How much more is there yet to come . I foresaw my fate, now everything is just coming true, i surrender everything, with joy, lets all wave hands, when everyone is at home with timur kizikov, on sunday on rtr, my dears, you are all so different, i so want this difference to be the strength of our family, and not. Olds barrel cognac is a product of the stellar group. Rest is leaving yourself alone. Rest is nothing to think about. When you are calm. Completely turned off, rest is rest, we know everything about rest. Anexc. сnop gin, a product of stellor group. Good morning, says the doctor of months, we are starting a program about the most important thing, that is, about our health. Look you wont regret us. We begin. Today the program is about the most important thing. Littleknown causes of stroke. Check it out, come in. Stroke, what provokes this dangerous vascular catastrophe . Untreated hypertension, excess weight, smoking, alcohol, everyone knows about this, but scientists constantly. They conduct research and assure that there are other risk factors that are important to know about for everyone who wants to avoid a stroke. We have collected several such studies to figure out what else can trigger a stroke. I would like to hear the opinion of dr. Myasnikov. So, lets start scientists from south korea monitored the health of 163 thousand women for almost 20 years. And they found that those who were infected with the Human Papillomavirus had a higher risk of dying from a stroke. The first place of death is cardiovascular diseases, stroke, vascular diseases, and we say that there is atherosclerosis, which leads to the appearance of plaques, either in the heart, then a heart attack, or in the vessels of the brain in the carotid, carotid arteries, and leads to consultation, and we are well aware of these risk factors smoking, increased blood pressure, high cholesterol, high sugar. Physical inactivity , heredity, excess weight, and so on and so on, that is, we know this well, but here i see something a little different, now we will go, because thats all, and what scientists will say next, we will say a little about other things, we will not talk about therosclerotic vascular lesions, as the most common cause of strokes, but we will talk about increased thrombosis, thrombus formation. And for this it is absolutely not necessarily to be old and fat, it can happen to any girl, god forbid, sitting down, it can happen to each of us, there is an innate tendency to blood clots, lets say we have a certain number of zero there, 3 of the population has a factor there leiden, these are people who are six times more likely to have a tendency to boron formation, other congenital factors, you need to know about them, this is a separate thing, and its good that we remembered this. But now lets talk about specifics, so hpv, yes, of course, and not only, and not only, we we also know a number of viral diseases, they cause severe anemia, they actually cause changes in blood vessels, they cause inflammation, followed by thrombosis, well, you even cut your finger, yes, first it will become inflamed, then it will stick together, so yes, its so, its worth it should everyone be afraid of microwaves, well, listen , firstly, there is a vaccination, but when. Its still not thrombosis, but more often, for some more often, for others less often, but these are games of statistics, but without statistics hpv causes 600,000 cases of Cervical Cancer per year, 250,000 women die from Cervical Cancer every year, this is what you need to be afraid of, so against the sixteenth, eighteenth and other varieties of the Human Papillomavirus, there is a vaccination, do it, give it to your children, plus, of course, some protection from this too, so. We live, dont bend over, theres also hpv some kind of effect on thorbosis, so the more protection, the better, lets move on, the next study from american scientists, they analyzed 30 million pregnancies, it turned out that Young Mothers who did ivf were twice as likely to experience a stroke within a year after childbirth, all because during this process the level of estrogen in the body artificially increases, and this provokes the formation of blood clots, doctor, what do you think about this . But what can i think, this is a wellknown fact, it really is estrogen that increases the tendency to form thrombosis, and therefore what is the tendency to thrombosis . Birth control hormonal pills, hormone replacement therapy, today Birth Control pills contain a minimal amount of estrogen and are considered safe, but 20 years ago we said, a woman who smokes and takes Birth Control pills is at high risk of thrombosis and stroke. Blood type, out of 700 people it happened 16 more often in them, and up to 60 years of age. Scientists believe that people with the second blood group are more susceptible. Thrombosis. Doctor, please comment on this fact. What should i comment on . Everything is correct, because a blood type is a set of certain genes that are transmitted in a population and we know diseases very well. We know that the second group has a higher incidence of stomach cancer, and the first group has a higher incidence of ulcers stomach. We know that the first group is more often bitten by mosquitoes, we know that pancreatic cancer is the third and fourth group. We know very well that even some medications for people, for people with different blood groups , are supported, because the blood type is once again a specific, it is a genetically determined thing, so now all patients with the second blood group get stomach cancer from thrombosis, so how does this knowledge help you, you can quit smoking, you can reduce weight, you can increase the load, the second blood group is not change that now we will all sit and wait for a stroke, but what about the scientists . Sweden is assured that depression leads to stroke; they surveyed several thousand people who had had a stroke and found that the year before almost half had depression or chronic stress. Scientists explain it this way during depression , the level of the hormone cortisol increases, which is very harmful to our blood vessels, especially in the brain area. Doctor, do you agree with them . Again, a very wellknown fact, depression, mental illness, and. About diabetes we know well diabetes you can keep sugar away, you have hope that the risks will decrease about inflammation, we know, or now they will tell us the following fact, and another unexpected cause of stroke in women, the early onset of menstruation or menopause. Scientists from Oxford University analyzed the health of 250 thousand women aged 40 to 69 years. Observations have shown that. Those who began menstruation at 11 or 12 years of age or menopause began before 46 years of age were three times more likely to suffer from strokes, doctor, this is really interconnected, why else early menstruation is a significant factor in 1213 years of age breast cancer, breast cancer, those who have never given birth, nuns disease, on the contrary, there is a later onset of menopause, it is believed that the longer estrogen acts, the more. This is because that an estrogendependent tumor, just as we are talking about the action of estrogens, i have already said, the action of estrogens is a provoking factor for thrombosis, this is also a well known fact for decades, early loss of function is not early, it is premature, most likely , this is probably rather, we are talking about because 40something years old, this is not an early place, this is not an early menopause, this is ovarian failure, probably there are also hormonal factors there. Well, the thing is that these statistics, there are lies, yes, there are big lies, there are statistics, today i see how all this is turned upside down, because then they look at these statistics, they calculated it incorrectly, they didnt put it here, in fact this, this is today statistics can prove any, any thing, but scientists need to do something, so they do this, it must result in some benefit, sometimes it doesnt result, well , early menstruation, but the second blood type, but it was. There was hpv and lets still move, because a stroke is again, it wont happen, just if you have thrombosis, arms, legs, unprovoked, thrombosis from the fact that you sat there for a long time, rode in a car, on an airplane, it is provoked, there are 3 months of treatment, thats all, but if you dont know the cause, look for it, maybe its congenital tendency to thrombosis, then you need to take prophylactic blood thinners drugs. The whole issue of identifying thrombosis, what we are talking about predisposition, this is a question of just one thing should i take bloodblooding drugs prophylactically, or not, if i take it, i will die from bleeding from the stomach or hemorrhage in the brain, there are huge chances, we see this every day , if you dont take it, i can get thrombosis and have a stroke, thats the question, so how serious is it, thats all i said, not how much its a share, the share is individual. It doesnt, thats what it has, high blood pressure, high cholesterol, high sugar, a fat belly, smoking, this is what it is, we need to fight it, okay, lets be careful about our health. We will have good, then, Rheumatoid Arthritis, why does it occur more often in women, what diseases cause it, how does it destroy not only the joints, but also the heart, what are the signs to suspect its development . For a doctor, Rheumatoid Arthritis is a gift; for a patient, its a grief, crack and the check is ready, youre definitely fine, you just never usually stick around. Premiere at rtr will you leave me without a morning kiss . I have a husband, a job, stability, im unhappy, and you just blatantly write travel, happiness, and good luck into your schedule. Anna taratorkina. Who are you, how did you get here . This is my number. Vacation can be planned, but love, i myself im alone, its just an accident, what an idiot, i dont understand anything, i need to figure it all out, melody for yours, from monday on rtr. Immerse yourself in a world of luxury and comfort at rixsas golf villas and suites , the worlds most magnificent golf resort class surrounded by lush green fields and endless horizons. Enjoy contemporary design in rooms and luxury villas, ideal for couples and families. Relax in comfort and style at rixos golf villas and suits sharma. 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The secrets of paradise are revealed at titanic luxery collection bodrum. 300th episode of the Program Hello andrey, we decided to make a disco of the eighties, they gave us konorara with refrigerators and washing machines, on songs of the year stuck out, rubber sundress, black opaque stockings, they cut me out, hello andrey, andrey malakovs Anniversary Show on saturday on rtr. Well, maybe you can kiss me . The plot is worthy of a novel she, he and his muse. Anton, you have talent, but its so easy to lose inspiration. Ill leave when you finish the novel. I cant live without you, i heard here, you seem to have decided to get married, from scratch, today on rtr, repatoid arthritis, the topic of this section, is a systemic inflammatory disease, for us. Arthritis is just one word, arthritis, the most what is the most common arthritis in the world, this is osteoarthritis, these are people over 40 who begin to wear out their articular surfaces, they become deformed, well, it all ends in pain, arthrosis and ultimately surgery, Rheumatoid Arthritis is an inflammatory disease, its not like cartridges are being worn out , and this is inflammation, it is not always limited only to the joints, enough. There were American Indians that it never existed in europe, and if we look at the skeletons of people before the discovery of columbus, before canquista, there were no those signs on the bones Rheumatoid Arthritis, which we began to find after the carquistadors began to return to europe, and among the otseks, among the indians, these. And some environmental factors, what . Well, we can say purely statistically, we just discussed that this is age, Rheumatoid Arthritis can occur at any age, from childhood to what, but at 50 plus its risks increase, women get Rheumatoid Arthritis three times more often than men, smoking is known a risk factor, by the way, infection, especially infections. As the swan neck is called, all this can be like this, so, pain, symmetrical pain in the joints is the second, that the important symptom is stiffness, morning stiffness, with any inflammatory arthritis, with the same psoriosis, and so on, with osteoarthritis there will be stiffness, but we used to use the criteria half an hour, 40 minutes , thats stiffness. Pain in large joints, so to speak, here it can last up to an hour, although knees can, any joint can be affected, but right up to this joint, often Rheumatoid Arthritis can manifest itself as pain, pain in the living and so on, headache, pain in the ear, and often there is a joint. The head is attached, why is it important to know if the first joint, thats where we have, roughly speaking, whether the patient has Rheumatoid Arthritis or not, during intubation, the persons heart is bad, he needs to be intubated, you tilt his head back, insert a tube, and he has Rheumatoid Arthritis, crack and the person is ready, so yes, there are known cases, i myself have encountered in america that all this is not a joke, so any joint can suffer, but the joint is okay, this is a common disease, we understand what we see in the clinic , we do xrays, we see certain deformations, and then, of course, we take blood, because there are very, very accurate ones, this is not just rheumatoid factor, i wont list them now, there are a number of certain markers, certain antibodies that we determine, according to their level, we. yes, everything is like that here, although sometimes it happens, as we say, gray negative, well, thats a different story, that is, when you dont have the same elevated level. factor, and Rheumatoid Arthritis is present, or vice versa, increased there are no rheumatoid factors in Rheumatoid Arthritis, because in approximately 20 of cases of increased rheumatoid factor we do not find arthritis, in children this occurs according to one version, in adults according to another, which is generally typical, of course, the appearance of heart symptoms, it could be pericarditis, it could be various types of arrhythmias, it could be. He remained bedridden, he preferred to suffer, get sick, but move around, and medications appeared, which, as they say, medicine diseasemodifying, well, its like the good old methotrixate, which we inject, by the way, whoever uses it should only do it with folic acid, you understand that it can have a very strong effect on the liver, uh, we even previously recommended doing a puncture once a year liver, by the way, of. These drugs, the good old chloroquine, which we used to treat malaria in africa, is still used as a means of reducing the disease, changing its course, stopping it, there are various monoconal antibodies, there are factors that inhibit the factor tumor necrosis, and there are other things to do, because the tumor necrosis factor, it causes severe inflammation, a medicine that. Blocks this necrosis factor, relieves inflammation, but their risk of developing cancer immediately increases, because the tumor necrosis factor decreases this is, so to speak, a provoking factor for oncology, that is, there are no Simple Solutions here, people end up with surgery, i once had a patient from america, a tourist, they called him robocop, why . Because he was, he was 90 years old, yes, or 90 years old when he ended up in. In a clinic, he is a former policeman, he had either four or five joints replaced, an elbow, both knees, a hip joint, they called him robocop, so i remember him because he was 90 years old, when he poisoned himself, then it was very fashionable to travel from st. Petersburg through moscow, the rybenskoye reservoir along the volga, here he was at the age of 90, when he was pumped out, he came to his senses, he. Flirted with the nurses with great interest, tried to hug them there and said, listen, and you marry me, i in america, i have everything in chocolate, lets go, i think, what a guy, what a great guy, well, in general, yes, what are we talking about, and we are repatty on mortitis, propaty remartritis, maybe pleurisy, and sometimes its interesting diagnostic task, you do a puncture when you look at immobilized people, its a pity, well, what can i say, that in general Heart Disease is an inflammatory condition, which, of course, increases thrombosis, and the risks of oncology with Rheumatoid Arthritis increase the risks of oncology many times over , cardiovascular diseases, theres nowhere to go, theres no escape, that s it, i think that. Thats all i wanted to tell you about repatoid arthritis, again, just take it, for you its all arthritis, you say arthrosis, arthrosis, no such thing the words arthrosis, arthrosis is the outcome of arthritis, for you its all osteoarthritis, but there is inflammatory arthritis. Therefore, you Pay Attention to the symmetry, to the stiffness of the joints, because here, the sooner you start treatment with diseasemodifying drugs, the better the course will be and the easier the prognosis. We will be careful about your health, everything will be fine. Further, in whom high cholesterol can cause type 2 diabetes mellitus and how strength loads affect the development of osteoporosis. Questions from the doctor, Alexander Myasnikov asks, you answer, you should go to toby, uh, write, but i dont envy you, its a big musical