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informative and interesting, we are starting. today in the program about the most important thing, which non-dental diseases can cause problems with teeth, how the development of caries is affected by the work of the stomach, why teeth are destroyed due to joint disease, and what medicines are especially harmful to the teeth. balance, how coffee affects the development of liver cirrhosis and how soap is better to use during the cold season . ordinary or antibacterial questions? from dr. alexander myasnikov asks you answer the question the mysterious disease sarcaidosis, which is why doctors often confuse it with

tuberculosis, how contagious is arcidosis? whether it can provoke the development of lung cancer and why some are not treated for sarcoidosis from others, it is always a choice so that the treatment does not turn out to be worse than the disease and the knife strains the lack of understanding of the cause of the disease. here's what it can be, because of which teeth deteriorate, we all know. if there is a lot of sweet or it’s wrong to take care of them, but it turns out that many diseases you know also destroy our teeth. and may even cause them to fall. although it seems to have nothing to do with teeth, for example, hypertension or diabetes. because of what other diseases can you lose your teeth, how to prevent this? what to do to save the remaining teeth, if you have hypertension or

diabetes, dr. myasnikov will tell about this now. and you remember. it is a fact that in america 50% of people who have reached the age of 60 do not have a single tooth. well, this a well-known character such a well-known person as jack londor, in his 40s, no longer had a single tooth, this vicious circle of course. this is still realized, as a rule, through infection, many diseases predispose to infection, and infections predispose to heart attacks, oncology strokes and many other diseases. it 's like this, but if in the middle of the disease they affect the infection, the infection affects the oral cavity, and then it goes intoxication and ends with oncology. now everything is proven oncology on the pancreas and some other things. well, uh, i with all my desire.

i don't know what's with the hypertension, but i can guess. well, let's go back to that. the dirtiest place, yes, that is, there is a huge amount of bacteria, in fact, these bacteria are part of our microbiome. and i read that 1% of our entire microbiome is in the oral cavity, then i began to count. if you write that on average we have a total of bacteria in the intestines of a kilogram of 1% of a kilogram of 10 g. so, here are 10 g of bacteria in our mouth they are different, well in general, more or less live. but not so many bacteria are called caries and their streptococcus mutant, mutant mutant, this streptococcus has the ability to live in acid and has the ability to increase acidity in the mouth. no wonder the advertising of many

is dangerous. still acid-base balance. the fact is that when we eat sweets , acid is produced, the ph drops and this creates prerequisites. for the loss of minerals and teeth, the tooth is destroyed once and twice. here is a streptococcus boot, and he himself can safely survive in acid, he begins to work, causing caries, well, it's good to fry the teeth, but it all goes to the surrounding tissues , it becomes painful and the gums bleed. and it all depends on the kyosen. gum condition. these well-aimed tissues of the mouth, hypertension has already begun to speak. the fact is that some anticonvulsant drugs and many drugs for hypertension, including such as veropomil nifedipine amlodipine, lead to gum growth there. sometimes the gums also swell and cover the lower part of the third teeth. don't expose. on the contrary, it closes these swollen lynxes the inflammation flares up just like i don't know how a fire. uh, dry grass and extending to the tooth and so on.

what about osteoporosis? well, yeah, uh, just leads to the destruction of non-teeth. namely , the bone tissue weakens. and by the way, and by the way, when we treat osteoporosis with bison drugs to strengthen the bones, a rare side effect is necrosis. jaws, that is , it seemed paradoxical that we treat osteoporosis, and it ends even worse. why any dentist in a woman, 60+, who came to the procedure i must ask if you accept without sonata, because then he will postpone the procedure from the copper first without sonata, because it may end in necrosis jaws and what are you doing examining the tooth? that is, everything fits slowly inspect. yes, you are already the second or third, the second person is already considering diabetes, of course, because diabetes is an altered immunity, including, by the way, hiv hiv diabetes. this is serious. it is rather

a condition that changes sensitivity. e place immunity infections flare up, leading to loss of tooth loss. bone tissue, leading to a general reaction of the body in the form of heart disease oncology and so on scoliosis, let's fantasize. what is scoliosis and like this, maybe i think the bite is changing. not well, as it is only if the geometry changes, because bruxism in children who begin to grind their teeth on arthrosis. this joint leads to an altered chewing biomechanics. this can lead to loss of teeth and so on. well, i'm not going to fantasize about kidney stones and so on. here we know well. this pregnancy hormones, pregnant woman teeth will fly away with terrible force, sweat after pregnancy. this usually goes away. if left to him remained, but some diseases that come with people. for example, givit

inflammation now exists without the rules of menstruation, when in the first days the teeth begin to bleed without time and become inflamed, but the gums become inflamed and disappear, because the hormone. yes, depending on the very clear expensive disease rheumatoid arthritis, well, romantic arthritis, at first, can often affect and upper jaw joint. but it is also an inflammatory disease with impaired immunity. and we have here, uh, a very complex relationship of immunity of cytokines, these inflammatory cytokines and heard, when there was an era of types of cytokinovich storms, these are rivers and so on. it all takes place in the oral cavity. there is a very complex genesis. much more complicated than we can imagine, uh, everything. i have gastritis. i'm a throw. e zorger's syndrome is correct, but it's not because her contents throwing hurts. uh, for uh

infection for the middle tooth is a very important amount of saliva quality, if you have heartburn all the time, and if you have acid reflux, you are dry, you do not have enough saliva. it loses its therapeutic composition, and the saliva is therapeutic, both in people and in dogs. it's not just water and maintaining a sufficient amount of energy. and if you have a bet, and if you breathe through growth, and you breathe through your mouth, you have a dry mucous membrane. your entire microbio is changing. everything changes. basically a lot faster. this film is a biofilm covering the tooth, under which bacteria are this streptococcus mutans is alive and well. why do we have to clean this bite all the time, clean it from her, she hasn’t cleaned everything for a day. underneath it has already flared up. therefore let us, as it were, according to the literature, know the spotter on the health of a horse by the horse's teeth, age and teeth. how do we distinguish a healthy dog ​​or cat from a well-fed coat? the coat should shine and shine, because the coat is

hair, that teeth, that nails? these are indicators of health, of course, a lot of procedures. uh, dental can cause problems, but it's implants because it's anyway, the people's body is normal, the tooth, no matter how it absorbs, they do not live. here in the bone it is in soft tissues with ligaments. but when we live it absorbs, well, how is the car? yes, it absorbs the implant. he is driven into the bone screwed. and when we live it turns out the whole load. it does not cushion, it goes into the bone, the bones are rarefied, and inflammation begins around. these are already serious problems. although everything is relative. i had an implant put in 20 years ago. after 10 years , they did an x-ray and said it fell out on you. you have him standing there across showed me they said that there is inflammation, most likely, should drink. uh, doxycycline and right. there is such an approach for chronic inflammation. here from this stupid streptococcus. i have absolutely

disliked her ever since. i also had to take doxycycline just on an ongoing basis there for years i didn’t write anything, i apologize for the jargon, scored and thought, well, when everything falls out, then it will fall out for you since 10 years have passed. it has not yet fallen out or to the fact that everything in the world is relatively unnecessary. you know, there is no need to rush to urgently change something, well, he's sitting. i have a scythe plan. well, he sits where he fell, i don't know, i react, i don't do it myself. i don't feel like it's holding up. the main thing, after all, is that the main thing is to have immunity to have good protection, but because if some bacteria that affect our immunity cells in such a way that they begin to provoke growth? biologically active substances that destroy the bone i mean that the most complex biochemical and pathophysiological mechanisms are not very accessible to our understanding, therefore the connection between these diseases. they're just in a straight line vitamin d i do not have enough calcium not enough calcium through the tooth becomes loose

falls off. it's primitive. in fact, this is more and more complicated, but i say again, you don’t even need to understand such things , that you need to know something, you need to know that you must breathe through your nose, that you had enough saliva if you don’t eat enough water, drink sweets minimize sweets really harm. well, four people looked, in fact , their teeth are not bad, but i want to note that patients who have common somatic diseases, a in the oral cavity. this is very different teeth are missing hygiene is worse if we compare patients who have, say, chronic diseases of the stomach, and who do not have these chronic diseases in these patients. there is a difference it was completely. well, are you confirming yourself as a professional? i say yes indeed, because the stomach gastritis refluxes. all this works the birth cavity, too, we cannot avoid many chronic diseases. we cannot change these pathophysiological processes, but the number of teeth. we can breathe through our nose. we

we can take care of moisturizing the cavity there , and if we are already ill, we can also take dacyclines, an antibiotic prescribed by a doctor. we can sort out the pills that cause ten to grow. we can do something on this optimistic note. i'm finishing. everything will be fine with us. further, how does coffee affect the development of cirrhosis of the liver and what kind of soap is better to use during the cold season, ordinary or antibacterial questions? from dr. alexander myasnikov asks you answer let's listen to the question again. you are exactly the manager of selling powerful furniture to you spasskaya new series today 21:20 with age. a change in vision can change the usual things, then it was created to nourish the restoration and

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sort waste. can you fix it? sort waste for all 100 doctors. we ask questions. hands and forward come on, what's your name? my name is svetlana sveta what are we doing? i used to live in norilsk from moscow as a sales manager, in particular office furniture. obviously, we're spinning. thank you. so the wording of the questions is such that it can be answered. yes? no, well, let's go sunglasses and winter

sunglasses. in theory, well, yes, yes, yes, we wear sunglasses, in winter, of course, it is, probably, not so harmful in the fall, most likely seen. by the way, here's a good tip. yes, well, then, most likely, you need to wear it when the sun is scorching, that is, i can answer. hmm let's listen to the answer again, write. i'm ready, well, ophthalmologists agree with you. they say you should wear sunglasses regardless of the season. faithful to myself badly. imagine, tomorrow all muscovites, gates, without exception in black glasses and so on. we don't do that,

of course, and that's why we have, well, like everywhere else in in the world, eye diseases are very common, in particular, the traumatic effect of the sun's rays for this colossal e, damage and one eye looked correctly. thank you. coffee moves down the risk of developing cirrhosis of the liver. no oh, what a question, then you watch our programs. well, sometimes we'll check it out. because little transmission know where i would not mention it. well then, let's listen to the question again , the wording of the question, what is the right answer? you are definitely an office furniture sales manager, but your husband is gone. i understand him such a strict person. i know right now the wording again. by the way, i

have to sign this, well, coffee is moving out, the risk of developing cirrhosis of the liver. i answered. no, you answered incorrectly, because coffee has been proven to reduce the risk of hepatitis becoming chronic hepatitis. here we are talking, there are hepatitis with chronic and so on in cirrhosis of the liver as a result of the enemy, so coffee for the liver is a healing drink of some kind all recommendations for liver disease, drink coffee. of course, i drink a lot of coffee. well, you see, yes, well, here, what you think is not always right the use of antibacterial soap reduces the risk of developing sars infection is the risk of contracting sars so, but it seems to me that i know the answer directly. come on, like, in general, arvi is transmitted by airborne droplets. yes, by the way, well , just in case, i would answer like this. given that a lot of ambiguous answers

now say. i'm gone. i will support, but this is the very moment when you definitely cannot answer, because on the surface yes, of course, antibacterial soap, if it works, it works on bacteria, in no way not for a virus, a virus is not only airborne, but also through your hands you took a pen or any non-coronavirus, but a mushroom, yes, measles. yes, you took it, and then, as we know, it turns out somewhere else that we touch our eyes during the day. i'm a bespectacled man there almost three times, and, but antibacterial soap does not help, because the answer does not act on viruses. no. well, but just wash your hands with soap usually, of course, special antibacterial help is not necessary. so how are we going to protect? what do you say, are you alone?

you don't really deserve it. okay, one key to you, but on the condition that you do something with me, come here. i can do the same thing here with us and with you a lottery, then they didn’t say that dr. myasnikov was there, i’ll tell everyone later. you are very kind. jump rope how many times? 15, well, i haven’t jumped for a long time, then i’ll tell everyone, but i jumped with the butcher , i won’t be able to do that and no no no no well done what? just a beauty, well done we

still have one key. if your wish is lucky, no, well then you don't care liked. silently, quickly took clearly so well done. there is a chip, i chose correctly. sign thank you svetlana well done svetlana, so she immediately reminds me of her name. thanks a lot. sit down, please, let's watch. doctor myasnikov constantly receives letters

from viewers by mail and on social networks , people are asked to tell about certain diseases, and recently an unusual message has arrived. hello, doctor. i was diagnosed with lungs, but no treatment was prescribed, they were taken off the register and are not even observed. why me scary doctors sure do everything right? suddenly the disease develops. and i'm not cured. we invited the author of this letter, people can get sick of it and not even guess. what is sarcodos? because of what it most often occurs, how contagious this disease is. can sarcoidosis provoke the development of cancer and why do some people need to treat it, while others do not ? dr. myasnikov will answer these questions now. they wrote then, yes, what is his name?

hello irina, hello. i just have such people. okay, let's go, i a little later i will contact you, who heard the word 40 vidos. raise your hand, not you. ah modicum word heard on one person? who knows what it is? raise a hand. you know, give me a microphone, one person said, well, well, i don’t really know this but an immune disease unknown to theology, many focal small blackouts in the lungs are being treated. well, it depends on the immune system. what kind of immunity treatment is very complex and, in general, still incomprehensible. well, in general, all of the percent is correct? well done, what about only but he needs an error. but what is unknown etiology - that's for sure. we don't know where it comes from at all. we know

something not uncommon disease. these are four people. you heard one example, you know what it is, in fact, the average is 10 people per 100,000. but it depends on the countries of scandinavia , more in america, more in women, more in young people, more. although today we find more and more often after 50 years, that is, there are certain genetic predispositions. we even know which lines. she's coming, we know these genes complexes. these are the genes that sarcovidos goes through, but why don’t you know, we are trying to link infections with some kind of virus , yet 12 people are watching japan, they found their own who fell ill with this. oh well okay, well we can building material bad ecology. we know that another anniversary of the terrorist attack is coming soon. and when the planes destroyed the new york world trade center, after this disaster, a certain percentage of firefighters and builders who sorted out the rubble fell ill with arcade. so, uh, tour.

this is the cause and effect relationship. she traceable. she is an explanation. no. you are right. it is indeed a multi-organ disease when in tissue. spitting telymphocytes other cells. well , it doesn't matter, the name appears to you, as if the nodules are such inflammatory nodules. they are very similar to tuberculosis nodules in general in the picture, look from erkedos. it is not always possible to distinguish from tuberculosis, because eighty percent of this tuberculosis is a lesion of the lungs, their characteristic symptoms are shortness of breath. it's a cough. it's chest pain. at thirty percent. cases meets in it pulmonary tserkovdos. tserkovos can occur anywhere in general at any point in the body, eyes, skin, stomach, nervous system, joints, muscles, mask, and that's all, this is accompanied by its own symptoms each. well, let's talk to them, while we tell you for some reason, what is the church, what was it to people? it's clear. please give

me your papers and formulate the question of feather bed romanova, 31 years old, moscow therefore, she often underwent a medical examination and her health was always perfect, but then the joyful event of the birth of a child suddenly changed her life young woman. her leg began to hurt frequently. at first, my leg just hurt, as if i had twisted it, and then there were bumps on my legs, then a temperature appeared after a fever, a cough appeared, and when i was sent for a ct scan, it turned out that it was sarcodos of the lungs, irina still does not understand spirits. where did she get such a disease, but as a result , even without any special treatment. she managed to get rid of him from the register. irina was removed from the doctors, she is not observed, but will there be a relapse and what could the woman be worried about, after all she has two small children, maybe she

should take a closer look at her health. irina came to us to listen to dr. myasnikov's opinion. i came to the doctor. cola to find out is it possible that with arcidosis passed without a trace, nothing remained in the lungs. and what should i do next with this disease? how to be observed and is it necessary to be observed at all? the question is, that forty-diasis was initially diagnosed, but the doctors told me that these nodules in the lungs, they , uh, will not go anywhere. that is, they will all my life now, but on the hotel of the lungs. uh, i don't have anything completely clean lungs. this is possible with circoidosis, and was it definitely sarcodos, because a bronchoscopy was performed on a bronchoscopy was diagnosed, in fact, the power of not really knowing what it is, what is taken from here and approaches to treatment what are you saying, how

contagious is circa and dos and how does it affect the development of lung cancer is not a knife and strains. lack of understanding of the cause is always a choice so that the treatment does not turn out to be worse than the disease. moscow coffee house on the bail and i will tell you why the moscow coffee house on the bail is a combination of traditions and advanced technologies of the highest class. a taste of pleasure moscow coffee house on shares i like to recommend. lightly, we conducted our own investigation and found out the truth grabs my hand and tears in my eyes, please don’t take me away, i will die there where the soviet model disappeared and into whose hands it will go, vyacheslav zaitsev’s mere fortune and life’s work is announced for another hour of his face threatened cover

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more to come, if you call now, you will receive as a gift a set of two legendary blue-handled sharp knives for absolute cooking pleasure. but that's not all. call and find out how to get a valuable gift - a convenient modern and technologically advanced pelmeni with which you can cook dumplings and dumplings in a matter of seconds a gift that will definitely come in handy hurry up the number of gifts is limited. the most important program continues talking about sarcoidosis the fact is that this disease is incurable, we cannot we know what it's like to heal. we can't, but it also flows like you say. and there may be changes, there may be improvements, but i have not met. that's how it all disappeared. but i didn’t meet

pulmonologists, they probably saw it anyway, it was of an inflammatory nature. it's not that there is already some kind of scar there, it's an inflammatory change, and they are subject to what course, based on this , what is important to know, and what we don't know we can't prevent, and the treatment is quite a serious treatment of hormones, if not helps hormones down and give high, that is , a high dose does not help, we add metatrix, that's all, in general, you know, very serious. yes medicine causing diabetes bone infection stomach problems liver problems. that is a very serious treatment. therefore, the question of whom to treat approach such no symptoms. we do not treat at all, or there are no symptoms. we do a lung test, we make a tube to breathe, if you have a normal, vital capacity, if you have normal indicators of this test for

regeneration of vidos, we do not treat at all, if you don't have any symptoms, but there are signs on the regen, or on a pulmonary function test. we see aha it's lowered. it is reduced here something quite a lot on the sides, and we understand that it will progress. we 'll start the treatment before the symptoms start, but based on the diagnostic data, so it's always a choice that the treatment isn't worse than the disease, because that's what the disease can be. then it may not be for years, then it may come, then it may go away altogether, it's light, and you sometimes have eyes like me already said, the heart is very common arrhythmia is a problem with the heart. they generally, as a rule, are not diagnosed, because to determine like this, that the church and the rain. without biosi it is impossible, the nervous system strokes pain they are less.

well, you have to remember this every time, in general, how the knee hurts, the knee hurts , it hurts, but i can’t imagine how i would go out, as a knee diagnostician , it didn’t occur to me, in all the last place. that is, it must be you must remember that there is such a disease. well, of course, i don’t remember this and you come across it. mostly, of course with a lung, and its sarcosis is quite clearly visible just on the regen. yes, there we have certain chemical indicators. we all know him. e participation. there, in these nodules , the production of the vitamin. d there are many vidos yet fascinating areas, but of course. it’s annoying the lack of understanding of the cause and the lack of a curative effect, because look, if not hormones, if not methotrexate is already on the way, uh, inhibitors, uh, tumor necrosis factors are already on the way anti-clonal bodies with terrible names all this is covered serious medicines, but fortunately , in most cases, the vidos goes. that's how we are most people. we don't just treat,

because the treatment doesn't prevent anything, but it can be worse than the disease itself. we have questions about the audience, for sure, although i'm wondering, four people raised questions they heard about the church, do one know what it is, and questions here you wanted to ask a question. why didn't you raise your hand? when did either you or my speech inspired you? and understandable. i want to know if you can get infected with archaiz. no, you can't get infected. it would be on the one hand. fine. if it was possible to be born only with a dose. we would understand. yes, there is an infectious agent there is an infection to this no e get infected only by a dose, you can’t get tuberculosis can you get infected from tuberculosis? yes, but this is not. even though we say that there may be here, uh, there is a certain infectious agent, but this does not directly cause it, it is called such outward logical shifts that can, uh,

turn on this khaism, and the mechanism, by the way, is also not clear. come on, another question inspired you, come on, i really didn’t know anything about this disease. but here comes the church, the enemy is very, well, lungs or anything other than tuberculosis, because people with tuberculosis suffer from lung cancer four times more often than ordinary uh, ordinary patients these are a few vids. uh, anyway, how much within my knowledge? uh, my buildings are gone? oh, and yes, you are a professional in church doses. i initially started with erythema nodosum, and the doctors told me, that if there is a relapse, then again everything will start the same way, will everything really begin to develop in the same way or not necessarily. it's just one of you.

you understand that 40 vidos can affect any tissue at any point, including skin, including erythema , but it could be the eye. it can, well, just eighty percent of the lungs, so it will work somehow. i don't know, maybe not at all. after all, you are fine. he is nechili hormones, that is, you are practically untouched by a person who has passed until it has passed. in any case, god forbid, she is will remain something, but now the word sarcodos for you is not the name of some insect, but straight pancake. and tell me, please, did you know what it was, did your relatives get sick, or are you a doctor? well, there are acquaintances who are, well, somehow.

the time of the heading questions about the doctor, we ask questions based on previous programs. answer dream answer you will jump on a trampoline, who is ready to jump on a trampoline? for your other let's find or maybe i 'll answer everything now. can this be? good morning. what is yana's name? what are we doing? well, there is life some. so well, here's a good question for the advertiser just for you. can you drink alcohol? if you're on antibiotics, are you sure you don't? and if you can't, then you really

want to. in fact, if the two groups of antibiotics, in which alcohol is really, well, there will simply be severe vomiting. this is metronidazole, with which we treat sexual and oral infections and a group of cephalosporins, generally not widely used drugs. their walk is structurally similar to a sulferam disk, otherwise drugs, oh, which treats alcoholism, people are specially given to drink and just fall, so it’s impossible with other antibiotics here, but why? do you mean no? you are so sick. i give antibiotics. not just like that. come on, i drove the inflammation process. of course not. is it necessary for animals to do an mri of the brain for prevention? i do not know, well, at the age, probably at the age i understand, if you worked in a private mri laboratory for advertising agents

, the answer would be clear mri of the brain saves lives early detection. come to us pay us 5,000 rubles. the more often, the better think, mri, i think it is necessary to do, but something with pressure, probably something there. well, this neurologist already, in my opinion, appoints all i am not mistaken, but also the conclusion is the conclusion. is it necessary to do for the prevention of the annual mri of the brain the question no, well, well done. a resting pulse of 90 beats per minute is a symptom of an arrhythmia. that's interesting, i myself do not know how to answer, what shall we say. i honestly don't know. let's go to women's to women's intuition, look, arrhythmia is a violation of the rhythm. yes , when the uneven world, there and so on, but even a uniform rhythm, a pulse rate

below a certain number is bradycardia , a slow pulse is higher than certain numbers and is calmly called tachycardia, and this, and that, the condition is not dangerous, but it is still not the norm. formally, formally it can be considered, therefore, what is the upper limit of the pulse at rest is not the norm for all people, well, up to 80% of people, usually the norm. we take 80-90%, although there may be deviations, here 90 is higher than usual. so where was she looking? i'm going nowhere i'm in space. and she said to jump on a trampoline i will not, three keys, the prize is guaranteed, well done well, we think turn on your head. how to open

well done? well done practically. further in the program, pain, tickling, plaque on the tonsils. how to save your throat in the fall from chronic tonsillitis, when your legs get tired, ache, swell, we take aescusan aescusan drops for 5 symptoms, varicose veins, effectiveness, comparable to compression stockings from kuzan, favorable price our country and our heroes. it so happened that two minutes came. our help and our support for our warriors.

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the weekend fell with friends to a neighboring city and rushed settled in smiled, such pirogues on weekends to neighboring cities russia dot travel good morning. hello, summer is coming to an end ahead of autumn, which means the beginning of the season of acute respiratory viral infections and, as a rule , against the background of respiratory viral infections transmitted by airborne droplets, all chronic diseases of the upper respiratory tract, and especially tonsillitis, become aggravated. what is tonsillitis? how to avoid its exacerbations, we will talk about this today , our tv viewer elena turned to us let's find out her story. hello

doctor. my name is elena from early childhood. i suffer from chronic tonsillitis with age. i have little that has changed. i am a professional singer. i have to perform a lot. and i also teach vocals and, of course, i need to always have my throat in order, but since i can often catch a cold. conditioner or in a drink of cold water, and my chronic tonsillitis immediately worsens again at the moment. i take various medications. also i continue the prevention of rinsing, well , the bone, uh, i put the heels of cloudberries in a teapot, brew with boiling water, cover with a lid, when it's all infused. i already have a ready-made solution from the evening. i gargle with this, but i do not always succeed in this and periodically. my chronic condition is getting worse. please tell me, doctor, what else can

help me so that my chronic tonsillitis worsens as little as possible. elena today we are in the studio, come to us, please. good morning. good morning. kind morning, elena tell us how long ago you had tonsillitis, well, almost from childhood. how often does this happen to you? basically, as soon as autumn comes, after the first cold, as a rule, it is not always possible to fully recover. and what are you being treated for, besides rinsing, some various medications . in a pharmacy i take, in principle , self-medication. well, unfortunately, then the condition worsens , you even have to go to the doctor. elena you are all sick in the fall. yes, my throat hurts endlessly, just like do you understand the diagnosis of tonsitis , the throat begins to hurt, perspiration, plugs began to appear , some white dots like that, what is tonsillitis? what are traffic jams? is it possible

to self-medicate in this case in order to answer all these questions? i would like to invite an expert doctor natalia alekseevna kononova to the studio, an otorhinolaryngologist candidate. medical sciences head of the department of orhinolaryngology natalya alekseevna good morning. hello. good morning natalya alekseevna what are corks, corks are some kind of mucous education, well, in the common people they are called traffic jams. and in medicine we say that this is a casuistic mass, so these casuotic masks usually consist of fragments of food , a little saliva, a little epithelium, which happen, respectively, from the dark tonsils. all this in a natural way is self-cleansing tonsil rejects, but sometimes in cases of chronic tonsitis and tissue failure of the tonsils, according to age or past disease. these plugs remain in lacons, tonsils, almond plugs have a spongy structure, so for this all grounds are present reinforcement education. here are these lakesides. mass, it

promotes inflammation and screens inflammation for long-term inflammation. here's what leads to it. what causes this infection in the oral cavity, namely carious teeth. some phenomena of stomatitis, including in the oral cavity, we have flora, it is not always stable, so viruses and bacteria, which are somewhat deviation from the normal flora of the oral mucosa, can also lead to more active , more pronounced formation of goat masses, let's talk more about reflux esophagitis, and reflux, when due to the failure of the connection between the esophagus and stomach. with us , the acidic contents of the stomach are thrown up against the natural leaving of the lump of food , and just this acidic contents can reach, including the tonsil , irritate the tonsils. and also contribute to this formation of casino masses. yes, that's right. reflex esophagitis is a disease that is quite common, and in

the modern world due to the nutritional habits of the population and in the case of the phenomenon of reflux there is an imperceptible irritation of the mucous membrane of the posterior wall of the glo. therefore, the accompanying tonsils are irritated too. well, as a rule, the mucosa becomes loose hyperemic and, accordingly, much more on it. and it’s easier to join various infections, both viral, and in this way a kind of interaction is obtained, a kind of vicious circle that supports each other. well , uh, untreated runny nose. this is the same phenomenon that somewhat stands aside after acute respiratory diseases. in the case of chronic sinusitis, and the phenomenon of runoff mucus. on the back of the throat. if reflux is what we say, that the mucous membranes are irritated from the bottom along the way, then mucus flows from the top of the nasopharynx and thus getting on the tonsils also somewhat determines them to form the presence of traffic jams. it's always

tonsillitis. yes, unfortunately, do not take any measures do not treat teeth, do not treat on time do not sanitize the upper respiratory tract, then unfortunately. and this leads to a chronization of the process, while in the presence of traffic jams during an acute disease, it stretches for a longer time and plus. as accompanying symptomatology goes. and these are complaints from the throat, if we are talking about the fact that we have a sore throat, but traffic jams. we don't see these masses yet. can we make a diagnosis of tonsillitis the diagnosis of tonsillitis is usually placed in the quiet stage of the disease in the remission stage in the acute stage. we take all measures to cure and accordingly dynamically, observing the patient. we already understand how to avoid further in the event of a relapse. let's just see what symptoms are typical for exacerbation of tonsillitis, moderate pain in throat. it may not even be a state of exacerbation. well, in a calm period, the patient

, as a rule, complains of discomfort in the throat sensations, sometimes interference with swallowing. if this is a process, acute acute tonsillitis hurts, of course. the pain goes quickly , it drags on, all this is accompanied by a pronounced increase in body temperature. and it's 38-39. in general, malaise , weakness, fatigue and other symptoms of bad breath, as a rule, cause precisely these accumulations, which we called traffic jams, when there is inflammation, then around enlarged lymph nodes. they become painful. people. they begin to complain that there is pain not only in the throat, there is pain in the lower jaw area, in the neck, and indeed. sometimes such seals appear directly in the area of ​​the lymph nodes. of course , the lymph nodes are part of the lymphoid system , which is directly associated with the amygdala, so the outflow of intoxication makes itself felt by an increase in the submandibular lymph nodes. and elena

tell me please, are these symptoms familiar to you, yes, and almost all of them are present ahead of exacerbation. can you to see our elena for sure? her tonsillitis, does she have congestion and can she be helped somehow, of course, let's go, and, firstly, the diagnosis of chronic tonsillitis begins with the collection of an anamnesis on such a history of this disease, because in this case it is a pathology that develops not within six months. this is usually a long history in relation. e of your treatment, what can you say in the acute period, that painkillers help you rinse sometimes antibiotics come, that is, in this case the patient notes that it helps you with symptomatic therapy, but the problem lies directly in the tonsils of the tonsils themselves. once again i repeat, it has a spongy structure and their lacunae contain these plugs, which should be removed

. e, palpating the submandibular lymph nodes in the heroine and slightly enlarged soft and painless, but, nevertheless, they are larger. more than it should be. in this case, we will exclude the flow of mucus along the back wall of the button, because it may be residual the phenomenon of an acute process, which actually requires treatment, but everything is fine here. the presence of congestion. here it is obvious even with a slight pressure on the almond. it does not stand out, they are visible, but the arches of the palatine tonsils are thickened, which is also the basis for making this diagnosis . in this case, uh should be considered if it is tonsillitis

, simple here are enough preventive measures that will contribute to a calm state and the absence of inflammation, namely this washing is a preventive measure, as it is the tonsils without nowhere a about the removal of the tonsils. you, too, but the measure that is being considered in this case, but if patients are not helped, courses, washings, lacunae, tonsils, patients, worries, sore throat, patients, worries about exacerbations of chronic tonsitis, we resort to surgical treatment. i i realized thanks. elena thank you very much for coming. i hope that you will take advantage of our advice and will delight the audience with your voice for a long time to come. thank you of course. thank you natalya alekseevna thank you very much. thank you. my friends, tonsillitis , a disease that affects a large number of people, if you have inflammation and sore throat recurs, that is , they repeat several times a year, then you, of course, need to take preventive

measures. and, of course, cooperate with a doctor with an otorhinolaryngologist. we wish you a good day and great mood. be healthy. with you there was a program alabanovna. hello paratrooper units from ussuriysk