and to france, but he whistled to ireland, and somehow the entire european navigation system missed the whole thing. yes, europe has such a case, here it was, here we did not have such cases. let's talk about the logic of flights between countries now, with yuri alexandrovich and borzykin, vice-president of the russian union of travel industry. hello we are glad to welcome you in our studio today, is it really possible to send someone instead of madrid somewhere in not the most famous turkish city, but er to poya. news stories really little known or known only among. eh, the russians practically did not go there for turkish tourists. and now he has become famous. perhaps this is one of the reasons for this news. in fact, the news, of course, is fascinating, but it is sewn with white thread there, supposedly transplanted. uh, turkish airlines in

istanbul well, we know very well, these are local airlines, but domestically, and madrid, as we understand it, is, uh, an international flight. uh, other u inputs, that is, uh and transport logistics. it is completely different, so tourists are still not parcels, not a parcel, so that they can be confuse and send to the wrong city. thank you very much. all the best to you and more interesting routes from you. waiting for people to have somewhere to go? yes what to entertain, and for today, watch the anti-fake program together. with us lead the fight against the untruth that has befallen us. if any photo or video materials cause you doubts. send to the editors of our program, we will conduct our own investigation and report the results on the air. the first channel represents a cough,

dear friends, and the lungs are healthy and there is no cold, unusual reasons and about many things in the program live healthy. so, dear friends, cough, but no colds and lungs are completely healthy, all the causes are in the stomach. today, unusual causes of coughing are not associated with the lungs or the heart, but are associated with problems in the abdomen. our guest and expert is a wonderful gastroenterologist igor vladimirovich gorod. so we speak clearly, despite the fact that you are a gastroenterologist, let's start with the lungs. what is a cough? this is a protective reflex act and an attempt by the body to throw something out of itself correctly. here's what i would say

word more, we have cough centers. right? yes, therefore, this is the reflex, why, then , with healthy lungs, we coughed, what could be the reasons for the pulmonary irritants of the lungs in it and this causes the same reflex, for example, the stomach is zabro. with stomach acid, the so-called reflux irritates the walls of the esophagus, they are innervated. the bronchi react with the same nervousness, and what's more, they lie side by side here. but the esophagus, so it's all side by side. so the acidic contents of the stomach are expelled. here is the stomach. this one esophagus to esophagus, and we start coughing properly here double mechanism. the first direct irritation of the mucosa, which compresses the nerves that also come from the bronchi, they are nearby, and the second is real, when the ejection goes right up to the larynx and

is thrown is called microaspiration of acid into the lungs, which incredibly irritates the airways, and they begin to contract and call our guests came to us today. tell me what's happening to you. how did you invest and what happened? i don't have a cough , no cold symptoms, no runny nose and no fever. fluorography did clean lungs. cough tortured noticed that when i lie down, basically coughing begins. so, look, the person examined leshenky and did not find any problems. what examination to do takes into account what our woman tells us lay down. eating a heavy meal under a cough is a key symptom, and also, if after eating a cough, this is a key symptom indicating reflux disease, because naturally, when we lie down, reflux happens much easier faster, that is, this is sour

content. what examination should be performed gastroscopy. let's see how gastroscopy is carried out by dr. gorodok, and right during the examination. we will see this irritated and acid-burned esophagus here. so vladimirovich said in his hands em doskopa. this is a small camera on a flexible wire. and here we see the inflamed wall of food. it's straight red. this one is red, like burned, probably burned. yes, it can turn into clear, and now we will even see ulcers on the wall of the esophagus, which are the result of this irritation and destruction of the wall itself. here i am well, that means the examination you need gastroscopy and the treatment you need. drugs that reduce acidity, the so-called pro gold , there is another situation. here we have depicted

the liver with such a ball. what other problems in the abdomen can cause coughing can also put pressure on the lungs if tumors form in it or metastases do not release certain hormones that secrete - cause porridge. here imagine if anything, this liver, then if the liver is enlarged, it will press the lungs up. there are many reasons for liver enlargement, but we, of course, are primarily afraid of cancer or metastases, and i myself witnessed a situation where a very close friend of mine, with whom we worked together. i came to her for a cough; she coughs; she does not cough. everything is deep. i say what it is. she says, i have been coughing for several months, and i sent her for examination. and he called me in the evening. my brother, who examined her and said. she has cancer, i say lungs, he says no, she has colon cancer with metastases in the liver, liver,

pressed on the lungs and everyone's person. that's what's interesting to us today came a man who also coughs. tell me, please, well, i really have such a dry cough. that's how you say coughing, for about three or four months already, and it turns out that, well, such heaviness, sometimes there is even pain, although they say that the liver does not hurt, but there is such a feeling of fullness on the right sides in the hypochondrium. here. and of course, i just didn't know that it could somehow be related. you know, since you have come to us, i can offer you to do an ultrasound examination of the liver right now. come, please, to us you will see her arturna? god forbid we don't find anything. but it may be, by the way, in this case, it may be that the fatty disease has begun. cookies da leonarthurnovna. please see our patient summary. if you are

coughing and your lungs are healthy, then two mandatory examinations in terms of gastroenterology. this museum or cats or mri colonoscopy. well , we have a gastroscope. the reflex is understandable, and then you will sleep and live in peace. i want to ask igor vladimirovich not to leave, but to take part in this ultrasound examination. in the meantime, we will continue our program and right now we are going to the kitchen in the kitchen. we have a topic that is dedicated to several programs. it is called very simply true food allergens true allergens that are responsible for more than 90 percent of allergies. only eight and about one of which we will talk about fish, please bring us a fish into the studio. set the

fish. here andrey petrovich and i, we go to our true allergens and let's list these true allergies, milk , seafood, fish, cereal nuts, including peanuts, citrus fruits and soy, eight true allergens once again, we repeat, they are responsible for more than 90 percent of all known points. yes, to be precise, then 93, you know, we came up with such a funny thing to show you what a food allergy can look like, we take the famous paintings of the painting, amazingly beautiful here. one of these paintings by evgeny serebryakov, it is called tata with vegetables. now, if you ate fish, and she had go to fish, she would have appeared at the tata, thank god that this did not

happen. today we have a whole family visiting andrey petrovich, because this family is allergic to fish, whoever has a boy, diana has fish. eh, so one year, when my mother told me fish, she gave me a small caviar. here, and he ate it, and i started oh red tanks. i began to itch very badly, he had angioedema or he had hives were all over him right around his mouth, very strong in the groin. everything began to scream, because a year old is all hands, everything scratches there. of course, i was very afraid of allergies. yes, i gave him such a pea of ​​​​boiled white fish, introduced complementary foods and that’s right for 2 minutes or three and as i look at his face, everything has changed in him just like you. stupid at this moment. i grabbed enterosgel, gave him a teaspoon of smears and

ran to the doctor. which enterosgel well is allergy advertising? it's just ridiculous andrey petrovich is glad that we started with this. let's let's start with the emergency care that needs to be provided to people with true food allergies. here is how a child up to a year old a small child up to a year old has drugs in drops, such as zyrtec zodak, a drop is given per kilogram of weight with a difference, twice with a difference of 4:00 and the skin is treated if skin rashes urticaria hormones containing ointments, here, well , this is what is being done now, if the situation is poorly controlled, the urticaria does not go away, then hormones are given by mouth or injections are made. that is, this is the next stage of treatment should. being antihistamines children's without fail, understood?

yes, now you are a fish no-no-no. yes, he tried further at the age of 4, as we talked, tried the red one, got the same thing, yes, then they tested it, then again an antihistamine. no , of course not already. we immediately ran to the doctor. i did n't live on the brain, did i? la there once again conducted reconnaissance in battle and further. well, we tested for allergens, and it seemed to us that the maximum of what is on the scale, which is 10 out of 10 for him was allergic to fish, and we no longer give it. well , thank god, now you know it, therefore, we put an end to the allergy to fish, we put the fish not for you, but you can know seafood, unfortunately in his case there is a cross-reaction for many allergy sufferers, in fact the same thing, what to use uh, the market turned out to be all family, and there's nothing wrong in this world, i can say that we really have a lot of such situations in our lives. we are a very

good friend, and an allergic person, when we go with him to some restaurants in cafes, they always recognize, and the sauce there with fish, because there is what is called oyster sauce, there is sauce with sauces, and we are in the same restaurant. they just made sure there was nothing there . all this ended with the fact that i, my friend professor kozlov, did an urgent resuscitation. our friend, the chief doctor of the hospital , turned out that the sauce contained anchovies and had to pump it out. you just know well on the spot when you have naphylactic shock in the presence of a lot of allergist. and? if not, then no good, then you are so allergic to fish, there are fish true allergens often, to unfortunately, there is a cross-allergy to the sea for fish and for seafood, fish, in general, is global. it is a source of omega-3 fat. let's recall what they are for, omega-3s. fatty acids are needed for a lot of things, but we must remember that it is these fatty acids that form the cell membrane and

are especially important. this is to form the membrane of nerve cells. here is this nerve cell. and if the membrane is broken, then the signal will not be transmitted. this is a serious neurological problem, and not just from the point of view of movement in terms of memory memorization. and in general, cognitive functions. therefore, if you and i have breakdowns in this place, then this is how there will be such a short circuit. and i even just wanted to say that omega-3s are needed and needed by our little one, too. therefore, you need to know the products that can replace omega-3s, which it will not work with fish, especially for children and the elderly. these are generally two categories of people who need omega-3 and fortunately there are such products. i want to start with some oil. why because you were? yes, there is no

allergy at all. this is the best source of omega-3s. how much omega-3 is in oil? yes here we need to see the daily dose. uh, we need, in my opinion, three or four grams, but because there are 53 53.000 in 100 g. yes, more than 50 daily allowances up to 100 g. this is fat. there is no, protein allergy is always on protein. well, this is izu. product for you my dear two reminder is very short. uh, crab sticks, please people don't think if you're allergic to fish, crab sticks are crabs. it's basically cracking and white fish meat. and here's what to say e can and should e do vitamin d and redheads. this is also a product that can potentially contain, and this protein, therefore, when it is not allowed to have vitamin d , when you choose to eat something that is natural, it is not natural, but a synthesized

vitamin. d maybe understandable. yes, here is such a conversation, if you did not have time to record or hear something in our program. you'll find it today in tv program magazine. well, what do i want to ask igor vladimirovich gorodkin, or is she arthur, martirosyan that with our patient, that with his liver elena vasilyevna of our patient is very large. the liver is enlarged in size and there are diffuse changes in the type of fatty hepatosis of ocular changes. i don't see it at the moment. that is, this is good news on the one hand . there is no cancer and cancer metastases, but there is a giant enlargement of the liver due to obesity. yes, and the necks already lose weight, probably by at least 7% of the weight, and i must say that the cough is due to the fact that the liver presses on the lung, but we see this by the size of a person, that here you will start to cough even in the absence of metastases in the furnace to lose weight. there is nothing more to do our program continues advice for one minute.

my blood pressure is 150 over 90, and the doctor does not prescribe any treatment for me. a pressure of 150 is considered hypertension and you need to prescribe treatment, but there is one thing, but if you came to your doctor for the first time and you measured a high pressure of a single dose, this is not yet an indication for the start of switching on, if these measurement figures or home measurement figures will be higher than 130x80 mm here on the pillar, then after 2 weeks you will return to your doctor and he will prescribe pills to lower blood pressure. memorize numbers

higher than 130 by 80 mm mulberry requires, uh, intervention and lowering blood pressure. you are not a full woman, if you had e 110 kg and lowered in the forest, we said, maybe we'll wait, well, it doesn't matter, if you measure your pressure at home, it's 1280. you are lower, that is, normal. so it really was a moment of high blood pressure. that is, here is the syndrome white coat saw us 160 by 90 without us 1280, so 2 weeks to measure the pressure at home in the morning after sleep and preferably in the evening, too, write down everything, and then the picture will be clear germashevich. you are kind of a genius. no, these are recommendations all over the world, they only need to be known, and

it’s good when the doctor knows them, we’ll cuddle for a while, and then continue. cat miranda stalker katyusha buton siren roza markovna debit card of the vtb national lottery

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i love sickness. kolya, please don't listen. i love to twirl. this is a program live healthy friends. but this is a strange chalazion, not an inflammatory formation on the eye, we will talk today about chalazion. oh no by the way that's right, says echolodia, yes, hosts, and so and so, and, of course, i want to invite guests to us. come to us, please. when people want us to invite them to the program, they send us a video message. and now you're out without glasses. and i saw your video message, where you are wearing glasses. she says, look, you can see she was talking, she herself was on the phone and it was clear. so the calazion tells me that it's hard, that this terrible disease prevents me from living, it interferes with me.

prepare in advance for some serious. uh, well, for example, the event can't use cosmetics all the time. i think about it, it appears completely unexpectedly and i don’t know what to do with it when it happens. can i plan an event for tomorrow or not? i want our camera to see. this is education. yes, mikhail evgenievich is a small, white formation that looks different, like a small seal or, uh, a ball forever. we can palpate this. sometimes without redness, but most often with redness. inflammation naturally occurs in the fact that inside the eyelid there are special glands that produce fat, and the exit of these glands is at the edge of the eyelid, respectively, when uh, blockage occurs. e

of this gland, the contents accumulate. she increased only the sebaceous gland around the eyelashes. we have shown these glands here. here they are from top to bottom. here, yes, just like with acne, if the exit is disturbed, if the outflow cannot take place. skin fat, yes, everything arises. here is such an education mechanism even more complex, because a capsule is formed around this gland and even when inflammation is reduced. this is the so-called ball remains, therefore, this is an important point, therefore, to treat. it does not mean that competent doctors are needed. remove everything together with the capsules just open. it is impossible to accurately and simply reveal the meaning. no. we should remove all

the contents and ideally also remove the fibrous capsule, only then did we succeed, understandable means so how did you try to be treated, what did you do? dripped drops, what and hydrocortisone dripped and tetracycline, that is, hormones antibiotics did not help did not help you were treated by an ophthalmologist. yes, of course, the issue of removing this chalazion was discussed with the ophthalmologist. i had surgery on him on him. she passed. unfortunately unsuccessful, and i have it based on the same place . and why is it unsuccessful, because you think that something was not completely removed for you, therefore, yes, they didn’t clean it to the end, maybe, well, most often the glands, there are a lot of them and neighboring ones can

become inflamed, unfortunately, this can be, let's show how the chalazion is removed so that we it was removed. we need to impose. such a clamp , a special eyelid, is inverted, incised and cleaned completely, the contents of this gland are of such a curd-like appearance, what should a woman do? she has already been treated and underwent surgery. it all comes and goes and comes and goes. is it necessary to solve this problem comprehensively? the fact is that most often you have chronic blepharitis, and these glandular outlets are clogged with completely free skin jokes, like when there is no inflammation, you need to massage the eyelids in order to empty these glands to establish evacuation, and eyelid massage is done in a specialized place. this is done

by a local anesthesia nurse, eating with special glass rods, that is, we squeeze out the contents of this gland. now you see how a professional nurse does it. one stick starts two on top. and so gently, moving from one edge of the eyelid to the other, it is squeezed out of all the sebaceous glands around all the cilia. this content is the prevention of blockage is done, a quiet period when there is no inflammation. and nothing worries you. it is clear, it is clear that often people do not wash off their makeup. it remains at the edge of the eyelid, chronic blepharitis is formed. sometimes dry eye syndrome can give, that is, it is a complex problem that needs to be addressed in an appropriate way

so that these households do not repeat. thank you very much. well, mikhail egorovich is with us a doctor who lives and works in moscow and by the way in sochi he also operates on his mother, so he flies all over the country, so help is nearby ok. thank you, ready to help. thank you, sit down, please, and as always, three questions went to dr. konovalov. is it possible to pierce the chalazium yourself and squeeze it out? well, there is no way you can do that. you can’t even try to do this, because the problem is in the thickness of the eyelid near the cartilage of the eyelid. it’s deep enough that it’s impossible to do it on your own, in no case should you do it. next question. can a chalazion jump up due to frequent colds, but no, you

need a reason for this, and we said the reasons, this chronic blepharitis. it's a dry eye. these are the problems that contribute to blockage. e exit this sebaceous gland, please. is it possible to infect a person with chalazion through general cosmetics? yes, yes, by the way, yes, no, of course, this is impossible, because this is an individual problem, of course, a secondary infection can be connected there, which, in principle, is always in our conjunctiva and naturally inflammation is so generalized, but to say that you can infect no of course. th gland, simply next to the eyelash, you cannot pass on the blockage; you cannot infect the blockage. but if you have inflammation at this moment, that is, you have

blepharitis, this is inflammation of the eyelid. here is the infection that caused your blepharitis. it can be transmitted through a brush to another person, but this is not a chalazion. this is an infection, perhaps an infection, but a chalazion may not be the result, so we climb on our own 100% is not transmitted. advice for one minute friends continue our program your questions are answered children's doctor doctor monologue and allergist andrey petrovich prodeus professor and doctor of sciences, please, question united russia petrovich, the whole family loves to go to the bathhouse. recently. we had a joyful event replenishment was born son. and i have this question. at what age can you take a bath with you? andrey petrovich, your minute, i, in principle, have a good

attitude towards the bath, but for small children, especially children of the first year of life, it is highly not recommended to explain why the bath is a place where it is hot, where it is very warm, and we sweat, respectively there are two aspects for kids, firstly, he will lose moisture and fluid and lose almost 10% of the baby's body weight, and baby, he will weigh. well, there, when he was born, there 3 kg half a year 5 kg is only half a liter of liquid, if he loses sports for him, it is deadly. he may develop seizures. he may die from neurological problems. this is the first part of the second part of it. unfortunately , overheating of the brain can occur. why because the fontanelles are not closed, the brain is in liquid - this liquid in the bath will heat up very quickly and

accordingly, the temperature of the brain will rise categorically, which will also lead to convulsions and damage to the brain tissue, that is, for a child under 3 years old, neither overheating nor dehydration will bring good, but only harm, so please wait and just let you be somewhere then in those areas where it’s not hot, but simply socializes and gets joy, in general, in short, go to the bathhouse yourself, don’t touch the newborn with your children. lord, what can you do, you are mine, i’m not talking about the fact that there are risks of burns, of course, but it’s already like, well, the risks are higher, because that this situation will be interrupted for a long time for the children in the bath for a long time, and then we will continue. ice age together again on saturday at the first

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national lottery on the first anticoagulants today in our studio. today we are checking your home first-aid kits. anticoagulants became monstrous during the coronavirus infection, but in our country people just drank them. they themselves prescribed themselves a little cough, they forgot to stop, they didn’t forget to stop, or vice versa, they generally quit anticoagulants now. well, it's just like sucking people buy and eat sweets and no one should follow, a woman came to us who takes anticoagulants and her situation is not simple. come to us, please. huge first-aid kits, because we are

half emptying them so that we can remove some of the unnecessary medicines. so please put the lid on. you drink there correctly darforism. it is also an anticoagulant. yes? and what is not here, then there is a person, apparently, they said something else, but the pharmacy is now on anticoagulants, and i'm all bruised, you see, from head to toe. here, look and this is literally all over your body, you understand, here, too , here, too. i used to think that i was just knocking on something, and now and they have already begun to appear, you see on the neck, some will think that there was some kind of passionate meeting, it was not scary. it's embarrassing, just embarrassing. well, let's move on to our question, which sits here, in

principle, with any damage to blood vessels or trauma mechanical or inflammation of the blood vessels can form a blood clot. so anticoagulants prevent this clot from forming, which is why you have bruises. with a slight touch, you can damage the vessel, then the person who does not accept it, as it were, stops quickly, but you don’t, so a family is formed, and you need to figure it out. why this may be it may be due to your food, which is always there, which interfere exactly the opposite. anticoagulants work and eat pills, how to do it? the same. here. i am now i want to pay attention. all people, in this case, we see such a side effect of anticoagulants as bruising or increased bleeding, but it is fundamentally important to understand

if you are taking anticoagulants that there are products that may prevent anticoagulants from working at all. what are they assigned for? for which situations anticords are assigned the largest group at the moment - people with atrial fibrillation, because blood clots are formed in atrial fibrillation, which can fly off the head brain. there is a second group of people, people who have blood clots in the veins, then tom fly off into the pulmonary, and the artery and this can die, there is the next group, and patients who have mechanical valves, they are also shown antiguagulants. in general, anticoagulants should work, they should thin the blood, so now we will start with products, some of which do not allow these to work, as they say, and this is a

life-saving intake, and some, on the contrary, enhances the work of the anti- root. you all seem to be. here look, uh, what you eat, of this i love green salad and season it with oil and i really like to use it in the evening. look, the so -called green. in this case, it is thyme, dried basil, parsley, there are up to 20 daily norms, vitamin k and vitamin k antagonist of this pill that you are taking warfari programmer anticoagulation interferes with work. that is, if you use greens, even in a small amount of your time will not work, and then you can happen. therefore,

we exclude greens, not for you, not for you, this applies to all people who take anticoagulants almost everything is green. now i mean grass, everything that is green for salad contains large doses of vitamin k vitamin. k is a vitamin that deals with blood clots, so it is foolish to take vitamin k for blood clots. a anti-clot anticoagulant. anti covalents will not work once the next group of food is food, which, on the contrary, in itself can, have a unclenching blood. uh, a slightly different mechanism, but the effect is similar to the resolution of blood, when you take uh, two neighing priparts, the risk of robotics, as in your uh situation will increase dramatically. the first is, of course, alcohol. we have vodka all the time, but we don't

mean vodka. absolutely any alcohol, wine, absolutely any beer, just a little bit. lena may be a vitamin-rich woman. e is also a drug that prevents platelets from working. this is a mass of wheat germ or linseed oil. this also prevents your anticoagulant from working properly. here's the first thing we check is the food that's on your table. we've told you everything. this should be removed from your diet. this first is good. now let's look at the tablets. here it goes, somewhere here we put pills that our guests also take along with anticoagulants, because there are different diseases. they also need to be treated. what to pay attention to, we put bobrufer to the very top

shelf, because profen is a non-steroidal anti-inflammatory drug that interferes with our platelets, which stick together to work, so when taking all antiguagulants, you need to know that the risk robotics increased. persons, therefore, if you have pain in the joint you take and, accordingly, when you take this drug you will have bruises, then okay, you can close the brain, then see all pain medications ibuprofen voltaren ortofen and so on and so on, aspirin is the ancestor of the group. they all prevent platelets from sticking together. it already has two mechanisms for gluing platelets and special proteins that cascade also form conglomerates. here anticoagulants do not allow blood clotting proteins to work, and

ibuprofen here. this is a group of nonsteroidal anti inflammatory ones are not allowed to be glued, that is, you deprive the body of the ability to stop the blood, therefore, you are covered with bruises. in addition, it does not lead to changes in the mucosa. this increases the chance of gastric intestinal bleeding, so people out there need to take other pain medications. once or twice, and now e is a group of drugs that basically interfere with the work of that warfarin that you took and decides to work anticoagulants as a blood thinner. look at them just list. this is alapuri, well, ammidarone and omeprazole what's going on, that is allopurinol, on the contrary, enhances the effect of anticoagulants and again can lead to bleeding. it is taken for gout, as it is like

this from your first aid kit, you drink all this correctly for gout in order to reduce the risks of developing anything clean, too. maybe, e increase the concentration of anti-hail to bring beds and omeprazole can also interfere with work, e in harps, what should i do? so you nicknamed me, he 's the only prozone that interferes with warfarin. you can even replace it with another pro zone, everything will be fine. she's a different group ordinary ammonia. eh, the situation is different. it cannot be canceled, because on the one hand you have an arrhythmia, we will cancel the arrhythmia will return to eat several options, if it is completely impossible to combine them, then you are ablated and stop, ah, arrhythmia, that is, instead

of drug treatment of arrhythmia. today you can do ablation, cauterize these people. i draw the second one you just have to check more often here a blood test that checks the actions in the plan. well, the note is again tight control him. such situation. look here. we began to live very long and we are faced with a situation where we treat several diseases at once. of course, there is a simple advice on how to get rid of many diseases. moreover, it will be getting rid of gout, because of which you drink uric acid, and from joint pain, because of which you drink ibuprofen, and from reflux from heartburn, because of which you drink, you need to lose weight, there are two impossible things from recommendation people.