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today in the program about the most important thing is a sore throat when it is a symptom of an allergy. and when depression, in what cases, with a sore throat, do you need to take antibiotics or remove the tonsils, and how effective is the hardening of the throat, when a person swallowed a burning potato, and she will have an hoarse voice, this is not always good. or rather, they are always not well. it may well be, then he gets angry with a heart disease. why you should not take effervescent drugs often and how phones and computers affect the development of cataracts questions from dr. alexander myasnikov asks you answer, i don't know the right answer. let's find out together the cure for cardiovascular

diseases. why do people not take them even after heart attacks and strokes. why is it dangerous? who are these drugs for? vital and who can get them for free french is better for me. i'm fine as it is. for you , there is no longer normal cholesterol and the cause of your death, in principle, is known more in the throat ; statistics show that about 2% of all visits to the doctor. it's just e patients with a sore throat. especially children there percentage is much higher. but that is, here brit throat, we all experienced it all on ourselves, and here we must understand that sore throat, there are infections and non-infectious, this is what causes angina pharyngitis, because our usual situation. what a sore throat, what do we start doing, we start drinking antibiotics, although very often this feeling of sore

throat is not infectious at all. well, in short, a little later. let's talk about what could be potentially dangerous. roughly speaking, it is important for us not to miss the infectious causes of streptococcal angina, because most of these real angina, when you are caused, so to speak, by an infectious agent. this is a virus. these are covid viruses. how do you know coronavirus? uh, and viral halovirus, in general? why is important, because in these cases we do not take antibiotics. we don't treat it with antibiotics. we are just waiting for all this to pass , we know very well that a runny nose, that a viral sore throat. if treated, it goes away after a week without treatment. passes in 7 days. but there is such a thing as streptococcal tonsillitis. here is this

streptococcus a group of streptococci, in addition to the throat. can act on the heart? causing a serious illness, you yourself are not afraid of the throat, but this is serious. and streptococcus and tonsillitis are among all infectious tonsillitis viruses and non-viruses. this is about 12-15% in children. well, that is, so it turns out with you that if we have 100 children, then 15 of them will have this sore throat. and if you miss it, they may well develop heart disease and glomerulonephritis, and moreover, he can recover and most likely will cause himself without even antibiotics and will not get sick, but he will remain a carrier and will infect children in the class.

why do we detect streptococcus, do a smear and if it’s strepococcus, bream and antibiotics for 10 days and more we check, so to speak, we also treat close contacts of them, as when we tried to determine it offhand, well , it’s written that streptococcus occurs with a high temperature with an increase in lymph nodes with plaque those red almonds. with raids on they sometimes have scarlet fever, this lacquered tongue. well, in general, it is distinguished by severity, high, temperature and local expressions of local syndromes, you confirm and do it. this is important to always remember. uh, especially if your child has these symptoms, you need to understand, among other serious uh things. you must not miss the so-called epiglotitis. watch when we swallow something. we have the same kind , what do we breathe, what do we swallow? we have the same entrance as our mouth, only there it is divided into two tubes, one goes to the esophagus, the stomach, and the other the tube goes to e, the lungs are dividing. but, when

we swallow that you didn’t have an operation, so that this food bolus doesn’t get in, it’s easy for us . there is such a cartilage that closes the entrance to the trachea, damn it, both are open. here we breathe here. we are waiting for something to eat. we took a meal and the fears overlapped. god forbid you don't get fucked anymore. here the cartilage can become inflamed called pyglotus and absorb, it can become inflamed and cause a serious life, a threatening situation. this is such a bacterium h-flu chemophilia fluence, and it has caused and causes these serious diseases. by the way, not only beglotitis, it is also meningitis and many other diseases, but in large numbers, but the fact is that all over the world they made a vaccine against eiffel, it is there that it has definitely fallen dramatically. children have practically ceased to die from this. to get sick of this and the swallower has become more of a disease of adults. well, we have our own attitude

to the situation. unfortunately, it remains difficult. and what happens to a child brit throat. he breathes, he or an adult does not matter, he sits out and in position, a with open mouth. that's how it is . that's how it does it. and you open your mouth. you don't really see anything, because it's behind it, behind the tongue. and so she may even have a throat that is not red. and this is all very important. and in general, here pay attention, when you urgently need to sound the alarm, this is when, with a sore throat at a temperature with a sore throat , a hoarse voice appears in the literature. it knows how to move sweat something, that is, when a person swallowed a hot potato and and here is such a hoarse voice, and when it starts, like me i told you like this, when a forced position appears, when a swollen neck

that a child or a person cannot move is all about saying that this inflammatory process blocks the airways. we urgently need to do something among the infectious, angir. there is a mass. and others. uh, there, by the way, is monolysis. yes indeed and viruses can razovat. for a sore throat, which can also block, so to speak, the airways of this herpes. you're with speedy, by the way, the aids virus among bacteria, this and others. uh, streptococci and a lot more - this is diphtheria, which we are talking about today, which are raising their heads. and by the way, it's always a question. do i need to remove the tonsils, but the approach is just there you had strep tonsillitis, it is repeated often, but the situation is seven seven times a year or more you need to remove the tonsils, because you are an adult, what a child the problem is, we will remove the tonsils, and there is a whole ring around the neck and

an adult has none, so we remove the tonsils, and other compensators are already being arranged lymphoid tissues. that, too, can then become inflamed and so on. that is, this is not always the final solution to the problem, but streptokol is so strong. not just sore throats , we don’t remove the quarry, or if there was an abscess, that is, pus on the mother-in-law, because it’s also dangerous. this can also block the airways, and that's it, it can end badly. ah, and in general, when if a sore throat is one-sided, it doesn’t just hurt the city. but one-sided is not always good, or rather, it’s always bad. it’s possible that there is swelling there or they’re still looking, but they’ll donate this tongue like this here, it can be tilted to the side. this means that she is still somewhere in the mother-in-law. it just moves him. and if at the same time the temperature, if at the same time it still hurts to swallow, if it’s difficult to breathe in, it’s more dangerous than it thinks, but remember that this is still such a small part, because

basically you have it more, well, the classic is an increase in the acidity of the stomach reflux of acidic contents of the stomach up the esophagus and further, hence the sore throat. especially in the morning you decide not to feel massive in the morning voice, so to speak. the throat hurts to swallow hot tea, it seems to feel better. that's all the increased acidity with them. it is necessary to understand how to take drugs, such as omeprazole, and so on, do not write off. it's on something, but still classic sore throat. this chronic tonsillitis is non-infectious from an allergy about it in general, no one knows anything about this allergy. we now you understand, two things chronic sinusitis, sinusitis, this is a chronic infectious disease, as a rule, it is an allergic disease, how to cure bronchial ast. she never before the end will not pass there will be remissions, and so on. no need to pierce them there, well, except for

diagnostic procedures, when we are looking for a fungal nature, and so on and so forth. you just start treating allergies, and then the same thing will happen to you here with the city. these chronic sore throats are in a significant percentage of cases of an allergic nature. well and then often and diseases which are practically. all the boys have something more than mountains, this is depression, this is fibro-myalgia, when the pain is in the whole body, the pain is in the whole body sore points here sometimes the lymph nodes increase and more in the throat, because of the lymphoid tissue. she reacts very quickly, not only to infectious agents to stress. these are some uh other things, so it swells, as if it starts to hurt you start to feel, but i say so conditionally. i don't really understand myself. why fibromyalgia depression started with a symptom. uh, sore throat. i'm trying to consider the pathogenesis there, for me it's unconvincing, but the fact is such a pain. uh, well, there you'll

see dry air somewhere. yes indeed, we breathe dry air. especially what kind of problem with the nose stuffy nose, and breathing dries painfully. it is each of you who knows when where you are running or what you are, if it is hard to breathe through your nose, then you swallow into the air and not enough it cuts. chattered as fast as he could let's ask questions. and there is an opinion that if you eat ice cream more often and drink cold water, then your throat hardens and it will hurt less often, is this true or is it a myth? well , i used this, mm, maryina grove, i had a kindergarten there and they took me there, a before a long time and now, in my opinion, it's worth it. no, it's not worth it anymore, it's been there for many years. it was some kind of supermarket yermak people. i say my mother

has a sore throat. so she knew, she bought me ice cream on the way. well, i'm good at it. i just remember, i don’t remember anything else from this kindergarten, i remember how simpler i was without breaking it. here, uh, and here's how he asked for ice cream. no, this is a myth , harden such myths so that the throat does not hurt there should be a good place and that viral diseases do not sit on you in time to treat a bacterial infection, but so be it. it is normal for the stomach to breathe through the nose. well , and so on. hello throat with antiseptics , and anyway, i don’t know how they are there, they didn’t rinse, they didn’t clean the mucous membrane. viruses still get in, it turns out, it's not effective, really. and why? well

, why? because it is ineffective, because since the mountains live colonize bacteria, other streptococci, not these other species. uh and so on. they generally live there from their home. is that where you live? it's already here. you do not go to the neighbors to beat the face. just like that no you live, and if some people there start knocking and screaming, uh, you go to the wall too and you start to conflict, therefore, until then , bacteria and viruses live, they don’t touch anyone, as soon as something weakens. how is your immunity? how did you break something there , they got cold, they wake up and start rinsing, rinsing everything for the benefit of the poor. it doesn't need to be used. yes, no, well , many people like to rinse. here they wash out their uh, clean microflora, healthy good question. if it was properly rinsed and so this one got there. it would rinse. on in fact, all this is much farther away where it can, uh, i mean, they, roughly speaking, get completely out of their mouths. there it all the same still does not penetrate. here. okay, enough,

let's move on. why you should not take effervescent medicines often and how phones and computers affect the development of cataracts questions from dr. alexander myasnikov asks you answer

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to go on the zoning of his life. you answer if you answer, you get a prize, well, there, who remembers, there is also a story with keys, if you didn’t answer everything for the right question, choose the key, maybe you will also get a prize. no. here, then there, who is ready to raise their hands. well, come on. how name is hello doctor my name is anya. i'm from the city of azov, rostov region, understand? but anya is looking.

but something tells me that it isn't. although it seems to me that soup should be present in the diet of a child and an adult answer is absolutely correct, because well, soup and soup soup, of course, is a good thing. it prepares our digestive system to receive more terror food, even my grandfather told me, this means you were already in the fifth grade. i'm already in the sixth when a lot that the japanese are special can just drink warm water before eating with in order to start it all, but i'm for the stomach. basically, it's still a contagious disease from infection or bactor pylori, so eat the soup. don't eat. soup does not apply for proper digestion to the court. yes, but again, how much? so i didn’t like the last soups in my childhood, and then something happened in me

now i love it so much when everything is there and the first and second and third. in general, eat there and meat and potatoes, tomatoes and rice and what well, it’s not dangerous, or it seems here what are the dangerous drugs in the form of effervescent tablets, the word is not dangerous, than they may not be useful, let's say not according to that is, they have a certain thing, but they are all good, they quickly drank it is not necessary to swallow, but they have one, but which you need to remember when you take, 1/2, the third, fifth, tenth, you need to remember that they contain uh. that's what's what and i think it's connected, most likely with the acidity of the stomach and with the release form. yes, that is, uh, it can break the acidity, but in fact, there is no acidity with the release form. no, i understand, i'm wheezing and the complexity, what we are talking about from elevated acids, in general, carbonated drinks do not advise the form correctly said it contains, perhaps the intensity is large

here. well, we're right right i walk. you just need to know, in this case you just need to know, but we are all right, in fact, they have a lot of sodium, in one effervescent tablet of grams, we drank three tablets already 3 g of sodium were taken on the chest. yes , hypertensive. hearts of insufficiency just think later, and what is it that my physiognomy does not fit in the mirror? did you overeat the effervescent tablets? yes swelling, yes, and then i don't know the right answer. well, let's find out together. i remember we are talking. no. i don’t understand anything at all, but i can walk here. eh, the doctor is still, who have been friends for many years for a long time. i remember what she said, but i'm talking about it phones tvs computers increase the risk of cataracts blurred crystals a dark spot when it interferes with watching. do you want to answer? yes? no? the musician

would like, of course, even effervescent tablets looked like that, they looked like they were nearby. and so on. and i don't know where. he was alone. maybe, in my opinion, maybe we won't need it again . maybe you want to somehow decorate with exclamations, but it is clear that she is turning in the other direction, yes, yes. and what instrument does

the musician have, and this next one is also in the other direction? how much can i take thank you look in the form we look at the application

or site look. what to do if you have problems with the heart and blood vessels, as a rule, doctors prescribe special medications in such cases that help reduce the risk of a possible heart attack or stroke. it would seem that they prescribed a medicine. so it is necessary to take it, but statistics show something else among those who got into a cardiological hospital , only 15% took drugs, that is, only one patient out of seven at discharge continued to follow the doctor's recommendations for 69%. but after 4 years this figure drops to 41%, and after 7 years to 35. that is, people stopped drinking

medicine. the main reason is the improvement of well-being. why else do people not take prescribed drugs for diseases of the heart and blood vessels, why is it dangerous? what heart medicines will help prolong your life? and how get them for free? let's discuss these important issues together with dr. myasnikov. here, behind us, a doctor is interviewing patients who should, in theory, take medications and asks if he accepts or does not take. if not accepted, why not? well, then we will actually publish it to you, i will tell you right away what is really happening, you have started having problems with your heart. you need to take medicine. when you started having heart problems, of course you need to take medication, but the layouts are completely different if you take fire-fighting measures before a fire

you have fire extinguishers careful with fire you have a fire-fighting cover and measures if there is already a fire in it to extinguish. understand the difference. you should know your risk factors for diseases in the heart of elevated cholesterol, elevated blood sugar, heredity, high blood pressure and each of these risk factors, contrast drugs to close down pressure closed down cholesterol. they closed the sugar, they closed it to the point that they again returned to the theory of the police, that is , many years ago, new zealand scientists offered. that's all they do in one tablet. there are small doses of aspirin in statins in beta-blockers of antiplatelet inhibitors of fpf and give everyone. who has risk factors, because in fact this is what happens today, if a person already has angina atherosclerosis, he will take it all. only borscht, that's even such a theory. why because we all try to make you take pills and

it’s just that the statistics take three pills, let’s say only 50%, if two are already taken by 75% of people, if one takes 80 there, that is, the less often reception the more often he does not forget. he got up in the morning. that's how i get up, drank the pills, i went, and this is what i spent at dinner in the evening. this is already a problem, so people forget the second problem. all these pills you really feel better. you think, and i will drink this, it makes me feel something behind my ear . or, there really were some side effects, it was necessary for another, but so the stars were thrown in this, so it is very important to take these pills. the first according to the doctor's prescription to change the dosage also according to the prescription doctor's cleanliness and cancel too. well, let's say, here are the beta-blocker pills. it's you all known to you metaprolol. this is the bisoprolol pro pornolol tax. it all ends with lol ancient pills for a very long time, used in

due time. made a revolution in healthcare used to treat hypertension today while treating hypertension is gone. not even on the second, not even on the third, but on the fourth plan, but with this sclerosis of the vessels, mainly the corvette is still the number one medicine, but if you quit it suddenly, then i drank, drank, drank. i'm tired, i won't more drinking creatures from the trembling right has you can go to the next world. they cannot. that's how to throw. and you should know this, and this applies to many pills. statins used to be given simply on the fact of high cholesterol. today, we are still more targeted, so that from everyone in a row, and people with high blood pressure, high sugar in heredity, you give them satin. if there is no disease, but if you already have a disease, there has already been a vascular accident, there is no normal cholesterol for you anymore. you have to take statins all the time. i understand that side effects may be muscle weakness. there is something else you should tell the doctor besides statins. there are also drugs that lower

cholesterol, there are drugs that allow you to reduce the dose of satins, and you can and should take them, and again, you cannot quit. just so you just have to remember. any person should have there, so the doctors should think the doctor should dream, where it says aspirin beta-blockers i7 statin inhibitors five drugs nitrates plus or minus and that's all the doctor stamps. how so? we are all different. how can i have such a soul? and i such no soul, aspirin statins, beta-blockers osinhibitors. it will just prolong your life. if you've already had a heart attack, that's it. this means that there will be a next one and the cause of your death is, in principle, known. therefore, in order to move it away and have to drink medicine, then there are not even any questions plus, there is a cherry on the cake. if you had a heart attack or a stroke, then all these medicines after vascular accidents will be given to you

free of charge. well, i won’t be in the chemistry of the liver, i’ll ruin this liver, you even see the medicine for hypertensive patients for the core for a person with risk factors, and something else, like crutches in him, can he live without them. they really prolong life and then years of life from the fact that the scar has become better subjectively. what does better mean? i have pressure it does not feel cholesterol. how can i feel? i don’t feel like i’m doing sugar tests, i don’t feel like doing tests, therefore, what does it mean for me to feel better, i feel so good, but i know that i have it, it sharpens me. but if i don’t sell these bugs from myself, then i’ll come in 5-10 years, but if it has already happened, if your life was a heart attack, that's the most wrong thing, of course, to refuse the medicine. moreover, i am not different, you are not transferred to debtors, and gensin, which converts enzymes, can develop a dry cough. there is sortana, there are other drugs already without these side effects. there are a lot today, let's say. these are blockers. of course they

can cause impotence something, but there is a selective cardio labor acts selectively on receptors that are wanted only in the heart muscle. you don't have options. even go for surgery looks doctor. i'd rather put stands or a doctor now. i will have an aortic bypass operation or i will have an abla, all univer put me and stand and your stand. you should not take medicine and your stand. you have to take medicine did. this is for you. must take medicine did not make you akisheva must take medicine. they are, they are really free. i have a polyclinic at the hospital, where they give them free of charge, well , the residents of the district receive medicines for the district for two years. it's really. uh working system. well, who takes us there and who does not take us, we interviewed 20 people, and who were once prescribed drugs for heart-sucking diseases in the middle on an ongoing basis, only four continue to take drugs five times take from time to time and 11 refused the prescribed

drugs at all and the most common causes of this. ah, that there was an improvement in their well-being. now i will come, i will tell. one person there forgot to take the lime medicine, a person four 16 years old - this, firstly, exactly corresponds to the statistics of the ministry of health, but, secondly, of course not even even. even unexpectedly, that is, the scale of this is colossal. what kind of health of the nation are we talking about when we ourselves refuse it. so the patient has had a stroke or a heart attack or some other vascular accident. uh, prescribed medicines are issued free of charge for two years. this is an important part of the national health project. so remember cardiovascular disease - this is a chronic condition to get rid of. from them forever it is impossible, but in order to maintain the quality of life and avoid dangerous complications. it is necessary to be observed by

a doctor and it is especially important to take prescribed medications on a regular basis. even if it seems to you that the condition has improved without medication, the disease can develop asymptomatically, so only with the help of medications. you will be able to control it. to control means to prolong your life further. in what cases thyroid nodules are reborn into cancer and how the heels hurt with a heel spur, i am constantly recommended. vitaminka, if you interfere with life cream-paint with hyaluronic acid kapus and your hair is not will remain in the shadows, a special edition of the program 60 minutes all the latest news about the situation in ukraine and in the world. don't miss 60 minutes today at 11:30 17:30 on the russia channel meet the new map for life.

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we watch our favorite movie all over russia 15:00 on the russia channel, it's time to answer your questions on the air, the traditional heading questions to the doctor, who has to ask them purely visually, and for

ten years now. i periodically give up a function from this site. everything seems to be fine, they don’t prescribe anything to me, because my thyroid gland produces the norm, tsh and t3 are hanging. everyone everything is normal, but the norm, so they say, we can’t prescribe anything to you, because you seem to have it works, but because of this node, i am constantly recommended to cut out the thyroid gland, that is , to remove it completely, because there is such a possibility that this node may develop into cancer and just recently. i changed my place of residence and, of course, changed my endocrinologist. and this my current endocrinologist told me everything, this is nonsense. ozel can't turn into cancer like that. so i wanted to ask you this way, maybe he or not for 10 years. i was assured that it could develop into cancer and i lived with it, being afraid to remove the thyroid gland, because it might be bad works, but it works.

every second 45% of women have thyroid nodules, there are 40-something percent of men, if you happen to find, up to 5% of thyroid nodules can degenerate into oncology. yes, it's true, there are criteria, including echo e, ultrasonic ones, by which we can judge the degree of probability of danger in the birth of evil, the size of the release of the blood supply of catenononosis. and apparently, one of these nodes is like that. well, i don’t like it, well , right, you watched your own function and the only thing that is probably usual, but we still give, but i'm not in a hurry to scold doctors. i will now explain why and we give thyroid hormones so that the nodes do not grow, they are hormonal dependence, and then the thyroid gland becomes skinned, as it were, and the nodes decrease. but i think that they didn't give you that precisely because of this node, because oncology of the thyroid is also a hormone. the addicts and you are left with nothing if

they see rapid growth or dangerous symptoms so that the hormones do not mask them, otherwise they will see that it is squeezing out everything is fine, but in fact everything is not so good, so they didn't give you on purpose, in order to observe you have to continue to observe the operation they gave you, nor the thyroid gland. well, it’s quite possible, you just need to understand that you still have to, then take hormone replacement therapy, there’s nowhere to go. but in any case, i will tell you that among the four varieties of thyroid cancer, three are very, very benign current ones. that is, no one dies from them for a long time. it's not there ecology that we're stuck to consider, but that doesn't less, i think, no, it is necessary to periodically perform functions, or decide and remove the gland and then take hormone replacement therapy, and that and that way is suitable. good morning. the doctor has recently begun to hurt me with such a problem

on my feet, the heels, and on my left leg. first it hurt, then it stopped. but on the right leg is very strong. pain. when you walk or when you sit for a long time, is it a heel spur, or is it because i stopped wearing shoes with heels, what you say is plantar facesit this place. here there is such it is not a spur. this is the tendon that attaches to the heel and often happens. there are also changes in form. uh, shoes and athletes who run a lot and gain weight. well, then, further on, you need to turn to specialists with this. evaporative preparations, certain stretching exercises, it is better to go to specialists. if it interferes with life. well, try to reduce the spring, only useful. all thanks a lot. my name is elena, he expresses himself

with positive negative emotions. this turns into publicly reduce symptoms in such a way? well, you know , we see it as a treatment for tycho as a tick. these are neurological drugs and drugs used for convulsive disorders. all have a lot of side effects, the main one being drowsiness and so on and so forth, therefore. look, well , getting drunk is the cure, but i don't know, you have to decide. as far as you need drug therapy there is no other way. and in my childhood i had, uh, mumps and gave it more difficult. that's exactly the situation i was and then in within a year, all this passed for me, and already age is against the backdrop of emotions.

this happened to me again, it was when well, it was 7 years old, but i had such a situation that we are now talking with you about what happened now, probably this is a sick place in may, which is now stop thinking about it, because i still since i say here either treatment with heavy drugs, or in life with this. and if you think all the time e how to get rid of this, well, i don’t know. we understand, we are all looking for adventures on our own. here you will wipe more. now go to the doctor go to a neurologist, neurologist scarlett, he will prescribe you some kind of gabopentin. after that you will have an ear there you will sleep and limp on your right leg and not well, i mean it. and you're not like that it happens and it happens. and you know, then a comedian. eh, you shouldn't have touched it. thank you doctor. i hope i have answered all your questions. so all health and good luck. good morning. hello there is

a period in our country that i really love this long may holidays that are just about will come and many of us at this time are trying to go to nature, and there are barbecue snacks and unfortunately, a variety of diseases of the gastrointestinal tract, and above all pancreatitis, can worsen. well, now why not eat kebabs from kebabs, of course, refuse, none of us will, but today i want to talk about important precautions so that after the may weekend you don’t end up in the hospital, but olga turned to our tv viewer let’s get to know her history. my name is olga and i am 46 years old. last year. e during the family holiday weekend. i had an attack of pancreatitis , my back hurt sharply, then the pain became

shingles, i was surrendered. as if in a vise it was difficult to breathe. uh, was a terrible vaporized, and then opened, vomiting. the husband guessed to call an ambulance, an ambulance came and gave an injection and took him to the hospital. now i am on a strict diet on the fifth table on tomorrow i will change the porridge with water. i love hercules well , actually, this is what my morning diet consists of. of course you want to pamper yourself sometimes. but here at least for the may holidays i want to eat shish kebab. well, i am very afraid of repetition and i have such a question. what should i do? how can i protect myself? how should i behave if a second attack suddenly happens and is a second attack generally dangerous? olga today in our studio come to us, please, good morning. good morning olga tell me please,

do you strictly follow a diet like this, but do you have a plan for may? yes , of course, we always have may in a huge company with barbecue. ah. recently i have an aggravation began, and i don’t know at all how i should behave on the may holidays olga you need to follow certain nutritional rules, not a diet. the fact that you observe this is, of course, wonderful, but it is quite difficult to live like this. we understand perfectly well, especially during the weekend, but in any case, it is really better to take care of our pancreas and how to do it. i want to talk today and i want to invite a gastroenterologist to the studio. olga adilevna. kolokolnikova, gastroenterologist, head of the center gastroenterology and genetic engineering of biological therapy. olga is alone for good morning, good morning olga adilevna, such an attack that happened to olga is some kind of specific feature.

or it can happen to every large percentage of people with whom such an attack can happen, the most common reason is, after all, gallstone disease, olga tell me, please, have you had a gallstone since childhood. i have problems with my gallbladder. the pancreas is an organ of internal and external secretion. the tissue is located behind the stomach closer to the back and produces a huge amount of enzymes. she also produces insulin. that is, this gland is responsible for the digestion of food and for our, uh, internal secrets. what can cause acute inflammation of the pancreas acute pancreatitis quite often acute pancreatitis is strained with gallstone disease, which occurs in our gallbladder pathetic bladder. a stone enters, and the pancreatic and common bile ducts flow somewhere in one place and block. as a matter of fact, the exit enzymes from the pancreas. we

get a piece of meat, a stone moves and blocks all the ducts and the gland begins to eat itself olga separately. what happens to the cells of the pancreas when the outflow is disturbed, when the high pancreas cannot get into the duodenum, where the digestion of this piece of meat actually takes place then the pancreas. eh, there is a slightly increased pressure and , literally, the cells begin to digest themselves, there is a very strong pain. and this attack, whoever experienced it at least once, you can’t confuse it with anything else, the may holidays in nature, how not to end up with an attack of pancreatitis in the hospital after the prime minister’s ear kebabs on the russia channel and in life i never loved anyone like that matvey is problematic away from this

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optimal protection for immune support welcome to the world. where everything is just for you. of course, a map of the world. if you have the mirp application on your smartphone , pay for purchases in any way you are used to using the world card or the mirpay application, as usual non-cash, by the way, who are you hmm ice deluxe is mountains of pleasure, sweet waterfalls and fireworks of flavors. try storks lux and on linko, sea of ​​exotics storks lux manga passion fruit only at a tasty point with pain in the stomach gently, envelop its walls knows its job with heartburn and stomach pain. order at apteka.ru. why is a credit savings card, the most

profitable in the country , a new interest-free period of 120 days begins every month. shop so, again and again , a free forever super rate of nine eight percent. apply online or at a branch benefit every day many people ask to be in such good shape that's it, you just need to replace bad habits with good ones. olga delna, why is pancreatitis dangerous? well, except for the defeat of the pancreas itself, do not treat for pancreatitis in the acute stage. it can be complicated by peritonitis. this is a serious disease, when inflammation spreads not only to the tissue of the pancreas, but also to the abdomen , even to the lungs, to the heart, to the intestines. and we sometimes see that here

we cannot do without surgery, without resuscitation. but there is more dangerous things pancreatic cells are destroyed, and their function is disturbed . unfortunately, patients suffering from chronic pancreatitis with frequent exacerbations quite often develop secondary diabetes mellitus. yes, this is a frequent complication, but it occurs when the patient suffers for a long time and one attack and the second attack and a sluggish course and slowly developing diabetes mellitus patients with gallstone disease. these are almost always patients with overweight and when the patient is making no effort. all of a sudden begins to pay attention to the fact that often loose stools. he suddenly began to lose weight unmotivated. this is a reason to see a doctor for two reasons. firstly, simply the pancreas tissue has become less produced , less enzymes , the absorption of nutrients and vitamins and the person is disturbed. loses weight after. this can literally lead to tissue degeneration and

actually this is not very frequent, but still a formidable complication of pancreatitis is pancreatic cancer. we when we look at the ultrasound examination of our patients. we see how the gland tissue itself is transformed into such cysts as fibrosis. there is quite an intensive cellular exchange going on. and due to this degeneration of cells in such patients, there is really a high probability of developing pancreatic cancer, an extreme terrible dangerous disease, even if it diagnoses very late, how can i protect myself then, what should i do? again, i return to the fact that it is necessary to change the rules of nutrition, not the diet, it is necessary to exclude provoking factors. let's see what these factors are. binge eating. if from the very childhood we will eat properly , malnourish every bite, focus on e, our own

understanding of satiety, eat slowly, thoughtfully tasty and be guided by a very simple principle. everyone physiologically has, and the volume of the stomach of the pancreas, which can be calculated very simply. please make your hands like this. this is the amount that, in principle, you can safely eat. and even if you put it there, well , a very harmful product, then once in a while, your body can easily cope with it. starvation before the may holidays, we always have the may holidays still coincide with easter, and great lent passed, people limited themselves to meat , limited themselves to fatty foods. e of animal origin and then, having missed you for many, many days. we start eating these products with great pleasure. and unfortunately, our enzymatic system is being rebuilt and sharp like this. eh, crash. he, of course, can be reflected. we have a very smart body. he clearly adapts

to our lifestyle, trying to save everything, what is possible in a healthy state. when we have a small amount of food, and we eat very well. accordingly, we produce less enzymes and bile acids and the body feels very good and even . and suddenly a piece of easter cake falls on this balanced body and a dozen eggs , the body does not know what to do, because it does not have the strength to digest all this and, accordingly. it is also important to take into account the problems that when frying barbecue on coals, if a flame occurs and the meat is directly charred, the level of carcinogens rises. this meat meat becomes even more dangerous. therefore, if a piece of meat was suddenly charred, this is the fried crust , you need to cut off a piece of meat, they still removed it, yes, well, you can’t eat all fried meat, sweet drinks, alcohol, is still the main provoking factor. yes, not even a shish kebab, if

it is well marinated, calmly grilled. these are alcoholic drinks excess of alcohol. it provokes inflammation of the pancreas. this has long been known and a proven fact in all countries, but if you still gathered our barbecue, please a small amount of meat with a glass of red wine. it will be delicious red wine will help digest the meat eaten and there will be harmony in the body. when we start a stir drinks. this is definitely a provoking factor for pancreatitis. many people ask, and let me eat a certain amount of enzymes. whatever they are now quite a large selection in the pharmacy. and after that i will break all these rules of yours, about which you tell us , my friends, that the uncontrolled intake of enzymes will in no way prevent and will not prevention of inflammation of the pancreas, therefore, let's not self-medicate, let alone self-prophylaxis with drugs , i ate a lot. there are more chickens. let's have

two tablets of enzymes. remember, dear ladies , that such an uncontrolled intake of enzymes, the entire diet will collapse immediately before this, because all this food is deposited in the form of excess body fat. everything is clear, yes, now it is clear. thank you. take care of yourself and you will not be afraid of barbecue. fine? spend may holidays. thank you know that my friends were with us today today we talked about how it is safe to spend the may holidays in the off-season without fear that pancreatitis will develop. our body reacts more strongly to changes in the weather and needs support, so always keep the famous balm-gel from the number one selling brand in pharmacies, horsepower, at the ready. it is able to relax the muscles. it also has a relaxing effect on the joints, lower back, elbows, cervical region, always

keep ready the balm gel, horsepower. we wish you a good day and a great moods. be healthy. you had a program with you. the terrorist actions of kiev jeopardize the extension of the grain deal , they say this today and in new york at the un headquarters, journalists use every opportunity to ask lavrov a question.