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good morning, we are starting a conversation about the most important thing, and it is surprising that the doctor gave me this ruler , this is what it is for. nothing surprising, mikhail, this is a ruler in order to measure the reaction rate, stretch out your arm and spread it. here so look with your finger. i take a ruler . this is how it is. uh-huh, no team. i release it at some point. she starts to fall. you are trying to grab it with your finger ready at the start, attention march. and so

michael is 25 cm. let's try with the other hand. 47 let's perfectly train this trains the speed, the so-called simple motor reaction. this is the reaction that helps us in extreme situations, for example, we are standing at a traffic light. and suddenly there is some kind of car, we have time to step back. we leave the entrance the roof is falling. icicle, we

manage to recoil some very simple things that do not require complex coordination, but require very high speed to dodge a blow without dropping, a plate, and so on and so forth, that is, all this requires a simple motor reaction that can be trained. well, we have trained the reaction and it's time to start talking about the most important thing. probably everyone gave up the question of how to eat and not get better. maybe, in general, you can eat and before losing weight a dream that can come true, well, as everyone knows, the most the main meal is breakfast. well, there is even a saying that you eat breakfast yourself, share lunch with a friend, and have dinner. give to the enemy. so. most. the main meal is breakfast. however, not everyone knows that we have breakfast. you can not only refuel with energy for the whole day, but even lose extra pounds. do you offer celery for breakfast no, but

there are other ways to make breakfast healthy. let's discuss it with our expert. yulia gennadievna chekhonina. dietitian candidate of medical sciences senior research fellow at the clinic of fitness, nutrition and biotechnology. good morning. come to us michael is very interested in healthy breakfast. no, i'm generally interested in how you can eat and lose weight very easily. and the most important thing in this matter is to start your day with the right breakfast. let's talk about what makes breakfast the right thing to eat. uh, mikhail politseymako back or cottage cheese or two soft-boiled eggs or fried eggs or porridge? well, in general, you are almost on the right track, but this is not enough. to begin with, it is not important that you go. and when you eat it is very important that your

breakfast happens within 30 minutes after waking up. yeah, and that it is a must. that is, even if you have no time or do not want to cook, you need to start your morning with a glass of warm water and a boiled egg. and even better, of course, take care of the right breakfast in advance and think it over already. evenings, why is it important to have time to allocate 30 minutes, well, firstly, in the morning there is not always enough time to do some business and for breakfast to be full, to to have time to implement this breakfast, it is advisable to immediately start your morning with it and start logically perfectly. we go further, what should be a glass of water before breakfast, a very important point. the fact is that after a nightly six-seven- hour fast, our body needs not only energy in plastic material, but also water, because during the night's sleep our body very actively loses fluid during breathing, the skin also loses fluid during sleep. this all provokes premature

aging and the first thing to do. after awakening this to fulfill these nightly losses, plus the whole glass of water drunk on an empty stomach stimulates the motor secretory function of the stomach, that is, such water should be included in your breakfast, let's move on. so what's here. and this is something that shouldn't come in tomorrow. well, well, i agree that how these balls are made, nobody knows. and what's there. here you go. this is nothing more than a carbohydrate, fat bomb, our body first of all needs protein , it is he who helps to maintain an active metabolism during day and if in the morning in our plate, there is no protein part, but only carbohydrate-fat. what happens to the increased intake of sugar in the blood reacts the hormone insulin, and it works. so in an hour and a half, we'll be hungry again, despite the fact that we got a lot of calories with sweet pastries with muffins with sweet cereal in this

actually. that's when a person eats different foods after all. uh, it also affects the metabolic rate . for example, when a person eats protein-rich food, the metabolic rate increases by about 30-40%. when a person eats such a carbohydrate-fatty food. the metabolic rate increases by only 10% then why, as a father, i come to the store and a healthy breakfast is written on a pack of these cereals, it is very important to look at the composition of these cereals, if they do not have excess, excess fat, sugar, there are different types such breakfasts, which, for example, may include bran whole grain components. they can also be called a healthy breakfast, but still relatively useful if possible, it is advisable to take care of a healthy breakfast in advance and boil the porridge. it may be better to use natural cereal products for breakfast in the evening than their fast-

cooking counterparts. moreover, these products are usually seen as useful components of fiber and vitamin minerals . but in excess contains extra calories. yes, essentially. these are the same ones. here these cupcakes are practically dried only, yes, that is, pay attention dear friends if you are trying to lose weight. what kind of breakfast is not help you shed those extra pounds? this is what should be in our breakfast. these are fiber-rich foods that take up a lot of volume. and it's not very high in calories. we have oat bran here, we have dried apricots. there are dried apples, whichever you prefer, and in addition, these foods are quite rich in carbohydrates, carbohydrates will give us the necessary energy, but without excess calories and fiber, which is present in these foods perfectly absorbs water increases in volume gives a feeling of satiety and feelings filling in the stomach and in the intestines improves bowel movements conveys a feeling of

satiety allows you to maintain this feeling much longer than just after a carbohydrate-fat breakfast. plus, fiber has zero calories. that is, it allows us to lose weight. here. uh, i think this should be a healthy breakfast. i, for example, uh, definitely in the summer tomorrow. what kind of thing is this? that is, i take these wheat ones or i prefer rye in a cut. i just fill them with kefir and think about it, when i return. he is a little on the side and it is on one side. eh, still crunchy, but already soft. well, it still applies to some desserts for breakfast. yes, that is, we can afford to eat, two eggs, for example, yes or the same cottage cheese? yes, but the wives use apples as a dessert with coffee or whatever you want. he's the very best idea. what calorie content should our breakfast have, if we are talking about people who are not engaged in hard physical labor or active physical activity,

then the recommended calorie content for a woman breakfasts within 400 klei for men within 600 kkakari. well, that is, approximately somewhere around 25-30%, here are the daily norms. yes, that's fine, let's move on. and one more secret. this is a cup of coffee . mikhail was directly overjoyed than coffee. so helpful. well, coffee contains polyphenolic compounds, which are firstly useful for our blood vessels for our circulatory system, but the most important effect of coffee for what we all love it, is its invigorating effect. it allows us to wake up in the morning and then spend more energy. we raise our activity and spend more calories, but coffee works this way only in one case, if we do not supplement it with heavy cream , syrups, excess sugar, and so on, yes, well , in addition to everything else, caffeine, which is contained in coffee and stimulates the secretory motor function of the stomach , which again for the digestion of our breakfast only a plus.

but there are people who don't like it. just coffee without milk and sugar, you can replace it with something. of course, there are other wonderful and no less invigorating drinks, for example, green tea or black tea, which also, by the way, contains a sufficient amount of caffeine. and that means they will invigorate. and cocoa cocoa also belong to such drinks, so these drinks. in principle, you can alternate so that our breakfasts are more varied perfectly. thank you very much, have breakfast on your health, and we continue the conversation, and the most important thing. after the age of 40, we begin to get tired faster , the risk of developing cardiovascular diseases increases, so i want to pay attention. on kudesan drug, being a source of coen-winter ku-10, kudesan

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we have the internet, he wants to throw for his. dad you are your older brother from all coffeemongers. sergey ursulika and the task is to survive and reach and there is no choice. the righteous one has a chance to eat soon. do you know that according to the statistics of the world health organization, the number of hypertensive patients in the world has almost doubled, it was 650 million, and there were almost a billion 300,000 people, and nothing surprising doctor, but because blood pressure does not hurt, being walking with high blood pressure and i think that everything is fine with him. this is if he walks with increased pressure on such people, from time to

time they go or say, that’s all tomorrow, i will douse myself with ice water, wipe myself with snow, and so on. and what will happen to these people, they, alas, do not know. cardiologist doctor of medical sciences chief cardiologist of the office of the president of the russian federation head of the department of cardiology of the russian medical academy of continuous professional education of the ministry of health of the russian federation good morning. come join us. let's start with what hypertension is in general, hypertension is such a story that does not hurt. and most importantly, arterial hypertension is the most powerful factor, what you talked about, is the development of large cardiovascular problems in arterial hypertension. there are a lot of target organs. yes, so the problems are really

very serious. how are cold and hypertension related? let's use an example to show normal. we have blood vessels that constrict when we don't need a lot of blood circulation, and then that suck dilates when an organ or tissue needs a plentiful supply of oxygen. substances do this normally and the body from pressure regulate due to dysregulation. it is this very vascular tone that causes hypertension, a disease of its own, when the vessels are compressed all the time. and as a result, these vessels become more fragile, and the fragility of the vessels makes them vulnerable to mechanical factors. and when at some point such a person jumps into ice water or pours this water for himself, and on his head or, for example, throws himself into the snow , a spasm of these very vessels occurs and at such a moment such a vessel. it may simply not

withstand what is now described. that's all only one of the mechanisms, but such simple mechanistic ones, although the regulation of blood pressure in the body is a complex process, yes, which depends on the tone of the vessel depends on the work of our hormonal system of soil work. we have special receptor bars that regulate pressure. and the problem lies in the fact that if we are struggling with this arterial hypertension, we start to fight, almost immediately , that is, we see the problem, and we begin to solve it, then this problem does not start. this complex cascade of complex reactions, which then lead to damage to organs, targets, and so on, if the process is running. that's when all the problems begin, it's not necessary to jump. i will check hypertension. he can simply go out into the cold, he has constricted blood vessels, and this gap can occur, in which evgeny nikolaevich spoke. well, or some short-term increase in blood pressure, if we are talking about a healthy person. yes, it will be just a

short-term increase. if we are already talking about real hypertension, then, of course, here abrupt changes in temperature pressure pressure also changes in winter. yes, it can lead, yes, to serious even sometimes catastrophic consequences, in addition to such a mechanical impact. it's still a certain stress, because it's cold. uh, cold wind, uh yeah. changes in humidity and changes, well, even elementary lighting, that is, winter time is the time when people also develop depression and plus the lifestyle changes. yes, a very important point. we are sitting at home lying under a blanket. we move a little, body weight increases, and so further and the like. how does it affect the heart? let's demonstrate, if there was a single double rise in blood pressure, the heart is in fact. pump yes, the pump is easy to handle. if the pump is always overloaded. you see this is the interventricular septum. yes, she

starts. what to do to hypertrophy, that is, it turns out to increase in size. this is what leads to an increase not only here, this is a small thing, a partition. yes, but in general yes, the chamber of the heart. what does this lead to? here outflow tract. yes, this blood is ejected , yes, into the main vessel and due to this thick interventricular septum, this hole becomes smaller. appear phenomena to hypertension join the phenomenon of heart failure. let's talk about preventive measures and here we are in the first place. this, of course, is a blood pressure controller and, uh, in case of need to use drugs, everything started, in general, any medicine. it starts with verification. well, that is, with the identification of the problem itself, so the control of the check is the most important moment, yes, as soon as you notice an increase in blood pressure in yourself or in a relative. means at once it is necessary to go to the doctor in occasion of tablets. there is the most important one. such a serious moment is the concept of adherence to therapy, yes, that is, you can prescribe

all sorts of pills, but if the patient does not take these pills, this leads to problems, so the task is if the pill is prescribed for arterial hypertension. it is imperative to accept and comply with all the doctor's prescriptions from a certain stage of the tablet decision number one for arterial hypertension. it's so physical. that's just better than once a year. and it’s better to go to the pool every week, on the one hand, yes, and we are now discussing winter, yes, the winter period, so that there is no stress for the body to still engage in those sports that are inside the building. oh well, so that there are no these temperature drops that we are talking about, but aerobic exercise is a solution to the problem. yes, that is swimming, walking and cycling. and by the way, a very interesting american study that showed russians, by the way, also register that weight loss by five kg leads to a decrease in

mean arterial pressure by 2-3 mm of stuffy column. that is, you have overweight, you 45-48 pressure is high. you are taking pills, you have begun to engage in aerobic exercise, you have lost weight, and you may have given up nutrition pills in the initial stages of the development of hypertension. in general. the opinion of the diet is one of the very important such moments. well, look at you here, uh, what is shown is that just need not only hypertension, but in principle a person who is going to somehow deal with cardiovascular risks, vegetables and fruits. yes, the fish of the cold seas are depicted and depicted. yes, that is, it is a fish containing a large amount of polyunsaturated fatty acids. it's very important and good for the heart and, uh, dairy products, what else is important for a hypertensive person? yes , if hypertension is an exception, but either a decrease in the amount of salt intake, yes, because salt retains fluid in the channel

and the very mechanism that we are shown a dream. by the way , many do not pay attention to this. absolutely in vain with sleep. see. which situation is twofold. yes on the one hand, as we are in medical sleep deprivation, that is sleep disturbance. it is a risk factor for developing hypertension. that is, those people who are on duty, and the night ones, these night shift yes. they have, uh, they have a risk of hypertension, and on the other hand, the wrong sleep. and for example, there is a problem called sleep apnea syndrome. yes , it is stopping breathing in a dream. you may not know about it, only your relative or there the wife who sleeps next to you knows that you are snoring these little pauses of stopping breathing, then everything is added together and also leads to an increase in distance, so everything is a proper dream. and most importantly, healthy sleep. this is the most important point, for example, in our clinic, sleep studies are included in the check-up. yes, that is, uh, there is a person who has hypertension for sure. we hang up the sensor, he is sleeping, and we

identify this problem, as a factorist, so that you, as a specialist, would be advised not to do it most often, this is the result society consumption. yes, hypertension and the earlier it occurs. that means more and earlier. you and i started to consume neither of what we need, damn it, so control. we also modify physical activity to control sugar levels, this is the main thing, and if you keep yourself within these boundaries, which are absolutely clear to everyone present here, then with a probability of 80-85%. because there is also genetics. yes, hypertension will be fine. well, it won't be. thank you very much. thank you. today we found out. what rules should be considered by hypertensive patients winter, and right now the most interesting questions about health. minute of health, our

unit irina wants to test her knowledge. on health, you have an opportunity here today to win us a super prize. this tonometer tonometer verses are useful memory training. is it true that diuretics reduce blood pressure better brush your teeth? yes, yes, it can develop in a person at any age. yes, kuznetsov's applicator helps relieve nervous tension. yes, stress raises blood pressure. yes, the fungus can get sick due to hypothermia. no sleep light increases blood sugar levels. instead of a burn, you can treat with vegetable oil. no, tomatoes lower cholesterol, well,

as irina answered very smoothly, i'm not in a hurry, it's clear that she has health problems. no. no, now let's find out the first question. one of the simplest effective methods, what verses do you know by heart once upon a time in the cold winter time? i'm out of the face, it was a severe frost. further, i look slowly uphill, a horse carrying a cart of brushwood and a procession. it is important in calmness, the rank of a horse goes under the podus of a peasant. yes next question. is it true that diuretics reduce blood pressure, you said, yes, or is it really so? quite often, cardiologists prescribe them as an additional therapy. in patients

who have hypertension, electric toothbrushes are better to brush their teeth. you said yes, and this is true , because the effectiveness of brushing depends on the number of movements, it is clear that if clearly, which we brush our teeth still rotates or vibrates, then these movements that clean more chocolate are good for the heart in search no, and here is the error. i am also talking about this for both the heart and blood vessels thanks to the polyphenol chocolate contained there. of course, you can get rid of herpes forever. you said happily. yes, yes, irina said, and she was wrong , because no matter how we, unfortunately, at the current stage of the development of medicine do not try to treat the herpes virus, it still remains inside our cells, alas, do not worry. you answered incorrectly, but there are questions for doctors as well. hell can answer a man at any age you said yes it really is asthma was previously thought to be an advantage of a disease that occurs during adolescence , but modern research has shown that it occurs at any age. it may

occur obligator kuznetsova helps relieve nervous tension. you said yes yes indeed relieves nervous tension is the correct answer. raises the pressure you said, right? well, it's obvious, of course. you can get the flu because of hypothermia , you said no, but in fact, yes, for two reasons at once. firstly, during the cold season , the humidity of the air decreases. this leads to drying of the mucosa. and it is known that this is the first protective barrier on the way of viruses that penetrate our body. and the last study. by the way, they also showed that the synthesis of such an important substance as interferon e depends on the temperature of the air that we inhale, that when the temperature is low, this synthesis decreases and, as a result, a person is really more disposed to the penetration of viruses in the body, increases the level of sugar in the blood . you are no rock. and here there is a question. there is

answer. and this answer, yes, increases, because people who sleep little do not sleep well, or sleep with the lights on. unfortunately, type 2 diabetes is more common. well, this is a very difficult question. i confess instead of a burn, you can treat with vegetable oil. who smiled and said no and really not worth it, because the oil reduces heat transfer. and we always say that the first thing to do is to cool the affected area, tomatoes lower cholesterol, they happily said no, although in reality. yes, of course, these are not vegetables. just vegetables, and tomatoes are a vegetable rich in copine or a substance that really lowers cholesterol seven correct answers. you have a good chance of seven attempts to find a plate with the word prize to digest behind these letters. one two more letters

. peculiar female logic is incomprehensible to us, but irina won a tonometer. congratulations you more answers to the question of health. you can find online. next in the program how to set an alarm and why doctors don't recommend postponing the rise after the first awakening due to your numerous requests, the loudest most long-awaited most beloved show is

back. well, all together the finalists of four seasons. the best of the best

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you can, yes, sleep, please, five more minutes, please. well, such a sweet dream michael is a little strange that you are talking to a plastic hare. this is an alarm clock. this is how i usually communicate with the alarm clock. it doesn’t matter what it is on the phone or like this for a child, when you sleep sweetly, especially in winter you don’t want to wake up early. you can fall asleep, wake up, and then fall asleep again. well, i'll be honest with you. i do this. very rarely it is connected with the weekend. those who, like mikhail, rearrange the alarm several times in the morning. well , a little more, about half even 60 percent. i think, but in general a doctor. uh, say it right, that you are sleeping, you have a

sweet dream, and you imagine, the alarm clock is half an hour later than the last study. they say no. it is rather an unfavorable such bad habit, yes indeed. these 5 10 15 minutes of sleep, they really, uh, do not bring any benefit. yes, rather, on the contrary, harm. why you should not push back the time on the alarm clock, we will discuss this together with our expert. anton valeevich, masyakin, chief out-of-staff specialist psychiatrist of the ministry of health of the moscow region, chief physician of the state budgetary institution of the central clinical psychiatric hospital of the moscow region , doctor of medical sciences. anton dvoich, good morning. come out to us. has it really never happened to you, but you wake up with an alarm clock and such a sweet dream and so comfortable. you lie down and it's so warm and so good, and you allow yourself another 15 minutes, but you

just asked to sleep. really, this has never happened, that is, such a feeling, rotation, no bad habits. and it really happened to me. and when the alarm translates to 5-10 minutes to sleep uh and how it is perceived. well, what do you rest for another 5-10 minutes and then wake up. you really are the latest research has shown that this is a bad habit. and this is really a habit, from which it is better to get rid of both the mechanisms of formation and the reasons. why? indeed , this is all harmful biorhythms that occur with us during sleep. let's sleep, really. this is a phase change in sleep, the brain continues to work, but does it strictly in certain. rhythms and, accordingly, with one rhythm goes to another, then the alarm signal, the brain is activated , emerges from this immersion, it is activated, and what happens at this moment at this moment you take rearrange the alarm clock. you meander from this activation back, it goes out, then after, uh, 5 10 minutes

it happens again. musk can no longer readjust, because he started dive in the opposite direction. that is, he dived again and in order to emerge he again must go through all the phases of sleep, and as a result, the output turns out that after such a thing, it’s not up to dives. a person throughout the day can feel even more real than if he got up when the alarm clock rings, we all know. we have such a concept, how quickly the phase is a slow phase, and they go there, each of them is still divided into phases, but these are already details, and they go in certain sequences, that is, first there is a slow phase, then quickly, by the way, during which we dreaming. although sometimes it seems that they dream of us there all night there or most of the night and, accordingly, when passing at certain stages, a person will feel rested if he woke up in a certain phase and, best of all, in a fast phase, and he will not get into the fast phase earlier than an average of an hour and a half after

falling asleep. that is, if a person has already woken up, the brain is activated and then he falls asleep again, then he still, uh, moving to the fast phase passes. all the same small headlights. anton valeevich gave mikhail a bad idea. now he will rearrange the alarm clock for an hour and a half, where this can lead a person to wake up not rested. that is he falls asleep and is interrupted in the phase when the brain starts the process again. and well, falling asleep transition, and in the phase of extinction, and you woke him up here, respectively. in this case, the person will feel. such a feeling of weakness of some kind of lethargy, that is, reduced work is capable of. fatigue, that is, the same tasks. that's what i will usually cause in a person to be tired earlier, well, with a lower working capacity. it’s like you, that is, by and large, a person, as it were, does not understand the susceptibility of e people. he seemed to be sleeping a normal amount. time. that is, as they say, there are 7-8 hours.

indeed, this is true. and at the same time, his working capacity is reduced and fatigue, and all day, as they say, feeling overwhelmed , sleep disturbance, that is, a person who disrupts his waking up in the morning like this runs the risk of getting sleep disturbance in the evening. well, really, because you know what they say. ah. how important, dentists there often give such advice, but regularity is not important, but regularity, and here the body gets used to it when a person lies down, when the person wakes up. and that's why we say that sometimes even people think that setting the alarm for 5-10 minutes is still for him. this is good, because a habit is developed in this case, that is, if these rhythms are knocked down , sleep is disturbed, in principle, the next night, and so on and so on, irritability is the reverse side, by the way, there is absolutely fatigue, as if related things even here psychiatry. only to understand how irritable weakness, that is, in fact , yes, let's say, who has exhaustion physiological or psychological in him,

this manifests itself primarily in irritability. as such, that is, our body, as a rule, a and the brain is able to protect itself and, er, any external aggressive stimuli, it extinguishes and the person behaves . well, as if social, with a decrease in the corresponding brain functions and psychological protection. it manifests itself in the form of irritability, breaks out screaming. well, and so on, therefore, when a person does not get enough sleep, he does not rest, irritability is very often a symptom. how many troubles can e, due to the fact that we rearrange the alarm clock, my friends, yes, yes, memory impairment. the fact is that in sleep we activate special e, a part of the brain, it is called the hippocampus, which is responsible for translating memories from uh, short-term to long-term memory. and now, if the structure of sleep is disturbed, this leads to the fact that here the transition is also disturbed and what happened to the person during the previous day is already delayed memory fragmentarily, the person will ask such a person what

he was here yesterday, i don’t remember here memory is always associated with a very important function of ours - this is attention, that is, we will not remember, then, he has not yet paid attention. listen to fix how it is at school speak attention yes students. pay attention to this, that is, when work is reduced, your ability is fatigued. you didn't get enough sleep, you have fixation attention. just lowered throughout the day. it also affects the fact that you simply do not remember it, the deterioration of concentration. here, in fact, yes. about what he said that valeryevich that attention is impossible. a person concentrate on nothing, well, just dissipates, because a person. well, i'm tired. not enough sleep and attention is not concentrated scattered, respectively, and memory will also be reduced by all of our viewers. now they've broken their alarm clocks. give it to him, but let 's give some simple tips on how not to do this and how to run. let's get the first most important one. how do we always start this sufficient sleep time, and i would suggest

setting an alarm clock after all, but leaving it not so much for the time of waking up. how much time to fall asleep what to set an alarm for half an hour before the time when you should fall asleep, to get ready to brush your teeth, take a shower, go to bed, you need to clean up. uh, bright lighting in the evening is a very good idea, by the way, to ventilate the room so that it is a little cool, because when the body starts to, uh, cool a little, it comes on faster and there are some other super remedies. but no, last year they gave me such a heavy blanket. try to lift 211 kg heavy, cozy, probably, that is, the blankets weigh like a weight when you lie down to read cover these with a blanket. it presses you so hard that you fall into a dream easily and imperceptibly, and a light alarm clock is an absolutely fantastic thing, because you put it on and, and shortly before the time when it should wake up

, it starts to increase the brightness very slowly, simulating, thereby, dawn and brain receiving a signal. here is the retina of the eye even when we sleep through closed eyes. still a little light gets in. he thinks, aha, it's dawn. it's time to wake up, synthesis is suppressed, melatonin increases, and the synthesis of serotonin. and our brain wakes up already in a good mood, by the way, excellent remedies for the treatment of seasonal depression, but in order not to switch it. in principle, it is better to set it aside at a distance so that the hand cannot reach out, so that a person has to take an action in order to turn off the alarm clock, a step there or two, and then he will definitely not want to go back to bed and prolong sleep for 5-10 minutes. thanks a lot. thank you. today we found out what the rearrangement is fraught with alarm clock. what dangers it is and for our health of conversation. self in the main continues high fever without infection. why is she rising right now?

dr. tatyana will tell about this. further in the program, a high temperature without other catarrhal symptoms. what reasons can lead to fever and fever? the murder of the popular radio host of russian radio anna azovsky, businessman vladimir maklakov admitted to the brutal murder, as it turned out, anna vladimir had been in a relationship for more than a year and a half, but hid from everyone what was on actually happened on that festive morning, but the most important thing is that the families that died anna and vladimir accused of her murder are so carefully hidden today at 16:30 on channel russia number one against the pain of spasm and inflammation with headaches and other types of pain when the headache

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temperature rises, most often we think of a respiratory viral infection or agrippa, but it is always alarming when a high temperature is not accompanied by any cough, runny nose, headache, or other signs of an infection. why is the temperature rising about it? today we will talk about such a problem , our viewer oksana turned to us . let's find out her story oksana, 46 years old, moscow 3 weeks ago, oksana felt unwell, decided to take her temperature, and she turned out to be elevated. i come home from work and the temperature rises to 38. maybe 38.5. well, in the morning i feel fine, but i don’t have any other symptoms, but there are no signs of sars, that is, there is no cough runny nose nothing. or maybe one or two days the temperature does not rise, and then after 2 days. again elevated temperature happens that

i feel bad already at work. naturally. i have to go home in this state. oksana is afraid that she has a fever. it could be a symptom of some serious illness. one of my relatives had oncology in my family, so i also fear that this may be a sign of cancer. i came to the program in order to understand why my temperature rises and how can i solve this problem oksana today in our studio, please come to us, please, good morning. good morning oksana tell me how your temperature rises, maybe the temperature is 37.2 - 37.5, 38. even in the morning i can feel fine, and then i come home from work and i feel that the temperature has risen, and you just feel this temperature. i feel fever or temperament, weakness, no other symptoms. no, that is, not a runny nose, not a cough, but not other signs, this often happens. oksan today

there is a temperature on the day there is no temperature, the day after tomorrow, it appeared again just like that with the temperature does not rise from scratch, therefore it is absolutely correct, therefore, of course, i am worried, especially since i had a case of cancer in my family. i'm worried that this may be a sign of cancer, or even more serious problems in order to sort it out. what are the reasons for the increase in body temperature without obvious signs. i want to invite expert doctors to the studio petr alexandrovich davydov doctor anesthesiologist resuscitator ambulance doctor deputy chief physician of the ambulance and emergency medical care station for the medical part. good morning, petr alexandrovich how often do patients apply? you temperature as a symptom fortunately it happens rather seldom. this is rather an exception to the rule, but what happens? the fact is that this condition occurs with a certain list

of diseases, and we cut off those that we are doing a diagnostic search, probably, first we exclude acute kidney diseases. urinary tract infections. they do not manifest themselves as a pain syndrome for quite a long time, but until it goes beyond severe infections, they really appear at first. only with such high temperature rises up to 38.5. it 's the first thing we rule out is ruled out, well just a urine test a blood test is enough. yes, this is a basic test. well, often it is still an acute respiratory viral infection inter rotavirus infection, which also manifested itself in such an isolated increase in the body, the temperature was ruled out peter alexandrovich further it is necessary, accordingly, be sure to ask. in this case, the heroine of our e. what is the menstrual cycle like? yes, what level? it's a matter of health. what is the periodic increase in temperature, especially in the evening can be observed in women, uh, during the period of ovulation 37.7 37.5 - this is an

absolutely normal state that lasts until such a state. maybe e completely calm until 24 hours, but it can cause an increase in temperature. maybe maybe, but more often it is subjective, after all, the perception is subjective namely, just the sensations of the tides, the so -called expansion of the rationers. although there is no temperature. let's see more. what are the more rare reasons for the increase in temperature. thermo neurosis, what is it? well, rather a diagnosis of exclusion is the so-called for periodic fever. yes, we have already eliminated everything. let's just say, diseases that a could be more dangerous. thermo neurosis is a condition that develops under such a chronic stressful effect, yes, on the body, respectively, but it’s quite rarely a condition and good, very manifests itself in other symptoms. sana is experiencing copious stress. perhaps, of course, i was nervous, but i don’t think that this is the reason , after all, taking some medications is

paradoxical, yes, reactions, firstly, yes , a person uses some medications. eh, as a result, let's say. so again, the correction of some chronic. e, for example, deficiencies, yes, that is, a deficiency, for example, and hormones, for example, a person with insufficient thyroid function is usually prescribed thyroid medications, and yes, with an overdose of these drugs , such a febrile condition develops. and can e be described as a periodic rise in temperature. maybe you've started taking some new drugs. hmm, no, but immune diseases. oh. here, uh, a huge group. here, starting from the same ones, here are others, but here it is said that the body itself is, unfortunately, the destruction of the thyroid gland. during the immediate development of this autoimmune tiriditis, it releases a huge amount of e-e into the blood

dark hormones. and naturally, of course, this all leads to an increase in temperatures. but this happens quite rarely, but you need to understand that some diseases of the connected tissue. and rheumatic diseases of the joints are diseases of the gastrointestinal tract. such as ulcerative colitis and crohn's disease, indeed, but with these diseases some other symptoms appear and very quickly. yes, pain in the joints, that is, it is always a fever. this temperature is accompanied by other symptoms, do you have more joints, perhaps there are pains in the joints, but exactly, but some immune diseases, but i was not given such a diagnosis, and in which joints do you have pain in the knees, you can be tested for the target protein on the wolf cub something antigens. i think that it will not be superfluous to pay attention to fungal diseases. it is difficult to notice and the fault of everything, oddly enough, not controlled intake of antibiotics. why our

microbiota is destroyed and, accordingly, the resistance of a fungal infection. it is known to reduce fungi and bacteria. that's how it evolved. they compete with each other, including in our body. if one component of our normal microbiota is eliminated, we are immediately attacked by another, so this must be remembered. have you taken antibiotics frequently recently ? well, of course, i was sick, but it was, probably, 2-3 months ago, oncological diseases. there is a disease that manifests itself exclusively at its first stage, an increase in temperature. moreover , a rather serious such a significant increase in temperature is called a disease. khochkin, lymphogranulomatosis, and patients most often even complain of the same type of nighttime temperature rises, wake up in a sweat, a wet pillow opens a window . yes

indeed the first symptom. that's leukemia before , yes, it's fever. yes, then there is a very fast wave-like increase, the symptoms are very different, and patients, as a rule, take a basic blood test and everything is already visible, and then there is diagnostics and treatment. i'm talking about one more thing. i want to say, there is a neoplastic or haradka, and unfortunately, patients come to us with fever with toads, and we see quite severe ones. already a metastatic process associated with the formation of a malignant tumor is very rare, it happens. oksana, you said that there were cases of oncological diseases in the family, which are about breasts, but this is not typical for this disease breast cancer is necessary what to do once a year and ultrasound of the mammary glands. worm on invasion, as it is not quite helminthic, but still more often there are more parasitic diseases, but in

fact parasites are not only helminths - this is a huge number of ectoparasites. uh, parasitic diseases can be associated with various giardiasis diseases, some live. yes, when in the blood in the intestines, in some other organs in england, they can give such an increase in temperature and, uh, we forget about the most common in southern countries parasitic disease, like mary is the queen of all fevers, when we exclude all other causes necessarily in the structure of a large diagnostic search for these causes. also, oksana can’t be secured, maybe you flew to africa. no, i didn’t fly to africa. ordinary ones. maybe they can, but a rather rare reason, if helminthic invasion causes, uh, fever. oksana, what should i do? yes, it is necessary first of all to undergo an examination to exclude infections, urinary tract. we exclude periodic fever and fungal infections

must also be excluded. moreover, you took such a course of antibiotics 2 months ago, of course, oksana, thank you very much for coming to us. i hope that our advice will definitely help you. thank you fedor alexandrovich thank you very much. well, my friends at the end of our rubric. i want to say. just a couple of words when we talk about rising temperatures. i always urge everyone not to forget about such a disease as tuberculosis. unfortunately, there is a lot of tuberculosis and for a long time tuberculosis is not diagnosed. therefore, if your temperature rises. in any case, this is an x-ray or fluorography of the chest organs to exclude, including this rather dangerous and terrible disease. and we wish you a good day and good mood. be healthy. you had a program with you.

hello will never forget this date january 18, 1943 , the day of the breakthrough of the blockade of leningrad, the city was saved from the troops of the leningrad and volkhov fronts, united with the blockade of leningrad norman vladimir putin this morning laid flowers at