1TV — Zhit zdorovo
20261012 071500 UTC
470 transcript segments
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[00:00:00] maybe great, it doesn't
[00:00:01] hide anything.
[00:00:05] Vision is 80%
[00:00:08] of information about the world. In this way, for many, many
[00:00:12] years we can see well if we
[00:00:15] get a certain amount
[00:00:18] of lutein. Three superfoods for
[00:00:22] eyes.
[00:00:24] A woman's lot is to endure against her will. And
[00:00:28] the symptoms are different, but...
[00:00:41] What is pelvic organ prolapse?
[00:00:44] The chief gynecologist of Russia
[00:00:47] answers your questions.
[00:00:50] Weekend at the children's amusement park.
[00:00:54] If you came and chose this wonderful day to
[00:00:57] allow children what they want,
[00:01:00] they will eat it right
[00:01:03] away, what to allow and what
[00:01:06] to forbid a child in
[00:01:08] a cafe.
[00:01:17] So, friends, again not Professor Dowell's head, if
[00:01:21] anyone has read this famous science fiction novel - Professor
[00:01:24] Kanovalov's head, covered with pills.
[00:01:28] The medicines we take, today we will
[00:01:32] talk about statins, about drugs that lower
[00:01:35] cholesterol, which statin do you
[00:01:39] take? Rosuvastatin, rosuvastatin, Herman
[00:01:43] Shevich, what statin do you take? Atorvastatin,
[00:01:46] Andrey Petrovich, Rosuvastatin, and I also
[00:01:49] take atorvastatin.
[00:01:52] It's very interesting why they take rosuvastatin, and we
[00:01:56] take atorvastatin. Here is an ellipsis.
[00:02:02] One is a pediatrician, the other is an ophthalmologist, and who are we? We know everything, comrades. So,
[00:02:06] here are such drugs. I want to say that in our studio
[00:02:09] there are students of the new medical
[00:02:12] university of Moscow. This university is called
[00:02:16] Hemomed.
[00:02:22] Hemomed is our guest. So, guys, how
[00:02:26] do statins work, what do they do? It's a medicine.
[00:03:00] in the cholesterol shell, everywhere, without exception, we
[00:03:04] have cholesterol, so we increased the shell,
[00:03:07] this is cholesterol, our membranes consist of two layers
[00:03:11] of fat, these two layers of fat hold
[00:03:14] cholesterol like this, so our body synthesizes
[00:03:17] cholesterol constantly, itself, and
[00:03:20] 85-90%
[00:03:23] of cholesterol we synthesize
[00:03:26] ourselves, the place where cholesterol is synthesized
[00:03:30] is the human liver, here it
[00:03:33] is, our liver, here it begins
[00:03:37] to synthesize cholesterol, and mostly this
[00:03:39] happens at night, mostly
[00:03:43] this happens at night. So there are
[00:03:46] people who have too much cholesterol,
[00:03:49] and moreover, a lot of bad
[00:03:52] cholesterol, so cholesterol
[00:03:55] needs to be lowered. This bombing is
[00:03:59] synthesis... What do
[00:04:02] statins do? They
[00:04:03] lower
[00:04:06] the synthesis of cholesterol by the liver, due to
[00:04:09] this, bad cholesterol and total cholesterol in our
[00:04:13] body decrease. And now the question again
[00:04:17] to the students of our new medical
[00:04:20] university, which
[00:04:21] is called,
[00:04:26] cholesterol is synthesized at night, when should you drink?
[00:05:13] extremities, and if cholesterol is synthesized at night,
[00:05:17] by morning the body will be overwhelmed with it.
[00:05:20] It is important to take cholesterol pills
[00:05:23] in the evening to block this
[00:05:26] bombing. Did you learn that?
[00:05:29] Good job! So, we
[00:05:32] drink statins, we all drink
[00:05:35] them in the evening, because it's right. Now
[00:05:38] look, it's very interesting, what is cholesterol?
[00:05:45] A transport molecule, it's an alcohol,
[00:05:48] many people think that it's an alcohol, cholesterol, ethanol is
[00:05:51] an alcohol, it's a transport molecule, what does it carry?
[00:05:54] It carries fats from
[00:05:57] the vascular wall or into the vascular wall, absolutely
[00:06:00] right, so if we have, please give us
[00:06:04] a marker, here sits a nasty and vile
[00:06:07] driver, he is so disgusting, such
[00:06:11] a bandit from the big road,
[00:06:14] that's how I drew him, terribly, but nevertheless,
[00:06:18] if he is a bandit from the big road, he is a so-called low-density
[00:06:22] lipoprotein, LDL, that's right, he
[00:06:25] will carry cholesterol into the vessel,
[00:06:29] leave it like
[00:06:33] this, and thus an atherosclerotic
[00:06:37] plaque is formed, repeat for the students, this is
[00:06:40] a low person, yes, low-density
[00:06:44] lipoprotein, low person, low-density lipoprotein,
[00:06:47] and if it's high-density,
[00:06:51] such a kind one, here he is, I depicted
[00:06:54] him as kind, he will, on the contrary, come here
[00:06:58] and take this fat away, understood?
[00:07:01] Now look, so there is a low, vile, disgusting
[00:07:05] driver who drags fat into the vessel, and there is
[00:07:08] a car that carries fat, what is it important for us to monitor?
[00:07:13] To have fewer cars or to prevent
[00:07:16] a low, vile driver from getting
[00:07:19] behind the wheel? Answer me, to prevent the
[00:07:23] driver from getting in? Well done,
[00:07:26] well done, well done, and
[00:07:29] our driver is called low-density lipoprotein, because well,
[00:07:32] a car itself just stands there, and that's fine, yes, Herman Shevich,
[00:07:36] if a villain, the last low person,
[00:07:39] low-density lipoprotein, got in here, then things are bad. This is exactly the
[00:07:43] logic of the last revision
[00:07:46] of the treatment of elevated
[00:07:49] cholesterol. We were told, we no longer look
[00:07:52] at cholesterol itself, we don't look
[00:07:55] at the car, what do we look at? We look at the
[00:07:59] level of bad cholesterol or
[00:08:03] low-density cholesterol, that is, we look
[00:08:07] at how many of these villain-drivers, how much bad
[00:08:09] cholesterol there is. Now look, we are
[00:08:13] not just treating it like that anymore, medicine is mathematics, I am now addressing
[00:08:17] the TV viewers, you all get tests where it says
[00:08:20] total cholesterol, it says LDL - this is
[00:08:24] low-density lipoprotein, a bad driver, it says
[00:08:27] triglycerides, it says HDL, today we
[00:08:30] only focus on LDL.
[00:08:34] These guys are all young, for
[00:08:36] your group, that is, healthy, young, non-smokers,
[00:08:40] blood pressure is normal, everything is fine.
[00:08:43] The level of low-density lipoprotein should
[00:08:46] be like this, this is the so-called green
[00:08:49] zone, and so he is healthy,
[00:08:52] does not smoke, has no obesity, and his life
[00:08:55] is wonderful and his blood pressure is normal, lower than
[00:08:58] 128, so for these people, low-density
[00:09:02] lipoprotein should be 2.6.
[00:09:05] Now let's move on
[00:09:07] to us, to people who have risk
[00:09:11] factors. So. Our group, what is
[00:09:14] special about it, the yellow group smokes and
[00:09:18] has hypertension,
[00:09:21] for all of us, the lipoprotein
[00:09:24] should be less than 1.8
[00:09:27] mm per liter, understood? That is, today
[00:09:30] we are guided by these figures, today we are not talking about taking statins,
[00:09:34] no, we see if it was possible to lower it, if it was not
[00:09:37] possible, if it didn't work, we add new
[00:09:41] medicine.
[00:10:22] use combined.
[00:10:25] In fact, this is our appeal to our
[00:10:27] viewers, if you are hypertensive, take medicine for
[00:10:31] hypertension, like us, then the low-density
[00:10:34] lipoprotein, bad cholesterol, should be lower than
[00:10:37] 1.8, but unfortunately, in your group,
[00:10:40] high cholesterol happens, for example, my youngest son
[00:10:44] had a low-density lipoprotein of four-something, he
[00:10:48] will be 35 in December, of course, something needs
[00:10:51] to be done now, of course, he needs to be treated, so today, statin.
[00:12:11] this is the situation with statins, and of course, we wanted to tell our viewers about this so that you know it, at the end of the conversation about cholesterol, and by the way, people with high cholesterol usually have obesity, and we
[00:12:14] now have a huge project to lose excess weight, so
[00:12:18] especially for you, the sponsor of our program, the leading
[00:12:21] pharmaceutical company of Russia,
[00:12:25] which produces a whole line of vital prescription drugs,
[00:12:29] including injections for weight loss.
[00:12:32] Promomed,
[00:12:34] we create new and foresee the future.
[00:12:38] We know how to make you
[00:12:40] slim.
[00:12:44] Vision is 80% of information about the
[00:12:48] world. Thus, for many, many years we can
[00:12:52] see well if we receive.
[00:13:29] weekend at the children's amusement park, if you
[00:13:33] came and chose this wonderful day to
[00:13:36] bring together, let the children have what
[00:13:40] they want, they will
[00:13:42] eat it, what to allow and what
[00:13:45] to forbid a child in
[00:18:10] So, friends, in our studio we have such a beautiful
[00:18:13] eye. The thing is, the eye must receive
[00:18:16] special food, because many substances
[00:18:19] necessary for the eye to function are not
[00:18:22] synthesized by the body, so today we will have three
[00:18:26] superfoods for the eyes, bring these
[00:18:29] championship products into
[00:18:31] the studio.
[00:18:41] Let's name these miracle products:
[00:18:44] first, second, cod
[00:18:48] liver and lamb liver,
[00:18:51] spinach, cod liver, lamb liver. I'll start cooking,
[00:18:54] dear doctors, and you, please go to our
[00:18:57] models. So, spinach, cod
[00:19:00] liver, and lamb liver. Mikhail Yegorovich, of
[00:19:04] course, you should start! Let's start with
[00:19:08] spinach, what does it contain? Let's start with spinach. Spinach
[00:19:12] contains lutein, which is a powerful antioxidant
[00:19:15] that protects our retina from
[00:19:19] destruction, from lipid peroxidation. This
[00:19:22] lutein, it is contained in the body
[00:19:26] in the blood 10,000 times less than in
[00:19:29] the eye. In the eye, almost all of it
[00:19:33] goes here to the central part of
[00:19:35] the retina, which is called
[00:19:38] the macula, because this part of the retina
[00:19:41] is responsible for high vision. This very
[00:19:44] lutein protects the retina from blue
[00:19:48] light spectrum,
[00:19:50] and thus, from ultraviolet, so we
[00:19:54] can see well for many, many years if we
[00:19:57] receive a certain amount
[00:20:00] of lutein, but most importantly, you said that
[00:20:03] there is lutein in the eye.
[00:20:17] 70% here, look, this spot is
[00:20:20] called the yellow spot, it looks
[00:20:23] yellow in real life, this is
[00:20:26] the point of clear vision, its real
[00:20:30] size is less than a millimeter, and if you
[00:20:32] now look, for example, clearly at us, you
[00:20:36] will see that clearly...
[00:20:50] because only here are collected cells,
[00:20:53] cones, which are responsible for high vision, the
[00:20:57] further from the macula, the further from the central
[00:21:00] part, these cells no longer provide such visual
[00:21:04] acuity, even a millimeter from the macula,
[00:21:06] understood? That is, the eye specifically protects this millimeter, and
[00:21:10] spinach is the absolute champion with two daily
[00:21:14] norms per 100 grams, that is, it is an absolutely
[00:21:17] championship product for our eye. Happily
[00:21:20] eats
[00:21:21] spinach,
[00:21:26] well, we move on, Andrey Petrovich, what product do
[00:21:30] you have? I have cod liver, it is
[00:21:33] a record holder for vitamin A, more than
[00:21:36] thirty daily norms, to be precise, in 100 g,
[00:21:40] 33 daily norms, why do we need vitamin
[00:21:43] A? We have an enzyme called rhodopsin, this
[00:21:46] rhodopsin is not formed, it contains.
[00:22:20] Rhodopsin is formed.
[00:22:22] We need rhodopsin every day, we use it up during the day, it must
[00:22:26] be restored at night when the eyes are closed, because when the eyes
[00:22:29] are open, it is used continuously, so
[00:22:33] for it to be there, vitamin A is needed, do we synthesize vitamin A?
[00:22:37] No, we do not synthesize vitamin A, we get it from outside,
[00:22:40] so every day we must get vitamin A,
[00:22:44] and if this process is disturbed, then naturally
[00:22:47] our central vision is disturbed.
[00:23:21] The last product is lamb
[00:23:23] liver, and we are talking about lamb liver,
[00:23:27] after the image has reached our
[00:23:30] retina, it must reach the brain, this is the optic
[00:23:33] nerve, and the functioning
[00:23:37] of the optic nerve is impossible without vitamin B12,
[00:23:40] B12 covers these nerve fibers,
[00:23:44] therefore we
[00:23:46] need it.
[00:23:50] Liver contains 37
[00:23:52] daily norms of vitamin B12 in 100
[00:23:56] g, that is, it is a colossal 3 g
[00:23:59] is enough, even less, for the
[00:24:02] optic nerve to work, so these are
[00:24:05] undoubtedly three superfoods, our eye is now happily
[00:24:08] eating lamb
[00:24:10] liver,
[00:24:16] and we, friends, once again name three superfoods:
[00:24:20] spinach, cod liver and
[00:24:24] lamb liver,
[00:24:27] what to say next, that's all about food, it's time for us to talk about
[00:24:31] medicine, we have a special women's topic and we have
[00:24:35] Apollo and his muses on the screen,
[00:24:39] all muses are beautiful, as all women
[00:24:42] are beautiful, but the trouble is, a woman's
[00:24:45] lot is to endure against her will, a whole
[00:24:49] spectrum.
[00:25:03] In our program, the chief gynecologist of Russia, academician and doctor
[00:25:07] of medical sciences, Leila Vladimirovna
[00:25:10] Adamyan.
[00:25:14] Prolapse of internal organs, as I understand it, prolapses
[00:25:18] like this, through the vagina, right? That's right,
[00:25:22] it's called prolapse or
[00:25:25] descent of pelvic organs, because the uterus
[00:25:28] itself doesn't fall out alone, it pulls
[00:25:32] the bladder and
[00:25:34] intestine with it, this is our rectum,
[00:25:37] this is the bladder, as it descends,
[00:25:41] it pulls this entire ligamentous complex, and
[00:25:44] these are supporting, fixing, and
[00:25:48] suspending adhesions. Ligaments, all these
[00:25:51] ligaments go, go, go, because the pelvic
[00:25:55] floor doesn't hold, it relaxes, this uterus,
[00:25:59] when it descends, it can partially reach
[00:26:02] here, and complete prolapse is when it
[00:26:05] all goes down and ends up outside
[00:26:09] the vagina. You had patients like
[00:26:12] yesterday, she didn't come today, her
[00:26:15] uterus was at the level of the middle of her thigh, how long had
[00:26:19] she been walking around like this? She had been walking, I can't show it on myself, but roughly
[00:26:23] hiding it like this. How long had she been walking? She
[00:26:26] said she was scared, everyone scared her, because
[00:26:30] she was no longer 20 years old, but
[00:26:33] about 63 or 64, suddenly there would be some complications, she
[00:26:37] was embarrassed, she told no one, she said,
[00:26:40] Vladimirovna, well, operate on me, I can't even
[00:26:44] go to the theater, I say, what about the theater? Well, she
[00:26:47] says she wants to pee, then her
[00:26:50] intestines don't hold, well, help me, I
[00:26:54] operated on her the day before yesterday, I really wanted to bring her to you,
[00:26:58] and thus there can be partial prolapse of the pelvic
[00:27:01] organs. And complete, when the entire uterus goes
[00:27:05] outside the pelvis. I want to say that the operation
[00:27:09] performed by Academician Adamyan is the height
[00:27:12] of elegance. Because, well, it would seem that to put everything back
[00:27:16] inside, you need to cut everything there, sew something somewhere,
[00:27:20] in fact, a special polypropylene
[00:27:23] mesh is used, which
[00:27:25] becomes the basis of the pelvic floor
[00:27:28] instead of those muscles that do not work.
[00:28:02] prolapse, put it in place, fix it at the top,
[00:28:06] perform plastic surgery on the muscles of the bladder, pelvic floor,
[00:28:10] fix it completely at the top, do I understand correctly that the mesh lies
[00:28:14] approximately here, no, no, the mesh cannot lie
[00:28:17] here, it should lie a little higher to hold
[00:28:21] it here, that is, the mesh passes approximately
[00:28:24] like this, plus you stitch the ligaments, everything
[00:28:28] so that this mesh does not hang in the air, it must.
[00:29:02] uterus, mm-hmm, and the same with defecation, with
[00:29:06] stool, pain in the lower abdomen in the pelvis,
[00:29:10] because the uterus pulls down all this heaviness
[00:29:13] tends to go there, to the
[00:29:17] vaginal area, it should already be there, then in this
[00:29:20] situation, a minimally invasive operation can be
[00:29:23] performed, a little stitching, hanging, and so
[00:29:26] on, from the very beginning, impaired bladder
[00:29:30] and rectal function,
[00:29:32] a feeling of pressure in the lower abdomen,
[00:29:35] a feeling of a foreign
[00:29:38] body in the vagina
[00:29:42] or outside the vagina,
[00:29:45] everything in general, I understand that at these stages, when there is already
[00:29:48] a sensation of a foreign body, a woman can already feel
[00:29:52] with her finger the prolapsed part in her
[00:29:55] vagina,
[00:29:57] so the question of how one can live with this is, of course, a
[00:30:01] question. The task, we have already
[00:30:04] accustomed people to endometriosis, infertility, fibroids,
[00:30:08] not to give birth to a fibroid,
[00:30:12] one must take prolapse very seriously, because
[00:30:15] our women now live longer, and
[00:30:19] they need to maintain quality of life, so that old age is also a joy,
[00:30:23] and we will provide this joy, this is what
[00:30:26] Academician Adamyan says, and I will repeat the symptoms, so
[00:30:28] women, heaviness in the lower abdomen.
[00:30:32] God forbid, a sensation of a foreign body
[00:30:35] in the vagina, impaired bladder function,
[00:30:38] when you cannot urinate immediately, exactly
[00:30:42] the same way you cannot poop, this is impaired
[00:30:45] rectal function, all this is a
[00:30:47] reason to rush to the gynecologist, because
[00:30:51] prolapse is visible to the naked eye during a regular
[00:30:55] gynecological exam, and I personally invite you, I am a master
[00:30:59] of sports in this matter, this is not
[00:31:01] a master of... This is a great Olympic champion.
[00:31:05] Every Thursday from 9 AM, Academician
[00:31:08] Adamyan has been seeing patients for more than half a century at the Center
[00:31:11] for Obstetrics, Gynecology, and Perinatology named after
[00:31:14] Kulakov. Therefore, this person, being
[00:31:17] a superstar of medicine in our country and
[00:31:21] of world medicine, is absolutely
[00:31:24] accessible to any person. Many thanks
[00:31:27] to Academician Adamyan. Before we finish, I must
[00:31:31] mention our sponsor, slimmert. That's
[00:31:34] what it's called, a free app for
[00:31:37] everyone who wants to lose weight, nutrition and
[00:31:40] exercise tips for those who are losing weight themselves or with injections for
[00:31:43] obesity. Energy
[00:31:46] of movement, yes, your changes,
[00:31:49] yes, lightness, joy closer to you, with the app,
[00:31:53] Geropharm,
[00:31:58] weekend at the children's amusement park, if you
[00:32:01] came and chose this wonderful day to
[00:32:05] bring together, allow the children what
[00:32:08] they want, they will
[00:32:10] eat it, what to allow and what
[00:32:14] to forbid? A child in
[00:32:16] a cafe.
[00:37:49] a professor, a pediatrician, and together with a children's doctor, we
[00:37:52] are going right now to an amusement
[00:37:55] park. Why? Because when you go to the park with
[00:37:59] a child, you need to prepare for this trip, you need to
[00:38:02] know how to behave, it should be safe, interesting
[00:38:06] and wonderful, let it be
[00:38:08] so.
[00:38:18] This is all beautiful too,
[00:38:19] incomparable.
[00:38:37] Meanwhile, Andrey Petrovich and I
[00:38:39] have arrived at a restaurant. So, you went to a big
[00:38:42] amusement park with your children, and you, of course,
[00:38:46] came to eat with them. We
[00:38:49] have a question. Can we talk to you? What's
[00:38:53] your name? Vitya. Vitya. Tell me please.
[00:38:58] What do you want to order?
[00:39:01] I would like to order a boat in
[00:39:03] Adjarian. Yes. And what will mom
[00:39:06] allow, what won't she allow? Mom would like him to eat a Korean soup
[00:39:10] with noodles, of course. Well, we'll find a compromise, apparently,
[00:39:14] what kind of soup, and a boat in Adjarian. Both
[00:39:17] of them. So soup first, I understand. So
[00:39:21] you will be in a battle for
[00:39:24] try. And what will you have? Me. Yes, I'm still
[00:39:28] looking at pasta, you pasta, and he
[00:39:31] soup, and he soup with
[00:39:34] halfway, we'll ask here,
[00:39:38] we have how many parents and children here,
[00:39:41] parents, what will you allow your children
[00:39:44] to eat here in the cafe, in the amusement
[00:39:48] park, there were amusements, you were on the
[00:39:50] rides, yes, you asked your mom for something, why are you so
[00:39:54] unhappy, what will you allow them to eat?
[00:40:57] asked, all parents there, only soup, only soup, and what about you, and I
[00:41:01] noodles, pasta, only soup, only soup, and what about yourselves,
[00:41:05] pizza, that's not allowed, this day, this is a holiday
[00:41:08] day, this is a day of transgressions, and it's a day
[00:41:12] of entertainment, so go ahead, fight as much as you
[00:41:15] want for healthy eating. On this day,
[00:41:18] pizza, pasta, French fries, French
[00:41:22] fries, everything, everything you don't want them to eat on
[00:41:26] this day, let them eat. But we'll also say this, the thing is,
[00:41:30] if you compare how many calories you, for example,
[00:41:33] adults, or us, or you spend and children,
[00:41:37] just when we sit, we still spend.
[00:42:40] It's bone growth, their muscles grow, skin,
[00:42:43] everything, so don't be afraid. Now we want to
[00:42:47] say two good words about nuggets,
[00:42:50] about nuggets. These girls here, they are our singers,
[00:42:54] girls, wait, are you without adults, what
[00:42:57] will you
[00:42:59] order? Macaroni,
[00:43:03] macaroni, Margherita, and pizza, Margherita. On
[00:43:06] our tab, please, girl, macaroni. This
[00:43:10] is us addressing our, our waiter
[00:43:13] for the girls, macaroni please, and Margherita pizza and
[00:43:17] Margherita pizza for everyone, girls, today anything
[00:43:20] goes, especially since you're so beautiful, so made up,
[00:43:24] thank you, oh nuggets, nobody eats nuggets,
[00:43:27] nuggets no, and we'll also go to the models, because in fact,
[00:43:31] even though the children's menu looks like deeply
[00:43:35] unhealthy food, right, because in the children's menu we have
[00:43:38] what, pizza.
[00:43:52] This is protein, this is chicken protein, cheese in pizza is also
[00:43:56] protein. Why do we need protein? Protein
[00:44:00] is the basis of building,
[00:44:02] building material of our body. Look,
[00:44:06] blood proteins, that's protein, of course,
[00:44:10] bones, as we showed you, that's also protein, all
[00:44:14] digestive enzymes are protein enzymes, of course
[00:44:17] all muscles are protein,
[00:44:21] of course, all hormones and all immunity are
[00:44:24] protein, all antibodies are protein, so without protein
[00:44:28] life is impossible, nuggets are not
[00:44:31] the most harmful thing there is, it's chicken
[00:44:34] meat, not nuggets, it's actually chicken meat in
[00:44:38] batter and well...
[00:45:23] His activity is huge, he'll go on rides
[00:45:27] here and there, you'll sit down and wait for him,
[00:45:30] so when you came here together
[00:45:33] to a huge amusement park, both in a good
[00:45:36] mood together.
[00:45:40] Let him ask for everything he wishes,
[00:45:43] soup, if you wish, you eat it
[00:45:47] alone, because for you it's important to keep
[00:45:51] track of the day's calories, for him today it's not important
[00:45:55] at all, okay, understood, ask for whatever you wish, while we're
[00:45:58] here...