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good morning, says doctor vesnyakov, we begin the program, and the most important thing, that is, about our health. watch us, it will be interesting, it will be educational, we begin. today in the program about the most important thing, instructions for use, what to do to protect against gastritis and ulcers, how important it is to monitor your diet and how to take painkillers correctly so as not to harm your stomach. people who can take this little string, eat it and swallow it, if we take it, we cannot lie down for half an hour. how often? heart attack passes without symptoms how many

vegetables and fruits should you eat to stock up on vitamins for the winter? questions from the doctor, alexander mestnikov asks, you answer: well, i knew, and what was i pretending to do, oh, how, what? there must be some kind of mystery, probably bronchial asthma, why did it become occur more often in children, in adults, what vitamin deficiency provokes its development and what is important to do to protect against asthma? wheezing, we all know, here i inhale its epithelium, wool, for a day or two, it's like... an allergy shot, we have a new section: instructions for use, because sometimes i get into a nutshell, and sometimes people say: okay, all this is good, but what should we do, now i'll tell you, we

'll try to make instructions, katya will help us, katya, come here, if i say something smart, you immediately run to write it down, there is, here is immune gastritis... gastritis, a very common disease, but the thing is that in principle it is an infectious disease, the so -called heliobacter pylori, a bacterium that causes erosions and ulcers in us, well , regarding this theory, i'm still waiting for it, so to speak, to change too, because we suspected it, then scientists received the nobel prize for discovering exactly the connection for... stomach ulcers, but i'm just surprised that this bacterium, they traced its genome, where it comes from, but if not to adam and eve, but somewhere there, that is , it is as long as humanity, this bacterium is with us, and if you understand that 85% of the population

of countries such as russia, brazil and so on are infected with it, then it turns out that most of us are carriers of this bacterium, and how we once fought with microbes, then it turned out that now ...

such an interesting bacterium, well , it has existed for another 50 thousand years, it has adapted, and supposedly it is vulnerable to our stomach, let's start, if our rule, then with acid, probably the very first rule that you all should remember, this is what... then 99.99 cases of all erosions and ulcers of the stomach are heliobacter pylori and the use of painkillers non- steroidal anti-inflammatory drugs. and the first point - if you do not want to get gastritis

or an ulcer, be very careful about taking, like non-steroidal anti-inflammatory drugs. let 's take a young girl, you have a pain in the lower back, shoulder-neck. someday, you have pain, you have pain, but you do not have pain, it hurts, it hurts, everyone has pain, what do we do, we run, take a pill and it goes away, but you make a mistake, you took it, it went away, you you quit, after 2 days you have pain again, you took it again, it seems to have passed, but if there is still a fairly pronounced muscle skeletal pain, somewhere it doesn’t matter, it’s correct to take pills for 5-6 days in a row, so you took it, it passed

pi, proton pump inhibitors, it doesn’t matter that it’s called that, it’s terrible, it’s amiprazole, pantaprazole, lanoprozole, everything that ends in prozole, all these... anti-inflammatory drugs, they block the synthesis of prostaglandins, there are such biologically active substances, prostaglandins, which make the gastric mucosa impermeable to acid, this is what protects it from the effects of acid, so if you are given injections, it works in exactly the same way, if you insert suppositories into your butt, the stomach will act in exactly the same way as if you took it internally, because the mechanism of action is not local, but through disruption of progranaglondine synthesis, therefore... do not take it uncontrollably, and if you do take it, take it together with drugs that protect the stomach, such as

amiprazole, here are two rules further, which i will tell you, you will nod, but it will not change anything, because quite large factors and increasing ulcers and erosive gastritis, this is smoking, alcohol, well , you know, guys, let's live in peace, let 's quit. smoking, well, let's quit smoking, well , you just know, then, probably, know the side effects of the drugs that you take on a regular basis, why? well, life is such that in general, by the age of 50-60, people take something, always some pills, someone drinks abeprazole stomach, someone has blood pressure, someone has one thing, another, a third, you just understand that, let's say, such drugs are very popular for the treatment of osteoporosis, the so-called non-phosphonates, are fraught with ulcers and erosions

of the stomach, by the way, erosions of the esophagus, that is why some of these drugs, if we take them, we cannot lie down for half an hour, only standing, a lot of other drugs, well, let's say, banal paracetamol, yes, it does not seem to harm, but statistics show that all the same, people who often take paracetamol instead of painkillers, they still have more often. gastritis and ulcer, well you will say now, doctor, well yes , i will pass something, that i, for example, ate i will not have anything, or let's say, ate and i got something, in fact, food does not act on the development of ulcers, food can cause, that it can give a burning, can give bloating, rumbling, belching, what we call dyspepsia, these symptoms, yes, cause erosion of the ulcer, that is , a mucous defect, they, as a rule, do not cause ...

remember 200 years ago some famous duchess with a famous surname, so that she

became a writer, she owns the words, that ulcers are not caused by what we eat, but ulcers are caused by what eats us, even before the discovery of hebabacterium pylori and, probably, before the discovery of non-steroidal anti-inflammatory drugs , people understood that stress leads to ulcers and gastritis, and today we know this well in statistics. stress leads to gastritis and ulcers, ulcers are not caused by what we eat, but by what eats

us, here is the most important rule - write: do not twitch and do not get nervous, well, are you writing in syllables or something, nerves, get nervous, not r v n, got over-nervous, however. well, in general, i all i urge you to adhere to the fourth rule, even if there is an ulcer, it is still good, do not be nervous, and the ulcer may be, it is still genetic now. it is conditioned, people with the first blood group more often have stomach ulcers, so no one needs to be nervous, but for people with the first group, especially, everything will be fine with us, then, how often does a heart attack pass without symptoms, how many vegetables and fruits should you eat to stock up on vitamins for the winter?

questions from the doctor, alexander myasnikov asks, you answer, well i knew. and what pretended, oh, how, what, some kind of mystery must be, probably, i love you, and i love you, we are sitting well, let's run, the premiere is on rtr, you are so reliable, not petrush, when he called again, well, don't be silent, please, my name is mikhail dolskoy, i know, we have communicated with you. you did not spend the night at home, there is something that i do not know, and can i confess, finally, i love him, you understand, i love, and i can not do anything about it, you understand, i love, the bonds of marriage or the nets of love, which will be stronger, i just ask without emotions, what does it mean without emotions, you will not refuse me, i

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me. morning mail with nikolai baskov. on sunday on rtr. time for the rubric questions from the doctor, you will ask you questions based on previous programs, you answer, well, as it turns out. who is ready, raise your voice hands. come here. so, what's your name? hello, my name is. anastasia, uh-huh, what are you doing? i'm studying at the law faculty, third year, graduated. spin. so, what have you spun there? let's start with the third question. does dr. myasnikov celebrate his birthday in the fall? yes, no. got it. uh-huh. 25%,

chance of success. time of year 100 to 4 - 25%, it seems to me, yes write what it seems, yes september 15, well i knew, and what was i pretending, oh how, that there must be some kind of mystery, probably, yeah, there must be some kind of mystery in a woman, yes, that's right, a heart attack can occur unnoticed, yes, maybe, yes, maybe, well yes, maybe, to talk, there is no intrigue here, well really often not we heart attack, it is a problem. such a big one, in summer autumn you need to eat more fruits and vegetables to stock up on vitamins? all this is a question, already in summer and autumn. you need to eat more fruits and vegetables to stock up on vitamins, well summer autumn is the season of fruits and vegetables, and in winter you don't need to eat them yet, or as much

as possible, here as much as possible, well there is, but this is no longer the season, of course, and the fact that you need to stock up in summer and autumn, well this is not camel hump all vitamins, they need to be eaten every day, as you said, half a kilo of vegetables and... fruits, yeah, it turns out, no, you can't stock up on vitamins, vitamins, you must consume, father-in-law daily intake rate, so there must be daily consumption, right, half a kilo of vegetables, half a kilo of fruits, it is clear that the nutritional value of vegetables and fruits, so to speak in winter, when they are preserved, when they are covered with preservatives, wax, something else, than what it was picked from a tree or directly together with a pear growing there, you took it. ate, it is different, but you can't accumulate it under your skin, you are not a camel, so the answer is: yes, well, you need to eat and so on, but you can't stock up on vitamins in advance,

so the answer is correct, well, you and i have three correct answers, this means that the three keys are all yours and you will 100% open something, nothing, there is no hurry. yes, no tears, oh, well done, open it, yes, i'm lucky that we are taking it, a book, probably some kind of, well done, i'll take a bigger one, i say, i know in advance which one, because the person is a lawyer, she will take the biggest one, no he'll lose, well done, who are we signing to, grandfather, what's grandfather's name, veniamin vasilievich. how old is the girl? she'll be 85, he's got an anniversary in september. yes, we're all the same, yes, a virgin, no, what date? he's on september 12, and i'm on the 15th,

well, how is he, by the way, 85, great, cheerful, in general, seriously, yes, he has a lot of geese, he has chickens, i also have chickens, he has a simple farm, great, i'm looking for something, why am i asking, because i'm still waiting for the activity, when will it end, well... 85 yet, but no, wait, he's turning 80, well, what difference 180, what 85, for me it's the same, god knows where, although no, he is very active, does not sit idle, grandpas, hi, come on, do you want to review us, this is a platform we are watching, an application or a site smotim.ru, well, and we, and we move on. now we will talk about

such a common disease as bronchial asthma. well, of course, we have no time frame uni talk about basma in general, right? therefore, let's talk about why we actually began to see it more often now. it really appears in the world more and more often, for example, according to ... count, preliminary it is estimated that 360 million people in the world currently suffer from bronchial asthma, what is asthma anyway? you have to understand that it is a group of diseases, let's say, a group of conditions that ultimately manifest themselves in the same way, wheezing, we all know, oh my god, who do i see, who do i see, my allergen, come on... oh my god, have you seen this face, where is my good one, generally unhappy people, yes, who may be

allergic to cat hair, to an epidemic or dog hair, but i know women who had asthma from their husband's hair, well, the husband is okay, the husband is the husband, find another bald one there, let's say, with a cat now, oh my god. we say, children should be in contact with cats, dogs, in some countries they are taken to a farm so that they come into contact with horses, pigs, why? here i inhale her epithelium, her fur, for a day or two, it's like an allergy shot, now i'll let you go, yes i understand, my dear, i have diarrhea, you have such a face, such a face you are, face. why are you complaining, still complaining, well, i'm a cat lover, i've been a child, i can't do anything, when i see cats, i don't care need, i don't need anything, i wanted to say,

imagine a girl or a cat in front of me, i'll go to the cat, but i'll take the cat with her i'll go to the girl, we'll change something, yes, so, shortness of breath, cough, shortness of breath in the soul, here are a number of classic symptoms, that is, as it is correctly drawn here, this is an infectious-allergic disease, that is, there should almost always be an infection here, especially here is a troll of viruses, this is a virus.

absorbs bacteria, these viruses, on this there is a certain immunological reaction, proinflammatory cytokines are released, this is a complex process, you just need to understand that this is an infection, and this is an allergy, a reaction to either cat hair or house ticks and well, all these small little insects, of course, this is also a medicine, well, classically it is aspirin, well, by the way, not only aspirin, other non-steroidal anti-inflammatory drugs hypobrufen - several times more likely to get asthma in the fetus, if the mother smokes, she has it in the child, if the mother eats sugar, here is refined sugar, three times more likely the child will get asthma, well, and so on, but

this. and in adulthood, of course, it is undoubtedly smoking, either direct or indirect, well secondary, look, now i just saw what is here, i understand that something needs to be merged with something, oh, i think that this is a narrowed bronchus, and this is a relaxed bronchus, well, by the way, there are many diseases that also manifest themselves as mush, shortness of breath, hanging breath. well, let's say, chronic obstructive pulmonary disease, but there is a different mechanism, there the structure of the lungs is destroyed, they are as if overflowing with air, sometimes it is difficult to distinguish from asthma, and another time, sometimes it’s easy, if asthma is still paroxysmal, here is a constant intolerance to physical activity, he can’t walk, he’s suffocating, this is a person 40 plus, this is a smoker, after bronchial dilatation he doesn’t have such relief, because asthma, you sprayed, you, you sighed, these patients. uh, not so,

by the way, a very powerful risk factor, that perinatal, that we’re talking about pregnant women, that adults already have a lack of vitamin d, why do we give pregnant women vitamin d without fail in normal doses, in including as a preventive measure against asthma in her future child, well, in adults, vitamin d deficiency is also a trigger for asthma, well, and excess weight - obesity, obesity, well, of course, in an adult, the diaphragm is high, the lung capacity is reduced, you see, she didn’t want to sit for me, but lies there, sits there, a beauty, she’s a girl, yes, a boy, you’re also a boy, further, what medications can lead to the development of asthma and how to treat it correctly so that attacks occur less often, two or three, yes, per night, and tonight, yes,

because i wake up. last night and last night, then you are not on the right treatment, cheated on you with some shrew, i hope you are not going to forgive your husband, why can't everything be like before, if you asked me, i would then seryozha, everything is over, and what is this, and this is my desire map, when formulating your desires, do not forget about the details, love or work, i think that a real woman does not limit herself in desires, because the result can surprise you greatly, thank you for agreeing to meet, and maybe we will move on to that, you gentleman, he is very witty, well-read, but there is one problem, you, lika, thank god, you are here, you forgive me, please, but i need your help, ex- wife, you say, yes, fell out of the blue, wish map, on saturday on rtr.

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we are here for you. russia tv channel presents. dear friends, my name is maria sittal, i am the author and host of a new large-scale documentary project family of families on russia tv channel. all families of russia are invited to participate in our new project, everyone who is ready to share their unique story with us. family of families is a new project by maria sittel for each of us, for all over russia, to take part in the project, fill out the form on the smotrim.ru website: send them, fill out the forms, we are waiting with impatience. the granddaughter of the legendary international journalist gennady shishkin , alexandra, says that she was enslaved for 2 and a half years, she was forced to work, poorly fed and forced to sign a contract to sell her apartment, but she

did not receive any money for it. sasha blames fitness trainer valery solobutin, heiress to the jewelry empire tatyana nikitina, for her misfortunes, but does she guess what role she played in all this? history is played by her new lover igor zakorlyuka. all sides of the conflict in our. malakhov today on rtr. the program about the most important thing continues. we are talking about bronchial asthma. do you have asthma? yes, tell me. maria ledentsova, 45 years old, balashikha, moscow region. successful sales manager, active and cheerful. this is what maria was like a year ago, and now maria has given up both her career and... and at night during physical exertion, when i get nervous, a cough can start because of the heat, it can start because of cold, due to weather changes, rain, wind,

doctors diagnosed bronchial asthma and said that only a hormonal inhaler would help fight the attacks. maria strictly follows the doctors' advice, but the attacks do not decrease, what to do next, how to treat? or does the woman simply have no other options? i came to dr. mesnyakov to find out how to reduce the number of attacks and how to adapt to the disease if it is simply impossible to defeat it, and about a year ago i was diagnosed with moderate bronchial asthma severity, mixed flow, it all started with the fact that at night, during physical activities , some kind of overloads and ... with nervous psychological tension there, when you get nervous, a cough began, difficulty breathing, a sore throat somewhere here, then it all intensified at night, the attacks were strong, that it was impossible to sleep, well, i went to

a therapist, the therapist referred me to a pulmonologist, the pulmonologist, through fvd and other manipulations, made just this diagnosis, and what was the catalyst trigger, and during the time of covid i twice about... they all have a complicated name, here is a hormonal inhaler that helps me, well , you take it from time to time, the algorithm, if you use an inhaler once a week, then you need to add hormonal ones, no, this inhaler, i have it with me around the clock

25 hours a day, and how often do you resort to it, well, at night, probably, i try to minimize two or three for sure, two or three, yes, at night, and this night, yes, because i about... and last night and last night, that means you are not on the right treatment, that means you need to to strengthen the treatment, this is absolutely abnormal, asthma is treated in stages, there are certain ones, there are simply night attacks. no, as now you resort to an inhaler, if you resort to an inhaler two, three or four times a day, then you should go to your doctor, and this is absolutely, this is not stabilized asthma, you need to think about other medications, maybe about a course of oral hormones, something else, well, this, that is , what you are taking, you think that you are still at zero, you need to absolutely clearly strengthen the treatment, then when everything passes, you can back down, but you still have to climb and climb this one, well there are such schemes in the form of a ladder, you need

to have done it a long time ago, i think, you need to jump through one now, yes, well it's simple, i understand, this is not a treatment, this is relief, relief for a short period of time, and the treatment, probably, is that you have an active ongoing disease, which occurs several times in night attacks, this is decompensated asthma it will only get worse, there are drugs that can stop it you need to resort to them, by the way, there is also what i call trigger, there is also a menstrual one. when before menstruation an attack clears up and often, by the way, we don’t know what to do, by the way, sometimes after 50, this hormone replacement therapy also increases the risks of asthma, but in general some medications can really increase the risks of asthma, as i already mentioned there , parocetamol and beta blockers, and really these antibiotics in childhood, because today we are talking more and more about the role of the microbiome and asthma, when

the immunological response is disrupted, to this problems begin they act on the release of cetokines by bronchial cells, which lead to inflammation, compression and so on. spirometry was done behind my back, how many people have inflated what? 11 people, 11 people and yes, well, no one has any sharp deviations, significant ones either, well, in principle, it's normal or. well, all of our people are healthy, well , maybe because all the sick people are now at their dachas catching the last days of summer, okay, let's be attentive to our health, everything will be fine with us, right now is the time of the rubric ask the doctor. good morning. i have had pancreatitis for a long time, in the morning i drink water with

lemon, can i drink it or not, yes, and vinegar with diluted water is also possible, but why, well, so that the patency is normal, otherwise, when i eat, then i come back out, in which direction, vomiting, yes, i chew food again, and why the word at all, its cause is mainly gallstones, alcohol, but this is a fairly clear symptomatology, namely malabsorption, when it is not absorbed, when ...

i drink, but why belching, why such

hierurgitation, everything is fine with you, they looked at you here, this dysphagia often happens exactly in the place between the esophagus and the esophagus, where the esophagus begins, there are problems, i swallowed the intestine, yes, they showed, everything is fine, where, you know, what, if this continues, you should still go to, it is more the ear, throat, nose, doctor, because in this one there was a problem and this. swallowing, there may not be an overlap, when we swallow, here the tongue overlaps, which can lag behind, from here, okay, further, thank you, thank you, aleksandrevich, good morning, my name is natalia, i wanted to ask a question about headaches that occur systematically, after drug

treatment and a number of gymnastics, i coped, but can this then develop into a migraine, if this is possible, then what should i do now? so that this does not happen, and what kind of headache do you have, maybe you already have a migraine, headaches are divided roughly, well, out of several hundred names, it is roughly divided into three types, this is a tension headache, when it is not the head that hurts, it is the muscular-ligamentous apparatus, kemgrane in in the remaining cases it is considered a vascular cause, plus there is a cluster headache, this is when the nerves hurt, well i say this very conditionally, sometimes it is difficult to distinguish a migraine from a tension headache, therefore... well , what does it mean to switch? what headache did they diagnose you with? well, your head hurts, they said that you need to reduce the amount of emotional stress, switch to systematic exercises and prescribed medication, but since this was almost a year ago , there is more of this systematic pain every day

did not return, that is, it was such a daily pain? be glad that it passed, the advice is correct by the way, but migraine is just special. headache, because the question is wrong, can the headache return, but it will return, of course, it will return, what to do so as not to return, everything is correct, do not take anything into account , do exercises, take into account that this is muscle pain, ligaments, so that is also true, and migraine can occur, any person can occur, but still it is so to speak, personally for you the risks are very little, so that's it, thank you, yeah, good morning, i have a sweet tooth and i have no... diabetes, i checked myself, took a glucose test, high norm se, so i will die like that, dad died of diabetes, what should i do, how to lower it and is there, and i didn't understand you, what sugar do you have, the highest norm, they said seven, they said seven, where

did they say, well, at the clinic, when i took the test, sochi and they just said seven, and what else did they say after that, limit? because diabetes, a purely mathematical diagnosis, sugar seven in two dimensions on an empty stomach - this is diabetes, you have uh glycosyl , you didn't even look, sugar after eating 11 plus - this is diabetes, that is, it's just by the numbers, i don't need to look anywhere, and if you already have it, you should go to an ophthalmologist, you

probably already have changes in the fundus 100%, dryness and the joint elbows and what and your vision has fallen, no, you just usually when you make a diagnosis de... it is made by knowledge for 3-5 years, so here everything has already happened everywhere where it could have happened, so you need to understand in what state it is all, accept, start with medormina, it's a standard not so much a diet as medfarmin, measure glucose, measure glycosylated hemoglobin, the so-called glucose monument, and go ask an endocrinologist, where are you? where do you live in sochi, do you live in sochi, and where in sochi, the center, the center, kssm, let's say. no, that's why i'm asking, the center, the center, i don't like it, i know about, not lazarevka, but vysoshchenko, yes, i understand, i immediately understood, the word is not adler, and then you know how they have adler - hos is no longer sochi either, that's it, that's it, svetlana is khostinsky the district is official, but that's okay, it's still

sochi, and we don't like those, it's not sochi, but blame the shadler, i'm not just asking, i think either you didn't agree with the doctor, or i don't... the appointment is already immediately the appointment of medormina, registration and so on, or you somehow didn't understand, then go to another doctor, you have endocrinologists, they should register you and you come, you know, like the anonymous alcoholics society: hello, i'm ivanova, i'm an alcoholic, hello, what's your last name, rashchupkina, rashchupkina, i'm sick and have diabetes this is where we should start, thank you very much, this was the section: ask the doctor, i wish everyone health and good luck. next in the program: women's health, skin rashes in adulthood, how to deal with acne, do you

love your wife, loved, then everything was erased as if with a vacuum cleaner, premiere on rtr, do you have a conscience, my ideal husband, what is ideal, where in the beds of nymphets, the most cruel loneliness is heart loneliness, and if it is in this life happiness? rain at the end of summer, today on rtr, we invite you to the swiss hotel sharmel sheikh, the world's first swiss hotel operating on an all-inclusive basis. treat yourself to a holiday where elegance and natural beauty merge into perfect harmony.

perfection, making dreams come true, kalinonbek hotel, where life turns into a fairy tale, this is not a rite of worship to ancient spirits and not even a wedding ceremony, this is how travelers are dedicated in this country, the earth is round, we will sort out everything else in detail, it seems that here we go... a couple will dissolve an old ship, what a cool device, let's go, what to fill the piggy bank of travels

it's up to you, lace suits me after all, and we 'll always help, the fact that this paradise is obvious to everyone, even to iguanas, well , go ahead and tell the whole world a secret, now you'll see it for yourself. sunday on rtr. good morning. hello. it's summer outside, i want to shine, to be beautiful. but, unfortunately, no one is immune from skin problems. it is really believed that adolescence is over, all problems with rashes have gone, well, at least into the background, but this is far from true, quite a lot of already quite adult people complain that periodically on the skin of the face, back, and other parts of the body very unpleasant

rashes appear, which are quite difficult to get rid of. what is the reason for the appearance of acne in adulthood, and most importantly, is it possible to solve this problem once and for all? this is what we will talk about today. our tv viewer lyubov contacted us, let's find out her story. hello. my name is lyubov, i am 47 years old, and i want to share with you my problem, it would seem that the period of teenage puberty has long since passed behind, but even then i was not bothered by such problems as rashes not only on my face, but all over my body, just imagine, i encountered this recently, i excluded spicy, fatty foods from my diet, alcohol in my life two or three times a year, i would like to note that this skin condition today is not the most acute. it happened that i was ashamed to go outside, i had to use foundation, i really ask for help from

the program, i work as an administrator in a beauty salon, i think you understand how much this the question is relevant for me, love is in our studio today, please come in, good morning, love, love, suddenly unexpectedly, rashes started, today i am 47, hello, menopause, i think that... hormonal imbalance gained even more weight. what are you doing, how are you trying to treat it? i mainly adjust my diet. does it help? no. well, let's figure it out. and in order for us to answer all the questions, i would like to invite an expert doctor to the studio. irina nikolaevna skorogudaeva, dermatovenerologist, endocrinologist, candidate of medical sciences. irena nikolaevna, good morning, good morning. why do rashes occur in adulthood? if we are talking about classic acne, then of course genetics is very important here. why? because

a high level of androgens increases the production of sebum. and not only is there more of it, but the sebum becomes thick and dense and flows poorly from the sebaceous gland, but in fact, when we look at the hormonal background, as a rule, such strong deviations, you know, androgens have grown straight up, above the reference, this is rare, except excess sebum, there is also a blockage of the water duct, this is due to the fact that the exfoliation process is really disrupted in this pathology, and acne propionibacterium, which lives in the sebaceous gland, performs a very useful function, it breaks down triglycerides into free fatty acids and glycerol, thus liquefying sebum, that is, it is needed, this is a conditionally pathogenic flora, but when blocked , oxygen-free conditions are created, it begins to divide rapidly, as a result, a lot of free fatty acids, they penetrate beyond the sebaceous gland itself and hence the problem of inflammation around the sebaceous gland,

hyperandrogenism - well, this is quite a rare phenomenon, when it requires. serious treatment at the endocrinologist, correction, but the problem of acne, it is always complex, and we are these two points, here we will answer, here are hormonal disorders increased production of sebum. i would also say about diseases of the gastrointestinal tract, quite often, as soon as one or another type of gastritis worsens, especially caused by helicobacter pilaris, many of our patients say that this is immediately reflected on the face, on the chin area, in the cheek area right there. i would also like to draw attention to one factor, this is a deficiency of vitamins and minerals, the appointment of special vitamin complexes, biologically active substances, minerals, contributes to the fact that the skin dries out and over time it is possible to get rid of these rashes, here i would still like

to return a little regarding our patient to hormonal disorders, here she is said that she... started menopause, she didn't have this problem in childhood, now it has arisen, look, the level of androgens, estrogens, their ratios, it also changes in the human body, and what happens with age, estrogens, naturally, begin to fall during menopause, so androgens predominate, this is the first, but the second very important point, she gained weight, well, with age , a decrease in the sensitivity of receptors to insulin always occurs, the level of insulin increases, as does cortisol, this is a climacteric topic, so insulin...

that syborrhea, some have it, some don't, and it's a genetic given, a person without syborrhea cannot suffer from acne, because it initially has a low sensitivity of receptors to androgens, and no matter how many of these androgens there are, there will never be pimples on the face. irina nikolaevna, i have a question right away: what is the difference between regular pimples and acne? the difference is fundamental, after all , acne requires thick syborrhea, when hyperkeratosis occurs, the face looks a little dirty, because it does not peel off scales on... open comedones, such blackheads, yes, that is, it is thick siborrhea that gives classic acne, but there are people who have siborrhea, but it is liquid, that is , the sebum is liquid, it does not accumulate in the pores, it flows out, such a greasy shine and pores appear on the face, such siborrhea, as a rule, it is very much connected with the gastrointestinal tract,

of course, of course, right here. to abuse these drugs, firstly, of course, i want to say right away, you should not, they have both side effects that affect the skin, secondly, yes, there are and also complications from taking medications,

despite the fact that they are topical, but nevertheless, a fat-soluble base... we often prescribe oily creams to the skin, i will explain why this dryness, the fact is that sebum is not the main barrier that retains water, the main barrier is the epidermal barrier, which is in the stratum corneum,

it retains, this aggressive washing , rinsing, the lack of a fat base undermines it so much that this dryness we are no longer able to retain water, sebum is produced, but it cannot cope with this bitchiness, unfortunately, yes, i also want to say about what needs to be added to the diet, in particular about the mandatory addition of such microelements, you can with food products, you can as dietary supplements, such as magnesium, zinc and selenium, that is , these three microelements, they are such magicians for the skin, they really help us bring the skin into good condition, in fact, which also helps get rid of acne. how can we save love? first and very important, you still need to control your weight for so that there are no hormonal changes, which... are typical for you now due to the peculiarity of the transition period to menopause. secondly , proper facial care, you still don't need to dry it out. and if the problem does get worse, there are some purulent rashes, yes, you really

do use these drugs, but then you stop taking them. it is also advisable to adjust your diet, and here is the fight, i was talking about insulin, you still need to remove all carbohydrates, then by the way, microelements, magnesium, by the way, it is the same solves the problem of insulin resistance, of course. thank you very much for coming to us, i hope that you will get rid of acne and

look even more beautiful, thank you, thank you all very much, irina nikolaevna, thank you for being with us today, my friends, we told you about such a common problem as rashes on the face or acne, and told you how to get rid of this problem forever, and we wish you a good day. and a great mood, be healthy, with you was the program from the most important, afesha on the tv channel culture, theater, music, fine arts august 26, the exhibition project shukshin-homesickness to the ninety-fifth anniversary of vasily makarovich shukshin's birth is held in the cinema museum, among the exhibits are portraits, photographs. sketches and scenery for the film kalina krasnaya, posters of film posters stoves benches and such a guy lives, working materials of the film about stepan razin, a fragment of the writer's village house and much more. georges bizet's opera carmen staged by yuri alexandrov is given in the theater

by the new opera, musical director and conductor and producer alexander samaila. the new season at the mayakovsky theatre opens with yegor peregudov's play history with the participation of the troupe's leading actors. the arkhangelsk lomonosov drama theatre begins. in moscow shows on the new stage of the vakhtangov theatre the play 100 years in macondo based on the works of gabriel garcia marquez, directed by andrey timoshenko. the ajdi theatre project presents in the karo cinema chain a recording of the play by the maly drama theatre of the theatre of europe based on anton pavlovich chekhov's play the seagull, directed by lev dodina. the exhibition squares of space continues in the ges-2 cultural center in the exposition of works by gerhard richter, francis bacon, pablo picasso, eric bulatov, ilya and emily kabako. art. the novosibirsk theater krasny fakel shows the play

heart of a dog based on the story by mikhail bulgakov, directed by roman gabryaa. the musical by yevgeny zagot based on the novel by erich maria mark three comrades plays in the perem theater. directed by boris melgram. the first all-russian exhibition mosaic is held in in omsk, in the exposition of the liber museum. the center you can see about 50 works made by contemporary russian artists, mosaicists, using smalt, glass, natural stone and other materials in the techniques of classical roman and... torinthian mosaics, majolica and new searches. the cleveland symphony orchestra continues the program of the berlin music festival with the performance of works by john adams and sergei prokofiev, conductor franz welder möst. in the hamburg kunsthalle, the universe of william blake is the first in 50 years to be exhibited british artist in germany. more than 120 paintings from the fitzwilliam museum collection at the university of cambridge demonstrate all facets of blake's work and his artistic explorations. although blake never

left britain, his imagination extended far beyond the borders of his country. we have attempted to connect blake's work with his contemporaries henry huesley, john flaxman and james barry. and also with german artists caspor david friedrich and otto rungi, to show the unity of the spirit of romanticism throughout europe. and blake and other artists tried to create something new in art, moving away from the tradition of academic painting, but blake's works stand out, they are so unusual that they can rather be attributed to the artistic searches of the twentieth and even 21st centuries.

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but i need your help, ex-wife, god, you're here, forgive me, please , you say, yes, it fell out of the blue, wish map, premiere on saturday on рrt. news is on the air on the russia tv channel, i greet you, i'm maria sittal, hello, new massive strikes on enemy targets in the rear, explosions all over ukraine, humanitarian aid is coming to the kursk region, the entire world is helping the internally displaced persons. home lugansk oboronnaya street after repair, completely new road surface and.