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today, cysts in the body, it is important to know when they need to be removed, and when they just need to be observed. in what cases can cysts be reborn into a cancerous tumor and when to be examined for the presence of cysts, how to pregnancy to stay in the same mammary gland, in which there have already been several cysts, what should i do with them now? how can i live with them in a psychiatrist, how dangerous are thyroid nodules, and from which pets you can get saline ? when painkillers can lead to kidney failure? what drugs for

hypertension disrupt the kidneys and how to take medicine, so as not to harm the kidneys, every fourth already has an initial degree, and soil insufficiency, you may well find yourself ideally after 20 years. you will learn all the renal function from me. cysts are neoplasms that can appear in almost any organ; they are present in many and in every edition of the program. about the most important thing, dr. myasnikov is asked questions about cysts. why do cysts form at all? why are they dangerous when they need to be removed, and when they just need to be watched. what is the probability that the cyst will degenerate into cancer, can they disappear on their own and what to do so that they do not appear. today we invited people to the studio who have cysts in various organs, and they have questions for dr. myasnikov.

it will be interesting for you too. well, who are these people? first, what is a cyst? yes, it's a cavity. this is a cavity in some organ, in some way space is formed here. it may be filled with liquid. maybe not filled. well, once again, a cyst is not a formation, a loose formation, which is dense inside education. but we don’t see this in the liver and we do an ultrasound. and here is such a black formation, because it is such a hole, but this is a very frequent find, as a rule, by accident. we do not feel it, and it worries you very much. what are we going to see now, let's go. who's there? we ? first tell. good morning doctor.

good in 2020, at the end. i was diagnosed with endometrial stool. in the right ovary, it was recommended to repeat dynamic observation in six months. now i have it saved. i am planning a pregnancy. how to manage pregnancy remove the cyst first, or you can try hmm plan directly with it, not just watch it hit at the moment. uh, because an ovarian cyst, it stands a little apart from the usual history. the general rule is that it can be traditional cancers. no, the enemy of the ovary, because ovarian cancer is not my silent killer, it has no symptoms. and we discover it. only at the third fourth stage a woman walks, then she pisses, and this is one of the symptoms of attracting e belly, and full and then more arrived in addition, we can't screen this track, because here we find, it looks like oncology and a

predator are doing a tumor marker. you're 125. he's also elevated cancer and we're sending people in for surgery. we can not have the right not to send. crayfish. we find in one woman out of thirty that's all. sent no no. that's why we can't go on such a broad front, that's why we don't do screening, that is, examining a healthy woman for ovarian cancer , but we somehow detect cysts, not cancer and cysts, and it's always not a question of missiles. here important what to understand, you found her house for a pause, or after menopause after menopause or bay cyst can potentially be reborn in oncology. therefore, if you didn’t have cysts at your house for a pause, and after menopause you went to jump at home, there were already questions. just an echo. she enemy is not reborn observed and so on. here is an endometrioid cyst. in fact, she can be reborn in iraq. and yes. this is only a few percent, yes, the probability. i don’t remember, honestly, how much 3%, well, it

’s low, but, but listen, 3% means out of 100 three women have it, and therefore we advise you to remove such cysts in your place. i would have removed that stool and then he had a pregnancy. i don't know what the gynecologists say, but i don't think they say it's different. yes, they recommend either to wait another six months with medication, or to remove 3% allaparoscopy. here, decide for yourself whether these 3% suit you or not? i would go. you, why doesn't he need any operation. well seven came tomorrow left. thank you. good morning doctor, i sometimes get in my stomach. drawing pains some character i don't understand. i went for an examination and found a 1 cm spleen cyst, with an ultrasound of the small pelvis there are still cysts of the

endocervix. well, of course, i'm afraid of oncology surgery, i'm also afraid of what you will advise me. and what 's interesting? the doctor said, did not say anything, to be honest, in general. well, as if they gave me this conclusion and that's it. should not worry at all, cooperation speech. no, it can’t be, by chance, a find, but absolutely benign and just forget it even when you don’t remember something else the thing is that you have watering the gallbladder there. they told you about it. well, yes, i, too, this is a 4 mm polyp, not dangerous, but if there is russia, this should be monitored, because up to 7 mm. this is so to say, repin's higher risks of oncology of the gastrointestinal bladder will arise. ah. hello in my mammary gland. i have several cysts and five years ago.

i have already been operated on the left mammary gland, they cut out a fibroadenoma about 3 cm in size, and at the moment i have several cysts and a small the basis of the fiber is an adenoma, and there is also a cyst in the second mammary gland, and all of them are small in size less than a centimeter, the height is 80 meters, and in summer how many 25? and why did you remove the bro. they said that there was a risk at birth of a malignant one and they strongly advised to remove it urgently, because the grandmother was already happy with the large size of the breast. and someone else also in the family had your name daria everything is serious here, because your risks of getting breast cancer at an early age are very high cyst has nothing to do with the cyst enemy of the breast never does not outgrow in 99.9 cases, so any

seal. we do compaction mammography, we found an ultrasound if the cyst is still punctured and we forget you had a fiber adenoma, which was operated on with high risks just like that and you didn’t have periods. uh, in addition to cystic fibrous degeneration, it’s not the kitty that interferes, but you have other things. a woman who has one relative with breast cancer, the risks of oncology are doubled ; i'd if i were you, i'd go to a geneticist and get tested for brc genes and mutations. because if that's the case. the risks increase many times over, like angelina jolie later, by the way, it was not in vain that i asked about growth as one of the risk factors, yes, breast cancer is growth over 175 mm in centimeters with such mm.

dasha, take this seriously, because a beautiful good girl should live, and live. and so here you are the signal sounded is a reason to be examined. okay thanks a lot. hello doctor e a few months ago, e went to the doctor with pain in the stomach area and during ultrasound , they found gastritis, of course, and a cyst in the liver, and vascular 7 mm. well, they said, watch, it's okay. so i wanted to ask how i am very interested in how gastritis can be determined by ultrasound. that's how it is impossible by definition, there is no such thing over the nobel prize to give such elements the food of every tenth of the tenth, but nothing brushes either. everyone has a tenth fifteen there. well, a little less often for men there is a little different, if a clean cyst is a simple cyst, this is nothing, but sometimes,

maybe once we see. here it is like a cyst, but there are still some inclusions in it, and there are all certain criteria for ultrasound. not so to say e gastritis do. yes a high degree of probability to predict oncology - is it or not? that is a simple cyst. it's about nothing, in my opinion, the same thing, by the way, thyroid cyst thyroid gland. well, you need to treat it too. no, why do they appear and why is it just an overgrowth of tissue? well, well, the tree, and then it cracks, right? and well, she's not dangerous. it's just tissue thinning. i am once again i say that here, um, a discharge, there may be traces of inflammation of the infection, some little, what it was. well, you see, i thought so now, so i will tell you there is nonsense, here is nonsense, here is nonsense, but it turns out to be one meter long cyst, which is a serious thing. dasha generally needs to be engaged in genetic research and look at

mutations. well, you have nothing. well, it's all doctor. where are the legs? who else do i have? i forgot you. my name is marina, it all started with the fact that i got sick, the lower back is a very unpleasant aching pain when stabbed in the side, i went to the doctor did. ultrasound means ultrasound showed the presence of, uh, insignificant places in both kidneys, what should i do with them now, how can i live with them, maybe remove them and forget about them altogether, you will live for another three years, and then i have everything annoying, but came to you, patient pain in the soil. well, what are you sending to the ultrasound to feel, you can’t see to solve the issue without it. well, everyone was to blame for the doctor. if you didn’t appoint cats, didn’t, then you didn’t

go to the doctor and then that’s what you wanted to remove the kidneys. this is where the disabled suffer. stop not full doubling. i say she wants kidneys. remove the doubling of the kidneys, so it's at the fifty- fifth year of life that it turns out that there is some kind of septum in the kidneys, it turns out. i have three kidneys. you know , with such a manic readiness for research, it is necessary to play ultrasound psychiatrist at every clinic and immediately to the psychiatrist ultrasound computer graphics psychiatrist. so, either a psychiatrist or forget yourself. so we found a kitty there. how many people passed six people passed, so they found did not find any hemangioma found disabled animals 15 found. jeanne found it jeanne you

knew. why don't you be nervous, don't ask, don't tell the doctor. i have a hemangioma and i will die. i know they they are already 20 years old and every time they say in winter, oh you, well, watch, we see no problems. ultrasound 20 years ago. well, i don't know, maybe it's a random find by the way, i understand by accident. well, here's the right approach. so now what? well, everything, in fact, that i wanted to say, for the most part, random finds about nothing speaking, but such exceptions are no exception. this is a little different here. still, it came down to this . and this is no coincidence that nakhodka also orders yesterday that one must be careful in order to be healthy, but not excessively, not to fall into disrepair. here in psychosomatics, then everything will be fine. further , how dangerous are the nodes in the thyroid gland and from

which pets you can get salmonellosis ? he speaks? well, because it's about health several times a day is an absolutely natural product of chicory. it's about the prime minister's health. 21:20 on the channel russia micoderil solution helps to

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well, and so on. who's ready to raise your hands? good morning. good morning. what is the name of yulia what do you do as a psychologist cool psychologist? but which psychologist do you choose exactly half of these, or are you here, why does it seem to me, it's just that there is more that indicates, and i thought, just to do a psychological test closer to myself. oh, i immediately say the task what should you do if you suddenly do not guess the task to do the burpee exercise three times, what is

it? you know three times, then you will do it, better guess, i will try. well, let's take a thyroid gland. it can degenerate into a cancerous tumor. it seems to me quite possible, yes, the question is really another matter, that it happens extremely rarely and randomly discovered nodes in total, there are less than 5%, is oncological. but yes. uh, maybe especially the cold. like a cold node, if it does not produce hormones, that is, if in your tests, for example, the tsh hormone is lowered, it indicates that the function of the gland is increased, then you don’t have to worry. it is almost never hot, as we call a hot knot, a cold knot does not go over. and most, but here in different ways, but i say again that this happens more and more often. meat in the diet can lead to appendicitis, it seems to me.

it seems that you also regularly feed yourself meat, maybe up to oncology, the large intestine can be a lot of things, but the meat provoked appendicitis. i do not know, i think not, i answered in your place, no. which pets can infect with salmonellosis okay cats okay cat is a cat. and what else, here you go in the village, let's say, a little more often here, and there who sings in the village in the morning, of course, a chicken, and so on and so on, but uh, something else was meant here, someone meant pets. these are turtles iguanas, they saw beautiful ones. that's really

turtle turtles iguanas and so on. why in some countries in america, in particular, it is illegal to sell turtles for children 5 years old there. asks where is the child? how old is five? no, reluctance up and do hunting book to read okay, psychologist. i will not torment you and a book, yes, i will write a lady, then listen, well, i might like a girl. i can give her. well, at least the book that she wrote. i write like a chicken with my paw. you will need to be reminded of the answer. please sit down, if you want to review the application or the site we look.ru, and we move on. the medicine can harm the liver about it. we've

talked about this many times, but did you know that there are drugs that can seriously impair your kidney function and even lead to kidney failure. moreover, among them there are many of those drugs that people take almost every day, what kind of drugs they are, how they harm our kidneys. and most importantly, for whom they are most dangerous, dr. myasnikov will answer these questions, and will also tell. how to take medicine so as not to harm the kidneys. remember. perhaps this applies to you. you know, i’ll betray the general craze for ultrasound ultrasound of the kidney cyst stones, we somehow forget that up to a quarter of the adult population of developed countries, including russia, yes, thursdays are 1 2 3 4 1 2 3 4 already have some degree

of kidney failure, no there fantastic chronic pyelonephritis, because it hurts somewhere in the back they often run write on an ultrasound scan , something is saved there, it’s all fantasy, but real initial stages of almost insufficiency, asymptomatic are skipped, although for this you just need to do a urine and blood test. nothing more to calculate according to the formula, and then you start thinking, because you have it. initial degree. you may well find yourself hoping in 20 years, or maybe in 2 years . the fact is that we have been talking about the kidneys for a very long time. i raise a periodic topic, my favorite attraction is to ask you. get the microphone ready. why are kidneys needed? raise your hands. who knows what kidneys are for, we need them. it is the excretory system that excretes yes, that is, well, it does not excrete fluids and associated with their

electrolytes. etc. it knows everything that the kidneys are relics, the excretory system is excellent. what else are kidneys for? well, maybe, including secrete a hormone that regulates pressure. not in vain she sits here, not in vain on her. everything shows. go here. and you don’t see any kidneys here, but if we squeeze it here like this, we’ll go into the intestines, it will be so bean-shaped here. there there is a certain uh system that you produce rinin aldosterone, that is, sit down the kidneys adrenal glands produce hormones that regulate our blood pressure. hypertension to you to her phrologist is the main body that regulates our pressure and responsibility in particular for hypertension. who else dare well, the bones of

vitamin d under the influence of the sun is produced in the skin in the liver, a different form is produced, and the kidneys turns it into an active form. and the only thing that turns the kidneys is actually what works, delays, gives vitamin d, strengthens the bones and that's it. this is vitamin d health, we know its level of oncology, heart disease prevention and so on. what else do the kidneys kidneys still produce erythropoietin, a hormone under the action of which our red blood cells are produced by the bone marrow. one of the main symptoms. almost insufficiency, severe anemia. okay. it means with you filtration regulation of pressure, vitamin. d anemia, production of red blood cells. what else?

the most important thing is that you love to talk about it, in general, everyone likes to talk about the acid-base balance. in fact, what regulates the acid-base balance of two organs, the kidneys, the lungs, the lungs , two are excreted, and so on, and the kidneys, the main process of regulating the acid-base balance and maintaining it, is the kidneys from here. understandably? why did the lord god make our kidneys a paired organ, because you are sad to live without kidneys, to be frank. well, you see, and at the same time, because the kidney of such a life on an important organ most complex organ. this is not the stomach and heart, that the heart is a muscle bag back and forth, it is very difficult. every fourth already has an initial degree of renal failure. oh, which she does not know, by the way, this means that there are 10 people here with her . if we look at the creatinine in the urine

, we recalculate the albumin there, look at the formulas, and we will see the degree of decrease in renal filtration. then someone came up to me with clementine and showed me. so, if cretinin is elevated, there is an upper limit of 100, but you have 120, then this, then everything is already lost half of the kidney function, to make it clear, and this state of affairs is caused by the fact that you grab something that is not too lazy in your mouth, i don’t think about how it harms the kidney. and we have an important conversation, but we need to take a short break further. in what cases your kidneys can suffer due to a headache and what medicines you need, especially for hypertensive patients, so as not to harm the kidneys. she can kidney success you teach me all the kidney function. elizabeth

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why else do you need to know your level of filtration the degree of the area of ​​insufficiency that every fifth person has 22 percent 25. why because we all take antibiotics one way or another and often we take them paracerally, that is, veins and so on, there are antibiotics that directly kill the kidneys. such as gentamicin, it simply causes acute, area and insufficiency, and with concomitant already having problems, it cannot be done . but we need often those antibiotics that are excreted through the kidneys. they are calculated based on renal function, if it is reduced, for example. and so on, that is, the instructions for any antibiotic must include its nephrotoxicity and how to calculate the dose for area of ​​​​sufficiency and is it possible in principle to

give it, because is it safe to eat antibiotics that are safe for the kidneys, but i always insisted in my doctors that anyone tells you, you distributed everything again, go and check, open it again, because sometimes it's a shame when you pull a person from the other world and sepsis, and he dies from kidney failure, which you yourself caused, for example. this includes amphaticin, amphoterin, b - these are antifungal drugs. sometimes it happens that we, with a severe infection, mushrooms that begin to eat you can just grow him with this amphora, you save him, and he has irreversible changes in the kidneys. you can't do anything anymore. it causes a sounding acidosis, that is, a very high acidity of the intrarenal tubules develops. they just burn out. this is what we know antibiotics. but what i want to draw attention to, painkillers, all these non-steroidal anti-inflammatory drugs, you all have already learned that they have a bad effect on stomach ulcers.

why is it necessary to take for months about gold and so on? i already proceeded to you head that they also they act badly on the heart; they should not be given to hypertensive patients. they are expressly prohibited other heart failure increases the number of heart attacks, but painkillers can affect the kidneys by water those who have a headache. you are taking painkillers 10-15-20 tablets for the head. it doesn't sometimes make it worse than business headache medication, but the kidney develops interstitial nephritis. i will never forget a patient in america who took so many pills. painkillers that when we multiplied how much she weighs there not not a dose, but i myself the pill itself weighs about half a gram, it turned out that he ate, uh, a kilogram, a kilogram of painkillers for months . well, such a bank, respectively. she had acute social nephritis. sometimes the same diuretics. here you also need to understand with kidney failure. you cannot give thiosides or kinohydrochlorothiazide

, for example, it will not work in kidney failure, so furosemide does. well, of course, a lot of anti-cancer drugs. that's unfortunately chemotherapy. we often kill kidneys because you don't always have to choose, but here's the drug you all take, inalopril. come on, you know in different ways capital for lapril everything that ends in reception. these are, so to speak, inhibitors of the so -called converting enzyme drug no. well, practically. one in the treatment of heart failure hypertension and improving heart failure improves kidney function in diabetes saves precisely preserves kidney function, but sometimes from 10% of people, especially about which low sodium initial reduced blood pressure it, and there, how the kidney blood flows in and out. here it

acts unevenly on these vessels, and, as it were , squeezes the cakes through which blood comes in. and thereby reduces glomerular filtration, it can cause an increase. uh, or just the onset of kidney failure, well, most of all in the mail insufficiency of acute kidney failure. this is what you do yourself hypertensive patients. these are the drugs that you take under the tongue to treat hypertension , no matter. what are all the things that cause a rapid drop in blood pressure. because you cause a systemic pressure drop, but falls into the perforation pressure in the brain in the heart and in the kidneys and man. he has a so-called silk kidney, he stops walking to excrete urine. it 's called pre-renal kidney failure, swaddling months. even the problems are not in the kidney itself, but in the events before it in the vascular system. or

let's say you're dehydrated. that's what the doctor does, if we have a patient who calls him at night, they say that he hasn't had urine for the past 24 hours. what does the doctor do, huh? possibly put saline dropper by profession. the teacher knows the people, the teacher knows, and i am the future of interns, like everyone around me. furusemide does not help. i give him more furosemide curator comes, where would you now killed. unless you were a resident, an idiot first. you must give a dropper of water, and only then, when you don’t have any tests, you don’t think anything, the dropper hasn’t soaked today, then it’s already furamid. i say, but if she has heart failure, we will fill her up now, half a liter, nothing will happen. if you see something wheezing, you always have time to react to furosemin, the first dropper with honore, so i say that

this is not a sufficiency by mail, but, on the contrary, a kidney success, because if there is no pressure and the kidney continues to determine urine, it will simply die, so it locks. well, as always , in a conversation about kidneys, there is not enough time about kidneys. this is already, in my opinion, the fifth program on the topic of the kidneys. well, we will continue. you will teach me all the renal functions. and then everyone is silent, that they call one. here katya knows, let him sit here without a skin. let's be careful about our health, it will still be fine. and right now i am ready to answer your questions, which for sure, each of you has this section. ask a doctor. good morning. the good worries me. zhok she every day, even from the fact that i drink water. i went through the fgs, it seemed to me that i had significant erosion. and here it is written. i don’t know what to do, the doctor

who did the ultrasound well, not an ultrasound, but fgs, he didn’t tell me anything , he says, go to the specialists. why didn't they come? well i was told how to change the way of life. this is the doctor who did the ultrasound and what medicine to take or what? it 's just that. sometimes i wake up at night because i have this me, that's all, of course. that is the medical component. it's just, i don't understand why they went. you didn't go or what? no? it's just that something else, as it were, was putting off putting it off, but now it's already hard for me with this. well actually keep you there really erosive gastritis. this means that in almost 100% of cases it is the result of infection with hylobacter pylori. they owed you. at the same time, and take an era to see gyrobacter pylori, they usually come later, i don’t know if you came or not, but judging by the fact that no one has come to you. and who sent you to us all this i'm just myself i have a very strong pebble

right away yes, because it's yes, yes. well, because we have. so you have, if the study still needs to go to the doctor, if he considers it necessary, then he is responsible for you. he should tell you to answer, and not to quit. that's it. and, if there is some kind of oncology, they found it, bleeding the threatening language was also kept silent. yes? this is wrong, so you still need to do it through a doctor. and what we have. you need to start taking drugs, the so-called proton pump inhibitors, for example, also omeprazole for 28 days and start drinking two antibiotics there according to the scheme, as usual, clarithromycin excesslin, we have different schemes for 2 weeks. here's a month of fun for you. and then, when it will pass to you, or they will leave this omeprazole. uh, follow-up treatment, or not, it may not go away at all. if you do it, then it will be bad. yes, i live,

but again, the doctor must prescribe to speak and so on to follow this. thank you hello doctor. my name is natalie. in recent years, for more than five years, i have had such a situation that when i am stress-free, stress-free , very calm, and breakfast, lunch or dinner, it doesn’t matter. it can be when suddenly uh, that is, i calmly swallow. i eat and suddenly i have some kind of spasm somewhere here that, as if i had not swallowed food a big big stone, and it is with the strongest pain, as if it were tearing this vessel to me. and when it happened to me for the first time, i went to the doctor, they sent me to an endocrinologist. endocrinologist, speaks from the thyroid gland. it doesn't happen. they told me hypothyroidism, go to the clora to the lor, he says,

there are no problems in my part. no, they tell me that it's supposedly a psychologist who needs these or i say, i'm nothing, i already want to know, but where else can i go to find out what this problem is? why such a reason? i just in the last six months three times a man comes out, says, i embroidered a button to the button, there is no claim, he says they are sewn to death. no, you will tear it off. how many of you do this lasts 10 more than 10 years, but it used to be once a year there once every six months, and regardless of this solid food and water, regardless of when solid food . so you need four figs with a centrobu. it's really faster, i, if you tell me before 2 months. i would say this matter is urgent because it could be up to given. my mother died like that, so it appeared six months ago. i've had three times already now, no, i mean

, but it's very fast there up to half a year, if all your life there are other symptoms for you. you will see, basically the hard one goes through this diffuse with the help, as they say with a chipped pain. this is similar to the diffuse pumper spasm of the esophagus, it is treated with various drugs by injection, but there is a whole approach. in general go to the gastroenterologist. say that here is my guess that they are diffuse expats of the esophagus. examine me and treat me, but only a psychiatrist will always have time. thank you thank you very much. i hope i have answered all your questions. i wish you all health and good luck. next on the program, who is at risk of a stroke and whether it can be controlled, i can't believe.

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they fear most of all from the problems, are especially afraid of those who already had a case of a stroke in the family, where there were seriously ill patients with a significant neurological deficit, close people, and everyone knows perfectly well how severe and difficult the disease is to be rehabilitated. do you need to avoid a stroke or is it some kind of inevitability, so you can avoid it, and today we can tell you how to do it spectator victoria let's find out her story. ivanov's story 55 years korolev 2 months ago in life victoria suffered grief; her mother died of a stroke. we called her all the time to the intensive care unit. i hope that she will recover, but it didn’t work out, her age was already so solid. therefore, the doctors

said the chances are not enough for the feeling of a loved one with whom he has been close all his life, and this is not the first case in victoria's family, starting with her great-grandfather, who died of a stroke at 45, and then i was with my aunt twice, too hypertension, so we are also at risk of excess. there is a dream, for the sake of which she needs a strong health for many years. i want to wait even for great-grandchildren, so i want to foresee all the possibilities to prevent a stroke and see your own . victoria's further offspring, we have people, come to us, please, good morning. good morning victoria, what are you worried about? the fact is that i have a heavy heredity according to my mother, starting with my great-grandfather? yes, everyone in my family suffers from strokes, so i'm afraid, and now i came to you for a consultation . factors that can really lead to the development of a stroke are transmitted, that is, the stroke itself. by us. well, of course, it is not transmitted. and tell me,

please, victoria. and what diseases do you have. i have high blood pressure high weight and bad cholesterol, high cholesterol. yes, i visit a doctor, they don’t prescribe pills for pressure from cholesterol, it’s trying to lose weight victoria but the prevention of cardiovascular disease. and you are doing it . you are taking drugs, they really play a very important thing, so consider that the first step is prevention. have you already done? well, what other methods exist prevention in order to talk about it. i would like to invite an expert to the studio about tea sergey vladimirovich volkov, cardiovascular surgeon, head of the center for endovascular surgery , candidate of medical sciences sergey vladimirovich good morning. good morning. sergey vladimirovich is on plasma. right now there are risk factors for stroke. let's comment on them, arterial hypertension. this is the risk of developing a hemorrhagic institute in the first place. when there is a prerequisite that some of

blood vessels supplying the brain, may burst due to increased blood pressure and a hemorrhage occurs. hemorrhagic strokes occur in the brain, my friends, well, much more severe both during the stroke period and the consequences, because quite often with a hemorrhagic stroke, the help of neurosurgeons is required, brain surgery is required . and in general things are extremely unpleasant. therefore, the fact that you control blood pressure is very correct for hypertensive patients. measuring blood pressure is mandatory at least twice a day just to measure the pressure, while keeping a diary. there he writes down these figures so that later he can analyze how the body reacts to the next risk factor - this is atherosclerosis. it occurs already with age and over time can lead to a stroke, but to an ischemic stroke, that is, when there is a block for blood flow, or some fragment of this one. rascalic plaques

can break off and plug smaller ones. artery, in addition to the fact that you are taking drugs to lower cholesterol. you need to do it without fail, taking into account heredity. at least once every six months, one very important ultrasound study. study of the vessels of the neck of the main arteries of the head, and just this study will show whether or not there are striatic plaques. and if they are, then certainly these studies. it is necessary to carry out often enough to control their condition. friends. i can't help but mention such risk factors as diabetes and overweight. weight overweight victoria k. sorry, you have . and when was the last time you checked for diabetes sugar, i check regularly. everything is in order a little higher, if your sugar is slightly elevated, you need to control it on an empty stomach and after eating, and just like sergey vladimirovich said, keep a sugar diary, friends. blood sugar control blood glucose levels

and, of course, veil control are inextricably linked. related things are one of the foundations of victoria's stroke prevention here. pay attention attention please. you should have these devices and use mine regularly. and one more very important element is an orthopedic pillow. why is a sleepy orthopedic pillow sergey vladimirovich so important that an orthopedic pillow is more correct and gives a person complete rest, that is , the neck muscles relax, because if the pillow is not right, a person does not sleep well at night , wakes up with a sleepy headache. this leads to an increase in pressure and again we fall into this circle with all the risk factors. here it's my friends it's very important to know most strokes happen early in the morning victoria how do you sleep, huh? i have insomnia. will a pillow help? this may be the first 100%, but medicine is moving forward and today there are specific methods

of stroke prevention and one of the first methods is, of course, a rough model of a stent, but the meaning of this device is as follows when we encounter. here with the same risk factor. this is atherosclerosis and inside the vessels there is an addition, so to speak, of a paternal plaque. blood flows slowly. there is a risk of, uh, a complete occlusion of the vessel, and we can help. we put such a grid inside the vessel. this is an extremely minimally invasive procedure done through a small puncture, or on the arm. we enter access, where we usually measure our pulse either from the hip with e, inguinal region and thin tubes. there are 2-3 mm in diameter. we get to the affected vessel and fix the problems. victoria is a must for you . it is necessary to do an ultrasound examination of the neck and a neurologist, a neurosurgeon, cardiovascular surgeon. should you look and tell if there is an indication for such an

intervention as stroke prevention is the first thing you need to do? what other surgical methods are there? we spoke rather superficially about stroke options and forgot to mention the so -called cardioembolic stroke. many of us have heard. uh, things like atrial fibrillation, and there's inside atrial nutrition when the heart muscle starts contract asynchronously and very quickly and the so-called mixer effect occurs, when the mixer clogs something due to this chaotic movement of fast movement, it turns everything into a more station, the same thing happens with blood, when the heart works asynchronously and there are methods when we doctors, in such a situation, we prescribe special drugs to the patient that thin the blood and do not give e with trombik, yes, but there are a number of e-e groups of

patients in which these drugs are contraindicated, or they are on the background of these drugs there are frequent bleeding of a different nature. that's when we also use a modern device called an occluder , it is placed in the atrium in the eye of the left enterprise, and in fact. uh, prevents formation. here are the same blood clots. yes, right. here are just a large cardio-embolic type of stroke, by the way, my friends, the most common cause of a stroke is the formation of atrial thrombi against the background of heart rhythm disturbances to diagnose. this can only be done by conducting daily monitoring of the heart sergey vladimirovich after intensification and recovery occurs. well almost instant patient. maybe in the article and go home, and after installing the selected beak, similar operations in terms of invasiveness, or that's all, even in my opinion. it’s a little easier to do, because we already

use non-arterial venous access and the patient also goes home the next day and 40-45 days after the implantation of this kluder, we cancel all, uh, drugs that should thin the blood, and he already living in peace. further. everything is fine. these operations are included in the program of assistance within the framework of compulsory medical insurance, and therefore, if indicated, they are done to all patients of the russian federation absolutely free of charge victoria you definitely need to control your real pressure and be sure to control your blood sugar level lipid spectrum do those drugs work? what do you call them from cholesterol, which allows you to control the level of lipid metabolism is necessary for you, taking into account the fact that there were problems, you need to do an ultrasound examination of the vessels of the head and regularly repeat it and repeat it regularly. and you definitely need to make a suto. the state of the heart, and the so-called holter manion,

which will show whether there is or not. you have a tendency to heart rhythm disorders. well, i will definitely buy it. victoria thank you very much for coming to us. i really hope you are now using the editors of doctors and will take care more about yourself. i will try, yes sergey vladimirovich thank you very much, my friends, today we talked about such an important problem as stroke and methods of its prevention, healthy lifestyle, healthy sleep, timely examination and surgical methods for preventing stroke. indeed, this is the reality of today . you just need to pay attention to yourself. 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. designed korean technology. beware of fakes.

the miracle of the heel is a real miracle and salvation for the feet. and we wish you a good day and good mood. be healthy. with you there was a program about the most important thing. hello, i installed another participant in the murder of a political scientist and journalists of the ukrainian troops