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today, the doctor. together with our viewers, he is doing an exercise for the brushes. yes, this, by the way, is very important in the summer, when everyone is in the country and people are digging, throwing something with pitchforks, working with choppers, secateurs, the load on the brushes. simply fantastic is not uncommon. this can lead to to pain, so let's deal with this problem. in fact, nothing complicated is simple. a little tedious, yes, and you, michael, are doing it wrong, in principle, this explains everything. let's squeeze the expander again and make

a movement without opening the panda. that is, it must remain compressed so further movement. here it is. and how i do it, but you just don’t bend me. no, they took it here, but it’s clear well, and we compress the third option and make a circular motion. not this way. you're just my friends is the checkout. just hold hold hold on with all my strength i understood, and what happens in this exercise, the tendons, being under load, are subjected to traction. this, in turn, leads to the fact that the tendon begins to harden and become simpler. yes, that is, not the muscles, but the tendons become stronger. here, which means that it injures them harder under some kind of household load, when you carry it. do you weed a bucket, beds or do it? something else in the country, strengthen the weight of the tendon, it's time to start

talking about yourself. this is how you go out in the morning dacha, it's warm, the sun is shining, pour yourself some lemonade. you lie down in your clothes and relax with lemonade, the sun is burning hot. well, is misfortune doctor misfortune? why? well, the fact is that mikhail you are resting, and your pancreas is working and suffering, because now you have dusted your mind with 50 g of sugar. and probably if it's hot, you wo n't limit yourself to one bottle, which you are hinting at , the doctor, that i'm addicted to lemonade. i hint that many manufacturers. unfortunately, yes in the pursuit of love, the consumer abuses sugar. what to do for those who love lemonade, well makes lemonade on their own and drinkable. it will be not only useful, not only tasty, but it will also be

much cheaper than from the store. what are you, yes. today we will tell you which homemade lemonades you can cook on your own and how they will be useful for our health for our conversation. i invite our permanent expert mikhail moiseevich ginzburg, nutritionist, doctor of medical sciences. good morning. we know not by inheritance that you built a house near samara mikhaevich, use the diminutive suffix house house, yes, cozy house house. but with lemonade. how do you cook? yes, and i think, in general, we are doing the right thing, because the lemonade that they sell, and it is absolutely harmful, is a huge overload of sugar, and it is very harmful that it is liquid dissolved sugar. it is absorbed very quickly. well, in addition to everything, many more

manufacturers and dyes add various exotic flavors and stabilizers. in general, they just do not add. let's learn how to make homemade lemonade healthy. we have today in visiting two students of the culinary college. they came to share their recipes for homemade lemonades. good morning, we will do today, we will cook ginger lemonade for weight loss today. to do this, we need a liter of water, then we take ginger and lemon juice 250 ml. we also need mint. that's it, we grind it on a grater, squeeze the juice and that's it. we mix it. please comment, note that there is no sugar at all, in this case, if someone really wants something sweeter, you can add

sweetener. in particular sugrolus there are other sweeteners. there is, for example, such a pleasant sweetener as multitool or retreat, which, in addition to having a pleasant, sweet taste , also has such a prebiotic effect. that is, they are used. uh, our microflora, in terms of composition. here is the ginger. it has such wonderful properties. it warms, we know, yes, that it becomes warm after food, because part of the energy that food brings with it is released in the form of heat. by the way, when we warming up. there is such a mechanism that our appetite decreases, food control improves, and therefore the use of ginger in a variety of foods. but including in lemonade, you can add it to the dish more warms us. at the same time, we use more energy. eh, and, accordingly, it is easier to lose weight, in addition to this, mint also relaxes blood vessels, yes, and this leads to a decrease in pressure, that is, it is also useful for

hypertensive patients. they don't handle heat well. yes, and mint, you know, it somehow pacifies and calms, as for hypertensive patients. important them. i am think for us for all the important summer and so hot. what are we going to keep warm in the summer. and here you know the effects. he will rather not feel it, as warming. we will rather feel, but it's just like a surge of such forces of energy and a decrease in appetite. let's try. who wants to lose weight. so you, give it to me i'm about high pressure. please, please, take it, pass it on. yeah, i 'll try it too. fine hmm thank you very much camila well, nastya has such a summer recipe here , just such a sultry july, i'm looking at raspberries. today we will also make raspberry lemonade. to do this,

we need a liter of ordinary water, carbonated 120 g of ordinary water 350 g of raspberries 150 g of honey and 240 g of lemon juice, please. why do you mix carbonated water with ordinary water? usually we need water so that we now take honey and mix it with water so that it becomes less viscous such a syrup. and what hmm this lemonade does, it strengthens the immune system, it turns out, yes, first of all, it will be delicious. yes, it will have such a natural sweet taste and aroma. the only point, of course, for those who are watching the weight is an excess of sugars, including honey. undesirable in food. that is, there you can really modify this recipe a little , add it with dill or another

sweetener too. and so it will be wonderful to refresh and will really strengthen the immune system and, due to the presence of raspberries, also have such a pronounced anti-inflammatory antibacterial effect. by the way, speaking, marina is still a fever, lowering. well, yes, it’s good in the summer, so nastenka, what are we doing, so we get the mixture, i add sparkling water and add our raspberries. there is also a second variation of raspberry lemonade - we take raspberries, punch them in a blender, get raspberry puree and filter all the seeds through a sieve. let's try. who wants to strengthen their immunity. see everyone straight to lose weight like no one wanted. by the way, here is a delicious lemonade with raspberries, please, help yourself, take it, pass it to each other, and we will certainly try, because you are. by the way, just fine, thank you

very much. well, now there will be a third recipe. how are you think? from whom from dr. agapkin we learn what kind of lemonade? he prepares himself at the dacha we made uh, lemonade with basil with basil basil. i know that basil is added to the salad with meat. yes, and the sauce. you're also made from basil. i can also make lemonade out of it. so for this you need to pour chopped basil into some container, fill it with hot water , add a small amount of our sugar there. substitute sweet basil. the same thin mix, add lemon juice there. and after that, here is our beautiful decoction. look how beautiful it is, we add water. the color is so beautiful, because a recent study showed that only 500 mg of

basil extract. this roughly corresponds to 5 g of a raw plant. it has an anti-depressant and anti- anxiety effect comparable, by the way, speaking with drugs, in addition to this, we are here with what else such lemonade is useful. in this case, we must understand that this is precisely the anti-stress action. this is very important, because really than to use some pills and so on is better to accept. those are herbal. well, let's say infusions, in particular, basil, plus it is quite obvious that basil has, and anti-inflammatory components, which we now define as anti-aging, that is, increasing, and life expectancy, reducing the likelihood of age-related diseases. and , by the way, when a person is calm and balanced in peace in general. the same suffers from almost all diseases, such as stomach ulcers and so on very well.

it is refreshing and you absolutely know a light, light aftertaste is sweet, but it is not imposed like that. that's very tasty. if you want to reconsider what healthy lemonades are. you can cook by yourself. thank you, the heads of our program. you can find on the online media by the form, look at the application on the site look at the dot ru thank you very much, camila thank you very much. nastya directly moiseevich is our obo well, today we found out what healthy lemonades can replace lemonades from the store, the conversation about the most important thing continues? next in the program, the secrets of longevity, capricious calcium, why it must be strictly kept within the normal range happened to you at 21:20.

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food formulas every saturday at 9:00 on the russia channel is a very capricious mineral. why does something constantly prevent him from learning about it right now ? how to live without diseases in your right mind and remember for a long time, world-renowned gerontologists. vladimir khatskevichon correspondent 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 today we will discuss a very important, but very capricious mineral. it is calcium, it is extremely necessary to maintain the health of our body, but, unfortunately, there are cases that even with additional calcium intake our body lacks it. why is this happening? let's talk about it with you today. calcium is one of the most demanded minerals in the body. it is needed to maintain bone tissue, as well as the muscles of the heart and central nervous system. this is a regulator that does not allow a well-functioning physiological process to slow down, accelerate or go astray. calcium is not only bones and teeth contain approximately 1% calcium in the blood, and the remaining 99% is hard tissue, and when even microscopic deviations from the normal level appear in the blood

the body begins to sound the alarm. when and why this happens and why the mineral has such a bad character, subsequently a chronic lack of calcium are two such very formidable diseases. this is osteoporosis in people of older age groups and rickets in children here and there is a lack of calcium. unfortunately, with age, calcium is absorbed worse and worse. here i have calcium in my hands when it enters the body of a person of a fairly young age. who it is very quickly absorbed, and through the gastrointestinal tract, why yes, because all metabolic processes with those metabolic processes are fast and intensive, when with age there is a decrease in the function of our endocrine system, then calcium cannot be absorbed so quickly through the gastrointestinal tract and there is a lack

of this very important mineral, that is, it is disturbed calcium metabolism in the body. what is metabolism and absorption? this is the content of this vision, so here are our diseases. there gastritis or other election. they make it even worse process and calcium. just can not suck, what happens with age. why are there a decrease in our body's ability to absorb calcium as well? well, first of all, this is a deficiency of vitamin d without vitamin d, calcium absorption is impossible ; calcium absorption is also impossible without a very important substance called insulin-like growth factor. it alone is also necessary, but it must be combined with protein. that's why consuming calcium it is necessary to consume protein. here's what's not

however, the minus of many diets, when part of the nutrients are removed. and therefore, somewhere instead of good, it brings harm. well, what foods contain the maximum amount of vitamin d fatty foods? this is, of course, fatty fish, whole milk. this is fat cheese. this is cod liver, so when we come to the store and we are taught what? this is bad and we skimmed milk skimmed cottage cheese. it is not right. and, of course, you need to be in the sun, and walk as often as possible. the next source of calcium malabsorption is, unfortunately, the intake of certain drugs many drugs interfere with calcium absorption. these are sleeping pills and anticonvulsants. hormonal preparations. also, diuretics are also harmful in this regard, which contribute to the leaching of calcium from the body. laxatives are

all of these. uh, sources of problems for calcium absorption. unfortunately, these are the next factor that leads to calcium malabsorption is the so-called carbonated and caffeinated drinks, because which contains a substance such as phosphoric acid and caffeine, which prevents the absorption of the ring. it's clear a cup of coffee in the morning, it's very good, but when every 2 hours i know people who have up to ten cups a day. so that's it. a large amount of caffeine, just disrupts the absorption of calcium. and of course, unfortunately stress. it can also negatively affect the absorption of calcium , which produces the hormones cortisol adrenaline, which leads to vasospasm. and you know, and basically, they interfere with calcium absorption, so generally nervous. what is a cut? it's nerves.

you see, even it has been shown that chronic stress is the source of many diseases, including metabolic and even calcium absorption. well, other micronutrients also slows down, so you know very well. so i say, when i think there in life, how to live? so i came to the conclusion that it is very important to be condescending, that is, people should be condescending, that is, they should not immediately be nervous, shout something like that, forgive, think, you understand, therefore, this is condescension the most important factor in the body's self-defense. well, let's go. remember what sources of calcium we should have on our table with you. these are dairy products. these are hard cheeses. fish is porridge, oatmeal is a source of calcium. that's the daily portion. they ate oatmeal this morning. this is enough for the day all the amount of calcium that the body needs. and, of course, there are so-called

biologically active food supplements, which also contain calcium to replenish calcium in our body. follow the recommendation in muchena geranthologists. stay young and healthy health and longevity to you, and the program about the most important thing continues. to questions about our viewers in the good morning doctor studio my dad had gout and i'm very concerned about the issue of heredity. i have bumps on my legs, recently they have increased a little, but they do not hurt. how likely is the inheritance of this disease and how exactly can it be established by the symptoms of it, look, there is heritability in gout, but i should console you a little, uh, that almost always it is heritability in male heirs, with regard to the bumps on the

big toe, this is not a specific symptom for gout, that is, gout is characterized by pain in the first metatarsophangial joint deformity. in fact, it can often occur in women as a result of transverse flat feet , and if it doesn’t hurt you, then most likely it’s not gout, but to give a final answer to the question, you just need to go take a biochemical blood test. there is such an indicator as uric acid. and so, if the level of uric acid is normal, then we can say that you don’t have gout, this is the main symptom of gout, and not even a lump on your thumb. thank you doctor, if anyone has any more questions, please. good morning doctor. e came to me on a pause, and with her unpleasant symptoms on the internet i found evidence that there are products containing estrogen that help to ease, e, these unpleasant symptoms. is this true and please tell me what kind of

products they are? well see what are phytoestrogens phytoestrogens - this is a substance of plant origin, which in its chemical structure, similar to female sex hormones , the only difference is that being non-animal plant. they usually have a rather weak estrogenic index, that is, their influence is several tens, for example, 30 times weaker than the influence of an estradiologist, which is produced in the female body. this is good, because excessive hormonal stimulation in old age. in general, it is not needed from those phytoestrogens that known. well, perhaps the most well-studied are the phytoestrogens found in broccoli and uh, soy. here is a study show that the substances that are found in these plants. they can reduce the symptoms of menopausal syndrome. well, about half, that is, if we take, for example, the frequency of the rush, then it is approximately halved when using a fairly modest amount of this soy or, uh,

broccoli. thank you so much. i answered your questions. take care of yourself and take care of yourself health. the most important thing continues. next in the program is healthy vision. how to choose the right sunglasses you won't mind? if we are groom together, you suit us, you suit us , you suit us, you suit us very well. you suit me premiere on saturday at 21:00 on the russian channel turns into a benefit. pay for goods from your favorite sberbank card stores and get 10% sberbanquet bonuses. order up to 40% buy the necessary goods profitably, for example, a bbk microwave oven with a discount of 700 rubles. only in citylink magnet takes care of you and offers

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russian songs. these are our roots and we want them to always sound like at home like the people, it’s very warm and cozy sincerely, hello andrey evening show andrey malakhov saturday 18:00 on the channel russia needs to be protected. the main thing in the medical profession is to love your work and be dedicated to this work so that patients receive. the maximum help we can give is how we could operate today 20 years ago. we didn't even dream about it. we

are an octogenarian. we can return the age of schoolchildren, the lenses in the center are fine. i am goalology - this is my job. my hobby and i can say in my life, which i have been living for the last 30 years, i am dmitry dementiev, an ophthalmologist. everyone good morning, finally, summer is in full swing, we wear sunglasses. well, it is important for us to wear sunglasses, not only in the bright sun, but also on cloudy days. why this should be done and how to choose the right sunglasses, let's talk with my guests irina slutskaya irina slutskaya is the first single skater in the history of figure skating, who became a seven-time european champion, a two-time world champion. and even if she was not lucky enough to take gold at the olympics, irina is still the undisputed winner, despite the incurable disease and contrary to the predictions of the medics, irina slutskaya rose

to the most important pedestal of life and gave birth to three children. hi irina. good morning. very nice. you look today. ira you wear sunglasses. yes, and very often some you like ours choose. here are these ir glasses. you only wear it in the sun, there are days when there is no sun, and you squint, so i put them on and i have different glasses. some are a little darker, some are a little lighter, but i want to hide, let's discuss why we need to need sunglasses. well, firstly, they protect against ultraviolet ultraviolet is present not only in the bright sun, but it is also present on a cloudy day. therefore, you are doing it right

. what it is? this is a very good question, but it seems to me, when let's say, in winter it is very bright, the sun, which is reflected from the snow. yes, as here trees, periodically burn also, probably, there is an impact on clearly. yes, not only direct exposure to ultraviolet light, but also reflected, can cause eye burns prevention of dry eye syndrome exposure to ultraviolet light and wind can provoke and aggravate the symptoms of dry eye syndrome. therefore, by using sunglasses , we reduce eye strain. and this is the prevention of reducing the load on the eyes. this is when we start to squint. well done, you knew everything. me not. i guess it's just such a tension, when a person squints does not want the sun to instinctively squint. well, first of all, uh, wrinkles appear and such a long narrowing of the eyelids in the sun can lead to a headache. glasses

will allow you to open your eyes more widely, and we are with them. load on the eyes, well, and finally. this is the last quintessence, what we talked about wrinkle prevention, that, in general, one follows from the other, you somehow thought about how ultraviolet can adversely affect our eyes. and then such a pause, ah, i can not answer. i do n’t even have a thought two structures in our eyes, which are very subject to change due to ultraviolet. the first is the lens, our lens is transparent. well, it absorbs ultraviolet at a young age. the lens is more transparent than over the years, that is, nature has come up with the idea that the lens gradually gradually becomes more yellow and by itself blocks the passage of ultraviolet, so young people need sunglasses more

than the elderly, because the lens is absolutely transparent. ultraviolet flies through it instantly, causing a change in the retina and causing clouding in the lens if a large amount strong ultraviolet light passes on the retina causing oxidative processes. its central part, which is called makola. thanks to this macula, we see. we get central vision, if the macula is affected, if there are diseases, macular degeneration of the retina, then the person ceases to see with the center, that is, such a black spot ultraviolet is one of the main causes of this terrible disease, nature protects us from ultraviolet radiation and without cornea glasses. there is such a membrane. uh on the surface of the cornea is called the bulum membrane. it is uv protection for people who, for example, have undergone laser surgery. yes, for correction, i had a gate that is destroyed, that

is, with a laser. she evaporates the man, happy. he 's starting to see perfectly without uh needing to wear glasses, but he's more susceptible to ultraviolet light, so we'd recommend that he wear dark goggles right away. now the most important thing. what do you think you need to pay attention to when choosing glasses. well i'd be leaning towards blackout it is precisely this layer themselves well done, you said correctly, but yes, but there are nuances. you correctly said blackout, but not just blackout, but uv blocking in good glasses. on dushki, the marking for the passage of ultraviolet is determined by the numbers 400 - this is the maximum, that is, it completely blocks the radiation, but if they are completely black and there is no marking, maybe just tinted glass that does not block the passage of ultraviolet blocks the passage of light. these

glasses are just dangerous. why expand pupils? because there is not enough light to narrow them, and the ultraviolet is not blocked by these glasses. they are simply dark, and then the ultraviolet passes through even more, because due to the wide pupil they harm. they harm. you are right about the blackout. this is absolutely true and blackout step. darkening is also determined by the marking on all glasses, where category c on dushki is written cn or k and the degree of darkening is written there from 2 to 4:00, that is, there should be a degree of darkening on one arm to another ultraviolet and then these glasses are good and you can already choose designs, color and size. we can go look, dear friends. take care of your vision is priceless, and the program of the most important thing continues. michael i look from the store. yes

, i saw with great joy that sugar fell in price, because before that it had risen in price a lot, and now the good news is that it has fallen in price, and i've bought it, because you never know, it will suddenly rise in price again. well, mikhail is not such good news, considering that diabetes is now one of the three diseases that shorten life. human, the world health organization says that the safe rate of sugar consumption is about 50 grams per day, and the average russian eats about 200 grams per day. well, what to do, the doctor loves. uh, our uh, people sweet life every person who abuses sugar should know the symptoms of early symptoms of diabetes, and i propose together with our viewers in the studio today to discuss these symptoms. even a little

self-diagnosis, we will conduct a morning diagnosis of diabetes mellitus together with our expert irina vadimovna artamonova, endocrinologist, central clinical hospital administration of the president of the russian federation, candidate of medical sciences. come out to us. in the morning, we have some specificity of this disease according to the time of day. in fact, a slight increase in blood sugar. maybe they don’t show themselves at all, and this is the insidiousness of diabetes mellitus ii, such as, let’s say, the onset of the disease sharply diverge in time from the moment the diagnoses were made, sometimes for a decade. and today we know for sure that the earlier diagnosis. the sooner treatment begins, the better the prognosis. uh, patients, i take a blood test there once a year, which should alert a person. inflated numbers are correct, of course, if we take obi.

a standard biochemical blood test, then a glucose level of more than six one millimol / l is not the norm, and a patient with this analysis should contact either a therapist or an endocrinologist, and in order to clarify this situation, mikhail is a responsible citizen of us, and therefore he undergoes medical examinations regularly. which symptoms should a person rely? well, in the morning he got up and looked at our program and thinks, probably, it’s worth going for an analysis, or not worth it, or still worth it. this is what should tip the scales, so to speak, which is definitely already worth it. let's discuss. let's start with the first such symptom of a cracked heel for many, a person unexpectedly went to the shower in the morning and found that he had a deep crack on his heel, my friends, it's time to leave your heels. one vadim to us why , by the way, here is a crack on the heels really for diabetic patients are characterized by dry skin

, cracked heels, itchy skin, that's all. this is due to the fact that trophism suffers due to damage to the nerve fibers of the arterial bed. well, i know that if you do not pay attention to this, then a diabetic foot develops. patients with diabetes are predisposed to inflammatory diseases. and any minimal injury can lead to a serious infection. an ulcer can be a manifestation of diabetic foot syndrome. and this ulcer can heal for a very long time in some cases. uh, urgent need treatment and in extremely severe cases , even amputations can be carried out for patients with diabetes mellitus. who found themselves cracked heels have such? what are you, looking at you, would never have thought. well, sugar i have no idea i have no idea. yes, but look, and this may be, by the way, the beginning of diabetes. when you were at the

doctor, well, two years ago, two years ago. and that they went to work, they had to get a job, they had to go through a commission, they took a commission from you, they took blood and they didn’t find anything, they were or you don’t remember, that is, you live in happy ignorance, there may just be cracks on the heels, of course, too. especially for women who prefer narrow uncomfortable shoes, high heels, of course. this may not be worth relaxing. still, if you have such symptoms, it’s better, but still check the sugar. what other symptoms are hiding in our sugar pyramid ? blood sugar threshold it starts get into the urine as a consequence of this is frequent copious urination. patients experience dehydration in response to this, it activates the part of the

brain responsible for the exchange of fluid in the body , there is a feeling of thirst. patients with diabetes drink up to 3-5 liters per day. and our patients go everywhere with bottles. they come to the doctor's office with a bottle during the appointment, even there they drink several times for 20-30 minutes. this is, of course, the most classic symptom of diabetes mellitus of these e, patients on them everything else due to the fact that salivary little they often begins to actively multiply. uh, some kind of microflora. in the mouth . this often leads to the formation of such a dense white coating on the tongue. who came to us. e with a bottle of water, or do you have a coating on your tongue? please take a look good morning. hold the microphone. good morning. there is a plaque, it is light in the second half of the tongue, and that's about dry mouth. i want to say that it happens to me very often. i wake up in the morning and my mouth is dry. and i want to drink a lot. in the morning, no time you have is the last,

probably 2-3 years. although i know that my sugar is 5.9. here you can see somewhere on the border. i passed this year this year. but last year there was an increased 6.3, this value is higher than the threshold that we talked about above six one, this is not a diabetic figure, the figure is included in the hello diabetes category. i would recommend that you know, also glycated hemoglobin. this is the average integral indicator for the level of glucose for the last 3 months. it has also been used since 2011 as a criterion for diabetes mellitus. symptoms, night sweats, night sweats, well, two people wake up in the morning to find that they are just wet yes and so, which day in diabetes , high blood glucose levels damage the nerve fibers of the autonomic system, which is responsible for this condition, who uh suffers night sweats. raise your hands please audience in the studio. here is. good morning. good morning. i have sweating. for

some reason i thought that it was high blood pressure , you yourself decided, yes, mostly the head, what about blood glucose levels? what you three years ago was up to 6 years three ago? yes, it’s clear, in general, how often it is necessary to check blood for sugar, it makes sense to start by generally identifying risk groups for patients with diabetes mellitus. these are persons over 45 years of age. these are people with diabetes in the family, and with an increased body mass index or obesity, leading a sedentary lifestyle , having arterial hypertension, increased cholesterol levels, if you belong to these categories. then once a year it makes sense to control glucose level. basically, you have listed all the viewers in our studios. right now, that is, once a year you need to undergo a checkup, roughly speaking, of your body. what advice can you give to everyone?

whoever found these symptoms in themselves, about which we talked today, if you, e, found these symptoms, they are often present repeatedly often, then it certainly makes sense to at least pass the fasting blood glucose level, supplement this study with the determination of the level of glycated hemoglobin. and if the level of glycated hemoglobin more than six percent, and the glucose level is more than six 1 mmol / l, it makes sense for you to contact either a general practitioner or an endocrinologist. thank you so much. today we talked about the morning symptoms of diabetes , the conversation about the most important thing continues. next in the program is a violation of the heart valves, what symptoms are really dangerous for us, where are the public services? what am i, quietly asking, gotsman is always where the holiday is, that you are a beauty of which you cannot see

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heart valve defect belenkov yuri nikitich vice-president of the russian cardiology society academician of the russian academy of sciences director of the hospital therapy clinic number one of the medical faculty of the first moscow state medical university named after sechenov 50 years in the profession. good morning. good morning. did you know that the heart is a pump. and what is needed for the pump to work good permeability vessels? oh, what if there's blood going around? this is bad, you need valves for this. that's what we'll talk about now. the work of heart valves can be figuratively represented in the form of doors that should open only in one direction and only at the right time. if the doors begin to open at the wrong time or not completely close,

then the strict sequence of the work of the heart will be disturbed, which means that many organs will suffer . violations in the work of the heart valves are very diverse. some defects are congenital others acquired in the course of life. what symptoms indicate a problem with the heart valve and what changes are especially dangerous? blood flows to the heart from the lungs, as the valves from the left atrium work; blood enters the left ventricle between them, the mitral valve. there is such a prosthesis. there is elena makeeva, 50 years old, then the blood is thrown into the aorta so that it does not flow back. there is a portal valve, blood flowed flowed flowed in a large circle. saturated with carbon dioxide gave oxygen. already returned to

the right atrium, which is separated from the right ventricle by three cuskidal valve and only then the right ventricle throws out the pulmonary artery. there , too, there is a valve that prevents the blood from returning to the lungs. so four valves profiling the mitral valve. prolapse how do you say yes left the diagnosis, how to live with it elena karpova 40 years old? what to do, what not to live? i actually do that to you. it's great luck that you live in the 21st century in the seventy-third year. i started ultrasound our country their ultrasound cardiography hearts. and then there were a lot of tragedies. why because there is a condition that we didn't know at the time mitral valve prolapse? that is, this is just a structural feature of the mitral valve, nothing more than, that is, during systole, a little bit of a single leaf is thrown into the

left trailer and nothing more, but there is noise, and so in the sixties and seventies of the last century. the diagnosis of a defect was made on the threshold of the ear, and then what began then the main cause of the formation of heart defects was rheumatism diseases of the mitral valve, and then after that began bicillin, prophylaxis prohibition, it is dangerous to give birth yes yes yes yes yes yes yes yes and i had to remove the diagnosis of poro. heart with ultrasound and there were tragedies. i say wiki. how come i don't have a vice. i was forbidden to give birth, my husband left me, my family broke up. i ended my whole life. and i have no vice, he says no, so live as much as you like? you are an absolutely healthy person. you have some features all on this jolly talk ended, because there are other reasons for the formation of defects, chronic infections of the sore throat, there were very frequent ones, it ended with what ended up with

a heart defect and a very difficult condition, they offered to test the following cause of sepsis. well, what blood poisoning sometimes says on the cusps of the arterial valve, most often there are deposits. here are these bacteria, well, just like perforation, that is, holes are formed in the leaflets of the aortic valve, but most often this is an erotic lesion of the valves, or already meximatous. the fingers were the arterial valve, there was calcification and the arterial valve, which means atherosclerosis valentina chitalova, 69 years old. a myocardial infarction can cause a condition similar to yours, that is, a myocardial infarction, the papillary muscle is torn, which, like strings, holds the leaflets in the neutral valve. yes, she died and begins to hang out. so, probably, the chattering creature is a sash. what to do, the process and the congenital anomaly

, this manifests itself, of course, at an early age there are situations. when well let's say as we say valve atresia. i mean, it doesn't exist at all. it’s just that you are practically not a hole, but you need to do something, because as soon as the child begins the first breath, his blood circulation begins, and it will be blocked. that is why these children are operated inside utero, or immediately after birth, now the most difficult thing. but how to detect defects? discovered by accident or what? what noise noise heart to the doctor and complained that i had pain constantly pain and weakness, the main pains were strong and the noise began. yes, you, how was it, i i had a sore throat, and i was diagnosed with rheumatism of the heart, then mitral valve insufficiency, but then the valve threshold. well, and then to the arterial dasha. so, most often now it’s accidental, that is, a person comes from the fact that his head hurts, i have interruptions in

my heart, the doctor listens to me weakness or directs me to an ultrasound, says oh little thing, yes you have a heart defect. that is, these are non-specific toads. this is the trick and the danger of the defect of the complaint - non-specificity. so we have diagnosed the threshold, what should we do? and here begins the highest mathematics, in fact, how to lead conservatively or operatively. and so we begin to look at the severity of the age defect. so you think, yes, you make a decision, as far as i understand, you accidentally brought it out enough. in general, more for the main pains than for the heart. 42 years spent a number of hospital procedures exactly and after the doctor said that well, you can wait. that is, i go once a year, a holter and a doctor look at me. actually, i asked if you were ready for the operation, well, somehow it sounded scary, to be honest, you know this.

a feature of the flow of the oral valve, for example, arnold schwarzenegger played all his terminators with an oral heart disease to his will, in addition, he led california with this heart disease. and only when he had already finished his epic with the governorship. he was sapped, he has a processor valve, and after that he plays his next terminators. there is one trick, the thing is that the arterial valve is now most often placed through the vessel without surgery without a major operation, it is inserted so the balloon is inflated, the valve has fallen into place everything, and you are free sounds. yes, bravo, but scary, here it is necessary on time. to do this, because then as a therapist i can say, then i can stop very quickly. unfortunately heart failure progresses. therefore, what they did to you, what they did to you, is high-tech assistance, which not only can be extended in many ambassadors of life, so how to prevent

these vices, then the protection of the mother of the fetus during pregnancy, for example, the rubella virus, if the mother carries rubella during pregnancy. yah 80% of what will be some kind of genetic accident. the same goes for smoking alcohol. yes , anything, treatment of chronic tonsillitis infections . unfortunately start rheumatic process. therefore fashionable now question get vaccinated, there is a special vaccine against pneumococcus against staphylococcus aureus prevention atherosclerotic virtual valve defects. this is a very common situation. here you just need to do prevention. here is such a conversation, as a therapist i can say that, of course, it’s easier to try so that you don’t have a heart defect developed, but at school it developed, do not delay and carry out the correction, there are still questions. come visit for a consultation, goodbye. thank you for

spending this morning with us. we wish you a good day and good health, see you on the tv channel, russia hello on the tv channel russia vesti in denis bulchukov's studio and most importantly, almost the whole city is in smoke now, ukrainians are firing hailstones at the settlements of the lpr, three civilians were killed in 10 seconds 16 shells .