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what are the specific symptoms of meningococcal infection? why is it often confused with the flu and covid-19, for whom is the miningococcal infection especially dangerous, and is it an epidemic that threatens us? find out to me soon varieties of minicoke. our russia is one of the most dangerous. every third of you has it far away. can start yourself no sepsis - it's a confused mind chakra, what, how do spices affect the metabolic rate and how often does a cyst in the chest degenerate into a cancerous tumor ? proper nutrition how to start to observe it? what habits will help to eat

only healthy foods, what to have a snack to drown out your appetite? what to do in order not to eat at night and when we can violate the proper diet, we are slaves of taste? what can i do? here here is a machine between me and a plate of dumplings, where have i already eaten from? i'll just kill. won. he did not become a skin. all organs shine through miningococcal infection recently. we are increasingly hearing about her in the news around moscow walking meningov. there are deaths the outbreak of meningococcal infection in florida takes lives and this is not all cases people around the world have become more likely to fight meningococcus. it all starts with a simple increase in temperature, and ends with resuscitation and even death. what is not only because of meningitis? what kind

more diseases are caused by meningococcal infection, who and where most often gets it for whom this infection is especially dangerous and what to do to protect yourself from meningococcus, dr. myasnikov will answer these topical questions. journalist. we heard the mingok. they are nothing there. don't let her. oh, this is actually from me, on average, about 200,000 people die and one and a half million people are infected every year. so it has always been so it will be in next year. that's how it was last year. so it used to be a problem with something family district. in what what, every third of you has it now, we will know how they take it for covid with this thing. now we will indicate that you have every third one to endure or it is for you, so to speak , domestic bacteria, but then something happens,

something goes wrong. either the immunity is changing, or something got sick, or something else, or someone gave it to you, but it is transmitted by this airborne droplet by breathing with kisses, by the way, i'm not kidding passionate. this is a fact of risk, as intimate kissing with many people has been written. well , so it is written so translated, miningokok. there is a very interesting insidious bacterium among us. why is interesting, but i already said both pneumococcus and meningococcus. we are many of us carriers, but we do not get sick, and then suddenly something happens and the disease. it can be endemic, that is, immediately, or there can be epidemics, real epidemics. and let's say in countries such as under sugar africa , that is, you think they really are africa there epidemics, uh, no meningitis every seven years,

asks whom dad, of course, children, of course, are mostly activities, but i must say that this is like a little, not the most common cause of meningitis. and the most common is pneumococcus, and in second place is wine, which, but before it was even in third place, because such a bacterium was eiflu, as it is called. but she was in second place, then the pneumococcus vaccine was universally vaccinated, now they are vaccinated very, so to speak, intensively all over the world, so no one began to go back due to sleep, according to its name, and cause meningitis. eh, more often. well, they correctly said that not only meningitis, but in fact in the first place. after all, even the peak of no effects usually come in february-march, and at least in september. all this is important, because? well, you know, well, the end of february, the temperature is chills, that you have a fungus, well, or covid, and you have meningitis

, this is important, because in fact from meningitis. here it is written, if you treat 15%, 10-15% mortality dies. from meningitis even on antibiotics and it is important to get them on time this is one of the few examples when you have a suspicion if a person has a high temperature, especially if her mind is confused, you should not take tests think you should give a medicine called ceftriaxone directly into the vein because that in the first hour after admission, the antibiotic should not be administered . well, it means they spent the medicine, it 's okay, but if they got caught after life, therefore , the main, of course, clinical picture is a high temperature. this is a confused human mind. and that hmm and that's what we call a rigid neck, that is, a person lies, if you try to make his head like this resists. here are three symptoms that are exactly especially if an

aids patient does not talk at all, in general, if you have an aids patient with a high fever , the first thing you need to do is bring up the brain function and watch what it is very important if you have a headache with aids enters the spinal function, you will find a snowmobile, but it's bad that they die, not even meningitis, it means that there is already a high triad, temperature, stiff neck and confusion. he can start no sepsis further and there are certain symptoms that say, yes, everything can go according to a bad scenario here now. uh, another symptom of meningitis is muscle pain, severe muscle pain. and so, if the patient has pain in the legs, his hands become cold, his legs become cold, the limbs change and the color of the skin changes, but in fact it either turns pale or passes in spots, not a rash, a separate symptom, but spots. this suggests that soon there will be

sepsis. and there mortality, in general, is colossal. well , in fact, who is susceptible, what are the risk factors for the spread of the mechanism of action? a miningococcus is very similar to a gonococcus. and by the way , just like gonococcus can cause urethritis, that is, an infection, and how you can distinguish it, without analysis, you cannot distinguish that the same thing will be pain, discharge , and so on and so forth. it can cause three , and it can cause bursitis, arthritis, like gonorrhea and nicknames. you don't distinguish. why is it two bacteria that are very sensitive dependent on a defense system called compliments and only two of their players and racers, what is a compliment, but a compliment is a compliment from the boss. there they give before eating a mass what kind of little things bring them eaten. i think it will be necessary to scoffs came at once a lot, yes, so this compliment is an

addition. you have your own reactive immunity. naturally immunity is a compliment protein system. they have 10 varieties and 10% of all body proteins belong to compliment, which in case of a bacterial infection, as if lining up, it does this and is called the membrane attacking complex. it’s like this molecule that lines up on the pierces the microbe and , accordingly, it dies, so who has a congenital discitis of the compliment of these many times higher, the risks are that they have a gyrococcal infection, that they have no infection moreover, maybe, who, when paid attention. and if some diseases that are treated with certain drugs, the so -called tilt antibodies, and the so -called there are ilgibitors. here is the c5 of this one five compliments and so you never get it . if they don't get vaccinated first.

they can't wait for meningococcus, because seeing these drugs increases the risk of developing meningitis a thousandfold. that is, they gave you medicine, and then you can die from venigitis, and with mortality with all the cases, the medicine is strong, so i just came across this and like that. people who do not have a spleen here, to this two gonococcus and meningococcus, pneumococcus also joins. these are large bacteria with such a polysaccharide capsule, which can only kill the spleen. if you've lost your spleen, an accident of disease, something else, then you should be vaccinated, as it's no infection, but there the truth does not last long. as a son, it's pneumococcus, because it basically dies. these people are without a spleen. as a result, sometime there is pneumococcal sepsis, or no one is pouring either,

therefore, a compliment to the spleen. well, then. and what's next, and then the state of the nasopharynx from smoking, because it still lives. he agrees, remember, he talks all the time about the locals pointed him to the wrong ones, yes, it is extremely important to have a healthy place. we kazan immunity, but the question. hey, what other kid? so who should do it? well, firstly, we know several varieties of mini-grass. we have one of the most dangerous in russia. well, this is not so in russia, the former soviet union variety, but here, but the vaccines there contain four of the most common varieties. mingokok. protects children first. yes, and adults for 3-4-5 years, many countries require it during travels. here, for example, if you want to make a hajj in the century in saudi arabia, then you will not be allowed in without a certificate of a vaccine against meningitis. even so, people still kept

coming back. uh, from the hajj, very often. and we see, well, the truth is, more often asymptomatic, but no infection, by the way, i want to say there are situations. you can be an asymptomatic carrier, meaning no circulating in the blood and no symptoms, well, that's chronic mink circulation. in the blood, their times leads to the deposition of the so-called immune complexes in the joints hence arthritis. uh, in the heart sac from here, pericarditis myocarditis. well, or here, as it is written with, so to speak , together, where he lives. yes, the usual difference can really arise from the fact that the general condition is too severe for it to be a banal streptococcal, tonsillitis. there is something to look for here. and, of course, it fell out. here. eh, it's always important to watch. yes, we don’t treat, a thermometer, the temperature can be any, but if we assume, the child is inhibited, drowsy, and does not eat, but a whimper

looking for. and you think it’s the flu, then it’s still covered with a rash, finely accurate, of course, urgently develop an ambulance, because, most likely, this is egypt and that’s it. these are very serious things. but there is another postulate that home contact with a sick player. then we give injections for infection to all households and doctors as a preventive measure, because we believe that they can become infected. although , of course, doctors, police officers, nurses, even nursing homes - this occupational disease often happens. here, uh, well, as always, doctors now annoyed by their patients. well, what else can i tell you, the swedes, they write risk factors for frequent visits to bars and disco texts by students, because they crowd there or kiss passionately and intermittently , i don’t know, but i just officially paid

attention to that. well , he also said about intimate kisses with a lot of people, because kiss for health, but think about who then everything will be fine with us further, how spices affect the metabolic rate. and how often does a cyst in the breast degenerate into an enemy tumor questions from dr. alexander myasnikov asks you answer 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, victory or something, i myself got together. no, not yet lied a lot of work, but the most difficult thing is, of course, the engine. say hello yes. that's

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skimp on the idea, this is our floating closet, we do not regret big changes in colors. premiere on sunday at 11:30 on the russia channel we ask questions. you answer you answer correctly and receive a prize in the form of my book with my dars inscription. meet the wrong then choose any of these shells for yourself and compensate for ignorance with physical labor. who

is ready under these conditions? raise your hands, what's your name tatyana i'm a student of philological age. so, well, maybe this is it. i'm trying somehow. you know. that's how i will be a student of the faculty of philology, tanya, and even ask, what should i signal the increase in the goals of active protein in a blood test, where will you send me all the reactive protein in a blood test, and so on, what is it all about? who is it, where? i'm

actually all reactive protein. it probably could hear him. the time of this covid epidemic is one of the indicators of inflammation, but i want to tell everyone else that i don’t know and can’t know either . what if the so-called sensitive target is an active protein, and here it is, if it's higher than five - it's very, uh, important. a predictor of atherosclerosis, even bad cholesterol is less important than an increase in this sensitive reactive protein, because today we understand that this is sclerosis - it's not just the deposition of cholesterol in the vessels for these fucking the process of inflammation, therefore, for the diagnosis and prognosis of such people. this is the reactive protein. i can't count you. i don’t even know, because, well, they can generally say yes, although one of my first patients. judge, i also

ask why you pity the goal of the active protein is increased. and then i knew the volume about as much as you do now. okay. a cyst in the breast, well, the mammary gland may degenerate into a cancerous tumor. i think so, but in fact it is the cyst that is reborn, well, almost never is reborn, because why do we actually do a mammography and, having found the indurations, we send further ultrasound, because the mammography does not see this induration. it's just that a cyst of an error is worth the cavity, and the ultrasound clearly sees the stripes. if completely we already stop worrying about this, but of course, the third and definitely do puncture, because sometimes but still, maybe, so let's need something more like that. well, let's say so, as a rule, it is not reborn spices accelerates the troubles of substances. yes, here

everyone says, everyone says, yes, you know that this chili pepper is especially barbados, but when your eyes pop out, irbit well, probably, it probably speeds up, but of course, it's unlikely this is likely to be for a long time, tan does nothing himself. i don't know, i don't have the right to tell you. here you are and here is the task, if you do not answer walking lunges 10 steps harried. i imagine, now it’s okay, do n’t, don’t, we won’t force you or we’ll go for a walk. let's then in half five steps. let's try. well done, well done! ah, let's look

dot ru, thank you very much. starting tomorrow, i will start eating right. many have repeatedly promised themselves this, but in the end they still fell for the usual dumplings, fried potatoes and cutlets. and this is understandable. starting to eat right is not an easy task, but it can be done. to do this, you need to follow a few simple rules, how to easily and quickly switch to a healthy diet. what to do in order not to break loose and to whom, even with proper nutrition, you can eat sweet fried and fatty, dr. myasnikov will answer these questions, a person who loves to eat delicious food. this is true all my life,

when i was young somehow it was not necessary. well, i didn’t have to, but i’ve been fighting all my life along with the fact that it’s delicious to eat and still stay in shape. and what's the problem? here i am, for example, and many other people can even endure hunger here. the main thing when you start to eat is not to blow the roof off, and therefore you must understand something to eat. why do we not like the right healthy food and so love the wrong and unhealthy food, because it is very tasty, otherwise it is not. that's all, so we have with you it turns out that we love the slaves of taste. i am a herring. why can i do it? and by the way, i'll eat a piece now, i could not eat it. but if i eat, i will want more because i have tasted it. what , i'll eat it in a second? well, of course,

i want more right away, which means we must learn not to fight, learn to regulate our taste preferences. fat, salt, sugar, respectively, when you cook something, try it without it, it’s not tasty without it, as if we eat soup and put it in the soup without trying immediately i won’t eat a spoonful of salt, and ok. remove tasty things from your diet. but they must be removed. for example, i have things that i have absolutely no willpower, i ca n’t stop this dumplings myself. this is pasta. and these potato pancakes do not care what they tell me. here they will stand between me and a plate of dumplings. from where i already ate. i'll just kill. i am all me. why do i actually limit myself in this? i know what it is, if i take it all you know,

like an eye of blood. i really won't stop. in general, everyone thinks, i'm how i think, how i i eat pasta in bowls. i eat them in a bowl. well , i don’t need pasta pans with cheese, garlic and herbs , so i have to fight. the first with this second. my always told you, eat only when you want. and still didn't agree with her. well, how is it that morning is there, lunch should be regular, but indeed we often eat without having an appetite for this. don't want to eat. and we go. well, because it has come, therefore, probably, as i understand it for myself, i must not eat then i wanted to eat, but you don’t grab that her pope will be you. the main thing here waking up, he runs to kill, than everyone knows how to kill. i do it with carrots. in my pocket in the car and so on, because you sucked. you ate a carrot. there, zero calories, it

lay down, and it seems that again i wanted to nibble again and again it’s easier. the main thing is to calm yourself down, because it's worse. no. you have a feeling of hunger . you endure it. well, what happens, we run at work, we run, we didn’t have time to run. at first i wanted to eat, then i didn’t want to, and then i came home thinking. yes, you all go with your advice and what there is such i will be and we begin to break down. here it is important for me that i would probably advise how to her. i advise everyone to have a hearty breakfast, because i already say that it starts the entire hormonal system that regulates our pet fat metabolism, energy costs are regulated by breakfast. i would have breakfast and here i would not save money, i would still just eat there, that's what else i would like, then i would eat, then i would have scheduled myself a fairly light afternoon snack, lunch, whatever you like. and i would live on it. yes, here are

carrots, cucumbers, apples. well, here's something further, of ​​course, we must try to finish the process of eating, well, somewhere around 6:07 this is fraught. why? it's six seven ate that proverbial chicken breast or stuffed your belly with salad, and then you go to bed. and at night you want to eat and well, if you have nothing in the refrigerator. and if you eat at night, then you don’t think anything. by the way, i taught myself not to go to the refrigerator, but often, but what i do, i always put fruit with me at night, always in a hotel when traveling, anywhere, apples, pears. i reload them and put them on. that's why i sleep feeling i still took an apple. but, in general, to be able to for me. it seems important to be able to drown out your appetite with these

fruit snacks, carrots, well, with all these high-calorie and voluminous ones, do not succumb to goodies, just understand that you probably don’t have enough, most likely you don’t have enough willpower to stop, therefore, approaching dumplings pasta potatoes something else sausage, sausage sausages. you understand you must understand that most likely you will not stop. this is it. cheat me, please, five dumplings, but i also made five dumplings. i made five dumplings. i cooked them oh, i ate them. i thought, and then i thought, yes, you all go and return to this topic after a short pause. further, how to get used to a proper healthy diet and what kind of diet does dr. myasnikov observe? every

day i think that i will eat everything tomorrow 1,800 calories a day, a pound of vegetables and a pound of fruits of different colors for 20 minutes. i'm just fighting with myself ecology. well, because it's about health several times a day absolutely natural product is also very tasty ecology chicory. it's about health. choice. premiere. it's very tasty at 21:20. sergey against pain in muscles and joints, it contains the highest dosage of a substance for inflammation pains and a special component for better penetration in ochakovo pentalgin extract was created to combat

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continue. you understand, this is all very tasty, and everything is very harmful, so proceed from this, therefore, if you are and where you can, here you go all these semi-finished products and so on, but they are all very high-calorie. here's high-grade flour, sugar, and so on. when you buy, well, first of all, if you don't have food at home, the refrigerator must be empty . no, seriously, when we cook, there are more than 4 days. there cutlets pressed forward. well, if you go refrigerator, you have a plate of meatballs. well, what will you do? you take one, you leave it crunchy, then the dog looks at you and you think, now i ’ll break off a half for you, eat the rest and not. here it is better not to have the refrigerator should be

empty, so buy it, i can not say today for today. although this is what i do. i buy a limited amount today for today. and actually the diet is what kind of that we can ride without illness. we can drive painlessly chickens chicken turkey fish. yes, and meat can ride without painfully wanting sausages. why did he sausage with so much fat salt and stuff? well, you bake a piece or just cook a piece of meat, so generally delicious boiled meat and i adore it. you boiled the roller, cut it off with mustard, ate it, but again, what a process, but if you take odorous black bread and buy it. there is a fragrant oil on the market, which is the most delicious in the world. in a saucer i pour something of odorous oil, pour it, litter, take bread, while you eat. and how can you stop there? let yourself be happy some, but uh still proceed from the fact that

food can not be joy. yes, i understand that this is basic instinct. i understand that there are a lot of rules of some kind, but the most important thing is calorie restriction. you have to learn how to count calories to understand how much you ate? i was asked to control my appetite again. and, probably, to think about it, i think every day what i will eat tomorrow, because i am pleased. i really like to eat, as it was said, but also very much so to say, i do not want to get fat. but i have already chosen a diet for myself for many years i ate millet porridge in the morning, i like it the most. at lunchtime until lunchtime. yes, i usually don't eat anything. here are some carrots back and forth. but at 6:00 am i fry myself a chicken, just a small gray-haired one, or fish, i like the cia, more. i like to fry it. you take it. you beat him off, you salt everything, put everything in. you live with it

and ate it. everything. well, this is the most important thing, of course, do not wake up, do not wake up your appetite at night, do not grab something extra, because as soon as you additionally fired. yes, but what do we know from the garnish? the same potatoes are also mashed. for some reason, as a child, i did not like mashed potatoes. and now, like this, i just tried to share with you so that there would not be a boring lecture again about 1800 calories a day, a pound of vegetables and a pound of fruits of different colors of fish. avoid, then i can not, i myself fall asleep. he said it is constant, but uh in proper nutrition. the most important thing is to make a decision. it's very difficult. you must understand that now and forever. you won't get used to it, you will always pull, because alyona learned the effect from sweets. we give the child candy. yes, he is a sausage. eat a sausage. the taste is formed in this

trouble. this is what went up. if you go this way , but why do i say that it is necessary to arrange all the holidays, like my mother, she says, if you want dumplings there, just eat make this holiday do once a week, treat yourself. well , then you are free to walk, here on this restriction. and that is, it should be a way of life. you can't follow any rules. no it's like sport is like gymnastics. you know, every day, well, i spend one and a half to two hours on physical exercises. well, almost everyone, well, a week six times exactly and intense exercise. for decades, you think, i get up and happily think, now i will do berf pull-ups. i get up and think. maybe i got sick? why are you hurting my shoulder? something i don’t want something, i then look like, then there are butchers at home. and here

i am, i have 20 minutes to lose. i could do 20 minutes here. i just fight myself afterwards i turn on the stopwatch. i already have no options, because we went one two three, four five went, and the first times there, i think, 20 more times, well, okay 50. well, then he wakes up, that is, he doesn’t feel like eating. the same, you will never want to lead a correct lifestyle yourself will forget about pulling. well, here everyone chooses and decides. no, there are individual representatives. this is how katya sits with us. but she eats everything. he no longer has skin , all organs are translucent. but not everyone manages to win such a genetic lottery. so that we are what we eat, remember that everything will have to be fine. if you have questions, ask,

good morning. good doctor. i never thought that it happens that my hands may not move and not work after avito, my hands began to hurt, and, well, i treated everything fine. i kind of almost won it all, i wanted to ask such a question, and my friends and the doctor told me. even mine, which enlarged , said that there was not enough collagen. i understand that now the pharmacy sells a lot of collagen. yes, and as if for the joints. and here i am i wanted to ask you such a question, do you think it is more prophylactic and it is better to use it, or is it still a medicine. i think that everything has already been said with the higher you, this is a dregs of a prologue about prophylactic administration, and so on and so on , i like it, but there is collagen, it was advised to drink it in general, but i want to know your opinion, my opinion.

i have already said dregs absolutely unequivocally or whatever you want, especially the treatment should be expensive diseases. so be sure to drink the course in the morning on an empty stomach, here in 15 minutes. yes i said listen to you my opinion is muddy then you are interested in you still worth the doctor. and tell me, please, during ultrasound , the papillomas of the gallbladder are two or three millimeters. how much is the size 2 3 mm, but there are no two and no tryptomes? well, look, it is believed that papilloma is safe up to 5 mm. it does not regenerate an enemy from 5 to 7, the risks quietly grow after 70 mm.

they grow sharply centimeters more, this is already dangerous, so we are now operating on large papillomas and so on from myself i will say. we cut out so many gallbladders in vain , probably 90% of gallbladders, which we excise in vain, because bilious stone disease comes out and we excise the only one in the world for everyone. by the way, this has long been abandoned, but here it’s all the same, having a little watering. well, what about growing something? well, that was in nineteen. eh, it's worth investigating again. i would now make a control, if it grows, i removed it. thank you good morning doctor my husband is 65 years old. for more than 20 years he was treated for coronary heart disease, and then suddenly he was recently diagnosed with psychosomatics, how can this be connected and how it is how to treat no recommendations he was told, no matter how a chemical heart disease -

this is one atherosclerotic vascular lesion that manifests itself as an intolerance to physical exertion, and any psychosomatics, but now there is none. we say the very form of the disorder used to be called psychosomatics, when a person has problems, but there is no reason for them, well, he has reasons. he was in hot spots. i think that i'm talking now in general, maybe i gave it to be combined with another you can have, for example, coronary heart disease, and at the same time problems with the furnace, which can be related to psychosomatics and do not intersect at all. and what people would be hot spots. yes, this is just a fox risk factor for psychosomatics and most diseases. in our country, it is due to psychosomatics, there is no need to be afraid of this. you just need to understand, you understand, if you are talking about the heart of a man at 65 years old, you said that these problems with the heart are psychosomatic - this is a mistake, because 65 years old, but there is probably

some degree of transport, there is and so on and up dig into this. that is, psychosomatics is always a diagnosis of exclusion. thank you so much. i answered all your questions and wish you all the best. next in the women's health program are unexpected questions for dr. shapovalenko. sergey lazarev will definitely have fun and very loud nikolai baskov the most interesting is just beginning and hundreds of experts.

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please, any questions? hello , what is your name, what is your question? my name is svetlana hello tatyana vladimirovna and you could come to work with a temperature. of course , i understand that you have such a schedule that does not allow you to get sick at all, but what do you do in such cases? i can’t afford to come to work with a fever, because i work in a large clinic and, probably, the coronavirus epidemic taught us all not to come to work sick in any case, and i actively promote this to my employees. i really rarely get sick, probably due to the healthy lifestyle. but with all this, i regularly get vaccinated, and in particular, we have been vaccinated against the flu for many years by the whole family, including natasha 's grandson every year before the start of the epidemic period , and indeed the vaccination allows you not to get sick or get sick easily. if, nevertheless, this happens not only with the flu virus, but it is also easy to endure acute respiratory viral infections, so

i was really lucky. i don't get sick very often. thank you . more questions. good morning. what is your name? hello, my name is svetlana and i'm interested in the question of vaccination. you personally vaccinate yourself with atospa against coronavirus, and you personally got sick svetlana due to age, i don’t need to be vaccinated. hello, i was in childhood, like most people who were born, in my opinion, before 70 or 78 there, so we actually feel completely calm. is it necessary to vaccinate against smallpox for those who do not have this vaccination, if the epidemic threshold is exceeded in our country, then, of course, in any case, we will think about including atospa vaccination in the vaccination schedule and vaccinate against the coronavirus unconditionally. i did. and we also talked about this often with my friends in our programs. i was sick. if you can call it a disease. and i was sick with this most unpleasant delta strain for 2 days. i had a headache. i accidentally decided to

do myself a test without any temperature without just 2 days later. i completely forgot about my illness, so i got vaccinated against coronavirus infection. yes , it will not 100% protect you from infection, but it allows you to transfer the disease quite easily and without the serious consequences that usually accompany infection with this dangerous virus, given that now, in any case , the number of patients who become infected with coronavirus infection is increasing, then, of course, the issues of vaccination in ukraine are relevant. who has the next question? good morning. what is your name? good morning doctor. my name is lyudmila, i recently noticed that my bones hurt, my tail falls off, then my arms hurt, then my legs, then my back. i looked on the internet. what is it, maybe they write that osteoporosis? can i have it and how is it to recognize osteoporosis, maybe due to age-related hormonal changes, maybe as a result of taking certain medications or some underlying pathology. in

any case, it is necessary to examine those symptoms about which you speak, they can be manifestations. osteoporosis what is osteoporosis is a condition where bones become brittle calcium is not absorbed and calcium is leached out of the bones. the biggest complication of osteoporosis is the high risk of fractures, therefore, of course, the diagnosis of osteoporosis in women, especially after 55 years. necessary densitometry is a must-do gold standard. this is an x-ray examination method that allows you to assess bone density, as a rule, the head of the windbone , the head of the humerus and the spine are assessed. and it's safe to say whether or not you have this or that degree of osteoporosis, such an examination is definitely necessary if you have at least some signs of the initial stage of osteopenia. well, then this detailed examination with the delivery of a certain set of tests and according to the choice of therapy. and if after 50 years, but with all this, there are no signs. should i go for a preventive check? yes, because

quite often quite active young women come to us in for example, without exceeding the weight a little over 50, a fracture of the femoral neck, it seems, like out of the blue or a very complex fracture. hands too in general, slightly fell, therefore, in any case, the diagnosis of osteoporosis. especially with the onset of menopause, every woman must go through. thank you so much. thank you. who else has questions? good morning. what is your name? hello anastasia? hello, i have a question. i am very worried. my grandmother died of gout. she suffered for a very long time, and i am directly afraid that it is inherited, especially through a generation. i heard, do i need to do some kind of prophylaxis against gout, they still don’t die, they die from complications and from those concomitant diseases that are accompanied by vodka, but gout is primarily dangerous because severe gouty develops arthritis, which is really very

painful and painful, and therefore, of course, if you have had cases of gout in your family, your mandatory analysis is, first of all, the level of uric acid, but with all this, you still need to follow certain preventive measures, because in any case, it is better not to allow the disease. and you need to follow a very specific diet. there is a so-called used to be diet number six, which is recommended for patients with gout or those predisposed to gout. warm up. who here just in the family had cases or patients with the same urolithiasis. and as a rule, this diet is aimed at eliminating foods containing purines, special substances that contain purines, saturated meat and fish broths, organ meats of the kidney, liver, and so on, these are salinity smoked sausages, canned food, meat and other products, sorrel salad. asparagus is also high in

purines. and, of course, as the prevention of any arthritis, this is a normal body weight. how do you do it low carb though? fat diet and believe me, even if you have a tendency to develop gout, if you follow all these recommendations, you will avoid serious complications. and who, in principle, is at risk for a disease such as gout, as a rule, the level of uric acid is included in the mandatory medical examination tabut the level of uric acid is at the upper limit of normal. he, accordingly, makes us wary and already recommend to patients that diet, about which i have just said who from the next question. good morning. what is your name? hello, my name is elena . question. i have very rough skin on my heels. there are deep cracks. calluses are very painful to walk. i 'm afraid that infectious diseases will develop. i want to wear open shoes and i want to forget about this pain and solve the problem. i regularly

take care of the file, i go to the salon, but it doesn’t help. nothing. please advise effective heel care products. such a problem, especially in summer, when you want wearing beautiful open shoes excite. unfortunately for many. i will disappoint you a little bit - this is far from the best option, because if you often use a special file and remove the surface layer of the epithelium, then you will additionally injure the skin of the heels. this further increases the risk of infection joining even more causes education. these horny dry layers of skin are filed, only once a month. well , the question arises. and what, in fact, to do with such dry cracked heels, firstly, of course, systemic diseases must be excluded, because such dry skin begins as a rule. it always occurs from the heels with the initial signs of hypothyroidism, that is, insufficient thyroid function in

diabetes mellitus with severe metabolic syndrome with atherosclerosis of the artery of the lower extremities of microangiopathy, when there is enough blood supply. eh, a hundred skins themselves. stop is the first thing to do, you still need to see a doctor and, as part of the annual medical examination, go through at least a basic survey. if you have ruled out all systemic diseases that may be causing this problem. then, of course, you need to return to the issues of care care in their funds. actually a huge number. i'm like a person who loves to walk barefoot. i am also suffering from this problem. which one to choose what to look for? now korean cosmetics are gaining special popularity. why because as a rule? this is a very well-honed formulations of various cosmetic products for care not only for the skin, feet, for the skin of the hands for the skin face behind the skin of the body and really very good formulations. moreover, this cosmetics really

has a fast and very effective action ; there are special korean products that allow you to soften the roughness. feet skin and reduce the time you spend on a korean pedicure, in principle, at 50 looks 20 years old. this is a proven amount of skin leather, it really determines the quality of the skin, and plus i heard that most of the korean cosmetics. it is made exclusively from natural ingredients . of this cosmetics are really natural ingredients and this is the base on which the whole concept is based. uh, cosmetics from korea what is included in the composition of foot care products. first of all, it is chamomile extract, chamomile, a wonderful herbal remedy that has a calming effect, has an anti-inflammatory and softening effect. extract. aloe. vera, also absolutely wonderful since childhood. we are familiar with yarrow. first of all,

he has the ability to retain water. improves tissue regeneration. it speeds up healing if some microcracks or microtraumas appeared and , accordingly, it allows not to form. this very corns, which quite often cause pain and worries us a lot, and coconut extract, firstly, has a pleasant smell, and secondly, it has an excellent, tonic and refreshing agent for the skin of the feet. and these all three ingredients that make up the foot care product allow you to very quickly within 3-5 minutes. soften rough feet with regular use. believe me will save you from this serious problem. heel miracle is a pedicure gel that will help get rid of corns and prevent cracking at home in one bottle. you will have enough gels for a year. developed with korean technology. beware of fake miracle heels -

this is a real miracle and salvation for the legs. we have answered all your questions. send new ones and we will be happy to help you. i wish you a good day and good mood. be healthy. with you there was a program about the most important thing. hello, the main thing for this hour is a symbol of unity people and readiness to defend the interests of the country. today, we celebrate the day of the national flag.