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today in the program about the most important things, allergies to autumn are not at all uncommon. who's special risk group. what exactly provokes allergies in the fall, when fallen leaves are to blame, and when the air in your apartment, and how to distinguish it from a common cold in nature, it has become worse and warmer, and histamine tears are either getting dressed, or move to sochi how often should you get a flu shot, and in what cases can a raised mole turn into a cancerous shoe questions from dr. alexander myasnikov asks you answer bad

endometriosis. why do many women have it, but they do not turn to a gynecologist? how to suspect it in time, how dangerous con is for the heart and lungs and what to do if you have been diagnosed with retrograde menstruation. well, roughly speaking, menstruation inside oneself in the lungs in the liver of the neck in the eyes, how does it get here? allergy we are used to it more often in general, it occurs in the spring or summer during the flowering period, but it turns out that allergies can appear and now in the fall , for example, due to fallen leaves or the beginning of the heating season, what is this connected with, what else causes allergies in the cold season, who may have it this fall?

are you in the risk group? let’s look into these issues together with an allergist. and at the same time, a survey is taking place in our studio: can antihistamines be addictive or not? our viewers reflect and vote on the results and the correct answer, we will find out at the end of the section. irina manina , allergist-immunologist, candidate of medical sciences. true, i now have a question for the audience. i wouldn’t have asked this before, but previous experience shows. what are dehistamines ? against allergies, okay, no, it happens in different ways, that's why i'm better. sorry to ask, well, you are a specialist doctor. so you’re telling me, why are there allergies to disenchantment? yes? well, it ’s probably more likely that it’s already snowing. frost. yes, but russia is a big country. naturally, in many regions. soon it will be very late. yes, naturally, many are already faced with

cold allergies, but cold allergies are very often confused with manifestations. yes, you can deal with contact reactions and dermatitis with motor reactions. here is the true, real running allergen associated with the appearance in blood cryoglobulins or cold sternums. these are certain markers that a person has in his blood, and they give a reaction , and to diagnose an allergy , we put one of the tests on the patient’s hand. eh, ice and look there is a reaction. no, if we notice a vascular reaction more than it should be normally, we can make a diagnosis of cold-cooking. sometimes a person becomes covered in blisters in the cold. therefore, if you are experiencing these pathological symptoms these days, be sure to contact your doctor. well, the doctor won’t tell you anything special, because she has a question: either antihistamines or get dressed, or move to sochi well, that’s not exactly how in general cases they are carried out, by the way, cryo, filtration or frs plasma if the patients are very severe, and if there is already, of course, a load on the kidneys of time, so in sochi well that we have

seasonal herbs here. and this is that there are such seasonal grasses, in the fall, so to speak, on the contrary, we don’t have sochi in one region, in sochi we have wormwood blooming in lush colors, georgia is wonderful. this big bush is a disaster. yes it belongs to the aster family and many people forget that, for example, the author is also a weed ; this plant is related to seasonal manifestations. and if, for example , it is active in the krasnodar lesopol region. here it is in lush color. nowadays, many patients, of course, even have bronchial asthma. most of the region suffers, but in our middle zone there are quite a few such plants, but we use them, for example. yarrow, as a medicine, we can use tansy, we can also use it, and many patients also have them allergic reactions. listen, she generally has allergies. is it possible that you are allergic to such beauty? oh, well, there can also be an allergic reaction to the leaves, and actually how to determine it, if a person went out into nature, the flow of water became worse,

and the tears increased, sneezing and, for example, when you go to an autumn park or forest, there are also plants there or leaves and, accordingly, very often autumn allergies are combined with both plant pollen and, uh, mold products. here the foliage is a fungal component, alternaria witchcraft and, accordingly , in the parks in such autumn air there are a lot of interesting allergens, especially that fungi are mold allergens. they have two periods, with maximum concentrations in the air. this is early spring, when the snow melts, there is such a specific warm air that you can’t confuse with anything in the fall, when the first one, let’s say completely. since it is connected with alternari and treasures, we will argue, it is rustling, leaves, an amazing smell , a stupefying sneeze, yes, many of my patients have such manifestations and the most interesting thing is often. this is confusing, after all, mold allergens appear in the paint, this is already mid-autumn, but in the moscow region or late autumn and

many patients believe that they took a walk in the park and actually got sick. yes, yes , in fact, this is a fungal allergy, but as for fungi, it is like allergens and like an infection, so very often, by the way, with an infectious component. this is exactly the type of allergy that is now combined. yes, these are just typical viral infections. they are activated in the fall. and as for viral infections do not directly cause an allergic response. they very often cause, after all, they are triggers, that is, they trigger similar mechanisms as in an allergic reaction, but some viruses, and, especially in children, by the way, older patients can also cause , uh, the so-called diagnosis of virus- induced bronchial everything. typically, with an adeno-a viral infection or an environment-viral infection, these are directly indicators and triggering mechanisms, and many allergic reactions are generally infectious allergic nature, not only viruses, bacterial infection, so

we often treat with oil and at the same time also treat the infection, for example, baptism always live really belongs to the category of year-round allergens, but they really like to multiply. when there is good humidity in the air, it is just spring or earlier autumn. and it’s still warm, that is, in the apartments. especially. by the way, this is in residential buildings and at a time when the weather is not so warm yet, there is no sub-zero temperature. i turn it off actively they reproduce, they just lay eggs, the eggs come from their reproduction cycle and the air. just a large concentration of their antigens is released, that is, particles that are allergens for us. and, as for the two allergens, dust mites. and bacterial allergens and fungal allergies, they are very often combined, and when we talk about the concept of house dust, it is precisely a mixture of allergens and house dust mites and fungi and also insect particles or animal components if they live at home we have questions and everything is for the viewer. whoever has it

, ask the doctor, you see, she says everything correctly and correctly. and i say everything. come on, this nonsense will pass. i myself don’t know about the cold here in the fall and winter. my nose is starting to run very badly. is this an allergic reaction or some kind of individual reaction. what about leaks specifically? as you wrote from your nose, most likely, after all. this is a possible reaction and this is the reaction among residents of, say , central russia, then, accordingly , it is typical; this is due to the reaction of our blood vessels to a change in temperature conditions, when the difference between night and daytime symptoms is more than ten degrees, very often there is such a reaction. you know, it was like a protective reaction of the body, but in a hyper form, that is, more fluid is secreted, of course, the patient. discomfort, thank you very much. be so kind as to tell me, please, that autumn is the time for colds and allergy symptoms. they are similar to colds. so, how can you tell if you have

an allergy? or are you sick? yes? this is a very serious issue. not only patients, but also doctors and now let's talk about this in a little more detail on our uh screen presented symptoms that can give us the opportunity to distinguish the symptoms of an allergy from a cold, but as for difficult cases, especially when a person, for example, already has an allergy and gets sick. in this case, without going to the doctor. i am examined by specialists and have a clinical blood test. it will be impossible to contact us. and so, as for porridge for allergies, as a rule, without sputum. sputum. usually a transparent runny nose is transparent, or you denis, that is, never colored components, that is, a bacterial infection and, as a rule , with allergies there is never a high temperature, which also concerns the difference between an infectious factor and a non-infectious one. it always affects two organs, for example, two eyes, that is, an infectious process. it may, for example, affect one eye, or on the other side with an allergy, for example, two eyes are always affected. and this, by the way, is also a very important symptom for specialists.

thanks a lot. so we have more questions, please, who might develop this? allergies and well, who is at risk for any living person? of course, if you answer your question globally, and then in general, according to the latest data, dasha is in a family where healthy fathers and mothers already have about 30% of the risk of having a child with allergies. but if we are talking specifically about autumn allergies, then, as a rule , these are people who suffer from some kind of chronic diseases of the ear , nose and throat organs, so they catch bacterial infections and some fungal allergens to a greater extent. but, in principle, this is what seasonality is about. naturally we we can take into account the factor of heredity, if there have already been moments in the family associated with this type of allergy, of course , allergic reactions in such cases can occur, but sometimes it happens completely before new ones, that is , in completely healthy people, allergies start after uh, any diseases of stress,

or changes in climatic conditions and a person moved from to the south , climatic conditions changed and climatic adaptation helped to happen incorrectly. thanks okay, let's see if antihistamines are addictive, what? people think, they think, looks like it does? tell me doctor, but we currently have two generations of antihistamines. that is, in the previous one, these drugs have an adjacency mechanism called tachycardia from them. and actually with these drugs. why do they have such an effect , how do they develop side effects, stress on the heart, who has problems with people? this is very important and the leftness itself and dryness in the mouth and dryness of the mucous membranes. and by the way, by the way, exacerbation of reflux gastritis reflex, if there are modern drugs, this is already second generation. they are usually free of these side effects. but, by the way, they can also meet individually. and these drugs can be recommended for

a long time, they are addictive, but practically do not cause addiction. today we all take modern second- generation antihistamines, which if the answer is yes, yes, no. no, it is not addictive. therefore, if someone has an allergy, you do not have to be afraid that you will get used to antihistamines, because, roughly speaking, you have no other option. here you have a cold one allergy. and you live on the barents sea. you have options, as i already said, either in sochi or constantly taking antihistamines, everything is done by the doctor. thank you very much. thanks for the information. let us be careful and wish you good health, everything is going well for us quickly. next, how often should you get a flu shot and in what cases can a raised mole develop into a cancerous tumor? questions from dr. alexander myasnikov asks you answer give him

the key, don’t give him the key. like which in which hand? i look bad, because this is not a sentence, starting treatment on time allows you to live happily ever after. find out more, but at the speeder. the pain can be different, it doesn’t matter. what caused the pain, if there is pentalgin , universal remedies against different types, fields, pentalgin we can do without the pain. i give the sound does not evaluate taste, but offers according to taste, register in the application and scroll through millions of apartments, cars and other prizes faster than braiding the mighty kfc and rostik themselves

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that you especially liked traveling with each other in the yandex.goal and yandex.pro applications. many people ask how i manage to be in such good shape, that’s it, i just need to replace bad habits with healthy ones. cashback 60 million rubles. sber business clients. open a business card, pay at any convenient time and receive 10% cashback for purchases during the sber business promotion. millions of entrepreneurs trust us. when difficult trials come into our lives, it is very important to unite. each of them has its own story. i am for them probably, like a mother, a story that every ice should hear. i remember well when we spent 7 months sitting in the basements of the mind of literally all these shellings. i always knew that i had a defender who protected my mother and me very much from monday

to thursday at 15:00 only on the channel, russia , you are answering you, because based on previous programs, you watched all kinds of programs, you know everything. so we 'll check it now. raise your hands, who's ready? let's go, what's your name? good morning. my name is svetlana what does svetlana do as a cosmetologist? i see. well then, turn it around, colleague, one might say. so svetlana, come and ask us questions now. yes? no, i'm ready to get a flu shot every year. no, it starts in the fall.

are you sick? no, i have good immunity, which is nice. russian language. no, i like coffee very much, i’m a coffee lover, well done, it’s bad for the heart , tachycardia from coffee increases blood pressure,

maybe someone who is suffering, write. i'm ready. you see, these are the myths that have been going on for decades and decades, and have long been refuted by international medicine, if coffee is a familiar drink for you and your dosage is usual, if you don’t drink six cups of coffee, but three or four cups of coffee, then it is only good for the heart. by the way, it reduces the risks of rhythms. oddly enough , there is definitely a job to be found. they do not increase blood pressure. tea and coffee are the healthiest drinks on earth. here's how to answer this unambiguously. i don’t know that raised moles are reborn as enemies. they are like benign tumors, but i think they don’t degenerate. write to a cosmetologist, write. she wrote no. how can i answer? they any

mole may be born or may not be reborn; just an atypical mole may be reborn. one that has uneven edges and thickness. by the way, the thicker, the greater the risks. they are more likely to be reborn than smooth round ones of the same color, but a guarantee is not a guarantee, so they can be reborn. how to answer there or not? give you the key. in which hand? i have bad intuition, i’ll tell you right away. let's check it now. not really, not really, i know. now let's see. well, what about the coast? stand in plank for 30 seconds lie down. i am not guilty. okay, that's it, well

done, beauty, let's go get the keys. we have. everything will change for us. no, it doesn't work, there was an attempt. thank you very much, sit down. come and review this platform, look at the conduction or look at the site.ru. and we move on. 190 million women around the world this is exactly how many suffer from the terrible gynecological disease endometriosis. although doctors say in reality this figure is much more signs of endometriosis.

every fourth woman has it. go to the doctor though. they do not apply, considering these symptoms to be normal. a after all, endometriosis is the main cause of infertility. and with this disease , real bloody tears can come from the eyes. what is endometriosis? who? it occurs most often due to what symptoms? you can suspect this disease and what to do if you have been diagnosed with this, dr. myasnikov will talk about it today and the audience of our studio will answer the question. can endometriosis develop into cancer? at the end of the section , we will summarize the results of the survey and find out the correct answer. the statistics are really depressing, 10-15% of women are considered to be in reproductive age. age in the world has endometriosis, but it is a very significant thing. gone. what is

endometriosis? who knows, but who is closer? give me this, who raised his hand, now go ahead and use the microphone. hello, but this is inflammation, a female disease, inflammation, a female disease, so who else raised their hand? i think this is an overgrowth of the mucous membrane. okay, as far as i know, there is also inflammation of the mucous membrane. it becomes like the porosity of chocolate. so there are still options other than poles. where i think. see what you are right about, what you leaked, that the uterus is extruded from the inside by a layer of endometrium, which begins under the influence of hormones,

uh tropin and others. eh, hormonovites. you simulate polycols and so on. it begins to grow and prepare to receive a fertilized egg, but nothing happened. so these two loneliness did not meet, and it grew during menstruation. all this falls off and goes through the cycle again. well , a number of women have a situation where these uterine tissues, normally, suddenly appear in other places. if we look and suddenly the fabric we can see inside the uterus is found in the ovaries around the tubes on top of the uterus on the intestines somehow. it spreads outside the uterus from here, there is a theory. yep, retrograde menstruation. well, roughly speaking, menstruation inside oneself, when be careful, everything is clear. but with us, we won’t have trivial masks, our

people’s masks are connected through corpses to the abdominal cavity and are supposed to. that maybe these pieces of fabric get through the sage and corpses, but do not die. well, how did they take all the fish from the aquarium and throw them out, some of them died, and some of them live there just like that. if if only we would not find these pieces of tissue above the diaphragm in the lungs in the liver of the neck. in the eyes, how does it get here? we say eh. well , probably for those of us the diaphragm also passes through the esophagus. yes, they don’t penetrate through this hole. maybe it penetrates, but how doubtful, but it still happens , after all, it would seem that there is nothing terrible, but it has penetrated , penetrated somewhere there, but the hormones begin to act on the uterus. she's definitely not a spreader either. here it acts on this

endometrium located outside the uterus. it begins to swell in the same way. he's exactly the same begins to bleed and very often we know the reasons for this, too, the lung ruptures, when a person develops a fever and the person continues to breathe and, as it were, the lung is lobbying, well, it contracts, there’s nothing wrong with it. it’s scary , of course, but it’s restored later, but the task. if a woman walks and suddenly the whole woman spontaneously falls. another theory is that maybe this is spreading metastases, like through the blood because in 90% of women with endometriosis we find endometrial cells in the blood, and that’s how they spread properly

blood, but this also is a theory that has not been fully proven, because pops with different concepts regarding the cellular properties of cells in the blood are sharply different from those that are here. there are also a number of theories. well , for example, a girl with endometriosis who didn’t have any. which also happens. what kind of retrograde mistration, when they didn’t even have menstruation, so we don’t know until the end, we should have waited, yes. because the main syndrome is endometriosis. yes, this is pain for half of women with endometriosis. there are more as they showed us it hurts and half are women infertility is endometriosis, that is, the two main symptoms are pain. and this is infertility pain. maybe during menstruation and after sex between periods everything is different. well, and accordingly, infertility is a risk factor. but since we don’t know, yes, we can say that it’s mostly genetics. well,

that's all true here. anomalies, by the way, pain may intensify during bowel movements. now, when a person walks in a big way, because this tension of the abdominal wall inside the abdominal pressure can also lead to these things further. what tests need to be taken in order to notice the development of endometriosis in time, why is this disease dangerous and how does endometriosis affect the development of cancer? it’s growing so much, says hand to the population, i love holidays there. why moscow coffee shops are a combination of traditions and advanced technologies of the highest class, and taste pleasure. they shook all these people and screamed. so they didn’t yell like that on stage, like they yelled here, we’ll watch it all together at

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1,990 rubles. just choose the right color and size and be beautiful in any situation. but and that is not all. right now and find out how to get comfort sneakers as a gift. the program about the most important thing continues, we talk about endometriosis. well, finally you understand what endometriosis is, how it is dangerous, besides the question of whether it can germinate cancer - this is separate. now we ’ll see what they threw at the heart. women with endometriosis are more likely to have heart attacks. you nacardia, in general, their diseases are an order of magnitude higher, we also need to remember this, too. just today wow. and most importantly, here she is sitting here, a woman came with one patriot. i haven't talked to her yet,

but we don't have a diagnosis of endometriosis. it can be 100% diagnosed only during surgery during laparoscopy, when we pierce , that is, the wall. yeah, there’s definitely no ultrasound, no tests, no mri. another thing is that we see on ultrasound, another thing is that an experienced ultrasound doctor tells the hand this the section there is endometriosis, but the surgeon has not yet confirmed it. you can always say again for 100% only one study, and ultrasound is only an assumption and from here on. all in all it’s quite clear what’s going on. pain is one thing we see on an ultrasound, similar to a subway for endometriosis to a formation. and now i’m there already menstruating. you go not only there, but there is blood that

accumulates microscopically. it eventually accumulates and turns out to be such kitties. as you say , chocolate, because that’s where the blood decomposes. this is also visible. but if it’s just pain, you probably won’t send you there for surgery to confirm everything, because there are a number of medications. here are analogues of tropin. and they must either be injected either once a month or three times a month month, either nasal spray or tablets. there is a whole list of them and 80% of women pass and so on, but if there is severe persistent infertility, then yes we are talking about laparoscopy . of course, i don’t remember what this is supposed to symbolize here, but let’s pour one into the other and see what happens. i hope it doesn’t explode, it was different for me. so the endometrium grows. let's look at this most important question : green - yes. well, on the other hand, what can i expect from people who have heard what endometrists are, only now it’s us

we see, it’s just more pleasant to throw it there, in fact, maybe 1% of all cases before petrosis, sours degenerate, the enemy 1% is a lot of little, i don’t know, for whom it’s why a cyst, if you have an ovarian cyst on the metro, it is subject to surgery because it can only outlast logic. this is true, well , what did i ask for 20 spectators, no, but wait a minute , 20 spectators will come out, if 15 are even 20 percent, well, three should have symptoms and symptoms of endometriosis. there is still very little time. thank you show me your papers. ask your question olga nedobega, 35 years old. moscow is a young woman for 12 years. married , everyone around her constantly says that it’s time

to have children. olga wants to become a mother herself, but she can’t yet, 3 years ago. she was diagnosed with endometriosis during the cycle, and bleeding appeared. at first it is one day a month. then two or three days later they scheduled tests for me. i passed everything and received diagnoses. they said it was incurable and i was prescribed hormonal medications. they said that it was for life , the doctors said, while olga takes hormonal drugs to get pregnant. she definitely won't succeed. how can she be and is it possible is it possible to have endometriosis at all and have children with these questions, she turned to us who already know her. children, some have two. we don’t even have children yet. of course, i am very worried about the problem and whether we will have them at all, but i came, uh, to dr. myasnikov. since i was diagnosed with endometriosis. i would like to know how incurable this is. really. how does this affect the reproductive system? will i be able to have

children? my name is olga. i am 35 years old. uh, actually, uh, 3 years ago i was diagnosed with endometriosis. they say that it was incurably attributed to hormone therapy. they said it would be for life and natural. i'm interested in the question. to what extent is this true for the rest of this life? uh, how effective this system is , there are no children walking children. and that is, if children are a problem for you, well, uh, we haven’t tried it yet, but we kind of want children. you can get what you want and you actually need to do something for it. look, they told you correctly, i see, well, you have a diagnosis again, taking into account the fact that the definitive diagnosis is from the top current laparoscopy, but we won’t do all of this do, so you have every reason here. here is the treatment yes, hormonal, i told you about hormonal, or these analogues of pomegranate and so on. that is, it is

well designed. well, even more so, moreover , the yudin city clinical hospital well, there are very competent doctors who understand this, that is, one is definitely more than me. you can trust endometers. of course there is, why, but this is not a death sentence in terms of already starting to try and there, yes, i already said that half of the women are infertile, maybe there is endometriosis and vice versa in half. fifty percent. there are good chances. so thank you i'll be back where i started? so we sometimes came up with themes there. let's tell people about endometriosis. let's not even understand everything. they are terribly far from the people, the people have not heard this word, you hear the word. and he doesn’t know what it is. literally everyone needs to buy medical care and start counting, because it is very important to be focused on the issues of your health, we will be fine. time

to answer your questions on the air constantly in our section questions to the doctor. raise your hands, doctor. good morning. kind. you know, my pulse is very 95,100 and it bothers me very much, my hands are constantly bothering me even in the hottest heat and cold. and when it’s frosty, it’s the other way around, your hands get hot, you know something like that bothers me, and even if it bothers me very much. no no, i'm not falling out. no, it doesn’t fall out, but the pulse doesn’t bother me. everything is fine. i don’t like loads when under load. yes, yes, i didn’t measure, at the same time, well, cold hands - that’s understandable. this is a vegetative function.

there can be as many emotional people as you want, it’s all the same as in childhood it was called vegetative-vascular dystonia, right? well, okay, this is a different story, the pulse is a learned pulse, if you have been like this all your life, then there are several options. yes, or this is your natural state. b. if it is well tolerated during exercise. it doesn't jump b. this may be anemia. the very first thing you need to do is check your thyroid gland, especially your intolerance to cold, and so on and so forth, you should check your thyroid hormones. general. she revealed thyroid hormones when the grams were left normal. but also of course, i already said here once that you need to install a holter monitor. i don't know where the phenomenon is at night. they are the pressure, what is your uh, pulse at night should be much lower. right now, you seem to be like, well, like the stress of the camera, you’re talking, i ’m walking here in front of a busy one, your pulse is somewhere, i took my hand. well, yes, about 90, but at rest it’s interesting to see what thank you hello, my name is svetlana

, please contact me in the seventeenth year there were a lot of stressful situations in them. yes, and frequent fainting fell while eating on the street, the wind blew, i i'm falling. and in short, they determined that i have hypercholesterolemia. well, they prescribed everything with statins, yes, then you will also show this medical history everything, just clearly uh pants and not drink the question. yes, for the last time, when i go through every six months, well , the ivs, everything was examined by the doctors, savenkova, they probably said that well, it’s just sinkov, you’re just trying to find christ, level one is ours. what was five? and so, yes, otherwise it increases the time you take it. and then i’m in my early twenties

in the top ten, that is, there were no heart attacks or strokes, hypertension. your mom and dad are alive, but not alive. what is the cause of death, yes, the gray one does not have a heart. dad 85. well, here the situation is the same, but i wanted to say, the main thing is in the face in the original, the first was originally what it was: 7.5, well, a bit high, but on the other hand, we don’t know what fraction of bad cholesterol there is? she says i drink, i drink twenty for the program. and i have 8.1. why is he growing? why don't statins work for you? i'm just wondering if you don't drink, either you’re drinking, it’s unclear whether it really doesn’t work. and you need to take away the drugs from another group, but the general rule is: we give statins regardless of the person’s condition. if bad cholesterol reaches as much as nine, then technically you

don’t need tripods. this is a must see every time. i was still thinking more in staff terms, but for you and me we need to talk practically as advice. now, if everything you said is true, i am the words. you know that yes, formally i have to say that you have to excuse the lifestyle of running around in strength to yourself nutrition. uh, nutritional supervision, but if i were you, i wouldn't smoke. i would say this: thank you, one doctor in america told me this, i took a blood test. my cholesterol is eight, i was running around for something, and he came up and the tests were lying on the table in the resident’s room. he's like, whose analysis is this? what kind of patient did my grandfather think he looked at? here i am speaking on the spot. i would take statins now for the rest of my life and go eat. you tried to persuade me, alexander. you know, i thought, oh, for a long time. but fuck everything, and i drank, i thought. no, i'll drink and

i drink. it's been so many years now. well, i'm done answering your questions. i hope that i have satisfied everyone who wanted it, and i wish you all health and good luck restless leg syndrome causes and treatments. is it really possible to get rid of hiv forever, which is transmitted through blood through drug use and unprotected sex?

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of millions of women. one tablet. in the morning, two components, three actions: protects blood vessels ; reduces capillary dexterity; increases wengen tone. just like one two three. this is my family. this is how it all began. my wife is our child. this is our happy life that we did not live. i went to overtake without calculating the opportunity. don't get ahead of your life. good morning. hello today we will talk about a symptom that occurs in women in two times more often than in men it is restless legs syndrome. and when we tell our patients that they have this problem, they look at us with great distrust. we will tell you what to do with restless legs syndrome. today our tv viewer ekaterina, who suffers

from this syndrome, contacted us. let's find out her story. good morning doctor. my name is katerina. i am 35 years old. i am contacting you with such an ailment as restless legs syndrome. since a fairly young age, i have been haunted by pain in the legs are unable to stay for a long time in a static state in theaters. i always want to move my legs to relieve pain. it’s 3 o’clock in the morning in my legs, again the pain is impossible to sleep in the morning for work, the painkillers have already stopped working. it all gets to the point where i kick in my sleep and can’t control it at all for some time. i tried to take antidepressants when i read on a forum or somewhere on the internet that this could help? unfortunately, the effect was only the opposite, i ask you for advice ekaterina today we have studios, come to us.

please, hello ekaterina, what is a similar sensation? can you describe it? it can twist, as if it’s in the way, you want to kick something with your legs, stand up, walk around, uh , cramps at night, and the painful sensations are very difficult to explain this pain. she's aching, as if she wants to throw off her legs. that's probably it. i’m coping, i drink, i tried to drink painkillers before bed, sedative depressants, but it had the opposite effect. that is, you are suffering , you are tormented, how to solve it - you don’t know no for in order to figure out what to do? how can i help? i want to invite an expert doctor to the studio. dmitry valeevich. artemyev , neurologist, candidate of medical sciences , associate professor, head of the department of movement disorders. dmitry valerievich good morning good morning. what is restless

legs syndrome, where did it come from? it’s a fairly common disease, approximately 7% of women, 5% of men experience these sensations periodically and somewhere around a percentage. three of them really suffer, because these unpleasant sensations prompt you to constantly move your legs to situations where you need to sit quietly become completely unattainable for a person, and during a meeting in a theater on an airplane during takeoff or landing, any active life becomes completely unbearable. not to mention the fact that sleep is grossly disturbed, because the peculiarity of these unpleasant sensations is that they are most pronounced in the evening and in the first half of the night. they do not allow a person to fall asleep, dmitry valerievich, when a neurologist can make this diagnosis. and most importantly, when a doctor of a different specialty, for example, is the same therapist should refer the patient to a neurologist. first we analyze the sensations that

the patient complains about: tingling in the legs or heaviness in the legs. this is some kind of incomprehensible burning sensation, some kind of itching. and not on the surface of the legs, but somewhere in the very depths, somewhere from the inside. sometimes these sensations are even more unusual. it seems that the muscles are twisted by exactly the same sensations caused by a lack of magnesium, and therefore it is not the nature of the sensations that leads to the diagnosis, but the next and main symptom of this syndrome is the desire to move the legs. moreover this desire, perhaps even without any sensations, that is, the movement facilitates. these are the symptoms for sure. not only does it make it easier for a person to not move his legs. this is already becoming uncontrollable. this is how ekaterina’s process works for you. yes, it’s absolutely difficult to understand what causes an exacerbation. let's look at the reasons for the development of this unpleasant condition. hereditary

predisposition, yes. this disease is transmitted through the female line. you are exactly the same as it is more common in women, this factor is leading even in cases when restless legs syndrome is provoked by some external cause. for example , damage to peripheral nerves occurs in many diseases, and restless syndrome, but not everyone develops iron deficiency anemia. hmm , iron deficiency in the body is indeed the most powerful factor that supports the manifestation of this syndrome and therefore, uh, if in a normal situation. we meet, as i already said, 5-7%, then during pregnancy. in the first trimester , the frequency of this syndrome is 8% in the second 16, and in the third reaches 22, because it is at this time that the greatest deficiency is observed in a woman’s body. past. a woman, in principle, is ignorant of everything else. yes, like the loss of iron, because a woman has a regular

menstrual cycle and there is a loss of blood and, accordingly, a loss of iron, and not always. this high-grade iron is obtained from food. iron deficiency accumulates very slowly, it accumulates gradually over the years, but the risk factor is very significant ekaterina please tell me, have you checked your level gland? in general, i went through a general medical examination and they never said that i have , by the way, iron iron ferritin - this is an extended medical examination. you definitely need to get these tests done in the near future. i would like to add that the most important indicator here is ferritin, the protein that is the carrier of iron in the body, which characterizes it, as it were, its general long-term reserves and, moreover, in the treatment of restless dog syndrome. we aim for ferritin levels to be around four times higher than is normal. a normal level of ferritin is not enough

to treat kidney function. well, a much less common reason, to be honest, is nevertheless in patients who are forced to regularly go on hemodialysis. these can be very serious problems, because they cannot squeeze out, then this is the necessary time during which it is carried out ideally with this, this is a separate problem - polyneuropathy, as a rule, the field of neuropathy itself causes some of these unpleasant symptoms. and, of course, any field neuropathy associated with sugar diabetes associated with some toxic products. she, of course, aggravates this condition. another peculiarity is that when the peripheral nervous system is damaged, restless legs syndrome initially flows quite brightly and without remissions without periods of recovery; on the contrary, it gets worse and worse all the time. now, if there are no these remissions, if there are no periods, improvement is always necessary in a patient with restless legs syndrome,

look to rule out polyneuropathy and, finally, take certain medications. the most it’s interesting that those medications that patients themselves often begin to take or that doctors are not familiar with this disease prescribe, because, for example, antihistamines are used to improve sleep . they can significantly worsen the symptoms of restless legs syndrome. or the so -called neuroleptics. these are psychotropic drugs that can maximally worsen the manifestations of this disease, and ekaterina said about antidepressants that most anti chances, especially the first generation, enhance manifestation of this syndrome, and therefore should not be used either. what should i do? what methods exist for alleviating symptoms, sometimes a number of non -drug methods are sufficient, which help many patients - these are all methods aimed at sensory stimulation

- special sensory mats. i bought the same one a long time ago. let us show you, and we will show dmitry valerievich, we will tell you about other methods of contrast baths. yes , it’s not always possible to have it close at hand, so it’s very nice. in fact it’s not uncommon for them to place a similar basin with a jug of cold and hot water at the bedside, and in general , patients simulate that same contrast shower right in their sleeping bag during certain physical activities. well, if they go for a walk before bed, that’s good, but until they come home, they’re getting ready to go to bed . these walks disappear, and that’s why these simple mechanical exercise machines, step exercise machines, exercise bikes , help you load your legs just before going to bed in order to relieve discomfort before you can fall asleep. but not everyone is lucky manage to fall asleep at this time. is there any miracle pill that

will relieve all these unpleasant symptoms? this question, of course, must be resolved with a specialist, a neurologist or a somnologist. there are completely different groups of medications that are used to treat severe forms of restless legs syndrome. is it possible to cure restless legs syndrome completely and completely? if it is primarily due to iron deficiency, then it can be cured. but if this is the so-called primacy syndrome restless, well, which usually appears quite early, somewhere between the ages of 20 and 30 . it already accompanies a person throughout his life, strengthening and weakening? ekaterina thank you very much for coming to us. i hope that you will use our tips and be able to compensate for restless leg syndrome as much as possible and sleep peacefully. mom, thank you very much dmitry valerievich thank you very much. my friends today we talked about restless legs syndrome and how to deal with

this very unpleasant disease. and we we wish you a good day and good mood. be healthy. there was a program with you. hello well, we are starting from vladivostok. where the main session of the eastern economic forum is taking place today, the construction of new highways through siberia and the far east and the pacific ocean, a triple increase in the production of liquefied gas in the arctic zone and many, many other topics were touched upon by the president today during the opening.