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mesnyakov and we begin the program about the the main thing about our health, watch us, it will be informative, i hope it will be interesting, today in the program “about the most important thing, your foot is in a trap,” what causes gout, who is especially at risk for this disease, what to do if a pain attack begins, how does gout affect the kidneys? organs and why do gout medications not always help? all my life i remember how i crawled those 5 meters to the toilet with a temperature of 38.5, all this together, in general, a state of mental panic, you could lose a kidney. how harmful are anti-allergy medications? for the liver, and how prostatitis affects the development of prostate cancer. questions from the doctor. alexander myasnikov asks: you answer.

why is she so cheerful, i saw you, how well, a worthy answer, operations, to do or not to do, why many people are afraid of operations, in which cases the operation is necessary, in which it is not necessary, why people wake up during the operation and how dangerous is anesthesia, the location of the right kidney they cut off the left one, we forget the tool, we forget the napkins, then it hurts, well, okay, what about the trainee? start off, a foot in a trap, this is roughly how the name of the disease gout is translated. during attacks , people experience such pain that they just want to howl; doctors say that in recent years, gout has been occurring more and more often. we decided to figure out what this is connected with. what triggers the development of gout? why did it begin to appear among young people who are especially at risk? gout, how to protect yourself from

this disease and what to do if an attack of pain begins? doctor myasnikov, who, by the way, has gout, will talk about this, while the audience votes: is it true? that genial people have an increased risk of developing gout, or is this just a popular myth? we will find out the correct answer at the end of the section. as for the correct answer or not , i’m curious, but in fact, gout is a serious disease, about 3% of the population suffers from it, more often men, more often with age, what exactly is gout? by the way, in fact , this is not much in the russian language. limited, because gout, in english, gout, means inflammation of the first tarsal joint, and in general the disease gout, called gout, is a deposition of crystalline acid, in our country

uric acid is normal, it is a product of the breakdown of purines, and there are certain standards for the content of uric acid in the blood, then it begins to increase for various reasons, uric acid... well, like sugar, so you take a glass of water and start throwing sugar in there, at a certain concentration , he will start, he will stop getting upset, he will begin to fall out these crystals , the same thing, the urinary cyst, increasing a certain concentration, begins inside the owl space, falling out in the form of crystals , causing terrible pain, i was just a doctor embassy in france and went on a business trip to germany, it happened to me for the first time in my life, and i was still there for years, i went to some town, trying to find some hotel, at least something, then i saw what - i knocked on the door, a german opened the door for me, let me into the room, that’s where i fell asleep and i had to get to the toilet, and i got up and fell, all my life i remember how i crawled those five meters to the toilet, dragging my leg like someone had been shot ,

it's just it's just creepy, am i right? yes, sergey inshakov, 68 years old, moscow, all his life sergei worked as a truck driver. he moved little, ate incorrectly, but even with this lifestyle he had no health problems for a long time, until one day, right during the next flight, his leg hurt terribly, his leg seemed to have fallen into a trap, his right leg spoke to it not to touch, let alone step in there , even a slight touch of the sock caused wild pain, but i had to stop, i called the ministry of emergency situations, this was the first attack of hysteria, the man has been suffering from them for almost 10 years, he has been taking medication, does foot baths, follows a diet, but the gout does not go away, the attacks recur again, that is, it is very difficult to get up , in general, in the morning, it’s a whole disaster, to disperse, to disperse all this through well, such

an effort of will, it happens sometimes you just don’t want to go anywhere , i came to dr. myasnyakov to understand for myself and ask the question, what should i do to avoid... these attacks, maybe some new drugs have appeared, in general this pain is such a condition, as if i had fallen into a trap, it was going... walked frozen, sharp, creepy pain, and i don’t know what to do when i have a fever, then i don’t understand what’s happening at all, the pain and you’re throwing a fever, and so they put a thermometer on you, your temperature is 38.5, all this together, in general, a state of such mental, mental panic , i don’t understand what’s happening to you, and henry, kindred spirits, remember, when the robber climbed in, he says, and that you don’t understand your hand, i can’t lift it, he says, and for a long time, well, they tried the shit of a young pig, but something these doctors understand, yes, what is dangerous about gout is that

these crystals are deposited not only in joints, they are deposited in the kidneys, you can lose a kidney, these are stones, these are stones from urate from meceic acid, these are kidney... sufficiency and this is a problem, there may be general symptoms, temperature, weakness, fatigue, this also interferes, so , let's go back, what is it initially, what provokes it, this is, of course , a genetic predisposition , this is smoking, these are dietary errors, and we know that a person with gout, as a rule, is still an overweight person, with hypertension, stomach, metabolic syndrome, most importantly, the first question: my urinary frequency is increased, but i, nothing hurts, should i lower it or not? the answer is no, because it is elevated in you, but still lower these drugs that lower uric acid, these are not harmless drugs, they can manifest themselves in a very

serious way and, well, let’s say, the standard medicine, which is a salvation for all gout, alapurenol, a number of people, it causes severe, severe reactions, to the point of being very severe, especially if you are chinese, korean, and so on, that is, asians, they are carriers of a certain gene mutation, which carries the risk of severe side effects of aloparino. rises many times. another medicine is popular, there are only two of them, from the same group, they are two relatives. phlebuxastat also has certain side effects, probably in some manifestations even more than aloprinol. we remember that 300 mg of alaparenol corresponds to 40 mg of this phlebuxostat. what do they do, let’s say you have gout, i always tell you why i say it, i did it myself. i shot up, i'm sorry, i took 300 mg like everyone else

alapulinol, i drink, but i still have four with this acid , it’s still periodically more, but what happens is the threshold value of uric acid, after which it’s like sugar in a glass begins to precipitate 350, well there’s 345 or 350, i don’t remember exactly, well, let’s say 350 mg, and even if you and i are taking tablets, it’s above 400 4 50, it will fall out, which means we need to keep it all in a soluble state, yes, but in order to keep it in a soluble state , someone needs , for example, 300 mg of palinol, and someone needs 600, and someone is 900, at some time doctors began to say depouta - this is with today ’s therapy, it’s just not you who are not treating, you need to take it so that there is less, which means, once again, we treat, we reduce the level of meceic acid when there is

- then we don’t get off, we drink constantly, if pain arises against this background, we don’t stop taking it, but if you have pain, you first relieve the pain with non-steroidal anti-inflammatory drugs, sometimes hormones, and only then start alaparenol, because if during you're in pain you start, it will only make it worse, here is the classic situation , no matter what happens, what to do to avoid it, keep it at normal levels below this level, miceic acid, no matter at what cost, accordingly, treat hypertension, all other diseases, if you are taking medications like sortans for lowering blood pressure, there is a medicine, such as loosartan, why is it good, because this family acts on hypertension in the same way as its brothers, but plus it also lowers the level of uric acid, be careful with diuretics, because diuretics are not the best, just like hydrochlorothiositis, they are not the right medicine. for gout, this all turned out to be a myth, in fact, i have good news for you, when i realized

that i was 30 or whatever 35 years old, and i did nothing at all, and before that i couldn’t do anything, because i have high cholesterol , and i realized where he is tall, i just opened the internet sign, there was no internet , i read the book and immediately understood that everything that’s tasty is not allowed for me, there’s cholesterol, fish is not allowed, meat is not allowed, this is this, this is not allowed, that’s what i'm already i won’t eat, there’s some kind of bathroom porridge, i can’t even have white bread, no , you understand me, in short, what’s not allowed here, it’s not allowed here, i decided, screw you all doctors, i, i ate everything, yes , i took alpurenol, for many years i don’t know what it is, sometimes it stings, i’ll take a pill, as a side effect in general from aloprinol for the kidneys, you know who, how, i’ve been taking aloprinol for decades , well, i’m already doing the same thing and nothing, i increased the dose to adequate, because before that i had? daily dose, then how much do you take? well, i'm 200, here are the pills for

100 mg, but there are 300 mg, you take two 300 mg, there is you, here you have a number, you just have to remember it, why don’t i increase the dose , because i don’t have the information, i ’m afraid that it won’t happen in principle it’s more complicated, it’s clear, it’s clear, no, if it’s rude to you, if it doesn’t suit you, it doesn’t suit you, that is, if it doesn’t suit you, it won’t suit you even 100 mg, so if you can tolerate 200 mg, you can calmly increase the dose by two , three times calmly, without looking, this is what you don’t have to be afraid of, this is what i advise you, it turned out today the idea that all this can be done a little at a time, proteins, yes, if you want meat, fish , eat a little, but then fish, proteins are better from a plant source, soybeans, and so on, eggplants can be there, but purines, yes, actually today gout is advised to follow the usual mediterranean diet, calorie restriction and a standard set, half a kilo of vegetables, fruits, fish, products made from strong grains, dairy products, the only product that

is recommended for gout, oddly enough, is cherries and sweet cherries, there is something in cherries and there are cherries, something that has a beneficial effect, that they also ask, omega-3 helps with gout, vitamin c also helps with coffee, they used to prohibit it, now they say it’s possible and even good, so why, because as soon as you don’t take some smart person, octoral gout and you can open it. and you know, it’s something like 20 versus 22, that is, people don’t know for sure, but they’re inclined to think that probably , yes, there’s even a theory that uric acid, some kind of antioxidant and something in does the brain well, i don't think it is, i think einstein, bach, herzog engulemsky, well, they ate well, well, no one worked in the field, yes , they didn’t hunch over the plow there, people worked,

earned money with their brains, in general, let us resolve this issue in our favor, well, no brilliant, well, not brilliant, but talented people, the risk of developing gout is increased, it is better to be smart without gout than a fool with gout, further, how harmful are anti-allergy drugs to the liver, and how does prostatitis affect the development of prostate cancer, questions from the doctor, alexander myasnikov asks, you answer why: you i saw how, well, a worthy answer, hiv may not manifest itself for a long time, you can only determine your hiv status by getting tested, find out more on oos, why did you put the ring on, please take it off, dr. krasnov, premiere, today at 21:20 house, to

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twenty-six-year-old vladimir kaluntiga, a professional military man, was seriously wounded on the front line, lost his arm and spent several months in a hospital bed. for more than a year he has been trying to find the fighters who, risking themselves, saved him in battle. i really want to meet in person. words of gratitude for covering me and pulling me out. how did the fates of our comrades turn out, who will come to meet vladimir? malakhov, today at 16:30. time for the section questions from the doctor, we ask questions to you, based on previous programs, you whether you answer or not, the main thing is that you come out, we’ll talk, who’s ready, raise your hands, how can i refuse something like that, she was the first. hello, what's your name? olga, well olya, what are we doing, why are you so cheerful, i saw you, what a worthy answer, that’s right

, twist, i’m already scared, what are you by profession , mom, mom, that’s good, no, you just know, he turns out to be a cheerful person , i want to talk, but here some antihistamines are harmful to the liver, what do you write, yes, no, what? they gave them to their children, what is this, second, yes, this means did you give it to children? i gave it, okay, but why did they give it if they are harmful to the liver? well, how now all medications are harmful, i generally try to minimize it, antihistamines have practically no effect on the liver, well, you are right about one thing , well, what do you mean it doesn’t work, everything affects the liver, what we eat, that’s it, the liver is still a filter, it doesn’t matter filter to one degree or another, everything happens in the liver. enzyme chains, everything is there, but they don’t have such a harmful effect, well, let’s talk about men’s topics, prostatitis increases the risk of developing cancer

prostate, you can there, i already wrote , so i’ll leave this answer, for some reason it seems to me that prostatitis is not a risk factor for the subsequent development of prostate cancer, especially considering that 90% of the diagnosis of prostatitis is actually actually more, but 90% - this... is not very related, so you and i have two mistakes, son, i hope you haven’t been watching this program, how many years, 14, no, well, you shouldn’t know about cancer, that ’s all, this one question i would like you to answer, is it necessary to remove gallstones? bubble if they don't bother you. again in the wrong direction, judging by the face, yes. well, let's just say there is no answer in the whole world. we have a strong preventive direction, back in soviet times,

when we removed stones. i always thought that this was an achievement of western medicine, which calculated that every tenth person has gallstones, but we can’t operate on every tenth person, yes, so if it doesn’t hurt, then go ahead, there is only a stone that is not extremely large, there 3.5 cm, until i got my hands on a textbook, 1948, i open it on the gallstone disease, and what i see is written that if there is no pain, surgery does not have an effect higher than just the usual dietary or therapeutic effects, they carry increased risks, if the stones do not hurt, then there is no need to hit them, the ussr is in its forty-eighth year, i guessed right, you have the correct answer, olya, you have one chance to get a book, or not a book, whatever you choose, i already told you that but you need to work out two

wrong answers, come here, let’s do what you want, to get what is written, but standing on the balance board for 10 seconds is terrible sounds like what is this and where is the balance board? give me a hand, i won’t stand for one, mothers, i also thought that they would give up, a hand, a hand, no, you’re wider, so, wait, i’ve never stood for this in my life either, but it all looks simple, as i understand it, it’s necessary, yeah, how long are you, so, wait, move away, i’ll fall, everyone, everyone will feel bad, wait, so, who came up with this in the first place, and it’s your turn,

what, haha, mom, so let's go, let's go, let's go, we're our own here, ha-ha, and you and i will break each other's bones here, i'll give you two keys for hurray, get it, one of your keys is honestly earned, yes, and the other is for your courage, oh, thank you, come on, the chance is two against three, no, they didn’t help me, now we’ll see, let’s see how courage is, no, it’s okay, right, let's go and earn money on the board, go, go, that's it, i'll give you the third key, it was a test , danueva said, i wouldn't give it, she, well, off she goes, i know she'll fall, she's worth a lot, take the third key, well then, ol, if it doesn’t work now, then i don’t know, well, this can’t happen. oh, hurray,

open, take the gift, enter with peace, thank you, you want to reconsider us, we look at the platform, the application or the website smotrim.ru, and we move on, i’m afraid to have surgery. is it possible to somehow do without it? people ask dr. myasnikov this question all the time. someone is afraid of side effects from anesthesia, someone is afraid of dying, there are many fears, but how justified are they? now let's talk about this, find out whether it is possible to wake up in the middle of an operation, can surgeons forget the instruments inside? and the audience in our studio right now answers the question: is it true that one anesthesia takes away

2-3 years of life? after all, this opinion is very popular, they think and vote, we’ll find out the answer at the end of the section, well, they found someone asking a therapist, you know, so to speak , the rules of internal medicine formulated 70 years ago, there are seven of them, here’s the seventh rule, never, comma, never give your patient to a surgeon. this is the attitude of the therapist, so to speak. in fact, there are really a lot of questions, and there is no clear answer. one famous surgeon said, the best operation is the one we didn’t do. the operation must be when there is no other way out, or when it is proven to improve the condition. well, for example, let’s take heart surgery, also coronary artery bypass grafting, a major

operation. if it is done when all three vessels of the heart are affected, when a person has diabetes, plus when a person has impaired contractility of the heart muscle, yes, it prolongs life, it prevents heart attacks, but in all other cases this operation can eliminate attacks of angina, significantly improve quality of life, that's how they live about the same as people without surgery, just on pills. so this is a lot. situations, this completely sacramental question, do i need to remove gall bladder stones if nothing hurts, but it can be removed, it’s possible, but it’s an operation, okay, it’s an organ that’s not particularly needed, but it’s still an operation, it’s still anesthesia, there are still the risks of infection, there are still the risks of allergies, well , this can be said a lot, it’s always a matter of choice, so i’m afraid, i’m afraid that i won’t wake up

because of the wrong ones. anestheia is a separate specialty, this is an anesthetologist-renimatologist, he immerses you in a clinical room, but if it’s not death somewhere there, then he gets you out of there, it happens that he doesn’t wake up, it happens, and will happen, this percentage is always there, well, you read , i went to have an operation to tighten my face, to remove something, they gave me anesthesia without request, it happens, it happens, but it happens, i have a friend, a very close, amazing surgeon, he operated on a personal friend of mine, she... died on her table, for her this is a tragedy, but you can’t guess who it is, it happens once in a million, but it happens, i’m afraid that the operation is not really needed, but in half, in 50% this is so , well, because our surgeons operate on everything that moves, and this is generally the tendency of surgeons, a surgeon, he cannot help but do something cut it off, we therapists say, well, it will fall off on its own, why should they cut it, but laughter, laughter, this is the case everywhere,

this is... abroad and everywhere everyone has aggressive tactics for treating patients, so it happens, here you have to weigh it 10 times, go take it, no, i understand, acute stomach, acute heart attack, right? yes , you need to save when the situation is acute, yes there are no questions at all, here we are talking about planned operations, yes, starting from varicose veins, including removal of a thyroid node, there are four pairs of thyroid glands on the thyroid gland that are responsible for calcium metabolism, sometimes, i just had such a case in america , a brilliant surgeon removed the thyroid gland and this is not a mistake, but it happens, he removed all four pairs of the thyroid gland, she cannot lift a glass of water, she drinks... there is no hormone machine, this is a tragedy, it was necessary to operate, but it is possible it was definitely possible to do without operations, this is always the question, then in what cases do people wake up during

an operation and how dangerous modern anesthesia is for life, and how often do surgeons make mistakes during an operation, instead of the right kidney they cut off the left one, we forget the instrument, we forget the napkins. then it hurts, as a doctor and a citizen, i must say, you need to have an operation, how to eliminate the symptoms of flu and colds without causing an increase in blood pressure, orvisfyu eliminates the symptoms without increasing blood pressure, orvis fluvalar, come on, all together, give a bandana, come on, with such charisma, with such sincerity, everything will work out, watch it all together, on friday, at 21:30 with... presents a loan with cashback. allow yourself more. every month return 2.5% of the rate with sber bonuses thank you. hurry up to get a loan with increased cashback. saving with prime is more profitable. new items

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all these shellings, i always knew that i had a protector who protected my mother and me very much. ours, from monday to thursday, at 15:00, only on the russia channel, the program about the most important things continues, we talk about fears of operations, i’m afraid that organs will be stolen for sale, they won’t be stolen. but not for some reason, to steal an organ for sale, it’s like that in the movies, they cut it up, they put it in a bag there with a physical product, they took it somewhere, well , we don’t even store ordinary food there, well , it will rot, no one, this is a very complex technological process, we just have such a level, well, yes, there is no arm, no leg, yes, in america 0.1%, others, instead of the right kidney they cut off the left one, when i came to america, i was indian, very... actress, brain tumor, and

just the first time everything arrived, it was a scandal on television, everywhere, she had a tumor in floated the hemisphere and operated on the left one, why? there, a surgeon often comes for an operation, so he doesn’t see the patient, he sees the story, he’s already been placed in a place already prepared by the sister, he cuts off, removes, that’s what they did, then he removed it, i say this again, there ’s always a certain percentage , i don’t know about us, it seems to me that we have less, but in america i saw this when i worked for 2-3 months. since this happened, we still don’t, our surgeon examines the patient before the operation, he guides him, he knows him, he checks the installation, and there, when others are doing this, i came, lies, well, i opened everything, it’s not the surgeon’s fault, i’m afraid that i’ll wake up during the operation, it depends on the anesthesia, if the anesthesiologist, well, how is this the grossest mistake of the anesthetologist, if he saw that he was waking up, he added some extra help, so to speak, i’m afraid?

that the operation will be entrusted to the practitioner, well, yes, they give anesthesia, and then, well, okay, but the practitioner must start somewhere, yes, first he holds the hooks, yes, he does it, yes, well, what i mean is that some the simplest operations can still be tried by a practitioner, something can be done, and so on and so forth, but everyone has gone through this, i’m afraid that after the operation something will be buried inside, it happens, it happens, we forget the tool, we forget the napkins. then it hurts in other hospitals, it is opened, then the patient sues us, this happened in my hospital, they came to us from others, this is a certain percentage, but you see, operations last 8, 12 hours, all this is enough, such a thing , well, it all happens, and cars crash lop-lop, rarely, but it happens everywhere, in all countries, i’m afraid that i’ll die during the operation, but you won’t know, you’ll have anesthesia, what can i say, choose?

they remove what percentage, i don’t know, different operations, the heart has one percent mortality rate, yes, if you have acute bleeding 30%, the chance that you will remain on the table, why i say, watch your stomach, if there is blood, they took salt, here 30%, about 50%, we operate on the pancreas, there the mortality rate is 70% before, that is , yes it happens, but what can i say, it happens, there are questions, come on, hello, but i have this i had a problem about 12 years ago on my right thyroid lobe. lisa discovered a node, and it can’t be, but the doctors here are 50/50, that is, some say it needs to be removed, i wouldn’t go with that, and others say we’re just observing, doing ultrasounds and that’s it, not a word more, hormones are normal, almost every second woman, 44% of women, 40 there are some percent of men who have glands, there are none, there are none, there are none, so now we’ll get to you, so... that we will operate on every second node, thyroid hormones,

the fact that the norm is just not, it’s not very good, because if they were elevated, we said, well, it’s definitely not subject to molinization, with low and normal it is possible, but in this case we usually do it with a very thin needle a biopsy, and then we either observe or give thyroid hormones so that it does not grow, because it is hormone-dependent, in this case i do not see the point of resorting immediately to surgery. well, i just don’t see it and 50% are right again, let’s forget, how can we forget? new is formed because the reasons do not go away, that’s why what to operate on, what to have? thank you, good morning, i have a question, i’ve probably had nasal congestion for about 10 years, at first i had a septum treated, well, now i found out that yes, i was treated first for allergic rhinitis, then i stopped treatment, my wife noticed that my breathing stopped at night for a few seconds, then i suddenly

take in a snoring breath, so they scheduled an operation accordingly, and the question is whether it’s better to do it or not, because what oxygen fasting is bad, but the consequences of this operation also occur, including loss of sensitivity in the nose. what can i say, as a doctor and a citizen, i must say, you need to have an operation, as a private person , this has been a problem for many years, you see, it’s a curve, i’m already 70 years old, i ’ve been afraid to do this operation for 50 years, and now i’m thinking, maybe i already am, so i say again, i’ve been struggling like this all my life, i would have been breathing normally a long time ago. and now it seems like you’re already going to go, you already think it’s time to die, that i’ll go all this, so in this in this case, this is the situation, i regret that i didn’t do it earlier, thank you, yes, now let’s sum up the voting results, it takes 2-3 years of life, i have the impression that you are throwing two balls with both hands, because it’s the same,

today we are under anesthesia no, these proposals are ethereal, mass anesthesia and so on and so forth, today anesthesia has reached amazing heights, after anesthesia a person can almost immediately get behind the wheel and go, no, today this is not so, okay, that’s it, let me do that what god said, the people say: measure seven times cut it once, that’s the whole answer, and right now i’ll answer your questions in our studio, because it’s time for the section questions for before good morning, my name is galina, i’m 65 years old, and i’m interested in the following question: i have the last panic attacks became more frequent over time, about 40 years ago, i had a disease, i was treated at the institute of neurology, everything was cured and i thought that this was already a passed stage

and would not return, but recently i noticed again that my hands began to shake , when there is a little excitement, for example, i... am afraid that i’m about to drop a plate, there are steps outside the door, my heart begins to jump out, these are the manifestations, well, i’m trying to cope with this , it is necessary to treat, in your case you already need to resort to medications, there are special medications that are preferable for panic attacks, it is clear that this not an easy treatment, but panic attacks are not just your heart beating, everything is shaking, this often then leads to triggers of other diseases, i think you need to see a doctor about this and start taking medications at least for some period of time, thank you, good morning, doctor, my name is rima, i have a question, my friend is 34 years old, last october she had

her gall bladder removed, but she dreams of having a second child , she is afraid that after this operation she will be... bad i'm pregnant and that this will affect the birth of the unborn child, is this really why i love this program, sometimes it puts me in such a dead end, i'm talking about the connection between the removed gallbladder and the possibility of getting pregnant, i probably wouldn't have even thought about it, no, i would have thought about it, i have some kind of ugly there is a scar on his stomach and we are getting down to this business, he saw he was scared, he couldn’t do anything , of course, but this is the only thing i can imagine that could interfere with pregnancy , in fact, this is nonsense. she is afraid that she will not be able to stand it, that is, it will somehow affect her negatively. health, who can’t stand it, the woman in labor who will be pregnant, despite the fact that she lacks a bladder, where is the connection, yes , yes, so she says, without, i don’t have one organ, can i give birth to a

healthy second child, she will give birth maybe, but find a partner with such an attitude to life and character, i don’t think so, thank you, no, well, imagine, a beautiful woman , you approach her, dear, come on, she says, stop, man, i don’t have a gall bladder, man, run, good morning, doctor, good, me my name is marina, i’m 49 years old, i had a problem in 2020, i came in with high blood pressure, how much was it, the pressure was 180, i was just working out in the gym. the blood pressure is normal, he even takes pills for what he needs, but everything is already normal, that is, it’s easier to hit, i understand the question, yeah,

blood pressure, hypertension, it needs to be treated, you are now normal, stop taking pills , it will be abnormal again, since you had it 180, at such a young age, it means you will be able to jump decently, there is only one way out for you, take pills , normal blood pressure, we continue to take pills, as for the loading, as for the wolff parkinson-white syndrome, congenital syndrome, when i described it... white, and i saw dr. white, he came to russia and was with us dacha, my grandfather was a famous academician, and he and white received the award a golden statoscope, and when he came to our dacha, two things of his, i remembered, i was very little, the same white, which is white's polypalson syndrome, the first thing, when they called me, we had a caucasian shepherd dog, his name was dombay, he stood up on his chest, then he fell, so... he just held him with his paws, world famous, when he tried to rescue him, he just talked: and then he

understood, he was silent, he said: “okay, okay, i pulled him away , the second time he came running from the toilet, but the toilet before was like everyone else’s, and what was there, we had toilet paper there weren’t, there were newspapers, and he came running, because he read it with the newspaper, really, shouted: “here, you ’re great, you’re a hero, you’re under a communist dictatorship”? really use the newspaper for its intended purpose, and we couldn’t explain to him that there was no politics , we just have a different situation, and so dr. white told the situation that when he gave this diagnostic, like someone else in the house, he forbade him engage in, that's how you do physical activity, after 20 years this american did nothing until i waited for another article where they wrote, in fact, nothing special, we even recruit into the army with this syndrome. and it’s possible, and what he did, the american, he filed a lawsuit, he counted all the losses, he says, i haven’t done this for 20 years, then i didn’t do it,

i slept with women very rarely, hearts and so on, and he assessed it at a decent i contributed the amount to this claim, it is possible, thank you, doctor, i answered all your questions, i hope you are satisfied, i wish you all good health. next in the program: colds and their consequences. what mistakes do we make when home treatment. man switch is not dangerous in everyday life. the virus is not transmitted through shaking hands, hugging or kissing. find out more at oospira. russia, donbass, novororos, big festive concert, broadcast from red square. on saturday, at 20.21:20 on the russia channel. pentalgin extragel, it contains a special component for better

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the symptoms of flu and colds without a side increase in blood pressure? orvis flu eliminates symptoms without increasing blood pressure. orvis flu from evalar. good morning. hello. autumn, the golden time of the year, but the beginning of the cold season. runny nose, cough, fever, sore throat, these symptoms are probably familiar to everyone. a cold is the condition that almost everyone starts with. treat on your own, but unfortunately, often they make mistakes that subsequently affect their health. what mistakes do our patients most often make when diagnosed with an acute respiratory viral infection? we'll talk about this today.

today we will discuss what to eat, what to drink, when to start taking antipyretics, what components in medications you should be wary of. but first. let's find out the story of our guest tatiana. hello, doctor, my name is tatyana kolesa. lately i noticed that during colds, when i take hot drinks for oop and flu, along with the improvement of cold symptoms, my blood pressure rises. here you go. as i expected, 150 to 90, my sugar has also increased a little, about 6.7 , for some reason i’ve been getting sick more often lately, but you know, i don’t understand what the connection is between hot drinks for colds and increased blood pressure , i would like to get advice on what can be done in similar

cases, what to do, tell me? please, doctor, tatyana is in our studio today, please come to us, tatyana, good morning, hello, good morning, please tell me how many times a year you get sick on average, and you know, before i rarely got sick, well, let’s say once or twice a year, now it happens that four- i get sick six times a year, how do you treat yourself? i used to take pills, but lately i’ve liked these hot drinks, it seems to me that they work faster, do you get the same treatment all the time? yes, yes, almost the same, well, my friends, let's look at the mistakes that our patients most often make. the first mistake is complete isolation. if a person locks himself in his room, does not ventilate the room, and begins to bundle up when the temperature rises, then unfortunately

, this does not lead to anything good except overheating, except for the accumulation of viruses and waste products in the air and additional re-infection. moreover, if the room is not ventilated, the oxygen content, especially if it is a small room, eventually decreases. and unfortunately, it also occurs against the background of swelling of the upper respiratory tract, a feeling of lack of air and hypoxia, lack of oxygen, which, unfortunately, also does not contribute to recovery. tatyana, when you are sick, do you ventilate the room? oh, you know, when you don’t feel well, you have no time to ventilate, you don’t want to do anything, many people are afraid of drafts, yes, and you are afraid that it will get even worse, and many more isolate themselves in the room so as not to infect their relatives and not spread these infections, we keep repeating that if you feel the first signs of a cold, you don’t need to go to

work, but the room needs to be ventilated, wet cleaning needs to be done, vacuuming needs to be done, people who are sick must also take a shower, because many are afraid that i’m about to take a shower, but when i cool down it will be even worse, the temperature will rise, no , when we are sick, we sweat a lot, the skin is the largest organ of our body, and of course, it needs to be kept clean in order for the skin to perform all the necessary functions. let's look further, the next mistake is diet. usually when you're sick you don't eat i want to, hunger is far from useful during a cold, because eliminating food completely is good, people also don’t exclude water, because we repeat once again that you need to drink a lot of fluids, there is a large loss of fluid, especially when the temperature rises. a condition such as acidosis develops, and in the absence of nutrients in the body, the body tends to acidosis, to acidification of the body, that is, the ph of our serum tends to a more acidic

state, which again causes a huge number of pathological processes, the formation of cytokines damages tissue organs, so the diet during a cold should be balanced , a sufficient amount of fiber for the gastrointestinal tract to function normally, a sufficient amount of fluid, a sufficient amount of protein, always fats, especially polyunsaturated fatty acids, that is, the diet should be light, you need to eat often, but in a balanced manner. tatyana, i try, first of all, to always take chicken broth, well , in any case, it helps me a lot, and fruit, i have chicken broth, if it properly cooked, indeed, not only during a cold, in principle, a good one is prescribed for it in many diets, for many diseases, including acute respiratory viral infections. let’s look further, well, finally, uncontrolled use of antibiotics, tatyana

, no, i don’t like antibiotics, i’m afraid, you are a joyful exception , you are a balm for my heart, what does taking antibiotics lead to, this is a disorder of the gastrointestinal tract, first of all it develops . quickly enough, this is the emergence of bacteria that are inherent in of our body, which are resistant to antibiotics, that is, insensitive to them, and accordingly, when a serious situation arises, when the same viral infection is complicated by a condition associated with bacterial inflammation, for example, sinusitis, tonsillitis, pneumonia, unfortunately, the antibiotics that you already taken may turn out to be insensitive, so there is a rule that antibiotics do not act on viruses, antibiotics... at the first sign of a cold cannot be used, only as prescribed by a doctor and proven adherence bacterial infection. doctor, what should you do then if a cold occurs at the very beginning? at the first signs of influenza and

respiratory viral infections, symptomatic treatment is, of course, necessary. you can start taking hot drinks based on substances such as paracetamol and other components that. decongestant, analgesic and antipyretic effects, but the choice of such drinks should be taken very carefully, especially for older people, as a rule, in people older people have cardiovascular diseases such as hypertension, it is quite common to have diabetes mellitus, and if these drinks contain a vessel, they can lead to an uncontrolled increase in blood pressure, and some components can affect sugar levels, they contain large amounts of sugars in order , so that they are pleasant to drink, and accordingly increase

blood sugar levels. how to choose the right paracetamol hot drink for the treatment of op, first of all, when you buy one a drug that contains antipyretic anti-inflammatory drugs, you need to pay attention to... the composition should contain paracetamol and should not contain vasoconstrictor components, among other things, if you have the flu, you have diabetes mellitus, then it is important to choose a hot drink, which contains no sugar and, of course, it is very good if the composition is enhanced with natural ingredients, for example, lemon and ginger, which have additional therapeutic effects, you will definitely have to look for just such a remedy, not so long ago a new russian development appeared in pharmacies, a medicine in the form of a hot drink based on... paracetamol

for the treatment of respiratory viral infections and influenza, which can be taken even with high blood pressure and diabetes, and of course, it is mandatory pay attention to the reputation of the manufacturer and the price of this drug. domestic developments are usually cheaper in price. when is the best time to take these drugs? we mentioned here that it is necessary eat right. and just these hot drinks based on paracetamol should be taken after meals to protect the mucous membrane of the stomach, it’s good when such drinks also contain antihistamines , anti-allergy drugs, they also have a very good anti-edematous effect, and of course, paracetamol first should be taken only as indicated, only if there are actual signs of a respiratory viral infection and an increase... and no more than 3-4 times a day if

your temperature persists for more than for a long time or increases immediately, then of course you should consult a doctor. tatyana, thank you very much for coming to us, do you have any questions? no, in my opinion, there was an exhaustive answer, thank you very much, to combat the symptoms of influenza and oris, without the side increase in blood pressure, orvis flu. hot drink without sugar based on paracemol, only orves flu is enhanced with natural lemon and ginger. orves flu from the company evalar. my friends, even to the treatment of seemingly simple and common conditions such as acute respiratory viral infection, you need to approach it responsibly and wisely. you should use only those products that will not have adverse side effects on your health. and we wish you a good day and

a great mood, be healthy, we had a program with you about the most important things. the russian tv channel is broadcasting news, i welcome all viewers, i am maria sittel. hello, sight 534, tube 83. the hurricane successfully hits any targets, both at the front line and in the depths of the defense line up to 40 km. they are working in the southern donetsk direction.

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