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uneven soft surfaces sand, such as grass. well, even some small pebbles, for example, these are yes when we step on our trail. if you look, it is uneven, a little more load falls on the heel and the outer edge of the foot is slightly less, respectively, we are interested in walking on systems that are loose and uneven in general invigorates, yes, that is, you go out on the lawn in the morning, take off your shoes and walk barefoot. yes, it’s very, by the way, good in this respect to alternate different, like, surfaces, for example, sand uh-huh with sand to switch to grass, and grass to switch to pebbles. all this has a massage effect, stimulating the muscles of the arches of the foot and stimulate the nerve receptors that make the brain wake up faster. and at least 5 minutes in the morning on an uneven surface. this, by the way, replaces a cool shower with excellent advice to improve your health and it's time to start talking about

the most important thing. how bland our food would be without spices. today we will talk about the seasoning, which is a real natural healer of suneli hops. what does it mean? i don't know, i only know. honestly, when my wife adds this seasoning to food, the food becomes more than just tasty. and also fragrant hops-suneli is translated from georgian as dry spices. dali suneli yes, well, in general, all seasonings, they are called suneli yes, hops-suneli are a mixture. how useful is this spice. let's discuss this with our expert mikhail moiseevich ginsburg. dietitian doctor of medical sciences. good morning moiseevich here is

this seasoning, and how does it smell? my god, you can’t even bend over, yes, yes, well, in general, i must say that the original seasonings were invented in order to, in general, not painfully tasty meager give food. that's exactly what we love food for . yes aroma, uh, we hint at an abundance of flavors. we are here in addition to this, as the doctor told me, in the southeastern hot countries, spices are still used so that a person does not get poisoned . and now it’s necessary to say something interesting happened next, because when they began to conduct research, that is, to compare what people who eat little spices get sick with and what people who eat a lot of spices get sick, they were surprised to find that lovers of spices are less likely to get cancer , less likely to suffer from cardiovascular diseases

, less likely to experience, but problems. and with the main brain , to put it simply, they are less likely to get depressed. so we know that the hops were removed - this is a mixture of spices, what is included in it, first of all, i want to ask our studio viewers, who knows? in hops-suneli, i think coriander. i think basil should be. i think dill parsley must be, maybe cilantro. well, paprika, probably, listen, are you a cook? i just love this blend. i add it to different dishes, in addition to what has already been listed, it also includes, as far as i know, bay leaf, necessarily hot chili peppers, what we generally call the audience, how savvy, but in addition i probably will only celery. i heard they add more celery. oh my god. what kind of bouquet is considered that the full recipe of helly suneli contains 12 spices 12, yes, well, at least at least. the most ascetic option is six. there is basil, indeed, there

is coriander, and there is red pepper. dill it is believed that in the original version there was saffron real saffron saffron is a very expensive spice, so in most cases it is replaced with the so-called imeretian. frank or marigold, they grow, by the way, we have such yellow flowers in our front gardens, these yellow hytletic flowers, they add petals. yes, i threw them away. why did he do it and more. there is marjoram. let's now talk about the properties of these useful plants that are included there. let's go to the channel moiseevich i let's start with our dill, dill contains a number of flavonoid esters that stimulate the gastric section and indeed, with a decrease in the digestive capacity of the stomach, dill turns out to be very good, but also dill has a mild choleretic effect, it has a mild

diuretic effect, which is very important to eat dill antispasmodic action, that is, a relaxing effect on smooth muscles. and this is especially important for people who, after eating, feel the heaviness of the stomach further bouquet. it 's basil, my god. what's the smell of anxiety besides smell in the basil there are quite a few vitamins of the group in particular b1 b2 b3 and b6 these vitamins. they improve e work of the brain and reduce. e. well, our reaction to stress also needs to be understood as the reaction of a tired brain. that is, as if, uh, the challenges turned out to be stronger than the brain can process, digest somehow. here, react, and now stress arises; its anti-anxiety potential allows it to actually compete with drugs from the group of tranquilizers. yes you that was a few

studies, when dried basil capsules were simply given to people with a stress disorder and only in a dosage of 400 to 1.200 mg. well, that is, it was in the region of one gram, but expressed. anxious actions by about 40%, e, reducing the severity of anxiety symptoms 1 g of dried basil is 10 g of greens. so quite a bit further coriander. he is cilantro , the only difference is that cilantro is coriander greens. in general, uh, coriander seeds are often used to lower sugar levels, mehanovich mechanism. which through the improvement of carbohydrate metabolism carbohydrate metabolism - this is the rate of absorption of sugar, in particular glucose and the gastrointestinal tract, and timely and sufficient. uh, insulin secretion to cover this spike right here. a carbohydrate utilization of glucose somewhat suppresses

other pathways of the appearance of glucose in the blood. for example, the formation of glucose from an amino acid due to fatty acid fragments is the so-called gluconeogenesis. and that's when all these factors here. gain everything, then we see, uh, well, such and such healing effect in cases where carbohydrate metabolism is disturbed in particular. here, with diabetes mellitus of the second, such as a hanging seasoning. and this is imereti saffron and marigolds, which i recently threw out and said that they are one and the same. yes, marigolds are anti-inflammatory . we all, to a greater or lesser extent , suffer from the so-called low-symptomatic, slowly progressive, and inflammation, and it depends on the level of severity of this inflammation, how quickly we age and how likely we can develop age-related diseases, including including, by the way, oncological diseases and there are products that increase this tissue

inflammation and among them, in particular. sugar. meat, meat products trans fats. so there are also a fairly large number of products and factors that reduce tissue inflammation. this is something to keep in mind in general. in the daily regimen, this is used by people who use e, seasonings every day live longer, stay in a good mood , feel better, so be sure to take note of this and, of course, hot pepper, which, it turns out helps to lose weight, it really is. so the effect of weight loss. you know very interesting is achieved. when we eat food, we transfer the energy contained in this food to atheus molecules, the so-called macroergs, but the molecules that will further carry this energy throughout the body. and where it is necessary, it will already be formed. well, stand out, but not all far away, not all the energy generated from digested food goes to tf we feel, but

the heat after eating. yes, this is what stands out that energy that would not be transferred to tf we eat, let's say a lot of calories, but a lot of calories are released just you see the atmosphere, yes what, uh, products like pepper, they have this. well, let's say, by a dissociative action, that is, in simple terms, they increase heat metabolism and accelerate it. yes, thank you very much mikhail moiseevich today we found out that suneli hops are not just seasonings, in fact, a first-aid kit in your kitchen. add to the dishes you like. i remind you that every week is fresh on the newspaper arguments and facts dr. gadkin answers your questions about health, do not submit your letters to the reaction of the newspaper arguments and fact, and right now answers to the most interesting questions about health.

next in the program why sweets cause hunger and what is the most useful way to brew coffee in the most useful answers to these and other questions under the heading minute, health, watch today a special edition of the 60 minutes program for all the latest news about the situation in ukraine and in the world. we go live right after the fun. today at 11:30 and 17:30 on channel russia welcome to the marathon of summer discounts on ozon for a whole week of discounted prices. buy easily every day new products with discounts from june 21 on ozon starwin vertical handheld vacuum cleaner for 1.799 rubles. and a set of two non-stick frying pans for 899 rubles. in milk sausages, the bundle is twice as much milk. means twice as much benefit, therefore, my machine is milk with iron, the benefit of milk, which

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the feeling that i am somehow a sorceress and the brightest on the right, which red is actually the reddest. here we go in the summer. well, rather, bring out the formula of food. food formulas every saturday at 19:00 on the russia channel are very useful. attention march to the start. is it possible to get pneumonia from air conditioning leads to increased

pressure? yes, watermelon lies blood pressure. isn't it true that you don't need to clean your ears at all? no, long-term varnishing damages nails. pickled foods harm the microflora, bowel sin nails can be infected through slippers, to reduce cholesterol, you need to exclude butter. the test provokes the development of heartburn , so you can get sick here with an

air conditioner pneumonitis. you said no, but really. yes , this well-known phenomenon is called legionnaires' disease. even in honor of this pneumonia, the legionella bacterium was named. the fact is that air conditioners have a humidification unit, through which all the air that the air conditioner sucks in from the room is driven, respectively. bacteria get there in humid warm environments. it begins to multiply actively and further, respectively, the air conditioner. he starts spraying it, and that's why he insists that every year before you start using the air conditioner to cool the premises, it is necessary to carry out maintenance, including cleaning. reservoir. going further the temple leads to increased pressure you said no actually it is obvious that yes, snoring often leads to sleep apnea at night, which is the cause increase in pressure and even death, the network is useful for blood vessels. you doubted looking for, yes, in fact,

obviously, of course, the answer. yes, because oily sea fish is rich in omega-3s. first correct answer. is it true that sweet foods increase hunger, you said, yes, it is true, because insulin sharply reduces glucose levels in a person, there is a feeling of hunger, so the pie is delicious. but there is after her want to quickly watermelon blood pressure in searched. no , in fact, of course, it reduces. he's also a diuretic. is it true that the ears do not need to be cleaned at all? no, in fact, most ent doctors come to the conclusion that people do not need to climb into the ear canal, everything that the ear needs will bring out the long-term varnish coating flies to the nails. you are confidently grinning, yes, well, in fact, all women it seems to me that they know about it, that yes , pickled foods really harm, they harm the microflora. the intestines were expelled, yes, and this is actually not true, because pickled foods even help the microflora, the intestines with nail fungus you can get infected through slippers. you said yes it's

true. to lower cholesterol, you need to exclude butter in the escala; indeed, no connection was found before it was thought that it was necessary to remove all foods, animals, and so on. all the latest research suggests that there is no connection between butter consumption and cholesterol levels, the way coffee is brewed affects its benefits . when they compare coffee brewed, and in a coffee maker, it turns out that, after all, there is a difference in the effect on health, because three pressure extractions have more useful substances in coffee and, accordingly, it has a better effect on health. tight clothing provokes the development of heartburn, you said, yes, this is true, because the abdominal pressure increases inside and, accordingly, gastric juice can be thrown into the esophagus six correct answers

of attempts. find flip letters. six attempts five turn on intuition 4. wait wait, so fast three left this wonderful nitrate analyzer, if you want to know even more answers to questions about health, all editions of our program. you can find on the online media platform the watch app on the website watch.ru. let the new knowledge from our game a minute of health benefit you, and we continue the conversation about ourselves. diagnostics is developing by leaps and bounds. now a blood test has already appeared, which you can find out your risks of heart attack and alzheimer's disease. and most importantly, slow down many of them.

indicators. uh, in our analyzes, they are very informative, they are often underestimated by people when they see them, but there is one indicator, and if it is exceeded in blood tests, it directly affects health. as well as, for example, an increased level of glucose or cholesterol, which everyone knows very well. this indicator is called the level of homocysteine. what is homocysteine? who needs to be sure to check its content in the blood. and how is the analysis? it can save a person's life, let's face it. now i am hearing about such an analysis for the first time, has anyone taken such an analysis among spectators. one person, but our guests were tested for homocysteine, we asked to do this, because she wrote us a complaint program for many symptoms. let's find out her story inna zelenovskaya 55 years old, moscow 20 years ago,

inna's family experienced grief; her father passed away after a stroke. i was at work, my mother called me and said that she died when one parent leaves, you lose it, as if one wing and was partially orphaned. we can say that because of bad heredity. inna carefully monitors with their health and the symptoms that appeared a few months ago, they made me worry even more in the corners of the mouth, sometimes seizures, the skin dries out at night, cramps. overweight gained more than 5 kg in a year. in addition, i have high cholesterol, although slightly, but also high blood pressure, when my dad had a stroke, he was only 60 years old. and now inna is afraid that she can repeat his fate. i also want to work as a babysitter for my grandchildren. well, live on this earth. i turned to your program so that the doctors could tell me what

do with these symptoms. and what should i do with my health, we meet inna in our studio? good morning. send us a link. well, on the one hand, you are great! from another thing you are afraid of. the fact is that i died at the age of 60, my dad died of a stroke, so i try to somehow be examined to maintain my health and the doctor told me that i have high cholesterol levels of eight and one and i also suffer hypertension constantly take hypotension. means when you wrote to us and we showed us your story to our expert. let's invite him to a conversation and put all the dots aleksey vladimirovich zhito, a general practitioner, a cardiologist, an endocrinologist, a candidate of medical sciences. good morning. good morning. hello, you are familiar

with our guest in absentia and asked to be tested for homocysteine. why homocystin is a molecule that is formed as a result of amino acid metabolism and an increase in the level of this homocysteine ​​marker in the body leads to early strokes to the risks of early heart attack other cardiovascular pathologies qatar sclerosis brain damage of the brain to other neurological complications is enough terrible list terrible and so our patient announced that her father died at an early age from a stroke, that there are signs of a deficiency of b vitamins and a deficiency of b vitamins is just an increase in homocystin levels all this together made us suspect an increased level homocystin, so we passed it. let's talk about defi. as i understand it, the skin of your skin has convulsions. you sounded muscle weakness memory impairment. how is your memory? yes i notice that there is a violation. i often cannot

remember, for example, what i ate there yesterday or what i did. such are the situations of the doctor. i don't remember, i don't know what alexey vladimirovich vladimirovich was voiced just a minute ago. let's look at your tests, because the symptoms of deficiency are vitamins. let's see michael oh well. so our patient's homocystin level is 16, the recommended values ​​for women are up to ten, so 10 is the threshold value for anything above that. here are the complications the risk of cardiovascular disease. at the same time, an increase for every million homocystin contributes to a several-fold increase in the risk of strokes, heart attacks and even thrombosis; now, taking into account this excess, the risks are already six times higher, in fact. yes. oh that's sad. why exceeding the permissible level leads to heart attacks

on strokes. for the most part, the vascularity of disasters lies in the formation of plaques on the walls of the artery and plaques of these cholesterol. and the cholesterol in our blood is actually circulates. uh, from the moment when we were just born, it already circulates in the blood, why in some people this cholesterol moves through the vessels and does not remain on the walls, while in other people it begins to pour on these very walls. because homomod is composed causes inflammation of the vessel wall along with inflammation, the internal settlement of the vessels over the hotels becomes uneven. that is, it's like a pothole in the road and every passing truck that carries gravel in this place. here it shakes and gravel spills out and forms roughness, then the next truck, the next, and so eventually the plaques are covered with the walls of the blood vessels, and that's it. this aleksey vladimirovich leads to infort to a stroke. indeed, we have, in fact, demonstrated

the cardiovascular continuum. that is, when risk factors begin to act. in this case, homocysteine. it causes inflammation and cholesterol is deposited more and more, and at some point the vessel simply clogs up or erosion occurs, the development of the plaque to such an extent that it ruptures and stroke occurs. cardiovascular catastrophe. let's talk about what we can do about it, since our patient is in a high-risk group, we need to bring up the examination first. cardiovascular screening, and secondly , vitamin level tests, particularly homocysteine ​​levels, can be lowered simply by lightly taking vitamins. these vitamins are mainly b9 folic acid and b12 cyanocamine. also, vitamin b6 can play a role diseases, in particular gastritis, there is such a disease as autoimmune gastritis, when antibodies arise and vitamins, including b12, are simply not absorbed, or there is a shortage in the diet. that is, we can not physically eat, then the

norm that we need for vitamins in this sense is vitamin b12 a, it is often deficient in people who are on some kind of vegetarian diet very often, because vitamin b12 is contained in animal products in plant products. it's not there, danochka, you're sitting here limiting yourself to animals, and folic acid on the contrary. incidentally , it is often deficient in miso-eaters. why just the name folic folium is a leaf found in high amounts in green leafy vegetables. here are the people who neglect. actually from all vegetables. they only have half a tomato. yes, these people may have a deficiency of folic acid, which is why it is important to have the most varied and complete nutrition, especially in a patient with a risk factor from confirmed hyperhomocysteinemia, if inna right now she will start drinking vitamins, eat vegetables, fruits, meat, she has blood vessels. may we have a normal state fortunately our vascular system. it

can recover to a certain extent, that is, the function is partially reversible, if plaques have formed, then, unfortunately, they cannot be significantly reduced or dissolved, but further aggravation of the cardiovascular events of a stroke is prevented. of course it's possible. how long does it take his reality to reduce already within a few weeks the level of homocysteine ​​is significantly reduced. so you need to repeat the analysis after some time. of course, but we advise in this case to determine the levels of these vitamins before being examined, if they are really reduced, then discuss with the doctor the specific dose of this or that drug for you, in addition, of course, to a varied diet and then retake the level of homocystin. thank you for winning, damn it, thank you very much. thanks alekseev. well, today we found out what homocysteine ​​is, why it is dangerous for our health. the most important thing is how to reduce its level. the main thing continues the conversation. next in

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leomax.ru hearts premiere on saturday at 21:00 on the channel russia not time to collect stones, if possible, paraphrase a well-known saying, because urine stone disease is something that can be avoided, we will really give recommendations that you can apply on your own without spending any huge financial resources and without spending a lot of time, which is important right now in our studio everyone is checking their kidneys for stones on how to protect you from urolithiasis, our expert

pavel ilyich will tell you doctor urologist doctor of medical sciences professor of the department of urology, evdokimov moscow state medical university, head of the urological direction in a multidisciplinary clinic. good morning. come out to us. hello. good morning pavelich. in general, i'm wondering where kidney stones come from? but there are primary stones, there are secondary stones, that is. uh, true urolithiasis is most often a metabolic disorder and there are secondary stones, that is, stones that form against the background of some other diseases, if we combine all these diseases into a single group, then, most likely, these will be diseases that are characterized by a violation of the outflow of urine; urine is a hypersaturated solution of some salts; stagnation of a hypersaturated solution. next, the theory of crystallization. these crystals fall out to form stones, but even further everything is just different for me stones. they are different, they are very different, and more than that, i will

tell you that here, uh, more or less one color scheme, but in fact they are also red there are also black and depends on the chemical composition. what are the most common, of course, oxalates? this is approximately 70% of all stones, in addition to fat. so we also have urates here absolutely and phosphate. wait. let's just understand. from what these urates, phosphates and methylated spirits are formed, listen to michael, you always want to get to the bottom of the truth. let's try two factors. the first factor a in the urine should be a lot of some kind of salts. and secondly, the acidity of the urine must be such that these salts will precipitate freaks first. e, depends on the content of uric acid in the blood. she may depend on it. why uric acid is a waste product of the body's protein metabolism. therefore, the more protein a person consumes, the more danger he is conditionally. but we all consume protein products, and not everyone has them. uh,

uric acid salts in the form of stones, that is, after all, a hereditary predisposition. and the actual metabolism. it's enough for everyone individual. let's ah talk about prevention and let's start with the most so to speak. you all had one experience of specific measures at one time, if i'm not mistaken, this is the second class of a comprehensive school, we took, uh, a container with a hypersaturated salt solution and lowered a thread into it. i think that everyone remembers this , crystals began to form on the thread, that is, a hypersaturated solution and a crystallization point in the form of a thread, then this thread becomes overgrown with crystals. that's so that it does not overgrow with crystals inside the kidneys need to normalize the outflow of urine, if there is a good outflow, then stones will not form. that is, if a person has some kind of disease, well, like there, for example, prostate adenoma. uh, hydraulic lift, filoni growth, fries, yes, narrowing of the urine will definitely never be treated, without waiting until it all leads to me, the education is quite drinkable, load,

standard situations a person should consume about one and a half to two and a half liters of liquid. we are talking about any water, that is, it includes tea and coffee and michael, we are talking about liquid liquid. it goes traditionally first courses, that is, we do not consider soup to be a liquid. and everything else is fruit juice , compote, water, and so on and so forth. yes, it's all liquid, as far as the mineral is concerned, many people believe. this is a panacea for urolithiasis from stones. all these waters, if we consider them to be curative, have some properties . in this case, it can have a healing effect. but even if we are talking about hydrotherapy. let's remember the standards of hydrotherapy. this will be one glass of liquid. there let's say during the day and the other side. this course is conditional for 2-3 weeks, that is, you can not drink only mineral water uncontrollably. and even without thinking about the chemical composition of

this water. why? well, because if we take elementary healing mineral water, the usual mineralization is above seven oers, grams per liter. well, some up to 11-12 grams per liter. it turns out that the person went? the store that he is there, after all, he sees a useful two-liter bottle mineral water, he buys it, respectively, in addition to everything, he receives 20-22 g of salt. and this salt must be administered by the kidneys. that is, it turns out that the urine to be excreted. it will be hypersaturated with salts. and this is precisely the very factor that favors precipitation. these are the salts that we have if we drink unlimited quantities in mineral water. this can lead to a kidney stone. quite right, diuretic herbs are further than they will help diuretic herbs are definitely needed not everyone, that is, a healthy person, simply needs to consume 2 liters of fluid per day. this will be quite enough, but if there is a high propensity for stones and formation, then we prescribe

diuretic herbs in courses several times a year prophylactically in order to, well, vulgarly, to put it a little, flush the collecting system of the kidneys during our scientifically useful conversation. we had an examination. we are in the studio and now i think that yuri viktorovich will tell about the results . 11 patients were examined, two patients deserves attention, this is elena and tatyana and margarita three three elena who is this? come out to us tatyana and margarita at elena that we found urolithiasis, a calculus of the right kidney and small microliths, the dimensions are clearly 5-6 mm, 5-6 mm. this is how he looks at me. you didn’t know that stone, but your relatives don’t have the fact that the stone does not clinically manifest itself in any way; in fact , there is nothing surprising with itself, it is a classic manifestation of urolithiasis, which is impossible not to notice. this is renal colic, when the root of it hurts. this is very painful.

this pain is comparable in intensity. i don’t even know, perhaps the most active pain that a person experiences in his life and, uh, this occurs when a stone is displaced into the ureter, it interferes with the outflow of urine from the kidney, now this is a stone, if i understand correctly, yes, no violates, it does not disrupt the outflow of urine from the kidney, if it does not move, it, in principle, may not show itself in any way for many years and for many years, that is, it must be observed stones, 5-6 mm are usually observed if the stone grows up to 8 mm or more either will not pass through the ureter or will pass with great difficulty. this is where you need to intervene. thank you next, that tatiana soap sickness. also 6-7 mm you know more. well, i go through it regularly, the last time i had an ultrasound was in september and i had a kidney cyst, apparently, the cyst had gone, a stone appeared. so further, that margarita we have urolithiasis

, on the right and multiple microliths. she has a classic urolithiasis here. yes, i knew and i wanted to know, uh, whether they somehow changed in size or not. well, a little less. were. yes, they grew slightly smaller in all three cases, and we do not know the chemical composition of the stone, we can make some assumptions based on those examinations that can be supplemented with an ultrasound examination. for example, warstones do not contain calcium, so on x-rays, warstones are not visible from a certain point of view. these are the best options because it is the only chemical composition of the stone that allows it to dissolve without intervention. just dissolve the calcium. calcium phosphate oxalates cannot be dissolved. this means that there is a sufficient drinking load so that they do not increase in size and diet correction. we don't know oxalates or phosphates, which means we have to take laboratory tests and adjust the diet in such a way as to

stop the growth of this stone. thank you very much, have a seat. and thank you very much for your research. well, let's say that a person has one stone, they did a chemical analysis and said, yes, do you have a comrade of urates or oxalates? what specific measures are needed undertake such a person. well first, as i tell my patients in the monastery. you definitely don’t need to leave, and you shouldn’t go on some crazy strict diet either. but now, if we are talking about urates, then these are salts of uric acid. this is protein metabolism. if a person says, i mainly eat protein foods, meat, then it’s worth reconsidering the diet in favor of plant foods in favor of fruits, do not exclude meat, but, let’s say, canned meat is significantly limited smoked meat is significantly limited significantly limit fatty meats, boiled, chicken, boiled. uh, turkey, for example, is more preferable in this case than lamb or

beef. well, that is, in fact. it can be said that such a person is more useful dairy and vegetable. somewhere, maybe some porridge and other dairy products are good? also, the fact that they are alkalizing. urine in this way, these stones will not form well, suppose a person has phosphates, that he needs to make a correction, ph is also absolutely necessary for this salt, which are formed just in an alkaline environment, so here, if we are talking about nutrition, it should acidify. well, conditionally cucumber juice is fruit. yes, because fruity acid, anyway , yes, it's good, it's citrus fruits, it's vitamin c by eating enough fruit. it is possible to prevent the occurrence of phosphate stones, but here are the most common ones. unfortunately, you will have to give up such cute products as coffee, cocoa and chocolate. strong tea should also be limited. but how actively our uh, listeners use

spinach or sorrel in the composition there. it's hard for me to say. although i met several times in my practice with casuistry when there were such active lovers of these particular products. that's exactly what they came with a lot of kidney stones hmm thank you very much boevich. today we found out why kidney stones appear and what to do so that they do not arise there, but the conversation about the most continues and right now you will find the section women's health with dr. tatiana next in the program, vascular stars on the legs. is it possible to get rid of them by the summer? i wanted to start over irina rozanova well , how now in our time you will order to take care of women katerina return of love on saturday and sunday at 13:00 on the channel, russia how is he

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our website leomax.ru. good morning. hello , today is the first day of summer. and, of course, we look forward to wearing our beautiful dresses, short skirts and shorts. and, of course, we look at our legs and quite often after the winter we see the appearance of blue streaks of spider veins . what are spider veins? are they a sign of varicose veins? is it possible to get rid of them about it? we will talk today our tv viewer turned to us oksana let's find out her story oksana gerasitina, 47 years old, tver oksana has been working as an editor in a publishing house for more than 10 years. sedentary work all day, you need to work with the text

oksana recently noticed that by the end of the workday. my legs are very sore and swollen when i return home. i feel very heaviness in my legs, i can’t wear heels, because it reduces, it just reduces the legs of the calf. in addition, spider veins appeared on her legs and oksana is very worried about this. one two. then they began to grow. and now, uh, under the knee. mm, you could say such a big blue spot already. well, first of all, it's ugly. hmm on the sea. i ca n't undress because it shows. my grandmother also had pronounced veins. and uh, i 'm afraid that i'm going to have a thrombosis just like she does. i would like to ask the experts. and hmm, how dangerous are those spider veins. how to get rid of them in general oksana at our studio , please pass us by, good morning. oksana

stars appeared. unfortunately. yes, they have been for a long time. well , for three years they tried somehow on their own get rid. tried to use ointments and a course of leeches hirudotherapy. yes, yes, and it helps for a while for a short time, and then you relive everything anew, because it is aesthetically ugly, or a due to the fact that dear doctors, we are endlessly, but frightened by the expansion of the veins of the lower extremities. well, to be honest, both problems worry me. oksan. and tell me, please, is there something else that worries you, they swell a lot. it’s hard to stand on your feet because they swell or because it still hurts and hurts, including when putting on heels brings legs together, these symptoms appeared, and spider veins appeared in order to answer all our questions. i want to invite a phlebologist vasily andreevich kochetkov to the studio cardiovascular surgeon candidate

of medical sciences senior researcher of the russian scientific center for surgery named after academician petrov vasily andreevich good morning where do spider veins come from? and in general, what is it in the first place? this is a cascade of inflammatory reactions that arise in the walls veins, it starts, uh, the process of varicose vein transformation. this vienna is starting to hurt. it expands, the valvular apparatus is disturbed, and so on, and together, where it expands, where the normal return blood flow is disturbed, a truly inflammatory process occurs. and you see this inflamed wall. this vein begins to grow in the skin in such a pathological way, and now, this is the same reticular varicose veins, asterisks. also, the second factor is an imbalance between the connective tissue, an increase in collagen the first type of halogen reduction, the third type, as a result of which the elastic properties of the vein wall decrease, that is, the vein becomes

more extensible. well, look, it happens once and vila, somewhere in one place some kind of bluish mesh, and sometimes, when you can directly see, a bulging vein. these are different things or is it just the same thing, most often aggravated by intradermal varicose veins. this is essentially a cosmetic defect. but what you are talking about, you varicose veins can progress. naturally nourishing. this vienna asterisk. it is also manifested by the chain, which is the result of a violation of the pathological connection of tissue in the body. these are the symptoms vasily andreevich should alert that a person is really at risk for developing varicose veins, fatigue, yes, what oksana talked about in the afternoon most often due to overfilling of the venous wall with blood, and these subjective symptoms appear in the form discomfort severity fatigue, when really, as if you are dragging huge severe gyricosis. this is a disease

of the apparatus, the valves are bad. their task is to push blood from the foot to the heart. and since they do not close well, the blood is thrown in the opposite direction from top to bottom. that is, it stagnates in the veins of the legs, and therefore, naturally, due to overstretching, due to the fact that it is excess fluid , but passes into the intercellular space , swelling is observed. and this is precisely the manifestation, stagnation of venous blood, cramps at night, and this is from vrat, it happens to you. well, it happens sometimes why such convulsions occur, we recommend checking the electrolyte composition of the blood is also the cause of the banality of andros, but with venous insufficiency. this is also all a manifestation of blood stasis in fact. this is a violation of the blood supply to the muscles, a violation of the venous outflow and, accordingly, the occurrence. here the muscles sharply spasm, how often or how long should the cramps disturb in order to suspect something with the veins, something is wrong up to five times a month. this is already enough to

spodviglo start to examine the venous system. i would be wary even when once a month my legs were cramped, i would go and check. here is an honest word edema of the lower extremities. we must not forget that there is still a lymphatic system. the same lymphostasis. they can be either, of course, due to the transferred inflammation, or vice versa, as a secondary lymphostasis. your legs are swollen . how much directly real, swollen against the background of which swelling of the legs occurs, it is the sedentary image that the worker works with a powerful venous pump, the sick, then there are calf muscles, they reduce not only the property themselves, but also reduce the deep veins that are there due to which there is an outflow, so you just need to move more. and then there was swelling of the lower extremities, you need to go for an ultrasound scan to check both the arteries and veins. all vessels change the color of the skin of the lower extremities. well, most likely, this is already talking about more advanced stages. e varicose disease according to the classification. it is already there c4 and c5 c6 c6 is a

trophic ulcer c4 is the presence hyperpigmentation, that is, also due to an increase in edema due to the fact that blood cells emigrate into the intercellular space, such pigmentations gradually form. vasily andreevich, as you are a surgeon, owns an excellent method of ultrasound examination of blood vessels and i suggest oksana to do an ultrasound examination. veins of the lower extremities, please note that it is very important to perform vartastasis, that is, it is worth it, because this creates compression on all valves and this is how it can be detected through all tests in particularly with valsal or skipping compressions it is possible to reveal true venous insufficiency. well, look, we have now removed the small saphenous vein. here it is the wall of the vein, what is wrong with this small saphenous. well, that's good, that is, it lends itself to compression, it is not rammed. she is not thrombosed. here it is in cross section. here is the lesser subcutaneous. her vein has a diameter within the normal range of 3 mm, so for the time being something

bad. i can’t say in front of her, we are translating the doppler ultrasound mode and by compressing the calf muscles. we push, as it were, venous blood up the heel, and if the valve does not work, then the vein is painted in a different color than blue. here we start up the wave current. the blood vein runs no discharge, so there is nothing to say about the varicose basin, the small saphenous vein. i can not, given the fact that in addition to spider veins. we do not see the substrate itself of their varicose veins, most likely, yes, it really is that very form of intradermal varicose veins, that is, which is more cosmetic, but has a therapeutic effect in removing these asterisks such. no, let's be great. and now let's see what is the prevention of such spider veins, i'll tell you, honestly, all ointments are part of alcohol esters, and they evaporate and come, an apparent feeling of relief. therefore, yes, relief, if it brings, yes, then it is more

for the head. yes, it means that with regard to hirudotherapy, but there is indeed evidence that leeches inject a lot of proactive enzymes. e into the patient's blood, due to which the blood becomes more liquefied, but again, traditional medicine and i as with the surgeon, i want to tell you that it is in the area where the leech was placed, then a trophic ulcer is very often formed. after that, it is even more difficult for us to treat, but i still want to say that it really helps that we really recommend compression stockings, the mechanism of action is already known. uh, since the time of hippocrates, many bandaged pure physics, when the vein wall narrows twice, the blood flow speed increases 5 times, the venous outflow improves, that is, in fact, it is like a corset for your veins use compression stockings. it is necessary when you are sitting for a long time, when you are going to fly on an airplane, any surgical interventions. and, probably, i also want to say this is physical activity, in particular, and swimming, because any physical activity is the work of the muscles, and the work of the muscles is the effect on the venous wall, of

course, swimming is water itself, it has compression, then there is, when a person swims, water has compression on the vein wall, due to this, the venous flow also improves. contrast shower, it improves elastic properties, there is an effect on the framework of the venous system. improves, thereby elastic properties, so it is indeed a yes effect proven possible. whether external chrome massages i know for sure that one of such massages as lpg it really provokes the appearance of new stars oksana thank you. big problems thank you very much. thanks my friends. today we talked about varicose veins and about such an unpleasant manifestation of it as spider veins and found out that, firstly, you need to pay attention to it attention. as soon as they appeared and take measures to prevent varicose veins, you need to do it

all year round, and then you can wear short skirts and shorts and enjoy life. and we wish you a good day and good mood. be healthy. you had a program with you.