sets fire well. and who will not seem bad enough. but this, when they tried it, it was simple and everything was an attempt to melt, well, the cork, well, it could end in a burn, so what advice, of course we don't mind the caps, we know, to cover the ears. well. you are a boy. well , don’t give them, they don’t have these caps on. of course, we advise old people to put in earplugs for swimming; i take special ones for swimming. i think the elderly, maybe shove. ah water

hits, for any reason, of course you will use anything and a hat and these earplugs too. i mean third. i was already in my sixth year, when my dad and i went to rest in pitsunda, and i wrote a letter to my friend olga barbarash and a separate paragraph. i described some old uncle. i wrote. there is another one walking on the beach, an old man of about fifty. so, before going into the water, he stuffs cotton in his ears into his nose, and i wrote. it’s just that when you laugh, the time has come, mikhail yegorych, and you’ll think about it, maybe stuff it into your ears and in the nose. here's what we've come up with. what do you wish for? it will definitely happen, probably, it’s not bad sometimes they did it. i will do that next time. thank you very much, please sit down. as a matter of fact, it's time for us to finish everything for today.