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is, about our health, the most important thing for our health, but it is probably to live today, because yesterday she already died, and tomorrow has not come, do not make forecasts, do not panic. but you just know how they say, do everything should be, what will be, but it will be, and everything will be fine with us. see. today in the program about the most important thing hand arthritis. why fingers are deformed when it is a sign of a viral infection, and when arthritis occurs due to a skin disease, how effective are chondroprotectors for arthritis, hands and what exercises will help reduce the risk of its development syrup to say nothing, it means

something is in the nose began to thicken, it is impossible to bend their fingers into a fist. pay attention in time. and you will be mischievous with mail insufficiency, when do you need to remove large motherland and what vitamin should you take in autumn and winter questions? from the doctor according to the new rules, alexander myasnikov asks you to answer for inflammation of the pelvic organs why this disease appears and does not go away how hypothermia and sexual life affect its development and in what cases antibiotics do not help with such a diagnosis, this is the number one reason for infertility, this is roughly speaking, peritonitis only in the pelvis of eight out of ten women with this diagnosis they have. uh, there's no inflammation. it turned out four partners for six months of the factorist.

and if there are three and if there are five hands, that's how it is the disease deforms the finger it is impossible to write it is impossible to hold something it is impossible to do ordinary things any movement causes unbearable pain and doctors have been sounding the alarm for the last couple of years arthritis, hands occur more often, even in young people. who is at risk of arthritis of the hands, how does the flu and covid-19 affect its appearance? what are the first symptoms? you can suspect this is a disease and what to do to keep your joints healthy and your fingers beautiful, dr. myasnikov will answer these questions. and we will also learn exercises to help protect against arthritis. clap you what i know, arthritis, hands wrong and disease is a single common name and

inflammation is the cause of arthritis. well, it's like i don't know how ari is the cause, maybe the coronavirus is the cause, maybe adenovir with the cause, maybe anything this one is 40 plus rheumatoid arthritis. these are young, there, another symptomatology, representing the third viral reactive victorious 4 5 10, and that's it. it's you corpse gout fifth and how it was right, let's figure it out because there is a fundamental difference in these arthritis. well, for example, if you start to hurt, small joints, pain, it is recent. if you come, i can't say to our doctors. i just don't know, we have different approaches. but if you come somewhere abroad. the first question would be how long

have you had it. if you say less than six weeks, 6 weeks is how much it takes 1.5 months with you. yes? say month. he'll tell you a lot right now it's hindering the hell it hurts. he will give you painkillers and won't do anything. go go come back in a month. why because any retreat that started everywhere but on the hands, especially up to 6 weeks, is considered a virus, because any coronavirus virus is influenza. and in general, any virus, by the way, the hepatitis b virus, and so on, any virus can cause these joint pains, and since, so to speak, we do not spend money on patients or money on insurance companies until it passes. this term. if you say you've got me it's been half a year and so on. yes, we begin to search, and we begin to think, but here, too, the symptoms are different. that's arthritis cashier. and what immediately question is symmetrical asymmetrical one arm hurts two arms hurt, do the hands hurt, can you do something with a

splinter? you have stiffness, that's it, but it hurts you can't open it, and then the question. and how long ago because stiffness up to half an hour - this alone can be an acute trid. it can be psoriatic erythritis, some other kind of arthritis. and if you say, you know, at least 40 minutes in the morning i can not do anything. i'm riding blood from harusa because it's most likely rheumatoid field arthritis, which is generally characterized by the attraction of small joints of three or more joints , it is precisely a symmetrical lesion, moreover, you already have it for a long time and the joints begin to deform, we immediately understand, because we are talking about repotoid polyarthritis, where inflammation lies in young people more often women. there , such distal fingers are never affected. this joint is never affected if we see that it is affected. this joint swells, this one, or what is characteristic, this one and it hurts, we are looking for altoid parotlit, because it's not only pain. it

can be an allergy to a heart on a kidney and so on. and if you have changes here, then this is typical for acute arthritis, there are no inflammatory changes, not minimal, although naip begins and this one is typical for psoriasis. here you have a quarrel with rt and in people who have quarreled with patients, up to thirty percent have a form of arthritis. and often they are on hand. they will squeeze exactly these distal phalanges, that is, according to the location of the deformation. uzelkov. you do specific diagnostic approach. this may be a sexual infection reiter's syndrome, when she started a religious infection, she starts to get sick. there are more large joints, single joints, but it also happens on the hands. or let's say about the star tweet. he startrit, these are generative changes in the joint. hiccups 40 plus in humans are more common in overweight women . we don't fully know. why does this happen,

the extra-articular space begins to decrease, then the articular surfaces begin to rub , lubrication is lost, they begin to wear out and begin to hurt you move out, the weight you exercise becomes easier, but again it is not clear if arthritis is in the knee or hip joint. you weigh 100 kg. you have lost 20 kg and you have improved your load. this is clear. it's understandable, but for some reason, people who lose weight go through it at the age of 30, the symptoms are on their hands. here it would seem, and here the weight is also on the hands, in whom we see exactly about arthritis, not inflammatory diseases, coming in the first place. but it is precisely the degenerative ones that are in the hands of professional boxers, contact athletes sports for people who work with their hands there, for example. rocket, what are you doing and so on and so forth, increased workload. well, it’s clear that tires, if they jump from a place, so to speak, with a twist, then they wear out faster, but as you

already understood, arthritis, jelly is nothing to say. it means there is something in the nose, yes, because the treatment is completely different, completely different. if you have patriotic arthritis this is one thing and that with rheumatoid arthritis. this is the treatment of this hormone. these are antagonists, tumor necrosis factors are there other colonial these bodies are in quarrel. there, too, you tilt bodies different whole spectrum and if it's viral and just wait, if it's reactive to bacterial infections on the same chlamydia, we give antibiotics all different, so the most important thing, if you have something is to understand that the viral will pass itself. and if this is the beginning, let's say, once lupus, systemic lupus erythematosus. she can safely give you more in the hands? and i say, and then you don't pay attention in time, and you will develop kidney failure. and so, by the way, with lupus and psoriatic arthritis,

look for more, look for fatigue, look for stiffness, the criterion is less than 30 minutes - these are just arthritis. more than 30 minutes. here is the morning stiffness. this is in harmony with rheumatoid arthritis. and this is a serious disease, there are blood diseases behind it, and so on. this is a serious illness. it's a serious common fucking disease of the joints. it's written there. how does r30 differ in hands from arthrosis, but with nothing, but there is no such word for arthrosis little johnny , there is no such word, but remember children's jokes, says, how the word is not, it is, but arthrosis is either illiteracy, or such medical slang there is no word arthrosis anywhere in the world, well arthrosis, this is the outcome arthritis is already we are talking in a state when, for some reason, it doesn’t matter what is there it was arthritis, uh, polyarthritis. uh, some kind of rheumatoid , you already have a deformity of the joints. this is a deformed joint as a result of something in the absence of active inflammation, but we say so, deforming arthritis of such a word arthrosis

this is wrong. throw it out. now don't think about it not in an arthrosis. the case is the frolic of this color of the fingers. and what is it you have to unite these fingers with the fact that you have arthritis, you are on the sea in cold water, and around the finger has won. like this or sat, then you have all the time. well, it means that in the future, silent arthritis is any there, e.g., environmental diseases, because it is harmonious for precisely these things, and so on . rheumatoid will be and so on. these are all diagnostic. subtleties of stiffened joints, internal premiums and natural glove syndrome. this is the most important clinical sign, important symmetrically asymmetrically. which joints are not less than three joints stiffness, the doctor must answer all these questions exercise before important. moreover, with

an active degree of rheumatoid arthritis. just make it worse with exercise. yes, if you have acute arthritis, yes, exercises are useful. you must develop the same as with e-psoriatic thirdly, in general, any joint should be developed during the day, because it is important that there is no effect of thickening jelly and so what exercises will help reduce the risk of disease, joints in the hands. the first exercise to increase the range of motion. elbow angle. composed 90°. there is a neutral position with the thumb from this position. we turn the palm of the hand up along the tension. we meet in the starting position and turn the palm of the hand to the starting position, bend the brush, start position and unbend the brush starting position the second strength exercise will need a small ball. your goal is from 3 to 5

seconds to squeeze the ball one, two, three, four, five, do these exercises 10-12 times three times a week. does honor protectors help somewhere, but in fact there are no chondroprotectors. they can not slow down the disease and all sorts of foods, there are kiwi with jelly, they do something there. you will not make new cartilage, but a number of food products and chondroprotectors that do not have any lasting effect. they may have certain analgesic effect, which relieves inflammation for a while, it becomes easier for you, so the doctors say. you know that if some chondrules take something like that. you should take, but not more than six months, because if it doesn’t help you, it will no longer help injections with cortexiroids with hormones in rheumatoid arthritis, in general they are treated with hormones, they give prednisolone there for years, then they cannot walk. they have their own diabetes, they develop a lot of problems,

but you can't cancel cancel, it becomes motionless. he wants to go go to this crippling treatment, which is what you usually do, well, we usually give non-steroidal inflammatory ointment. it used to be popular and lectures of hyaluronic acid in the joints. well, again, it can act briefly, the effects are usually a month and a half at best, but is it possible to return to the previous form? yes, you know which one of them is crooked, that gosh is made, uh, crooked, and also, if it’s just arthritis, often such balls arise in the distal phalanges, such growths, and again we’re nowhere from this i apologize to all of us. the main thing is to make a diagnosis and choose the right treatment. i know that we have a guest, show that you have svetlana kopninova, 57 years old, belgorod, a woman of 34 years old, worked as an accountant in retirement, an active woman was not going to, she had the strength and desire to continue working, but

svetlana still had to quit can work on a computer. after all, she is actively developing arthritis, hands. the pain syndrome of stiffness in the movement of the fingers began. this led to the fact that i could not type text on the keyboard, and to take a pen to write something was also a big problem; i began to get tired more often. and so, i had to quit, the doctors prescribed the woman medicines that slow down the development of arthritis, but pain in the joints, swelling and stiffness of the hands. all the same, she constantly worries svetlana worries that the disease is progressing and in the end. she will become completely helpless, so she turned to us for help. i came to dr. myasnikov to find out if it is possible to slow down the development of arthritis, and if it is possible to cure it at all. the disease all started with morning stiffness of the fingers, then they began to thicken, the fingers

cannot be bent into a fist, it is impossible to take a pen to take a mouse there while working at a computer. or do something around the house, cook, eat, clean up, or do your favorite thing like knitting, or that or joint problems, joint problems, sore joints. and here's the period. e exacerbations. eh, there is reddening of the skin, if you touch it, it becomes, it is hot to the touch, the skin is palpable and pain. well, here's a question, for example. you just heard stiffness. we should understand how much i have won now and get more out of you, symmetrical joints. you have inflammation syndromes, and if i were you, i would bleed at least revotoid factor that she will deny me what 20% does not tell me, inflammatory arthritis may not be negative, but what you say is the same reason for diagnosis, because we must understand that you will simply be limited to a cream or non -steroidal drugs, or something

stronger. this is already for you. how long is one and a half of the year? yes, it won't go away. it will only get worse. and you do not know the diagnosis is wrong. i would definitely examine you for rheumatoid arthritis, all the more so to say, point to these joints, which are specifically about the third polar. but the distal ones are saved for you. i can see and not pubescence. so, what do you think about it, what is not preparing polyarthritis. maybe in your diagnosis we will be attentive to our health, that's all. we will be fine, arthritis, arthritis, a lot of treatment is different, figure it out first. it will still be good further, when should large moles be removed, and what vitamin should be taken in autumn and winter questions? from the doctor according to the new rules alexander myasnikov asks you answer with compression stockings good

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affordable price and ultra reinforced composition to combat migraine and other types of pain in these frames, a resident of the city of buffalo in the usa, irina dennison uroshenko, bryansk region, ira got into the reception of the american family already almost a teenager. she was 10 years old and did not want to leave and leave her family. i wanted to find my mother because i have always loved her. i told me everything to sleep, because no one in america can read russian russian do you understand that we would not have invited you today if we had not found your mother malakhov today 16:30 on the channel russia yes, it is chicory ecologist. well, because this is about health several times a day, an absolutely natural product of chicory ecology, and also a very tasty ecology of chicory. it's about health. to you, based on

previous programs, but something has changed with us. we got this box, we removed the prize there for each correct question. you get one key, if you answered three questions, you will 100% open the lock correctly, because here one of these keys is suitable if you answered one question you didn’t answer the other two further, it’s generally happiness, you got the real key, you will choose the prize. no, if you go to squat or whatever, it says on your card that you go out, then on these conditions i am ready to meet. hello what is the name of hello yulia yulia it's very nice, what are you doing? i am a teacher of additional education with children, i do excellent work. need

to be removed. and if they don’t seem to me to have another thing, that you need to photograph them is another thing, that there are certain clinical signs that indicate that they can be dangerous and especially if you have more than five such large moles with uneven borders, maybe changing light and so on, then just observe. these are risk factors, but remove. only if they really get in the way somewhere with a bra or something. so what are you, one key two questions do not answer. and this piece will work. smoking exacerbates the symptoms of menopause. you smoke no far away and so. no, it seems to me. in

fact, i'm rummaging through my memory. i don't know if smoking exacerbates menopause symptoms menopause symptoms, what kind of increased irritability sleep disturbance hot flashes violation of thermoregulation smoked a lot of harmful, because that's precisely smoking by force menopause symptoms. i just don't know, i won't lie. it seems to me that no, since we do not know, i will not let you take the key, and you have a chance to get the second one, and then how lucky, how fate will fall. if you now pull out the second key, and none of them will fit, then smoking still intensifies, then here it is, and if it suits, then it does not intensify. now it's all fate will tell. what vitamin should be taken very winter. just take your time. yuri, do not rush, think that there are a lot in autumn and winter. well, yes, in general the sun and vitamin. well done, let's go get the keys.

now we will learn how smoking affects the symptoms of menopause. come on one, then another. from the first time so, let's look at smoking . do you know that i would not be me if you

did not start with criticism, there is no such word in the whole world, you will never see a diagnosis of adnexitis or inflammation of the appendages or so on? why because what if we look at this we have a vagina? this is our uterus tubes and the surrounding tissues of the vagina . flora has its own microbiol. there are many bacteria there, they interact with each other and there is a continuous plug, a mucous membrane that prevents the bacteria from penetrating into the uterine cavity, when this plug becomes inflamed for various reasons, the endometrium inside the uterine cavity can become inflamed, the tube can become inflamed, maybe the ovary? maybe the tissue around the endometrial ovary becomes inflamed up to inflammation, liver everything is higher and we never know

what is inflamed in us, so we don’t talk about dixitis or salpingo-oophoritis, we don’t talk around, no, we say in russia, for some reason, this is how we actually do it all over the world. it's called pelvic inflammatory disease, but in english it's, in short, go sang. yes indeed. we never disassemble it has no diagnostic value, no therapeutic protection, so just saying pelvic inflammatory disease means that it is this node is a disease in this node and we are absolutely not interested in understanding what exactly has no applied significance, which means that our today's topic is not this one. and inflammatory diseases of the small pelvis i will immediately say that this is usually an infection that is sexually transmitted in 90%

of cases. we insert gynecological curettage operations in the country through this route, the most common two infections are gonorrhea and chlamydia. tell me, what kind of gonorrhea is there for a long time there is a lot of gonorrhea, but let's say a man has symptoms gonorrhea, only in 70% of cases 30% of men, no symptom at all. you don’t know if he has gonorrhea or not, you don’t know how the infection happened, and so on, but chlamydia is generally an epidemic - it’s generally the most common infectious disease in the world, namely, familiosis, sexually transmitted hundreds of millions of it is sick, this is the reason number one for infertility. why but that's why the behavior that hurts hundreds of millions of women is called inflammation, the tube is sealed and the fertilized egg just doesn't come here. and very often even if you did not have symptoms of inflammation during the examination, when we look, we check pipes sealed 30%. that is, this is an

undiagnosed process, an undiagnosed pelvic inflammatory disease, which ended with this situation, therefore the number one reason for infertility. well, there are many other bacteria, by the way, women who suffer from bacterial vaginosis mean gordinous, they also have risk factors for penetration, and not, as it were, destroy this barrier of the cervix that opens other gates in the infection, even if so to speak in the uterine cavity. this is an equilibrium ecosystem and it does not cause unpleasant sensations, then penetration into a serial environment. it causes inflammation symptoms. what are the symptoms, but they are all known pain. an increase in the temperature of the discharge is very easily diagnosed during examination. you can always by doing research. determine tension, feel pain and do tests. the truth is not always elevated

leukocytes. we do soryan, active belov speed, denmark erythrocyte and so on, but in basically it is, of course, a clinical study. ultrasound adds there. well, he won't see much. he will see. there may be tyrositis, an excess amount of fluid that we look at and send for analysis of the discharge. if he sees white blood cells there, yes.