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morning shows dr. myasnikov, we are starting a program about the most important thing, that is , it will be informative and interesting for our health, and in some places it can even be fun. so watch us we start. today in the program about the most important vaccinations for adults, what should be done every 10 years? and what mandatory to 60? why get vaccinated against the flu every year and what little-known, but deadly virus, the vaccine was invented for , causes these terrible girdle pains kill children kill adults we even do two at once. how much sugar is a substitute for the disease of regular sugar, and how does coffee affect brain function

? by what signs? it can be suspected that you have depression, and not just a bad mood, and what to do to get rid of this condition. from and what kind of air pollution? i 'm afraid to open the news in the morning, it causes depression. hot topic vaccination adult, because we are used to the fact that vaccines are only for children. the fact is that yes, an adult. his immunity changes with age, he becomes susceptible to various infectious diseases. and just a vaccination, reminiscent of vaccination is often simply necessary and from the doctor's point of view, here are the happiest active adults. if you have never done

any tricks in the last 10 years. you must show up. here is tetanus every 10 years at their mansion , god saves at the well to get tetanus. you can do nothing at all two percent of the disease alone nothing at all. well , no damage at all. kur, there was nothing. there is fire, respectively, rubella, which causes all these problems of a woman in pregnant women. god forbid, freaks get sick now everyone is on the ear and we say to someone here, well, that's a must, of course, it kills pneumocockeys. uh, every year millions of people on the planet, at least 2 m, from at least 2 million. primacoha is a real killer , especially for people with cochlear implants, in general, the inner ear. you call the snowmobile causes meningitis causes pneumococcal sepsis in humans if the spleen is removed the spleen is removed you must be vaccinated.

to whom it does it is done to everyone it is done from 19 to 65 subject who has chronic lung disease the best intestinal tract uh, diabetes, and after sixty-five you didn't do it you need it because it will save your life. yes, herpes osterchek suffered chickenpox or did not endure it, then the virus enters the body on chickenpox. it begins to live there forever, but since the body with it is fighting. it’s already kind of stuck there sitting in these nerve endings, but when the immunity is eroded 65 plus 60 it starts to activate causing these terrible girdle pains, which we often confuse, heart attacks and so on, and therefore we need to be vaccinated, in fact, a vaccine from windmill. well, just like a mushroom, well, the flu is understandable, that's covid. it resulted in the fact that he grew up, but covid can kill and gryffirus can kill and

so i looked at the data for the last year among patients of elderly patients who 3.5% of those admitted to the hospital die from the flu, which is a lot. this infusion a person dies three or four and it's a coronavirus. it plays an average of 4 1/2 people per hundred a little more, yes, that is, this is what it says, but the risk is three, four five percent worth of getting vaccinated against the flu or the coronavirus. well, it's probably worth it. yes, it's not bullshit, 50% is well effective, yes, that is , you remove the risks, but you had 5%, and 2 1/2. well, you can still do nothing. well and why not do it? what rice for a man 65 plus to make him the maximum that he will have? well, what will he have if he did before and he didn’t have it phylactically, it went to allergies and so on, therefore, when we say that you know, the whole flu and virus 3-4 have grown very much in the world. remember that

the whole disease is really wider. yes, so to speak, yes the flu, but it can kill an elderly person with chronic diseases. there are coco vaxins in it, remember, two of them are one of the polysaccharide capsules introduced in the seventies, and the other is the so-called connected cognac is already. uh, early 2000s, i think. when you consult with the doctor. you need to understand what to do. sometimes we even do two at once. here, when the spleen, capillary implant, and so on are absent, but remember once again that pneumococcus is not a coronavirus, the coronavirus has gone around the planet. killed some people. he was credited five more times more than he killed, and he got off. here is pneumococcus. this is a steady killing of 2.2 people every year. this is serious, so i have to do carrots in obligatory order of minings. it's a little different, but still cute. cooking should be done either when there is an epidemic, or when

the situation in his country is not going well for a short time. not for long. it's enough. yes, yes, bengakov and many types and no vaccine, in my opinion, families of seven. yes , like vaccines. not very durable, that's why we do it young, we do it in epidemics. but remember, again, that now again there has been no outbreaks, respectively, this must be done or this is mandatory in an epidemic situation. well, yes, but hepatitis b well, this is understandable. it says here e we do not argue about it. actually a diphtheria soldier. this is a vaccine for children. yes, but in fact, very often it also includes a third component. this is a surprisingly high percentage of whooping cough in older adults, so we recommend doing a triple basic tetanus vaccine, but there are parallel outbreaks and diphtheria and we are trying to reduce the number of carriers, in general, why it is important

to get this herd immunity. look at the carrots that made in america when it appeared that's it this book it works. on the mucous membranes, they didn’t show you in children, because democox is on the throat of many of us, so to speak, we don’t get sick, but we have it. so, when children began to be vaccinated without exception in america , a few years later, the incidence of pneumococcus. went down. like that, she went down, and like that, she went down, like that , fast, because the children suffered to spread the infection. they did not feel the carriers, and already the elderly feel it, when the children of this tank were removed, all this sighed sharply. well, plus the elderly are vaccinated by themselves by myself today, by the way, appeared to come for the evils. actually, it is called referratory virus. this is a virus that kills children kills adults from this virus dies from

two to four percent. all child deaths all child deaths. you understand that this is the structure of deaths, but only from this virus. and there was a problem with vaccines, they started making the vaccine even more, and in general there was a problem, because it happens with vaccines, when instead of strengthening immunity, and not, as it were, inducing the virus on the target, they worked at the bottom for many years. now they have made the right vaccines, but if a patient with a respiratory social virus attacks the hospital, 50 plus a mortality rate of two to four percent today. here, well, already in america they have allowed this vaccine for adult consumption, you know , i start from such a thing. well, of course, why be there names. well, yes, do everything you must and you will be very easy on me about vaccines. i also have key encephalitis, i always go to

the taiga, but also hepatitis c from childhood. i have it all done. the only thing i didn't do. this herpes, but i can’t do it anymore, i ’ve always done it, the coronavirus made it first to the public, then the motherland ordered it to be done again, like a booster meeting. i didn't watch myself die. this is with luka, i do it all the time, i think, well, what the hell, that i won’t get anything from this vaccine. and now i forgot how old i am. i realized that there is 50, actually, actually 65, well, after 50, but here in the recommendations 65 plus, when i hear at all, 65, i think this is a grandfather for help. i say i didn’t think, i suddenly poured out this germesh. i was in pain and it was really very very unpleasant. by the way, i never showed up, and i keep forgetting. but when you will be 5 years old again, yes, and for now i am so offended when the doctor writes to me. let's withdraw 50. i thought that for 40 years. writes. well, well

, maybe that's right. maybe so right because what is afraid of the disease is afraid of the disease is properly tuned. we know the fear of illness. that's when there was a coronavirus that even vaccinated people who were intimidated. here is our not our general world press. they have antibodies were produced less than those who took it more calmly , by the way, fear even interfered with the production of antibodies in response to the vaccine in africa, working there was an outbreak and naked and did not know and there was a patient and it was like it would seem, probably, would have run away long would wash, locked and so on. and now i looked around without even thinking anything and fell ill. so i’m all for what, sometimes you know better, when you don’t know, then it somehow brings the lord, but you know how we vaccinated our cats and dogs, no matter how

it turns out, therefore, i think that 65 years 60 years and so on plus chronic diseases. well , listen, so many risks, so many risks , we will increase a little, we need to defend ourselves, it will help, okay? no, listen, no. oh no. well, no, it's not. well, in any case, i think that it is necessary to reduce the risks. and it is possible, so let's get the idea right. everything will be fine with us. further, how much more useful sweeteners are than regular sugar and how coffee affects brain function . let's get to the questions. answer, they hurt back and joints. what can help with dog hair cans is a mesh of iodine or let the bees bite. well, why is all this, if there is, and without artron, ointment, you will get bee venom?

basya basya where are you anna nikolaevna always right? if she's always right, why are you arguing with her? we have a form of communication. today at 21:20 what is the password here? and it looks like you don't remember the correct answer. if a simple question turns into a quiz. may help for lunch for lunch helps improve brain function recovery of memory and concentration attention.

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and outdoor activities. megamart is a perpetual motion machine of profit. imagine if people did everything for only 40% in russia, only 40% of people sort waste. can you fix it? sort waste. as the weekend fell off with friends in a neighboring city and rushed settled swept smiling treated themselves, these are the pies, and how do you go out on weekends to neighboring cities russia.travel. time rubric questions from the doctor, that is, from us. so, who's ready to be tested? what, you really won’t go persuaded? what is your name?

my name is olga very nice olga what do you do? not medical? no, let's twist and check who you are studying for, anyway, land muscular land-market property relations. at all boring. let's spin some more. on the combined three questions we will type. what tests should be taken on an empty stomach. and there is no sphene blood, it is clear blood from a vein. what are we doing? we don’t just create tests, they tell us, you need to come to take tests on an empty stomach in general, well, this is the rule of all doctors. you have to take tests on an empty stomach, in fact, it’s far, you don’t always need to take tests on an empty stomach to get an accurate result , but some indicators are very sensitive,

for example, you know 100%, and sugar, sugar, well done sugar, you need 100% on an empty stomach, not just on an empty stomach, and you must not eat for at least 8 hours, so no later than dinner, cholesterol, many hormonal tests must be taken on an empty stomach, but in fact, we always take blood on an empty stomach, because sometimes it happens like you write, some tests take a test tube of blood do these tests and leave it. why because a doctor? this is what you won’t run with the patient again, take blood from the refrigerator and finish these tests, so a little of everything will go crazy, so we always say on an empty stomach, but for yourself, you understand which is not always the case. it is needed next sweeteners. since we are in the sahara they are uh diseases than sugar, think so, sugar. no,

right? well done, you rightly think that no, because they are just harmful frankly harmful works have appeared long ago and some sugar substitutes even cause oncology, then these works. whose knife today warn of the dangers of sugar, substitutes that they cause increase and increase obesity, e.g., the spread of diabetes, heart disease, and oncology. and these sugars substitutes all including even natural. allegedly i am spacious, so you want sweets. eat a sugar drink. i choose easier questions. he himself seduced the girl, and now he will make her squat. although here, look here it is written on one to do the exercise with scissors 10 times, and here any exercise from the doctor to raise the butcher. let's better answer the questions, well, the question.

just coffee improves the performance of drinking. yes, you have to create exams. it does not let you sleep, which means that the brain is no longer sleeping. whatever he does, either sleeps or works, means it helps. no, well, in general, students really know very well. if you want to sleep, you drink, coffee really invigorates coffee, and as a result, it improves brain function. we even know that the consumption of coffee, in addition to the fact that coffee is a healing drink for the liver, is the prevention of tetanus dementia. so it has a beneficial effect on the nervous system, it is 100%. what time on how many questions did we

answer three? okay, well done let's go. three questions three keys let's not pull the cat's tail, come on. so nothing, let's have this one. yes, that's right well, nothing. coffee gone entrance here, yes, everything is consonant well done, and even more so because she is right. recently we used to say coffee, it's not allowed. today, this is already the norm of the language and it is considered correct, why it is enshrined there even in dictionaries, and so on. i want a book, please advise which one you should keep. thank you very much. go go

check us out. yes, the platform, we look at the application , we look at the dot ru, let's go further. calmness only calmness over the past year, russians began to buy 30% more antidepressants , doctors confirm the statistics of patients with more depression. at the same time, many still consider such a diagnosis to be a whim and just a bad mood , for example, here is a message from one forum that my husband was diagnosed with depression, but it seems to me that he himself invented this disease for himself, suffering from scratch, how to get him out of this mood we decided to ask this question to people on the street. what do you need to do to get out of depression? you need to work more, and go in for sports actively. you need to devote more time to children. walk with them in

nature. go to the hospital to look at the bedridden patients, how they get sick and suffer. go and depression, how will it take off by hand, how effective are such tips, who can they help? and who doesn't? why? in general, depression began to occur in people more often? who is in a particular risk group? how to suspect the development of depression, how it can be dangerous and what to do to get rid of it, we will learn from dr. myasnikov according to statistics in pre-vide times in different countries, the population of different countries suffers in russia

so much that it interferes with them normally function as a general practitioner should ask screening questions. have you had feelings of hopelessness and hopelessness in your life over the past 3 months, have you had a second feeling in the last 3 months, so you don’t enjoy what you do and think, everything is pointless, if water then you have depression eighty percent sensitivity, although it would seem that we all have such moments. there the questions are precisely that for three months of a rather long period of risk factors, here medicine. it just needs to be remembered that many drugs cause depression in mood, for example, such a drug as

interferon, which we treat liver diseases , viral hepatitis, severely causes depression, and like many other drugs. many antidepressants paradoxically lead to suicide especially. people's breath, and depression, you know what i'll explain to you, if you now sit down and watch and say, internet tv, then just look around, well, it's clear that, in general, there is no joy. and the fact that the last the years have certainly not pleased us. well, remember covid, then here's what's happening and so on. it's all serious. everything is on the rise. we understand that such a twisted, finally, everything will end, there will be no more. it won't be the same. and kovi is there for the time being just for such a petty

dirty trick. therefore, we have many reasons for anxiety and depression, even regardless of risk factors lack of vitamin d overweight stress air pollution, but what kind of air pollution am i afraid to open the news in the morning you open such air pollution, therefore, probably, probably, i will not talk about psychiatric diseases depression now. there's already a cure. there is already a psychiatrist. there's no logic there, it's psychiatry, and big psychiatry is only two percent. we are talking about the remaining 18. yes, if they are healthy people, because psychiatrists are already working on this closely. or , let's say, bipolar disorder, when periods of depression are replaced by periods. lifting. sometimes these ups and downs are unnoticeable in these people, treated like people with depression. this is a separate psychiatric problem. time to us to come, the next certain amount of time we do not know. how much, probably everyone

understands that it is a long time to live in a stressful situation. we need to do something about this for ourselves, because we can certainly die with every news from the internet. well, of course , we can be outraged by one other third, but i 'm all gradually, to which i lead everything last, drowning his hands only stomping themselves, what can you do doctor doctor. maybe he will prescribe the medicine, you will fall asleep, and in the morning you say goodbye and the medicine, only worse, only worse. and people get drunk like this, and they do not bring relief, so you can only help yourself and your friends and relatives further, which most effectively helps fight depression.

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offer for the summer season. there has never been a dress like this before. diana for only 799 rubles. but that's not all. call us now and find out how to get santorini summer shoes as a gift. the program on the most important thing continues talking about how to deal with depression me chaos, because the same as you think torah, i'm mad that he wants to sleep in depression. that's what helps me, but you have to be needed by people. here, as soon as you have one other dependent, the third on neck. and you can't bend. you understand that you will bend. you have to bear it. that's when you're responsible for someone. this is a great cure for depression. you simply do not have the opportunity to give up. you have no way to give it up people, but

get a dog. get a cat and a dog. get it, you don’t have to walk and you need to feed, and so on and so forth. this is already a responsibility. what is it then? we can't change anything in the current situation. we couldn't change anything. we can't change anything. now times we can't you probably just need to change it in your head. close questions and throw away, because in this case it will be as it will be. well, why torture yourself? yes, it's a shame, but you want it, right? well, then again, if you can do something to vomit your soul there, give donation money to go help. this is one situation, but most of us cannot do this, the vast majority, and therefore we just need to once again need the first second and what anxiety and depression are. it's fear of the next day. we will all get sick, we will not

money, that there is another other third, that's all of this day. yes, you must understand that tomorrow is for us. the mystery of how i calmed your times of covid, do not remember , was here. bet that after all 3 years ago. we would be told that this is what will happen. i won't believe from here. do a simple thing saying in the twentieth year, what would you say in the twenty-third year, who would have told me in the twentieth, what would this be? i would never have believed it, but this is what was expected of him. so, in the twenty-sixth year, i already said, i'm afraid to guess, but there will be something in general, in all this, marina sees me. deal in is, that went on you 5 hours. a magical mountain, time stops there people go up there, they are saved in two

weeks by full old people, it is officially forbidden to go up there, and so on and so forth. i said to the camera, let it be good for everyone, happiness for everyone. and that's it, the pandemic began, and so on and so forth. and i even wrote to us. and you look at how it will be happiness for everyone in chinese, maybe they understand something else by this, or maybe you stumbled at that point and said yes? what happened too? it's funny, of course, but we don't know what we'll be tomorrow. and if so, but if so, something to worry about. i will say more. we are talking about the frailty of being, but someone is sitting watching tv and worrying about what will happen tomorrow. they are already platelets, one after the other stuck together, one after the other stuck together, one after the other stuck together. he will now go to bed, and at 3:00 at night he will clog up the blood vessels and everything that he was afraid of worried will no longer

bother. so is it necessary whether they and the blinders are necessary because he was afraid, because that stress is a direct risk factor for the development of heart attacks and strokes. you know, faith in some kind of supreme power of god helps here, it is, it is effective. she is not vera, that's what you have to believe. here i was the chairman of the circle in my childhood. atheists and because of this, then it was not possible to get these books. the first book i read there was the bible for believers and unbelievers , i already read the koran there. well, due to the fact that many things surprised me, and many were very memorable. because why because it seems to me that vera lives in everyone of us where is some. and now, when you understand, if you think and believe that

your life is your destiny, it is still not completely in your hands. that's the ultimate fatalist. i don't know if this is right or wrong, but being a fatalist is very, very helpful in fighting depression and anxiety and worrying as well. well, we are a little afraid of death, but everything will die painfully, but i would not want to, of course, i would not want to, but then again, if everything is spelled out that twitches , each of us has a few days, someone has more, someone something less, but we can't give depression. that's it. we can't have more days of the week. you know how life zebra is, they are not a white stripe, nor a black stripe of black stripes. we can no longer have all the worst. it's all good, because you're watching it from this world. even bad this one is also good, because after some period of time. well, you'll be somewhere else . i do not really understand what will happen next on the same kalyasya, i saw. here is the face of dead

people relatives to her and so on. and it was creepy. do you know when such a kaleidoscope the dead passed. well, they are dead, but they passed. is it like being alive? i saw them. i knew they were and in the end was my dog ​​margo you know it was so creepy but so i mean we don't know what's going to happen next. and then, in general, we are still afraid, if this is a transition from home to another, then what are we afraid of at all, this gap, and we spoil these days here with worries when we cannot change anything. we go to the doctor, we start shaking. the diarrhea is still starting. she starts pressure oncology and so on and so further. what is this for? just because i'm afraid of tomorrow. do not know, actually put no one is talking. you understand, remember, why do americas run around to psychiatrists and psychoneurologists, because

they need to talk. and somewhere you will obsess so many psychiatrists, because everyone needs to talk to understand that he is afraid, in fact, and in fact. i think that with each one it is possible to find its causes, with each one it is possible to reassure a person. yes, you can temporarily give the medicine to give him just time to gather strength all the nerves. well, he died loved one or died. he 'll tell him everything, except that, like in the movie, we'll definitely meet. yes, but not now, and it passes, therefore, this inscription on the ring will pass. and it is very important to understand and screen treatment approaches, symptoms. open the internet, type and read, and i met you with my vision. here is the problem. i think that it is more correct than what you read on the internet. everything, but right

now we have a traditional section. ask a doctor. i am ready to answer your questions. at who is understand hands. good morning, good , glad to be present on the program about the most important thing and faggots to see you come leonidovich your question. is it possible to get rid of osteoporosis with nutrition , or until the end of days, a person who is 50 years old and diagnosed with osteoporosis needs to take calcium and vitamin d3 in the form of medicinal substances , it seems that everyone in the house should take vitamin d for a pause grams, half in tablets half of food . after menopause one and a half years. this is not only a treatment. in this case, this prevention. it's stressing me out a little. and what kind of osteoporosis exactly is osteoporosis ninety-stop an already established diagnosis

of osteoporosis in a woman 50 years old is early, because she has menopause. that's just, probably, yes, and today not earlier than menopause 10 years ago there for some reason. and if she has menopause now and already osteoporosis - this is the reason, and i'm buried there. why didn't estrogens exert their protective effect on the bones? and what are you doing there? you mean an endocrinologist? i would have seemed in any case pig. this disease statement of the endocrinologist. if i were your new one or that person's, i would think about it. why so earlier his growth. in general, if you already have it in russian, then yes , there is no calcium vitamin d, everything is like prevention, and there are already dwellings without sonatas and other preparations by multinational bodies. now they have. it's already a cure. we give 5 years there, then we don’t give it, but this is already a treatment, but if the word acute

growth is uttered, one must understand. what's the reason, if it's real mustache certain, uh score on uh, special study. i think there calcium with vitamin d will be clearly not enough. i have problems with my eyes. white growths flow and appear, that is , i drip, and now i don’t know how you advise, of course, well, what can i say and that’s it. and what to do next? i don't know, but nothing helps a good spin. this is some kind of bullshit, i'm sorry. i don’t write anymore, because i don’t understand anything about this, but i see from a distance you have white on ice, and if this is already a chronic condition, you even have slightly reddened eyes. you just need to find a normal ophthalmologist, and who will not dismiss, but is not in the clinic. well, yes, well, you need to find a person that's an eye. this is such a thing, especially at our

age, you understand, yes. so that's it. thank you. thank you. and the question is: since birth, the child has a congenital heart disease with an open arterial duct. we, of course, annually, are observed last year, and checked at the place of residence. we have about 1 centimeter already with age increases, we were redirected to another doctor in a children's hospital from the local moscow, and there we found 0.9 , they said that so far the operation is not required. here question. still. we have been preparing for the operation for 13 years, yes, pts is closed with medication, but everything is preventive, i don’t know anti-inflammatory drugs. no, no, they didn't. here is the current. it’s just that we are being observed and preventive measures are taken in the spring and autumn, everything is observed further, in general, in fact, these operations are enough. well, not that without

offense, but in any case very advanced in er, correction for 13 years. here somewhere in the rapids we are usually operated on somewhere. here, at this time last year, we were already, uh, practically preparing for an operation in 12:00. usually here here is the thirteenth twelfth of thirteen years and they do this year. we will already have 14. well, then you ask the doctors what kind of things they have and what they think about something, when we are talking in general, but more specifically, they have their own thoughts. with regard to your child, and so on, because , logically, it should be closed. everything, i understand. thanks a lot. good morning. leonidovich i have a question. so it exists. uh, a deviated septum, for 20 years or so. yes, but a sports injury, but she small so to speak. and so i decided to look at other methods. e non-surgical and now you met with the method of balloon

rhinoplasty, that is, air is pumped up , as if a spray can, yes, it is corrected during consultation with a specialist, he expressed doubts that this method is actually. uh, maybe it's so efficient to work and said that this is corrected only in an operable way. what is your opinion on this matter is the same as your doctor's doctor, because i'm not an expert, but i even have a septum near me and you put it in place repeatedly. yes broke his nose, and i repeatedly put it in place with your hand. or a balloon, yes, if it weren’t for our later anyway, she doesn’t eat , an unstable surname, and then it doesn’t matter what we do next, we just remove part of the nasal septum, because it’s like business, and it will still interfere what's in the balloon done. you don't do it right. well, she's still getting in the way. there is already

a part of the sclero that needs to be cut out. this is where she stays. but there it simply isn’t inside it, it just cuts it out. and everything is fine there. you breathe nothing interferes, so the balloon is, in my opinion, in favor of the poor. thank you very much. i hope i have answered all your questions. so i wish you all good health, i wish you all good luck, goodbye. further in the program , nodes in the thyroid gland, how they are formed and do they need to be removed? today at 21:20 gay he has the highest dosage of the substance for the pain of inflammation pentalgin against more inflammation in the muscles and joints probe undeniable and mafia alexander sale for

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circumstances. we started a large-scale search for bob all over russia and did everything possible and impossible we have news for you. good morning. hello, today we will talk about a very common pathology of nodular formations in the thyroid gland, as a rule, when you talk to the patient about the presence of a nodular formation. the first question is what it is necessary to do or not to remove it, according to statistics, nodular formations in the thyroid gland are recorded in more than half of the world's population, and in women much more often than in men. why do thyroid nodules form? what to do with them? this is what we will talk about today , our television viewer natalya turned to us . let's find out her story. hello

doctor. my name is natalia and i am 47 years old. i noticed that i can't wear high-necked clothes. i'm having a seizure panic. i feel a tight feeling, suffocation in the thyroid gland in the neck, you see hanging, my turtleneck with a throat i used to wear it very often. and now, of course, i can’t do it anymore. i noticed that i put on a lot of weight. uh, i get dizzy and tinnitus very often with these symptoms. i went to a therapist, the therapist referred me to an endocrinologist, of course, the endocrinologist started us for me. an ultrasound of the thyroid gland read the conclusion that the doctor had written nodular formations in both lobes, i'm worried. is it dangerous what's up with that do? maybe they need to be cut out, or maybe i need a drug and drink it. or maybe it

can be changed. meals natalia today , in our studio, come to us, please. good morning. good morning, natalya, how long ago they noticed the changes, i took the changes there. last year i was worried about feeling overwhelmed. and when i swallowed. it hurt to swallow. i love sunbathing, but i'm worried. is it possible to sunbathe when you have nodular formations. what did the doctor tell you? what was the recommendation, and they said avoid sunlight, but do not remove delete something to say, and they told me to leave, by the way, one observation natalya what are you afraid of at all what worries you? most of all, i worry that nodular formations can develop into an oncological disease. and i would like to make it easier to prevent the disease. how to treat therefore, that is, because it’s scary, because it ’s really scary so that you don’t have such a feeling of panic anxiety. i want to invite an expert doctor vladimir

eduardovich ivanushka doctor endocrinologist doctor medical sciences professor chief researcher . doing surgery of the endocrine organs federal state budgetary institution research institute of endocrinology of the ministry of health of russia what are nodes in the thyroid gland? the question is that the nodes of the thyroid gland are quite common and, in practice, reach about half of the population, and this raises the deepest philosophical question. and can it be considered a pathology that, if every second person in the vast majority of nodes is represented by some kind of proliferation of cells, counting the glands, what is called a colloid the pathological significance of these nodes is very very doubtful? and indeed they are quite common, but at the same time there walking down the street, especially. now, when everyone has already, let's say, uh, exposed their

parts of the body and, most importantly, their neck. we do not see any such nightmarish formations, therefore, it is quite rare for a benign colloidal node to grow to some size, which already causes some symptoms and discomfort, vladimir erdovich. let's go right away. let's say we are talking about colloid nodes, namely the colloid node, structure. it can definitely be determined on ultrasound. and when an ultrasound examination is performed, a number of ultrasound signs are analyzed, on the basis of which a conclusion is already made according to a certain classification, and on the basis of what you say about the degree of suspicion of this evil, and already on the basis of this degree of suspicion, indications for a puncture biopsy are formed, the next question that arises for everyone is the node size. this has always been in general, if we say zombies in general, the whole situation with nodes is

pierced by e. just a lot of psychologism, if we are talking about a benign node, that is, a number of pathological symptoms that this node can manifest itself in the first place. the most important thing is the trophic pressure, which can be established using computed tomography. at the same time, for someone a node, relatively speaking, 3 cm, can lead to a statement of a trophy, and for someone a node of 6 cm. it can bring, that is, not the size of the node itself is important, but the presence of that pathological symptom is benign colloid node. it can begin to function autonomously , regardless of the regulation of the country of the pituitary gland , the country of thyroid-stimulating hormone leads to the development of hyperfunction to thyrotoxicosis, and at the same time, the size of the node will not matter either. yes, but it will be important. here is an autonomous function that led to hyperfunction of the thyroid

gland, so here again it is dism, which we must refuse, how to do this? it is very easy not to try to determine something in yourself, but really how our dear patient felt something some unpleasant symptoms of ours and turned to an endocrinologist, therefore, if you have any suspicions that you have something not with your thyroid gland, or you yourself have discovered some kind of node, the first thing you should do is come to an appointment with an endocrinologist they try. yes , independently solve this problem, since the nodes are in the thyroid gland. well, probably one of the most frequently discussed, and problems, including in social networks. let's now talk a little about which statements are true. and what false how often a woman should have an ultrasound of the thyroid gland, if she has no serious reasons for concern, if there are no serious reasons for concern,

then there is no need to trust. so let's see, tanning was contraindicated once in the fifties there was an order. e of the ministry of health of the soviet union , according to which patients with thyrotoxicosis were forbidden to be sent for sanatorium treatment. in the heat, in general , it was difficult to send such people in conditions where there were no drugs to treat this condition. wherein tan itself. so let's say. yes, it is absolutely safe. this is a myth, look further , you need to use iodine supplements for thyroid nodules. well, if we are talking about prevention from the point of view. eh, let's say, but a global problem, then we are talking about the total leadership of salt, as this problem has been solved in a number of european countries. in fact, if you use iodized salt at home, then you don’t need to take any iodine supplements, look further. but

you can’t tie the ball tightly, so natalya just said that she was uncomfortable, but in blouses with high water. yes, it squeezes, which is directly categorically the causes of divergent strabismus, which is called the mother tightly tied a kerchief. yes, the knots can dissolve on their own. well, this situation is tempting, because the node is a kind of, so to speak, e proliferation or a certain, so to say, focal accumulation of cells, which, of course, will not go anywhere on their own. resorption of knots. it is a myth to follow a strict diet for thyroid nodules . yes between meals and thyroid function. again, this is an exception. uh, no lead salt

and no strict diet. nodular goiter. absolutely not required. this is also a myth, natalya will at least a little calmer at your table much faster than what it was before, but now you will start wearing his turtleneck in winter. do not worry. but what do you need to do, if all the same. during the diagnostics , nodular formations were revealed, for example, more than a centimeter is what worries, but one of the neoplasms is a little more than a centimeter a question the fact is that if, according to the results of ultrasound biopsy, they do not even show enough visits to the endocrinologist and periodic examinations somewhere periodically once every two to three years, that is, donate blood for tsh to evaluate function and do ultrasound for dynamic assessment. i hope that we have calmed you down and the horror is calmly planned. get tested and you'll be fine. yes thank you. thank you,

thank you very much. and we wish you good health and excellent mood. you had a program from the most important. battles in the bribe our tankers approach from different sides