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morning. hello spend the morning with the program about the most important thing is good for health, it is better for the country's doctors and scientists to share important topical tips that will help us all live long. today is thursday. and this means that it is you, our viewers, who ask questions of interest to our correspondent at the kazansky railway station, and we answer them. so we are waiting. the first question is attention, on the screen. hello my name is elena and i'm yegora murom vladimir region will be 50 years old was such a thing period. here i have gained weight. well,

of course, yes. it can be a diet and tried something somehow. well, apparently, hormonal is something or what? i don't know, maybe something with age. mutually connected with what , of course, i wanted to lose weight, maybe the pressure would stop jumping. maybe you still need to physically, how would you know you need to keep it. and now i can't keep it at a constant level. how to become discipline. in this regard, in order to force yourself to organize. here it is its time in space its combination. how is that? here it is provided. where do i start this is a great question. many answer it should start on monday, i will say. well, so, you need to start from the diary, go buy a notebook, write a food diary and then we don’t even change anything in nutrition. you just start meticulously writing down. here we got up for breakfast, ate, write down two soft-boiled eggs. you don't even have to count calories

write down everything you go there were studies when two groups of people gave lectures to them, and the benefits of a healthy lifestyle and proper nutrition were further than one group. then they were told to keep such a diary for six months, well, you can eat the way you want, just write everything down, and in the second group they just said, you can eat as you want, after uh, six months, they summed up the amount of food consumed by those , who kept a diary has decreased by one and a half, in some cases, even by half, why should they be ashamed, or what? many people. they eat automatically do not pay attention to it when they just start to track. they understand what i'm doing. it's too often eight sandwiches. i ate and it's the same without even counting calories . that physical activity is absolutely magical thing is taken. uh, diary on and on every time you do some kind of physical exercise. you just write in the diary of a person on the second third day

suddenly comes up with ideas to squat, that is, the person appears an obsessive desire. something to write in this diary. listen to the next question. hello i'm ivan i'm 18 years old after the gym. how can i reduce muscle pain and go to the gym three times a week, that's on different muscle groups, but nonetheless. after each workout, the muscles begin to hurt. i've been in pain all week. perhaps there are some i don’t know pills or exercises, how to reduce this here. uh, i know that it's the acid being released, that the muscle is kind of, but increasing in volume. and that's natural. well, if it is possible to somehow reduce this effect, how is it better kripatura excites a young man. yes, but here you really need to separate, because there is a krepatura. the so-called urgent, that is, the one that occurs immediately after training lasts

about a day and then, in general, disappears without any additional effect and there is a syndrome of delayed muscle pain, which usually only penetrates in a day and lasts 3-4 , and sometimes even 5 days here the recommendations are somewhat different. if we are talking about e urgent krepotor, stretching exercises help very well with it. their you just need to insert a block at the end of the workout to stretch a static stretch for about 2 minutes, if we take delayed muscle pain. everything is more complicated there, because in fact, we are talking about the inflammatory process in the muscles. there are studies that say that the use of spices such as, for example, turmeric, ginger, and various types of drinks based on these spices, but give, such a good anti-inflammatory effect thanks to. what more e, significantly decreases, but a warm bath in the case of the first type of muscle pain, that is urgent. it helps very well, a bath bath is everything that

activates the metabolism. in the case of delayed muscle pains, there are usually no long-term effects from it, that is, at the moment when a person lies in the chest, it seems to him that nothing hurts, when he comes out, the next question returns. my name is galina 65, plus there are bumps on my thumb , how will all this develop further they will not grow, maybe just operate or you don’t have to wait just wear shoes if you walk, for example, for a long time in the evening, they ache to nag or not nag. and why do you think to cut through, everyone around is talking, and some say they got drunk, then the bow will grow around more, because it must still come from the inside, no matter how some recommend others, you don’t need to wear orthopedic shoes. here in

sneakers, that is, when such growths appear in the area of ​​\u200b\u200bthe first metatarsophalangeal joint. not superfluous, of course to hand over. on the content of uric acid, because in some cases gout in a person can have approximately the same symptoms, if we are really talking about bursitis of the first plus of the phalangeal joint, that is, which occurs as a result of hallux valgus , then we can recommend the selection of the right comfortable shoes, firstly, these are shoes with a fairly wide toe. that is, so that there is no narrow toe. secondly, these shoes are quite soft soles. in this sense , sneakers are a good option, because the overgrowth occurs as a result of repetitive mechanical stress, narrow, toe-hard, thin soles. this is what accelerates growth. these fabrics around joints. perhaps the use of

an individual orthopedic insole. not every one is important here. the first one that came from was bought in a store, namely, individually selected for a specific leg. it will help support your foot to redistribute pressure further in second place. ah. physiotherapy is first and foremost exercise. uh, these exercises aimed at treating flat feet give a good effect, i must say, with the first uh, well, even the second degree of halluxvalgus, and this is a special taping, which uh. maybe uh show a kinesiotherapist or physical therapist how to tap this finger on your own. the results are sometimes very impressive with such therapy, that is, this is a decrease by one, or even 200 degrees of deformity. well, if all this does not help, you can usually talk about three months, uh , during which such treatment is carried out,

if within three months there are no positive dynamics, yes, then perhaps a surgical operation by a torpedo doctor. thanks a lot. let's get questions right now from the audience in our studio. i ask you to. good morning. i have a question. in my gallbladder. after the ultrasound, they found two stones, and now the pain is so moderate, but permanent , regardless of the time of day there is a meal. here, is it worth it to remove when stones are found in the gallbladder the first question, but you can pour stones without surgery to remove there is a special energy therapy, that is, it is aimed at dissolving stones. it does not act on all stones, therefore, in such cases, a gastroenterologist recommends either x-ray examination or computed tomography in order to understand whether these stones are the so -called soft cholesterol. either these are hard qualified stones that

are visible on the x-ray, if these soft stones now exist in pairs that allow for 3-6 months of a fairly decent size. dissolve stones without a trace, these are bile acid preparations, but they are prescribed by a gastroenterol doctor. he also prescribes , in addition to them, often drugs that improve gallbladder motility. here the combination of these drugs gives a fairly good therapeutic effect without removal of the gallbladder. if these are stones, e, the x-ray is positive, that is, which is visible on the x-ray, they will not dissolve. yes. in such a case before surgical treatment. this is the only way out that remains if there are symptoms. watch the next video question. i heard that women live longer than men. why is it so? this is what i think it is unfair to answer this question, the scientist herotology, the heading of longevity immediately after

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today, russia is in touch again with us and we ready to listen to the new viewer's attention on the screen. i heard that women live. longer than men what reasons? here we will figure it out today, we decided to ask our viewers. why do women think they live longer than men? let's see what they answered. why do you think women live longer than men? yes, because women are simply smarter , they don’t do a lot of harmful habits, because women’s wives don’t peck the brain, because a woman is kinder, i

think that men are more nervous. well because men are the testers of everything. women are more sensitive to everything , even to their health. uh, and the men until the rooster pecks, so they will not go to the hospital. i have him in fact, all centenarians in the family. i will die first. of course, there is no one reason, but the main reason is genetics. still, a man is different from women, and primarily from a genetic point of view. everyone knows very well from school that a person has 23 pairs of chromosomes, while 22 pairs are absolutely identical. but the last 23 pair is she is different. so it all starts with genetics. here's what we see the female body has two xx chromosomes.

it is very important that the male organism has an x and y chromosome, and certainly it is here that the difference between all female organisms and male organisms in the entire living world lies. if the fetus is male, then the risk of mortality of even an unborn male fetus is 20% higher than female. uh, research has been done. they took an estimated lifespan. e, female and male, studied 229 species of organisms. and what was? generally, determined by very modern statistical methods that females, taken all together. here are all kinds of living organisms lived seventeen percent longer than males. this, that is, this is the pattern of the whole living world. of course, the difference in genetics , of course, led to the fact that sex

hormones differ in women and in men, everyone knows that men are characterized by a high amount of testosterone. this is a male hormone, and for women it is estrogen. these are our female hormones, but dear friends. i can right away to tell you that both in the male and in the female body. there is somehow testosterone as well as estrogen, however, the amount of them, of course, is different according to the measure. so to say aging er, testosterone decreases, as does estrogen. yes, and relationships are violated and this men increases the level of estrogen decreases. in the sense of linking development. metabolic syndrome, that is, well, this is what kind of metal syndrome obesity is. and now i want to add the causes of hormonal

imbalance, which actually underlies development, including metabolic syndrome is stress, not just stress stress, it is small, it happens every day. everyone has a chronic means of experiencing a long-term. this greatly affects the imbalance, further the lack of sleep, that is, the violation of the biorhythm. you know the proverb of a sedan. japan goes to bed early to rise early sickness grief, do not know. well, of course, various wrong diets, when a person prescribes his own grandfather without having, it’s not education, not upbringing. ecology for sure. uh, and that's the various bad habits can not be chicken alcohol. uh, seats. oh, long-term sedentary work, that is, the lack of physical education. that's all, uh, the wrong way of life. i would say unfavorable. here it is, including the cause of hormones. of this imbalance , many researchers believe that women are lucky that we have more of the hormone

estrogen. and this is absolutely correct. because estrogens affect telomerase activity. what is it, and we have telomeres, these are the terminal sections of dna that shorten with age and lead to cell death, but with the right lifestyle, with physical activity with proper nutrition with a normal hormonal background. and our hormones, in particular estrogen, have a positive effect on tolomirate activity, restoring the length of the world and , as a result, improving the quality of health, and therefore life expectancy. this is how we see it on the screen. those are the yellow tips. uh, uh, uh, dna is uh, telomeres, and that's with age. it is telomeres that decrease and, in fact , cell death occurs. but estrogen will increase contributes to

the increase. these ends of dna, including of course, he rolls off and other hormones. this is a huge amount of influence, but nevertheless , estrogens have such a rather strong activity in this regard. unfortunately, we cannot change dna yes, we cannot change nature, but we can change our lifestyle and, first of all, our lifestyle will affect our health and our hormone levels, and we must not forget about regular medical examinations no wonder they say that preventive measures are the key to our health, longevity, after 40 years annually more than once. there at 3:00 5 years to visit a general practitioner every year. health is a common work. this is the work of both the doctor and the patient, it is desirable. so that e patients keep a so-called diary of pressure and pulses every day. it's not that hard

to do. it's just every morning. you reconcile yourself to the pressure and write it down in such a diary, and then you go to the doctor, and you are already together by joint efforts. select the appropriate therapy, if it is necessary. this allows you to highlight the initial a developmental stage that can be interrupted. that's what it's very special for. if you have a grandmother in your family there, mom, dad, someone was sick there, who has high blood pressure. this should be alarming, because in general, of course, there is a genetic predisposition. but, if we are talking about a healthy lifestyle, then we must not forget about the biorhythm. and in particular, sleep, and this is a very important factor in our longevity. all male cats who have less than 5 hours of sleep a day for several. years they are at risk of dying from cardiovascular disease increases five times. and, of course, nutrition, it can be repeatedly said

that a proper balanced diet with a rich in proteins, fats and carbohydrates. this is a guarantee of health, i want to remind you that it was huge studies that were conducted in various countries of the world that showed that limiting the calorie intake by 320% increase due to carbohydrates and fats increases the quality of life several times and reduces the incidence of diabetes by half. follow the recommendations of geranth coffee scientists. stay young and healthy health and longevity to you, and the program is called and we pass on the word to our colleagues. michael the policeman and now it's our turn to answer

the questions of the audience attention to the screen. i am 39 years old. uh, very often i have stomatitis , even until now in soviet times it was treated very, very harshly, they started to dry out with blue. in general, it was painful. now i use it very unpleasantly when drying, and various of them, of course, help. but it's more of a folk remedy. is there any drug effect that would be effective is a really relevant question, because one in five adults experience similar problems with a machine gun. this is unpleasant. this is painful as well. many don't realize. but it can even be dangerous, in general, this disease of dirty hands stomatizes. i had stomatitis as a child. what are unwashed vegetables or fruits, uh, something got into your mouth with an unwashed hand. in real life, stomatitis is true. this is one of the risk factors. yes , but it's not the only one. let's find out in general what is stomatitis, and where does it

inflame in us? let's well, actually from the name it follows that it arises in oral cavity, but here, of course, he can move in where he is comfortable and on the tongue he can be reliable, he can be on the palate. naturally, this is an infectious lesion, and such sores appear cause a lot of unpleasant sensations in a person, irritates nerve receptors , a person cannot help but eat and sleep few who go to the doctor with stomatitis, and everyone immediately climbs into the internet, today we will answer the most popular user requests about stomatitis. here are the first of them the most popular. where get stomatitis? what are the reasons, besides infection, that a person can really bring? stomatitis is one of the signs, and immunodeficiency is also secondary, when, for example, a person lacks some vitamins. it can be certain foods, for example, people

who gnaw on seeds. in these people, stomatitis is much more common, because mechanical damage, and the mucous membrane occurs, a and this helps the infection to get inside hmm yes, and this is poor oral hygiene, a in some cases stomatitis can occur, and due to the fact that the filling is incorrectly made, improperly selected dentures, that is, rubbing and this, respectively, is also mechanical e, provoke the development of stomatitis. here, well, it is natural that various viral bacterial infections can manifest themselves in this way, for example, it happens, uh, herpetic stomatitis, that is, when all these rashes they occur due to the herpes virus. what is dangerous stomatitis and how to treat it? let's discuss this together with our dmi experts. i alexandrovich dmitrovich dentist, surgeon implantologist candidate of medical sciences, hello we are

online. uh, we learn a lot about stomatitis. here is the next request. what is dangerous stomatitis with the spread of stomatitis lesions of the oral cavity, it can also be lymphadenitis fever. general weakness - intoxication at advanced stages, when well, some bacteria get in, there through the injured e, the mucous membrane causes stomatitis in most cases, despite the fact that it is unpleasantly painful, but actually it is nothing ends. that is, in general, it may even go away on its own, but in some cases, as i understand it, when a person’s immunity is compromised, this stomatitis can lead to severe intoxication and the development of such systemic complications. everything is correct, what is a systemic complication, so that we simply understand it, when the lesion extends beyond the oral cavity, the entry of a microorganism of its toxins affects the entire

body. on e. gastro-intestinal tract on the cardiovascular system stomatitis must be treated, and before we move on to recommendations. i want to remind you that if you missed a section, then all issues are our programs. you can always find on the online video platform to watch. wait , let's look at the dot ru how to relieve pain and discomfort from stomatitis and will my grandmother help with funds i strongly recommend to oversalt me ​​to another room? what's happened? what is the problem? bathrobe does not like the history of a big country premiere tomorrow at 23:55 lose weight with taste - it's great. hmm, you're just drinking turboslim dash and rapidly losing weight turboslindr. our slimming tasteful contribution the best interest in sberbank is a reliable investment.

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decides to sink the submarine so as not to surrender to the enemy. this man has shown himself to be a true patriot. fuck the captain. pavel kuzmin was noted by the british king himself, so in their case. during the great patriotic war, we didn’t have a unique address of the crash site at 480. malakhov today at 16:30. already, finally, the wife of the zemsky doctor is on her law 8 years later, the final series is today at 21:20. what means are the most effective for a lot of people, that's how we understood our spectators from the question , they still continue to use some means that their mothers used, and their grandmothers, great-grandmothers and so on. let's check the folk remedy for stomatitis tested by my grandmother and neighbor aunt galya m. seriously, aunt galya is worth believing that we

see, let's figure it out. here i see iodine being cauterized. oh, i actually do. yes , there is such a method, but it is not recommended by doctors, because iodine is a cauterizing substance, and it will cause even more trauma to the mucosa. it will be a chemical burn and the spread of the lesion in the area of ​​​​cauterization, so to speak, she also gave up the question in soviet times, they were treated with blue , the same thing burns the mucosa, so she also said that it’s all painful, all this hell and this does not speed up the process. it's simple

quite, perhaps, it will alleviate a certain state of soreness of the oral cavity and will have an antiseptic effect completely. whether it is possible to cure and instead? more likely? no, it can be alleviated. but then let 's talk about how the treatment should actually take place - a real tasty treatment. in fact, in order for stomatitis, in principle, not to occur , it is very important that there is good immunity, vegetables

, fruits, a good diet is what protects and enhances immunity, the second point is infection and against infection. actually deed. this toothpaste, dental floss, rinse, must maintain good oral hygiene, because those like the organisms that live in our mouth when there is a lesion, when there is some kind of wound. they get together and things get even worse. and there is also this one of my daughters. very fashionable. they love the irrigator during the period of exacerbation. i would not recommend. it can spread the infection and increase the size of the lesion. thanks a lot. thank you. to the next question i have problems with my eyesight. the vision of the new has deteriorated sharply. i i didn’t even pay attention, then i see that i’m close. i don’t see the doctor well, if possible , tell me, please, why did my vision deteriorate so much, it didn’t even worsen, but it just fell by itself right now

we are looking at this question. good morning. today is thursday academic day and we, as usual, listen to the messages of our patients who come to us with a huge number of questions. my name is natalya, i'm from the city of sorochinsk, orenburg region, i have a vision problem. the vision, well, deteriorated sharply. i didn't even pay attention, then i look that i'm close i see badly. i always have farsightedness, closer always. and now i buy glasses. and why do you think it happened i don't know nervous or anything like that? i can’t even understand i didn’t go to the doctor, to be honest , i looked at my husband’s glasses, and they approached me, like even signing the report card. well, i don't know

how to read books at all, now i'm starting on my phone. here, let's say, something to watch, which is interesting, then the eyesight has fallen for a whole month. that is, even less than a month somewhere so approximate. i don’t know why absolutely a doctor, if possible, tell me, please, from what my eyesight has deteriorated so much, it hasn’t even worsened. it just fell off on its own. the reason for the fall in vision is possible. in order to understand what is causing the loss of vision, it is necessary to do a series of studies in order to make an accurate diagnosis. many people complain of double vision or diplopia. why can double vision? let's try to talk about it today with you, there are harmless factors that cause stress diplopia, tired enough that the stress went away, the person

slept and diplopia passed viral diseases. such as flu, sars, even covid can sometimes cause pathology passing through the optic nerve, gadgets. all of us today are gadget dependent. we all use phones tablets computer dry eye syndrome occurs. the wettability of the cornea changes, the optics of the cornea also changes, possibly diplopia, that is, all of these they have transient double vision, but some patients. unfortunately, excluding all these factors, uh, still complain of diplopia. we are here are powerless, and we must call on the help of neurosurgeons who will help to find the cause of heat pia and prescribe a possible surgical or therapeutic treatment. i

want to discuss this issue with my colleagues sergey rustamovich ilyalov, neurosurgeon, radio surgeon, candidate of medical sciences. good morning. today it is very pleasant that you came to a very difficult topic . you have had such cases in your practice when a person complained about his vision, but was sent to an ophthalmologist. they did not find any problems in the organ, doubling of vision continued. yes of course, well, one of the possible reasons, in general there can be many reasons, but one of the possible reasons is unconditional. these brain tumors are located in different departments. one way or another, related to the function of vision with the function of the movement of the eyeballs, so let's imagine everything that is our eye. this is the chamber of our eyes. this vision is normal , apples do not appear red and green separately, but a tumor has formed. eh, the human brain began to see. so, you see, the bullseye have become

blurry images. two eggs, not always it is possible to clearly understand the diesel apple, where the red one is. i understand that the more the tumor grows. the more the symptom of diplopei, the more doubling, well , until the vision completely disappears, maybe this is also the same binocular. here in our binocular vision , the visual analyzer also plays a role, starting through the apple, the optic nerve and the eye motor muscle of the eye motor nerves. here , for example, on plasma, we see a picture of an optic nerve tumor. as i understand it, yes, we are talking about a tumor of the sheaths of the optic nerve the tumor is predominantly located. uh, inside the eye socket. we can see that the eyeball is also bulging. outward something so -called to zafta. this is one of those symptoms that can be seen in the mirror can be seen from the outside. let's try to talk with you about the symptoms that can tell us that a person has

a double tumor in the eyes. this diploma is something that we were not talking about before, but it appeared and it starts to bother. with regularly standing parallel, his visual acuity decreases. in this case should alert, probably, if e visual acuity is more reduced on the one hand. so another 11 narrowing of the field of view, of course, the narrowing of the field of view, but the narrowing of the field of view, it can be different. for example, this picture we see a typical narrowing of the field of view in e, glaucoma with tumors. the brain has specific scotobs. yes, there is absolutely specific. uh, the picture changes the field of view. we can even assume the standard of living, yes localization. yes , excellent eye movement disorder. well , we’ll probably also attribute it to cophthalmic symptoms. yes, yes, when the movement of the eyes is disturbed and it is precisely

the symmetrical movement that can be disturbed - the parallel movement. in fact, it can begin only with recapture. moreover, double vision at a glance, let's say in a certain direction only, but if to this double vision. it is also noticeable from the side, and strabismus, that is, when the eyeballs diverge or converge , their axes diverge, this is already a serious symptom that speaks of trouble. this is an occasion for examination, of course, with a tumor photophobia. these are symptoms or not , not so characteristic symptom for tumors, but this is a characteristic symptom, let's say for vasodilatation, diseases of the brain for hemorrhages, upper eyelid, ptosis of the upper eyelid begins to descend, those from the upper eyelid or drooping of the upper eyelid. here we see the full right eye. here is partial. uh, there is a full fast when the eye is completely closed. this is a specific symptom of damage to the eye of the motor nerve of the third cranial nerve. and this certainly indicates that there is a serious pathology

on the basis, that is, there are indications for a ct scan in order to systematic headaches. this already applies to the general symptoms. they are castrological ones. most of which did not exist before, or they did exist, well , they changed their nature of intensity, and more often they began to assume. yes, it can alert unconditionally and in conjunction with other symptoms. yes, this is also an occasion for examination of lethargy and drowsiness. this may indicate that the process is already sufficiently running. it's good. i finally last this quick physical and mental fatigue on the background of increased fatigue. there may also be increased fatigue of the eye of the motor muscles, we suspect a tumor. how do you find it today, the standard for diagnosing a tumor is magnetic resonance tommography. e, if a tumor is suspected , contrast enhancement should always be used. during this study pathology. we can describe on mri quite accurately. well, of course, yes. well,

now the last question and tell us well, you know how to treat it. yes, of course it is the traditional methods of surgical intervention that we are accustomed to, this technique of non-invasive exposure. for example, the use of stereotoxic irradiation with a gamma knife apparatus, for example, hiberno. thank you very much for coming, dear friends. take care of your eyesight without value, and i give the floor to the cardiologist yuri nikich belenkov. heart health. can lameness be a symptom of atherosclerosis the legendary show goes on are you a seven-time champion? that's because we saw or not only amazing people, the principle is all or nothing tomorrow at 21:30 pentalgin is a remedy for various types of pain pentalgin acts against pain, wherever it is, regardless of

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miss the minutes today at 11:30 on the russia channel to decide. just don't send me away, please. thunderstorm on saturday and sunday at 12:45. and from monday we watch the long-awaited premiere. i am glad you for all this. dream valley, good morning health question more and more. let's listen to another hello, my name is svetlana, i'm 72 years old. i'm from the city of sevastopol worries me. a healthy leg began to burn the fingers from the tips of the fingers and no one can determine what it is or an infringement,

a nerve or it is not clear what i felt when i was lying. i also feel it all, it flows. as you know, i'm lying on some kind of warm tile. well, what to do 6 years went. well, after the operation, when i was given the ninety-sixth, i broke fracture. there is, uh, a korean korean train that helps with varicose veins, like, like, i applied it. here it is constantly on my lower back, and it warms my lower back, and it turns out easier for me , blood flow improves, apparently, and it becomes easier for me. my blood pressure jumps in the morning i drink chicory. he helps me so much. the pressure is generally 120 to 80 and 70. this is generally how i can determine what it is with my leg, why it bakes, you know. i really love

these patients. eh, this is a man with a huge i can say with enthusiasm that there are two problems. first, of course. this is a problem with the spine with its lumbar region, pronounced osteochondrosis, most likely with herniated discs, which cause this pain. in one leg. the next problem with swelling of the legs , of course, is vascular changes, but the patient is a woman and as a rule, all the same, this vascular problem is associated with veins, but there are also arteries in the lower limbs. and this is usually the fate of men, the defeat of the arteries of the lower extremities. here i am with one of these now and would like to introduce you. this is a whole family. let's see their story evgeny artyomovich. i have a whole bunch of sores. my

blood pressure often jumps up to 170 to 180, i have to drink high sugar pills. my cholesterol is also abnormal. i am also more tormented in the left. my hip hurts so much that i walk and limp. our store is located somewhere within 500-600 m. until i reach it a couple of times i will sit down, i will sit on the bench stepanovna, i am the wife of this comrade. i try to help him and i'm very worried about his illness. uh, i give him injections and drink pills together. it doesn't really go through anything and will reconcile. but less already, but in any case , it's time for him to completely quit smoking, but i 'm actually worried because my husband has a lot of sores, but we don't lose heart. we hold on and look, as they say with the family ahead. let's have a good morning.

good morning. so we said diabetes. yes, an experienced smoker, but i quit smoking, i try, or rather, it means. let's talk. by the way, i will explain why you need to quit and for you, it will be like a medical procedure where it hurts to show the leg leg. here is the left thigh, this part , here you are, it hurts, you can say, no, if the pain appears when you move while walking, here we have drawn your route, so here, as far as i remember, you stand 570 meters. come here. show me where stop here, well, the underpass is not drawn. he hasn't gotten there yet. i didn't make it to kindergarten. so i'm already there . thank you for five minutes. that is,

no more than 200. understood so yes, sat for five minutes. yes, good to church. there is also a bench. it's clear? so i go on, yes, the transition is a transition we have underground. well, it's good that we have an elevator. so, on the elevator. i go down, taking the elevator up, too, and there already. well meters, probably, 150 shop. so, in short, somewhere your uh, your your your shoulder, so to speak, the movement of about 200 meters. yes, something like this is coronary disease, there is not only the heart in this chemical disease of the wax, this chemical disease of the intestines and there is coronary disease of the lower extremities. give us a picture for plasma. you see, vessels everywhere are the two main reasons for what happened to you. these are diabetes and smoking. unfortunately , both diabetes mellitus and, to a greater extent, smoking leads to the fact that blood vessels are affected, and so let's go

further, let's see what we will do if you come to me. about 20 years ago. you would be here, he would have reached the store in one go, but the struggle would appear. i would say, well, let's drink the medicine that protects the vessel, give it a massage, after all , you know, i must say, practice a little and small vessels, not only large, but also small vessels, but, unfortunately, you have come here here, so here it’s only drugs , i can say that this is also an anesthetic. excuse me, after all, drugs that have great side effects, and inject all the time. they can't either. you are already off the drug. so there is an intermediate possibility here. show us, please, this is the so-called counterpulsation. that is, it is a training of blood vessels, or rather, it is a method that allows you to open small vessels. he

can no longer affect the large vessels, not affected. well, at least small ones can be opened further. only surgery, and while i'm still thinking, i'm hoping it could be a bypass. that is, well, the creation of an artificial vessel in fact. well, what does carnary shunting do, let's say, yes, this is the heart, of course, the same thing, but there is one nuance. no one will take counterpulsation or shunting of a smoking person, because there is no sense, therefore, therefore, the first main recommendation is to quit smoke. and more this is already a common task for you . in a few days, when he quits smoking, of course, he will start to get nervous. it must be experienced. second in a week he will have

a sense of smell, moreover, he will start to gain weight, so here is the diet. in a month or two, everything will calm down at most, and then you go for such a counterpulsation with a clear conscience, or then you are advised to surgeons. here is a conversation about smoking ischemic disease of the muscles of the lower extremities and how important it is to quit smoking for those who smoke. thank you all for attention, my colleagues continue to answer your questions. a resident of moscow i am 70 years old, does it happen that it gets pinched? uh, sciatic nerve or

something i'll work in the beds or after a b12 injection. usually i pierce, but not in the clinic. if, so to speak, at home , it happens sometimes. uh, apparently, or pinched or he gets there somehow, so the buttocks go numb and up to uh, under the knees. it 's kind of a pain. well, i feel that this nerve is coming. eh, everything. well, well, somewhere , i’ll either do some exercise or turn it on, and this manual massager electric massager pro massages everything in itself and well. ointments what doctor? please, tell me how to do it right or some gymnastics. uh , gymnastic exercises or

some means to alleviate this problem for me. as for the exercises, they certainly are, and we can do one of these exercises right now. that is, we will train. uh, the sciatic nerve, or what are we going to shoot, the tone of the muscles that can be squeezed from the sciatic nerve is such a muscle, we have a piriformis. well listen, who ready to products from the studio to help your piriformis, please come out, come out, sitting fine, and the meaning of the exercise. we lean back in our chair. at first , you can even move out a little. so, and put the leg and place the lower leg on the thigh. ah, and first of all, we move back a little, that is, so that the pelvis is

pressed against the back of the chair. while inhaling, we press down with the right foot with our feet, we press on the left leg, and when we press, we do it while inhaling for five counts. one, two, three, four, five , then we exhale and relax the leg. once two, three, four, five relaxed. after that, we lean forward a little. again we press one two, three, four five. but let's relax, two three four five and after that we lean a little. well, doctor, i'm not such a plastic infrastructure. how are you this, by the way, is not difficult to fix. if you do the disk one time in a row, you can lean as low as you ever imagined. well, in fact , it feels great that the muscles relax right away, even lightness is present.

well, thank you for spending this morning. together with us. we wish you a good day and good health, see you on the tv channel, russia hello, this tractor brought 36 kg american explosives and 60 detonators to the saboteurs. the fsb of russia prevented an attempt to blow it up.