good morning, my beloved, my voice sounds only for you, my heart beats only for you, in this program not only songs are fulfilled, but also wishes promised to give me a porsche after the wedding kan, my wife says, but you don't understand, shit. what have you done, how

could you, taxi, taxi, taxi, turn on oleg gazmanov's song at full volume, only the rains protect me through the rains, reliable lights still live in me, some kind of fantasy. morning mail with nikolai baskov, on sunday on rtr, we will never take them off, i promise, i promise, i promise, my husband and son are missing, i think she's missing too, i won't stay here, i can't leave my friend in trouble, we have to go after them,

can you shoot? i can. russian wife. premiere, only watch on the website in the app. to understand the essence of events. sometimes you need to go beyond the usual. we know how to do it. and we always stay on... with a grip we open a new political season 5 days a week 60 minutes always on top cognacak old. product of stellar

group. vodka pechora, product of stellar group. today on the program. seasonal quince and its

relative pear. which fruit will protect against gastritis of the stomach and heart attack? and which one will relieve constipation? prevention of cancer is a regular effect, that is, it is useful on an empty stomach. autumn exacerbation: will nettle and horseradish cope with joint pain? enrichment of the diet with fish, enrichment of the diet with vegetable fat. in principle, except for the decorative function. this manipulation most likely did nothing. will flounder reduce cravings for sweets? which currant is healthier, black or red? answers in our quiz: minute of health. you said no, of course not, it does not have a healing effect in itself. so the summer has passed, it's time to go to school to work, but why does everything fall out of hand, unusual causes of headaches in the fall. the body begins, what to do, it begins. these substances to secrete

more and more, more, more, more, more, you really need to do something about this, definitely, stiffness pain during sedentary work, just one exercise your ... your back will say thank you, good morning, hello, sometimes you sit for a long time computer at work and you feel that your back starts to ache, oh, wow, in the second half, who knows this feeling, i know it, when i check my graduate students, it 's like, well, it's a lot of time and right around lunchtime it's like this and the feeling is that you want to. you want to straighten up, yes, that's not all, well, there's probably some exercise for this, of course, and i do it regularly, who's with us, sedentary work, sedentary work, come out to us, come on, come on, there's even a separate intrigue in what we're going to do exercise without getting up from the chair, first

we inhale, like this, then we exhale and bend over, when we bend over... look, we touch the floor with one hand, raise the other hand up, exhale, and raise the other hand , exhale, inhale, rise, repeat several times, how wonderful, and what happens, what happens, look, what's the trick here? that when we bend over, our lumbar ligament muscles tighten , so it stops participating in rotation, when we make this turn, we mainly rotate the vertebrae in the thoracic region, that is, where most often in a sitting position these unpleasant sensations between the shoulder blades arise, these exercises

will restore the full range of motion. thank you very much, well, the conversation about the most important thing continues: what is healthier: a pear or its seasonal relative? quince, we will find out in the product of the day section. quince is one of the latest fruits, the aiba season is just beginning now. many people think that this is a type of pear, is this true or not? no, of course not, they are just visually similar, yes and in my opinion, not so much, here, but in general, of course, completely. we have different plants, well, in fact, although eva is a toy for many similar, their properties are different and before the program we asked the audience to choose a fruit based on its benefits. let's see how it was.

yeah, here are the results, look, they swapped pear for quince, look, almost everyone is for quince, and i think that if we asked what tastes better, it would be exactly the opposite, pears are more familiar, firstly, they grow everywhere here, yes, secondly, they are more common, in order to show the benefits of both fruits, we have chosen several criteria and... and today we want to compare pear and quince by these criteria, it must be said that some properties will be surprising to many, what are these properties? let's find out from our expert. mikhail moiseevich ginsburg, nutritionist, doctor of medical sciences. good morning. good

morning. let's now, together with our viewers, figure out the beneficial properties. let's have a competition. let's have a competition. for example, prevention of gastritis and ulcers. who's for pear? who's for quince, don't raise, raise the signs, much more than a pear, much, and for quince little, but, but there are pioneers, as in fact, mikhail mysevich, in fact , everything is exactly the opposite, the fact is that quince contains a lot of dietary fiber of the mucus and camete class, which envelop the stomach, protect it from mechanical and chemical effects, that is, if we talk even about protecting the stomach already ... with gastritis, then quince, well, boiled, especially, it is possible, but pear, on the contrary, is impossible, because there are a lot of fruit acids, which will irritate the stomach, a lot of coarse dietary fiber, which will also cause mechanical damage to the stomach, that is

, it is the other way around, it turns out that quince when insisted, for example, from it they make such cold infusions, they are called, that is, they just finely chop the quince, pour it with just cold water. at night it becomes like jelly in the morning, yes, this one is drained, it essentially creates a protective layer on the walls of the stomach duodenum. which prevents the aggressive effects of hydrochloric acid acids, that is, it is useful on an empty stomach, as i understand it, it is useful to include in the diet, and well, especially if there is either a tendency to gastritis or, but i would not advise against the background of a pronounced exacerbation, but then when the exacerbation begins to pass a little, it is already very, very good, well, by the way, in the composition of quince there are also tannins, these tannins, which actually give this astringent taste, which are necessary.

some kind of grain exists, these coarse, in essence, dietary fibers, they stimulate the large intestine very well, very well strengthen its motility and accordingly accelerate the emptying prevention of oncological diseases look all the zaybu have defected. here it seems to me, here too 50x50, that is, you can’t say so, because

- the benefits are approximately the same, there are both here and there, but the fact is that the prevention of oncological diseases is a regular effect, that is, we do something from day to day in order to protect ourselves from the development of oncological diseases, well, and then let's ask ourselves, do we eat quince every day option, and pear rather, yes, who likes pear, right? absolutely no problem, that is, go buy it, eat a pear at any time. and prevention here, it is twofold: on the one hand, yes, we have already said, specifically, for colon cancer, by the way, it is a very big problem and a very important aspect of prevention in general for this localization, a very common localization, it disables people, the prognosis is bad, but it turns out that it is quite simple to protect yourself, quite simple, one of the methods of prevention is more... coarse fiber, more fibrous food, let's move on, my friends, prevention of heart attack, well now it's 50 to

50, 50 to 50, probably, probably, again it's right, because prevention of heart attack is entirely the presence of dietary fiber, and the more the better, dietary fiber is also an anti-inflammatory effect, dietary fiber is also a specific effect of reducing the level of bad cholesterol in the blood. then mikhail maseevich, ayva will still win somewhat, because if we talk about dietary fiber, they are of different classes, there is coarse fiber, there is there is cellulose, for example, yes, there are hemicelluloses, there are pectins, and there are those same mucus and gums that you talked about, here it turns out that quince contains both coarse fiber and these mucus, they absorb this cholesterol, bind , do not allow it to be absorbed. it turns out

that in general they are equally useful, and it is just that pear is more popular with us, because quince grows in the south, yes, far in the south, and it is more pleasant to eat, it is always there and there is, and in a ready-to-eat form, yes - a fighting draw, as always, thank you. today we found out what is useful pear, what is useful quince, what are their advantages, and accordingly, it is necessary to make sure that in the season when quince appears on the counter, to use it food. the conversation about the most important thing continues, stay with us, you have here two just killed a man, who oh, what a good question, murder in the middle of beloday. as soon as it does not happen,

investigations, even so it happens, yes, my dear, this is not surprising, i generally have bad from monday to friday on rtr, immerse yourself in premonitions, stop, i will shoot, secret into a world of luxury and coziness in our luxurious rooms and villas, ideal for couples and families. relax in comfort and style at rixos golf villas and suits sharma.

titanic luxury collection, we invite you to the swiss hotel sharm el sheikh, the world's first all -inclusive swiss hotel. treat yourself to a holiday where elegance and natural beauty merge into perfect harmony. create! wrap yourself in comfort by our pools, relax in our spa salon and enjoy

exquisite dishes from the best restaurants. here , everyone. this journey into coziness and comfort, yours rest - your rules. titanic deluxe, golf bellet - the best choice for an unforgettable holiday. autumn time, the charm of the eyes, looks like a lottery, what can you get sick with this fall pain? joints, our viewer marina faced the same problem, let's find out her story: hello, my name is marina, 64 years old, having moved to a dacha near sergey posad, i became an avid summer resident, well, it's called my own fault, i need to dig up one bed, but i have several, i need to water a little, but i spend half a day running with a watering can,

accordingly, i got pain in my joints and serious, how do i treat myself, folk remedies? it's true, thank you, thank you, but there are two not you look great, it's not a compliment, questions, where does it hurt? and you know, there was a case when i came to the krasnodar region in the spring, and there suddenly - here is a change in the weather, here is rain, the strongest wind, and at night there were such pains, that's why i am now very confused, that is, here are knees they just

twisted, and i did not know at night where to go, because well, yes, everything is closed, and what saved me was a warm sweater. itself, that is , i alternately wrapped, then a knee, then here, i applied it and naturally, as best i could, massaged these places, and before that there was some kind of load, well, i arrived and the suitcase, probably lifted it, something like that, yeah, let's discuss those folk remedies that you use, heat, pure body, you don't apply it, yes, a sheet of kren, a sheet of kren, first of all, i must say right away that since the cause of your pain is not determined, all these methods... treatments should be defined as questionable, in some cases these methods, they not only will not work, they can worsen condition, for example, we take some acute inflammatory disease, for example, rheumatoid arthritis, and we begin to actively warm it up, what will this lead to, this will lead to the fact that the inflammation will intensify, it will become even worse than it was, as for listahren, in principle, except for a decorative function, this manipulation most likely

did nothing, the same applies to all kinds of salt baths, because well, you need to understand that this idea is that if the knee hurts, it means there is salt in it, if i apply salt from the outside, it will draw out the salt from the inside, it doesn't work like that, for this reason all these methods, actually, well, you yourself can see perfectly well that they not only don't help you, yes, in general, as if over time the condition of your joints only gets worse, what should be done, here you are with such a beautiful gait reached sergiev posad, well , you need to get to the doctor, i understand. i'm here now for the first consultation to get to the doctor, and if the doctor came to us for the program, he and he will tell us everything, evgeniy valerievich zhilyaev, rheumatologist. professor, doctor of medical sciences, doctor of the highest category. evgeny valevich, good morning, come out to us, good morning, good morning, you probably heard our conversation, and this, i think, is such

a common problem, in general, where should we start, well, in general, of course, we should start with the diagnosis, if there is pain in the joint area, this does not mean that the joint hurts, there are bones there, there is a place for muscles, there are places where tendons are attached to bones and all this, all this can hurt, yes, probably. may be the most common cause of persistent pain in joint areas - this is really a disease of the joints, which is called arthrosis or maybe more correctly osteoarthrosis, this is not the only reason, it can also be arthritis, that is , inflammatory diseases, it can be podografic arthritis, infectious, rheumatoid arthritis, you see how many diseases, these are only the most common, so of course in each specific case we need to understand what we will treat, if we are talking about inflammatory diseases, such as rheumatoid arthritis, spondylitis, gout, then we will fight inflammation, infectious

arthritis, we will fight, naturally, with infection, here with osteoarthritis, probably one of the most difficult situations, since yes, there are no drugs that are well suited for this disease, but nevertheless, it cannot be said that there is nothing to treat it with, there are drugs for the treatment of arthrosis and, so to speak, for systemic use, there are drugs. for intra-articular use, in fact, so to speak, with osteoarthritis, too , of course, there are certain approaches to the fight, you understand how everything is, it is not easy, that is it turns out that this popular expression that knees ache due to the weather, it is not due to the weather, that is, there is some kind of problem there, of course, healthy knees, of course, will not ache due to either the weather or stress, this... means that there really is a problem, a person went, took an x- ray, on the x-ray the doctor described that there is a decrease in the height of the compound gap,

there is the presence of marginal osteophytes, for example, the picture corresponds to osteoarthrosis there is the second degree, what to change and modify in your lifestyle, maybe in nutrition, maybe there really is reason to think that there is enrichment of the diet with fish, enrichment. diet with vegetable fat, well , let's say, the mediterranean type diet as such, there is data that can improve the course of an already developed disease, i will decipher for our viewers, so what is a mediterranean type diet, this is an increase in the consumption of vegetables and fruits, this is an increase in the consumption of whole grains, this is an increase in the consumption of fish, a decrease in some, but not complete exclusion of meat products and dairy products. if you take low-fat or

fat-free products, then in principle this will not contradict the ideology of the diet, your diet corresponds, today i ate buckwheat porridge, buckwheat porridge, with carrots, fish soup, fish soup, and i added just greens there, dinner salad. from tomatoes and my own, there greens, everything that was, even leaves, i even added beets there, carrots, tomatoes, and a small piece of fish, low-fat, listen, you are just an example of healthy eating, so, let's move on, physical activity, necessary, important, very physical activity, it actually causes - the production of growth factors, and this , accordingly, supports, so to speak, regenerative processes in the joints. this is also very important, this is walking, this is swimming, this is not morning strength gymnastics, this is all, this is all very good, as with you with gymnastics,

it is necessary, well, my favorite thing is stretching, every day, i try, i even try to wake up in the morning, it does not work out, but i try to wake up in the morning and in the evening too a little stretch, but we understood that you are trying, but it turns out how often, well , it turns out once a week, no, more often, more often, yeah. it especially reminds me when it starts to hurt, right away, it seems to me the story, well , you know, the presence of a heel after all indicates that the situation is not too bad, not so bad, small, small, but it is there, you understand, it is there, yes, many people , by the way, you also said that warm, yes, that is, all these belts, all these cuffs, people put on, wrap there with scarves dog.

in fact very low, the idea is also actually based on reflex relaxation of muscles, that is - in fact, it is not necessary to lick the knees, you can lick there , so to speak, in the same segment, the neurological segment, so to speak, to influence, this suppresses - hypertonicity, so to speak, muscle spasm of the corresponding segment, well and here actually all these warming ointments, racks, on peppers there and

the like irritating places. the most important thing is that you got answers to the question, with which you came? yes, thank you, of course, i understand. the most important thing is that you came, do not stop, go further, so that you continue to please us with your beautiful blooming view, plant new beautiful fruit, definitely, we bless you, thank you, thank you very much, today we found out why joints hurt in the fall, and what to do about it? the program about the most important thing continues.

but the new livington dipper swiper electric broom. dipper swipper impresses with its original triangular design and innovative tribrush technology. you with easily clean under furniture, where it is usually very difficult to reach. and only today , the unique, ingenious limington dipper swipper cordless electric broom with smart built-in corner bumpers that protect your furniture. skirting boards and walls from scratches, can become. yours for only 89.95, but if you call and place an order right now, you will receive an incredible discount of 20 euros, and the livington dipper swipper will be yours for an incredible 69.95, but hurry, the offer is strictly limited. introducing the drimalina cvon pillow, comfortable a rest pillow that embraces your entire body and optimally aligns it so

you experience the best sleep of your life the unique shape of the dremalin svon pillow offers seven comfort zones that support your back, shoulders, head and neck, arms, hips , knees, ankles and feet. you stay in the most comfortable sleeping position without tossing and turning. unlike regular pillows, the dremalin svon keeps your spine in the perfect position. call and order the unique dremalin svon pillow for your best sleep for an incredible 5995. wait, if you call right now, we will reduce the price especially for you, the pillow dremaliina will be yours for an incredible 3995, and you will immediately save 20 euros, but hurry, the offer is strictly limited and is valid for a short period of time, bright sunlight bothers you, are you afraid of harmful ultraviolet radiation, bright sunlight blinds you while driving? then

you need sunglasses that filter out bright sunlight, while ensuring bright colors, perfect contrast and clear vision. we present hd polaris, 100% polarized sunglasses for a perfect view, equipped with original polarization technology to protect your eyes and vision. regular sunglasses only obscure your view, and hd polariс offers clarity, brightness. colors and perfect contrasts. almost every surface reflects bright sunlight, which is irritating and strains the eyes. special polarization technology filters out reflections and ensures a clear view, helping you while driving, walking and cycling. today you will receive your polarized sunglasses at an incredible price, just 39.95. but wait, today we're adding a second one. hd

polaris sunglasses in a cool brown frame for free, and the price remains the same, only 3995, you're saving almost 40 euros. but attention, an absolute sensation, if you call right now, you'll get a third hd polar, also absolutely free, today only you'll get three original hd polaris for the price of one, a handy case a microfiber cloth, and the price remains the same, only 39.95, and you're already saving almost 80 euros, enjoy clear...

and, since the job is sedentary, i devote a lot of time to my health. every year i undergo checkups, starting with a dentist and ending with a gastroenterologist. i compare the opinions of various specialists, looking for an option to improve my well-being. i take monovitamins and microelements. there is a lot of sport in my life. twice a week i go to the pool, twice a week i have an active bike. ascent and descent of stairs daily. 12.00 steps. and recently i switched to interval nutrition, for now for myself i'm testing this new habit for me, the results are not yet clear, but it's very interesting, i would like to get on a program about the most important thing, since it raises questions

that are close to me at the current moment in time, well, alexander is in our studio, an it specialist, and what is interval nutrition, tell us, is it nutrition at certain... intervals of time, for example, i used to eat, constantly, drink, eat, coffee, something, i constantly had meals, now i have breakfast, lunch, dinner without snacks, i finish the last meal before 7:00 pm, my next meal is +14-16 hours, well at 9, like intermittent fasting, only a positive view, people on intermittent fasting, they don’t eat for some hours, and people on intermittent feeding, they eat for some hours, in principle, you will answer questions not just like that, but how? and how, but correctly, preferably, in a minute he will try to ask 12 questions, your task is to answer them, it’s very simple, clear, yes or no, clear, yes, you

will have to do this on the run, uh, but you are used to it, the more correct answers in minute you have time to give, the higher your chances of winning this gym certificate, great, bearer, ready, let's run. phew! let's go! can orthopedic insoles cure flat feet? no. can protein deficiency lead to edema? no. does the smell of eucalyptus improve memory? yes. can excessive sweating lead to kidney stones ? no. can clubfoot only occur in children? yes. can hypoglycemia only occur in diabetics? no. are blackcurrants healthier than red ones? no. does flounder help reduce cravings for sweets? no. in case of fainting can a person be given medicine? no. can the cause of tinnitus be determined by the nature of the noise in the ears ? no. is it harmful to eat strawberries when you have cystitis? no. is it better to take calcium before bed? no. that's it. i made it. alexandra. wow. i'm

great. so, let's find out if you answered correctly? can orthopedic insoles cure flat feet? you said no. of course not, because passive therapy helps maintain the results, but - in itself, it does not have a therapeutic effect. the second question: can protein deficiency lead to edema? you said no, in fact in fact, of course, yes, it has been known for a long time, because protein deficiency leads to massive edema, fluid - begins to go into the intercellular space, accordingly such massive edema throughout the body. the next question. does the smell of eucalyptus improve memory? you said yes, this is true, there are studies now that say that aromatherapy has a very good effect on short-term and long-term memory. can excessive sweating lead to

kidney stones? you said no. in fact , yes, it is known that in hot regions, where people sweat profusely, lose moisture, due to this the amount of urine decreases, here are the formations in the kidneys, this leads to the fact that the urine is oversaturated with various minerals - substances as a result of which the purity of urolithiasis in such regions is seven times higher than in others. clubfoot. can only occur in a child, you said yes, in fact not only in a child, as a result of traumatic injuries, lesions of the nervous system can occur in an adult. hypoglycemia can only occur in a diabetic? you said no, uh, really no, it can be in an ordinary person without diabetes, a sharp decrease in blood sugar levels can occur, for example, if a person has not eaten for a long time, in the case when, for example, the body temperature is very high, well, that is, there are a lot of reasons why the level... and glucose can fall, black currants

are healthier than red ones, you just chopped it off right away, no, in fact yes, well, of course, there are more vitamins there, yes, yes, well, in fact, in many respects, black currants are better, well , because strictly speaking, they were bred through selection for a very long time, just so that it contained the maximum amount of useful substances. khambalbala helps reduce cravings for sweets, analytics and therefore hung, and you said no, in fact yes, well firstly it is known that... protein dishes help reduce cravings for sweets, this is a known fact, but plus to everything, kumble also contains such an important microelement as chromium, which according to research reduces cravings for sweets, so it can really help in this matter, when a person faints, you can give medicine, you said no, this is really not done due to the fact that there must be some reason for fainting, something causes it and until the moment when the person comes to consciousness and says about his...

or no, although we in such exists, it is more useful to take calcium before bed, we said no, but really no, although again there is such a belief that supposedly at night it is better absorbed in the dark, alexander, you have six correct answers, please, come on, while not too straight in the center immediately decided, yes on the edges, psychoanalysis is mathematics after all. yes, of course, yeah,

so, two, oh, sasha, two, well, exciting, oh-oh, yes, oh, insidious, ah, there she was , just right there, thank you for participating in our program, thank you, next time you 'll be lucky, and if you want to find out even more answers to... health questions, then you can find all the episodes of our program on the online platform smotrim, the application on the website smotrim.ru. taking medications and even chocolate can cause a headache, what else can cause a headache and how to prevent it. find out if you stay with us. i think.

colleagues, who often gets headaches in the fall, raise your hands, yeah, look, more than half, hello, what's your name, nadezhda, do you have a headache, yes, i've encountered this. that recently i often have headaches and i take one pill at first it doesn't go away, a painkiller , then two, now i've even come to three , let's ask the doctor what he says about this headaches there are many, about 180 types at the moment , neurologists distinguish and among them there are some really exotic ones, for example, headaches from sex yes or headache from ice cream but there are reasons. such prosaic - in most

cases, which people do not even think about, for example, such a headache can be the so-called burden or rebound headache or pain due to taking painkillers. if we look at what these painkillers are, what do they represent? this is a group of non-steroidal anti-inflammatory drugs that block the enzyme. we have such a special enzyme, called cyclooxygenase and it prevents the production substances. dilating blood vessels, increasing sensitivity, when a person takes pills that block these substances, and the body needs them to increase blood flow, the body begins, what to do? it begins to secrete these substances in large, large, large, large quantities, it has now been established that taking 15 doses of painkillers per month, for 3 months, is enough for a person to develop this very annoying headache, something really needs to be done about this, definitely, so

you raised your hand, i have an irregular working day, i go to bed at the wrong time, i get up in the morning at different times too and... as a result , my head is heavy, just feel the heaviness in my head, by the way, this is also a serious problem, there is such a type of pain called venous headache, most often it haunts a person in the morning, it is associated with the fact that during night sleep, and not all sleep, but certain phases, the so-called deep sleep, a special cleansing system is activated in the brain of a person, it is called the glymphatic system or glial the lymphatic system, which... removes all kinds of cellular decay products, excess fluid from the brain, accordingly, if sleep is shorter, there are fewer deep sleep phases in it, then it turns out that the brain, in fact, accumulates all these substances, and because of this , edema occurs, which contributes

to venous congestion, the entire load instead of this glymphatic system goes to the venous, it must remove all this, and this... naturally, it does not pass without a trace, because the walls of the veins stretch, press on the surrounding tissues and a person develops this a feeling of a cast-iron head. what to do? well, firstly, naturally, you still need to observe the sleep and wakefulness regime, go to bed. it is very important, the amount of deep sleep decreases if a person consumes any caffeine-containing products before going to bed. coffee, chocolate, cocoa, all kinds of carbonated drinks with caffeine. even if you slept, it is necessary. the amount blocks deep sleep, that's one, secondly, excessive lighting, that is, you must either curtain the windows so that it is completely dark, yes, or put on a blindfold on the eyes, so that it is dark again, a walk before bed helps, some breathing exercises, because this also helps to normalize the fasna in the morning

, cold compresses help very well, thank you very much, so ... my head hurts, no, my son has a headache in the temple area, he complained to me, in any case, yes, i am also worried about the fact that he grinds his teeth at night, and, well, some time ago he started having this, and i don’t know who to turn to, because such a rare factor, look, here it’s like such a field of two specialists, on the one hand, as far as headaches are concerned, this is primarily, of course, a neurologist, yes, on the one hand, on the other hand, what... you describe that he grinds, gnashes his teeth at night, and this is a condition called bruxism and which, on the one hand, is also treated by a neurologist, on the other hand, it could be a dentist, because sometimes this happens due to an incorrect bite, but the main reason is that there is increased tension in the nervous system, such

by the way, it is not uncommon in children, especially during the period when they just start school, or, for example, adolescence, when the number of subjects increases, as responsibilities pile up, all this, increased tone of the nervous system leads to muscle spasm, in some cases this can lead to one-sided inflammation, which is perceived by our brain as pain in the temple, crown, that is, such one-sided, it certainly makes sense to visit a neurologist, that's what to do electroencephalogram, it certainly makes sense to visit a dentist, because the simplest method in this case is to use special night caps, that is , a special one...

a person eats a chocolate bar, yes, after a few hours she starts to have a headache, a person is not always able to trace this connection, for example, i observed a case when people start recording, they are surprised to discover, there analyzing for a week, yes, what they ate, they begin to discover that every time before an attack headaches, for example, they ate chocolate, or for some people, this reaction can be, for example, to alcoholic drinks, for example, to wine, or it can be a reaction to... to seafood, well, in general, here each person has some kind of such addiction, when people exclude these products from the diet, it suddenly turns out that the head has stopped hurting, thank you doctor.

with doctor tatyana shpovalenko. stay with us. next in the program: exacerbation of hemorrhoids, how to relieve pain and what folk remedies you will only do harm. i don't want to get burned anymore. time for big premieres on rtr. how good that you called, i have a daughter, maybe the daughter is mine, i want to be a real father to her, how you realized in time, and igor borisovich is at home, at home, but he is sleeping, it was a sleepless night, i don't want to have anything to do with you, go away, lady dog, new trail from september 16 on rtr. rest is to leave yourself alone. rest is to not think about anything,

when you are calm and completely switched off. rest is rest. we know everything about rest. anex. hotel for unforgettable impressions rixos sharmaьshey for adults only 18+. here you will find entertainment all day long. year-round performances of the best djs from around the world and comfortable rooms. rixos sharmaьshey is not just a holiday, it is a holiday for the soul, where every detail is created to delight. allow yourself a first-class holiday with leo reorts, elegant details,

a feast of exquisite tastes, a variety of entertainment, a golden beach and azure waves. lio reorts, we are here for you! the perfect place for a family holiday, where everything

created for the happiness and comfort of children and their parents. escape from everyday life into a world of endless entertainment. enjoy themed rooms, the largest children's town in the region and an unforgettable holiday. rixas, radomis sharmal sheikh. good morning, hello, probably everyone knows what hemorrhoids are, an exacerbation of hemorrhoids brings not only a fairly pronounced pain syndrome, but also psychological discomfort, and this is exactly the disease with which for some reason they are always embarrassed to contact a doctor in time, in the course of there is a search for some folk remedies, folk methods, unfortunately, most often they do not lead to anything good, do not lead to a worsening of the course of this disease and, unfortunately, to a later visit to the doctor. what is hemorrhoids, how to treat it,

are there modern painless methods? we will talk about this with our expert. maryana vladimirovna obretsova, surgeon, colopractologist, candidate of medical sciences, member of the association of colopractologists of russia, member of the european society of colopractologists. maryana vladimirovna, good morning, good morning, maryana vladimirovna, please tell me, where does hemorrhoids come from, what is it? the laying of insidious tissue, from which hemorrhoidal nodes subsequently develop, as a consequence of hemorrhoidal disease, occurs during embryogenesis, and these are normal anatomical structures of the terminal section of the anal canal, that is , the posterior section of the rectum, but later, with our lifestyle, under the influence of some provoking factors, anatomical...

diseases, this is a sedentary lifestyle, this is sedentary work, and not from the point of view of the progression of hemorrhoidal disease, but general venous changes in the pelvis in women, carrying heavy objects,

intense physical activity is a provocative factor for the influx to ... to the terminal branches of the superior rectal artery, that is, in principle, to the influx into the hemorrhoidal nodes, but here we must understand that we are most likely talking about increased physical activity, either big sports, or loaders, but if we periodically lift some weights, for example, a suitcase, when we go on vacation, yes, then this does not threaten the development of an exacerbation of hemorrhoids, it is very good that we touched on a sedentary lifestyle, because we really are upright creatures and we have all our ...

despite the fact that it seems like my generation of people is much more open and not embarrassed to talk about some medical things, nevertheless, the topic of hemorrhoids is taboo, almost no one discusses it, and few people go to the doctor, with all this, this is really a very common problem, especially in women, i don't know a single one who hasn't encountered it, we found some advice on the internet, let's see, baths, any composition of baths, i 've heard everything, but chamomile and potassium permanganate really sound quite often, well , as for baths in general in practology, this is a method with low efficiency, however, if we turn to scientific literature, then of course there is a wide palette of using baths with potassium permanganate, with peroxide with salt

with chamomile, but all this has only from... this causes excessive blood flow to the area pelvic area to hemorrhoidal nodes and can lead to complications of hemorrhoids. there is another way: beetroot juice 50 ml four times a day, well, why four, i don’t know, you can six, probably eight, you can three. at home is very common among our population, especially folk remedies, well , about beetroot juice i’m not sure that exactly 50 ml four times a day, yes, but beetroot, as a drug that is rich in coarse fiber, is widely used among the population to improve the consistency of stool, so you can use not only beets, but also carrots , celery, various cabbages to improve

the consistency of stool, my friends. here i am, yes, i just want to say here that any juices, including vegetable ones, you remove, the most important thing is that you remove fiber, at best, you leave only vitamins and microelements, and for normal intestinal motility, of course, fiber is needed, therefore any vegetables, everything that causes improved intestinal peristalsis and is rich in fiber, please, can be included in the diet, these are the most reasonable tips for prevention constipation. another very common method of treating hemorrhoids. these are enemas, both volumetric and microclysters, well, in general , here, everyone advises what to fill them with, what solutions to do with them, enemas are not harmless, here is also our widespread love for cleansing the rectum not only in terms of hemorrhoidal disease, but also after the act of defecation, this is another myth that can lead to serious consequences: firstly, enemas do not have any therapeutic effect on any proctological

diseases, in addition, enemas with long-term... use leads to suppression of the urge, because in the lower part of our rectum there are special receptors that react to a certain volume of feces, causing the urge, and if this volume of feces in... is not formed correctly, or you wash it out with enemas, this leads to suppression of the reaction of the receptors, our constipation worsens even more, therefore enemas can be used if there are practogenic constipation, that is, emptying is impaired, and this cannot be done in any way eliminate in physiotherapy or surgical methods, but this situation is extremely rare, here is another rubbing of potatoes and applying accordingly. to inflamed areas helps or not? well, this is also from the category of myths of traditional medicine, however , it should be said that when there are signs of bleeding from hemorrhoids, potatoes can really be

effective, because starch has a binding effect, but again, the effectiveness is uncontrolled, this is not a treatment, this is not a treatment, symptomatic emergency suppression of symptoms, but there are currently a large number of drugs available that are safe. and effectively treat bleeding. i would like to draw your attention to the fact that these bleedings, very rarely anyone pays attention to them, such patients are admitted to the hospital quite often, not with an exacerbation of hemorrhoids, but they are admitted with critical anemia with hemoglobin two, three times lower than normal. if your hemorrhoids are accompanied by bleeding with each act of defecation, then this is a reason be sure to see a doctor. what will the doctor advise? let's look further. here. i really like the recommendations, because it is correct, you need to start with a diet. in most cases, about 80% , it is enough to adjust your lifestyle and eating behavior when we do not have provoking

factors in the form of constipation or diarrhea, we have an absolutely normalized stool consistency, so a diet is necessary for both the first and fourth stages of hemorrhoids. the diet should not only be rich in foods that are supplied with a large amount of fiber, but also... a sufficient volume of liquid is necessary. 30-40 ml per kilogram of body weight is the norm. conservative treatment. conservative treatment implies topical, that is, local therapy, when we use rectal suppositories, creams and ointments, and systemic drugs such as phlybotonics can also be prescribed, which in principle have a beneficial effect on the venous wall of the cavernous veins of our hemorrhoidal nodes. therefore, we also use conservative therapy at each stage hemorrhoidal disease, at the third-fourth stage of hemorrhoidal disease can be included as a preparation for surgical treatment. sclerotherapy, what is it? sclerotherapy is

a minimally invasive surgical treatment method, which is currently quite common. perhaps, this is the safest technique today, which very well first of all stops bleeding from hemorrhoids at any stage of the disease, and also fixes the nodes in the anal canal if they fall out, but this method is most effective in the first third stage of hemorrhoidal disease, and surgery, here we will talk about hemorrhoidectomy, this is already such an operation aimed at the complete removal of hemorrhoidal nodes, both outside and inside the anal canal, it is indicated in cases where the stage of hemorrhoids is already advanced, let's say, the fourth, when ... the nodes have already completely fallen out and they are not repositioned in the anal canal, therefore today hemorrhoidectomy, as excision of the external internal component , is indicated for patients with the fourth stage diseases. i believe that after our

program no one should reach the fourth stage. maryana vladimirovna, thank you for being with us today, my friends, today we talked about a disease that, unfortunately, is rarely addressed to a doctor in the early stages, about hemorrhoids and of course we talked about methods of its prevention and treatment. and we wish you a good day and a great mood, be healthy, with you was a program about the most important thing. poster on the tv channel culture, theater, music, fine arts 11 september. the moscow philharmonic symphony orchestra opens the season in the tchaikovsky concert hall with a program of works by mozart, prokofiev and brahms. soloist.

and collections: picturesque and graphic views of the estate, decorative and applied art objects with plant ornaments, old photographs with indoor plants tell about the passion and interest of the russian nobility in the floral theme. the music festival labyrinths for the ninetieth anniversary of the birth of alfred schnidki, opens in the great hall saratov conservatory with a concert of the eterno music choir and the choral music theatre, conducted by teodor kurenzis. in the galov museum of the history of buryatia

, an exhibition of masterpieces of buddhist buryat art is taking place, where you can see a pictorial image of genghis khan, archaeological finds, silver sculptures of bathisatva, altar decorations created in the late 19th century, as well as works by contemporary masters, the maly drama theatre, the theatre of europe, presents sergei kuroshev in lev dodin's play based on shakespeare's tragedy, the king lear. the premiere performance by artem zlobin, a meek montage based on the prose of fyodor mikhailovich dostoevsky is shown at the bryancev youth theater. the program of the twenty-eighth international theater festival belaya vezha, a performance by the theater of the school of dramatic art dyadyushken based on the prose of dostoevsky , directed by gleb cherepanov. the dresden old masters gallery presents the exhibition beauty beyond time, history of still life. the exhibition includes more than 90 works, allowing you to learn not only the history of the formation of the genre still life in fine art, but the meanings and figurative language, allegories and symbols hidden by artists behind the image of flowers, fruits. and other objects.

on air. the news comes out of the russian tv channel, i greet all viewers, i am maria sitsel, hello, military enterprises of ukraine are under new attack by russian weapons, 26 people have been detained, members of a criminal structure that was engaged in remote fraud, the soviet nuclear legacy is no longer a threat to the far east.