it may be given. and so. let's increase prolactin. or maybe it's the result of a current stress infection, and then there are quite a few reasons for prolactinemia, but the main one is a test for adenoma. thank you so much. it was a rubric. ask the doctor, and now we are waiting for the next very interesting topic. a disease with a thousand faces is what they call systemic lupus erythematosus, because it very often disguises itself as other diseases, joints can hurt, as with arthritis, there may be shortness of breath, as with pneumonia or heart disease there may be redness and peeling of the skin, as with dermatitis, but meanwhile it is lupus and until the doctors make a diagnosis. it can destroy the whole body in recent years. doctors are worried about patients with

lupus erythematosus, what is it connected with, what symptoms can hide lupus, who most often has this disease with a thousand faces, and what to do to protect yourself from it, dr. myasnikov will tell remember, but barin says, you are the task you set to tell about lupus. and we don't know what it is no at all that it is one disease or several. the problem is that systemic lupus erythematosus can affect any organ? organs come here. kat it and the eyes, but we saw the skin. yes, and this fold will always be amazed. this is a mouth. these are lungs. this is the heart of the intestines of the kidneys, especially the kidney muscles of the ligament. in general, that's all, everything, everything, everything in the joints.

sit down for now. this disease is really with 1,000 faces and the doctor should just remember about it, all the more so for the sake of flashes, but when a clear detailed picture, it is clear that something is wrong with the patient it’s not clear, so to speak, according to blood tests, deviations are one thing, but, let’s say, here’s the brightest and most constant symptom of lupus, this is fatigue. this is chronic fatigue. so you can't get everything out of your hands. you can break up, that is, when a person has chronic fatigue syndrome or something. convenient it can't be put without consideration, diagnosis, lupus, systemic erythematosus, lupus, i've already said we don't know. how do we assume that this is still an autoimmune disease. this is when our own antibodies, if i drop them they will dissolve

a little differently, they always confuse. here is your alien. they must protect us. here are other viruses and so on, and they protect. let's take it the other way around, it's a virus. and that's where the immune cells are. yes, and here they are. that's how they work, but here it's a little different. ours is a little different. it 's not like immunity. look here. let's say these are our own cells. and these are anti bodies, which, in theory, protect us from viruses, but they confuse their signal with someone else's. they start to see our own cells. and that's because it's affected, basically the connective tissue of a lot of tissue. here begins the general pathology, if this happens in the lungs, it will hurt the lungs, if in the heart it will be in the heart, if in the corridor organs it will be harritory organs. here, when again, when your own antibodies, your own immune system begins to eat

your own tissues. why, if you don’t know, well, how we don’t know, in general, in detail the genetics of this disease. in which parts of which genes are they located? prerequisites and books are devoted to this can be in russian can be in english can be a doctor can be and be a doctor it makes no sense to read this, because, for example, i don’t understand anything. it honestly spends hours trying to figure it out, but first of all, it changes before i can read at high speed. secondly, you just need to have a special education, yes, and to the fact that it is difficult to track it, but what did they come to because the disease is too much face and we will now return to this further, it is too many-sided and often its genetic genetic trace is so different that we are talking today. it's probably not the only disease. probably this is not such a disease as lupus, it is a group of diseases. and if so far we say that we qualify for

lupus. here we have it, there is an international society. e rheumatologists. we say that such and such symptoms should be in the presence of juice of large symptoms, so many small symptoms. this is lupus, but today we understand that, probably, in the future we will not divide the disease by symptoms. but according to these genetic predisposing factors. that is, roughly speaking, we will not. on the crown of trees on the foliage to make a diagnosis, and we will reason for the mind of many, many bushes. they have a common cap, we will divide by roots, even if they break out into different symptoms that do not fit into one single picture, but this is a matter for the future. well, i’m just talking about the fact that it’s very difficult, you understand, to tell you now , dr. vyacheslav, tell me, i’ll tell you now that it’s wrong to say that it has become noticeable more often, especially in europe in america, by the way, non-whites suffer a lot from it. people, asians, african americans, they have this more severe course

, more often complications, and among geographical factors , lupus is more often found in certain countries , too, apparently genetically determined people live for centuries. it's there more often. yes indeed. well, we can’t say further, because yes, of course, women get sick more often. uh, well, what's more, men and more often it's young age uh, we know depending on female estrogen sex hormones is considered a woman who she hormonal replacement therapy is also affected more often by the medication. well, the medicine is separate, if lupus drugs, in general, if from drugs that were previously used to treat arterial hypertension. they called skin manifestations, and skin manifestations of lupus are also known to have given. on one you were shown spots of petechiae rashes, whatever baldness. and right now, a short pause, and then i will tell you a lot of

interesting things further. how to suspect the development of lupus erythematosus, you or your loved ones, and what diseases can be paired with her young man, he is 30 years old. he walks on crutches to this day, if you find one immune disease, look for another, on the ninth of may, the main holiday of russia on this day , from the very morning in the festive studio of our channel, the tv presenter marathon victory day will begin, we will remember the heroes of the great war. those who reached berlin, those who never returned home, those who waited and worked in the rear of those who survived the occupation, the hunger, the bombing of those who won. 10 am big parade on the main square of the country live broadcast right from red square, our main rocks, our

great tradition, a symbol of courage and valor, a symbol of the indestructible land itself, on victory day you will see the best russian films about the war and big premieres, as well as live broadcasts, exclusive interviews and reports from the most remote corners of our great country songs of the war years performed by world famous artists. in memory of courage and self-sacrifice, we celebrate our main holiday victory day without unnecessary hassle and do not forget

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call and order a convenient powerful and compact miracle oven for only 3990 rubles. i love you this summer and forever tomorrow at 13:00 on the channel russia who is against at 14:55 on the channel russia the pause is over and we can continue our conversation about health. so 1000 faces of lupus. well , you can see this butterfly. not always. what we see is fatigue. first, second. this is undoubtedly muscle skeletal pain, there is practically no

person with lupus who would not experience more joints that are symmetrical. it's a few joints. it's not that one joint is volatile, sometimes volatile you can appear on crutches. here i have a patient, a young man, he is 30 years old. he walks on roe deer, to this day, he is in the case of a huge the amount of hormones. she already has diabetes with hormones. and we can't get them off. this is such a situation. so we are the skeleton of the most. sometimes this is the same fibromyelgia that we are talking about sometimes it is difficult to differentiate from rheumatoid arthritis. and there is such a disease, i can not remember. it’s written like rheumatoid arthritis reluku with relus something like that, i don’t remember now, i’ll look later, i’ll tell you, but it doesn’t matter to you the meaning is that this is a mixture of rheumatoid arthritis with lupus, that is , these immune diseases are so interconnected, what is the law in general, if you find one immune

disease, look for another, if you have a vitiligo spot on your skin, go check your thyroid gland and your stomach , if there are antibodies here, then most likely you will go to the thyroid stomach. and maybe even such things, so these diseases come in pairs. together, so sometimes this combination hurts your knees. you have rheumatoid arthritis labeled by antibodies, but the fact is that for antibodies for lubus there are also a lot of them, for example, there is a double dna double helix of dna antibodies. she is very specific. that is, if it exists, it is luxus, but the fact is that it is low-sensitivity. you can say negatively and you are either negative, or she did not catch it. if you caught it, then yes 100%, but even here there are a lot of problems, therefore, when you lay out the diagnosis, you often do not understand and often sometimes you have nothing at all, only a clinic. and here you need to

remember these criteria, because here the blood suffers and all three of these are platelets or cocid and fall. that is, you get enemia very often anemia lubus. however, there are also platelets. i especially bleed and paradoxically lux - as always, you have constant thrombosis. lord, why did he work out the deep veins of the lower leg, there were veins from the arm, the arms were deep arms, look for either an omission or a lie after the antiphospholipid syndrome, the antifrossolipid syndrome are antiphospholipids - they are, so to speak, already involved in the construction of the cellular structure. antibodies to them causes increased thrombosis. by the way, yes to the antiphos of the lipid syndrome, which can often be alone, but how as a rule, it is behind him that there is a luxus there, that, these are repeated thromboses, repeated miscarriages and there used to be a false positive test for syphilis, now the tests have changed, so but only recently. i think we are available. if you don’t need to make a diagnosis at all, i am admitted sick.

do you ask guides with thrombosis of the leg? yes, two more inserted positive syphilis, then it was not confirmed. all you do not need you. here is the diagnosis written, ah, but it's all to demand, because you have to treat the patient give him anticoagulants for life the problem is that basically. the main cause of death of these patients, especially men, and women , too, is lupus kidney damage - this is a classic - this is a classic, any nephrologist. first of all , he thinks about it, so it is very necessary, as often as possible, to start checking the kidney function. the second cause of death is pneumonia - these are viruses, uh, and pneumococcus. here they are dying of pneumococcal sepsis. this is why you need to get vaccinated. i am pneumococcus. by the way, as he spoke about the cause of lupus. we know epstein bar viruses. this is often very found 80% of people with lupus have positive views of the wall. but if we look at the population. it's generally a population of

80% shane bars and it's very hard to figure out the ingredient. it is all the same, when there are no diseases there. well, this whole assumption only says that we don’t know for sure and the eyes have already said eyes any part of the eye. maybe she lived through lupus, it's her ears, huh? lupus encephalitis, and it is difficult to treat very serious ones. i told you hormones then, it happens that you don’t have it. here, like this ferry. i give him hormones, he must have sat down with insulin, because he has sugar. and what to do you cancel it, it starts to leave. and so he stopped walking. uh, well, it's a tough case, anyway, you have to be on your guard, because we very often stumble upon something, don't go further, and lupus is such a thing if it's not treated, well, you know now the other one before, when you put it in here i was still young, diagnosed with lupus. we understood that after 10, maximum 15 years, the girls no longer lived somewhere, now they live for a long time decades. such cases, about which i

spoke, are still a rarity, still a rarity, now quite powerful active ones have appeared. yes , dear ones, like medicines. by the way, you know one more of these phenomena. reynaud yes, when you lower your hand into cold water. are your fingers turning white like his, like a sawn-off shotgun? so, just white, it doesn’t mean that you have a phenomenon, so to speak, lupus or other pathological disease in 50% chance 50 to 50. we don’t have such alertness, let’s say in america in my time, when i was an intern there, i went to the subway there are posters, a woman is right in the subway. here, with such a butterfly butterfly, it is written with an association there that is systemic. lupus is there calling you to something. that is, it is right in the transport. we had such a visual campaign. well, now, i have just told you a lot about lupus. you heard it, you remember it, that in general, the reasons are not clear, but it can manifest itself in different ways, that's all you remember. well, well, well, but so to speak, at least

you will understand that this is a question. as protect yourself? the answer is no, the answer is no. all prevention is as early as possible the diagnosis. well , also, probably, do not smoke, because these are unnecessary risk factors and be less in the sun, because the sun can also provoke photodermatitis when a rash appears. well, actually, that's all. this is such a difficult disease, it has really tripled over the past 30 years in europe in america in our country, so they call it, but nevertheless, if we are attentive to our health, then everything will be fine with us. our program has come to an end dr. myasnikov i wish you all a good holiday. once again i want to congratulate you on the upcoming victory day. and if you want to revise us, then we look at this platform in the application or the site look.ru health to all.

good luck everyone see you. hello on the tv channel rossiya vesti in the studio of irina rossius and the main topics by this hour, our military took half of the city of popasnaya, which is called the key to the liberation of the lpr , poland and ukraine what he meant by the forecast of the foreign intelligence service of russia is confirmed by the hacker state the state of surveillance and

the state of cyberborg china sharply condemned the united states for its total desire to stick its nose into the affairs of sovereign states at the white house the new face of the psaki leaves his post and a replacement was found quickly, and in fonvision , instead of discussing the humanitarian situation in ukraine, accusations were again poured from the united states towards russia and walking along the edge of the rocks of the caspian sea the cable car of russian tourism through the heat, unique railway tour, where the caucasus is viewed and even tasted. in the luhansk republic, the power of the people's militia, russian units have already taken control of about half of the strategically important city of popasnaya. it is located on a hill and allows you to control the surroundings for many kilometers around. cleansing the settlement from the

gang will increase the pace of the offensive. but, in the already liberated cities , local residents are preparing to celebrate victory day for the right to celebrate, which they have been fighting for eight years report by nikolai tolgachev. the territory controlled by the lugansk republic is expanding, the fighting is going along the entire front line, in the city area it is dangerous, especially the intense forces of the lc, russian units are moving forward, ukrainian formations are inflicting artillery strikes on the rear of the villages. now the settlement of burka is being shelled, and already subsequently, shelling is visible to the naked eye, the liberated city of rubizhnoye has established round-the-clock control over the situation in the dark, night vision devices are used, including on drones, it is important to ensure security for humanitarian convoys sent here with the support of the people's militia of the luhansk people's republic to the settlement, kirovsk was delivered humanitarian aid from the russian

federation, the settlement has been suffering for eight years. and this help is very necessary for this settlement and its inhabitants from the areas that are under shelling by the ukrainian nazis , the evacuation of the whole house continues. lenina 32a, i was worried a little now they want me at least somewhere ukrainian bannformations. here, trying to tell the whole world in lugansk , representatives of different faiths held an international conference of traditional religion. against neo-nazism, the republic is preparing to celebrate victory day, memorial complexes are put in order, because, in some liberated towns and cities, volunteers of the local youth movement did not do this for 8 years during the e-nazi occupation. sisters of victory are handing out guards ribbons on the street thank you very much at the front. now victory in hard-fought battles, the fighters of russia and the lugansk republic nikolaigachev are bringing closer. shutdown vladimir averin news, donbass four people were killed, three more

, including a teenager, were injured as a result of new shelling of the donetsk republic by ukrainian nationalists in a day. they fired more than 200 rounds of ammunition at the settlements under clear fire, only this morning she was attacked five times. andriy rudenko the armed forces of ukraine again attacked the city of donetsk. you see the consequences of a direct hit in administrative building, a hundred more shells fell on a neighboring street. residential buildings where pensioners live were damaged there . i heard that everything was pouring in there, it was scary to live in such a situation. it's not scary, but there is no such word, that this is such a wild horror, the shelling does not stop. at the moment, the hay belt is being fired, sad news comes from there. a woman died there, fire is being fired in the petrovsky

district of the city of donetsk, and in the kuibyshevsky district , an investigative committee of the russian federation, they record every crime committed by the nationalists and no one will leave the deserved retribution andrey rudenko oleg bondarenko to lead. donetsk people's republic the ukrainian military is promised salaries of 100,000 hryvnia per month. this is at the rate of approximately 224,000 rubles. as a matter of fact, money. nobody pays them about this , one of the prisoners of war told. according to him, for the kiev regime and the command of the armed forces, he became cannon fodder and the same sentiments among his colleagues. however, many are afraid to surrender from stories about alleged russian atrocities. i met soldiers of the russian federation in front of me well, the first, of course, yes, that they will either kill me now or i don’t know,

maybe they will kill me or well, in short, it was immediately in my head that this was my death, but they took me away, they just treated me like a human being, they gave us water to drink, which they took us prisoner. so, when the same thing was brought here, that is, clean soft beds, three meals a day, cigarettes. they let you run away around the camp, of course, you can’t. but it's like, i see. so, in principle, the relationship is normal. and the new heroes of the special operation in ukraine were told today at the ministry of defense the crew of the tank corps kuznetsov’s race discovered two camouflaged enemy tanks, one of them was liquidated by aimed fire, the second entered the battle, despite the injuries received, corporal kuznetsov managed to get out of the blow to destroy the second car our column . i was able to continue the movement of the motorized rifle under the command of the captain, dmitry furdu, and blocked the retreat of the militants. in the course of a

fierce battle, three mortars were destroyed calculation and about 40 radicals. the rest surrendered as a result of another settlement was liberated. senior lieutenant alexander prygunov ensured the advancement of troops deep into the enemy defenses under his command, a howitzer self-propelled artillery platoon destroyed one tank, 3 infantry fighting vehicles and more than 20 nationalists. pilots of the aerospace forces and their syrian colleagues are preparing for the celebration of victory day at the russian airbase. arab pilots have achieved great skill in flying mig-29 fighters and mi-24 helicopters on the parade ground participants in the ground part of the parade passed, russian and syrian infantry units are preparing for may 9 and in the regions of russia, for example, in khabarovsk, a dress rehearsal was held by the military of the combined art division at the kalinka airfield , six volleys from d30 howitzers, as well as

special salute installations in chita, thundered a solemn march passed about 20 military units. anti-aircraft gunners, rocket launchers, artillerymen, and, in addition, fighters of the national guard as part of a mechanized column of self-propelled letters 100 howitzers iskander missile systems and s300 systems the rehearsal of the solemn march in sevastopol was led by the crews of the black sea fleet and coastal bases, cadets, nakhimov soldiers in parade formation and heavy equipment, armored personnel carriers of the marines, as well as bastion missile systems on how they will celebrate victory day in novosibirsk yekaterinburg our correspondents artur mikhailov and kirill

bortnikov will tell. military district information about him is extremely small. it is known that he took part in the hostilities in 1944, and it is he who will go to novosibirsk today at the head of a mechanized convoy. yes, and with an important passenger in the cockpit. interest in the tank of an eleven-year-old girl in blood about the great-granddaughter of mikhail koshkin , the chief designer of the tank, for the first time in the cockpit of the t-34, how cool it feels, it’s scary, of course, the first time the swallow of the tank troops, as stalin once spoke about the car, and to this day it is in the ranks without fail and reliable leads more than 30 units, modern military equipment. including anti-aircraft missile systems s-400 triumph multiple launch rocket systems grad armored vehicles, tiger and armored personnel carriers-80, a multi-purpose, mechanized complex for the operational deployment of temporary roads. and, of course, the most formidable car in novosibirsk will traditionally be held on krasny prospekt,

surrounded by thousands of spectators, there is another training session ahead, already with the participation of aviation. artur mikhailov sergey babichev alexander gaganov. and helena's siberian bureau to conduct. symbols z v.io, now adorn the modern military equipment of the victory parade in yekaterinburg, the last preparations, a few hours before the rehearsal in one of the military units of the central military district, put losk on the equipment of a mechanized column on the sides , and place photos of the heroes of the great patriotic grandchildren. placed their grandfathers great-grandfathers. well, as part of the celebration of victory day, the air part of the immortal regiment of the pilot will also be held on modern models of equipment of the heroes of russia in the capital of the urals. portraits of their heroes were placed in the cabin of the tu-134. training continues and on the ground the highlight of this parade will be cavalrymen only in yekaterinburg, in addition to equipment and personnel, riders will appear on the square.