Transcripts For RUSSIA1 O 20240703

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Of six jug glasses with a volume of more than one and a half liters at an incredibly low price of only 2,990 rubles, and if you call right now, you will receive a luxurious set made in the same style as a gift. 13 items for one price. Good morning, hello, if you start your day with us, it will definitely be bright and useful. Doctor, Pay Attention to our room, here. They seem to be mostly beautiful ladies, but everyone is kind of sad, its clear that autumn is just around the corner, you need to somehow pull yourself together , smile, dont stretch, no need to stretch, i suggest just dancing, a good way to greet the morning and set yourself up for a positive day, by the way, according to research, dancing helps reduce the risk the development of depression in a person, yes, lets not do this alone, in the company of our fitness instructor, alexander, sasha, tell me, you always have a good morning. Of course, what are we going to dance . Today we will dance kalinkamalinka, immediately the smile started, come to us, come, come to us, everyone on the dance floor, father. In the green sleep, you put me to sleep, and ah lyulilyuli, ah lyuli, lyuli, you put me to sleep, yalinka, kolintsa, my salinka, i will sleep when raspberry, molinta is mine. Talinka, talinka, my talinka, there is a berry in the garden, raspberry, my raspberry, gradually, when you get into the rhythm, it doesnt matter what you turn on, youre somehow not like waking up, but you bring the body into such a slight tone, and most importantly, the movements are simple, sasha, that is , everyone can do it, no, nothing complicated, even dr. Agabkin managed it, thank you huge, well, a couple of simple dance moves. You will be in a bad mood for the whole day, right now we will find out which everyones favorite product can trigger the formation of kidney stones. Stay with us. It seems to me that you can endlessly look at three things fire, water, and how people are going to give up sweets, but still eat them. In fact, nothing surprising, yes, if you look, our ancestors lived tens of thousands of years in starvation, and for them this sweet taste is a signal that you are finally. Was eager for some kind of food, and the sweeter the taste, the correspondingly this food will give you more energy, so at the genetic level we are encoded to love all this, another thing is that the last ones are some 50, there 60 years old, availability of all this, it has grown so quickly that the human body absolutely does not have time to adapt to it, by the way, here is a fact, for example, how excess sugar affects the human body. Organism. Largescale studies have recently been completed that have shown that there is a direct dosedependent the effect of sugar consumption on the risk of kidney stones. What is the relationship between how much sugar you can eat to prevent kidney stones . Lets find out from our expert. Vladimir evgenievich vinogradov, nephrologist, head of the consultative and diagnostic nephrology department. Good morning, we talked a lot about kidney diseases , about stones, after all, those phosphates, urates and something else, axalates, they arise from malnutrition and heredity, heredity, of course, plays a certain role role, but also nutrition, i would put this in first place, after all, we, we are what we eat, yes, its not for nothing that they say so, whats to blame for sugar . Well, look, everyone is used to the fact that excessive sugar consumption causes diabetes, yes, indeed, this is so , and diabetes leads to kidney damage, and naturally people with diabetes also suffer from excess body weight, and people with overweight, there is an increase in uric acid, uric acid leads to an increase in the formation of kidney stones, but if we say, for example, more about sugar, yes, this is not the sugar that we are used to, but in tea, yes, we mix it, thats it. Look, what are we eating . Sauces, carbonated drinks, that is, it is not the sugar itself that directly leads to the formation of stones, it is these compounds in the composition, yes, that are in sauces, and carbonated drinks, etc. , how to understand that kidney stones have appeared, well, if , for example, there is no pain , this is a sharp pain that is emitted, uhhuh, and this is pain in the kidney area, uhhuh, and this is general weakness, lets add here an increase in body temperature, fever, chills, this is a bright clinical si. Automatic clouding of urine, that is, a change in the color of urine, to the point that even blood may appear in the urine. Well, as i understand it, this is the situation when a kidney stone has already passed, the leaves are stuck, but before that it has been there for some time, six months, a year, decades, it forms, of course, this is actually, in this case, medical examination is very important , of course, yes, this is a correct, timely examination, yes, what will they show us, this is an ordinary banal instrumental study, this is a. Kidneys, where already at an early stage the doctor can detect the presence of kidney stones, sometimes even the first symptoms may not necessarily be, as we have just described, but in this picture, it may be more of a pulling nature in the kidney area, for example, which can change when the position of the body changes, during physical activity, or there is an overabundance of fluid. How much sugar per day can cause kidney stones . And you were right about the research, and at the very beginning of the program, it really was a fullscale study, but if you read it carefully, there is a recommendation, that is, if we take the total calorie content, yes , for example, there are 2,500 calories, yes, then according to the recommendations of the world health organization, the amount of sugar that should be included in these calories is not should exceed more than 10 , that is, it turns out that we can say that added sugar, that is, the one that a person sees and adds tea somewhere, should be limited to about 30 g. Yes. According to the symptoms that we talked about, symptoms of kidney stones, whoever has found something that bothers him, please raise your hands, i ask you, good morning, i noticed this a year ago, when, for example, i started doing laundry, and i dont understand, for some reason i had such nagging pains in the lower back, when they do laundry, when you know, like on the steps, when you go for a run, i also didnt understand, but we had a medical examination, and there i have. Small sizes, here she is an employee at work, she treats herself all the time these are the folk remedies she advised me, she says, brew it, he says, you know, these are the corn silks, well, they come in different varieties. Of light, for example, if its not ripe, its light; if its too ripe, it darkens, yes, these are the hairs, like those on corn, and for a whole year, three times a day, i drank this decoction, from these corn silks, heres another medical examination, a year has passed again, there is no longer a stone, no longer, thats it, the stigmas helped , i think they, they are these stigmas, but in general the sweet tooth is not visible at all, that no, no, no, what are you saying, yes, very much i i ate sugar, even spaghetti in the morning. With sugar, yes, well, pasta, you also love spaghetti with sugar, yes, this is a new theme of the program has just started, i just imagine, i cant spaghetti with sugar, yes, its true, in childhood there is always noodles with sugar, and noodles are always a piece of creamy butter then sugar is very tasty, as they say, the taste and color, the markers are different, lets talk about folk remedies, how useful they are and whether they can be dangerous, because in reality, of course, and corn silk, here they are. And rosehip root and seeds dill, and various vitamins, are now being sold, and they say that this is all prevention of the disease, absolutely right, you said prevention, this is very important if the patient has the symptoms that we described, they are bright, the patient really has an infectious inflammation in at the moment, yes, first you need to treat it, contact a specialist who has prescribed competent treatment, after all, if we are talking about folk remedies, yes, this is still prevention and that is, after successful treatment we prevent further relapse lets say that diseases will help, they wont harm the kidneys, if you take all this in moderation and according to the instructions and that all the fees that are orgological, kidney fees, they were still bought in a pharmacy chain, and not on the internet or collected somewhere in a field, well, ill still give more than not, but i would still give preference to rosehip roots, right . And dill seeds, lets note them, because they still have both a diuretic effect and a bactericidal effect, that is, they prevent urinary tract infection, and as for vitamins, are there any vitamins that are useful for the prevention of urolithiasis, vitamin complexes, and if used incorrectly, they can, on the contrary , lead to stone formation, i, as a practicing doctor, i may not be so negative i relate to this, im still a patient, it should be normal , lets talk about products that will help us, and here we have sesame, practically the richest product that contains calcium, and calcium in the intestines binds phosphates and axalates, and as we said at the very beginning, we have phosphate, oxalate, and urate stones, that is, yes, this is this. Lets get out of here, quickly, yes, it binds and thus, yes, it prevents excess oxalate and phosphate from entering the blood and prevents stone formation, in the middle east, it is also known there that the incidence of urolithiasis is very high, so it can be used here this sesame paste, which they add to hummus in other dishes, maybe this is some kind of folk prevention method, great, friends, no forget about sesame, move on, here we have dried apricots, as a wellknown source of potassium, potassium , yes, like all dried fruits, including kuroga, and it contains the most potassium, and kuroga has potassium, yes, a similar effect, like in calcium, and also, which also binds in the intestines those compounds that lead to stone formation, but i want to note, as a nephrologist, yes, after all excessive consumption of foods containing potassium leads to hyperkalemia in patients who have renal deficiency, and before treatment, yes, before taking it, you still need to get tested, lets move on, orange citrates, yes, citrates, there are even special citrate mixtures, yes, which lead to the dissolution of stones, yeah, yes, including citrate is contained in orange juice, yes, which can dissolve stones, and how much orange juice should you drink a day, i think a glass is enough, well, dear friends, who . Start this day correctly and dissolve the stones, if any, please, lets talk about those products that form stones, products rich in purines, and purine bases, pork, beef, beef sardines, poor sardines, we find ourselves in such company, well , everything should be in moderation, thank you very much, thank you, i remind you that every week in the latest issue of the newspaper there are arguments and facts from dr. Agabkin answers your questions, send your letters to the editor of the newspaper, arguments and facts, well, today we found out that excess sugar consumption can lead to the formation of kidney stones. Most importantly, we understood what to do about it. Right now, answers to the most interesting questions about health. Next in the program will milk help with heartburn . Is cracking in the joints dangerous . These and other questions are answered in our Health Minute quiz. Hiv is transmitted through blood. When using drugs, during unprotected sexual contact. 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Krasnov, today at 21 20, each of our programs answers pressing questions about health, for the section we check whether you are watching our program well, we have oksana in our studio, in a great mood, she wants to test her knowledge about health and besides win a super prize, a tonometer, a tanometer, oksanochka, do you know what a tonometer is . Yes, a device that measures Blood Pressure, but what is your Blood Pressure . 90. 60, 100 by 60, and when they measured it, probably about a year ago, that is, you dont have your own . We know right away, so we invite you to win it, to do this you must answer the questions mikhail, 12 questions, you have one minute to answer, the answers are very simple, yes, no, clear, yes, here is oksanochka, what city are you from, tell us . Voskresensk, oops, i have a dacha near voskresensk, what do you do in voskresensk, im a logistician , i work, yes, i can take you, you need to be delivered from voskresensk , you know who to contact, well, i usually take a car and drive to voskresensk, i drive for 6 minutes, its not sporty, but you play sports, sometimes, what kind, i run around embankment, thats it, youre running along the embankment of the moscow river, thats my maximum, yes, well, you re doing pretty well by the way, it turns out, lets go, fasting helps reduce the volume of the stomach, yes, avocado helps reduce. The level of bad cholesterol . No, do yoghurts strengthen the immune system . No, swimming improves memory . Yes, does lying down reading damage your eyesight . No, do chicken eggs lift your spirits . No, does milk help with heartburn . Yes, nerve cells are restored . No, does coconut oil reduce the risk of Heart Disease . Yes, squash is good for vision, yes, does crunching in the joints always indicate problems with the knees . No, does flaxseed improve blood circulation . Yes, did you have time . Yes, it was time to think, right oksan . Was, lets see if the answers are correct. The first question sounded like this, fasting helps to reduce. The volume of the stomach, you said yes, this is really true, because the stomach, if there is a lot, and often it stretches, does not have time to contract, accordingly, if a person does not eat for some time , then the stomach begins to gradually return to to the previous volume, and this is more pronounced during periods of fasting of 3 days or more, that is , therapeutic fasting, but such an effect is present, your question is, does avocado help reduce the level of bad cholesterol, did you say no . Actually yes, because avocados contain aliic acid, which affects the ratio of good bad cholesterol. Next question do yoghurts strengthen the immune system . You said, no, in fact yes, its a known fact, there have been many such studies, but what do people use fermented milk products, including yoghurts, their immunity is higher, the incidence of colds is lower, swimming improves memory, you said yes. This is true because swimming stimulates blood flow, which largely determines our memory. Does lying down reading spoil your eyesight . No, in fact, yes , of course, and lying on your stomach, yes, lying on your stomach, ophthalmologists say that this is really a factor that leads to overstrain of the eye muscles and deterioration of vision. Chicken eggs lift your spirits, and you they said. No, theres another thing, if you eat them, one thing, if just the sight of them lifts your mood, then you should think about it, its normal , in fact, seriously, eggs really improve your mood, because the yolk of chicken eggs contains such a substance phosphatylcholine, from which the body makes several very important neurotransmitters for mood, milk. This is true, because milk fat suppresses the production of gastric juice, and accordingly, acidity decreases, nerve cells are being restored. This is generally a known fact. Did you say no . No, actually yes, because there is a big difference between repairing nerve cells and creating new nerve cells. If we are talking about new nerve cells, yes, indeed, in most cases, neurogenesis, but in an adult, almost does not occur. But restoration of damaged cells is quite possible. Cogo oil reduces the risk of cardiovascular disease, you said yes. This is really true because. It is a monounsaturated aliic acid, which has an antiinflammatory effect. Potisonny useful for vision, you said yes. Potisons are good for vision because they contain many cortinoids, which improve the function of the retina of the eyes. Does crunching in the joints always indicate problems with the knees . You said no. Well, really not, because at least your fingers might crack. This hardly indicates problems with the knees, but i will say more, even the crunching of the fingers is not. About problems with the fingers, in fact, it is a completely natural physiological reaction, this crunching, it does not mean anything bad does not lead and does not say any problems, flaxseed improves blood supply, you said yes, and you are right, because flaxseed contains biologically active substances that slow down the formation of athersclerotic plaques, you see, oksana, you answered seven questions correctly, great. Seven attempts to find a sign with the word prize, lets turn it over, oops, no, no, no, six, six left, come on, its so unfair , im shocked, and you, mikhail, six, im worried, after all, a neighbor, practically, here we go again no, and they wont bring you anything, mikhail from voskresensk, bago, now i will measure my Blood Pressure every day, if you want to know even more answers to your health question, then you can find all episodes of our program on the online platform, look at the application on the smotrim website. Ru, well find out right now what symptoms cause you to think about joint replacement. Its not for nothing that they say that everything is cyclical. Every year, as soon as the cold weather sets in, people begin to complain of pain in their joints, and especially in their knees. According to the world Healthcare Organizations more than one and a half billion people around the world suffer from various diseases of the musculoskeletal system. If treatment is not carried out, this can lead to the fact that at some point the person simply will not be able to move. And then it is possible that the only option will be joint replacement. Today our tv viewers came to our studio who want to have surgery, but cant decide. Lets find out their story. Hello, doctor. My name is tatyana, 2 years ago i had very severe pain in my knee. I am a very active person, there was sports in my life, there was dancing, at first i associated this with the fact that most likely some kind of improper load in the gym, we did an xray, and then we did an ultrasound, in the end they diagnosed it as arthrosis of the knee joint, we started treatment with an injection based on hyaluronic acid, i took a pain reliever. Which, unfortunately , i still take them, the pain is insane, its stiffness of movement, its impossible to climb the stairs get up, the doctor has now offered me knee replacement, i am very afraid of this, because this is the first operation in my life, i doubt that i will return to my life, there will be some kind of foreign body in me, what if it doesnt take root, tell me. Please, are my fears justified, and will this improve my life . Well, lets meet tatyana in our studio. Sanechka, hello, good morning, tell me, whats wrong with you . First of all, my knees started clicking strangely when i walk . Here, here i am im walking, it clicks, its somehow unclear what happened, and then tumors appeared in the knee area, i applied some painrelieving ointments, unfortunately, it didnt go away. I went to the doctor, the diagnosis was arthrosis of the knee joint of the second degree, my attending physician suggested knee replacement, well, im kind of very afraid of this, there should be some kind of rehabilitation after the operation, of course, well, this is the exception of some. Then my walks, well, listen, but lets ask the doctor what could happen if you dont to do endoprosthetics, first of all i want to know. The story of our another guest, my name is olga, i am 64 years old, i live in the city of serpukhov and have always led a very active lifestyle, a master. Of sports and the ussr in artistic gymnastics, graduated from a physical education institute, worked for 25 years as a physical education teacher, went to welldeserved rest, but recently my knees began to hurt a lot, i started using various gels, ointments, folk remedies, but they no longer went away, on the contrary , they got worse, my knees began to swell, you walked today a little more, well, im already a god, i can hardly climb the stairs , it feels as if water is pouring into these knees, they are somehow heavy, they dont bend, the doctor listened to me, took pictures and he suggested endoprosthetics, im very afraid, my reptilian brain says that you shouldnt do this, but you walk and walk, is it worth doing not endoprosthetics, can i restore my knee joints in some other way, good morning, hello, olechka, you you probably heard what we were talking about, good morning, well, almost similar, im a little determined to postpone this operation as far as possible, further in the program, why orthopedic patients are afraid to have a diseased joint replaced and to whom this operation returned an active happy life, you will learn everything firsthand, medicine helps improve cerebral circulation, memory and attention. 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Catch luck by the tail, i want to marry the tsars daughter, im sure that you are suitable for her, by the pikes command, we will bring her up to my level, soon, how to understand that an operation is urgently needed and the dangers of improper rehabilitation. After a joint replacement, we will find out from our expert. Sergey dmitrievich postnikov, traumatologistorthopedist, highest qualification categories. Good morning, good morning, good morning, well, youve probably heard a lot of stories like this, first of all , heres your opinion, when patients like these come to you, what do you Pay Attention to, complaints, of course, what worries you, how persistent they are , not persistent, that means there are, more, no, then you look at the restrictions, there are movements. Or not, well, externally, of course, there is deformation, range of motion, you look at how stable the ligamentous apparatus is, how unstable it is, xrays, if we see that arthrosis, well, unexpressed, yes, the second stage, then of course, in addition, it is necessary to do not ultrasound, first of all, but Magnetic Resonance imaging, and you did , no, you didnt offer, yes, you didnt offer, you didnt offer, but you they didnt ask, but i dont know what to do, there is, of course, an mri , based on your complaints. I think that you have arthrosis, of course, but there is such a thing as medial arthrosis, that is, damage to the internal agelojoint, we are talking about partial joint replacement, unicondylar endoprosthetics, that is when only the affected internal part changes, lets talk about those symptoms that may indicate that yes, indeed, the joint probably needs to be changed, well start with pain, yes, constant, constant pain, not relieved by any analgesics, persistent night pain, lets go further, lameness, and what kind of lameness should there be, well, the lameness is a constant plus, there is the strength of additional support, if a person has already taken a cane in his hand, that is, a person cant walk without a cane very well, yes, they accepted , lets move on, stiffness in the joint, the limitation is a significant limitation of the amplitude, how much flexion, if you already have 90 plus, yes, the flexion is. Up to 90, if a person no longer bends the knee joint, well, that is, he cant bend it that much anymore, otherwise , what hurts him, he just cant bend it further, lets move on, the curvature, it turns out that in this case we should see that it is different on one leg on the other, but this time too, and somehow it should be straight clearly visible, that is , it turns out that we have some signs, which indicate that it may be that this arthrosis is really advanced. One that may also require prosthetics, including how technically this happens, the damaged part of the cartilage is removed, part of the bone, about 9 mm is removed somewhere, on the femur, on the tibia, yeah, the endoprosthesis has a certain shape, for each the patient is an individual, it is installed on a bone cement here, such beauty appears in a person, in the knee joint, it will pop out, not you. Regarding partial prosthetics, yes this is it an implant like this well, the dentist puts in a crown, that is, the internal part is damaged, it is installed on the thigh here, like this, yeah, its bigger than the tibia, like that, such a beauty, and then theres no need to redo it for a big one, yes, it will be necessary big, here the implants are now modern highmolecular wearresistant polylene, generally the best. Such a moment to make a decision is to talk with those people who had the operation, let s start with you, yes, good morning, good morning, my name is lyubov belik , well, here i am of course ive also been getting ready for the operation for a long time, i was a little doubtful, maybe i could wait a little longer, it seemed scary and kind of expensive, in general, well, i found out that its possible to pay for compulsory medical insurance. But now that everything is behind me, so to speak, 3 years have passed, yes, well, my life in general has changed, of course, after the operation, i can say, that is, i just started an active lifestyle, took up sports, although i had never played sports at all , what they took up, well, nordic walking, table tennis, i signed up for dancing, swimming, excursions, well, i dont know, i dont sit at home, honestly, thank you very much, we have one more story, good morning, my name is ledya vasilievna, i already had an operation 10 years ago, well, im not at all i was afraid, i was happy that they offered me, because it was hellish pain, but the condition was set, since i was 130 kg, that the operation would be done only if i lost a decent amount of kilograms, so, but since i i was also waiting for the quota, in 7 months i lost 34 kg, now nordic walking, im working, i 66 years old, i work, i continue, work on my feet, uh, i go to moscow longevity, scandinavian, dancing, well, in general , an active lifestyle, thats the most important thing, happy, thats the most important thing, another story, young man, apparently an athlete, no, ill start with a brief background, ive had problems with weight since childhood, i started having foot deformity, and the doctor simply told me, heres 150 kg, he told me, you need to lose 30, well do an operation on you, ive lost weight , ill throw it off. They put me in an ankle stop, an endoprosthesis, its not scary, absolutely, on the contrary, it has made life easier, i run, jump, even do yoga, now again, this is very cool, thank you, well, yes, lets 20, lets listen, good morning, hello, i also had an operation a few years ago for endoprosthetics, all those same experiences that you had, i thought there would be some kind of alternative treatment method, just to avoid. Surgery, i was afraid of how i would feel, how i would feel, whether i would remain disabled, thats how it is everything will pass, of course, it was very, very emotional, but everything it went well, yes, at first i learned to walk again on crutches, but nothing, its a long time, how long is rehabilitation, well, i know , well, within a month, but everything is individual, i was already on crutches, i probably walked for the first days and thats all, yes, its difficult, yes, well, its worth it, believe me, because the most important thing is that now i dont have these excruciating pains, and i live a full life, they talked about sports, still sports and the swimming pool, cycling, and everything, and dancing , everything is wonderful, thanks to the doctors, thank you very much, there is a concept prehabilitation, thats when we. The story that the doctor said to lose weight before the operation, this actually belongs to the category of prehabilitation, that is, preparation, because it improves the prognosis of recovery, that is , now you will lose 1020 kg there, yes, it will reduce in some cases, rehabilitation time can be reduced by six months, yes , then the rehabilitation process begins, it naturally also has its own nuances, in fact, thats why there are rehabilitation doctors who determine the sequence for this. Stage immediately after the operation you should do this, after 2 weeks you should add this , that, that, there are developed rehabilitation protocols and its important that you didnt just do the surgery, but go swimming freely, that is, its important after all that this is rehabilitation to observe the period, of course, the operation is good, and the main thing is to get to a competent specialist by itself, but this is also a question, and the rehabilitation period begins immediately. After the operation in our clinic after 6, after 8 hours, when the spinal block is stopped, when that is surgery if you do subspinal anesthesia, but when the legs begin to work, then we already force the patients, so to speak, to sit up in bed, that is, there is no need to feel sorry for yourself after the operation, you got up and went, of course, rehabilitation is important, if you carry out the wrong rehabilitation, then even a wellperformed operation , it will go down the drain, i had the operation, took a chip, sat down on the sofa, usually in line when you go to the doctor, these are the ones who come, who i did , it hurts, well, you can also say that if you do according to the quota, then the soviets will put in for you, and if for money, then imported ones are good, well, lets start with the fact that there are no knee joints made in russia yet, there is no such thing in any case, these are rumors, these are rumors, a bad implant according to a quota, pay rubles and everything will be fine , because they say free cheese in a mousetrap, well, its true for the second mouse , of course, oh, listen, whatever they say, tell me, the compulsory medical insurance pays for the operation, that is, this is for a person, yes, its difficult to implement, well, its kind of bureaucratic , technically, this is the process, the patient comes to the clinic to see the specialist, yes, he examines, and writes down the indicated apthetics, collects all the documents and accordingly the patient stands in line, so yeah, there really is a line , given that our person walks for a very long time, until the last one, in line for joint replacement, of course, they longterm for how long six months, a year, six months and then a year and a half, some people stand, well, on the other hand, we are talking about the fact that it would be nice to prepare for surgery, in this sense, by the way, many people say, my knee hurts and how will i be there to do something, yes, there is, aqua aerobics, there is swimming, yes, that is, which on the one hand trains the muscles, on the other hand there is no weight load on the leg at all, then he is definitely muscular, because a person prepared before the operation is lighter, is being rehabilitated, the person who has never worked out, and he has to lose weight, plus a pronounced deformation, you also need to know about this, legs or an ilix wheel, but there you look at him like a karau, but he has some swinging movements, and he wants to after the operation, he danced, well, anyway in case, its up to you to decide, but you need to take care of your knees, so follow the recommendations of our doctors, thank you very much, dont be afraid, thank you very much, okay, thank you, definitely, well, today we found out what symptoms may indicate the need for endoprosthetics , and what pitfalls there are here, and the conversation about the most important thing continues right now, dr. Tatyana shapovalenka will tell you what signs indicate a violation of cerebral circulation, stay with us, in the zone our body reacts more strongly to weather changes and needs support, so always have the famous balm gel from the number one selling brand in pharmacies horsepower at the ready. It is able to relax muscles and also has a relaxing effect on joints, lower back, elbows, and cervical spine. Always have horsepower balm gel ready. Next on the program womens health, forgetful. Fatigue, pain, what s going on with my head and how can i help myself . Hiv may not manifest itself for a long time, determine your hiv status, you can only get tested, find out more on oospd. Andrey, where are you going, i cant do it without you, dr. Krasnov, today at 21 20, songs from the bottom of my heart. Only this sunday at 16 50 on the russia channel. Our sales were purchased at the new ozone sale. Sale for two wonderful purchases. I completely agree. Sale. Hurry up mayba dish gel for 479. 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And ostrich wings, upward movement, on saturday at 23 20, mass shawarma poisoning across the country, where and how deadly shawarma is prepared, how rotten meat turns into fresh and ends up on our plates, we conducted our own investigation and found the criminal trail of blacks traders, and also made test purchases of popular dishes and sent them to laboratory, shocking results in our program, malakhov, today at 16 30 on the russia channel, the medicine ginkaum helps improve cerebral circulation, attention memory, helps eliminate headaches , vinka mind is half the price of its analogue, good morning, hello, headache, tinnitus , dizziness, memory, impairment in old age, but in people of average attention, increased fatigue, these symptoms are recorded not only in older people and even in young people, all these symptoms may indicate insufficiency cerebral circulation, how to prevent it, we will talk about this today, but first, lets find out the story of our guest today, elena. Hello, my name is. And i have been doing Nail Services for more than 20 years, i have my own beauty salon and i keep my own accounting records, but lately i noticed that i am not submitting all documents to the tax office on time, i have become forgetful, i have pain, it hurts headache often, i get very tired, i dont understand at all what is happening, where it comes from, what it is and i would like to deal with it figure out. Elena, today we are in the studio, please come to us. Elena, good morning. Hello. Elena, please tell me how long ago you started noticing symptoms . I probably noticed them about two years ago. Forgetfulness, headache, what else . Fatigue, lethargy, noise. Appears and was there for a while, probably for several days. How do you react to the weather . It happens sometimes, its just really bad, you feel sick. How do you usually deal with these types of symptoms . Into silence, close the windows, and that is isolate yourself, isolate yourself from everyone and withdraw into yourself. You know, all these symptoms, deterioration of cognitive functions, absentmindedness, memory impairment, forgetfulness, weather dependence , fatigue, headaches, dizziness, tinnitus, sleep problems, quite often accompany this, they all indicate a disorder blood supply to the brain, they may be a harbinger of the development of more serious symptoms. What happens when there is cerebrovascular insufficiency . First of all, this is a violation of microcirculation and less and less blood reaches our brain cells. Brain cells, as the most bloodsupplied ones, begin to experience hypoxia or lack of oxygen, and against the background of this hypoxia, some neurons begin to slowly. Reduce function and die, lets see how this happens, if the plants are watered, fed, they will be like this its beautiful to spike , have a bright green color, and if we forget, then unfortunately, we will soon see such wilted leaves, the same thing happens to our brain, as soon as the brain does not receive enough oxygen, then negative processes begin accordingly, at the beginning of the disease. Really general symptoms , but over time, long enough, this can lead to more profound memory impairment, a more profound disorder, to dementia, to strokes, from strokes, to currently , more than 400,000 people suffer annually in russia, and 35 of them remain deeply disabled or die in the early stages of stroke development, the symptoms are quite severe. Those at risk are those whose relatives have the disorder cerebral circulation, then bish, there were strokes in the family, or there were phenomena of dementia in older people, in order to talk in more detail, i want to invite a doctor, an expert, to the studio. Elena igorevna korshun, general practitioner, cardiologist, geriatrician, nutritionist, candidate of medicine. Expert in the field of complementary and predictive medicine. Elena igorevna, good morning, good morning. Elena igorevna, please tell me who is primarily susceptible to such symptoms . These are people over 45 years of age who have diseases such as atherosclerosis, hypertension, diabetes mellitus, varicose veins of the lower extremities, also people who are prone to blood clots, these are people who lead a sedentary lifestyle, and who have a little excess. Weight, also smoking, chronic stress, overload, emotional stress , alcohol, all this leads to impaired cerebral circulation. Elena, do you think you are at risk . Yes, of course, what to do . We always recommend in our columns, of course, to start with normalizing nutrition, with diet. There must be products rich in polyunsaturated fatty acids. First of all, this is lowfat fish, it is whole grain. Yeah, all the products you listed improve intestinal motility due to this, excess cholesterol is eliminated, so its really extremely important to consume it in the proper amount, in addition to this , of course, vegetable oil, which we always talk about, is probably the most important source of fatty acids , and of course, from program to program we talk about protein, more protein this is lean meat and poultry, lowfat Dairy Products and of course egg whites, also do not. Reduce the consumption of foods that contain cholesterol and animal fats , for example, pork, sausages, lard, cheese, butter, less simple carbohydrates, sweets, baked goods, confectionery, everything this is stored as fat, unfortunately it increases cholesterol levels, this is my favorite topic, moderate physical activity, nordic walking, swimming, cycling, just walking, just walking, just listen elena. Moderate physical activity reduces the risk of developing dementia in older age by more than 50 . I also advise you to start taking natural remedies, for example, those that contain gincobeloba plant extract. Ginkabeloba is the oldest tree, whose history began in the mesozoic era. The species has existed unchanged for more than 270 million years. In fact, this tree is a living fossil. Ginkabelobas homeland is china. Accordingly, ginkalob was found. Used in traditional chinese medicine for many centuries, but when it comes to any means of chinese medicine, western authors usually say that they have been used for hundreds of years for many diseases, but there is no Scientific Evidence base. Gin coloboba is an exception, it has a fairly large evidence base, it is one of the most studied, widespread and sold herbal remedies in the world. Whats so special about it . The point is that the composition. The tract includes dozens of biologically active substances, but it is believed that the therapeutic effect is caused primarily by flavonoids and terpene lactones, but their content depends on the place, time, collection, as well as the stage of plant growth, so the extract is standardized, it must contain at least 24 lavone glycosites and at least 5 terpene lactones; ginkabiloba extract improves cerebral circulation. And increases the resistance of brain tissue and hypoxia, improves blood rheology, viscosity , fluidity, slows down platelet aggregation, that is, prevents thrombus formation, therefore the extract beloob acts in three directions first, improves memory, attention, intellectual abilities at any age, the second reduces the frequency and severity of reactions after a change in weather conditions, that is, it eliminates headaches, yes, weather dependence, thats right, that is, it reduces headaches, reduces tinnitus, dizziness, and also normalizes Blood Pressure, that is, it removes these pressure surges , protects against the formation of blood clots, thereby reducing the risk of strokes, but of course, you need to understand that natural. Childhood medications do not help instantly. The first signs of the effectiveness of this technique begin appear no earlier than a month later, and in general the course of treatment is at least 3 months, especially for elderly patients. Where can you buy a product with gincobilob extract, and what are the best criteria for choosing them . You need to buy such products at a pharmacy and be sure to note that the following products based on gincabeb extract must be registered as a medicine. Unlike food additives, it is in medicines that a special highly purified, standardized extract is used in the correct therapeutic dosage, which contains the required amount of active substances. Only a standardized extract has a therapeutic effect, clinically proven, also Pay Attention to the dosage the daily dosage of gincobiloba extract is 240 mg per day, so it will be more convenient to choose a drug with a higher content of extract in a capsule or tablet. When choosing a medicine based on gincabeb, you should give preference to wellknown russian manufacturers who have many years of experience working with natural remedies. At in this case, when compared with imported products, they are similar in effect , quality and composition, but are much more profitable in price. Thanks a lot. Elena, thank you very much for coming to us, i hope that we answered all your questions. Yes, thank you very much. Elena igorevna, thank you very much for being with us. Ginkaum is a Natural Medicine from the valar company, it contains highly purified, standardized ginkabeloba extract. Ginkaum improves cerebral circulation, memory, attention, and eliminates headaches. Ginkoum is half the price of its analogue. Take care of your health, do not ignore the earliest symptoms of cerebrovascular insufficiency in time, take action, we wish you a good day and a great mood, be healthy, there was a program with you about the most important things. The russian tv channel is broadcasting news, i welcome all viewers, i am maria sittel. Hello, the outskirts of the kremensky forest, then the road will go only through forest clearings, our assault groups are confidently advancing in the userebryansky forestry area. On the left bank of the dnieper, artillery works closely with drones