at what age should you pay attention to cholesterol indicators? forty years, each of us needs to make some kind of assessment. e state of his health, including the determination of cholesterol levels, but er, there is a separate exceptional eternally, which should also be paid attention to. well , for example, there is a problem called familial or hereditary hypercholesterol. mii then, there is high cholesterol, which is inherited. this is due to the violation of those systems that take part in the education system. and if we we come to such a diagnosis and put a person on a hereditary form of hypercholesterol, then, in this case, it is necessary to conduct an examination of close relatives, there are brothers and sisters and children. and it turns out that if we identify a similar problem with our parents, then we, maybe children, he starts literally there from five dashes of ten years of age. yes, you already need to control this situation, to take

blood to determine the level, so you see, everything is here, again, very individually. well , again, if we return to that factor risk, well, for example, here i am talking about smoking one of the most powerful risk factors, if a young person starts smoking early enough, it is already necessary to determine the level of cholesterol at an early sufficient age, but i probably won’t be mistaken. now i will say that one blood test, for example, for total cholesterol, for understanding the whole picture, is not enough total cholesterol today. well, here is the index. yes, it is considered as such an indicator of screening. well, that is, here you can do it healthy for everyone, let's say, you have reached a man in his forties. or they did total cholesterol there earlier, if it is there within approximately normal values ​​and if there are no significant risk factors, he has normal pressure there. everything is in order there with his body weight. he's there for physical activity. yes, that is, in this

case it will be quite enough. but if we find that he already has 1 2 3 risk factors, and if he has cholesterol, it already makes sense to do a detailed analysis even somewhere in the upper limit of the norm. today called lipidogram. there, by and large, everything is just four indicators that you can do this. it is available there again in very many laboratories and already on the basis of these indicators, where we determine, just the same, er, not only total cholesterol, but also individual fractions. this is where the conclusion will be made. what to do with this patient, because for the doctor total cholesterol. by and large, the doctor does not need it now, when it is already necessary to make a decision on intervention, the question is raised about determining exactly low density lipoprotein cholesterol. this indicator is the main one for diagnostics, for assessing severity for making

decisions on drug therapy and for monitoring drug therapy. here with this analysis with the results to the therapist or immediately to the cardiologist to start with the therapist. unless , of course, it doesn’t work, and especially if the person already has some kind of cardiovascular problem. if there are serious risk factors there, but then it already makes sense to contact a cardiologist. i still have to say that even here, if you take the level low-density cholesterol, here is the target level to which this figure needs to be reduced, it will differ in a healthy person. it is higher in a person who has risk factors, it is lower in a person who already has the disease. here it should be very low and naturally, the intensity of drug therapy will depend on this. drugs are their choice of dose of drugs, perhaps combinations today are not only stagnant. we have we have several classes of drugs that are used to reduce cholesterol levels. and this is what will be

involved. e is a doctor in his practice, so it is definitely necessary to resolve issues here. thank you very much for coming to us. found time by myself with a busy schedule. and we do not say goodbye on the air right now, a scientific review will continue to talk about the methods of cholesterol diagnosis. in addition to total cholesterol, for clarity of the lipid picture in the body, it is better to donate blood for both good cholesterol and bad cholesterol on the day of research. you need to come to the laboratory on an empty stomach and without symptoms colds, according to these two indicators, high-density lipoprotein or low-density protein, according to a special formula, the so -called atherogenic coefficient is calculated, that is, the ratio of useful and harmful human blood fats, in general cholesterol screening, and we list the list of studies. it is from it that there is also a blood test for triglycerides, complex fats entering the

body, fatty vegetable and animal foods, or triglycerides synthesized in the liver. in subcutaneous fat cells fiber is the most important source of energy for muscles, since 1 g of fat during splitting gives twice as much energy. than the same amount of protein. or the carbohydrate program at the company has come to an end, and if you have been with us for these half an hour, then your grocery basket of sunflower oil marked without cholesterol will definitely not appear. good luck and see you on the air. belarus is not obsyazhnye, forests blockade

rivers and lakes. nekronotaya nature from what is not maxim to tear from the neck, belarus is the people we open for you. carrying on the traditions generations and at once we simmer, we change our views on the sound and robing - this is the light of yakmakhalevshu. belarusians are so pink ali their i know the homogeneous earth belarus 20 shatyrs hello my name is olesya shurpach. i came to

belarus from russia in the rostov region, and now i live and work in gomel. i myself came from the rostov region, the village of oblivskaya cossack region, so to speak, our self moved to belarus when i was 16 years old. i had the impression of wonderful belarus, because

all my life my dad told me what kind of belarus good, how good people live here, that everything is calm, i was only once in belarus, we were little there and the first thing we heard well. yes, this is belarusian speech. well , we even liked it when the children were here , it was interesting to play in the yard and get acquainted with girlfriends. it was good. i really liked it. and i always reached out in belarus . therefore, i always told my dad that we can move. maybe we will move and that's something they decided so, we moved to belarus and the eleventh grade. i already finished here when i first arrived here, i had fear that how will i be received here? but, when i came to school for the first time with such fear, and all my future classmates introduced me to me, they entered me as a father and began to ask questions and get to know each other so friendly right away. i was immediately wary

of all this. here is some kind of defensive reaction appeared, i was silent. maybe, so to speak, but they got to know each other so insistently that i did not believe that it could be, that such kind people could exist. i somehow expected something completely different. in general, we arrived in the brest region of mikoshevich. and dad was born, it turns out on the ridge. it 's not far from mikashevichi and that's where all his relatives lived and that's it, and we really went into every house and every house. they were some kind of relatives of ours, and they were all so hospitable, good-natured, and everything, as if i had known them for a long time, oh olesechka hello and e. and also very surprised. eh, only in belarus for the first time. i saw the bus-words, and to me, i ask, look how many

storks , and they are like that. for a while, dad said about belarusians that they were bulbashi. well, like bulba, the chef-bull is big, but i didn’t know what it meant, and then we came to belarus. i thought, well, something bulboshi, dad. here bulba is big, hello, hello, bulbash. i think what it is, then i just found out that it is from the word potato, and that they all love potatoes and cook everything from potatoes. and this is actually the case. we ate one potato. well, in russia, when i lived in the rostov region, we didn’t eat this potato so much, but we came here, and i came. yes, i was 16, i was so thin skinny. she probably weighed 40 kilograms, and then by the end of school such cheeks appeared, and somehow a classmate came up to me and said, olesya, you are on our potatoes, he says he has eaten. look at your cheeks, some one says fattened you in belarus . potatoes in belarus are the most delicious here, dear

potatoes. we are now near one of the buildings of the gomel university, the fourth building here passed my most, probably, the first years of study. this is gomel state medical university i in 2005 entered the medical business and here i finished it, though, already in 2012, because i had a break in my studies due to academic

leave, the specialty of therapy turned out to be this specialty, because i probably to the depths of the brain of my therapist, since obstetrics and gynecology is very interesting specialty, but it has its own pitfalls, such as surgery and abortion. this did not suit me very much. surgery is also interesting, but there are operations, and i have a little fear of blood. and therapy is the best thing for me, helping people, pills and medicines ointments and no need for any surgical intervention. in general, since childhood, i wanted to be a teacher, a teacher of mathematics, but when i arrived in belarus, uh, in the eleventh grade, all my classmates, and

for some reason wanted to enter the medical university one way or another, so that life was connected with medicine. i fondly remember my student years, and they somehow feel like this is the only time when we lived a full life, somehow we came to classes in pharmacology. and uh, teacher galina mikhailovna says, you guys are saying something sad. lyosha go buy money for you. go buy everyone some buns. i say, well, galina mikhailovna, i will not have a bun. she is, why is that? i say, well, i'm sick of toxicosis, she's everything, i understood everything, she says. lyosha go lyosha went comes with buns. i need to go away for a second , she comes with a piece of black

bread and a pickle. everyone was just in shock. i’m just in shock in general, and this kindness care, it seems, how they teach you and the demand is so good, yes from the students, but at the same time at the same time, such kindness, as to their grandchildren, as to their children, and this is very, well , it saved that they understood us. we are all ours. uh, teachers were loved by everyone. we didn't have such that we didn't love someone. someone was very strict. we may have been respected and feared, but we liked all the teachers.

when i first arrived in gomel to enter, i submitted the documents. all i understood was that i now need housing. i need housing. and how to look for it? i could not imagine yet , because it is now the internet you can google something to see, somewhere there are a lot of ads locally. and housing and all. you will come out like on a plate. i approached. just newspapers. he says she bought all those newspapers that were there, but there was nothing. i didn’t think of anything else, the house is long. i walked simply and everywhere where people were sitting and just asked, and so i was so lucky that three grandmothers were sitting on a bench and one was talking. oh, marusya, don't you know, maybe you can, do you live alone? maybe you will give up? she says i don't know, but i'm lucky. she sympathized with me

that here i am from the train that a lot of time has passed , invited me to tea. we drank tea. she said, well, i can’t rent you an apartment, but you come to me, if anything, well, at first she got upset, went home and didn’t find an apartment, and then, uh, i think it’s already the end of august, you should already think that she arrived again and immediately to this grandmother. i went to visit for tea, because i already had a friend here. and she thought and said, stay. and here i am so lucky. that is, i was so lucky to meet right away that's how i came to belarus, only good good people went to me, who want to help you in russia, cities are far from each other, and this fear that you are a stranger. uh, he didn’t leave, but here i felt that you belonged to you and you, as

if everyone needed me. it’s just that belarusians here in gomel helped to believe in themselves and realize their dream to enter the same university, here , it seems, the city but the people are just as kind and sympathetic. hello hello have a seat in principle i i wanted to discuss with you here what we wrote about the converted beds. so what they gave 233 should be 238, because we added it to the postpartum department. attack 5 beds. therefore, it means that today we have 206 - this is completely who is hospitalized with us. so it turns out and it turns out free 32 beds are so

wonderful. well, after the holidays. well, i already got involved, i forgot to walk for 2 days. it was hard to start work to enter, considering that we had a little yes, the conditions were burdensome, but now everything is fine, like in the theater. it all starts with the wardrobe, and in the hospital. it all starts with the front desk the front desk . this is the most difficult department in the hospital, in general in the hospital. as the work in a pandemic has shown, specialists in the admissions department should see the patient in a short time period, assess his condition and decide how to sort it out under military conditions and then decide on the tactics of treating the further introduction of curation of this patient, therefore,

forestry. i don't know, lucky or unlucky. she was appointed manager. uh, admissions office in 2019 already in the spring of the twentieth year. we entered into conditions of infection and stayed for 7 months. uh, as an infectious disease hospital for treating patients with a species infection and lack of experience , he was compensated by both the knowledge obtained at the university and in an internship and somewhere by traction. eh, some kind of independent knowledge is somehow spoken from the flame. we come out stronger , but here, how the steel was tempered, like nikolai ostrovsky’s yes, here, in fact , it’s tempered and frankly speaking. uh, showed her best quality of such people with

an active life position and i’m not afraid to say don’t listen if fedorovna is highly professional they are visible from afar our hospital, very interesting and colorful. i got here around three. back, well, here, of course, there was a well-established team and, uh, i immediately felt it, and that people are tense, and most importantly, high professionals at the moment 30%, e doctors have the highest qualification category, i must say about the nursing staff are also highly professional specialists. in general, we have resolved the main issues.

there are some other suggestions, some comments, i will work. good? good day, good luck. thank you. sorry , i can't take you to the reception right now . we now have a red zone there, but so as not to endanger you. we'd better take a walk around the area. the complexity of the doctor in the emergency department is more, perhaps, lies in the fact that people have forgotten how to listen to other people, to listen somehow to empathize with them. and i have dart, i have a gift to listen to people, and perhaps i found myself in this profession and it is in this place, because people who seek medical help. let them come quickly or apply themselves. they have some,

perhaps fear, that they don't know. what to do? are they right to do there or not come? and most importantly to them. well help uh, meet them you can say welcome when a person smiles. yes, there about his voice is softer, then they calm down, as if they were in reliable hands, but for a sick person. this is very important, because in the background. illness or any emergency state of the man and so frightened upset. and when he sees that the doctor and the medical staff and the doctor are calm and talk well with him, kindly try to help him, he calms down. himself, just like the relatives of the patients, calm down, so i always put the emphasis not only on the professionalism of work, yes, that is, constantly reinforcing my knowledge of skills, but also on the ethics and ontology of the doctor and all medical personnel. well

, i think it's very important. i am glad that it was here that i nevertheless chose this profession, because before that i had not thought. gomel is a very colorful city, there are a lot of places for walking, so we like to go to the park as a family. right now we are in the amusement park, the children ride with pleasure. they love this business. we can just walk along the promenade. we have a lot of children's towns, where you can relax and just eat ice cream, look at the

sosh river and from the bridge and from the embankment, gomel became my hometown, because i not only got an education here, but also met my beloved husband, who changed everything we into the worldview with its kindness. yes, purely belarusian love. we had two children, the eldest dima, i gave birth to him. after the third year of university and the younger gleb , he is now 8 years old. i gave birth to him already at the internship. now we have such a big friendly family of four people, belarus created in order to create a family here and the belarusians themselves with their nature to help their children not only financially, but also with their time to help raise their grandchildren's children. i am very grateful to my mother-in-law and father-in-law that they are for the most part

helped us start a family, because without them i would not have been able to complete my studies. e get. yes , that's education. they never even said. we won't help, spin as you like. they always don't worry. we will help you. you have someone to count on and will study and work. we will help you give birth, and we will only be happy. in belarus, all conditions have been created to start a family, have children and not be afraid that you will not be able to at least raise them while you are on maternity leave. being here i wanted to create a family to give birth children, and i was not afraid of anything. i mean, i kind of felt safe.