1TV — Zdorove
20261011 042500 UTC
596 transcript segments
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[00:00:23] season are, of course,
[00:00:27] cold medicines, and this morning... we will devote it
[00:00:30] to how to correctly choose
[00:00:34] these medicines. A cold has two main symptoms:
[00:00:37] fever and runny nose. Therefore,
[00:00:40] medicines should fight
[00:00:43] these symptoms. All medicines are sold without a prescription, which
[00:00:47] means you must know the rules for choosing. Excuse me, may I disturb
[00:00:50] you, I have a simple question for you: if you
[00:00:54] have to choose a cold medicine at the pharmacy, what do you buy, how do you
[00:00:58] orient yourself, what are your principles.
[00:01:30] equal groups. The first are symptomatic
[00:01:33] drugs or medicines that treat the symptoms of diseases
[00:01:37] and do not treat the causes. For example,
[00:01:40] fever is a symptom, it is treated with antipyretic
[00:01:43] tablets. A runny nose is a symptom, it
[00:01:46] is eliminated by various nasal drops. Symptomatic
[00:01:50] medicines are a very large group. It
[00:01:54] includes antipyretics and nasal drops, complex
[00:01:57] powders that contain and other
[00:02:00] components. The second group
[00:02:04] of cold medicines are etiotropic drugs.
[00:02:07] Ethos means cause. These atropic medicines are medicines
[00:02:11] that treat the cause, i.e. kill
[00:02:14] viruses. But we will start with
[00:02:16] symptomatic treatment. First
[00:02:20] are antipyretic agents. Here we
[00:02:23] have such a beloved model. So, how does a person's temperature
[00:02:27] generally rise? Very simply.
[00:02:30] when infection enters our body, our cells, white
[00:02:34] blood cells rush to this infection, they eat it
[00:02:38] like this
[00:02:41] and digest it, at this
[00:02:45] moment substances called pyrogens are released, pyros
[00:02:48] is temperature, genesis is birth, these
[00:02:52] pyrogens affect our
[00:02:55] brain, our brain tells the body,
[00:02:58] body I...
[00:03:32] Well, doctors say above 38.3
[00:03:35] for children to reduce above
[00:03:38] 38, because if it's higher, the
[00:03:42] child may have seizures, if
[00:03:45] the child feels unwell and the temperature is below
[00:03:49] 38, it is recommended to reduce it too.
[00:03:52] For adults, if adults tolerate
[00:03:55] temperature well, 38.5,
[00:03:59] let it be. Microbes are killed by temperature, what
[00:04:03] else and how to choose from this colonnade, because here are
[00:04:07] shelf one, shelf two, three, four
[00:04:09] and four shelves - these are all cold
[00:04:13] remedies, how to navigate in this colonnade, we will tell about
[00:04:17] this at the very end of the program, this is our tradition -
[00:04:20] this is the beginning, and the entire story is at the end of the program, so
[00:04:24] wait until the end, we will talk about how to save your money and
[00:04:28] not buy any nonsense.
[00:05:25] that only the best doctors, Russia and the World
[00:05:29] come to your aid here, in the television
[00:05:32] clinic of the program Health.
[00:05:36] Joints saved, will a robot surgeon
[00:05:38] replace the hands
[00:05:48] a surgeon, a robot,
[00:05:52] who will be helped by the new technology, joint
[00:05:55] replacement with the help of a robot,
[00:05:59] breakthroughs in the fight against baldness,
[00:06:01] revolutionary medicines and treatment
[00:06:04] methods, we have already drawn this platelet
[00:06:07] mass into the syringe, we will inject it into problem
[00:06:11] areas. Every hair has the right to remain on the
[00:06:15] head, a doctor for yourself, how to
[00:06:19] understand that your brain is not working
[00:06:27] clocks with hands in the walls of educational
[00:06:29] institutions, a home test for the
[00:06:32] brain,
[00:06:34] acepolforte
[00:06:37] - a new probiotic, charged with
[00:06:38] zinc.
[00:06:45] The first heart problems are important not to neglect, take your heart under
[00:06:49] control with Cardiospirin, it affects blood vessel patency,
[00:06:52] reducing the risk of heart attack and stroke, protecting the gastric
[00:06:56] mucosa. Cardiospirin, care for
[00:06:58] the heart. You know, we live in an amazing
[00:07:02] era, this era is called the 21st
[00:07:06] century. We, doctors, who graduated from medical institutes
[00:07:10] in the 20th century.
[00:07:12] our teachers who said medicine
[00:07:15] of the 21st century, this century
[00:07:18] has arrived, into the fate of patients
[00:07:22] into our medical fate came absolutely
[00:07:25] unique technologies, on our screen is a photo
[00:07:29] of an unusual person, this is Maxim Shevchenko,
[00:07:33] he is a master of sports, six-time
[00:07:36] champion in snowmobile
[00:07:39] sports, a great guy, with...
[00:07:42] a complex jump, a severe injury, years
[00:07:46] of treatment, operations in Russia, in
[00:07:48] Europe, more persisted, persisted
[00:07:52] persisted. It is clear that many
[00:07:56] tried to help the champion, but in fact
[00:07:59] he continued to live with pain. And then
[00:08:02] a scientific and technological miracle happened, which
[00:08:05] never happens by itself, it is always in
[00:08:09] the hands of some amazing
[00:08:12] doctor, and this doctor was Evgeny
[00:08:15] Vasilyevich Zabara, a doctor, traumatologist,
[00:08:18] orthopedist, Evgeny Vasilyevich, today our studio guest, I want to
[00:08:21] invite you here, in Russia this technology is still
[00:08:25] in its very beginning, Dr. Zabara
[00:08:29] has one of the largest, and perhaps
[00:08:32] the largest in Russia, experience
[00:08:35] in using robotic
[00:08:38] arthroplasty, robot... surgeon's
[00:08:41] assistant, this is an absolutely unique operation, we will show you this
[00:08:45] operation today, but most importantly, computed
[00:08:49] tomography is not needed, right, X-rays,
[00:08:52] computed tomography, nothing is needed, the device itself
[00:08:55] will draw the joint of this patient, that's the first thing,
[00:08:59] second, no one will tell the patient to go and buy
[00:09:02] an endoprosthesis, the patient will not ask which one to buy,
[00:09:05] a Russian or an English or an American or a South Korean one,
[00:09:08] no, he will not buy any...
[00:09:42] and this is correct, the ligament balance will be determined during
[00:09:46] the operation, and the patient will be guaranteed a life
[00:09:50] without pain, this is the uniqueness now on
[00:09:53] our screen. Here is the robotic
[00:09:56] operating room: a robot in the hands of a doctor. At
[00:09:59] the first stage, the robot creates the joint,
[00:10:02] an exact copy of the patient's joint. Externally, he simply
[00:10:06] runs a sensor over the knee joint, and the computer
[00:10:10] makes its copy. None.
[00:10:27] Then the computer analyzes the structure of the joint and
[00:10:30] highlights its affected areas, which
[00:10:34] must be removed, the computer paints these areas
[00:10:37] purple, now the doctor with another instrument
[00:10:41] simply scrapes off the purple
[00:10:43] areas that are diseased, without affecting
[00:10:46] healthy tissues and prepares a place for
[00:10:50] a special endoprosthesis, all
[00:10:52] calculations in millimeters and...
[00:11:29] As soon as the endoprosthesis is installed, the main
[00:11:32] moment of the operation comes, checking the range of motion of the ligaments,
[00:11:36] this determines whether the patient will have pain
[00:11:40] after the operation, with ordinary operations it is
[00:11:43] impossible to check this, and now it is calculated by
[00:11:46] the computer, which we all call
[00:11:50] a robot, and the robot performs
[00:11:53] microscopic calculations.
[00:11:55] Before the operation, the patient's leg was not extended by 10°, flexion
[00:11:59] was 140, after the operation the leg extends
[00:12:03] completely, this is the physiological norm, flexion
[00:12:05] is 160°. here are the components that were
[00:12:09] installed,
[00:12:11] how much the range of motion increased, it's just
[00:12:14] space. The operation is finished, the patient
[00:12:18] is guaranteed to get back on their feet and will not feel
[00:12:21] pain after the operation.
[00:12:25] Well, Maxim Nikolaevich Shevchenko, this great
[00:12:29] athlete is in our studio, Maxim, I want you to go
[00:12:32] around,
[00:12:36] and now the students of the Russian University of Medicine
[00:12:39] will tell us, Maxim, please stand here,
[00:12:43] where the endoprosthesis is, where the
[00:12:45] endoprosthesis is, on the right or left leg, on the
[00:12:49] right, on which leg is the endoprosthesis, on the
[00:12:52] left, for me it is the eleventh operation.
[00:21:20] Hello, Spartak, well, why did your parents name you
[00:21:23] Spartak? Sit down, my dear, we will take three
[00:21:26] tests from you, under
[00:21:28] the hood,
[00:21:30] we'll measure cholesterol and blood pressure,
[00:23:21] when medicine became completely different, one of
[00:23:25] the outstanding revolutionary breakthroughs is the appearance
[00:23:28] of home remedies for hair loss,
[00:23:32] largely because of this we decided to create
[00:23:35] a whole series of programs that we called "The Right
[00:23:38] of the Hair," the right of the hair
[00:23:41] to remain on your head, but I must say that not
[00:23:45] only in the hands of patients, but also, of course, primarily in
[00:23:48] the hands of doctors. There appeared
[00:23:51] absolutely great instrumental
[00:23:55] methods of influencing the scalp, leading
[00:23:59] to hair preservation stopping
[00:24:02] baldness, and of course, medicines appeared
[00:24:05] that allow hair to remain on the head and
[00:24:09] become better and thicker. Our special project "The Right
[00:24:12] of the Hair." I invite you to the clinic of dermatology
[00:24:16] and cosmetology, because it is dermatologists
[00:24:20] who deal with hair,
[00:24:22] let's start with this, let's see how hair loss occurs in
[00:24:26] women and men, in men there are two types of hair loss:
[00:24:29] first, hair can fall out on the back of the head, a familiar picture,
[00:24:33] right, and second, the hairline can
[00:24:36] recede on the forehead, like
[00:24:39] this. The main cause of male baldness is
[00:24:43] dihydrotestosterone, a metabolite of the male sex
[00:24:58] Women also have two types of hair loss. First, the part on the head may widen.
[00:25:01] Normally, it should not be more than 2 mm.
[00:25:05] And second, it is also the receding hairline on the
[00:25:09] frontal part of the head. So,
[00:25:11] we will start our diagnosis with tests to understand
[00:25:15] if there is really a problem with hair loss, which you
[00:25:18] can also do at home.
[00:25:20] We divide the hair into a neat part,
[00:25:24] measure the width with a ruler, it should not be
[00:25:28] more than 2 mm, here we have, Zhanna, as much as
[00:25:32] 7 mm,
[00:25:34] so there is a problem, then we can
[00:25:38] look at how the hairline recedes,
[00:25:41] you noticed, right, that the temples become thinner,
[00:25:44] right, it used to be thicker, right here, it used to be
[00:25:47] thicker, right, uh-huh, and what else
[00:25:51] can be done is to do a pull test, we take a strand of hair, you can also take a strand of hair with your own
[00:25:55] hand, try to pull, uh-huh,
[00:25:58] we'll pull, normally there should be no more than six
[00:26:01] hairs. Now we will look at a sheet of paper, how many
[00:26:05] we will
[00:26:18] you can do them at home, Elina Alekseevna,
[00:26:20] let's count, well, at a glance, more than six or less
[00:26:24] than six, more, of course, more than six, it's
[00:26:27] visible, the advice is not to count in your
[00:26:30] hands, lay them out on a white sheet of paper. because it's much
[00:26:33] simpler, absolutely right, but I want to
[00:26:36] emphasize that today we are already talking about treatment,
[00:26:40] this is already our third program dedicated to hair, so
[00:26:44] those who haven't watched it, watch it on the First Channel website, and
[00:26:47] Zhanna is already prepared for treatment, right,
[00:26:51] absolutely right, yes, but before treatment, of course, I must
[00:26:54] say that medical diagnostics are not limited to
[00:26:58] home tests, doctors have a special device, it's called:
[00:27:02] a trichoscope, and I now or not a trichoscope - it's essentially
[00:27:06] a magnifying glass, yes such a magnifying
[00:27:09] glass, so, look, this is how healthy
[00:27:12] hair grows, from each hair follicle, they
[00:27:16] are called units, from each grows two, three or four
[00:27:19] hairs, the hair is thick and beautiful,
[00:27:23] this is the picture on the head of our
[00:27:25] patient, here is another picture of the world, let
[00:27:29] our Zhana look, visible, visible? Your
[00:27:33] beautiful thick hair is already growing one by one?
[00:27:36] Yes, Ilin Alekseevna? Firstly, they grow one by one, secondly, they are no
[00:27:40] longer thick, but thin, what is called vellus
[00:27:43] hair, visible, right? These are the vellus hairs, they seem
[00:27:47] to grow, but there is no more thick hair, these
[00:27:50] are the general thinning and follicular plugs, that is, the places
[00:27:53] where there used to be hairs, they are now empty, unfortunately,
[00:27:57] she herself noticed this after
[00:28:00] certain techniques. Hair coloring, what
[00:28:04] is this? This, for example, is balayage, there is such a
[00:28:07] technique, the last time they did coloring using the air touch technique, and
[00:28:11] what is that? The blowing? Yes, yes, yes,
[00:28:14] under the action of dry
[00:28:17] air, all of
[00:28:20] them, yes, and after that I started to
[00:28:23] worry a lot, as the amount,
[00:28:27] yes, of course, if I used to be able to grab my ponytail
[00:28:30] in my fist, I had... a very thick ponytail,
[00:28:34] then later, now we are moving
[00:28:38] to what medicine can do, right now
[00:28:41] Zhana is already prepared for the procedure, right, Elina
[00:28:44] Alekseevna, so, first, we must take
[00:28:47] tests, once again I remind you what tests, a special program
[00:28:51] was dedicated to this, here are the main tests for
[00:28:54] hair loss, dihydrotestosterone,
[00:28:58] hemoglobin, iron and ferritin, vitamin
[00:29:01] B-12, and thyroid-stimulating hormone or
[00:29:04] TSH, methods of treatment, methods of treatment,
[00:29:07] so - the first stage is
[00:29:11] minoxidil preparations, for women two percent, for
[00:29:14] men - five percent and - what
[00:29:18] can be done as a medical life hack - is to use
[00:29:21] a mesoroller, that is, minoxidil is applied,
[00:29:24] minoxidil is an international non-proprietary name, there are
[00:29:27] many of these preparations, but
[00:29:30] essentially how to do it. So, it is applied to the scalp,
[00:29:34] minoxidil solution or foam is applied, then
[00:29:37] a special device called a mesoroller is taken
[00:29:41] and run along the part, thereby it creates such
[00:29:45] micro-holes and the medicine penetrates deeper to
[00:29:48] the hair follicle, this is the first, the second is the stimulation
[00:29:52] of growth factors, this is also very important, of course, so,
[00:29:56] this is the first procedure, which, by the way, a person can
[00:29:59] do at home, now what a person cannot do at home
[00:30:03] at all. This is a unique procedure
[00:30:06] PRP therapy or plasma therapy,
[00:30:10] which procedures are included in clinical standards, both
[00:30:13] Russian and international,
[00:30:16] look at what results can be achieved with
[00:30:19] PRP therapy, this is the introduction of active
[00:30:22] platelets in one's own plasma, a procedure with
[00:30:25] 1a evidence, that is, the effect should definitely
[00:30:29] be there, it is very important that this is a medicine.
[00:31:26] 10 procedures need to be done. That is, 7 to 10 - that's
[00:31:29] about 2.5 months you need to go to the doctor and do
[00:31:33] this procedure. Let's also look at
[00:31:36] the results of competent medical
[00:31:39] treatment. I repeat, this treatment is carried out
[00:31:42] after examination. And exactly. but it gives a good
[00:31:46] result, but I want to emphasize that
[00:31:50] in fact, the revolutionary breakthrough of our
[00:31:53] day is connected not even, excuse me, excellent
[00:31:56] doctors, with the fact that today there are
[00:31:59] medical, specially ranked
[00:32:03] procedures that improve hair growth, from my point
[00:32:06] of view, the great breakthrough is that today
[00:32:09] home hair care
[00:32:12] systems have appeared. What
[00:32:16] should you read on the packaging of
[00:32:19] home remedies for hair loss?
[00:32:22] First is cycloastrogenol.
[00:32:26] It restores the genetic basis for hair growth
[00:32:29] right in the follicle. Second is caffeine. It does not
[00:32:33] allow dihydrotestosterone to affect hair, leading to
[00:32:37] its loss. And also panthenol, niacinamide and
[00:32:40] B vitamins, which simply improve
[00:32:43] blood circulation. All this is contained in a special
[00:32:47] system, a home hair loss
[00:32:50] care system, called Telomerol,
[00:32:54] it contains all these substances, so in the evening
[00:32:57] directly on dirty hair you apply a serum, in the
[00:33:00] morning you wash it off with Telomerol shampoo,
[00:33:04] then immediately apply a mask at the end
[00:33:07] wash off this mask after 15 minutes in the morning with
[00:33:11] Telomerol conditioner, for the first time in history
[00:33:15] data on the effectiveness of this system are published in
[00:33:18] our scientific journal Dermatology Cosmetology,
[00:33:21] and moreover, it is written right on the box that
[00:33:24] evidence of the effectiveness of this system
[00:33:27] is provided by the United States of America,
[00:33:30] France, Spain, Japan and
[00:33:33] China. But in the meantime, Elina Alekseevna
[00:33:37] is finishing the introduction
[00:33:40] of active platelets, dissolved in the plasma
[00:33:43] of our Zhana. And to Zhana I say only
[00:33:46] one thing: success
[00:33:49] lies not only in the hands of the doctor, but in the fact that
[00:33:53] at home, in everyday life, you will
[00:33:56] correctly care for your scalp,
[00:34:00] or rather its hairy part, and such
[00:34:04] systems exist today, I also want to add that
[00:34:07] besides this procedure in international standards
[00:34:10] there is also laser treatment, right, and Elina
[00:34:14] Alekseevna also...
[00:34:33] this is what clinical standards recommend, uh-huh, of course, that is,
[00:34:37] it turns out to be such a cumulative
[00:39:36] test your brain. We will have three
[00:39:39] brain tests. All tests will be conducted here in
[00:39:43] the studio. And in our studio are students
[00:39:46] of the Russian University
[00:39:48] of Medicine.
[00:39:51] And you can conduct all tests with us, sitting on the other
[00:39:55] side of the screen. And... to help us understand
[00:39:58] how our brain works is a person for whom
[00:40:02] the brain is incredibly important, because he
[00:40:05] professionally memorizes entire
[00:40:08] volumes of literary scripts,
[00:40:11] a wonderful actor, Spartak
[00:42:45] memorize texts, right? Well, I wish. Is it the brain, what do you think,
[00:42:49] which brain is good, which doesn't
[00:42:51] remember anything?
[00:42:54] Well, if we judge, so to speak, by
[00:42:57] the books I read in my youth, it seems to me that this one,
[00:43:00] full of deeper convolutions, yes, it seems to me that it
[00:43:04] is more
[00:43:07] brainy. No,
[00:43:10] this one, and this is already brain atrophy, dear friends.
[00:43:13] Now for the tests, I will now tell you four
[00:43:17] words: shirt, dog, four
[00:43:21] play. Now please answer this
[00:43:24] question for me: you just returned from a business trip, what
[00:43:28] is the usual duration of business trips
[00:43:55] have to draw a circle,
[00:43:58] a clock face, mark all
[00:44:01] the numbers on it and set the time to
[00:44:04] 10 minutes past
[00:44:07] five. Take a pen.
[00:44:40] will it show something here at the very beginning
[00:44:43] of the sixth hour, 10
[00:44:46] minutes past five, now everyone, please, let's raise,
[00:44:50] let's raise our watches, 10
[00:44:53] minutes past five, but if someone was 100 years
[00:44:56] old, okay, well, what do we have, young people with Alzheimer's
[00:44:59] disease, or are these people, Evgeny Vasilyevich,
[00:45:03] who are used to digital clocks,
[00:45:06] 10 minutes past five, 10 minutes.
[00:45:10] past five, so what's going on here, oh my god, oh
[00:45:14] my god, comrades, everyone raise your
[00:45:17] papers, Evgeny Vasilyevich, if they were 70, we would now
[00:45:21] filter out Alzheimer's disease here. Spartak, you
[00:45:24] are fine, dear viewers, let me show you how
[00:45:28] this test is evaluated, this is an official test for the disease,
[00:45:31] I'm just holding your test for you, you, you're right,
[00:45:35] Evgeny Vasilyevich, you believed that we would see 10 minutes past five in
[00:45:38] young people like this? This is just
[00:45:42] horrible, horrible, it shows
[00:45:46] approximately 12 minutes past ten, so,
[00:45:49] the norm, the first two clock faces, these
[00:45:53] people could not draw anything,
[00:45:56] all of this, third, fourth, fifth, sixth,
[00:46:00] this is a disturbance of mentality, guys,
[00:46:03] my dear, beloved, future
[00:46:06] doctors.
[00:46:31] clocks that show you numbers are turned off, guys,
[00:46:34] you won't find your way anywhere, you killed me, you
[00:46:38] killed me. Check your short-term
[00:46:41] memory, and now repeat those four words,
[00:46:45] wait, don't repeat, does anyone remember the four words I said to Spartak
[00:46:48] at the very beginning, write them on a piece of paper:
[00:46:52] Spartak, as an actor, should have excellent long-term
[00:46:56] memory, did you write it down, raise
[00:46:59] all your papers so that you don't cheat, say the four words,
[00:47:02] there was a shirt, okay, there was
[00:47:05] a dog, okay, the number four, okay,
[00:47:09] and a play, A+, you don't
[00:47:12] have Alzheimer's, that's already good, okay,
[00:47:16] shirt, dog, four, play, even if
[00:47:19] you drew the clock badly, but
[00:47:43] something didn't happen to anyone, if you or your
[00:47:46] parents didn't do these tests, you can conduct these
[00:47:50] tests. with them, then you need to see a doctor,
[00:47:53] definitely. Any questions, my
[00:48:02] is a brain activity stimulant, and
[00:48:05] gamma-aminobutyric acid. This is an anti-stress
[00:48:09] acid. What does such a combination give? Well,
[00:48:12] sport and any performance is a stressful
[00:48:16] load. This combination, what makes it
[00:48:19] amazing is that it combines
[00:48:22] both activation of the nervous system, and
[00:48:26] dosing of this activation, because it includes both ginkgo biloba
[00:48:30] and gamma-aminobutyric acid - this is the strongest
[00:48:33] stress-limiting system that allows
[00:48:36] us to live and feel just great, this is a good drug,
[00:48:40] for ordinary people it is a good drug to preserve
[00:48:43] memory, yours is
[00:54:36] our morning began with?
[00:54:40] With you again, health, dear friends, autumn has begun, which means
[00:54:44] my trips to the pharmacy have begun, the most
[00:54:47] sold drugs this season are, of course,
[00:54:50] cold medicines, and this morning we will devote
[00:54:53] to how to correctly choose these
[00:54:57] medicines. A cold has two main symptoms -
[00:55:01] fever and runny nose, therefore, it is with these
[00:55:05] that medicines should fight, all medicines are sold without
[00:55:09] a prescription, which means you must know the rules of choice,
[00:55:12] excuse me, can I bother you, I have a simple
[00:55:15] question for you: if you have to choose a cold medicine at the
[00:55:19] pharmacy, what do you buy, how do you orient yourself, what are your
[00:55:22] principles of choice? Usually,
[00:55:26] if we have ARVI, I take something antipyretic,
[00:55:29] pain reliever, yes, so that, well, for body
[00:55:32] aches, to relieve it somehow, and local remedies
[00:55:36] for rinsing the nose, something, some drops to drip vasoconstrictors
[00:55:39] and for treating the throat some lozenges
[00:55:43] for gargling. Well, that's about it. Now, then,
[00:55:47] the principles of choice. All
[00:55:50] cold medicines are divided into two unequal
[00:55:53] groups. The first are symptomatic drugs
[00:55:57] or medicines that treat the symptoms of diseases and do
[00:56:01] not treat the causes. For example, fever is a symptom.
[00:56:05] It is treated with antipyretic pills. Runny nose is a
[00:56:08] symptom, it is eliminated by various nasal drops.
[00:56:12] Symptomatic medicines are a very
[00:56:15] large group. It includes both antipyretics and
[00:56:19] nasal drops, complex powders that contain both
[00:56:22] those and other components.
[00:56:25] The second group of cold medicines is
[00:56:29] etiotropic drugs. Etiology - meaning cause.
[00:56:32] Etiotropic medicines are medicines that treat the cause,
[00:56:36] i.e., kill viruses, but we will start with
[00:56:39] symptomatic treatment: first,
[00:56:43] antipyretic agents, here we
[00:56:46] have such a favorite mock-up of mine, so, how does a person's temperature
[00:56:50] generally rise? Very simply:
[00:56:53] when an infection enters our body, our cells, white
[00:56:57] blood cells rush to this infection, they eat it
[00:57:01] up like
[00:57:04] this and... at this
[00:57:08] moment, substances are released that are called
[00:57:12] pyrogens, "pyros" is temperature, "genesis"
[00:57:15] is birth, these
[00:58:22] pyrogens are in us. Let the microbes be killed by the temperature,
[00:58:25] your task is only to drink a lot, so that there is a large
[00:58:29] volume of circulating blood, so that there is a lot of urine,
[00:58:33] so that all this is excreted. There are many
[00:58:36] symptomatic medicines, here in the pharmacy four shelves are occupied
[00:58:40] by these drugs, and of course, you should be able to make a
[00:58:43] choice. The first point of choice is medicine for reducing. Ibuprofen
[00:58:49] and paracetamol, they can be sold separately or included
[00:58:53] in complex cold powders.
[00:58:55] Let's look at this
[00:58:59] colonnade. The fact is that currently the most
[00:59:02] popular drugs are multicomponent
[00:59:06] drugs. They contain two substances: a substance that lowers
[00:59:09] temperature and a substance that removes nasal swelling, that is,
[00:59:12] stuffiness and runny nose. For example, let's take a multicomponent
[00:59:16] drug H. we read, for example, for flu and
[00:59:19] colds, the dose of paracetamol
[00:59:22] is 325, is this a sufficient dose or not for
[00:59:25] adults?
[00:59:30] I find it difficult to say, I usually follow the doctor's
[00:59:33] prescription, no, these are all over-the-counter drugs, no
[00:59:36] doctor prescribes prescriptions for these drugs, all
[00:59:40] cold remedies you can buy, with rare exceptions, almost all without a prescription,
[00:59:44] so an adult dose. Paracetamol
[00:59:47] is 500 mg and above,
[00:59:51] but not above one thousand, 300 is a child's dose,
[00:59:54] this is the first, principle two: for children you can
[00:59:58] buy only children's forms, they have
[01:00:01] dispensers, because from zero to
[01:00:05] 12 years old is a child, so there is always a dispenser, from
[01:00:09] 12 years old everyone is considered adults, adults
[01:00:12] switch to adult doses, to adult medicines, so a dispenser
[01:00:16] either a syringe. or these special
[01:00:19] ones, hold it,
[01:00:23] dosing spoons, here they are,
[01:00:26] therefore, the dosages of children's drugs for children are calculated
[01:00:30] and written here on the packaging, and
[01:00:34] one more rule, if you lower the temperature
[01:00:37] for children, it is best to alternate fever medicine, for example, in the morning you gave
[01:00:40] ibuprofen, at lunch paracetamol,
[01:00:44] in the evening, if necessary, ibuprofen again, and...
[01:00:47] at night, if necessary, paracetamol, this allows
[01:00:51] you not to exceed the dose and effectively lower
[01:00:54] the temperature. Point number two:
[01:00:57] runny nose,
[01:00:59] runny nose, how to treat it, what drops do you buy, what do you use,
[01:01:03] usually, Nazivin,
[01:01:06] vasoconstrictor drops, yes, once
[01:01:09] at night to sleep, we always have
[01:01:13] royal in the bushes, here is our
[01:01:16] runny nose. What is a runny nose? This is a simple
[01:01:20] situation, here is the nasal cavity, you see, here there is a passage, breathing is normal,
[01:01:24] what is a runny nose? A runny nose is
[01:01:27] swelling of the mucous membrane, plus snot discharge.
[01:01:31] Your nose is stuffed up, you don't know what to do. What's the danger? All
[01:01:35] our sinuses drain into
[01:01:38] here, the exits from the sinuses. We have
[01:01:41] the frontal sinus, the maxillary sinus, the ethmoid sinus.
[01:01:45] They are located like this,
[01:01:48] all have an exit to the nose, you see,
[01:01:52] mhm, therefore you need to fight
[01:01:55] nasal congestion. Remedy number one is not
[01:01:58] vasoconstrictor drops, drops with
[01:02:02] hormones. Remember this, I just
[01:02:05] wanted to say, engrave it on your nose, dear friends, today in
[01:02:09] all clinical guidelines runny nose is recommended to be treated
[01:02:13] with hormonal drops, these are prescription drugs, they
[01:02:16] must be prescribed by a doctor. Why? Because
[01:02:19] vasoconstrictor drops have many side effects, they raise
[01:02:22] blood pressure, they, unfortunately, cause
[01:02:25] addiction, we have crowds of people who cannot
[01:02:29] live without vasoconstrictor drops,
[01:02:32] hormonal drops, the hormones from these drops are not
[01:02:35] absorbed anywhere, they relieve runny nose and work
[01:02:38] wonderfully, but the most interesting thing is that you can do without
[01:02:42] nasal drops altogether, in all the same multicomponent powders
[01:02:45] there is both an antipyretic medicine and a remedy for
[01:02:49] nasal congestion, and this remedy is
[01:02:52] antihistamine drugs, as a result, you drink the powder and
[01:02:56] kill two birds with one stone, you lower
[01:02:59] your temperature and get rid of nasal congestion and
[01:03:02] runny nose, all these medicines treat symptoms,
[01:03:05] but do not kill the cause of ARVI, viruses, therefore
[01:03:09] we move on to antiviral
[01:03:12] medicines, so clinical recommendations, we
[01:03:15] doctors work according to clinical recommendations, today
[01:03:19] advise in the first day or two
[01:03:23] or three to take antiviral
[01:03:27] drugs, they also exist...
[01:03:32] and over-the-counter, but today we recommend taking them,
[01:03:35] why? Because a viral
[01:03:38] infection leads to a decrease
[01:03:41] in our defenders, the main ones, what are our main
[01:03:45] defenders, I find it hard to say, from white blood
[01:03:49] cells, viruses cause
[01:03:51] leukopenia, a decrease in white
[01:03:54] blood cells, so today's recommendations say, in
[01:03:58] the first 72 hours... that is, in the first three days,
[01:04:02] start taking antiviral drugs. These are our
[01:04:05] clinical recommendations: antiviral drugs are also
[01:04:09] sold in pharmacies, they can be over-the-counter or a
[01:04:12] doctor will prescribe them. How to choose them?
[01:04:16] We don't know, roughly speaking, which virus causes ARVI, so
[01:04:20] today the advice is to start taking broad-spectrum antiviral
[01:04:24] drugs that kill not one
[01:04:27] virus, but two or three. At least
[01:04:30] flu, coronavirus, rhinovirus and something else, everything
[01:04:33] is written on the label, for example, let's say, for
[01:04:37] example, let's say, for example, we take a drug,
[01:04:41] this is the international non-proprietary name
[01:04:44] molnupiravir, and this drug works
[01:04:47] against the flu virus, against coronavirus, against
[01:04:51] rhinovirus, and against a whole range of market viruses
[01:04:54] that cause colds, our
[01:04:57] task is to start taking these drugs... whether by
[01:05:00] doctor's prescription or without a doctor's prescription
[01:05:04] in the first three
[01:05:47] the first channel.