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it will be interesting. today in the program about the most important thing is the whole truth about hormones, how they affect our sexual desire, how effective growth hormone injections are for prolonging youth. and what needs to be done to improve the production of the hormone of happiness, potato pancakes dumplings, fat eyes shine, nervous, nimble and so happy go to bed. you and rum fuck here they pour

immediately a liver tumor will develop what should be done first if a person next to you has a heart attack and how effective cranberry juice is in treating cystitis questions from dr. alexander myasnikov asks you answer you present. in general, after that i can say, of course, the treatment of hypertension. what are the important rules to follow in order to effectively control the disease, who can reduce pressure without pills? how to choose the right drug and what else needs to be done to normalize the pressure indicators ? but getting down is quite difficult. oh my liver. all livers have an average of 170-180 per 100. how do you feel? okay , my head doesn't hurt. no, nothing hurts. and

this is our answer by the editor, who put it this way topic. now i'll turn it off and we'll talk. the doctor put such a direct topic, we will talk about hormones and the role of hormones in our body. well , i don’t know, the scale of the task is almost impossible to describe. and here we will show, each hormone, it will portray. there. here is the smoke, which means, rather, the healing of wounds here controls the pressure, it affects the mood, controls the reproductive functions. all this is so. in fact, any of our movement, any of our contraction of the muscle of the internal organ of the vessel, anything, all this is mediated

various hormones that work in close conjunction with the brain with the nervous system of the central nervous system. that is, the brain, as it were, gives a command to the pituitary gland. well, come on it's hard to line up, because it 's not a separate part, it's all closely absolutely closely interconnected. here's the hypothalamus - that's that part. now, if it's a brain. if this is the brain, here below it is the hypothalamus, which directly, as if with legs, wraps around the pituitary gland. this is the most important and the first hormonal endocrine organ from there. it receives commands from the central nervous system. and then he has. so to speak, the posterior lobe that produces there in the zapressin oxytocin is the right thing, but the most important thing is that it is produced by hormones that control other endocrine snatches, stimulating hormone. that

is, it stimulates, it produces follicles, a stimulating hormone that acts on the ovaries , then it produces adrianotropic hormone, which stimulates the actions of the adrenal glands, by the way, the follicles that stimulate this place also act, as it were, a conductor who pulls the threads. here he is pulling the strings of other nervous systems. and it's hard to say more. which is the most important, but let's say adrenal hormones. that is, we have kidneys, hormonal organs in themselves, and we will return to this, there are kidney cells. they are in two layers. and if in the inner layer in the conversation all the names familiar to you are produced adrenaline but adrenaline and stress hormones, which generally regulate our blood pressure pulse breathing, uh, relaxes the bronchi and so on, it’s not for

nothing that when a person falls, she has a setting hearts. you think this is how you save, in fact . you may not download adrenaline at all several times, it will come to life with you. it's just that as long as it works. we support heart contraction, maintains at least some circulation with these movements, and it is adrenaline that returns to normal. and nord adrenaline. but in the brain word, those same hormones are produced, which. again, you know a few of them, we say, the deeper, the sweeter, because at first they are corticosteroids. it's prednisone corticosteroid hormones, which are also responsible for the secretion of internal organs for the functioning of the nervous system of the vascular system, further hormones that retain sodium due to the balance of water in the body , also aldosterone, which retains sodium, removes potassium and retains water, and why, the deeper the sweeter and sex hormones, i.e. estradiol e, and testosterone and sex hormones.

by the way, all these corticosteroids are made from cholesterol, which is produced in our liver. it's like material for these hormones and also works all other zherlitsy, pancreas and sex hormones are produced, they are produced and the ovaries. there 's estrogen and progesterone in men and their once was testosterone. the time of thyroid protection controls calcium levels. a lot of things that we hear about it, and let's say the hormones of the kidneys, you know, the kidneys not only excrete urine, not only concentrate urine, responsible for the acidity of the alkaline balance. we convert vitamin d into an active form. well, in particular, the hormonal apparatus of the kidneys produces hormones and angiotensin, which is the most powerful hormone for raising pressure and it is the kidneys that regulate our blood pressure. this is still in russia with the light hand of dr. lange, his student of my grandfather alexander

myasikov, cardiologists in general deal with pressure in the world. nephrologists in general deal with it, but because it is the kidneys of the heart that are responsible for maintaining pressure. in no way does the heart have anything to do with pressure. just a target organ, with high blood pressure, the heart suffers earlier from the kidneys to the early eyes vessels. the brain and so on, by the way, if we look at these. yes, but prolaxin is also produced there, because a lot of hormones are aimed at childbearing. yes, uh, specifically oxytocin uh. expands the ducts of the mammary gland prolactin goes to produce milk that is why women can feed e during pregnancy. this is changing here, looking at these arrows that stimulate adrenal hormones sex hormones, the thyroid gland. clear. why, if we suddenly start taking hormones ourselves, then this may be

fraught, for example, jocks who are trying to take testosterone. well, because testosterone directly affects muscle mass. well, how did you pedigree bulls fire testosterone injections? here they are poured and also our glasses and not ours at all, but firstly, by the way, you should never take it by mouth, a liver tumor will immediately develop. he can only inject only an injection, but you don’t need to do this either. why well, let's say that you suddenly began to increase the amount of testosterone above the norm. which team will go to the adrenal glands and on the testicles. if it is increased, he will immediately sharply reduce the intensity, say less less less. so, quite some time has passed, you stopped taking it, and the pituitary gland is already used to working out the command quietly, quietly, quietly, and it seems that nothing will not work for you, because you

brought all this to the same thyroid gland. you are taking hormones. why you on hormones here ttg review behind a level? well, because you understand the hormones, tsh goes down, because you don’t need so many hormones , or you already take it, you don’t need less, but because your gland is doomed to the fact that it can not produce hormones more than there is inflammation somewhere. because antibodies confuse the signal with their own, it begins to give a quantity of a prominent gland and without hormones, under the influence of this hormone tsh, this one begins to grow , it becomes larger, because her command is more pain. she can't take it anymore. it can only give plus tissue. here is this plus, of course, to work out more. that's why, so that it does not grow, you need to take hormones, then this stimulation will decrease. no, the production of hormones in the fall. and the production of hormones is a certain circadian rhythm. if you, for example, want to take blood for

cortisol, you must take a certain time at eight in the morning, that is, you know when, because most of all, well, then it decreases in the morning, then it rises again. if you take just an arbitrary one at any time, it will not show you yet. or if you take a hormone, kidneys, or you don’t need sides, it’s not at all just that you do n’t get up at the same time, because even the position of the body immediately we will change the concentration of hormones and so on, so when we take something for analysis, it is very, very important. and yes, the annoyance from rivne really decreases libido, increases the risk of developing impotence, but we don’t give the ussr it ’s just in fact low in this direction. you went did the analysis i have a low-tone. firstly, you also double-check freedom is from the outside, because , let's say testosterone in the body, but the laboratory determines it and it determines testosterone together associated with a protein, which itself does not say anything lock, therefore, if the protein little you she will say little testosterone. you

see how little, in fact, it is full, therefore, if the analysis that presents freedom is testosterone without this protein, but even if it is reduced, we focus on the patient. we just don't give testosterone. we give only when there is even impotence, small testicles, small muscle mass, that is, when we already see symptoms of hypogodism due to somatropin, growth hormone. yes, hormones are a very interesting hormone, it increases muscle growth, skeletal growth as long as it's possible it enhances the exchange. and it's very popular. it was probably the most popular one . yes, and there are anti-aging anti- aging products. i once was in las vegas for a convention. that's just the doctors of anti-eisenga and the chairman of this society. he says, so i have a lecture about growth hormone. and so the lecture begins, any man over 40 years of age should take, uh

lecture growth hormone lecture is over. thank you all for your attention. so categorically, in fact, the same american endocrinologists fight against this approach. after all, we haven’t proven that if it’s always injections, and you smoke in your stomach, like insulin in america and europe, that’s all you see, artists and so on, they are all in harmony with growth. we have some growth harmony activities, but there are a few things that first boosts. and the second retains water edema. and the third can be acromegaly, the hands can be enlarged, the gaps between the teeth can increase, because where they have already, like they put the growth zone, they wake up again and it is not known. how safe is it in terms of oncology, too, prostate oncology doctors are the same mud. they say we understand that research is needed. we understand that it takes 20 years of research to get the right result. here you are now 60. you will wait 20

years for the result. here we offer you. well, in any case, there is such a topic, and official endocrinologists around the world are still quite active. they say we sleep against the use of growth hormone in healthy people in order to prevent slowdown in old age, or disease prevention. it's just so categorical. well, the same doctors say, but no, we have time to wait for injections and i will inject. yes, and for which hormones depending on what hormones you have, all hormones, i will not take thyroid hormones, because i do not want to get fat stupid. you, on the contrary, without thyroid hormones. you will get fat, you will be ethical, you are afraid of thyroid hormones built-in hormones that come from cholesterol. here i have already named cortisol prednisolone well and so on and so on from they really get fat, and we give only seriously, it was considered as a powerful anti-inflammatory agent. uh, the remedy is fine for lupus in rheumatoid arthritis, and so on when there are no options. it's either you or

you die, yes, sugar increases, blood pressure increases, weight increases. and where to go, but other hormones, they are directly opposite actions of thyroid hormones lower and reduce weight. uh, at the risk of hair fall, reduces swelling. ah, they make you feel better. that is hormones. like setting you on fire inside. alcohol lamp, which, as my mother told you, every woman should have a slightly increased thyroid function so that her eyes sparkle, because her eyes sparkle, nervous, nimble. you have to be too nimble, and so some products contain the hormone of happiness, i even know which darts dumplings, lard, pasta, cheese with garlic, list pilaf, barbecue sausage, sausages, sausages, ham pies. salo said i don't like cakes, only ice cream. i

always have several ice creams in my refrigerator, which used to be for 19 kopecks. worth why? i just here we hire everything. i sit down and think that i miss you. it ate it ate it. i don't want it. it doesn't want ice cream. i want to go and eat ice cream and go to bed so happy. it's just that i'm happy, i understand that it's impossible for the night. i understand that sweet i understand that that's all i say, it's so desirable. then why will you contain the hormones of happiness, okay? well, i hope you at least understood something from what i said? so how did we start the topic and finish? you see, there are many hormones. and it has already exhausted itself. here it is necessary add. no, it went, it went, it went. okay , let's be attentive to all health, it will still be fine. further, what should be done first of all,

if a person next to you has a heart attack and how effective cranberry juice is in treating cystitis questions from dr. alexander myasnikov asks you answer the artist today at 21:20 on the russia channel pentalgin is the number one remedy for spasm pain and inflammation for headaches and other types of pain

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who watched our programs, the rules know who is ready to raise your hands? come here brought. good morning. hello alexander leonidovich i have already participated in your section not very, very much. good luck and i ask you the opportunity to rehabilitate. i am brought you a present. get it, please take a look. itself, of course, i have an art education, despite the fact that i have a beauty salon, i

periodically, in order not to lose my qualifications, but i write. this is in a decorative style in the classical style, i also write, but i like it more. thanks thank you liked it. see. i have quite a few different portraits, especially when i was little , artists went to my grandfather, they painted me. well, i had to write something now, and as always, i don’t really like it. they are always something different. i also looked at this, but something lay down. there are some features that are close to me, but i give you a clue for this, of course, not a head start. yes listen, and you did something very good there. why did you make a hoop, and i twisted it. come on, well, let's twist now this uh circle to twist. so, well, if then they twisted the hoop, now you stand,

if anything, you need e30 seconds. well, if anything, i'll stand, i'm already worried about yours. don't scare me, please, simple things to do in the first place, if the person next to you there was a heart attack, well, the man was standing and suddenly choked and fell. he seems to be still breathing and lying down saying, come on, oh, i can't. well, i understand. you can first of all need to call an ambulance , and, accordingly, well done to god, turn something over there, give him water, and so on. you remember the coronary prize after cardiac principles, he has 120 minutes to get on the operating table. the first call, then everything else, so here she will get. well, you don't.

you also have. you are in a beauty salon and so on. you have to do this constantly last so, first, take one key. cranberry walrus is useful for cystitis in general, and city, i think that you need to take drugs that relieve inflammation. well, it 's just cranberry juice, you need to drink a lot of liquids. yes, no, i think yes, it’s useful no, it’s seriously useful, even with the study, cranberry juice is shown, it decreases from the appearance of cystitis, it relieves inflammation processes, it has a certain effect. i don't even know actually anti-wrinkle collagen cream. generally collagen it is very effective for fighting wrinkles, but if

it is present in the cream, it is not a fact that, but it will be absorbed, it is advisable to use it inside professionals, what does it say? yes well everything, then rehabilitated. hooray! get the keys. open the first time well, that's it, well done open choose i have already chosen. come on, i really want your book. and so i write, finally. yes, i came for the book with gratitude. oh how nice, thank you very much. the national

health project is simple and important for ukraine, so to speak, therefore. let's remember them patients at low risk of complications are advised to follow up for three to 12 months before making a decision to prescribe drugs approach when you first have hypertension 130 90 140, oh, jumped 150, then 1020. here is the initial hypertension. we generally do not have to give you medicine right away. we recommend follow-up 3 12

months thinking to prescribe medication or not? because he should recommend a doctor to limit sodium forget about salt more vegetables god's fruits reduce calories reduce weight aerobic exercise to deal with stress. that's what, because it's easy to put on a drug. but getting off them is quite difficult, so we are trying to exploit. here is this period of beginning when lifestyle changes. you can generally fix everything, but it's easy to advise, but life. and as a result, we move on to drugs. the decision on the use of drugs and the choice of the drug is carried out by a hypertensive doctor is important. the right medicine at the right dose at the right time, i said it was so easy to say, just like it is very easy to say here and not at all easy to do. what are you doing, my

blood pressure has jumped 150 to 100 there . i drink there such and such, give me a pill knocked out, it seems to have passed, then you still try to grab different pills. they work, of course they do. uh, you get knocked down. you drink both irregularly and incomprehensibly. this is typical of our russian reality, when everything is available to us without prescriptions. and when you listen, neighbors the internet and so on and so forth, so only a doctor can prescribe it should be what starting medication is important if you are young and plump this is one thing, if you are from the eastern e regions it is another, because it is treated differently if the elderly are there. two is something else, yes, that is, we must know what medicine to give to vamp it all individually. by the way, i want to say that we always, according to tradition, when we conduct a rubric of suppression, we measure

pressure in the studio in order to understand from whom. and by the way, we are now detecting in hypertensive patients, in which they did not know about it, this is the standard situation. just talking about the fact that we have little vigilance in this regard, when starting treatment with a new drug for this patient, doctors recommend starting with low doses in order to reduce adverse effects. that is, again we say the right medicine the right time in the right dose. just a little here today. what do you do before, we gave it from small doses, and increased it to the maximum, as it will not help. we gave the second drug in a small dose, increased it to the maximum. today we give a small dose, but up to the maximum we don't grow. why because studies show that if you take, say, 50% of the drug, you have the effect of such and such? and if 75 you will only have 15% more effect. and if you take the full dose, that is, you still have 10% there, meaning that this is a non-linear

increase in the effect of the most effective 50% of the maximum of 75 gives a small increase. and here is up to 100 growth, it gives a slight effect. despite the fact that you can hit on a powerful effect, so today i will give the medicine in a small dose not helps. we immediately start the second remedy without helping. in the small one we also prescribe the third drug. and only later, when we already gave it so to speak, you know, you probably like it so much, the standard triple combination, because as a rule, all stable hypertension patients are treated with three drugs, then you take one drug. this does not mean that he is alone. it's just the ingredients and dose escalation. we give. only of course, only when the patient is well tolerated, you do not run into side effects. no sharp pressure drops. it is more effective to combine low or medium doses of two or three drugs with different mechanisms of action, it must be remembered that all these combined drugs are long- acting, long-acting, but it is considered 24 hours. i don’t know about

24, but they have a maximum of action for 8-9 hours, then they come together. they are long, so it ’s enough to take her birthday, we don’t use fast-acting drugs when the pressure has dropped, because this sharp collapse in pressure can cost the life of a heart attack , stroke, because the pre-season pressure drops used to be popular, drug therapy should be used in conjunction with lifestyle changes and the rejection of bad habits. well, yes, you just know that, well, you can’t paint the car on one side and continue to beat it there, and the branches under the policy and so on are pills. by themselves, these are still supportive actions. all the same, the main thing is weight loss, this is physical activity, salt restriction, proper nutrition. if that's not enough, we give pills, but you understand, you'll just increase the doses. you

look here a person takes increases increases the dose does not help him. well, he weighs plus 30 kg. it's like carrying a 30 kg backpack all the time. even when he sleeps, he does something, he does physical activity every second, he carries a backpack of 30 kg of excess weight. he has a fat heart inside and some pills. don't go yet. he will not throw off the version of us, this will not help. the same. this includes smoking alcohol is all stimulants nicotine is a stimulant, that is, increasing blood pressure alcohol simulator increases pressure salt a direct poison for vessels that cause hypertension. so in this case alcohol smoking and eating salt are the same. here, in this case, salt becomes the same bad habit for a hypertensive patient, like those who are used to thinking, you can’t stop treatment with normalization of pressure and well-being. what is the most common doctor's question? i take pills, i have

normal pressure and i can quit. i say, well, this interesting people came out, you wash the fortress. you broke the gate. you occupied it and did not present the enemy. you want to turn away to leave everything will come back, if you have stable hypertension you need to take medicine constantly. this is your goal to achieve normal pressure. that is, you are taking blood pressure pills, you have normal ones, which means that you have reached the goal. this is what you want, and you and the doctors and your body. how can you quit so that a person comes back? oh, and everyone ’s liver is in my liver, only your liver and kidneys will sit down a million times earlier than you. hurt yourself with some pills, because the target organs at hypertension is, and kidneys b-eyes, heart strokes mail infarcts, not enough people on gemodi with dead kidneys is the first place of hypertension. only on the second is not lunch. therefore, what are you talking about, the medicine just helps to save your

heart, your eyes, your kidneys and your liver, what we intend to sum up in this, we examined eight people and six of them have high blood pressure, on average 170-180 at 100. - something olga vasilievna and the pressure has been on you for a long time probably about a year and a half, fucking taking today took yes how do you feel? okay, no headaches. no, nothing hurts. it's just that all of you who say oh, my blood pressure is normal. i don't have any extra pain. i confirm that hypertension is asymptomatic. and most importantly, pain is not the symptoms of hypertension. 200 to 100 is too much, but we have others. talanki on natalya and also

hypertension. have you been suffering for 2 years now? have you been taking medication ? yes, definitely today yes, definitely i don’t miss it, because if we don’t drink, i have the pressure will be 220 upper at 120 and 120-175 at 100. and here, trust me, the pressure. intentioned, look at me, and there is also nesterova alevtina valerievna 119 by 71 119 by 71, and that’s all, why do i take the right pills at the right dose at the right time, but you all of which 170 175 200

take the wrong pills at the wrong dose and at the right time . so what you need to go to the doctor is to respond to your treatment. so what rules should be followed if you periodically have high blood pressure or already have hypertension, first, change your lifestyle. get enough sleep, exercise properly. eat. give up bad habits. secondly, in no case do you prescribe a medicine for yourself; this can only be done by a doctor, relying on it. based on their own experience and developed recommendations, and only a doctor can stop the drug or adjust its dosage, thanks to the national health project, more and more people learn about the rules for the treatment of cardiovascular diseases, including drug therapy. together we can

control hypertension effectively further. in what cases gastritis can lead to the development of caries and what exactly should not be washed down with antibiotics questions from dr. alexander myasnikov asks you answer this place and go sit down. on the day of national unity, and wait, wait, our hearts beat in unison, our voices sound in the single hobby of me, if you sing like this with the whole kremlin palace. why is it the palace of all russia, this is our holiday,

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know, like you but they are written based on our previous transmissions. if you answer correctly, the prize is not there, then you will respond with physical exertion, who is ready to raise their hands. let's you. hello what is your name xenia i am a lawyer fedya a lawyer? so let's see, ksenia is written to run with side steps. what's this? well, it is hardly a question of simple fat which part of the body is the most dangerous to health? no, well, straight, where are you all? where is your heart fat? well, he hits the point, but we meant it, no way. come here though. if we

look, yes, i think everything is not the right suit you dress when you need about the heart vessels blue heart and vessels. she here dresses e with intestines. and when it is necessary with the intestines, she dresses with this, but, nevertheless, the heart is really located in a fat capsule of a rather large and fat content. not only here, where it is not necessary, but he and the liver and everything, and everything. it's not healthy enough, it's really dangerous, but we're not talking about, there's one place where fat deposition leads to what's called insulin resistance. this is fraught with further obesity diabetes cancer. this is the place, you are all good. you know this place, rolls and go sit down. where do you have tenants? why they chose you, because the other person's skin is not visible. one fat. and you are perfect. belly central obesity omentum

the most dangerous oh, gastritis can increase the risk of caries? i think not really. yes, because kitty's gastritis contents are thrown up. this is the cause of chronic caries pharyngitis, including, by the way, i didn’t give a key to my stomach, take the key. third chance eat. is it possible to drink antibiotics with milk? i think not. in fact, this is not easy, because you need to drink everything with water and so on , it is milk that can neutralize some antibiotics, in particular the tetracycline series, doxycycline, and so on, therefore, therefore, we try two chances out of three. so well, you're good.

i want a book. we look at the point destroyed fatigue every smoker believes that this is a natural price for a bad habit, chronic obstructive pulmonary disease begins, the most common and very terrible disease of our bronchopulmonary system. what is chronic obstructive pulmonary disease? who is sick with her, how

to treat her about it? today we will talk about how chronic obstructive pulmonary disease manifests itself . it's just coughing up shortness of breath. unfortunately. no, it's a whole complex of symptoms. these are, first of all, constant inflammatory processes in the lung tissue. this permanent inflammatory process develops most often because of the hit. these are the products of combustion that every smoker inhales when lighting a cigarette and when these combustion of a sufficiently carcinogenic highly toxic material falls on the epithelium of the lung tissue, then, accordingly, this epithelium begins to change , a constant inflammation occurs, which narrows the lumen of the bronchus, causes obstruction, the so-called narrowing, and the endless sputum discharge associated with this and shortness of breath. and these spasms of a heavy suffocating cough, and as a result, from such beautiful pink airy lungs, the lungs turn into something completely unimaginable.

first of all. they change color, become light dark dirty color. here actually. what kind of sputum smokers usually cough up, it is such a dirty brown gray color. here, the lung tissue becomes the same color. and most importantly, that the surface of the lungs, which provides us with the supply of oxygen to the blood. it decreases and therefore every smoker constantly experiences oxygen starvation or hypoxia. i suggest. to talk more about this disease, i pursue only one goal to scare smokers and still make them quit. it's a very bad habit for more detailed conversation. i want to invite a pulmonologist andrey vladimirovich kuleshov to the studio, a doctor-pulmonologist , candidates of medical sciences andrey vladimirovich good morning andrey vladimirovich please tell me if smoking is the only cause of the development of hobble smoking is the leading

cause of hobble - this is generally a problem in breathing, organic and inorganic dust of aerosol vapors different, so this includes industrial pollution and direct human participation. in some industrial production, where it appears aerosols were organic or inorganic, or many, for example, uh, still dull their homes with organic coal, yes, and actually firewood, but all the factors and work in production and smoking add up. and if a person lives somewhere in some industrial city, where there is a sufficiently large amount of emissions of the same carbon monoxide, then unfortunately, the risks of developing chronic lung disease in such people are quite high. as for smoking. we're talking about smoking, only uh, regular cigarettes or electronic also affect or hookahs, for example, definitely in the breath of any foreign agents. uh, it 's unhealthy to smoke cigarettes. yes hookah,

is the cause of development. hobl. there are a number of rather large works that say that modern electronic devices also lead to the formation of hobal, maybe the smoker does not harm himself so quickly, but besides everything else, he poisons the people around him and those sitting next to him, because everyone inhales yes, they are in such a concentration in which they are inhaled by themselves smoker, but also enough ah. harmful and saturated for the state of health, others. how to identify copd our patients complain that they have this unproductive morning cough cough, this one is very difficult to stop. and by the way, many people say that i will not smoke yet. the kashali stops, thus a vicious circle is formed, but there is a functional study, for example, the function of external respiration, uh, or spirometry, which must be evaluated by any patient with lung pathology and its indicator will testify that indeed, the patient develops the same broncho-

obstructive syndrome. many people are completely unaware that they have lung problems, so we decided to conduct an experiment. that's how it was. this is a very simple and effective way to diagnose bronchial obstruction, that is, this situation, when the bronchi are narrowed , the forced, vital capacity of the lungs, the speed, exhalation, in 1 second and certain indices are estimated, but this is the so-called ratio of speed and volume and this is enough research in order to accurately diagnose chronic obstructive disease. andrey vladimirovich, we just conducted this study. let's see the results here. here's who's in an alarming situation. i would pay attention to the eleventh number olga yes and the 12th number andrey that's what these participants really have all

the signs of chronic obstructive pulmonary disease according to spirometry. let's find out. um, why do they have such indicators? olga good morning. good morning. do you smoke? no, i don't smoke the fact is that i live with evil. well, my husband smokes smokers. moreover, he smokes everywhere, not only in certain places. but i think i'll look into today's tv show will be reflective and negative passive. unfortunately, i am a passive smoker. hello andrey. do you smoke, or are you also passive smokers? how much you smoked before , at least 40-45 years, probably, you need to clarify. how many cigarettes per day did you smoke, well, on average, a little a pack of money, in fact, of course, this is a very large dose during these years and even when a person quits smoking, because the hobble forms very slowly. unfortunately, the changes that have already occurred with the

bronchi. they do not reverse development andrey has not smoked for 4 years, that is, there is no chance that the breathing function of the lungs becomes fully felt after some time. it would be better to talk about a return to the original, yes, at a young age or when there were no these changes, hobble does not occur in patients. unfortunately, what you have achieved andrew is that you quit smoking easier to breathe i walk without shortness of breath, i don’t know, i feel normal, your chronic obstructive pulmonary disease is progressing. andrew you are great, well done. thank you very much. keep it up. do not start again next in the program is a smoker's cough when the changes in the bronchi are already irreversible. well, all together the second semi-final. and now, finally, it happened. november 4 at 21:30. how is he? what is

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and joints one vote good second season premiere on russia hoble, but the obvious advice is not to smoke. number one and do not start, even those who have tried or think, but how vaccination can affect there is a vaccine against copd. no it would be too simple a matter of vaccination is the most formidable problem. after a person stops smoking, or he changed his job or he began to heat the room not with coal, but with something else, this exacerbation of chronic obstructive pulmonary disease , vaccination solves a very important issue with the frequency of exacerbation of chronic obstructive pulmonary disease. the less often, the better the prognosis is

less disability. and uh, respectively, the lethality of the group that conducts this is reduced. unfortunately, patients with chronic obstructive pulmonary disease have a very susceptible to any lung infection and viruses. here is the same common banal viral infection sars or a fungus to sit on our lungs. well, sorry for the slanko, it's very easy and causes. and viral and bacterial then pneumonia, so vaccination is the prevention of viral infections. it is, of course, very important. and by the way, patients with cob were extremely ill with coronavirus infection and mortality in this group was very high. another preventive measure is air purifiers, ionizers and humidifiers. why is it so important air purifiers are important, for example, mandatory in businesses where people work. there should be respirators special cleaners, as far as home use is concerned. well, for the

prevention of viral infection, ionizers and air purifiers in a situation with hub. was to work. in addition, very often patients have bronchial asthma and allergies - these are not mutually exclusive conditions, therefore, the less exacerbation a person with hobol will have, the longer and better his life will be, but about humidifiers. how helpful they are. for lung humidifiers in this case, comfortable breathing at night ensures the upper respiratory tract is in good condition, where the main fight against viral e with a viral respiratory infection takes place. and we somehow found out that the less it is, the better it will be easy. yes, therefore , it is necessary to avoid hypothermia, because any hypothermia is a risk of a viral infection, especially in a high endemic period during an exacerbation, but follow the rehabilitation program. what kind of rehabilitation is there for patients all over the world developed systems, uh,

they are aimed at preventing the progression of the disease, because copd is a progressive disease in this whole drama of events, and rehabilitation includes a set of special exercises here. uh, spa treatment here includes, uh, vaccinations, proper nutrition, and conversation. as a matter of fact with the patient. in order for him to quit smoking, all the preventive links that we have listed are actually included in the rehabilitation program, breathing exercises. yes, there are even patients which are dependent on oxygen. uh, you can't avoid physical exercise, because otherwise they won't be able to breathe. andrey vladimirovich thank you very much. thanks my friends. today we talked about such a serious and complex disease as chronic obstructive pulmonary disease , which, unfortunately, if you do not follow preventive measures and get rid of the bad

habit of smoking, can lead to severe disability. and we wish you a good day and good mood. be healthy. you had a program with you. on tv channel rossiya vesti in evgeny rozhkov's studio hello, the main thing by this hour i have to suspend my participation in the grain deal. if we are to blame here, is it possible to wait for negotiations with kiev, maybe, and what did the inspection of the damaged nord stream show?