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range of sizes from forty-six to size 72 and three beautiful colors to choose from blue, gray and burgundy. good morning. hello, an ordinary towel can replace going to the gym, just start wringing it out doctor. why is it useful? well, because it trains the muscles of the arms, and indeed the entire shoulder girdle, if we take such a towel,

we grab it from the edges and squeeze out almost no load, if we take it a little narrower and start squeezing out, the load already appears, if we preliminarily. they returned the hand. we have a heavy workload. by the way, this exercise is very popular among orthopedists for a disease called tennis elbow. such an exercise allows you to treat this pathology without surgery without the use of medicines. what did i squeeze out all my childhood. here is michael, that is, hand washing, hand spinning strengthens the wrist. here here the muscles of the shoulders, the pectoral muscles, the muscles of the stabilizer of the shoulder blades are tensed. i have already survived all the towel on the table in a row of sticks. try michael by the way , this is such a progression, that is, when the towel no longer gives enough load. you can try to survive this stalk from a shovel just like that, yes, that's why i take it like this

and it's worth it to survive. let's well, by the way, so recharged, right? well, with renewed vigor and energy, let's start talking about the most. any excitement, any stress, and we immediately grab onto the heart in our life must be recognized enough, and the heart must be protected, how to do it? there are many ways and probably everyone knows about them. this is a rejection of bad habits in smokers, for example, blood vessels wear out faster. and secondly, of course, these are physical exercise walks, nordic walking, swimming bikes. well , thirdly, it's natural, nutrition, uh, and today i propose to discuss three superfoods for the heart. and you check if you eat them often enough. we talk about it with our expert mikhail moiseevich ginsburg, nutritionist

doctor of medical sciences. good morning. come out to us when we are what is our stress? what does 99% of the population take sedatives? well, for example, there is an extract of valerian mint, oregano, oregano, that's all, as if it were traditional with us, but in order for products to help the heart, the products first of all help the heart, because they contain a lot of bioactive substances that improve vascular patency, that is reduces peripheral resistance heart is a motor, which works all his life, but with age, peripheral resistance increases , blood pressure rises, and the load on the heart increases, then the state of the vascular wall changes, appears from tersk erotic

deposits, which also increases peripheral resistance then a vascular accident, the formation of blood clots in the vessel, if this blood clot. the heart vessel in the coronary vessel, then it is possible that the development of a heart attack, if it is a vessel of the brain, it is possible that the development of a stroke on products help protect us from all this, they reduce these processes. they slow down these processes. our studios have viewers who are ready to try products for the heart. come join us and good morning. good morning. let's get acquainted. what is your name? i am valentine as your heart. do you know recently it was discovered that i have an arrhythmia? well, i was prescribed drugs. and now it has stabilized, and the doctor prescribed some products for you, uh, some kind of diet. well, yes, i prescribed it, to make it less salty, well, more of these products vegetable origin. observe. yes, you are

great! what is your name? andrey, how are your hearts? well , sometimes it tingles. where here, in general, for several years it has been tingling like this. years, but does it tingle from stress or what? well, it happens after i worry myself a little physical activity. what is your name? irina two years ago i was very fat and had shortness of breath. i was out of breath, my heart ached, i like to sleep on my stomach. i wake up from the fact that here it jumps out of me, jumps out of my chest. that's decided to lose weight now. well, it's better, really, i don't like going to the doctors, but in the sense that well, the doctors somehow don't go out like that, and i mean walking . well, what are we going to do with heart-healthy foods today, and i have a special fact that they are like litmus papers that determine the benefits

of foods for the heart, as soon as you try them , the heart will work like a motor start. yes, the first product that is good for our heart. parsley parsley is a very simple food available and yet very rich in flavonoids. at in particular intoxication, which has a pronounced anti-inflammatory effect. this helps the body maintain normal blood pressure to maintain sufficient patency of the vascular wall and facilitates the work of the heart, plus parsley contains potassium in large quantities, which helps to normalize the heart rhythm. as if slows down a little the excitability of the heart muscle reduces the excitability of the heart muscle slows down the ritam. and with rhythm disturbances, foods rich in potassium are very useful. well, plus everything in parsley, like many other green crops, contains more vitamin k. a is a vitamin

that prevents calcification. uh, the walls of the blood vessels of the valve leaflets in the heart, that is, in fact, such an absolute heart parsley. try. valentine yes, your story, in fact, because many people, but they do not like to eat greens, but parsley can be added to various smoothies, for example, tomato juice, parsley has earned chopped, yes, and that's it, you're done. you have to do it really green. need to consume daily parsley and herbs are quite popular frequent nice tasty, let's move on. andrey, what do you think, what do you have dill? even in general, what do you like to eat potatoes potatoes? what is this product? let's find out about this mackerel. we even put some potatoes for you on purpose. yes, and not easy cold guessed mackerel, like any sea, fatty fish is rich in

omega-3, fatty acids and rich in vitamin. d and literally one serving of fish contains both the norm of fatty acids and the norm of vitamin d and that other factor helps to reduce inflammation protects us from age-related changes in the vascular wall and prolongs such healthy heart function, cold, potatoes, by the way, are ideal uh, a side dish for uh such fish, but because potatoes, when cold boiled, it contains the so -called resistive starch, that is, a starch that is digested very slowly and serves as a prebiotic. that is, it stimulates the growth of our intestinal microflora. and this is also important if you want with mackerel. yes, and there already the potatoes will ripen very tasty fish about the fat of this earned a heart without potatoes, let's move on. well, i do not know what is here, my god. yes yes yes. chili pepper you got

with milk. and this is milk to score. well, it's important, it will start to burn. probably, wait, you didn't have breakfast. i see eat, dear, my breakfast. the psaicide is burning, if it doesn’t change me, we are talking about it more and more often, we remember how the factor has an anti-inflammatory, as an anti-factor, as a factor that reduces, among other things, the likelihood of before with it is desirable that every day present in food. well, at least there are enough dishes. here is one such. here's a half pod pod for that. well, by the way, there are even such large studies that show that people who regularly eat spicy food at least three times a week, that they have much less cardiovascular

accidents. and if, for example, i can’t have hot pepper like this, if i add it there normally, that is, this is the degree of sharpness. of course you have to choose according to your taste. well, here's an option fat is the business to seize. and? well, for example, here is milk or cream. something like this, but because it's like suicide. it does not dissolve in water, that is, it is very difficult to wash it off with water, but it dissolves in fats and uh, here is its burning effect here it passes , look what we learned today, yes, sea parsley uh, omega-rich fish, 3 and red pepper helps our heart stay healthy. thank you very much michael my children. i remind you that every week all the wives arguments and facts doctor answers your questions about health. send his letters to the editors of the newspaper arguments and facts and we continue the conversation about the most important thing. next in

the program answers to these and other questions in the quiz minute of health hiv is transmitted through the blood when using drugs with unprotected sexual contact. and a temperamental coach, only he is unpredictable. well then, it's interesting from september 19 at 21:20 to 21:30. even if a damaged liver worries, it's better to worry. soon

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virus enters the body, it becomes a source of disease, forcing us to isolate ourselves from loved ones in a virus that breaks our lives on the basis of something attacks influenza and sars viruses within 2 hours after ingestion. acting on the cause of the illness at the base. start treatment on time protect yourself and loved ones. i missed you, you missed me. get zavr for every 555 rubles, collect them and get a chance to win, call in the mobile application. we look forward to visiting every day. tell us about your work, you go to work and the money also comes. buy from official partners, my

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of russia spicy food is harmful to the mucosa

no mouth, watermelon has a laxative effect. no, inhalation with potatoes does not help with the flu. sleep on the back cause one sleep apples lower cholesterol nasal drops are addictive you managed to answer 12 questions with 12:00 sneezing actually. yes, this has been known since very ancient times. yes, when we hold back a sneeze, our chest pressure increases sharply inside. this can actually lead to quite severe damage to, for example, lung tissue or damage to the heart in humans, which have some minimal problems. with this, figs help with coughs, you said yes, and this is true, indeed. a dream sits there, which intensifies the discharge of sputum. insomnia leads

to forgetfulness absent-mindedness. you said, yes, yes, and this happens quite quickly. scientists conducted an experiment that limited sleep time to only one hour, and this led to a decrease in intellectual productivity. approximately 15%. two correct answers antibacterial soap is good for a friend you said no and it's true the use of antibacterial soap is a violation of the microflora. e skin and can really happen to serious damage. why is it being sold then, but it is practically not being sold. i still buy. is it true that it takes the stomach 7 years to digest chewing gum? no, but it's really, not true, eight feet. in fact, it is not digested at all, it comes out undigested the next day. if you slow down your breathing, the pulse will drop, you said no no, but in fact, of course, will go down. it is a long known truth that if a person has a frequent heartbeat, slow deep

breathing leads to humiliation of the purity of heart contractions. well, don't worry jan, breathe slowly. spicy food is bad for the oral mucosa, you do n’t rock, and it’s true, despite all the thrills of spicy food, no harm to the mucosa. she does not apply watermelon has a laxative effect. you rock no, in fact, of course, it has, like after watermelon, an increase in the volume of intestinal contents stimulates the contraction of the wall. you watermelons often eat in the summer question inhalation with potatoes helps against the flu. you said no, really. no, this is an acute infectious disease, burning inhalations, in general, in this case, sleeping on the back is contraindicated, the reason for apnea you said, yes, in fact, sleeping on the back is not the cause, despite the fact that in a dream people suffering from me really suffocate more often, nevertheless. this is not the cause

of the occurrence of this disease causes, primarily revive apples lower cholesterol. you said yes, and it's true. nasal drops cause addictive you thought, but said, yes, well, they are really addictive. that is why the instructions for nose drops say not to use more than two weeks the correct answer is perfectly eight correct answers. so a good chance to win, please, one two three. so take your tonometer, the tonometer will have pressure for yourself and your loved ones. if you want to know even more answers to the question about health, all editions of our program. you can find it on the online video platform let's watch, wait on the website watch.ru. let the new knowledge out

of our game, a minute of health benefits you, and we continue the conversation about the most important thing. simple truths, i think that almost everyone at least once faced, burned. what an unpleasant burning sensation behind the sternum, especially after eating, who has experienced almost everything burned. well, less, but there are also people. why are you asking the doctor about the morning. in fact, this is not a rare complaint, and sometimes in order to improve the condition of such a patient, it is enough to change the pillow to the pillow, right now we will discuss what is the connection between a pillow and morning heartburn, and also in general, what pillows can be good for health, let's talk about it together with our expert, surgeon, orthopedist, traumatologist, head of the

orthopedics department, candidate of medical sciences, completed an internship in clinics in poland, germany good morning, come to us. good morning. well, we know, yes, about heartburn, that heartburn happens from bad food there, and diseases of the gastrointestinal tract, and here are pillows like this. well, i'm from a pillow, too, maybe , more precisely from how we lie than a pillow. guilty. well, it's not really her fault. yes, and as they say, he himself came, and he is, in the sense, the gaster coat of arms for figial reflux disease. it is really present here quite a large number of people about twenty percent. in general, the population suffers from this disease, and one of the symptoms is heartburn at night or in the morning. but what do people notice that sometimes they sleep on some kind of their usual pillow and

have heartburn, and sometimes, well, they went to visit somewhere . there the pillow is different and there is no heartburn, by the way, we have there are uh, studio audiences who experience heartburn in the morning. again. please raise your hands. here you see, for example, yes, what is your name? willie nelly and heartburn, so you have in the morning, sometimes alice used to just have heartburn. here now in the mornings also the ass has appeared. that is, it is both in the morning and in the afternoon. well, in the afternoon, when we eat something, usually pies after pies after some special flour pies. not during the day, but in the morning and in the morning here it is. and i'm the mother-in-law

, go burn. eat a pie, in fact, what catches your eye is the head of the stomach is almost at the same height, respectively, if at that moment there is some content in the stomach, for example, you had a heavy dinner or just too late . in such a position. why do i say that sometimes, for example, at a party on another pillow, this may not happen if the pillow is high? well, for example, here is such a prominent pillow and you can also put a pillow under your head, please. it means that we see we see that the stomach and head are the difference is about 10-15 cm, respectively, the reflux of gastric juice will not occur on such a pillow. well, the mother-in-law will be frightened of such a species , bringing it closer to another to fix it a little. you can put this

wedge-shaped pillow under the mattress, that is, you won’t live in such a position. yes, the probability is greatly reduced, but if we want to ensure. reducing the purity of heartburn, and so on , in addition, it is better not to eat too much at night, in fact , a lot or a lot, let's say. so. well, in general, how would this gastroencephalic reflex disease. she needs to be treated. yes, and this, by the way, is one of the methods of treatment. i think the more horizontal the body, the better, it turns out, no, no, and now it's always like sleeping reflex yes, you can't sleep well, three men, you understand, you still don't wake up, it's time for a big job. thank you, there was no heartburn, like this you will go to the subway with it.

in general, there is a very large choice of pillows for the back , there are under the buttocks, there are in the car. let's figure it out. what kind of pillows are needed and why do they exist? well, here we have, by the way, some here is the pillow on the car seat is usually worn on the car seat. here we ask you young man. what is your name? fedor savits is about the same car, right? and this thing is for what for the head for the neck for the neck for the neck, because we will basically, uh, the car will be with our necks forward. and this is wrong. yes? well, this is not very good, of course, especially if you have to wash at the wheel for a long, long, long time, we form an impaired posture. we break the blood ducts in the vessels of the neck. well, that's a plus. uh, above all, it increases a significant load on the lower parts of the lower back risks of hernia risks of congestive changes in the organs of the small pelvis. including up to hemorrhoids

you will benefit. by the way, speaking there is the same pillow for the lower back to support the lower back. there are pillows, there are cushions in the chair, and the difference is felt immediately, directly, that is , the load is removed, that is, ours and, as it were, the chair also becomes a little easier on the spine. in any case, it makes us sit stooped, if we do not sit exactly correctly let's raise it up a bit. hands sit lower, of course, this wedge, which is installed in the lower back, makes it simply make you bend, otherwise it eats, as if standing or sitting in such a right position, the lower back already feels like this, that is, lightness, fields, more comfortable. the main thing is not to forget that the pillow. it's not just there to be there, but it needs to be used because a lot of those throwers lean forward anyway. yes, there is, as it were, this is the habit of the driver himself. probably why do it

complexes not only with a pillow, but also with self-education. thanks, take your pillows with you. please, thank you very much and stay healthy. there is another pillow on it to sit comfortably, who wants to try. i ask you to. what is your name? hello, my name is elena elena how i sit quite comfortably, i must say, better than usual on a chair. yes, i have a daily working day from 8:00 to 5. well, you don’t get up, but only for lunch. if you break i work as an engineer, yes, and if you sit back, for example.

very comfortable, by the way, actually such a pillow, it is justified in cases where, for example, a person. well, for some reason he has to sit. on what hard chair does it happen that on a hard surface 1 2 and in a person. it's just that extra bones always start to hurt from constant contact with a hard surface, and here such a pillow is indispensable in the case when, for example, a person has a chair of a fixed height at work and has become a fixed height, and the chair does not constrain him to rise higher. it will work in this case too. but if we are talking about some fairly convenient an easy chair, then, in general, such an additional pillow is not needed, very often such pillows, well, with a certain modification, they are used for some injuries after a fracture of the coccyx for pain in the coccyx, which quite often occurs. its task is to

unload the tailbone area so that everything else, let's say, sits , and the coccyx area sagged you liked the truth, yes, it is comfortable. yes , i thank you to work as an engineer in comfort. we solved the pillow issue. thank you very much. today we discussed what kind of pillows can be really good for your body the conversation about the most important thing continues. next in the program why does your head hurt causes you don't know about man candles are not dangerous in everyday life the virus is not transmitted through a handshake, hugs and kisses. learn more, but at the speeder. today at

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999 rubles. call by phone or order on our website leomax.ru. watch today a special edition of the program 60 minutes all the latest news about the situation in ukraine and in the world. we go live right after the news, don't miss 60 minutes. today at 11:30 and 17. channel russia premiere from september 19 at 21:20 ah, you you know, probably, many of our viewers will now be unpleasant, but i am a happy person. we never have a headache, but i know that a lot of people suffer from headaches and describe it. it's just about as embarrassing. in general, as if something hits the head, it presses knocks, then the person

goes to buy. he drinks this painkiller and believes that in this way he heals the main pain, but for some reason he will not eliminate the reasons, because they do not know. what is it, yes, but in fact, it would be better, of course , to know what to prevent next time this headache. at least i don't have a headache. i know what causes pressure, stress, migraines, weather changes, little air, a lot of work, but in fact there are less obvious reasons, and here is one of them right under this lid, what is there? well, there is nothing harmful. nothing useful either. but what is often enough many people use the phone, no headphones. no. okay, open michael, you still won’t guess, chewing gum, chewing gum . wait, she's useful, she cleans teeth, provided that it is chewed 10 minutes after eating.

and after that, the story spits out in our country that a person chewed gum, and in the morning after breakfast he took it in his mouth and spat it out after dinner, few people think that ah, chewing gum can cause a specific form of headache. it is called the main pain, reflected from the temporal mandibular joint. and someone really had some kind of headache from chewing gum, there are such people chewing. here is such a person. good morning. keep addicted chewing gum and tied once in their main pain with the tutu stopped chewing chewing, the headache was gone, yes. how did you chew, did you take a long time? how did you describe? obviously, thank you very much. well, what is actually surprising is the discovery that if chewing gum comes to life for a long time, then the head may hurt for the first time i hear about it, but there are other reasons for a headache. yes, sometimes even more

exotic. our spectator natalya turned there, who suffers from a headache and does not know what the reason is. let's find out her story natalya makarchikova, 45 years old moscow natalya is raising her two sons of schoolchildren alone and tries to spend time with them. all free time. my passion has faded into the background. and now the hobby of children becomes my hobbies. including earlier on weekends, natalia and her children went to ride bicycles in the park. however, now they get out for walks much. less often. just out of the blue there is a headache. once she had such a case, we did not ride bicycles along the path here. and i have a sharp i had a headache that i even fell off my bike. headaches interfere with normal life. but natalia doesn't know how to get rid of them, she can't concentrate. you can't pay anywhere, you, well, it immobilizes you for a while. at the moment, only pills, painkillers from doctors save me, i want to know what it

could be, just headaches and this will pass with age. or it's something serious, natalia is in our studio. good morning. come visit us. hello you are smiling now your head does not hurt. yes? well, at the moment he is not well, but often hurts. yes, recently my head began to hurt very often, if earlier there was, well, six months once, now it takes a week, maybe two or three times, and sometimes it happens every day and all day. no, not necessarily in the morning. in the evening there is no line here. well, just for no reason, for no reason, it happens during the day . well, for so very straight, sometimes you sit either at the computer or a sharp pain right. well, a very sharp pain in the back of the head, then you squeeze it, well, a pill passes for 5-7 minutes. yes it's easier so it doesn't hold the pill. let's find out, in general, where exactly your headache came from and we will do it together with our

expert aleksey vladimirovich, a general practitioner, a cardiologist, an endocrinologist, a candidate of medical sciences. come out to us. good morning. good morning. hello. hello, we have a charming beautiful woman. she has a headache. she squeezes it, drinks a pill, her head passes, what should i do? we always advise patients to pay attention to what causes your headache. that is if possible, keep a headache diary. you have to write down the triggers and identify those triggers, which can be completely different. well, let's discuss one of these non-obvious triggers. and this is a product. oh yes, and here is such a fairly diverse set, which includes aged cheeses and coffee and chocolate and nuts, natalya sighed dreamily. this is my set to these products of a patient with a headache. now this

pain should be alert, first coffee. e, contains special substances, including caffeine, which provokes the occurrence of a headache in particular. a breast study in adolescents after stopping coffee, 92% of adolescents had a complete resolution of their headaches, and in another study, adults had headaches. after they gave up coffee, they improved so much that they compared this effect with the use of drugs. and here. this is very clearly manifested in the case of tension headache , so the headache that occurs in people in stressful situations, when tense jobs that require concentration are usually in these people. uh, high brain costs. energy costs lead to muscle tension spasm a and the appearance of this very pain and caffeine. here will provoke the occurrence of this headache. why because it will excite the nervous system even more cheese, cheese also

contains a special substance the term this substance is formed as a result of the expression of cheeses and the harder the cheese, the more it contains tyramine and more provo. this pain a feature characteristic of a migraine it is also easy to check natalya look. uh don't drink coffee for a week don't go chocolate, don't go nuts and instead of cheese. go vegetables. ok, i'll try. we go further dying, perfumery. you pshikaet a lot of all sorts of means. i've switched to nude now. well, that is, there is an unscented deodorant and i really like the strong smell that affects the receptors and can provoke a headache geraniol, which is found in some perfumes , it mimics the smell of a rose or benzyl benzoate, which also works and also effects on the skin can lead to headaches. sometimes it's unpleasant when someone is

strangled right through, right through peacefully. you know, it’s not just there, one or two, just like that, the last study showed that some of these substances can penetrate the nasal mucosa and into the cerebral circulation and cause e, local vascular reactions in the form of vasospasm, this should be called, but this is not your happening. yes, at the moment we are going, further, the sun will really bake my head, and then my head hurts. oh, i had heatstroke once, seriously your head was splitting like this, the sun. yes, i love here, not only the sun directly plays a role, but in general, heat stroke is not only sunny when you are in a warm room in a hot, stuffy room on a sunny day outside, a large amount of sweating is formed in a person and as a result, he loses fluid and this fluid , which is lost provokes a headache. fluid loss. that's how much it affects, a and the second factor is, of course, the bright, the sun. this promotes spasm. muscles of the face. we squint in the sun and

there is such a local muscle spasm that provokes a headache, that we should be sad, i love the sun. yes, we love everything. i see that there is no way to give up everything. to give up a headache, you need to give up some harmful harmful joys, let's move on. and then we have ice cream. listen, now natalia will just have some kind of hysteria. you won’t believe it would be a cake, yes, but ice cream is not very do not like ice cream not very ice cream, as well as other cold foods. it may directly reflexively affect the palatine ganglion. that is, as soon as we eat something cold, we place it. into the mouth. this affects the palatine ganglion. it transmits a signal and a reflex spasm of cerebral vessels occurs and pain can occur. yes, e is isolated as a separate form of headache, a cold headache is often associated with ice cream, and sometimes a person. went outside in the winter without a hat.

after that, he got a headache is also possible. though you hats hats - this is mine. that is, you still go without a hat. i understand that golovaty hurts both in summer and winter. maybe our last uh mysterious cube ruler is our doubt, and these points are the wrong selection of points. it is true that when a person sees objects incorrectly. glasses are not chosen correctly, then the spasm of comodation that occurs in the eyeballs leads to overstrain, an increase in intraocular pressure in the eye and further, which is transmitted to intracranial pressure in general. can you tolerate a headache? what do you think, if the pain is not strong and rarely once a month is insignificant, and it does not somehow affect your activities, then you can tolerate it in this case, if the pain gradually increases in frequency, its intensity increases, you should consult a doctor to choose a treatment the most important thing is to find out the reason. in general, there are many different exotic reasons. i will say that ice cream is not the most exotic here,

there is another form of headache from sex, that is, after sex or not, or together during time yes, but really. uh, this is a headache. it also refers to vascular headaches, that is, due to the fact that during sex, since the vascular reactions in the whole body change, this leads to the expansion of blood vessels, which in some people can provoke a headache. thank you so much. thank you. thank you for your health. yes, thank you very much. we hope that you will cope with this headache, more send it in a long time, but sometimes it is necessary. well, today we found out very not obvious reasons for the occurrence of a headache , the main conversation itself continues and right now you will find the heading women's health with dr. tatiana next in the program is blood poisoning. how to understand that sepsis has begun for a long time, because it may

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morning. hello, it seems that covid has begun to go away, but again a new wave and indeed many get sick, but not many people know that covid has such a terrible complication as blood poisoning. indeed, we now have about 20 patients in the clinic. in general, with such serious illness. some of them are in intensive care in a fairly serious condition. and all of them were diagnosed with sepsis, that is, blood poisoning, and as a rule, all of them suffered a coronavirus infection within the last six months before the onset of this disease, as coronavirus infection is associated with sepsis. why is this a formidable complication? occurs in a certain group of patients. is it possible to avoid this complication, we will talk about this today , our viewer larisa turned to us let's find out her story larisa kornilova, 58 years old, nizhny

novgorod in may last year. larisa fell ill with coronavirus, the disease was severe and larisa was hospitalized. i couldn't get out of bed. i had a temperature, 401 immediately in intensive care under a dropper and horseshoe because of the coronavirus. larisa began to have complications. there it turned out that i was not just a rug already confirmed. and sepsis , the body hurt a lot. sores hurt, it itched. it was very painful for me not only to turn around, but even to move larisa understood that she needed to recover for the sake of a large family. at she has eight grandchildren and two great-grandchildren, whom she helps to nurture the strength to overcome the disease. my grandchildren. and he himself was 4 years old and had to somehow raise him. we don't have a mom. i would like to know. uh, here, will there be consequences from this sepsis? i would like to be healthy for my

family. still. they still need me larisa today we have people, come to us, please, good morning. good morning. larisa what happened to you in the twenty-first year in my month? i came home from work and felt bad. rose temperature up to 40 and one i was taken to intensive care. they put a basement under a drip. and it turned out that i had not only covid, but also sepsis. i was very scared. it was very painful to think only to survive with the help of doctors, you coped with this disease and this terrible complication and are standing today. in our studio, the sleeve is far away, not the safest disease now, indeed, such severe cases of the disease in patients. we practically do not see, and therefore everyone believes that, in principle, everything is already over, but what is dangerous coronavirus infection dangerous impact on the immune system. and as a result, there really can be such a terrible complication in order to understand why

sepsis occurs and how, in fact, to avoid it. i want to invite an expert doctor to the studio. sergey anatolyevich ukhin, surgeon doctor of the highest category reconstructive plastic surgeon specialist in the treatment of surgical infection head of the center of purulent surgery anatolyevich good morning. please tell me, sepsis is still an infection blood, how are sepsis and covid related, of course, there is an opinion that sepsis is blood poisoning, but this is not entirely true, because sepsis is a complex pathological process, and which is based on a complex reaction of the body in the form of a garnished, and inflammation on an infectious process or infection of various theologies infectious agents that are caused by optical conditions include bacteria and fungi and viruses. although most often doctors have to deal with the bacterial sex of bacteria. first enters the bloodstream from yes primary focus infections the bacterium is absorbed by the bloodstream and spreads throughout the body. and these

secondary foci of infection, septic foci, can be found in different tissues of the body, this is subcutaneous tissue and bone tissue and liver tissue, kidney tissue, spleen tissue, lung tissue leaves and even brain tissue, but only the process starts logically, but look very hard and for curing the patient requires a multispinal team approach. here, even the question already arises not so much in the treatment of the bacteria of the agent itself which caused this suptic reaction. this generalized process cascade process affects all organs and systems. but this really requires the participation of very many specialists and surgeons and resuscitators and therapists and transfusiologists in order to identify these foci in various organs and tissues in time and sanitize them in time so that they form a vicious circle. please tell us where all this can get into our blood sergey

anatolyevich on the board. we have those factors that increase the risk of developing sepsis against the background of covid. any viral infection and any immunosuppression , ingrown nails, pustules, skin infections, as far as i know, these events are doubly dangerous for patients with diabetes, because against the background of a decrease in the overall reactivity of the body, burning of the immune system, just these primary foci. uh, bacteria can just get into the circulatory system very quickly. in addition, patients have chronic diseases that are not sanitized. for example, chronic tonsillitis. this is an inflammation of the palatine tonsils. or let's say carious teeth are especially dangerous in the upper jaw because there is a connection with the maxillary sinuses. the same chronic sinusitis chronic rita chronic sinusitis in violation of the immune response. they can be these sources of infection, which can cause a generalization of the process of coronavirus infection, which significantly affects the state of our immune system. and of course, if there are chronic

foci of infection, then the risk of developing sepsis increases bacterial pneumonia, and viral pneumonia more often. complicated by the addition of a bacterial infection and the development of bacterial pneumonia, and the blood flow again from the lung tissue, which is already the primary focus of the infection, again starts the cascade of the reaction that bacteria from the lung tissue are absorbed into the bloodstream and spread throughout the body with a coronavirus infection - this is the most common cause of sepsis is severe bacterial pneumonia, usually if indeed on the background of immunosuppression bacterial pneumonia, then abscission occurs quickly, that is, the formation of abscesses of such cavities with pus in the lungs or pleurisy is extruded into the pleural cavity of purulent and, accordingly, with the blood flow, this infection can spread very quickly throughout the body immunosuppressive therapy, and the drugs that are used in cancer patients, they have an immunosuppressive nature of action. that is, they suppress the immune system. and against this background. again, but on pholpressive therapy, joining

bacterial infection, possibly in 70% of cases , most often, among other things, some of our patients. systemic treatment for a. other diseases, for example, diseases of rheumatoid tissue - this is usually glucocorticoid and cytostatics, and these drugs also have a significant immunosuppressive effect and also the risk of developing sepsis in these patients. it is just as high uncontrolled intake of antibiotics. you know what is in our country. uh, people, unfortunately, are treated at home via the internet, yes, via the internet and uncontrolled use of antibiotics leads to development, and the so-called super infection, that is, bacteria that are resistant to many antibacterial drugs that are used by doctors in intensive care in a hospital and there is literally nothing to treat the whole country. and the whole world is faced with the problem of antibiotic resistance. that is, when our usual antibiotics of the first and even second line do not affect those bacteria that cause, including optical reactions, and now there is a very correct order from the

ministry of health that antibiotics are hard prescription drugs and are issued only by prescription . and finally, chronic comorbidities . what exactly is diabetes mellitus? yes , the frequency of diabetes mellitus in the world is growing, because these are stressful diseases against the background of stress. people begin to seize a series of vascular diseases most often advanced. we had a case when a patient with arrhythmia stopped receiving anti-therapeutic therapy and a blood clot formed. throne blood flow spread to the lower limbs gangrene developed. and as a result, he developed a physical condition, which required gastritis in a hospital. really. here are the thromboses. they cause primarily atrophic disorders of the skin. these are the very friends of my trophic ulcers. this is the result of a violation of blood supply in diabetes mellitus and a violation of venous outflow, that is, with chronic venous insufficiency of the veins of the lower extremities. they may well be the reason for the development of sepsis with optical conditions. how to understand what you can pay attention to sepsis,

for example, to a long-term existing fibrillation, or vice versa, a shaking fever with convulsions. sweating is increased, and a decrease in pressure is specific symptoms, and diarrhea or vomiting can also be attributed, when a bacterium and vital activity are absorbed into the bloodstream, its waste products cause poisoning, let's say, to protect yourself from sepsis. first of all, if there are any chronic diseases, chronic foci, infection, they must be sanitized, that is, it is imperative to visit dentists, ent doctors a visit to a podiatrist is a must. if no one has shown up yet. it is desirable, of course, to be vaccinated really vaccination against coronavirus infection. it saves from the severe course of the disease and is still the only reliable means of preventing the development of coronavirus infection. well, all chronic diseases should be in remission, what to do? larisa, as far as i know, there is a rehabilitation program, and after covid,

which is paid for by compulsory health insurance, but maybe after there are some specific recommendations for sepsis. there is an extended medical examination program, and it is also paid for by compulsory medical insurance. larisa, you definitely need this extended medical examination, at least once every six months, the first few years must be taken in the summer period. our body reacts more strongly to physical activity and needs support, so always keep on preparing the famous balm-gel from the brand number one selling in pharmacies horsepower. he is able to relax muscles. it also has a relaxing effect on the joints, lower back, elbows, cervical region, always keep ready the balm gel, horsepower. laris thank you very much for coming to us. i hope that you will completely get rid of all the consequences and that such trouble will not

happen to you again. thank you sergey anatolyevich thank you very much for today's detailed story about probably the most terrible and most life-threatening complications of the coronavirus infection about sex. and we wish you a good day and good mood. be healthy. with you there was a program about the most important thing. the tv channel russia goes on air to conduct all their viewers. greetings, i marie hello, a group of ka-52 attack helicopters destroyed the amphibious assault forces while crossing the dnieper