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product of stellar group. good morning, says dr. myasnyakov. we're starting the program. well, yes, about our. health, about the most important thing, so i

i think you will spend the next few minutes to your advantage because it will be educational, interesting, we will talk, joke, talk about serious things, we are starting, today in the program about the most important thing, dry mouth, when medications are to blame, when it is a sign of the development of autoimmune diseases, in which women? dry mouth often occurs and what to do to get rid of it? i breathe badly, i breathe through my mouth, when you are afraid you can’t spit, you have there, that’s what you just said, it’s all only about me, where is more fiber in vegetables or cereals, in what cases should women be vaccinated against tetanus? questions from a doctor, alexander myasnikov asks, you answer

that you are laughing, many people have children at your age. homocyin, what does an increase in this indicator in a blood test indicate? what medications and habits can lead to this? and how does homocyin affect the development of atherosclerosis and thrombosis, who of you has even heard this word, it will cause prombovoliya in the lungs and all this is mortally dangerous. well, today the topic of dry mouth is quite common symptom, especially with age. a person 60 plus very often experiences dry mouth. well, and young people and so on, there may be nothing behind it, and there may be serious diseases behind it, sometimes you can get to some diseases, polyps, nocturnal pneumocystis, traumatic formation of the birth cavity, first we must determine,

do you have dryness or what, and how will you determine mine is dry, but dry, mine is also dry, and mine is very dry, and mine is very dry, then you ask, do you drink water at all, when you eat, i am forced to drink water, here i ate a piece, washed it down, ate, washed it down, here the three yeses begin, you are already beginning to understand that yes, probably, yes, probably, after all, what is behind this dryness, we are afraid to miss serious diseases, which, well

, the classic is shigren's disease, and an autoimmune disease in which our own antibodies, as with any anti-immune disease, they begin to eat certain tissues, right? in this case, they are directed at the eye glands, the lacrimal glands, the splenic glands, usually this is dry eye, saliva, although this can be isolated saliva, of course, genetic predisposition, on the push of mosiates - this is more often in blacks, in negroes, it is less, why else shigren's disease, yes, here is an immune disease, but firstly, there is nothing to treat it with, but often it goes along with rheumatological diseases, classic rheumatoid arthritis systemic lupus erythematosus, i don't want to miss lupus erythematosus at all, yes, because there is dry mouth, it's okay, as they say, you'll survive, here are those diseases of the lungs and kidneys that can develop, they are better warn, since there are many reasons

for the dryness of the formidable vortumenia, perhaps we should start with them, here i mentioned that i drink water in the evening, and because of the ridged septum, i breathe poorly. i breathe through my mouth, it dries out, i need a sip, but i will share with you a know-how, you need to get up, you need to take water, but not get up, it is good to raise yourself, ler, you will not drink, you need to sit down, you drank, and i always, even in hotels, i always steal a small branch of grapes from a restaurant, and you lie down and sleep, you are dry, and then, do not wake up it is necessary, it is very convenient, because...

nasal breathing, well and accordingly the throat, this syndrome of night sigh, when you sleep, like this you start to choke, here and there is dryness in the mouth, it lasts for a long time, from it the throat starts to hurt, yes, you start to swallow, it hurts, and you until the first sip of hot tea or coffee, it just hurts, well then we will come back, but here we have guests with dry mouth, let's take an example, oh, you even came with a notebook, yes-yes-yes, i came, i brought all the tests. she has been writing poetry for many years and often performs in public, but lately concerts have to be cancelled. valentina finds it difficult to talk for a long time, she constantly

has dry mouth, she not only has dry mouth, but also dry throat, and from this a dry cough, i constantly want to drink, i have to very... it was not found, what is the matter then, why does dry mouth occur, maybe dr. myasnikov can help valentina, i donated blood, i took chlerometry, chest x-ray , maybe i have it after covid some complications with the lungs or something with the bronchi, but nothing was confirmed, i came to dr. myasnikov to find out why i have this dry mouth and how i can get rid of it, i treat everyone...

and dry mouth and also dry throat, then i get a dry cough, i have to constantly take something, some liquid, i can already understand without a bottle what you are taking, wait a second, yes, but i take a lot there, there are other diseases, naturally, well, because one of classic things for dry mouth are pills, pills, of course, you can't do without pills anywhere, naturally, i take a lot of pills, but what they of course prescribe me...

to lower it, all sartans increase it, the only thing i can take is prindopril, that is, it really works, but naturally causes bronchospasm, but i have this constant cough, now i'll look at the tests, well, in general, this is the doctor's work, yes, i'm right off the bat using your example, but nothing personal, yeah, here's a person with complaints of dry mouth, dry mouth, dry cough, well it would seem, but we understand that this is enough.

at the same time, what if there is such dryness here, which is worth hurting, as far as it is not fixated on some symptom, you have had your teeth

done a long time ago, installed, checked, well, i checked, everything is fine, you don’t have any processes, but i do, but everything is fine with me, because you know, the last, so to speak, refuge of the doctor, when he doesn’t know what causes dryness, he says: go to the dentist, yeah, i often go to the dentist, well listen, i don’t see what you have here... someone checked something in this regard, because i i don't see it either, because what is here is just an ordinary person, with ordinary ailments, and you, if there is something behind this, you need to do several things, well, firstly, you need to, well , objectively, that is, prove this amount, these are certain tests, they are primitive, worthless, this is one, if this really causes, who will do this for me, which doctor, the same one who will send you for certain antibodies to check... the body for the presence of shigren's disease, or a possible combination with other

rheumatological diseases, because in first of all, this is important to us, if not this, then we can’t do anything to you, why, if dryness led us to the diagnosis of lupus, and we will already prevent serious illnesses in you and so on and so forth, or rheumatoid arthritis or something else, if this is a symptom of serious illnesses, is there a symptom that you breathe through your nose or was it menopause when was it? long ago, by the way, one of the reasons is menopause: all mucous membranes dry out, not only, excuse me, the vagina and so on, but also non-infectious pharyngitis and dryness in mouth as an element of the... menopause, up to 10 years, after menopause, this is also possible, but again, than to immediately write it off to this, we should still, if these symptoms cause, so to speak, respect from the doctor, if this is serious, then you have not been examined, apparently you were told, as i say, yes, well, this is just with age, you have dentures, you breathe

through your mouth, you are nervous and more, and we know that what test does a person have when he is afraid? here he is walking over an abyss, on such a tube, here is a wall, there is an abyss, and behind you is a friend he says, joking, you can spit, because when you're afraid, you can't spit, you have there, well, in general, that's why when you're nervous, it's all like that, well, you should go to a rheumatologist and say that i've had dry mouth for a long time, the drugs that i take, in general , shouldn't affect this. because i don't take any from this group that really causes dry mouth, and i want to drink all the time and so on, i'm already old, i would like to get checked for the presence of shigren's syndrome or lupus and so on, she's further will tell you what to do, although i don’t have the impression that you have some serious illness, because up to 30% of women 60, about 60 years old, every third has

dry mouth, well, that’s all, and young people don’t have dry mouth, we treat them differently, here... this girl will come and say, i have dry mouth, oh, the conversation will be completely different with her, completely different, she will be at my tests tomorrow, tomorrow or the day after tomorrow she will have all the tests ready, because i understand that she won’t have it just like that, i’m from the thyroid gland to lupus all antibodies i will take, when a person comes, yes, that's it, but we already understand that this is something to be dried out from, i say, here is menopause, here are problems with teeth and so on and so forth and... so to speak, and breathing is impaired and so on, therefore different simply different approaches, different risks, because in reality, what can we not and we can find a serious disease to treat, yes, let's say, you do not have a disease, what can i tell you, yeah, eat grapes at night, thank you, let's be careful, everything will be fine with us, where there is more fiber, in vegetables or in

cereals in which cases women need to get a tetanus shot. questions from the doctor. alexander myasnyakov asks, you answer. what are you laughing at, many people already have three children at that age. the lady with the dog, in the previous episodes. we have arrived. grandmother. the widow of a famous lawyer moves to an elite village. agata, hello, she immediately finds herself in the spotlight, you have been riding a scooter for a long time, let's go, do you want to take a walk with syria, she masterfully calculates the moves of chess pieces, i have prepared something for you, not forget e2, e4, and criminals, he is not a player

like everyone else, who is a player then, you see, obviously. the last move is always hers, i want to make you an offer, i just want to give you a chance, what shax, lady with a dog, continuation, watch today on rtr, and soon watch the long-awaited premiere, would lie all my life and give everyone assignments, lady with a dog, new trail! immerse yourself in a world of luxury and comfort at rixos golf villas eds sharmaьshey. a magnificent world-class golf resort surrounded by lush green fields endless horizons. enjoy the contemporary design of the rooms and luxury villas,

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the doctor asks three questions, for all the correct answers - a prize, a mistake, you will have to do sports, so, who is ready, let's go, your names are

hars and dasha, yes, very good, dash, what are you doing, i'm studying, twist student, well twist, you are not energetic enough. all the questions are simple, the first one is about pregnancy, right away, during pregnancy you need to get a tetanus shot, i have never been pregnant, and what are you laughing at, many people already have three children at your age, the main thing is to start correctly, why did you write no, you are miscarrying, because her mother drilled it into her from that age, she heard at school that pregnant women should not take any medications under any circumstances. vaccinations are like god forbid, the situation is such that you are now responsible not only for yourself, but for the fetus, here pregnant women actually have several previews that need to be done all the time, we give tetanus

to an adult, how often do we give tetanus to an adult, one in my opinion, no, the injection, no, yes, it is one, but the thing is that it is done once every 10 years, but it is mandatory for pregnant women, and including each pregnancy, how many times have you been pregnant, at least once a year pregnant, then once a year vaccination. why not for you, for the fetus, no one has seen fetal tetanus, but i saw it in africa, they brought me one like this, yes i i haven't seen children at all, well, definitely not like that, she puts it on the table for me, right on the table, she pokes it, but then i see that it really is like that, i already have trismus of the cheekbone, and something worked for me, and then the little seagull would have been saved, strong muscles are important for the immune system to work? at least i argued there , talked, yes, well, yes, yes, there is more

fiber in vegetables than in cereals, who knows, in vegetables, fruits, yes, mites, there is water-soluble, there is non-water-soluble, but there is a lot of it in cereals, i don't know what to say, give me the microphone, for questions nutrition, i have an expert here. tell me, vegetables really have more fiber than cereals, cereals also have protein and a sufficient amount of carbohydrates, but we still always eat more greens, this is iceberg lettuce, some other salads, and cucumbers, tomatoes, bell peppers, so vegetables really have more fiber, thank you, sit down, well, there are already two people. that there is fiber, it's just that vegetables and fruits often have water-soluble fiber, we can't say that there is more of it in cereals, yes, that is i, for example, don't know the answer, i agree with

you, it seems to me too that there are vegetables that are record holders in fiber content and whether they are superior to cereals, i don't know, so we will count the answer correctly, but you and i have an incorrect one. thank you very much. do you want to watch us again on the platform, watch the application or the site , watch.ru. and we move on.

i've clapped out for now, you see, a little grape, before i name the rubric, yes, yes, i can immediately name homocysteine, who of you knows what homocyin is? now i'll tell you i'll ask, who of you has even heard this word, four of you, have you heard it too? okay, you, who said that i know, that you know? hello, doctor, but i know that this is a protein that is responsible, so to speak, for blood clotting, if i'm not mistaken, no, well at least she said something related, you see, out of the whole room only one person, one what one, one, one person, one he, decided

to explain to himself what it is?

patients, well, just for healthy people who want to measure their risk factors, or even, even sick people, in other countries continued to do this, accumulated statistics, and came to a rather interesting conclusion, but i will not tell you about it until i talk to our guest, and we will talk about the conclusion later, hello, hello, my name is svetlana, i always watch your

programs, but now i have come to you personally. to consult. svetlana petrova, 59 years old, moscow. active, attractive, does yoga, travels, goes on excursions, brings up a grandson. this is all about svetlana. life seems to be wonderful. there is one but. the woman constantly develops thrombosis. the first time i went, i didn't even understand what it was, my leg started hurting really badly, it was swollen, it was blue. they did an examination and said that it was deep vein thrombosis, then after covid it happened to me again in 2020, the third time recently in may, in the hospital svetlana was told each time that her blood test showed elevated homocysteine ​​levels, and that this could be related to her thromboses, but the woman did not receive any recommendations, and now she wants to know what dr. myasnikov will tell her about this, i came to the doctor

myasnikova, to find out: in general, it was elevated, but this is the analysis for july, this is already after the hospital, as if i had already taken treatment, but still, as if the doctor said that if it is higher than thirteen, it still needs to be monitored and measures taken, i'm worried, an hour of deep veins, this was in the thirteenth year, a month after discharge, yes, i went to kratom in the year, then in the twentieth after covid, after covid, it formed after covid

, you can say out of the blue in may of this year out of the blue, well i was kind of sick there , maybe i had something simple like that. a person is absolutely healthy, he came to me, i have elevated homocytin, what should i do? well, they just sent me there, they said, go do it, or a person with three recurrent ones, and where did you get it, doctor, where does the city work, moscow, then, who

needs to take a blood test for homocytin first, and what will help normalize its level, there is food, let's eat vitamins, i have a question, why haven't we met before, each of everything worked out well for us, girls, let's continue to be friends for us, three girlfriends, who are you texting with, i'm not texting, i 'm working, what are you doing here, i saw you in the car together, one problem, advice, find someone for yourself, at least for your health. so, they'll come up with a plan for revenge together. so, together we got into this mess, together we'll get out. well, that's great, half the real estate, half the capital,

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thirty years of experience, that’s how i mixed up the mushrooms, a dreamer or the amazing world of engineer luzhin, got divorced, i’m not for this subscribed, premiere. soon on rtr, here in your yard, a man was just killed, who oh, what a good question, murder in the middle of nowhere, marya sergeyevna can’t be surprised by this, i have a bad feeling, stop, i’ll shoot, secret investigations, even this happens, yes, my dear, it happens

in so many ways, that’s what i’m talking about, but what does it mean, no, here ’s why, it’s not just like that, if the girls, yes, that everything is fine with you, but let’s say, suddenly you, and you passed go pass, let’s say, if he had an elevated, i would say one thing, with you a little another situation, you have a serious thing, and the doctors are right when they say it is hereditary, because three times a thrombo from deep veins cannot happen like that, but it is mortally dangerous, it will shoot, thrombolysis in the lungs and all this is mortally dangerous, so they are absolutely right. you are being treated, they put you on a permanent intake of blood-forming drugs, but

they had different options, they could put you on for 3 months, for six months, or on a permanent basis, they correctly chose the permanent one, but it is strange for me, they did not choose right away, because you had a second or third episode, it is clear that if it was provoked by sitting there for a long time, the second time, well , covid, not covid, it is clear that most likely you have a genetic predisposition, that homocysteine ​​has nothing to do with it in this case.

all the same

, there is no clear cause-and-effect connection with venous thrombosis, and there is no connection with heart disease either, yes, in many of the original ones it was proven, now they say that they did not take into account one, two, three, the conclusion is simple: homocysteine, acid, which yes, indeed, no, we do not take the hereditary level, it will be necessary to have a hereditary disease from child to child, and there may be many clinical symptoms, there are other things, we do not take this into account, and so homocysteine, by the way, it is elevated in smokers.

that it is connected, connected, connected, connected, this is all given somewhere, probably five years ago, here is all the latest literature of the last couple of years, says: that's it, calm down with homocysteine ​​for now, there are many other reasons, therefore, if you suddenly have elevated homocysteine, this does not mean anything, well, you see, only three people here have heard this before, and what i'm telling you here, first discovered america, then closed it, that is, they didn't know, and you don't need to... but the power of

what apparently doesn't eat enough vitamins, so now we'll see, then by tests, but this doesn't tell you anything, just check these 7-10%. that's it, a little later we'll find out the tests, and we'll move on. and now dr. myasnyakov will answer questions from our viewers in the studio. good morning, good, doctor, i had gallstones removed, the next day. they did an ultrasound, the gallbladder is clean, a month has passed, i have thick bile there, the surgeon says that i have a risk of stone formation, how can i keep it clean and how quickly do gallstones form , and why did you remove them, because the gallbladder was already half full, there were 30 pieces, no, well yes, of course there is

a tendency of the gallbladder to increased bile formation, this is genetically determined, this is also, so to speak, the diet and well, there is a lot. removal of the gallbladder, and from myself i will say, and why the hell did they leave the bladder, i asked for it myself, i wanted you to have what you have now, why do you need it, why does a person need a bladder, you hit it with stones , you need to remove it with stones, are you removing stones so that there is either no pain in the ducts, or so that there is no cancer, if there are big stones, and you remove stones and leave them where there may

be cancer, it is completely illogical, thank you, no, it is a big male belly, a potbelly, that is why men have a growing potbelly, you scared me, for example, 7 years ago i got fat up to 108 kg, during the horrified within half a year i began to weigh 73, i just lost weight, but... now 6 years have passed here again 92 kg, i eat normally, but here it is, the callus is growing, what is the danger for men, here is the danger of this big belly, well , you know, as they say, it's like with a watermelon, it grows, and the tip dries up, in fact it's not only the tip that dries up, although it's true,

a waist of 102 and higher in men, the fact is risk factors, strokes, diabetes, kidney disease, this is one of... this is one of the signs of insulin insensitivity can be removed only one, only a diet, and then as much as it is, as much as it is possible, sometimes it happens that you have lost weight, your legs are skinny, your legs are skinny, your butt is hanging, and your belly is long, but this is a problem, yes. thank you, you have consoled me, i am like this, i am like this, and i still need to take pictures, no, i love those who run up, once they take a picture, and then they come up, they take aim, i pull in my stomach, well , how long can i stand like this, hurray, and they do all this, so i saw, took aim, shot,

let the person breathe out, rest, then again, good morning, doctor, i just had this, in... just recently i was leaving the metro, it seemed like my blood pressure was fine, i had this pain and a lump here, as if i was standing, yeah, i got some water, drank it and the computer didn't work, i started walking, i stood there for a while anyway, it seemed like it passed a little, this whole day, well , it all happened once, after a while, a few days later it happened to me again, the same thing happened again , yeah, what was that? started, well, you you know, i'll go sit down straight doctor look, there are different versions, but first we need to exclude heart problems, it can also manifest itself quite typically, yes it can be the esophagus, it can be nerves, it can be a panic attack, but this is all talk,

until we exclude a cardiac cause, and it can absolutely manifest itself like this, we can't write it off to anything else. you go to the cardiologist tell all this, then he will tell you what to do, the algorithm is worked out, no things are needed here, but go out, laying, com, yes, it is atypical and most likely it is not this, but until we reject the very reason number one, which can kill, yeah, until we reject it, we cannot go by other versions, so that 's it, i finished answering your questions, but before saying goodbye, i wish everyone health, good luck. let me remind you that we had a column about homocysteine, we took tests from ten people, if we say that each 7-10% of people have an elevated test, we had a chance that we would see at least one promotion, but we didn't see it, well, well , thank god, i wish everyone health and good luck, next

on the program is women's health, chronic pelvic pain, who will make the correct diagnosis? and what happened, fell down the stairs and broke my neck, what a horror, an accident, we're watching rtr, well, in general, i'm at a dead end, and also in... rest is not thinking about anything, when you are

calm and completely switched off. rest is rest. we know everything about rest. anex. hotel for unforgettable impressions rixas sharmelle. only for adults 18 plus, here you will find entertainment all day long, year-round performances by the best djs from around the world and comfortable rooms. rikssas sharmelsheikh is not just a vacation, it is a holiday for the soul, where every detail is created to delight. continuation of the sensational story of the volgograd adoptive mother nadezhda frantya, in the late nineties. the orphan business kept the whole of volgograd in fear. one of those taken away was five-year-old lyuba varopakha. for a quarter of a century, her biological family

did not know about her fate. help, lord, help, meet, find you, lyubashechka. in our program: meeting with relatives. sensational results of an investigation from italy. malakhov, today on rtr. good morning. hello, many people are familiar with pain in the lower abdomen, the so-called pelvic pain, we usually associate such pain with the menstrual cycle, but if this pain occurs outside the cycle, then i strongly advise you to listen to us more carefully, today we will discuss this problem with chronic pelvic pain, more than 60% of people consult a gynecologist women, the cause of this pain syndrome, as... gynecological rules, but quite often, when the gynecologist does not find any reasons for the pain syndrome, and

then the pain continues to bother and sometimes progresses. what to do if you are faced with such a situation when pelvic pain is caused by non-gynecological reasons. let's find out the story of our guest julia. hello, the program is about the most important thing, my name is julia, i have the following. question: the fact is that six months ago i started having pain in the lower abdomen, such pain first grabs, then it lets go, after a while, there was also discomfort when my period, i was also sick, i can't sit for a long time, and walk for a long time, the pain gets worse, i went to the gynecologist, and the gynecologist, the gynecologist said that on this topic i have ...

how long ago pain in the lower abdomen appeared, well , somewhere around 7-8 months ago, how they tried to cope at the first stage, i did exercises, tried somehow, i thought, maybe i sit at work for a long time, and sit too long, what could it be? first of all , endometriosis. this is the occurrence of foci mucous membrane of the uterus in various other organs, usually located nearby. they can be on the fallopian tubes, can be in the ovaries, they periodically bleed these foci and accordingly cause the same pain syndrome. cyst. ovarian cyst, both single and polycystic with ovaries, can also cause pain syndrome in the lower abdomen, not associated with the menstrual cycle,

adhesions adhesive disease after suffering inflammatory diseases of the pelvis after gynecological operations, really it may be an adhesive disease, which again is not connected with the cycle, can cause such a pulling, boring, very painful syndrome. cystitis is an inflammation of the bladder, a woman understands this not only by the occurrence of a sharp, pronounced pain syndrome in the lower abdomen, it is connected, as a rule, this pain syndrome with urination, changes in the color of urine, well, and other p... pleasant things, the question arises, what, actually, to do next, so, to answer this question, i want to invite a medical expert to the studio. tatyana alekseevna vinogradova, neurologist, cephalgologist, candidate of medical sciences. tatyana alekseevna, good morning, we would like to talk to you about rarer, but at the same time no less, probably, significant causes of pain syndrome in the pelvic area, what

could it be? in fact. which can occur with a huge number of pathologies in the pelvic area, if gynecology is excluded, we really need to start with this, then we need to look, what else could hurt there? of course, we first ask the patient, and how does it hurt, and how long has it been hurting, characteristics of these pains by characteristics of pains by duration. by nuances of sensitivity we can sometimes assume one or another diagnosis, let's see why we put a model of the skeleton, because we will talk about neurology, of course, first of all about the spinal nerves, well, first of all, in the pelvic cavity there is a huge not only blood supply, but innervation, innervation here originates from the lower

lumbosacral spine, this is here, this is here here. sometimes a disorder in the area of ​​the spinal roots, spinal nerves, can also radiate to the pelvic area, because this area is innervated by them, that is, the problem can even be in the lumbosacral lower parts of our back, and most often such pain syndrome is called myofascial, because our innervation goes to the muscles, the innervation of the fascia, when this innervation is disrupted for one reason or another. this pain syndrome arises, which radiates to, perhaps, even the anterior abdominal wall, but in the pelvic area for sure, this is a hyperspasm of your muscles, this condition can be not only in women, men also suffer from this disease, muscle spasm is always pain, pain is always muscle spasm, what can also be in

the pelvic area there are a huge number of nerve fibers. and here the innervation of the genital nerves occurs, various types of disorders of the genital nerve can cause pain in the pelvic area, in the genital area, external genitalia, the patient will complain of various disorders sensitivity, sensitivity can change, we call it dysesthesia, that is, a person can feel a feeling of a perverted sensation. this is the so-called burning, burning, very often such patients say: you know, i probably have a fungus, but without discharge, i probably have thrush, but without discharge, these sensations of burning, itching, some kind of irritation, they are very similar with neuropathy of the genital nerve, mental illnesses, yes, when we are talking about some kind of affective mental illness, you and i during an examination, with

in the survey we will find a huge number of complaints. we will find painful and unpleasant sensations throughout the body, fixation on this pain, so of course we need a psychiatrist or psychotherapist to help, chronic pelvic pain syndrome. what is it? any chronic pain, including pain in the pelvic area, can really begin with some specific underlying disease, for example, cystitis, which suddenly began for some... this is a bacterial reason, but when a person is not in a very good mood spirit, something happened to him, he experiences something quite seriously, then the brain reacts in such a way that it clings to this pain, and even after curing cystitis, the pain syndrome remains with the patient, what happens at this moment, when the pain lasts for a long time, then this afferent impulse, sensitive, will break through to your spinal cord for a long, long time, the cells

begin to change, their feeling. changes no longer need pain irritation, so that the impulse from the periphery, from the pelvic area, reaching the spinal cord, was, it will itself with... then it goes to the brain, where it is processed and realized by a person, the so -called phenomenon of central sensitization , let's figure it out, tatyana alekseevna, what should we do about it, chronic pelvic pain syndrome can and should be treated, and you need to see a doctor, a neurologist, it is better if it is an algologist, that is, a specialist who works with chronic pain. in this case, we use quite a lot of drugs, all of them are aimed at reducing pain, stop it. this vicious circle, little irritation, or

its absence, perception, excessive pain center in the head and your feelings. in this case, unfortunately, anti-inflammatory drugs do not work here, because everything is clean on the periphery. therefore, on the contrary, when a person begins to extinguish this pain syndrome with conventional painkillers, most often non-steroidal, anti-inflammatory, nothing but side effects occurs, yes, that's what you need, what you need, you need to choose the right basic painkiller, these are antidepressants, most often these are selective serotonin reuptake inhibitors, or more preferably - this is a selective serotonin and norepinephrine reuptake inhibitor, when a doctor prescribes an antidepressant to you at an appointment, this does not always mean that you have depression, anxiety, this means that the doctor knows how to treat this pain. chronic pain is pain

in the same localization, which lasts more than 3 months, and has its own specific symptoms. listen to what we are talking about now, this is really very important in the complex treatment of pain syndrome. if suddenly we have pain in the pelvis, we go, naturally, first of all to the gynecologist, the gynecologist tells us that there is no gynecological problem, then we go immediately, it is the neurologist who can differentiate meofascial syndrome, suspect this or that mental illness and, accordingly , chronic pelvic pain syndrome, including neuropathy of the pain nerve, is also diagnosed by a neurologist, therefore the next step is really a doctor. neurologist, julia, thank you thank you very much for coming to us, get treated, everything will be fine, i am sure that you will cope, thank you, tatyana alekseevna, thank you very much, thank you, my friends, i

really enjoyed our section today, our discussion, i hope that it was just as interesting for you, and we wish you a good day and a great mood, be healthy, with you there was a program about the most important thing. art september 9. udmurt opera and ballet theater continues the festival to see music on the stage of the stanislavsky and nemirovich danchenko musical theater of the opera turandot in the abyss directed by nikolai markelov. the pushkin theatre on the stage of the vakhtangov theatre shows the play "false confession".

growth, five thematic sections of the exhibitions tell about vladimir mayakovsky himself, the emergence of the myth about him and the rethinking of the poet's work in modern fine art, as well as the history of growth windows. these are all the exhibits that you see at the exhibition, they are collected from various moscow museums, they are the most real, which in general were at that time, which in that time could be seen in the glass of the display cases. of course, an important part of the exhibition is the laboratory, where all guests, visitors, adults, children, will be able to make their own growth windows, these are stencils, and special paint, where in general everyone will be able

to make some kind of personal souvenir after the exhibition with elements, with graphic elements of real growth windows. andrey prikotenka's play based on the novel by michel houellebecq serotonin shows in the theater on sadovaya, starring ivan volkov. the drama theater teata evropy opens the anniversary the eightieth season with the premiere performance of lyuvadodin based on the story by anton pavlovich chekhov ward no. six. starring sergei kuroshev and igor chernevich. and in the museum of theatre and musical art, for the eightieth anniversary of the director , the retrospective exhibition "lev dodin" "the life of a man" continues, which presents rare photographs, recordings of performances and rehearsals, fragments of scenery and props. tour of the state academic puppet theatre named after sergei obraztsov on the stage of the musical theatre the republic of karelia continues with the play "torandot" based on the fairy tale by karl gotse, directed by boris konstantinov. in the moscow tower of the kirillo-belozersky museum.

a permanent exhibition of the new museum dedicated to the life and work of yuri koval, a writer, screenwriter, painter, sculptor and bard, has opened. the vienna philharmonic orchestra gives a concert in the royal hall of the kebau concert in amsterdam. works by mindelssohn and richard strauss will be performed, conducted by christian thielemann. an exhibition is taking place in the shanghai museum of contemporary art, dedicated to the life and work of gabrielle chanel. the exhibition brings together iconic dresses and accessories, handbags and perfume bottles. photographs, sketches, memorabilia from the collection of the paris fashion museum. marry me, well, you don't know him at all, this is for you, a certificate of ownership of the farm. hello, if you take me for the season, i will be grateful to you. quickly

get ready, we are leaving right now, and what happened, who are we running away from, i don't know, we are not going, she will have to answer for his silence, put the house down, so understood, come here, everyone came up, step back, the farm is burning, it's arson, you come closer to stepan, hold on, he is now your only protector, the best husband. hello, on saturday on rtr. those officers, those soldiers who are now at the front, understand very well what they are fighting for. we had direct fire from 22 tanks then, and we, as a family, reflected this moment as one family, there was no fear, fear, it comes later, it was necessary to take out the wounded, thanks to it, i am here with you. still

talk to our prime minister, because everything goes into the annals of our modern history, with monday through friday on rtr. the rossiya tv channel is broadcasting news, i greet all viewers, i am maria sitpel. hello! regional elections have ended across the country, let's sum up the results of the single voting day. the russian army is striking at supply routes for the ukrainian armed forces, at railway bridges and overpasses. sergey lavrov is meeting with the secretary general of the cooperation council for arab states in riyadh.