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And for walks in the fresh air in the cool season. Call to order a universal leopard suit for only 1,990 rubles. And if you call and place an order right away, you will receive universal breeze trousers absolutely free. They are ideal both for home and for walks in the warm season. But thats not all. Call right now to find out how to get comfort sneakers as a gift. Good morning, says dr. Pesyakov, showing, we are starting a program about the most important thing, that is, about our health, well, you know how we have either an International Smile day, or an International Day there, not smiles and something else, so today it turns out that its international porridge day, i wouldnt mention it, firstly, ive already eaten my porridge in the morning, theres a lot of it in the morning, and secondly , an expert will come to us who will tell us about these porridges, but in reality it wont be only about porridge, there will be. Many interesting things for you, watch us, it will be informative, it will be interesting, lets start , today in the program about the most important thing, buckwheat, oatmeal and semolina, the most popular porridges, how to cook buckwheat, which will increase hemoglobin levels, which oatmeal is the healthiest, and what can you add to your porridge to help you lose weight . For the majority of the population. You cant spoil it, but you can fry lard, you can, i did that this morning, how beneficial physical activity is for hypertensive patients, and how gmo products affect the development of cancer, questions from the doctor, Alexander Myasnikov asks, you answer, and they scared you, yes, so that they wouldnt touch anything, but you touched, no, agerelated. Ocular degeneration, one of the main reasons for the development of blindness, how our gadgets affect its development nutrition, and what simple home test will help you understand whether you have such an eye disease, if you are overweight, love change, then you have to go shoot yourself for 50 years, then there is, well, i would say, a disaster, crumbly buckwheat, satisfying oatmeal, no. Semolina, today is international porridge day, we decided to talk about the most popular cereals in our country. It turns out that we dont know a lot about them, for example, how to cook. Porridge that will help you lose weight, how buckwheat actually affects hemoglobin levels, lets look into interesting facts and statements about porridge together with our regular expert, candidate of biological sciences. And our viewers in the studio are right now trying green buckwheat porridge, it is believed that it is much healthier than the usual brown one, is this really true, how tasty is it, we will find out at the end rubrics well, its nice to talk about porridge, i never liked it until a certain age, but now i cant imagine breakfast without porridge at all, and its delicious, if you eat the right porridge in the right quantity, then its easy to last until the evening, lets start, lets , well, oatmeal is considered the healthiest thing, cardiologists recommend oatmeal , right here. It recommends, at one time i thought that it was terribly high in calories, it turned out that if it is in water, and without sugar and without milk, then 71 calories per 100 g, well, we usually cant deny yourself sweets in milk, and the main thing is that, you know, right here, yes, its definitely sweet in milk, because i dont eat such a sweet taste, the oatmeal should be such that its enough to tear through, oatmeal sir, oatmeal, in fact, in order for proteins to be absorbed, you need to add either fat or milk. Porridge is not meant to be digested. Porridge, so that it goes in here and comes out there, cleansing the whole body, is the most useful, because in every case the most useful thing is fiber, vegetable proteins, of course, fiber and so on, but in fact this porridge is for those who are for they take care of their health, they cook the cereal themselves, i know people who just take oats and skip them every day before eating. This is the right thing, and the most wrong thing to do is buy instant oatmeal, it s written here, in there are no useful things in instant oatmeal, in my opinion, no. Well, what do you mean there are no useful things, if you need energy, that means you cant eat a piece of sugar, yes you can, were talking about porridge for weight loss and porridge as a healthy product if we really want to fight for Healthy Lifestyle, then you need to Pay Attention to proper preparation, the point is that in order for cereals to be healthy, they need to be cooked minimally, and for this they can simply be soaked, this is one of the ways, that is, the cereals are soaked overnight , and then boil for 5 minutes, but in fact this only applies to cereals that require overnight soaking, if you have rolled oats, yes, but there is a quick way. When preparing cereals, as well as peas, you can add a small amount of soda and the porridge will be softened much faster, including peas, which by the way are also high in energy, contain a lot of protein, are useful, most diets based on porridge do not take into account the need to add oil, the basis of the benefits is not only fiber , which cleanses, allows microorganisms to be on this fiber and produce. The various vitamins we need and extract microelements from food, but they allow you to obtain proteins, which is very important, because dietary restriction should slow down the movement through the intestines, give you a feeling of fullness, and for this you need to achieve in order for the protein to be absorbed, you will need butter for this; you wont spoil it with butter, the majority of the population in our country, 75 , can. Use milk for this, but 25 suffer from milk intolerance, in this case, if you like animal fat, then you can add butter, a small amount, or you can fry lard, you can, i did this this morning, its so good , porridge lovers tell us , im just drawing your attention, but baked porridge with lard or buckwheat porridge, buckwheat porridge is amazing. Here you can eat it with everything, with sugar, with milk, garlic, but i love it, i love it with mushrooms, for example, its very good , the best, with stew, here you dump two cans of stew, yes, a lot, i mix it, no, well, two is okay, and yes, here is a Healthy Lifestyle with porridge, imagine what it has come to, lets still Pay Attention to. It was connected with some mythology, the fact is that its true. Look, oatmeal and semolina do not differ in calorie content, this one has 80 calories, that one has 70, but the simple fact is that it has a glycemic the jump index is colossal , exactly the same as that of white bread or sugar, i dont remember the glycemic index of oatmeal, lets say 50, lets say 50, 55, 45, this one has 100, like sugar, thats why . This is a direct risk for diabetes, obesity, and, as a consequence, heart cancer, but if a person has been in a depressed state for a long time without food, then you need to, on the contrary, lift him up, yes, well, i dont know, he suffered from anorexia, for example, then probably Something Like this porridge can be healthy, but eat this porridge and feed it to children, because my grandmother fed me, this is definitely not our method, what does it mean that its just starch. Its just starch, so theres no point in eating it, buckwheat porridge is traditionally, well, ours, although in fact the plant is called tatarian buckwheat, the plant is quite interesting, grows in many regions, is a traditional crop, for example for japan, because the japanese , there are like even fairy tales triangular dream, for example, and others that are dedicated to this product, because well. If you looked at it, it is a pyramid, buckwheat porridge contains about 85 calories, it is actually good for diabetics, it contains something useful for diabetics, but as for restoring iron, iron is not absorbed into buckwheat porridge, unfortunately, but dont do something, no, well, if you overcook it with the liver raw, then of course, then the liver will go away, but from a vegetable vegetable, as is often recommended for such purposes, only in green form in the form of sprouts, but you can only eat it in a salad, because, at least many claim the benefits of green buckwheat, it can be useful, but the problem is that, lets say, its not very familiar to us, its green, yes, but if you add it sprouted to a salad, despite its harshness, its a little bit more edible, but useful things are like, excuse me, i understand everything, one, two, three. In all the porridge with condensed milk, did you make it . I still wanted meat, of course, of course , i have a voracious taste in shoorka, well, what can i do, many people still like sweet porridge in the morning, but mostly, of course, they give it to children, although many older people, for some reason, also begin to not feel sugar, they begin to consume it in excess, but now it should also be noted that many go on monodiets, buckwheat monodiets. There are oatmeal monodiet and others, unfortunately, such monodiets can result in very serious harm to health, why, firstly, if the porridge was stored incorrectly, and one of the useful things there is proteins, then when it is stored longer than it should be, these proteins are oxidized, they become toxic to humans, you mean in cereals, yes, therefore, vacuum packaging, here. For a diet, is a must, and you cannot save money if you are on some kind of monodiet, among other things, not a single doctor will make a monodiet without some additives that will allow you to adjust, because any from these porridges, it adds something, but takes something away, in fact, eat porridge, its a good thing, as an independent thing, by the way , its a wonderful side dish, buckwheat is a wonderful side dish, where you can go on a diet, buckwheat with dumplings, buckwheat with pasta, okay, we are what we eat, therefore, we need to eat carefully and carefully, then everything will be fine, then , how good is physical activity for hypertensive patients, and how do gmo foods affect the development of cancer, questions from the doctor, alexander myasnyakov asks, are you . 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Time for the section, questions from the doctor, we ask questions to you, you answer or dont answer, whoever watches our programs knows what were talking about, who is ready to come out here and answer my questions. Lets go. Good morning, whats your name . Hello, my name is christina. I dont even ask what you do, probably after school somewhere, right . Ive already trained as a designer, but interior designer, well done, come on, lets twist it, christina, well, if you touch a toad with your hands, warts will grow, that scared me as a child. And no, well, thats right, borodovsky is still a viral, viral disease , the human papillomavirus, well, yes, and that in your childhood, my childhood, they scared you, and they scared you, yes, so as not to touch, but you touched, no, so that did you touch the toad with your hands, no, but you saw it, no, who hasnt seen the toad yet . If you come to filming, ill bring a toad for you, ill show it to everyone, and when you come, ill make you touch it, and then well look at the toad, okay, hypertensive, these are people who have high Blood Pressure, you can do physical activity, well, if their pressure rises quickly, and if physically. They accelerate the blood, not always linearly, its so connected, christina, but hes thinking its fast, thank you, of course, its possible and necessary, a hypertensive person who doesnt do physical activity, he only worsens the situation, his blood vessels are unadapted, its clear that well let you wait for the barbell if you have untreated hypertension, well, thats probably wrong , at least it happens, gmo products increases the risk of developing cancer . I dont know, we all dont know, well, lets talk about it, gmo products, we all dont like gmos, yes, it s gmo, we dont like it, thats what it is, and it also causes cancer, but he wants to say that yes , on the other hand, they would call, they wouldnt be sold, write the answer, someone says student of what design university, well, you think pretty well, come here, thank you, ill give you all three keys to the three correct answers, torment me in the next program, yes, good, what unfortunate people you are, you live in the world, not even i saw a toad, i say smart, and also lucky, so i could choose, but what do you recommend . The designer should take the mug, then ill take the mug, thank you, well done, thank you very much, thank you, please take a seat, do you want to review us, this is a platform, look at the application or website, smrim. Ru, we move on, usually we see the world is like this, but we can begin to see differently. Like this, and then like this, pitch darkness. This occurs due to agerelated Macular Degeneration. You may not even have heard of such a disease, but it is the main cause of blindness throughout the world. And doctors are sounding the alarm. It began to develop more and more often in people. What causes agerelated Macular Degeneration . Who is especially at risk for this eye disease . Can it make you blind . What to do to protect yourself and what examinations to undergo in order to suspect the development of Macular Degeneration in time. Our permanent expert, an ophthalmologist, will answer these questions right now. Gergana stoyanova, well, gergan, tell me, we had similar topics, but we know that people do not always lose relevance, but the actual prevalence of this disease. Surprises ophthalmologists, currently more than 15 Million People are sick in russia, more than 17 million in the world, this is over 75 years old, well then is karol the second . Well, we can say that practically yes, there are 170 million patients in the world, and about 3 million patients have disabilities due to this disease, what is agerelated mocular degeneration or dystrophy, its the same thing, its a disease, chronic, progressive, at which it occurs changes in the central zone of the retina, the so called macular zone, it is destroyed. In this regard, the central vision in our patients changes. The disease always affects both eyes, but asymmetrically, one eye suffers, usually more severely than the other in our patients. There are many reasons, but the most important thing is age. The macular area is mainly affected in women over 75 years of age, unfortunately, in women over 50 years of age. Years , the risk of developing the disease in only 2 of the population, in 75 40 of the population have a risk that they will have this disease. On the second in place i would put heredity; today we already have information that there are more than 50 genes that cause defects that are caused by the presence of this disease. We have such spiders about interesting, wellprepared, in third place i would put smoking, but giving up this bad habit significantly reduces the likelihood of developing the disease in patients. The next proven factor is being overweight, eating fatty foods, and having excess cholesterol levels, what do i like about all of this . That it doesnt take much intelligence to remember risk factors for increased degeneration, atherosclerosis, heart attack, prostate cancer, parkinsons disease, diabetes, and so on, that heredity, obesity, high cholesterol, consumption of excess fat, simple carbohydrates, excess, smoking, age, everything the same thing, it seems that now, if you are full, you love change. If you live under the sun, then at the age of 50 you should just go shoot yourself, because you will get something out of all this, something will happen, but its better if it doesnt happen, so some factors can be limited, you can pull yourself together a little, eat less fatty foods, play more sports, protect yourself from insolation, just the combination of these facts with a genetic predisposition in patients really significantly. Increase the likelihood of this disease occurring, the disease is very unpleasant, why . There are several forms of the disease, i will tell you briefly, but at the initial stage, this is the socalled dry form, it goes away for a long time without pain and practically asymptomatic, patients have a slight decrease in vision, it cannot be corrected with glasses, they constantly feel discomfort when reading, they want more light, it is difficult for them to read at dusk, but as a rule, this does not bother them much, one form of the disease can last a long time stop at this level, fortunately in 90 of patients this is the socalled dry form, people do not go blind, they lose the ability to count relatively, not as well as in healthy patients, but there are no dark ones. And there is no such largescale decrease in central vision, unfortunately, this form at any stage can transform into a wet or edematous form, why does this happen, we know that the retina is the most bloodsupplied tissue, thats when the destruction of photoreceptors of retinal cells, due to lack of oxygen, begins the process of stimulating the growth of newly formed. But these vessels are defective, they have fragile walls, fluid leaks through them, swelling occurs, then a, well, i would say a disaster occurs, because the patients central vision is well lose literally in a few months, they first have a distortion of straight lines, they look at the sentences, they see the edge pieces there in the sentence, and the central zone falls out, gradually gray and black spots appear in the field of vision, unfortunately, this is the form that leads to disability if not treated in time. Both forms of Life Expectancy can end in the otrophic stage, the socalled, well, in which there are already persistent changes in central vision. Next, what examinations can you see an ophthalmologist in order to suspect the development of agerelated mucular degeneration in time, and what home test can help check this right now . Alternately , the eye closes and holds on. This cell is at a distance of 30 cm, they observed changes in distortion when viruses attack, viferon, it helps block the virus and restore immunity, for children from the first days of life, adults and the elderly, viferon 25 years of trust, come on, all together, this alien, its a ufo, on friday at 21 30, and if you want it yourself immerse yourself in the atmosphere of the show, meet new voices from russia in. Helps fight the runny nose at an affordable price, and renastop is double help, promotes gentle restoration of the mucous membrane, for each there is a renastop. 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They dont get rid of weight, i would start with a friend, the first thing i have to remember a patient aged 45 years, whose parents or siblings have this disease in heredity, he is 45 years old must definitely contact an ophthalmologist, undergo a full examination, during the examination he should not only have his vision checked, but also have an optical coherence test tomography is a way to obtain intravital. Histological examination at a very early stage of the disease to detect certain changes that, if these rules are followed, can preserve the patients vision for quite a long time, but if the patient is late and has already come with complaints of line distortion , and here selfcontrol is very important, or the diagnosis is like this , well tell you now, an assistant carries it out, it s elementary. Do it at home, take this piece of paper, alternately close the eye, hold on to this cell at a distance of 30 cm, you look at the black dot on the line and Pay Attention to whether these lines are distorted, whether the shape of the squares changes, whether there are any gray spots, make a sketch, compare it with subsequent research, by the way, we have questions from the audience, lets we will ask them, patient, good morning doctor. I wanted to ask, my son spends a lot of time on the computer, on the smartphone, and how do gadgets affect the development of this disease, do they have an effect . Obviously, your son is not yet 45 plus, so the likelihood of Macular Degeneration may not be directly related to gadgets , this is unambiguous, there is no evidence base, but excessive time spent on computers in young patients. Leads to the development of other problems, but this is not related, well, to agerelated Macular Degeneration, thank you, also, good morning, doctor, i once saw a program where you said that there is effective gymnastics for the eyes, how much it helps to protect against this disease, well, honestly, gymnastics does not help at all against this disease. This the most bloodsupplied organ in the body, more than the kidneys, more than the heart, this small piece of the retina of the eye, and this is a small piece of the brain, well, yes, it is, so to speak, unfortunately, with physical exercise we cannot boost our brains, we need to take care of this blood flow, how we disrupt blood flow, we know, food, cholesterol, sugar, obesity, sedentary lifestyle, so helping the vessels protect against heart attack or stroke, the same thing, it works against this degeneration, that is, at the start of the vascular bed , this area itself brain, which is actually a detector of everything that we see, we have a guest , he came with his question, tell me, andrey korodkov, 56 years old, moscow, a successful entrepreneur, raising a daughter, life goes on as usual, but every year in it there is more and more fear, for 6 years now, andrey is afraid of going blind, diagnosis. Generative changes, stretching of the retina against the background of apparently both age and longterm hypertension, i feel every year approximately that my vision is changing, falling, i dont understand at all what awaits me ahead, what if i go blind, now the man wears two pairs of glasses, one constantly, the other for reading, while his vision is rapidly deteriorating, glasses have to be changed often, the man turned to doctors asking what to do to slow down the loss of vision, but received no answers, his. The only hope is to ask our expert the same question. Can i solve this problem in some surgical way to restore my vision to 100 . If such techniques do not exist, can i somehow at least slow down this process so that vision does not deteriorate anymore. Good afternoon, doctor, my eyesight began to deteriorate about six years ago, i am now 56 years old, and about 6 years ago i realized that i was experiencing discomfort. While reading, and i went to the ophthalmologist, they checked my eyesight, measured my eye pressure, the pressure seemed to be normal, but they said that it was agerelated degeneration, and they simply prescribed glasses plus one, this was 6 years ago, during this period to today i have already changed the diopters in my glasses many times, but today i have a distance, that is , a tv in the distance is plus one, but for reading 2. 5 and i feel that it is getting worse literally every year , i have a question is there such a technique to quickly restore vision, and if there is no such technique, then at least somehow stop this process, slow it down, you have rather, there are two problems, one is related to refraction , you are a hypermetrope, a farsighted person, so over the course of several years your vision has progressed, plus glasses appeared for both distance and reading, this problem can be solved. The second problem is Macular Degeneration. This a completely parallel disease. Unfortunately, this disease you have is obviously a dry form, it does not begin acutely, as a rule, this is a godsend, if a patient goes to an ophthalmologist for another reason, the ophthalmologist does such a thorough examination, we are now as a rule according to the standards of patients aged 50 years, we definitely carry out optical coherence tomography, the first changes are recorded, it is important that you repeat this study at least once a year, if there are changes, then you should receive replacement therapy, i must say, not a single drug has been approved for the treatment or prevention of agerelated Macular Degeneration, and all our prescriptions , so to speak, are advisory in nature, it is good to take these Dietary Supplements, but you need to take Dietary Supplements that contain a sufficient amount of these carotenoids, lutein, zeaxanthin, zinc, copper, there are many drugs, you can. These drugs for 23 months, then patients take a break, but this , of course, is implausible, because this is replacement therapy, we need it constantly, now you will ask us what is the result, translate it into russian for you, that the doctor is polite, if possible, he said, there is no medicine, for the dry form, there is no medicine for the dry form, whats the point, come out, stop, you need to radically change your lifestyle, because things will go badly, this is how we treat a stroke, how we can treat it, you just sit and wait , fate will determine you there either there, but you can prevent it, and here, when it comes in wet form, there is already swelling and so on, but you already know how to heart disease, heart failure, that is, we are already treating the symptoms, but this also cannot really change anything, here is the wet form, although it is more aggressive. We have the results, well, we examined 15 patients, and in 11 patients no pathological changes were detected, and in four of them , distortion changes were observed, the patients complained of distortion, line unevenness, you know who we are talking about, but you were there, we talked to the doctor, which means you need to go to the doctor, we are actually saying, before the appearance of symptoms 45 plus, to the eye doctor, symptoms have appeared, especially to the doctor, understand in what light you are, because you need to be attentive to your health, then everything will be fine with us, time for the section questions to the doctor, raise your hands, ask questions, i will answer, good morning, doctor, and this question is, with type 2 diabetes mellitus, on insulin, how best to eat, in small, frequent portions, or still adhere to the new fashionable trend, interval cooling from 6 to 18, you know, i uh, if a person who has been a diabetic for a long time, why has he been on insulin for a long time, although this is not an insulindependent form, then let s leave the new trend, but for the young, they still have to live, to make their own problems, we have a timeproven diet. This is a standard diet recognized all over the world, by endocrinologists all over the world, with a maximum of 1,800 calories per day, with an increase in intervals, all this is written down , there is no need to look for goodness, goodness, thank you, good morning, doctor, i have a very worried question, is there is there a difference in symptoms of heart attack in women and men, this question worries me very much, because my dad died. From a heart attack, so its kind of an interesting question, but the fact is that with men, after all, well, we are such honest people, yes, as it is, it is, it hurts us, we stop, our chest compresses, then we dont open there is not enough air, of course, in women very often in half of the cases the symptoms are erased, here they are aching and aching, or somehow she is tired, somehow she cannot do something, that is, it is so clear that at one time, as a graduate student at the cardiology center, i there are a lot of women, well, there are no clear symptoms, he said, well, you dont have anything , well then we couldnt really check, there were no enzymes, many years later in america, already working as a receptionist. At rest, the serum died out, like that its a woman, but there is nothing there that you can let go of, no, if you did something unclear, they leave you and give you an enzyme every 8 hours, they did it three times in a day, its okay to go, you cant let go like that , i suddenly began to notice that i had many women who, well, she she says, well, something is somehow wrong with her, well, its not right, i would let her go, but according to the law i m leaving her, and she has a heart attack, and she has a heart attack, and she has a heart attack, and then i i really reconsidered it. And then there were works and even a few years ago there was a congress of cardiologists in paris, specifically women and heart attacks, where they emphasized that up to 45 of women show completely different symptoms, or there are practically none, but its interesting, there was also there, there was an article, after that it was published that women asked them, gave symptoms and said if your my husband , these are the symptoms , what are they . , doctor, good, my name is raisa, im 64 years old, i had big problems with my kidneys , now i have one kidney, the second one is no longer functioning, often in tests, there is blood in the urine, thats it. Sand, then not sand, they say, it seems to go away later, what could it be, i can only understand what you have some kind of difficult situation, complicated, this is not a situation like brush it off, this is chronic pelvic pain syndrome, you have a really difficult situation, well, serious, directly affecting your health, you need to understand it, because as you say, it s nothing to me i dont understand, i understand, something bad is happening there, hence the advice, contact a competent doctor who will deal with you and who will explain all this to you, its normal, ill repeat it again, an abnormal person who suddenly lost the function of one kidney, who has blood in urine, in which it is not clear what is happening, she does not understand what is happening to her , does not know her diagnosis, does not know at all what to monitor and what to do, this is basically abnormal, yes, yes, so come on, go find out , this was the section ask the doctor and answered your questions, and i wish everyone good health. 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Our business is your support, every time i cry, its very hard to remember, i went into my house, sat down in the hallway on the floor and said, i ll stay here, the military had to be made aware that animals are simply dying there, very badly. The main thing is that we dont abandon our people together, from monday to thursday, at 15 00 on the russia channel, good morning, hello, pain in the back and joints is probably the most common symptom that forces patients to see a doctor, this one. Symptom significantly reduces the quality of our lives, but unfortunately, patients turn to the doctor only when this pain becomes unbearable, how to deal with pain without causing harm to the body, we will talk about this today, our tv viewer elena contacted us, lets get to know her story, good morning , program about the most important thing, my name is elena, i have been working as an accountant for many years, naturally the work is sedentary, so i want to tell you about my problem. I had a curvature of the spine as a child, but it somehow made me didnt bother me, but 10 years ago i developed a nagging pain in my back, from the lower ribs to the lower back, the pain intensifies when bending over, when sitting for a long time, when walking, in the morning i wake up with a morning feeling of morning stiffness, this is when my back feels like wood, i have there are often exacerbations, i took pills, they helped me with pain relief. But my stomach began to hurt, the doctors diagnosed gastritis, heres the doctor, i want to ask you how i should be treated, what can you advise me, tell me . Elena, in our studio, please come to us, elena, good morning, good morning, good morning, elena, please tell me, have you been to the doctor, have you been diagnosed . Yes, let it be, they gave me some recommendations, they helped me, painkillers, i took them, but how long ago . You actually started having pain 10 years ago, but why dont you want to continue taking the pills if it helps . Well , because the pills made my stomach hurt, i also went to the doctor, i was diagnosed with gastritis, almost 90 out of 100 people experience pain at some point in the back, so the First Commandment is , of course, to establish the reason why the pain syndrome occurs. There are certain factors that provoke these back pains, first of all, a less active lifestyle, the joint lives when you move, when you provide it with the proper amount of movement, the spine is the same joints, sedentary work, physical. Overload, for example, working with heavy weights or working in a certain body position, for example, bending over, excess weight is a factor that is really a predictor of many diseases, but above all back pain. Elen, how many of the listed factors can you attribute to yourself, well, almost all of them, quite often the uncontrolled use of hysteroidal antiinflammatory drugs causes discomfort and pain in the stomach, how can it be. In the back, in the joints, i would like to invite you to this conversation with a medical expert. Alexey leonidovich khukharev, general practitioner, candidate of medical sciences. Alexey leonidovich, good morning, please tell me what elena is doing wrong, how can we help her . Effective and it is possible to safely cope with pain, first of all, when we manage to establish the provoking factor, when we Start Talking about chronic back pain, their treatment, we must first of all take into account any possible concomitant diseases , remove the provoking factors. Elena, here is a Typical Office chair, please sit in it comfortably . No, i have Something Like this at work, its very inconvenient. It is precisely after sitting in such a chair that pain in the back will occur. Therefore, my friends, the correct landing is the key to a healthy back. It really needs some support. There was a sufficiently high backrest under the lower back, the backrest was appropriately inclined and so that your maximum body weight was distributed in this chair, including the load on the backrest on the seat, and even if you have the right chair, you still have to changing your posture, bags are an integral part of life, probably for any woman; the optimal thing, of course, is a backpack, that is, when you carry all your purchases on your back, and when your straps are pulled up high enough, but the whole a package of groceries will not fit in such a backpack, if the bag is at least more than 2 kg, if you carry it in one hand, you will inevitably begin to sway, accordingly, then distribute the weight evenly in both hands and try, when you walk with bags, to carry they are maximally at the level of the hips, with a straight back, the first is to distribute the load evenly on both sides, the second is to hold. Beautiful posture, look proudly forward, that is, by the way, elen, if you want to place them, you still need to try not to crouch or bend over, but were putting the bags down ill calmly bend my knees, respectively, if were cleaning the house, its advisable that the vacuum cleaner has a long enough pipe, the mop has a long enough stick so that you dont have to do it crouched down, well, elena, how much do you weigh 85, with your height , meter 67, you are overweight, a kilogram is an extra load on your spine and joints, let it not spoil you at all, but nevertheless you must remember that, unfortunately, there is no such thing as healthy excess weight. I really hope that elena will take advantage of all your recommendations that are very useful, but what to do in emergency cases when you cannot do without painkillers . Yes, you need to understand that nonsteroidal antiinflammatory drugs are still different, they naturally differ in safety, so when we select a specific. Drug, we must take into account all the characteristics of the patients body, and of course, taking internal steroidal antiinflammatory drugs the drug also has negative effects on the body, this is primarily a negative effect on the mucous membrane of the gastrointestinal tract, the mucous membrane of the stomach, and this can be inflammation of the mucous membrane, it can also be the formation of erosion and the formation of ulcers , which lead to flatulence, bloating and. Unfortunately, sometimes even bleeding from the gastrointestinal tract, which is a deadly complication. Yes, the fact is that many of these drugs reduce the ability of platelets to stick together, so when bleeding occurs, it lasts longer than without these, that is, they also thin the blood additionally, yes, well of course, all nonsteroidal antiinflammatory drugs have both hepatotoxic and nephrotoxic effects, that is, a negative negative effect on the liver and kidneys, these drugs also have the ability to raise Blood Pressure due to their effect on the kidneys, what to do, how to relieve pain, but minimize all these side effects, nonsteroidal and antiinflammatory drugs come with varying degrees of selectivity, respectively, and their negative effects on the body will also be different selective agents have a Better Safety profile for the gastrointestinal tract compared to nonselective ones. To reduce pain, you can use local agents, for example, in the form of a gel; such agents have virtually no systemic effect on our body. And accordingly have a low risk of developing adverse reactions. Well, you need to understand that these remedies are still not absolutely safe; in the case of frequent use of such local remedies, they can nevertheless cause the same side effects, just like the pills. Therefore, when choosing local remedies, it is also important to take into account their selective action , especially if there is a concomitant disease of the stomach, that is , a selective remedy has a lower risk of developing side effects. On the side of the gastrointestinal tract compared to nonselective ones, lets imagine that we have an area of ​​pain , inflammation, inflammation, lets take a look at how a selective topical gel product works. Yes, due to the gel form, the product penetrates into tissues exactly the lesion, and due to the selective action, an analgesic and antiinflammatory effect can be achieved, well, all this is natural with a higher level of safety from the gastrointestinal tract. What is good about the product in gel form . The product in the form of a gel quickly penetrates through the upper layers of the skin, penetrates deeply enough and, accordingly , affects the source of the pain syndrome. Among other things, the gel is absorbed quite quickly, unlike ointment products, it does not leave any marks on the skin or clothes. Such drugs, for example, based on meloxicam, can be used for pain in the neck, lower back, large and. Joints, as well as manifestations of osteoarthritis. Elena, i suggest you take a small amount of gel, try it on your hand, well , there is practically no smell at all, it is absorbed well, not sticky, yes, good, indeed. Elena, thank you very much for coming to us, i really hope that our advice will help you and you will not suffer from back pain. Thank you, alexey leonidovich, thank you for being with us today. Amylataxel is a selective pain reliever based on melaxicam, it was created specifically for the treatment of pain and inflammation in the back, joints and muscles, has a light gel texture and a pleasant aroma. Amylotax gel is the precise solution for free movement. My friends, any pain syndrome is a signal for our body. Today we talked about emergency remedies. Help with back and joint pain, and we wish you a good day and a great mood, be healthy, there was a program with you about the most important things. The rossiya tv channel is broadcasting news, i welcome all viewers, i am maria sittel. Hello, all last night 35 battalions of the Israeli Defense forces operated along the perimeter of the gaza strip. Destroying and identifying militants who managed to infiltrate the territory of the country