the holy ones emanate to me, the heavens, throwing lakes on the tire with charatins behind the fabric, smile under the sun. you look, he and nick are exhausted from the bottom, that gold has sandy beer. i would drink from their endless. i threw a lake on the tire. i have not been towering for a year, all the more so, i feel like it from stress, so as not to follow the thieves of the pestilence, the azeri. utysh, nicole does not forget loves the heart, like a channel. it is very important not

to forget. when the stomach hurts a lot, everyone acts differently, someone tries to endure, someone drinks painkillers, and someone calls an ambulance, but i will notice an ambulance in a timely manner does not cause everything. meanwhile, acute stomach is the name of this symptom complex, the situation is serious and even life-threatening. yes indeed today will tell. in which cases it is very dangerous to pacify the pain, and it is important to call a doctor on time. we will also pay attention to the disasters that happen in the family and help advice to those who are going through a divorce. and, of course, we will answer the questions that you sent to the email address of our program. hello, we are starting. i now remember that my friends attack

of appendicitis was accompanied by an acute pain. it's good that everything ended well in the end. but even then i realized that they were not joking with such pain, but appendicitis is not the only condition that can provoke such symptoms, so today is more detailed. let's analyze the condition that can provoke an acute abdomen. and what absolutely cannot be done with such symptoms will shed light on this story. the expert of our program, a surgeon, candidate of medical sciences, aleksey protasevich. we are visiting. please come to us. good afternoon, alexey alexey, be careful with your stomach. it the concept appeared precisely because of the character. the concept of pain appeared in 1826 and is authentically rather difficult. well, yes, it's a pain in the stomach. by the way, we have guests who are ready to join the conversation and tell their story related to acute abdominal pain, please come to us.

hello, what's your name? my name is elena elena tell a story. here's how you came across this notion. acute pain in the abdomen, my grandfather had a cholecystitis attack, and it was like an attack of an acute abdomen such a sharp pain. yes spicy pain in the abdomen, unbearable, that made painkillers. did they give it already? an ambulance was called, they did not give painkillers. as the story ended, he was taken to the police, taken to the hospital, and his leukocytes were elevated. uh, they helped him there and after a couple of days he was settled, that is, this most acute attack was removed. alexey let's tell our viewers, in general, what is the nature of pain in an acute abdomen, more such characteristics, it occurs suddenly against the background, as a rule,

of a more or less prosperous condition, and it intense. here it is, and it lasts long enough. there are difficulties with this for a long time, that is, it is believed that if the pain in the abdomen lasts, there is more than one dash for 6 hours, you need to see a doctor, because as a rule, this is evidence of some kind of inflammation in the internal organs. alex is good. here, we have dismantled two conditions appendicitis cholecystitis. let's take a look. what conditions can provoke an acute stomach. and it will be some kind of inflammatory disease. yes, we have already called appendicitis cholecystitis. it's inflammation respectively, the black-shaped process and the gallbladder. there is also pancreatitis. there is also diverticulitis. there is also a sigmadite. that is, in principle, everything that is in hades is all inflammation, everything that can be in the stomach, injuries can become inflamed. tires, but not peritoneal trauma to the abdominal organs of the abdominal cavity, yes with or without bleeding lead to uh, acute abdominal

peritonitis. how did you notice the bleeding inside the abdomen? yes. yeah, well, organ perforation, what is it? well, for example, this is a stomach ulcer, that is, an ulcer begins with a mucous membrane that burns through. well in quotation marks the entire wall of the stomach as a result, a hole appears in the stomach. this is the same perforation, maybe with the small intestine and large intestine, but more often it is the stomach and duodenum. what is the nature of this pain? we compare it to the blow of a dagger. that is, it is such as a dagger strike. this is a very sharp, very intense pain. uh-huh and disease. i understand the female genitourinary system. yes, inflammatory diseases of the female genital area, including ectopic pregnancy, also lead to a clinic of an acute abdomen. that is, they showing up like a sharp belly. helena well, let's get back to your grandfather. yes, in addition to acute pain in the abdomen, there were some other symptoms that, with the health of my

grandfather from dusya, dehydration was so good, the increase in body temperature to a temperature exceeded after 7-38. here are the main signs. yes, acute pain in the abdomen is bloating, leukocytosis. i understand that this is an increase in the level of lekization. yes nausea, vomiting difficulty breathing fever, chills and acute pain. there are diseases of the heart and lungs, which may resemble the situation of the island of the abdomen, given the basic you have listed. yes, severe nausea. that is, discriptive manifestations of how unsafe it is in this situation to give the patient, for example, painkillers. yes. uh, even before the arrival of the doctors, the general policy of the doctor's policy is not to prescribe painkillers before the doctor's examination, as this can change the clinical picture. sometimes we realize that, well, in some cases it can not change much, but even a small risk of changing the picture.

guides us does not allow us to anesthetize before the examination, doctor alexei here is one of the points of leukocytosis. let's explain to our viewers what it is? what will it talk about? yes, we have blood in our blood, there are cells, and some of these cells are called leukocytes. leukocytosis is an increase in the number of these cells. they increase when we have inflammation in the body, there is a focus of inflammation of any, including the abdominal cavity in the stomach. i believe that in acute pain, probably, the number of leukocytes will be directly significantly exceeded, but here it is not so much the fight that works as inflammation. but yes with an increase in the abdomen, leukocytosis is very characteristic. here is elena let's join us. now let's make a very important point. that's exactly what you can not do before the arrival of doctors examination of the patient by doctors. if there is such a sign as an acute stomach, have we already understood alexei that painkillers should not be given? yes , because it can change the clinical picture. yes, there is such a folk way - put a heating pad on your stomach. how would you

comment on it? i will comment on what to do here? here is categorically not worth it, because any increase in temperature. a-a in the one in the area where it hurts, it only intensifies the inflammation. yes, therefore , no, there is no heating pad, ice, maybe it’s good, but elena what do you think, is it possible to give to the patient? well, a little bit to eat, for example, soup in case you can not so fortunately these patients. they don't really want to eat. yes, but i'm not, food should not be given, as this provokes increased nausea. here is what is recommended in this case. elena what do you think, well, in addition to the fact that we call the doctor first. doctor what do you say, i don't mind the cold, the main thing is not to overdo it with cold, well, in the plan, not there for 6 hours, there is no way to cool your stomach, after all, think about what might be, after all, you need to call a doctor. yes , that's why, well, here's the doctor. we've already summoned elena , first of all, she called the doctor, it should be noted her conscious act. so what else does elena

seem to be useful in this story for the patient. well, if he asks for some water, for example, we’ll give you moisturizing and lips, as long as you can, that is, just a glass. hey, don't give me water. but to wet your lips, in your opinion, you can give a doctor to a person with an acute drink water with your stomach. if this is a small sip, then you can go home, but if he just wants to drink to drink, then no. we don't need this fluid in the stomach, because some of these patients may need to be operated on, huh? in this case, we have liquid in the stomach. we don’t need water in any way; we give a small amount, rinsed our mouth and nevertheless turned to a doctor who will already say can i drink or not. yeah, in that case, after all, i'm in the red column. i'll transfer it, right? uh-huh lena now you understand how to act the situation with a sharp belly or have any questions? yes? certainly i will understand fully armed. next time. i want to remind you that in a situation with an acute abdomen , you can’t hesitate and you should definitely seek

medical help in time for useful advice. i want to thank our expert, candidate of medical sciences, surgeon alexei ethosevich. thanks a lot. we wish you a good day and stay healthy. goodbye. we will soon learn how to survive divorce as less painfully as possible. so stay tuned, see you very soon. let's start in the morning together, in order to prepare the right breakfast, first of all you need to buy the right products. and, of course, what kind of breakfast without vegetables will we bake? too large size indicates that the vegetable is overripe. it is not worth eating such fruits . who how much can ah

exercise free time workouts doin, i like to play football games. this is an active game. we represent charging football and get useful tips. if it will be if there are few muscles, then there will be less strength, there will be many muscles, it will be harder to carry oneself, it is important to find some kind of middle ground in which the athlete will be comfortable and will experiment, because the harmony of taste gives us saturation. look in the program. track of champions on tv channel belarus 24 a time of vivid and unforgettable emotions, on what part of the human body sits living at someone else's expense on the neck, of course, we know everything about this our players have different views on life illustrations or pictures or pictures, but there is something that they are united by the desire to win the main prize, as far as literature is concerned,

we hope that it is not bad. but now we will check , we will risk against the obvious, even if this is your child, we will remember it for the rest of our lives. we think it's mold because please specify, so where is it, more precisely already. yes, you know, there are different options, watch the intellectually entertaining tower project on our tv channel. it’s great to have a healthy half and create a family once and for all life, but it doesn’t always work out that way, according to statistics , up to 40% of divorces occur in the first 4 years. by the way, this is a rather painful period, for both men and women. today we will learn how to survive a divorce with the least loss to the psyche. and our expert family psychologist ekaterina

khramkova will help us with this. katya good afternoon, good in your opinion, in what situation is a divorce inevitable? well , usually we are talking about divorce and about the impossibility, the total impossibility to continue the relationship, if the couple finds themselves in a situation where one of the partners is an abuser, if one of the partners suffers from some form of addiction and is not amenable to correction and treatment, and if the partners, well really already they know for sure that their love has ended, that it is difficult for them to be near each other and it seems to them that their relationship has no prospects. they are ready to try separate living in order to improve their future life. let's invite a guest who has her own story about the crisis in personal relationships to join our conversation. please come to us. we are waiting hello marina marina, it

's you who came to us smiling, but i suspect that there was a not very simple period in your life when there were half-hearted people. i'm in we have been married for 17 years, and my husband and i are so emotionally explosive. and, of course, it could not have happened without one of us being there in a temper, but not saying divorce. well, everything happened, that is, on the other hand, they sounded like that. yes, i spent the night with this thought. he i, depending on the situation, understood that they were not ready. maybe without each other. well , we have reconciled and everything is in order, let's move on. it's true when we get angry at each other. it may often seem to us that the best way out is to disperse. but when we talk about a couple, especially if this is a long-term couple, then in addition to the laws of individuality, when each person makes some kind of his own decision , the laws of paired systems still matter. still, a couple, this is education. this education. there are rules. there are

some manners, there are habits. and in order to break a couple, you often need a serious enough reason, such a powerful force, for a divorce to take place, so, of course, just a quarrel is not a reason for a divorce. and often people are scared. unfortunately each other, so be careful with these words, but it happens that in some cases, a number of couples are still at risk, for one reason or another, and there really is a divorce. may happen. and if this has already happened, how to behave so that it is not a tragedy after all, divorce is always a dramatic state. yes, if both partners have voluntarily agreed to it, yes, if they are ready for this in any case, this loss is a change in the whole lifestyle. this change of all habits is often a change in the circle of communication and some time to recover will be needed.