the incidence of melanoma is growing in the world and our country, alas, is no exception. how to detect its symptoms in time. what other skin arcs often affect russians, when simple itching signals big health problems. why self-treatment of warts and

other formations lead to disastrous consequences, what is fraught with receiving cosmetic services at home and who is categorically contraindicated in sunbathing, let's talk about this with the chief dermatovenereologist and cosmetologist nikolai potekaev? nikolai nikolaevich if you say b in general, how things are with a nation with a skin cover, we know that there are representatives of peoples who, under the influence of external circumstances, experience difficulties with the ensuing problems in the form of skin cancer and other serious diseases. speaking of skin cancer, that's where you started with cancer actually. this problem is primarily dealt with by oncologists. understood in persons over 60 years of age. these are worldwide statistics, including russian skin cancer in the first place, since the skin is the most visible human organ, and the largest, by the way, er, these patients first of all turn to a dermatologist. over the past, probably, a couple of decades

, the role of a dermatologist in detecting malignant skin formations has increased significantly, this is due to a number of activities that we firstly carry out - all-russian scale money diagnosing melanoma. this is due to the widespread introduction of new ones. it is necessary here under the so-called damoscopy, the so-called skin diagnostic technique, and when the dermatoscope apparatus is used, and in this regard i want to say that hmm earlier detection of malignant skin formation and not only in the city of moscow but already in the whole russian federation is one of the great achievements of our specialties and our dermatologists. well, if you look in dynamics, where , probably, you, as specialists, and some notes on this subject, if we are talking about melanoma uh-huh how is this the most malignant experience or person, in fact, then this is again worldwide, an annual increase in such patients is carried out, that is, by about 3% more than last year another

disease that is gradually. let's say it is gaining momentum in terms of spread, it is atopic dermatitis in humans, there are only 10,000 diseases. so on the skin 1.500 - this is a skin disease, the nightmare of its appendages , hair and nails are the transfer. yes , you are talking about 1,500 huts - this is a lot, but does everyone need well-to-do specialists in order to resist this armada of one and a half thousand diseases. well, not all, they are so common there is a group of common skin diseases. eat diseases that are described in only forty people. well, they are described. no, this is understandable. if we quietly subtract this from the total number, more than a thousand will still remain. well , a lot is enough to effectively treat by and large. uh, dermatologists don't currently face any challenges from the pharmaceutical industry. we have a fairly large number of drugs, there are

interchangeable drugs, if we are talking about import substitution, a fairly large number now. even genetic engineering domestically produced drugs, we are talking about the treatment of severe forms of psoriasis, and , first of all, psiotic arthritis, which require the use of such new modern methods using genetically engineered drugs , the so-called biological therapy. how would you rate the overall state of the dermatological service in the country? i would rate e as accepted as satisfactory so to a greater extent. i would say about the features. e geographical, but in this regard, we have new tools. they are now of course, the system and the body are developed. these telema of medicine within the framework of periphography , a specialty , can be photographed or not forwarded to a more qualified

highly specialized person. there , after all, the quality of the photograph must be quality, of course. for this, we, of course, also. this question and here are some color reproduction important to you. as i understand it, yes, specialists from a number of teams in our country in a number of universities are developing such diagnostic systems that can be an application to a smartphone in order to recognize skin diseases and another important point. and we have a very wide medical examination program, which has long been approved by the ministry of health and 2.000 of the twentieth year, a dermatovenereologist. now he is in the same program as specialists of the second stage of the survey. that is, if at the first stage the therapist or doctor, in general, practitioners consider it necessary to send the patient to the dermatologist, then the dermatologist’s doctor, when he will also join, and uh, also participates in this work here in some tools in screening is not provided. by the way, we are now thinking about such a screening program.

this requires matching equipment. uh-huh, by the way, a patent. we have digital photometry - this is such an apparatus that allows you to very clearly visualize any formation on the skin . yeah, but in order to make it widely available , you need, respectively, to simplify its design, its technological use for this. we are currently working on the design and size. yes, i think it's not even about the size, but about the ease of use yes video darmoscopy, which we now have, which allows you to make a passport of a person’s skin, comes to the reception and in fact , digital photography takes place completely with transfer to a computer, and all participants of the intercession yes, this is a skin map, and here is a further computer in the corresponding operating system , which allows you to evaluate each element, firstly do a count of them how many elements? we have 1.000 patients who have 169 m

neoplasm. basically that is, right? he would never count one thing in his life. even a doctor would not have counted such a number, but the machine could, and the da machine can do it. eh, as for the formation on the skin, sometimes uh, either on television, you see, or on satellite channels, or on the internet you read about some miraculous drugs dripped and then everything fell off. you feel great, but it's dangerous. this is a very dangerous practice. in fact, only the doctor e gives the correct answer to the questions that the patient has, and look for answers on the internet. this is a very thankless job. in in any case, first, you can now put. such a diagnosis that does not exist or intimidate oneself is the so-called overdiagnosis. secondly, the patient begins not only to be frightened. he can self-medicate with folk remedies folk remedies, yes, and not folk remedies. i think he

can do it. he will think that you need to use this drug this this if it is without their prescription. god forbid i bought it again, the consequences can be very depressing. you often faced such consequences. well , not so often, but these are polypredictions. is called when a person takes many different drugs at once. and due to polyprognosis, an allergic reaction can occur, a very severe syndrome, when almost all of the skin's blood. begins to hmm not hold on to that human body, and he actually loses skin. this is a terrible situation that requires resuscitation measures. you said that the burning is starting. yes, something at home, even a wart, let's say. here the patients suggested that he had a beard, he read and looked on the internet. yes i have a beard seems like. already pressed he took. eh, i also got the internet. how to remove a wart, let’s say, i read that you can burn it out, let’s say, with some kind of aqua regia, there ’s an old recipe, well, or with some means

that you can buy three bottles for so many rubles, order the fourth free of charge in internet. it starts to burn out, and then after a few years. suddenly, a discovers some kind of tumor processes in other organs. why can this be? because it may have been beyond the limits of healthy tissue, that is, the capture part of healthy tissue is done by oncologists. and not even dermatologists, but we have some kind of inexhaustible stream of complaints about cosmetic services. so i went to clean my face, and that's it. i lost it or something like that. hmm, so what you need to check is uh check, uh not counterfeit or uh, the products are used by clinics, but how to check it? just need to ask. uh in

line. uh, the document for the drug, that is, the drug must have must also correspond to a certain certificate, now let's talk about the expiration date. well now people will tell you. uh, there are some special authorities that should go check so that i come with a calm conscience and soul and that's it. right. if there are complaints, then it’s just the supervision to carry out not a scheduled check, perhaps the patient, there is also an increase in the need for supervision , which look from the point of view of epidemiological e, concepts of how equipped the clinic was all here, but whether the waste is esterized correctly, and disposed of and so on, another problem. at us really serious. yes, such cosmetic procedures are carried out on ladies, then it is generally impossible to check. this is not the legal address of the license either, uh, then uh, here is such a doctor, if this doctor still turned out to be, or maybe not the doctor of this person then, who performs some injections at home, but procedures or

some other. well, there really are hardware houses. this is difficult to do, but then he faces other sanctions. this is already more, probably, from the section of the criminal code. uh-huh the question is, when will the person take the money for some hmm procedure on the basis of doing, which he has no right to, respectively, these are not laws of entrepreneurship. and this is criminal. by the way, they threaten us that just about, uh, the summer will become hot, almost inferno. and i heard such forecasts that he hears thirty in the moscow region up to forty, and this will be a serious blow to every cover. well, any solar radiation. this is a blow. it looks like we’ll say specially to take away from him. i would categorically not recommend. why because there are several, and such risks for skin? and well, and then even for the very state

of the body for health, overheating. eh yes. the first is heat stroke, it can be a problem that quickly arises in the form of a sunburn , heat stroke, and so on. rays, there are even purely skin diseases - for example, lupus erythematosus, a skin form that unambiguously provokes ultraviolet rays and escalates, uh, under the freezing of the sun, and besides, it's, uh, let's say. uh, another tumor, and thank god it doesn't give this basalium. it also occurs many years later, after a person has sunbathed very actively, you know, sometimes they also say in the sun, only lord, there are two and a half normal months a year. well, i know something, i'll sunbathe for several months, and

then something. well, i'll tell you the following, if the child, uh, the child was burned three times. uh-huh three times burned, then the risk of development malignant formation of the skin, he has many times increased hmm children. generally up to 3 years is prohibited in the sun tactics. if you are a person who goes out into the sun, it is better to use photo protective equipment that is appropriate 20 minutes before going out, probably put something else on the street that can harm the sun. seborrheic kerama is such a benign neoplasm similar to external brown warts, but it happens which, with age, dots practically or on the face on the forehead on open such areas and on the back and other areas. we cut , but there is also one more cosmetic aspect about a malignant formation. we've already talked because i've already scared enough. yes solar skin aging, solar geradermia.

this is the so-called prematureness, because a person 's biological age is, let's say, he was 50 years old, but he looks like 55 there at 60. it was at best, it happens it happens. well, it’s just genetic due to a feature, but sometimes it accelerates this effect, skin aging accelerates due to, and sunlight, and they are, negatively affect the elastic fibers. that is, they lead to disorganization of the power of the skin. this is just her and turgor, that is, elasticity and appearance, and wrinkles that occur under the influence of the sun, they appear prematurely where they work chemical muscles. there was no folds of skin and contraction under the influence of muscles, so hmm unfortunately, that 's the way the sun can make up a person's outer. thank you very much for the conversation. thank you

hello in russia decade of science and technology rosatom presents a program on how science will change our lives in the next 10 years. i am vladimir antokhin. i am ekaterina in 10 years, science will expose green energy. well, i hope, because yes, because i invited optimists who believe that in 10 years science will really expose green energy. they are andrey gaverdovsky , an experimental physicist, good evening, and yulia varykina, an economist.