Google Cloud Speech-to-Text API (Chirp) + Gemini 2.5 Flash Non-Thinking. Treat it as a searchable index of what was broadcast, not a quotation record.
00:00:00Later,
00:01:15gas and electric ones appeared, and today they also continue to illuminate the streets. Of course, historical memory and modern technologies do not argue with each other. Where it is appropriate,
00:01:19the city has preserved its unique ancient
00:01:22appearance. Veronika Tarasova, Vera Tyurina, Andrey Yurchuk
00:01:26and Ada Adamova. Vesti. The museum's exposition.
00:02:16They are creating Soviet Square, it will be ready for the New Year. In the future, they plan to
00:02:20add a memorial park, the Avangard stadium, as well as the Kolomna
00:02:23and
00:02:25Golutvin railway stations.
00:02:28And that's all we have for this hour. Denis Polanchukov was with you. See you.
00:03:08Today on the program: Is it true that one spoon of apple
00:03:12cider vinegar saves from sugar spikes and helps to lose
00:03:15weight? We dispel misconceptions. The consumption
00:03:19of apple cider vinegar reduces the glucose spike after
00:03:22a meal by almost 30%.
00:03:25Blood pressure 150 and above. How elevated blood pressure.
00:03:46Good vision during the day does not necessarily mean good vision
00:03:50at night. What is contrast sensitivity? Why
00:03:53do you see poorly in twilight? The more
00:03:56the lens becomes cloudy, the more it decreases. Why
00:04:08do some people get over a cold easily, while others have complications?
00:04:12What is the danger of prolonged viral diseases and how to quickly get back on
00:04:16your feet? In modern medicine, remedies are
00:04:19widely in demand that act against
00:04:23various pathogens and
00:04:25influenza.
00:04:31Good morning, hello! Today we
00:04:33are discussing a product that has long ceased to be just
00:04:37a salad dressing. This is apple
00:04:41cider vinegar. For some, it has been gathering dust on the
00:04:44shelf for a long time, while others, on the contrary, actively consume
00:04:48it. Attention to the
00:04:51screen.
00:04:57Do not buy apple cider vinegar, it burned my intestines. Just one
00:05:01tablespoon of apple cider vinegar on an empty stomach speeds up
00:05:05metabolism. I wanted to cure heartburn with apple
00:05:08cider vinegar, it resulted in a strong burning sensation. On the advice of a friend... I read
00:05:20that apple cider vinegar helps with
00:05:22reflux. It worked at first, then it got
00:05:26worse, be careful. I rubbed my
00:05:29legs with vinegar at night, got rid of spider veins,
00:05:32I recommend it. Well, in general, it's clear that
00:05:36all these internet conversations sound somewhat unbelievable,
00:05:39but I must say, apple cider vinegar,
00:05:43that its tradition of use as such
00:05:47a, well, essentially a medicinal remedy, appeared
00:05:50long before the Internet, in fact, of course,
00:05:53like any product, it can harm
00:05:57if used incorrectly, and it can also bring benefits. So where does an
00:06:01ordinary seasoning get such a loud reputation? Can you
00:06:04drink pure vinegar to improve medical
00:06:08indicators and how to use it correctly? Let's discuss all this together with
00:06:11our. Marina Sergeevna Makisha,
00:06:15nutritionist, member of the National Association of Nutritionists
00:06:19and Nutritionists of Russia. Marina
00:06:22Sergeevna, good morning. Good
00:06:24morning.
00:06:27Marina Sergeevna, do you like apple cider vinegar? I have it at
00:06:31home, I replenish my stock regularly, I use
00:06:34it in cooking, that is, I add it to salads, and
00:06:37in summer, sometimes I feel like cold water,
00:06:41sour, and I add vinegar there accordingly
00:06:45and drink it like that. Let's first clarify what apple
00:06:49cider vinegar is. Apples are crushed, turned into a pulp
00:06:52like this. Because yeast is contained on their skin,
00:06:56alcoholic fermentation begins. Essentially,
00:06:59a product known in France
00:07:03as cider is formed. Then special acetic
00:07:06acid bacteria come into play, which do what? They
00:07:10oxidize
00:07:12the resulting alcohol. They convert it into acetic
00:07:15acid. Uh-huh. At some point, the acidity
00:07:19reaches a level where bacteria can no longer multiply,
00:07:22then they say that apple cider vinegar
00:07:25has matured. It turns out that vinegar is
00:07:28a fermented product. Everyone knows that such products are
00:07:32full of benefits. Let's see if this is actually
00:07:35true. Oh,
00:07:39does vinegar improve digestion? It should
00:07:42be noted that acetic acid is a kind
00:07:46of activator for the production of digestive enzymes in
00:07:49the stomach. Due to this, digestion is indeed
00:07:53stimulated, but we note that it is better to stimulate it before
00:07:57eating, on an empty stomach or during,
00:07:59yes, so it's a good habit to add
00:08:02vinegar to salads, to appetizers,
00:08:06directly before lunch or dinner or during.
00:08:09Another statement is that apple cider vinegar...
00:09:12and draw conclusions from them that people need to drink
00:09:16vinegar, need to drink anticoagulants, and so on, of course, it's
00:09:19absolutely forbidden, but nevertheless, there's a basis for
00:09:23discussion here, that is, we can, for example, say both
00:09:26truth and myth. Let's move on. Lowers
00:09:30cholesterol levels. In some studies, it was indeed
00:09:33shown, albeit insignificant, but nevertheless,
00:09:36a reduction in total cholesterol, but we understand that
00:09:39it is very important for us that bad cholesterol is lowered, because
00:09:50only in mice that showed some changes in bad
00:09:54cholesterol levels, that is, in terms of reduction, but still
00:09:57additional research is required in order for us to be able to talk
00:10:01about such an ability of apple cider vinegar, that is, it's true, it still
00:10:04lowers it, closer to the truth.
00:10:07Let's move on, apple cider vinegar has an
00:10:10antimicrobial effect. In the presence of apple
00:10:13cider vinegar, the cells of our immune system (macrophages)
00:10:17begin to more actively absorb pathogenic
00:10:20bacteria, and this is, of course, an important point for
00:10:23the prevention of intestinal infections, yes, we are not talking about
00:10:27treatment in any case, but nevertheless, in order to maintain your intestinal
00:10:31flora in good condition and reduce the risk
00:10:35of the development of pathogenic bacteria, apple cider vinegar will
00:10:38help us. And finally, it helps
00:10:41to lose weight. Oh, I want to note that this trend
00:10:45of losing weight with vinegar, it was indeed present on social
00:10:48networks, I myself saw a lot of such advertising,
00:10:52I drink vinegar and lose weight, all these stories, but of course,
00:10:56we remind you that there are no fat-burning products,
00:10:59if weight is lost, then weight is lost only due to a calorie
00:11:03deficit, which is created with the help of nutrition. Attempts
00:11:06to lose weight with vinegar, consuming it in incredible
00:11:10quantities, this is already truly a situation that can be
00:11:13potentially dangerous, because it is still an acid,
00:11:17it affects the digestive system, and tooth enamel. You can
00:11:21add it to food to make it tastier, more varied,
00:11:24but... it's definitely not a way to lose weight. Well, like spices, for example, we can't
00:11:28lose weight on spices, eating only spices, you can go crazy, well, someone
00:11:32also thinks you can eat chili peppers or drink green tea, only,
00:11:35here's the story about how some product will help you
00:11:39lose weight, that's a myth, and apple cider vinegar too.
00:11:42How then to properly use it?
00:11:46If, for example, you add a tablespoon to a glass of water,
00:11:49that's great, it turns out, well, essentially, what turns out is a
00:11:53non-sour, well, kind of
00:11:55a berry drink, and I, you know, how I did it, a pleasant sourness
00:11:59like that, a slightly summery aroma, when you want
00:12:03kvass, I found a very interesting option, I take
00:12:06this kvass and add apple cider vinegar,
00:12:10because on the one hand it reduces glucose spikes, so
00:12:14on the other hand, kvass acquires a pleasant apple
00:12:17aftertaste. How to correctly choose vinegar, what should it
00:12:20be like? For example, I came to the store, right? Uh-huh, in this
00:12:24bottle, a minimum of 1 kg of ripe apples. Always look at
00:12:27the composition. The composition should indicate the raw material, that is,
00:12:30apples, essentially, there might also be
00:12:34sugars, and not much else should be there. If you see a direct, very simple composition:
00:12:38apple cider vinegar, that's it, laconic.
00:12:41If you see that there are some flavorings,
00:12:44colorings, then most likely it's a product
00:12:47that won't be entirely natural, what it's made of is not always
00:12:51clear. Can everyone have apple cider vinegar or are there any restrictions? Well... restrictions
00:12:55include, firstly, conditions where there is an
00:12:58exacerbation of diseases of the digestive system,
00:13:01for example, gastritis, uh, stomach ulcers.
00:13:05Acid can irritate the mucous membrane and intensify
00:13:08pain symptoms, as well as a number of dental problems, in particular
00:13:12increased sensitivity of tooth enamel, or again, some
00:13:16inflammatory diseases in the oral cavity may be a
00:13:19restriction to using the product at this particular moment
00:13:23in time. I remind you that all episodes of our program can be found on the
00:13:26online media platform "Smotrim" in the application on the website
00:13:28smotrim.ru. Thank you very much. Today we
00:13:32talked about apple cider vinegar, a product that has been known since
00:13:36time immemorial and can indeed be beneficial for our
00:13:39health. Pressure 150/80, but
00:13:43feeling good. Is this normal? And how do
00:13:46elevated readings, even with good health, affect
00:13:50other organs? Academician, cardiologist Yuri Nikevich
00:13:53will tell us about this.
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00:17:35enough for everyone. So.
00:19:23everyone. Patients often come to me
00:19:26and say: "Well, my working pressure is
00:19:30140/90, 150,
00:19:33that's when I work hard." Working
00:19:36pressure... and you start a long,
00:19:39detailed conversation with them
00:19:43about the so-called target levels,
00:19:46indicators that ensure
00:19:49a person a long life
00:19:52without serious diseases. We will talk
00:19:56about this a little today.
00:19:58I have a question for the audience. Please tell me, who here has blood pressure
00:20:01above normal, but feels
00:20:04good? My mom. Well, let's hear from
00:20:08the lady. Hello, my name is Tatyana, I'm
00:20:1158 years old, my blood pressure is 130/90. I was
00:20:15a doctor, but I also do sports, fitness, he says
00:20:18it's normal, well, monitor your health and
00:20:21normal cholesterol, I have seven, well, he says it's still
00:20:24normal for now, okay, got it, so, who else
00:20:28has higher? Hello, my name is Natalia, I found out that my
00:20:32blood pressure is 170/120 in the doctor's
00:20:36office. I needed a therapist's conclusion for an
00:20:39operation, when he told me that I had
00:20:42170, I said: "Throw away your device!" That is, I felt
00:20:45perfectly fine at that moment. When
00:20:49I told another doctor about it, it was another
00:20:52day, it turned out that I had 164 at that
00:20:55moment, but at the same time I say that at home, when I measure it, I have
00:20:59120-17, as she explained to me, I am
00:21:02so afraid of doctors that at that moment my blood pressure can increase,
00:21:06but I don't feel it at all. I understand, thank
00:21:09you. Well, this is not called
00:21:13fear of doctors, it's white coat syndrome. This is an
00:21:17official term, when a person comes and just the sight
00:21:20of a doctor starts
00:21:23to raise blood pressure. Why does this happen to perfectly healthy people? So, you
00:21:26see that there are people
00:21:29who live with high blood pressure. What
00:21:32happens to our ordinary patient who
00:21:35has high blood pressure? Sooner or later, this
00:21:39all turns into the so-called
00:21:43cardiorenohepatometabolic
00:21:45syndrome. We have returned to what we were
00:21:49called to do.
00:22:20You were always normotensive, so in principle, for you, this range of
00:22:23120-130, well, you don't have excess body weight, you are
00:22:26tanned, which means you spend a lot of time outdoors in
00:22:29the sun, so everything is fine here, but
00:22:32it begins, so as not to offend our patients, we call
00:22:36this excess body weight, and most
00:22:39importantly, abdominal obesity begins,
00:22:42visceral fat tissue - it is harmful, it
00:22:46produces active substances that sooner or
00:22:50later lead to arterial
00:22:53hypertension, the appearance of type 2 diabetes
00:22:56- this is not insulin-dependent diabetes
00:22:59mellitus, chronic kidney disease, metabolic
00:23:03syndrome, hypertriglyceridemia, that is,
00:23:06it is a violation of the lipid spectrum, but there are no heart diseases
00:23:10yet, these are only risk factors for metabolic
00:23:12syndrome. Only at the third stage
00:23:16does some
00:23:19disease begin,
00:23:23which is provoked by these
00:23:26metabolic factors. Well, the fourth stage is already a clinically expressed
00:23:29disease. Of course, we must
00:23:32control target blood pressure levels. Normal -
00:23:36range 120-130
00:23:3880-85.
00:23:41Beyond that is already elevated blood pressure. Can we
00:23:45recommend a little higher, yes, for elderly
00:23:48people, especially where there is narrowing of the carotid arteries,
00:23:52they need normal perfusion pressure, there we can agree on
00:23:55135, but not 140, not
00:23:58160. Next is heart
00:24:01rate, which also needs to be controlled, because tachycardia
00:24:05is not so good in terms of
00:24:09longevity, stress on the heart, and of course cholesterol
00:24:12level, an indicator of whether
00:24:15atherosclerosis will develop in this
00:24:18person. We are approaching the stage when we
00:24:22can predict, when we
00:24:25examine healthy individuals, we have been developing
00:24:28and have now developed a system called Metabascan, which
00:24:31can, in a healthy person, by looking at
00:24:34the metabolome, this is done by artificial intelligence, because
00:24:38they examine up to 75,000 metabolites, and
00:24:41we can say, for example, the status of the microbiota, that is, how well the
00:24:45gut microbiota works, what the situation is with inflammation,
00:24:49what the situation is with the respiratory system, the state of the
00:24:52system, and so on and so forth. And here we
00:24:56encountered a very interesting problem, an important problem. We know
00:25:00how to treat ischemic heart disease, we know how to treat arterial
00:25:03hypertension. But what to advise a healthy
00:25:06person, if we see that he has
00:25:09an immune system defect, sooner or later, this will lead to some
00:25:13disease, this is not an easy question, because
00:25:17there are practically no medicines for healthy
00:25:21people. This is what we are currently working on, we are developing ways
00:25:24to influence the health of a healthy person, we
00:25:27are talking about how to influence
00:25:31the cardio-renal-hepato-metabolic
00:25:34syndrome, how simple and complex it is to control heart
00:25:37rate and blood pressure, blood
00:25:40glucose, glycated hemoglobin - this is an indicator that
00:25:44reflects the glucose level over
00:25:46a month, a lipid profile, cholesterol level.
00:26:33Modern medicine is complex,
00:26:36yes, but very effective.
00:26:39If you have any questions, come to me for a consultation. I hand over the floor to
00:26:42my colleagues who will continue our broadcast. Goodbye.
00:26:45свидания.
00:26:52This is the "Ask the Doctor" segment. In this
00:26:56studio, viewers ask questions to Dr. Agapkin, and also send their
00:26:59video questions, and he answers them. Let's start with
00:27:03a video question. Hello, my name is Serova Polina,
00:27:07I am 27 years old, and I have always been interested to know if it's true that our
00:27:11immunity directly depends on gut health. Colds have become
00:27:14frequent, bothering both me and my family. Is it
00:27:17possible that this depends directly on the gut, and what could be
00:27:21done to start restoring the gastrointestinal tract, besides
00:27:25taking prebiotics? Indeed, our immunity depends
00:27:28on the state of the intestinal microflora, as well as our metabolic status,
00:27:32the state of our nervous system, and much, much more. If
00:27:36before the main focus was on single probiotics,
00:27:39that is, some single bacterial cultures that a person took in
00:27:43fairly large doses, trying to colonize
00:27:46their intestines with some one very useful
00:27:49bacterium. Now, all scientists mainly
00:27:53agree that the value of the intestinal
00:27:56microbiota lies in its diversity. In this regard, the main emphasis is now
00:27:59placed more on prebiotics, that is, on
00:28:03various dietary plant fibers that are a nutrient
00:28:06medium for the intestinal microflora, on
00:28:09fermented products. Therefore, the ideal option is
00:28:12fermented vegetables, fermented
00:28:15fruits, fermented dairy products, just regularly
00:28:19consumed in food. According to studies, this is even more effective.
00:28:23Thank you.
00:28:26We are smoothly moving on and waiting for your questions, my friends.
00:28:29Please, those who have questions, be bolder, raise your hands.
00:28:33Sir, please, my youngest daughter is 15 years old.
00:28:36Sometimes, when she takes a bath, she gets dizzy,
00:28:39she loses orientation, according to her.
00:28:43Sometimes she almost lost consciousness. This really
00:28:46bothers my wife and me. Please tell us what to do in this
00:28:49situation. Well, look, what you need to pay attention to is, first,
00:28:53it's completely banal to measure blood pressure, because, well, what happens in the bath? When a person
00:28:57lies in hot water, his peripheral blood vessels
00:29:01dilate.
00:29:04It redistributes, systemic arterial pressure, it begins to decrease. So,
00:29:07if a person's blood pressure is normal, well, the most he
00:29:11can experience, yes, is some slight, momentary
00:29:14dizziness, and even then, only if he gets up sharply, yes. A person
00:29:18whose blood pressure is low can actually feel such pronounced
00:29:22faintness, yes, even up to
00:29:26actual loss of consciousness. The second thing to pay attention to is
00:29:29the hemoglobin level, because often they can
00:29:33appear in the same way, why? Because when the pressure drops,
00:29:37if the concentration of hemoglobin and oxygen is already
00:29:39low, then even less reaches the brain. These
00:29:43problems need to be dealt with. Well, if it's anemia, it's clear that
00:29:46there's a diet that contains a lot of iron,
00:29:50yes, there are iron supplements, everything is relatively clear here. With
00:29:54low blood pressure, there's usually no
00:29:58special treatment, yes, it's mostly about correcting
00:30:01behavior. Which, well, primarily consists of what? The simplest
00:30:04thing is that if you're taking a hot bath,
00:30:08then you shouldn't jump out of it abruptly. The simplest option is to
00:30:12first drain the water, that is, so that
00:30:15the body starts to cool down. So, a very good option is to
00:30:18wet your legs with a cool
00:30:21shower. The vessels begin to contract in response to cooling,
00:30:25blood pressure normalizes, and the person can then
00:30:29leave the bath quite calmly. Thank you.
00:30:42helps block viruses
00:30:46from the first days of life, adults and
00:35:45please, good morning, doctor, lately
00:35:48I've been feeling a lot of fatigue,
00:35:51a kind of heaviness, ahead is the best, my favorite
00:35:55period - winter, New Year holidays,
00:35:58so many planned events,
00:36:01so many pleasant chores, and I don't
00:36:04want to spend this time in bed cuddling with
00:36:08a mug of broth, tell me, how can I
00:36:11support myself today so that I have enough energy for everything?
00:36:15With the onset of cold weather, the daylight hours become shorter,
00:36:19we spend less time outside, we move less, the body
00:36:23really starts to work somewhat differently, metabolism
00:36:26slows down. energy drops,
00:36:29ahead, yes, indeed the busiest period
00:36:32of the year, and it's certainly better to prepare in advance,
00:36:36not when there's no strength left. Here, one substance plays an important role,
00:36:39about which many have heard, but not everyone knows its
00:36:43features, this is coenzyme Q10. Coenzyme
00:36:46Q10 is a natural substance that is produced by our
00:36:49body, it literally charges
00:36:53work at full capacity, and especially
00:36:56susceptible. to the lack of coenzyme Q10
00:36:59are the heart and brain. They are the most energy-consuming
00:37:03organs. Unfortunately, with age, during
00:37:06periods of stress, the synthesis of our own coenzyme
00:37:09decreases. And then what you
00:37:13describe appears, yes, it's hard to get up, you get tired
00:37:15quickly, you don't have enough strength for usual things.
00:37:19In such cases, specialists can recommend paying attention to
00:37:23an additional intake of coenzyme Q10 in liquid
00:37:26form. The thing is that ordinary
00:37:29coenzyme is absorbed, well, let's say, not very
00:37:32well, yes, and the liquid form is already a
00:37:35ready-made solution, it is quickly absorbed and starts
00:37:39acting almost immediately, this is especially
00:37:42convenient when you need to support the body quickly without
00:37:45extra effort, it is usually taken once a day, in
00:37:49the first half of the day, during meals, because
00:37:53it is at this time that the body especially needs energy for the whole
00:37:56day. Hmm, and it's good that you thought about it
00:38:00in advance, such a gentle support, it will help
00:38:04to get through this difficult, for
00:38:07many pre-New Year's marathon. Thank you
00:38:10very much, we continue, and we are waiting, we are
00:38:14eagerly waiting for the video question, what will
00:38:16it be? I am Kuznetsova Lyudmila Petrovna, I am a full
00:38:2060 years old, I am from Mordovia, how it started
00:38:22bothering me is the hip joint, out
00:38:26of the blue. Sometimes it even hurts to turn
00:38:29around, when I walk, I walk a lot,
00:38:33I move, it doesn't bother me, it's in
00:38:36rest, I never had injuries, my joints were always fine,
00:38:39I thought, maybe it's
00:38:41osteoporosis first, what should I do, how to examine
00:38:45and what are the signs of osteoporosis, yes, in fact
00:38:48the appearance of pain at rest without load is just
00:38:52such a not very good factor, as for
00:38:55osteoporosis, indeed... with osteoporosis
00:38:59pain sensations can be similar here and here, well, the simplest
00:39:03way is to do X-ray densitometry - this
00:39:06is a method for determining bone mineral density, which
00:39:09determines how good this mineral density
00:39:13is, well, let's say, in absolute values and relative to
00:39:16the age norm, so in case it turns out that
00:39:20indeed the mineral density is reduced, osteoporosis is progressing, then
00:39:23of course, a consultation with a rheumatologist will be required to...
00:39:28drugs, because osteoporosis is no joke, it's a high
00:39:31risk of a hip fracture, a hip fracture in
00:39:35this sense is a disabling disease, in some cases
00:39:38even leading to death due to the fact that
00:39:41a person, well, such fractures heal slowly,
00:39:44poorly, and a person who is in an
00:39:48immobile state for a long time is vulnerable from the point of view of the cardiovascular
00:39:51system. Thank you,
00:39:52doctor.
00:39:57Cudisan - a medicinal product with a water-soluble form of coenzyme
00:40:01Q-10, which is better absorbed. Cudisan helps
00:40:04cope with fatigue and stress, gives energy
00:40:07to the heart and more strength for life. It is recommended to take
00:40:10Cudisan in a course of 2-3
00:40:12months.
00:40:16The conversation about the most important thing continues. Why do many see well
00:40:19during the day, but poorly in twilight? What
00:40:23is contrast sensitivity, why does it
00:40:25decrease with age? These questions will be answered by ophthalmologist Dmitry Dementiev.
00:40:42Good morning, we continue the series
00:40:45of rubrics about Longevity and our vision, and
00:40:48today we will talk about the decrease in contrast
00:40:51sensitivity. After 50 years, almost
00:40:55all people begin to.
00:41:40watch TV, for example, the picture blurs, in
00:41:43the cinema the same story,
00:41:46objects blur, without glasses, without glasses, without
00:41:49glasses, absolutely right, that is, I understand that
00:41:52there is no sharpness, so
00:41:55to speak, does anyone else want to complain,
00:41:59so let's have the young man, the young man, how old
00:42:02are you, what's your name, hello, my name is Vladimir, 43
00:42:05years old, I have a more dangerous problem, mostly in
00:42:09the dark. pedestrians became difficult to
00:42:11see
00:42:18lately and you're afraid to drive already, yes
00:42:22I tried to completely give up driving at that time of day,
00:42:25I understand, anyone else, let's
00:42:28have this young lady, a young pretty lady, what's
00:42:32your name, good morning, my name is Elena, I am 62
00:42:35years old, and in dimly lit rooms, I generally
00:42:38bump into objects, I can bump into a door jamb,
00:42:42for example, in the entrance, when the lighting is poor, I sometimes
00:42:45even have to feel for the step with my foot. So, here are three
00:42:49people who complained that they see worse in the evening,
00:42:52this is related precisely to
00:42:55a decrease in contrast sensitivity. Even
00:42:59if you go to a doctor, the doctor will check your
00:43:02visual acuity, it's quite likely that your visual
00:43:06acuity is excellent, but at the same time, contrast sensitivity
00:43:10suffers, let's try to explain what contrast
00:43:13sensitivity is and let's not confuse it with visual acuity, here we
00:43:17have two tables, a table for checking visual
00:43:20acuity, classical, the Sivtsev table, as it's called,
00:43:24the last line from a certain distance, if
00:43:28a person reads it, he has 100% vision,
00:43:31black letters are written on a white
00:43:34background, that is, the contrast is very high, but if we
00:43:38look at the very same... letters are a little
00:43:42grayish, and the background is completely gray, then
00:43:45it is already harder for many to read it, this is contrast
00:43:48sensitivity, why does contrast
00:43:51sensitivity decrease with age, what happens,
00:43:55the cornea normally never changes, unlike
00:43:58the lens, which undergoes changes throughout
00:44:01our lives, and the first thing that happens to it is that after
00:44:0523-24 years it starts to
00:44:09turn yellow. this is a protective reaction of our
00:44:12body, why? so as not to let ultraviolet
00:44:16radiation into the eye. contrast sensitivity
00:44:19decreases, in the dark we begin to see worse, worse,
00:44:23worse, eventually the lens somewhere around 50
00:44:26years old completely yellows, remains
00:44:29transparent, began to change some of its optical
00:44:32properties, which also reduces contrast
00:44:36sensitivity, and this can be the first symptom...
00:44:40a kind of wake-up call for a person that he
00:44:43is developing cataracts, clouding of the lens,
00:44:46which sooner or later will occur in all of us, but the
00:44:50more the lens becomes cloudy, the more the contrast
00:44:54sensitivity decreases, and then visual acuity will
00:44:58decrease, what other reasons for decreased contrast
00:45:01sensitivity, age-related changes in the retina
00:45:04and optic nerve are also possible, if there is retinal
00:45:08pathology, if a person has... injuries,
00:46:11hip fractures, it was proven,
00:46:14hip fractures in people with poor
00:46:17vision are 20% higher than
00:46:21hip fractures in people with excellent, good vision.
00:46:24Driving a car, of course, is dangerous, at any moment
00:46:28a person can lose orientation
00:46:31due to decreased vision, contrast sensitivity
00:46:34has worsened, social life, here we have a theater ticket, yes,
00:46:38they gave a theater ticket to a person.
00:46:40He doesn't want to go to the theater, the person starts to feel apathy,
00:46:44depression, he doesn't want to go outside, he
00:46:47stops leading a social life, how to
00:46:51check? what about your contrast sensitivity,
00:46:54there is such a test, the test is called the Pelli
00:46:57Robson test, now we will check it with you, you have
00:47:01all these tables, and you see,
00:47:04the letters, going down, become less
00:47:07contrasting, so you close one eye
00:47:10with your hand and see how many
00:47:13lines you can read without
00:47:17difficulty, close the other
00:47:20eye, we do
00:47:22the same, so, well, let's see, here are three
00:47:26viewers who complained about their reduced
00:47:30contrast sensitivity, let's ask, what can you say, is the
00:47:33right and left eye the same? The right
00:47:36eye saw five, but the
00:47:39fifth was already unclear, the fifth line, the left
00:47:43only six, and asymmetry, the right sees
00:47:46worse than the left, so, next,
00:47:50the same problem, that... the left eye sees somewhat
00:47:54better than the right, that is, asymmetry is also present,
00:47:58so -
00:48:00the third line can essentially be read with the left eye,
00:48:04from the bottom, I mean, with the right, it's almost
00:48:07impossible, it's very poorly distinguishable,
00:48:10Elena, well, I think everything is the same for me, but I
00:48:13don't see the last two lines with either eye, so, what
00:48:17can we tell all three of you, tomorrow you go to
00:48:20the ophthalmologist, all three of you. You need to ask
00:48:24to check your contrast sensitivity, maybe it will be
00:48:27simple treatment in the form of glasses or drops, or it may require
00:48:30some more extensive treatment, if you complained about
00:48:34driving, as you complained, but passed the test
00:48:38perfectly, yes, then such people, in addition to
00:48:41going to the ophthalmologist, can be advised
00:48:45to wear glasses while driving, special glasses
00:48:48with an anti-glare coating
00:48:51increasing... dramatic sensitivity, there are such
00:48:54glasses, but this is not your case, you go to the doctor, those who
00:48:58read to the end the last line, but they
00:49:00are uncomfortable, such glasses can be worn: moisturizing drops,
00:49:04to keep the cornea moist, moisturizing drops help us,
00:49:08of which there are a huge number today, in pharmacies they
00:49:11are sold without a prescription, based on hyaluronic acid,
00:49:15they can be instilled, and after 50 years, in principle, we
00:49:18recommend everyone to instill them at least twice a day, morning and evening.
00:49:22So, today we talked with you about contrast
00:49:25sensitivity, exactly in a week we will meet
00:49:29with you again, and to talk about
00:49:33a very frightening disease called
00:49:36cataracts, which is the leading cause
00:49:39of blindness in the world. Protect
00:49:54far-reaching plans, you can be helped by Dolgit Block gel, it
00:49:57blocks pain with double force. Two components help relieve pain,
00:50:01swelling and inflammation. Dolgit Block in a yellow package, your
00:50:05expert against pain. When you return home,
00:50:09but it depends. I said that Britain still depends on Russia,
00:54:53the most important thing. So, the ORV season
00:54:56is in full swing. Legs hurt, some with fever, some
00:55:00even without. Here is such a new virus appeared,
00:55:04it's unclear. are you really sick or is it just a simple
00:55:07malaise, some people tolerate the disease easily, some with
00:55:10complications, what determines the duration and
00:55:14severity of the disease, let's figure it out, if
00:55:17the symptoms depend on the type of virus, there are many viruses,
00:55:21these are Rhinovirus, and RS-virus, and
00:55:25influenza, coronavirus and a lot of others, then
00:55:29the severity and duration of the disease depend
00:55:31actually on two things, on timely...
00:56:05good morning, good morning, what did you treat yourself with? I was mainly
00:56:08bothered by a cough, so I took antitussive drugs,
00:56:12I see, but I decided not to treat myself,
00:56:16I just lay down, you know, everything went away by itself, you
00:56:19challenged your immune system, right? So, what about you? My
00:56:23throat hurt, I gargled with chamomile, calendula,
00:56:27it's interesting that the audience in the hall named
00:56:30symptomatic remedies that act on
00:56:33the consequence of the disease, but not on the cause, not on the virus, that
00:56:37is, essentially, no one named antiviral treatment,
00:56:41it's important to note this, and is this critical at all? Well, I brought down
00:56:44the temperature, gargled my throat,
00:56:47took an antitussive drug, everything passed, why else
00:56:50something? This contains a very serious mistake, if
00:56:54you do not prevent the reproduction of viruses, they will infect more and more
00:56:57cells and tissues, then the disease will have a more severe
00:57:01and prolonged course and, most importantly, the risk of complications will increase.
00:57:05Well, complications are clear, sinusitis, otitis,
00:57:09excuse me, pneumonia, but I heard that ARVI can
00:57:13affect the heart, blood pressure, is this
00:57:16true? This is indeed true, but here
00:57:19there are some nuances that need to be clarified: the heart
00:57:23itself is not a direct target for ARVI
00:57:26and flu viruses, and viruses
00:57:30generally do not cause increased blood pressure or
00:57:33increased heart rate, but they increase the load on
00:57:37the cardiovascular system. It is known that an increase
00:57:40in temperature by 1°C leads
00:57:43to an increase in heart contractions by seven, or even
00:57:4710. beats per minute, so the heart
00:57:49contracts, as usual,
00:57:53let's imagine that a person's temperature
00:57:57rises, and this is, of course, a very serious
00:58:01additional load, especially for those who
00:58:04have cardiovascular diseases, such as hypertension
00:58:07or heart failure, it has been proven that within
00:58:11one month after an acute respiratory
00:58:14infection, the risk of heart attack...
00:58:18stroke, exacerbation of chronic
00:58:21cardiovascular diseases, such as
00:58:24hypertension, chronic heart failure,
00:58:28increases by more than twofold. In addition, acute respiratory
00:58:31viral infections can cause disorders of the blood
00:58:35clotting system. And here we come to a very
00:58:39important point: patients with chronic diseases,
00:58:42hypertension, asthma, diabetes,
00:58:46are traditionally categorized as a high-risk group for complicated ARVI
00:58:49and flu, hmm, this also includes pregnant
00:58:53women, children, elderly people, because
00:58:56they have age-related immune system features. According to
00:59:00research data, age-related changes in immune cells can
00:59:03be observed already at 55 years of age in healthy people,
00:59:07that is, if treatment is not started on time, the virus can
00:59:11cause not only common complications, sinusitis,
00:59:14otitis, tonsillitis, bronchitis, for example,
00:59:18pneumonia, but also activate the exacerbation of chronic
00:59:21diseases, this includes hypertensive crisis,
00:59:24heart rhythm disorder, this is an exacerbation of asthma, this can
00:59:28be decompensation of diabetes mellitus, which I never
00:59:31thought that ordinary ARVI could affect
00:59:34other diseases, well, although after covid, many hypertensives
00:59:38indeed had problems. arose.
00:59:40Okay, how quickly does the virus multiply? Do we have
00:59:43time to think, or do we need
00:59:46to act? Immediately, viruses multiply very
00:59:50quickly, from one maternal viral particle in
00:59:53our body, within 24 hours, millions, even more, daughter
00:59:57viral copies can form, this
01:00:00is why the urgency, timeliness of starting treatment is of fundamental
01:00:04importance, however, today more than 300
01:00:07types of ARVI pathogens are known, in this
01:00:11regard, in each specific case, it is very difficult to identify,
01:00:14sometimes even impossible to identify the viruses that... cause
01:00:18the current episode of infectious disease, this is why in
01:00:21modern medicine, means that act against
01:00:24various ARVI and
01:00:28flu pathogens are widely in demand, in this regard,
01:00:32means containing interferon deserve special attention.
01:00:35Let me remind you that interferon is a natural protein,
01:00:39it is also called the cornerstone of antiviral protection,
01:00:42which blocks virus reproduction at
01:00:45all its most important stages, in addition...
01:00:49interferon protects healthy cells from virus
01:00:52penetration and thereby prevents the
01:00:55spread of viruses in the body, contributing
01:00:58to their faster elimination, removal of viruses.
01:01:01So, the virus makes a million copies in an hour, and then we
01:01:05we've been dealing with the consequences for months. But
01:01:08it's interesting how much time a person actually
01:01:10loses due to complications. Let's look at the table.
01:01:14If a timely, adequately treated ARVI ends
01:01:18on average in 7 days, or maybe earlier, then
01:01:21complications significantly prolong the period
01:01:24of illness. Bronchitis can last up to 10 and
01:01:27more days. With pneumonia, full recovery
01:01:30occurs on average in about 3-6 weeks
01:01:34only, but in
01:01:38полугода. А такой, например, феномен как лонг Covid - это
01:01:42вообще лидер, он может длиться от 2 месяцев до 2
01:01:45лет. Как-то сразу захотелось. получить совет, что же делать,
01:01:49чтобы так долго не болеть? оперативно
01:01:53начинать лечение направленое именно на вирус,
01:01:56как на причину заболевания, а не только симптомы,
01:01:59и такой подход нельзя
01:02:02заменить только исключительно симптоматическим лечением,
01:02:05против кашля или против насморка. хорошо, а чем
01:02:08именно тогда работать с причиной, ведь вирусов, как
01:02:12вы сказали, больше 300, мы не всегда знаем, какой именно вирус, вот
01:02:16здесь как раз помогает. интерферон, но проблема
01:02:19заключается в том, что собственная выработка интерферона
01:02:23очень часто бывает недостаточной, улиц с хроническими
01:02:26заболеваниями, такие как диабет, астма,
01:02:29хроническая... структивная болезнь лёгких, выработка интерферонов
01:02:33снижена, более того, есть возрастные
01:02:36дефекты продукции интерферонов, например, у
01:02:39детей или у пожилых лиц, способность
01:02:42вырабатывать интеферон в ответ на вторжение вирусов
01:02:46ниже существенно в несколько раз, чем у молодых
01:02:49взрослых. Кривая, отражающая выработку
01:02:53интерферонов в разных возрастных группах,
01:02:56чётко показывает, что у детей у пожилых лиц.
01:03:00самые низкие показатели в этом плане, вот почему именно эти возрастные
01:03:04группы имеют более высокий риск тяжёлого, затяжного и
01:03:07осложнённого течения острых респираторных вирусных инфекций,
01:03:11поэтому интерфероны можно применять дополнительно, в том числе в
01:03:14виде ректальных свечей, так организм получает
01:03:18необходимую поддержку в виде готовых
01:03:20белков-защитников, которые быстро начинают
01:03:24оказывать своё лечебное действие. Интерферон в форме ректальных
01:03:27свечей будет обеспечивать системное действие.
01:03:43в носоглотки, куда можно было бы внести капли или другие местные формы
01:03:46лекарственных средств, очень часто возбудители стремятся к
01:03:49распространению в нижние дыхательные пути, в бронхи, в
01:03:53трахею, в лёгкие пытаются войти в
01:03:56системный кровоток, очень часто поражают и отдалённый.
01:04:00Такой подход к лечению, согласно исследованиям, сокращает
01:04:04выраженность продолжительность симптом в кашли насморка
01:04:08высокой температуры в среднем на 2 дня, а осложнения при такой
01:04:11терапии респираторных инфекций случаются достоверно
01:04:15реже, например, случаев пневмонии при применении свечей с
01:04:18интерфероном наблюдалось в среднем меньше в
01:04:21два раза, а отатиты и синуситы встречались
01:04:25в 3 с половиной раза реже, важно отметить, что
01:04:28средство включающие интеферон альфа
01:04:32входят стандарты лечения клинические рекомендации,
01:04:35утверждённые минздравом по лечению
01:04:39разных респираторных инфекций, в том числе
01:04:42и орви, и гриппа, и респираторный
01:04:45стенциальной инфекции и новой коронавирусной
01:04:48инфекции. Ну так уже спокойнее, значит, есть средства, которые помогут
01:04:52нам долго не болеть. Спасибо,
01:04:54доктор.
01:05:00Виферон - активен против различных вирусов ор и
01:05:04гриппа. Уникальная формула препарата, в состав который входят
01:05:07интерферональфа, помогает блокировать вирусы укреплять
01:05:10иммунитет для детей, взрослых пожилых
01:05:14людей.
01:05:17Тяжесть и длительность болезни зависит не только от
01:05:20вируса, но и от того, как быстро мы начинаем действовать.
01:05:24Начинайте лечение сразу и болезнь пройдёт быстрее. Спасибо, что вы провели это
01:05:28утро вместе с нами. Мы желаем вам хорошего дня.
01:05:30крепкого здоровья, мы обязательно увидимся на телеканале Россия,
01:05:48в эфир телеканала Россия выходят вести, в студии Мария Ситпель,
01:05:51здравствуйте,
01:05:56warehouses are burning near Kyiv, giant traffic jams on the roads. they are blocking
01:06:00highways, where else did our geranias fly tonight?