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morning. hello live. today we will talk about antiviral activity, it turns out that there are products that are better to refuse. if you get sick during a cold, the body spends all its strength on fighting the infection and the task of the patient during this period, in addition to taking the medicines that the doctor prescribed for him, is also to change the daily routine and diet. and this means that he must reconsider his eating habits. already start

thinking about what is good for the body during this period. and what, on the contrary, is harmful about it? we actually wanted to talk today. what is there. and what not to eat when you are sick, we learn from our, so to speak, mikhail moiseevich ginsburg, nutritionist, doctor of medical sciences, good morning moiseevich, that's all, when you are sick, do you want to pamper yourself? well, if you are sick, then it can be so? well, this is still not the case, because when you are sick, you are actually in the process of fighting an infectious agent with a pathogen, and depending on how you behave, the disease will either quickly recede or continue to pass on its complications, god forbid pneumonia. so, food and people have a very important point here. very often they make a mistake when doing just that. let's see

what foods should be discarded during a cold so, on thermometers 38 and we have sweet sparkling water. no, this is a very bad story, in general , such an abundance, sugar entering the body has a sharply pro-inflammatory effect. that is, in fact, with the help of sugar, we weaken the immune system, intensify all inflammatory manifestations , plus this gas itself acts locally. well if, say, not traumatic, then irritating, but the mucous membrane of the upper respiratory tract, increasing the manifestation of a cold, friends, you should not drink soda. when you're sick, let's move on to the next beat. oh my god, no no, this is definitely a bad cookie. that is, a lot of trans fats at once, a lot of sugars at once, everything. this, of course, has a detrimental

effect on the immune system, but all the more so since trans fats will be doubly dangerous during this period, because the process of lipid peroxidation will begin due to the inflammatory process. uh, and they will molecules are formed that directly, very aggressively damage the vascular wall, and the immune cells themselves are macrophages, or lymphocytes. you can do it a little, but again we must remember that after all, honey is a sugar-containing product, of course, there are a lot of bioactive substances, tonic substances, but further as the amount increases, the beneficial properties, as it were, decrease or do not increase. but the harmful properties begin to increase, so a teaspoon. that's about, well, 1-2 times a day. it's good a tablespoon 3-4 times a day no, it's bad, why do we forget when we suddenly go beyond the salinity of the salinity. no, no, second in danger. it seems to me well sweets of salinity

of salinity have one very unpleasant property to retain water in the body. all this is at least an edema of the inflamed mucous membranes and, accordingly, an increase in inflammation, an increase in the duration of this acute period. and the second is an increase in the load on the cardiovascular system. and i must say that the heart suffers a lot during a cold, because the consequence of intoxication the heart rate increases, and the heart muscle also undergoes syntaxation. and plus even more fluid in the vessels. that is, the blood pressure rises, the load grows, this can end. very sad. in addition, the body is still fighting viruses, the decay products of various organic substances are formed, and the body must remove all this. that is why we often hear commendations of disgust. which increase fluid intake drink more so that the body removes these substances, but in the image. in the process of decay

that the runes drove faster, and salty foods will delay the elimination of these toxic substances and, as a result, the symptoms of intoxication in humans. lethargy, weakness bad. mood violation of appetite and so on will only intensify, but in fact, i rarely saw that when a person has a cold or he is warm, he eats pickles, but the chips crack all use these are salty foods, for example, the same chips mechanically injure the back wall of the corner and in addition to this , a chemical is also superimposed on the mechanical injury salt injury. this also applies to the throat. this concerns the language, so often people have such a background. here in quotes diets can develop secondary complications in the form of, for example, some says, but, that is, inflammation of the tongue, that is, it turns out that all these foods can also increase the symptoms of a cold. yes, they are making an effort. that

is, the symptoms of a cold and prolong the period of a cold and increase the risk of complications, which can be with a cold. and what can mikhail moiseevich give us hope very good for colds ginger. everything here is in general substances, possessing such potential antiviral activity, this and onion garlic, these can be light broths. well, with chicken, for example, too, maybe with some addition of turmeric. here are some spices that have anti-inflammatory effects. i would also add a large number of a variety of vegetables, and, like cruciferous, these are different types of cabbage. so here are the colored tomatoes, peppers, again due to beta-carotene carotenoids and also directly affect the immunity very well even fermented milk drinks. speaking of which, here is the idea that necessary during a cold, and drinking broth in

particular. chicken broth, for example, and oddly enough, but modern science confirms this in clinical studies, and studies have been conducted that have shown that the number of inflammation molecules. uh, in particular, interleukins are reduced if a person consumes such a rich chicken broth during a cold. and what is so useful in chicken that all these infections die, scientists suggest that this is due, and with the effect of the so-called amino acid traps, because when a meat cooks some of the proteins, it breaks down and free amino acids enter the solution into the broth, respectively. uh, the coronavirus enters the human body. it causes the activation of the immune system and these very proteins of the immune system are produced. these are tekins. these are interleukins, whose task is to destroy cells that are affected by the virus. ah, accordingly, their reaction can be excessive, that is, they can destroy,

in addition to diseased cells, also healthy ones, and in this case this causes a dangerous state such for example, like cytokine storm but these proteins they react to e, special proteins that are on the surface of infected cells and there is a version. that it is precisely because the same amino acids are circulating in the blood at that moment that the inflammatory process is partially distributed to these randomly circulating amino acids in the blood and thus, and the lesion is an inflammatory lesion of the walls of blood vessels and so on. it is because of this that it decreases, in general, in addition to chicken broth. i even noticed by myself michael moiseevich, as soon as you drink a lot of hot hmm , then there is some kind of activation of the body, that it is faster and prays hotter in this state. it just feels a little better somehow. for example, hot tea. yes, hot tea with milk or jam with a little here. just now you are implementing those properties that we talked about today, that is, we give an antiviral

effect. well, if berries are present there, we replenish the amount of fluid, we alleviate this general condition. and against this background. you feel you feel better, you have higher immunity and colds somehow make it easier for you to use such a tactic. it reduces the likelihood of complications, well, we will follow your advice. thank you very much mikhail moiseevich please. well, we found out that during the cold period there are foods that should be avoided this salty sweet, but there are foods that will definitely have a positive effect. this is a large amount of pure water. these are various fruit drinks and other drinks that allow us to detoxify our bodies, and this anti-inflammatory, and substances that are contained, for example, in raspberries in ginger and so on. well, the conversation about the most important thing continues. next in the program what vegetable

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useful feeling is that i am somehow a sorceress and the brightest. well, quickly, bring out the food formula, let's quickly 1 2 3. food formulas every saturday 9:00 on the channel, russia we continue to talk about the most important thing about health, how to maintain it right now, our permanent longevity section, which gerontology scientists will talk about what vegetable oil normalizes blood composition. why are we getting old?

how to live without illness? in their right mind and long memory, gerontologists recognized throughout the world will answer. vladimir khatskevich khovenson corresponding member of the russian academy of sciences professor director of the st. petersburg institute of bioregulation and gerontology svetlana vladislavovna trofimova doctor of medical sciences professor president of the russian society of anti-aging medicine. hello we are used to the fact that fats, including various oils, negatively affect our health. and by the way, many diets. they are based on reducing the amount of fat oils, but today we will tell you. why oil should be added to your diet, by the way, daily vegetable oil is one of the most high-calorie foods on the planet, 100 g of which contains more than 900 kilocalories and it is obtained from seeds

of kernels and other fat-containing foods in the world. more than 30 types of oils are known. all of them contain different useful substances, vitamins and also smell differently, but perhaps one thing unites them, they do not contain cholesterol, as the manufacturer claims. write labels on products without cholesterol. however, few people know that vegetable oil contains cholesterol. it cannot be, in principle, and this is just a marketing ploy, and yet vegetable oils directly affect our level cholesterol in the blood, how about this in our rubric? cholesterol is formed mainly in the liver, then the functioning of the liver. it is extremely important for every person that our body needs cholesterol in the first place. this is an energy reserve for all organs and systems, for the brain, for the heart and for our muscles, cholesterol

is also necessary for the synthesis of all our hormones, including sex hormones. yes, therefore, when the intake of cholesterol into the body is limited, then only 20% of our sexual function suffers. consumption. yes fatty foods affect cholesterol levels. however, with age, there is a decrease in the utilization of this cholesterol by our body. that is, they were destroyed. what is going on? the amount of so-called low-density lipoproteins increases, or it is also called bad cholesterol, which leads just to the formation of atherosclerosis. in general, it is very important for every person to do a timely study in the laboratory of biochemistry of his e, lipidogram in order to regulate his diet and generally know the state of his health,

but if it happens, just a violation of cholesterol metabolism, then not only the occurrence of atherosclerosis occurs, but also inflammatory processes, in particular in the liver. and now you know the cause of high blood cholesterol levels. a lot of them. primarily. this is low physical activity physical activity, necessary for a lifetime. as long as possible, but, of course, feasible physical activity, smoking, but this is a very harmful factor not only for, uh, our entire metabolism. well, for cow and human life disease, the appearance of thermosclerosis is when people smoke, they develop atherosclerosis in the arteries of the lower extremities, at first it is lameness, it occurs, and sometimes amputation. unfortunately, of course, there is also a congenital liver disease, which also leads to a violation of these metabolic processes of cholesterol, but,

unfortunately, the use of foods with a high content of saturated fats, the so-called trans fats, which are often added, and festive mayonnaise ketchup. well, or uh, fatty meats or some large amount of fat intake. it is clear that one reason is not such a life threatening one, when everything coincides all together. that's when there is a threat to the development of such a complex serious disease as from atherosclerosis. well, oddly enough. vegetable fats vegetable oils they can positively affect our health and regulate the metabolic process, cholesterol. i would like to start with this oil, which all of you probably know very well, this is linseed oil, a tablespoon contains the maximum amount of alpha linolenic acid, which completely covers the daily diet of omega-3, an essential

acid that regulates our cholesterol levels and helps reduce bad cholesterol levels. here in particular. here in the middle lane for many centuries, flaxseed oil has always been used; it was added to porridge in salads. wherever possible, this flaxseed oil is extremely good for itself. particular reduction. ldl e levels the next oil we'd like to talk about is olive oil, which is rich in omega-3 and omega-6 antioxidants and is consumed. well, the entire mediterranean part of the e population of the congress on gerontology, which was held in europe, just had several reports of scientific reports, so the oil and they showed absolutely reliable in terms of evidence-based

medicine. that olive oil significantly improved lipid profile and lowered cholesterol levels. uh, improved or carried out a low density normalized them and therefore this oil is recognized as an absolutely reference oil for health. and if we remember one more oil, the so -called corn oil, then lately one can find a lot of scientific ones. the fact that corn oil has certain positive positive qualities is corn oil, which is the leading one in the usa and even in north and south america the benefits of it. of course there is, but our middle lane. uh, as they say, we have omega-3, yes, flaxseed oil, well, in one more oil, we'd like to talk. this is grape seed oil. this is the champion in the content of omega six among oils, but most importantly, its

benefits. this is that grape oil contains the maximum amount of antioxidants and resveratrol, the substance that just regulates the functioning of our antioxidant system and reduces the risk of various diseases associated with accelerated aging, but again, viewers can ask. so which one am i the best ayatel. everything is in harmony should be if you use all these oils in a frame proportion. this will definitely be the best , therefore the harmony of these oils from it is apparently the most effective, since there are no proven scientific publications to date that what is better or worse for the leg of ranthologists and stay young and healthy health to you from longevity, and the program is about the main thing continues. doctors and as

practice shows most questions and inquiries about health. these are requests for how to improve your well-being without drugs fortunately. there are exercises that really in some cases will help to cope with different types of pain, improve joint mobility and much, much more. today we will demonstrate some of these exercises to you along with the beautiful will not happen and oksana stashenko honored artist of the russian federation my beloved, my dear, directly necessary topics for me misha will understand me, especially sometimes they call in the evening, they say, 16 episodes to read by the end of the next day sitting and reading here is the stiffness in the chest, because as i read, i sit like this. i’m just sitting here and reading and reading and reading, i’m straining myself there, at

that moment i’m already playing for my character. help my dears, what can i do to make me feel good, we need some kind of mop stick, too. mop stick, do you have something like that? now my husband will bring it. super excellent, then we put the stick on our shoulders, put our legs wide enough and make a turn 1 2 3 4 5 6 7 8 9 10 further. we sit on the table given and again do 10 times each side. one two three four five six seven eight nine ten everything. that, that i have not

felt for a long time that my muscles of the upper part of the vertebra, that they exist there at all, here i am now, as you understand, honestly. i forgot about them. this is an exercise. that is, after each two hours of reading there, after two or three hours, yes, well, it is desirable, of course, to do at least twice a day in general for prevention. oh, thank you so much, my beloved doctors, what can we do without you. thank you for being together with us. would love to hear some happy words from our tv viewers you know. there are no bad times and we must not forget that someone needs us and as soon as we tell ourselves. so i woke up and said, oh, something is not right, something must be said wrong, how wrong. i'm happy because i woke up. i'm alive and well. and how can my relatives dial them, give him a couple of beautiful

words of smiles, do exercises with them and life is beautiful and amazingly healthy for everyone. thank you dear. thank you oksana stashenko was with you today we did the exercises without ina. right. we continue the column to ask the doctor and right now i will answer the questions that you send to our email address attention to the screen. hello doctor, tell me how much time should pass from the moment the first symptoms of the disease appear to the onset. the treatment is now actively promoted by the theory that the body itself must cope and there is no need to interfere with its fight. although the last arvi i went for a week, and then a complication happened - pneumonia came out. it was necessary to start treatment earlier, if you notice yourself the first symptoms of sars headache cough runny nose, cold

in nasal congestion, you need to call a doctor and start treatment, because the fight against sars viruses is a serious burden on the immune system and wait. until the body manages itself, it is not always reasonable, especially since viruses gradually, changing, have learned to effectively suppress the actions of a person’s own defenses. what is the general complication in the body of each person in response to an infection, special interferon proteins. an important part of the immune system , they allow the body to quickly cope with the infection, shortening the time of illness and reducing the likelihood of complications, the appearance of complications indicates a malfunction of the immune system. and this can happen for various reasons stress. the presence of chronic diseases. fatigue period. all this leads to a decrease in the formation of interferons. the

immunity of children, the elderly and pregnant women is also particularly defenseless. therefore, in order to facilitate diseases, as well as to help the body avoid complications, a specialist may advise you on the use of additional exogenous interferon, for example, in the form of suppositories. the fact is that rectal suppositories act systemically, that is, on the whole organism as a whole, and this method of taking the medicine provides a prompt start of treatment. this is because the drug is rapidly absorbed through the network of blood vessels in the rectum. at the same time, without overloading the stomach, which is very important for the elderly, as well as for all those who takes a lot of tablet preparations clinical studies have shown that the use of suppositories with interferon and antioxidants vitamins c e can reduce the number of complications by 2 1/2 times, alleviate the course of the

disease and reduce the duration of its symptoms, but i draw your attention to the fact that you should not self-medicate and before using drugs, you should consult with a specialist. and we continue talking about the most important thing. next on the program are the first signs of loss vision aescusan helps to eliminate five symptoms, varicose veins trust health. e. skuzan we watch russian cartoons and children's programs to spend time with children, we watch for free without registration. pentalgin is the number one remedy for the pain of spasm and inflammation with periodic female headaches and other types of pain. pentalgin will do without pain. order on the website or in the citylink application and pick up immediately in the store, for example, a lemark kitchen faucet with a discount of

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vision vision is expensive vision priceless vision must be protected. the main thing in the profession of a doctor is to love your

work and be dedicated to this work so that patients receive the maximum help that we can give, how we can operate today 20 years ago. we even dreamed about it for an 80-year-old man. we can return the age of schoolchildren, the lenses in the center are fine. i'm kissing - that's my job. my hobby and i can say that my life, which i have been living for the last 30 years, i am dmitry dementiev, an ophthalmologist. good morning. the topic of today's conversation will be inconspicuous signs. loss of vision will help me figure this out. our guest georgy dronov is known to most viewers as actor georgy dronov, as a sissy from a comedy sitcom, however, georgy himself aleksandrovich bears little resemblance to his character. he is interested in military equipment and considers himself a

conservative. he loves the family peace of his wife and his children very much. today we will talk with you that there are some signs that can tell us that our vision is subject to change and we can even lose it. as you can see, let's start with this. well, i, unfortunately, have begun to notice lately that it has become almost impossible to read without glasses, that is, my hands have run out, and you have prescribed glasses. yes i already went. i fought for a long time. i thought you had reading glasses. yes, there are reading glasses. yes , i can see well in the distance, perhaps in the evening there are problems driving. uh, the bright lights are starting to blur a little. how old is a, 49 what you see up close is bad, this is a normal process of physiological aging of our lens. yes , which awaits us with all the inevitable. but what you

said is that it's harder to drive in the evening and you see blurry lights. this may be one of the signs of loss of vision, worsening night vision. see, we are ready. i didn't even know you were going to say that, she immediately said it could be related to cataracts. look at the picture. this is how a person sees who sees well on the left, but sees on the right at all. you know bye bye. here is the left one, yes, the left picture, yes, but it’s already worth thinking about going to the ophthalmologist. the ophthalmologist will take a look , make the necessary tests and tell you exactly whether it is worth worrying or there are still a few years ahead, write out the right glasses, prescribe drops and the disease will be determined. ugh the easier us to treat him. and even more comfortable. your life. naturally. eh, what else is sensitivity to light, let's say, we came out of darkness into bright light, there is

discomfort, or a completely normal feeling. you know no, i haven't noticed it in such detail yet, but yesterday was a very sunny day. i remember that the sun caused quite a bit of discomfort, probably, there is a desire to wear dark glasses, yes, before there wasn’t no before 20 years. these after the series sasha and masha, when i began to go outside the desire to put on, glasses appeared even in the dark days, in any case, this suggests that there may be some changes in the organ of vision ; conjunctivitis; there may be initial small inflammatory processes; dry eye syndrome. we go further frequent eye headaches, it happens. you know, yes, it happens. does it feel like there is increased pressure in the eyes? well, as if they, well, frequent eye pains and headaches are poured, they can speak. oh, and such a disease as glaucomaniacs. well, rooms. unfortunately. this is a very

terrible disease that leads to irreversible blindness, one of the reasons for the deaf rise in intraocular pressure, so what you say, i feel as if i have pressure, you can’t feel it, but intuitively plus headaches. this may be a harbinger of glaucoma, but let's also look at spots or flashes before the eyes, they can say that there are zones on the retina that either have become poorly supplied with blood and zones that are stretched can tear, and if a small retina ruptures, a hole is formed in the retina, liquid gets under it. mowing layers the retina and such a terrible disease appears. like a detachment now, if you see in time that there is a zone on the retina, which theoretically can break through with sharp inclinations when lifting weights

, this zone so that it does not break through, we coagulate it with a special laser so that the liquid does not enter into the eye roach and didn’t call it from her here are such signs that many people don’t pay attention pay attention to this, they don’t take it seriously, and then they come and say, yes, how is it? i had it all. and i couldn't, i didn't want to, there was no time for it new eyes, so there were doubts, symptoms appeared. go to the doctor to see you. and if everything is in order, you will mind your business. if there are problems, the sooner we start treating these problems, the more chances that everything will be fine. thanks for the advice. thank you for coming. all the best happy goodbye, dear friends. vision is priceless. take care of your eyesight, the program is most important to continue. diseases let

's talk about convulsions, doctors revered that approximately 75% of people on the planet suffer from seizures often people try to forget about these nighttime torments. but in vain, because leg cramps can be a harbinger or symptom of very serious illnesses. the program contacted our president elena who suffers from leg cramps. let's find out there is a story elena rostotskaya 55 years old, samara for half a year elena wakes up at night in pain she has a cramp and cramps her legs and how to help herself elena does not know her legs and i rub needle kolya as my mother advised until she leaves. even on the walls down. maybe it's with adult problems with menopause that something hormonal is going on in the body. in general, i'm afraid that this is a more

serious problem. rather than just muscles or leg fatigue, elena worries about her health. after all, she has a large family, and everyone needs her care. of course, i understand that i need to be healthy to live for a long, long time, because my daughter is going to give birth to many grandchildren, they definitely need grandmother lena and i must be healthy, strong and energetic. why do seizures occur legs and how to solve this problem elena turned to our experts for advice? well, let's figure it out together with elena good morning. good morning. come out to us. good morning. hello lena i ask you, when you started to have cramps, they became more frequent. the fact is that i had cramps since my youth, because i danced sick dances on high heels a lot, and they appeared even then. well, so rarely they bothered so much, but somewhere in recent years. well, several times a week at night, very, very, very painful varicose veins. at

you, too, from the youthful times of more than 30 years. yes , as soon as i endured my daughter. he showed up right away. i was offered several surgeries. eh, i refused. why does it feel like pulling the veins out of my legs? somehow it is very scary, and you suffer from convulsions. uh, at night or during the day, too , in the evenings. moreover, the feet also began to turn out twisting, that is, not only the circle, but also the feet were connected. i do not think that now our experts will offer you this terrible pulling of the veins for what it is to you will tell you about your disease and, uh, tell you what to do. i am absolutely in it. well, i'm sure musa is on the zirovich of my whitefish, a surgeon, orthopedic traumatologist, head of the department. candidate of medical sciences completed an internship in clinics in

poland and germany musa nazarovich come to us. good morning. good morning. good morning. you must have heard what we were talking about and listened carefully. let's talk about the possible causes of spinal disease can cause convulsions in a person. yes, a disease of the spine and, first of all, problems associated with a violation conduction of nerve impulses can cause certain sensations in the lower extremities, including involuntary improper muscle work . yes, this is a prerequisite for the fact that you need to apply, after all, see a traumatologist, an orthopedist, a neurologist. these are the specialists who will first assess the condition of the spine. the state of the nervous system. okay. let's go further the condition of the foot, it can be the cause of the courts. this is often seen as well in patients with impaired static function. stop starts muscles are involuntarily activated. above the thighs, the calves, which force the foot, well, they try to

return the foot to its place and they are in a constantly increased tone can lead. well, as a rule, the state of the feet should be assessed in order to recommend some kind of therapeutic measures. well , at least a banal insole and orthopedic wear, which are made according to the foot. very. it is possible that seizures may be less. let's move on magnesium, yes, magnesium deficiency, by the way, sometimes it is a hidden deficiency. magnesium deficiency. maybe affect the improper functioning of the muscles and quite often cause them. uh, involuntary contractions including, by the way, evening eating foods rich in magnesium. among them, we can distinguish, for example, cocoa almond bran, gloss, how do you have magnesium, and chocolate, i really like it very much, we have your analysis taken before the start of our program. here it is on the screen of some catastrophe, we do not see it here, but it is clear that magnesium is approaching the lower limit. this is

sometimes an indicator of that very hidden magnesium deficiency, that is, you have problems with magnesium. len to eat you need to eat these foods, and one more reason, oh, which cannot be left out. this is what is called chronic vein disease, most often it is manifested by a bursting feeling of heaviness that occurs in the afternoon. the worst thing is that varicose veins can lead to the fact that the resulting stagnation is accompanied by the formation of a blood clot and this blood clot can clog the blood vessel in general and cause thrombosis, veins. and sometimes. these are superficial veins. then a person can see it, but if deep vein thrombosis, then outwardly, like a person it seems that nothing is visible. redness. at least not. but the feeling is just extremely unpleasant, including very unpleasant convulsions. not to mention the fact that deep vein thrombosis. it is not very safe from the point of view, including life. by the way, it is very

important to correctly stereotype the gait so that it is because the contraction is not like that in the muscles. it pumps blood from the veins, and the contraction is like this, that is, when we go from heels. this is what helps us turn off the blood from the vein. and when on heels long regularly a lot. no wonder women are much more likely to have this problem. that is, we do not have time to use these muscles. heel sets. so, we almost don't have this phase. and this, accumulating over the years over the years over the years, leads to the fact that the valves begin to represent themselves. well, not much of a spectacle. well, well, let's sum up some kind of intermediate result, we found out that we have one, two, three. we suggested that you can make insoles, that you should go to a neurologist, you have a whole plan for examination and work it is advisable to do here a secular study of the veins of the lower extremities in order to understand

what exactly causes your symptoms. actually. thank you very much. today we found out that leg cramps are not as harmless as many people think, they can be symptoms of very dangerous diseases, the conversation about itself continues. further in the program, the female heart, when there is a risk of developing a heart attack aescusan is comparable in effectiveness to aescusan compression stockings the favorable price were some people, very unexpected dangerous people, watch the premiere. real murders what time did krasovsky get shot? how did you find out that krasovsky was the one who was shot ?

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andrey malakhov on saturday 18:00 on the channel, russia we are talking about the most important thing about health, how to maintain it right now, cardiologist yuri nikich belenkov will tell you what women need to know about a heart attack belenkov yuri nikitich vice-president of the russian cardiology society academician director of the clinic of hospital therapy no. 1 of the faculty of medicine of the first moscow state medical university named after sechenov 50 years in the profession. good morning. kind morning. today we will talk about the female heart. well , of course, this is the lot of poets composers, but we are doctors,

people are more mundane and, of course, we speak and think a little differently about the female heart. palpation, then, without touching the patient's chest, the doctor applied the rolled-up paper to the body and heard a loud beating of the heart. so the stethoscope was invented, with its help, doctors could already say for sure that the differences between men and women are not only external; the mass of the heart in beautiful ladies is about 10-15% less than that of the stronger sex, and hence the size of the internal chambers. in a demi-human from predetermines the development of heart disease. what is the risk factor for heart attack in women, how does it manifest itself and can it be avoided? let's

look at germany, this is the death rate from myocardial infarction by age and you can see that at the age of 80 women have caught up with men, and in the nineties they have overtaken men in mortality from a heart attack myocardium. and it's safe germany gal yes how old is a heart attack? i was 45 years old had a heart attack and everyone was surprised. yes, all doctors were surprised for 5 years. i myself was surprised, i was in shock, although i didn’t beat full, my health was completely healthy. there wasn't even a map. i didn't have a clinic anymore . there was no pain, but there was pressure, sometimes jumped, and so nothing foreshadowed, yes, trouble you are 63 years old 65 years old.

well, there are common risk factors for men for women, i mean age. yes cholesterol, yes but women have some peculiarities. you do everything your way. for example, the first risk factor for women is arterial hypertension. so igor was the case, the second diabetes mellitus of the second, like, who has love pletnev for 60 years. you didn't have an acute heart attack from where the stents were placed. i had hypertension elevated cholesterol regularly to my misfortune. i didn't get treated. yes further, let's go how many years was menopause worn?

menopause and early menopause, well, let's say, artificial, well, everything in life is an operation, for example, the gynecological function of hormones has stopped, but there is one caveat. this is typical for a heavily flowing menopause. and what to keep in mind. female sex hormones are the best protection of the vascular wall, but her hormones help a woman, that is, the introduction of hormones from the outside, the situation with menopause improves well-being with fewer hot flashes. uh, less sleepiness, weakness, but in terms of the development of atherosclerosis of myocardial infarction, they do not help, and here is another nuance to keep in mind in women. is not controlled intake of contraceptives, because, firstly, they affect the hormonal profile and

secondly, they increase the tendency to form blood clots, of course, this is smoking, especially in women. and of course. unfortunately, this is the effect of alcohol, which is typical for women in the manifestation of myocardial infarction. well, here the last one has already been discovered, it is often asymptomatic. the so-called silent ischemia. this may be a classic chest pain. it might just be fatigue. here you stand woke up was jointed. here are two steps, done fatigue. it was the same. yes, this is an equivalence on the cardia, in fact. you have gone through the classic path of acute myocardial infarction. everything is as it should be. yes but maybe i'm a typical back pain. without pain in the chest, my hands

hurt very badly. you had a variety of pain syndrome than men. and even the stomach and, of course, this is a rest. that is, you remembered your path. i understand, well, the first thing i would like to ask women to watch their weight is three types so obesity in the form of an hourglass in the form of a pear in the form of apples. the worst type is apple-shaped fat, which is most located in the abdominal cavity. unfortunately, it is hormonally active and it is he who leads to insulin resistance, as we say, a violation of glucose metabolism. that is, he begins to feed himself. so what do we do to control pressure 120-130 to 80, 85, which is

cholesterol blood glucose. well , type 2 diabetes mellitus, this is generally destiny. basically the most common female myocardial infarction. yes cholesterol for women after menopause. excuse me, please , the standards are for a man. heart attack 4.2 low density lipoprotein 1.8 1.5 glucose as i said, physical activity? necessarily any i'm not saying that you need to lift dumbbells. i say that you need to run cross-country. well, at least take a walk with sticks , lose a little weight and, of course, quit smoking. keep in mind that women get sick more severely, because the coronary arteries are narrower and diabetes mellitus, while hypertension, yes, the whole bouquet still smokes night shifts. think of your heart

think about your health, and we will be happy to help you. thank you all for your attention, good health to everyone, i have questions. come to the consultation spent this morning with us. we wish you a good day and good health, see you on the tv channel, russia donbass is under fire again this morning , 15 settlements in gorlovka were wounded by the head of the administration of the kalinin district on the march, our artillerymen.