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morning friends. you are watching the program about the most important thing. hello, doctor. how are you feeling? we had a great sleep, of course, what to do for those who didn’t have a morning, how to make your morning a pleasant and joyful moment. here, by the way, i have some wonderful recipes, thanks to which i actually meet with you in a good mood in the morning. share to get started. share mikhail sad statistics. every third russian meets the morning in a disgusting mood. let's ask our viewers in the studio to vote. who woke up in what mood? we have signs if in a good mood. so, such a yellowish sign, and if it’s bad , it’s red, for what reasons it can wake up in a bad mood, it’s interesting that there is an unobvious reason that the person himself doesn’t pay attention to. for example, in what position a person sleeps seriously absolutely exactly, scientists even conducted a study to find out which position is optimal

for sleep, i can show you how i sleep. let's well, if the doctor has such a bed, i have a priori a bad mood, you know, a very ascetic bed. yes, i'm sleeping. it's been like this all night long already like this. lie down, i can turn to the left. god i love to the right , i don’t like it, because a child is sleeping between us. here. ugh, i'm sleeping. this is how i fell asleep right now. but i woke up in a good mood. let's see what position they slept in. come here, i'll demonstrate, please. what is your name? my name is anna, i always sleep on my right side, because i am different i can't fall asleep in any other position. wake up. which is most often in the same, but i can in the other, but i fall asleep. i'm exceptionally so. so according to research. worst sleeping positions. why, well, firstly, the excursion decreases, the diaphragm

of a person cannot fully breathe deeply , the stomach rests against the bed itself. yes, secondly, a person always has enemies. that is, many people from this position. it just hurts my back. thirdly, see how the head is positioned the head is at a 90° angle all the time. and she is in this positions for several hours will be. well, imagine you're sitting on a bus and looking all the time, that's 4 hours one way. it is not surprising that in the morning the head is in the other direction. just doesn't turn more than that , ophthalmologists say it's also for vision. this is an insecure position. yes, because the outflow of fluid from the eyeball is disturbed. with such a position, yes, and what kind of eyesight you are very good, and the neck does not hurt from the lower back , nothing better. but nevertheless, your posture is wrong, doctor. he says you need to try to change, so you woke up in a bad mood. yes well, everything is clear with you, but michael it seems to me that these are just your followers. ah. i have a club of lovers,

a hundred lovers of sleeping like the dead, good morning. good morning, tell me, do you still sleep like that, i try. yes, there are certain problems with the back, it hurts, the back of the pillows , i always use an orthopedic pillow. i can sleep exceptionally well. even without a pillow, without a pillow is useful, but it is not very comfortable, but in fact, for most adults, most people, if they lie on their backs, without a pillow, the head will tilt back. this will lead to respiratory disorders and the appearance of night deception. people begin in this position without a pillow, lying on their backs, they begin to snore. yes, what is the optimal posture correctly, the optimal posture after the study of scientists is the position lying on the ba. and, by the way, speaking, the left side is leading by a small margin, your beloved mikhail, so lie down on your side, please, now we will show the correct position. and the so-called fetal position. that is , when the knees are bent, arms under the head, this

position on one side provides fully normal excursion of the abdominal wall, respectively, is a normal full-fledged breathing, on the other hand. in this position, a person practically does not snore, because he does not have a sunken upper palate. in this position, a person there is no treatment for intraocular pressure and research. it is said that in this position a person falls asleep faster than in a pose. lying on a pillow on your back. which one to choose someone sleeping on orthopedic? well, in fact, such a thing as an orthopedic pillow is, in general, a little bit of marketing, because the whole pillow itself is not maybe an orthopedic orthopedic does what the orthopedic doctor recommended. well, i mean, this is epic. no, this is hard, but there is softer, and this soft one is stuffed. uh, some kind of synthetic fiber. she is hypoallergic. on the one hand, and on the other hand. here it is very easily deformed, and therefore a person, when he sleeps at night, his head actually hangs. yeah, because this pillow is wrinkled, so it's not optimal. well, this is somewhat better, but it is

thin enough the only criterion, according to which the pillow really should get out you easily fall asleep. after sleeping on these pillows. your neck doesn't hurt. if so, then this is a good pillow, even if it is stuffed with buckwheat, but with a feather or something else. thank you doctor. now we know how to save properly. which pillow to choose ? girls, you overslept, please sit in the hall. thank you very much. let's see the next reason for a bad mood in the morning . uh, alarm clock on the phone right? who am i puts all the same raise your hands, but in fact, even if you put your favorite music on the alarm clock, this does not guarantee that you will wake up in a good mood. yes , of course, and what kind of music should be put? in fact, the music is not important here, the perfect alarm clock. this is a light alarm clock. you set on such an alarm clock the time at which you need to wake up and 15-20

minutes before that it starts to slowly increase the brightness, as it happens in nature. after all, he is a man throughout evolution, as he woke up at dawn dawn, yes, that is, at first, the sun starts to rise somewhere, it becomes a little lighter lighter lighter. this is very important for us, because when it is dark, our brain perceives information now and secretes the hormones of the night with us, latanine, and when it becomes light, this hormone is vice versa. it is suppressed and we wake up easier. i've been talking now doctor. i, uh, remembered how they woke us up in a pioneer camp, who came up with this? say this here. who came up with this, where is the light alarm clock mikhail it was summer, the sun rose at 6:00 in the morning. a why do you have to wake up the kids? because you need to get together later on the line for the pioneer dawn. a little bit, and there would be a gentle smooth alarm clock for you. yes to this dinner

dinner dinner. by the way, speaking, it may also be to blame for the fact that a person woke up badly. this is not just a dense yes, but that dinner, during which a person received a large amount of fatty carbohydrate foods. i want to ask a man who is in a bad mood. what, did you eat a jellied bucket for dinner yesterday? no. this is the new year you have left from the bread. yes bread, probably, and so there is no half a loaf, black bread or two or three, or two pieces. well a little less and woke up in a bad mood bad mood. what is it to talk about, doctor, again, over the course of many years of evolution, our body has developed a simple rule: a person, eat, sleep. he does not wake up at night. well, there was nothing to eat . there was no refrigerator. by morning , the body should experience a light voice when it experiences slight hunger. it begins to produce

hormones that activate cortisol adrenaline, and because of this, we wake up more easily if a person at night, directly, ate a large amount of food, but fatty starchy sweet. this leads to the fact that nutrient reserves are not depleted overnight. that is, the person is not hungry body. this same cortisol has not developed, why wake up? yes, why wake up, if, uh, food, is still circulating in the blood and therefore such a dinner can lead to the fact that a person wakes up with difficulty if a person had dinner easily and most importantly, did it about 3-4 hours before a night's sleep. that eat, so most of the food had time to be digested. yes, i ate. eh, i ate boiled meat, for example, cottage cheese, and some light fruits, then by the time i woke up. there by six seven in the morning. his body is experiencing a slight hunger. and this leads to the fact that his

hormonal system is ready to wake up. she pushes him and says, go, look, go, a person wakes up even without alarms, because he wants to eat. try to dine today in chicken breast or cottage cheese or eat, say, two bananas. yes use your advice three to four hours before bedtime is fine. well, it is natural that our sleep depends on the flow of information that we receive before going to bed, because it is enough to watch some news , read some reports, and immediately the sun becomes restless. and as a result, and awakening becomes sick. by the way, measure. your stress level you can right now in the heading and scientists heroes vladimir khavenson and svetlana trofimov they have prepared six effective tips for you to calm your nerves. next in the program secrets of longevity, six simple and effective ways to cope with stress,

and without artron based on bee venom , natural help with pain in muscles and joints is unrealistically burning. hear, sklifosovsky new series today at 21:20 the finalists of four years in the battle season will be the best of the best 21:30.

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mysterious love story of shurik's adventures tomorrow at 20:55. themes experience stress daily. well, what to do if stress accumulates like a snowball, today we will tell you about six steps that will help us with you to cope with such stress during stress, first of all, the activity of certain parts of the brain is disrupted , the process of the passage of a nerve impulse in our neural networks is disrupted. and this is a violation that, in general, regulates our brightness of thinking in the mind during times of stress. all this,

unfortunately, is violated by us. i would like to conduct an interesting and fairly quick stress test, by the way, viewers can do it too, please take the picture that we gave you at the beginning of our program and look at the center of this picture. please raise your hand. who has the feeling that the picture is moving yes, yes, this indicates that quite a lot of people in our studio are under stress. and who has these pictures of you spinning very quickly, well, that means the stress is strong enough. well , tell me if there are lucky people in our hall who have no movement. i have no movement you happy people. you do not experience chronic stress, there is a stress reduction technology.

the first step is a balanced diet, especially levels of potassium and magnesium. the fact is that canadian scientists, uh, ganselier, who discovered the general animation syndrome and proposed it. as a counter to production. uh, the secretion of cortisol and aldosterone by our adrenal glands during times of stress. that's in order to reduce their impact. he suggested taking potassium and magnesium foods rich in potassium, magnesium - these are almonds, herbs, potatoes. bananas would be desirable, a daily intake, especially for those with chronic stress, the second step is maintaining the biorhythm. this is the path to longevity. it has to do with the production of melatonin. in the epiphysis in the center of the brain. there is a small gland and drink in it me is produced. it is not produced. it is from about 12:00 at night to 3:00, if we don’t sleep at this time, then we add chronic stress to ourselves, so

the first most important condition for reducing stress is keeping the biorhythm. by the way, all centenarians are just different in that they go to bed early and get up early, the third step to ensure that we cope with stress. this is a call to a loved one functional activity of the brain in lonely people is suppressed by negative external factors, that is, a person who alone perceives any situation only from a negative point of view, therefore communication social communication positive emotions is also a guarantee of longevity the word heals, therefore it is extremely important to have such friends such acquaintances who can restore your soul equilibrium. here is what is connected. actually a call or communication with loved ones. he, of course, not call better to chat, of course, go somewhere to talk walk together. speaking of walking absolutely correct walks. they

restore our psychological health. what's more, walking for half an hour lowers cortisol levels. and that's even many athletes responsible for the competition. even the olympic games there, the world cup, other simple things, know these people who made sure to take walks and runs to lower their cortisol levels. cortisol is destroyed most of all in large muscles. these are the sheath and muscles of the arm, so walking is an extremely important medicinal. e, aspect e reduction of funds. try to switch your attention with a negative nym history is either watching a good movie or going to a museum go to an exhibition go to the theater. that is, what causes positive emotions, this is precisely what is switching attention to something good , favorable, what causes inner harmony to form inside it. well, there is

a way to maintain ours. good mood and stress reduction - this is breathing exercises in the gym. do you, uh, have straws? take them, please, and let's do this exercise. let's breathe through we take a breath in the tube 1 2 3 and now about one two three four we make a slow exhalation. so try to do it several times, well , repeat five more times - it harmonizes breathing. and that's the breathing exercises. they also have a very strong effect on our nervous system and reduce stress levels, it has become better. well, great. about six steps, but they will help us with you. from stress to daily stress,

in general, stress is an epidemic of the modern world. well you just look at the latest here. yes , this all also causes, unfortunately, a cut and so all that maybe counteracting stress that you've been told today is chasing positive emotions. it doesn't cost any money it's all very accessible to anyone who wants to get rid of the stress of a recommendation. stay young healthy health and longevity to you, and the program continues. great advice screams your attention from whatever makes you nervous. yes, and what is there that completely attracts your attention, for example, to assemble a children's puzzle, wash the dishes, well, or play something on the pipe. no. can i have some more working out at home is also an option right now i suggest doctor you answer questions

from our viewers in the studio hmm anyone have questions please good morning. good morning doctor. my name is tatiana i am 56 years old. my generation joint hurts. it hurts . i've had it for several months now. yes, i used to get sick before, but they treated me and went to the physio, what was added there, i didn’t get sick, and then it hurts and it hurts. remember, arthrosis. here is this one moment, but now already several months. you see, i started to get inflamed. here are some more joints. imagine, that is , i don’t know how to connect, no, it ’s psoriasis for me, i still had psoriasis, but my doctors left it. wait. we now, let's solve the issue with your joints, by the way, mikhail is absolutely in vain to say that these are unrelated issues, because you have psoriasis, it actually hasn’t gone anywhere and it’s very likely that this is one of the complications in about one a percentage of cases in people with psoriasis develop a disease called patriotic arthritis. actually. this

continuation of the underlying psoriasis. it's just that it is more pronounced on the fingers, so what you should do is you need to see a rheumatologist. here, which will lead a series of studies, it is important to understand at the beginning that this is a portrait, because the treatment of three different forms of rheumatoid arthritis, flipsoriatic, is somewhat different. and now, after the final diagnosis is made, accordingly, it must be treated, but because why are these arthritis here, bad because, but they can be quite sharp. attack and the consequences of this attack here can be quite strong. that is, the hand may stop moving altogether, so it needs to be treated. it's clear. thanks doctor don't delay. i understood. yes, i always need. thank you question. we have the next question. hello, doctor. my name is elena and i am 55 years old. i have health problems. uh, high cholesterol and cardiovascular disease, arrhythmias. i

’m on a diet, i take pills as prescribed by the doctor, i recently had covid. i was very afraid. uh, complications. after all, they say that the cores endure much harder. it worked out. uh, the disease passed in a mild form , and now i began to notice that i quickly get tired and shortness of breath appeared. it is proved that after suffering a coronavirus infection or after the flu, fatigue, weakness, memory problems can really occur. but your fatigue may be related to low levels of coq10. naturally for the body, which plays an important role in supplying cells and energy, since people with heart problems often have coq10 reduced. and why does it decrease in young years, its level is high and the cells work well, but with age, the amount of its own coenzyme decreases and the cells, and , accordingly, the whole body begins to work worse, a and first of all, the heart suffers from a deficiency of coenzyme q10, to

improve the overall well-being on the advice of a specialist. you can combine your usual cardio products with products containing coenzyme 10, but there is a nuance of q10 fat-soluble substance, that is, it is absorbed by fat, so most products are based on coenzyme q10 has to be taken along with fatty foods, and excess fat. in general, it is harmful to the body. to avoid this , you can choose enzyme q10 in a special liquid form, when the naturally fat-soluble coenzyme q10 is converted into a water-soluble form that is optimal for absorption, and then it is not necessary to take fatty foods at the same time. thank you doctor. after the age of 40, we begin to get tired faster already the risk of developing cardiovascular diseases, so i want to pay attention. on kudesan drugs, which is a source of enzyme 10 kudesant helps

to cope with fatigue loads. it gives energy to the heart and more strength for life , it is recommended to take kudesant in a course of 2-3 months. about special glasses that block dangerous light from the computer and tv and thus protect our eyes . next on the program is how blue light affects our eyes. what kind of glasses in glasses will save our eyesight, missing love new details of the crime drama near yekaterinburg, who dealt with a mother of many children, we continue to investigate confusing story, they say that in this case it was a large sum of more than a million rubles, as well as who changed the locks in the house of ilushen and how this story is involved, the son of the head of the village where the tragedy occurred. malakhov today at 16:30 on the channel russia

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order from a fabulous profit frying pan crepe maker as a gift thousands more products on the site shop&show.ru. not her part of the time, choose jew. they are not peaceful here, people are killed by enemies. so, they must fight with the enemies of their task is to survive and find. and there is no choice, the righteous, but there is a chance coming soon good morning everyone phone, probably the most common used today. turn it on and look at it carefully someone looked at the mail of

the message. in fact, what happened to our eyes. we received blue light radiation let's talk about this. help me figure this out. that is, well, we constantly receive a different kind of light in our eye, as it turned out, blue light. it may be both dangerous for our eyes and useful, but today we get a very large amount of it thanks to gadgets. you use your phone frequently. well, i try to minimize it in favor of the phone, because a lot of time is wasted, and i even force myself to put down the phone to take a book, but nevertheless. eh, all life is in this

gadget, of course, and at the end of the day you just feel that weights are hanging in front of your eyes. you yourself have already come to the fact that the eye mustache gets tired, that the eye is hard. let's see with you exactly how blue affects the weather. light you rightly said that the eye is there, damn it, you feel the focus once completely researched. that in recent times such a disease as degeneration now or macular degeneration has become a real thing. much more often associated very unpleasantly. this is an unpleasant disease that can lead to a decrease in central vision, that is, a person in the form of such a dark spot and the center does not see, he stops reading, writing, driving a car, often the spread of this disease. today , due to the fact that people use more e, various gadgets. here is a sign when the mucosa begins to dry such dryness

eyes, dry eyes about it. we are with you too. now let's talk, there is also the use of the blue light of natural blue light received not from a gadget, but received here in the atmosphere, it exists, when it would not be necessary, it exists and the blue color helps us wake up. that is, when we see, uh, of course, in winter, the blue color worse affects the pineal gland, which produces melatonin and melatonin stimulates our circadian rhythms here and therefore a person understands when the day, when the night energizes. yes, you woke up and went out into the street, received a natural blue color and charged with energy improve attention it is proved that people who spend little time outdoors and do not get blue. spectrum attention. reduced, especially children. eh, that's all, they absolutely make the right upbringing of a child, if you walk a lot at once

, open the curtains and say hello every morning that comes into his life and recharge with energy from the beauty that he sees outside the window. yes, i'll tell you more. unfortunately, we cannot today solve the children of all laptop phones. tablets. but even if the child went outside with a tablet and is in natural light, this is already better than he would be sitting at home in natural light and without a laptop. this blue color stimulates the immune system even better, that is, a lot of useful things of natural blue light and some useless things of the non-natural blue spectrum, and you correctly said that dry eye syndrome is also bursting. the japanese checked a huge study, where they proved that myopia. do you know what education is? yes, people who do not see well into the distance, but today it is a scourge. the younger generation, what is myopia, dilated eyeball eye grows in length. children who sit

indoors and do not receive the blue spectrum on the street , their eyes are stretched to the length of the blue color, the growth of the eyeball is blocked and there are fewer nearsighted people. and what about the people who live in the regions. and where is the polar night, and they physically cannot see the sun, there is some kind of prevention, yes, they put a special lamp for emitting a lamp for emitting a blue aspector, so that children, even when they are indoors. nothing is turned out, the blue inspector and myopia did not progress, but this is a relatively new trend. well, let's do a little experiment with you. here is our eye flowers in the eye, the blue spectrum passes through the eye. uh -huh hits the retina and the central part of the retina is now the macula, as you and i have already said, we are suffering, but if we are with you, uh, we will protect our eyes with special glasses with a special filter. you see

, special glasses appear, blocking the blue spectrum, and our nacula does not suffer so much from the artificial one. yes you can, of course you should special persons today glasses are people who are forced to sit at monitors and screens for a long time to mount programmers. they all tend to wear such goggles to protect themselves from fatigue, but also to protect themselves from potential fatigue in the first place. retinal degeneration and no vision loss. thank you very much topic it is very difficult to enjoy every sunny day that comes into our lives. thank you.

today we have already talked about stress, it does not allow us to sleep and reduces immunity. and everywhere the fungus covid you have so many things to do, as all this is not forget. that's actually know the doctor to find a magic pill to immediately solve all problems. i'll surprise you, but there is such a tool. i know yoga classes with dr. mckeen. not only this remedy, it can also improve immunity and do a lot of other good things. and the most important thing, which can almost certainly be found in almost every refrigerator in our country, the doctor you died . and michael pay attention to this wonderful letter of secrets. there is no, vitamin d vitamin d that reduces a person's stress response. why because it reduces production? chechens hormone cortisol on a. it is known that it is this

hormone that will follow the stress response? the level of vitamin d has decreased the level of stress, as we have seen a very strong increase. yes, they stressed so stressed, yes, all because denis ate the vitamin on time. i propose to discuss the signs of vitamin d deficiency and also learn about the foods that hold the record for delaying this sun. vitamin together with our expert oleg evgenievich iryshkin. doctor endocrinologist nutritionist candidate of medical sciences. good morning. let's get started. the first sign from insomnia, and insomnia will help us chanterelle mushrooms. come on, come on, what delicious mushrooms contain as much as 53% of the daily requirement of vitamin d2 and this is very important not d3 because d2 is

a vitamin that is found in plant foods. oh well, that is, it turns out that, uh , our body will still have to transform vitamin d3. that is why mushroom pickers get up so early, but uh, so good scientists seem to have stopped that vitamin d deficiency, among other things, worsens the quality of night sleep, that is, vitamin d deficiency leads to the fact that a person tosses and turns at night, often wakes up, and various noises bother him. that is, it becomes superficial, shallow and does not bring rest. mushrooms. can be used as a component of lunch or dinner, for example, here is a big plus mushrooms have a lot of fiber . quiche therefore, mushrooms are indeed, perhaps, a very useful product. well, and then a few more high-calorie, which is important. you know, i always remember dr. agapkin's advice in winter that he is not lazy and harvests mushrooms. in the summer it dries them out, they make soup

or something else there, because we can buy it in the winter. uh, in our supermarkets, only mushrooms grown there at the company, mostly champignons. yes, a life hack can increase the content of vitamin d2 in champignons if you put them on the window for an hour, especially if it is day sunny an amazing story, but it turned out that mushrooms also know how to sunbathe, and quite a bit of light is enough for the concentration of vitamin d there to increase several times. well, as i understand it, mushrooms have 503%, and so on. or maybe 153 is amazing. going further, it improves memory, indeed, research shows that vitamin d enters the brain, and does not accumulate in certain areas of the brain, including two zones from those that were found as a result of functional magnetic resonance imaging, two zones are very strongly involved in the formation of long-term memory. uh-huh. that means the neurons that live there. they uh require more vitamin d than others. this means that

vitamin d deficiency on these neurons will be reflected most strongly, therefore one of the symptoms of vitamin d deficiency quite often is that a person begins to suffer from memory. he forgets what happened there yesterday. he forgets as a person. they call, for example, or forget the phone number, whom he calls there regularly. in general, memory problems begin, and vitamin d can reduce these problems as well. that is why you recommend two eggs for breakfast for the left hemisphere and the right hemisphere, and one thing is more important not to mix them up, yolks are very healthy foods, for example, they do not contain this substance alone, which is necessary just to improve nerve conduction, besides . proteins contain cholesterol cholesterol contributes to the formation of female and male sex hormones, the tradition is to eat fried eggs on breakfast. she's also helpful. well, let's go further strengthening the immune system around, uh, heaps of

viruses, and they all attack our body. and as recent studies show, the fact that we have been wearing masks for the last couple of years has somehow surprisingly reduced collective immunity, and therefore now both the fungus and the coronavirus are raging. basically, viruses. they don't actually doze off. uh-huh and that means immunity must be maintained, and here cod liver comes to the rescue, cod liver contains as many as two and a half thousand vitamin d from the solar norm, but in addition to vitamin d, cod liver has a huge number of useful properties. it is a fatty product and unlike the saturated fats found in meat. it contains non-saturated fats , an essential nutritional component. for example, omega-3 fatty acids, which in themselves help to reduce the so-called bad cholesterol. these are either low -density proteins and an increase in good cholesterol - these are either high-density proteins, so cod liver oil is an essential component of our

everyday nutrition. what is cod liver i will explain, because most of the fish accumulate their fish oil evenly throughout the body, and triska is one of the few fish that accumulates most of this fat in the liver and it turns out that it is collected there in one place and you can eat a relatively small amount get the daily norm of vitamin d well, that is , it turns out that in reality it is enough for a person to eat a small sandwich with cod liver once a week so that he has enough vitamin d. it didn’t piss evgenievich, i went on tour, for example, and here i ate one with black bread and vegetables , just such a jar, what will happen to me if i have 2.5 thousand percent, it’s scary, not a disease, not stress. and nothing else, in order for vitamin d in the body to be in excess , the level should be already above 150, although the norm is up to somewhere around 30-40, that is, to achieve an excess of vitamin. d is extremely difficult, therefore, from the fact that you are sitting in a jar

of a list of cod, nothing terrible will be excellent, i propose to combine the network of three wonderful products and treat our viewers, because we have it simply vitamin d3 in the truest sense of the word. three sources of vitamin d are excellent. fine. please, take it right under your nose and hand it out, how lucky are you? yes, but it turns out that in order to eat all these products, after that you need to go out into the sun so that vitamin d is absorbed, and if it is not there, there is vitamin d, which is synthesized in the skin under the influence of the sun, and there is vitamin d, which we get from food , and that is, it is unrelated. it's already a finished product. it is already tanned perfectly, my friends we found out. how can you get a very an important solar vitamin vitamin d simple huge taste. thank you very much oleg evgenievich thank you, by the way, the latest

studies have also shown that vitamin d is a means of preventing cardiovascular diseases. not always , it turns out, if the chest, then definitely the heart in minutes, academic cardiologist nikich belenkov will talk about what it can be, if not everyone stay. pain in the chest innocent offensive and dangerous how to understand what hurts and how to help yourself four seasons we choose and the best they are again ready to go on scene. who will get 100 points and take the main prize together. all together, the battle of the seasons at 21:30 on the channel russia more questions,

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fatigue and improve sleep. now i won't forget. pay less. in pyaterochka there are always discounts for lyovushka candy for 100 g of weather. good morning. good morning, most often patients come to me and say that i have chest pains, as a rule, i can’t say anything, that when i give a lecture to students, here in

the sixth year, i give a lecture called, it is a very tricky differential diagnosis of chest pain. this is a 2 hour detailed description of the causes that can cause chest pain from the most innocent to the most formidable. i'll try to compress this 2 hours now to 10 minutes no more. so let's take a look anyway. what are the more innocent offensive and dangerous in the chest. well, let's start with the hardest. this is angina. now anton will nod whether he agrees with me or not. so pain the pier of the cardia, pressing pain behind the sternum nods, and you nod the ball, but here we will talk and radiation the left shoulder of the left shoulder blade of the left side of the neck. this is pain

that appears during physical exertion, restore when pressure increases, a feeling of pressure appears elena beloplekova, 59 years old, it appears during physical exertion , it disappears when this load stops almost immediately, or you take a pill. no, aggressively, or spray. this also immediately passes not after 20 minutes, but after two. this is how we find out or diagnose scenary cardia, in contrast to those diseases that you describe with an increase in blood pressure. there, too, the heart hurts , and also, as if it's somewhere right there, well, it hurts for a long time when the pressure rises. this pain is constant and does not go away with nitroglycerin. the next pain of the disease of the gastrointestinal tract is that the esophagus passes right behind the heart innervation. they have a common post-traffic happens

here. yes, it happens. it's not angina pectoris that's embarrassing. yes and happy and must be lord this is the easiest to treat. why does it get stinging? we are all divided into two parts by a diaphragm on top of the lungs below the stomach with intestines. and in this diaphragm there are several holes, through one passes the goods, and through one passes the esophagus and esophagus, passing through the diaphragm , it connects to the stomach , when a person has an overweight diaphragm stretches when a person is slender with elastic connective tissue. this is the sphincter, as we say this is the environment or there are muscles that narrow yes, it also weakens and food from the stomach or stomach juice, if you have not had time to eat yet, but

hungry is thrown into the esophagus. here in the stomach, the mucosa is adapted for hydrochloric acid, that is, it is bent solid. today it's soft. here, throwing gastric juice there, a burning sensation behind the sternum is caused. and here sometimes it can be very difficult, very difficult, because let's say in lena and you have every right to have a place on the lunge, having a certain age, body weight , arterial hypertension. you may have an ischemic face, of course, so when yuryevich tells me, i have zhenya behind the sternum. here here is zhenya with you, i start to think when lena will come to me. go to the center. take it, there are proton pump inhibitors and all your zhenya and all the rest will pass at once, that is. we carry out, as we say, differential diagnosis next. let's go osteochondrosis, osteoporosis neuralgia are the most

common causes and we start when the pain arises from i say lie down on a soft bed and it means it hurts turned around uncomfortable neck hurts. crooked hurts immediately you understand? and i'm sorry to help. not just i'm afraid, you know that these pains, these diseases are treated in a furniture store to buy a hard mattress orthopedic pillow before, until it was. we took a sheet of orthopedic mattresses, thick plywood and put it under the mattress, but there are victims of their hobbies. olechka what did some sports sports acrobatics. well, how did you fall or what happened, but your back began to hurt constantly. as a result, i went to feel the scoliosis of the second degree, 25 years old constantly, when i go to bed and in some uncomfortable space in the morning. everything hurts, the lower back pulls. she has an older spine. her age

for 30 years there is only one such way. now, of course, your mother will curse me to return to the sport. not to what you were doing. yes, but at least some physical activity. you need you need a massage. you need to form the so-called muscular skeleton, because, you see, it is too late to form the muscular skeleton here. here it is necessary, on the contrary, to lose weight, which will help most of all. you need to form a muscular, skeleton that would help your spine to be in the correct position. it is, in principle, orthopedic specialists who know these exercises. how to do them, it can be a slight weighting, some special exercises that would form the correct back for you. and then i can not say that it will be a salvation from everything. but what will be easier. it will be clear. okay, why does this all hurt, look? yes, in your cases, the diagnosis is simple, you understand completely that this is osteochondrosis

of the spine, that is, it still comes from behind, what it says, here it all hurts the fact that nerves come out between the vertebrae that go along the intercostal spaces and they come out in three places in the middle of the back along the axillary line here and therefore it hurts here, because when a nerve is pinched, there is a so-called bird syndrome between the vertebrae - this is the most difficult situation for us - this is when the articulation of the riel pepper of the sternum hurts, exactly this is the projection of the heart. exactly. that's the pain. in what intense burns severe pain. what is there is either not infa, or is it a bird, yes, and now you start eating there. here and there some special methods research to actually make a diagnosis. well , the last disease of the lungs and plebroke. sometimes there were pains in the chest, or in the chest caused by the heart and lungs. i mean, just so you can understand. this is a section

of a person, the chest, the heart, the spine. and you see, this white thing. this spike mooring had a man with pneumonia pleurisy. it was formed this is the spike between the heart and the chest wall. well, the pleura also begins. here it turned, it hurts, it hurts, it hurts , moreover, the cardiogram changes, because the heart pulls and now the doctor’s headache begins, is it really some kind of situation with the heart, or is it or something else, and this is quite difficult to diagnose. here is a conversation, dear friends, about pain in the heart. how are you? do you see a lot of them? some of them are unpleasant, but not dangerous, although they require long-term treatment or extremely long physical therapy. and if there are acute pains that require immediate response , there are constant pains that require correction of blood pressure, there are pains, which should be treated by a gastroenterologist, pains in the area

heart in the chest area. if you are on time, when you will be contacted if you will not force nature, and will engage in some kind of light sports, then it will be much easier for us. come on time, come to the consultation. we will help you if you have any questions. come, i 'll help you, bye. what indicates to us that it is the heart that hurts? and what are the symptoms of false alarms? if you missed this section? don't worry about all the searches of our program. you can find on the online media platform, see the application on the website look.ru. but what to do if it suddenly pinched in the chest. it happens, it is mainly associated with the function of the vertebral costal joints, these are the joints that connect our ribs to the vertebrae. yeah, and

, accordingly, there is, uh, a fairly simple, but at the same time effective exercise that everyone can do at home . we take two chairs. m them in such a way that between them was, well , approximately somewhere 60 cm, we rest our hands together with stools and bend our knees. that is , it is important here that the height of the taurets. yes height stools should be such that knees do not stand on the floor. uh-huh and we push off, take the deepest possible breath. and then, with an exhalation , we try to reach the floor with our knees, while leaning on straight arms. the breath stretched up the top of the head and the moment when it pinched right. yes, yes, and exhalation in general is not a very simple exercise; they stopped resting their hands. put your feet inhaled

stretched the top of your head up, exhaled stretched your tailbone. down breathed down caved in did the same with a little. stooped did the same stooped back not for the purpose of the joint, that is, because nothing presses on it. the source disappears more, the person gets up feels that oh, how are you right away and breathes well.

hello , the battle for stalingrad, the most important milestone of the entire second world war, today is the 80th anniversary of the defeat of the nazi troops near stalingrad