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No, lets always smile, smile from the heart, let every day be a world smile day for us, we are starting. Today in the program about the most important thing, a stroke, how to understand whether it is threatening you, who needs to have a brain examination, and who needs to take medications, how effective is dousing with cold water to protect against a stroke. There are situations when you really need to be afraid, there were thromboses, blood clots were removed from the legs, stress in modern children, what causes it, what diseases can develop because of it, and what to do to help your children cope with stress and grow healthy, children even get hooked on vapes, i just forgot what grade i was in due to stress, petya got a gadget in the second grade, an ingrown toenail. What most often causes it to appear . In what cases does it grow due to shoes and compression garments . And why can an ingrown toenail lead to leg amputation . We change the direction of our nails, we cut off the corners, maybe then the truth will end there some kind of dry or wet gangrene. Muscovites natalya sapozhnikova is 40 years old. The young woman has an adult daughter. Last winter. I was hoping to start a new , happy life, but grief happened in the family, in march her mother suddenly died from a massive stroke, i always cry, i say, mom, you loved me so much. Why did you leave me like that, so early . I also drank sedatives because i was worried that i would start crying here, after all, natalias mother had a stroke at the age of 63, and hers also died from a stroke many years ago grandmother, and now the woman is really afraid, because she is sure that stroke is inherited, i am of course worried that i, too, may have such heredity, because my blood vessels are bad, i already. In the seventeenth year, blood clots were removed at both legs under the knee. What should she do . She turned to us with this question. And we sent her for examination to understand how high her risk of stroke was. Doctor myasnikov will study the results. We will also discuss what to do to protect ourselves from a stroke. Certainly, exercise, eat a balanced diet, monitor your blood pressure. We have talked about this more than once. But there are other methods that people use, and we want to discuss them. For example, acetylsolicylic acid, who should take it and who should not, or drugs for cerebral circulation, how effective are they . In the meantime, our viewers in the studio are answering the question is it true that frequent headaches increase the risk of developing a stroke . They reflect and vote. We will find out the correct answer at the end of the section. I i dont know anything about your story , youre here, tell me, my mother died this year on march 8 from a massive stroke, nothing foreshadowed trouble, yes, my mother was 63 years old, before that my grandmother died at 57, but her mother, here i am worried that i have bad heredity, i would like to know how to prevent the same outcome. Do you know what was behind my mothers stroke . My grandmothers stroke has been very bad for the last 2 years. She cried a lot, my brother died 2 years ago, that is, her son, she spent 2 years just killing herself, they killed her here, thats 33 years he couldnt come to terms with it, therefore, every day two or three times a day she cried, left so that we wouldnt see, i of course scolded her, but yeah, were there any sudden deaths in the family . No, you have children, yes, daughter, im sorry, did you . No. There were thromboses, on the legs they removed blood clots under the knees, on both under the knees, surface or deep blood clots, deep, but they said straight away, they said the investigation too, well, this is so offhand, the doctor said, please, well, look, a fortyyearold woman. Whose mother and grandmother died of a stroke, it is not clear what was behind this, either banal hypertension, or ottersclerosis of the vessels supplying the brain, or both, and she is afraid of a similar fate, for herself, the question is what, there are situations when you really need to be afraid , we are afraid of several things, in such family things, the first is an aneurysm. In the vessels of the brain, everything is fine with your kidneys, yes, it is hereditary, it often goes along with a polycyst of the kidneys, and it does not happen, sometimes it may manifest as headaches, just before it ruptures, these pains can be unbearable, and sometimes it happens suddenly, well, thats how Andrei Mironov died on stage, and this is inherited, why did i ask, they found out that there was thrombosis or hemorrhage, which was what my mother had and the grandmothers, my mother had a massive stroke, they said it was also a stroke, razry, whats your name . Natalya, if natasha had said that they had found aneurysm, he would have said, yes, go get checked, you need to have a cat or a brain mortem with contrast, because if we find an aneurysm, we have i advise everyone to have the opportunity to correct the situation before it explodes if you have had an aneurysm in your family. Be sure to check yourself if you had a relative, regardless of age, this is mandatory , once again, your relatives had an aneurysm, it ruptured, it didnt rupture, as it happened, i dont know, you should check because you are at risk , this is the first thing that would worry me about the issue with natalya, by the way, we dont know, she didnt do a brain scan in an active mode, we we dont know, should she do this . Well, probably not, because i dont see such clear instructions, if shes really worried about it, she says i cant live, i want to find out, well then, probably the second thing is, what is bigger than me . I recently asked about miscarriages, about thrombosis, because there are hereditary forms of increased, what we call angolopathy, when there is increased coagulation, i couldnt ask why they removed it under the knee, if she said, yes, i was flying on a plane or i was sitting in a traffic jam , i sat for two nights typing dissertation at the computer, she said, well, its because she sat for a long time, or got sick and was in the hospital, thats when we dont know what, this isnt there, this isnt there, i didnt take hormones, i didnt do this, but i didnt i know why she has a trope, and since i dont know, i have the right to assume that there is a hereditary form of cauglopathy, this hypercoagulable state, in the analyzes that they did, its not mine, theyre not looking at that, theyre looking at protram c, protram s, leiden factor, that is, there are special tests for, they used to be are not available, they are now available in russia , in moscow, in particular for a hereditary tendency to hypercoagulation, there are clear tests, they are not prescribed, and they can be done taking into account your analysis, especially considering that you have already had thrombosis, in some rhematological diseases, and they also often tend to be inherited, like antiphosphorid syndrome, in addition to thrombosis and possible complications in the head, there are repeated miscarriages, why i actually had a question, if we just take statistics, then i think thats all im talking about i say its about 5 , but 95 is nothing, you just need to relax. Your cholesterol is low, normal, your sugar is 4. 5 normal, all these are standard indicators, yours are normal, you have no rhythm, you have no heart problems on the echo, theres simply nothing to worry about, well, thats it concerns you, now lets go through the myths , i myself am interested, you know, what kind of perverted logic patients do not follow in the fight against imaginary ailments, although in general everything lies on the surface. Doctor, good afternoon, my name is ekaterina litvinova, im from nizhny novgorod, i have the following question for you, but i see that pharmacies sell a lot of drugs for the brain to improve blood supply, and the better it is, the, well, as i understand it, the lower the risk of stroke, after all, how effective are these drugs , i dont know of any medications to improve blood circulation in the brain. These are more and more, lets say, drugs that claim to improve blood flow to the brain. In fact, we can actually reduce the risk of stroke with two medications statins, cholesterollowering drugs, and aspirin acetylsalecylic acid. Should everyone accept this . Natasha will ask me oh , that means i need to take the statin ocetil solicyl. that is, aspirinacid, i will say, no, natasha, its not necessary, the fact is that you can run into complications with this, especially complications from aspirin, you can already get bleeding in the brain due to the thinning of the blood of aspirin, but if you have done a vascular study, necks, which further supply the brain, to see there is already a narrowing of one degree or another, aspirin is your medicine, and this is for you it is shown, in the same situation, statins are shown, which firstly play an antirole in preventing the formation of plaques, all these and then these youyou, naatropes and so on and so on, neuroprotectors and so on, they are simply ineffective in this regard , they can, to one degree or another, perhaps improve cognitive ability, ginkabiloba, for thousands of years we have known ginkabiloba, now we argue whether it is effective or ineffective, some say yes, some say no, but naotropics are not aimed at improving cerebral circulation, they are aimed on improving the function of nerve cells, nerve cells. They have a different goal, namely the vascular bed, none of this is aimed, well, except for this, but to be honest, i dont know such drugs, but they work, so for a hypertensive patient it is important to keep the pressure vuzda, and if there are initial signs of atherosclerosis, aspirin , statins, regardless of cholesterol levels, there are simply no other drugs , hello, doctor, my name is anastasia koravanova, im from the city of tula, im 45 years old, i recently. Started to harden myself by pouring cold water, you said it was strengthens blood vessels and trains them, they justified that this can help avoid a stroke, well, beauty, if everything is already bad there, with blood vessels, youve completely doused yourself with ice water, right away you dont have any more worries, well, relatives, relatives have worries, you definitely dont, but if you start like her ahead of time, when you are still an absolutely healthy person, you begin to harden, hardening is a great thing for blood vessels, well, just really great, i swim all year round, almost every day, i dont care what the weather is like, 50 or there some, and its great. I feel it, but im not doing this to avoid a stroke, but just so that, well, i like it, i just like it, but what i mean is that this, of course, is not also gymnastics for blood vessels, it probably works a little differently, but well, i dont know, those endorphins, which are these hormones of happiness, which are released after cold water this is of course a great thing, but of course, if you already have stenoses, because we even secrete angina like this, a cold test, it used to be , we did not do the sample itself. With a load, just put your hand in a bowl of ice and they took a cardiogram and often spasms there was a pretrial curve, cold water is for people with healthy blood vessels, but the fact that it helps keep the blood vessels young is a fact. Hello , doctor, my name is anna ryzhova, i am from kaliningrad, i have a question, but i read that you need more omega in the diet to prevent stroke. I began to use more sunflower oil, in salads, in porridges, wherever possible, i get two or three tablespoons a day, tell me, of this enough, sunflower mass is omega6, and there are fish, especially since you live in kaliningrad, omega3, you must have a certain ratio of omega 3 to omega 6, omega6 is an excellent set of polyunsaturated fatty acids, but they have proinflammatory effects, for example, increase inflammation of blood vessels in patients with, say, rheumatic arthritis, they do not recommend this. Once again, the emphasis should then be on sea fish, and not sunflower oil, so you need to take both, but you need to take fish more, and less sunflower oil, but it you also need, not necessarily sunflower, olive, any Vegetable Oil that comes to your mind, good afternoon, im vladimir kolosov, nizhny novorod, i quit smoking because i didnt want to move. Danger of getting a stroke, nevertheless, in one of your programs you mentioned that even after this , the threat of getting lung cancer remains for a number of years, and thus i still remain at risk, in the risk zone, for how many years im still afraid, but please answer this difficult question, thank you, well, actually there are risks for heart attacks after you quit smoking. Strokes remain for another 23 years for lung cancer and several years, and even after the curve has stabilized, your risks of lung cancer still remain twice as high compared to those who have never smoked. Tobacco is an amazing thing, an amazing product, tobacco is a product that you buy, it kills 40 of its consumers, that is, we buy tobacco, smoke, and so on, out of 10 people, because of this, four. From onology, heart attack, strokes, so draw conclusions, okay, in order to minimize the risks of heart attack, stroke, oncology, you need to have a normal body mass index, normal blood pressure, normal cholesterol levels, normal sugar levels and not smoke, everything is simple, how to achieve this, and here you fantasize as you wish, someone is running, someone is sitting on a carrot, someone is doing something, well , lets see, headaches increase the risk of stroke, truth or myth, but we see the truth, this comes out here, actually headache, dizziness in in particular, are not signs of a stroke, i cannot say, absolutely not, why, because if you have there, and the aneurysm we are talking about is inflating, wants to rupture, you will have a severe headache, patients say so, a severe headache in of my life, if its a migraine with an aura, that is, precursors, and the risks are higher, but its just your banal headache, remember all of your headaches, 85 of you have them all , tension headaches, roughly speaking, osteochondrosis, skeletal muscle pain, the consultation has nothing to do with it, and in general all this is subjected to the will , now ill take the healthiest person, do an ultrasound, ill find initial signs of narrowing of the carotid arteries, but there are no symptoms, thats what you feel, why i always im calm when a patient comes with a lot of complaints, but it comes and the head hurts, here it hurts, im dizzy, im sweating, im. All wet, but thats not all, when thats all, youre a healthy person, but when you the person is doing well, but there are some risk factors, i always on guard, because anything can appear there, so lets be attentive to our health, everything will be fine, then, stress in modern children, what causes it, what diseases can develop because of it and what. In what class i was in, petya got a gadget. In the second grade, for pain in the legs, i take a proven remedy, aescusan drops, aescusan a good price, if i am in the foreground, the vaccine designer will cool down, we will win, rehoratka, premiere from monday 21 20, we have different noses, and we tolerate a runny nose differently, it doesnt breathe, for different needs, it helps fight a runny nose at an affordable price, and renastop extra is active from 25 seconds, for each there is a renowstop, there are a million equipment here, a sale, a big sale on electronics oon, polariс wifi equipment with discounts up to 60 . 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