remained like this, a little bit of gas exchange takes place, only here, accordingly, it grows that there is less oxygen, and more and more carbon monoxide, and the person becomes with an inflated chest . his saturation drops. he ca n't exhale normally, and then it starts. he begins to lose weight, why not, because in order to exhale and inhale it, efforts must be made. why does a patient with a pulmonary disease need to be fed well, because otherwise he will begin to lose weight, and moreover, if the patient this or hoblom initially has a low body weight, the body mass index of their death is significantly higher than that of a full person. uh, respectively, well, the most important reason - i understand the most. the main reason is seventy percent of smoking. it's very simple don't smoke, there won't be a hogle, although in big cities today there is pollution, where they heat coal, and so on and so on, it is important for him to

smoke people with a congenital deficiency of the so -called alpha there is trypsin waste. this is what does not allow the child's alveoli to stick together, well inside the womb in adulthood also plays a certain role and plus. uh, a certain genetic predisposition. everything leads to this word bronchoetase also refers to forces, by the way, about asthma. not all ashma refers to this , too, an inflammatory bronchospasm, a violation of the outflow of an attack, but if it does not completely disappear between periods of exacerbation. this is not considered a chronic obstructive disease. but if in the intervals between, in principle, morality, there are still violations of the outflow, then what we see now it will be visible on the speedometer. it will already be a hobol further after advertising than dangerously chronic active lung disease and how

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special edition of the program 60 minutes all the latest news about the situation in ukraine and in the world. don't miss 60 minutes today at 11:30 and 17:30 on the russia channel program. we continue talking about the most important thing about chronic obstructive pulmonary disease. it must be remembered that hobl. it is a risk factor for lung cancer, generally pneumonia, re-pension. here, the presence of sclerosis scars triples the chance of getting lung cancer. increases the chances of getting tuberculosis. naturally, the productivity of the quality of life drastically reduces the efficiency and these people are at gunpoint of covid and not only to the type of flu and all covid viral diseases. that

his mortality was due mainly to elderly people with chronic diseases, the main of which was obesity, diabetes and hall therefore sick with hobble. we are to this day recommend vaccination. i already said the fourth cause of death is maternal. they are not needed. you are afraid that you will have a vaccine, and you will survive the winter until next year. my doctor didn’t survive, you alone know how interesting they are. they are due to the fact that they constantly live in supersaturated with carbon dioxide in their mind from a marrow-shaped chest, because of their emphysema. they constantly cough, they hoarse, and their cough goes away with such phlegm. they really have blue faces, blue lips, fingers, if you look, he's nailed often you know such nails as watch glasses of a chronic little cake with a chronic style. here he is sitting, and we are already in the situation of oxygen. we give

oxygen to the house. yes, i say oxygen while walking, because the treatment is mainly oxygen, hormones help little yes, broncho diletators help, which increase the outflow from the lungs, but the main solution, of course, is oxygen home oxygen, if the blood level drops to 88 on the finger after the operation means, and in the arterial blood up to 50 it is already in the home oxygen. so to speak, in everything it means in the world, and this thing without it, people can not live, this is a blood tester, which you turn on, it produces oxygen, and all seriously ill patients buy his house, because this is a serious thing. we simply have nothing to oppose. and the warning is just to quit smoking, because with a hobble it’s not only the kinglet , it, of course, increases many times over, strokes creep in a heart attack, his card appears and tuberculosis is slippery. in general, like this, well, let's ask me the rest of the time. i to you

i will answer. let's alexander leonidovich good morning good. tell me, please, is it worth it to put an air purifier at home, and not somehow they can protect my family from these lung diseases, of course, they won’t protect you from a hobble, but a humidifier is needed, because the heating season. here, uh, the humidity will drop to 20% normally. this is 60. the dryness of the air disrupts local myronotic immunity dry incest. and that's what they repel bacteria repel viruses. well, roughly speaking, repels, dry and dried thin mucous will not do this. therefore, a humidifier or humidify it with some home methods is a must. thank you. good morning good, and what are the products that improve lung function. tell me, please, at first i wanted to laugh, then you

know, in fact, remember, there is some kind of fat badger. fat and so on all my life was. and now i think, yes, certain types and omega three, by the way, fish oil and some types of animals. he unsaturated fat is considered that, especially during an exacerbation, they can say so, by the way, about an exacerbation, something prognostically bad exacerbations. what there same not always he breathes. he lives, lives, periodically begins to suffocate , ends up in the hospital. so, if you have two exacerbations a year, or one it is such that you thundered the hospital for hospitalization. this is a bad progressive sign. that is, if you think that she has a prize twice or once he spent a year in the hospital. it's nothing your husband. what is this what is this ? he must lose weight, he must move, he should be engaged in prevention and vaccinate everyone, and so on and so forth. thank you. good morning. we all live in moscow and , accordingly, we breathe polluted air. can you please tell me whether breathing exercises for the lungs can protect against choks? no, it can't, it's

needed, it's definitely needed. you have to do it. well, it can’t significantly, and there’s only one way to clean the air, too, just one way somewhere somewhere to leave the cities, because where do you get the money, here’s another recently i came to abakan with a clear sky, and now there they mainly switched to burning coal. a lot of private houses appeared there and everything is heated with coal. well , listen, we are leaving for the rafting, this sky is beauty. well , it’s just that beauty comes, something passes and grachev and we say that it was the crown before the territory for the second year. so they just smell like this and you see, and what you want, of course, there will be a jump in this hole and cobble and lung cancer. obviously, thank you very much. okay , let's ask sonya soy, tell me, while the whole world has looked at two of them. we can note a slight deviation from the norm, one girl of fifty-seven years smokes, and another girl of 54 brought covid. everything else is

bad habits. no, i understand it's not easy. but you know that here there is one moment, if i have a heart attack, you know, i quit smoking, because it will be bad and so on, but he has to quit the patient with strokes and rushes. he will also be sick there with diabetes, says quitting badly, but you can't compare you to a person with diabetes stroke and so on, because this is the reason that started not to quit. for 3-4 years you will be going to the toilet with oxygen on the toilet to plant an onion with oxygen . clearly it will come. live move. eat. we will all be attentive to our health, it will still be fine. well, let's talk about the brutal appetite. the brutal appetite, in fact, is a serious topic . many have a brutal appetite. i have always wondered how

psychiatrists distinguish a normal person from a sick person. well, if we assume, we are the human threshold of the heart. i take the tube and put it on and hear a crunch, a crunch, i heard a noise. i am doing an ultrasound. i see analysis i look when a person does not behave like this. how to distinguish. here you are correct katya prompts. yes, they do ask questions. he publishes manuals, and publishes often, as if the rules of the road, what should be how long psychosis should be there no less than once every six months, provided that something and everything coincides, then you have such a disease of schizophrenia , let's say, and if the blow doesn't match, if it looks very similar, it's not schizophrenia, why am i talking about this? because here are the symptoms, oh, which i will give you to say, if for many this leads to overweight

diabetes to others, and on the other hand it may be a symptom of an eating disorder, a condition that is considered by psychiatry as a disease like this so-called deodorizer, which is an ideal solution that needs to be diagnosed , something needs to be invited. guests who suffer from increased appetite? who is suffering? raise your hands, no, not all, but who came special. it's me, too, i'm also olga sedova, 51 years old, yaroslavl, she is 34 years old from polahov, the city of balashikha, moscow region or on zubakova, 43 years old. moscow women are united by one common problem. this is an excessive even brutal appetite at night i go to the refrigerator and eat from childhood and all my life i have been tormented by an irresistible craving for sweets after childbirth. uh. i got better. i very often want to eat my

portions, i eat large ones. i am a lot because of increased appetite. all women. there are overweight, as well as other health problems, osteochondrosis, malfunctions of the thyroid gland, increased sugar. well , you still can't control your appetite. maybe be dr. myasnikov prompt. what to do? i came to dr. myasnikov to find out how to deal with increased appetite in the evening and not eat everything. how do you overcome your sugar cravings ? or at least don't eat so many sweets. how can i lose weight myself , or dumplings, you know dumplings? oops or pasta with tomatoes? but you are all trying to limit, or so i try everything, but then it all leads to the fact that i break down and

again everything is new and we sit for the night, than at night, which can also happen very often at night look. now i'll show you. i even remember the game and read it like psychiatrists. they say that you and i have crumbly food between you and me, because when you can't resist, when you eat and dump, when there are a lot of you in the eyes, and so on, and so on, it happens to everyone. why do i always think that it’s easier for me to eat nothing at all, like, because if you start eating, i sat down on a leg, and now there’s sausage, and they slurped. life is good this is not how you can do it because you will have diabetes happiness. further, how to understand how dangerous your

brutal appetite is and what you need to do in the morning so as not to overeat in the evening, when the belly has already parted? yes, how much that life is for adults and the elderly 25 years of trust in 2014 is a day that is forever and his help should be the weakest and most protective children on a regular business trip. nikolai met the foster mother of the largest family. donetsk so that every child in this

world has his own family. you really are the ideal mother on this earth. here in these people is god's spark, malakhov today 16:30 on the channel, russia register checks and participate, can degrees make life tilt, yes, when you least expect it, life is worth looking at it from a normal angle, so zero is the best degree for

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food, in general, but from sweets. this is my drug. it can be said, the definition of this is this, when a person eats a huge amount of food, he cannot stop. and so you should have three of the following if you eat more quickly than normal people. yeah, when there's not enough time to go there, go until you fill your belly. so that it's hard for you to breathe until you are completely saturated, when your belly has already parted. this is the bottom of the cake do not prolazit. well, when it's over food, when you do n't feel physically hungry, like me now you sometimes eat one because you're ashamed to absorb so much food on the

sly under just don't eat, and so and so in different situations, despite the environment , not cutting once a week, as often happens every day. so it turns out that many now actually recognized themselves by the criteria. it's already fit under framework of psychiatric disorder eating disorder . it also includes anorexia. we know people who refuse food cause vomiting, this includes refusal to eat, bulimia also applies here, but there bursts of gluttony are compensated either by inducing artificial vomiting, or people inject themselves with hormones there. insulin is also trying something else, so to speak, to appease the conscience. by the way, i forgot to read one more of the criteria. after you eat your conscience begins to suffer

conscience hurts. usually in the evening i usually in the evening i eat up after that i go to bed, therefore and in the morning although usually, as it happens. you stay all day long, stay there nibbling carrots. yes, you think how good it is for you, as if you won’t be anymore, and then by chance you come across a piece of sausage, cutting off such a piece. do you think i just have a lot of salt there? i just like that about the vessel. 30 seconds or less is reborn in your soul. something rises is born. yes , how much of that life and went it. that's just the way it is then happy, lay down, instantly fell asleep. got up in the morning. i did the same yesterday, and here is her conscience, but nevertheless. it is also important not to miss bulimia.

why, if it's like part of bulimia, this gluttony is replaced by pangs of conscience makes a person, then artificially induce the mouth, e.g., take medicines and so on. it needs to be treated. that is, this is already a disease that can be accompanied by various deviations of the bones, from the side of the kidneys from the side of the pair of thyroid glands. where do electrolyte disorders go? sometimes up to before resuscitation, when the person induces vomiting. he loses electrolyte or abuses, and sativa laxatives, that is, chlorine is lost from here , potassium and that's it. this very seriously causes severe gastritis. up to rupture of the esophagus. the so -called whole sea. this is when yes, such a strong work that the esophagus begins to crack along, as it were, by the way, now it is in the clinic that people see it. doctors see very often, that is, more or less only. well, it’s just that we can’t cope, but life is also no sugar, because overweight. maybe i don’t ask, but it can be, of course, high blood sugar and

high cholesterol and it’s generally difficult to move. and in general it is difficult to be attached to such a person, because somehow you have to discipline yourself, but you can discipline yourself. as you can see, i really like to eat. i have all these symptoms. and if we fill out this question now, then we will all fall into one in one column, except for you, and i will be saved. well, someone would apple i carrot i raw carrot. i want to chew all the time. i'm there half an hour now carrot. she's in my car in my pocket. i the main thing is that it should not be a sucking simplicity. and the main thing is to have breakfast. the most important thing is that if you don’t have breakfast , you won’t start the hormonal system, then at lunchtime you will swing, it will be bad for you, and in the evening you will 100% fail. it is imperative not to allow these breaks when you walk, you feel sick when you walk. you still want to come. home you really really don’t care about your waist to object to what will happen in the morning you just do n’t care

i don’t know what is written here from small plates. well, yes, put it in small portions and understand in advance that i am for this portion, you can’t stand it. this is also important. know how it works. this food delivery on diets. there are delicious things there. brings everything to her. here they brought it. this is what you should eat. this is all that you have one and a half thousand calories in a day, but you understand that there will be no more. if you understand, everything will be no more. you somehow you somehow calm down, so the portions are correct, everything from small plates is correct? and in that what could be, you know how robin bobin ate there, he ate something there. but he ate a run of 40 people and a cow and a bull and a crooked butcher and a cart and an arc and a broom poker listened to the church, ate a house and a smithy with a blacksmith. basically educate yourself. to control. in principle, it is possible, set a goal, start with small portions, deny yourself tasty, because it is important, let the tasty be a

holiday only for you, and not every day. well, then you will feel that food, it will give you even more, because when you start to limit yourself in food like this later, when you have a holiday, but it's really a holiday. let's be careful about our health. everything will be fine to answer your questions, because this column is ask the doctor. good morning. kind. my name is valentina, i did an endoscopic examination, found out whether the axial feudal hernia of the stomach in the stomach, how it is being treated and heard that it is necessary to have an operation, but i am afraid of the operation, maybe conservative can be cured. but they must were to explain to you that you should not overeat. it is not necessary, after eating, immediately go to bed and use drugs called protor pump inhibitors. such as we are about evil and other

sirsh end up on about gold all the time. sometimes we do and the operation depends on the size of the hernia, and so on and so forth. let's say. so not every chital hernia. not everyone has indications for surgery. thank you so much. a good morning. good morning, nine years ago i had an operation for varicose veins. and now, throughout three years have already appeared small problems. that is, they became veins. how to prevent further euthanasia of the disease? well, the doctor should have told you, if you are already an operated woman, you should talk about how weight loss is progibnastics about the position, but when running away for a long time, and so on and so forth. you must know by heart, helping them out with experience, because the next operation lies next. that's all. thank you. good

morning. kind. can you tell me the difference between heart rate and heart rate? pulse. if so, what does it depend on? it happens only in one case, if you have atrial fibrillation and we used to have atrial fibrillation. it was just we were talking about the pulse deficit, what if you have a remote control of 100, and with 80 you reach , we say that every fifth beat is ineffective for you, the wave does not work, it does not roll. so, once upon a time, we always counted the pulse and we always forced people with arrhythmia to count about our residents, the number of strategic rotations of the pulse and the pulse deficit should be recorded, because it was the marking and effectiveness of the treatment of atrial fibrillation. we were leaving the rhythm, but either the cracks and the deficit of the pulse disappeared there. she herself was 880. that's good. but today it is already gone. in the past, we are looking at other parameters, but this is the situation thank you good morning alexander leonidovich e. i would like to

ask you, so i took an x-ray. e hip joints, but i still have it 1/3. e parts of the joint. there you will ask a question. in the meantime, i'll see that you have it on my bones. there is bone formation or osteoma. i did this 3 years ago. did this for 2 years in a row. i have no change. this is what i wanted to know, i need to do this every year. uh, x-ray well, you know, yes, i get it, you went toe-to-toe to helmet. ah, the first question to do. well, nothing to watch. i'm being honest, i won't lie about how often i watch this. i just do not know. i know that, let's say, in the case of their similar hunts. well , let's say with light muscles in three months, in 6 months, and then once a year. just you honestly speaking, experts had to tell you how often, i just won't lie. i don't know, because you have to watch, i certainly don't think it's very

often actually. well, i will answer the rest of the questions in the next program, but for today i wish you all health and good luck. next in the program, is your medical analysis reliable? how to donate blood for research? yes precisely chicory ecology? because it is about health several times a day, an absolutely natural product chicory, ecology, and also very delicious ecology chicory. it's about health. dad on the russia channel someday we will have a child, i listen at home. seagulls today

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watch it all together friday at 21:30, you need to take it on an empty stomach, therefore, if someone needs to donate blood, he runs to the clinic or laboratory in the morning and doesn’t eat anything and don’t pif donates blood, but why it needs to be done this way, no one explains to anyone, and whether this is the only recommendation or does it still exist so that the tests that you pass are as reliable as possible. well, by the way, for a general blood test, which is taken quite often, it is far from necessarily on an empty stomach after fasting throughout the night, after an hour and a half , two in the absence of food, a general clinical blood test will already be quite

reliable. and if you need to quickly take this analysis for emergency indications, for example, exceptionally acute appendicitis, then, in general, no one pays attention to the time when you ate, but, for example, it is really better to take biochemical tests strictly on an empty stomach after a long meal, because any meal causes a certain chain of biochemical reactions that can change both our lipid spectrum and the state of our other biochemical parameters. what mistakes should not be made so that your tests that you pass are as reliable as possible about this. we'll talk today. at we have a clear experience of what happens to our blood when, on the eve of the test, for example, we take plentiful and fatty foods, everything that we eat. at this time, it causes changes in the composition of the blood, if this does not affect the general clinical analysis of blood, then it significantly affects the biochemical composition of the blood, because it causes

a certain chain of biochemical reactions and the most frequent. by the way, this is the appearance of the so-called chilious serum, when it is really in the blood serum. none can be determined biochemical indicator, therefore, if you are going to give a comprehensive analysis and a general blood test and biochemistry and a coagulogram, then it is better to do this after a long break in eating. and what is even more important on an empty stomach. this means you don't drink. no juices, sweet teas, no coffee, you can drink a small amount of non-carbonated water. this will not significantly affect the outcome from everything else best held back. i would like to ask our viewers in the studio today how they prepare for the test, if they have some personal life hacks, please raise your hands if you have. good morning. what is your name? good morning, and svetlana i, for example, before passing the test on me, i never yang sweet. that's why when you turn in sugar, of course it

will be high. if you eat something sweet, thank you very much, who else has life hacks, good morning. i know not to drink alcohol the night before. i, by the way, also heard and thank you very much. hello, what is your name elmira, and you also need to drink activated charcoal to cleanse the intestines. this is what i'm hearing for the first time. no, this is some kind of research, please, what is your name? lyudmila, i know that before the task of blood for sugar, you can’t brush your teeth. wow. you know, i never even heard of it. thank you very much, really i don't have much for me, for example, some of the rituals that our viewers use before the task of blood tests, in general, were such a novelty surprise. yes, let's take a look anyway. what are the rules for this conversation. i want to invite a hematologist to the studio. aleksey borisovich fedorov doctor hematologist candidate

of medical sciences head of the department of hematology and oncology the main question is, if i come to take the same tests there before surgery . they tell me not to eat or drink anything categorically, if i don’t drink blood, no one can take it from me. is it possible to drink at least 2-3 glasses of water there before taking tests or not? can water? well, it really is a phenomenon . uh, a man who is thirsty, it can be hard to donate blood, what is called his blood vessels break up a little and it's hard to get in. alexey borisovich, let's see together. what mistakes do people most often make before taking blood tests, what should not be done before, and the beginning of such a medical examination, drinking alcohol and smoking the day before and smoking an alcoholic, in fact , quite active biological effects on the body. they interfere a lot in the metabolism . alcohol has a very strong effect on the biochemical composition of the blood, and everything is fine. know

it's great that alcohol stimulates appetite by slightly lowering blood glucose levels, thus, uh, there is a feeling of hunger. in this way, drinking alcohol, in the literal sense of the word, can lower the sugar level before e-analysis, and the person who is suffering. uh, really elevated sugar levels, after drinking alcohol , it can show a normal result, so the result will be insufficient very simple result, yes, and now about smoking in smokers, as a rule, especially in those who actively, there he smoked the day before, an increased level of hemoglobin, because in any case, hemoglobin replaces this transport function of the lungs, which should provide our body with oxygen. and if our lungs suffer from smoking, that is, this transfer of oxygen from the inhaled air to the blood is blocked, then, accordingly, hemoglobin takes on this increased function and therefore, if you smoke a lot of cigarettes on the eve of your knees, by the way, the same any breath of a lady and a decrease in the concentration of inhaled oxygen leads to the fact that

that the level of hemoglobin in the body rises and the coagulogram changes accordingly, because signs of blood clotting appear. uh-huh and i also need to say that alcohol has a very cool effect on the level of fats in the body of those who pass the so -called lipedogram. here is now a very popular fashionable. under no circumstances should this analysis be done, uh, after drinking alcohol, because, uh, the results, uh, change very much. what period of time should pass after drinking alcohol and calmly pass tests, well not less than a day, even the day before they are treated. yes yes even the night before. it doesn't fit anymore. eating fatty meals the day before, but fatty foods are usually not. it is usually generally just plentiful is oily. there is a lot of things, of course, a serious interference in the biochemical composition of the body, but fatty foods cause the gastrointestinal tract to work quite intensively. in general , the liver releases various enzymes into the gastrointestinal tract. it is stimulated by these liver, so indicators such as bilirubin the lt that you must have seen in your

biochemistry readings is very cool. depends on the amount taken the day before fatty meals. it also influences the so-called. it is absolutely obvious that after eating fatty foods, the lipid profile will be very, very bad emotional stress and physical activity. eliza affects only cortisol levels or blood tests also cortisol, it is a high enough biological component that affects everything, including quite a few others. e, hormones of the adrenal cortex, which are usually released into blood. well, also adrenaline which we know well. yes, they greatly affect the content of biochemical and general, including blood tests, therefore, of course, stress e intervenes not only to say that it radically changes the blood picture, but, nevertheless, the indicators change a little. well, for example, i’m now talking about physical activity, women quite often ask a blood test for prolactin, sometimes endocrinologists prescribe it. the level of prolactin directly

depends on physical activity, if you have we saw an increased level of prolactin, then maybe we really did intensive sports the day before, and this is the result. in general, she is not very confident in the relationship of men's health , too. this kind of phenomenon, when physical activity, for example, cycling, can reach the level of the same dog that men rent, we are a dog, my friends. this is just a specific antigen - it is a tumor marker that indicates the presence or absence of prostate cancer during stress. the body reacts by producing an increased amount of adrenal hormones, which include cortisol and adrenaline. well, what period of time can you play sports? yes, in order not to affect the analyzes, probably, any physical activity is not worth it the day before - this is such a pronounced, pronounced activation of all biological processes in the body, it is naturally activated, including the biochemical layout of certain substances, the level of these decay products increases and so on. and we can see it all in the analyzes blood. medications, for example, i

take vitamins and microelements, and will taking these drugs affect these tests such simple medicinal substances as vitamins. yes, they are unlikely , of course, to fundamentally affect the quality of the tests, because they are quickly metabolized, built into our metabolism and eliminated as such, but not all, of course, drugs affect biochemical and general indicators. blood test. there are drugs that, of course, do not affect in any way. here, and there are drugs that highly affect this trigger or other mechanism. here it is necessary to approach individually, of course, but in any case, this period of time, let's say so without taking drugs, is excreted, let's say, so actively for such a period of time, and therefore we recommend taking it in the morning, when the person has not yet received a dose of the necessary drugs. with all this, the doctor, when you come to him with the results, you are required to undergo tests. what medications are you taking here? it is better to have a complete list with you, because

then a doctor can understand whether certain drugs have affected or not, know the indicators. please tell me, do i need to stop taking vitamin d in advance or stop eating fatty fish there, if you are interested, and an impartial look at the level of vitamin d in the blood, of course, must be done unconditionally. what period of time of the day will be enough, it is quickly metabolized in tablets, although now it has become very fashionable to take very large doses of vitamin d 10-20.000. many accept and eat. uh, the intake regimen is once a week, for example, here it can really be skipped, the previous intake in order to get a reliable level of vitamin d alexey borisovich thank you very much friends. we talked about the rules for taking blood tests and in order for the result of these tests to be as reliable as possible. we need to follow all these rules. and we wish you a good day and good mood. great with

you there was a program about the most important thing. hello on the rossiya vesti tv channel in the studio of irina rossius and the main topic by this time kiev again struck at the belgorod region, a woman died, the shelling in makeevka does not subside, there are also civilian casualties, they attack the kiev region. donetsk, we have a chronicle of a special operation, the state duma has an unscheduled meeting.