and we will start with the method of losing weight, which the people called suturing the stomach, attention to the screen. hello everyone, i had an operation to reduce the stomach in 2 months, lose 15 kg, it’s the third month and there was discomfort in the stomach area when bending over and when i sit down after the operation, she still has small portions. and if, god forbid, we overeat immediately, such pain begins in the stomach that you can lose consciousness. i had a resection of the stomach a month ago, i already lost 11 kg, which is very pleasing. i want to ask, everyone vomits after surgery. even when you drink water, people who have had surgery more than a year ago. you are alive all who write - this is only with a year of experience. and how further 3 years have passed after the resection, she has lost almost 40 kg of weight, but there are no miracles. the stomach is stretched, eat often and more than before 20 kg. came back and did the surgery. now, including the stomach to the new soup puree habits. ours and steamed meat or fish,

but it's all much tastier than shorokh oh, i also want to wear 100 kg on myself, but i'm afraid to do or not to do, girls, what do you advise to do or not to do such an operation is ready for this question. answer our viewer, inna inna smetanina 55 years old, tver inna from her youth struggled with excess weight, but in vain 5 years ago. she is fun 116 kg and doctors have diagnosed obesity. inna resorted to gastric bypass surgery and the operation gave a result. today her weight is 75 kg. inna good morning. good morning. hello well , tell me what you did in 2018. i had an operation to cut off part of the stomach. and it 's been almost 5 years now. well i feel good. how long did you have your stomach removed? you know, such

details did not go into, half not? i understand that there is 70% removed 10 percent. as i understand it, it happens that i have never been thin. i was all the time so plump, and i had 116 kg. and you know, the diet. i am an expert on all diets. i tried them all, the weight went away, but for some reason he stubbornly came back to me and it turned out. so my pressure was very strong. working pressure was 170x105. i felt great. yes, i went, but this abnormally correctly, there were problems with the back and legs. that is, then you weighed 116 kg. and now it’s 75, but i scored a little on purpose. they say that there is weight gain. i lost weight to sixty. seven me, as much as the storm made me lose consciousness. so my hemoglobin dropped sharply. and so i realized that i was more comfortable when i was a little more, and so i brought myself to this weight. here, well, as it were, yes on purpose already. well

, there are some. discomfort and now you say gone. here are 5 years of problems were initially after operations, that's all that was practically said there, however, it happens that you feel sick. that's even after water, but this is only the first time, all food should be liquid, so that's all, is it possible to follow all the recommendations that the doctor gives. i would recommend this to people who urinate like me. thank you very much for such a frank story. thank you for such an extreme method of losing weight, who needs it, who does not need it, we will find out together with our expert evgeny aleksandrovich zorin, a harmful surgeon, head of the department of surgery and medical rehabilitation center of the ministry of health of russia candidate of medical sciences. yevgeny alexandrovich good morning, come out to us good morning. in fact, this is the suturing of the stomach, it appeared a long time ago , now more and more people are deciding on this,

in general, why is it all that we are talking about now. it 's called bariatric surgery, bariatric surgery. this is a treatment for a disease called obesity, there are certain indications for it. they are determined by body mass index over the presence of concomitant diseases and accordingly, if this operation is indicated, it is done, and then it will be effective and then the person will have fewer problems if the operation is indicated. this means that non-surgical techniques will not work adequately simply because it is such a disease. we cannot heal. i don't know appendicitis without surgery. we can not treat hypertension without appropriate tables. we cannot treat obesity without an appropriate operation. if there are indications for that, the operation is designed in such a way that a person does not lose weight, so that he does not lose weight, that is, the task is not to go into exhaustion and a person loses approximately 670% of his excess why this happens, because the body gradually adapts to the created conditions. and then the method of weight control is physical activity

, proper nutrition, that is, a healthy lifestyle without it, nothing will work if you have an operation and expect to sit in a chair and lose weight . let's show in general how this happens visually, so that people understand. yes , the picture, look, here you should not confuse the operation of suturing the stomach with the operation of resection of the stomach . that, if we talk like many people say, what is suturing. there is such an operation. it 's called gastroplication. this is part of the stomach. she just screwed the seams inside, that is. well, in fact, this is how the seam is applied. and this black part turns out to be here inside, that is, this is how we get a belly, such a small little plus. in what we do not cut off the stomach. everybody. or rather, our patients think that it is very good that the stomach is not cut off. it's less traumatic operation, but the problem is that he himself remains this stomach, and he is in the first place. gostenko, the source of clay is the hormone of hunger, this hormone of hunger remains in us, moreover, the part of the stomach that has not been removed is gradually straightened out by this

stomach. well, it doesn’t become the same as it was, but the operation becomes much more ineffective, that is, it turns out to be a person. he can lie under the surgeon's knife, and in the end he will be straightened out, everything happens the other way around. this does not mean that the operation is completely ineffective, but due to the fact that some patients still cannot follow the correct instructions. somewhere overeats more, somewhere less moving part of the stomach. if straightened out, then the operation gradually becomes less effective than it was at the beginning. and why, then, is it done? it is inexpensive compared to, say, gastric resection, because gastric resection requires the use of special stapling devices. if here it is just threads, then when we do a resection of the stomach, the stomach will not be removed along such a line in this part. this impose special stitching devices that respectively stand a step back. no, it's completely irreversible. isn't it harmful for the body? when you take an organ of humanity , a healthy organ is a good healthy organ, but we

have other healthy organs, and no one ever cuts them. this is a frequent question that endocrinologists ask us, including, but the problem is that with the help of an operation on this healthy organ, we help to cope with a disease that cannot be dealt with without surgery, and thus we treat not the organ. we treat the whole person this was the essence of atric surgery. in this sense, michael is modern medicine. she is always in a state where she weighs the pros and cons, that is, the risks of having an operation, the risks of not having an operation, if we take a person with you who has a severe degree of obesity. he can barely move, he already has a weight under 200 kg there. and he has a huge number of metabolic problems, hypertension , diabetes mellitus, practically guarantees everything. yes, yes, question. what are the perspectives of this person even for the next 5 years, very poor prospects, that is, the likelihood that a person will live 5

years, it is not very high. and on the other side of the scale, a person had an operation. he lost 2/3 of his extra weight within a year or two. this allowed him to move around. this allowed him to get busy. there, some kind of physical education to lead a more or less active lifestyle to reduce all these risks that he had. yes, he may have complications with him. possibly dyspepsia. he may have stomach discomfort. yes, it is possible for him to develop b12 deficiency anemia due to the fact that the stomach does not produce the castle factor, many things that at first glance are not very good can happen to it. but when we take on one side of the scale these things that can be compensated, and on the other side, everything is that a person will die there or medicine will become disabled within five to seven years. unfortunately, she's not strong, she just might. the lesser of evils, so i understand that this extreme method is justified. you just need, uh, to choose the right

technique, you absolutely need indications for surgery. that there is a need to operate on the person who really needs it and you need to apply a technique that suits each specific person, but most importantly, such a person needs to be dealt with after the operation. this should be the supervision of a surgeon endocrinologist nutritionist in some cases, a psychologist while working. we are not only dealing with diseases, as they rightly said in terms of quality of life. of course, you have made it clear, because such a procedure is at first glance. she's very extreme, but if she can help for health, then it takes place to be absolutely correct. logically thank you very much evgeny alexandrovich thank you next in the program is an extreme method of treating the spine with a hammer on the back. you are sentenced to kagocel, the highest antiviral not surrounding kagocel the highest antiviral measure, we will sing

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extreme treatments. i recently saw videos on the internet that caused. i just have a wave of emotions. this is another extreme one. in my opinion, you know the method of treating back pain than with a hammer. attention to the screen. well, in general, this is not enough for a method of treatment, it seems, of course, in principle, i would understand everything if there was a car in the place of the patient, because the mallet, in my opinion, was just such a car mechanic.

let's discuss this together with our expert vladimir sergeevich demchenko, rehabilitation specialist , sports doctor, chiropractor. good morning. come out to us samples, yankee, that's how specialists in our commercials usually grab hands. i actually saw it in a hardware store. this one over there, one man had a mallet. well, that is, clearly this is not even a medical instrument, and in fact these straightening procedures, how they are a expedient and b how safe they are in general, because we see that people openly scream. well, if we consider such ethnic methods of treatment that were born there, let's say. yes, there in china it is very popular in thailand. by the way, russia is also very popular. by the way, we call bone-setting. so, in principle, these methods are quite widespread and, uh, they have a certain amount of mechanical justification,

because, in principle, there are a lot of people problems associated with stiffness of the spinal segments. yes, there are functional blocks, and so on. there are many ways to remove these blocks. there are possible there quick movements of the trust, something that everyone is accustomed to manual therapy. yes , they crunch like vertebrae. there, slow pressures of mobilization are such little by little and some independent procedures help a lot. this is bypassing on the back. yes, sometimes someone helps someone not, but, in principle, the idea itself. this is a mechanical effect on vertebra to improve its mobility solutions here mobility. and in principle, if a person is very strong, very healthy, well, this method can improve the feeling in the back. well, as they say, it has many side effects in its practice. i already had quite a lot of patients who were treated there, pounded with a fist and banged with a hammer. someone really is improving, someone has. e injuries, especially related, for example, if they are older people or people who have reduced bone density, stoporosis, maybe

which, unfortunately, have complications. here was a patient who had a rupture of the polar ligament in the east, in my opinion, was hit on the neck. he had pronounced dizziness and, in general, felt very bad, therefore, in principle, on the one hand, the technique has the right to exist, maybe in some ethnic things, where there is no other medicine, yes, but from the point of view of modern medicine and modern manual therapy. this, of course, is a bit redundant, because it is very difficult to dose the load. we have those in the hall who are in pain, the back is gone. mikhail will decide, are you ready to try the method? how is this the main thing in the method come out to us mikhail why was vladimir sergeevich signed to beat people with a mallet? he, in my opinion, is against, probably, locksmiths can do it. hello hello what's your name? my name is dima dima sports guy. your back hurts, your back hurts. from what i don't know. somehow it can

be related to age somehow sometimes even in the morning you get up and start to get sick from bed. are you ready to use this method? of course we won't uh, beat with a hammer, well, quietly, yes, quietly, you can mature to forty vladimir sergeevich, where near the wall is the thoracic loin throughout the entire spine, well, more lumbar is felt. well, slightly. let's try to see how the spine bends well. you can put your hands on your buttocks without using your knees, bent over. went well back. tell me, if there is even a slight discomfort in the back when bending, show me right here, right here, uh-huh, okay. lie down, please, let's feel by. that is, in fact, we are looking for stiff areas there is a patient who, on the contrary , cannot have hypermobility at all. there crunch beat them and so on. and you need to do a lot of exercises. and in general, in principle, and manual therapy and exercises should always go hand in

hand. that is, if we have unblocked something on the path, we must definitely fix it all with exercises and the right way of life. yes, this is the most difficult. here, first you need to feel to see how the spines move, they will press a little. say there is pain some kind of unpleasant sensation. no, we are still looking for patience. you are a spine that does not bounce. we here here already have more difficult, and even higher. yes, look, now we will gradually press like this, that is, in fact, when a blow is made with a hammer. we transfer a lot of energy at once in one moment in order to improve mobility. in principle, it is possible to transfer the same energy, but according to gene, let's say so quietly, pressing on this vertebra in the same direction. yes tolerable yes, while i endure with a hammer, probably, yes, it’s also much more painful, because oh, a sharp blow, but you know how another pain dominant appears, that is, something hurt the person. if you make him hurt even more, then perhaps he will reconsider his views on the previous pain. wedge wedge. you mean it

becomes a little simpler in this place. yes? yes, the main thing is not to see the hammer. yes, you won't actually see it. something that vladimir sergeevich is doing us now. yes, he gently with soft tissues, went over his palms, presses on the spinous processes of the vertebrae, clearly, controlling the forces of pressure, which was done by experts in the video, a and they took, as far as i understand, they put such a contraption on the vertebra, after which they were white and, as you and i understand, it is unlikely, at the same time they felt how supple the tissues are not pliable and most importantly, what if a person really has. at least a minimal decrease in bone mineral density, then with such a blow you can simply paint a vertebra and break the spinous processes. for example, if you take the thoracic region, you can break a rib quite calmly for this reason. it seems to me that somehow the method is potentially very traumatic for you, how to get up now. you can give us a try.

try over the forecast back. look how is the feeling in this area than it was better. yes? ugh better. so i just count the arithmetic yes, but now it turns out everything about everything, well, it took about two minutes, if we assume that this man with a hammer. well, he's lucky. he did not break anything and really moved something in the right direction. he spent on it, well, a minute. well, that is, it turns out, uh, 2 minutes, uh, gentle, gentle clicks and one minute of potentially traumatic straightening therapy. i personally do n't see any particular benefit here dr. why do people still go? there is some explanation popular rumor plus everything is the same, well, it's spectacular, that is, one out of ten people will come, maybe it will help. he will then tell everyone. the rest of me in a minute. yes, cured of pain, the rest will not say anything due to the fact that they are in traumatology. with broken ribs, and one

will say, but it helped me. so 10 others will take his place. who's got back pain will be again. naturally, nine selection went to traumatology, one went to say what helped him. if we thank you you are brave, thank you very much. thank you, thank you, have a seat thank you very much. today you were judged by extreme methods of treatment, as it turned out. some of them have a right to exist, and they benefit people, and some can be very dangerous. if you want to know even more information about health, then all editions of our program. you can find on the online video platform look in the app on the website we look at the point ru the conversation about the most important thing continues for many women is the world, tides, changeable mood, bad sleep, apathy , fatigue, and also discomfort in intimate life,

if you can avoid all this, stepping on the next step of the age ladder. we will understand today it is believed that about 75% of women aged 45 to 55 years face manifestations of the climacteric syndrome. in each individual case, a set of symptoms. their severity, duration are different for about 35% of women. these symptoms have been occurring for 5 years. after the menopause. in 55% of women. this is 5-10 years. uh-huh and ten percent. for more than 10 years, most manifestations of menopause for health are not dangerous at first glance. and they are very annoying women cause. here, leni is spoiled there, the mood is threatened by self-esteem. in general , life is spoiled by three stages of menopause. uh-huh this is the transition of menopause, which includes a period of transition that begins a few years before

the onset of menopause itself, and it can characterized by an unstable hormonal background , instability of the menstrual cycle , the first symptoms of estrogen deficiency may already appear at this time. yeah, actually menopause. this is the cessation of menstruation for a year and then the postmenopausal pause begins. this is the period after menopause. and each stage has its own characteristic manifestations, its own characteristic symptoms. and it is better for every woman to know about these symptoms in advance and try to prevent them. well, at least not let exacerbations. how do you say before? it means he's armed. let's talk about this in more detail, yes, so the first remenopause. early manifestations, uh, which can sometimes begin 2-3 years before menopause, include hot flashes, sweating,

palpitations, headaches, irritability, tearfulness. loss of interest in what is happening apathy, as well as sleep disturbance and decreased libido, and so this is the first period. that 's right. these are the so-called early manifestations. hmm next. menopause yes delayed symptoms that occurs 1-2 years after the onset of menopause and mainly affects the urogenital region and relates to the state of the mucous membrane. skin, its appendages is thinning. dryness , vulnerability of the mucosa, primarily of the genital urinary tract, soreness of sexual intercourse, frequent urination, urinary incontinence, rapid fading. her skin. e, dryness, flaking, decrease in turgor and the appearance of wrinkles. uh, a sharp deterioration in the condition of hair and nails due to the fact that the synthologist decreases c. it's the same time, by the

way, speaking may appear out dental problems, for example, and as i understand it, post shift pause. yes, these are late symptoms that develop in the second fifth year after the onset of the pause. these include the following violations of atherosclerosis usco. the development of atherosclerotic changes in the arteries often increases the level of cholesterol in the blood, the ratio of the so-called good and bad cholesterol is disturbed. violation of carbohydrate metabolism. increased risk of developing type 2 diabetes mellitus possible increase in blood pressure pressure; problems concentrating ; forgetfulness; osteoporosis. yes, progressive loss of bone mass and muscle mass sarcopene. is it possible to somehow make life easier for women in menopause, as far as i know, most of all, the fair half is bothered by these tides, which are very difficult for us to cope with, sometimes a severe course

of menopause manifestations. hot flashes require hormone replacement therapy. the reception of such funds facilitates during attacks. but if a woman does not want to take hormonal drugs, or she there are contraindications, then the specialist may recommend non-hormonal agents, for example, beta-lanine acid itself. ethonine can have a dual effect on hot flashes at the central level, stabilize the work of the thermoregulatory center in the hypothalamus, and at the peripheral level, block the release of histamine and prevent vasodilation as well, in addition to reducing the frequency. hot flashes improve their tolerance, its course use can help normalize sleep, memory, concentration and general improvement in well-being during menopause. and how quickly you can feel the improvement , the body cannot instantly adapt to changes in the decrease in hormone levels, so taking such drugs should be long-term,

at least several months, by the way, with course intake of beta-lanin, coronan accumulates in the body, which improves exercise tolerance and has a powerful antioxidant effect, and also slows down cell aging and maintains elasticity, collagen to fibers. skin, i draw your attention that he prescribes such means. maybe only a specialist, dear women, often after 45 years a change occurs in the female body. pay attention to non-hormonal drugs from france, klimalanin, its course intake for menopause. may help deal with hot flashes, improve sleep, memory, and exercise resilience. once again, a large pack of climalanin courses has become more profitable. today we found out. what are the preventive measures for severe and complicated course menopausal syndrome and these measures should be

taken long before the onset of menopause, and the conversation with the most important thing continues and right now, dr. tatyana povalenko will tell you how to protect yourself from complications of sars in the spring