enemy of russia, therefore, in this case , we are not talking about the carpathians, although there is a river goryn , which flows through volynia and flows into pripyat already on the territory of present-day belarus, but this again is not connected with this gorynoch. in your opinion, who benefits from creating such fake news and why? well, if, of course, we approach this issue as a historical, folklore phenomenon, and not engage in political... insinuations, as they do now in ukraine, it is just one small link in this a long chain, but ukrainian fantasies, myths, ideologies, on which their fantastic version of history is built, uh, their fantastic version of the origin of ukraine, the ukrainian nation, so in this case any point is taken from history, from culture, from folklore there, and to this

... ukraine joins, as they say, this object is painted in yellow-blue colors, so they say , well, that’s it, now this artifact, this phenomenon, this is a purely ukrainian phenomenon, so in this case, whatever came into their heads, they splashed out - on wide screens, on the page and so on. thank you very much for these clarifications, all the best, but i think we can put an end to this, well , as always, i will remind all viewers that you can join our fight against disinformation by sending news that raises doubts in you, and of course, reasons for pride , so that we definitely talk about them here, all the best to you, the first channel presents a medicine for... every day pills for

heartburn, show me gestures, i’ll give you diagnostician, written in blood, platelets, the program to live healthy talks about the most important things for each of you. so, dear friends, in our studio there are pills, right here they are, in the sky and next to me, life is developing in such a way that we began to take a whole series of drugs every single day, there are many such pills: blood pressure pills, cholesterol pills, pills for diabetes and heartburn pills, before i tell you which pills we’ll talk about, i want to show you an amazing graph, which personally just makes me happy and surprises me, this is the graph life expectancy.

let's see how many years we lived, starting from the 14th century, from 1770 to the present day, look, almost 300 years before the beginning of the 19th century, life expectancy was around 30, by the 21st century it has grown to an average of more than seventy years, vaccines and antibiotics played a great role in this, so if you don’t get vaccines, your life year is 1770, as they say, it’s our job to warn. so, vaccines and antibiotics, for the last decades , daily pills have been prolonging our lives. about we told you many, today our heroes are prozols, and i want to invite our guest, friend and expert, doctor, gastroenterologist and endoscopist, igor vladimirovich, to the studio. korodokin. in fact

, we, the hosts of the program to live healthy, call these drugs prozoles, and we taught dr. gorodokin to this. these drugs are of course called differently, which is correct? these drugs are called proton or hydrogen pump inhibitors, but they all end with prozole, this is omeoprozole, rabioprozole, pantoprozole, ezemeprozole, there are a million of them, me too, mikhail egorovich, you take prosols, sometimes i do, german shaich takes prosols, a lot of people take prosols, in our company there are four presenters, our guest today is a young woman who also takes prosols, nastya, come to us.

tell me, the worst thing that happened to me was 3 years ago, and this was heartburn, especially at night, at night there was a strong heaviness in the chest, it even reached the point of coughing, and i went to see a doctor, a gastroenterologist, and to me they did a gastroscopy, an ultrasound and discovered that i had a disease like herp, it’s hard to reveal the full name, and prescribed the drug miprazole, now i’m taking it, it helps me very, very well, i generally think that this is just an excellent medicine, well, happiness , amiprozole is the founder of this class, and honestly , its appearance, well, it was really very cool, in general , all the treatment of heartburn was just revolutionary breakthroughs, because once all these were diseases leading to ulcers, they were surgical

diseases, these were difficult things, this class, it certainly changed life, and so a person takes prozoles every day, igor vladimi, firstly, i want to wish our guest that this really was the most this abbreviation, this means gastroesal reflux disease , now we will throw the acidic contents of the stomach into the esophagus, this is how we famously threw it, and then the situation is very simple, there was no heartburn, people were suffering from heartburn, they drank soda, which does not help, and so on, what could this gastroesophageal reflux lead to? , means esophagus irritated by acid, the stomach is protected from the effects of acid, this is the stomach, the stomach is protected from the effects of acid, a special mucous membrane that protects it from

any acid, the esophagus is not protected by such a membrane, it is protected by the sphincter or muscle ring at the bottom of the esophagus, which must be closed and not let the acid drop. if it is weak and acid still enters the esophagus, it burns it, thereby causing inflammation, erosion, ulcers, stenosis of the esophagus, and the worst thing is when the esophagus after many years of irritation by acid, he thinks to himself, well, allegorically, of course, why the stomach is worse, and why can’t the stomach be protected in the same way, begins to replace its healthy cells, also with healthy cells, but with those that are normally present in the stomach , does not protect the esophagus from the effects of acid, but the problem is that they should not be in the esophagus, when these cells appear in the esophagus, we call it baret's esophagus, dr. baret is an australian cockroach surgeon who described this once in fifties years of the last century, but this esophagus bar

means that the patient is at risk of adenocarcinoma of the esophagus, that is, cancer of the esophagus, you need to drink prozole, yes, prozoles do a simple thing, they reduce acid. they block the hydrogen pump, and hydrogen, as you remember, is the beginning of acid, so you drink, the acidity decreases, and the scalding acid does not get here, right, yes, but as you said, they must be taken daily, for an unlimited time, because it like any chronic disease, like diabetes, like hypertension, you it wouldn’t even occur to me to treat diabetes with courses, but for some reason i often see doctors saying, well , take it for 2 weeks or a month, no, i want to say that much more often, it’s not the doctors who say it, but much more often, it’s the patients , they will leave the doctors, undergo treatment for 3 months, they feel better, they think , they need to stop, they need to take a break, they need to take a break, they will take a break, they feel worse, after a month they think, they should take it, they should

take it, they took it again, it got better, they should take a break, this wrong, uh-huh, uh-huh, i want to say that the exception may be what to do mikhail egorovich, take it only when you have heartburn, but this can only be done with the drug rabioprozole, which reaches the maximum effect on the first day, 88% of the maximum effects, all other prozoles reach the maximum effect from 3 to 5 days, so taking them only when you have heartburn usually won’t help, but if a person really suffers from heartburn twice a month, then taking something every day is probably not worth it, so this particular drug can be taken, here repeat the name, a drug that can be taken for... rare heartburn , no more than twice a month, also prozole, but special, rabiprozole, rabeprozole, look, yeah, what you need to know, you take prozoles every day, you need to know about the side effects

the effects of these drugs, what do you know about it, oh, well, probably, like any drug, it still leaves its imprints on the liver, most likely that’s all, that means in russia everything left imprints on the liver, a lot of rumors include stomach cancer about nephropathy. and heart attacks and so on, but none of this has been proven, globally, people taking prozoles for a long time, they have a reduced level of magnesium in the blood, so you don’t need to do anything for this, just if you go to the routine for what dispenserization calls, you call it, yes, just blood tests, ask to add magnesium, the doctor should know, add magnesium, if it is low, that is, determine the concentration of magnesium and know what the norm is, you can take magnesium supplements.

there may be a deficiency of vitamin b12, this is also necessary determine in a blood test that things are interesting b12 is found only in animal sources and is usually bound to protein. the protein is broken down by stomach acid and b12 is released. there is not enough acid to break down the proteins that bind b12 so b12 is not released from animal sources. so we reduced this acid. b12 cannot be absorbed. get tested for b12. um, if b12 is low, you can try taking it in pills, because pills aren't bound to protein, they can. be left without protein, or just get an injection once a month, give an injection

, an injection of b-12 and this will also correct the deficiency, it is not so difficult, to determine, so, prozoles, require the determination of magnesium, yeah, and b12 in the blood, and so, excellent medicine, excellent, questions, well i have no questions, sailors, no questions, thank you, please sit down, and of course, many thanks to the doctor in town who know how to cook and properly prepare squid, additionally removing this still thin membrane so that the squid does not shrink, far eastern squid, how to choose it's on the market if you live in central russia? written in blood, we read the tests correctly , platelets, what about... at first glance and we will now ask

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, show me, so squids, here they are our far eastern, peeled commander squids, yes, as a person from vladivostok, why squids are loved in vladivostok, here you are the indigenous people, well, let’s just say, the simplest one, the cheapest way to get protein, it’s easy to get, yes, it’s easy to get, yes, it’s like, now is the season for us, a lot of guys, fishermen, amateurs, athletes, go out at night, catch it in large quantities, freeze it, and in the winter they gradually eat it up they catch him at night, they catch him at night. why? nocturnal predator, lord, who does he eat? i think all sorts of small crustaceans and the like, wow, on the black sea there is colmat, on the black sea there is no, that is, this is absolutely such a far eastern thing, the northern seas, dim, come with us, you can

i’ll ask you to take squid, cod, because we will compare with these products, and scallops, squid mikhail egorovich is carrying, and we are cod , cod is a healthy fish, dear friends, oh, that’s right, let’s go, let’s go, it’s hard, such a fish, and luxurious cod , that’s it, comrades, we’re at the market in moscow, it’s really great to go to the market, mikhailovich, and so in some places we have squid - the main character, cod, they put it for comparison. let's start with what, what is good from a medical point of view, who will start? first, he is fighting cancer. squid contains selenium, which fights ragom in this case, we have a lung, this is a cancerous tumor , a person who uses selenium - this tumor does not develop, of course, but here

it contains 81% of the daily norm, in triska, priska 70, here 40, that is, squid - a cheap , affordable product in terms of selenium, it outperforms other seafood, so when you sell it, don’t say at all that it’s cheap. again , mikhail egorovich, what are you talking about, i’ll probably tell you about vitamin b-12, because vitamin b-12 is involved in the structure of the myilin sheath, nerve, fiber, in particular optic nerve, when the myilin sheath is disrupted, the impulse is not transmitted normally. look, this is a nerve cell, this is a fiber, a fiber, this is the myilin sheath on top and there is excitation, so open, open, when the nerilin sheath is disrupted,

these kinds of failures occur in the transmission of nerve impulses, respectively, if we talk about the eyes, then so -called optic neuropathy may occur, that is , a condition when optic nerve dystrophy develops and a person simply cannot see, despite the fact that it... but the impulse is not transmitted to the brain, accordingly , what the squid does, it gives us vitamin b-12, again, if we compare with cod with scallops, the scallops have a little more, the squid half the daily dose of 100 g, ducklings are a little less , well, that is, they are about... they all have vitamin b12, about half the daily value of 100 g, well, great, great, now three questions for dima, like a professional,

dim, here we are came to choose a squid, how to choose a squid, how to choose, well, first of all, it should be white, perfectly white, like we have it here, now cleaned, well, it should smell like squid, but how squid smells, i don’t know, freshness, i think the smell of freshness is still its own specific one there’s a slight smell, just like the scallop, it’s also unique , just like the ducks too, in general, white is the key feature, white, elastic, dense, it should be good, so next, we bought the squid. brought home, how to properly store squid, dim, as a rule,

zero chamber, and preferably no more, just a refrigerator, a refrigerator, yes, no more than three days, that’s all true, let’s freeze the colmar, it will lose its qualities, well, you can freeze it once, and then it will be, either you buy it , freeze it, or buy ice cream and defrosts, but how to defrost correctly? it’s correct, if you buy frozen squid, be sure to put it in the refrigerator, at that temperature, it should gradually go away, that is, do not put it on the window and not on the table, but defrost it in the refrigerator, this is fundamentally important, question dima, how do they eat squid in the far east, because a lot of food in the far east is eaten differently from us, just like in the black sea, but not at all like that? we either have a classic squid salad, boiled, yes, boil it, or simply cook it on the grill , turn it out, wash it, add salt, pepper

, and put it on a wire rack. it is mandatory, mandatory, yes, to wash the squid, because this is mechanical cleaning, this is not manual work. , it must be turned out, because there are remnants here, chords remain, some insides or ovaries, these ones, all this needs to be removed, because it can cause bitterness. that’s it, they turned it out like this, removed the film, rinsed it, but it doesn’t, doesn’t collapse when welded, when welded, it shrinks during cooking, and shrinks, naturally, because it also has a small membrane, this one here, which is additionally for gourmets who know how to to prepare and properly cook the squid, i additionally remove this thin membrane so that the squid does not shrink, and this way it turns out much more tender, softer and afterward, and turn it inside out again, but i just want to say, the remnant, the remnant of the chord, its spine, these are the remnants, these, here is this

membrane, yes, here it is, like this, dears, there are secrets everywhere, dim, to whom will you say hello in vladivostok, by name, directly, better, i’ll put it simply this way, everyone who knows me remembers, hello everyone, i’ll be there soon, how often do you come to your homeland, every year it’s always in the fall, i realized that from the sea of ​​products, you personally, which one you love the most, so you put it in first place , well, scallops, shrimp, this is the very first place. for you personally yes he is like would be the most affordable, not very expensive product, crabs are of course a good thing, but very expensive, by today’s standards, these are the people we met here in moscow at the market . we are very glad that we live in a huge, huge country, where people are different in the south in siberia , mikhailovich was born and raised in the south, studied at a medical institute in siberia in tomsk, and he will confirm this, it’s true, so our homeland

is huge, we love you, hello, we say hello to vladivostok and return to the studio of the program to live healthy. so, dear friends, we are on the medical platform, right now they take a blood test from our guest. step by step we look at what is contained in a drop of blood. and today we have absolutely special blood elements. these. the elements are called platelets, but i don’t want to leave here, andrey petrovich, because i want to start with the main quality of platelets , what they do, they should form blood clots, in general, these are their tasks, they should form blood clots, yes, blood clots often in most cases of our life, this is not bad, this is good, i just want

to show you now, they took it. blood test, pierced vessel, a hole has formed, this hole will be patched, the platelet will be patched instantly, it will be patched and there will be no bleeding , that’s why this outstanding word is on the screen , here we have more early, each of you was scratched, i don’t know if you had cuts, what’s happening andrey petrovich, we need to formulate. in order for the wound to heal, all the defects of this wound , vascular disorders, will be sealed with platelets with special blood plasma proteins, everything will be fine, everything will be fine, platelets have already sealed this defect on the skin, we to all our guests they took a blood test and those whose platelets are higher or lower

than normal should light up the red screen. and the green ones are those for whom life has smiled , everything is fine with them. normally, a person’s platelet count ranges from 150 to 450 thousand. one of our people is red. come to us, please, and we’ll go right over there to the model of the cardiac vascular system. are you coming to us with an analysis? yes, i printed it out, with the analysis. oh, this is actually, ena vasilyevna, i believe, i believe that we conceived this cycle at a very timely moment; according to modern statistics, more than 70% of the population the russian federation began to do blood tests on their own, but to get some sense from them, you need to generally understand that our guest has 527 platelets in them, here are the references.

up to 380, but higher than normal, globally, you yourself can guess what will happen if there are more platelets than normal, you know, i passed the commission, i don’t feel that they are elevated, i feel great , i didn’t even think that my platelets were so high, to be honest, well, in general platelets form blood clots, so in general in general, if they increase, then we must understand that the risks increase, where , let’s say, if someone gets the flu and does not have pneumonia, and pneumonia with the flu, as with covid, these are microthrombi, if you get sick, you have a risk to have severe pneumonia is higher than the rest , but this is not felt at all, so, platelets are higher than normal, that our guests should know what to check, what to do, there are several rules, the first rule, we must look at the others. the first

indicator we pay attention to when platelets are elevated is the hematocrit, that is, this is the ratio of the liquid phase to the cell phase, if the hematocrit... is normal, then in this case a consultation with a hematologist must be followed in order to exclude the diagnosis of so-called essential thrombocytopathy, that is , thrombocytosis, an increase in platelets, this , unfortunately, maybe with age, the chances of this increase and you don’t need to do anything on your own, and you can’t do anything, because this is a potentially serious hematological disease, well, in medicine it’s like that, in medicine, both above the norm is not good and below the norm not good, so if you need our help, tell us, we will come to your aid, this is not

an option at all, understood? now sit down, if your platelets are higher than normal, you need to go to a hematologist and you need to understand that your risks of thrombosis are higher, this is bad, because a lot of diseases can strengthen... or manifest this tendency of yours, and this is a difficult case, and the woman is young, so you know how during covid, when young people died, if there were some undiagnosed diseases associated with high levels of thrombocytes, with high levels of blood clotting, they were like times and suffered the most, the second option, platelets are below normal, who can guess what will happen if platelets are below normal. there is no risk of a heart attack, who is bleeding, bleeding, there are no platelets, the wounds are not sealed, what to do if platelets

are below normal andrei petrovich, for this you still need, of course, to go to a hematologist, the most common cause of thrombocytopenia, the so-called immune thrombocytopenia, when your own immunity... attacks platelets and destroys them, such situations most often arise after undergoing infectious processes, in this case the immune system can simply recognize its own cells, platelets, as the enemy; they can sometimes simply carry enemy antigens and because of this come under attack. which doctor should i go to, a doctor, a hematologist? immune thrombocytopenia, and thrombocytopenia in general, is dealt with by doctors, hematologists, i want to say an important thing, they tell me: okay, platelets are higher than normal or lower, what examinations are needed? so far none, you have already done the examinations,

your examination has already revealed a pathology, then whether thrombocytosis is above normal, or thrombocytopia is below normal, now we need to understand the reasons for prescribing treatment... in one case, so that platelets do not stick together, in the other, when they are not there, so that they stick together. medicine, the most logical of sciences, honestly, if you are at least somehow interested in your health, then you will be happy. the sponsor of our program presents the drug fluifort, this medicine is created to thin sputum, suitable for adults and children from two years of age. minimum cough, maximum peace of mind. alina, where is the figure

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here, here is a heart, there are a great many gestures, but we look at gestures differently, we want to invite here one by one now three patients who cannot make some gestures, but we do them freely, alexander nikolaevich, we are waiting for you , and we will now ask both alexander nikolaevich and our entire studio to make one gesture: please, thank you, fold your hands like this, alexander nikolaevich, try, alexander nikolaevich can’t, you know your diagnosis, you ’ve been undergoing treatment for a long time, that’s right, yes, the worst thing in of my life - this is my disease, show me, like this, which has been progressing for me for more than 15 years, more than five operations have already been performed, five or six operations, i have already lost count, since 2010, operations straighten, but

operations help for how long - a very short time, how long? well, 2-3 years, and after 2-3 years the hand again shrinks and, accordingly , the joint is already shrinking, even when trying to completely straighten it, it is no longer possible to even straighten it, what should our guest do, what to do, what the reason for this problems, as the disease is called. dupietren's contracture, in principle, there is a so-called duetren's disease, there are just nodules, and there are nodules with contracture that the finger bends like this. like in our patient, why is this happening, look, there is a palmar aponeurosis - these are tendons, about this palmar aponeurosis, everything is shortened there, at the moment when thickening nodules and the scarring process develop there, the fingers bend, surgical intervention

is associated with separation these adhesions and straightening apnomhrosis, but unfortunately our... guest, it all comes back, so i just want to say that we saw an extremely severe contracture, usually it all starts with this, like this, like this, a person cannot contract, as a rule, it all starts with the ring finger, that is all the fingers are connected, but the ring finger is not connected to the end, no one has this in our studio, everyone is fine, that is, this is how the hands should be clearly, perfectly clearly folded, this is the beginning. contractors, there is nothing even to advise here, because there is some kind of malicious course, although in this case 2 years of rest is already good, of course, but there are initial forms of treatment, when they do not perform surgery, this is treated by traumatologists, orthopedists, hand specialists, we have such

a friend, we will definitely refer you to him , because we want to help, okay, and this is a contracture after the program, we’ll talk everything over, okay, please sit down , i want to invite one more guest to us, larisa dmitrievna, come to us, what kind of gesture will we ask our larisa dmitrievna to make, yes in in this case we just want her to stretch out her arms and fingers evenly, with her fingers evenly parallel to each other. close your fingers like this and lower it straight down, that’s what we see, we see deformation of these bones and joints, and the joints of the palm, and here we see serious deformation, these are classic signs of rheumatoid arthritis, this is

advanced rheumatoid arthritis, unfortunately more people suffer from this disease women than men, unlike the previous one, which affects mostly... mostly men, and this disease begins in women after 35 years, at this age form, most often, unfortunately, unfortunately, in this case, your own immunity goes crazy, they attack small joints, these small joints of the bones and deform them, the first sign of this disease, when there is no deformation yet, is morning stiffness, this is morning stiffness. how did it happen to you, well, how did it actually start, how the spine seemed to hurt very badly, just sharply, then suddenly, out of the blue, it seemed to go away, then it became more migrating, then the shoulder, then the knee, then my ankle stopped, my hands began to hurt a lot, so now i can’t do anything with my hands

at all, i had this symptom when i got up in the morning and i can’t straighten it, but i can’t straighten anything, people need to work. these are the very first symptoms, at this moment you have to go, unfortunately, women are very patient people, because this stiffness, it goes away after half an hour, an hour after the morning, they say, okay, nothing terrible, you have to study, then in the morning everything is the same and again they start with difficulty in the morning, at this moment of time you can’t miss it, you have to start treatment, otherwise the disease will progress and will... prevent the development of this contracture, well, it already exists, it already exists, i just want to tell other people who have it, in the life of our guest there was an episode when she was prescribed the most modern medications,

medicine it cost 500 rubles, but you can imagine, such a sacrificial person doesn’t have those 500 for herself. it was for everyone, though in the family , for the family, she didn’t have herself, so she didn’t take these drugs, she stayed on the old treatment and everything progressed like that, completely progressed, deformed everything, which doctor treats this disease, tell me, rheumatologist, rheumatologist , where are you seeing, third hospital, 25 years, 30 years, now we have talked with our guest, i recommend that she take a referral now, the last time she was hospitalized in twenty-first year, now she is still 23 years old, and we will send her to the federal center institute... to review the treatment , because the disease is progressing, we need to do this, but the most important thing is to start everything early,

this is the most important thing, we are lately we have stopped seeing such deformations, when we we see them, we immediately say, you’ve probably had this disease for 25-30 years, we turn out to be right, thank you very much, please sit down, and we have another guest today, viktor vasilyevich, come here. i want you all to show us one simple thing now , how you comb your hair, do something like this, and i’ll ask viktor vasilyevich to comb his hair, i practically can’t do it with my left hand, it’s from the hairdresser vasilvich i have to tilt my head to comb my hair, not like that like we hand, the left one doesn’t come out, and the right one doesn’t come out, right please, is it possible? do you mean patients, do you have a left hand?

yes, well, this syndrome is called frozen shoulder syndrome, or frozen shoulder joint, the fact is that the joint is covered with a capsular bag, and this capsular bag becomes inflamed for one reason or another, then becomes deformed, and this creates pain when moving the arm, in in particular... this movement, when we have to raise our hand, pain appeared, the person stopped moving his hand, everything only got worse and this continues for a very long time, there are three phases diseases, the first phase is when there is acute pain, then the pain subsides, restrictions on movement remain without much pain, and then sometimes there is, in general, a fairly large remission and even improvement, but it must take a year or even more, what should i do? this usually happens... when the arm was fixed for a long time due to a fracture or in some other situations. can i show one more gesture not for men, but for women.

women also have a gesture that they can make, which means, first, you can’t comb your hair, that is, you raised your hand, and then it hurts, you can’t, the second thing is you can’t fasten your bra, that is, this is the second of something, try, try, this, well , men, there is no such problem, you have nothing to fasten there, what to do, i had it. in general, globally, if the pain is such that you can overcome it, then this is what you need to do, you need to do it every day or three times a day, like this, you come up to the wall, and you raise your hand up like this with your fingers, and the higher you raise, the you are walking closer, you have to finally lift it like this, of course, if there is no severe pain, this is for me it helped, this is the first thing, get up, with your right hand, well... which one hurts , which one hurts, right, straighten your arm, move away, straighten

it, that’s it, climb up, with your fingers, that’s it, and a little higher, try, here the contracture has already arisen due to immobility, due to pain, but he does not move due to the immobility of the contracture, crawling like this every day, of course, you have to start when the pain first appeared, i had it, i realized that it was a frozen shoulder, i i talked to traumatologists and orthopedists, they told me, through the pain to the wall, you have was it the same thing, they checked it now , yes, yes, through the pain to the wall in your situation , get an anesthetic injection from dr. golperin, study, no options, mikhaila igorich, add something to the patient’s opinion, well, probably. examination first, right? mri or x-ray, just in case some other disease is not missed.