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knee pain is associated with weakness in the gluteal muscles, and recent research shows that this is one of the best ways these muscles are activated and the next we try to lift. only one leg of the other leg, that is, like this, we stomp on a thread on a thread walk and literally 20-30 seconds are enough to feel that the gluteal muscles are working very actively. yes, fine, but on your knees. how this affects due to the fact that the gluteal muscles become more active, they are more involved in the external rotation of the thigh, this reduces the load on the patella. as the study shows, it is the patella that hurts. the most common cause of pain in the knees and a more complex version of this exercise, we take and start walking forward all the time stretching the elastic band to the sides. all despite what it looks like comical. it's not easy. no, of course, it will look like now, when we go backwards.

okay, and this is prevention or treatment and prevention of treatment, by the way, doctor, and you can do this exercise if your knee hurts, uh, even if your knee hurts, this exercise can help. how many sets how much time to spend on this starts should be about 10 seconds. after that, 10 seconds break and repeat from 4 to 10 times, gradually increase the time to 15 then to 20 seconds, and the number of repetitions to 10-15. thank you doctor for this exercise, and we start talking about the most. stress surrounds us all the time, and from birth. actually , the inventor of the word stress, a canadian physiologist, ganselier, at one time, said life without stress is impossible with stress. as such, we don’t need to fight stress, it is necessary so that we can live normally, we are struggling with distress, that

is, with a sequence of stresses that do not give us the opportunity to recover, we asked our viewers to write at the beginning of our program, which usually causes them stress. well, let's take a look. well, for example, a puncher at 3:00 at night. uh, and if you're annoyed by a puncher at 3:00 in the morning, a persistent nervous system has begun. yes, i have an option here, unwashed dishes in the sink, hair in the bathroom and snoring. i understand that my husband is just annoying. but there is an alternative doctor, just that your wife is roasting you? but look do not give way to a place in the subway the smell of a colleague's sweat. that's it , i agree, flight delay due to bad weather, when you have only 3 days of rest, probably rest. yes, but in general i agree. it 's stressful, but, but the way out is there are always special foods that help us deal with

stress. yes, and it doesn't matter? with whom and about them we will talk together with our permanent expert mikhail moiseevich ginsburg, nutritionist, doctor of medical sciences mikhail moiseevich good morning. come visit us before we move on to products that will help us get rid of stress. what was the last time you experienced mikhail that irritates you mikhail moiseevich, apart from our questions, naturally, just questions don't irritate me. well, you probably know when on the road. uh, here's some kind of detachment and something goes wrong. they really do delay the flight, for example, er, the landing is annoying, maybe a lot. let's support our brain, our nervous system and help them deal with stress. so the first product, my god, and here we need to understand that today

we will talk about ordinary everyday products, but to name there a little bit, maybe unusual properties that are not known to everyone, but now knowing about these properties, remembering them, we can include these products in our diet more often. michael we are now nothing annoying. no annoying, what michael chews, but we are not. everything around became blue and green, a well-fed person and a hungry person. this is actually. we understand this for a different person, and the mustache of this person in the brain forms a picture that can conditionally be called everything is well connected. it is with the formation of such a neurotransmitter, as serotonin, serotonin is formed streptophan tryptophan quite a lot in any protein food. or if we eat carbohydrate foods, then such a metabolic reaction occurs, a lot of insulin appears. goes away antagonists, tryptophan tryptophan

better penetrates through the blood-brain fighter in other words food finds a way to increase the brain level of tryptophan and further the level of serotonin, and we experience the pleasure of us well. in this case, just regular consumption of such protein foods helps to increase the level of tryptophan and, accordingly, serotonin in the brain makes us more resistant to stress, scientists. by the way, we had a very interesting research. they took a group of people divided into three subgroups one for breakfast. eggs others ate oatmeal, and the third ate oatmeal cookies and then compared for a month. uh, tests for stress resistance and it turned out that the best way to resist stress is those people who had eggs for breakfast. the first products for stress are chicken eggs, then the number two product. this so-called cereal can include legumes and nuts combines these products. high magnesium content, magnesium for central

the nervous system is such a relaxing, harmonizing, soothing mineral. that is, if we get enough magnesium. we just react less to irritating stimuli plus some amount of b vitamins which in this case are synergists too they work. yes, of course, cereals, not antagonists. they help the magnesium pop. so, legumes and whole grain bread will also save. you from stress formed breakfast. yes egg cereal bread is a wonderful breakfast. and here we have a turkey. here we're going to talk about proteins speaking of vitamin b6, which together with magnesium works for such a calming effect. we know a lot of medicines that soothe us include magnesium and vitamin b6 at the same time. and besides,

tryptophan protein. we've already talked about this. well, it's not just tryptophan, of course there's another very important amino acid, phenylalanine, which is the precursor in the brain to dopamine, dopamine, also a very important neurotransmitter, which, well, you could say. this neurotransmitter of activity, neurotransmitter of common sense of the goal of believing certainty. that is, if i am sure that i will be able to reflect. there are some attacks , some challenges, i, of course, will be calm and more stable in some kind of stress. yes, and i think it's a great option for dinner, because tryptophan is not only a precursor to serotonin, but also a precursor to melatonin. this means that a person will sleep better, which means that it is easier for him to endure hardships and, finally, unexpectedly good cabbage and pickles fermented vegetables, as if two

one contains dietary fiber and lactobacillus bifidus. we are all used to the fact that lactobacillus bifidus is such an ester of curdled milk. here are the fermented vegetables. they are also contained together, these products are pro and prebiotics and improve the condition of our intestinal microflora, which in turn has a powerful significant anti-inflammatory effect. and we forgot to say that the brain is extremely susceptible. here is this inflammatory reaction that everyone has in the body , but for everyone it is expressed a little differently, just this inflammation. well for example, in the cardiovascular system, it contributes to the accelerated development of atherosclerosis at the metabolic level, it contributes to the development of diabetes mellitus, and at the brain level, it contributes to the development of anxiety, a tendency to depression, and in this case, we get anti-inflammatory effects precisely as a higher resistance to

anxiety. speaking of british psychiatrists, by the way. they so long ago began to recommend, and patients with social anxiety. this is just when a person has a fear of speaking in public, a fear, not at all with strangers and phone calls. such shyness, a certain one, was offered. uh, for such patients, it is imperative to add fermented vegetables, sauerkraut, cucumbers, syrt fu, to the diet, because as it turned out, there is a very interesting inverse correlation, the more a person consumes sauerkraut, and the less he has a manifestation of social anxiety. by the way, we had a note someone was afraid to call strangers . who is this? it's you good morning. what is your name? ekaterina katya are you afraid to call someone you don't know directly people not at work have to call people they know. i call easily, but not a sign. i'm afraid of these

calls. i don’t know what the reaction will be, especially rudely. i'm afraid to hear back. well, and here is the stress against this background. call, i must say that these products still do not immediately act so that you are really afraid to call. ate a cucumber. that's great. now i'll call. so before each call on a cucumber so does not work. it’s just that these products need to be consumed daily, feeding the brain, and the brain will already take more pleasant more profitable more useful solutions. thank you very much. and if you want products to save you from stress, then all editions of our program. you can find on the online media platform we are watching the application or on the website we are watching dot ru, today we found out. what foods will help our nervous system cope with stress, and the conversation about itself continues. next in the program is a minute of health,

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as you probably noticed on the air, the heading of a minute, health, in which our viewers answer questions and get a chance to win a prize today, by the way, saying, this blood pressure monitor is automatically possible after all. yes, we have studios. lena would like to ask what kind of pressure you have 140x90 a little higher a little higher a tonometer does not harm you useful, yes, after the opportunity to win it. are you ready to go so the first question. without diabetes , there may be ulcers on the feet narrow shoes lead to nail growth after suffering from species can fall out the hair of the herpes virus. there is no cure, eating eggs raises cholesterol levels. no, nail fungus is contagious. yes , grapes are healthier than dark ones. no. dry eyes lead to decreased vision. meninges

spots on the nails a sign of beriberi breakfast prevention of diabetes heartburn can lead to inflammation of the tonsils no. 12 questions, answer. you are just at the speed of a machine gun. what are you working for? len researcher plant diseases. i wanted to ask you about the drills shuten, uh coniferous coniferous. i do not work. i work with potatoes. now, if you ask the pastors a second time, i would answer. i won't ask for potatoes. i do not plant. what to do with the colorado potato beetle? say, damn it. uh, well, let's check the correctness of the answers? let's although i have to say right away, she scares me scares. yes, yes, but i check it for myself, and with diabetes there can be ulcers on the legs, and i would say, yes, and you would correctly say michael, because there really

are trophic ulcers in diabetes mellitus. yes next question narrow shoe comes to parting nails. i would answer , yes, you would answer michael correctly, in principle, any woman knows the answer to this question. after the retirement covid, hair can fall out, of course, yes, because we have discussed this many times in our programs, but it really is so now, here is a total lopecia hair loss. eh, really. many recognize the problems as planar. the fourth question minus herbes can be cured from potassium? no, i would also say no, because it can only be drowned out. to control. yes, yes, eating eggs increases cholesterol levels, and i understand that you are fascinated by our expert mikhail moiseevich gingz and you listen to him and of course you said no. i would also say no, and these are really scientific facts correctly, the fungus is contagious here. well, whoever served in the army knows that if one came with a fungus, then the whole uh, company with a fungus. well, in fact

, many people who did not serve know this firsthand, too, because many go to the pools in the bathhouse. and then they wonder at me fungus. well, in most cases, people know that it's contagious, everything is fine, damn it, the grapes are good. what were the deonns looking for? no, this is true, because the darker the grapes, the more it contains, and resveratrol and the substance that is currently considered as the most useful grapes. dry eyes are accustomed to decreased vision. you said yes, i totally agree with you. it 's true, because, bitch, out of the eye is one of the symptoms. uh, a disease called astana pi, which is accompanied by a decrease view, since i am a master of sports in sinusitis, and i will tell you that in this wrong question, sinusitis can lead to inflammation of the meninges. it's called frontal sinusitis when the pus is in those frontal sinuses, and uh, it can lead to inflammation of the meninges. in fact , not only the frontal sinuses, but also the maxillary sinuses can also lead to inflammation of the meninges

. yes, it's true, spots on the nails are signs of vitamin deficiency. you said yes. uh, if it's not a fungus, then it's really beriberi or deficiency, microelements, also a can be manifested by the appearance of white spots, stripes and so on on the nails . but there must be an error somewhere. this e-mega woman has diabetes prevention breakfast . you said yes, and it's true, that is, if a follow-up in australia compared the incidence of diabetes in people who eat breakfast people who do not eat breakfast at the same calorie content on average , people who eat breakfast are less likely to suffer from diabetes heartburn. could their salvation tonsil, they said no, in fact, maybe this gastrogial reflex i will never do something . yes, but it can lead to an even more difficult pronunciation of the laryngo-pharyngeal

reflex. well, actually this is a state when gastric juice is thrown into food at night. it flows out of the esophagus. upper respiratory tract moreover, it can cause rhinitis in humans. it can cause sinusitis, but something like tonsillitis is a chemical irritation that leads to inflammation. you have 11 correct answers. 211 attempts out of twelve to win on autometer, please, thank you, turn over the prize somewhere, you can just drop all this tonometer from now on. thank you, keep your blood pressure under control. i hope that new knowledge from a minute, health, will benefit you, we continue talking about the most important thing. that blood clots are dangerous. and what exactly are dangerous blood clots and they know that blood clots can be a vein, but few people know that

blood clots can form, they are also moreover both dangerous to humans are dangerous to human life, so it is very important to know the first we'll talk about them now. i want to invite our expert to the conversation. zaur khasanovich shubushev. surgeon, doctor of medical sciences, professor, chief cardiologist , center for cardiovascular pathology, jsc russian railways. come see us in the morning. good morning. first of all, i want to know what blood clots are. here it is very important to understand two things the first is. we have blood clots. these are blood clots. who grows in a certain vessel and blood clots. embals. it's this clot that broke off. god forbid flew away somewhere blood flow. what do they come from. this is a well- known phenomenon in medicine. the so-called triad of virchow is required, that is, three

conditions are required for us to have this, we need some kind of problem of the vascular wall. it needs to slow down the natural blood flow. and it must be some kind of damage in this vascular cell, but there are risk factors, that is, that predispose. these are various cardiovascular diseases, for example, with atherosclerosis, the wall of a blood vessel is already damaged. same can occur with hypertension, mechanical damage and so on, and varicose disease is varicose veins. uh, the vein it expands is formed by a site of slow blood flow. and here, please, again a blood clot. smoking may occur, i.e. chemical damage. the walls of the blood vessels, again causes inflammation of various surgical operations. that is, where the integrity of the tissues is mechanically damaged as a result of the incision, for example, long flights. these risk factors are very significant, because a person does not sit for a long time. moving in combination with the dehydration that comes with flying. this is another very important factor. some drugs people rarely

pay attention to what they write in the instructions, but there are a huge number of drugs that increase blood clotting. well, infections for the last. uh 2 years. the number of thrombosis around the world has increased many times over due to the fact that the coronavirus damages the walls of blood vessels and causes thrombosis. there is also, perhaps, a very important point, which should be clearly separated, it is arterial and venous thrombosis vein thrombosis. by itself , even though rejection is enough, it’s still , let’s say, not life-threatening, unlike arterial thrombosis in any thrombosis is the cessation of blood flow, if we are talking about arterial blood flow, then this is the most common thing that we all hear - this is a heart attack, a stroke, this is arterial thrombosis, if we are talking about problems of the venous system, then these are thromboembolism that enter the lungs through the bloodstream and clog some of the vessel in the lungs and, accordingly, a so-called thromboembolism occurs. here is the most terrible three let's say. thus, manifestations of thrombosis

were thrombolyzed. how to understand that there are blood clots in the body to understand? unfortunately this is not possible. here it is reliable to directly understand that i have a particularly arterial blood clot of the family. we are talking about venous. yes, there are, er, signs that do happen. this pain is local fever and inflammation. if we have it, especially in the legs and extremities, what happens, for example, with thrombosis, artery in the veins of the lower extremities. it increases in volume. it becomes painful, the temperature becomes higher. that is, if you take two legs, that is, one leg would have a higher temperature locally. yes , where is it. uh-huh and, accordingly , thrombosis occurs. we have these symptoms listed here, the so-called hot edemas. when in one place where there is a temperature increase locally enough, acute pain in this place is usually present, it can be muscle cramps and often this is a change in skin color, and in the

acute phase most often redness. and if we we are talking about some long-term consequences, this is a violation of pigmentation, the skin becomes so hard, and it looks like parchment skin, uh, such, on which they used to write such a glossy dense very much and it changes its color usually becomes darker compared to the surrounding tissues these signs. they are basically. they just talk about the presence of venous clots in a person. and, if we have in the studio, uh, the problem that we are talking about today. look , i'll come to you. good morning. good morning. what is your name? yana my name is yanochka tell me please, he periodically i have problems with well in the leg area. i also feel that there are hot swellings, as if the heat in the legs is tingling, and by the evening, especially if you sit a lot without moving, your legs are buzzing very much. that is, you are at work. yes? work sedentary work at the computer. yes, that's what to do

in such a situation, and our middle- aged lady. yes, she sits all the time. it can certainly cause thrombosis. one of the risk factors for thrombosis. that is, there are slowing blood flow. if any other two factors are added to it, of which it is valid. may lead to thrombosis try, respectively avoid this forced position. that is to give. after some half an hour, you still get up, walk to warm up and do not forget that it is the contraction of the muscles of the legs that contributes to otto venous blood from the legs, well, as i understand it, people who have the risk factors listed have such people after all it is necessary, but somehow in more detail to study the state of their vessels. what methods surveys needed? for such people, the only one hundred percent method is ultrasound . this doctor conducts uh, at the reception most often it is a phlebologist. with the help of ultrasound, he looks at the movement of blood through the venous trunks along the venous plexuses and sees if there is a blood clot somewhere, if somewhere there is a slowdown in blood flow and

thus all this symptom. the complex determines how much a person is at risk of developing thrombosis or thromboembolism. if required, prescribes some preventive treatment, and sometimes already and accordingly, it is a blood clot in itself. here's the thing about blood tests. we have today. we seem to have, but the ability to determine, and how thick our blood is, conditionally say this as pointers. there are a lot of them, such a hologram is called there are many different indicators, but, in the world literature, there are still no such indicators that say that you have it conditionally, and what is tv such and such, do you drink or do it, respectively? at the moment, we have , there is no one hundred percent marker that would said that this patient needs elastic bandaging and this patient does not need anything. this patient needs special dimitosis therapy, these are always the symptoms of a combination, which the doctor determines at the reception for the flight. i got a little worried, because i fly often and for more than 2 hours, compression underwear saves absolutely yes, it saves, but compression underwear. but what it does is it

plays the role of your muscles that do not work, that is, it helps blood flow from the lower limbs, respectively, you need to choose the right class of compression underwear. they are also different from therapeutic to prophylactic, but in any case, if you have such a suspicion, of course, i advise you to go to the doctor, as there are cases when short-term special anticoagulants are prescribed before the flight, respectively, for people with an increased risk of education blood clots. thank you very much thank you does not happen and what risk factors can lead to their formation, and talking about the most important thing continues? next on the program is shortness of breath after covid, how to help the lungs aescusan is comparable in effectiveness to compression stockings good price? watch to explore the world of educational programs and documentaries. i watch for free without registration, when acute pain came. rather

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leomax.ru 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 fun, don't miss 60 minutes. today at 11:30 and 17:30 on the russia channel, the pandemic has taught us to be attentive to our health. in the zone of special attention are our lungs. i heard that the number of cats, research people has doubled. naturally, they strive, but somehow check the condition of their lungs. and unfortunately, this happens already with every sneeze, in some actually. naturally, such large serious studies are not always needed. there are actually simpler, non

-radiation tests that, as recent research shows, can be used to assess the condition of the respiratory system. hmm. well, one of those very simple tests. uh. we can now even do with the audience in our studio, who is ready. please, you come out to us. so for this test, we need pulse oximeters. i remind you that the pulse asymmetry is carried out without nail polish we pop up. otherwise, he will look for the readings of the device, but 97.98 97. and then the task will be very simple within 1 minute you will need to sit down 3 times. you should try to do as many sit-ups as possible in this minute ready. well, let's go here is such a process, in fact, in itself a

fairly good fitness test in terms of the number of squats that will make a person already, you can already draw certain conclusions, and his physical well-being, but changes in the saturation indicator will tell us very important things about the state of the lungs of a person. so let's look at what we see here, here 70 96 not bad 81. what to say test without physical activity, the blood situation is normal, which means that the body tissues have enough oxygen. well, as soon as we start doing exercises, the need for oxygen increases and the lungs. this need is not fully covered, that is, it is normal for a person under load. just eight to about 95 saturation can fall, but to a value below 90, it should not fall in a healthy person. that is, we have two beautiful spectators problems with the lungs. and, by the way, this is very typical. uh, their condition is a characteristic picture for people who have suffered coronavirus

on their feet. let's find out your name. alina uh, recently it was very strong and there were symptoms of coronavirus, but the test was negative, i see. but it happens to you. yes, i was sick with coronavirus, that is, both of our spectators were sick with coronavirus. well, as the statistics show, about 40% of those who have been ill have a violation of this dynamic structuring. this indicator is called one of the reasons for poor exercise tolerance after the coronavirus, that is, many even sports people note that after they have crossed. they cannot return to the loads that they had before. thank you very much. sit down and listen carefully. how to help what needs to be done we will discuss together with our expert vladimir dmitrievich parshin thoracic surgeon doctor of medical sciences professor, head of the department laureate of the state prize. this is for the best doctors

in russia, corresponding member. i listened carefully, here in the discussion here in determining the saturation, i can say the following is one test of saturation. well, to say that your lungs are bad, probably, not only the lungs can be jumping the cardiovascular system. here in this finger, on which the pulse oximeter hangs, the blood simply does not flow well and with the situation there will be a low blood disease. well, most often it is anemia, again there will be saturation. before talking about, including in patients after the transfer of a viral infection. i think others should be excluded. problems in the body. and when it becomes obvious. yes , everything else is fine. and if the saturation is low then, of course, probably, we should focus on the restoration of the lungs. e coronavirus infection virus. unfortunately, bad for what it causes. uh, trumpets. everyone already knows this, so when we start thinking about

lung rehabilitation. we must do the first thing so that the air circulates well and the blood circulates well, that is, to carry out, let's say, long-term prophylaxis, blood thinners, drugs, and so on and so forth. here let's for start. here is what you started with? yes, and why else can bronchial asthma decrease with saturation? that is, due to the fact that a spasm occurs? eh, the bronchi, respectively, ventilation, first of all , is disturbed, that is, this is exactly the first part, let's go further pneumonia pneumonia, if it exists today, then this person should be treated in completely different ways, and rehabilitation only then chronic obstructive pulmonary disease asthma, in principle, is included in chronic obstructive pulmonary disease. that is, it is a brick chronic obstructive pulmonary disease somewhere. well, it means asthma. the mechanism of impaired patency in the air in the lungs is that in chronic obstructive disease the trunk, as it is now called, that in asthma it is the only one

, and therefore asthma therapy. and the hob was about the same. well, actually. yes, what they were talking about is the consequences of the coronavirus, fortunately for patients, the vast majority of those who have had coronavirus infections recover well even without serious rehabilitation. we will talk about moderately severe and from severe patients who have suffered damage to the lungs directly, most often this is in the long-term period in the form of fibrosis. and just here bad ventilation occurs and blood flow suffers. that is, not enough blood in the lungs. let's actually explain the essence of our test, what was the main idea, if we imagine that this is the wall of our alvelas? yes, this is aero, so to speak, a hematic barrier. we have atmospheric air there. here we have red blood cells that take over oxygen, who if we have a normal permeability of this very air-blood barrier, that is, on the one hand, the lungs are well ventilated, and on the

other hand, the vessels supply the perfusion of the lungs well with blood. enters effectively, who in this case we have no problems with this assimilation both at rest and under load. we just have more blood pumped through the vessels as the larger red blood cells pass through, they capture more oxygen. and therefore, we see approximately the same saturation under load and without load. well, plus or minus a few percent. so what happens if we have either these obstructive processes, yes, that is, with chronic obstructive disease, the ventilation to the lion’s lumen is disturbed due to the fact that bronchitis and it turns out that little oxygen enters the lion’s lobes and hypoxia occurs, or otherwise, ventilation. we have a good as in case after view. yes, but there are problems with thrombosis, that is, the blood supply is disturbed, and in this case,

it turns out that red blood cells, even if they come, yes, they do not receive enough. what the oxygen here is good ventilation, the person breathes perfectly, but anyway, he has an oxygen deficiency, it's still hypoxia. these are two mechanisms that can lead to the fact that during this simple test, suddenly a person who had a saturation has 98% there, it suddenly drops there to 90-85, that is, for such, well, already pathological numbers. how can we restore our lungs? well, according to these two mechanisms, it is necessary to work just, firstly , to ensure that air enters this barrier well, where it will pass the oxygen transmission and the second is that the blood circulates well through the pulmonary circulation. yes there is, well, medical means to achieve this there are rehabilitation means. well, this is not always the case. we had asthma there. here it is necessary to inflate very carefully,

because we can get other effects already problems, but certainly. we must strive to ensure that light veins. loaded and everything. by the way, i can say that here we measure the saturation, yes, we measured it, uh, it’s not necessary at all. it will be associated with feelings. patient, that is, the patient can have a situation 88 and feel nothing at rest. basically. it’s just chronic diseases like asthma, obstructive disease, lung that get used for years, the body turns on other mechanisms, including those from the hematopoietic system, and therefore the patient will not necessarily complain about something, the pulse that appears from the symmetry is a good remedy . but there are the same uh, devices for exhalation. so to speak, so-called spirometers, which can also be used at home if low saturation from the pyrometer shows low rates there, of course, the patient must definitely be examined in detail well and well. well, in principle, if we are talking about post-covid

rehabilitation, then by and large, it boils down to what, with he, there are no inflammation processes during the restoration of blood rheology, of course, so that it circulates normally, everything comes down to a clearly dosed volume of physical activity and clearly dosed the intensity of these loads of such a person on a treadmill on an exercise bike planted pick up the load, which e does not allow the saturation to fall below 90%. they give clearly measured time. it can vary from 20 seconds to 2 minutes. after that, there is a mandatory interval of rest, or an interval with a lesser load, so that the body can recover. so it is repeated several times, that is, in fact, it turns out such steps, the load is higher, the load is lower, and the number of cycles is gradually increasing. and this allows the body to adapt little by little to the load, improve blood supply to the lungs and, as a result, to acquire

this tolerance for physical activity. thank you very much. thank you. today we found out why shortness of breath can occur during exercise. and what to do with it, the conversation about the most important thing continues. next on the program after covid. at risk is the hip joint. yes , it is chicory ecology. well, because this is about health several times a day, an absolutely natural product of chicory ecology, and also a very tasty ecology of chicory. it's about health, russia

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good morning. hello. unfortunately , the coronavirus infection presents more and more surprises in the form of complications. and now the post-covid syndrome includes a huge number of conditions, and indeed. all this is associated with a corona virus infection. recently, women with pain in the hip joint area began to turn to our department of traumatology orthopedics, referring to the fact that that these pains arose after the endured quid. what happens to the hip joint. what is necrosis of the hip joint, and in this we will talk today, irina turned to us with our television viewer, let's find out her story. irina lanina, 48 years old moscow, these photos were taken a year ago, when irina led her usual lifestyle, skated, traveled

, devoted time to her children and her husband was active , cheerful, but let's define it, let's say the motor, everything has changed. after irina got sick coronavirus in february, the first symptoms appeared, that is, pain in the inguinal region of the cabbage. i came in with unbearable pain and stood on a cane . the doctors' diagnosis of necrosis of the hip joint was a shock for irina. naturally. at the first moment, you feel wild fear, because how would you understand that you are still a young woman, yes, and you have two small children in your arms, and, as it were, like a disability, but irina does not allow herself to give up and give up. she needs to get back on her feet and in our program she hopes to get help. healthy above all for the sake of living a full life. and in order for my children to be happy, how to act in my situation in order to finally recover and live a happy full life, irina in our studio come to

us, please, good morning. well, come visit us. hello irina, please tell us how you got to such a life, what happened in the summer of 1920. i had been ill and the treatment was quite aggressive, there were large doses of antibiotics for 24 days, then hormonal therapy. after that, i felt much better, but about six months later already in february, 21. was this the first symptom that i felt. yes, it all started with pain in the groin, but did not attach much importance. well, well, maybe somewhere underlay? how are we always? yes, we always miss something, always on me, when i think it's okay, well, at the same time, i pierced the vitamin b group and did not bring relief. naturally, i went for help to a traumatologist and turned to a dentist. we have done an x-ray picture showed nothing obvious at that time, how would such age-related changes, as i was told, it is better to consult a neurologist, came to a neurologist, they put a chance, well, neuralgia is always

personal. yes, we treated the sciatic nerve for a very long time, and everything was in vain for 2-3 months, probably, it passed and it did not bring me relief. and i did n’t wait any longer on my own, i went and did anything. uh, mri images at once, as it were, of the lumbar region and the hip joint, and everything began to sit obviously. that is the diagnosis. i have, uh, bilateral necrosis of the heads of the objects of the hip joints. look, well, this is incredible. what could be because of covid, such situations happen not only after a corona virus infection, but really necrosis of the hip joint. this is a serious problem, a serious pathology that causes severe pain syndrome. and now i want to invite. the studio of your attending physician ivan konstantinovich eremin ivan konstantinovich eremin , traumatologist-orthopedist, head of the department traumatology and orthopedics. good morning. good

morning. could you explain to us from the point of view of the attending physician how everything happened to me. now about 30% of patients e, about 45, plus a young woman who had a severe form of illness, each of them had more hip joint, when a person was ill, uh, corona virus infection was treated for a long time, hormonal drugs, hormonal drugs, they affect the circulatory system, and they affect vessels, and do not damage the wall, and the veins slow down and worsen the blood supply to the hip joints. the brain switches the blood supply to feed only the head and heart, and such distant parts of the body as fingers, and the legs of the hands, and especially in the joints, they begin to experience, and oxygen starvation and

because of this, bone tissue is destroyed. here we have the area of ​​the hip joints. what happens with a coronavirus infection, many people think that the pelvis is bone and the blood supply is not there. so, just a bone especially the hip joints. they are very actively supplied with blood, because these are the joints that bear the brunt of the coronavirus infection. all types of blood supply are disrupted in our country, the venous flow is disrupted due to changes in the venous system due to increased thrombus formation, and the microcirculation of the blood supply to the e, the hip joint of the head of the hip joint is disrupted and, accordingly, due to . violation of the blood supply, in fact, and this aseptic necrosis turns out yes head of the hip joint. how to understand that after suffering a coronavirus there is a violation in the work of the hip joints? are there any

symptoms? first there is pain in the e, inguinal region, a person experiences a sharp pain when climbing stairs, and when descending stairs with any amount of movement, that is, a person, when he flexes and unbends the lower limb, since pressure arises in hip joint and bone trobeks. this pain moves to the knee joint and all muscle fibers. also this pain can give to the lumbar range. and because of this, a person cannot understand where he hurts. and that the back of the knee, the hip joint hurts, a person begins, uh, to experience pain in the affected limb. he begins to take care of this, uh, limb, moving the entire russian to the joint, a person has such a gait in the form of a chromate. well, just your patient irina she actually went exactly like this. that is, she developed more in different joints and in the spine, and as a result she got to a neurologist and treated for a long time

radiculopathy. uh, sciatic nerve, is there really a need for a crutch, that is, you need to carry weight, you need to unload the joint, you need to use additional support, preferably even two crutches in order to completely reduce the load on the affected joint, stopping the correct diagnosis. it helps to cope with this problem, not always, but sometimes it really helps in such a situation that you will already advise irina ivan konstantinovich became in the initial stages, when a person only felt pain in hip flock, and he turned to him with an accurate diagnosis of radiography by mri, then it is possible to do a minimally invasive tonalization. it literally drills thin holes with a knitting needle. in the head of the femur, there will be pressure relief in the head. the femur, and besides here are minimally invasive and there are larger operations. are there any

methods to return health to the joint. it must be complex. this is the intake of calcium preparations, necessarily these are various complex vitamins. the first thing to do is to reduce load from the hip joints. it's definitely about 2 months on crutches. this is a gymnastics joint. that is, it is usually in the supine position in the pool. maybe you can show us some exercises or explain how they do it, you can slide your heels on the bed, raise straight legs, do a bike in the air, do scissors, strong by strengthening the muscle, creating a muscle capsule around the joint. this is how we reduce pain. can we recommend to those who have had a coronavirus infection preventive increase range of motion? so, yes, i recommend everyone to do it. just elementary exercises every day, this is both

calm walking and really swimming in the pool and the same bike, a cycling simulator , that is, anything to improve trophism, improve nutrition, improve blood supply to the hip joint, irina thank you very much, that you came to us. i really hope that you will return to the full range of movement and joy of life very soon. get well thank you very much. thanks that help such patients to really return to a full life. always keep at the ready the famous balm gel from the number one selling brand in pharmacies horsepower. it is able to relax the muscles. it also has a relaxing effect on the joints, lower back, elbows, cervical region , always keep ready the balm gel, horsepower . today we talked about such a serious complication of coronavirus infection as

aseptic necrosis of the head of the hip joint and how with many emerging problems. most the main thing is to make a diagnosis in time and start treatment. we wish you a good day and good mood. be healthy. with you was the program, and most importantly. on the tv channel rossiya vesti in evgeny rozhkov's studio hello, the main thing by this time is a fire at an oil depot in donetsk, neo-nazis fired at the city three times. how is the special operation going in the donetsk and luhansk directions