[000:00:24;00] amino mikunets world dear viewers of channel one, you watched the broadcast of the festive service ida al-adha kurban-bairam from the ufa cathedral mosque the historical residence of the supreme mufti of russia the almighty creator, we have good health and well-being honored with the opportunity to see each other again and rejoice at the repetition of such blessed danish events with the holiday of

kurban -bayram. peace be upon you the mercy of the almighty and his blessings commented on the world. in agapov presents ultrasound examination, why in front of him you can’t drink milk, but you need to drink coffee it would seem stupid questions, but there are no stupid questions. there are stupid answers, we will answer all your questions, seriously in the living healthy program, which helps and enlightens. here is a still life standing next to me. in fact, these are foods that should not

be consumed before you get an ultrasound for many years in our program. a wonderful doctor of ultrasound diagnostics, leonarthur, martirosyan, works there today. we decided to collect all your questions about ultrasound about ultrasound and ask lyon arthurna to step away from the patient and answer questions that many people think are stupid, but in fact, once again, there are no stupid questions. there are illiterate answers alyona arthurna is a very literate person. so we are waiting for the first guest of the gallbladder, and the record is only for the evening. it turns out the whole day you need to be hungry. tell me please. is it true that you need

to come to an ultrasound scan with an empty stomach, if you come for a gallbladder examination, then it’s true, you can’t eat for at least 6-8 hours, but i would advise you to sign up for this study in the morning on an empty stomach, but if you have any diseases that require taking very important life-saving drugs, then you drink your drug with a small amount of water, and somewhere in 4-6 hours. come to leonard arthur's study. i have a whole range of products. but can i still ask you to tell me what you can do before an ultrasound . and what is impossible and how long do we have dairy products here? here we have crystal colored babu you alcohol. fruits and carbonated drinks elena vasilievna, in fact, all this is impossible before the study on the day, especially the day before, if the patient

has digestive problems, then 3 days before that you need to follow a very strict diet, and remove all legumes the day before. uh, cabbage is a dairy product to uh reduce gas. here i just want to explain to our viewers. what is gas formation? so you are so gassing can occur if you have milk intolerance gassing can occur if you eat coarse fiber, crystal cauliflower, herbs, fruits, and so on, there is gas formation when you drink straight carbonated water. i will now show gas formation and i want leonarthurna to answer. why don't you like penis gas in your mouth? as ultrasonic rays, they do not pass through gases, they are extinguished and are not rejected from them further. we do not see anything clear, therefore

, no gas-forming products on the eve of the day , absolutely categorically, but we are also waiting for the next guest in 2-3 days. is it true that ultrasound was invented thanks to dolphins? like this leonardo. let razbuk be high-frequency sound waves above the threshold of audibility of our hearing, scientists initially wondered. like how do dolphins swim and don't collide. yes, they are guided, they do not encounter any obstacles, and having revealed this effect in the middle of the last century, in medicine they began to use this principle for diagnosis to detect pathology. so when the dolphin swims, it emits ultrasonic hair, the ultrasonic waves hit an

obstacle and return to the dolphins like this way. dolphin builds a water relief. here is exactly the same principle, if there is an ultrasound of arthur from, we will ask our assistants now. nastya please, show us the sensor, please, the sensor emits ultrasonic waves that propagate through various tissues and environments of the body and are rejected from them with different intensities. and already the same sensor picks up these returning waves, and the device already transforms these waves into a digital picture and we are already interpreting. now we always have black in the ultrasound picture color, gray and white black is air no. black is liquid. this is the best medium for conducting ultrasonic waves. yes, and a light one is an obstacle that is denser. these are fascia, organs are denser structures. i still want to go with you to

the device to the ultrasonic device. you can also come with us just to show. here it is in black and white. that is, it is possible. let's give in instead of showing the corypha. the heart is a dense muscle, which means it should be white, and the liquid in the heart, it black should be on ultrasound gel - this is a conductor for ultrasound. and now, look, here we see the chambers of the heart. we see how the valves of the heart are contracting, because the heart is working; the valves are white chambers are black, because they are filled with blood, right, right. so thank you for your question. and we are waiting for the next guest. the fact is that my wife is pregnant, but she does not want to do an ultrasound because she believes that this will have a bad effect on

the child. and i think she's making it all up. tell me, please, which of us is right, well, ultrasound examinations are standard. the standard of following the year 2000 by order of the ministry of health is not only in russia this standard. this is the definition of the life of the child's ability to develop malformations of the child, so the first thing a wife should know is that this is such a world standard. this is how it's done. everyone, without exception, that if it harmed, well, some country. yes, i wouldn't do it. moreover, we have just described the principle of operation of ultrasound and an absolutely harmless method of no inizing radiation or radiation. absolutely no, that their rays do nothing calmly and you will be protected. so calm down the wife we ​​take. ennoy women are always anxious, and husbands pregnant women are always calm

next question. i came for an ultrasound of the bladder, and the doctor sent me to drink coffee to come in 30 minutes. why i suspect that you did not come prepared enough for an ultrasound and the bladder was not filled, but to evaluate a reliable competent bladder. you must come to a full bladder, and in order to speed up this process, do not wait an hour and a half, your doctor just asked you to drink coffee, because it is filtered faster and coffee is a diuretic with the strongest diuretic effect. let 's see how the bladder fills, so that you understand that without this it is impossible to see it. here it is filled. he opened up how sharik and the doctor see a beautiful black liquid and all sorts of you - it is very important

to evaluate the walls, especially in the elderly and , uh, the mouth of the ureters, because there are pathologies that we will not see on an unfilled bladder, so we definitely need to fill bladder. and after that come to the study and one more question from lyon arthurn. my daughter and i decided to undergo an examination of the mammary glands, i was prescribed a mammogram, and the daughters of the ultrasound said that because of the age and up to what age it is possible to do an ultrasound examination of the mammary glands. this is all standardized testing. i want leon, arthur to invite to the mammary gland. and it is true. is it really an ultrasound or mammogram? come to us, please, here is our chest, some kind of

education can grow in it. it may be a cyst or fibrocystic breast ultrasound or cancer, so daughters. how old is 30, and you are over forty, that's right, because we have a section of water numbers, what are the principles for whom an ultrasound is for whom a carafe's mother, look, ultrasound. we do every year, yes, even to young girls. and once a year, we add mammography according to the standard , and from now on we have already slightly reduced the age from 35-40 years every 2 years, but we do not stop doing ultrasound, that is, we do ultrasound every year and every 2 years, mothers russia for what is it being done? because the results we get are complementary with age. the breast tissue becomes denser, and we may not see microcalcifications, which are good, yes , on ultrasound, which will be clearly visible on x-ray methods, therefore,

but it should be noted that, for example, more, soft tissue. there are liquid structures. they are better seen on ultrasound, that is, these two studies are not mutually exclusive, but complementary, so everything is right for you. you said you do an ultrasound scan every year and a mammogram every 2 years, but you must do it , dear friends, you must, because it depends. our life and the health of the whole family. these seem like stupid questions, but not stupid. here, of course, i had a clinical case that was not stupid, very egregious on mammography, since the gland was very large, one sector e did not shine through closer to the axillary fossa. she had an ultrasound scan and i saw a cystoid formation with a parietal component. that is for a biopsy. sent for a biopsy through all of me and said that he was a deck, and this is in 70 years without menstruation. that is, this menopause is complete, therefore, well, you need to be examined, even if

you are 70, thank you very much, thank you, no stupid questions. there are stupid answers, but fortunately, or she is arthurna, martirosyan is a very, very, very competent doctor. thank you very much leonardovich. let's take a short break, and then we will continue our dinner in burgundy tones. beetroot than cold soup is better than the classic borscht about the tail during the development of this person in the womb, someone else was also underdeveloped tailbone cyst. how to get rid of a human tail an inconspicuous bite cannot be torn out, it can only be torn off. and so all this will remain it will remain below what to do

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sunday at first so dear friends, this is a program to live healthy, and we are in the kitchen. today we will talk about cold soups. we have a whole cycle dedicated to cold soups. i have a question for our audience. who says hot soup is healthier than cold soup? now please raise whoever thinks cold soup is healthier than hot. explain why you think cold soup is healthier than hot soup. i think you are, first of all, sickness, because hot is bad for the stomach and for esophagus, and then the cold one just tastes better for my taste. just like that well the answer is right practically right? why because really hot hot drinks hot food hot soup increases the risk of developing cancer of the mouth and

esophagus if the temperature is more than 60 °. now. look at what happens when we process our foods, at burning temperatures a prime example is vitamin c vitamin c simply destroys vitamins. many are destroyed. well, mikhalych wants to note the dominant, which is just a little once. well, there are practically the only vitamin that is not destroyed during heat treatment, a and the amount sometimes increases it by itself, well, vitamins of group c of group b during heat treatment. moreover , for boiling, they simply die, and indeed we have problems, we must understand that cooking destroys a lot. we talked about the bad. now, even in a good time about the cold, petrovich is good about the cold and in parallel. what is called bad about hot? look here. this is the gastrointestinal tract gastrointestinal tract and food

ingredients are absorbed through this wall. this is how we figuratively, uh, imagined carbohydrates and carbohydrates consist of sugars, this is sugar, in fact. and so, if we do not thermally process this one, if it is cold, a carbohydrate, it has a long chain and this is longer . the chain is absorbed worse through the intestinal mucosa. and if we thermally processed it, then separate carbohydrates. this is how they become easily accessible. we don't mind hot soups, we eat them ourselves, but we certainly don't burn ourselves in hot soup, because it's a really sharp cancer , but as doctors we know that cold soups have their own benefits and their niche is the preservation of vitamins and resistant carbohydrates, which if we eat them, they do not allow us

to recover quickly. today we will have cold soup. you specifically spoke for a long time so that you understand that cold soups are good, especially in summer the soup is called beetroot, and we have a wonderful chef as our guest , the winner of the competition, the russian chief resident of the ryazan culinary association, alexander lazukov, alexander hinted at the flower garden with kefirchik, sash, what is included in the composition and how to cook it, you can interfere with beets, and green onions, young, beet leaves, added a little mustard seedlings in kefir dressing, spices , salt, and mustard, granular, see our chef alexey kovbot. at least he is not a member of the ryazan chefs association, but he is trying to bite on your wonderful dishes , so i want to ask you to make sure that he

cooks beetroots correctly, and i will ask the doctors to tell you about the scientific content of beetroots, and we will treat the guests, then the caretaker, and he is a beetroot called, because it contains beetroot beetroot is a vegetable that helps our blood vessels expand. there's uh, the precursor, nitric oxide, and it's a natural vasodilator that lowers the tone of the arterial vessels, look what happens when we have enough nitric oxide. that is, in principle, this is a cardiological soup. yes, if there is beetroot, there will always be a benefit for blood vessels , there will always be vasodilation further. in addition, beetroot contains an egg in an egg there is a lot of choline, which is necessary for

synthesis of so-called neurotransmitters, which ensures the proper functioning of the nervous system. so holingi is a signal is coming, an impulse is coming. we think our muscles are working. and in principle, we live e, the next advantage of our beetroot soup is that it contains a huge amount of indigestible fiber, and thus normalizes our digestion, treats constipation, comrades, let's call things ours . well, let me do this one, but it's on kefir. a lactic acid product that helps our microbes live and, uh, develop,

respectively, digestion. uh, the health of our immune system improves. how do you like our beetroot. have a delicious day, how does your grandmother make it, sometimes in the summer you need a sensor. well, here's one for the components of our chefs, please. sasha what secrets do you have in ryazan cooking beetroot soup is delicious from where i got the recipe? that is, uh, there, a small area and at one time there was a dairy plant. that is, the main all dishes are, well, cold, like beetroot soup, even cabbage soup is prepared with milk with lactic acids, that is, instead of sour cream. that's why i like to cook. uh, directly with kefir. here, but because of the secrets. and this is to bake beets, that is

, well, yes, i like it better, because i cleaned it, then you can eat it cold with butter and also quickly there, and cut other products. there, the coldness is absolutely logical, because when you bake water, the concentration of useful substances also goes away, which are not destroyed by such temperatures. it is increasing. and you just film it all. everything leaves the soup, however, beautiful to you, by the way, not at all salty. yes, alyosha laid out the ingredients in handfuls like this. let me show you, this is how the serving option is also beautifully poured into a plate for everyone. let them interfere. true, mikhail is an egorchik. look, you 'll get in the way. so you can, of course, sash nastya stir super. everything is cut beets, large cucumbers are large. i like to chew. alyosha rubbed everything on a grater,

felt for the toothless. no, i 'll explain. it’s just that, let’s say, it’s convenient for me when it’s cut into cubes, that is, yes, i take spoons, and when chopped straws are not very convenient for me, but i personally do this. i don't see it fundamentally. there's a difference like dirt. treat, please, mikhail yegorchik. there is greenery right there and you can hit the tops there. yes , tops can be. and even historically. it was originally a soup with tops. yes, what is called mongo. here is a specific woman. here in this beet no one spent money on a mongolian. we approve. we expand the vessels to greenery, preserved with vitamins halim's egg, the nervous system works beautifully. that's all we wanted to tell you about food, let me remind you. if you did not have time to record or hear something in our program. you will find everything in

the television program magazine. and now our program continues friends, and we have delicate diseases such diseases that no one wants to talk about today, the situation when you are on your back. you have something like an inflamed tubercle, and from this tubercle, then the hair will come out, then the tooth, then something else inflammation on the coccyx cyst of the coccyx, we start talking about medicine. of course, i want to invite our expert and our colleague proctologist, the brilliant surgeon proctologist mikhail yurievich of patience. come to us, please, i want. so

turn the person around and ask you to just show where this cyst is formed and why it is formed, well, this is such a conceptual uh, a disease that sounds like an epithelial coccygeal cyst. direct far sickness. it's all about one thing, but in fact, a very reliable model, because exactly everything that causes clinical symptoms is presented right here. this is a disease that can occur with completely different symptoms. that is, this is some kind of inflammatory process that takes place precisely in the subcutaneous tissue, which is located in the intergluteal fold to the cristal, coccygeal regions. the first inflammatory formation, insert the gluteal folds in the region of the cross, here is the sacrum. let's stick it right on. i want to show you a picture on the screen, it is located somewhere

right here, if we take. here the aroma is some kind of change, either red or colorless. yes, it’s clearly written, so look here, yes, this is just our vandal cyst, and with a clear inflammatory contour with a clear skin defect, from which you can see the hair, sometimes there will be discharge. and here is what this cyst looks like in a section. what a person feels and why there are hair teeth, unknown that in 90% it is hair, but the fact is that there are two theories for the development of this disease. they are just a few there are still so divided by countries, but the european approach. it’s western, it’s believed that this is an acquired disease that occurs due to the trichogenic pump mechanism, and after some microtrauma in this area, through these small holes, the hair penetrates into the subcutaneous tissue, as it is clearly drawn here inside the pictures, well, it is located here

and they cause a constant inflammatory process by their mechanical presence. this drenched this discomfort hair in 90% inside the cyst. here. i now want to be shown the operation performed by the professor, then we will tell you what its essence is. why does the operation occur in a person, this place hurts correctly, the discharge fester, he can’t really sit down, it’s right here, you can even use your hand before the start of the gluteal fold. they think, an abscess, where should i go now, i will be treated myself. here the doctor works with a laser and the most interesting, of course , is to see what he extracts from this cyst, because in 90% it is hair, but there are situations when, in addition to hair, these are teeth and that's it. the rest is here. how much hair is there extracted, i must say that i am close to the theory that this is an embryonic tumor

, that it was during the development of this person in the womb of the mother that someone else was also underdeveloped, so this is some kind of underdeveloped pilaf , because when at the time of our training at the institute, and we all were taught by one textbook. we studied according to the eastern textbooks, where it was clearly stated that this is a congenital pathology that arises precisely because of a violation, and the development of the distal separate part of the fetus, and this is supposedly what it is, but the most interesting thing. that is is not entirely correct, because the average age of onset of this disease is 23 years. well, somehow far from intrauterine development. we have a bunch of fetal cysts in girls removed with hair and teeth for ovarian dermoid cysts. this is already our conversation. but it's really a theory that it has to do with intrauterine development. it's like she has a place to be. that's how friends. now what is the essence of the matter, and why did i

invite mikhail yuryevich because he operates on this cyst in a special way you can excise to injure this zone, but this is a zone, it is very painful. he acts completely differently. he injects into this cyst. here is such a conductor and at the end it has laser radiation, and this laser, in fact, glues the cyst together. i'll show you right here right where it says purely coccyx. so here it is, right there somewhere. the needle is inserted correctly. mikhail yuryevich, the light guide is inserted into the laser light guide, and so that you understand what is happening there, the doctor specially took a test tube, well, with egg white. we don't have real cysts help, i'll keep the case in the fact that you look at it directly for this disease is just a picture, because the fistulous tract itself is such a tube that it is. if we look at that picture there are a lot of nerve

endings, and there is too much to process. it will hurt a lot, because the coccyx area is very saturated with nerve endings. so this technology allows you to survive the entire procedure without pain. let's see what with the right exposure to laser radiation, when we start light guide and give energy, then it clearly gives everything energy. we see that the energy directly damages near the light guide and does not damage the surrounding tissue. that is, i yes, we will show that at the end you see a regulated protein, that is, the internal contents are coagulated. the pistachio skins and you go home without pain, a person can go home on the same day and practically does not hurt, which is a pleasant answer to traditional operations, when some of my colleagues forbid sitting for 2-3 weeks, and in our life urbanized is unreal

do not sit for 2-3 weeks. here imagine this life becomes hell. so. this laser treatment of a cyst, the coccyx is an amazing technology that makes it possible to live like a human after surgery, which i can’t . well, it is included in modern clinical guidelines for treatment, which does not contradict common sense and our help in our center. this is the kind of technology our wonderful guest, a wonderful surgeon, owns. doctor mikhail yurievich thank you very much. it should be an inconspicuous bite, you can’t tear it out. you can only tear it off and leave it all. what to do if a tick has stuck to you summer is in

full swing and many dream of a sunlit veranda somewhere in the country tonight