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26 | null | Пациентка с очень высоким риском сердечно-сосудистых осложнений (инфаркт, инсульт и прочих неприятностей). Для таких пациентов норма ЛПНП ниже 1,4 ммоль/л, общий холестерин менее 4.00 ммоль/л.
Сделала перерыв в статинах, аллопуриноле (препарат для снижения мочевой кислоты). Вижу и кушала вкусно, сладко. На эхо-кг ухудшение по клапанам.
Вопрос риторический: зачем так делать?
Совет дня: следите пожалуйста как ваши старшие родственники принимают препараты
♥️
Это может сильно продлить их жизнь и ее качество. Парализованый родственник - это и страшно и страшно дорого.
Скоро запишу подробный подкаст про холестерин, обязательно всем слушать
👌
#анализы
#холестерин | https://t.me/DrAnshina/1259?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 190,600 | 0 | 1,730,127,462 | 1,730,797,644 | 9,901 | 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| [{"ner":"1","lemma":"1","label":"NUM","start_pos":145,"end_pos":146},{"ner":"4","lemma":"4","label":"NUM","start_pos":147,"end_pos":148},{"ner":"4","lemma":"4","label":"NUM","start_pos":181,"end_pos":182},{"ner":"00","lemma":"00","label":"NUM","start_pos":183,"end_pos":185}] | NEUTRAL | rus | NOT SPAM | 91 | 0 | 1 | 1 | 0 | 0 | 15 | 12 | 2 | 2 | 36 | 9 | 24 | true |
26 | null | Про нормы липидного профиля!
Дублирую тут нормы ЛПНП:
🔸
Для пациентов низкого риска - меньше ЛПНП 3.0 ммоль/л
🔸
умеренного риска меньше 2.6 ммоль/л
🔸
высокого риска меньше 1,8 ммоль/л
🔸
низкого риска меньше 1.4 ммоль/л
В подкасте подробно рассказываю как определить к какой группе относитесь вы.
Все эти нормы прописаны Российским Кардиологическим обществом, одобрены Минздравом РФ.
Говорю про таблицу SCORE и калькулятор неЛПВП (в сети без проблем найдете).
Делайте репосты, чтобы больше людей были информированы и никогда не узнали что такое инфаркт/инсульт. | https://t.me/DrAnshina/1260?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 182,400 | 0 | 1,730,356,916 | 1,730,797,644 | 9,901 | 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| [{"ner":"🔸","lemma":"🔸","label":"LOC","start_pos":54,"end_pos":55},{"ner":"🔸","lemma":"🔸","label":"LOC","start_pos":110,"end_pos":111},{"ner":"🔸","lemma":"🔸","label":"LOC","start_pos":148,"end_pos":149},{"ner":"🔸","lemma":"🔸","label":"LOC","start_pos":184,"end_pos":185},{"ner":"Российским Кардиологическим обществом","lemma":"российский кардиологический общество","label":"ORG","start_pos":320,"end_pos":357},{"ner":"Минздравом","lemma":"минздрав","label":"ORG","start_pos":368,"end_pos":378},{"ner":"РФ","lemma":"рф","label":"LOC","start_pos":379,"end_pos":381},{"ner":"3","lemma":"3","label":"NUM","start_pos":98,"end_pos":99},{"ner":"0","lemma":"0","label":"NUM","start_pos":100,"end_pos":101},{"ner":"2","lemma":"2","label":"NUM","start_pos":136,"end_pos":137},{"ner":"6","lemma":"6","label":"NUM","start_pos":138,"end_pos":139},{"ner":"1","lemma":"1","label":"NUM","start_pos":172,"end_pos":173},{"ner":"8","lemma":"8","label":"NUM","start_pos":174,"end_pos":175},{"ner":"1","lemma":"1","label":"NUM","start_pos":207,"end_pos":208},{"ner":"4","lemma":"4","label":"NUM","start_pos":209,"end_pos":210}] | NEUTRAL | rus | NOT SPAM | 83 | 0 | 5 | 0.991379 | 0.008621 | 0 | 7 | 11 | 2 | 9 | 27 | 3 | 15 | true |
26 | null | Перхоть — распространенное заболевание, характеризующееся появлением чешуек, отслаивающихся от кожи и зачастую падающих на плечи. Может сопровождаться зудом и раздражением.
Виды
:
1. Сухая: проявляется мелкими, сухими чешуйками, легко осыпающимися с волос.
2. Жирная: характеризуется крупными, маслянистыми чешуйками, прилипающими к волосам и коже головы.
Основным возбудителем себореи считается грибок Malassezia, обитающий на коже головы многих людей. При нормальных условиях он не вызывает проблем, однако его чрезмерное размножение может привести к развитию заболевания.
Предрасполагающие факторы:
• Генетическая предрасположенность
• Неадекватный уход за волосами и кожей головы
• Гормональные колебания (пубертатный период, беременность)
• Психоэмоциональные нагрузки
• Дефицит витаминов
• Нарушения углеводного обмена и др.
Для точной диагностики необходима консультация врача-трихолога.
При появлении перхоти важно скорректировать уход за кожей головы. Можно обратить внимание на средства DERCOS от Vichy:
1. Интенсивный увлажняющий шампунь-уход 2 в 1 "Против перхоти DS":
• Устраняет видимую перхоть уже после первого применения
• Обеспечивает длительное увлажнение волос и кожи головы
• Улучшает текстуру и внешний вид волос
• Подходит для окрашенных и поврежденных волос
• Содержит Селен DS и гиалуроновую кислоту для нормализации микробиома кожи головы
2. Интенсивная несмываемая сыворотка для кожи головы "Serum 10":
• Обеспечивает уход между мытьем головы
• Решает 10 основных проблем кожи головы (перхоть, шелушение, дискомфорт, избыток себума, неприятный запах, стянутость, потеря объема, нехватка ощущения свежести, ослабленный барьер кожи головы, дисбаланс микробиома)
• Содержит комплекс активных веществ для борьбы с себореей
• Успокаивает и увлажняет кожу головы
• Оснащена удобным аппликатором для точечного нанесения по проборам
Использование продуктов совместно в формате протокола обеспечивает эффективность: возвращает баланс кожи головы, сокращает перхоть и предотвращает повторное появление.
Erid: LjN8KSDAH
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Skin.ru
. | https://t.me/DrAnshina/1261?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 192,700 | 0 | 1,730,708,012 | 1,730,797,644 | 9,912 | 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|
26 | null | Новости науки, которыми не могу не поделиться с вами.
Жаль, что моя бабушка, которая умерла от меланомы, не дожила до этого времени. Эта новость и эта моя фотография ей бы очень понравились
💔 | https://t.me/doctor_belokon/104?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 177,600 | 0 | 1,714,391,629 | 1,730,797,644 | 9,898 | 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| [{"ner":"💔","lemma":"💔","label":"ORG","start_pos":191,"end_pos":192}] | NEUTRAL | rus | NOT SPAM | 33 | 0 | 0 | 1 | 0 | 0 | 0 | 5 | 4 | 0 | 7 | 2 | 6 | true |
26 | null | Возможно, в недалеком будущем, меланома (а, возможно, не только этот вид рака) может быть полностью излечима.
В Лондоне проходит третья фаза исследований персонализированной мРНК-вакцины против меланомы.
Вакцина нацелена на опухолевые неоантигены, которые экспрессируются раковыми клетками у каждого конкретного пациента. Это маркеры на опухоли, которые потенциально могут быть распознаны иммунной системой.
Укол кодирует до 34 неоантигенов и активирует противоопухолевый иммунный ответ, основанный на уникальных мутациях раковых клеток у каждого конкретного человека.
Чтобы персонализировать его, во время операции у пациента удаляют образец опухоли, после чего проводят секвенирование ДНК и используют искусственный интеллект. В результате получается индивидуальный противораковый препарат (м-РНК вакцина), специфичный для каждой конкретной опухоли.
Каждая вакцина изготавливается ИНДИВИДУАЛЬНО для каждого пациента, это индивидуализированная неоантигенная терапия.
Если сказать обо всем об этом в 2 словах - она заставляет ваш организм (иммунную систему) отслеживать раковые клетки и уничтожать их.
Возможно, этот вид иммунотерапии также будет также эффективен и для других видов рака, включая рак легких, мочевого пузыря и почек.
https://amp.theguardian.com/society/2024/apr/26/cancer-mrna-vaccine-melanoma-trial
Просто обалдеть на пороге каких возможностей медицины мы стоим
🔥 | https://t.me/doctor_belokon/105?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 222,900 | 0 | 1,714,391,769 | 1,730,797,644 | 9,898 | 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| [{"ner":"Лондоне","lemma":"лондон","label":"LOC","start_pos":112,"end_pos":119},{"ner":"34","lemma":"34","label":"NUM","start_pos":425,"end_pos":427},{"ner":"2","lemma":"2","label":"NUM","start_pos":1000,"end_pos":1001},{"ner":"2024","lemma":"2024","label":"NUM","start_pos":1270,"end_pos":1274},{"ner":"26","lemma":"26","label":"NUM","start_pos":1279,"end_pos":1281}] | NEUTRAL | rus | NOT SPAM | 167 | 0 | 5 | 0.995261 | 0.004739 | 0 | 25 | 21 | 11 | 2 | 52 | 8 | 31 | true |
26 | null | Любимые мои баночки, я по вам скучала!
Сейчас будет лайфхак, как выжить при долгих перелетах и не выглядеть, как опухший бурундук))
🐿️
Берём перед полетом 10 капель лимфомиозота и 10 капель Вомика-Гоммакорда и разводим в бутылочке воды 0,5. Это гомеопатические препараты, которые дают ток лимфе при долгих перелетах и склонности к отекам.
Всегда в моей сумочке эти два средства, которые не раз меня выручали. Мои 10 перелетов прошли спокойно))
*С осторожностью при заболеваниях щитовидной железы
Так же , в день приема ,не забываем пить воду в достаточном количестве. | https://t.me/dr_Guvarsha/265?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 79,100 | 0 | 1,728,363,394 | 1,730,797,644 | 9,898 | 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| [{"ner":"Вомика-Гоммакорда","lemma":"вомика-гоммакорда","label":"PER","start_pos":190,"end_pos":207},{"ner":"10","lemma":"10","label":"NUM","start_pos":155,"end_pos":157},{"ner":"10","lemma":"10","label":"NUM","start_pos":180,"end_pos":182},{"ner":"0","lemma":"0","label":"NUM","start_pos":236,"end_pos":237},{"ner":"5","lemma":"5","label":"NUM","start_pos":238,"end_pos":239},{"ner":"10","lemma":"10","label":"NUM","start_pos":413,"end_pos":415}] | NEUTRAL | rus | NOT SPAM | 88 | 0 | 1 | 1 | 0 | 0 | 6 | 11 | 6 | 5 | 27 | 5 | 19 | true |
26 | null | Коллаген разбиваясь на аминокислоты
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У каждого второго пойдут в иммунные клетки
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Так как у каждого второго вялотекущий хронический воспалительный процесс
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И это требует больших белковых затрат
Так как Для поддержания напряженности иммунитета и предотвращения распространения воспалительного процесса нужны новые иммунные клетки
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Дойдет ли до кожи и ваших морщинок принятый “Per os” коллаген ?
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Вряд ли
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Стоит ли его принимать ?
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Допустимо
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Только качественный и очищенный
Что бы не пострадать от огромного количества ненужных добавок | https://t.me/dr_Guvarsha/266?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 78,200 | 0 | 1,728,827,060 | 1,730,797,644 | 9,898 | 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| null | NEUTRAL | rus | NOT SPAM | 82 | 0 | 2 | 0.981308 | 0.018692 | 0 | 15 | 10 | 3 | 0 | 21 | 3 | 8 | true |
26 | null | С Праздником!!! День Народного Единства! | https://t.me/drmyasnikov/2666?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 29,700 | 0 | 1,730,695,887 | 1,730,797,644 | 9,898 | 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| [{"ner":"Праздником","lemma":"праздник","label":"PER","start_pos":2,"end_pos":12}] | POSITIVE | rus | NOT SPAM | 5 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 4 | true |
26 | null | Дорогие подписчики, меня часто просят посоветовать хорошего детского гастроэнтеролога!
😍
Могу вам смело рекомендовать
Лапшину Софью Денисовну!
Это великолепная доказательная врач детский гастроэнтеролог, а ведь таких очень мало.
Доктор из СПБ, если вы из другого города - вы можете проконсультироваться с Софьей Денисовной в онлайне.
Уже многим детям моих друзей Софья Денисовна нормализовала стул и избавила от болей в животиках.
🥰
Подписывайтесь и сохраняйте | https://t.me/ibs_doc/287?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 2,200 | 0 | 1,730,704,981 | 1,730,797,644 | 9,899 | 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| [{"ner":"Лапшину Софью Денисовну","lemma":"лапшин софья денисовну","label":"PER","start_pos":118,"end_pos":141},{"ner":"СПБ","lemma":"спб","label":"ORG","start_pos":239,"end_pos":242},{"ner":"Софьей Денисовной","lemma":"софья денисович","label":"PER","start_pos":305,"end_pos":322},{"ner":"Софья Денисовна","lemma":"софья денисович","label":"PER","start_pos":363,"end_pos":378}] | NEUTRAL | rus | NOT SPAM | 64 | 0 | 1 | 1 | 0 | 0 | 7 | 10 | 5 | 1 | 13 | 5 | 10 | true |
26 | null | ‼️
ОСНОВНАЯ ИНФОРМАЦИЯ
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Меня зовут Лапшина Софья Денисовна, я детский гастроэнтеролог. Лечу животики малышей от рождения и до 18 лет.
Могу помочь с патологией пищеварительного тракта у ребёнка, а также с подбором рационального питания для малыша.
✅
ОЧНЫЙ прием в клинике ОсНова-Дети в г. Санкт-Петербург, Комендантский пр., лит. А
https://osnova-deti.ru/doctors/lapshina-sofya-denisovna.html
✅
ОНЛАЙН консультации на платформе Твой Док
https://tvoy-doc.ru/gastroenterolog-lapshina
🤖
Мой БОТ-калькулятор для расчета питания деток (недоношенных, первого года жизни, с неврологической патологией, а также определение БЖУ+ккал)
https://t.me/dr_lapshina_calculator_bot
👌🏻
Полезные материалы для бесплатного скачивания:
Дневник дефекации, сказка и стихи про здоровый животик, гастро-раскраска и кроссворд (может быть полезен коллегам, чтобы развлечь деток на приеме).
https://taplink.cc/dr_gastro_lapshina
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Оставить отзыв можно здесь:
https://prodoctorov.ru/spb/vrach/1027340-lapshina/ | https://t.me/ibs_doc/288?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 2,100 | 0 | 1,730,704,981 | 1,730,797,644 | 9,899 | 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| [{"ner":"Лапшина Софья Денисовна","lemma":"лапшин софья денисович","label":"PER","start_pos":37,"end_pos":60},{"ner":"ОсНова-Дети","lemma":"основа-дети","label":"LOC","start_pos":273,"end_pos":284},{"ner":"Санкт-Петербург","lemma":"санкт-петербург","label":"LOC","start_pos":290,"end_pos":305},{"ner":"Комендантский пр","lemma":"комендантский пр","label":"LOC","start_pos":307,"end_pos":323},{"ner":"Твой Док\nhttps://tvoy-doc.ru/gastroenterolog-lapshina\n🤖\nМой","lemma":"твой док\nhttps://tvoy-doc.ru/gastroenterolog-lapshina\n🤖\nмой","label":"LOC","start_pos":429,"end_pos":488},{"ner":"10273","lemma":"10273","label":"DATE","start_pos":965,"end_pos":970},{"ner":"18","lemma":"18","label":"NUM","start_pos":128,"end_pos":130}] | NEUTRAL | rus | NOT SPAM | 111 | 0 | 6 | 0.969136 | 0.030864 | 0 | 11 | 8 | 2 | 1 | 46 | 4 | 22 | true |
26 | null | ЧТО НЕ ТАК С ДОФАМИНОВЫМ ДЕТОКСОМ?
Адепты дофаминового голодания считают, что от социальных сетей, компьютерных игр, вкусняшек, шопинга и других приятных штук вырабатывается «дешевый дофамин», который пресыщает рецепторы и человек уже не может получать удовольствие от обычной жизни. Если отказаться от быстрых удовольствий, то голодный до дофамина мозг начнет кайфовать даже от скучной рутины.
Идея доходит до абсурда. Некоторые сторонники дофаминового детокса предлагают отказываться даже от разговоров, жить в полном аскетизме или вообще использовать тотальную сенсорную депривацию.
Автором концепции является специалист по когнитивно-поведенческой терапии Кэмерон Сепа, но он сам не в восторге от того, как интерпретируют его идею. Ведь Сепа просто предлагал уменьшить чрезмерное импульсивные привычки, а не отказываться от них совсем.
ЧТО НЕ ПОНИМАЮТ АДЕПТЫ ДОФАМИНОВОГО ГОЛОДАНИЯ:
1️⃣
Нет никаких научных доказательств, что отказ от «быстрых» удовольствий реально снижает уровень дофамина в мозге. Дофамин вообще вырабатывается не при получении удовольствия, а при его предвкушении или получении большей награды, чем ожидалось.
2️⃣
Если бы уровень дофамина в мозге реально снизился, то это только бы навредило организму. Дофамин - необходим для нормальной работы мозга. При его дефиците могут развиться такие заболевания как депрессия, СДВГ и так далее.
Еще вопросики к длительности дофаминового детокса - обычно предлагают воздерживаться от стимулов несколько дней или недель. Но
эксперименты на крысах,
зависимых от кокаина показали, что после отказа от наркотика изменения в дофаминовой системе сохраняются месяцами! Это у животных, которые живут всего пару лет, и в организме которых процессы проходят быстрее, чем у человека. Поэтому на перестройку работы мозга, отказ от зависимостей и развитие новых привычек людям могут потребоваться многие годы, что и показывают данные клинических наблюдений.
КАК ИСПОЛЬЗОВАТЬ ЗНАНИЯ О ДОФАМИНОВОЙ СИСТЕМЕ ПО НАУКЕ:
Лучше подходить к биохимии мозга с умом и использовать дофаминовую систему вознаграждения мозга в своих целях. Например, гарантировать себе небольшую награду за выполнение обязательных дел. Допустим, пить вкусный протеиновый коктейль или ходить на приятный массаж после каждой тренировки в спортивном клубе.
Я как-то читала за вас книгу “Атомные привычки”, где описываются подобные методики уменьшения вредных стимулов и усиления слабых. Можете подробно почитать о них,
начиная с этого поста. | https://t.me/imatrip/2178?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 726 | 0 | 1,730,769,252 | 1,730,797,644 | 9,898 | 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| [{"ner":"Кэмерон Сепа","lemma":"кэмерон сепа","label":"PER","start_pos":660,"end_pos":672},{"ner":"Сепа","lemma":"сепа","label":"PER","start_pos":741,"end_pos":745},{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":1342,"end_pos":1346},{"ner":"1","lemma":"1","label":"NUM","start_pos":887,"end_pos":888},{"ner":"2","lemma":"2","label":"NUM","start_pos":1134,"end_pos":1135}] | NEUTRAL | rus | NOT SPAM | 338 | 0 | 22 | 1 | 0 | 0 | 44 | 46 | 13 | 1 | 109 | 18 | 55 | true |
26 | null | Brain zaps – это ощущение электрического разряда в мозгу. Они могут возникнуть у человека, который снижает дозировку или отменяет прием определенных препаратов, в частности антидепрессантов.
Brain zaps не опасны и не повреждают мозг, однако они могут дезориентировать, надоедать и мешать концентрации или сну.
Люди могут свести это явление к минимуму или вовсе его предотвратить, сокращая дозировку антидепрессантов медленно и постепенно. Необходимо консультироваться с лечащим врачом, прежде чем отменять прием лекарств или снижать их дозировку.
Внезапное прекращение приема антидепрессантов увеличивает вероятность возникновения нарушений мозгового кровообращения и других симптомов.
Лекарства от brain zaps не существует, со временем они проходят сами по себе. Как только организм человека приспосабливается к изменению дозировки антидепрессантов, brain zaps и другие побочные эффекты уменьшаются.
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teletype.in/@imatrip/j_QPTOvq4Y0 | https://t.me/imatrip/2179?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 107 | 0 | 1,730,797,352 | 1,730,797,644 | 9,898 | 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| [{"ner":"электрического разряда","lemma":"электрического разряда","label":"PER","start_pos":26,"end_pos":48},{"ner":"Они могут возникнуть у человека","lemma":"Они могут возникнуть у человека","label":"PER","start_pos":58,"end_pos":89},{"ner":"его предотвратить","lemma":"его предотвратить","label":"PER","start_pos":361,"end_pos":378},{"ner":"сокращая","lemma":"сокращая","label":"LOC","start_pos":380,"end_pos":388},{"ner":"нарушений мозгового","lemma":"нарушений мозгового","label":"PER","start_pos":631,"end_pos":650},{"ner":"других симптомов","lemma":"других симптомов","label":"ORG","start_pos":668,"end_pos":684},{"ner":"Лекарства","lemma":"Лекарства","label":"LOC","start_pos":686,"end_pos":695},{"ner":"Как","lemma":"Как","label":"ORG","start_pos":764,"end_pos":767},{"ner":"эффекты уменьшаются.\n","lemma":"эффекты уменьшаются.","label":"PER","start_pos":880,"end_pos":901},{"ner":"Читать","lemma":"Читать","label":"PER","start_pos":901,"end_pos":907},{"ner":"4","lemma":"4","label":"NUM","start_pos":945,"end_pos":946},{"ner":"0","lemma":"0","label":"NUM","start_pos":947,"end_pos":948}] | NEUTRAL | rus | NOT SPAM | 119 | 0 | 0 | 0.93662 | 0.06338 | 0 | 10 | 23 | 6 | 0 | 37 | 6 | 18 | true |
26 | null | Успехи
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нашего доктора- эндокринолога – Вишняковой Софьи Дмитриевны
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https://t.me/clinic_magerya | https://t.me/magerya/11554?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 10,100 | 0 | 1,730,787,080 | 1,730,797,644 | 9,899 | 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| null | NEUTRAL | rus | NOT SPAM | 23 | 0 | 0 | 0.948718 | 0.051282 | 0 | 2 | 1 | 0 | 1 | 8 | 0 | 6 | true |
26 | null | 🟠
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красоту и молодость
Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11555?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 2,600 | 0 | 1,730,796,611 | 1,730,797,644 | 9,898 | 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26 | null | Иногда я открываю холодильник и забываю за кем пришел… | https://t.me/sudmednotes/9277?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 21,800 | 0 | 1,730,730,818 | 1,730,797,644 | 9,900 | 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| null | NEUTRAL | rus | NOT SPAM | 9 | 0 | 0 | 1 | 0 | 0 | 0 | 3 | 2 | 0 | 1 | 1 | 1 | true |
26 | null | А потом закрываешь и через 5 минут открываешь, вдруг появится кто-то вкусный) | https://t.me/sudmednotes/9278?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 20,800 | 0 | 1,730,731,516 | 1,730,797,644 | 9,900 | 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| [{"ner":"5","lemma":"5","label":"NUM","start_pos":27,"end_pos":28}] | NEUTRAL | rus | NOT SPAM | 12 | 0 | 1 | 1 | 0 | 0 | 1 | 3 | 3 | 1 | 1 | 2 | 2 | true |
26 | null | У моей пациентки все было красиво и ДО, и ПОСЛЕ операции.
Почему тогда была проведена операция?
Размер малых половых губ вызывал ФИЗИЧЕСКИЙ дискомфорт (натирание слизистой бельем, ее травматизация и раздражение, боль и дискомфорт во время занятий сексом, спортом), т.е. можно сказать были медицинские показания.
Результатом операции очень довольна.
Счастлив пациент = счастлив доктор
😁
✅
Прежде чем решиться на операцию, узнайте все о связанных рисках. Среди них:
1)реакция на анестезию
2)инфекционные осложнения
3)кровотечение
4)рубцевание
5)удаление слишком большого количества ткани и связанные с этим возможные последствия (чувствительность и пр.)
Хирургия вам точно НЕ нужна, когда необходимость операции определяет ваш половой партнер или врач, который вам заявляет: «Вы лабиопластику не хотите себе сделать? У вас ТАКИЕ губы.»
Гнать в шею таких врачей и партнеров. | https://t.me/doctor_belokon/100?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 175,400 | 0 | 1,710,675,294 | 1,730,797,645 | 9,895 | 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| [{"ner":"Хирургия","lemma":"хирургия","label":"LOC","start_pos":652,"end_pos":660},{"ner":"ТАКИЕ","lemma":"такие","label":"ORG","start_pos":821,"end_pos":826},{"ner":"1","lemma":"1","label":"NUM","start_pos":464,"end_pos":465},{"ner":"2","lemma":"2","label":"NUM","start_pos":487,"end_pos":488},{"ner":"3","lemma":"3","label":"NUM","start_pos":513,"end_pos":514},{"ner":"4","lemma":"4","label":"NUM","start_pos":528,"end_pos":529},{"ner":"5","lemma":"5","label":"NUM","start_pos":541,"end_pos":542}] | NEUTRAL | rus | NOT SPAM | 122 | 0 | 7 | 1 | 0 | 0 | 12 | 13 | 10 | 4 | 40 | 8 | 26 | true |
26 | null | Очень рекомендую посетить хотя бы виртуально выставку the Great Wall of vulva (это целых 400 вариантов гипсовых вульв), которая дарит знания о нормальной анатомии, освобождает от комплексов и «генитального стыда»
Это не стыдно и
НЕ
«некрасиво»
https://www.thegreatwallofvulva.com
✅
Это НОРМАЛЬНО
✅
Красиво
✅
ЗдОрово | https://t.me/doctor_belokon/101?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 208,900 | 0 | 1,710,675,860 | 1,730,797,645 | 9,912 | 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| [{"ner":"НЕ","lemma":"не","label":"ORG","start_pos":229,"end_pos":231},{"ner":"400","lemma":"400","label":"NUM","start_pos":89,"end_pos":92}] | POSITIVE | rus | NOT SPAM | 44 | 0 | 2 | 0.903226 | 0.096774 | 0 | 5 | 4 | 4 | 1 | 7 | 5 | 8 | true |
26 | null | И раз уж я тут сегодня так активна
😁
В следующее воскресенье, 24 марта , стартует мой курс «Вагиниты», где мы обсудим не только нормальную анатомию, но ещё и массу других мега актуальных тем.
Это ваша реальная возможность наконец-таки разобраться со своими выделениями, уреаплазмами, лейкоцитами, жалобами, обследованиями, лечением и др. вопросами.
✔️
Какими должны быть выделения в норме и что на них влияет (цикл, питание и пр.)
✔️
Вагинальный микробиом
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Какой должна быть интимная гигиена
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Какие средства для очищения, увлажнения вульвы можно использовать
✔️
О нижнем белье и его влиянии на влагалищный микробиом.
✔️
Гигиена секса
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Диагностика вагинитов (правильная и нет)
✔️
Все о кандидозе, бактериальном вагинозе, аэробном вагините, генитальном герпесе и др. инфекционных заболеваниях.
✔️
О вульводинии, мышцах тазового дна, вагинизме, дерматозах вульвы и много о чем ещё.
Посмотреть подробный план и присоединиться можно по
ссылке
⬇️
https://belokonevent.com
До встречи на курсе! | https://t.me/doctor_belokon/103?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 260,399 | 0 | 1,710,682,508 | 1,730,797,645 | 9,898 | 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| [{"ner":"Вагиниты","lemma":"вагиниты","label":"ORG","start_pos":92,"end_pos":100},{"ner":"24 марта","lemma":"24 марта","label":"DATE","start_pos":62,"end_pos":70}] | NEUTRAL | rus | NOT SPAM | 146 | 0 | 4 | 0.995215 | 0.004785 | 0 | 21 | 9 | 6 | 0 | 54 | 11 | 41 | true |
26 | null | Покажу вам результаты лабиопластики одной своей пациентки и чуть расскажу подробнее о том, что я думаю об этих операциях и в каком случае чаще всего делаю их делаю.
Я редко делюсь подобными кейсами.
По-моему,вообще впервые.
Почему?
Транслирование подобного не является этичным и в общем-то таких картинок не должно быть на просторах интернета от слова совсем, потому как это плохой маркетинг.
НЕ существует такого понятия, как правильный размер или форма половых губ. Они могут быть асимметричными,у кого-то более выраженными и выходить за пределы больших половых губ, у кого-то менее,оба варианта являются НОРМАЛЬНЫМИ.
Термины «малые» и «большие» половые губы тоже не вполне корректны и порядком устаревшие, потому что мы знаем, что соотношение размеров может быть очень разным и это тоже абсолютно ОК!
Картинки или видео из интернета могут искажать восприятие «нормальности». Не заражайтесь комплексами и навязанными стандартами.
ВСЕ анатомические варианты вульвы НОРМАЛЬНЫ, правильного или идеального не существует. | https://t.me/doctor_belokon/98?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 179,600 | 0 | 1,710,675,118 | 1,730,797,645 | 9,895 | 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| [{"ner":"НОРМАЛЬНЫМИ","lemma":"нормальными","label":"ORG","start_pos":607,"end_pos":618},{"ner":"НОРМАЛЬНЫ","lemma":"нормальны","label":"ORG","start_pos":967,"end_pos":976}] | NEUTRAL | rus | NOT SPAM | 145 | 0 | 6 | 1 | 0 | 0 | 22 | 18 | 16 | 2 | 33 | 21 | 27 | true |
26 | null | Вы все еще боитесь колоть
Ботулотоксин и думаете что вам рано ?
Вот вам яркий пример,такого человека и последствия этих мыслей
Ботулинотерапия - это в первую очередь профилактика морщин
А не лечение
👆
В случае, если вы запустили все же
До таких глубоких статических морщин ( в покое )
Нам придется работать не только с ботоксом
И довести до идеала будет сложнее
Но в моих руках возможно практически все
🙈
Только посмотрите как помолодела моя пациентка
За один визит ко мне
🥰
Была выполненная комплексная работа по лицу
👌 | https://t.me/dr_Guvarsha/259?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 79,000 | 0 | 1,726,680,632 | 1,730,797,645 | 9,895 | 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| [{"ner":"👌","lemma":"👌","label":"ORG","start_pos":519,"end_pos":520}] | NEUTRAL | rus | NOT SPAM | 89 | 0 | 3 | 1 | 0 | 0 | 9 | 10 | 9 | 1 | 20 | 2 | 9 | true |
26 | null | Девочки рассказали про Фибраксин — попробовала, уже немного сбросила и чувствую супер-легкость
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Фибраксин снизит чувство голода и тягу к сладкому (да, это возможно!)
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Минус 2-3 см в объемах и твоя поддержка в любой диете
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Наладит здоровый метаболизм и пищеварение
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Поможет организму создавать собственную, уникальную для каждого человека, микрофлору
Что это и зачем?
Фибраксин
– это не средство для похудения, но важное дополнение и отличная помощь во время диеты.
Это растворимые пищевые волокна, которых нам не хватает даже при сбалансированном здоровом питании.
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Способствует:
∙Уменьшению чувства голода
∙Контролю аппетита и веса
∙Снижению тяги к сладкому
∙Регулированию обмена веществ
∙Ускорению метаболизма
∙«Сжиганию» лишних калорий
∙Поддержанию нормальной работы кишечника, избежав нарушений стула, связанных с диетой
А еще это полностью натуральный состав, без сахара, консервантов и красителей.
Добавление Фибраксина в рацион во время диеты - здоровая и бережная поддержка организма и забота о себе. Особенно если есть лишние 2-3 см!
Фибраксин, чтобы ощутить легкость!
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Кстати, специально для вас у меня есть промокод на скидку 15% на
OZON
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FIBRAXIN15DG.
Действует до конца октября. Пробуйте и пишите, как изменилась ваша фигура
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Реклама. Рекламодатель. ООО Альфасигма Рус ИНН 7725637431. erid:LjN8K81jC | https://t.me/dr_Guvarsha/261?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 81,700 | 0 | 1,727,341,832 | 1,730,797,645 | 9,912 | 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26 | null | Многие удивляются, узнав, что я не употребляю кофе
Обосновано ли это? Разберем ниже:
Несмотря на широкое распространение и любовь многих к кофе, важно учитывать его потенциальные негативные последствия для здоровья.
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Влияние на сон
Кофеин, действуя как стимулятор центральной нервной системы, может препятствовать засыпанию и нарушать качество сна. Это может привести к повышенной раздражительности, тревоге и депрессии.
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Желудочно-кишечные расстройства
Частое употребление кофе может вызывать изжогу, усиление секреции желудочного сока и диарею, что негативно сказывается на состоянии желудочно-кишечного тракта.
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Зависимость от кофе
Кофеин может вызывать как психологическую, так и физическую зависимость. При отказе от употребления могут возникать головная боль, усталость, раздражительность и апатия.
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Негативное воздействие на сердечно-сосудистую систему
Употребление кофе может привести к временному повышению артериального давления, ускорению сердечного ритма. Это особенно опасно для пациентов с гипертонией или аритмией.
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Делаем вывод, друзья, что этот напиток нужно минимизировать, а лучше исключить из своей жизни.
В следующем посте расскажу на что можно заменить кофе | https://t.me/dr_Guvarsha/262?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 77,000 | 0 | 1,728,148,085 | 1,730,797,645 | 9,913 | 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| [{"ner":"Кофеин","lemma":"кофеин","label":"PER","start_pos":234,"end_pos":240}] | NEUTRAL | rus | NOT SPAM | 155 | 0 | 1 | 1 | 0 | 0 | 29 | 26 | 6 | 0 | 55 | 6 | 36 | true |
26 | null | Обязательные этапы ухода за лицом, которые я не советую пропускать
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Очищение: Это основной шаг, который необходим для удаления макияжа, пыли, излишков кожного сала и других загрязнений. Очищать кожу следует утром и вечером, используя подходящий для вашего типа кожи очищающий продукт.
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Тонизирование: Тонер помогает удалить остатки очищающих средств, увлажняет и освежает кожу, а также подготавливает ее к следующим этапам ухода. Тонер следует использовать после очищения кожи.
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Увлажнение: Влага играет ключевую роль в здоровье кожи. Увлажняющие продукты помогают сохранить ее увлажненной и сияющей. Используйте увлажняющий крем или сыворотку, богатые активными увлажняющими компонентами.
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Питание: Питательный крем содержит витамины и микроэлементы, которые улучшают состояние кожи, делая ее мягкой и упругой. Выбирайте крем, подходящий для вашего типа кожи, и наносите его один или два раза в день.
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Защита от солнца: Защита кожи от вредных воздействий окружающей среды, таких как ультрафиолетовые лучи, является важным шагом. Используйте солнцезащитный крем с SPF-фактором для защиты от солнечного излучения и других средств защиты в зависимости от сезона и климатических условий.
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Отшелушивание: Этот шаг помогает удалить омертвевшие клетки кожи и стимулирует ее обновление. Используйте скрабы или пилинги один-два раза в неделю для достижения гладкой и сияющей кожи.
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Макияж: Если вы используете декоративную косметику, убедитесь, что она подходит для вашего типа кожи и не вызывает раздражений. Всегда снимайте макияж перед сном, чтобы не забивать поры и позволить коже отдохнуть. | https://t.me/dr_Guvarsha/263?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 79,300 | 0 | 1,728,312,516 | 1,730,797,645 | 9,898 | 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| [{"ner":"Тонер","lemma":"тонер","label":"PER","start_pos":303,"end_pos":308},{"ner":"Влага","lemma":"влага","label":"PER","start_pos":494,"end_pos":499}] | NEUTRAL | rus | NOT SPAM | 224 | 0 | 1 | 0.996466 | 0.003534 | 0 | 21 | 46 | 11 | 5 | 82 | 2 | 41 | true |
26 | null | Не пропустите завтра в 11:50 о пользе осенних прогулок и заплывов! А ещё будем варить кофе с грецкими орехами! | https://t.me/drmyasnikov/2659?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 42,400 | 0 | 1,730,462,294 | 1,730,797,645 | 9,895 | 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| [{"ner":"11:50","lemma":"11:50","label":"DATE","start_pos":23,"end_pos":28},{"ner":"50","lemma":"50","label":"NUM","start_pos":26,"end_pos":28}] | NEUTRAL | rus | NOT SPAM | 19 | 0 | 1 | 1 | 0 | 0 | 3 | 2 | 0 | 0 | 5 | 2 | 2 | true |
26 | null | Видеорубрика "Для души и тела". Доктор Мясников ушел в "загул"
- Почему гулять важно для здоровья?
- Сколько нужно пройти в день, чтобы продлить жизнь?
- Ходьба для профилактики болезней глаз.
- Зарядка мозга и души.
- "Какая прогулка без купания?!" | https://t.me/drmyasnikov/2660?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 39,900 | 0 | 1,730,540,580 | 1,730,797,645 | 9,895 | 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| [{"ner":"Мясников","lemma":"мясников","label":"PER","start_pos":39,"end_pos":47}] | NEUTRAL | rus | NOT SPAM | 41 | 0 | 0 | 1 | 0 | 0 | 2 | 4 | 0 | 1 | 18 | 3 | 16 | true |
26 | null | Видеорубрика "Пища для размышлений". Кофе по-Мясниковски. Готовит доктор Мясников
Доктор Мясников варит кофе и рассказывает о том, что думает об употреблении кофе и его влиянии на здоровье современная медицина. | https://t.me/drmyasnikov/2661?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 37,400 | 0 | 1,730,616,876 | 1,730,797,645 | 9,913 | 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| [{"ner":"Мясников\nДоктор Мясников","lemma":"мясников\nдоктор мясников","label":"PER","start_pos":73,"end_pos":97}] | NEUTRAL | rus | NOT SPAM | 29 | 0 | 0 | 1 | 0 | 0 | 1 | 4 | 1 | 0 | 11 | 3 | 6 | true |
26 | null | «Очень ободряющая (душу закаляющая), если жив пока еще- гимнастика!» 2-х пудовая… | https://t.me/drmyasnikov/2662?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 36,200 | 0 | 1,730,624,991 | 1,730,797,645 | 9,912 | 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| null | NEUTRAL | rus | NOT SPAM | 4 | 0 | 0 | 1 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 1 | true |
26 | null | УРА! Дорогие подписчики!
Мы приступаем к обновлению
@IBS_DOC_BOT
, прощаемся со старой версией бота, встречаем новую!
В лучшем случае все произойдет сегодня, в худшем заработает завтра :)
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💚 | https://t.me/ibs_doc/282?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 6,500 | 0 | 1,730,142,843 | 1,730,797,645 | 9,896 | 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| null | POSITIVE | rus | NOT SPAM | 38 | 0 | 3 | 0.982759 | 0.017241 | 0 | 5 | 15 | 2 | 0 | 7 | 2 | 7 | true |
26 | null | Рады представить вам новую версию
@ibs_doc_bot
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Поиск полностью переработан - теперь он работает в inline режиме, в реальном времени!
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Поиск в строке начинается с первых 3 букв
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Больше нет подвисаний и ошибок
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Категории и общий список оставлен
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Теперь мы будем обновлять базу данных! Даже теми продуктами, которых нет в оригинальном приложении monash
Самое главное, хочу поблагодарить моего самого лучшего разработчика бота, без которого это было бы невозможно, Ваня - ты супер)
Вы можете отблагодарить его донатом по кнопке в боте, которая теперь работает)))
Наслаждайтесь! | https://t.me/ibs_doc/283?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 7,200 | 0 | 1,730,144,812 | 1,730,797,645 | 9,896 | 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| [{"ner":"Рады","lemma":"рад","label":"ORG","start_pos":0,"end_pos":4},{"ner":"inline","lemma":"inline","label":"ORG","start_pos":102,"end_pos":108},{"ner":"Ваня - ты супер","lemma":"ваня - ты супер","label":"PER","start_pos":469,"end_pos":484},{"ner":"3","lemma":"3","label":"NUM","start_pos":174,"end_pos":175}] | POSITIVE | rus | NOT SPAM | 90 | 0 | 0 | 0.974576 | 0.025424 | 0 | 11 | 16 | 10 | 2 | 21 | 5 | 15 | true |
26 | null | 🤖
Обновления бота от 30.10.2024:
Изменения в дозировка продуктов:
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Пекан переведен в продукты с низким содержанием FODMAP
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30 грамм
🟡
269 грамм
🔴
314 грамм
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Авокадо переведен в продукты со средним содержанием FODMAP
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60 грамм
🟡
80 грамм
🔴
93 грамм
Добавлены продукты:
☕️
Цикорий
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Нравится такой формат обновлений
⁉️ | https://t.me/ibs_doc/284?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 5,000 | 0 | 1,730,310,419 | 1,730,797,645 | 9,914 | 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26 | null | 🤖
Обновления бота от 01.11.2024:
Изменения в дозировках продуктов:
🫐
Голубика - исследованная безопасная доза составляет
🟢
125 грамм.
Даже в дозе 500 грамм голубика остается безопасной.
🍑
Курага - красная доза неизменна
🔴
30г, добавлены
🟢
3г
🟡
4г
🍌
Банан неспелый - изменены дозы
🟢
95г
🟡
100г
🔴
123г
🍌
Банан спелый - изменены дозы
🟢
37г
🟡
47г
🔴
95г | https://t.me/ibs_doc/285?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 3,600 | 0 | 1,730,491,859 | 1,730,797,645 | 9,914 | 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| 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| NEUTRAL | rus | SPAM | 64 | 0 | 0 | 1 | 0 | 0 | 9 | 5 | 0 | 13 | 31 | 0 | 8 | true |
26 | null | 03.11.2024
Monash периодически обновляют данные по содержащимся FODMAP веществам.
При этом изменениям подвергаются не только их концентрации, ученые могут даже пересмотреть то, какие из веществ присутствуют в продуктах (например, раньше указывали, что основной FODMAP - это сорбитол, а потом оказывается что его там очень мало, зато очень много фруктанов).
🎃
Тыква баттернат / мускатная
переведена в продукты со средним содержанием FODMAP -
🟢
63г
🟡
75г
🔴
85г
FODMAP вещества - фруктоза и фруктаны
😴
Белокочанная капуста
изменены дозы
🟢
75г
🟡
194г
🔴
244г, ранее считалось, что содержит сорбитол, изменен на фруктаны
😭
Белый лук
- изменены дозы
🟢
10г
🟡
12г
🔴
75г
Добавлена:
🍝
Безглютеновая чечевичная паста, приготовленная
- High-FODMAP
🟢
36г
🟡
42г
🔴
80г | https://t.me/ibs_doc/286?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 2,800 | 0 | 1,730,649,837 | 1,730,797,645 | 9,898 | 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26 | null | Фейрберн Кристофер - Как справиться с компульсивным перееданием: как понять, почему вы переедаете, и перестать это делать
Книга предназначена для людей, имеющих проблемы с питанием, независимо от возраста, пола и веса; содержит научные факты и профессиональные рекомендации, помогающие осознать и преодолеть способствующие перееданию проблемы.
Обновленная версия книги состоит из двух частей: первая – рассматривает проблемы, провоцирующие компульсивное переедание, причины развития нервной анорексии; вторая – посвящена выстроенной на базе новейших терапевтических подходов программе самопомощи, которая подойдет всем страдающим от компульсивного переедания; с учетом результатов многочисленных клинических исследований описаны обновленные способы управления процессом приема пищи и подробные методы работы с переживаниями о весе и фигуре.
#литература #РПП | https://t.me/imatrip/2175?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,200 | 0 | 1,730,532,581 | 1,730,797,645 | 9,895 | 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| [{"ner":"Кристофер - Как","lemma":"кристофер - как","label":"PER","start_pos":9,"end_pos":24},{"ner":"РПП","lemma":"рпп","label":"ORG","start_pos":854,"end_pos":857}] | NEUTRAL | rus | NOT SPAM | 105 | 0 | 1 | 1 | 0 | 0 | 13 | 22 | 3 | 1 | 40 | 5 | 19 | true |
26 | null | 26 сентября 2024 года FDA (Регулятор медицинских препаратов, еды и косметики на территории США) одобрило новый препарат для лечения шизофрении, комбинацию
Conefby (Конефби)
с новым для терапии шизофрении механизмом действия.В составе препарата — М-холиномиметик ксаномелин и М-холиноблокатор троспия хлорид. | https://t.me/imatrip/2176?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,400 | 0 | 1,730,538,151 | 1,730,797,645 | 9,912 | 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| [{"ner":"FDA","lemma":"fda","label":"ORG","start_pos":22,"end_pos":25},{"ner":"США","lemma":"сша","label":"LOC","start_pos":91,"end_pos":94},{"ner":"26 сентября 2024","lemma":"26 сентября 2024","label":"DATE","start_pos":0,"end_pos":16},{"ner":"2024","lemma":"2024","label":"NUM","start_pos":12,"end_pos":16}] | NEUTRAL | rus | NOT SPAM | 39 | 0 | 5 | 0.962963 | 0.037037 | 0 | 5 | 1 | 0 | 0 | 22 | 0 | 9 | true |
26 | null | Я ЗАСЛУЖИВАЮ НАКАЗАНИЯ
Не многие выразят это вот так. Когнитивная ловушка Беспощадности редко признается прямо. Она проявляется в контексте: "наверное я сам виноват в этом", "наверное, я чем-то заслужил такое отношение" -- в стойком когнитивном искажении о том, что это ок - быть наказанным за ошибки.
Очевидно, что право на ошибку имеет каждый - мы можем совершить нелепый поступок, выпалить обидные слова - мы в конце концов просто люди. И понимание это позволяет существовать прощению, пониманию, что зачастую ошибка уже наказала.
Однако встречаются люди, для кого промахи и ошибки других – как красная тряпка. Так проявляет себя Когнитивная Ловушка Беспощадности - во внутреннем стремлении именно наказывать за ошибки. Обычно это двусторонний меч - люди, которые убеждены, что требуется наказание, невидимо беспощадны к себе, как и к другим.
Оптика Ловушки Беспощадности как бы отсекает любые обстоятельства, чувства и эмоции, с которыми человек переживает свои ошибки – важным является лишь сам факт ошибки – несоответствие стандартам, нормам и правилам.
Попытка разобраться и понять в этой оптике называется "оправдание", и считается преступлением против наказания, которое обязано быть.
Это не просто рациональное соображение - Ловушка Беспощадности вызывает внутри настоящий праведный гнев, сильные эмоции, которые далее морально оправдываются. Ошибся - получи! Смеешь возражать - получи еще больше! И это внутренний диалог, и внешний.
Подобное жестокое, беспощадное отношение к себе часто является результатом жесткого стиля воспитания в детстве, когда близкие взрослые активно прибегали к наказаниям за шалости и промахи ребенка. Когда мы растем в окружении, которое транслирует эту черно-белую картину мира (многие жесткие религиозные или идеологические культуры). В результате человек вырастает с убеждением, что люди заслуживают сурового наказания за ошибки – и это единственный правильный и справедливый подход - «меня били, и я человеком вырос». Если не наказать, сядет на шею.
Ребенок, растущей в такой системе координат вырастает с большим количеством стыда - ведь запрет на оправдание, полутона, обстоятельства и нюансы отметает возможность каких-либо объяснений, кроме вины. Такой ребенок растет с частым переживанием стыда, которое во взрослой жизни выливается в нестерпимый стыд и страх ошибки. И выросший ребенок поступает так же, как поступали с ним: унижает и наказывает себя и других.
Ловушка Беспощадности как бы затемняет и игнорирует более широкую картину, виноват всегда ты: не досмотрел, не так сказал, не старался и т.п. Виктимблейминг - одно из ярких искажений, которые производит эта Ловушка: вместо сочувствия и сострадания жертва вызывает злость и желание сделать побольнее - даже если жертва - это ты сам.
Это реализуется и в повседневной жизни, и в отношениях: Ловушка Беспощадности толкает наказывать себя за набранный вес лишением себя новой одежды, за усталость - работой без выходных, за уязвимость - разрывом отношений, за внешний вид – отказом от встреч.
Попавший в это Ловушку человек не дает другим и себе права на ошибку, не готов быть великодушным и прощать, не делает скидку на несовершенство человеческой натуры. Он категоричен, готов к немедленному осуждению, не делает различий между мелкими и крупными промахами – все они равнозначно заслуживают наказания. Потому что главное – в несоответствии нормам и ожиданиям, твоим или других людей.
Часто оказавшийся в этой Ловушке человек переполнен праведным гневом и чувством правоты: он не задумывается о том, что ранит близких несправедливостью и жесткостью. Пытаясь, как в детстве, избежать ошибки, он применяет те же жестокие способы, при этом настаивая на своей правоте - может вести себя жестоко, грубо, проявляет гнев, обвиняет себя и других.
Ловушка Беспощадности напоминает о той боли и страхе, которые пережил ребенок, и он пытается наказать себя сам, искренне веря, что он заслуживает, и с ним только так и нужно.
Эта ловушка не дает возможности реализовать важную внутреннюю потребность - в спонтанности, свободе жить и пробовать. | https://t.me/imatrip/2177?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,100 | 0 | 1,730,600,521 | 1,730,797,645 | 9,912 | 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| [{"ner":"НАКАЗАНИЯ\nНе","lemma":"наказания\nне","label":"ORG","start_pos":13,"end_pos":25},{"ner":"Беспощадности","lemma":"беспощадность","label":"PER","start_pos":74,"end_pos":87},{"ner":"Ловушки Беспощадности","lemma":"ловушка беспощадность","label":"PER","start_pos":854,"end_pos":875},{"ner":"Ловушка","lemma":"ловушка","label":"PER","start_pos":1236,"end_pos":1243},{"ner":"Ловушка Беспощадности","lemma":"ловушка беспощадности","label":"PER","start_pos":2411,"end_pos":2432},{"ner":"Ловушку","lemma":"ловушка","label":"PER","start_pos":3015,"end_pos":3022},{"ner":"Ловушке","lemma":"ловушка","label":"PER","start_pos":3419,"end_pos":3426},{"ner":"Беспощадности","lemma":"беспощадность","label":"PER","start_pos":3756,"end_pos":3769}] | NEUTRAL | rus | NOT SPAM | 592 | 0 | 7 | 1 | 0 | 0 | 74 | 89 | 54 | 1 | 159 | 37 | 117 | true |
26 | null | Про мужской и женский таз
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В прямом эфире также рассказал про то, как грязные ноги вызывают эндометриоз и почему эпиляция с дезодорантом приводят к кистам молочных желёз. А также про основную причину АИТ
👉🏼
смотреть здесь | https://t.me/magerya/11548?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 31,500 | 0 | 1,730,729,056 | 1,730,797,645 | 9,895 | 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| null | NEUTRAL | rus | NOT SPAM | 37 | 0 | 3 | 1 | 0 | 0 | 6 | 4 | 1 | 0 | 10 | 5 | 5 | true |
26 | null | Заботимся о своем иммунитете с чаем «ПРО Иммунитет»
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В его составе чага (березовый гриб) – а это усилитель иммунитета
🧬
Чага обладает рядом свойств:
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Улучшает качество и глубину сна, этот гриб активизирует мелатонин на вещие сны;
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Поддерживает артериальное давление;
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Замедляет процесс старения;
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Защищает работу нервной системы и энергетический обмен.
В состав чайного напитка также входят плоды лимонника
🍋
Он обладает тонизирующим, общеукрепляющим действием
🔋
За счёт высокого содержания витамина С, стимулирует иммунитет, поддерживает нервную систему, повышает умственную и физическую работоспособность.
Наслаждайтесь
👉🏼
ozon/про_иммунитет
Ещё больше полезной информации о витаминах и нутриентах ищите на канале "Жизнивек"
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https://t.me/ziznivek
Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11549?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 19,700 | 0 | 1,730,737,873 | 1,730,797,645 | 9,895 | 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| [{"ner":"Чага","lemma":"чага","label":"PER","start_pos":122,"end_pos":126},{"ner":"активизирует мелатонин","lemma":"активизировать мелатонин","label":"PER","start_pos":196,"end_pos":218},{"ner":"Жизнивек","lemma":"жизнивек","label":"ORG","start_pos":723,"end_pos":731},{"ner":"ООО «Жизнивек»\nИНН 2311312648","lemma":"ооо \"жизнивек\"\nинн 2311312648","label":"ORG","start_pos":767,"end_pos":796},{"ner":"2311312648","lemma":"2311312648","label":"DATE","start_pos":786,"end_pos":796},{"ner":"12648","lemma":"12648","label":"DATE","start_pos":791,"end_pos":796}] | NEUTRAL | rus | NOT SPAM | 107 | 0 | 6 | 0.987261 | 0.012739 | 0 | 11 | 16 | 2 | 2 | 42 | 1 | 28 | true |
26 | null | Вечерний чат
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Обсуждайте любые темы | https://t.me/magerya/11550?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 17,200 | 0 | 1,730,745,068 | 1,730,797,645 | 9,915 | 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| null | NEUTRAL | rus | NOT SPAM | 15 | 0 | 0 | 1 | 0 | 0 | 1 | 4 | 0 | 0 | 6 | 0 | 1 | true |
26 | null | Мои ясные
☀️
Всем продуктивной недели, а кому нужно – репродуктивной
‼️ | https://t.me/magerya/11551?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 9,800 | 0 | 1,730,786,715 | 1,730,797,645 | 9,912 | 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| null | POSITIVE | rus | NOT SPAM | 12 | 0 | 0 | 1 | 0 | 0 | 4 | 1 | 1 | 0 | 1 | 0 | 3 | true |
26 | null | От всего сердца желаем, чтобы каждое наше утро начиналось с таких новостей
😍
🥰 | https://t.me/magerya/11553?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 9,600 | 0 | 1,730,786,831 | 1,730,797,645 | 9,898 | 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| null | POSITIVE | rus | NOT SPAM | 14 | 0 | 0 | 1 | 0 | 0 | 0 | 2 | 0 | 0 | 3 | 0 | 3 | true |
26 | null | Конфликт на почве бытовой ссоры. Повреждения нанесены молотком
Записки судмедэксперта | https://t.me/sudmednotes/9270?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 31,200 | 0 | 1,730,622,102 | 1,730,797,645 | 9,895 | 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| null | NEUTRAL | rus | NOT SPAM | 10 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 7 | 0 | 1 | true |
26 | null | Когда всё плохо - мы звоним в «103». А голос на том конце провода не просто «женский» или «мужской», а долгожданный и спасительный, особенно в критической ситуации
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Диспетчер скорой помощи - не просто человек, который записывает адрес и ФИО. Этот специалист должен за короткое время принять решение о срочности вызова. А в критической ситуации даже помочь советом для стабилизации пациента. К сожалению, их работа всегда остаётся в тени...
Моя коллега -
диспетчер скорой помощи и фельдшер линейной бригады «103».
Сегодня она разговаривает с вызывающим, а завтра сама приедет на вызов. В своём блоге рассказывает про обратную сторону экстренной медицины, делится рабочими моментами, историями с «линии» и диспетчерской.
Этот канал захватывает, как топовый сериал про скорую, только без актёров -
https://t.me/+nYZHLbFc_zM4NzQ6 | https://t.me/sudmednotes/9271?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 31,000 | 0 | 1,730,643,757 | 1,730,797,645 | 9,895 | 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| [{"ner":"103","lemma":"103","label":"NUM","start_pos":31,"end_pos":34},{"ner":"103","lemma":"103","label":"NUM","start_pos":508,"end_pos":511},{"ner":"4","lemma":"4","label":"NUM","start_pos":821,"end_pos":822},{"ner":"6","lemma":"6","label":"NUM","start_pos":825,"end_pos":826}] | NEUTRAL | rus | NOT SPAM | 121 | 0 | 5 | 0.993548 | 0.006452 | 0 | 18 | 11 | 3 | 2 | 39 | 5 | 27 | true |
26 | null | Автотравма в салоне.
Водитель молодой человек (22 года). Из наружных повреждений - только поперечная ссадина на передней поверхности грудной клетки. На уровне ссадины - разгибательный перелом тела грудины на уровне пятого ребра. В полости перикарда около 200 мл. жидкой крови. В сердце - множественные разрывы. Перикард не повреждён.
Записки судмедэксперта | https://t.me/sudmednotes/9274?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 30,800 | 0 | 1,730,656,268 | 1,730,797,645 | 9,912 | 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| [{"ner":"22","lemma":"22","label":"NUM","start_pos":47,"end_pos":49},{"ner":"200","lemma":"200","label":"NUM","start_pos":255,"end_pos":258}] | NEUTRAL | rus | NOT SPAM | 50 | 0 | 2 | 1 | 0 | 0 | 11 | 0 | 0 | 2 | 24 | 0 | 12 | true |
26 | null | Не вздумай спать в мусорном баке...
Бездомный, обнаружен при выгрузке мусора из мусоровоза.
Сдавление груди в передне-заднем направлении скорее всего ребром твердого тупого предмеда. Отделение шеи и первого грудного позвонка от нижележащих отделов. Перелом позвоночника на уровне 1-2Th (грудные позвонки). Рана на шее от растяжения,соединяется с позвоночником на уровне перелома, кровоизлияния по давности одинаковые везде.
Помимо этого есть кровоизлияния в белочную оболчку глаз и признаки переохлаждения (гистология).
Естественно алкоголь в крови крови 4,5‰, в моче 5,2‰.
Скорее всего мужчина попал в мусоровоз, а тот начал сразу спрессовывать мусор, поэтому он не успел выбраться. Либо сильное алкогольное опьянение сыграло свою роль.
Записки судмедэксперта | https://t.me/sudmednotes/9276?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 26,000 | 0 | 1,730,718,226 | 1,730,797,645 | 9,898 | 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| [{"ner":"1","lemma":"1","label":"NUM","start_pos":280,"end_pos":281},{"ner":"2","lemma":"2","label":"NUM","start_pos":282,"end_pos":283},{"ner":"4","lemma":"4","label":"NUM","start_pos":555,"end_pos":556},{"ner":"5","lemma":"5","label":"NUM","start_pos":557,"end_pos":558},{"ner":"5","lemma":"5","label":"NUM","start_pos":568,"end_pos":569},{"ner":"2","lemma":"2","label":"NUM","start_pos":570,"end_pos":571}] | NEUTRAL | rus | NOT SPAM | 102 | 1 | 0 | 0.992424 | 0.007576 | 0 | 16 | 11 | 4 | 4 | 42 | 6 | 19 | true |
26 | null | Наиболее частая ошибка при ОРВИ — применение различных лекарственных препаратов с недоказанным действием
. Да-да, я говорю о феронах и иммуномодуляторах. Повторю миллионный раз: я предполагаю, что некоторые из этих препаратов могут в моменте чуть укоротить ОРВИ, но какой ценой? Аллергия, аутоиммунные заболевания, онкология.
Лечение ОРВИ исключительно симптоматическое, так как ни один препарат не имеет достаточного уровня доказательности при обычной простуде, да и невозможно такой препарат создать — вирусов тысячи!
Исключение: для лечения гриппа есть действующие препараты. Осельтамивир, занамивир, балоксавир марбоксил применяются только при доказанном гриппе (ПЦР, экспресс-тест). Для профилактики — своевременная вакцинация. Сейчас ещё успеваете, пост есть выше.
Лечение ОРВИ, гриппа, коронавируса:
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Постельный режим, проветривание, обильное питьё.
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В первые 2–3 дня болезни можно увеличить свою обычную дозу витамина Д в два раза. Про дозу витамина Д есть посты
https://t.me/DrAnshinaOmega/106
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При заложенности носа — промывание изотоническим раствором (0,9%) натрия хлорида или морской водой.
Для детей: если ребёнок не умеет сморкаться, то применяется аспиратор.
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При сильной заложенности носа допустимы сосудосуживающие капли или спрей коротким курсом (2-3 дня): оксиметазолин, фенилэфрин, ксилометазолин. При коронавирусе целесообразны назальные стероиды (флутиказон, мометазон).
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При болях можно использовать морскую воду для горла (Аквалор, Аквамарис и другие).
Напоминаю: детям спреи не раньше 5 лет.
При выраженной боли — парацетамол или ибупрофен.
Взрослым и детям старше 6 лет можно леденцы или спреи с бензидамином (отлично обезболивает).
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При температуре:
детям — парацетамол или ибупрофен в форме суспензии или свечей (детям после 6–7 лет можно таблетки),
парацетамол — разовая доза 10–15 мг/кг,
ибупрофен — 5–10 мг/кг;
взрослым — 400 мг ибупрофена или 500 мг парацетамола.
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При коронавирусе: лечение такое же, плюс врач назначает будесонид 800 мкг два раза в день (турбухалер) или через небулайзер 1000 мкг (1 небула по 500 мкг) два раза в день. Это официальные рекомендации Минздрава РФ.
Пост носит ознакомительный характер, вся терапия назначается вашим лечащим врачом. | https://t.me/DrAnshina/1250?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 237,200 | 0 | 1,728,373,011 | 1,730,797,646 | 6,625 | 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26 | null | Свойства Омега 3 полиненасыщенных жирных кислот:
✅
Улучшают репродуктивную функцию
✅
Снижают уровень тревожности
✅
Уменьшают тромбообразование
✅
Обладают противовоспалительным эффектом
✅
Повышают фертильность
✅
Тормозят процессы старения кожи, положительно влияют на увлажнение кожи
✅
Уменьшают ПМС и симптомы менопаузы
✅
Снижают риск развития рака женской репродуктивной системы
✅
Стимулируют развитие головного мозга, нервной системы и зрительного анализатора у плода во время беременности
✅
Снижают риск преждевременных родов
✅
Снижают уровень триглицеридов в крови и повышает ЛПВП («хороший» холестерин).
Не влияет на ЛПНП («плохой» холестерин), для его снижения ваш кардиолог выписывает другие препараты (статины, фенофибрат, эзетимиб и др). | https://t.me/DrAnshina/1252?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 218,800 | 0 | 1,728,562,919 | 1,730,797,646 | 9,895 | 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| [{"ner":"3","lemma":"3","label":"NUM","start_pos":15,"end_pos":16}] | NEUTRAL | rus | NOT SPAM | 98 | 0 | 3 | 1 | 0 | 0 | 13 | 15 | 1 | 1 | 37 | 1 | 18 | true |
26 | null | Про коронавирус.
Диагностика, лечение.
Подкаст большой, но важный. Слушайте на ускорении.
Всем крепкого здоровья и позитивного настроения
❤️ | https://t.me/DrAnshina/1253?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 201,500 | 0 | 1,729,065,393 | 1,730,797,646 | 9,895 | 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| null | NEUTRAL | rus | NOT SPAM | 18 | 0 | 0 | 1 | 0 | 0 | 4 | 2 | 1 | 0 | 6 | 0 | 8 | true |
26 | null | Итак, если ваш возраст 38-40+ (таких тут у меня , судя по вашим ответам, немало
🔥
), то информация ниже будет особенно для вас актуальна.
Но вообще ее стоило бы почитать всем без исключения
Во-первых, некоторым может быть актуально уже сейчас, даже если ваш возраст 34 или 26 лет.
Во-вторых, лучше знать раньше, чем позже, потому что поздно пить Боржоми, если почки отвалились
😁
Р.S. Комментарии пока что снова закрою, нет времени за ними следить сегодня
Но за ваши реакции буду благодарна
🔥
❤️
😊 | https://t.me/doctor_belokon/92?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 280,000 | 0 | 1,689,341,224 | 1,730,797,646 | 6,626 | 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| [{"ner":"Боржоми","lemma":"боржоми","label":"PER","start_pos":346,"end_pos":353},{"ner":"38-40","lemma":"38-40","label":"DATE","start_pos":23,"end_pos":28},{"ner":"40","lemma":"40","label":"NUM","start_pos":26,"end_pos":28},{"ner":"34","lemma":"34","label":"NUM","start_pos":266,"end_pos":268},{"ner":"26","lemma":"26","label":"NUM","start_pos":273,"end_pos":275}] | NEUTRAL | rus | NOT SPAM | 85 | 0 | 1 | 1 | 0 | 0 | 6 | 10 | 5 | 5 | 9 | 20 | 17 | true |
26 | null | Оригинальная статья здесь
⬇️
https://www.mayoclinic.org/healthy-lifestyle/womens-health/in-depth/menopause-weight-gain/art-20046058#:~:text=It's%20common%20for%20weight%20gain,woman%20goes%20through%20her%2050s.
Ниже перевод с моими комментариями и дополнениями
👇🏻
С возрастом многим женщинам «удерживать» свой привычный вес становится все труднее.
Да, действительно, чем мы старше , чем ближе к перименопаузе/менопаузе - тем с этим сложнее.
Обычно прибавка веса начинается за несколько лет до менопаузы (~ за 5-10 лет, т.е. в возрасте 38-40+, если брать среднестатистический возраст менопаузы) и в среднем до возраста ~ 50 лет женщина набирает около ~ 0,7 кг в год.
❓
- Так значит, ЭТО ВСЕ гормоны виноваты ? Так я и думала !
Нет, друзья, у меня для вас плохие новости.
Гормональные изменения во время менопаузы, как правило, повышают вероятность того, что женщины будут набирать вес (чаще всего преимущественно он откладывается в области живота).
❗️
НО гормональные изменения в связи с перименопаузой /менопаузой сами по себе крайне редко вызывают увеличение веса.
В наибольшей степени это обычно связано со старением, а также с вашим образом жизни и генетикой.
Например, с возрастом количество мышечной массы обычно снижается, а жировой – увеличивается. Потеря мышечной массы замедляет скорость, с которой организм использует калории, т.е. метаболизм. Этот процесс сильно затрудняет поддержание здорового веса. Если вы продолжите питаться, как всегда, и не будете больше , чем ранее, заниматься физической активностью, вы, скорее всего, наберете вес.
+ Генетические факторы также могут играть роль в увеличении веса в период менопаузы. Если ваши родители или другие близкие родственники имеют лишний вес в области живота, вы, вероятнее всего, тоже с этим столкнетесь.
Другие факторы, такие как особенности питания и дефицит/плохой сон, могут способствовать увеличению веса. Простая математика:
меньше часов спите - больше часов перекусываете, едите, пьете, потребляете калорий
🤷🏼♀️
И это даже если не учитывать общее не самое благоприятное состояние гормонального фона в таких условиях, который тоже может негативно влиять на вес.
Набор веса в перименопаузе/менопаузе не только может мешать вам влезть в свои любимые джинсы, но и может иметь серьезные последствия для вашего здоровья, среди них:
1)Ночные апноэ
2)Заболевания сердца и сосудов.
3)Диабет 2 типа
4)увеличение риска раковых заболеваний (молочной железы, толстой кишки, эндометрия и пр.)
❓
Как с этим бороться?
Волшебной (гормональной в т.ч.) таблетки НЕ существует.
Это комплексная работа (все до боли банально и просто):
✅
🚴♀️
Физическая активность, которая включает в себя аэробные нагрузки + силовые тренировки.
Набор мышечной массы помогает телу «сжигать» калории.
Для большинства здоровых взрослых мы рекомендуем умеренную аэробную нагрузку. Это может быть , например , быстрая ходьба в течение НЕ менее 150–200 минут в неделю или интенсивная аэробная активность, такая как бег трусцой, в течение не менее 75 минут в неделю.
Кроме того, рекомендуется выполнять силовые упражнения не менее 2 раз в неделю (йога, пилатес, танцы, функциональные тренировки и пр.)
Найдите время для себя и своего тела. Найдите для себя активность, которую вам будет хотеться делать, и которая будет приносить вам удовольствие.
Это может быть садоводство, йога
🧘♀️
, велосипед
🚴♀️
и пр.
Физическая активность также помогает наладить сон. Ещё один бонус.
✅
🥗
Ешьте чуть-чуть меньше.
Чтобы сохранить свой привычный вес, желательно есть ~ на 200 калорий в день МЕНЬШЕ в 50 лет, чем в 30 - 40 лет.
Чтобы получать меньше калорий, не урезая питание, ОБРАТИТЕ ВНИМАНИЕ НА ТО, ЧТО ВЫ ЕДИТЕ И ПЬЕТЕ.
🥗
Ешьте больше фруктов, овощей и цельнозерновых продуктов, особенно тех, которые содержат больше клетчатки.
🫘
Бобовые, орехи, соя, рыба и нежирные молочные продукты — хороший выбор.
Ешьте мясо в ограниченных количествах.
🐟
Ешьте рыбу и морепродукты вместо красного мяса.
🥑
Замените сливочное масло, маргарин на оливковое или растительное масло.
Обратите внимание на количество сладкого в рационе. | https://t.me/doctor_belokon/93?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 342,500 | 0 | 1,689,341,574 | 1,730,797,646 | 6,623 | 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| NEUTRAL | rus | NOT SPAM | 578 | 0 | 18 | 0.998701 | 0.001299 | 0 | 65 | 69 | 37 | 31 | 178 | 32 | 145 | true |
26 | null | Обычная вода вместо чая с сахаром или кофе со сладким сиропом - это дополнительные ~ 150 калорий!
🍷
Ограничьте употребление алкоголя.
Алкоголь - это дополнительные калории !Много калорий ! Любая польза алкоголя для здоровья- МИФ.
❓
Что насчет гормональной терапии для снижения веса?
С такой целью она не используется . Она назначается по другим показаниям (приливы, ночная потливость, боли в суставах и пр.), и может вторично способствовать нормализации веса (за счет того, что улучшается сон, например)
Но исключительно для похудения мы ее не используем.
Про гормональные пеллеты есть отдельная статья выше, кто пропустил - почитайте обязательно.
Я своим пациентам категорически не рекомендую их и вам советовала бы держаться от них подальше.
Итого, секрет прост:
✅
Больше двигаться
✅
Меньше есть
✅
Спать хорошо и достаточно
✅
Обращать внимание на то, что едим, сколько, убрать/минимизировать
🍷
🚬
Любите, берегите себя и будьте красотками в любом возрасте!
❤️ | https://t.me/doctor_belokon/94?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 425,000 | 0 | 1,689,341,574 | 1,730,797,646 | 9,898 | 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| [{"ner":"МИФ","lemma":"миф","label":"ORG","start_pos":225,"end_pos":228},{"ner":"150","lemma":"150","label":"NUM","start_pos":85,"end_pos":88}] | NEUTRAL | rus | NOT SPAM | 146 | 0 | 3 | 1 | 0 | 0 | 11 | 21 | 13 | 2 | 37 | 12 | 35 | true |
26 | null | Конгресс ISSVD в Чикаго
🇺🇸
Невероятно устала из-за смены часовых поясов , но поездка однозначно того стоила.
В следующем сообщении хочу выложить фото ВПЧ-ассоциированного РАКА ВУЛЬВЫ и напомнить вам наглядно , почему НУЖНО и ВАЖНО делать вакцинацию от ВПЧ
Это может спасти вам жизнь и защитить не только от рака шейки матки, но и от других видов рака , связанных с ВПЧ.
Чувствительных и слабонервных просьба НЕ смотреть | https://t.me/doctor_belokon/95?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 351,200 | 0 | 1,694,347,861 | 1,730,797,646 | 9,895 | 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| [{"ner":"Конгресс","lemma":"конгресс","label":"ORG","start_pos":0,"end_pos":8},{"ner":"ISSVD","lemma":"issvd","label":"ORG","start_pos":9,"end_pos":14},{"ner":"Чикаго","lemma":"чикаго","label":"LOC","start_pos":17,"end_pos":23},{"ner":"ВУЛЬВЫ","lemma":"вульвы","label":"ORG","start_pos":176,"end_pos":182},{"ner":"НУЖНО","lemma":"нужно","label":"ORG","start_pos":217,"end_pos":222},{"ner":"ВАЖНО","lemma":"важно","label":"ORG","start_pos":225,"end_pos":230},{"ner":"ВПЧ","lemma":"впч","label":"ORG","start_pos":252,"end_pos":255}] | NEUTRAL | rus | NOT SPAM | 68 | 0 | 10 | 0.987654 | 0.012346 | 0 | 7 | 12 | 3 | 0 | 14 | 4 | 7 | true |
26 | null | НЕ все виды рака вульвы связаны с вирусом папилломы человека (ВПЧ), но некоторые связаны и это можно ПРЕДОТВРАТИТЬ с помощью:
✅
💉
вакцинации от ВПЧ
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здорового образа жизни (отказа от курения
🚬
в первую очередь) | https://t.me/doctor_belokon/97?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 393,600 | 0 | 1,694,348,419 | 1,730,797,646 | 9,895 | 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| [{"ner":"ВПЧ","lemma":"впч","label":"ORG","start_pos":62,"end_pos":65}] | NEUTRAL | rus | NOT SPAM | 36 | 0 | 4 | 1 | 0 | 0 | 2 | 2 | 1 | 0 | 14 | 1 | 6 | true |
26 | null | Косметологи делают всех девушек на одно лицо ?
Хочу тут возразить
Качественная косметология - эта та, которую вы не заметите
Это не про «гиперобъемы»
❗️
А это про то, что вы будете выглядеть явно моложе и ухоженнее своих сверстниц
Это ухоженная кожа , с хорошим тургором тканей, без морщин и воспалений, без сухости
Это восполнение утраченных объемов , деликатно и в меру
Это очень красиво и элегантно
И ваша подруга , которая сегодня вам говорит : «зачем ты ходишь к косметологу»
Будет через десяток лет либо кусать локти
Либо платить в несколько раз больше, что бы вернуть тот облик
Который вам удалось сохранить
🥰 | https://t.me/dr_Guvarsha/254?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 82,400 | 0 | 1,725,114,749 | 1,730,797,646 | 6,623 | 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| null | NEUTRAL | rus | NOT SPAM | 104 | 0 | 2 | 1 | 0 | 0 | 6 | 12 | 15 | 3 | 23 | 8 | 16 | true |
26 | null | Эффекты Мезотерапии
Улучшение Тонуса Кожи: Мелкие мимические морщинки и заломы становятся менее заметными, придавая лицу более молодой вид.
Подтяжка Овала Лица: Очертания становятся более ясными, а участки провисания тканей, особенно в области глаз и подбородка, уменьшаются.
Нормализация Выработки Кожного Сала: Исчезает жирный блеск и неприятная стянутость, кожа становится более матовой и здоровой.
Уменьшение Высыпаний и Сужение Пор: Высыпания становятся менее заметными, а поры сужаются, улучшая текстуру кожи.
Заживление Рубцов и Пигментации: Небольшие рубцы, растяжки и пигментные пятна становятся менее выраженными, а кожа приобретает равномерный тон.
Восстановление Цвета Лица: Кожа приобретает здоровый и свежий вид без признаков усталости.
Мезотерапия также оказывает благоприятное воздействие на состояние волос, улучшая их структуру, уменьшая выпадение и стимулируя рост новых волос.
Количество Сеансов:
Мезотерапия эффективна в курсах, проводимых раз в 1–2 недели. Обычно требуется от 4 до 10 сеансов в зависимости от проблемы и зоны воздействия. Курс может повторяться 2–3 раза в год. | https://t.me/dr_Guvarsha/255?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 81,700 | 0 | 1,725,652,036 | 1,730,797,646 | 6,623 | 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| [{"ner":"Мезотерапии","lemma":"мезотерапии","label":"PER","start_pos":8,"end_pos":19},{"ner":"Тонуса Кожи","lemma":"тонус кожа","label":"PER","start_pos":30,"end_pos":41},{"ner":"Овала Лица","lemma":"овала лица","label":"PER","start_pos":149,"end_pos":159},{"ner":"Выработки Кожного Сала","lemma":"выработка кожный сала","label":"LOC","start_pos":289,"end_pos":311},{"ner":"Сужение Пор","lemma":"сужение пор","label":"PER","start_pos":425,"end_pos":436},{"ner":"Рубцов","lemma":"рубец","label":"PER","start_pos":527,"end_pos":533},{"ner":"Цвета Лица","lemma":"цвет лицо","label":"PER","start_pos":675,"end_pos":685},{"ner":"Кожа","lemma":"кожа","label":"PER","start_pos":687,"end_pos":691},{"ner":"1","lemma":"1","label":"NUM","start_pos":967,"end_pos":968},{"ner":"2","lemma":"2","label":"NUM","start_pos":969,"end_pos":970},{"ner":"4","lemma":"4","label":"NUM","start_pos":999,"end_pos":1000},{"ner":"10","lemma":"10","label":"NUM","start_pos":1004,"end_pos":1006},{"ner":"2","lemma":"2","label":"NUM","start_pos":1084,"end_pos":1085},{"ner":"3","lemma":"3","label":"NUM","start_pos":1086,"end_pos":1087}] | NEUTRAL | rus | NOT SPAM | 147 | 0 | 0 | 1 | 0 | 0 | 20 | 20 | 0 | 4 | 54 | 9 | 29 | true |
26 | null | Ох друзья мои
В какую же ловушку судьбы я попала
💔
И пропала тут именно по этой причине !
🥲
Давайте по порядку :
Помните я показывала что мы сняли домик с друзьями и отдыхали
Так вот … этот отдых
Мне обернулся такими последствиями
😶🌫️
🔴
Начнем с первого пункта
Туда приехали еще гости
С ребенком, который болел
🤦♀️
И мы все -компания из 8 человек
Взрослых дядечек и тетечек
Заразились от ребенка вирусом
🦠
Предположительно по симптомам COVID
🤒
🔴
у меня 3е суток безостановочной лихорадки 39,7-40 градусов
Температура практически не сбивается
❗️
но при всем при этом нет больше никаких симптомов
🙄
🔴
4е сутки все прошло
Никаких больше симптомов и лихорадки
Только мышечные боли в том числе в области поясницы и общая слабость
🔴
спустя несколько дней снова лихорадка 39,5 и боль в пояснице
😨
Тут уже я насторожилась бегу сдавать анализы и делать узи почек
Так как боль в пояснице меня насторожила | https://t.me/dr_Guvarsha/256?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 78,200 | 0 | 1,726,217,248 | 1,730,797,646 | 9,898 | 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| [{"ner":"💔","lemma":"💔","label":"ORG","start_pos":49,"end_pos":50},{"ner":"8","lemma":"8","label":"NUM","start_pos":339,"end_pos":340},{"ner":"3","lemma":"3","label":"NUM","start_pos":455,"end_pos":456},{"ner":"39","lemma":"39","label":"NUM","start_pos":490,"end_pos":492},{"ner":"7","lemma":"7","label":"NUM","start_pos":493,"end_pos":494},{"ner":"40","lemma":"40","label":"NUM","start_pos":495,"end_pos":497},{"ner":"4","lemma":"4","label":"NUM","start_pos":601,"end_pos":602},{"ner":"39","lemma":"39","label":"NUM","start_pos":767,"end_pos":769},{"ner":"5","lemma":"5","label":"NUM","start_pos":770,"end_pos":771}] | NEGATIVE | rus | NOT SPAM | 156 | 0 | 5 | 0.995025 | 0.004975 | 0 | 8 | 18 | 13 | 8 | 43 | 10 | 15 | true |
26 | null | Мои опасения были не напрасны
🥲
На узи острый пиелонефрит ( острое воспаление почек )
😨
Сказать что я в шоке ничего не сказать
А САМОЕ УЖАСНОЕ ! :
Мне врач узи говорит
Пить мочегонный препарат и через месяц на повторный узи
🤦♀️
Серьезно ???
А если бы я не была врачом
А была бы человеком другой профессии
Я бы ведь доверилась ей и выполняла бы ее рекомендации
И через месяц просто потеряла бы почку ….
Так как там бы был гнойный процесс …
Ужас
😧
даже думать об этом не хочу
В общем -то друзья
Будьте бдительны!
Я всегда говорю
Необходимо выслушать ТРИ мнения врачей
Всегда !
Что бы прийти к какому -то выводу
Я конечно очень уважаю своих коллег
Но при остром пиелонефрите , к сожалению
Без антибиотиков печальный исход
Берегите свое здоровье
А я пошла дальше лечиться
❤️
🙏 | https://t.me/dr_Guvarsha/257?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 81,800 | 0 | 1,726,237,798 | 1,730,797,646 | 9,895 | 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| null | NEGATIVE | rus | NOT SPAM | 142 | 0 | 12 | 1 | 0 | 0 | 12 | 18 | 12 | 0 | 28 | 8 | 20 | true |
26 | null | Доброе утро , страна
❤️
Полет нормальный
👌
Антибиотики помогают
Я уже лабильна и без температуры
Спасибо Богу , что без страшных последствий
🙏
❤️ | https://t.me/dr_Guvarsha/258?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 82,700 | 0 | 1,726,390,479 | 1,730,797,646 | 9,895 | 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26 | null | По просьбе читателей повторяю:
Камни желчного пузыря.
«Быть или не быть? Склониться под ударами судьбы или оказать сопротивление?!»
Не смейтесь, судя по количеству неизменных вопросов «удалять или нет?!» по остроте это почти Гамлетовский накал!
Дело в том, что камни желчного пузыря очень распространены и в подавляющем числе случаев не вызывают симптомов. Это обычная случайная находка про УЗИ.
Более того- даже когда есть жалобы на дискомфорт в правом подреберье, вздутии живота, тошноты, обнаружение камней далеко не всегда обозначает, что вот: причина жалоб выявлена! Диспепсия (а это то, что только то описал) очень редко имеет в своей основе именно наличие камней.
Очень распространены- это сколько? А это 6-10% взрослого населения.
Как-то в одном итальянском городке все взрослое население пропустили через узи. В качестве эксперимента. И почти 10% имели камни желчного пузыря.
Но и тут ничего нового. В книге моего деда про болезни печени я нашел статистику аутопсий тех лет: на 10% вскрытий обнаруживались камни желчного пузыря.
<<<
одно время считалось, что камни желчного пузыря чаще обнаруживали у японских женщин. Объяснили это особенностью их традиционной одежды: они высоко и туго подпоясывались, что якобы приводило к застою печени…>>>
Камни желчного пузыря в основном холестериновые
(75%), остальные так называемые «пигментные» В образовании пигментных желчных камней участвует билирубин, который образуется в результате распада гемоглобина. Часть билирубина вступает в реакцию с кальцием, и образует нерастворимый осадок, из которого в дальнейшем, образуются желчные камни черного цвета.
Камни желчного пузыря крайне редки у детей. В основном это люди 40-60 лет и как правило женщины.
Даже есть мем описывающий наиболее характерный вид человека с возможным наличием камней: «женщина 40+ с избыточным питанием и несколькими беременностями в анамнезе»
Факторы риска
1. Генетическая предрасположенность. Исследования близнецов показывают, что примерно 25 процентов риска желчного камня определяется основной генетической предрасположенностью.
2. Беременности. Беременность связана как с качественным изменением состава желчи, так и с задержкой опорожнения желчного пузыря, что способствует образованию камней. Риск увеличивается с частотой и количеством беременностей.
3. Сахарный диабет. Не совсем понятно, как сахарный диабет предрасполагает к камням в желчном пузыре. инсулинорезистентность, лежащая в основе диабета, по-видимому, играет решающую роль.
4. Повышение уровня холестерина
5. Ожирение. Ожирение также связано с повышением риска именно симптоматических камней в желчном пузыре.
6. Быстрое снижение веса. Высокие показатели образования камней в желчном пузыре связаны с быстрой потерей веса у пациентов, придерживающихся очень низкокалорийных диет (диеты, содержащие менее 800 ккал в день). При этом Содержание муцина желчи увеличилось в 18 раз, а концентрация кальция в желчи выросла на 40 процентов. Эти факторы могут способствовать нуклеации холестерина и образованию камней.
7. Лекарства. Это антибиотик Цефтриаксон, гомоно-заместительная терапия, гормональные противозачаточные средства.
Защитные факторы:
1. Аскорбиновая кислота. Добавки витамина С могут оказывать защитное воздействие на камни в желчном пузыре. Преимущество аскорбиновой кислоты может быть связано с ее влиянием на катаболизм холестерина и преобразование холестерина в желчные кислоты.
2. полиненасыщенные жиры: морская рыбы, Омега-3 и орехи.
3. Кофе. При этом Была связь между дозой и ответом, при этом самый низкий риск наблюдался среди пациентов с самым высоким уровнем потребления кофе.
4. Физические нагрузки. Это было проиллюстрировано в исследовании в котором участвовало более 45 000 мужчин, в котором у 828 испытуемых в течение восьми лет наблюдения развились симптоматические камни в желчном пузыре. У тех, кто регулярнозанимался риски были значительно меньше.
5. Статины. Защитный эффект статинов начанает наблюдаться примерно через 1-1,5 года использования статинов.
6. Образ питания и снижение веса.
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26 | null | ⏫️
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● Диетические меры включают в себя три сбалансированных приема пищи в день. Питание должно быть с низким содержанием насыщенных жиров и высоким содержанием клетчатки и кальция, чтобы снизить концентрации желчных кислот. Регулярное время приема пищи снижает насыщение желчным пузырем холестерином и уменьшает застой желчного пузыря, способствуя опорожнению желчного пузыря. Снижение веса у людей с избыточным весом и ожирением для снижения риска образования камней в желчном пузыре, но потеря веса должна быть постепенной (<1,5 кг в месяц), чтобы снизить риск образования ила желчного пузыря из-за застоя. У людей с быстрой потерей веса из-за очень низкокалорийной диеты потребление жира должно быть не ниже 7-10 граммов в день, чтобы обеспечить хорошее сокращение желчного пузыря и циркуляцию желчи.
Итак- все же удалять бессимптомные камни желчного пузыря или нет?
В нашей стране бытует установка в пользу профилактического удаления камней (хотя как я скажу позже, так было не всегда). Нет камня- нет проблем. Но тако подход обозначает необходимость оперировать 10% населения. Это операция с её рисками и затратами. Смертность сегодня- 1%.
В Мире сегодня несколько другие стандарты.
Оперируют только симптоматические камни. То есть- была желчная колика - боль, тошнота, вздутие- тогда операция, камни бессимптомны- как правило не трогаем.
Симптоматики может развиться примерно у 20% людей с камнями в желчного пузыре. При это в впервые возникшие Желчные колики как правило протекают без осложнений. Поэтому считается разумным выжидательная тактика.
«Под угрозой убиения пришла тетя в отделение. Ей сказали: что вы тетя! Вот убьют- тогда придете!» но это так- шутка, на самом деле такой выжидательный подход позволяет довольно безопасно избежать риски ненужной хирургии.
Про подходы к этой проблеме в СССР. Передо мной учебник внутренних болезней Медгиз 1940 год. Читаем:
«Что касается хирургического лечения, то к не у следует прибегать лишь при определенных показаниях. Операция несомненно показана при обтаруционной желтухе и эмпиемы желчного пузыря. В остальных случаях правильно говорил известный московский хирург Мартынов: «предлагать операцию можно главным образом в случаях часто повторяющихся приступов, мешающих работать, когда внутренняя терапия останься безрезультатной»
Что же представляет собой эта «внутренняя терапия», направленная на растворение камней?
Сегодня это применение Урсодиола. Он снимает симптомы у многих пациентов в течение нескольких недель, даже несмотря на то, что камни в желчном пузыре все еще присутствуют, возможно, путем изменения вязкости желчи. Растворение камней в желчном пузыре медленное, и терапия может потребоваться в течение двух или более лет.
Когда бессимптомные камни желчного пузыря все же надо сразу при обнаружении удалять хирургически?
1. Крупные камни размером 3 см+
2. «Фарфоровый» желчный пузырь. Желчный пузырь называют фарфоровым, когда его стенки кальцинировались, т. е.покрылись слоем кальция. Фарфоровый желчный пузырь связан с очень высоким риском развития рака.
3. Одновременное наличие в желчного пузыре полипов | https://t.me/drmyasnikov/2657?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 49,900 | 0 | 1,730,269,292 | 1,730,797,646 | 9,895 | 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| 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| NEUTRAL | rus | NOT SPAM | 433 | 0 | 5 | 1 | 0 | 0 | 64 | 49 | 14 | 17 | 157 | 27 | 78 | true |
26 | null | Про полипы желчного пузыря.
Полипы желчного пузыря наблюдались в 1,5-4,5 процентах желчного пузыря, оцененных с помощью УЗИ, и до 13,8 процента резекции желчного пузыря
Большинство полипов желчного пузыря являются доброкачественными, и большинство доброкачественных полипов, за исключением аденом, не имеют злокачественного потенциала. Общий риск рака желчного пузыря у пациентов с полипами желчного пузыря кажется низким.
Но тут размер имеет значение.
Большие полипы (≥1 см) - Заболеваемость раком желчного пузыря колеблется от 43 до 77 процентов у полипов размером более 1 см ] и 100 процентов у полипов размером более 2 см. Понятно, что такие полипы надо срочно удалять. Для полипов меньшего размера тактика следующая:
●Для полипов от 6 до 9 мм предлагается холецистэктомию. Для пациентов, которые не могут или не хотят проходить холецистэктомию, -УЗИ в течение шести месяцев, а затем, если размер стабилен, ежегодно.
●Для полипов ≤5 мм проводить ультразвуковое наблюдение через шесть месяцев, а затем, если они стабильны по размеру, ежегодно | https://t.me/drmyasnikov/2658?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 62,900 | 0 | 1,730,294,696 | 1,730,797,646 | 9,895 | 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| NEUTRAL | rus | NOT SPAM | 151 | 0 | 2 | 1 | 0 | 0 | 20 | 13 | 2 | 13 | 56 | 9 | 28 | true |
26 | null | Ваша программа упражнений #145
👌
Вздутие живота
(8 упражнений) | https://t.me/ibs_doc/277?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 9,700 | 0 | 1,727,124,598 | 1,730,797,646 | 6,623 | 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| [{"ner":"145","lemma":"145","label":"NUM","start_pos":27,"end_pos":30},{"ner":"8","lemma":"8","label":"NUM","start_pos":49,"end_pos":50}] | NEUTRAL | rus | NOT SPAM | 9 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 2 | 5 | 0 | 2 | true |
26 | null | Мы с
Александром Приказчиковым
и IT командой работаем над проектом умного ассистента с применением Искусственного Интеллекта!
Чат-бот в телеграм будет вашим личным экспертом в low-FODMAP диете. Он уже умеет анализировать состав продуктов и блюд по фото и может прислать вам заключение так, как сделал бы это я (Егор Язев) во время приема!
Если вы готовы тестировать первую версию нашего умного ассистента и давать нам обратную связь - заполняйте гугл форму, а мы выберем наиболее подходящих кандидатов для группы.
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🔗 | https://t.me/ibs_doc/278?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 11,700 | 0 | 1,727,772,118 | 1,730,797,646 | 6,623 | 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| [{"ner":"Александром Приказчиковым","lemma":"александр приказчиков","label":"PER","start_pos":5,"end_pos":30},{"ner":"IT","lemma":"it","label":"ORG","start_pos":33,"end_pos":35},{"ner":"Егор Язев","lemma":"егор язев","label":"PER","start_pos":311,"end_pos":320}] | NEUTRAL | rus | NOT SPAM | 83 | 0 | 2 | 0.961905 | 0.038095 | 0 | 7 | 12 | 8 | 0 | 29 | 3 | 9 | true |
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😁 | https://t.me/ibs_doc/279?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 8,800 | 0 | 1,728,296,006 | 1,730,797,646 | 9,899 | 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| [{"ner":"Фомина","lemma":"фомин","label":"PER","start_pos":126,"end_pos":132},{"ner":"Дневник Здоровья","lemma":"дневник здоровье","label":"ORG","start_pos":136,"end_pos":152},{"ner":"1","lemma":"1","label":"NUM","start_pos":206,"end_pos":207},{"ner":"2","lemma":"2","label":"NUM","start_pos":252,"end_pos":253},{"ner":"3","lemma":"3","label":"NUM","start_pos":310,"end_pos":311},{"ner":"4","lemma":"4","label":"NUM","start_pos":341,"end_pos":342},{"ner":"33","lemma":"33","label":"NUM","start_pos":380,"end_pos":382},{"ner":"100","lemma":"100","label":"NUM","start_pos":394,"end_pos":397},{"ner":"5","lemma":"5","label":"NUM","start_pos":410,"end_pos":411},{"ner":"3","lemma":"3","label":"NUM","start_pos":640,"end_pos":641}] | NEUTRAL | rus | NOT SPAM | 102 | 0 | 1 | 0.992701 | 0.007299 | 0 | 8 | 14 | 6 | 7 | 35 | 2 | 21 | true |
26 | null | Дорогие подписчики, мы благодарим всех, кто оставил заявки на вступление в группу для тестирования нашего умного ассистента!
Первым 50 пользователям сегодня вечером были высланы приглашения и они уже приступили к общению со своим личным экспертом по low-FODMAP диете.
В следующую фазу тестирования мы пригласим еще несколько десятков пользователей,
stay tuned
!
🔗
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🔗 | https://t.me/ibs_doc/280?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 9,300 | 0 | 1,728,417,366 | 1,730,797,646 | 9,899 | 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| [{"ner":"50","lemma":"50","label":"NUM","start_pos":132,"end_pos":134}] | NEUTRAL | rus | NOT SPAM | 55 | 0 | 2 | 0.929577 | 0.070423 | 0 | 5 | 7 | 5 | 2 | 20 | 3 | 6 | true |
26 | null | 26 октября у нас в госпитале на Мичуринском
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😍 | https://t.me/ibs_doc/281?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 8,000 | 0 | 1,729,366,088 | 1,730,797,646 | 9,895 | 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| [{"ner":"Мичуринском","lemma":"мичуринский","label":"LOC","start_pos":32,"end_pos":43},{"ner":"Хабарова","lemma":"хабарова","label":"PER","start_pos":213,"end_pos":221},{"ner":"Юлия Александровна","lemma":"юлия александрович","label":"PER","start_pos":222,"end_pos":240},{"ner":"АЖ","lemma":"аж","label":"ORG","start_pos":348,"end_pos":350},{"ner":"26 октября","lemma":"26 октября","label":"DATE","start_pos":0,"end_pos":10},{"ner":"2024","lemma":"2024","label":"NUM","start_pos":88,"end_pos":92},{"ner":"5","lemma":"5","label":"NUM","start_pos":256,"end_pos":257},{"ner":"15","lemma":"15","label":"NUM","start_pos":351,"end_pos":353}] | NEUTRAL | rus | NOT SPAM | 67 | 0 | 3 | 1 | 0 | 0 | 14 | 5 | 1 | 2 | 20 | 2 | 18 | true |
26 | null | Доброго времени суток!
Мы, студентки 3 курса факультета медицины и психологии НГУ, в рамках учебного курса проводим адаптацию зарубежного опросника RBQ-2A и приглашаем Вас принять в ней участие. Опросник создан для оценки ограниченного и повторяющегося поведения взрослых – одного из основных диагностических критериев расстройств аутистического спектра. В связи с этим нам необходима выборка, включающая в себя как взрослых людей с диагнозом РАС, так и нейротипичную группу в возрасте примерно от 18 до 50 лет.
Помимо RBQ-2A, в форме будет представлено еще несколько опросников для прохождения, которые помогут нам в адаптации.
Для участия необходимо заполнить анкету, выполненную в виде гугл-формы. Минимальное время прохождения составит примерно 30-40 минут (всё зависит от индивидуальной скорости ответов). Участие в исследовании анонимно, все ответы полностью конфиденциальны.
Гугл-форма и инструкции по её заполнению расположены по ссылке:
https://forms.gle/DRof7V3xByd4TCVW8
.
Заранее благодарим за участие! Распространяйте новость среди знакомых, делитесь ссылкой на наше исследование. Мы всегда рады обратной связи, обращаться к
@dushnichel | https://t.me/imatrip/2169?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 5,000 | 0 | 1,729,917,551 | 1,730,797,646 | 6,623 | 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26 | null | Чего больше всего хотят люди, пережившие насилие, и как они понимают справедливость? Гарвардская профессорка психиатрии Джудит Герман исследует тему травмы больше 50 лет — в свое время ей удалось изменить общепринятое мнение о том, что ПТСР может проявляться только у вернувшихся с войны. В 1992 году она выпустила передовое исследование «Травма и исцеление», в котором описала сходство симптомов у ветеранов Вьетнама и женщин, подвергшихся изнасилованию.
Спустя более чем четверть века после выхода легендарной книги Джудит Герман опубликовала новый труд, над которым работала 20 лет, — «Травма и восстановление» о пути к справедливости после пережитого насилия.
Дискурс публикует интервью профессорки о ключевых идеях новой работы и случаях из многолетней психиатрической практики
, в котором она рассказывает: какая форма насилия является самым долгосрочным нарушением прав человека в мире; почему бездействие сторонних наблюдателей переживается труднее жестокости преступника; ретравмирует ли пострадавших общение с журналистами и как самим репортерам, работающими с историями насилия, заботиться о ментальном здоровье и как общество может дать человеку чувство справедливости в мире, полном безнаказанности. | https://t.me/imatrip/2170?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,400 | 0 | 1,730,192,551 | 1,730,797,646 | 6,623 | 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| [{"ner":"Джудит Герман","lemma":"джудит герман","label":"PER","start_pos":120,"end_pos":133},{"ner":"ПТСР","lemma":"птср","label":"ORG","start_pos":236,"end_pos":240},{"ner":"Вьетнама","lemma":"вьетнам","label":"LOC","start_pos":409,"end_pos":417},{"ner":"Джудит Герман","lemma":"джудит герман","label":"PER","start_pos":518,"end_pos":531},{"ner":"50","lemma":"50","label":"NUM","start_pos":163,"end_pos":165},{"ner":"1992","lemma":"1992","label":"NUM","start_pos":291,"end_pos":295},{"ner":"20","lemma":"20","label":"NUM","start_pos":578,"end_pos":580}] | NEUTRAL | rus | NOT SPAM | 164 | 0 | 2 | 1 | 0 | 0 | 18 | 23 | 9 | 3 | 61 | 5 | 25 | true |
26 | null | 🔖
Коллеги, с радостью приглашаем вас на
Ежегодную конференцию Ассоциации когнитивно- поведенческой терапии
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Кит Добсон
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Стефан Хофманн
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Хелен Макдональд
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Конференция
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В ЦЕНТРЕ КПТ | https://t.me/imatrip/2171?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,400 | 0 | 1,730,278,951 | 1,730,797,646 | 9,899 | 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| [{"ner":"Ассоциации когнитивно- поведенческой терапии\n!\n","lemma":"ассоциация когнитивно- поведенческий терапия\n!","label":"ORG","start_pos":62,"end_pos":109},{"ner":"Роберт Лихи","lemma":"роберт лихи","label":"PER","start_pos":377,"end_pos":388},{"ner":"Аллен Миллер","lemma":"аллен миллер","label":"PER","start_pos":393,"end_pos":405},{"ner":"Джон Кабат-Зинн","lemma":"джон кабат-зинн","label":"PER","start_pos":410,"end_pos":425},{"ner":"Кит Добсон","lemma":"кит добсон","label":"PER","start_pos":430,"end_pos":440},{"ner":"Пол Гилберт","lemma":"пол гилберт","label":"PER","start_pos":445,"end_pos":456},{"ner":"Экхард Рёдигер","lemma":"экхард рёдигер","label":"PER","start_pos":461,"end_pos":475},{"ner":"Стефан Хофманн","lemma":"стефан хофманн","label":"PER","start_pos":480,"end_pos":494},{"ner":"Хелен Макдональд","lemma":"хелен макдональд","label":"PER","start_pos":518,"end_pos":534},{"ner":"Telegram","lemma":"telegram","label":"ORG","start_pos":1133,"end_pos":1141},{"ner":"ЦЕНТРЕ","lemma":"центре","label":"ORG","start_pos":1151,"end_pos":1157},{"ner":"КПТ","lemma":"кпт","label":"ORG","start_pos":1158,"end_pos":1161},{"ner":"ЦЕНТРЕ","lemma":"центр","label":"ORG","start_pos":1241,"end_pos":1247},{"ner":"КПТ","lemma":"кпт","label":"ORG","start_pos":1248,"end_pos":1251},{"ner":"50","lemma":"50","label":"NUM","start_pos":806,"end_pos":808},{"ner":"3","lemma":"3","label":"NUM","start_pos":828,"end_pos":829}] | NEUTRAL | rus | NOT SPAM | 174 | 0 | 7 | 0.991736 | 0.008264 | 0 | 21 | 16 | 5 | 2 | 48 | 4 | 34 | true |
26 | null | В связи с празднованием дня рождения мы дарим всем нашим участникам подарок: перевод раздаточного материала по поведенческой активации. В нем указаны две таблицы, в одной ваш клиент может заполнить ту деятельность, которую он сейчас не делает/хотел бы делать, а во второй сложность выполнения мероприятий.
Вы сможете обсудить, как запланировать активность, как работать с барьерами, что делает те или иные мероприятия сложными или легкими.
Оригинал прикреплен.
Перевод: Илья Розов, Елена Алоец
Захотите нас поддержать, поставьте звездочки в честь нашего др! | https://t.me/imatrip/2172?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,300 | 0 | 1,730,356,683 | 1,730,797,646 | 9,895 | 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| [{"ner":"Илья Розов","lemma":"илья розов","label":"PER","start_pos":470,"end_pos":480},{"ner":"Елена Алоец\nЗахотите","lemma":"елена алоец\nзахотеть","label":"PER","start_pos":482,"end_pos":502}] | NEUTRAL | rus | NOT SPAM | 79 | 0 | 2 | 1 | 0 | 0 | 6 | 16 | 7 | 2 | 23 | 3 | 16 | true |
26 | null | Как вылечить дисбактериоз?
В каждой капсуле СИМбиотиков «Жизнивек» по 10 миллиардов полезных бактерий
🤑
Помимо лакто и бифидобактерий в составе симбиотиков «Жизнивек» есть
Streptococcus thermophilus. Последний
оказывает подкисляющее действие, обеспечивая бактерицидный эффект в отношении патогенных микроорганизмов, а, самое главное, поглощает и перерабатывает лактозу (молочный сахар) и поэтому применяется при лактазной недостаточности.
СИМбиотики предназначены для:
📍
поддержания нормальной микрофлоры кишечника;
📍
улучшения процессов пищеварения;
📍
восстановления нормального метаболизма;
📍
выведения токсинов и выработки биологически активных веществ, регулирующих все функции организма;
📍
профилактики дисбактериоза и кишечных инфекций;
📍
усиления иммунной системы;
📍
снижения активности аллергических и аутоиммунных реакций;
📍
стимуляции активности лимфоидного аппарата;
📍
синтеза иммуноглобулинов.
Симбиотики здесь
👉🏼
wildberries/симбиотик
Ещё больше полезной информации о витаминах и нутриентах ищите на канале "Жизнивек"
👉🏼
https://t.me/ziznivek
Реклама. ООО «Жизнивек»
ИНН 2311312648 | https://t.me/magerya/11542?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 25,700 | 0 | 1,730,618,405 | 1,730,797,646 | 6,623 | 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26 | null | 2️⃣
1️⃣
день необходим для выработки новых привычек и создания новых нейронных связей
👍 | https://t.me/magerya/11543?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 24,500 | 0 | 1,730,625,906 | 1,730,797,646 | 9,898 | 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| [{"ner":"2","lemma":"2","label":"NUM","start_pos":0,"end_pos":1},{"ner":"1","lemma":"1","label":"NUM","start_pos":4,"end_pos":5}] | NEUTRAL | rus | NOT SPAM | 14 | 0 | 0 | 1 | 0 | 0 | 6 | 0 | 0 | 0 | 5 | 0 | 1 | true |
26 | null | Присоединяйтесь
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здесь | https://t.me/magerya/11545?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 26,900 | 0 | 1,730,626,231 | 1,730,797,646 | 9,898 | 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| null | NEUTRAL | rus | NOT SPAM | 24 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 17 | 6 | 8 | true |
26 | null | Благодарю за вашу обратную связь
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wildberries.ru/brands/zhiznivek | https://t.me/magerya/11546?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 26,300 | 0 | 1,730,652,615 | 1,730,797,646 | 9,895 | 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| null | NEUTRAL | other | NOT SPAM | 19 | 0 | 0 | 0.962963 | 0.037037 | 0 | 2 | 5 | 2 | 0 | 4 | 0 | 4 | true |
26 | null | Дорогие мои, ну что, кидайтесь в меня в комментариях, помидорами ... Или джинсами.
У мужчин таз параллельный, а у женщин таз широкий. И тугое ношение джинсов может приводить к анатомическим изменениям как самого таза, так и органов внутри него: матка, трубы, яичники, простата у мужчин. | https://t.me/magerya/11547?embed=1&mode=tme | https://t.me/ | https://t.me/s/magerya | 36,700 | 0 | 1,730,700,019 | 1,730,797,646 | 9,895 | 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| null | NEUTRAL | rus | NOT SPAM | 45 | 0 | 2 | 1 | 0 | 0 | 6 | 3 | 3 | 0 | 17 | 1 | 13 | true |
26 | null | https://vt.tiktok.com/ZSR6jrMrG/?k=1 | https://t.me/mikeryna_sash/88?embed=1&mode=tme | https://t.me/ | https://t.me/s/mikeryna_sash | 52 | 0 | 1,659,629,505 | 1,730,797,646 | 6,623 | 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26 | null |
Пост родился спонтанно, после того, как подписчик задал вопрос
"Может ли разбиться сердце?".
Дело в том, что после смерти отца, его мама попала в больницу с симптомами инфаркта, но по результатам исследований никакого инфаркта не обнаружили, сосуды были идеальными. Врач сказал, что у его матери синдром "разбитого сердца", больше ничего не пояснив. Поэтому пояснять сегодня буду я.
Действительно, термин
"синдром разбитого сердца"
существует, по-другому такое состояние называют синдромом такоцубо или стрессовой кардиомиопатией. Это состояние при котором происходит ослабление левого желудочка —
главной насосной камеры сердца
, обычно в результате сильного эмоционального или физического стресса, такого как внезапная болезнь, смерть близкого человека, пугающий медицинский диагноз, стихийное бедствие, факторы физического стресса — приступ астмы, высокая температура, сильное кровотечение, переломы костей. Список можно пополнять очень долго, никогда не узнаешь, что для организма станет стрессовым событием.
Почему так происходит?
Точная причина синдрома разбитого сердца неизвестна. Предполагается, что, когда человек переживает стрессовое событие, организм вырабатывает гормон адреналин, который должен помочь справиться со стрессом.
НО
его избыток может вызвать сужение мелких артерий, которые снабжают сердце кровью, и привести к временному снижению сократимой способности левого желудочка. В результате чего левый желудочек меняет форму и становится похож на
такоцубо
— японский горшок с узким горлышком для ловли осьминогов.
Чем такоцубо отличается от инфаркта?
Большинство инфарктов миокарда происходят из-за сужения просвета или закупорки тромбом коронарной артерии. Если кровоснабжение сердца нарушается на достаточно долгое время, клетки сердечной мышцы погибнут, оставив сердце с необратимыми повреждениями. При такоцубо сосуды сердца в норме, но миокард страдает от избытка адреналина.
Во время сердечного сокращения средняя часть и верхушка левого желудочка выпячиваются наружу, в то время как область выше, называемая основанием, сокращается нормально. Форма желудочка становится похожа на
такоцубо
— ловушку осьминогов.
Люди с синдромом разбитого сердца могут испытывать внезапную боль в груди или думать, что у них развился приступ стенокардии.
Основные симптомы — боль в груди и одышка.
Проявления могут начаться через несколько минут или даже через несколько часов после эмоционального или физического стресса. Симптомы такоцубо неотличимы от симптомов сердечного приступа, поэтому нужно понимать, что любая длительная или постоянная боль за грудиной может быть признаком инфаркта. И важно отнестись к этому серьезно!
Электрокардиограмма при синдроме "разбитого сердца" может показать отклонения, подобные тем, которые обнаруживаются при инфаркте, даже
возможен подъем сегмента ST.
Следовательно, для исключения сердечного приступа необходимы визуализирующие исследования — ангиография, УЗИ сердца.
Синдром разбитого сердца обычно поддается лечению.
Специфической терапии нет, обычно это лечение сердечного приступа, до момента постановки окончательного диагноза. Лечение зависит от серьезности симптомов, а также от того, развились ли осложнения.
Записки судмедэксперта | https://t.me/sudmednotes/9262?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 32,000 | 0 | 1,730,568,039 | 1,730,797,646 | 6,623 | 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| null | NEUTRAL | rus | NOT SPAM | 413 | 0 | 5 | 0.998103 | 0.001898 | 0 | 61 | 55 | 14 | 2 | 155 | 30 | 89 | true |
26 | null | Продолжение | https://t.me/sudmednotes/9267?embed=1&mode=tme | https://t.me/ | https://t.me/s/sudmednotes | 32,299 | 0 | 1,730,568,117 | 1,730,797,646 | 9,898 | 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| null | NEUTRAL | rus | NOT SPAM | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | true |
26 | null | Начинается сезон простуд. Доказано, что нормальный уровень 25-ОН в крови профилактирует ОРВИ
https://www.bmj.com/content/356/bmj.i6583
Конечно витамин Д принимать надо круглогодично. Но если вы делали перерыв, то уже пора начать прием.
Пост про профилактические дозы:
https://t.me/DrAnshinaOmega/106
Про лечебные дозы:
https://t.me/DrAnshinaOmega/129 | https://t.me/DrAnshina/1244?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 246,200 | 0 | 1,726,818,694 | 1,730,797,647 | 6,676 | 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| [{"ner":"25","lemma":"25","label":"NUM","start_pos":60,"end_pos":62},{"ner":"356","lemma":"356","label":"NUM","start_pos":123,"end_pos":126},{"ner":"6583","lemma":"6583","label":"NUM","start_pos":132,"end_pos":136},{"ner":"106","lemma":"106","label":"NUM","start_pos":298,"end_pos":301},{"ner":"129","lemma":"129","label":"NUM","start_pos":349,"end_pos":352}] | NEUTRAL | other | NOT SPAM | 38 | 0 | 3 | 0.943396 | 0.056604 | 0 | 3 | 6 | 1 | 1 | 12 | 4 | 7 | true |
26 | null | Повышенная температура - не всегда признак болезни
‼️
Отправьте этот пост подруге, у которой есть ребенок
❤️
Часто причина - перегревание (одежда не по погоде или t дома/на улице выше 24 С или ребенок активно побегал).
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🙋♀️
Если все- таки высокая t - признак болезни, когда ее сбивать?
✔
если ребенку
⬇️
3 мес и t подмышкой
⬆️
38, 0-38, 5 С
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✔
если ребенку
⬆️
3 мес (и взрослые тоже) и t подмышкой
⬆️
39,0 - 39.5 С (Союз Педиатров РФ).
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✔
если есть поражение ЦНС, пороки сердца и другая хроническая патология, а также плохая переносимость высокой t ,то снижаем если t
⬆️
38 С!
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Не надо снижать t до нормальных цифр!Цель - добиться комфортного самочувствия!
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❓
Чем снижать?
🙋♀️
Умоляю: не забывайте давать ребенку больше пить, проветривайте и увлажняйте помещение, не надо одевать 33 одежки, не надо обтирать спиртом и уксусом!
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✅
Ребенку даем только парацетамол или ибупрофен в форме суспензии (старшим детям можно таблетки).
⠀
‼
Чередование парацетамола и ибупрофена или применение комбинированных
препаратов (ибуклин) не имеет преимуществ перед монотерапией одним из этих средств (Союз Педиатров РФ). Зато побочных эффектов при одновременном приеме можно достичь
😭
⠀
💊
Дозировку рассчитываем по весу!
🔸️
парацетамол (разовая доза) 10—15 мг/кг
🔸️
ибупрофен - 5 -10 мг/кг
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При высокой t допустимо давать каждые 4-5 часов!
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Детям НЕЛЬЗЯ аспирин, нимесулид (до 12 лет) и метамизол (анальгин), т.к. имеется высокий риск возникновения агранулозитоза, лейкопении, тромбоцитопении, поражения почек и печени.
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Почему не помогают жаропонижающие
❓
✅
неправильно рассчитали дозу
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индивидуальная особенность
✅
суспензия давно вскрыта
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нарушены условия хранения
✅
обезвоживание (не забывайте выпаивать)
Суспензию встряхните, потом наполните шприц и согрейте в руке (подействует быстрее).
Если вес ребенка больше 25 кг, то можно дать 1 таблетку ибупрофена 200 мг или 250 мг парацетамола (это 1/2 таблетки 500 мг).
Взрослым температуру также предпочтительно сбивать ибупрофеном 400 мг или парацетамолом 500 мг. Допустим прием нимесулида 100 мг.
Пост носит ознакомительный характер и не заменяет консультации специалиста.
⠀ | https://t.me/DrAnshina/1247?embed=1&mode=tme | https://t.me/ | https://t.me/s/DrAnshina | 188,800 | 0 | 1,727,684,674 | 1,730,797,647 | 6,626 | 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| [{"ner":"07-25","lemma":"07-25","label":"DATE","start_pos":52,"end_pos":57},{"ner":"25","lemma":"25","label":"NUM","start_pos":55,"end_pos":57}] | NEUTRAL | eng | NOT SPAM | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | true |
26 | null | https://youtu.be/e2agkWs6yoc
Мегаполезное видео , внутри выпуска много всего интересного
Смотрите, делитесь, благодарю за вашу обратную связь
❤️ | https://t.me/doctor_belokon/89?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 696,400 | 0 | 1,664,377,235 | 1,730,797,647 | 6,645 | 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26 | null | https://telegra.ph/EHffektivnaya-profilaktika-cistita-01-31 | https://t.me/doctor_belokon/90?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 519,100 | 0 | 1,675,174,476 | 1,730,797,647 | 6,623 | 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| [{"ner":"01-31","lemma":"01-31","label":"DATE","start_pos":54,"end_pos":59},{"ner":"31","lemma":"31","label":"NUM","start_pos":57,"end_pos":59}] | NEUTRAL | eng | NOT SPAM | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | true |
26 | null | Давно не было никаких моих публикаций здесь .
Скучали ?
😊
На прошлой неделе на сайте клиники Mayo была опубликована очень классная статья на тему увеличения веса среди женщин в перименопаузальном периоде, и у меня появилось острое желание опубликовать ее здесь .
Уж очень она классная!
Но для начала хочу узнать возраст своих читателей
😁
❓
Напишите в комментариях, сколько вам лет? | https://t.me/doctor_belokon/91?embed=1&mode=tme | https://t.me/ | https://t.me/s/doctor_belokon | 301,800 | 0 | 1,689,330,851 | 1,730,797,647 | 6,624 | 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| [{"ner":"Mayo","lemma":"mayo","label":"ORG","start_pos":93,"end_pos":97}] | NEUTRAL | rus | NOT SPAM | 62 | 0 | 0 | 0.986487 | 0.013514 | 0 | 6 | 8 | 4 | 1 | 16 | 5 | 8 | true |
26 | null | Девчонки меня поймут
😄
Обновлять косметичку, и парфюмерию мы любим! Этого уж не отнять. Но сегодня это было по особенному
✨
Я всегда тщательно слежу за акциями и новинками в приложении
ИЛЬ ДЕ БОТЭ
, а тут такая крутая и интересная акция -
«Астрологический прогноз»
И знаете что самое интересное? У меня с подругами, действительно совпало!
😀
По знаку зодиака я весы, и у меня в ванной стоит миндальное масло для от
L`OCCITANE, которое я увидела в подборке для весов! А аромат Tender Light действительно, один из моих фаворитов!
Вот как это работает, объясните мне
🙈
Я заказала всю подборку для себя, уже сообщила своим подружкам и сестричкам! С такими крутыми акциями, покупки не будут такими обыденными!
И ещё!
☝️
Крутая новость!
По промокоду
ASTRO2024
, вы получите скидку в размере 2000 рублей, при покупке от 7000 рублей
Обязательно воспользуйтесь
✨
Желаю всем приятных покупок
🤍
Реклама. АО «ИЛЬ ДЕ БОТЭ». ИНН 7707061530. Erid:2VfnxwZzJjr | https://t.me/dr_Guvarsha/249?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 78,800 | 0 | 1,724,319,136 | 1,730,797,647 | 6,676 | 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26 | null | 😱
Препараты которые назначают неправильно
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КАКИЕ ПРЕПАРАТЫ? И ПОЧЕМУ ТАК?
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1. ОМЕПРАЗОЛ и другие ИПП. Максимально часто назначаются всем подряд на любую боль и дискомфорт в животе без сбора анамнеза и обследований. «Ну у вас хронический гастрит - принимайте». Назначается при гэрб, лечении хеликобактерной инфекции, функциональной диспепсии
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2. РЕБАГИТ - точно также на любой гастрит, особенно атрофический. Не работает. Единственное применение это НПВС ассоциированный гастрит (когда много ибупрофена пьете) и то уступает тому же омепразолу.
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3. Урсосан - не назначается при взвести в желчном, горечи во рту, загибе желчного пузыря. Работает при истинном холестазе, растворяет некоторые камни в ЖП, при циррозе печени и гепатитах
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4. Гептрал и любые гепатопротектеры просто не работают вообще. Ничего не лечат. Единственная возможная ниша - это внутривенное вливание препарата при алкогольном запое (обладает антидепрессивным действием)
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5. Креон и другие ферменты - назначается только при недостаточности функции поджелудочной железы.
Всё!!!!
Не улучшает пищеварение, не нужен при болях в животе, которые не связаны с панкреатитом.
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6. Альфа нормикс. Препарат выбора при СИБР. Но постоянно неверные дозировки и 400 мг 7 дней, и 800 мг 5 дней. Чего я только не видела…
По российским рекомендациям 1200 мг в сутки 14 дней, по зарубежным 1600 мг в сутки 14 дней.
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7. Сорбенты. Не надо их использовать при кишечных инфекциях. Замедляют выздоровление. Используются при СРК с диарейным синдромом и других хронических диареях, не связанных с бактериальной инфекцией. Например препарат смекта
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8. Пробиотики. Назначаются всем по поводу и без повода, вероятно для того, чтобы человек больше принимал препаратов и думал что точно поможет. Не работает. Возможно применение совместно с антибактериальной терапией для предотвращения диареи. Например препарат Энтерол.
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Как выглядит типичный список препаратов у человека с СРК
- омепразол, необутин, пробилог срк, креон и урсосан до кучи
😅
Извините, но уже бомбит от этих назначений. Я за то, чтобы человек принимал минимальное количество препаратов, если это возможно. И против запугивания пациентов, что лекарства теперь пить пожизненно
Будьте разумнее коллеги !
А пациенты бдительнее
❤️
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Берегите свой желудочно-кишечный тракт
😍 | https://t.me/dr_Guvarsha/250?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 83,300 | 0 | 1,724,657,875 | 1,730,797,647 | 6,676 | 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| 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| NEUTRAL | rus | NOT SPAM | 338 | 0 | 16 | 1 | 0 | 0 | 36 | 33 | 18 | 16 | 102 | 21 | 81 | true |
26 | null | Поймали с мужем такую красивую аллею
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Как же важно быть на одной волне
Быть рядом с любимыми настоящими
Какое это богатство иметь возможность быть самим собой рядом со своим мужчиной | https://t.me/dr_Guvarsha/252?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 82,200 | 0 | 1,724,859,691 | 1,730,797,647 | 6,623 | 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| null | POSITIVE | rus | NOT SPAM | 32 | 0 | 0 | 1 | 0 | 0 | 5 | 2 | 1 | 1 | 6 | 3 | 1 | true |
26 | null | Девчонки, посмотрите какие кайфовые очки я нашла на WB
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Меня даже на улице оставналтвают и спрашивают где я купила очки
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А стоит всего 350 р
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Умею же я находить недорогие , но стоящие вещи
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Оставляю артикул на свою находку :
219288179 | https://t.me/dr_Guvarsha/253?embed=1&mode=tme | https://t.me/ | https://t.me/s/dr_Guvarsha | 80,400 | 0 | 1,724,939,753 | 1,730,797,647 | 6,623 | 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| [{"ner":"21928","lemma":"21928","label":"DATE","start_pos":232,"end_pos":237},{"ner":"350","lemma":"350","label":"NUM","start_pos":137,"end_pos":140}] | POSITIVE | rus | NOT SPAM | 46 | 0 | 2 | 0.982456 | 0.017544 | 0 | 2 | 10 | 4 | 2 | 8 | 1 | 6 | true |
26 | null | Всё-таки правильные идет охватывают массы! Знакомьтесь- Андрей, познакомились на пункте пропуска в ВГРТК- он там охранником. Никакого «фитнеса», «диет»- просто нормальный русский («для врагов мы все русские!») человек. Только железный. | https://t.me/drmyasnikov/2649?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 62,400 | 0 | 1,730,042,285 | 1,730,797,647 | 6,676 | 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| [{"ner":"Андрей","lemma":"андрей","label":"PER","start_pos":56,"end_pos":62}] | POSITIVE | rus | NOT SPAM | 30 | 0 | 1 | 1 | 0 | 0 | 4 | 3 | 2 | 0 | 10 | 1 | 14 | true |
26 | null | Язвенная болезнь желудка.
Болезнь, которой страдает примерно 1% населения (России в том числе). То есть миллионы людей.
Смертность от нее и сегодня, не смотря на существующее эффективное лечение так же 1%. (Общая цифра, у групп риска значительно выше. Смертность от прободной язвы до 25%)
Причины:
1 Геликобактр пилори (для педантов напишу Хеликобактр). В России инфицированность- 80%
2 Прием аспирина и нестероидных противовоспалительных препаратов (обезболивающих). Прием стероидных гормонов сам по себе не приводит к язве желудка, но при одновременным применении НСПВП значительно увеличивает риски
3 Идиопатическая язва желудка, которая не связана ни с геликобактером ни с НСПВП- до 10-20% всех случаев
Факторы риска:
1 Генетическая предрасположенность. как пример- данные (требующие ещё перепроверки) о том, что у людей с 1 группой крови риски выше.
2 Курение
3 Стресс
4 Алкоголь
5 Апное сна (злостные «храпуны»)
6 Ковид
7 Кофе не относится к продуктам, провоцирующим язву!
Общие вопросы о Язвенной Болезни
1. У всех ли людей с инфекцией Helicobacter pylori развивается язвенная болезнь?
Только у 10% людей, инфицированных H pylori, развивается язва, по сравнению с 1% из тех, кто не инфицирован H pylori.
2. Какое наиболее эффективное средство для лечения инфекции H pylori?
Простое носительство Хегткобактора лечить не надо. Только, если он уже вызвал симптомы
Недорогой режим с эффективностью около 81% состоит из комбинации ингибитора протонной помпы (омепразал и схожие) с висмутом, метронидазолом и тетрациклином. Есть несколько сходных комбинаций
3. Является ли низкая доза аспирина или короткий курс нестероидных противовоспалительных препаратов безопасной?
Низкие дозы аспирина и нестероидных противовоспалительных препаратов (НПВП) могут вызвать язву в течение 7 дней после начала приема аспирина или НПВП. Клиницисты должны индивидуализировать решения о начале приема аспирина или НСПВП у пациентов, у которых в анамнезе язвенная болезнь. В качестве альтернативы можно использовать не-НСПВП анальгетик, такой как ацетаминофен (парацетамол) или добавить ингибитор протонной помпы. | https://t.me/drmyasnikov/2650?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 64,099 | 0 | 1,730,182,230 | 1,730,797,647 | 6,645 | 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26 | null | День Комсомола. Для многих сегодня пустые слова. Но не для нас, чья молодость была связана с Комсомолом. Политическая составляющая для кого-то стерлась в памяти (возможно), но молодость, надежды- забыть нельзя! | https://t.me/drmyasnikov/2651?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 59,800 | 0 | 1,730,187,864 | 1,730,797,647 | 6,623 | 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| [{"ner":"Комсомолом","lemma":"комсомол","label":"LOC","start_pos":93,"end_pos":103}] | NEGATIVE | rus | NOT SPAM | 30 | 0 | 0 | 1 | 0 | 0 | 2 | 4 | 4 | 0 | 7 | 3 | 9 | true |
26 | null | Грибы в неожиданном месте выросли! | https://t.me/drmyasnikov/2652?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 57,100 | 0 | 1,730,194,555 | 1,730,797,647 | 6,623 | 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26 | null | По просьбе читателей повторяю:
Камни желчного пузыря.
«Быть или не быть? Склониться под ударами судьбы или оказать сопротивление?!»
Не смейтесь, судя по количеству неизменных вопросов «удалять или нет?!» по остроте это почти Гамлетовский накал!
Дело в том, что камни желчного пузыря очень распространены и в подавляющем числе случаев не вызывают симптомов. Это обычная случайная находка про УЗИ.
Более того- даже когда есть жалобы на дискомфорт в правом подреберье, вздутии живота, тошноты, обнаружение камней далеко не всегда обозначает, что вот: причина жалоб выявлена! Диспепсия (а это то, что только то описал) очень редко имеет в своей основе именно наличие камней.
Очень распространены- это сколько? А это 6-10% взрослого населения.
Как-то в одном итальянском городке все взрослое население пропустили через узи. В качестве эксперимента. И почти 10% имели камни желчного пузыря.
Но и тут ничего нового. В книге моего деда про болезни печени я нашел статистику аутопсий тех лет: на 10% вскрытий обнаруживались камни желчного пузыря.
<<<
одно время считалось, что камни желчного пузыря чаще обнаруживали у японских женщин. Объяснили это особенностью их традиционной одежды: они высоко и туго подпоясывались, что якобы приводило к застою печени…>>>
Камни желчного пузыря в основном холестериновые
(75%), остальные так называемые «пигментные» В образовании пигментных желчных камней участвует билирубин, который образуется в результате распада гемоглобина. Часть билирубина вступает в реакцию с кальцием, и образует нерастворимый осадок, из которого в дальнейшем, образуются желчные камни черного цвета.
Камни желчного пузыря крайне редки у детей. В основном это люди 40-60 лет и как правило женщины.
Даже есть мем описывающий наиболее характерный вид человека с возможным наличием камней: «женщина 40+ с избыточным питанием и несколькими беременностями в анамнезе»
Факторы риска
1. Генетическая предрасположенность. Исследования близнецов показывают, что примерно 25 процентов риска желчного камня определяется основной генетической предрасположенностью.
2. Беременности. Беременность связана как с качественным изменением состава желчи, так и с задержкой опорожнения желчного пузыря, что способствует образованию камней. Риск увеличивается с частотой и количеством беременностей.
3. Сахарный диабет. Не совсем понятно, как сахарный диабет предрасполагает к камням в желчном пузыре. инсулинорезистентность, лежащая в основе диабета, по-видимому, играет решающую роль.
4. Повышение уровня холестерина
5. Ожирение. Ожирение также связано с повышением риска именно симптоматических камней в желчном пузыре.
6. Быстрое снижение веса. Высокие показатели образования камней в желчном пузыре связаны с быстрой потерей веса у пациентов, придерживающихся очень низкокалорийных диет (диеты, содержащие менее 800 ккал в день). При этом Содержание муцина желчи увеличилось в 18 раз, а концентрация кальция в желчи выросла на 40 процентов. Эти факторы могут способствовать нуклеации холестерина и образованию камней.
7. Лекарства. Это антибиотик Цефтриаксон, гомоно-заместительная терапия, гормональные противозачаточные средства.
Защитные факторы:
1. Аскорбиновая кислота. Добавки витамина С могут оказывать защитное воздействие на камни в желчном пузыре. Преимущество аскорбиновой кислоты может быть связано с ее влиянием на катаболизм холестерина и преобразование холестерина в желчные кислоты.
2. полиненасыщенные жиры: морская рыбы, Омега-3 и орехи.
3. Кофе. При этом Была связь между дозой и ответом, при этом самый низкий риск наблюдался среди пациентов с самым высоким уровнем потребления кофе.
4. Физические нагрузки. Это было проиллюстрировано в исследовании в котором участвовало более 45 000 мужчин, в котором у 828 испытуемых в течение восьми лет наблюдения развились симптоматические камни в желчном пузыре. У тех, кто регулярнозанимался риски были значительно меньше.
5. Статины. Защитный эффект статинов начанает наблюдаться примерно через 1-1,5 года использования статинов.
6. Образ питания и снижение веса. | https://t.me/drmyasnikov/2653?embed=1&mode=tme | https://t.me/ | https://t.me/s/drmyasnikov | 45,800 | 0 | 1,730,269,228 | 1,730,797,647 | 6,623 | 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26 | null | Встречайте -
Физиобот!
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Немного истории
Много лет наше приложение
feezio
было исключительно профессиональным инструментом для специалистов по реабилитации, где физические терапевты, инструкторы ЛФК и врачи составляли программы упражнений для своих пациентов.
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Физиочат
Мы обязательно поможем! | https://t.me/ibs_doc/273?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 8,400 | 0 | 1,727,111,468 | 1,730,797,647 | 6,676 | 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| [{"ner":"ЛФК","lemma":"лфк","label":"ORG","start_pos":371,"end_pos":374},{"ner":"Физиобот","lemma":"физиобот","label":"PER","start_pos":631,"end_pos":639},{"ner":"карпального канала","lemma":"карпального канал","label":"ORG","start_pos":1210,"end_pos":1228},{"ner":"1","lemma":"1","label":"NUM","start_pos":130,"end_pos":131},{"ner":"2","lemma":"2","label":"NUM","start_pos":151,"end_pos":152},{"ner":"3","lemma":"3","label":"NUM","start_pos":172,"end_pos":173},{"ner":"8","lemma":"8","label":"NUM","start_pos":709,"end_pos":710},{"ner":"0","lemma":"0","label":"NUM","start_pos":713,"end_pos":714},{"ner":"1000","lemma":"1000","label":"NUM","start_pos":768,"end_pos":772}] | NEUTRAL | rus | NOT SPAM | 181 | 0 | 3 | 0.992857 | 0.007143 | 0 | 25 | 21 | 8 | 5 | 61 | 12 | 69 | true |
26 | null | Гениальные коллеги сделали потрясающего
Физиобота,
в котором вы можете найти упражнения для любых мышц!
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А самое главное - не обделили вниманием тему вздутия
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Дарью Тишину
- создателя бота) | https://t.me/ibs_doc/274?embed=1&mode=tme | https://t.me/ | https://t.me/s/ibs_doc | 9,100 | 0 | 1,727,112,065 | 1,730,797,647 | 6,645 | 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| [{"ner":"Физиобота","lemma":"физиобота","label":"PER","start_pos":40,"end_pos":49},{"ner":"Подпишитесь","lemma":"подпишитесь","label":"LOC","start_pos":210,"end_pos":221},{"ner":"Дарью Тишину","lemma":"дарья тишину","label":"PER","start_pos":225,"end_pos":237}] | POSITIVE | rus | NOT SPAM | 39 | 0 | 1 | 1 | 0 | 0 | 4 | 7 | 2 | 0 | 11 | 1 | 6 | true |
26 | null | Нейровечеринка
– канал, который ведут два клинических психолога, Надя Стыцюк и Наташа Чижкова, а помогают им эксперты из их команды: нейропсихологи, клинические психологи, семейный консультант, игровой дефектолог, педиатр, невролог и психиатр.
На канале есть ответы на вопросы подписчиков, интересные статьи и авторские мемы. Например, вы можете почитать
интервью
с аутичной преподавательницей и исследовательницей, узнать, кто рискует столкнуться с
сенсорной перегрузкой,
как
СДВГ
и
РАС
влияют на сексуальную жизнь, и скачать бесплатный
гайд
по паническим атакам.
А ещё команда проекта перевела необычную
карту
мозга и поделилась
фактами
о её создателе.
В общем,
подписывайтесь,
не пожалеете!
P.S. Кстати, совсем скоро у создательниц канала стартует курс «Нейросайнс для психологов». На курсе расскажут, например, о том, какие изменения в мозге наблюдаются при разных психических расстройствах, а также что происходит с мозгом в процессе психотерапии.
Вся информация тут.
По промокоду F00-F99 можно получить дополнительную скидку 15%. | https://t.me/imatrip/2163?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,900 | 0 | 1,729,414,948 | 1,730,797,647 | 6,676 | 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| [{"ner":"Надя Стыцюк","lemma":"надя стыцюк","label":"PER","start_pos":65,"end_pos":76},{"ner":"Наташа Чижкова","lemma":"наташа чижкова","label":"PER","start_pos":79,"end_pos":93},{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":477,"end_pos":481},{"ner":"РАС","lemma":"рас","label":"ORG","start_pos":484,"end_pos":487},{"ner":"00","lemma":"00","label":"NUM","start_pos":987,"end_pos":989},{"ner":"99","lemma":"99","label":"NUM","start_pos":991,"end_pos":993},{"ner":"15","lemma":"15","label":"NUM","start_pos":1031,"end_pos":1033}] | NEUTRAL | rus | SPAM | 141 | 0 | 6 | 0.989899 | 0.010101 | 0 | 16 | 19 | 6 | 2 | 47 | 9 | 34 | true |
26 | null | Долгое время в психологии считалось, что у людей есть согласованная личность, другими словами — характер, который проявляет и воспроизводит себя в разных ситуациях. Однако, во второй половине XX века, благодаря новому витку социальной психологии — психологическому ситуационизму, это убеждение было поставлено под вопрос. Было проведено множество экспериментов, показывающих, что у людей стабильной личности нет, а на их поведение влияют ситуативные факторы.
О том, что это были за эксперименты, как психологический ситуационизм изменил психологию и почему это направление может принести больше сложностей, чем порядка в нашу жизнь,
ПостНаука поговорила с кандидатом социологических наук Михаилом Соколовым
. | https://t.me/imatrip/2164?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,800 | 0 | 1,729,577,846 | 1,730,797,647 | 6,645 | 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26 | null | Кажется, мы тут не одни: СДВГ и сопутствующие диагнозы
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Привет всем нейроотличным!
Продолжаем серию постов в честь Всемирного месяца осведомленности об СДВГ супер важной темой
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По разным данным
около 60–80% людей с СДВГ имеют один или несколько коморбидных диагнозов
.
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Коморбидные, или сопутствующие диагнозы — это два или более заболевания, которые присутствуют у одного и того же человека одновременно.
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Картина коморбидных расстройств значительно меняется в течение жизни.
В детстве чаще встречаются оппозиционно-вызывающее расстройство (ОВР) и расстройство поведения (РП), а ещё расстройства аутистического спектра и нарушения обучаемости.
Взрослые же с СДВГ часто страдают от тревожных расстройств, других расстройств настроения и зависимостей.
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Наличие коморбидных состояний усложняет диагностику и лечение. Понимание коморбиностей при СДВГ становится решающим для эффективного лечения.
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Ловите инфографику с основными коморбидностями при СДВГ, их симптомами и способами лечения. А в комментарии оставили для вас pdf-файл, чтобы было удобно делиться.
И вот вам ещё подборка материалов по теме:
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Общий разбор темы
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СДВГ и биполярное аффективное расстройство (БАР)
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«Человечек грустный, проблемки с вниманием». СДВГ и депрессия
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СДВГ и Расстройства Аутистического Спектра
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Противоположности притягиваются: АуСДВГ
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СДВГ и предменструальное дисфорическое расстройство (ПМДР)
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«Болото тревоги»: СДВГ и социофобия
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Видео Кирилла Сычёва про СДВГ и зависимости
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Объявляем время овершеринга! Расскажите, какие у вас коморбидные диагнозы? Сталкивались со сложностями в диагностике из-за этого?
#месяц_осведомлённости | https://t.me/imatrip/2166?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,700 | 0 | 1,729,747,208 | 1,730,797,647 | 6,623 | 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| [{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":25,"end_pos":29},{"ner":"🍂","lemma":"🍂","label":"ORG","start_pos":55,"end_pos":56},{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":153,"end_pos":157},{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":218,"end_pos":222},{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":664,"end_pos":668},{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":849,"end_pos":853},{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":954,"end_pos":958},{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":1131,"end_pos":1135},{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":1227,"end_pos":1231},{"ner":"Расстройства Аутистического Спектра\n🔵","lemma":"расстройство аутистический спектр\n🔵","label":"ORG","start_pos":1253,"end_pos":1290},{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":1326,"end_pos":1330},{"ner":"🟣","lemma":"🟣","label":"ORG","start_pos":1331,"end_pos":1332},{"ner":"Кирилла Сычёва","lemma":"кирилл сычёв","label":"PER","start_pos":1438,"end_pos":1452},{"ner":"СДВГ","lemma":"сдвг","label":"ORG","start_pos":1457,"end_pos":1461},{"ner":"60–80","lemma":"60–80","label":"DATE","start_pos":203,"end_pos":208},{"ner":"80","lemma":"80","label":"NUM","start_pos":206,"end_pos":208}] | NEUTRAL | rus | NOT SPAM | 222 | 0 | 19 | 0.996743 | 0.003257 | 0 | 24 | 20 | 6 | 5 | 67 | 9 | 48 | true |
26 | null | Жюли Реше рассказывает о том, что не существует человека, который был бы всецело самодостаточным, не нуждался бы в поддержке, не был бы травмирован самыми близкими ему людьми и не находился бы в доминантных отношениях.
Почему самодостаточная, независимая и нетравмированная личность — это глупый миф? | https://t.me/imatrip/2168?embed=1&mode=tme | https://t.me/ | https://t.me/s/imatrip | 1,700 | 0 | 1,729,916,926 | 1,730,797,647 | 6,623 | 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| [{"ner":"Жюли Реше","lemma":"жюли реше","label":"PER","start_pos":0,"end_pos":9}] | NEUTRAL | rus | NOT SPAM | 44 | 0 | 0 | 1 | 0 | 0 | 8 | 5 | 3 | 0 | 6 | 2 | 8 | true |