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a gift. we start our program with a warm-up and today we will take care of our knees, of course, the knees are an important thing and many people, by the way, discover an unpleasant feature in the morning. yesterday, for example, we were at the dacha doing some business in the morning, a person got up, something was a sock under the sofa, tried to sit down and found that one knee did not fully bend, but still an unpleasant remnant

had to be done. release at the knee let's get started, we need a regular towel. so we sit down, or rather, we get on our knees, we don’t sit down. this is how it is. well, let's assume they don't bend. we have the right knee. yes, so in this case, we take a towel, roll it into such a dense, dense roller and slip it under the knee. hmm, and so on. we go down and make such a light spring movement on one side of the towel that does not allow us to sit too low to feel pain on the other side when we lean on the knee joint at this moment stretches hmm actually exercise is not difficult. and most importantly, restore the mobility of the knee. with this good news. we start the conversation with the most important. doctor, tell me,

do you drink tea often? to be honest, i like tea more than coffee, but sometimes i must say it happens. so. here you buy a pack of tea, and it is well, no, and now, this, of course, is a disorder, i must say. and how tea is useful for our body, tea contains coffee caffeine, uh, stimulates our function improves blood circulation deepens breathing stimulates brain activity motility of the gastrointestinal tract activates if tea is brewed strongly, then muscle thermogenesis increases, which is especially important for people who, for example, are in the cold, in addition, the tea leaf contains very important substances. these galls, catechin galates, which have an anti-mutagenic effect, that is, it prevents cell mutation and thus is a means of preventing various neoplasms. not including cancer. in general, tea has many useful properties, but

today i’ll tell you a little secret, what to do if tea is not very good, how to make it both tasty and healthy? i think how i took the steering wheel. and life began to play, one microskami, in fact, not, because these are carbohydrates, these are extra pounds, and you just need to add some herbs to tea, what kind of herbs are these, doctor? let's discuss this together with our expert mikhail moiseevich ginsburg, nutritionist, doctor of medical sciences, we, most likely, honestly tea or coffee, what you can remove is this and that, and that and that, but still, i agree with sergei nikolaevich. somehow in tea. uh, that's more because already, and the doctor annulled our conversation with useful herbs. we will prepare tea from healthy herbs. let's know. with what they drink tea, our

viewers of hibiscus you just like the taste, red tea. you understand. i really like chamomile tea too. there i add melissa mint everything that grows in the village. i have a mom. in general, my tea makes everything that grows in the garden from blackcurrant leaves and, well, everything that grows, it adds dries in so, and i like to add rosehip petals tea to rose hips deliciously. i drink regular black tea, without any sugar at all. well, sometimes you pour boiling water, it's good. you and i dry the leaves of sea buckthorn and add the leaves, because what kind of herbal viewers we have. this is great. well, let's discuss, and what herbs should be added to tea to increase its benefits? guess michael that with closed eyes, please, leaf. well,

what are these? ah, why are you on currant, but because it is currant, black currant, black currant black currant. in this sense, they are more active than all other species and contain more phytoncides of odorous substances, which e have antiseptic antibacterial antiviral properties. how they do it mechanically, there is nothing surprising that plants contain substances with antibacterial properties, because bacteria and viruses , just like they attack us, plants somehow need to defend themselves, and they do it perfectly. here, there are different mechanisms and violations of the integrity of the membrane of bacteria and binding viruses and protecting the properties of our mucous membranes, which can be a gateway for infection. so that everything works and we need to

use this, to make our tea healthier, we first add a blackcurrant leaf. but further, by the way, saying mikhail you are here too, you will probably recognize by the smell. well, this is mint, of course, this is very pleasant mint, it turns out, an infusion, a very pleasant taste, plus two very important actions. first, it calms and harmonizes. that is, if mint before bedtime, then sleep will be more qualitative deeper more pleasant. and of course, mint lowers blood pressure here. we just need to clarify. it reduces only high blood pressure, too, this moment it, well, as if through such a general relaxation through harmonization is achieved, therefore for many who say, then my blood pressure is lowered anyway. i won't drink mint, there's nothing wrong with mint for you. no, low blood pressure. she doesn't lower perfectly. well, in the case of you, michael, i’m sure you won’t guess by the smell. let's

let's try. let's close our eyes. i can’t understand, it’s actually a strawberry leaf , strawberries, and including garden strawberries, which we know as strawberries, and there are a lot of flavonoids in the leaves and in the fruits, which have such a systemic, anti-inflammatory effect. but the fact is that the basis of many age-related diseases, including, by the way, diabetes mellitus, is such tissue inflammation. and if we reduce this inflammation , then we reduce the likelihood of developing age-related diseases, that is, they develop, maybe later they flow more gently, so here is the moment of such a decrease in sugar levels, we should also talk about increased. e sugar level, that is, a normal level, sugar, of course, e strawberries. in no way will reduce the fear of this is not necessary. but the likelihood of developing

diabetes will reduce from great. and this is what i would recommend. pay attention, especially to those who, as we are talking about heredity, are burdensome. i even made our tea healthier by adding strawberry leaves. come on, the next rice, you are also michael by smell. i am i think you will hardly know why such hopelessness is only well, because a fresh leaf does not have such a smell here, but i must say that if this leaf is twisted like this and left in a warm place for about half a day, the smell that will appear. it seems to me that this raspberry leaf will not leave anyone indifferent. yes garden raspberry leaf forest raspberry leaf in this sense. and what’s good is raspberries grow very quickly, almost like a weed in any country house and they constantly cut it off. uh-huh and so a lot of leaves disappear. simple though really. this is a value, raw material or medicinal and food. we all know, yes raspberry raspberry juice raspberry jam, and

including raspberry leaf extract, how against? an inflammatory agent and as a means of improving hemorrhea, in other words, improving blood fluidity. but the fact is that there are two systems in parallel in the blood, one system is aimed at blood clotting, the other opposes it, the anticoagulant system is both needed with age. unfortunately, the activity of the clotting system. the risk of thrombosis increases and the complication of teresclerosis, heart attack, strokes, all these terrible diseases are based on increased thrombus formation for this reason, by the way, now cardiologists, in order to prevent thrombosis, prescribe acetylsalicylic acid preparations to people. and if you think about it, this acetylsalicylic acid is a derivative of salicylates of salts of salicylic acid, which were first obtained from willow. in

general, in raspberry they are contained in enough large quantities, i do not know raspberries. temperatures were brewed, when there was no era of acetylsali whole acids. well, i suggest you try our tea, which has become much healthier, mm smell. yes, indeed, the beauty of this tea is obtained from the pressure from viruses from high sugar levels and from blood clots. wowed nothing. well, try my friends this delicious and healthy tea. i beg you, i beg you. happy tea. thank you very much mikhail moiseevich today we found out what needs to be added to tea so that it becomes not only tastier, but also more useful, the conversation about the most important thing continues. further in the program it is hot and stuffy.

what are the signs of heat stroke and what is the danger of overheating of the body, a special edition of the program 60 minutes all the latest news about the situation in ukraine and in the world. we go live right after the scales, don't miss 60 minutes. today at 11:30 and 17:30 on the channel russia with age, changes in vision can change the usual things. taufon was created to nourish the restoration and youthfulness of the eyes; it is recommended to use it. daily for 3 months, three courses . in the year taufon triple action for a clear look. magnet cosmetic care means to love black pearl day cream 299, buy cheaper in joints and back. feel the care from nature, the suit with natural ingredients helps to gently

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individuals up to 500,000 rubles. every month without commission savings business. we are waiting for a visit. for the most necessary cleaning agent to the place from to 139 99 pyaterochka is waiting for a visit. every day. even if the damaged liver does not bother, it is better to take care of it in time with two active components. could help relieve inflammation and restore liver cells. see liver care with a vengeance. the most important right. now a gerontologist. vladimir hyunsonva will tell you what signs can signal about having heatstroke looks why do we age? how to live without illness? in their right mind and long memory, gerontologists recognized throughout the world will answer. vladimir khatskevich khovinson member,

correspondent 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 long awaited summer. a hot train trip to the dacha seedlings is everything, this is our favorite task. but unfortunately, the heat can bring quite a few problems such as heat stroke. how to recognize it in time. let's. we will talk about this today. no one is safe from heatstroke and it is not at all necessary to be in the sun. in general, it can develop at any time of the year and 25 minutes in a stuffy indoor space is enough, but the summer heat in an open space is a guaranteed collapse. here are the launchers

. it can also become a plentiful dinner and alcohol and shock physical labor. if you suddenly feel dizzy with tinnitus nausea increased sweating. you have a kick to act. how to behave during the heat. how much water should you drink and what should it be? what is the danger of overheating of bodies in our studio today lilia good morning. and i know you had heat stroke last year. please tell us how it happened in the month of july. i rode the bus to the dacha, there were a lot of passengers and in the morning i dressed warmer, nothing foreshadowed. suddenly just a sharp headache dizziness circles before the eyes and lost consciousness somehow people helped you. yes, they helped me unfasten my clothes, gave me water, helped me get off the bus. they called an ambulance. and what is the diagnosis. they correctly said that, exactly,

wrong clothes, excessive warm clothes, of course, tight clothes, when sweating is disturbed, this is all very fraught with consequences. the consequences of heat stroke can be very deplorable, even to cardiac arrest today, so we will tell you about the first five signs of heat stroke, which you should clearly know. to understand, in order to prevent this heat stroke and the first sign of heat stroke is rapid breathing - this is a response to the fact that the body overheats it needs to be cooled as quickly as possible, it is to talk about hypoxia, not only temperature, but also hypoxide develops tissues, and therefore hence frequent breathing so that in poland the influx of oxygen is another sign of heat stroke yawning

the nervous system, but provokes yawning to cool down try to cool down our body in order to more oxygen got through the lung and consequently cooled the blood. well, our heroine. today i spoke about the fact that one of the first signs was a throbbing pain. that's it, a probing headache. especially even in the back of the head, more often in the back of the head, this is also such a harbinger of a possible heat stroke in fact. vasospasm the next symptom that may accompany a change in thermoregulation is a violation of photo separation. well, in general, unfortunately, with age, there is a violation of sweating decreases . and the amount of fluid in the body, and plus a violation of the excretion of potassium sodium metabolism. all this leads to the fact that the skin becomes sticky to the touch, that is, a violation of thermoregulation during

heat stroke. this is exactly what is characteristic of the lack of ventilation of the skin, that's exactly what it leads to. to this state, another sign of a violation of thermoregulation is a change in the smell of the mouth, we know that there are some diseases. like diabetes, for example. yes , when the tone changes, yes, the smell of acetone, then, means the smell from a mouth changes, here at a heatstroke . unfortunately, it's also very annoying. the smell from the mouth of the mouth is less produced by saliva and less of the fight against microorganisms that are in the port cavity, which is why it is dehydration. this is the main reason for these unpleasant moments. well, what in general, besides age, can be a provoking factor for heat stroke, of course, this is a lot of weight. well, in general, fullness, wrong clothes. tight clothing with various

elastic bands with belts and so on, which it pinches in various places of the body; moreover, synthetics, synthetics, contribute to the violation of thermoregulation. well, of course, these are concomitant diseases, like cardiovascular pathology, like neurological diseases, and even the use of certain medications. it can also be one of the reasons to contribute to a very heat stroke. and by the way, smoking and alcohol also contribute to the development of heat stroke. well, plus, of course, indoor hypoxia, for example, somewhere you are indoors or in transport. soul-giving, where there is no air flow. this is also a very bad factor that can contribute to heat stroke. we will tell you now a few simple ways that will reduce the risk of heat stroke, but first of all, you need to drink better, drink water that is a little salty and or a little cystic.

why yes, because when we sweat, the necessary trace elements come out with sweat, which support the work of our cardiovascular system and our entire body in general. further a very useful thing, like a spray bottle, with which you can cash, so that it is filled with water and so that it is possible for yourself to violate the face of your hand. yes, that too. in general , such a factor is a decrease in body temperature. and, of course, a very useful thing and such a small battery-powered fan that you can take with you on all your trips, by the way, all this is very inexpensive, that is, well, these are factors that protect our health lilya and this one a handbag with such important components for the prevention of heat stroke. we would like give you always remained healthy and active. thanks to the following recommendations of scientists

geranthologists and stay young and healthy. health and longevity to you, and the program about the most important thing continues. i passed our viewers in the good morning doctor studio, the blood glucose content is 6.5. please tell me if this is a very high indicator, does it indicate the onset of diabetes, what to do about it? well, let's start with the fact that the indicator is high, if it is done on an empty stomach, then an indicator of possible diabetes, but in fact, it is impossible to make a diagnosis by one analysis, and the final diagnosis is made only on the basis of at least three measurements on an empty stomach. and if all three measurements are above 6.5 mmol / l, then the diagnosis of diabetes mellitus can really be made, or, and more recently , more prolonged indicators of

glycated hemoglobin are often used, respectively, this indicator estimates a certain average concentration of glucose in the blood by over the last three months and therefore, analysis can already say for sure, is it really diabetes, or even a pre -diabetic condition, and therefore such an analysis certainly needs to be done. that is, if you saw such numbers in a single analysis, then it is certainly necessary to donate blood for glycated hemoglobin and look at the result. thank you very much good one more question. good morning doctor last week i did an ultrasound of the kidneys and they found a small stone in me. please tell me, can i exclude some foodstuffs or add some, definitely change the diet, everything will come, because my stone disease is quite strong from what we eat, but there is no single set of products, because there is none. uh, there is no single stone, for example, if we are talking about burats, and they are formed in an acidic environment, so it is useful to

eat foods that alkalize, for example, if we take, and lemon, well, citrus fruits yes, they are at the expense. the high content of citric acid alkalizes the urine, which leads to the fact that they even dissolve to me in rata, if we take, for example, phosphates, and they, on the contrary, require such food that will acidify urine, this is meat. this fish is eggs, well, general recommendations for oxalator thiosis. that is, this is the most common type of stones, and salts of oxalic acid, and recommends limiting the intake of foods rich in oxalic acid, this is spinach. this sour fruit is many. that is, you need to understand what kind of stones you have. yes, it can be done, and actually on the basis of the analysis of the stone, if the stone came out, if the stone did not come out, this can be done indirectly on the basis of the urine analysis, thank you to know even more answers to questions about health, then all

editions of our program. can be found on the online media platform look in the application on the site look point i have answered your questions. and ready. new and do not get sick, the conversation about the most important thing continues. next on the program is infectious inflammation of the eyes. how to recognize retinide in yourself, or maybe showed her before the wedding, received a blessing from the pope. well , naturally there was an acquaintance and my husband asked for my hand. he did not know who the father of the unknown children of vladimir zhirinovsky was a complex man with complex character, but was such. which is, of course. i could call. it could be at any time for any advice with any request, there was a moment when he felt really bad for the first time, they said that washington is here all the time, don't worry, but that he had a question. what a son

the unknown truth about a man who was ahead of his time, which many came true years later, how did you really know this under the video. much more than we know this burden of the fact that there is no one to rely on, and also a feeling of guilt. it is his pursued a will, but it was written by ten people confidently, it would be completely different now andrey malakhov's big exclusive interview confession of the children of zhirinovsky tomorrow at 21:20 on the russia channel, even if the damaged liver does not bother, it is better to take care of it in time two active components. could help reduce inflammation and restore liver cells care for the liver with a vengeance in the joints and back. feel the care from nature, anesthetic ointment with natural ingredients

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dementiev will tell you how to recognize an eye infection. so let's look at vision is expensive vision is priceless vision must be protected. the main thing in the medical profession is to love your work and be dedicated to this work so that patients receive maximum help that we can give, as we could operate today 20 years ago. we did n't even dream about it. we are an 80 year old person. you can return the age of schoolchildren in the center, everything is fine. this is my job. my hobby. and i can say that in my life, which i have been living for the last 30 years, i am dmitry dementiev, an ophthalmologist. good morning everyone, probably many of you in the morning, and not only in the morning rub your eyes, touch your hands.

raise your hands, who here loves to lose their eyes, many in fact. it is very dangerous. we can to infect the eyes and get a lot of inflammatory eye diseases such as conjunctivitis, keratitis and so on, but there is another infectious disease called retinide, and how to recognize inflammation of the eye to understand how dangerous it is, we will talk with my guests today olga prokofieva, people's artist of the russian federation olga prokofieva assures that she is inclined to be overweight, and therefore she has been fighting for her figure all her life, and she is doing great, it turns out olga evgenievna follows two unshakable rules of life reasonable daily routine and positive emotions. good morning. olya hello. good morning. you raised your hand when i passed through the third eye with the eyes, we

use a lot of cosmetics, and therefore this constant contact with the eyes was ever such an infectious manifestation. well, of course, of course, such a disease as conjunctivitis is closest to me, but almost everyone knows how to deal with conjunctivitis. but what you said, it's very interesting to listen to. this disease is much more formidable. let's do a little experiment. olya is ours the eye is a healthy beautiful eye, in which there are no pathogens. they should not be pathogens in the form of bacteria, viruses or fungi, suddenly the pathogen gets in; the pathogens began to multiply if they got into the tissue, retina or choridea, the choroid of the eye, on which the mesh lies. they cause a violation of the work of photoreceptors and a decrease in vision. what are the causes ? what do you think i understand?

coation things, naturally, so the first most common cause of retinitis and choretinitis is a bacterial infection, pneumococci, gonacocci meningococci can cause retinitis choretitis and not necessarily they come from outside, that is, they can get into the retinal tissue due to internal organs and uh, people with meningitis can get retinide inflammation of the lungs pneumonia can cause retinitis chore, retinitis, no, endocarditis , that is, inflammation of the heart muscle can also cause, in addition to bacteria, what else can cause retinide. yes , all the same, viruses are a virus quite right, there are retinitis, even people who have endured covid. uh, covid-19 suffer as the consequences of karina as a complication of

retinitis, but now we meet many such patients, so viruses can also be pathogens further fungi, that is, a fungal infection. fungi can migrate into the tissues of the choridea from there to the retinal retina. well, the last ball is , oddly enough, sunburn of the eyes, hit by a large amount of ultraviolet reflected from snow or from the surface of the water. causes burns to the retina. the inflammatory process, this inflammatory process, then passes into the retina. so it's the triggers that cause it unpleasant disease. come here to me, let's talk about the symptoms. well, the first symptoms are a sharp decline. visual acuity was the same for everyone . but we can blame it on overwork on some other factors, but no one will ever think of a sharp decrease in visual acuity. a very

common symptom of impaired color perception, that is, already a diagnosis. we put directly on the totality of symptoms. it is clear that the distortion of vision is a person looking at the door jamb, which yesterday was straight in a different form, that it has become a little woke up. vaughn, she is even, how good it is not necessary to subdue, blurred vision at night or night blindness. you are good in the dark. you see the appearance of bright flashes. a man sits in the dark watching tv. suddenly flashes. well, where did you go from? ambulance? and nothing came, not the police will not soon flash a neighbor's anniversary. probably if there are more than 3 symptoms that hang on our board, the ophthalmologist is not slow. that is, if not treated, then perhaps a complication of complications. a terrible complication leading to blindness is detachment

now. endophthalmitis what is this powerful inflammation of all the membranes of the eye? when pus appears in the eye, the endorvint leads to blindness, total blindness, sees neuritis and panautomide. all these diseases, with an unfavorable course , lead to loss of vision irrevocably and to loss of the eye as well, that is, even removal of the eyeball, so the disease is difficult unpleasant nasty. how to treat depends on the cause, it is important to put in time, in addition to the diagnosis, the cause to find the pathogen that causes neuritis and treat the pathogen by targeting. it can be anti, uh, bacterial drug antiviral antifungal plus anti-inflammatory therapy, which we very often used combination steroid drugs

to suppress. and the pathogen can suppress inflammation, and if it is done in time, then there is a chance to save vision, but, nevertheless, vision is not always restored by 100%. therefore, you need to know and remember about the preventive measures with which we started what it is. what it is? well, do not rub your eyes, including being observed by an ophthalmologist diseases diseases such as pneumonia, meningitis and other treated to the end not to start in the chronic stage. well, everything, we scared everyone about everything about everything told. yes, thank you very much hello dear friends. take care of your eyesight is priceless program about the most important continuation. these are the very examinations of which

almost all gastroscopy and colonoscopy are afraid. raise your hands, whoever has done gastroscopy at least once, there are so many, but colonoscopy is rather small, that this was required to be proven, in fact. i'll i understand for the diagnosis of certain diseases - this examination is obligatory from a kind, the gold standard, according to which a specialist can confirm the diagnosis. why you should not be afraid of these procedures now. why do you need to do it at all? and what diseases? they can say let's discuss right now to our conversation. i invite our expert. nikolaevich byshankaev, semi-proctologist, surgeon-oncologist, head of the surgery center. all right, nikolaevich, come out to us. good morning. good morning, almost everyone is afraid of these procedures. yes, everyone is really scared.

this is a normal human reaction, when you see something unexpectedly unfamiliar. it is normal to fear those who do undergo the procedure the second time they are already coming. as home they already know what to do, when the first time comes they ask, and it hurts, but most endoscopy, now we try to do it in a dream. this is the name of therapeutic sleep, you know how you want sedation, a person does not feel anything. ukolchik vein falls asleep wakes up already everything is done. for a long time lee, well usually recommend procedures lasts gastroscopy about up to 10 minutes clouscopy up to there 20-30 minutes, maximum. after that, it is desirable to give the person a rest to sleep off to the end. this is another plus there for half an hour maximum. and on average, after an hour, a person can already walk independently. why are these tests needed at all? well, for what diseases they are critical good question and i am very grateful. in the meantime, you will talk, i offer. for our viewers to write on cards why they are afraid to undergo these examinations, and then we will figure out which of this is really true, that the myth of gastroscopy is the study of the esophagus of the

stomach and most of the duodenum. and we can rule out gastritis. duadenitis esophagitis ulcer polyps of the stomach some. god forbid neoplasms the spectrum of diseases is colossal hmm cold. scopia, colitis. there is such a disease. yes, inflammation of the intestine polyps, there is such a disease that it is during a fight. god forbid neoplasm tumor slave. the most interesting diverticulosis ulcerative colitis, crohn's disease us clinician doctors. this study closes a large spectrum of problems made by castroscopy. all the head does not hurt. had a colonoscopy and no headaches. and often life-saving studies are done at the age of 45-50 years, carried out in a calm mode, some kind of polyp was removed. which began to grow a wart in the lumen of the intestine wart in quotation marks. naturally, everyone is asleep. and these 82,000 people who

are annually inundated with colorectal cancer in russia, all of them could have been prevented , imagine okay, nikolaevich colonoscopy, understandable, but gastroscopy until recently, for example, in japan, stomach cancer was the most common sore, and they realized that the nation is dying out because of a disease that can be diagnosed earlier. at the age of more than 20 years, they began to do yes gastroscopy and identified risk groups. here you are fine. you are well done. you get worse every five to ten years once every 5 years 3 years can you imagine, and in russia in russia we cannot boast about this, but we have a larger country in most referral centers, it is very well debugged. so let's say screening all of these studies, so we're on the right track, we know the best examples we're working on. i propose to find out what our viewers are afraid of, why they do not

want to do these procedures? come on, come on, let's start with you, then i'll stick myths for it, and the truth is, i'm afraid to damage the vocal cords. this refers to gastroscopy, if very strongly to try and be completely inexperienced and not get into the digestive tractor of the resting tract, then theoretically this is possible, but in life, but i don’t remember something like that for the past 30 years. colonoscopy also scares you. i personally am a doctor, i can not prescribe. uh, the main study to my patients without having to go through it myself and i asked my colleagues to do me without sedation from sedation. well, of course, without sedation, the sensations are very interesting, but somewhat strange, but aesthetically uncomfortable, but it doesn't hurt. well, sort of, well, strange. somehow, you yourself are still looking at the screen. oh my, i'm beautiful on the inside. uh, and in a dream it's easier, i talked with

my colleague an anesthesiologist. her name was tanya, i say tanya. but how can we not continue to wake up and say dinner. he says she has already left, and already all 30 minutes have passed. you have already gone through the whole procedure, everything is so that the spectator writes us about the fact that the preparation of a colonoscopy is too complicated, i can’t cope, but some preparation is correct, well done until recently, until the emergence of small-volume drugs. it was necessary to do a camp fire, an enema of magnesia, some incredible procedures, dances, with a tambourine. now it has become much. everything is simpler, there are at least three types of drugs. and if there are any difficulties with the heart with pressure, then we give there about 3-4 liters of solutions that taste like such a tasteless drink, summer, refreshing in a bad cafe, sweet, not sweet, but add ice and lemons . it is already becoming more or less similar to sly, relatively speaking, you can drink in it, but there is a two-liter low-volume i drank the preparations in the morning and in the evening and did not understand anything at all. it's just that it's become much easier,

our spectator writes. i understand her, i may vomit during a gostoscopy, i will repeat it again. i do gastroscopy sedation. no sedation. the feeling is also aesthetically uncomfortable, but not colossally terrible. yes, there is a reflex, but a smart, competent doctor will puff you up in advance, tell you how to breathe and well, that's all, tolerably tolerant. well, fixing is usually done on an empty stomach, there is nothing to throw up. so everything is fine. so too myth mikhailovich can you even show how it works. you know with pleasure, but i need an assistant evgenia come to us usually the procedure is carried out by an anesthesiologist with a physiological nurse. they shove distinguish aha and for an endoscopic procedure whether it be a gastroscopy will be biased to copy two people. this is an endoscopist. with a gadget like this, thanks to this flexible, bending serpentine hardware. we have become an order of magnitude more protected from oncology of the colon

and stomach. how is it neatly wound up? come on eugene with modern equipment. you see, and on the screen you can see where we are approximately , because we need to understand in the stomach where we are near the splenic fold near the hepatic fold, it goes neatly. we will now show you a bra, chic. come on, we have polyps. here it is something strange we did not like. we came closer, looked at it, looked at it, then there are special loops with which we cut it all off, cut it off in time and advantage. quite right. we, firstly, describe their mucosa. how are the blood vessels located? some indirect external signs may already say that it is, unfortunately, bad, and therefore we remove a lot without thinking, that is, during the study, in addition to the diagnosis. doctors can remove. polyps are a medical and diagnostic procedure, so it’s a charm and on average the patient already says in an hour, well, i remember that there was a

study, but no, it didn’t hurt much, the doctor. thank you for what we did, when should i come if they didn’t find a polyp they didn’t find anything 5-10 years, if something is found and polyps of different sizes of different histology structures, then from one to five years, depending on different polyps, ivan nikolaevich is very interesting and very useful to do. it is necessary in a timely manner that we understood that we are extremely grateful to you for this journey. today we discussed why it is necessary to do a gastroscopy voice copy and why you should not be afraid of these procedures, the conversation about the most important thing continues. next on the program is chen's sudden suffocation, cardiac asthma is different from bronchial asthma in the garden. basil poured greens, tell me what you eat and i'll tell you. what season is it

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how can it be dangerous for our heart? belenkov yury nikitich vice-president of the russian society of cardiology academician of the russian academy of sciences director of the hospital therapy clinic no. 1 of the medical faculty of the first moscow state medical university named after sechenov 50 years in the profession. good morning. you know, it often happens on duty, when i was still young on duty, a nurse comes running 3,000 patients, suffocating, we urgently need help. and

here is a hedgehog or you run there and think, and what is the reason you can suffocate for various reasons and today about one of such reasons about cardiac asthma. we will talk. asthma in greek means suffocation, shortness of breath, one of the first scientists who described its clinical manifestation was hippocrates during an attack, less air enters and exits the lungs, a person coughs, suffocates , feels tightness in the chest, during an attack, the duration of which varies from 2 minutes to 3 hours. the patient feels the fear of death, often cardiac asthma is confused with bronchial cardiac asthma. a disease of one kind or another, the symptoms of which at least once appeared in about 3% of the inhabitants of the whole world, as a rule, complications occur in people over the age of 55, so it is important to know the differences between bronchial asthma and cardiac. how

to recognize cardiac asthma, and what is the danger of its crime? look, there are seizures, suffocation, shortness of breath . i have been disabled since i was three years old. i am an asthmatic, when i graduated from university at the age of 21, i removed my disability and remission, i was 20 years old. maria ledentsova, 44 years ago. i started having seizures again. i can't do it without it. it's the lack of air. difficulty exhaling, of course, yes, that is, on exhalation, exactly why i am, right? let's next comes the panting. there is, but not as scary as maria's. well, who likes what, yes, a heavy smoker? yes, how disgusting the lungs are. how do you know? i hope no. i hope they can tell how what hopes there are vladimir boyko is 51 years old. shortness of breath is a heavy smoker,

the second reason is heavy with experience calf, i have a diagnosis, heart failure, high blood pressure, well, 150 is somewhere around 120. well, well , all the time, if you start some physical exercises, all at once. uh-huh, not enough air 47 years old hearty nastasya then it is much easier to speak, but still the insufficiency does not stop located between the chest cavity and the abdominal cavity. i'm a fragma called pursed lung pursed further down the list associated with

vascular atherosclerosis olga stolyarova, 69 years old, eventually suffered cardiac dyspnea of ​​the right wing not cardiac dyspnea. so, let's figure it out. so the systemic circulation starts from the heart, the blood is ejected into the aorta anywhere brain liver muscle. there she gave oxygen. saturated with carbon dioxide, returned to the right heart, ejected and entered the lungs, where it was saturated with oxygen and returned to the left ventricle. so, cardiac asthma occurs when the left ventricle contracts badly infa, hypertension does not relax at all, because everything is preloaded. and then the blood begins to stagnate further to the left ventricle. and there that easy goes us.

oxygen transfer of carbon dioxide and blood accumulates in the lungs and cardiac arrest begins. asthma. so what are the signs? well, it’s understandable, it’s puffing, it’s up to the floor, it’s understandable, it’s understandable, yes, the smell of something else made me nervous why it hasn’t been for 20 years. and what is starting up now , they suggested that twice i translated it to the mind, this is a trigger mechanism. do you understand? we started that it was a pulmonary pathology, then we talked about microtransbose. and now we understand that this is a systemic inflammatory disease. now there is even such a term, cabin masks, there, in addition to the lungs and the heart, and the brain and intestines and the liver. whatever you want so they called me. i ran as i fly away, that it is precisely cardiac asthma, as a rule, the patient. he does not lie, he sits, he is disturbed and inhale and exhale. that is, you exhale, you inhale with

cardiac asthma, as there is venous stagnation and swelling of feelings for everything else in the bronchi, of course, is difficult. inhalation and exhalation pallor cyanosis lips turn blue nasolabial triangle turns blue that does not happen with bronchial asthma. you are more likely to be white than blue, much whiter? well, here the red will be red, naturally swollen veins, because the outflow of blood is difficult. and of course it's often occurs at night. still, cardiac asthma is a rule. the fate of the night cause, not the one that you have, but a real heart attack is not going anywhere. hypertensive crisis. here i can agree that the pressure is high, myocardial hypertrophy. the non-contraction of the left ventricle is disturbed, relaxation, that is, it is difficult to fill and there will still be stagnation. this consent is a heart defect. yes, coronary

heart disease can lead, and, of course, this is severe pneumonia. what to do? well, at home, do not hesitate. the first thing to do is to call an ambulance with smoker. you can also think here you can run to the inhaler and make an inhaler. here, you can’t pull to ensure the flow of air to eat in a chair, so that the legs are down, so that the blood swells a little from the heart, so that it is a little easier for the heart to contract and take low virgin pills , in principle, this is not quite a good help. however, until the ambulance arrived. at least dilate the blood vessels. here, for example, we used to do what we did in hot water with our feet so that the vessels dilated or even tourniquets were applied you know, some kind of venous tourniquets to limit blood flow to the heart, to facilitate the work of the left ventricle, that is, this is this emergency condition. if here it's all

chronic, here it's a condition, it's urgent, it requires emergency measures. and, of course, help in the hospital, because of course. an attack of cardiac asthma is stopped, of course, with drugs and, of course, with intravenous administration. and tell me, please, can asthma usually flow to the heart, or vice versa, if bronchial asthma is not treated, the right ventricular failure occurs, then left ventricular failure and may be combined asthma. treat regularly for bronchial asthma. you will not have a cordial so colleague. unfortunately, i can say that sincere times we are not a sentence. this is a symptom a formidable symptom of other diseases, you will treat the underlying disease, you will do the prevention of the underlying disease, and you will live a long and happy life. well, almost without a heart print, if you have any questions. come visit for a consultation now goodbye together with us. we

we wish you a good day and good health, see you on the tv channel, russia