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good morning, it's never too late to learn. let 's do you in the program talk about the most important thing you show the doctor boobs. today, another wave of the epidemic, this time the epidemic of obesity, 70% die from overeating for whom obesity is dangerous, and for whom extra pounds can prolong life, but if you are obese, then i don’t even know in which cases being overweight is a sign of a disease people . with what blood type do covid-19 get sick more often than others and how much does buckwheat and apples increase the level of iron in the body questions from the doctor alexander myasnikov asks you answer at first they will hurry, and then i will think for a week, i will not have an intestinal infarction. who can it happen to?

why they rarely survive after it and what pills for hypertensive patients can provoke it. cry of the intestines for help. this leads to ecology. obesity in russia, yes, if only in russia all over the world in new york you stand on the street, look to the right, to the left, you will definitely meet someone such a monstrous shaking person or in australia today. here, if we look if only to believe these statistics, then that 20% of adults. yes, it's not 40, as in america, but, but, but yes, look around, just lower your head around, look at yourself. and we get a little confused. when we see a man frankly complete. i'm not like that. i'm more or less, and

let's standardize, even a normal person. a normal person will have an elevated body mass index without considering himself fat. go here. good afternoon. what is the name of alexander namesake? a healthy person can be said to be ethically complex, but eh you think you are especially fat, well, no, maybe there is a kilogram of 10 10. here. i just wanted to use your example now to calculate your body mass index. well, let's go see your growth. we’ll throw off the weight in this one kilogram for clothes, even one and a half, probably, yesterday morning it was measured 103. let’s 103. cut it out, well, here we get 181 on the scales 104. so, write, 103. how many times it will turn out 31.4 . here, and we say that starting from

25 and above is already overweight, and more than 30 is already obesity. and look, healthy man. yeah, not fat, right? no, but in terms of numbers, this is no longer just a redundant array. and it even means obesity. go here. and you sit down. but if you are crazy, then i don’t even know, come on. depict height, weight, but you and i get a meter sixty eight and a half and 54 well, you know, really. i always remember the worker. he wrote, it's okay. if a woman is there up to a certain age, her height is minus 100 - 5. here she has a

height of minus 100 minus five, and it turns out there is no need to multiply squares to divide there. and how many have we have a body mass index greater than 18 lower limit less already depleted. well, here, just here's an illustration of what it really is. according to the norms , we should be. that's how this is all happening? in fact, of course, of course in the development of the epidemic. we can talk about heredity, about infections, about something else, in fact, two powerful factors influence. this is hypothermia. we stopped moving and the food industry. why say food industry? it's not just an appetite. we eat something, what we eat, we go to the store and then what we buy. in general, everything contains either taste stimulants. what are the most powerful taste simulators, they are three sugar, salt, fat, remove sugar, salt, and

if you want a lot of grass, eat well, for chrome, of course, grass with a lame lameness, which will bother you, respectively, all these unhealthy fats are trans fats that are all freed up buy sausage so that you not bought culinary, processed everything contains harmful trans fats. elevated salt sugar salt we eat more than anyone on the planet 11-12 grams per day, despite what we should take to eat five sugar several times over the past 25 several times per capita sugar consumption has risen. you can not eat sugar , new children, sausage, there are sugar children, bread, there are sugar children, soups, there is sugar. you didn’t take it there, sugar, sugar, salt are everywhere today, and, accordingly, our appetites are growing in the literal sense, and most importantly, we are thereby changing the hormonal system. we have several hormones that reduce appetite and increase

energy expenditure and hormones that increase appetites are reduced. this is a cost to nerves, because , oddly enough, energy is wasted, and then when we walk, run, climb mountains. and then when we sit we work stop breathing we work with our heart. where it is located in the membrane back and forth, it eats up almost 75% of all energy from us. and if this is at rest, when we sit, hormones will reduce weight. and when they reduce, you begin to starve sharply, you immediately have hormones that reduce costs, because for him this war regime must be reduced, respectively expenses are long-term. maybe why i say physical activity, because you spend a certain amount of energy doing exercises, but you start this basal metabolism, and you spend there not 20 calories per kilocalorie per kilogram of weight. and you start already 25-30. if you

do nothing and try to starve, you will drop there to 15 kilocalories per kilogram of weight, all this is serious. everything, this is very serious. all this is on the scales. well, no matter how we talk. about hereditary predisposition about some diseases, and so on and so forth, we really understand that yes, there can be diseases that lead to increased weight, but there are few of them, 1%, in general, increased weight leads to diseases. that's the problem. the problem is that we are not fat because we get sick, we get sick because we are fat and we don’t eat anywhere from it. there are, of course, the paradoxes of obesity. we know people who are genetically fat, but they are metabolically healthy. they have ideal sugar, ideal cholesterol, despite being overweight, they move beautifully. but this is rare unit. basically. here are all the diseases that are. well, of course, overweight is, first of all, that it is diabetes, a disease that affects all organs, because it affects small vessels. primarily. the heart is the brain of the kidney,

the first step of diabetes for being overweight, but this is, accordingly, the same deadly quartet of metabolic syndrome, when overweight increased sugar levels. this is real hypertension. these people die much faster, and there are no people of whom this stylish quartet, but i said above. and what is deadly increased body weight elevated cholesterol high blood pressure - almost everyone has it and high sugar is dissatisfied with diabetes, but increased behind this, of course, are all the diseases that mow down a heart attack in a directed place. here. with a body mass index of 18 people who are actively engaged among themselves, most likely will not happen. everything happens, but nevertheless, if in the first mass it is a rarity, but in the man we talked about, who if you smoke 103 kg. well done, don't smoke says, well, of course, he has more risks due to the fact that he is, firstly, and a man, and she does not have the protective effect of female sex hormones

, this was overweight. i don’t know how he has much more risks with illnesses. what to do with it the question is why is it not important, but we see that it is growing in russia, growing growing. further. you need to move, you need to give up the elevator, go up on foot, give up transport, because if we live, i don’t say how i live 100 km from moscow yes, but i see it easier woke up today just like yesterday. 100 times. burpee did it, then he pulled himself up 100 times , then he swam again, then he just got in the car and came here. i'm just about forcing yourself to do it, because if you don't, the fat will instantly suffocate you. and you know the more. you do nothing , the harder it is to start. you start to get sick and so on and so forth. i know one thing. i know that anyone can achieve to become functionally active to lose

weight really, it's not always easy. look here. it's easy. very younger, the easier it is, the more accustomed you are to stress and the easier it is to refuse gluttony. those, it's easier, because already when the age goes, remember, i talked about hormones. you start at a certain age. whole lose will not be for him this series, like a disease and in this protection moreover, i will say the scientific data say that the elderly. 65 plus with increased body weight lives longer than with a normal elderly. we need a little reserve. but we actually know this and we see, we see the further. tem the body does not give you for every kilogram will fight, but on the other hand. so i said, i told you many times i went to the mountains, climbed and before that i went to you. so i ate navy pasta four times a day four times a day. but i left 88 kg, came 83 to elbrus,

i went 88 kg, 85. again, also less than four times a day. i haven’t eaten yet, plus i used all these nuts. that is, i mean that all this is conditional. eh, when you have quite zalimitnye load. you, of course, you have a hormonal system and everything is already is being rebuilt. well, here it is in real life. i advise you to start thinking about it now, because at 50 i will then be too late. well, respectively, about the food industry. i didn't speak in vain. you watch what you eat, roughly speaking, you have to forget, what is cooking, you need to focus on vegetables, fruits, look. here we are with you. you just won't even. this will be a normal list up to twenty-four. we are fine. this is one two three they are normal one two. also three is obtained later. it turns out as in america 50/50/40%. you know, when we said to

catch up and overtake america, you didn’t mean to catch up with, so to speak, unhealthy fat accumulation, a healthy person, this is a thin, mobile person. and the stomach, of course, should not be here, but it will never go away later. he is still with age, what happens to you changes figure. you have a value, like a pregnant woman, you have a pumped in. here it begins to bulge forward. you can't do it with this yet. therefore, if plus additional weight, it looks, of course, quite ugly. in short you understand what kills us do not see. it's all a problem. sorry on a global scale. it is inflated by simply the number of deaths out of the 70 million people who die each year. i am not silent, how much provinson's disease. 70% die from overeating its consequences of heart attack stroke and diabetes and so on and 10 million die of starvation on the planet 10 million . so you need to eat

right, lead a reasonable lifestyle, everything will be fine. further people with what blood group are more likely to get sick with covid-19 and how much buckwheat and apples increase the level of iron in the body questions from dr. alexander myasnikov asks you answer today at 21:20 on the russia channel, even if the damaged liver does not bother you, it is better to take care of it in time two active components and could help relieve inflammation and restore liver cells, taking care of the liver

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recently worked in the trade union, organizing events, financial assistance vouchers, and so on in physics. yes, i will read, i immediately look. i couldn't people with what blood type more likely to be infected with the coronavirus. well , in fact, when we talk about blood type, it’s really that many diseases have a genetic location, and i’ll remind you of the blood type, in general, there are 35 blood types, one of the systems is this is our first, second, third, fourth there a and b and uh -e by virtue of the fact that it carries, certain it is genetic information. accordingly, we know that there is stomach cancer with one blood group more often, and stomach ulcers with other infections are susceptible to various people in hauling. and about the coronavirus. at first we denied. it's all following now. they say no. statistics show that yes, there is a genetic predisposition, and therefore people with one blood type get sick less often, and with the other more often.

how often? well, four more from the second. why fyodor's father spat on the classic and also hit. yes? yes, true, from the second from the first they get sick for a month, the second more, and the third fourth somewhere in the middle well done. how often do you need to undergo medical examination after 50 years? i think three or four times unions so hurry up all the time. you are here take your time, breathed in, breathed out, remembered what a prophylactic medical examination is when i am completely healthy but periodically go to the check, periodically i go to check up 50+ people to the doctor after all once a year. you see how the trade unions work for us, they will rush first, and then they will think well done once a year, buckwheat and apples increase the level

of iron in the body. i have heard many doctors. yes, and they advise me to take buckwheat, i am periodically numb, you know, as always, i already said it and wait for a reaction. wait for a response. right wrong you now because then you can write off. and so the point is that it increases, probably, supports. maybe some level is actually and buckwheat and apples contain quite high. uh, the iron content, but iron in plant foods is absorbed an order of magnitude less than meat, and so on. it's just there in such a chemical compound, it is not absorbed. why do you vegetarians often suffer from glands really mines. although they are apples. they constantly grunt there, but i can’t say. the answer is wrong, because in principle, one should not ask how it works. just plus or minus. not a minus, then a plus, since you answered all the other questions. right? i won't

be your husband. i will give you a book. thank you thank you revise the program remember there is a resource watching this application or the website watch.ru? well, let's move on. what do you think of when you hear the word heart attack the first thing that comes to mind ford of the heart? but in fact, a heart attack can occur in any organ, and doctors consider intestinal infarction to be one of the most dangerous. just think nine of ten cases end in death. and all, because intestinal infarction is very difficult to diagnose; its symptoms fit dozens of diseases, and while doctors are trying to diagnose a person's chances of survival, it becomes less and less. who can get a heart attack. which of

us are in particular risk groups, by what symptoms can this condition be distinguished ? dr. myasnikov will answer these important questions. well, yes, the word heart attack means tissue necrosis as a result of oxygen starvation. yes, it is mortification, but like uh myocardial infarction. yes, we do not receive blood through a thrombosed dwarf vessel; the oxygen cities of the non-cardiac muscle come to its death - necrosis. and at this extreme degree, the situation is not immediately clogged. but when angina pectoris, that is, the pain of the heart, you passed , stopped and drank a pill, you let go. that is, such a chronic condition, but also with the intestines, because everything is the same. depending on where the supply blockage is, if we have a blood clot in the vessels of the brain, we have a cerebral infarction. we we call it a stroke. but there is this thrombosis. this is

also infa. yes, there may be cruise bleeding , but if it is a traumatic stroke, it is the essence of a cerebral infarction. we kind of forget. what the intestine takes, 10 to 40 percent of the blood flow of the minute volume, is that the heart pumps out the intestine, if it is hungry, it takes 10%, and if it has eaten it digests up to 40% of the blood, it takes over, that is, it is a very circulatory organ . yes, almost a third, he definitely takes the blood supply more than the liver brains, which is the heart and the liver is the liver. i'm so used to talking and we forget in many situations the risk factors that lead to the problem. unfortunately vessels. well, if the news is good, and despite the fact that it takes a sufficient amount of blood. eh, it is the intestines that

consume not so much oxygen of a minute volume, when, for example, the heart is the brain or rivers before our eyes. in general, it tolerates decline quite well. he even gets oxygen from venous blood from the liver, and therefore, in order for a person to really feel something, that this happened to him reproduction should decrease by half, and here we have the supply of the upper mysisterial artery with the lower viscera of the upper artery supplies the small intestines and part of the large intestine . everything. this is good, but one of the reasons is that we all often tell you about the flickering 35 million people on earth suffer mercedes over people and when the heart starts to work chaotically tuk-tuk-tuk-tuk-tuk-tuk-tuk-tuk, why do we these patients before restoring the rhythm we always make sure to give

blood thinners, redheads, to fight blood clots, because if we don't give blood thinners. then up to 15% of cases it all ends. how they took her brain, because a blood clot breaks off from the heart, shoots, flows into a bridge in the forest. but this is if it shot here, it just the same, maybe not go up at the beginning of the aortic arch, but slip through this place, go down and line up. into the nearest artery and acutely obstruct the blood flow somewhere, causing intense pain, causing bowel infarction with a drop in pressure with all the consequences of the type. what is the mortality rate for intestinal infarction, and i see this every day, a lot of patients with arrhythmias. now they have already risen to prescribe earlier, in general, the disappointment of these batteries is rarely prescribed today, but, nevertheless, older women do. i already have all the doctors

know already. this is a daily situation. that is, when thromboembolism it is a daily situation. every morning, one or two operations are laid down for us, because they are not criticized. we are restoring circulation. we are dead and often removed, putting on samosa. that is, this is an urgent situation, when it is no longer possible, so to speak, to think, but another situation, when thrombosis is formed not in the arterial bed, although in the arterial bed. they can also form, and wine thrombosis. the outflow is disturbed, this also leads to a picture of an acute abdomen and also leads to all diseases. although sometimes you know when all these intestinal infarcts. but when the pressure drops sharply, you have hypertension. and you were told ambulance. you have a tablet under your tongue there. give birth, suck, you honestly took this pill , took it under your tongue, your blood pressure collapsed, but your perfect pressure in your kidneys in your heart, in your head, may be insufficiency. or

maybe a heart attack, the intestines fall with physical pressure. you see, as if a heart attack is one of the arteries of the heart, well, yes, there is a certain area, but look at the blood supply. here is a large grid, but we have how many meters of the small intestine there are, and there are 3 m of the large intestine, so if its blockage is going massive it's a decent amount, if or drop, there's a problem going on. it does not occur here on this patch of the heart muscle, but on many many centimeters and tens of centimeters of the intestine. now i will break through for a long time. so see you after a short pause on. how to suspect a bowel infarction in time, in order to have time to save your life and why for some it does not even cause pain. the cry of the intestine for help, this leads to oncology. yes, it is chicory ecology. well, because it's about health several times a

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this program is about the most important thing. let's continue. the chronic form, it will manifest itself, it will also manifest itself, as in angina pectoris. we are so we call it intestinal angina. i'm talking about fasting 10% blood consumption. and you ate already 30-40. and you don't have 30-40. you have chronic atherosclerosis. accordingly, you ate you have pain, yes, honestly korea intestines cry intestines for help, you again ate from you again the pain you have at the same time may be, bloody diarrhea risk factors for vascular industry, wherever i was all the same. this smoking is overweight, this is high bad cholesterol. this is increased

sugar, physical and inactivity. oh, who's the corner apathy? we talked about thrombosis. there is indeed a condition where there is an innate tendency to thrombosis, the so-called thrombophilia. it is precisely congenital, so it happens when people have repeated thrombosis, or really oncology. uh, now it happens to be a provoking factor of thrombosis. this all applies to the intestines as well, therefore, as the symptoms were stated. you symptoms are not to be treated. it's none of your business. this is all the clinic of the island of the abdomen. yes, there may be appendicitis, or there may be a loss. clearly it could be intestinal obstruction. it may be anything, that's why we never talk. usm assumption with a diagnosis of an acute abdomen, first of all, an ambulance arrives, brings you to the emergency room, and there it already goes according to the algorithm, what's what and we get out pretty quickly

. this is what happens sometimes. they just did it in my hospital, interestingly, there was also a massive thromboembolism. we removed part of the intestine and necrotic. and there is, you know, a stunned one, like with a heart, now, if the vessel feeds some area, right? well, let's say the heart is fed from this vessel. and here it is clogged accordingly, this area dies off, but this area dies off. and this is the so-called stunned. that is, she suffers too, but has not yet died. and if we restore blood circulation, this necrosis, we will no longer save. he died, but we will save the lying tissues. i said we gave and cross, and restored the bleeding by setting up a stand. we punctured the artery, expanded the meat removed, the

same as we put stands for heart disease. that is, we connected. this is invasive cardiology, uh, an invasive method with surgical operation. and we had a very good result. and by the way, we periodically do it there, because not always a vascular surgeon. you can do it in an open way and sometimes you just finish it. we just cut off this piece. and the intestines are all that is supplied, and here, but we save a very large part of the intestines, respectively, the chances of the patient surviving a normal life. much more here, if we look at all these symptoms , the main symptom is something more belly, of course, it is sharp at all more water. yes it could be appear, and i say, it’s just that, sometimes, by the way, especially diabetics and the elderly, they can have no fighting people, and the dick will be more, i will just periodically have bloody diarrhea if he complained about it. yes, there are such patients about ischemic colitis of the large intestine. and there, too, their differential diagnosis, because, for example, intestinal diverticulum. it too will be painless

bleeding. well, in general, doctors already understand this. you need to remember one thing, that if you do not monitor your health, you will smoke eat sausage to be overweight. he does not correct his cholesterol, sugar, with impunity, it will not go anywhere. this is a fairy tale, either the heart or the eyes. remember how much the mood of the retina goes blind and so on, either a stroke, or a running lameness. you can also have lameness of the vessels of the legs, or impotence, which also sits on the bifurcation of the aorta, or the intestines, that is, when we talk about atherosclerosis, it’s not for nothing that we call atherosclerosis the rust of life, because there are vessels everywhere. where there are vessels there, atherosclerosis can have its effect. this, uh, the action of the intestines, of course, is no

exception, by the way, the courts include proper nutrition, because that's all it says. spenders are what we eat puff sweet, fatty, which makes us eat as many calories as possible. this , of course, leads, and in addition to changes in the vessels, this leads to ecology. and, probably more often, because red meat is the absence of a tick. these so-called trans fats that you, uh, mentioned, that are in any culinary uh, products from pastries to sausages, and so on more often causes oncology than but intestinal sanycardia or intestinal infarction. uh, you have to understand that the intestine is a huge organ. you know what is in microbiotics by itself 1.5 kg of bacteria, which dictate a lot in this. you see, one thing is a heart heart attack. will you survive put up

a stand or not have a heart attack? in general, the situation i understand. and if all this is disturbed in your intestines, the work of the microbiome is destroyed. this may lead to various other problems. by the way this topic is generally unknown, yet, but for now i just understand that this is a problem. and how there are people with her, how all these cohabitate with these carpets, therefore, in general, it is not recommended to bomb the house of the microbiome. what to do? we don’t really know about this, except for the general approaches that let’s control our parameters that we can control to keep the vessels clean. well, then and then i hope everything will be fine with us. and this is a newly reanimated section. ask a doctor. i will now answer your questions. hello, doctor. hello.

tell me, please, i suffer from insomnia, what causes it? and how to deal with it so brightly red dressed you have to look, too, close your eyes and not fall asleep to glow. thanks insomnia is still the answer of our body. it is wrong our attitude to life touch including. well, who suffers from insomnia, goes to bed late, cannot shove there until three in the morning, wakes up also late in the afternoon. i had a dream somewhere in the evening, i ate something again, i looked at sweet things on the phone or somewhere. why here i am, for example, falling asleep. it's so instant for me. most importantly, i like the head pillow. fall already. believe me. i worked out a long time ago. a reflex when i had to jump up, when i was on duty, because i understood that i had to sleep every free second. have 10 minutes closed my eyes, so i fell asleep in any position sitting standing. i gave the command to sleep. all the fight against insomnia is also a development. here are

similar reflexes. that is, first of all, sleep hygiene. we say yes go to bed at the same time get up never oversleep. in general, i'm saturday sunday there whole and forever. look in many books. i wrote that there were special programs dedicated to insomnia, i just don't want to repeat it. yes, quite a long time, but i uh know one thing, that it's like a body. this can and should be trained, because people who are serious about this, who are serious about it, as a rule, in 90% they normalize only ten percent. you need extra pills and so on. thank you so much. hello today we have vaccination is given to pregnant women, while women who have been ill are told to refrain from pregnancy for several months. and anything can be a reason. what is your opinion, the second part or

the first of the second part. we are now all dumped on covid. now, if we understand the post-visible syndrome, or as they say long-avid, when i say, yes, a decrease, so to speak, in the ability to think. there's more of a tendency to have a heart attack. here's for yourself. i don't understand yet. it's like a desire to blame everything on covid. e in plan. we are always something it happens to us once there was a covid, because i always reproaches. why i will explain against this, because if a person has, let's say. you have angina pectoris , let's say you have it after covid. this is wrong, because it is not after covid, because it has risk factors throughout the forest that need to be fought, that is, it is impossible. look, this is nine species and that's it. well, now that's all you want, therefore, in very many cases, you still need to not blame the covid, but get to the bottom of it. you know how we used to say never sleep bad feeling your patient for his age and for the weather. i also gave you for the postponed korit. this is very important. why to refrain from pregnancy, but i

don't know, here he somehow on the news there was a minister of some area a month ago or two there said that after vaccination we can't have sex for some time. why is it unclear? but we say you can't bathe for 3 days. why is it 3 days for them? here, therefore, this is all visible from the same considerations, as for being vaccinated during a woman, then a pregnant woman, you don’t give a damn, probably not all, but only when there are pronounced risk factors for serious illness. medic you're obese you've got all pregnant here then, not a routine, because pregnancy needs a routine to instill from two things. is always. this is a mushroom and tetanus. here i got pregnant. how many times pregnancy. how many times should be vaccinated against tetanus per season always hello from the fungus from covid. only if it's my opinion, only if there are these special risk factors, just a healthy pregnant woman's privatives. thanks doctor. i am i hope i have satisfied your curiosity and to the

fullest of your conscience. and i wish you all the best . next in the program are antibodies. how are they formed does it protect against coronavirus infection and when should you be vaccinated on the network robert rozhdestvensky dedicated beauty to his wife singing at a round table? hello andrey evening show andrey malakhov tomorrow at 18:00 on the channel, russia

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phone or order on our website leom. ru who is against today at 14:55 on the channel russia good morning? hello, the question that i am probably most often asked now is the question about the antibodies of the coronavirus infection, enough protection is not enough, the vaccine will not protect. and when they start to exchange tests, it turns out that the tests in different laboratories are completely different. today we will try to answer the most frequently asked questions. and i hope that many of your doubts were addressed to us in the program by

our viewer nadezhda, who is also tormented by all these questions. let's find out there is a story. nadezhda tsibulevskaya, 41 years old, yekaterinburg hope for now. she managed to establish a personal life, so she lives with an elderly mother, for whom her mother is very worried. for me, the closest relative. hey, i don't have anyone else around. she and i got over the corona virus together, and i don’t want her not me to get sick again, especially now the pants are more contagious. it is not known how this will all affect the body again. she decided to be vaccinated against the corona virus, but she does not know how it will be better for her and for her mother. i got a deed pit, you can graft with mine antibodies with my indicators, or you can postpone it all, let's say until autumn, and it's also not clear with revaccination. if i get vaccinated now, then i will need to be constantly

vaccinated every six months. i still want to protect myself and my relatives, especially my mother. nadezhda today we have studios directly, please, good morning come in. with analyzes , you show tatyana vladimirovna what you have with the analysis, i had a corona virus in december, i had, in principle, enough, as i think easy. i didn't have a temperature, i didn't have pneumonia, it was only a little bit tangential, i had only a slight cough and a loss of smell. but while i was in quarantine, everything has already recovered. uh, in may i decided to check how many antibodies i have. whether and in general the antibodies have remained at me have handed over the analysis of a blood. uh, the analysis showed body notebooks, 129, why did you do that to know? do i need to be vaccinated at first they said that i should not do it in the presence of antibodies. now they say that i need it too, actually anxiety. want to get vaccinated. i want to

get vaccinated. yes, but one must understand, and there is a lot of information, so in order to answer these questions. i want to invite an infectious disease doctor, georgy georgy vitalievich sapronov, infectious disease specialist chief freelance infectious disease specialist of the gmo of the administration of the president of the russian federation, candidate of medical sciences georgy vitalievich, to the studio really test different results we are all different, we do not have a single t-system for diagnosing antibodies, moreover, antibodies there are two classes that earlier the body is certain proteins that have the ability to bind the virus and prepare it for further neutralization. why do we need them? here. i know that there is immunity that allows us not to get sick there, so we do. here are some other antibodies that also prevent you from getting sick. we have

uh factor specific protection what we call let's say our natural one. now, yes, the most basic immunity is what we are trying to raise, uh, sea buckthorn. a good word is physical activity, but then we meet with various pathogens, in this case with coronavirus and we ourselves produce specific antibodies specifically for this coronavirus. and the main idea of ​​​​vaccination is that these antibodies will be developed for the introduction of an inactivated virus. and if suddenly a live real aggressive virus enters your body on its way. they will stand by the cell. these are ready-made already ready-made already developed due to vaccination. if he hopes to have antibodies, why should she be vaccinated additionally? viruses cause the body's immune response in different ways. some people develop

large amounts of antibodies. someone is produced, maybe a little less, and we meet this all the time and today. we began to notice that after about six months. after the infection, patients began to come to us again, infected with a coronavirus infection, and it turned out that antibodies are involved in people, slowly slowly starting to decrease. this also applies to those who have been ill, including those who have been vaccinated, including even after an illness, even with a decent titer, people with a recurrence of coronavirus infection come in, and i will tell you, why the point is that part of the antibodies indicates that we met, we saw, but they are not neutralizing the virus. and now, it would seem that there are a lot of them, yes, but a person can still get infected. here we have, and there are the most frequently asked questions to georgy

vitalievich antibodies. what is the norm today , not in russia, not in the whole world there are no clear boundaries of those criteria, but the number of antibodies that are protective, not only, two people have the same fantastic situation antibody titer on the same test system one can get sick to another. no. so i wanted to draw your attention to the reference value, that is, the norm. what is the unit milliliter measured in? what units of what who invented them? these are international standardized units or someone came up with them, a chemical company that releases this system , they have their own standards, and someone in another company that releases the system will have their own standards. here is the norm. yes, two, for example, we know that sometimes 1.1 someone has 49.9. someone has ten. at

someone 12. and here are two. it is very difficult to talk about what we are actually not quite sure about. and how do we understand the layman here is important time period. look, a person once met with another person. he met and it seems, as if, as he remembered, or maybe she forgot him a little, but time passes six months, and he suddenly meets this person again, as he says. yes, i remember him. i remembered him and then already. every time he meets him later, he will speak. yes i i know this person, so revaccination is very important for us now in order to consolidate a clear recognition of this virus in the immune system. whether antibody tests are needed for vaccination, we can do these tests, but this is optional today

, one thing can be said. that we need revaccination in six months, why are we six months after the disease? well, it depends, because the total amount of antibodies is large. and which one is the virus that neutralizes, as far as they are the virus, they are neutralized, uh, prevent infection. unfortunately, we don’t know , you know, why you need to take antibody tests, a person fell ill with a coronavirus infection, got sick easily, an epidemic is raging around. he needs to go to work. he needs to go outside, he contacts like this during these six months, so that they grow from the moment of infection until revaccination is officially recommended. or the patient suffers from comorbid diseases, he may not develop antibodies for this infection at all. and then

he needs vaccination. less than six months later. well , he's hope, that is, uh, antibodies. so she can not rush to get vaccinated yet, or if half a year has passed, that only a small part of these antibodies is a virus that neutralizes how many of them are we to say today? unfortunately, we can not absolutely here uh-huh revaccination. how often should it be done and is it possible to change the vaccine better, of course, to use the same vaccine that you vaccinated for the first time, because there is such a mechanism for strengthening immunity, when we first vaccinate, and then after about six months we introduce the so-called one, strengthening dose. we call it booster amplifying and then the immune system begins to recognize them. yes, even more and produces a very large number of antibodies. in this case, we go the same way, that is.

choose one vaccine, rather than constantly trying different ones in order to be sure that we have added yes, with this additional dose, we kind of increased the capabilities of the body, if, for example, after one vaccine, when you are a person vaccinated and he has, well, these bodies have not developed at all and such cases do happen. that's when we need to change the vaccine. and if antibodies have developed, then in this case it is better to use the same vaccine after the illness, we form antibodies, but antibody titers. that is, their number, in other words, slowly, slowly, slowly, the same thing decreases after vaccination, that is, at first the immunity is quite active, and then the amount of antibodies begins to decrease and revaccination is needed just to supplement this tyrantyl. yes, of course, right now we have, but a vaccine has been released, made easier and for many people, this is true.

there will be salvation, you can do more than two vaccinations. and you can do one vaccination and, in fact, continue to prolong it yourself, but if the antibody titer has dropped to zero, by the way, you also need to do an analysis before revaccination, then it may really be better to go through the entire vaccination cycle again, consisting of two vaccinations , then you have to remember this immune defense of yours and, according to the recommendations of the world health organization, during an epidemic, you need to be vaccinated every six months, and during a calmer epidemic situation, you need to be vaccinated once a year, like with the flu. yes, you have learned so much. i also learned a lot today. thank you, what conclusions did i draw, what do i need to be vaccinated to strengthen my respect for half a year? yes, it has been more than six months and about vaccination. i also realized that every six months you need to do that the same vaccinate yours only on the recommendation.

do i get it right. thank you very much for coming to us. health to you, do not get sick. thanks to georgy vitalievich thank you very much. thank you for being with us. today we talked about antibodies to a corona virus infection and how they are formed. we wish you a good day and good mood. be healthy. with you was the program from the most important. hello on the channel russia vesti in the studio the main topics for this hour