hands, who at least once met with a decrease in vision at night? yes, we’ll talk decently today on the topic of night blindness, decreased vision in the dark, and my guest elena zakharova, russian, theater and film actress elena zakharova, will help me understand this difficult issue, pleases fans not only with bright roles, but also with excellent physical shape. lena never diets and admits that she has a weakness for desserts. she has her own recipe for harmony. i know a place where it's good to lose weight. this is moscow you wear. everything is like a squirrel in shooting training wheel and everything goes away. lena good morning. you see very well. well, i see, it’s good, because i’m wearing lenses, but i’ve been wearing them since i was 17 as a child in the metro, i read a lot of ladies’ books

there, but it wasn’t very good, apparently, the lighting is not interconnected things, most likely, and the evening is here darkness has come, you are driving. i drive, and i really notice that in the dark in the evening i can see people's hands worse, this symptom of reduced contrast sensitivity. it 's called it isn't the photoreceptors of the retinal cells, which consist of sticks and kolchak heard. this is probably yes, the sticks are responsible for the number of images and they are responsible. just for the vision of vision in the dark, and the cones are responsible for the color, when we get into the dark, the amount of light energy that enters the eye decreases and the question is. how well they work. rods and cones, how much they perceive the image is very important in order for the contrast sensitivity to be preserved. well, plus the visual analyzer itself , too, its sensitivity is very important so that it

correctly processed the image that fell into the eye. let's talk about the reasons. why can we see worse in the evening. it's not just chicken blindness. so fatigue. dryness is disturbed by the wetting of the surface of the eyes due to air conditioning and heating further vitamin deficiency, how interestingly vitamin deficiency provokes disruption of our retinal rods, which can cause decreased vision in the evening further myopia. this is you myopic eye, the eyeball is stretched in length and the image does not fall on the retina. for this glasses are needed. and contact lenses, stretching from the retina, lose the sensitivity of the photoreceptor in the dark, so this is an absolutely natural

process. myopic people see worse in the evening and the higher the degree of myopia, the worse the vision in the dark. how much myopia you have, it was about 4 and a half minutes. i have not checked for a long time, well, that is, it gradually decreased, yes, cataract is a disease that, unfortunately, awaits us all. yes, we all get cataracts sooner or later. this is an age-related change in our lens, the more there will be no lens, the more cataracts, respectively, the more. he clouded, the less light passes inside the eye there, the worse we see in the dark. glaucoma leads to irreversible blindness, if glaucoma is not treated in time. then there will be a violation of the optic nerve, which transmits the image from the eye to the brain, the image will be indistinctly transmitted, which will reduce not only

vision in the dark, but also astigmatism in the light. this is another type of refractive error or eye optics that can be compared with myopia, but if the myopia of the eyes is stretched in length, then the astigmatism of the irregular shape of the cornea, which also reduces the passage of the image, the contrast sensitivity suffers . i see in the dark. what to do if a person sits a lot in the gadget, looks a lot at objects near the lens tenses up and goes into so -called spasms canada, so it’s enough to rest the lens relaxes and the person begins to see better again vitamin deficiency yes indeed. uh affects vision loss in dark, so we recommend taking dietary supplements with vitamins, and a sufficient amount of the vitamin

allows the photoreceptors to function, as they should function . we prescribe moisturizing drops, which can help the passage of a better image and a person begins to see better . oddly enough, the red color blocks the passage of a certain type of light energy into the eye and allows the sticks to recover more to accumulate an enzyme that allows the impulse to turn into an image for such people. we assign points, so the enzyme accumulates in the rods, that is, the enzyme is not disposed of in vain, therefore. a person begins to see better everything we told you is beautiful. you see, glasses dear friends. take care of your eyesight, the most

important program continues. i completely lost my appetite, i don’t believe michael will swell from hunger. it is noticeably looking at food and no emotions. no sausage at all pancakes are annoying, olivier is generally terrified, his appetite has disappeared, what's the matter? well, everything is with you, michael, of course. you just lead a healthy lifestyle, so limit it, and some people have a lack of appetite - this is a symptom, i propose right now to discuss the medical reasons why a person may lose his appetite for the conversation of our expert olga odelina kolokolnikova, doctor, gastroenterologist, head of the gastroenterology center and genetically engineered biological therapy? good morning. come out to us? okay? hello no medical

explanation, here many people say, did you eat well when you were young? and now with no appetite, appetite. this is a complex process that is regulated by a huge amount, and the first thing that regulates is the brain, and not at all the presence of food in the stomach or intestines, you need to pay attention to the fact that the endocrine system is also that organ. this is a guidebook by which the brain communicates with the stomach with the intestines. and these are a huge amount of all sorts of substances. there's only ghrelin here. levtin, in fact there are many more of them, which regulate here is the state of appetite. what is generally e no appetite, when is it a pathology, when is it the norm? well, imagine a situation when you and i are sitting in a good place, vigorously discussing some problem, talking to such an extent that we are simply passionate about endlessly looking for some arguments or we got carried away at work. so we forgot about food. this is a normal state

when the brain has redistributed its resources and now it has no time for food, in general, when there is a systematic day after day of appetite. no, it's always a symptom. pathological there is no healthy person with e, without a healthy appetite. i always have an appetite. especially here for some reason it starts to flare up. in the evening. yes. it is produced mainly at night. why you have to sleep at night so as not to eat i want to ask or in the studio, and who really loses his appetite and judging by you. i believe you. good morning. hello, my name is irina i am 45 years old for a month and a half. i've lost my appetite and don't want to eat. well, for example, this morning what did you have breakfast half a pear half a banana what's for lunch, maybe i missed lunch. she's dinner what well , let's say 150 gay steak for set, so that the body

receives nutrients, wait, well, and that's all salad salad more yes, there are berries. if i could, i would not eat please, the products make you happy, the fruits are your own. well, at least something let's figure it out. come with us. your relationship to food has changed the foods you like. i liked everything. i ate whatever i wanted without interruption. here is the only month and a half, as the appetite disappeared, and i'm a little worried about this because, well, at first i thought it was hot weather, but i think maybe there 's some other reason to really find out. and we'll start with the first possible reason. this is a disease of the gastrointestinal tract, that is, sometimes people stop eating simply, because it is unpleasant for them, the

gastroenterologist often has patients who are due to bloating. after any meal , the stomach is absolutely swollen. and they begin to limit themselves and their appetite disappears, because every time it causes terrible discomfort. it's a little about you i feel a burning sensation. here. and for heartburn immediately after eating. yes, the patient tells well, but there may not be any specific symptoms of damage to the gastrointestinal tract, that is, a person may not experience any symptoms, while having diseases of the digestive tract. therefore, a more detailed examination is needed, but a survey and still an examination it is important to consider that many oncological diseases can start with a loss of appetite or with a perversion of taste. it's not always straight forward. here, right i don't want to eat at all. usually. this is already well beyond stage 66. and when it doesn’t please and it doesn’t please, and it doesn’t please, you start eating some products and suddenly you realize that i

don’t want this product at all, but i used to eat it perfectly. this should be alarming and you need to go to the doctor, the next possible one. the reason for me is that several people i know also complained that they have become smaller lately. there are also reasons. what people say do not feel the taste, and the loss of smell yes, i feel the taste. the smell of coronavirus no, the coronavirus can really beat off the appetite on its own, because it multiplies perfectly in the gastrointestinal tract, in addition to that, of course, it strikes. uh, the brain, including receptors. and by the way, not only the sense of smell is reduced, but also the taste buds, too, people describe what is on the sole of the tongue so that they do not eat, so this may be, perhaps, as a reason. you see, our guests did not get sick of the situation and finally. yes, stress is the most common cause of loss of appetite. it was actually a little stressful. yes here, just a month and a half ago. maybe i have

two children. one of them is a teenager. e with some kind of unrest and together we empathize, as it were. yes, of course, i get worried when we can't handle a stressful situation. she can go far changed her appetite. you stopped eating rationally. as your body needs, the absorption of vitamins is disrupted, you do not get very important substances. this exacerbates stress begins vicious circle. after stress, depression can develop and one of the symptoms of depression is very important anhidonia syndrome, that is, when a person stops having fun. yes, from everything, therefore, you need to go to a psychotherapist and deal with this issue. how to restore appetite appetite is an indicator of health, but in order to show health, you need to normalize sleep, normalize sports. yes , the formula to laugh should please yourself, you need to understand

that you are really calm and balanced. you laugh at all having sex. excellent everything just hangs not happy to go. the most interesting thing is that a change in diet usually does not help. if one of the doctors recommends frequent fractional eating, the person does not begin to eat more with an appetite, so it is useless to add spices. the best appetite stimulants are spices. what spices? for example, you will eat a pear hmm with cinnamon. yes, it’s very interesting, yes, it’s also delicious, yes, and still, solve these issues with a specialist, because as soon as we start this process, it will take longer to go back, thank you. thank you so much. thanks for being you come to our program. thank you. today we

found out for what reasons the appetite may disappear . and most importantly, what to do the conversation about the most important thing continues. next in the program what signals our body tells about health problems symptoms of cardiovascular disease person switch is not dangerous in everyday life the virus is not transmitted through a handshake, hugs and kisses. learn more, but to the speeder. come on, all together, the long-awaited new season hands forward. to the right to the left we went a little winked at 21:30 on the russia channel with age, changes can change the usual things tufun is designed to nourish the restoration and youthfulness of the eyes tons of triple action for a clear look. i missed

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changes are only for the better big changes premiere on sunday at 11:50 can you recognize heart problems? belenkov yury nikitich vice-president of the russian society of cardiology academician of the russian academy of sciences director of the hospital therapy clinic no. 1 of the medical faculty of the first moscow state medical university named after sechenov 50 years in the profession good morning. good morning, probably one of the most popular joke characters is the inner voice. he's losing popularity. only, probably, e vasilyevich

chapaev although for us doctors are the signals that our body gives. this is a very serious let's say. so a signal of some kind of disease. and that's what the doctor's art is to recognize this signal, because the same disease can send different signals. today we are going to talk about the human body. so perfect system. what a million years of evolution. it doesn't have any extra details. it is not just a set of organs and tissues. it is a system that regulates, adjusts and interacts with the environment. at the same time, she constantly gives a signal, if everything is fine, we are cheerful and cheerful, if there are problems , pain appears discomfort, the body seems to be whispering something is wrong react but how to understand what the body needs here and now how to unravel the signals of the body, what with do them? and which of them

speak of heart problems svetlana you have coronary heart disease. yes, i get such here, firstly, a panic attack due to the fact that i have a woman, and what kind of pain is right here, behind the sternum, i have such a heavy impression that i don’t have enough. here is the air svetlana podgornaya is 62 years old. it happens right. such weakness and the impression that a bucket of wet water was poured on me, i will stop, right in the truest sense of the word. uh, i can't climb stairs right now. although before that i literally just ran straight to the seventh floor, and so coronary heart disease myocardial infarction is the same disease. well, different stages, of course, give different signals of pain. you said here behind the sternum. yes, and most often it happens there, but the pain may be in the shoulder in the left and in the shoulder, it may be in the arm, maybe even the fingers, it may be in the neck in the lower jaw. and even teeth can hurt.

this is how coronary heart disease can manifest itself. what signals can it give hypertension hypertensive crisis? what pressure do you have now, send it into space, but episodically there are 160,100 sometimes up to two hundred 55 years old. at some point, they began to suffer from headaches up to nausea in the back of the head. i would say such heaviness and some kind of inflamed sensation, my eyes swell, i didn’t immediately compare that this pressure began to measure pressure regularly and realized that this pain is connected precisely with pressure and there is nothing else where hypertension in the head hurts in mind. yes, it’s true that there is no conversation at the back of the head, because a different localization, as a rule. this is a little different. it could be a migraine. it could be stressful situation and so on. well, as a rule, chris' hypertensive disease

causes hypertensive pain in the back of the head, but then again, as with your neighbor, it's not so simple. why is that, maybe even without the pain of a headache. this may be brightness in the region of the heart, not what happens to you during exercise , quickly arising compressive pain yes, which passes to netoglycerin or physical activity yes, here is a long, pulling aching pain. in this situation, measure the pressure, because this one is often without any headache. it could be sign. just overloading the heart with high blood pressure. it can be numbness of the tongue, especially when the situation is close to a stroke, what do you say, i have become poorly spoken. measure your blood pressure before thinking about whether you have an allergy or something else in your hands. this is also a sign of an impending stroke and, of course, visual impairment with increased front sight pressure in front of the eyes, and so on. and that's what tells us in our body when blood

pressure rises, in addition to headaches. so this is for you further. let's go insufficiency, which is most worrying. he began to tire quickly yuliya yurkina , 49 years old. it is clear that the pressure is constantly high, and i have it on the female line. that is, my mother's grandmother suffered, so how would i normally treat this 140x90, my worker still had symptoms. i don't know, true effort bitter 80% of women with arterial hypertension suffer from heart failure, as we say diastolic, that is, caused by heart failure as a consequence of arterial hypertension. so shortness of breath, in principle, i understand weakness fatigue. yes, this is how we say the most common symptoms. although they are sensitive, they are not specific, after all. anyone. it can be tired, of course, swelling of the legs. this is often

a heartbeat. if this is in principle, a violation of the heart rhythm joins. and, of course, it can already be low pressure, when the heart beats badly. that is why the prognosis with high blood pressure is better than in those of my patients who have low blood pressure, because it is still an indicator that the heart begins to to contract badly or it is harder for him to contract. next let's go atherosclerosis, we are talking about suckers , you see, yes, many people hurt when walking. yes , he said happily. so. no, why? vice versa? it worries me vyacheslav shamshurin 47 years old? lately , it has become disturbing that there are cramps, it reduces the leg, and it feels like it’s like a bone, uh, directly digs into the meat, and it doesn’t

have such a degree that it becomes hard that it’s a terrible pain, but they didn’t try to quit smoking. to be honest, no. naturally yes. you know how mark says no nothing is easier than quitting smoking, says, personally, i quit 50 times. you understand, the fact is that work is a bit of a stressful situation for me sometimes . it's called raise your hands and for someone whose work is not associated with stress. i don’t see something calming in the hall, maybe something, but from the doctor’s point of view, if a smoker starts to show up more, well, so to speak, this is called intermittent claudication. that is, here is what you are experiencing pain in your leg muscles. this is the same thing that occurs in her for the heart muscle. that is, it is an ischemic disease of the lower limb. this defeat is atherosclerotic plus. another so -called obliterating enderite. that's if it goes further. slav here you have to get acquainted with the surgeons. i can say that

if you continue to smoke, they will not be delighted, sometimes surgeons even refuse to operate, if a person does not ask to smoke, because in the sense it’s not like that. so, as you yourself understand, this is a sclerosis process of the vascular system is everywhere so you're out of luck with your feet. and if unlucky six vessels of the neck, yes, then it will be dizziness, for example, when turning the neck, when there is. cup carotid when do turned his head? she squeezed even more, dizziness appeared, changes in the field of vision, or there are such wavy lines along the periphery, field, vision - this is atherosclerosis of the vessels of the neck, well, of course, the head is coronary bowel disease. so, too, there are arterial vessels. and sometimes such patients come to the surgical clinic with an acute abdomen. oh, there is an ulcer there, pancreatitis begins to sort out, i can not see anything. the patient says, you know the guys. eh, i have something in general, it is interesting, such a pain is very. i

say that when i eat while eating, i get pain in my stomach. why is it spicy, and when i eat a little rest, it goes away. this means that there is a narrowing of the arterial vessel that feeds the intestines, when it begins to digest food, it needs more blood and what happens to you occurs and finally this is the most difficult arrhythmia once. if we are talking about body signals, they may not exist at all in 20 percent of patients with atrial fibrillation they do not feel it further, of ​​course, this is a feeling of an interruption in all the work of the heart. this is already more often a weakness, if this is a constant violation, it is a faint, if true, this is a serious violation of the heart. when we are like this, there is not enough blood for the brain, because the heart does not work regularly and there is a pulsation in the head. so these are the signals our body sends us. i can

tell you right away that, of course , we don’t make a final diagnosis based on these signals, because many things, as it were, understood the non-specificity, but this is very a serious aspect that we pull out of you when we start the first conversation with the patient and it starts to hurt me right here, yes. and when they are connected with breathing, are they connected with, say, an uncomfortable position of the body, then we think. no longer about the heart spine. yes, the doctor must know these body signals, but the patient must also know these body signals in order to see a doctor in time, so listen to your body. and you will help us make a diagnosis as early as possible, and earlier diagnosis is earlier the beginning of the correct treatment is not clear something come to visit for a consultation, goodbye. thank you for spending this morning with us. we

wish you a good day and good health, see you on the tv channel, russia to lead in the studio the main topics for this hour of the power unit due to the incessant shelling area