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Video tags
Subtitles
Russian
00:00:07
so German Neck teaches let's invite to the00:00:11
front position our wonderful00:00:13
guest, a friend of a comrade and practically a brother,00:00:17
he sat all crumpled our brother Igor00:00:20
Vladimirovich of the city then a wonderful00:00:23
doctor gastroenterologist today is our guest00:00:25
guest of our program you have already seen him00:00:28
in our programs we love him because00:00:32
logic has been opened00:00:35
you chose to be treated by the doctor in the city movie00:00:38
direct so for me it’s the00:00:40
treating doctor I love him I respect him and I’ll be00:00:43
glad if he’s still alive I00:00:49
look good start video doctor mountain blowing00:00:51
from a good doctor00:00:52
it’s a merit of the town she’s so God he’s00:00:55
joking so German ball black humor00:00:57
he has, well, friends, let's start as always with the00:01:00
test,00:01:03
we start this shows on himself with00:01:06
all his might contains everything the dawn had00:01:08
what she was showing to herself would no longer live00:01:11
if you put your hand on top of your stomach and00:01:16
press, will you experience some kind of blozik00:01:20
compilation or on the left side, if00:01:23
you feel it, does it give in the back?00:01:26
If it hurts and the pain sends pressure into00:01:30
the back, trembling, red button,00:01:32
if everything is in order, green,00:01:36
who didn’t cope with a difficult task,00:01:38
it can’t be like that, he’ll say00:01:40
striped dinners, he doesn’t press anywhere at all, he00:01:43
looks at us questioningly I00:01:44
wonder what button will I press?00:01:55
Three people feel discomfort and00:01:58
give back pain. Six people are happy with00:02:01
fate and nothing hurts.00:02:05
Look, today we will be with Igor00:02:07
Vladimirovich mountain dota. We will talk about the00:02:10
topic: my back hurts, but it’s not00:02:13
osteochondrosis, it’s a disease00:02:15
called chronic pancreatitis and00:02:19
since we examined you today we have00:02:22
just a super large team on is already00:02:25
doomed to whether she stood up Arthur on00:02:27
Martirosyan our ultrasound diagnostics doctor00:02:30
on your screens will now light up the00:02:33
diagnosis of our medical council00:02:35
under the leadership of the doctor of the cities and00:02:37
sinkava can a red hand up a man in00:02:44
striped, wait, you're not red,00:02:47
look at the necra, take him away and my00:02:51
darling00:02:52
lowered her hand. We adults are generally in a00:02:55
state of shock all the time when we need to raise our00:02:57
red-green hand.00:03:05
we call yes so come out00:03:09
let's get to know you what is your00:03:12
name Sergei Mikhailovich00:03:14
Sergei Mikhalkov why the test was not carried out00:03:17
as it should be anymore military do not listen to00:03:21
the order for probably the order did not come the order00:03:24
so press slowly on the upper00:03:26
abdomen press the red or green00:03:31
button green green why games00:03:34
you own mine our Sergei Mikhalka00:03:36
was taken out as a patient and you diagnosed me, it00:03:38
looks like I was indignant the00:03:41
diagnosis was made after a correct00:03:44
examination, but he falls into the risk group00:03:47
because well, like many men,00:03:51
especially in Russia, sometimes they like00:03:54
to drink and have a snack and a snack together at the table, leveling up00:03:56
and excessive00:03:59
alcohol consumption sometimes leads to the disease00:04:03
chronic pancreatitis,00:04:05
which is expressed by abdominal pain giving back00:04:07
indigestion, weight loss of00:04:11
different sides in an excellent background and a real00:04:15
major tanks 81 weight and so chronic00:04:23
pancreatitis diseases of the00:04:25
pancreas you stroke, go through what is strange to00:04:28
our layout, see where the00:04:31
pancreas is why does your back and chest hurt?00:05:04
this is not a ledge of chondros00:05:07
this is chronic pancreatitis00:05:10
put these like they are closed with what00:05:13
layers of huge ones to give back let's move on to the00:05:15
next layout of the game you will enter what is the00:05:18
function of the pancreas00:05:21
let's our guest hello turned the00:05:25
gland00:05:26
this function of the pancreas is twofold00:05:29
one is called endocrine the other exo-k00:05:31
and above today we are talking about exo the root00:05:33
function of the endocrine is the secretion of00:05:36
hormones and only two percent are not involved00:05:38
in the pancreas, but 9800:05:40
percent are involved in their closed functions00:05:42
andy chicken phone zeta the secretion of00:05:44
digestive enzymes00:05:48
whose purpose is to digest fatty foods00:05:52
and proteins00:05:53
food which my salute which00:05:56
digestive enzymes are secreted by the pancreas00:05:59
iron, look,00:06:00
our guest could be here, this is the intestine, here you are,00:06:02
you've eaten up to everything in the world, he's00:06:08
full of us and thinks that he's not in any danger,00:06:11
so his pancreas has started00:06:14
working, what's happening should it00:06:17
dissolve naturally, be absorbed by the00:06:19
body, absolutely accurately00:06:21
digested and absorbed this norm00:06:23
With chronic pancreatitis, this is00:06:26
not the case, but what is there, how to treat it, we will tell you00:06:28
in a few minutes further in our00:06:30
concepts of what causes back pain,00:06:33
chronic pancreatitis, first outfit,00:06:37
how to choose an envelope for a newborn,00:06:40
live healthy,00:06:50
this is a program, live healthy, friends, we are00:06:52
talking about medicine, our topic today is00:06:54
chronic pancreatitis. today there is a00:06:57
whole gathering of wonderful doctors in00:07:00
medical language this is called a00:07:01
council they are a gathering and our council00:07:04
is led by a wonderful00:07:06
gastroenterologist the head of his own00:07:08
gastroenterology clinic Igor00:07:10
Vladimirovich town00:07:17
pancreas on all models find it here00:07:20
where in close-up it should be00:07:24
quite easy to00:07:26
send 1 head of the pancreas00:07:29
which00:07:30
here, correctly and without messing around, let’s00:07:33
repeat for our viewers the symptoms of00:07:35
chronic pancreatitis, how this disease manifests itself,00:07:38
chronic pancreatitis and the rules, it00:07:39
manifests itself as pain and pain in the upper00:07:42
abdomen, which sometimes gives in the back,00:07:47
maybe vomiting, maybe an upset00:07:50
stomach, our how to lose weight, yes, diarrhea00:07:53
then it means that the whole point is that the00:07:54
pancreas does not produce00:07:57
enzymes well and00:07:59
undigested food is not digested, it flies out of us at00:08:02
great speed, so a person00:08:03
has diarrhea, loses weight, these are signs of00:08:06
chronic pancreatitis, what are the00:08:08
complications of this disease from chronic00:08:10
inflammation, the integrity of the pancreas is disrupted00:08:13
and these voids are00:08:15
filled with00:08:16
liquid, female fluid cysts are formed,00:08:18
but the gifts have become a bag00:08:22
filled with fluid, water, and in hell there are no00:08:26
enzymes, all these enzymes are there00:08:29
too, but the fluid from inflammation also00:08:30
fills and there is a high00:08:32
concentration of amylase, as a rule,00:08:34
let’s pierce it to show that a00:08:36
cyst can be lubny,00:08:38
why is it dangerous or jellied but the cyst00:08:41
can be infected, too, can it00:08:43
be infected with an infection00:08:44
when it is only with antibiotics00:08:47
when it reaches 6 cm in size as usual and00:08:50
we operate on it or train it somehow, that is, they00:08:52
happen and it is done through the stomach, sometimes it is00:08:55
necessary to do it surgically,00:08:57
depending on the location of the cyst, then00:08:59
there are diseases, there are complications, so00:09:01
the question is how to treat chronic pancreatitis,00:09:03
it’s not just looking at the conclusion, everything would be easy,00:09:06
you’re a person with an analytical mind, major,00:09:09
now we’re going to have a battle, and so we don’t00:09:11
have enough pancreatic enzymes, a00:09:13
miracle man, I’m taking his closet, we’ve become00:09:20
more his teacher, wait, I asked00:09:23
about enzymes and the version is not enough00:09:26
enzymes we prescribe read the00:09:31
pancreas fear for the00:09:33
man means what you offer me00:09:35
produces except that we replace00:09:38
enzymes allow the pancreas00:09:40
and so strong work not to secrete many of00:09:43
its own enzymes that are involved in the00:09:45
digestion of the pancreas itself,00:09:48
that is, it reduces pancreatic pain00:09:50
suffers less in a dream if we give00:09:53
enzymes for digestion the pancreas00:09:55
may not do this and when it00:09:57
calms down and the blocking and00:09:59
resting stopped, it means that the first thing we give is00:10:02
pancreatic enzymes in00:10:04
tablets and today there are a lot of00:10:06
gold standard drugs, but this is the00:10:09
first thing we should do for chronic00:10:11
pancreatitis still perm00:10:14
you are stroking wanted to name other00:10:17
drugs what why00:10:19
pain is one of the cardinal00:10:21
symptoms of chronic pancreatitis you need to00:10:23
first of all relieve the pain check should00:10:25
have been cured correctly but he will00:10:27
suffer from pain this violates his00:10:30
quality of life so you need to give00:10:32
more drugs to relieve pain although00:10:35
enzymes themselves can also be better00:10:38
very sick all over and that a thousand won that00:10:42
fat is necessary for assimilation,00:10:45
some vitamins are needed and where is fat00:10:50
dissolving Rostov soluble vitamins00:10:52
and since we digest fat poorly we00:10:55
have problems with assimilating these deficiency of00:10:57
these vitamins and therefore every00:11:00
person needs to be given vitamins so that there00:11:02
is no deficiency of the species,00:11:03
so you were right to the board or00:11:05
vitamin of give us 4 vitamins quickly, all00:11:08
created in Adygea,00:11:10
so doctors compensate for the deficiency if00:11:13
it arose due to poor functioning of the00:11:15
pancreas,00:11:16
that’s, in fact, all the treatment that00:11:18
you tell us Mr. my tanks to00:11:21
the man as you can say arrives at the00:11:23
surgical part of the conclusion if00:11:26
an infection occurs or an increase in the00:11:28
size of cysts happens this treatment may00:11:30
be more radical your wish to00:11:33
the people of Russia00:11:37
take care of yourself take care of yourself and sculpt to00:11:40
eat properly in meiji in front of a quiet00:11:42
voice says the doctor of the world dota00:11:47
let's go then he sits down in the store and thanks a lot to00:11:50
Igor Vladimirovich and this is all00:11:53
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