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a question. raise a hand. whoever thinks that physical activity three people four is contraindicated for people who have diabetes is contraindicated, fortunately, the majority does not think so. unfortunately, many of the diabetics think so and say no. no, you can't. in fact, physical activity is not only necessary. they are useful for people who have diabetes, because it is physical activity that improves the sensitivity of muscle tissue to insulin. a this is very important because it allows. and even for people who have type 1 diabetes, reduce the amount of insulin they inject. according to research. but i think that it all comes from the fact that diabetics are afraid, for example, to run fast or participate in some football matches or basketball games in order to get injured. takes a long time to heal, that's right, so we will do exercises that do not require running,

and which e do not lead equally which of the spectators of the judge has a predisposition to diabetes. please come join us. come out. are you too? will we forget you? so we will do the exercises, we will sit lying on our stomach. well, who doesn't love doing exercises while lying down. let's lie down on our stomach and get up. one knee grabs. we try to straighten the bent leg and raise the body up

, change the leg and arm five times, inhale, rise, try to straighten the knee and straighten it higher. look at me and drop all. fine, and now we grab two legs while inhaling, we rise. on the exhale we go down. inhale we rise beautifully, well done everyone, in general, for the lower back, i directly felt that it was useful. what is the connection with diabetes? one of the mechanisms for the occurrence of type 2 diabetes mellitus is visceral obesity and impaired utilization of liver glucose. and now, in fact, since we perform these backbends while lying on our stomach. we have body weight exerting pressure on the abdominal cavity. this results in improved venous outflow from the abdominal organs. and as a research investigation. even one this

exercise. if it is performed for a minute , it lowers the glucose level. i will honestly tell you that the exercise is not easy, and in order to achieve such perfection, which seems to have been demonstrated, you still need some kind of preparation, in fact, hurry up. nowhere. we did several exercises that prepare for the main option and at the beginning of the first week, let's say you can do them, and then move on to the main part, if you are contra-indications for this exercise. in complete people with increased intracranial pressure people with uncontrolled hypertension. that is, those who, at the time of the start of the exercise, have a pressure above 160, of course , should avoid this exercise; people with listes of the lumbar spine should also do this exercise with caution. how are you feeling, well, normally good, but it was a little worse than a little. worse such a little cheerfulness but i looked you are flexible. well done, such a thing

brought one new to another, seriously. here is the doctor, here it turns out these muscles exercises. yes, a little relaxation is going well. how well did you do. uh, my muscles started to hurt a lot. and in general, i just can not straighten up. you feel great, friends. if you do it smoothly, do not chase after some crazy result right away, but you just get a benefit for your health for your sugar level. and in general, for a cheerful good mood, with which we begin with conversations. now we will talk about products that significantly

help reduce the risk of diabetes. type 2 diabetes the latest study showed that those who eat these foods reduce the risk of developing type 2 diabetes by 14%. wow , the doctor intrigued. everyone has a snapchat card in their hands. the formula is the formula for determining, body mass index, your weight in kilograms, divided by the square. just in centimeters. that is, if your height is uh, let's say meter 50, you are one and five. eh, take it to the square. it will be 2.25 and divide your weight by the resulting number and get the index. the masses too. count join ours. test everything did you consider? yes, now look at the screen and compare the results you

got with what is presented on the screen raise your hand. those who have a norm of 20-25 have a norm in our many norms. there is a norm in our lilacs. michael ask these slender people about their diet. let's start with you. good morning. my name is elena. i love vegetables. moreover, you still see, it’s generally ready. eat them all day long, sweetie something. sweet sometimes, but rarely, with age, she somehow already weaned herself. i eat like this i eat a little bit of the regimen, but often go and eat. vegetables. mostly. well, that's all, the rest little by little, only small portions. here is one thing, for example, a slice of sausage, i can sit down no more. well, a piece so the norm the norm the norm. everyone is normal. you have the norm. yes, vegetables

are fruits, and i try a lot of greens, that is , it is believed that salad is cruciferous, and it helps to normalize the weight of proteins, that is, chicken meat. oh, and low carbs. that is, i excluded sugar, sweetie, whose indicators exceed the norm more. twenty five or thirty? good morning. good morning. well, i really just really like meat, straight, right from the morning. you can even directly screw some fried chicken, i love fried chicken sauce, why not. and what is tasty, by the way, useful? i'm just wondering who you fry her in the morning, i'm a kid myself. why not? i also like to suck all sorts of things, for example, ketchup. for some reason i really don't like it. well, that's probably why it's so, it's clear who has a higher norm. good morning doctor. of course i don't like

vegetables, more. i like meat without meat. now, if i’m meat money, that you won’t eat, even a piece of sausage, i’m all hungry , so i’m overweight and sweet, especially when there is, well, they like sweets to visit, well, sweet, and she says, grandmother and you need there is. why don't you love us, then and now it turns out grandchildren. yes, i think they are on yours. near the apartment thank you very much, why did we ask viewers about the diet, because, as studies say, there is a very high correlation between mass index body and the number of vegetables that a person eats, it was found that overweight people most often consume less than 67 g of vegetables per day, which is actually negligible. the study lasted 16 years, and almost 55,000 people took part in it and

, accordingly, diabetes was diagnosed in almost uh, 8,000 and these are people with a high body mass index. they are in the risk group for type 2 diabetes, they ate only 67 g of vegetables. not much at all per day. well, it's just this, this yes, overweight and diabetes. what is the connection? let's discuss this with our expert aleksey leonidovich khuirev, general practitioner, candidate of medicine. science in what it is poor-quality communication? unfortunately, here such a kind of vicious circle is formed on the one hand, fat reduces the ability of cells to feel insulin in response , an increase in sulin develops, and is formed. naturally, it provokes the formation of fat. and this is how it all closes. yes

, let's say that uh glucose we have insulin interacting with the cell. yes this glucose inside the cell is carried out without problems, respectively, in the blood. it remains a little in the cells quite a lot everything is wonderful. well, an excess amount of fat appears and, accordingly, insulin begins to work worse and worse, and as a result. this is glucose on the one hand circulates, and on the other hand. on the other hand, a large amount of insulin circulates the amount. the passenger is such a story, but that's why we are in no hurry with type 2 diabetes, like, as a rule, switching the patient to insulin. we only do this when we have everyone else measures it turns out to be ineffective, because it is this very mechanism that spoils everything that turns out to be vegetables. these are rescuers from fat, both literally and figuratively , of course. it's like a natural medicine is obtained. we were not in vain by nature, hunters and gatherers. that is, we, uh, somehow had

a little excess fat, and almost no carbohydrates at all. well, imagine such a person, he ran after a mammoth there. here he failed. eh, ate now happily. and when it can turn out, sugar, only if in the process of chasing stumbles upon a nest of wild artificial happy bees, yes, so that's the excess of carbohydrates in which we now have it in historical distance. well, quite a small episode, therefore. actually, diabetes is growing in our country so it grows, the more it grows. your body mass index is the more overweight you are, right? naturally, the greater the ratio of fat to muscle mass. and the more you have further potential to worsen the whole situation. yes, er research. they say that every extra kilogram of fat mass increases the risk of developing diabetes by 4.5%. that is, in fact, i gained 20 extra pounds of fat and consider almost 100%

that you have this diabetes mellitus of the second type, there will be such an opinion among the people that people are full, but healthy is actually a myth, because there is no healthy fullness. this is, in general, excess weight - this is a choronic, recurrent and severely treatable disease, which provokes diabetes as well, in fact, 80 out of 10 suffering from type 2 diabetes mellitus these are people who are either overweight or jelly-quite right. next in the program what foods should be in your diet if you want to live without diabetes? see why i can't believe you enough that i believe you, catcher, premiere tonight at 21:20 with a flick of the hand evening, turns amazing amazing people better all the time had the feeling of such an effect. tomorrow at 21:30 only on the channel russia three reasons

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the simple postman who became a star left everything disappeared. 4:30 p.m. for food. yes, some specific vegetables can help or some special ones here we have some. so to say preferences remarkably looks very healthy, really. yes, we have broccoli. this is our spinach. this is white cabbage. why these vegetables? well, first of all, they are full of broccoli vitamins. this is 127% of the daily requirement of vitamin c in just 100 g of spinach product, almost 80% and white cabbage 64%, that is, vitamin c is a medicine. naturally, mikhail looks suspicious. i think this is what is the relationship between vitamin c and diameter scientific studies show that increasing vitamin c intake leads to a decrease in the risk of developing

type 2 diabetes mellitus and moreover there are even studies that say that the effectiveness of antidiotic drugs increases if the patient takes vitamin c, in addition to vitamin c, there is also fiber here, and fiber is known, what to do? it slows down absorption. simple sugars yes ah exercise stomach. yes, this is a normalization of weight. this is the normalization of cholesterol levels. this reduction in risk today in vascular diseases is also in addition to the fight against diverticulitis o this is an inflammation of the diverticula of the intestine, which occurs in almost everyone after 50. yes and plus it's all green what does that say? about vitamin pp is a mini car, and vitamin k vitamin k a vitamin k according to research. it also reduces the risk of developing diabetes. that is, it turns out that at least three different mechanisms. these are presented here.

here, vegetables reduce risks. in addition, vitamin k is an essential component of the blood coagulation system, when it is not enough there is a tendency, my friends still do not like vegetables, everyone should run now for spinach and broccoli to the store. they are for meat. how many vegetables do you need to eat a day to be protected organism from diabetes mellitus of the second, such as the average figure is at least 300 g 300 g . number had a 14% lower risk of developing type 2 diabetes mellitus friends. my only 300 grams of these vegetables a day and you will be protected from type 2 diabetes. well, i understand that you have prepared some kind of royal in the bushes surprise and bonus. yes, uh, i mean that one a box that costs a mysterious box, and in

our studio it's something very good useful so, well, but michael will introduce you to guess, what is it with pleasure? see carefully. be careful what is it? wait because. i already guessed. so i can tell you that the first thing i was afraid of was that i would bite something, but the fact that this is cinnamon is understandable. michael to the touch, learned cinnamon. it's cool. interesting. and where does cinnamon and diabetes have to do with it? compound. there are many drugs , including those for diabetes, therefore, well, actually , this, apparently, means that it contains some substances that can reduce blood sugar. most importantly, modern

research. this is not refuted. this , on the contrary, is confirmed by numerous studies that show that cinnamon is indeed, but has the ability to reduce when added to food. uh, the so -called postpradial glucose, that is , which, after eating, that is, in some way thanks to some substances, scientists, by the way, speaking, they still don’t know which ones, because there are too many such substances, but nevertheless, cinnamon really slows down, apparently, the rate of absorption of glucose turns out that cinnamon is useful for those who already have diabetes and for those who already have it and for those who seem to have it planned. how much cinnamon should you eat per day? i add cinnamon to my coffee, half a teaspoon a day. this amount is quite enough for this effect to appear friends. my someone drinks coffee with cinnamon, tea with cinnamon, see a lot of people, see how many. well, by the way, when we treat a cold, too , many people add cinnamon to tea with lemon. here's the only place where

the hostess's cinnamon is added. where are you adding, and where are you? and i'm in a casserole that's better ice cream fruit salad. so you do not add cinnamon to the meat. and baking friends, take an example from our expert with alexei leonidovich, who loves cinnamon, adds it to his diet every day, and you, too, join and protect yourself. thank you very much must be in your diet. if you want to live without diabetes, this is the most interesting question about health. each of our programs answers current health questions. and in this section we check. how well do you remember these answers?

hello our viewer leysan you want to test your knowledge, health is already at an age when you think about health, almost every day, what kind of age do you have after 6 how much is 40 plus? come on, well, 42 this year 43. and what do you work as, a public speaking coach? nissan, what a beautiful name. what does it mean? what does it mean warm spring? rain, my class teacher described my name as lei and san in english radiant sun. so choose which translator you like best. you have the opportunity

to win a super prize today. it's true. all you have to do is answer the questions. mikhail will quickly answer them will be 12 you will have 1 minute to answer you will have to answer on the run the answer is simple. no, oh, you understand the rules of the game. and you can practice oratory running. by the way, this trains our diaphragm well. in my opinion. you will probably correct me sergey. so you're ready ready, let's go, let's go so the first question. explain the development of osteoporosis. lower back pain can be a symptom of kidney disease can lead to diabetes lack of sugar in the diet reduces the risk of developing alzheimer's disease all

thyroid problems are associated with iodine deficiency no, liver sausage will protect against anemia no. is it possible to earn one with hypothermia no cabbage compress will help get rid of bruise? like, as the grandmothers said, yes, and the female affects the health of the lungs. questions find out if she did it right so the first question sounded like this reduces the risk of developing osteoporosis reduces approximately 10%. this is due to the high content of vitamin c there, which helps calcium to be absorbed. i didn't know that either. so don't worry. well, first question. the first, pancake lumpy second question. may be a symptom of kidney disease you said, yes of course there is that

those people who consume little sugar. here less of this disease eat sugar friends, what can i say, the next question is all thyroid problems are associated with iodine deficiency, you said no, that's the answer, of course, of course, many thyroid diseases are associated with this trace element, but there may be a selenium deficiency as a reason, or maybe, in general, here is the immune cause of the disease. well, you answered correctly. uh, liverwurst will protect against anemia. you were very surprised , looked at me as if i was not a very smart person and said no, but in fact yes, because liverwurst is made from a thousand and it

is rich in both iron and vitamin b12; just sausage is always associated with something not very healthy. oliver sausage is an exception. okay then. and here i am eating it. honestly , i confess to you, well, a little, of course, but it is without dyes and without these flavoring additives. she, uh, looks unattractive, but she turns out to be less harmful than everyone else. it's also useful. yes, that is, for breakfast, we take orange juice and liver juice. the main thing is not to mix the dishes. is it possible to earn otitis media with hypothermia you showed no? well actually in fact, it is obvious that yes, this happens regularly. uh, for example, uh, a person who took a dip in the cold air went without a hat and hypothermia reduces local immunity and can cause otitis externa, and this happens in summer. when, for example, it is already cool in the evening. yes, a person came out of the water without wiping his head, it won’t come out. the wind blows and otitis. the next question is a cabbage compress to help get rid of a bruise. here came the pause of the grandmother, of course, there were

grandmothers, flying grandparents, yes, who said yes, yes, but medicine says that no, a bruise won't help. here is the swelling. yes, can it help? here is more, yes, but a bruise, as it were, will remain on the health of the lungs. you said yes, and it's not a well-known fact that people with spinal deformity have scoliosis, but they have hyperkyphosis very often, and chronic lung diseases - bronchitis, they just like that persecute these people. so what do we get, it turns out that out of nine questions of leis, she answered five correctly, please, and behind these letters is a sign with the word prize. now we let's see how your intuition works. yes, you have five attempts, even so, yes, then

let's go one one two on the vowels went. well, there is one attempt left. do the main prize that i saw you? finally live and you are not on tv, but alas. by the way, i still have a lot of questions, for example, why a person can feel constantly tired and how

to overcome this fatigue, we will discuss this time now. further in the program, you feel tired and lethargic. how to recover from an illness. and what will give you energy in yourself conspiracy, and you are a gift, dear sovereign, to the sovereign, so that from debtors because he has more power, because his sister irina is the queen, is my wife or something? today at 15:00 on the russia channel pentalgin, a remedy for various types of pain pentalgin acts against pain, wherever it is, regardless of its causes, pentalgin will do without

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in the application or on the website, when you can get rid of the fatigue that has accumulated over the year, maybe just turn off the alarm clock rest rest. of course, i want to upset you all. mikhail sometimes vacation is not enough to cope with fatigue. what fatigue can actually mean and how to charge internal batteries, we will discuss together with our expert stefanovich medvedev , doctor of medical sciences, professor, head of the department of the faculty of fundamental medicine, moscow state university dobroe morning. good morning. we welcome you. it's also a pleasure to have you as a guest. here

maybe severe fatigue is a variant of the norm. you know, it’s rare that it’s hard to imagine, because fatigue comes when a person doesn’t get enough sleep, when he has increased stress, when he has a bad boss, there are a lot of reasons when fatigue occurs, but this is not the norm, of course, because every person strives to to be active why fatigue can appear at all. let's discuss. let's discuss. officials and in the first place we will have the covid-19 coronavirus, that's right. yes, it's true, so is the experience. now it shows and there is already a lot of experience in the world that covid is one of the very important factors that are accompanied by fatigue, and moreover, now even the so-called flat syndrome is known. and this is a big problem for people who have had a covid infection. it really is that long. yes, it's long.

yes, how long can it last, it can last up to a year, at least who was sick with coronavirus, and he had a post here that we talked about. see how much good morning. good morning. when did you get sick? i am the truth i was ill a year and a half ago, but i was very seriously ill. i was in the hospital. i had 75% lung damage, then it was terrible, because of fatigue. and i didn't want to talk to anyone at all. and this went on for a very long six months. exactly here well, come and hold us. this, then, is your battery, in fact. this is a very serious problem. here it is, fatigue intellectual fogging of the brain. uh , people say they can't focus on anything. they get tired very quickly. they have a decrease in efficiency and the reason,

maybe even physically working capacity of people is often reduced. uh, scientists even performed such testing , that is, uh, six months after the infection, people were asked to do a banal test of getting up and squatting from a chair, that is, a person sat down, got up, got dressed, got up, sat down, they put a pulse oximeter on his finger and as a result literally. there, after some 5-6 squats, people's blood oxygenation dropped. that is, as if they did not have enough oxygen , there was such suffocation. and this is in people who already have six months have passed. so we can’t ignore this, moving on heart disease, indeed heart disease is one of the powerful factors that can cause fatigue, because with heart failure, for example, there is a lack of blood supply to the organs of the brain of the heart itself and therefore only hypoxia, which is associated with this, so fatigue and heart

disease can be put equal, it's really like who has heart disease and do you feel tired in anyone? ah, hello. good morning. i suffered a heart attack microinfarction. naturally, the heart continues to worry. well, heart failure is felt, this is manifested, of course, by fatigue and fatigue. i now had to leave work, but thank god the retirement age has already come, so we are helping out to give you a battery at home with an inscription of heart disease. yes, often, as complications of a myocardial infarction , a decrease in the contractile function of the heart can be observed, respectively, the pumping function suffers, the heart cannot pump, and the blood is in the volume that the body needs for normal functioning and the result of this is a decrease in physical performance, a decrease in concentration

, increased fatigue. in general , all this leads to the fact that a person's life becomes very simple, for some patients it is difficult. fatigue is a condition that occurs with heart failure, the next cause of fatigue is surprising to me is the deficiency of coenzyme q10 q10 is a very important substance that is practically in every cell in our body. and he is responsible for generating energy. that is, in order for us to be energetic, for the heart to work, for the muscles to contract, a normal amount of coenzyme q10 is necessary, and all our energy depends on 95% of the normal level of a good level of candy cu 10. we have it , we have it, then with age . its number is decreasing. it is known that its amount decreases in infectious diseases in the prikovina and in other diseases. it

decreases with heart failure, therefore it is a very important component to be taken into account. and most importantly, then you can influence the factor, how you can understand that, for example, a person has a deficiency of coenzyme ku-10. what are the symptoms, and you know the symptoms are close to the symptoms of heart failure, it can be sawdust is a decrease in muscle strength. uh, it's the fatigue that we were talking about, uh, and the reduction in aerobic capacity, someone even saw in the studio heard about coenzyme-xy-10. maybe even someone knows that he has a defect. what are you? good morning. hello. here i am i listened to the doctor, and i realized that i had all three of these symptoms, fatigue, lethargy and drowsiness were constantly heard. yes, you heard me now observing a cardiologist about high cholesterol. i had shortness of breath, fatigue, i

was very tired of climbing stairs, and i came to the doctor. so he told me, give me an analysis of this kundi. well, and he turned out to be below the prescribed norms for me, and you were sick. come on, i had a coronavirus, but i really ate in a mild form, but still, that's how much you years. i'm 49. come to us. we will charge you. now the level of coenzyme q10 may increase with the advent of spring. it can grow due to the fact that people start eating more vegetables and fresh fruits, but, in principle, it is very difficult to do this, because the concentration is low and it is desirable to take preparations containing coenzyme q10 to increase the level. this is like this is a battery for our body , because it gives energy, if coenzyme is a magician, then the body will not have energy to perform all kinds of activities, both mental and physical emotional. what you want

depends on what the amount of candim q10 depends on how it is synthesized and with age. it is fixed worse. therefore, with age, its amount decreases and, in connection with this, it is recommended to prescribe it additionally and plus it decreases as a result of diseases, as we have already said with heart failure, and therefore many studies have now been carried out that confirm that precardiac insufficiency. it improves heart function and improves the pumping function of the heart. she is better works. what to do, how to increase it in order to improve general well-being on the recommendation of specialists. you can combine your usual cardio products with products containing coenzyme q10 well, we must remember that coenzyme q-10. it's soluble. it is a compound and therefore, in order for it to be well absorbed, it is necessary to take it along with the intake of fatty foods, which , of course, they are always good and, of course,

here the advantages have new forms that have been created, which are water-soluble and then they can be taken already. fatty food and so way combined with a healthy diet. this is especially important for people with cardiovascular diseases who are recommended diet. after the age of 40, we start to get tired faster, because this is the risk of developing cardiovascular diseases, so i want to pay attention. on kudesan drugs, which is a source of coenzyme kudesan kudesan helps to cope with fatigue loads. it gives energy to the heart and more strength for life , it is recommended to take kudesan in a course of 2-3 months. live without fatigue. and talking about the most important thing continues and how to help yourself and your loved ones during an attack of panic attacks, we will find out right now in the women's

health section with dr. tatiana suddenly inexplicably scary, how to cope with a panic attack? premieres today at 21:20 people with prolonged anxiety often hear advice. calm down. or, for example, don't be nervous. thanks for the advice. it's easy to say, but in fact, anxiety can be treated afobazole by the end of the first week helps to cope with anxiety and anxiety associated with them without sleepiness afobazole anxiety can and should be treated. find out everything about anxiety on the all-russian portal of the territory

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of panic attacks how to deal with panic attacks about it. we'll talk. today he turned to our viewer. anna who faced panic attacks. let's find out her story. hello program about the most important thing. my name is anna panic attack. i have been suffering for three years now, the first thing i feel is palpitations. ah. then my head starts to spin. i don't get enough air. i have, as it were, as if inserting the throat becomes very scary . hmm for my life. first of all, i want to call an ambulance, you don’t understand. eh, what is happening to you, it feels like your heart will stop and you will die, i try to carry some kind of medicine with me, such as valerian, something for tachycardia. and of course, i always make sure that my

phone is charged, because at such moments. it is very important for me to call someone close relatives or friends, talk to hear a native voice. and it becomes easier for me, especially often panic attacks, worries me in the spring and with the approach of spring. i think about it more and more often and i'm very worried. anna today we have studios, come to us. please. hello anna please tell me when the first time happened to you. here is such a panic attack 3 years ago while working, and my heartbeat suddenly became bad, cold sweat came out, and i just jumped out into the street, because i am in such a state, uh, fear of fear, first of all for your life. after some point, i went to the doctors and after well, about 15 minutes. probably it passed. and how often does it happen or was it a single episode, not that

it happens regularly for 3 months, a break happens there once a week, and especially often in the spring. unfortunately, as valerian copes, something sedative said that you are calling your loved ones, it really helps. yes , somehow, to hear a native voice, some words approving and the most unpleasant e in the whole situation with panic attacks, that they appear absolutely suddenly an look at the screen. imagine that you are walking down the street and suddenly a cloud envelops you. here is such a fear of horror fact. the pulse quickens , breathing quickens, sometimes people feel numbness in their hands. and i want to sit down on my legs, i want to lie down and, uh, dizziness occurs, my palms become wet. all these symptoms are familiar to you. it seems to me that the lady is the main symptom in order to figure out where panic attacks come from and, most importantly, how to deal with it. i want to invite you to the studio

medical expert. pavel yakovlevich brother. doctor-neurologist candidate of medical sciences. good morning, as a rule, yakovlevich please tell me, do people really have panic attacks more often in the spring, the mental background worsens in the spring, then , probably, some people have panic attacks more often, that is, spring exacerbation is not a joke of humor, including yes, what is it? to be honest, it's basically a panic attack. this is some state. which is accompanied by a feeling of fear of death, a feeling of a feeling that a person is descending from mind or feeling that some harm will be caused to him due to the fact that some symptoms arise, then it happens very interesting. we have in the body. there is such a vegetative nervous system. it is part of the greater nervous system, and it is designed by our creator to regulate those functions that we cannot regulate arbitrarily. here is an example with hands. we can move our legs arbitrarily to breathe too.

we can do it automatically. but our separation occurs automatically, our heartbeat occurs automatically , digestion occurs automatically happens automatically. it's all autonomic or autonomic nervous system. so , a panic attack triggers a reaction of the autonomic nervous system, which gives the very manifestations in the form of a rapid heartbeat, a feeling of lack of air. yes , sweating, and a reduction in pupillary dilation, can be in different situations. there may be more definite tremors in the abdomen. maybe, maybe, yes, yes, very hard to appease, right? let's see what 's going on with us. during a panic attack and we will figure out how to deal with it heartbeat 130-140 beats per minute. well, really, a rapid heartbeat is one of, probably, the very first signs of an imbalance in the autonomic nervous system, a panic attack, an ordinary person does not feel his heartbeat, and a person can have a pulse of 200, and there the number of beats per minute, maybe under 200, but he will not feel anything, but during a panic

attack a person feels his heartbeat. it will not necessarily even be 130-140 beats per minute. although this is often the case, it will just be felt often enough our patients say i now know exactly where my heart is, my heart is jumping out of my chest. yes, it is very likely that you need to understand that not all the symptoms of a panic attack necessarily occur simultaneously, that is, the autonomic system. can react very differently and often. um, scientists palpitations in general, maybe the only symptom in this situation. yes, you need to understand that we are not running anywhere, we are not moving, that is, sit down , calm down, try to relax. indeed, if there is no feeling of lack of air. i am glad to take a calm, deep breath, and our patients will pass it. they say that when they understand the mechanism of the development of a panic attack, and in principle, they understand that this is the state. this panic attack is not a problem with the heart, not a problem with breathing, but a panic attack, and it will pass. it is already getting easier. and then i have the strength to sit down to calm down and breathe. well, the enterprise has the necessary actions, about which we will now tell, in order to quickly stop. this is

the beginning attack of oxygen. yes something lack of air due to the fact that breathing becomes rapid deep enough fast with the blood quickly enough begins with oxygen there is a vicious circle of oxygen, like, how much. and you still need a person all the time. begins to breathe deeper, he again arises. here is the feeling of breathing to capture more. but, unfortunately, this causes a decrease in the amount of carbon dioxide. or the so-called hypocapnia, that is, a decrease in the amount of carbon dioxide in the blood and this itself. encourages further development panic attack, we start to faint. and this makes us even more afraid of dizziness, nausea, all together, that is, to breathe in a bag - these are quite useful tips, such an idea was invented long ago. what in order to increase the amount of carbon dioxide. you inhale the air you can use some sort of enclosed space. the best closed space is

a bag closed by the nose with the mouth, which allows you to exhale carbon dioxide while breathing and inhale it back, thereby saturating the blood with carbon dioxide. gas and stop this vicious circle is a very effective remedy, but not for everyone. unfortunately, ever breathed into the bag. no. here. try a deep breath, press the bag to your face, exhale and now breathe in what is left inside the bag. here is excellent. story. basically becomes. here it is still necessary to breathe quickly enough the same exercise stops. to me it looks like it's deep. inhale, take a deep breath, hold your breath , the amount of carbon dioxide in the blood has increased, then again take a deep breath, as a rule 5-10 such breaths are enough to significantly reduce the manifestation of a panic attack. and, of course, what else is very scary for our patients with a panic attack. this is the emergence. this feeling of horror and fear of death.

the same complaints occur in patients who really have angina attacks, that, first of all , a problem with the heart is accompanied by this feeling that i am about to die, and therefore quite often a panic attack is confused with a heart attack, they call an ambulance any panic attack that occurs for the first time requires a full cardiological examination in order to rule out serious heart problems. yes, further, when a person already knows that this is really a panic attack. they are a cardiological problem, then you can already teach him how to deal with it yakovlevich what to do? panic attacks are a very common problem especially. in today's world, when everyone is very nervous, how can panic attacks begin at the main age? uh, here, 18 to 45 here in this interval and uh, everyone has an individual design to get rid of this problem. that is, there is no single recipe, but rituals help someone, physical activity helps. sometimes yes, that in a person starts in some way. yes, it helps someone, some kind of distraction helps someone

, for example, to close down somewhere to calm down, as if it helps that this is a panic attack, it's okay for everyone individually there are preparations, of course, which one way or another reduce. uh, the intensity of a panic attack, but unfortunately, most of them have to be taken in the background they are urgent. and, of course, in any case , specialists prescribe medications and so on, when they really don’t help, it’s important to say that the methods we just talked about are the most basic. let ’s just say the option of dealing with panic attacks with the most modern method is cognitive behavioral therapy, which helps a person in the first place really explain what is happening to him yes, and then the person himself is already learning to slowly deal with this problem anna thank you very much for coming to us. i hope our tips help you. thank you very much. you really helped me. i read paul. thanks a lot. today we

will talk about such a symptom as panic attacks and tell you how to deal with them. and we wish you a good day and good mood. be healthy. you had a program with you. to conduct you welcomes i marina hello.