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juggle a little. i was taught this at the theater institute. we have motion scenes. suddenly , the artist needs to juggle in some role, therefore, here are three lemons. i'm half sinful. i can handle it, actually. this is very useful because it trains the neuroplasticity of the brain. after all, in fact, the control of the right side of the body is more involved in the left hemisphere of the control of the left side of the body, the right hemisphere, respectively, when we try to juggle our two hemispheres must interact with each other by sending information from to another, which improves the relationship, that is, the more we juggle, the more difficult it is for us to do it, the more new connections are established between the two hemispheres. and this leads to the fact that they begin to interact in everyday life completely different reasons, for example, sending information not only about movement, but sound information visually and even some higher

mental functions, analysis, synthesis also occurs more efficiently, that is, even two e, objects or juggling are enough to improve connections for a novice person of two enough when he succeeds. it's easy and naturally needs to be complicated. that is, every time it is necessary that a person strains in order to juggle what they stretched the brain stretched brushes and it's time to start the program, and himself fragrant strawberries is it possible to determine the quality of strawberries taste and the presence of sugar nitrates by their appearance, we asked the studio audience to choose strawberries that they would definitely buy and eat. let's get a look.

it's time to look at the results. i would honestly tell you that i would choose this one and everyone would choose it that way. by the way, because this strawberry, of course, is big. when i see a strawberry of this size, i get lost, because it is already a red tangerine, an ordinary one. strawberries are here doctor, i want to ask the audience, who took a lot of small ones, why? it is fragrant and natural. i liked it in appearance, and it

is ideal for desserts. there are such, of course, a man takes bigger. well, as they say about a big piece and the mouth rejoices at a big one and cream. and you can also bite it yourself, you can treat the lady with one strawberry. good morning. i ask you to. what, she's big her quickly, you pick up a basket, therefore, i always give my preference to large and red strawberries. and understandably. thank you. it's just that michael, while you were walking , i tried both. well, try it, well, to taste, it is so watery small. i have such a strawberry in my neighbor's dacha. just when she does not see, we come to the site. that's what i thought to be a serious santa different flying nitrates. uh, in fact, there are different varieties and a different way of growing, there is a year-round cultivation. and it will most often be such fairly large

berries that are grown in hydroponics. that is, these are greenhouses. by the way, the program e formulas food, we visited such greenhouses, and they really grow good tasty, but large strawberries and there are small varieties of strawberries more winter, racks that more easily tolerate a deficit of heat deficiency, they are wasted in there are nitrates, in fact, there are in any strawberry due to the fact that what nitrogen be, then nitrogen from the soil nitrogen from e fertilizers. he still gets there the question is that the content of the ladders does not exceed the recommended norm. let's see tips to help grow sweet strawberries attention to the screen to to grow large and most importantly sweet strawberries, experienced gardeners advise placing the beds on a small slope on the southwestern side of the site, then the plantings will be illuminated all day, the sun, you should also make sure that there are no close groundwater and eliminate the risk of flooding the

beds. use drip irrigation. moisture. it will evenly flow immediately to the root system, and the soil will remain constantly moist. it is impossible to get tasty berries without regular and complete top dressing, karim and phosphorus. after all, these substances are responsible for the ripeness and sugar content of fruits. cover the soil with a film or sawdust, then the berries get less dirty, do not get sick , ripen faster and have better taste . well, it's time to talk about what strawberries are useful for and what it should be combined with, we will discuss this together with our permanent expert mikhail moiseevich ginsburg, nutritionist doctor of medical sciences. your region samara has a lot

of sun, probably a lot of strawberries, yes, we grow strawberries ripen well and they are always fragrant fragrant, sweet and tasty many people talk about it and write that after strawberries it is necessary to rinse your mouth, something happens to the enamel. yes, but with enamel and in general with teeth. let's you demonstrate. it's here that there are organic acids that can uh destroy the enamel making it less of such permanent damage. this can give rise to carris. yes you that, and plus there is one more unpleasant moment. strawberries have seeds. well, actually, we recognize all of them in the video . these small bones turn out to be some small defects in the teeth and accelerate the development of caries, therefore, rinsing is really very good and the correct norms. let's talk about the advantages, and the benefits first. for the brain, strawberries have a lot of e, a bioactive substance of a flavonoid, quercetin, this is a powerful

anti-aging factor, that is, it improves the condition of the brain and vascular walls, and another very interesting phenomenon has recently been discovered. the fact is that aging is based on such a process, as it were, the formation of synister cells, then there is a cell, having worked out its own, it must die in a controlled way, but sometimes this does not happen. and then such a cell begins to secrete pro-inflammatory substances of the cytaki around itself. well, as if signaling me badly badly. and these substances, they become the cause of inflammation in the body, reducing insulin sensitivity and tumor growth, and therefore the content of these same systemic cells. it should be reduced somehow. it turned out that quercetin is one of the factors that reduces the number of these senile systemic cells gram sec. near covid, everyone complains about memory deterioration, which means that strawberries should be eaten in the summer. yep, because strawberries improve all

brain functions, including cognitive prevention, oncology strawberries contain gallic acid gallates. the so -called galatians have. here, including such onkoprophylactic action. the fact is that one of the moments of tumor growth is ingrowth into the tumor, vascular angiogenesis. here are the galatians - this is one of the factors that slows down the development of these vessels and hence the primary prevention of tumors and secondary, that is, to reduce the likelihood of relapse after treatment, that is, to make the treatment successful. well, plus everything, the presence of antioxidants prevents cell mutation. and as you know, this mutation in the body is one of the reasons for the development, and tumor cells for blood vessels. it contains ascorbic acid. again, we must remember. procitin and here is a pair of ascorbic acid quercetin and a similar substance rutin, they very well stabilize the state of the internal

walls, vessels prevent the development of atherosclerosis, improve microcirculation. that is, in general, it can be said a berry for centenarians. that's it, like a doctor. there are many recipes for how to cook it deliciously, but by and large they all come down to one thing. it is a combination of sweet and sour strawberry taste with uh, milky taste. hmm, someone prefers whipped cream. some people prefer sour cream. i personally love the cut with a bunch. oh, i don't ferment it's fabulous yogurt and coarsely chopped or forked strawberries. and this wonderful combination. i've been leaking for a while now. i think that here are my children, they would definitely snap up all these goodies now, but this is for our viewers in the studio. eat for the brain. you need exactly. for vessels, please, please, and for a good mood, strawberries

cheer up the fur. of course, if you want to know even more information about health, then all editions of our program. you can find on the online media platform we watch the application on the site we look.ru. thanks a lot, michael is here. today we found out how useful strawberry is and how to choose it correctly, the conversation about itself continues. further in the program are the secrets of longevity, why the quality of sleep changes over the years and how to regain healthy sleep, you love me too much, it’s impossible. it seemed to her that life is a draft, i don’t want to again only about love, saturday and sunday.

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why do we age? world-renowned gerontologists will answer how to live without diseases in their right mind and long memory. vladimir khatskevich khovinson corresponding member of the russian academy of sciences professor director of the st. petersburg institute of bioregulation and gerontology svetlana vladislavovna trofimova doctor of medical sciences professor president of the russian society of anti-aging medicine. hello sleep, a healthy component of our lives. unfortunately. one in three older people suffer from insomnia, and one in two suffers from chronic insomnia. what can we do to ensure that we have a sound and good sleep.

let's talk about this with you today. an effective way to prolong your life is to get enough sleep. this is needed every day and with tangible pleasure. but why does the quality of sleep change over the years. remember, as schoolchildren. not could wake up. mom, as students, you could oversleep on your day off before lunch, yes, and that was n’t enough, what happens to us when we get older, why can’t we fall asleep and then we jump up neither light nor dawn, why we are not happy a soft pillow and a cozy blanket, currently sleep disturbance is one of the most acute problems that doctors around the world are working on, alas, but there is no universal medicine that would help all people today in our rubric, only scientifically proven methods. as regain healthy sleep? sleep is a huge

part of our lives. well, it is believed that people spend almost a third of their lives in a dream. what is the norm of sleep, well, the norm of sleep is considered to be from 8 to 10 hours, however, with age, the duration of sleep is reduced. the less a person moves, the less the need for metabolism, therefore, the duration of sleep decreases. 6 hours - this is the minimum amount that a person should sleep daily. in addition, in the world of aging, the production of melatonin in the pineal gland decreases, such a small gland in the center of the brain that regulates the endocrine system. and so the production of melanin with age decreases by almost half, and all this together and just reduces the duration of sleep. and why, with age, a person gets tired faster, but at the same time, a certain neuropathy accumulates less, which is called orexin, our scientists have conducted

research. they did not take young animals and old animals and assessed the level of various hormones, including the same neuropeptide aryxin. in the brain, this hormone is a neuropeptide that regulates wakefulness levels in old mice, and is 40% higher than in animals of the young group. this indicates that e there are various mechanisms and there is no one reason for sleep disturbance. this is a complex change in metabolic processes, as in experimental animals as well as in humans, insomnia and sleep disturbance are a consequence of frequent and chronic stress. the frequency of development of neuroses increases. even smoke is more likely to occur in people who have sleep disorders, moreover, many diseases and hearts and blood vessels are generally connected with sleep,

so sleep disturbance is a very serious symptom that definitely requires correction, we invited a neurologist, a specialist in healthy sleep, ruslana ibragimovich isaev, ruslan ibragimovich isaev, a neurologist, a psychiatrist, a somnologist, at the sleep disorders clinic russian gerontological research and clinical center. good morning ruslan ibragimovich let's discuss today. what opportunities exist for modern medicine to help the elderly age to cope with insomnia. and the first is sleep hygiene in almost two-thirds of cases. yes , sleep hygiene. maybe without drugs to help normalize sleep, that is, is this biorhythm right? you know, that is, at least a biorhythm. this is the basis of our day-night life. that's where sleep begins with the discipline of sleep before falling asleep, of course, it is not advisable to watch tv very often elderly

people they are anxious suspicious yes, therefore, before going to bed, you should try, after all, you can develop some positive such rituals before sleep, and listen to pleasant music, take a bath, a warm next recommendation is a consultation with a psychologist. often an elderly person, when he does not sleep for a certain time. he is starting to develop psychological problems. she has a fear of not falling asleep with negative associations with the bed, that is, for him this is already torture, and therefore here, of course, the help of a psychologist is needed. it's called cognitive behavioral therapy. this is a very effective approach, which is just the same in the work with thoughts of a person's false beliefs, yes, and the following phototherapy helps him form a positive such connection in bed. what does it mean? this is an effect on the skin with special devices or sunlight, and in order to normalize sarcodialic rhythms and, accordingly,

it helps to improve sleep, and the next consultation with a doctor, giryatra, can also give advice on, uh, the neurology of insomnia. and what do you do ? comprehensive geriatric assessment? that is, he can assess many different areas at once and the cognitive and emotional status and physical condition. yes, somatic, of course, respectively, and it is very important that the consultation of the generator. you can get it absolutely free, of course you can get it for free. we just have gerontological centers that provide such comprehensive care and outpatient care in a hospital, including psychological care and treatment and preventive care. that is it such multidisciplinary hospitals that provide multidisciplinary care. well, i think, not only hospitals. yes, you can apply.

the nearest polyclinic and geriatric centers are currently open in 76 regions of the russian federation thanks to the national demography project. well, the next aspect to which you need to pay attention is medicines . unfortunately, a very common problem is that older people self-medicate and many. seemingly harmless drugs can have great harm. these drugs can impair memory and increase the risk of falling depending on another group of drugs. the so-called barbiturate-containing drugs. they also impair memory and can even cause such a formidable condition, which we will call geriatric delili. well, i also want to add that there are such drugs. this is melatonin melatonin - this is a substance that is naturally formed in the brain here in the pineal gland and here in certain doses melatonin for a short duration of use is quite effective ruslan dear.

thank you very much. follow the recommendations of scientists gerontologists and stay young healthy health and longevity to you, and the program about the most important thing continues. to the questions of our viewers , good morning doctor, everywhere they write that bread is a harmful product, that you should not eat bread. and what contributes to weight gain, i have a question, but there is good bread, the right bread. and you need to exclude it from your diet altogether or replace it with bread, for example, in fact, if bread were really a harmful product, we it wouldn’t be with you in the world, because our ancestors, in general, ate almost exclusively bread, it’s another matter that modern technologies are built on pleasing a person’s taste, but not bringing it. eh, the benefits of his health, and therefore they use mainly premium flour,

that is, sifted flour, in which nothing but starch is actually contained, therefore, if there is healthy bread, of course there is, but it is either whole grain bread or bread made from coarse flour. trumpets. and by the way, you said about bread rolls that they are not very helpful. in fact, not very much, because in fact a person can eat even much more bread than bread, because they are dry. they are quite easy to eat. and when they already swell, uh, in general, they already take up quite a lot of space for this reason. choose from these 3 types of bread. which ones do you like best? and if possible, then it is better to use bread made from rye flour, they are with wheat. yes, i understood everything. thank you. thank you. so let's move on. hello, doctor. i'm hypertensive lately time began to feel much worse. i had weakness, headaches, blood pressure jumps and that's it. this, despite the fact that i follow all the doctor's prescriptions, i drink anti-pressure drugs. they

don't burden themselves at all. it seems to me that this is how i react to the weather. please tell me, doctor, what should i do to improve my well-being ? is it really considered that people with cardiovascular diseases are more? sensitive to weather changes, and not only to sudden changes. this is primarily due to the fact that a person who does not have cardiovascular diseases the body is a very easy adaptive system, that is , the pressure outside has changed the pressure inside has changed the humidity outside has changed sweating, that is, the human body is very easy to adjust, but when the human body is already suffering from some kind of cardiovascular disease from hypertension, for example, many regulatory systems. they go out of balance, for example, nina 's angiotensin-alesterone system, which regulates the retention and administration of fluid from of the body, so you are doing the right thing, that you are constantly taking the means unambiguous to specialists, and also, in order to increase the body's resistance to weather changes, in addition to the main

therapy, a specialist can advise you coenzyme q10 how it will help coenzyme q10 - this is a substance that we need for a normal energy supply for all there is a lot of it in youth and the grids work well, but with age, its number decreases and the cells, and, accordingly, the whole body begins to work worse. as a result, weakness may appear lethargy, fatigue, muscle pain, lack of coenzyme q10, first of all, negatively affects the cardiovascular system ; thank you very much doctor after 40 years. we start to get tired faster , the risk of developing cardiovascular diseases increases, so i want to pay attention. on kudesan drug, which is a source of coinzyme10. the landing helps

cope with fatigue loads. it gives energy to the heart and more strength for life, it is recommended to take kudesan in a course of 2-3 months. i answered your questions. take care of yourself and be healthy, keep talking to yourself. next on the program. what neurological disorders lead to vision loss is a special edition of the 60-minute program with all the latest news about the situation in ukraine and in the world. we go live right after the news, don't miss 60 minutes. today at 11:30 and 17:30 on the channel russia, when the nerves are at the limit, you need a magnel with b6, this is a magnet, fortified with vitamin b6, magneli with b6 is up to 30% more affordable than a similar imported drug. again , we will buy a new bed with a mattress in ascona, and

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on saturday at 21:00 on the channel russia neurological diseases in the eyes so let's watch a wide vision expensive vision. invaluable vision, must be protected. the main thing in the profession of a doctor is to love our work and be dedicated to this work so that patients receive the maximum care that we can give, as we could operate today 20 years ago. we didn't even dream about it. we are an 80 year old person. we can return the age

of schoolchildren to the lens in the center, everything is fine. i kissed. this is my job. my hobby. and you can say, my life, which i have been living for the last 30 years, i am dmitry dementiev, an ophthalmologist. good morning , all organs of our body are interconnected, the brain is no exception. innervation the eye is very important for the functioning of the eye and getting full vision. let 's try to talk about vision and neurology today. how to identify a number of neurological diseases according to the condition of the eyes and help me in this difficult matter, my guest elena starostina elena starostina, an actress, tv presenter, tv personality in excellent physical shape , prefers

pole dancing to exhausting workouts in the gym, on a pole, desire and keep yourself fit. and so that lena is not bored good morning. yes very well. you have us to see we are talking about communication, ophthalmology and neurology. how our eye class works. this is an optical device. yeah , photoreceptors or retinal cells, these are cells that perceive images and with the help of the optic nerve, which comes out of the eye and is connected to the visual analyzer already inside. e skull in the brain image enters the viewer they analyzer. and already the brain deciphers the image that the eye transmitted and gives us a complete picture, that is, the eye transmits, and, apparently, to the brains. and so

that's the whole part from here to the brain. this is already part of neuro-ophthalmology, it turns out that if something is broken here, some will be non- prological, but let's try to understand with you. quieter neurological diseases can give us symptoms of vision changes symptoms of eye diseases. take so loss of vision, what are the pathologies in which loss of vision can occur, permanent or temporary migraine? yes , you know, just not warm can last for several hours and even several days, and in many cases , loss of vision leads to a sharp deterioration in vision. at in rome, the migraine does not yet pass, an increase in intracranial pressure, and intracranial pressure, when there is 180 to measure, only doctors,

a neurologist, a special technique and an increase in intracranial pressure indicate that there may be an oncological disease, there may be a stroke. but an increase in intracranial pressure can cause a sharp loss of vision and this is the connection with the neurology of ophthalmology. this is a pathology that is associated with a violation of the myelin fibers of the brain - multiple sclerosis. i heard it can't be cured. by the way, a little, yes, this is exactly what autoimmune pathology is and multiple sclerosis, alas, leads to the mother of vision. so the last vascular disorders, atherosclerosis of cerebral vessels. a change in the structure, the vessels of the vessels become less elastic, narrow, possibly the formation of plaques, the blood flow through these special ones slows down, which

can cause the formation of a blood clot and, possibly, the separation of this blood clot and blood clots. embolism of the branches of the arteries or veins and loss of vision are the next symptoms to get from the brain. i already know that ptosis this is a drooping of the eyelid, yes girls drooping, but when a person went to bed abruptly, in the morning he woke up. then from above you can suspect a stroke, but it is immediately clear that this is some kind of illness. yes , traumatic brain injury trauma hematoma bleeding into the brain innervation is broken. well, inflammatory diseases of the brain , meningitis, for example, can also cause ptosis , drooping and non-lifting of the lower eyelid. oh, this is my favorite, by the way, strabismus is a neurological pathology. yeah, it causes sudden strabismus. uh,

there are people with strabismus from childhood. this is another problem in childhood. e had a strabismus, because at the age of 5 in kindergarten i ran, ran, stumbled , fell, such types of them were wooden. and that's what i have on this lens. well, probably, yes, and there was a crack there, and i had a strabismus. i wore glasses when, uh, but then i grew up and took off my glasses, but with age, now i began to feel that something was bothering me. by the way, of course, yes, everything is starting to get in the way about this, most likely, you had consent, maybe there really was a corneal injury. this is not your topic. consent yes which can be caused by an infectious disease, probably, this is berculosis neurosephilis cavit. recently, covid in a severe form with a

high temperature was lying under a ventilator. e, such a strabismus developed here; several cases of such a malignant formation of myositis were described. muscles of one or more muscles that are responsible for the movement of the eye and finally neuritis is inflammation of the nerve that is responsible for e, signaling to the muscles, o, which we talked about and so opening the last of brain. this is the same genius, a person begins to see several objects and double vision, which is why two arise and the eyes are not affected. the response of the engine. nerves can also be caused by a hematoma. inflammation. during infection , there may be a relationship of the neuromuscular center in which the signal is transmitted. this can cause double vision. well, in general, the most terrible symptoms. you and i have determined everything, which means that we want to convey to

our viewers in no case should we hesitate , we should immediately contact specialists who will make a diagnosis in time diagnosis is a key factor for one's own. a small start of treatment, if everything is done correctly on time, then perhaps the options are to save your eyesight and your health and return to normal life. thank you very much, dear friends. take care of your eyesight is priceless, and the program is about the most important continuation. doctor, what our viewers do is reduce stress and prevent headaches. well, what a headache for the weather after some hard day's stress really. there is such a headache

tension headache belongs to the category of primary headaches, yes, which, according to statistics , is very, very common yeah, for the treatment of headaches, by the way, speaking in russia, you know how much money is spent, how much 90 billion rubles. 90 billion rubles yes, but the head still hurts. i want to know about the audience in the studio who often gets headaches. hands up. hello, i have a headache in the family, something is there with the child, for example, he doesn’t want to learn lessons, he doesn’t want to go to school. and so that i can argue with my husband, and you know. here we are not we want to stand with others to go, and you are worried, i am worried and you know, after this, here is a feeling of stress. i have a headache all over my head, as a hoop charms, how do you cope , painkillers help me. well, doctor, if there is any alternative. let's help our

viewers. let's hold the microphone, what it is characterized by. usually it occurs during the daytime , it can be provoked by the stress of a change in the weather, including this pain squeezes the whole head . like a hoop or like some honest or like him. name is julia and this pain is not throbbing, that is, the cause of your headache. as you already told yulia, that you are worried about your relatives? from relatives i have a responsible position, and when projects are serious, and i already begin to worry in advance and, you know, an internal tremor is created, and from it it already turns into an alarming headache in july, alarming. well, by the way, a tension headache , it is most often associated with increased anxiety, but today julia is lucky for you, dr. agapkin e, a great specialist in removing the head tension pain, and now he will deal with you together with our expert marina alexandrovna anikina

, neurologist, candidate of medical sciences. come see us until morning. rather good morning, everyone is worried. everyone has a headache right now. in fact , tension headaches are indeed very common in the latest clinical guidelines. the figure of 78% sounds, the population is found in the head will tension such mechanics. here is anxiety, headache. in fact, it is at the core. here. this is the most anxiety a person is anxious about everything such people usually do not sleep well, they wake up on occasion and for no reason. such people are worried even in cases where it would seem to be cause for concern. no. as a result, this anxiety leads to the depletion of the so-called anti- notoceptive systems of the brain. we have a pain protection system that actually determines what really deserves attention. what do you really have to

worry about. and what, in general, is nonsense, respectively, for such people because of this high anxiety. these systems are depleted in as a result, a person begins to feel even more signals that are coming. well, actually, anything, including the muscles of the neck from the muscles of the head, and as a result of this, a person can actually develop muscle tension, and studies show that the longer a person has a tension headache, the more muscle tension. it arises absolutely, and so this muscle memory is fixed, so many patients feel stiffness , feel pain in the jaw area, they seem to play the stomach is constantly overlooked. even this, some even change the oval of the face, that is, the chelen becomes wider. it turns out that this all intensifies, increases anxiety, and it turns out a closed ring, by the way, they said a lot about how

harmful these more removing ones are. julia has a lot of them. yes, you take every time to get rid of the pain, because there is no other way. i don’t have a more gentle way, isn’t it, well, naturally, you have to go from two sides on one side, and the need to reduce anxiety. to do this, there are different, but exercises resting exercises relaxation exercise, but on the other hand. this is the very tension, the muscular one also needs to be removed. and for this we have different ways. we have all kinds of massagers with which a person can massage himself, for example, there are such massagers for the neck. this is just for the scalp, our viewers did this, yes, bliss and a very good option, just when these same suboccipital muscles are straight with regards to the muscles of the head. and a very good option is such a prickly massage rug. if you take under it, put some folded towel and lie on it with the back of your head and lie down for literally 10 minutes. this

causes the muscles to relax. yes, and the pain disappears quickly enough, even if they already have pain will pass. one pain will kill another, but this is the effect of reflex relaxation. here people come to you with a headache, and you start with them right away with medical methods. basically, when they come to the doctor, they already have a headache, so we start immediately, and we designate prevention right away. how much is safe to take, painkillers in fact, no more than 15 doses. uh, if we are talking about non-specific anti- inflammatory and if it’s just specialized therapy, then it’s possible to take ten doses per month, that is, the head should hurt in general, no more than twice a week, if it hurts more often, we need to talk about preventive medicine about therapy , which aims to reduce anxiety to improve sleep. tell intermittently changeable, there is a good sleep, but more often it happens and i can not deep shallow on

vacation, a wonderful dream. well, if we talk about medications, by the way, resting on an exercise can be very, very simple. right now, by the way, we can study with you some such simple exercise, which can also affect sleep and reduce this very anxiety. we join hands. so we don’t put it down and slowly exhale through the nose for five accounts slowly inhale also through the nose to the account again. let's 1 2 3 4 5 and 1 2 3 4 5 m such a moment of relaxation. yes, yes, because the rhythm of breathing leaves the heartbeat and such a revolutionary technique is obtained. you know, as if cheerfulness comes. well, it's actually very easy for everyone to do. most importantly, it is effective and can relieve headaches. thank you very much alexandrovna julia thank you for sharing your story.

thank you thank you. today we talked about tension headaches. and what to do? if suddenly you have it and the conversation about the most important thing continues? further in the program, ischemia is a disease of men, how the stronger sex falls into a risk group, the butchers with whom you have entangled yourself, they don’t let me throw further, do it, help, work on yourself cold water as a guarantee of mental health, including nothing white, because blood sugar jumps instantly watching the clock melts greed, it binds hand and foot. take it away. i didn’t expect such an effect, everything here is unusual here. understand with dr. myasnikov accepts on saturday and sunday at 12:15 only

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russia you are watching the program about the most important thing right now, the cardiologist academician, yuri nikich belenkov will talk about why ischemic heart disease occurs more often in men and what to do about it belenkov yuri nikitich vice president of the russian cardiology society academician of the russian academy of sciences director of the clinic for hospital therapy no. 1 of the medical faculty of the first moscow state medical university named after sechenov 50 years in professions. there is a small town called frementgen in the

united states in 1948, they decided to do this experiment. they surveyed the entire adult population and asked a question. but what is? the risk of developing coronary heart disease, well, atherosclerosis and that's when the term risk factors first sounded and so. today we will talk about these risk factors and how men can live with these risk factors. and what about the wives? how to follow all this the first half of the 20th century radically changed the lives of people in developed countries began a mass migration from villages to cities, people began to move less. started eating fatty foods. and there are many deaths from heart attacks , strokes and heart failure came out on top in 1948, the us heart institute for the first time in the world launched the largest

survey for all residents of framingham state. massachusetts verdict sounded the threat of heart attack and stroke can only be prevented early screening of every adult began a massive attack on hypertension and obesity 74 years have passed, is modern medicine able to prevent early death, at what age does a person fall into the risk zone today? why are men particularly targeted for the development of heart disease? today we have two couples and today i will not speak with husbands. the task will be given to you. so why, after all, coronary heart disease is all about the fact that in the causes of death coronary heart disease and its more complicated heart attack, myocardial infarction, sudden cardiac arrest takes first place back to famingem, then

for the first time we started talking about what are modifiable and non-modifiable risk factors, what are not modifiable. this is a male age over 50 years old. what age is a heart attack 46 roman yurchenko 47 years old? what else is aggravated heredity? do you have heart attacks in your family? yes, my father, my grandmother, my grandfather had heart attacks more than once vsevolod ivanov, 35 years old. of course, there are also modifiable risk factors, arterial hypertension, high cholesterol, probably, they were not measured before a heart attack. after all, no, hypertension pressure was higher. yes sugar diabetes. no, thank god. no, overweight . yes, it doesn't remind me of anything. yes, yes,

abdominal fat. he's alive there vessels, but the abdominal fat, which is deposited at the abdominal wall. the most important thing is inside. it is also hormonally active and secretes hormones that significantly increase appetite further. let's go hypodynamia and smoking never smoked in my life well done. but nevertheless times, apparently two cholesterol three fourth also hypodynamia. oh so what are the four risk factors and there's no getting around now for you victoria what need? to do when you live in the 21st century, everything has become younger with us and for the first time, especially when a man in a dysfunctional family should come to meet a cardiologist at the age of 35. what should he do, or rather, what should be done with him, of course, do a blood test to look at

cholesterol, do a kg, do an ultrasound of the heart and blood vessels, because atherosclerosis affects not only the coronary vessels, but also the vessels of the neck of the limb, conduct a stress test or holter monitoring kg, that is, provoke, are there any early signs ischemia, and, in principle, to do such a study, which we call multispiral computed tomography, if there is a suspicion so, that is, open it and say that you will say that i did not say the first weight control, i am a realist and do not call for a novel, immediately throw off 10 kg here. but at least he has a bmi of 28-29. well, at least from 24:00 then twenty-six, so that the body mass index is further pressure, you are young men, so you must have the same pressure as he is 120.80. ok, 125 but still 80 further

let's go cholesterol. i remind wives that only 20 percent of cholesterol comes from food. so if you want to put both of them on the grass, then it’s better not to get any sense from this. so cholesterol to you 5.2 to you 4:2. at the same time, cholesterol is low, so to speak, very low density for you 2.5 for you and a half and you need to watch the sugar in the family. does anyone have diabetes with their grandmother's parents in a generation, natasha nothing personal. basically. after a generation , it is inherited nowhere, so keep an eye on sugar, if it takes another 10 years to walk with roman, it’s already a conversation another. sugar is a maximum of 5.2, and, if we take glycosylated hemoglobin, this is, which

accumulates in total over several months. yes, then, probably, 5 4 5 2 again the same 5.4. here is a task for you to follow, so vik remembered. yes, with roman also. what do you take? what blood thinners are you taking? yes , you take cholesterol lowering, yes, and we lower blood pressure. the pressure is very high, it's up to you. yes, that is, i wrote the goal for you, that is, this is what i wrote it. well, let's target levels indicators, if everything is more or less here, it’s understandable, then vic is here, everything is very boring, a healthy lifestyle, sports control, weight, emotional stability. if you control the unwise things that i have said, you will come to my transmission after 20 years. and with pleasure. tell us how you live without a heart attack without a stroke without arterial hypertension. here's a colleague's conversation will

follow, my recommendations will live long happy and without a heart attack. thank you for your attention. this morning is with us. we wish you a good day and good health, see you on tv channel, russia hello on tv channel rossiya vesti in irina rosius studio and the main topics for this hour, kiev does not take the bodies of its dead soldiers so that uta