representatives of all olympic sports discussed topical issues in the industry and, of course, the situation in the international sports movement, we recall. for the past 7 months, belarusians and russians have not been able to perform at the international arena . recommendations on a ban in the international federation for all sports have been sent to the olympic movement - it's not only the collective west, it's 206 national olympic committees of the countries of the world have been interacting with us since the end of february. until today, it has never stopped. it interaction is difficult to talk about the details now, because, as i said, diplomacy loves silence, but this work is being done, and in this situation, time plays just er. as a matter of fact, on us, because there is an awareness of the dead end of the false path that it has taken. e, so to speak, the olympic movement at the moment, allowing the influence of the political forces of certain countries, e in the integrity of the olympic movement. tomorrow the forum will continue the well-known belarusian russians. all

winners of the olympiad of the world championships allat super alexander bogdanovich ekaterina galkina andrey kazusenok svetlana timoshenko daria naumova sergey ryabov and anastasia maksimova will give master classes for young pupils of sports schools, raubichi, once again become the center of world sports, minsk hosts the second stage of the commonwealth cup in biathlon, which is not inferior to the organization of the world cup as part of the participants of about 10 olympic medalists in the flower ceremony. three belarusians got hit today. one of our athletes who won the sprint race will reveal the intrigue andrey kozlov the sochi stage of the commonwealth cup swept like a whirlwind through the information tapes like a tv monitor and fans' hearts . after all, everyone was waiting for the biathlon, and that was almost a month ago. but this is raubichi, on the one hand, a return visit, on the other hand, a meeting of old friends, and for the head of the russian biathlon union , this complex is, in fact, a native international project, especially since we all set the bar for ourselves. well, how can i be

held at the level of the world cup in a friendly way. yes , we fraternally shared the first places, where the girls won from the russian national team anton smolsky confirmed his level and did not just lose the sport above the achievement. it is also important for us to preserve the youth, which is on the steps of this children's youth sports school. and it seems to me that here we just have to m-m. ah, working in unison with the competition is interesting for the audience. after all , biathletes fight not only in a single race, but also boldly march on the overall standings of the competition. the ceremonial is observed thoroughly at the opening, honored guests and the word wow biathlon we are very fond of in our country. and it's already

today, as a brand of biathlon, probably, the republic of belarus at many olympic games. we have medal winners. this has already happened historically. and the place. i would say that even at sea, this is how the world championships, stages of the biathlon world cup in the commonwealth of our countries respond to sports isolation in this one of the responses . the president of belarus signed a decree on improving the training of athletes, national and national teams. for sports, the document introduces the possibility to conclude employment contracts with athletes who are part of the variable composition of national teams and have achieved a high sports result. the salary of such an athlete will be paid from the new budgetary funds earned by the olympic training centers of the olympic reserve, as well as from the possibility of sponsorship assistance today by this decree. we give the regions the opportunity to create in the regions a national team for sports that are

priority in a particular region, all attention to wrestling, especially the attention of olimbek dinara shot off for sure, but she made her way to the flower ceremony, although after the victorious sochi double. yes, especially at home i wanted to be the first, but this is a sport. i invite all fans to plunge into the biathlon atmosphere. here, of course, there are not the same sensations as in sochi, here, of course, there are full stands. this is very pleasing. i am very satisfied and happy that belarusian biathlon is loved and people come to support their favorite athletes. these are already men and just belarusians, different masters and titled prize-winners of their own, the world cup in the region, philosophically, finally, the mass of young people, and so good and talented, the struggle escalated according to all the laws and genres of sports life, but the strongest won and here he is. 2006

has been ill for 16 years. it is important for you to come, of course, finally got here. we thought the world cup, but unfortunately it wasn’t at least now, it’s generally great, but everything is for the spectator, who cannot be deceived. habitual entourage of a big biathlon. he has not changed in raduchi, in many positions, especially in the love of fans, which they actively addressed to their idols. oh yes , the ibu congress is coming soon, but how can we be interesting, given all his actions so as a result of the first competitive day in the second stage of the commonwealth cup of biathlon. today there were sprint races, but then we will have a program of both pursuit and mass start races, of course, interesting. but for all biathlon fans, i’ll emphasize at the end that the doctor goes here on special buses and it’s better to get there. still, in advance, because even today is a

weekday, all three. were filled. after all, in our country, as you know, everyone is very strong love biathlon. this was a sports day, all the best and see you soon.

hello

, the health program is on air, the quality of our life depends on it, but in the modern world it is not enough to know about it , you need to work on it with your advice in our studio experienced experts share. today, in the program of endovascular technologies for surgical treatment of atherosclerosis of the lower extremities, it is possible to insert instruments to crush the plaque with a high-pressure balloon and install a metal structure at the site of the lesion, which will support artery in a dilated state. to whom adaptive physical education is recommended, even if people come to us with the same diagnoses , they often have a program that differs depending on their state of health. from physical fitness to comorbidities , food will meet cucumber, not just water. and, by the way, saying columbus took on his long voyages, cucumbers both fresh and pickled so that

his sailors did not have a whole day . we begin these and other topics in our program. damage to the vessels of the legs in a state of very dangerous accompanied by various complications. how to diagnose a disease in time and treat it in detail, an x-ray vascular surgeon will answer all questions in detail. yan igorevich kirnozhitsky. jan igorevich hello we are glad to see you in our studio. hello , today we will talk about obliterating atherosclerosis of the lower extremities, a very serious and severe diagnosis, because there are a lot of complications. that's what this disease is. and in general, why suddenly the vessels of the lower extremities begin to suffer is a systemic

disease that affects all the vessels in human body. this is a multifactorial disease; there are a lot of factors that cause the development of atherosclerosis. this is an increase in the level of lipids in the blood, hyperepidemics due to an increase in total cholesterol due to an increase in bad cholesterol, the so-called or low-density proteins. this is an increase in blood sugar levels. against the background of diabetes, a sedentary lifestyle. and, of course, bad habits of 90% of the division of our department of vascular surgery are courses. patients who smoke and have a sufficiently long history of chronic stress is also an important reason for the development of diseases, but what i have listed are factors that we can somehow

correct, there are factors that we do not correct and cannot influence them in any way . well, of course, age patients over 60 get sick much more often than a younger patient. this is gender, because according to some studies, men get sick many times more often than women. the ratio is four to one and the third factor is genetic predisposition. and if the patient has relatives with atherosclerosis with a heart attack, well, that is, as a consequence of atherosclerotic disease, then with some degree of probability it can be assumed that this patient also has a high risk of getting sick and having some complications. well, probably also arterial hypertension, right? this is also a disease that, let's say, hits the blood vessels like that. and if there are any other concomitant predisposing factors and genetic

damage, then here, you know, all the bad things converge in one place. yes on the wall vessels or ndetels and begin to form and grow those same harmful and bad atherosclerotic plaques. now let's take a closer look at the factors that we have listed, and they cause damage to the internal e, the layer of the wall of the artery, the so -called insummy, which line the artery from the inside, this month there is a focus of inflammation and in this place there are lumps of water-soluble lipids, that is, cholesterol, uh, attach to the wall of the artery in this way, a small atherosclerotic plaque begins to form, which over the years grows increases in size and causes narrowing of the artery. well, in the future, and complete clogging of the lumen. the most interesting thing is that lipids are not bad, as we think correctly. this, when there are a lot of them, there is a violation

, not bad, but normal. our bodies need them for their own purposes, right for cell renewal and energy. so it turns out, as there is a defect in lipids, they enter there. there they become alien. this is where the immune system speaks. hey, something is wrong here, special cells come there, which begin to fight with these lipids. and here such a process arises. a languid invisible one, so i would like you to pay attention, there are plaques that we always see on angiography, growing into the gaps. actually, clogging. and there are plaques that do not grow into the lumen of the vessel, but grow into the wall of the vessel, yes, and this is not always visible, but they are the most critical because of them, heart attacks, and because of them, strokes. because of them , thrombosis. the so-called eccentric plaques, or flat. uh, big enough the percentage of the total volume, say , atherosclerotic plaques in the vessels and, indeed, in the angelographic room,

performing standard angiography in one projection. we may not see it. this is a flat plaque that is in two dimensions. it may not be visible. yes, in this case, of course, the methods of computed angiography help us. we will be able to make 3d models after the computed tomography. vessels of the patient and already on this 3d model you can clearly see that yes, this is a plaque, it is. it really slows down blood flow, or speeds it up. it prevents blood flow below the level of vascular damage. but let's tell you in more detail. we are so obliterating atherosclerosis of the lower extremities or enderteria, they even call it that, because the process of inflammation cannot be stopped. yes, that is, the process of vascular damage has already been started. but what are the symptoms telling about the symptoms of the disease. well, it probably matters to remember, after all, the stages of the development of the

disease. there are only three of them, these are the three main stages. the first stage is a symptomatic section, when the patient does not have any symptoms, but the arteries are already affected by atherosclerotic plaques. it's just that this defeat is the initial stage. it still does not clog the lumen to some critical values ​​and the patient does not experience. no, you can’t call it healthy in this situation any discomfort. here, you can say, not an examination, right? well poorly examined, most likely the second cause of the disease - this is already intermittent claudication. this is a phenomenon that occurs in a patient during physical exertion while walking, starting from aching muscles. uh, if we're talking about legs , it's most often the calf muscles. with higher lesions of the pelvic artery, all the femoral gluteal muscles can hurt, but the main symptom is intermittent chromate. the patient

cannot walk a certain distance at a calm, unhurried pace. he has to stop to stand to rest for two or three minutes, in order for the pain in the muscles to go away, feelings of at least a feeling of coldness in the legs in the feet, association of the hairline , thinning of the skin, pale. pokrovov, this significant enough symptoms, which also need to pay attention. and the third stage is already the stage of critical critical limb ischemia. these are already severe skin lesions - these are necrosis. these are trophic ulcers. well, gangrene, as the final steel for the disease, that is, people who bring themselves to the third stage of obliterating enderritis. it's just the same, here are those applicants for the fact that they were to lose a limb, correctly because, unfortunately, at this stage. when already, as you

said, there is gangrene, when already with necrotic changes due to the fact that the supply of important arteries is blocked, yes, that is, unfortunately, nothing can be done, of course, at an early stage, it was a disaster. please tell us what modern diagnostic technologies exist today according to american european studies, and people in the age group over 60 years old have 20% without symptomatic obliterating prosclerosis of these twenty percent, only two 2% complain of some kind of complaints, but this is not intermittent lameness, talking to patient. it can be suspected that the second is a biochemical blood test, an increase in cholesterol levels, that is, indexatorogenicity. absolutely true, and blood glucose levels are important at the moment. in common world research practice is to determine the ankle brachial index measurement from the historical pressure on the ankle

on the arteries of the ankle and on the arteries of the shoulder. here , let's explain why yes, because many now, uh, viewers do not understand, and when the vessels are affected by atherosclerosis, the speed of the pulse wave, after all, it accelerates correct elasticity is lost. these are simple laws of physics. that is, if we had a pipe of large diameter, and it goes into another pipe of a small exam, but it is natural that the speed of the head, let's say, is at first worth it. significant , of course, in a tube of a narrow diameter , the velocity of the fluid will be much higher than in a vessel of a larger diameter, therefore, of course, we see, first of all, the acceleration of blood flow according to the ultrasound data of the leg artery. this is clearly visible, and it is also quite so informative . method of computed tomography. mri allows you to see and eccentric plaques, flat and the extent of the lesion, the extent

of the lesion, but still the gold standard is geography is a method that has several inconveniences. this is an invasive method in the first place, that is, in order to perform this study. you need to go to the hospital. you need to come to the operating room. yes, that is, intravenous anesthesia is being studied, so, of course, it is not entirely convenient, but it is very informative and sometimes allows you to solve serious problems. you do an angiography, enter the critical site of narrowing there 70-75%. here is your algorithm further through the catheter that we have already installed. a special metal conductor is wound up behind the narrowing zone. it acts as a rail for the delivery of already heavy artillery, let's say, tools that really heal, so a special

balloon is wound up for the guide to this service zone. which swells up to atmospheres of the order of nine ten, atmospheres, and a plaque, it is crushed, it is pressed against the walls arteries. after that, this is the so-called balloon angioplasty, then the balloon is removed to this place, a stand is started along the same rail and the stand is implanted . and there are different ones, some balloons are inflated, some straighten themselves. please show so that everyone understands how hmm jewelry work is. it's, uh, an alloy of nickel and titanium. in some cases, tantalum material is absolutely intaksim hypoallergenic. this stand is exactly in my hands. this is the expanding stan that is the manufacturing plant. betrayed him a certain diameter a certain length and packed a special system. the

delivery system diameter of the delivery system is several times smaller than the diameter of the stand itself. and having approached the affected area, we simply lower the cover with it, pull off the cover of the delivery system and the stand straightens itself out. yes , completely fulfilling the contours of the artery from the inside, it turns out the material is such that it remains there, yes, the endley grows into it, and it already performs. actually the function of such a foundation or frame, that is, in this critical place is already there will be no contraction. but if we talk about the situation, when you came in and looked, and there is the most terrible atherosclerosis. yes, even with calcifications, that is, the vessel wall is so fragile that it is not something like a balloon? yes, even this net cannot be touched, because it will crumble, then. i understand you're already doing bypass surgery. we are now dividing the leg arteries into several floors. uh, the first floor is the pelvic arteries. that is, inside the

pelvic location, then the next floor. these are the arteries of the thigh, third floor. these are the arteries below the level of the knee joint. well, at the moment, modern angiosurgery is already highlighting the fourth floor. these are the arteries below the level of the ankle joint in our hospital. we try to fit. uh, in such a way as to simultaneously perform a reconstructive recanalization operation on all floors on which we can intervene, if a person has a narrowing in the pelvic arteries, then a stand will be installed there, if there is a lesion on the hip plus everything, as you described calcified massive and extended defeat, of course, it is better to perform a bypass operation more efficiently in this place, that is, take a synthetic tube or the patient's own vein and bypass

the affected area, and already below the knee joint was pumped. connected again, x-ray vascular surgery balloon angioplasty. uh, stenting is rarely done below the knee joint. well, in some situations, too, perhaps the most important stage is done on the foot. that is, we must open the arterial arches, in order for there to be a good exchange, good uh, outflow blood venous bed, if it is not. this will all end badly. that's how these operations have become so. here are streaming and outpatient operations, if we are talking about balloons , angioplasty, or prostatitis of an artery performed operations. after 12 hours, a person can get up and go, but still, let's scare everyone. let's highlight. how defeat. arteries are dangerously trophic ulcers, uh, which cause terrible discomfort, this is a

patient, uh, with chronic constant pain in the area of ​​​​the trophic ulcer, which reduces quality of life standard of living drops significantly. well, as a result, specifically amputation and amputation is not just an operation. that is, we made a putiller for them, amputated his leg. the patient healed well, everything was fine, the person was discharged home. it doesn't end there. after all, international studies show that the frequency of surviving after amputation after 5 years is 50%, that is, 40% of patients under five years of age die after amputation. we have already spoken about industry. this is a systemic disease and development. cardiovascular complications it is very

the high risk just goes off scale colossal, so, of course, this disease is very serious and to be treated. she needs to be taken very seriously. what is the prevention of atherosclerosis and how can the development of atherosclerosis of the lower extremities be prevented, including everything simply everything is based on risk factors, that is, the rejection of bad habits. this is tobacco smoking alcohol. the control of blood sugar levels is important, that is, for patients with diabetes mellitus, there are certain values ​​​​of the range of indicators that you need try to stick to. control of the level of cholesterol and lipids in the blood, an active lifestyle , walking, cycling, if the physical condition allows, exercise therapy is very effective in helping the patient, that is,

exercise therapy increases the walking distance with intermittent chromate, increases speed and against the background of all this, the patient 's self-esteem increases. he believes that, in principle, he is recovering, that is, in 4 weeks the effect is very colossal, good, then timely, of course, an appeal to the doctor if you have any symptoms. refusal of fast food seems to me the trouble of the modern age, 21. and, of course, a good mood, because you are angiosurgeons. say that a very large number of diseases associated with damage to the cardiovascular system is associated with stress and we are damaging the effects of stress hormones. this should not be forgotten. thank you so much for saving lives every day not only thanks to modern technologies, but also thanks to your professionalism. i remind you that today

our guest was an angel surgeon, head of the angelgraphic room of the tenth city clinical hospital. jan igorevich kirnadsky do not switch, we continue to take care of your health. stay with us. musical instruments of poetic rich history orpheus played, probably on many instruments, but there are mentions that he played about it. no, it was immediately possible to touch the decibal hammer in the hammer and immediately the sound of the belarusian culture flew out, truth, with its ultulism and the guestness of potato pancakes, smith's lovers mait their special nazga. who hates this us klysh people went to visit each other and

everyone tried to love their guests with savory taste and love, the architecture of belarus fills the spirit from the outside and in the morning it’s all under the kavana’s ideal rules, and here we can play not only traditional ones. veteractures flying buttresses cultural projects on our tv channel yakov zeldovich, an outstanding belarusian-soviet researcher of the theory of combustion and explosion detonation of cosmology american article of physics still, they are far ahead of us, they think ahead of us, but in vain the americans are not suspect. how far have we advanced in the theory of the division of uranus e, it is also written here about the denotation, it seems, young man. we have our

own calculations, great accomplishments and deep personal dramas. intertwined in his life together. this method can be used to determine the compressibility and the equation of state. i have already checked the product. it seems that you have invented a new branch of physics. and you're just a genius, the date of the comrades' court has already been appointed . you just have to admit that you wanted to openly publish secret work on the study of gunpowder, see the documentary zeldovich. the theory of burning and explosion on tv channel belarus 24. this is

a food section with a plus sign. the quality of our life depends on what we eat victoria today there are a lot of cucumbers on our table from the point of view of nutrition, why cucumbers are still useful. it seems to me nikolai that we are so used to the fact that this vegetable is always on our table that we hardly even think about how important and useful it is for our body, by the way, and a cucumber is relative of pumpkin, squash and melon. and this is the same vegetable that we eat unripe. so a cucumber is a vegetable, but any person will say that actually, maybe it’s even a useless vegetable, because almost 90% of it consists of water, nikolai. moreover, i would say that cucumbers are about 95 percent . water, but this does not mean at all that there is no benefit from it, but

not at all, because in dietology and in our nutrition, and, unfortunately, or fortunately, there is no magic. there are no magical products there are no useless products, a and our health is determined by how much our food consists of natural healthy a and good foods, and if 80% of our diet is represented by natural products, then, most likely, our body will have resources in order to cope with twenty percent of some errors of some junk food. so if 95% water, then as i understand it, 5%, that's just the same. perfect benefits yes, let's talk about these five percent basis, which gives that minimum caloric content from cucumbers are carbohydrates, that is, about three to four carbohydrates. e grams of cucumber and we can

say that a cucumber - this is truly a product of almost negative calorie content, because our body will spend much more energy on digesting this product than the powers of water. yes, yes, exactly, than it will receive from this very cucumber, but, besides , in the cucumber, but hmm, there is a sufficient amount of fiber relative to the mass of the cucumber. it seems that it is not so much, up to 1 g per 100 g of fiber, but nevertheless, given that there are still many dissolved vitamins minerals. we will get a cucumber from a cucumber, it can definitely be considered a superfood. and by the way, the main nutrients of sos. it is in the peel and directly under the peel, therefore, by cutting the peel, we practically deprive the cucumber of all the most useful and important. now, if we talk about vitamins and minerals, i understand that there is a standard

set for all vegetables of vitamin c and vitamin b and vitamin. e some antioxidants right zinc selenium and calcium a little bit of phosphorus, manganese, yes, that's right, but i would like to, and separately, but hmm, pay attention to the fact that there is a lot of vitamin c a in the cucumber, and, by the way, saying columbus took it on his long voyages, cucumbers are both fresh and pickled so that his sailors do not have scurvy, and the disease associated with vitamin deficiency vitamin c and cucumbers - this is an excellent source of potassium, the very element that is important for the functioning of the heart. for the normal functioning of blood vessels. and for excellent absorption of calcium in the bones. well, now is the time for victoria to turn to kirill karmanov and ask what our wonderful chef will surprise us with today. well, for example, er, what i know, cucumber can be

eaten raw can be eaten with honey can be eaten with salt, it can be marinated. uh, you can ferment, then prepare a salad with other vegetables. here kirill and you today than us? surprise nikolai today i will cook a traditional old vietnamese dish called name or, as many of us call it e, rice paper springle of fresh red fish, vegetables, fruits in the form of cucumber and avocado. so cyril, you continue, but we are victoria. let's go back to the cucumber, and green color. there are antioxidants in there. after all , it is also very beneficial for our body. true, but remember that fruits and vegetables are the main source of antioxidants for our body. antioxidants - a substance that prevents peroxidation, thereby preventing premature aging of cells a and than more diverse colors of vegetables in our diet?