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tv   O samom glavnom  RUSSIA1  July 19, 2023 9:55am-11:01am MSK

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do not get up. two with this exercise, large muscle groups are reduced. they push out venous blood, and it rushes to the heart; the heart begins to work more actively; the pulse speeds up blood flow; more blood flows to the brain. we become more active, and now michael is on one leg. works, right? what are you, a doctor? come on, come on, i'm like a grandfather who can't become a couch. you know, ai pulled out one leg op. they changed the doctor, in my opinion, they wound up. let's start the program as soon as possible. he himself come on. already
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ripened crispy bell peppers, pot -bellied purple eggplants from juicy and red tomatoes, any summer resident with experience loves this appetizer. amateur vegetable caviar, and if it is made at home for a tourist product, yes, this is a thing. why is it useful? which one is better to cook at home ? yes, of course vegetables. it's much better to cook at home,
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firstly, you know what you took, and secondly, you definitely won't take any thickeners, no starch, no flavor enhancers and just take the vegetables and stew them well. well, there are already different recipes, put them in jars, preserve them, and then you will be there all winter. eh, to rejoice at this , three summer residents came to us, who brought us their recipes. good morning. good morning , my name is margarita, from which your eggplant game is only eggplant. no, it is with the addition of carrots, onions. hot pepper secret caviar is that i'm all uh, the ingredients clean the skins, especially the eggplant should be, look there for the most useful substances in the skins, but there are very a lot of good, so-called coarse
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fiber. the back of bitterness can be treated with boiling water during the cooking process, treating with boiling water, then i take it off, and then i will cut it back out. even the very structure of the luch i always like. she can somehow and longer here goes with us. well, it's not necessary. yes, that's the secret. yes, a water bath is a good way to keep everything tender and really. this is how the krug , which you can’t cook with a skin in a water bath. and here i agree, that is, there are good recipes, although again for my taste. it is better not to remove the skin and put out all this sasha thank you very much. good morning. good morning. my name is olga at the weekend. we are going to the cottage. and the fact that i grow zucchini, eggplant, tomato, and carrots and my
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son-in-law at the beginning, he means everything to go. it fries on the grill, and then i grind everything with a blender and prepare a very tasty one for your son-in-law on the day off. we are very fond of igoryat, which is grilled all the ingredients of damysevich nutritionists. i, among other things, are somehow against the fact that the food was more fried, but there is a plus he fry without oil. here it turns out to use aerogrills. well, you can do it on an air fryer. yes, that is, there is no such thing, call, ok, olya and margarita brought large jars. are you a little he that, it's a pity saves? hello my name is natalie i don’t feel sorry, they just ate mine, unfortunately, they didn’t know that i would go to this program, in general, i just got tired of her about the highlight of this caviar. but
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this taste of this smell is that the onion and carrot must be blanched slightly and no vinegar. good the recipe is very delicious. here you can, by the way, so i looked at each recipe with something good, in this case, let's say too. well, what about the onion, let's say it really asks to cook directly to fry it. i know how to cook later, our vegetable caviar. this is an actual miracle potion. so we put vegetables due to the content of vitamin c improves the condition. eggplants have a positive effect on the state of the liver due to their alkaloids, tomatoes with their lycopene. it's a wonderful thing for prevention of oncological diseases and the output of better caviar. it turns out that
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individually, each of these products has useful properties, and we sort of sum them up, and now we are filled with a portion of such vegetable caviar per day. here are absolutely all possible antioxidants, flavonoids, anthocyanins and so on. well, as i said, you can actually avoid thermal processing of a significant part of the products with your exclusive recipe from dr. gavkin. yeah well, i usually do, as i usually do all this too lightly bake. e over the coals, well, just to make the cooking taste good. e such caviar. this amazingly simple process is all it takes. we took it and threw it on the grate and over the coals we placed it all, and until the eggplants are soft , about half of the tomatoes. we throw the blender eggplant into the blender is not necessary to throw. why if eggplant is simple? cut into
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large pieces, chop some of the tomatoes in the same way, chop some of the pepper, it turns out that this is a dish that can be eaten with a fork? fine? now you can chew it savor, so we put part of the tomatoes , you can put part of the pepper. that's where we added the onion. we also add raw garlic there, of course, not as a secret ingredient. we will have olive oil or sunflower high, linoleic. so then we take half a lemon and squeeze out the juice . mikhail lemon, yes, yes, here it is dasha softening lemon vinegar. this softens the product and therefore, as it were, reduces the heat treatment, the need for a thermal base is also without vinegar, my secret ingredient. adjika abkhaz adjika the teaching is interesting, well, a small amount of salt and then michael grind all this cheerfully. it should turn out such a puree , then we take the eggplant and cut it beautifully
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into pieces. we cut the pepper finely enough, all this, here we pour a plate, pour our puree with this and actually mix it in this form. these are ready-made dishes, that is, you can already eat it. if we want to preserve it, we put it in jars in this form, add a tablespoon of oil on top so that the film spreads and is not tightly closed put the jars in the oven, set 100 °, uh, somewhere around 40-50 minutes. they are sterilized in the oven. after that, we took them out , wrapped the lid to the end and left all the products standing all winter fresh, tasty, fragrant. and here it is after a year of storage. and misha goes to treat the viewer, which the doctor did not
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think. one day, of course, i thought, he will come from home a game that you all are now . hand out, please, how much caviar can you eat per day? so eat, eat, and the day will pass. well, how say necessary and sufficient portion. this is one serving per day or five servings per week , that is, it is called regular, and portions of how many grams are 200, by the way, they write a lot that such a soil can be used as a side dish yes, a very good idea. and by the way, you can make combined side dishes, that is , a handful of buckwheat, a handful, such caviar and some very healthy fish. yes, and that's what happened. we already have a very healthy dish with two side dishes or such and such a vegetable. grain lets like to eat less and have more
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fun. for those who watch themselves watch the veil. this can be very relevant, right here you promise that next time you will bring your recipe for vegetable caviar, be sure to thank you, hahash, if you have harvested in the country, it's time to make vegetable caviar out of it so that it is enough for the whole winter, and we continue talking about the very main. next in the program are the secrets of longevity 100 years is not the limit. can aging be stopped ? maybe it was that you were cold
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today 15:00 on the russia channel a person with prolonged anxiety often hears advice. calm down. or, for example, don't be nervous. thanks for the advice. need to sleep it's easy to say, but in fact, anxiety can be treated. by the end of the first week, afobazol helps to cope with anxiety, anxiety and associated insomnia. afobazole anxiety can and should be treated. find out all the alarms on the all-russian portal of the territory point rf savings card will make the purchase of products significantly more profitable. get a debit savings card and get as much as 10% cashback. pay for purchases and win free products for the whole year savings card. benefit every day luxury at a bargain price and
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we see the future, learn to create it and share knowledge. we are different, so it's good that there is someone who
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understands everyone's escape for each his own for 160 million. imagine if people did everything for only 40% in russia, only 40% of people sort waste. can you fix it? sort waste for all 100 in the ussr, at the general staff of the armed forces , a secret military unit was created, in which a special program was developed that allows you to reveal the superpowers of a person, then according to the principle 12 apostles were selected, 12 cadets of the air force academy for training in our studio, a graduate of the academy, vitaly khvod, will tell you what abilities he acquired on the channel. russia ends up in prison. this program is about the most important thing about
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health. right now , geranthologists vladimir khavinson and svetlana trofimova will show you another cure for old age. maybe it's also vegetable caviar. why are we getting old? how to live without diseases in a sound mind and long memory will answer, world-renowned gerontologists. vladimir khatskevichon academician of the russian academy of sciences professor director of the st. petersburg institute of bioregulation and gerontology svetlana vladislavovna trofimov doctor of medical sciences professor president of the russian society of anti-aging medicine good morning.
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hello, every day the best minds in the world are working to create a cure for old age. what at the moment there are technologies for slowing down the aging process, and therefore increasing life expectancy. let's today we will talk about it. our planet. rapidly aging, if in the fifties of the last century a person lived on average 47 years, then in 2050 it is expected that the average inhabitant of the earth will live 30 years longer intensive development of medicine. the quality of health care itself has already led to the fact that the age of 100 years is not the limit for a person. according to un forecasts, in the middle of the century the number of centennial people on earth will reach almost 3.2 million . however. the population brings with it many
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new challenges, and it is time to deal with these challenges in earnest. since the time of the soviet union, we have carried out very large- scale studies on the effect on mortality, drugs have been studied. these are peptide drugs that regulate the immune system and the endocrine system. these drugs. they were introduced to people for 15 years twice a year and now after 15 years. it turned out that those people who received drugs. they have restored the function of the immune system , the function of the brain, partially the function of the endocrine systems. and most importantly, the survival rate of people in this group has increased significantly. however, what is even more important is that as he ages, the percentage of people with non-regenerative diseases will increase. this is also a disease. alzheimer's is fucking parkinson's disease, huntington's and others. that earlier, no matter how people
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lived to this age, and the older, the greater the percentage of these diseases, of course, in addition to early diagnosis. it is also necessary to deal with the prevention of any age- associated diseases. well, for this there is a direction called geriatrics to tell you in more detail about what the goratorians do in geriatric centers. today we invited experts to us nadezhda konstantinovna runikhina, deputy director of camp three of the russian gerontological research and clinical center, could not name pirogov, chief freelance specialist , hydrator of the department of health of the city of moscow good morning nadezhda konstantinovna is geriatrics able to prevent the occurrence of age associated diseases. well, anyway, the main task.
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it is still the prevention of geriatrics , of course, has the necessary knowledge and develops methods for early diagnosis of geriatric syndromes. and, of course, a warning. e them about development. at what age can one come to an appointment with a geriator doctor, how to get to a weight doctor , patients are sent for a consultative appointment with geriator doctors, and doctors of any specialty, but mostly all the same , these general practitioners can be neurologists endocrinologists. e geriatrics. we are engaged people over the age of 60 mainly in our population are people over 70-75 years old. this is, uh, already this age. uh, when u anyone? it seems to me that an elderly person needs, uh, to get a consultation with a giryatra doctor, because within the framework of this consultation, a comprehensive doctor will assess the state of health and give a very gentle individual recommendation. aimed
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at preserving the health of maintaining the improvement of indicators primarily of such physical functioning. and, of course, taking into account the high risk of developing neurogenerative diseases of cognitive disorders before their diagnosis and prevention - this is also very important in old age. i want to remind you that older people are aged 60-74 75 and 89. these are people of senile age 90-99 - this is a long-liver. how many geriatric centers today, and in the russian federation, you know , the national demography project is being implemented separately. uh, an important graph is the development of geriatric care, so there is a strengthening of the expansion of gireatric care in general for everyone. here infrastructures open geriatric offices and open geriatric centers, by the year 24 in all regions of the russian federation we should open
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geriatric centers, that is, these are large medical organizations, as a rule, multidisciplinary e where it is possible to provide medical care in surgery and endocrinology neurology cardiology. we visited one of the geriatric centers. let's watch a short story, and then you will comment on us. we are in the russian gerontological research and clinical center, where older patients undergo rehabilitation with the help of special programs. it allows you to restore motor activity after undergoing surgery or serious illness based on the development and technology of computer games, special tasks on the screen monitors and virtual reality glasses imitate the usual actions that the patient cannot perform on his own in ordinary life. this helps the brain create new neural connections and retrain the muscles to work the way they
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did. before the illness, at first it was a little difficult, because everything is new, and then i it seems, as i have already adapted in this world and became normal and easy for me, everything is very interesting, and i think that this will bring some benefit for me for my health, well , really, rehabilitation is the restoration of lost or weakened actions of the connection function and as a result regular. these classes give really very good results, in general this is called the restoration of neuroplasticity. the fact is that after a stroke or injury in a person. in general , it simply forgets how he did it. and so it is this technique that allows you to restore with the help of visual perception. that's it . these are the movements a person remembers, how he did it. this is how children, for example, look. uh, cartoons try to replicate those movements. so that's it, this principle was the basis of this technique, and it turned out to be extremely effective, that is, the recovery period is reduced. i am
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neuroplasticity and human motor functions after a stroke. this is what new technologies in geriatrics are, my patients often ask. is it possible to get high-tech care in geriatric rooms, in the polyclinic to which they are attached, or only in geriatric centers specialized within geriatric centers - yes. this is available within the office - this is the first level of medical care, and elderly patients are treated by doctors who undergo a comprehensive geriatric assessment , the social conditions in which an elderly person lives are necessarily assessed, because with the development of some functional weaknesses and the need for assistance . uh, an elderly person. we certainly need to understand and know, does this help. er, an elderly person, and if not, then we work closely with our colleagues from
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the social security institution, so information is immediately transmitted and additional assistance is provided. thank you very much, reliable konstantinovich, to come to us for the program, follow the recommendations of scientists gerontologists and giryators and stay young and healthy . i wish you health and longevity, and the special program continues. studio good morning my husband and i married 25 years some time ago he started having problems in bed. i'm on the internet. i read that the reason may be high cholesterol, including if we lower cholesterol everything will get better, or these are unrelated things, let's start with the fact that now about 560% of all violations of the reptilian function are a violation associated with the system blood circulation and they are associated, among other things, with elevated
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cholesterol levels. although not, only with it, not controlled blood pressure, high cholesterol, high glucose. here are the three main types that are affected by the vascular wall, so besides the fact that you know the level of cholesterol is not bad. you know your blood pressure and fasting glucose levels if you a through certain activities, this may be or drugs prescribed by your doctor and exercise and diet changes. lower your cholesterol lower your blood pressure with low glucose levels - this will really have a positive effect. that is, there is no doubt that there is a huge amount of research that show that these violations are reversible, especially at such an early stage, when the problems have just begun. good morning doctor. recently i was at my local doctor, i was sent for a cholesterol test. the doctor prescribed me a pool three times a week
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, that's the question. will the pool help with cholesterol, and does cholesterol affect my weight? well, it's more of a reciprocal dependence of your weight on your cholesterol levels. and if you start to reduce the answer, then the cholesterol level will also begin to decrease further, when we talk about physical activity in first turn. we are talking about changing the ratio of so-called good and bad cholesterol. physical activity allows you to increase the amount of good to reduce the amount of bad, but often on the level of total cholesterol. they don't have much of an impact. here it is necessary to change the diet load varied in addition to the pool, low intense exercise, and the amount that is usually measured. well, somewhere it is considered that it is effective from 150 minutes a week. that is, if you take the recommendation to you three times a week. well, at least 50 minutes is the minimum time needed for positive changes, but i
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would recommend doing some other physical activity a couple of times a week that you may like. it could be stretching exercises. as recent research shows. these can be exercises of a strength nature, for example, with some weights, do not stop at three e pools a week. thank you doctor for more lunches for health questions from all over our programs. you can find on the online looks website we look.ru, and we continue the conversation, but the most important thing. further, the program has fog in the eyes than the blurring of images is dangerous. where does it come from, but from your phone shurik happiness is just around the corner premiere today at 21:20 this is not forgotten
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not in space view you need to cherish. in order for patients to receive the maximum care that we can give, how we could operate today 20 years ago. we even this was not dreamed of. we are an octogenarian . we can return the age of schoolchildren to the lens in the center, everything is fine. for me, this is my job. my hobby. and i can say that in my life, which i have been living for the last 30 years, i am dmitry dementiev, an ophthalmologist. many patients who come to me with the main
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complaint of fog in the eyes begin to see it is blurry, how to deal with it. why does the fog appear in the eyes. let's try today, uh, discuss with my guests anastasia to look good, you don't have to kill yourself in gym and go on strict diets. it's just that every day you have to do exercises and enjoy cycling in the park , such a way of life is preferred by the brave actress anastasia makeeva somehow in front of an astonished audience. she dived in -20° frost into the water at the north pole. good morning. how beautiful you are today, do you have, in principle, good eyesight, or did you have vision problems ?
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fatigue. i don't know when it was the ophthalmologist's last time. when they did the operation, i no longer went after the laser correction surgery once a year, you need to go to be checked, come with you, then our eye, well, first let's tell you why the image fog appears. after passing through all the lenses and the transparent structure hits the retina, it is photographed and sent to the brain, the brain analyzes and tells us what we see, if fog appears, this indicates that something went wrong, the image transmission process is broken or the cornea is clouded or clouded the lens or some other changes have occurred and we will do a small test. i give you notebooks and everyone's notebooks, everyone has them, please. everything is at a distance of 25 cm , approximately yes, at such a distance at which we read, read the text after you have read it, look at an object that is far away, well, conditionally here on this
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screen. uh-huh, you think it's good, i want to push back, i want to bring closer, we bring me closer. in fact, the feeling that it floats more and more becomes worse. yes, further comfortably well, fog. no. raise your hands who the same situation occurs as with nastya for many. yes, what is it, and the violation of the acamada of our lens is the autofocus of the camera in order to look into the distance close at an average distance the lens changes its curvature all the time. if this does not happen the function of the lens - this is the reason for the hands, and the loss of communication appears fog, this is not scary. uh, you can pick up glasses or for a distance or for reading the fog is coming, well, this is one of the reasons, glasses again. yes, that's why i don't go to others people are different. uh, the reasons for shooting the first dating, inflammatory diseases of the eye
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surface. it is protection against penetration into the eye, and infection, but suddenly the barrier is broken, the pathogen gets conjunctivitis, er, keratitis, er, blepharitis, any inflammatory diseases affect blurred vision. the following diabetic retinopathy is a condition of the retina, in diabetic patients, the main complaint. fog, in the eyes to remove medication. some drugs cause temporary blurring of vision, such as we ophthalmologists in some situations, we prescribe eye drops that dilate the pupil in addition to the effect of pupil dilation, which we need to treat, no matter what disease you have, and vision worsens, fog in the eyes occurs. so let's go further hypertension or high blood pressure in a hypertensive crisis with a sharp
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rise. this is real vision pressure , the volume of blood that enters the retinal cells is reduced , the circulation has decreased and, uh, fog, immediately the perception of the image on our mockup. we with you showed the retina does not work. how it should be. and finally, such a disease as glaucoma with glaucoma, fog in the eyes is one of the symptoms, and in an acute attack of glaucoma, when intraocular pressure rises sharply, a sharp fog in the eyes is very important. uh, a symptom that allows us to immediately actively begin to treat. this disease, to avoid loss of vision. that is, if there is blurring in the eyes, this does not mean that oh , i'm tired of sleeping, everything will pass, it's better to contact a specialist and still diagnose. what the reason and perhaps, well, do not take it to extremes and treat perfectly summary summary excellent but i can also appear foggy from fatigue, i slept in my eyes, the
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next day. everything has passed, there is no need to go to the second one, but if day by day you take out for several days what does not pass. uh, fog and not enough sleep, it makes sense to go to the ophthalmologist to do a chicap and his ophthalmology. it is very important to make a diagnosis in time in order to preserve vision for a long time. thanks a lot. thank you. in general, what is a mole that occurs on our body and why is it called that? in fact, it is called differently, it is called a nevus in latin and means a modified area of ​​​​skin, which may be associated with changes in skin pigmentation, that is, when cells that produce
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melanin pigment accumulate there and these cells accumulate too many melocytes. here, they accumulate there, but they emit too much of this pigment. because of what the color of this area differs from the surrounding tissues can be flat can be voluminous can be dark brown may be red. even sometimes they can be bluish, but in those cases, if there is a reason for the occurrence, this is a vascular normal, that is, the location of blood vessels in summer. why do moles appear due to the sun? yes, primarily due to the fact that the two actions of ultraviolet. this is the same group of melatocyte cells. it synthesizes a lot of pigment and , accordingly, even inconspicuous small moles. in this case , the dacha resident marina, who noticed a lot of moles, becomes more noticeable for help. kind morning. do you want to join us? morning, good morning. i noticed that i have even more moles began
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to appear. that is, i have them everywhere on my hands on my feet on my face. here, i have a mole growing. you associate it with the summer season. well, i've been trying not to sunbathe for the last 10 years, but the rosing is getting bigger. that is, i have pink moles, and large brown ones, which increase in size, these moles need to be examined. as i understand it, well, you can see a large mole on my back. let's do it together with our expert, lyudmila mikhailovna smirnova, dermatovenereologist, candidate of medical sciences, department of skin and venereal diseases, sechin university, laureate of the prize of the government of russia please. well i think you've seen millions. eh, there are many different moles, but here. uh, such an activity in the summer, it is only because of the ultraviolet, not only from
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the ultraviolet. there are many factors genetic predisposition, maybe ultraviolet can be to different hormonal changes viruses. here they play an important role in ours, stress, from which we do not know where to go, also affects the emergence of the motherland of reality. this is not a purely cosmetic problem, as many people think, well, a mole, but it has slightly increased there, in general , this problem is not worth paying attention to, because we know that there are neos who can be reborn and one of the diseases that is associated with this is melonoma. let's explain. why is this happening michael us leads, uh, the sun, shine strongly on your homeland, yes, yes, closer and what's going on? a change in the appearance of the size of the pigmentation of this mole begins, and it can be enumerated. maybe it could be melanoma. it could be squamous cell carcinoma
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no matter. which one is already being watched? oncologists are specialists. well, the fact that when it starts to increase after the sun, it can really be melanoma, one of the most malignant tumors, which, in general, can be treated in the early stages. we have learned this 95% recovery somewhere, if on time, we begin treatment. let's examine marina marinochka. show mikhailovna who well, i must say that marina has white skin, and she initially had a lot of motherland when she was born now there are birthmarks on her back in order to determine whether they are benign or malignant one size of the methods is dermatoscopy, that is, in all offices of dermatologists. there are special devices they are called dermato. opa dermatoscope is applied to the mole, and you can already see what kind of benign mole it is malignant, because outwardly they may be ugly, but in fact
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there is nothing terrible there, marina they are good. i suggest that our viewers now use mirrors to look at their moles, count their number and pay attention to the light, size, shape, and so on. in the meantime, we’ll talk about which moles you need to pay close attention to. what moles should be alerted by asymmetry, in principle, a mole is normal, if you draw a line along it, then its halves should be symmetrical there is some kind of change. here the bad in one place begins to grow. yes, this is not very good, the second is an uneven edge. moles are always normal with smooth edges. it doesn’t matter what shape this edge will be, but it should be an even color change, when the mole was of the same color, then we see that it either changed color, or it has separate blotches of a different color. this, too, should be alarming. and it doesn't matter. whether darkened or
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brightened is also not very good. well, the size of course, if the mole is more than 6 mm in diameter, then, of course, you must definitely go to a specialist so that they can look at this robindinka, who found those unsafe moles, about which we are talking today, you come to us, what is your name? valentina valentina please show the doctor that a new homeland has appeared this year. valentine lit up strongly. uh-huh, i use creams. you know, it's not a mole, it's a keratoma. and this is what a skin change is, so there is nothing wrong with it. how many moles there is no such concept in general, there is no such concept between, in children older than 10 years and further in age, from 10 to 40 moles can be counted, and with age these moles may
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appear, the most important thing is not to be scared. behind them. you just have to look. and, of course , the sun is not important to be a careful sun. this is an open sun. or is it a tanning bed should be a measure, and if it is believed that if a person burns out in the sun, especially this white-skinned people increases the possibility of developing melanoma. well, like marina yes, she is white-skinned only in the motherland well, that is, in situations. it's ok. no, i'm glad. thank you very much, t-shirt, have a seat. just a couple of minutes of your time. conduct an inspection, uh, and revision of your relatives and homeland to your family members conversations. about the most continues to follow the hands diagnostics of heart health by the hands.
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equipment and free disposal of the old washing machine walking up the stairs in yellow packaging, it helps to maintain the function of the muscles of the lower limbs in yellow packaging. we have been following you for a long time, how much evil you have done, huh? and what do you want to hear that i only needed money from you after 2 10 years old is so dear to you this program about the most important thing about health right now , academician cardiologist yuri nikich belenkov will predict the fate of your heart on the fingers and palms. belenkov yury nikitich vice-president
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of the russian society of cardiology academician of the russian academy of sciences director of the hospital therapy clinic no. 1 of the medical faculty of the first moscow state medical university named after sechenov 50 years in the profession. good morning. good morning ancient chinese ancient sumerians well this is approximately 4.000 years bc did not have computed tomography x-ray ultrasound, and therefore all diagnoses were made in parts of the human body, which can be seen, for example, the hand of the eye. and here, do we need to know these things now. i will tell you now the palm, the inner part of the hand is dissected by many lines the palmist, according to their length and location, will tell both your fate and your character, but you can not only
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guess one of the methods of ancient eastern diagnostics by the hand - this is the definition of health by hand, for example, in arabic countries in each eastern region had its own doctor, he did not it was allowed to see the wives of the sultan and therefore he made his diagnosis by hand. mistresses , hands outstretched into the narrow slit of the window, the most honest. women, they will tell what her tongue will never give out, the french joke like that, hinting at a carefully concealed age. in fact, the hands are much more eloquent in their condition. and even the shape and color of the nails can be used to diagnose heart disease. and for this you don’t have to be a palmist at all, palmists, in general , predicted fate, it ’s counted by the palm of your hand. how many lines and so many marriages? yes here, i have exactly two marriages for sure. so, i can reassure my wife or there will be no third marriage, but these are all jokes.
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in fact, all this is very, very serious, because there are a number of diseases that we can suspect from the hand, the most common for endocarditis, recarditis and pulmonary cases. these are the so-called fingers drumsticks, when the fingertips become like that. like drumsticks, when there is a thickening from the drumstick at the end and we say nails in the form of watch glasses, and that's when this one comes to me the patient puts his hands, i already know what to talk about, that either this is a pulmonary smoker , like some comrades, but now you will pass the symptom completely differently with us, yes, either this is a pulmonary pathology, or these are already some kind of inflammatory cases endocarditis and so on, the next posculitis is deformed phalanges, fingers. please show me, well, here the truth is also not only
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screaming, there is also a rheumatoid. yes, and not only thickening of the phalanges, but also a period of exacerbation of redness, so ekaterina shcherbakova 52 of the year. the next atherosclerosis, well, i know that here although there are comrades who have atherosclerosis, but, nevertheless, glory. god , none of you has such a severity of atherosclerosis, because this is such a large deposition of cholesterol, which begins to cause these lipomas or atheroma even on the hands. that is, if they come to me, yes , even a fairly young person who has such things. yes, i can not measure cholesterol. it is not so clear that there will be familial hypercholesterol has a so-called similar drug condition already cannot be cured. it is only blood purification. the so-called plasma-offssorbers and plasma cutters, when a special device removes cholesterol from the blood. this is a serious
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deficiency. this is the so-called acrocyanosis, when, during a severe attack, starting with her lips and blue hands and sitting fingers, it was a matter of fact, yes, my heart. sufficiency, yes, that is, this is an indicator that alexander has in a certain period, thank god, this is not constant, when there is an aggravation, sitting insufficiencies. the heart beats so badly that it doesn't provides oxygen. well, what is far on the periphery and the heart pulse is still weak alexander spears, 59 years old. firstly, the blood is less saturated with oxygen in general, and it gets worse from to such places as the lips , the tip of the nose, uh, fingers, and we say that it is acrocyanosis that brings such a patient. oh cyanos. obviously ultrasound. you can not do exacerbation of chronic heart
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failure further. let's go two ladies are sitting, the first lady is a syndrome. raynaud yes. you see what a thing everything is pink, and little white fingers when you wash dishes with cold water, fingers turn white, tickets hurt. thank god, i only have tips. well, the last time i had it seems to me that the water was not so cold anymore, and the glasses are all the time elena petrokhina, 61 years old, noses, ears are cold, but they didn’t beat them, only if i had already frostbite. but some limbs are whiter, that is, this is a peculiar condition, why do i call this a syndrome? that is, this is not bali. although, in principle, to get sick or. but this is a little different, well, such an increased tendency to spasm of blood vessels, and terminal thin ones. little ones are unpleasant. very bad prognostic. well, it seems that raynaud's syndrome is more often associated with coronary
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heart disease, and such as we say microvascularity-tonacardia, that is , damage to large vessels to me, and small vessels, but again, to be honest, a direct connection. we can not see. we can only sympathize and advise you not to use cold water and wear warm gloves, the second one, but nonetheless. yes, somehow such a patient comes to me, as they say, tortured me, so i everything freezes us, our hands freeze. this is so and so on, and sometimes the heart hurts and then it starts to think. aha isn't there a microvolcularity on the cardia. and this is a completely different conversation, a completely different dia. because coronarography in such a situation will not show anything. this may be coronary heart disease, but with normal coronary angiography, and then we are talking about small vessels, its own approach to therapy. and so you see, everything starts with the fingers, but nevertheless we say that this is your way
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of diagnosing your way of treatment. well, it remains sveta yes, marfan's syndrome. this is the so-called arachnodaptyly. show your fingers, you know, that is, in this case, a graceful female hand with long fingers. this is not only beautiful, but it is also an indicator that a person has some features. think of some basketball players and basketball players. tall 2 m 30 cm. they have rough hands so a fairly pronounced facial feature. this is so agromegaly, which most often occurs as a result of a tumor of the pituitary gland, when the growth hormone is released very strongly, and they begin to grow very quickly and grow all the time. and at marfan syndrome - these are graceful people who have such fingers in different arachnodactyls - this is what they are , so-called spider fingers. so when such a patient comes to me, slender, graceful, beautiful, yes, with such fingers, yes, aga morphan, and this
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is also my way, because the first thing the light advised or recommended to do is an ultrasound of the heart, suchkova is 42 years old. i would advise doing a ct scan of the chest. why because there are some peculiarities in morphan syndrome development of the aorta is the main vessel of our body. there may be an extension, that is , it is not necessary, it is not 100%, but we must exclude this condition. and for the rest, just admire the elegance of this lady of this girl, because the congenital marfan syndrome appears right away. sorry, and here nothing unusual. no. these are the talks about hands, despite the fact that four plus two six thousand years have passed since the time of chinese medicine, sumerian medicine, nevertheless , until now. we take good care of our hands. and it helps with the diagnosis there were questions. come visit for a consultation,
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goodbye. thank you for spending this morning with us. i wish you a good day and good health, see you on tv channel, russia

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