good morning. come out to us. good morning podnimovich. why do varicose veins appear at all, the main reason is the constant impact gravity yes, that is, the load on the venous system in a person who is in an upright position or in a sitting position, well , after all, we are all in a vertical position, and varicose veins have many, but not all. well, here we then have to talk about risk factors. yes, it's hereditary. this is overweight. this is the female gender. this is the administration of the drug in the female genital hormones. well, now there is such a new revelation in the form of the consequences of a coronavirus infection, which turned out to be, well, it affects the venous system very well. uh, including the lower extremities, yes, and a sedentary lifestyle. well, in general, we all know that modern man has become lazy. in order to avoid the development of the disease, a whole range of measures is necessary - regular exercises that activate the muscular venous system of the legs, contrast showers. active lifestyle and weight loss, in terms

of conservative treatment, yes, there are two base methods. it's compression therapy - it's taking, uh, various substances of various molecules that improve. uh, the state of the venous system strengthens the venous wall. oh, let's start with compression stockings. compression stockings. he is very dense. that, most likely, it is very difficult to wear this all the time. and even more so in the heat, one should not forget that, in general, medical knitwear. it also has aesthetic properties that are different from everyday ones. that is, it is not suitable for all occasions, but plus there is also an individual intolerance it is hard to wear, so in general, there is always some kind of search for alternative methods. in particular, various formulas are being developed, the molecule of which must somehow compensate for the lack of compression stockings. there is such a substance

of plant origin from horse chestnut extract. a substance called escin is mined. in general, it has long been known on its basis a whole series has been created. uh, medical means uh, there was a very interesting study that was published in a very reputable international magazine, which showed that the anti-edematous effect of the son is comparable to compression tights. and the son of its effectiveness impact on the vascular wall, and in fact has been repeatedly studied. e venotonics based on scenes. purchased back in the days of the soviet union, they have been known in our country since the early seventies. this drug remains today in the arsenal of a number of recommendations of very authoritative international organizations. let's discuss the main properties and scene. here they are on the screen, such a rather complex molecule and a scene that has an anti-inflammatory effect, decongestant venous tonic, that is, it strengthens the venous

wall protects the venous wall from various influences. well, let's just say unfavorable environmental factors, including, by the way , from the effects of coronavirus infection, and also thins the blood, which is also generally relevant when it comes to chronic wine for insufficiency. so the son also affects the five main manifestations. goat disease on edema on pain on feelings of heaviness in the legs on cramps on skin itching, and in what form is it better to use essen horse chestnut extract has a higher bioavailability and allows you to quickly achieve a therapeutic effect when it is applied in liquid form? let's demonstrate this, yes, as they say, where the tablet does not pass, the solution will leak out of the son. and

what positive effects does the scene of the vessels have and increases the tone of the venous wall, it makes it more resistant to various stressful situations. it relieves vascular inflammation, it e-e thins the blood, to some extent prevents thrombosis. well, finally. he removes these main symptoms, the main complaints that patients with varicose veins present. thank you so much. thank you. german drops skuzan on the basis of the son acts on the cause of varicose veins, helps to reduce edema, pain, severity of itching and cramps in the legs, the effectiveness of escusan-tekov is comparable to compression stockings aescusan is served in pharmacies at a bargain price. take care of yourself and be healthy the conversation with moonshine continues.

further in the program, quiet, inconspicuous and even without pain, how to protect yourself from a heart attack suffered on your legs? they fought for the motherland grandfathers and great-grandfathers, brothers and fathers, our relatives and friends, each of them brought our victory closer, as long as we remember, they are alive,

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reebok's workout collection modern materials for your comfort already on wildberries sleep deeply sleep for a long time, as in childhood about the most important thing, it turns out that a heart attack can be carried on your feet and you don’t even understand it, the symptoms died. you can recognize such a heart attack, a cardiologist, academician yulkich will tell about it. belenkov yury nikitich vice-president of the russian society of cardiology academician of the russian academy of sciences director of the hospital therapy clinic no. 1 of the medical faculty of the first moscow state medical university named after sechenov 50 years in the profession. well, on the nose of the

may holidays you will go everyone in the country will dig beds to plant seedlings, although they behaved. suddenly, once in the country to dig something to shit and so on. and here the so-called country heart attack begins - a word that immediately gives rise to fear in any reasonable person. however, most often. for us. it 's something far away from us. won't happen won't happen. after all, we live an ordinary life, just like most people, this detachment and unpreparedness, maybe a fatal heart attack, is quiet, without pain imperceptible, how not to miss a heart attack. what symptoms indicate that you carried it on your feet, how to protect yourself from a second heart attack? and today we will talk about some

atypical manifestations. myocardial infarction about what is called oh, and you suffered a heart attack on your legs so let's start with the classics first. how a heart attack hurts, it hurts, as a rule, behind the sternum behind the sternum was seryozh sergey antropov, 60 years old. i was ill for a long time, i grew older, i arrived. so, how did it happen with you, eugene? evgeny lutsenko 75 years old? i was patient for three days, i drank everything in my heart. these tualedol tablets are only rvalol. yeah, it looks like it's going to let go a little. then i got worse and worse guzel skripkina, 57 years old. and what about you, and i had a strong burning sensation, nausea, my hands hurt right. this is a

classic, not even pain, but pressure, heaviness, burning, behind the sternum, left shoulder. left shoulder blade. hand jaw - it's all a classic, quickly centered the ambulance . well done tongue, unfortunately, you got yourself stenting, but it was so understanding even orthocoronary bypass surgery this is all a classic, but, unfortunately, a heart attack passes on the legs. who. let's see, first of all in patients with diabetes, as a rule, small vessels are affected. so we call it a multi-vascular lesion and they have a disturbed perception of pain, because the so-called neuropathy. yes, they can have a myocardial infarction that they did not feel, that is, they did not feel what they felt. you pain burning. well, a heart attack, anyway, the following happened. these are clients who already had severe adaptive cardia, cardiosclerosis was formed. and

here, as we say, it poured, that is, to this, here is a scar. something else has been added and as a rule, it does not hurt. how is it possible to diagnose a heart attack in such a situation? well, show us a cardiogram, well, let's say a person came for a physical examination and took a cardiogram. oh my friend, it's been moved. he says, i don’t even know, i didn’t even notice, i ate a cardiogram and found some area, for example, right now there is a large scar. i didn’t notice, and here a very interesting thing begins when you start talking attentively with the patient you begin to find out some things, for example, i had shortness of breath, as if i had a cold , there was no temperature, there was shortness of breath. i say when you arise, but under load. and when i passed right away, i’ll stop the movement right away, for example, if i take a glycerin tablet, it also says

it’s shortness of breath, which is disguised as cardio, that is, what i’m leading up to. now you have gone to the country. the first thing i can say is as a recommendation. yes take enough pain medication with you. oh, i must have been poisoned i took heartburn once soda 2 soda, something else instead of calling an ambulance and ends. it's all aorta coronary bypass surgery. and not immediately, that is, you suffered a classic myocardial infarction, because immediately the aorta coronary shooter never makes the acute phase of back pain osteochondrosis. oh, i have osteochondrosis . it hurts so much. i say when it hurts, and he says, i 'll go get sick, osteochondrosis. i will stop passed osteochondrosis. never passes instantly. he, if he hurts, he hurts. long, that is, if it's pain in the back, which quickly passes under load , this means it is radiation of scenic pectoris, fainting. tired. oh, i'm so tired, i must have overheated. i

have a faint. yes? and this means that my blood pressure just dropped sharply during myocardial infort or arrhythmia. oh, there were some interruptions in the heart, well, it looked like a little bit, he took some drops there, but i had to drip, everything went away arrhythmia, but in fact he suffered a myocardial infarction. so this is how a myocardial infarction can be masked. that is, maybe without combat. yes, but if talk carefully with a person, you will find something like zhenya behind the sternum, which is not removed with soda. and with nettoglycerin shortness of breath, which is not removed by diuretics or by what drug that dilates the bronchi? yes, but it is removed with nitroglycerin. the same back pain that lasts for several minutes under load, they are hours and days. and here the conversation begins that yes, this is most likely a mask of a heart attack, a mask of angina pectoris. so what to do, how to protect yourself from a heart attack, the first is to be regularly examined, how

to constantly examine constantly every two years, it is obligatory lyudmila maslova, 57 years old, and for men , to begin to be examined after 35 years. you know, i've been in practice for a long time. so, when i started working as a cardiologist, then there was a critical age for men - 65 years old, then 55 years old, then 45 years old. now, according to the latest recommendation, 35 years old, especially if there are heart attacks in the family, there are strokes, a man should meet a cardiologist at 35 years old, a blood pressure controller. it was a matter of control, diabetes mellitus is one of the reasons painless heart attack cholesterol control, it did sacred. and, of course, it is a healthy lifestyle . let's talk about the fact that you go to the doctor regularly. this is right. what else do we monitor the pressure. i have a notebook, which i take readings in the morning and in the evening, and

there is no other. be sure to follow. i try healthy food extreme sports are involved. yeah. hmm, it's a nice sport, lord, kayaking. and in the last century there i became interested in parachuting. and here i admit that this extreme sport, and with the horse you have just well, they are warm, there are good smart relationships, evens out and haste. yes, that is, this is a treatment when a person strokes some animal that treats him well. so, dear friends. remember my guests what they told and try not to do what they did, except, of course, lyudmila so, friends, i told you about myocardial pain and asphalt. unfortunately, it is just as dangerous as a normal myocardial infarction; moreover, sometimes it is even more dangerous.

dangerous because i'm always joking. although it's like they're joking that we doctors love it when it hurts. at least a person has a brake, somewhere around here. well, anywhere, at least there is a brake more when it doesn't hurt. unfortunately, there is no brake, so i told you about the typical signs of a myocardial infarction. watch yourself. follow your loved ones to follow up with your parents grandparents. and maybe by identifying some of these signs. you will save their life. all the best to you and happy holidays. before meetings. after the holidays come visit me for a consultation. come visit me for a tv show. goodbye. thank you for spending this morning with us. we wish you a good day and good health, see you on the tv channel, russia on

the russia channel ukrainian troops fired missiles at kherson at night. mind the largest energy company germany announced that according to buy gas from russia converting euros into rubles on sakhalin a strong wind tore off the roof of a residential building on ice on the roads of bashkiria, the roof with the pool collapsed a in

petersburg, the arctic invasion in israel remembers the victims of the holocaust russian regions are preparing for the patriotic action immortal regiment. and we start with urgent news from simferopol, where, according to the fsb , a terrorist attack was prevented, which was prepared by a former ukrainian marine , he had already detained an explosion planned in one of the shopping and entertainment centers. we expect to receive all the details during the release. ukrainian troops fired missiles at kherson last night. two of the three missiles were intercepted air defense systems, one of the targets was probably a tv tower of serious damage. she did not receive a promise from russian tv channels. after the strike, it was not broken,

as reported, there were no victims and injured among the civilian population. meanwhile, according to the ministry of defense , the kiev regime is preparing a personal provocation in the lugansk people's republic to accuse russia of staging with the alleged death of civilians the ukrainian security forces are going to organize in lisichansk the past day. for the inhabitants of the lpr, it was very difficult after the shelling of neo-nazis, died, a nine-year-old girl and an elderly woman, four more people. seriously wounded, and right at this moment there is an active cleansing of the districts of rubizhne in the lpr. the city has already been liberated, but militants may still be in some houses. those who fled or died leave behind a lot of evidence of nazi and anti-russian propaganda, in which over the past 8 years they have been actively trying to involve young people from the front lines of our military correspondents igor pikhanov and nikolai dolgachev. the past day for residents of the lugansk people's

the republics have become the heaviest in recent weeks, the ukrainian military shelled four settlements, this is the golden village, 5 cities of pervomaisky or the stakhanov mine were fired at them from heavy artillery and a rocket launcher system. fire tornado. the game resulted in the death of a nine-year-old girl and an elderly woman. four more people. hospitalized in serious condition in the cities damaged a large number of housing social institutions. the gas pipeline is broken. there is a problem with the power supply. heard explosions strongly, probably. when i got out from under the pressure, i can say i got out , i already see everything was flying from the houses. a neighbor's house ran there, broken by the employees of the people's militia of the lc, liquidate the enemy's firing points. from where the fire is being fired at the settlements, also, together with specialists from the russian ministry of defense, continues to advance into the lips of the territory occupied by an all-large operation to neutralize ukrainian militants

, allied forces are operating in the cities of popasnaya and rubizhnaya. it is extremely necessary. be careful of the fortified area. batas created us in the middle residential areas, the entire private sector here is the efforts of the apu. just one continuous in the fortified area. here, please, the positions of the trenches in the private sector in residential buildings the people's militia liberated the city of kremennaya and the village of novotoshkovskoye. peaceful life in the republic is now gradually being restored. more than 60 cents have been created for the reception of refugees. there is also a front-line area where the wounded are being evacuated. doctors continue to receive them. and the military. in addition, a large number of wounded soldiers of the ukrainian army are forced here. everyone, it turns out, all the necessary assistance, assistance to the republic continues to come from many regions of the russian federation, humanitarian convoys of the ministry of emergency situations stay and volunteer organizations also work.

yes, they are helping refugees and rebuilding damaged housing. igor pikhanov yaroslava borisov ivanov vesti, lugansk people's republic now there is a check of the area cleaning in the basements of the bunkers, weapons abandoned by the enemy were found. including portable anti-aircraft missile systems , grenade launchers, cartridges, neo-nazis either fled or died, all the equipment, enough here, actually destroyed. well, i hope it will continue like this during the cleansing, and apartments that were used by the special services are also found. ukrainian literature documents that allowed the investigative group to

identify those people who recruited young people into nationalist organizations for many years, as it turned out, a certain mikhail lvov lived here, a citizen of lvov was directly a representative of the special services of ukraine. this is not the last person in the nationalist circles of ukraine, not only because he went to thematic marches in the forefront with the help of his cohabitant alena kravchenko, since the fourteenth year he recruited students from donbass for national battalions and special services of ukraine, the candidates were sent to prepare training camps in western ukraine ivan franks. there directly they were already preparing for participation in sabotage groups kravchenko was a teacher at the faculty of journalism of the lugansk pedagogical institute. there, as it turned out, and the recruitment began, it

clearly took the anti position, forced students to go out to e, anti-russian rallies that took place here in lugansk in 2014 in the spring, ukraine has been conducting anti-russian propaganda for many years and indoctrination of youth tried to raise a generation of anti-russian ukrainians, but neo-nazis, now armed people are being destroyed in battles with them. donbass is fine. boys. well done, all the assembled drove on and even then adrenaline well, i’m joking anyway with the fear of a kid, thank you, no one was scared nikolai dolgochepov from agons vladimir averin news, lugansk people’s republic now fresh footage from our ministry of defense on video combat work of anti-aircraft missile systems shell s-1 and the needle, they provide protection for the units of the russian armed forces from the means of air attack and, above all, enemy missiles and drones, just the

latter were discovered during the carrying out of combat duty roster. our calculations took enemy drones for escort, and then destroyed, i note that the shell alone can simultaneously detect 30 targets of work, both on the spot and on the move, and the complex and the eye are capable of hitting low-flying targets within a radius of up to 5 km. the russian military, who showed courage and heroism during the special operation in ukraine, were awarded the state award ceremony in the field conducted by the commanders of the troops of the central military district. colonel general alexander lapin he thanked, awarded for their service to the motherland, the order of courage was awarded to the commander of a motorized rifle formation, more than 20 servicemen were awarded the insignia of the central military district for merit. and here are more examples of the exploits of the russian, military, and which were told to the ministry of defense, anton kiselyov's tank was blown up during the battle and fired from a grenade launcher. however, despite

the concussion received by the senior lieutenant. he continued to fire with small arms, while personally destroying the enemy. vladislav anfalov during combat duty. i discovered an advancing enemy group of up to 20 people, reporting, and the opponents the corporal opened fire. they are the nazis during the battle. all radicals were destroyed. sergei ibragimov provided communication between the headquarters and the artillery unit during the battle, the team of a large-scale vehicle, which was blown up by an enemy mine and caught fire, despite the concussion of the sergeant, ibragimov evacuated the wounded driver from the burning vehicle, and then managed to restore communication with the front line. largest germany's energy company uniper has announced its agreement to pay for russian gas under a new scheme, which suggested that moscow would deposit funds in foreign currency into an account in russia and then convert them. in rubles, the company expressed confidence that the suspension of

blue fuel supplies to poland and bulgaria would not affect the supply of german consumers in any way. open a ruble account in russia to pay for gas . gas and 65% of our oil. why because this infrastructure is not we chose the situation. this is physics , there are no alternative sources of gas, there are no alternative supply routes that could allow us to abandon russian gas, that the president of moldova has not recognized an alternative to russian gas. as maia sandu said , chisinau is interested in extending the contract with gazprom, according to her, any other options will cost more and threaten to increase fuel prices, meanwhile, the applications of european consumers for russian gas is growing and has already exceeded 62 mln.