it is important to enjoy the process and in terms of recreation it will be very easy to do this. so, a large-scale family patriotic project of historical reconstructions is starting in the victory museum. every weekend until october 13 , everyone will be able to immerse themselves in the atmosphere of moscow in the 1940s. to make thematic sites as realistic as possible. the project involves dozens of actors and reenactors. visitors will be able to visit the exhibition. weapons, special equipment, and also take part in quests with prizes gifts. this week promises to be rainy, the best way to warm up is, of course, a mug of hot tea. a new site of the warm project moscow tea party has appeared at vdnkh. on fridays, saturdays and sundays in the restaurant of pavilion number 42, this is the center of national equestrian traditions, you can enjoy interesting gastronomic offers. just imagine, pancakes with raspberry or blueberry jam.

combined with aromatic black tea, moscow blend, all served with red and gold porcelain, mm, your mouth is watering, and you, let me remind you, the forty-second pavilion of vdnkh. let's move on, the seventh big children's festival has opened in the center of moscow, it will last until november 15. for two months , plays, films and cartoons will be shown for children and teenagers, and presentations of two dozen new children's books will also take place. interactive excursion in silence. perhaps the most mysterious event from our entire list, it will all begin with an interactive excursion, visitors will be asked to put on noise-canceling headphones and what the guide is talking about, you will need to guess using other senses, but once you get the hang of it, you will be taught to recognize aromas, you will learn how character affects the sense of smell, and a little more mysticism, the one-of-a-kind excursion tram 302 bis will take you to moscow at the beginning of the century, you will be fully

immersed in the amazing world of mikhail bulgakov, a tour of such famous, but still mysterious places described in the legendary novel, what was true and what was fiction, you will definitely learn everything on this route. and finally, the puppet theater named after obraztsov has prepared a fascinating journey behind the scenes. visitors are offered to see where rehearsals take place, where props are stored, where puppets for new performances are created. you can also walk the path along which the artists come out to the audience, get acquainted with the work of artists and prop masters, visit the office of the theater founder sergei obraztsov and, most importantly, see the largest collection of theater puppets in russia. those in the know say that rest is an art, so create. oksana maksimova, artur nurmukhometov, roman sladkov, ilika dzhevakhishvili. news. the next issue of federal news will be aired at 11:00. all news is always available on the media platform. watch in the application.

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titanic luxury collection bowdum. good morning, says and shows dr. myasnikov, the program is about the most important thing, about our health, among other things, we will touch on respiratory viral diseases, you know, it was conceived how to get sick correctly, no, it is always wrong to get sick, here is how to protect yourself correctly. what to do to

get better faster, why you shouldn't go to the clinic with arvi, how useful it is to steam your feet and eat chicken soup, well, firstly , your feet will already be clean, that's good, antibiotics were given, yes, they were given, that's how easy it is to put mom on bed rest, how soy affects the development of infertility in men, who can develop a heart attack even with normal cholesterol levels, questions from the doctor: thyroid disease, why medications do not always help, in what cases should this organ be completely removed, when

should you get rid of thyroid nodules, without them you would simply be fat, bloated, swollen, and eventually die, a person cannot be in a horizontal position, that is, when he lies down, he begins to suffocate. hot topic, learning how to properly get sick with urvi, you know who called it that, learning how to properly get sick, you can’t learn how to properly get sick, and any disease can end sadly, any you never know, but nevertheless we do a lot mistakes, getting sick with arvi, here the body aches, cough, snot runs, sneezed, what to do, here is what you show me, stop it is useful to steam but? this is not the first thing, we still need to get to this, the first, probably, is to stay at home, why do we get sick, we go to work, and if we do not go to work, we go to the clinic for a sick leave, here is a girl who washed her feet, steamed, comes to the clinic, while she came in, she sneezed

twice, came in, got a sick leave, left and after 2 days recovered, a grandmother who i came to buy medicine for diabetes, got this virus and fell ill, ended up in intensive care and died. and who is to blame? you are to blame. if you get sick, don't infect others. this is the most important rule that you must follow. further, well, naturally, we cannot shorten the duration of the illness by taking some medicine, but only for selected cases, for severe cases, and so, if people get sick, our task is here, everything is written here, it is not how to cure, but how to alleviate. the condition is palliative, well, palliative measures, is it useful to steam legs? well, probably yes, and if i don't steam my legs, will i get sick more, no, and if i steam my legs, well first of all, my legs will already be clean, that's good, the warmth is also good, is it good to breathe in the steam over

potatoes, well listen, we've all been breathing for decades, grandma is always given the steam over potatoes to breathe, my doctor's son is sitting with me, you could say a relative, mark, have you ever been sick with any serious illnesses? yes, you were sick, were you given potatoes to breathe in? no, and were you given chicken soup? of course, and how super, super? did it help? of course, mom understands, did she give you antibiotics? yes, she did, it's so easy to rat on your mom, my dear, and why did she give you antibiotics? i don't remember. and what did she say? i don't remember, he was already interrogated, he realized that he was in trouble, that mom wouldn't let him go just like that, and he hadn't had time to come up with anything yet, so he refused, yes, but in fact there were probably some otitis or something else, because i just know his mom, a doctor,

she simply won't give antibiotics in case of an emergency , by the way, the next mistake, because what happens is, you're sick for a day, you're sick for two, you're sick for three, and something's still aching, aching. it's bad, bad, no appetite, and your urine is dark , you smell like sour sweat, that's it, that's bad , you want, you want something faster, listen to dr. myasnyakov, who says, be patient, everything will pass, well, yes, he's a smart guy, he walks, probably, we love him, children like to watch sipasha, adults, dr. mesnyakov, that's on one level of perception, but you want, why am i telling her, it's not just like that, i just know that on the second, third day, everyone drinks an antibiotic talk that antibiotics don't help with viral colds, that they don't exist, they 're not used for anything, that is, i mean that this desire to take a pill, it may be, okay, let's do it this way, i won't judge it, but let's do it differently, you'll make

it worse for yourself, yes, you'll make it worse, that later, when you need antibiotics, you won't be able to take them, yes, you'll make it worse, so that the microbes that, one way or another, so to speak, live inside us. can, so to speak, take revenge on you for antibiotics, but this so, this is more in theory, in fact, one or two tablets will not do much harm, but for elderly people who are somewhere far from the doctor, in a small town, she has a fever for 2-3-4-5 days , she calls the doctor, and your fever does not go down, here i say, you know what, you are an elderly person, you used to smoke, it is not clear what is wrong with your lungs, the temperature does not go down for the third or fourth day, you know what, take them like antibiotics, while the doctor is on his way to you, or you get there, start drinking, maybe you have a bacterial infection, by the way, this is very it's important when to sound the alarm, when the temperature doesn't drop, when you're dehydrated, when you get up in... your head is spinning because of the orthostatic drop in pressure, when you're vomiting, this drowsiness, when you

start to be half -slowed down like this, if there is a pulse asymmetry, saturation drops below 90 two, and if it's already more than 90, then of course you need to see a doctor, because pneumonia may develop, not necessarily bacterial, most likely it will be viral pneumonia, but this is when it is possible that... will treat already in the hospital, but this is a unit, this is who, this is the lot of the fat, the lot of diabetics, chronic patients, people who smoke, people who lead a sedentary lifestyle, and so basically, we should just lie down, the bed heals, here is what is written, eat more garlic, onions, lemon, well, why not, vitamin c does not prevent, but it is believed that large doses of vitamin c can shorten the duration of the disease, i do not know, i also my grandmother, inna alexandrovna. in the post-war years wrote about vitamin c, about the fact that it shortens the duration of a cold, but not prevents it, here is the latest study

by americans confirms this, but what i mean is, but if it makes you feel better, for example, i just took tea with lemon so that it’s just lemon, well, if you feel good after that, if you ate garlic you have a surge of energy, what’s wrong with that, chicken broth, well, holy thing, but everything is better after chicken broth, mark confirms: yes, yes, who cooked it, mom or grandma? mom and grandma, i saw an old work from the seventies, where they directly compared the effects of chicken soup with antiviral drugs, they said, works no worse, another thing is that antivirals did not work at all in those years, but all this just makes it easier for you subjectively, so that you can better tolerate this state of the disease, so the rules, they are very simple, the most important rule: do not infect others, stay at home. second, the settlement

regime, this does not mean that you cannot get up and so on and so forth, but you must still provide yourself with rest, there is still inflammation, you can walk, you can, you need it, no, third and fourth, we traditionally feed soup, give antibiotics, but they don't follow these: two things, they are very important for you, you must have fresh air, and you must be clean, shower, after all, we have an injection, a vaccination, don't get wet for 3 days, where did this come from, i think it came from some year thirty-seven, don't get wet, wash off sweat, wash off skin secretions and so on, you expose a person, he seems to breathe, it's easier for him, his infections go away faster, he must be washed, he can't, look, we are in intensive care, the person is lying down, we wash him every day, because otherwise it's a problem. and cheese for and what do you know, when you come in, you go into

the patient's room, what a smell, stuffy stuffy air, he sweats there, breathes, farts, all this is closed, why, and it is impossible, what not, where, who said that it is impossible, ventilate, ventilate the room, there must be fresh air, fresh air is the fight against the virus, further, everything that reveals your condition, yes, it reveals, therefore, yes, soup helps, therefore, yes, check the room every hour, oh, take a drink, well, in fact, if you are already sick, first of all, you don't i want it, it won't help you anymore, it won't help you, it will make it worse, prevention, when, when you've already got sick, that's one thing, another thing, when you're back, you're in a mess, you're wet, that's one situation. right away, when you 've already started it, it won't help

you anymore, it should be right after exposure to cold or something that lowers your immunity at this very second, that blow, and what helps is a flu shot, and physical activity and not being fat, you can laugh, you can do everything you say, personally, the last time i was sick, it was dengue fever in 1987 and... i was bitten by a mosquito from that dengue, i almost died there, i wrote it in blood, i was shaking, but apparently, since then i decided that i will not get sick anymore, why? well, because i do not think about diseases, and this is... the most important thing, because who else gets sick, oh, i came into contact with the flu, oh, i came into contact, i will get sick, i came into contact with ebola in africa, i did not know that it was a bola, and i touched it, there i did everything, if i had known that he was sick with a bola, i would have definitely gotten infected, but i did not know, i did not think, i am firmly convinced that when a person does not see the danger, you know, like at night you go straight passed, then in the morning you looked, passed along a narrow board over a pass, you can die, so here i don’t

know, you can do a lot, that’s what i’m getting at, think less, but... whoever is armed is warned, so they will definitely be with future epidemics, you won’t have time for this one, which will be in winter, will not be, but by the next one you should meet with a normal body mass index, do not smoke, move, harden yourself, and keep your feet not in warm, in cold water, got sick in warm, but before that every day in the cold, so that's it, let's be attentive to our health, everything will be fine with us. next, how does soy affect the development of infertility in men who can develop a heart attack even with normal cholesterol levels? questions from the doctor. alexander myasnyakov asks, are you answering? strongly? well, what's going on here? the time of big premieres on rtr, like a dance floor, everything

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viewers. the rules are simple. the doctor asks three questions. for all the correct answers - a prize, a mistake. will have to do sports, so, who's ready? raise your hands, come here, what 's your name? i'm ksenia, what does ksenia do, i'm an assistant to the manager in a large company organization, well, twist the assistant to the manager, hard, well... well, so as not to suffer for a long time, already an intrigue, yes, what about sex reduces development? the risk of breast cancer, i wonder how this is connected, no, well, there can be different fantasy options, i can imagine a lot of things,

i think yes, because this is pleasure, and cancer cells are formed due to the fact that a person is very stressed, just answer, no, otherwise we are now with you here, if such a question, i didn't come up with it, i'm writing yes, i'm writing, and moreover, i don't know the answer, i know. that in men it reduces the risk of prostate cancer, i know, in women, but in fact, pregnancy, yes, if, if it leads to pregnancy, yes, because the disease of nuns, the disease, when estrogen is constantly, breastfeeding reduces the risk, pregnancy reduces the risk, about breastfeeding, pregnancy where does it come from, from sex, of course, so uh, let's ask the next question, okay, does sleep cause infertility in men, in men? but here it's not sleep, it's me wrong, soy, soy, soy, soy, well soy, soy,

well i got it, yeah, i just think she didn't just write no, she wrote a no, no, i wrote no, well yeah, in fact, it means that soy is a phytoestrogen, and estrogens can... supposedly reduce, but in fact men have estrogens, moreover, in men it is estrogens that are responsible for libido, for sexual desire, as by the way, in women, our testosterone is responsible, so no, a heart attack, a heart attack, can develop with a normal cholesterol level, i think not, but if the assistant to the manager should think, if some other organs may be damaged, so write, no, the manager is watching. well , i'm glad, i'm glad, write what, wanted to write, no, i wrote, yes, i'm just listening carefully, right, i see, well done, the risks

are different, maybe, it's quite possible, let's go, well done, where he doesn't know, he understands, well done, but all three keys are yours, there will be a prize. when a person is bright, everything works out for him, and answer, from the first time, open, please, for me, the book for mom, alexander leonidovich, and for the manager, with an autograph, for the manager my work, give a mug to the manager, give a book to mom, a notebook for you, oh, thank you, thank you, nice to meet you, sit down, do you want to review this platform, watch the siterim.ru applications, well, let's move on. today we'll talk about the thyroid

gland, one of our most important organs, which is responsible for a lot, because you understand, anything can be explained by the thyroid gland, your hair falls out, you gain weight, you are in a bad mood, you can't stand the cold, your capes hurt, that it is the thyroid gland.

and so on, and we give medications, it is not always possible to give medications, let's say during pregnancy and also radioactive iodine kills the entire thyroid gland, so

surgery, to what extent? it is, in principle, once again , three equal methods, surgery, it all depends on the disease itself, what is diffuse toxic goiter, it is a disease in which the entire thyroid gland is damaged, there are no normal cells, the entire gland is actively working, producing these thyroid hormones , the peculiarity is that, diffuse toxic goiter, in addition to the fact that it secretes a large amount of hormones, it increases in size, and if we decide on surgical treatment, and ...

you need replacement therapy at the rate of 0.2 micrograms per kilogram of weight, if you take pills that suppress, block the functions of the gland, you often have to add hormones, because without a normal level of hormones, your whole system will go, as parents say, oh my god, giant goiter, compression syndrome, i am such no, i saw it once, but it was in africa, it is often encountered, yes, or something, well, this pathology is also quite often encountered, at least, we operate practically, well, exactly twice a week on such patients, and if you pay attention, then the thyroid gland, thyroid disease can be divided into two main groups, these are hormonally active, that is, those that produce a large amount of hormones and lead to thyrotoxicosis and hormonally inactive, that is, in such conditions,

if... examine the thyroid hormones in the blood, then they are within the normal range, which also applies to giant goiter , compression syndrome of the neck organs, what is it? that is, when the body lacks such a product as iodine, this leads to the fact that - thyroid hormones become few, and the body itself begins to work compensatorily, work, well, where can it get these hormones, it needs to increase the volume of the thyroid gland, increase the number of cells, tereocytes, which work. of course, yes, and what to do for this? it is necessary to increase, yes, the thyroid gland begins to grow, increase in size and thus compensates for the lack of hormones in the body. our neck is an organ in which there are very few free cavities, all structures, they are located very close to each other, and there is nothing superfluous, therefore, with a giant nodular goiter, when the thyroid glands are normal, if we take the volume, well, a maximum of 25-30 ku

cm, when it ... grow on this, this leads to compression of the neck organs, and how this manifests itself, firstly, it is compression of the trachea, that's right, hoarse voice, but the worst thing is that a person cannot be in a horizontal position, that is, when he lies down, he begins to choke, then in what cases is it necessary to remove thyroid nodes, what is the husband's name, andrey, here is a husband you can forget, here is tsh you should know today, the investigative committee shveitsova marya sergeevna, inimitable.

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velcro hartex for only 1495 the program about the most important thing continues, we are talking about thyroid diseases, we are talking here with you, and we have a guest who would like your advice, give it to me here, ask the doctor. irina shcheblanova, 50 years old, moscow. irina is an administrator at the theater. the work is interesting, according to the woman, quite calm. unlike irina herself, she is constantly tormented by a feeling of anxiety, and her memory and concentration are deteriorating. i work with people, i work with money, so you need to be careful, i all the time. absent-minded, somehow i can't concentrate all the time, some kind of weakness, apathy, lethargy, my hair falls out very badly, well, my work capacity is at zero, to be honest, these symptoms first appeared in irina 4 years ago, at that time the woman was diagnosed

with a nodular goiter of the thyroid gland, she had to have an operation, part of the organ was removed, but the symptoms remained, was the operation really useless, this question really torments the woman, but...

we are sure, yes, okay, you can forget your husband, you should know the tsh by heart today, ok, especially since it should be at the lower limit of the norm, because it is a hormone- dependent tumor, yes, well, in fact, yes, like an operation on the thyroid gland has very strict indications and just the presence of a node is not an indication for surgery, therefore , removing your thyroid lobes, the surgeon should have understood why he is doing it, and the indicators are indications yes they are - that's why yes, that is, if, for example, you were operated on for a tumor process in the thyroid gland, be it a benign tumor adenoma or a malignant one there yes thyroid cancer, then the hormonal background does not play any role, perhaps, since

you unfortunately do not know your tsh numbers in the blood, then now it is impossible to judge what to do, how to be and in general what options for solving this problem are impossible, maybe the problem is not with the thyroid gland at all. yes, if your tsh is normal, everything is balanced, compensated, these problems, the problems that you are talking about, can be, in addition to the thyroid gland, there are also hormones, female? irina, where do you live? in moscow. excellent. i mean that participation in our the program sometimes entails some privileges, it's not just sitting here listening to us talk about something for a long time, it's an opportunity to meet doctors, specialists, taking advantage of the fact that you live in moscow, just come to see him. i think at the end of the program he will leave his contact information, and so that he doesn't have to guess now, here in public, especially what's wrong with you, why are you so irritable. andrey, this is definitely my husband, yes, yes. asked - you talk to him and

we'll come, why so quickly, a very important problem, a thyroid nodule, each the second woman, 44% of women out of 40, some percent of men, when we find a node by chance, and what doctor, i'm going to die now, because i have cancer and so on, all this suffering begins, and usually before we gave thyroid hormones to show growth, now we don't even give them, we just observe, but like you, the function then the doctor decides... during an ultrasound examination along the thyroid gland, it's only a reason

to figure out what kind of node it is and what to do with it. of course, there are certain follow that in action, what to do. first, they found a thyroid nodule, yes, as if the size of the nodule, it can be 5 mm, 1 cm and so on. what are the stages, first we pass the hormones of the thyroid gland, if we get normal hormones tsh within the normal range, that is, we have excluded endocrine diseases. non-thyroid gland, the next stage we must exclude the tumor process, because the nodule is always a warning sign for some malignant process, i just want to add, if you have found elevated hormones, you can exhale, this is a functioning node, it does not degenerate into cancer, but if you found the norm, here you do not need to exhale, because there can be anything or decreased, therefore normal hormones do not mean that everything is fine with you, it is probably just further research, the next stage of the examination is to come to the surgeon, who. performs a puncture to take

cells with a small thin needle under ultrasound control, a puncture is made, cells are taken from this node and sent for encytological examination, during cytologists give the results in two or three days and we already determine based on the results whether something needs to be done with this node or not, again , nodes are different from nodes, that is, as if there are completely, that is, so-called colloid nodes, which only need to be observed and nothing should be done with them, here is the next direction: for your health, everything will be fine with us, and

now ask the doctor, alexander leonidovich answers questions from viewers in the studio: and good morning, alexander leonidovich, a year and a half ago i had a knee operation, part of the meniscus was cut off and during the operation, well the doctor saw that my joints were a little worn out, and he advised me to inject myself with hylourongo after 4 months. which i did not do and everything seemed fine, now for the last couple of weeks after a long walk, it hurts in the morning, i can wake up, limp, well this could be the reason that i did not listen to the doctor, no, it can't, and what is it that at a young age you already injured your knee in the gym, well, and walked for years, as if putting it off, and then i decided, no, well, hylouronic acid firstly, it costs money, secondly, in terms of effect , it is not higher than platsoba, it can give a certain pain-relieving effect in the first weeks, but

it cannot prevent abrasions of the joints, what she saw was that the joints were abrasions, in fact, i doubt that this is really so, and he removed the meniscus, cleaned part of it, sewed it on, thank him, that's it, no need for extra information, the knee hurts, you understand what the matter is, in reality, we can't do anything with you, you can now even inject yourself with hyaluronic acid, but it will have an effect for 6 weeks, up to two months maximum, it costs decent thousands, so it turns out that nothing can be done about this pain it. periodically appear, and i don't know what hurts you, here is bursitis, it hurts to press on the knee, when it hurts, it hurts to press, where, show me the point, it happens, well somewhere inside, well yes, here not inside, here if it hurts so much it hurts. just bursitis, it is not a joint, it is about inflammation near the main bag, it is enough to take non-steroidal drugs and there is no need to inject anything here, everything is free, next, you're welcome, how old are you, 30, 30, oh my god, at 30 her knee already hurts, she broke it

and, what happens next, good morning, doctor, and my mother is a very big fan of your show, she loves it very much. food or some object, her hands start shaking, and if she drinks, does it get worse or better, well, a glass, by the way, i haven't noticed that she has a tremor when she drinks, i didn't just ask, because a tremor can be a result of the onset of parkinsonism, one, two, three, five, ten, but most often ... it's the so-called essential tremor, when we do not find the cause, it is good that it does not lead to anything, but it is unpleasant, one of the differential diagnostic signs of a reaction to alcohol, tremor usually intensifies in people, and with hepatic favorable tremor it all goes away, well, you just need to see a doctor, because there are a number of drugs, but you understand how drugs, you need

a diagnosis, if it is essential tremor, then it does not lead to anything at all, and drugs have side effects all, and if this is the beginning of protractionism, then there is already ... required other treatment, so of course you need to start with a doctor, but most likely there will also be social tremor, which does not require treatment. thank you, good morning, good, my son has insomnia, medications do not help, in a short time, what can you advise, this is a separate long conversation, i can advise you to buy my book, one of them is there, you know, maintaining a certain sleep hygiene, you need to do this, you can’t just overcome insomnia, or take pills that with ... on saturday not getting enough sleep on sunday, if you can't fall asleep, so you need to reduce your sleep time, don't lie down during the day, that is, bring yourself to the point where you fall asleep, don't lie in bed during the day, don't lie down, if you can't fall asleep, get up for 10 minutes, that is, this is

a very long conversation with us, you just need to do this, thank you, well, i answered all your questions, i hope. this indicates hidden hypothyroidism, that is , that most likely you are starting to have a decrease in thyroid function, nothing to worry about, but this happens to every fourth woman, in principle, we usually give tsh, even

we start giving hormones when everything is normal, but tsh is 10, you have 9.3, we say, it can turn into a hormone deficiency, maybe...

the rest, because this is a screening test, now after that you have to go, say, i have tsh 0.1, i, you need a full layout, free t3, t4, possibly antibodies, so there is a reason to go to an endocrinologist, well, especially since there are symptoms of increased irritability and so on, that's all, thank you very much, we're done, goodbye to everyone, see you soon, next in the program. women's health - chronic venous insufficiency. what means will help to get rid of pain and swelling? let's think about what this button tells us. we saw exactly the same. ksyusha has it on her jeans, what are you saying, and also on jack the scarecrow's jeans , tours chekotila. buttercup and anyutik - premiere.

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of chronic venous insufficiency or disease of the veins of the lower extremities. why such symptoms, or does this disease occur specifically in women, what contributes to this, and of course, what methods exist to prevent the appearance of this unpleasant thing as much as possible. the doctor helps, but while you drink them, i am also very worried about the vascular networks, i am very afraid that they will not grow stronger, if

there are ... in the morning in the evening i come to work literally in a couple of hours already somehow some discomfort, i want to somehow lift them up, put some ointments on them, and you go to work in heels, no, in sneakers, it's already good, how are you trying to cope with the pain, what are you using, pills, the doctor prescribed them, well , they help when you take them, but a month or two passes and the problem comes back, dina,

please tell me, do you have children, yes, a daughter, did your legs hurt during pregnancy? and probably swelled, yes, please tell me, has my weight been stable lately, i gained 10 kilograms, and one more question: are you taking some hormonal drugs do you take? yes, oral contraceptives? well, let's figure out what's happening with our veins. where does this blue mesh on the legs come from? our vein is a unique vessel in general, because here the blood flow is not from top to bottom, on the contrary, from bottom to top, in the lower extremities. blood goes up the flow and there are valves, the blood passed the valve closed , passed the valve closed, but over time our vein expands, becomes wider, the valve no longer fully performs its function of blocking the vein, and accordingly, there is a reverse blood flow, it stagnates, for example, here, and what's even

worse, it passed and returned back. quite often there are signs of insufficiency of the valve apparatus itself, and as a rule, if the problem exists in the grandmother and the mother, this is precisely the hereditary insufficiency of the valve apparatus, then accordingly you are at risk for developing this chronic venous insufficiency, my mother and grandmother had dilated problems with veins, and unfortunately this problem is quite common, it really manifests itself after 35-40 years it... this disease is five times higher than in men, well first of all, of course, this is our specific hormonal background, different from the male, the venous wall is affected by such a hormone as progesterone, why for the first time

quite often chronic venous insufficiency, these veins appear. during pregnancy, yes because during pregnancy there is quite a lot of progesterone, and progesterone just relaxes the venous wall, increasing this insufficiency valves, causing stagnation of blood in the lower parts of the veins, and accordingly, this is another additional expansion, quite often during pregnancy the legs begin to swell, precisely because the wall of the veins relaxes, our blood serum penetrates into the subcutaneous fatty tissue and a fairly persistent edema is formed, this is just how ... skin fatty tissue, it has a special structure in women, it is much looser than in men, there are large intercellular spaces, so if liquid gets there, then of course, it is expelled from this subcutaneous fatty tissue can be quite difficult. estrogen also does not allow you to relax, because estrogen, taking into account all its positive effects on female beauty, unfortunately carries another very negative

moment, it causes the formation of blood clots. that is, this is the gluing of blood cells together, just a high level of estrogen, and it is quite common when a woman takes oral contraceptives, can cause, in addition to stagnation, the formation of small blood clots in the wall of the veins, which also causes this a severe complication, sometimes like phlebitis. well, these hormonal drugs that we take, oral contraceptives, many of them have contraindications - this is chronic venous insufficiency of a severe degree, and just for women who have... such venous insufficiency, but it is better not to take these drugs, it is better to use other methods of contraception. in addition to everything else, the doctor, of course, will refer you for an ultrasound duplex examination of the veins of the external extremities, this is today the gold standard standard examination of both the vein wall and the state of the valve apparatus and one more mandatory test, a test called a kaugulogram, which evaluates the blood coagulation system in order to

understand how prone you are to thrombosis, and if you... is there already a high probability of blood clots? dina, did your gynecologist prescribe oral contraceptives for you? yes , were you also sent for a check of the veins of your lower extremities? no, i already prescribed this test for myself after they prescribed it to you the ultrasound doctor wrote some comments, apart from pills they didn't offer me anything else. indeed, an ultrasound examination of the veins of the lower extremities is done not only to say whether there are any risks, but to determine if there is a severe degree of chronic venous insufficiency, our patients are recommended surgical intervention, now there is, for example, laser coagulation of veins in order to remove not only this unpleasant effect, but also to eliminate swelling, heaviness in the legs, etc.

there is to do prevention, if you have only been prescribed vinotonics that improve the trophism of the venous wall, then of course you do not have the degree when you need to think about surgical treatment, and a lot can be corrected, you need to do the profile first of all. so that it does not get worse, of course, this is proper nutrition, of course, this is not gaining excess weight, because every extra kilogram, it will put pressure on your veins, it will cause even more blood stagnation, it will be even more difficult for you, so we monitor our nutrition and diet very closely strictly get on the scale at least once a week and control your weight. it is very important to undergo a medical examination on time, especially if you take oral contraceptives , take all those tests accordingly. the studies that we talked about today, in severe cases of varicose veins of the lower extremities, i know that sports are generally prohibited, i would not recommend using only physical activity, i mean there, classes with weights in a vertical position,

not weightlifting, but often enough women use exercise machines, barbells, dumbbells, so you don't need to use them, especially if you're standing, the load on the vein is already great, but walking, elliptical - this is great, the more we move, the more our muscles work, including the calf muscles, the better they affect the venous wall and drive away this stagnant blood, respectively , the overlying sections of the cardiovascular system, so be sure to set aside 30-40 minutes every day for at least fairly active walking. what means can help us help daily? there are products that really significantly reduce when applied externally. all these symptoms reduce pain, reduce swelling, what should they contain in their composition? first of all, horse chestnut extract, it reduces blood viscosity and reduces inflammation symptoms. camphor

has a cooling effect, thereby increasing blood flow, improving vein trophism and improving blood supply. gerudin is a substance produced by a leech, leech extract. what do we use geruda for? therapy is blood thinning, the second is the lymphatic drainage effect and accordingly reduces the amount of fluid, gerudin in the intercellular space. all this significantly reduces the edema syndrome. chlorophyll is a pigment that is contained in the leaves of plants, due to this chlorophyll we maintain our life on earth, it converts carbon dioxide into oxygen, accordingly, applying chlorophyll to the surface of the skin strengthens the intercellular ... membranes, improves the lymphatic drainage effect helps to reduce tissue swelling, improves microcirculation and accordingly reduces pain syndrome in the lower extremities. how often should such products be used?

morning and evening is optimal. dina, thank you very much for coming to us, i hope that our advice will help you. thank you very much, thank you. my friends, today we talked about such a problem as chronic wine. insufficiency, and of course, about the preventive measures that will help alleviate the unpleasant symptoms of this disease. and we wish you a good day and a great mood, be healthy, with you was a program about the most important thing. posters on tv channel culture. theatre, music, fine arts september 30.

and what is the st. petersburg conducting school? this is, first of all, the attitude to sound, the attitude to sound gives birth to the corresponding conductor's gesture, so it's all interconnected, i think that in this regard, we will have a very good tandem with the orchestra, this amazing hall of the st. petersburg philharmonic is a sacred place, and well, this is a great happiness and a great privilege.

to perform and work here. the sovremennik theatre brought to the sixth all-russian theatre oleg yankovsky festival galina volchik's play based on william gibson's two on a swing. tatyana bobenkova and yuri chyursin play. and the central theater of the russian army opens the lipetsky theater meeting festival with pavel safonov's production based on pushkin's story the captain's daughter. the exhibition images likeness is taking place in the yekaterinburg museum of fine arts. the exhibition features works by alexey chernyshov, a contemporary artist from udmurtia. distinguished by his imagery, allegory, and intellectual play in creation of biblical, mythological and universal images. the exhibition of alexander golovin is ending at the russian spiritual and cultural center in paris. the exhibition includes photographs from performances and sketches of the scenery and costumes of the coper the maid of pskov, ruslan and lyudmila, carmen, the rhine gold, the ballet swan lake the magic mirror, as well as sketches created by the artist for sergei dyagerlev's russian seasons.

on the rossiya vesti channel, in the studio is evgeny rashkov. hello, here's what we'll tell you about. today is the day of the reunification of donbass and novorossiya with russia. you have rebuffed the neo-nazi dictatorship that wanted to tear them away from their historical homeland forever. congratulations from vladimir putin and how are the new regions changing? a train with nato weapons was destroyed in the nikolaev region. off we go!