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always, it will be interesting, as always, informative. so stay tuned, we're starting. today in the program about the most important heart failure, what happens to the heart due to this condition, who has it most often, how to notice its development in time and what to do to protect yourself from heart failure romeo will normalize sugar, the pressure of the heart begins to slowly expand in order to keep the pump sometimes until a heart transplant. which sleeping pills can be addictive and which are not and how many eggs can you eat so as not to increased cholesterol questions from dr. alexander myasnikov asks do you answer in pharmacies? why not trust

their advice? in what cases can this lead to resuscitation, when do you need to run without a smoker and what tricks often? uses pharmacists are interested to sell, but you know, where the loot is, there is evil. everyone. maybe you can’t even leave the pharmacy, the doctor goes to court and the pharmacy goes. heart cancer is what many doctors call heart failure. although no relation to the oncology of anemia, but also, like cancer on the initial stage, heart failure develops with little or no symptoms. the heart pumps blood. worse and worse, a person is threatened with death. how to suspect the development of heart failure in time, who develops it most often? check if you are at risk, and what needs to be done to protect yourself from heart failure

. the answers to these important questions will be given by dr. myasnikov. look around, well , there the doctor does an ultrasound correctly. physical activity fast, fatigue shortness of breath with little exertion edema of the lower extremities awakening at night from suffocation decrease in the amount of urine weight gain. and these are far advanced symptoms of severe heart failure. if you wait for these symptoms it will be too late. and what can we do next in this mistake. you know what the first stage is, heart failure according to the american classification of cardiologists. these are the risk factors for cardiac failure no sufficiency in the absence of structural changes in the heart that the doctor looks at. well, i these are all symptoms. you all know that smoking

is overweight. this is hypertension. this increase in sugar, kidney disease kidney is not enough. these are all risk factors, that is, the cardiologist already. take what manager. here katya katya come here. here she is healthy, young, athletic, beautiful, but nothing hurts her. all is well. we're making an explosion. everything is fine. not you. i smoke. i'm cholesterol high, sugar high mom is not about you and for me this healthy beautiful young woman is an american qualification of insufficiency first degree. why is it specially made? because there are risk factors, because i will actively fight smoking.

she will normalize my sugar pressure, count. how much fluid does she drink and how much is excreted? you didn't give up. go you healthy, it is put in the first degree. go healthy, and second degree cardiac is not enough for you to understand it again when there are no symptoms. you have symptoms of shortness of breath easy fatigue, but you have well, who does not? oh, there's nothing. everything is fine. here is not yet. what is your name hello remember this patient that this patient's grades are all good, the only one, and contractility, there is more than 60 function is not impaired. there is not the only thing here in a patient after akash there, of course, in a smoker after a man. why am i saying and if now the doctor said thickening of the interventricle and septum, or there she still does not feel, it was only the second

degree. the second degree, when these risk factors are also smoking, high cholesterol, high sugar, high blood pressure, but at the same time he sees something there. yes, remember how film something there in the nose, but she is absolutely healthy. this is the second degree, heart failure. and only when symptoms appear. we're talking third degree. here is the third degree. no, this is the fourth one. it is already there shortness of breath with suffocation. what are you, well, the symptoms are already the third degree. and what are the symptoms of dasha shortness of breath, we all rise. well, let's go up to the fifth floor now. the teaching of the pulse will all run away. we will all have a pulse of 120 and shortness of breath of 25. but, but you wait, well, you learned normally in a minute and the pulse will pass, and the person will already have it. there will also be a heart and shortness of breath for a long time is very important. how long does it take to recover, this is both fatigue and sleep disturbance, edema, edema from

the heart fails and the alignment does not shake so much. why, in a big circle, that the blood stagnates and sweats asphyxiation - this is when lyokha's edema, when there is so much water in the lungs, that the souls also have a severe degree of heart failure, if the doctor has brought heart failure to such degrees. i have the right to call him to say, where were you looking? well, well at least this understanding appeared before, as before there were shortness of breath, the symptoms of a person were sent to ultrasound, and he, if there was a decrease in the thai muscle fraction, how the pump pumps weakly. and here is the figure below. he says, there 40% of the faction of the choice of lowering the heart pumps badly, he has 56%, it turns out like a good sock. you're freaking out, you're having nervous panic attacks. well now i understand that maybe a historical core is enough. what's the difference the difference is simply the heart is expanded. why is it

expanding? yes, here you stretched out, and stretched it is not very shrinking. therefore, to reduce it greatly. you need the bigger the heart the same way, if it is weak contracting, it starts to expand. i don’t have enough strength to pump and this is called systolic, that is, the pumping function suffers, but there is another situation when the heart, on the contrary, from hypertension , the heart is thickened, that of the intergastric septum, that the left ventricular muscle is thick . it becomes so thick because it pumps. and what about thick muscles, what a disadvantage, it clogs very quickly. she can not relax. take it like this, squeeze it, squeeze it, then everything will swell up, she can’t, and she can’t stay, so she needs to draw conditionally there, that milliliters of blood, in order to send it further. and as if she relaxed, she would

type that she cannot relax, and therefore she cannot take a cavity more than 70 , she shakes beautifully. just can't leave to get it called diastolic hard wall heart failure. no, maybe it's okay. heart pumps like a fiery pump. you ask me, yes, it shakes, yes, and if i remember this, just if you appeared before, brought to the onset of symptoms, it means you are 20 years old, did nothing for yourself 20, so that this is all a record, so that the heart beats, so that it has reached these states, because everything works out, why does she stop pumping? and because the vessels are clogged and it happens, as if micro-micro-micro-micro-micromicrocrats have launched this cross-flow and the muscles and the supplied blood begin to expand, it begins to expand weaker, there was no real luck, but there is a problem,

because here she becomes with such micro scars. and now the heart begins to slowly expand everything to keep the pump does not help. it expands even more. sometimes before a heart transplant. she becomes, like a newspaper page, the muscles do not see, but there is a millimeter less. she is barely bad. fractions i will throw out 10-15. if i don't, god forbid, i won't take it. yes, if i don’t well, let’s say, i’ll pull this fish out into the air and hold it. as for suffocating. yes, for a while she will endure this is what happens, with a heart attack and with a heart attack. insufficiency is not enough oxygen, like fish heart muscles are not enough oxygen. why because 20 years smoked 20 years went out with a belly 20 years, you are barely fatty sweet. maybe even your big vessels are not clogged, but

the small ones are exactly clogged. by the way, once we had the concept of ischemic cardiomyopathy, namely ischemic, when there is not enough air in the heart muscle, which i drew you about there, so you should understand. what causes a heart attack and stroke, when the symptoms. well you make your own more breasts, you are covered you are suffocating, it will soon take you 120 minutes to get on the table to set the blood flow to 120, so why do you need to pass these symptoms, but we need to know that your sugar is 5.9 is not normal, what is with the index body weight 30 - it's not normal that you do not move sitting in front of the tv. it is not normal that you have a working pressure of 150 to 90. moreover, it is not normal. this is what you should know i remember, not the symptoms. doctor tell me that you found two of our patients with hypertrophy, diastolic disorder in two data so seven, if i'm wrong, two

have a predisposition to in diastolic heart failure. and who is abbreviated surname surname one man was only here it was heart surgery you are taking medication. how many names, three, four five six nightmares, i used to drive in my car and pass out at the wheel. so i stopped taking them and began to feel much better, you know? in the brain and causes a negative phenomenon, and some do not and you should not throw them, but it was just to change one for another, because in such a situation two drugs - it is clearly not taking them. they need from five to five and above

the name should be on the circle of statins. uh, tulle, anti-thrombotic drugs, in addition to thinning plus or minus the most either such, or plus aspirins, or as heating, necessarily beta-blockers, necessarily inhibitors and converting enzymes, such as ufo . you need to talk to me, he is with the professional who treated you, because the surgeon has done his job now it’s your job to support all. this. it's important to you. okay okay. well , let's be attentive to our health, then everything will be fine. further, which sleeping pills can be addictive and which are not, and how many eggs can you eat so that your cholesterol level does not rise? questions from dr. alexander myasnikov asks you answer for a long time, because it may not

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cafe restaurants for free. use the promo code eats yes and get a discount of 400 rubles. in gazprombank, a cash loan for any purpose is issued at lightning speed from three and nine percent per annum for the first month, zero percent. apply to gazprombank.ru. imagine if you people did everything for only 40% in russia, only 40% of people sort waste. can you fix it? sort waste at 100% or do not answer hands, who is ready i am a translator and teacher

of the english language, i see well, let's go. so what about a translator? it went to the workplace, because now we have yes no , she writes, we look and decide on how you sleep differently sometimes well sometimes you don’t bend down the pills very much to fall asleep, when never these sleeping pills can be addictive . so, well, the question is, of course, an interesting light was not already pushing you mom, probably, and dad and grandmother. i answered well done actually there are new sleeping pills. they are not yet available in russia, they are not addictive, they act on some so-called aryxins, but this is a completely new group, what is available to us that we have been using there for 40 years is addictive. well, now they say that

the news is black, which are not addictive. that's interesting. i 've been talking about this for the last 30 seconds, she was silent and still just mine or what? love eggs. yes, especially scrambled eggs are excellent, eggs increase cholesterol levels. well, if there are in large quantities, then yes, but in general, what a large amount for you. well, write, by the way, i'll write. but the answer is also no, because this is a very useful product. it should be eaten in moderation 2-3 eggs a day a very healthy product 2-3 hours a day. cholesterol benefit alone does not affect all people with high cholesterol, two eggs a day. this is completely normal. on the third question, you will stumble. i hope no.

can an intervertebral hernia disappear on its own? so uh like on your own all the same, you need some kind of bandages and wear some maybe do gymnastics. maybe yoga, what is a herniated disc bandage? this is where to put it? well, let's say, if you put on a bandage or some kind of gymnastics on your own somewhere on the belt, if it is probably large, then promptly treat it. and if it is small, then, probably, it can disappear on its own. okay, i'll write, right? i repeat after the classic father fyodor spat and also hit. i can’t say anything, but the hernia usually disappears on its own after 2

3 4 months, when the semi-liquid of such a hernia, when the shell is torn and its semi-liquid contents of this disk, which cushions our vertebrae, pours out, or squeezes the nerve, which does not squeeze, but after a while it resolves this positive content itself, then it may appear to leave again, but this is not something like that , depending on the great were treated with gymnastics , medications, sometimes operations according to indications. well , this is a dependence on the clinic, because where does this semi-liquid content flow. and how many nerves it shrinks? that depends. what? yes, no, yes, i wrote yes, well done, three keys. get out right away, yes, as many as three times one hundred percent well done disappeared. did you notice that we picked up the keys to match the color of your dress and lips, you guessed it, i saw you, immediately

said, let's 10 red castle. well, i want all the same your experience. thank you alexander leonidovich i am happy. sit down if you want to review us. this is a platform, we are watching the continuation of reset, we are watching.ru, and we are moving on, what to do if you are worried about some kind of health problem, of course go see a doctor, but many people go to the pharmacy first and ask the pharmacist for advice. do you know what this can lead to death, we sent our

correspondent to the pharmacy of the capital with a hidden camera and now you will see. in what cases the advice of pharmacists can literally cost a person's life so the situation. the first is a very strong headache in general splits. quite effectively the outfit works well, he talks and spasms. and what is it in general, maybe ? why can he be so sick? can you now react to changes here? this is the system that we have, who works in pharmacies. what kind of education do they have, if they have a special pharmacological education , as far as this is not just a girl from the side who took short-term take-off and landing courses. why do i know this well? i am very

critical, let's say the system in france, where we now consider our son, graduated from the pharmacological faculties, is very tough for everyone. i say that i studied for 8 years to be a sales assistant in a pharmacy. you are a doctor of pharmacology, they got the title, if the doctor got caught on this or didn’t give something, the medicine goes under the jurisdiction of the doctor and the pharmacist of the facts comes, precisely according to the court. we don't have it. and the desire of people to go to the pharmacy and ask where to go to the clinic. i am a witness myself. i'm standing , in general, i rarely go to the pharmacy, but sometimes i jump out and my grandmother stands and asks the pressure with pharmacies, something like that, what does she say to drink and so on. i didn't win. well, what are you grandma, well, you need to go to the doctor there tag, well, what will he tell you, everything is very good for me come on, see the doctor for now, that the doctor understands, until you get to the doctor, you will come, and this is the standard situation. you really go, in general you are used to something, like in

a store. what fresh salad you want, but it's probably not a secret for anyone that they work. they have certain percentages and are interested in material things to sell, but you know, where there is loot, there is evil. yes, that’s why it’s just a symptom, but here, probably, it’s completely played out, because yes. the most severe headache in life is maybe non-explosive now a person can go out for painkillers and fall, as andrey fell mironov, as a mass of people whose rupture and neurosis, when a severe headache begins for several hours a day, and then it all ends badly, what do we have next? a? please advise, here is something from uh, i have diuretics, uh, my aunt's leg was flowing. here's something you need for cast iron. i think that's all, distracted, running away it will be. without cancer five minutes, newer generations would be a drug that diuretics would be whose urea. and what is it in general, maybe these

gas clans? because of which? maybe it's without pain, at all, that oh no stress, you can boy. here, maybe, come on, no, there is no varicose veins. yes, this is the formation of the pharmacy does not come out. why is it important when the leg was flowing? must suggest. all of us had one leg. well, if it flowed for another reason. and if this thrombosis of deep wines, and if it comes off and gets into the lungs, all of it goes to the heart from there to the lungs. i have seen more than once as patients. blood clots are dying before my eyes. they jump on the bed will be your stomach in the chest, stuck fall. they were already dead. it's not like shortness of breath this heartbeat. what a small so large trail. i saw a couple of times. it's just instant death comes off as a diuretic, but actually a diuretic is nowhere in the world. you will not be sold at all without a prescription. this prescription drug. i remember when i

needed a diuretic in australia, i went into all of them and showed my doctor's id. i have an international id. he said the doctor gives him everything everywhere all over the world. yes this doctor you me. sorry, i can't give you a diuretic without a prescription. i 'll just be fired from work, immediately here we are lord, come in, they will write out a prescription to the doctor without waiting in line. i just don't care, i'll just get fired. you understand when you work under such rules, when you are fired, you can be imprisoned, when you are responsible for doing further good afternoon, please, what can you advise in case of poisoning? my husband has something. some kind of acute severe pain in the abdomen and fever. now it has risen. you can, i don’t know some kind of sorbent, give him activated charcoal, but some kind of sorbent is fine, you can even see this one, or you really have some kind of infection intestinal tract, and what is the active

substance, by the way, well, this is poisoning, because he directly complains very much. he says it hurts a lot, then he needs it. if i said before that they do not have a medical education, and in general, what to take from it, but act in their own conditions of their knowledge, then there is no need to have a medical education. i think each of you, if someone is rolling down the strongest pain in the abdomen, well, they probably think that the pain in the abdomen is of this kind, appendicitis pancreatitis acute abdomen. it's menacing life and situation. it is called an acute animal and requires immediate medical attention, so here, of course, alertness. no, i say it again. and why are you taxi drivers do not complain? well, a taxi with, by the way, could easily take you to the hospital. i had such a case, i really had such a case when her taxi driver with a patient, well, she just took it to the nearest hospital and brought a person,

spoiled. he had a loss of dali poisons. what marketing ploys do pharmacists use to sell you medicine more expensive and why worth buying? it is the drug that the doctor prescribed that is all 1.500 900 and that’s it, the blue water in our pharmacy is aimed at selling something, i love the moscow coffee house on shares as much as possible and i’ll tell you why moscow coffee houses are a combination of traditions and advanced technologies of the highest class. a taste of pleasure moscow coffee house on shares i like to recommend. well, all together. here the first participant came out, and i already understand what kind of bar this season will have. wow, cool. all together this friday at 21:30 free credit supercard vtb without

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the end of september. get ready for the winter period already now we are talking about pharmacies. well, in the middle of the back for the lower back, where the spine is everything, and he is such a pool help, to be honest, the pool. it's just that i myself still understand what it is more for you.

here i agree, he speaks correctly, i myself am like that, because i have a very strong pain in the lower back. so for everyone more, she herself is such a girl, she costs nothing. she says it wasn't at mom's. here i have severe pain to bring. let some mother talk freely without tension, so it hurts at night, well , only the pool will help you and correctly, only the pool will help, because if fantasize there about back pain, but it will already be another pain, it can, reflected more back has to sit in their pancreatitis. will give aids it will not. the only complaint she says is because she says i've tried ointments. i 'm everything, you're all clear from the conversation that this pain is not today. she doesn't complain about the fact that he can't walk, he drags his leg all the time, there are problems with lowering, that is, these red flags. well, of course, he said the problems are still descending. she would they said, well, then write out there, i don’t know diuretics or the second there about a symptom

of a sex problem. partner yes, well, that is , pharmacologists can still not pharmacologists, but drug sellers in general. we also have a plot. hello tell me please, what drops do you have for conjunctivitis or for allergies? i just have a friend, and the eye is red. here's a headache. she thinks it's, well, just conjunctivitis or an allergy. here's what you can advise, runny nose, it seems not, you're more on the virus worse than uh-huh. what about some drops? i can give pills just in case for allergies and these drops. although she tried to figure it out, she asked if there was a runny nose, because the eye has a runny nose, then maybe she really thinks that this whole allergy would also ask about itching, but here the eye is 1 red here, of course, if you skip

an acute attack of glaucoma, then you can decide sight. well, you know what's the matter. all this is not an analysis of some specific cases. this is an illustration of the fact that you have no chance of getting medically competent advice in our russian pharmacies. you can go through more deliveries and there will be 100 more cases, and those rare cases, when i go to the pharmacy, i look, i hear. sometimes quite reasonable words of pharmacists who speak reasonably enough, but they are like that at the everyday level of our average medical household level, because, well, there is only experience. well, if he is already working, there is already 5-10-15 years of experience, but about one leg, he cannot know. you see, kras eye about glaucoma requires special long-term training. that is, it is a very long and complex medical specialty. here it is written to the very, expensive in the window

, a cheaper place of the intended drug will give a more expensive analogue with us, by the way, according to the rules, you prescribe a non-branded drug, an expensive one, you prescribe a generic. if they change it for you at the pharmacy for more, dear, yes, this is your pocket, and in those countries where medical insurance covers the medicine. you will have to self-insurance, the company is not a doctor, but she will ask you, why did you give and deduct from you the money that the insurance company paid, or the doctor repression should be to write an expensive drug and not replaceable. there, there are direct abbreviations that cannot be replaced, and then the insurance company will ask the doctor. on what basis did he write it down? that is , we call this order a wild man in a certain field. you are not notified. yes, turn, until you get there, until you get advice it hurts you need to go to the pharmacy are you going to the pharmacy? well, well, if it brought, yes, and if you went with

acute pancreatitis, i told you, well, drink painkillers, and you will feel better, and then everything will be bad. our pharmacy is aimed at selling something, as much as possible is normal, of course, but you go into the pharmacy, look around. and that’s where i really look, the prices there are all 1.000 1.500 900 and that’s it, blue water is everything he can easily do without. here it is calmly all this, drugs, unproven, effectiveness, vitamins, bioadditives, its stimulants. i protect everything here, this is what we love very much. do you want it yes, you go there? yes, and right. want to buy. it's not harmful, but let's just say, but a pharmacy is not a place where to ask medical questions you can ask the answer can not be trusted. you just can't. here's my advice to you, whatever the pharmacists in me would not even tell the truth, don't believe it anyway. it will be easier to have doubts, there are

symptoms. i understand everything about the shortcomings of our medicine. well, at least they can ask the doctor there, they can deprive him of his diploma, they can’t start a criminal case. if the slave still responds, these do not respond at all. okay , let's take care of our health, everything will be fine. and right now the traditional rubric doctor's questions the audience asks me questions. i answer them. good morning. good last time, but it's about six months. i am at rest. very often i start to suffocate, only a panic state, rapid heartbeat, dizziness. i want to faint. before my eyes, not stars, but clouds fly , several minutes pass, when two, when three

, and again everything returns to normal, suddenly it starts at a level. like this or still unwinds so worse worse worse worse. here are the leaked heartbeats. that's how to breathe it becomes very difficult suddenly, and only then everything else rolls. you know, you also show. it certainly could be a panic attack, or maybe uh . there is such a normal thing, literature can turn panicky. like panic attacks provoke her, but you show more that it's proximal to this bullshit. and what do we call the supraventricular. yes, and you need not to shelve me problems with blood vessels with birth. what kind of myocardiosclerosis did the local polyclinic put on this? when you were a little doctor var listened to pass by the tram, he heard some kind of rattling of your

chest, then she made you, there, all this went through. you need to hang up a monitor to the doctor, you are not even a doctor now. well, for starters, you need any technique that is constantly there in the holter monitor and see what it is anyway, you will need beta-caters, drugs leaving empty somewhere, you understand, what are short-acting long ones, and so on and so forth, yes exactly study. because another option, let's say a person with myocardial sclerosis, actually look at the cholesterol there , then there are eight holes, then suddenly everything is on the root and suddenly you are stressed or you think something, this is our analogue of an attack. uh, angina, maybe theoretically. yes , i do not want to scare you, but in theory. yes, too, that is, it cannot be brushed aside. thank you good morning doctor. good against the backdrop

of severe stress 2 years ago, my hair began to fall out badly. i have used all kinds of shampoos. well somehow didn't see much of an effect. well appeared small, maybe no specialist to go or maybe some drugs. you can tell people. remember diffuse hair loss. it's always a symptom of something, it's a symptom, or stress. either past viral infections or problems with anemia , low ferritin, or thyroid. or is it secondary to something. the good news is that when these traumatic factors pass, we can reconcile and stop the lamina virus infection has become a thing of the past. it goes back to burrows of some kind shampoos for growth, hair and so on and so forth. they can't do better, they can't do worse. like this, like this, the cause is always secondary,

the medicine is the medicine. many lead kind i have a problem for 2 years. my finger is bent, it doesn't hurt. here are the bones. i’m sick, i turned to doctors to advise that i don’t have enough fingers there in the form of classic things. only gymnastics is only developing, not so that they are straight, you see, you already have these hands , i’m just afraid that they are just this this this the question is necessary for now, there is no strong stiffness, because then i will appear stiff in the morning. they hurt. yes, speed hurts, you need to do

certain articular genosics for your finger , get yourself special simulators, you won’t do it, you’ll stop. she will not progress hurt will be constrained. she will continue to wife shrink medication. no, thank you very much questions, who did not have time to pass next time, because this is our permanent column. all health, good luck. dog hair train with iodine mesh, but why is it all, if there is, and without artrotron ointment based on bee venom, a person switch is not dangerous in everyday life, the virus is not transmitted through a handshake, hugs and kisses. find out more, but the speeder has had enough, it's a pity the girl

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quite often it is registered in women in the pelvic organs of pelvic varicose veins, and is detected in women over 18 years old at about 20 % of cases. but women over 45-50 years old are already 80. there is a case, how does varicose veins of the pelvic organs manifest itself, why is it dangerous? and of course, what are the preventive measures need to take about it. we will talk today, our viewer yulia turned to us. let's find out her story. hello doctor. my name is julia, i'm 39 years old, about 3 years ago. i started more in the pelvic area, and at first i thought that it was something related to the intestines, but the doctor sent me to a gynecologist and the gynecologist had already diagnosed me with varicose veins of small size. i was not given any treatment. uh, they recommended leeches, and at that time. i was afraid of this e method and

more than that, it continues. and the question please tell me, is it possible to cure religious varicose veins and really only drinking can help or are there any other methods, methods or brother, yulia today we have a studio, come to us, please, good morning. good morning. hello. julia is scary. history will save you only leeches. well, apparently, yes, but i hope not exactly, how long ago did you have this. well, in general , it started more than five years ago, but they couldn’t make a diagnosis for me for a long time, and the diagnosis specifically put 3 years ago varicose veins, veins of the lower extremities. i checked, somebody checked. i also checked for varicose veins on my legs, but nothing was found there. how do you cope abruptly, i don’t sit down, because you had symptoms. well, and to be honest,

apparently, the strength of a woman, but i'm starting to get used to this monotonous pain. i'm just in it . i am sure that something can be done, especially since this is a problem, indeed quite often. i knowingly asked about varicose veins of the lower extremities. because enough these two diseases these two problems go side by side. let's figure it out. i would like to invite ekaterina nikolaevna zhumanova to the expert doctors' studio. gynecologist doctor of medical sciences, head of the center of gynecology, reproductive and aesthetic medicine with more than 20 years of professional experience. morning ekaterina nikolaevna when i was first told that it is necessary to check the veins of the lower extremities on ultrasound even if nothing external is visible, because the problem, maybe i was deeply surprised, but about what happens varicose veins of the small pelvis, i think so too, wow, how can this

be, really? ah wherever we have veins, there can be varicose veins. yes , because this is a systemic disease and is most often associated with a violation of the valvular apparatus of the vein, the valves can expand incorrectly and begin to work, and there are features in the small floor. at the veins they form a large, large number of venous plexuses and are very widely interconnected, it stomatizes to call and often take over. the so-called a-a, outflow from a veins of the lower extremities. that is, you really can not have anything on the lower limbs, but have varicose veins in the small pelvis, because of the veins. as if it compensates for the problems hidden in the legs as well, but how to understand what it is, that is, pain. it's clear. it’s like completely, but, in addition to field sensations, there are some symptoms. women most often complain of pain, because, in principle, this is such a hidden problem. she does not manifest herself in any way and can, and very

often on ultrasound of the small pelvis, for example, yes, women write accidentally writes varicose veins and a woman comes and says what to do about it. what pain? maybe she's something special. that's just a very characteristic pain wrote julia monotonous. uh, often not connected to anything, forever gradually getting used to there are data, but the connection of varicose veins and migraines. we have a story on this topic. comment on it, please, experts in the field of medicine. put forward a theory. on the relationship of varicose veins of the pelvic organs with migraine , it is argued that migraine is of unclear origin. actually, maybe caused by venous and the deterioration of blood supply in the pelvic veins, according to the data obtained, about 60% of women suffering from chronic pelvic disease suffer from migraine, but it is connected. this is due to the fact that pain along with varicose expansion migrates to the head, what do you think ekaterina nikolaevna is a scientific problem for yes

, i have several theories, in fact, and the first of them is migraine - this is a hormone-dependent disease. it is known that it is associated with the synthesis of estrogen, including when we have varicose veins. uh, the entire blood supply to the ovaries is also disturbed, including i think that this can provoke this first, and the second varicose ventasis is one of the first causes of such a syndrome called chronic pelvic pain, the pain becomes stronger stronger, stronger and stronger. yes, and it can really cause immigraine. there is also a third theory that, after all, this is not the value of venous tissue - dysplasia, as we have already said, it exists, indeed, not only in the organs of the small pelvis, not only in the veins of the lower extremities, but also causes violation of the outflow from the brain and these severe, pressing, arching headaches also occur , that is, it may also be connected with this, who often

develops varicose veins of the small pelvis, that it can be provoked by the so-called risk factors, yes, ekaterina nikolaevna, the development of varicose veins, hereditary predisposition. julia tell me please, your mother, your grandmother had venous dilatation of the lower extremities of the lower extremities, and both mother and grandmother are looking beyond a sedentary lifestyle, what kind of work you do. well, i want to say that i i don't work now. i'm sitting at home, but before 8 years. i worked, really sedentary work at the computer, and honestly i’ll tell you, when you sit for a long time to get up, then it’s simply impossible anymore, hell starts right inside, when we don’t move. remember i said that a huge number of plexuses. yes, from the veins in the small pelvis, all this in the small pelvis stands , stands, stands, you sit, does not move, nothing happens, firstly, a reverse cast. not in the right place. and secondly, just these valvular apparatuses, if there is a hereditary predisposition a person

work badly. vienna expands, yes, and it turns out such a vicious circle. smoking julia you smoke, thank god smoking. really. in principle, a negative effect on the endothelium on the inner lining of blood vessels, both arteries and vents, subsequently increases blood pressure, which also causes venous congestion. and, of course, it contributes to a more, uh, intensive development of this problem of blood stagnation, thrombosis, of course, a violation of blood rheology, of course, conditionally completely. let's look further inflammatory diseases of the pelvic organs , this is also quite understandable. yes, when we have some kind of acute or chronic inflammatory processes. naturally, the body tries to fight it, and due to this, it deposits. there is more blood trying to improve, blood supply fails, and thus, of course, we can eventually get such a story and finally weight gain in the abdomen. weight gain is generally not very good for the pelvic organs and for

the small pelvis, of course, for the lower extremities, but it's here. i think everything is clear. naturally, due to the fact that we increase the load on the pelvic floor with you, of course, by doing so we increase the pressure, thereby further increasing the problems with the valve of the veins, there is a problem with weight. i think it's quite visible. you have such a wonderful dress that you won’t say disguised. yes, of course, i have excess weight , it's time to discuss what to do with this small pelvis, just this, probably the only thing, when i say that a surgical treatment or with the help of drugs. this last what? so we put it off, it's better not to bring it to this. so ekaterina nikolaevna, what are we doing in order not to bring the situation to the point of surgery? the first thing we do is start moving and remove. here i am sitting at home, but not sitting, firstly, there are special complexes of physiotherapy exercises. yes, and they are also available on the internet

. can you do this, for example, when you get up in the morning or sit for a long time? yes , you definitely need some kind of complex very cool. for veins. this is swimming. it's just fine, so if you can walk in pool, the more often, the better it will be and work very well various meetings. inga saw stretching exercises with yoga saw these things are perfectly absolutely really unloading, including the pelvic organs absolutely excellent exercises for varicose veins of the lower extremities. we are all advised to wear compression garments. right up to the waist or not, it will not affect absolutely any will not affect at all. we're too far away problem. she is really in the pelvis and no compression jersey. you certainly won't solve it. only if varicose veins, veins of the lower extremities are really combined with varicose veins of the small pelvis, then, of course, in order to prevent

the progression of the disease. it is absolutely necessary to wear compression stockings, if you do not have such a problem yet, and you have done ultrasound in your current limbs, then there is no point in this. why water if we are with you, but do not observe the water regime incorrectly? yes, women often complain about edema, there are edema. you see there are swelling. these are, among other things, the reasons for food and water regime, and here it’s just about food. i want to say separately even the point is not to reduce the calorie content of food, but the point is to eat as a rule food that is really rich in proteins and not salty. it's great that the operation in this situation is generally the last one. so there is still time to help. thank you very much, thank you ekaterina nikolaevna thank you very much for my friends being with us. today we talked about such a problem as varicose veins of the small pelvis approach to solving this problem. this is prevention. and,

of course complex. and we wish you a good day and good mood. be healthy. with you there was a program, and most importantly. on the russia vesti tv channel in evgeny rozhkov's studio hello, here's what we'll tell you about. alligators in action how our attack ka-52s work above the contact zone, on what ukrainian targets air defense works we usually shoot down.