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https://t.me/magerya/11537?embed=1&mode=tme

https://t.me/

https://t.me/s/magerya

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NEUTRAL

rus

SPAM

Совет дня ⬇️ Отдохните! Я серьезно — найдите свой персональный способ отдыха. Рыбалка, баня, домик в лесу, СПА, маникюр — да что угодно, но обязательно заводите привычку отдыхать вовремя ⏱️ Иначе тело само возьмет на себя эту задачу. Кто-то окажется на больничном, кому-то потребуется реанимация, а кто-то, не дай бог, вообще сыграет в ящик. Представьте, что у нас внутри работает «Кортизолбанк» — древнейшее финансовое учреждение, выдававшее кредиты еще нашим предкам. Тогда жизнь была проста: или ты нападаешь на врага, или убегаешь от него 🏃‍♂ 💨 🐅 Наш доблестный кортизол в такие моменты зарабатывал себе репутацию: он разгоняет пульс, повышает давление, держит в тонусе сосуды, мобилизует все силы, чтобы спасти жизнь 🛡️ Но, как и любой кредит, заимствование кортизола вредит, если не «погашать» задолженность вовремя. В больших количествах он спазмирует сосуды, а вы получаете постоянные мигрени и слабость. А дальше ваш организм начинает «виснуть», как старый компьютер, и тут, уж будут системные ошибки: ✔️ Хроническая усталость и сонливость 🥱 ✔️ Тяга к кофе и энергетикам ☕ ✔️ Тревожность и внутренняя напряжённость 😱 ✔️ Частые простуды 🌡️ ✔️ Апатия и депрессия 😞 ✔️ Прерывистый сон и бессонница 😵‍💫 ✔️ Снижение памяти 💾 ✔️ Повышенное давление 🫀 Впереди праздники - уделите время себе 🙏🏻 А как вы справляетесь со стрессом? Пишите в комментариях 👇🏼

https://t.me/magerya/11538?embed=1&mode=tme

https://t.me/

https://t.me/s/magerya

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[{"ner":"СПА","lemma":"спа","label":"ORG","start_pos":107,"end_pos":110},{"ner":"Кортизолбанк","lemma":"кортизолбанк","label":"ORG","start_pos":382,"end_pos":394}]

NEUTRAL

rus

NOT SPAM

В жидкой форме ПРО Омега-3 содержание EPA (эйкозапентаеновой кислоты) и DHA (докозагексаеновой кислоты) зашкаливает, и это хорошо! Ведь так организм быстрее насытится EPA и DHA. А нужна Омега-3, потому что: ✔ Поддерживает работу печени и желчного пузыря. Стимулирует сокращение желчного пузыря и выработку ферментов поджелудочной железы, это обеспечивает гармоничную работу кишечника и качественное переваривание. ✔ Защищает сердце. Омега-3 способствует нормализации уровня холестерина в крови, поддерживает здоровье сердца и сосудов, а также снижает риск развития атеросклероза. ✔ Улучшает мозговую активность. Омега-3 является пищей для мозга, способствует поддержанию нормальной работы нервной системы, улучшает память, внимание и концентрацию. ✔ Обладает противовоспалительными свойствами. Омега-3 снижает общее воспаление в организме, улучшает состояние кожи, суставов и иммунной системы. Жидкая форма Омега-3 подходит всем – от заботливых мам, желающих поддержать здоровье своих детей и себя во время беременности, до активных спортсменов, стремящихся повысить свою выносливость и восстановление после тренировок. Принимайте по 1 ч.л. с каждым приемом пищи. Заказывайте Омега-3 👉🏼 ozon/омега3 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/11539?embed=1&mode=tme

https://t.me/

https://t.me/s/magerya

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https://t.me/magerya/11540?embed=1&mode=tme

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https://t.me/s/magerya

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NEUTRAL

rus

NOT SPAM

Трагедия яйцеклетки. Вспоминаю один урок в 10 классе, когда нам показывали мультипликационный фильм о менструальном цикле. Казалось бы, что необычного, даже круто, что такое объясняют в школе. Но нет, это был не научный фильм, а целая драма. На экране матка буквально плакала «кровавыми слезами»— из-за того, что беременность не наступила, а неоплодотворенная яйцеклетка выглядела как умирающая героиня. Фильм особенно подчеркивал, что у женщин ограниченный запас яйцеклеток, и каждая из них, если не оплодотворена, «попусту умирает». Эта сцена оставила у многих девочек в классе странное чувство — будто они ответственны за то, что «страдает» их собственное тело. Кому-то казалось, что с каждой менструацией они что-то теряют, кто-то даже задумался, не делают ли они чего-то “не так”. Словно раз в месяц яйцеклетка умирает из-за них. Естественно это не трагедия, а обычный природный процесс. Не драма, а нормальный и здоровый цикл, который просто готовит тело к будущей возможности. Просто особо в школе никто не разбирался в том, что показывает…

https://t.me/sudmednotes/9256?embed=1&mode=tme

https://t.me/

https://t.me/s/sudmednotes

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[{"ner":"10","lemma":"10","label":"NUM","start_pos":43,"end_pos":45}]

NEUTRAL

rus

NOT SPAM

лицо врача, который учился 9 лет, прошел множество курсов, освоил новейшие методики, а ему говорят, что надо танцевать под музыку, чтобы была запись

https://t.me/sudmednotes/9257?embed=1&mode=tme

https://t.me/

https://t.me/s/sudmednotes

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[{"ner":"9","lemma":"9","label":"NUM","start_pos":27,"end_pos":28}]

NEUTRAL

rus

NOT SPAM

А у меня прием закрыт на месяцы вперед. Найти свободное окошко?

https://t.me/sudmednotes/9258?embed=1&mode=tme

https://t.me/

https://t.me/s/sudmednotes

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NEUTRAL

rus

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Подборка фуфломицинов 💊 Фуфломицины — это препараты, которые не доказали эффективность и безопасность в высококачественных исследованиях. Про них часто говорят врачи и популяризаторы науки. Но некоторым кажется, что фуфломицины — это такой небольшой вопрос, из которого раздувают несуществующую проблему. А зачем? Чтобы похайпить. Но вот только фуфломицины — это буквально одни из самых продаваемых препаратов в России. Мы писали об этом вот тут ⬅️ Скорее всего, если вы посмотрите на список постов ниже — вспомните, что и сами что-то принимали. А возможно, даже и не поверите, ведь вы видели эффект. Это нормально — мы тоже принимали фуфломицины. Читайте посты ниже и отправляйте их близким, чтобы они не тратили здоровье и деньги: 🏖 Полисорб — песок от похмелья и аллергий 🧠 Ноотропы: Фенибут, Актовегин и другие не сделают умнее 🤯 «Афобазол» — пустышка от нервов ☕️ «ТераФлю» и другие порошки против ОРВИ — это тоже своего рода фуфломицины 🍻 Фуфломицины при похмелье: Антипохмелин, Полисорб, Алка-Зельтцер 〽️ Гепатопротектор «Эссенциале Форте Н» 🦠 «Виферон» — фуфломицин в овечьей шкуре 🧴 Мазь Вишневского — мазь от всего 🌱 Хлорофилл в виде лекарств и бадов 🍷 «Пропротен» — гомеопатия против алкоголизма 😷 Против боли в горле «Граммидин» не поможет 💩 «Колофорт» — пустышка при синдроме раздраженного кишечника 🌿 Канефрон Н: травяной микс для почек и мочевого пузыря 🧠 Когитум — еще один бесполезный ноотроп 📺 Фуфломицины, которые рекламирует Елена Малышева: Гепатрал, Гербион, Арбидол и другие 💊 Хофитол — гепатопротектор и желчегонное 🦠 Эргоферон: сахар против ОРВИ Если не согласны с нами и считаете, что мы наговариваем на бедных производителей, — пишите в комментарии 💬 А если вы читаете этот пост и до сих пор не подписаны на «Пей таблетки!» — сейчас самое время подписаться ❤️ #mediq_фуфломицины

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https://t.me/s/sudmednotes

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NEUTRAL

rus

NOT SPAM

Много с чем можно поспорить из подборки. Но не все препараты имеют тот эффект, что обещает реклама. Это правда Особняком еще стоит проблема фитопрепаратов и бадов. Они часто приводят к токсическому повреждению печени и почек.

https://t.me/sudmednotes/9261?embed=1&mode=tme

https://t.me/

https://t.me/s/sudmednotes

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NEUTRAL

rus

NOT SPAM

Вакцинировала себя и семью от гриппа 👌 К сожалению сотни тысяч людей ежегодно умирают от этой инфекции. Профилактика - вакцинация. Ее проводят детям с 6 месяцев и взрослым, можно и нужно беременным. Вакцинируюсь уже лет 15 после того как однажды переболела гриппом. Температура 39-40, озноб, сама я первые дни помнила только по рассказам родственников, даже сесть без помощи не могла. Потом бронхит, отит и пневмония.. Романтика.. Повезло, выжила. К сожалению лично знаю людей, которые умерли от гриппа. Принимала участие в спасении жизней и здоровья своих друзей, которые заболели. Думаю, многие из вас знают, что Романа Костомарова после гриппа еле спасли, пришлось научиться жить без кистей и ступней. Герой 🙏 Никого не агитирую, просто информация к размышлению ❤️ Вакцинация уже началась в большинстве городов нашей страны. Легко можно по полису ОМС (поликлиника, детский сад, школа) или платно в частных клиниках. Вакцины, отвечающие всем требованиям должны содержать 15 мкг поверхностных антигенов! Это: ✔ Ультрикс (трехкомпонентная) и Ультрикс Квадри (четырыхкомпонентная) ✔ Флю М (трехкомпонентная) и Флю М тетра (четырехкомпонентная) Лучше конечно выбрать четырехкомпонентную! Отечественные совигрипп и гриппол содержат меньше антигенов, то есть дают меньше защиту: 🔸️ гриппол содержит по 5 мкг антигена 🔸️ совигриппе 5/5/11 мкг, что тоже мало.

https://t.me/DrAnshina/1240?embed=1&mode=tme

https://t.me/

https://t.me/s/DrAnshina

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NEUTRAL

rus

NOT SPAM

Часто мне задают вопрос: "Стоит ли иметь дома кислородный концентратор?". На мой взгляд, он необходим. Расскажу о своем опыте. Кислородный концентратор Армед я приобрела во время пандемии, но тогда он не нашел применения в моей семье. В прошлом году я страдала от сильной лицевой боли. Было проведено множество медицинских исследований и консультаций врачей. Медикаментозная терапия давала слабый результат. Однажды ночью, когда я переживала очередной приступ боли, от которого не помогали даже инъекции, я вспомнила о наличии кислородного концентратора. Собрав его (это оказалось простой задачей), я начала дышать кислородом и к моему удивлению, боль полностью исчезла. Первую неделю я пользовалась им почти без перерывов, а затем по 30 минут три раза в день. Теперь я нахожусь в состоянии ремиссии уже девять месяцев. Кислородотерапия также рекомендуется при мигренях, бессоннице и для людей с хроническими или острыми заболеваниями дыхательной системы. При выборе устройства следует подходить с особой тщательностью. Моё доверие к медицинским приборам марки Армед основано на многолетнем опыте врача. Концентратор кислорода Армед модели 8F-5AW является сертифицированным медицинским устройством, зарегистрированным Росздравнадзором. Он эффективно фильтрует атмосферный воздух, удаляя пыль с помощью многоступенчатой фильтрации, и обеспечивает высокую концентрацию кислорода до 93%. Устройство способно генерировать кислородно-воздушную смесь объемом до 5 литров в минуту, что делает его пригодным для использования как дома, так и в стационарных условиях. Данная модель оснащена выходом для ингалятора, избавляя от необходимости приобретения дополнительного ингаляционного аппарата. Управление устройством простое и доступное каждому. С помощью пульта ДУ можно легко настроить необходимые параметры, которые отображаются на цифровом дисплее аппарата. Ознакомиться с более подробной информацией, а также заказать прибор можно по ссылке на маркетплейсе Озон. Реклама. Рекламодатель: ООО "ОПОРА", ИНН -5433967333, ОГРН: 1185476056556 Erid: LjN8KFCDp

https://t.me/DrAnshina/1243?embed=1&mode=tme

https://t.me/

https://t.me/s/DrAnshina

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NEUTRAL

rus

NOT SPAM

Что исследований, подтверждающих их безопасность и эффективность, нет; препараты не регулируются, не контролируются, краткосрочные и долгосрочные побочные эффекты не отслеживаются, а пациенты становятся жертвами чьего-то сильного желания заработать, ведь стоимость пеллет, например, стартует с 500 -700 $ и выше за «курс». Гонорары за распространение и установку пеллет и правда большие, мне не раз предлагали их рекламировать за немалые деньги. Что еще не так с «биоидентичными» гормонами? Управление по санитарному надзору за качеством пищевых продуктов и медикаментов (FDA) одобрило некоторые типы биоидентичных гормонов, которые используются в традиционной менопаузальной гормональной терапии, но не авторские «коктейли», не пеллеты, совсем не те гормоны, которые содержатся в их составе. Количество гормонов в составе тех же пеллет может сильно варьировать. В одном исследовании гормонов содержалось от 67,5 до 268 % от количества, указанного на этикетке. Только вдумайтесь в эту цифру. На упаковке написано одно, а в реальности вам могут ввести в 2,5 раза бОльшую дозу гормона. Гормона, который сам по себе не «плохой» или «хороший». Ядом или лекарством его делает доза и показания, в связи с которыми он используется. Большие дозы + отсутствие реальных показаний для назначения = гремучая смесь, которая может оказаться для вас фатальной. Ряд профессиональных экспертных сообществ, в том числе Североамериканское общество менопаузы, Американский колледж акушеров - гинекологов и Европейское эндокринное сообщество, опубликовали научные заявления, в которых четко обозначили свою позицию: ● Во всех странах мира имеется множество официально одобренных гормональных препаратов, следовательно, нет никаких оснований для использования неодобренных. ● Отсутствуют качественные исследования, демонстрирующие эффективность и безопасность комбинированной биоидентичной гормональной терапии. ● Состав, доза, качество и даже стерильность этих продуктов под большим вопросом, так как их производство и выпуск фактически не подлежат никакому контролю. ● Эти препараты не обязаны предупреждать о возможных побочных эффектах, не обязаны проводить соответсвующие исследования, которые необходимы в обязательном порядке для всех официально одобренных гормональных препаратов. И получается, что женщины более охотно соглашаются на биодентичные гормоны, ошибочно полагая, что если об их побочных эффектах нет такого количества информации, то их мало или нет вообще, что, конечно же, совсем не так. Биоидентичные гормоны также могут содержать небезопасные добавки или консерванты, продукты распада, технологические примеси, растворители, токсины бактерий или остатки других лекарств. Подбор дозы и вида гормонального препарата на основании цифр гормонов в вашей крови - это тоже блеф и абсолютная глупость, потому как уровни гормонов колеблются изо дня в день, в течение дня, имеют очень широкий диапазон верхних/нижних пределов, и при этом цифры гормонов никак не могут помочь с определением необходимости гормональной терапии, ее вида, дозы и длительности. FDA и все остальные авторитетные медицинские сообщества НЕ рекомендуют использовать уровни гормонов крови или слюны для подобных целей. В 2019 году на ежегодном конгрессе Североамериканского сообщества менопаузы в США были представлены результаты одного весьма интересного и достойного исследования, цель которого состояла в том, чтобы сравнить уровни гормонов эстрадиола и общего тестостерона в сыворотке у женщин, принимавших «биоидентичную» гормональную терапию (пеллеты), и у женщин, которые использовали обычную гормональную терапию. Результаты в какой-то степени были шокирующие: средние уровни эстрадиола и общего тестостерона в сыворотке крови у женщин с пеллетами составляли 237,7 пг/мл и 192,84 пг/мл соответственно по сравнению с 93,45 пг/мл и 15,59 пг/мл у женщин, получавших традиционную гормональную терапию. Сами можете посчитать, во сколько раз это больше, а значит во сколько раз больше риск самых разных неблагоприятных эффектов.

https://t.me/doctor_belokon/83?embed=1&mode=tme

https://t.me/

https://t.me/s/doctor_belokon

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И действительно, у носителей гормональных пеллет было «значительно больше случаев негативных побочных эффектов». Среди основных - аномальное маточное кровотечение, перепады настроения и тревога, болезненность молочных желез, рост волос на теле по мужскому типу, жирность кожи, головные боли, акне и увеличение веса. Еще одна обеспокоенность связана с тем, что пеллеты практически невозможно удалить из организма, и есть немало историй о том, как у женщин наблюдался довольно высокий уровень гормонов в течение более одного года после введения одной пеллеты. Мне крайне сложно представить, что делают врачи - «продавцы» пеллет, если у их пациентов вдруг обнаруживается какая-то гормонозависимая опухоль в организме, рак молочной железы, например, который «питается» гормонами, и лечение/профилактика которого направлена в основном на «блокировку» гормонов. И если традиционную терапию при необходимости можно отменить в любое время, с пеллетами так не получится. «Юридическая лазейка», через которую «просочились» эти препараты, позволила им считаться пищевыми добавками. В таком случае, как известно, не нужно доказывать ни свою безопасность, ни эффективность перед выходом на рынок, вообще ничего. Собрал лопух у себя дома на заднем дворе, сделал из него капсулы, положил в баночку, написал на баночке «лечит все болезни», «может сделать ясновидящим» и продаешь лопух за большие деньги. Никто тебя никогда за это не накажет и предъявить за что-либо (даже за откровенный обман) не сможет. Этим, к сожалению, очень многие пользуются. И если лопух, скорее всего, будет просто неэффективен, но при этом безопасен, то про гормоны сказать такое не представляется возможным. Плюс ко всему у вас может быть неравномерное всасывание препарата, так как фармакокинетика абсолютно неизвестна и вы действительно не знаете, что принимаете, что в себя «вставляете». Но «отсутствие» побочных эффектов и сладкие речи про вечную молодость, космический секс и спортивное тело, заманивают потребителей во вселенную «альтернативных фактов», что в некоторых случаях имеет катастрофические последствия. Несмотря на многочисленные предостережения различных сообществ против использования биоидентичных гормонов, число потребителей неуклонно растет. Есть еще один немаловажный факт, свидетельствующий об их потенциальной и довольно серьезной опасности. В период с 1992 по 2002 год частота рака эндометрия была стабильной среди женщин в возрасте от 50 до 74 лет в США. После 2002 года ежегодные показатели увеличивались на 2,5 процента, а в период с 2006 по 2012 год - на целых 10 %. Использование комплексной биоидентичной гормональной терапии увеличивалось одновременно с ростом рака эндометрия, что свидетельствует о прямой корреляции между увеличением случаев раковых заболеваний и приемом «биоидентичной» гормональной терапии. Я уверена, что найдется немало «довольных» пациентов, которые использовали пеллеты и на себе ощутили их «силу и мощь». У некоторых женщин действительно может улучшаться либидо, настроение, может быть ощущение «прилива» сил и энергии, но это субъективные ощущения, которые, по правде говоря, действительно могут присутствовать, ведь вы используете гормоны, да еще и в таких дозах, но это не имеет ничего общего с вашим здоровьем и реальным «внутренним» положением дел. Гормональные пеллеты и другие авторские коктейли из биоидентичных гормонов - это чистой воды коммерция, которая не имеет ничего общего ни с реальной заботой о здоровье и будущей жизни пациента, ни с молодостью, красотой и всеми другими обещаниями. Они не могут и не должны использоваться по тем вымышленным показаниям, которые для них «рисуют» (профилактика и лечение послеродовых депрессий, пассивное похудение и прочий бред), потому что это неэффективно, неправильно и небезопасно для вашего здоровья. Я категорически против их использования и теперь, я надеюсь, вы прекрасно понимаете, почему. Я не против гормональной терапии в целом, но она должна иметь определенные адекватные показания (преждевременная менопауза, например, или симптомный климакс, и пр.

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https://t.me/

https://t.me/s/doctor_belokon

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NEUTRAL

rus

NOT SPAM

) и должны использоваться хорошо изученные гормональные препараты, которые исследуются, изучаются, контролируются и регулируются должным образом. Подумайте 100 раз, что вам предлагают за большие деньги, подумайте о своем здоровье, о своем будущем. Как известно, не все то золото, что блестит. Не все эффективно и безопасно, даже если вас активно в этом пытаются убедить.

https://t.me/doctor_belokon/85?embed=1&mode=tme

https://t.me/

https://t.me/s/doctor_belokon

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[{"ner":"100","lemma":"100","label":"NUM","start_pos":156,"end_pos":159}]

NEUTRAL

rus

NOT SPAM

https://telegra.ph/O-sporah-06-29

https://t.me/doctor_belokon/86?embed=1&mode=tme

https://t.me/

https://t.me/s/doctor_belokon

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☢️ Каждый год в окружающую среду попадает около 25 000 новых токсинов. 🥗 Даже при здоровой диете и небольшом количестве кофеина и алкоголя мы изо дня в день подвергаемся воздействию различных токсинов и химикатов. 👌 Если организм успешно с ними справляется, мы имеем хорошее здоровье и защищаем себя от потенциального вреда. 🤔 Как устроен процесс детоксикации организма и каковы признаки, что его нужно подстегнуть? Фазы детоксикации: как очищается ваше тело Примерно через восемь часов после последнего приема пищи процессы пищеварения, всасывания и усвоения завершаются, и наш организм переходит в режим детоксикации. Термин «детокс» обычно ассоциируется с  очищением  организма, например, с помощью соков. Однако это биологический процесс, который наше тело запускает, используя питательные вещества из рациона для выведения отходов и токсинов. Наше тело имеет множество органов детоксикации, таких как печень, почки, кожа и толстая кишка. Существует три фазы процесса естественного очищения организма, которые должны работать эффективно, учитывая токсическую перегрузку современной жизни. • Фаза I. Первая фаза процесса детоксикации происходит в печени, которая помогает превратить опасные жирорастворимые молекулы в менее вредные соединения, которые легче выводятся из организма. Фаза I происходит главным образом благодаря группе ферментов, называемых цитохромом p450, которые позволяют трансформировать вредные вещества посредством химических процессов окисления, восстановления, гидролиза и циклизации. • Фаза II. Вторая фаза детоксикации также проходит в печени и  включает процесс конъюгации, то есть добавление химической группы к побочному продукту фазы I, что делает вещество водорастворимым и, следовательно, менее вредным. Эти вещества затем выводятся через почки и кишечник с мочой и желчью. • Фаза III. Третья фаза детоксикации относится к высококонцентрированной транспортной (антипортерной) системе белков в организме. Она помогает вывести токсины или нежелательные соединения из клетки в органы детоксикации: кишечник, почки, легкие, кожа. Здоровое питание и микробиом являются ключом к успеху этой системы.

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https://t.me/s/dr_Guvarsha

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NEUTRAL

rus

NOT SPAM

Даже в собственную годовщину свадьбы мы работаем 🤣 А все потому что наши друзья живут в ОАЭ И приезжают на родину для того, что бы привезли здоровье в порядок Они яркий пример того, как нарушение фазы детокса влияют на их самочувствие Продолжим о детоксикации 🤌🏼 Это очень важный пункт в нашей жизни О котором мало кто задумывается 🙁 ☢️ Нарушения в фазах детоксикации Многие питательные вещества, такие как различные витамины, включая А, В и С, аминокислоты, цинк и флавоноиды, играют роль в I фазе детоксикации. Дефицит этих питательных веществ наряду с повреждением печени и некоторыми токсикантами может ухудшить активность ферментов и снизить способность печени к детоксикации. Каждый процесс фазы II требует определенных питательных веществ, особенно аминокислот, которые можно получить из рациона. Их нехватка может ухудшить детоксикацию фазы II, что может вызвать накопление веществ фазы I, а это приведет к повреждению тканей и воспалению. Фаза III может быть нарушена при удаленном желчном пузыре, запорах и из-за  воспалительного процесса в кишечнике. 🚩 Признаки того, что вам необходима детоксикация организма Способность каждого человека к детоксикации может различаться и зависит от рациона, образа жизни, состояния здоровья, окружающей среды и генетических факторов. Это говорит о том, что некоторым людям может потребоваться больше поддержки для детоксикации, чем другим. Различные методы детоксикации также помогают облегчить некоторые заболевания, улучшить самочувствие и придать энергии. Вот несколько признаков того, что вам нужна детоксикация. 1. Плохое самочувствие. Если вы часто испытываете усталость, головные боли или боли в теле, особенно если замечаете, что у вас проблемы с пищеварением, пора задуматься о детоксикации и очищении организма. Расстройство пищеварения и другие проблемы со здоровьем могут быть связаны с плохой работой органов детоксикации. Поддержка этих органов и их процессов может помочь организму лучше сосредоточиться на переработке питательных веществ и улучшить общее состояние здоровья. 2. Лишний вес. Жировая ткань в нашем организме играет роль депо токсинов, соответственно, чем выше избыточный вес, тем большее количество токсинов накоплено в организме. Поэтому снижение веса- это путь к детоксикации.  Потребление контролируемой порции здоровой пищи позволяет организму выводить больше токсинов и способствует избавлению от лишних килограммов. Некоторые методы детоксикации также помогают организму быстрее сжигать жиры и терять лишнюю воду, тем самым помогая похудеть. 3. Пристрастие к нездоровой пище. Сладкие лакомства или продукты, богатые углеводами, а также алкоголь могут вызвать привыкание и нанести вред вашему здоровью. Если вы постоянно потребляете эти продукты, усиливается процесс гликации в организме, который нарушает активность ферментов I и II фаз детокса. Также употребление пищи, богатой углеводами, ведет к увеличению веса за счет жировой ткани и, следовательно, к депонированию токсинов в ней. Детоксикация исключает любой обработанный сахар и продукты, богатые углеводами.

https://t.me/dr_Guvarsha/246?embed=1&mode=tme

https://t.me/

https://t.me/s/dr_Guvarsha

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NEUTRAL

rus

NOT SPAM

Дорогие мои, вчера я посетила Нашумевший ресторан Москвы «Турандот» 🤩 Боже 💔 как же там красиво !!! И кухня потрясающая 🥗 И обслуживание на высшем уровне 🤌🏼 Не зря все-таки его нахваливают 👌 Я долго думала Что же надеть в такой красивый ресторан Хотелось что-то локаничное Но при этом роскошное И я остановила свой выбор на классической на юбке макси 🤩 С очень красивые разрезом 🔥 Кстати, юбочка выглядит дорого, Но стоит совсем не дорого И опять таки это моя очередная находка из WB Оставляю вам артикул на мою потрясную находку : 168225262 Всего лишь 1,5 тыс р Но выглядит то на все 15 т 😂 🤌🏼 Пользуйтесь на здоровьечко родные ❤️

https://t.me/dr_Guvarsha/248?embed=1&mode=tme

https://t.me/

https://t.me/s/dr_Guvarsha

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POSITIVE

rus

NOT SPAM

Телефон выдал напоминание, что было 2 года назад. Кольский полуостров, Баренцево море. Какая у нас красота!

https://t.me/drmyasnikov/2643?embed=1&mode=tme

https://t.me/

https://t.me/s/drmyasnikov

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[{"ner":"Кольский полуостров","lemma":"кольский полуостров","label":"LOC","start_pos":50,"end_pos":69},{"ner":"Баренцево море","lemma":"баренцев море","label":"LOC","start_pos":71,"end_pos":85},{"ner":"2","lemma":"2","label":"NUM","start_pos":36,"end_pos":37}]

POSITIVE

rus

NOT SPAM

Почему Аспирин убрали из рекомендаций по первичной профилактики сердечных заболеваний. (Первичная- это тем, у кого только факторы риска для болезней, но самой ее еще нет). В 2018 году наконец свели «бухгалтерию». И сильно удивились! Предотвращает инфаркты и инсульты в 18% случаев, но! В 58% увеличивают риск желудочно-кишечных кровотечений и на 31% - риски смертельно опасных кровоизлияний в мозг! Так что ничего личного- просто арифметика!

https://t.me/drmyasnikov/2644?embed=1&mode=tme

https://t.me/

https://t.me/s/drmyasnikov

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NEUTRAL

rus

NOT SPAM

Компас | #что_то_забавное Добрый доктор, может не надо? Не хочу я укола... 🧭 Планета Земля

https://t.me/drmyasnikov/2645?embed=1&mode=tme

https://t.me/

https://t.me/s/drmyasnikov

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[{"ner":"🧭\n","lemma":"🧭","label":"ORG","start_pos":75,"end_pos":77}]

NEUTRAL

rus

NOT SPAM

Видеорубрика "Для души и тела" от доктора Мясникова. Как стихи влияют на здоровье? - Помогает ли Гумилев от деменции? - Какое отношение имеет живопись импрессионистов к здоровью? - Как стихи тренируют мозг? - Лекарство от доктора Мясникова: Александр Леонидович читает свои стихи. - Если человек не любит музыку, стихи и живопись, он не любит жизнь. Согласны?

https://t.me/drmyasnikov/2646?embed=1&mode=tme

https://t.me/

https://t.me/s/drmyasnikov

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[{"ner":"Мясникова","lemma":"мясникова","label":"PER","start_pos":42,"end_pos":51},{"ner":"Гумилев","lemma":"гумилёв","label":"PER","start_pos":97,"end_pos":104},{"ner":"Мясникова","lemma":"мясникова","label":"PER","start_pos":230,"end_pos":239},{"ner":"Александр Леонидович","lemma":"александр леонидович","label":"PER","start_pos":241,"end_pos":261}]

NEUTRAL

rus

NOT SPAM

Для тех, кто, как и я, страдает болью в шее, а еще мигренью и другой головной болью - упражнения! Пожалуй, самая частая жалоба среди людей, сидящих за компьютером или в телефоне весь день - это боль в шее. Связана она обычно с патологическим напряжением мышц шеи, особенно страдают из-за нашей неправильной позы лестничные, поднимающие лопатку и трапециевидные. А лечится и профилактируется такая боль регулярными упражнениями, прежде всего мягкой растяжкой. В нашем приложении для онлайн-реабилитации мы сделали понятный комплекс для вас. Выполнять его можно когда уже болит (или когда вспомните о своей шее), а лучше всего - каждые 2-3 часа работы за компьютером делать небольшой перерыв для того, чтобы позаботиться о себе! Хватит всего 5-10 минут! А если вы хотите обсудить другие варианты лечения или разработать индивидуальные упражнения - приходите к нам в @newclinicforhealth

https://t.me/ibs_doc/263?embed=1&mode=tme

https://t.me/

https://t.me/s/ibs_doc

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Оказывается, некоторые посты из запретограма я не продублировал сюда 🙈 Наслаждайтесь этим шедевром! Какое пиво лучше выбрать пациенту с синдромом раздраженного кишечника? ⚠️ не забываем, что чрезмерное употребление алкоголя вредит вашему здоровью! ⚠️ Пиво можно разделить на 2 большие группы – эли и лагеры. Они различаются вкусами, плотностью и другими органолептическими свойствами, но самое главное отличие – в процессе ферментации. Эли – это продукт верхового 🔼 брожения пивного сусла, а лагеры – низового 🔽 . До середины 19 (примерно) века существовали только эли, а уже потом были открыты лагерные дрожжи, что изменило пивную индустрию. 🍺 При низовом брожении лагерные дрожжи тонут и скапливаются на дне ферментационной емкости, а элевые дрожжи собираются на поверхности емкостей. Отсюда и название низового и верхового брожения. Но самое главное их отличие для нас — это способность ферментировать раффинозу. Раффиноза – это галактоолигосахарид (галактоза+глюкоза+фруктоза), который в большой концентрации, например, содержится в бобовых, брокколи, спарже, хлебных злаках. Так вот, элевые дрожжи умеют отщеплять от раффинозы фруктозу, и получается мелибиоза. А мелибиоза это сахар, состоящий из глюкозы и галактозы. «Но разве галактоза + глюкоза – это не лактоза??» - скажете вы. Все правильно! Просто в лактозе и мельбиозе галактоза присоединяется к разным атомам углерода глюкозы. Получается суммарная формула одна, а связи разные. Лагерные дрожжи намного более талантливые 💪 , они способны расщеплять раффинозу сразу на 3 простые составляющие – глюкозу, галактозу и фруктозу, которые всосутся вами без каких-либо проблем. А вот вышеупомянутую мелибиозу мы вообще не умеем ферментировать, поэтому от нее нас будет вздувать, как и от галактоолигосахаридов в бобах. Поэтому самое безопасное в плане газообразования пиво – это самые обычные лагеры и пилснеры. Более газообразующие сорта пива – это пшеничное нефильтрованное, weissbier, ИПА, стауты, портеры и другие эли. Но все это не значит, что лагеры можно пить литрами и не вздуваться, 375 мл точно безопасны, а больше – уже на ваш страх и риск, поскольку газообразующие углеводы там все же остаются, хоть и в значительно меньшем количестве. 🍺 #запретограм Дать буст каналу по ссылке - https://t.me/boost/ibs_doc

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А вы долго сидите на унитазе ? Если у вас есть запоры, вы ходите в 🚽 через сильное напряжение, то ваше тазовое дно получает дополнительную нагрузку. Правильное позиционирование во время похода в туалет может помочь улучшить состояние тазового дна и облегчить проблемы с кишечником. Делюсь полезными привычками, которые можно использовать, чтобы расслабить живот и облегчить процесс опорожнения. А какие туалетные привычки используете вы? Поделитесь в комментариях 👇

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https://t.me/

https://t.me/s/ibs_doc

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NEUTRAL

rus

NOT SPAM

Ура! На ютуб канале лучшего в мире (по версии меня) детского уролога и хирурга Алексея Раншакова вышел подкаст с моим участием! Подписывайтесь на Алексея - КАНАЛ АЛЕКСЕЯ Запись на консультацию: kidsdoktor.ru Сохраняйте, чтобы не потерять ;) Подкаст "Газовые гиганты. Разговор с гастроэнтерологом. Часть 1." 🪐 Лайк, репост ❤️ ❤️ ❤️ Дать буст каналу по ссылке - https://t.me/boost/ibs_doc

https://t.me/ibs_doc/271?embed=1&mode=tme

https://t.me/

https://t.me/s/ibs_doc

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[{"ner":"Алексея Раншакова","lemma":"алексей раншакова","label":"PER","start_pos":79,"end_pos":96},{"ner":"АЛЕКСЕЯ","lemma":"алексея","label":"ORG","start_pos":162,"end_pos":169},{"ner":"1","lemma":"1","label":"NUM","start_pos":303,"end_pos":304}]

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Подъехала вторая часть "ГАЗОВЫХ ГИГАНТОВ"! Вперед смотреть! :) Газовые гиганты. Разговор с гастроэнтерологом. Часть 2 Подписывайтесь на Алексея - КАНАЛ АЛЕКСЕЯ Запись на консультацию: kidsdoktor.ru Сохраняйте, чтобы не потерять ;) Лайк, репост ❤️ ❤️ ❤️ Дать буст каналу по ссылке - https://t.me/boost/ibs_doc

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https://t.me/s/ibs_doc

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[{"ner":"АЛЕКСЕЯ","lemma":"алексея","label":"ORG","start_pos":152,"end_pos":159},{"ner":"2","lemma":"2","label":"NUM","start_pos":116,"end_pos":117}]

NEUTRAL

rus

NOT SPAM

Привет, ребята, это @vnootree . У меня есть буквально горящий наукой друг, который учится на 5 курсе в РАУ (российско-армянском университете) на кафедре Биоинженерии, биоинформатики и молекулярной биологии. Сейчас он занимается исследованием в рамках подготовки диплома, но надеется, что эта работа перерастет в нечто большее. Он хотел бы обратиться к подписчикам канала: Я молодой исследователь, который который очень мечтает продвинуть психиатрию вперед и хоть немного облегчить жизнь людей с психическими проблемами, так как и сам их имею. В связи с этим хотелось бы понять сколько здесь людей с определенными диагнозами, чтобы сориентироваться сколько добровольцев можно собрать для исследования некоторых генетических и молекулярных особенностей данных расстройств. Всем желаю счастья, ремиссии и адекватных врачей, заранее спасибо. Следующим постом прикреплю анонимный опрос с необходимым перечнем диагнозов. Пожалуйста, примите участие.

https://t.me/imatrip/2153?embed=1&mode=tme

https://t.me/

https://t.me/s/imatrip

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[{"ner":"РАУ","lemma":"рау","label":"ORG","start_pos":103,"end_pos":106},{"ner":"Биоинженерии","lemma":"биоинженерия","label":"LOC","start_pos":153,"end_pos":165},{"ner":"5","lemma":"5","label":"NUM","start_pos":93,"end_pos":94}]

NEUTRAL

rus

NOT SPAM

Мы давно собирались перевести инфографику The crazy world of visual hallucinations и наконец сделали это! Переводом занималась команда проекта Нейровечеринка : клинические психологи, нейропсихологи, нейробиолог. Напоминаем, что на канале можно найти и другие наши переводы, например, карту мозга и плакат о нейровоспалении . Спасибо, что вы с нами ❤️

https://t.me/imatrip/2161?embed=1&mode=tme

https://t.me/

https://t.me/s/imatrip

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NEUTRAL

rus

NOT SPAM

Поняла, почему мне чужды многие художественные книги про РПП, хотя я тоже недалека от расстройства: потому что мы с авторами зачастую на разных полюсах. Я - про гиперконтроль, у меня нет чувства голода, моим диагнозом была бы нервная анорексия. Переедать? Да я есть-то не люблю. Я не про плоть. И если уж развить метафору: я всегда хотела быть не худой, а не существовать вообще, быть прозрачной, невидимой. А большинство книг про РПП, которые мне встречаются последние годы, про булимию и компульсивное переедание. Конечно, сколько людей, столько и особенностей протекания расстройства, но анорексия и булимия всё же чаще выступают антагонистами. У "Справиться проще" вышел выпуск на 90% про меня - про гиперконтроль и обсессивно-компульсивное расстройство личности (ОКРЛ, не связано с ОКР). Я слушала в трансе: вот поэтому у меня и депрессия резистентная, вот поэтому отдыхать я не умею... Вот поэтому что угодно новое вызывает у меня приступы тревоги, а отпуск это стресс, потому что это слишком большая ответственность - спланировать хороший отпуск, когда почти все факторы непредсказуемы. Если что-то отклоняется от моего идеального курса, у меня паническая атака. И ещё мне нравится откладывать: последнюю серию сериала, еду, деньги. Мне нравится ПРЕДВКУШАТЬ, что я посмотрю последнюю серию с припасенным на этот случай йогуртом в холодильнике. В "Справиться проще" гостья-психолог рассказала историю про конфеты. Мама покупала конфеты ей и сестре, в детстве. Сестра свою долю съедала сразу, героиня откладывала на потом. И сестра съедала и её долю тоже. А вы больше про отложить или съесть сразу?

https://t.me/imatrip/2162?embed=1&mode=tme

https://t.me/

https://t.me/s/imatrip

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NEUTRAL

rus

NOT SPAM

Смотрим до конца, записываем, годные советы 👍

https://t.me/magerya/11532?embed=1&mode=tme

https://t.me/

https://t.me/s/magerya

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NEUTRAL

rus

NOT SPAM

Самый простым и беСполезным методом будет — выпить таблетку обезболивающего 💊 Да, боль пройдёт, но причина останется, да еще и в придачу может появиться язва желудка 💥 Для помощи при головной боли и для её профилактики, в аптечке должны быть: 📌 Магний глицинат — по 2 капс. 1 раз в день во время еды. Расслабит спазмированные мышцы и подержит оптимальный тонус всех сосудов, что улучшит кровоснабжение мозга и уменьшит болезненность 👉🏼 wildberries/магний_глицинат 📌 Глицерин (для НАРУЖНОГО применения) — 1 ст.л. внутрь (все верно, внутрь) натощак раз в день. Поддержит нормальное распределение воды в организме. Устранит отеки, в том числе головного мозга. 📌 Янтарная кислота — 1 табл. раз в день, рассасывать. Необходима для транспортировки кислорода к мозгу. И это важно, ведь при плохой доставке кислорода к нейронам, начинает болеть голова. 📌 Йодин — по 3 капли 1 раз в день. Дефицит йода очень часто приводит к снижению работы щитовидной железы, а значит замедляются все обменные процессы. На этом фоне могут появляться головные боли, мигрени, головокружения и сильная усталость 👉🏼 wildberries/йодин 📌 Витамин С — по 250 мг 2 раза в день во время еды. Он повышает эластичность и прочность сосудов, благодаря этому мозг получает достаточно питательных веществ и кислорода. Более того, он стимулирует выработку гормона счастья серотонина и триптофана, что помогает притупить головную боль 👉🏼 wildberries/витаминС 📌 Метилфолат — по 400 мкг 1 раз в день. Если в организме развился его дефицит, то головная боль и мигрени будут частыми спутниками. Плюс, он также стимулирует выработку дофамина и серотонина, что помогает притупить болезненность 👉🏼 wildberries/метилфолат 📌 Омега-3 — утром натощак для опорожнения желчного пузыря. Если в капсулах, то 1 капс. вскрыть, выпить содержимое. И далее в течение дня с каждым приемом пищи. Омега конкурирует с арахидоновой кислотой, из которой образуются простагландины, провоцирующие боль 👉🏼 ozon/омега3 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/11533?embed=1&mode=tme

https://t.me/

https://t.me/s/magerya

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NEUTRAL

rus

NOT SPAM

Жизнивек проводит розыгрыш 🎁 У вас есть классная возможность выиграть всеми любимый витамин D3, который поможет зарядиться энергией, чего так не хватает в осенние дни ☀️ Розыгрыш проходит в телеграм-канале Жизнивек 👉🏼 https://t.me/ziznivek Переходите по ссылке, принимайте участие в 👉🏼 розыгрыше , рассказывайте друзьям, которые тоже нуждаются в витаминном заряде ⚡️ Реклама. ООО «Жизнивек» ИНН 2311312648

https://t.me/magerya/11535?embed=1&mode=tme

https://t.me/

https://t.me/s/magerya

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NEUTRAL

rus

SPAM

Рассказать про урок в школе, где нам пытались объяснить, что такое менструальный цикл? Спойлер! Эффект от урока был неожиданный

https://t.me/sudmednotes/9252?embed=1&mode=tme

https://t.me/

https://t.me/s/sudmednotes

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NEUTRAL

rus

NOT SPAM

Четвертый месяц лета 😍 Мы с моей взрослой Машей на ВДНХ. Хочу пожелать всем классного воскресенья ❤️ В наше непростое время нужно радоваться каждому мгновению.

https://t.me/DrAnshina/1235?embed=1&mode=tme

https://t.me/

https://t.me/s/DrAnshina

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[{"ner":"Машей","lemma":"маша","label":"PER","start_pos":42,"end_pos":47},{"ner":"ВДНХ","lemma":"вднх","label":"ORG","start_pos":51,"end_pos":55}]

POSITIVE

rus

NOT SPAM

Про хеликобактерную инфекцию! Про диагностику, лечение! Зачем регулярно проводить гастро- и колоноскопию. Обязательно всем слушать! Очень много рака находим на поздних стадиях.

https://t.me/DrAnshina/1236?embed=1&mode=tme

https://t.me/

https://t.me/s/DrAnshina

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NEUTRAL

rus

NOT SPAM

Убивает за сутки. Мой директ последнюю неделю выглядит так. Это не единичные случаи. Менингококковая инфекция уносит жизни более 200 т человек в Мире ежегодно. Смертность от этой инфекции около 50 процентов. Если выжить, то последствия будут тяжелые. Люди восстанавливаются годами. Обязательно надо вакцинировать и взрослых и детей 2 вакцинами: менактра (есть в России) и бексеро (пока нет). Пост https://t.me/DrAnshina/1213

https://t.me/DrAnshina/1238?embed=1&mode=tme

https://t.me/

https://t.me/s/DrAnshina

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NEUTRAL

rus

NOT SPAM

еличение продукции кожного сала и пролиферацию себоцитов), подавляя концентрацию секс-связывающего глобулина (ССГ). Продукты с низким гликемическим индексом, напротив, уменьшают уровни андрогенов и повышают уровень ССГ, который их «связывает» и «выводит». Исследования показали, что перевод добровольцев на диету с низким ГИ либо уменьшал угревую сыпь, либо, по крайней мере, изменял уровень гормонов таким образом, что это могло привести к улучшению состояния кожи при акне. Питание с низкой гликемической нагрузкой не наносит никакого вреда, является полноценным и может быть рекомендовано как профилактическая мера или являться частью комплексной терапии в борьбе с акне. Однако, несмотря на наличие отдельных исследований, связь между ГИ и акне нуждается в дальнейшем изучении, так как мы не можем с уверенностью утверждать, что у всех людей с нарушением работы поджелудочной железы есть акне. Данная проблема скорее комплексная и причиной являются нарушения в работе не одной системы организма. В январе текущего года был опубликован систематический обзор 11 клинических испытаний и 42 обзорных исследований (с 2009 по 2020 г). Результаты показали, что существует несколько диетических факторов, связанных с акне: https://onlinelibrary.wiley.com/doi/10.1111/ijd.15390 • Диета с высоким гликемическим индексом • Диета с высокой гликемической нагрузкой • Некоторые молочные продукты • Фаст фуд • Шоколад • Низкий уровень потребления сырых овощей Защитную роль против акне играли: • Частое употребление фруктов и овощей (более 3 дней в неделю) • Наличие в рационе рыбы Рацион, включающий в себя большое количество фруктов и овощей, зерновые крупы, хлеб и изделия из муки грубого помола, рыбу и морепродукты, растительные жиры, а также умеренное потребление красного мяса и птицы, отражает  в себе суть средиземноморского рациона, используемого сейчас в качестве «золотого» стандарта сбалансированного питания. Появляется все больше доказательств преимуществ средиземноморского стиля питания и снижении количества высыпаний: меньше акне наблюдалось у людей, которые наиболее строго придерживались средиземноморского рациона с включением вышеуказанных продуктов. https://translational-medicine.biomedcentral.com/articles/10.1186/s12967-021-02826-1 Такой рацион также доказано снижает риски сердечно-сосудистых заболеваний, сахарного диабета, ожирения и по умолчанию может быть рекомендован всем и каждому, независимо от наличия/отсутствия акне, СПКЯ и любых других заболеваний. 3.Шоколад За последние 10 лет появились исследования, показывающие слабую связь между употреблением шоколада и акне. Хотя почти каждое из них имело свои ограничения, в совокупности исследования показывают, что злоупотребление шоколадом может быть плохой идеей для людей, склонных к акне. Однако это не означает, что нужно полностью исключить шоколад из своей жизни. Хотя может существовать корреляция между шоколадом и акне, выделение любой пищи в качестве главного «злодея» «прыщей» - не может быть правильным и адекватным подходом. Комбинированный стресс, связанный с нервным отказом от шоколада и других «плохих» продуктов, сам по себе может привести к акне, которое будет в большей степени связано со стрессом, а не с «плохим» питанием. Вот то, что я вижу сейчас на приемах в избытке. Вместо этого просто старайтесь употреблять шоколад в умеренных/малых количествах, выберите для себя здоровые и не менее вкусные альтернативы. И последнее Почему некоторые авторские «протоколы питания для лечения акне» помогают? Когда вы убираете из своего рациона какие-то продукты (иногда большое количество продуктов) - вы потребляете меньше калорий - теряете вес. Даже при умеренном дефиците калорий организм становится более чувствителен к инсулину, его уровень снижается, это благотворно влияет на состояние кожи. Однако спустя некоторое время, как правило, количество потребляемых калорий восстанавливается, что может привести к рецидиву симптомов акне. Поэтому «авторские протоколы питания» чаще всего имеют временный эффект, и намного разумнее, полезнее и практичнее - сосредоточиться на к

https://t.me/doctor_belokon/78?embed=1&mode=tme

https://t.me/

https://t.me/s/doctor_belokon

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NEUTRAL

rus

NOT SPAM

ачестве калорий (за счет сокращения нездоровой пищи и увеличения потребления фруктов, овощей и продуктов с низким ГИ), а не на каких-то выдуманных схемах «лечения акне едой». Делая выводы из всего вышесказанного, при акне подходит все то же здоровое и сбалансированное питание (может чуть с бОльшим количеством ограничений), которое рекомендовано всем, независимо от наличия/отсутствия у них кожных или других заболеваний Нет «диет» для «лечения» акне. Есть здоровый рацион, который рекомендован ВСЕМ и ВСЕГДА по умолчанию, и понимание того, что акне - многофакторное заболевание. Играет роль и генетика, и индивидуальные особенности вашей кожи, уход за ней, гормоны, образ жизни, питание, СТРЕСС. НЕЛЬЗЯ все объяснить молоком или газировкой, нельзя впадать в крайности и верить в эффективность «лечебных протоколов питания при акне» Нужно улучшить свой рацион, если вам есть над чем поработать, вести здоровый образ жизни, отказаться от вредных привычек , пользоваться общедоступными и научно доказанными рекомендациями. И обращаться за помощью к адекватному дерматологу (гораздо реже к гинекологу), потому как питанием далеко не всегда все можно исправить И у врача в арсенале есть много средств, которые помогут справиться с вашей проблемой.

https://t.me/doctor_belokon/79?embed=1&mode=tme

https://t.me/

https://t.me/s/doctor_belokon

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[{"ner":"ВСЕМ","lemma":"всем","label":"ORG","start_pos":496,"end_pos":500},{"ner":"ВСЕГДА","lemma":"всегда","label":"ORG","start_pos":503,"end_pos":509},{"ner":"СТРЕСС","lemma":"стресс","label":"ORG","start_pos":690,"end_pos":696}]

NEUTRAL

rus

NOT SPAM

Друзья, у меня для вас отличная новость! Новое видео на Youtube канале: 🚑 ТОП 10 фактов о ваших менструациях! ❤️ https://www.youtube.com/watch?v=WZ3_HB9oJQM Буду благодарна за вашу поддержку (лайки и комментарии)! В видео вы найдёте следующую информацию: - Что такое нормальный менструальный цикл? - Регулярные менструации - свидетельство наличия овуляции - Нормальное количество менструаций - Менструация - "кровавые слезы матки о ненаступившей беременности" - Половые гормоны вырабатывают яичники - Нормальная длительность менструальных выделений - Задержка менструации - Секс во время менструации может привести к беременности? - Заброс менструальной крови в брюшную полость - Менструация происходит в естественном МЦ без приема гормональных препаратов Буду благодарна за поддержку! ❤️

https://t.me/doctor_belokon/80?embed=1&mode=tme

https://t.me/

https://t.me/s/doctor_belokon

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Вчера первый раз с начала войны села и написала давно обещанную вам статью о «биоидентичных» гормонах и гормональных пеллетах, которую публикую ниже. Получила огромное удовольствие и поняла, как по этому скучала. Последнее время мои статьи становятся все более объемными. Мне кажется очень важным и правильным делиться с вами буквально всеми своими мыслями, аргументами и фактами по тому или иному вопросу, потому как таким образом основные итоговые выводы не кажутся вам поверхностными, неубедительными, вы понимаете их первопричину, логику и глубину. Итак, без долгих и томных вступлений, переходим к заявленной теме. «Биоидентичные» гормоны и биоидентичные пеллеты. Что с ними не так? Биоидентичные гормоны - это гормоны, полученные, чаще всего, из растительных экстрактов и сои, но модифицированные в лаборатории таким образом, что их молекула ничем не отличается от молекулы ваших собственных гормонов, которые вырабатываются у вас в организме железами внутренней секреции (яичниками, надпочечниками). Именно поэтому эти точные копии получили название «биоидентичные» гормоны, так как на все 100% молекулярно соответствуют нашим собственным. Некоторые под термином биоидентичные гормоны подразумевают использование «индивидуально» подобранных полигормональных «коктейлей» (таблеток, кремов, гелей, спреев, пеллет), где доза подбирается на основании результатов анализов, случайного или серийного исследования гормонов. Гормоны, которые чаще всего комбинируются, - это эстрадиол, эстрон, эстриол, прогестерон, тестостерон и дегидроэпиандростерон (ДГЭА). За рубежом биоидентичные гормоны появились довольно давно, но популярность начала значимо увеличиваться после первых публикаций в 2002 г. результатов одного из самых известных исследований WHI, в котором сообщалось о возможных дополнительных сердечно-сосудистых рисках у женщин старшего возраста, принимающих традиционную менопаузальную гормональную терапию (МГТ). Несмотря на многочисленные «успокоительные» данные после, демонстрирующие безопасность гормональной терапии у более молодых женщин в период менопаузы, количество назначений традиционных гормонов все равно неуклонно снижалось, а использование биоидентичных увеличивалось. Женщины начали думать о них, как о более безопасной альтернативе. Кроме того, в последние годы «показания» к назначению «натуральных» гормонов значительно расширились, и их многие (в основном частные, конечно же) клиники рекомендуют не только женщинам в период пери -, постменопаузы или менопаузы, а и в довольно молодом возрасте, приписывая им буквально волшебные эффекты. Мне и самой предлагали пеллету в ягодицу после моих родов в 2017 году. Их рекламируют голливудские звезды (А.Джоли и другие) и «звездные» врачи. Они ⬇️ «Устраняют гормональный дисбаланс и обеспечивают непрерывный запас гормонов, которые организм распознает, как свои собственные» «Пеллеты были разработаны для борьбы с излишками жировой прослойки (похудения), хронической усталости, стресса, они способны повышать работоспособность и выносливость при нагрузках в спорте, защищают сосуды от отложений холестерина, поддерживают тонус мышц, улучшают психологическое и сексуальное здоровье. Они способны подстраиваться под потребности вашего организма и выделять в кровь гормоны, которых не хватает именно Вам» «Вы сможете с ними «пассивно» похудеть и получить невероятно красивую и спортивную фигуру.» Некоторые клиники на своих сайтах в «доказательство» не стесняются даже фото прилагать. «Гормональные пеллеты могут быть установлены и женщинам после родов, так как способны помочь справится со всеми признаками депрессии, усталости, перепадов настроения и главное - они помогут восстановить форму тела.» «Ваше либидо и качество сексуальной жизни взлетит до небес.» «Омолодится кожа, улучшится ее тургор и эластичность, от дряблости и провисания не останется и следа, расправятся морщины, вырастут все выпавшие волосы, а новые не будут выпадать никогда более.»

https://t.me/doctor_belokon/81?embed=1&mode=tme

https://t.me/

https://t.me/s/doctor_belokon

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NEUTRAL

rus

NOT SPAM

Ну и «вишенка на торте» - «биоидентичные» гормоны в состоянии «отсрочить» климакс, а значит «продлить» вашу красоту, молодость на «клеточном» уровне, и подарить дополнительные 10-15 лет жизни.» Это только малая часть того, что можно найти в интернете по запросу «биоидентичные гормоны» или «биоидентичные» пеллеты. Сплошная «натуральность», индивидуальность (так как дозы и вид гормона обещают подобрать индивидуально «под» вас), 99-100% эффективность и безопасность. Невероятно красивая и сладкая ложь, которая на самом деле является агрессивной, бессовестной рекламой крайне сомнительных по эффективности и абсолютно точно небезопасных гормональных веществ. Давайте об этом чуть подробнее. Гормоны - это гормоны, даже если они биоидентичные, точно такие же, как ваши собственные, это не делает их абсолютно «безопасными». Гормоны - это химические вещества, вырабатываемые эндокринными железами, это посланники, которые «сообщают» различным клеткам, органам и системам, как и когда «работать». Они влияют и управляют сотнями процессов в вашем организме. Гормон - это «ключ». Каждый гормон подходит к строго определенным рецепторам в тканях-мишенях, принимающих сигнал гормона. Если «ключ» подойдет к «замку» (рецептору) на клеточной стенке, тогда он сработает; гормон доставляет сообщение, которое заставляет те или иные органы и системы предпринять определенное действие. Гормоны в организме нужны для двух типов «общения». Первый тип — это связь между двумя эндокринными железами: одна железа выделяет гормон, который стимулирует другую железу изменять уровень выделяемых ею гормонов. Примером такого «общения» является связь между вашим гипофизом и щитовидной железой. Гипофиз вырабатывает тиреотропный гормон (ТТГ), который «заставляет» щитовидную железу выделять гормоны, которые, в свою очередь, влияют на различные процессы в вашем организме. Второй тип «общения» - между железой внутренней секреции и органом-мишенью. В пример такого «общения» можно привести ваши яичники, которые выделяют эстрогены, которые, в свою очередь, воздействуют на слизистую оболочку полости матки (эндометрий), на клетки молочной железы, заставляя их делиться, на костную ткань и огромное количество других тканей и органов. Отсюда вырисовываются вполне логичные выводы, что, если мы имеем дефицит или избыток гормонов, функция и работа различных органов и систем будет изменяться в «неправильную» сторону, то есть ухудшаться, «ломаться». Например, слишком большое количество эстрогенов ➡️ избыточное деление клеток ткани молочной железы или эндометрия ➡️ увеличение риска предраковых или раковых заболеваний, так как там, где клетки чрезмерно делятся - в каких-то из них всегда может зародиться «зло». Поэтому наш организм очень строго регулирует уровень гормонов и их баланс очень и очень важен. И это не просто слова. Потому и существуют врачи - эндокринологи, а гормональные заболевания требуют лечения, потому что в отсутствие такового - вы будете иметь серьезные риски для вашего здоровья и жизни, может значимо пострадать ее качество. Потому и существуют строгие показания, когда гормональные препараты могут использоваться, и к любой пачке прилагается инструкция, в которой есть очень длинный перечень возможных побочных эффектов, связанных с приемом гормонов. Потому что любая «экстрадоза» может привести к катастрофе (тромбоз, например, рак и пр.) и мы должны быть предельно осторожны с гормонами, знать, что мы делаем, с какой целью, каковы реальные риски и преимущества той или иной терапии. И если такой вкладыш с описанием возможных побочных эффектов не приложен к гормональным пеллетам или любым другим «биоидентичным» гормонам - это не значит, что их нет на самом деле, это значит, что производитель нашел лазейку в законе и имеет право о них не писать, и ими не особо интересуются.

https://t.me/doctor_belokon/82?embed=1&mode=tme

https://t.me/

https://t.me/s/doctor_belokon

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NEUTRAL

rus

NOT SPAM

Этот пост я хочу посвятить — сыворотке для лица Clarins Double Serum! Я с ним познакомилась года 2 назад и с тех пор он является одним из моих фаворитов 👌 Продукт позиционирует себя антивозрастным ( +25 ) Цитата производителя: Это уникальное антивозрастное средство ухода, содержащее комплекс растительных экстрактов [20+1], стимулирует все жизненно важные функции кожи, отвечающие за сохранение ее молодости и красоты. Универсальная двойная формула, созданная по аналогии с гидролипидной пленкой кожи, объединяет 20 высокоэффективных растительных экстрактов с антивозрастным действием и насыщенный турмероном экстракт куркумы, воздействуя таким образом на все признаки старения кожи За что до сих пор люблю и не брошу, потому что продукт хороший: ❤️ Увлажнение кожного покрова благодаря насыщению клеток необходимым количеством жидкости и предупреждению ее испарения. ❤️ Питание эпидермиса полезными элементами, восполнение недостатка необходимых веществ. ❤️ Защита кожного покрова от негативного воздействия различных факторов окружающей среды, сохранение его молодости и здоровья. ❤️ Насыщение клеток кислородом, активизация микроциркуляции крови и обменных процессов в коже. ❤️ Стимуляция регенерации кожи, восстановление и омоложение ее поврежденных участков. ❤️ Придание ощущения комфорта и свежести лицу. ❤️ Восстановление гладкости и нежности эпидермиса. ❤️ Повышение тонуса и упругости кожного покрова, восстановление четких контуров овала лица. 👆 Сыворотку нужно нанести на пальчики или ладонь, растереть, соединяя обе жидкости, и прихлопывающими движениями нанести на кожу лица. 👆 Сыворотка двухфазная, при надавливании на дозатор в одинаковом размере появляется 2 жидкости: масло из одной части, а во второй средства на основе воды. Мне хватает 1 выдавливания. Наношу я ее на ночь и или утром. Сперва она может показаться липкой, но она мгновенно впитывается и делает на глазах кожу упругой и насыщенной. ✨

https://t.me/dr_Guvarsha/237?embed=1&mode=tme

https://t.me/

https://t.me/s/dr_Guvarsha

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NEUTRAL

rus

NOT SPAM

Хеллоу родные , у меня перерыв на обед 🥙 Что может быть вкуснее арбуза с сыром и горячим хлебом 🤤 🤤 🤤

https://t.me/dr_Guvarsha/238?embed=1&mode=tme

https://t.me/

https://t.me/s/dr_Guvarsha

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[{"ner":"Хеллоу","lemma":"хеллоу","label":"PER","start_pos":0,"end_pos":6}]

POSITIVE

rus

NOT SPAM

Ууххх ребятки Вчера была свадьба моего близкого друга Он известный блогер И все сливки московских блогеров вчера были собраны на этой свадьбе 🔥 СВАДЬБА БЫЛА ПРОСТО РОСКОШЬ! Саак ( жених) очень постарался И позаботился о каждой детали Свадьба была в стиле Париж 🥐 Эмоции переполняют ! 😍 💔 А ноги болят от танцев 💃 Кстати после таких насыщенных танцев помогает привести в чувства гель Леотон Снимает отеки и усиливает лимфодренаж

https://t.me/dr_Guvarsha/240?embed=1&mode=tme

https://t.me/

https://t.me/s/dr_Guvarsha

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[{"ner":"Саак","lemma":"саак","label":"PER","start_pos":173,"end_pos":177},{"ner":"Париж","lemma":"париж","label":"LOC","start_pos":255,"end_pos":260},{"ner":"Леотон","lemma":"леотон","label":"PER","start_pos":383,"end_pos":389}]

POSITIVE

rus

NOT SPAM

Упругость кожи – результат ее быстрого обновления, хорошего кровообращения, выработки коллагена, эластина и гиалуроновой кислоты в достаточном количестве. Факторов, которые приводят к снижению упругости (тургора) кожи , огромное множество И так же в современной косметологии огромное разнообразие способов восполнения тургора до нормы 👌 : ❣️ Коллагенотерапия ❣️ коллагеностимуляторы : -RADIESSE -Полимолочная кислота PLLA -RF-лифтинг ❣️ специальные составы биоревитализонтов Главное все подбирать правильно по потребности кожи , учитывая все исходные данные 🤌🏼 Проводите себе Щипковый тест , хотя бы ради интереса!

https://t.me/dr_Guvarsha/242?embed=1&mode=tme

https://t.me/

https://t.me/s/dr_Guvarsha

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NEUTRAL

rus

NOT SPAM

Видеорубрика "Для души и тела": доктор Мясников пошел в баню - Зачем котам париться? А людям? - Польза и вред бани. - Баня и гипертоники. - Банные правила от доктора Мясникова.

https://t.me/drmyasnikov/2639?embed=1&mode=tme

https://t.me/

https://t.me/s/drmyasnikov

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[{"ner":"Мясников","lemma":"мясников","label":"PER","start_pos":39,"end_pos":47},{"ner":"Мясникова","lemma":"мясникова","label":"PER","start_pos":166,"end_pos":175}]

NEUTRAL

rus

NOT SPAM

Все знают, что в Китае культ зеленого чая. Ему приписывают массу лечебных свойств и в этом есть свое рациональное зерно. Помимо кофеина- масса антиоксидантов и других биологически активных средств. Онкология, кардиология, косметика- везде можно встретить работающие препараты на основе зеленого чая. Сейчас модная тема- зеленый чай для снижения веса. Его даже называют «природный Оземпик». И не без основания. Зеленый чай увеличивает выработку GLP-1, кишечного пептида, который побуждает поджелудочную железу высвобождать инсулин после еды. Этот инсулин, в свою очередь, снижает уровень сахара в крови. GLP-1 также замедляет скорость, с которой пища покидает желудок, и влияет на области мозга, которые регулируют голод. То есть делает то же, что и Оземпик, только в разы с меньшей силой и эффективностью. Только прошу запомнить один нерушимый постулат (запишите на бумажку и наклейте на видном месте!): Нет какого-то одного специфического пищевого продукта, добавки, лекарства, которое может надежно и надолго снизить вес. Только изменение образа жизни. То есть «без труда не вытащить рыбку из пруда!»

https://t.me/drmyasnikov/2640?embed=1&mode=tme

https://t.me/

https://t.me/s/drmyasnikov

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NEUTRAL

rus

NOT SPAM

Предыдущий пост я закончил постулатом: «Нет какого-то одного специфического пищевого продукта, добавки, лекарства, которое может надежно и надолго снизить вес. Только изменение образа жизни» Добавлю: считать калории и количества белка, углеводов и жиров и держать это за основу основ так же не достаточно. Вот Вам ещё один постулат: «Неважно, что вы съели, важно, что всосалось!» Вы можете есть продукты, на упаковке которых все будет написано очень правильно. И все равно поправляться. Снижение (набор) веса неправильно рассматривать только как производное «сколько калорий съел минус сколько калорий потратил». Это несомненно так, но «есть нюанс»!!! Ну давайте начнем со «сколько потратил». 75% наших энергетических затрат- базальный обмен, то, что уходит на поддержание работы сердца, легких, перистальтика кишечника и тому подобное. В среднем это 20-22 ккал на 1 кг веса. Наш вес и обмен регулируется сложной системой гормонов, цель которых удерживать систему в равновесии. Как только мы начинаем процесс резкого снижения веса, организм дает гормонам команду- режим «война», нас больше не кормят! И включается режим экономии- снижается базальные энергозатраты, на поддержание 1 кг веса тратиться уже не 22, а всего 15 ккал. Да, те 25% затрат калорий, которые мы тратим при движении так же определяют базальный обмен. Мы двигаемся интенсивно- и энергозатраты в покое тоже растут. Но голод куда более сильный стимул для включения режима экономии. При этом также повышается гормоны, провоцир аппетит и отложение жира. Поэтому те, кто резко пытается снизить вес, неправильно оценивают свои энергозатраты. (Кстати- единожды снизив базальный обмен, он возвр к норме очень и очень не скоро, сильно после того, как человек вернулся с своему привычному образу жизни). Теперь про «всосалось» пример-железо. Его много в овощах и фруктах, крупах, но оно из них не всасывается. А из мяса всасывается очень хорошо! Многие аминокислоты есть а одних продуктах и отсутствуют в других, причем набор их отличается от продукта к продукту. Молчу уже про Вит В12 (и другие). На «всасывании» сидит микробиом. Он решает что организм возьмет, а что нет! Более того- эти бактерии вырабатывают ферменты, которых в человеческом организме нет. И при не сбалансированных диетах, наш организм начинает переваривать то, что в норме природой не предусмотрено. Но не голодать же микробиому! И кто посчитает эти незапланированные калории?! Вывод: хотите снижать вес- поставьте реальные цели. Хотите оставаться здоровым и надежно снизить вес? Делайте это постепенно (5% от веса в первые 3 мес). «Обманите»гормональную систему, стоящую на страже нашего веса. Главное - сбалансированное питание, не кидаться в модные диеты. Только изменением питания Вы ничего не добьетесь. Обяз регулярные физнагрузки. И ещё: теряя вес вы теряете не только жир, но и мышцы. Причем 25% от потерянного веса- мышечная масса. (Изменить это соотношение могут только физнагрузки). Потом вы набираете вес, но теперь соотношение жира и мышечной массы другое- во вновь прибавленном весе у Вас будут жира больше, а мышц меньше. И «дергая» вес туда-сюда, вы постепенно меняете структуру и форму тела в неблагоприятную сторону: Мышц становиться все меньше, а жира всё больше! Доброе утро!

https://t.me/drmyasnikov/2641?embed=1&mode=tme

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https://t.me/s/drmyasnikov

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Удручающий текст статьи Aging and Chronic Illness JAMA. Published online October 17, 2024. С таким многообещающим названием. Думал- ну вот наконец начнут доказывать, что возраст не равнозначен хроническим заболеваниям. А стал читать и забыл зачем начал. Исследовании стареющих и хронически больных пациентов проводилось в Бирмингемской больницы в Англии доктором А. Thomson. Далее машинный перевод; «Доктор Томсон был особенно впечатлен во время своего исследования глубокой апатией многих пациентов. Они редко разговаривали, редко двигались и, казалось, у них не хватало интереса ко всем обычным видам деятельности. Получить от них информацию было несложно, но они не раскрывали никаких эмоций, когда вспоминали свои прошлые жизни, независимо от волнения или приключений в этих жизнях. Видимо, их главным интересом была еда. Мужчины и женщины казались похожими в своей апатии, хотя женщины были чище и отзывчивее. Самое активная эмоциональная вспышка произошла, когда была обнаружена попытка мелкого воровства. В палатах, где пациенты были более активными, некоторые играли в азартные игры почти лихорадочно, а другие, у которых были определенные привилегии, находили почти гениальные методы получения денег на алкогольные напитки. В конце концов, даже более активные пациенты изменяют поведение, что заставилои наблюдателя задаться вопросом, является ли «процесс распада неизбежным, или он вызван или ускоряется апатией, окружающей койки по уходу за хроническими пациентами». Опрос был проведен для того, чтобы определить, могут ли пациенты быть в итоге возвращены в свои дома, если их будут более хорошо лечить, если будут приняты улучшения в области персонала и оборудования, а также введение стандартов, сопоставимых с стандартами в хороших больницах общего профиля. Доктор Томсон пришел к выводу, что большинство не выиграет достаточно, чтобы разрешить им возвращение в свои дома. Он приводит три причины для своего вывода: «Во-первых, почти все пациенты являются жертвами патологических состояний, которые являются либо дегенеративными, либо генетическими по своему происхождению и выходят за рамки терапии на нынешнем этапе развития. Во-вторых, длительное заключение в постели без занятий или диверсионной терапии, без массажа и пассивного движения в больницах с настолько грубым нехваткой персонала, что препятствовалось любого рода активное движение пациента из-за страха несчастного случая. (От себя скажу- сам подрабатывал в Америке на ночных дежурствах в госпиталях по уходу. Пациентов просто привязывали к кроватям. Упадет, сломает себе что-нибудь- потом страховки и суды измотают..) Это привело к быстрому ухудшению формы контрактур, деформациям ног и развитию недержания мочи. В-третьих, и, вероятно, самым важным является тонкий распад человеческой личности, который так распространен у этих пациентов. Многие буквально не хотят покидать кровати, в которых они так долго лежали... они не хотели, чтобы что-то случилось; они хотели, чтобы их оставили тихо гить». Таким образом, он считает, что «...возможность эффективного лечения давно упущена».

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https://t.me/s/drmyasnikov

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[{"ner":"Бирмингемской больницы","lemma":"бирмингемский больницы","label":"ORG","start_pos":322,"end_pos":344},{"ner":"Англии","lemma":"англия","label":"LOC","start_pos":347,"end_pos":353},{"ner":"Thomson","lemma":"thomson","label":"ORG","start_pos":367,"end_pos":374},{"ner":"Томсон","lemma":"томсон","label":"PER","start_pos":408,"end_pos":414},{"ner":"Томсон","lemma":"томсон","label":"PER","start_pos":1782,"end_pos":1788},{"ner":"Америке","lemma":"америка","label":"LOC","start_pos":2440,"end_pos":2447},{"ner":"17","lemma":"17","label":"NUM","start_pos":81,"end_pos":83},{"ner":"2024","lemma":"2024","label":"NUM","start_pos":85,"end_pos":89}]

NEUTRAL

rus

NOT SPAM

Немного разбавлю газово-диарейный контент своими собачками 🐶 Это Феба и Шери, они кавалер кинг чарльз спаниели. Шери - рыженькая, ей 4 года, она у нас с детства 🥰 Феба - черненькая, ей около 7 лет, она приемная. Мы ее взяли, когда ей было 4. Тогда она страдала от ожирения и весила 14 кг, у нас она похудела до 8 кг и стала бодренькой и веселенькой, но некоторые последствия для здоровья и психики у бедной собачки все таки остались :( Так вот, наши девочки сейчас лечатся альфа-нормиксом , у декоративных пород, в том числе у кавалеров есть предрасположенность к синдрому избыточного бактериального роста в тонкой кишке 😁 начинают эпизодически много пукать на нас и расслабляется стул. Мы стараемся давать им low-fodmap овощи и фрукты, а из мяса они едят только вареную говядину, остальное Шерька не переносит ☹️ В качестве лакомств и поощрения на прогулках выбираем корма очень осторожно, во многих добавлен инулин/цикорий 😣

https://t.me/ibs_doc/254?embed=1&mode=tme

https://t.me/

https://t.me/s/ibs_doc

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Сегодня мы поговорим про фруктаны, арбузы 🍉 и дыни! Напомню, что фруктаны – это олиго- и полисахариды, состоящие из коротких цепочек фруктозы и молекулы глюкозы на конце. Фруктаны длиной в 2-9 единиц – называются ФруктоОлигоСахаридами (ФОС), а длиной ≥10 единиц - инулинами. 🔗 Эти вещества являются ПРЕбиотиками и обладают весьма полезными свойствами для здоровья, например способствуют размножению «полезных» бактерий, таких как бифидобактерии, а также подавляют рост патогенных организмов в толстой кишке, увеличивают объем каловых масс и могут помочь при запоре , улучшают секрецию слизи, снижают риски колоректального рака и многое другое. Ну а обратной стороной монеты при употреблении фруктанов могут быть симптомы со стороны желудочно-кишечного тракта – вздутие, повышенное газообразование и диарея. 💩 По данным публикаций, некоторые счастливчики могут перенести >20 грамм фруктанов в день 😍 , тогда как разовая порция >0,3 грамм для людей с синдромом раздраженного кишечника может вызвать симптомы 😑 . Разумеется, есть и промежуточные значения, когда кто-то перенесет и 1 и 2 грамма фруктанов за прием пищи, ведь все мы разные, как и наша чувствительность/моторика кишечника. Но теперь о главном, что же свеженького и сочного съесть в эту жару? Арбуз или дыню? 🤔 Про популярные фрукты я писал в прошлом году – вот ссылка на пост вот ссылка на пост , там же инфа про арбуз 🍉 , который помимо фруктанов, содержит кучу фруктозы и сорбитола! Просто кладезь ФОДМАПОВ 😫 Вот их концентрации: ❗️ избыточная фруктоза 1,5-3 г/100г ❗️ сорбитол 0,1-0,3 г/100г ❗️ фруктаны 0,1-0,5 г/100 г А вот с дынькой все получше, там нет опасных доз сахарных спиртов, избыточной фруктозы, а фруктанов намного меньше, например в дыне канталупе не более ~0,16 г/100 грамм. 👍 Т.е. примерно 150-200 грамм вы перенесете, поэтому для оценки индивидуальной переносимости начинайте именно с такой дозы и аккуратненько (или не очень) увеличивайте ее :) А вообще, редко люди съедают такие маленькие порции. В нашей традиции - навернуть половину арбуза за раз, а это запросто приведет к диарее и приступам сильнейшей боли, только чаще люди связывают это с "отравлением нитратами" 🌈 , "кишечными инфекциями" и плохим качеством арбуза. Знайте, на что вы идете 😐 Дать буст каналу по ссылке - https://t.me/boost/ibs_doc

https://t.me/ibs_doc/256?embed=1&mode=tme

https://t.me/

https://t.me/s/ibs_doc

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NEUTRAL

rus

SPAM

В связи с тем, что у моей супруги развился гестационный сахарный диабет 🤰🏼 , нам пришлось подбирать для нее батончики/печенья без сахара, да так, чтобы они ее не вздули. Стоит заметить, что ей никогда не нравились протеиновые "снэки", поэтому тот факт, что ЭТИ варианты она готова есть - говорит о их неплохих вкусовых качествах. Поэтому представляем вам наш семейный рейтинг безопасных для пациентов с СРК и вздутием батончиков/снеков, которые подходят при сахарном диабете. Как оказалось, фирма ё/батон производит очень неплохие по вкусовым качествам и составу продукты! Браво! (жаль, что это не рекламный пост, но если вдруг их представитель увидит его - готов к сотрудничеству 😆 ) Протеиновое печенье без сахара, тортик красный бархат (Red Velvet dessert) - мука пшеничная – ну куда без нее в пироженке? в одной ее точно не много, не думаю, что стоит бояться) - сыворотка молочная сухая в глазури – глазури не очень много, а значит и сыворотки, если боитесь - примите с ним лактазар) Протеиновое печенье без сахара с белковым суфле 20% белка - водорастворимые волокна кукурузы: не смог нигде найти информацию про эти волокна, но газообразующий потенциал, если и есть, то незначительный - сухое молоко в глазури – глазури не очень много, а значит и сухого молока, если боитесь - примите с ним лактазар) Протеиновый брауни без сахара, ассорти вкусов, протеиновый батончик пп - мука пшеничная – ну куда без нее в брауни? в одной ее точно не много, не думаю, что стоит бояться) - изомальтолигосахарид и сухая молочная сыворотка в глазури – глазури мало, а значит, и этих компонентов Протеиновое печенье, Protein Cake, вкус шоколад Протеиновое пирожное Protein Cake, со вкусом вишни - сухое обезжиренное молоко – тем, у кого плохо с лактозой, примите при необходимости лактазар) - водорастворимые волокна кукурузы: не смог нигде найти информацию про эти волокна, но газообразующий потенциал, если и есть, то незначительный Протеиновое печенье "ё/батон" 20% белка, со вкусом клубники, 40гр. - концентрат молочного белка – сложно сказать, чем отличается от коцентрата сывороточного белка, возможно, там больше лактозы, так что можно и прикрыться лактазаром при непереносимости - водорастворимые волокна кукурузы: не смог нигде найти информацию про эти волокна, но газообразующий потенциал, если и есть, то незначительный Вы просили - мы сделали ;) Дать буст каналу по ссылке - https://t.me/boost/ibs_doc

https://t.me/ibs_doc/261?embed=1&mode=tme

https://t.me/

https://t.me/s/ibs_doc

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[{"ner":"ЭТИ","lemma":"эти","label":"ORG","start_pos":257,"end_pos":260},{"ner":"СРК","lemma":"срк","label":"LOC","start_pos":403,"end_pos":406},{"ner":"Protein Cake","lemma":"protein cake","label":"ORG","start_pos":1604,"end_pos":1616},{"ner":"20","lemma":"20","label":"NUM","start_pos":1036,"end_pos":1038},{"ner":"20","lemma":"20","label":"NUM","start_pos":1952,"end_pos":1954},{"ner":"40","lemma":"40","label":"NUM","start_pos":1983,"end_pos":1985}]

NEUTRAL

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https://t.me/ibs_doc/262?embed=1&mode=tme

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BORDERPOLAR - канал о ментальном здоровье, где Аня пишет о реальном опыте жизни с БАР, ПРЛ и кПТСР. В канале она делится размышлениями на самые различные темы: самореализация, отношения, поиске себя и т.д. Помимо личных мыслей на канале публикуется множество полезных материалов, техник и упражнений, а также подборки тематической литературы. 🔺 4 техники переживания кризиса 🔺 Как противостоять импульсам 🔺 Тем, кто только начал терапию 🔺 Схема Отверженности Иногда самую ценную информацию можно почерпнуть не из теории, а из чужого опыта. Кто лучше расскажет о ментальных расстройствах и как с ними жить полноценно, как не человек, который преодолевает их каждый день?

https://t.me/imatrip/2141?embed=1&mode=tme

https://t.me/

https://t.me/s/imatrip

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[{"ner":"где Аня","lemma":"где Аня","label":"PER","start_pos":43,"end_pos":50},{"ner":"ПРЛ","lemma":"ПРЛ","label":"ORG","start_pos":87,"end_pos":90},{"ner":"и упражнений","lemma":"и упражнений","label":"PER","start_pos":287,"end_pos":299},{"ner":"🔺","lemma":"🔺","label":"ORG","start_pos":343,"end_pos":344},{"ner":"4","lemma":"4","label":"CARDINAL","start_pos":345,"end_pos":346},{"ner":"🔺","lemma":"🔺","label":"ORG","start_pos":375,"end_pos":376},{"ner":"Схема Отверженности","lemma":"Схема Отверженности","label":"ORG","start_pos":439,"end_pos":458},{"ner":"Иногда","lemma":"Иногда","label":"ORG","start_pos":459,"end_pos":465},{"ner":"почерпнуть не из теории","lemma":"почерпнуть не из теории","label":"PER","start_pos":496,"end_pos":519},{"ner":"жить полноценно","lemma":"жить полноценно","label":"PER","start_pos":600,"end_pos":615},{"ner":"каждый день","lemma":"каждый день","label":"PER","start_pos":657,"end_pos":668}]

NEUTRAL

rus

NOT SPAM

Особенности восприятия времени у людей с СДВГ Для человека с СДВГ время — это не линейное измерение. Минуты могут растягиваться в часы, а часы сжиматься до мгновений. Это явление называется "временная дезориентация". Люди с СДВГ часто сталкиваются с тем, что не могут адекватно оценить, сколько времени у них уходит на ту или иную задачу. В результате опоздания, несоблюдение дедлайнов и ощущение "потерянного" времени становятся постоянными спутниками их жизни. Такое восприятие объясняется особенностями работы мозга. Люди с СДВГ могут слишком увлечься одним делом и "потеряться" во времени, или, наоборот, ощущать, что время тянется бесконечно, когда они пытаются сосредоточиться на скучной задаче. Это вызывает не только дискомфорт, но и чувство тревоги, ведь когда не понимаешь, как управлять своим временем, теряется контроль над жизнью. Чтобы справиться с этим, можно использовать визуальные подсказки: таймеры, часы с пометками, списки дел с указанием времени на выполнение. Помогают и регулярные проверки — например, каждые 15-20 минут останавливаться и фиксировать, что было сделано. Это помогает удерживать контакт с реальностью и не теряться в своем восприятии времени.

https://t.me/imatrip/2143?embed=1&mode=tme

https://t.me/

https://t.me/s/imatrip

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NEUTRAL

rus

NOT SPAM

Немного о том, как справляться с эмоциями. Благодарю автора за подробный разбор! #кпт_полезности #психология

https://t.me/imatrip/2151?embed=1&mode=tme

https://t.me/

https://t.me/s/imatrip

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NEUTRAL

rus

NOT SPAM

Сообщество ДРУГИЕ проводит группы поддержи каждую субботу оффлайн в Москве. К нам приходят люди с разными психиатрическими диагнозами, вместе мы обсуждаем проблемы, которые нас волнуют, делимся опытом, теплом и участием. А еще едим печеньки и смеемся. Приходите, будем вам рады! Чат сообщества

https://t.me/imatrip/2152?embed=1&mode=tme

https://t.me/

https://t.me/s/imatrip

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[{"ner":"ДРУГИЕ","lemma":"другие","label":"ORG","start_pos":11,"end_pos":17},{"ner":"Москве","lemma":"москва","label":"LOC","start_pos":68,"end_pos":74}]

NEUTRAL

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Какое вас ждёт будущее ⬇️ Зависит от вас, и здесь всё просто – вкладываетесь в детей: заботой, вниманием, любовью, хорошим образованием, здоровьем, витаминами — то дивидендами они будут приносить радость и свои успехи. А не вкладываетесь, так что, пенять только на себя можно 🙈 Начните заботу о своих детях с посещения педиатра нашей клиники @mageryaclinic — Вайсберг Дианы Сергеевны. За своих врачей уверен, как за себя! А вы к какому лагерю относитесь: следите за здоровьем или пусть растет как трава) Мы же как-то выросли? Реклама. ООО МЦ "Телемедицина" ИНН 2310223226

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https://t.me/

https://t.me/s/magerya

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NEUTRAL

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Сегодня поговорим о деликатной проблеме, которая часто приходит с первыми холодами 🥶 Что случится, если осенняя непогода, стресс, переохлаждение, малоподвижный образ жизни и снижение иммунитета объединятся? С высокой вероятностью, придет пренеприятный гость — цистит 💧 💢 Чувство жжения 💢 Учащенное мочеиспускание 💢 Плохое самочувствие 💢 Тянущие боли внизу живота 💢 Изменение цвета мочи, вплоть до появления крови. Все эти симптомы – маркёры цистита 👆🏼 Причём проблема чаще всего тревожит женщин, связано это с анатомическими особенностями: у них мочеиспускательный канал короче, что позволяет бактериям легче подниматься к мочевому пузырю и вызывать там воспаление ♨️ Почему же, после неоднократно пройденного лечения, цистит так и норовит вернуться? Тут замешаны слабый иммунитет, постоянные стрессы и дефицит витаминов. Так как же защититься от этой беды ❓ Добавляйте в свой рацион витамин С, ведь он: ✅ Стимулирует иммунитет и подстегивает клетки иммунной системы. Это как звоночек для них: «Внимание, нужно быть на чеку!». Даже если бактерии попадут внутрь, они тут же встретят отпор. ✅ Поддерживает восстановление слизистой, помогает организму быстрее заживить и восстановить поврежденные клетки мочевого пузыря. ✅ Борется со стрессом за счет снижения уровня кортизола. Как только станет меньше стресса или вы научитесь овладевать им, то у иммунитета появится больше сил для борьбы. ✅ Подкисляет мочу, а чем кислее среда, тем хуже бактериям, которые вызывают цистит. Заказать ПРО Витамин С от компании «Жизнивек» 👉🏼 wildberries/витаминС 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/11527?embed=1&mode=tme

https://t.me/

https://t.me/s/magerya

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NEUTRAL

rus

NOT SPAM

Сегодня в аккаунте нашей клиники дежурный доктор отвечает на ваши вопросы 👉🏼 https://t.me/clinic_magerya Обязательно подпишитесь на канал ❗️

https://t.me/magerya/11528?embed=1&mode=tme

https://t.me/

https://t.me/s/magerya

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[{"ner":"❗️","lemma":"❗️","label":"ORG","start_pos":138,"end_pos":140}]

NEUTRAL

rus

NOT SPAM

Вечерний чат 💭 ⁉️ Задавайте вопросы 💡 Помогайте новичкам находить ответы 🙌 Обсуждайте любые темы

https://t.me/magerya/11529?embed=1&mode=tme

https://t.me/

https://t.me/s/magerya

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NEUTRAL

rus

NOT SPAM

Еще 2 причины ⬇️ 2️⃣ Физическая. Мышцы шеи и плеч — как “корсет” для нашего мозга. Если они зажаты, кровь плохо циркулирует ➡️ мозг получает меньше кислорода ➡️ появляется головная боль. Таким образом включаются «аварийные кнопки» — 🆘 , срочно обратить внимание! 3️⃣ Психологическая. Наш мозг — это не только центр управления телом, но и центр эмоций. Если мы постоянно находимся в стрессе, мозг “перегревается” и посылает сигнал болью — мол, «хозяин, давай с этим что-то делать, сколько можно на себе таскать лишнюю ответственность, переживать из-за всего и утопать в чувстве вины». Сколько причин у себя насчитали? Интервью с @nina_alterego

https://t.me/magerya/11530?embed=1&mode=tme

https://t.me/

https://t.me/s/magerya

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NEUTRAL

rus

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🎉 Результаты розыгрыша: Победитель: 1. Окс ( @Formullla007 ) Проверить результаты

https://t.me/sudmednotes/9248?embed=1&mode=tme

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https://t.me/s/sudmednotes

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[{"ner":"1","lemma":"1","label":"NUM","start_pos":36,"end_pos":37},{"ner":"007","lemma":"007","label":"NUM","start_pos":55,"end_pos":58}]

NEUTRAL

rus

NOT SPAM

Повод к вызову СМП: «ребенок, 10 лет, травма глаза, рана на голове» - вызывает мать. Приезжаем на место, дверь на одной петле висит, хата вся разгромлена, мать с полторашкой пива разгуливает. За письменным столом вижу девочку, с наполовину заплывшим глазом, и рассеченой раной в височной области. Начинаю расспрашивать обстоятельства произошедшего, на что мать выдает: «А что случилось? Ничего страшного, мужчина мой сидел, выпивал, а она мешалась ему со своей музыкой, ну вспылил, с кем не бывает» Я: «от чего раны?» М: «ну тумбочкой прикроватной в нее кинул, че за вопросы у вас» Я: «обычные вопросы, в больницу собирайтесь» М: «я ни в какую больницу не поеду, пластырь наклейте, и пусть гуляет, устроили тут» Я: «либо вы с ребенком едете в больницу, либо ребенок едет с органами опеки» М: «ты попугай меня еще, тебе лет-то сколько? Тебя не пиздил никто, потом и вырастаете такие, а это воспитание» *начинаю закипать* Я: «жаль, что он тебя так не отпиздил, документы давай, и вещи собирай» Мать ребенку: «че сидишь, ноешь? Видишь сколько проблем от тебя?! Не отдохнуть матери, ничего!» *дергает девочку за руку со стула* Я коллеге: «так, Вань, забери ребенка в машину, с опекой поедем» М: «давай, давай, смотри, чтоб тебе потом не прилетело в 10 раз больше» *плюхается в кресло, допивает пиво* Вызвали через старшего врача органы опеки, дождались и госпитализировали девочку в больницу, по пути она грустно жевала припасенный мной на ужин Сникерс… Работа на скорой, это далеко не всегда раздача Каптоприла, в своем канале фельдшер СМП показывает эту работу такой, какая она есть. Больше историй, которые, порой, даже не укладываются в голове нормальных людей здесь: @smpvnutri

https://t.me/sudmednotes/9249?embed=1&mode=tme

https://t.me/

https://t.me/s/sudmednotes

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NEUTRAL

rus

NOT SPAM

Ладно, господа, а что это? Ответ после 2к реакций, старый я пёс Записки судмедэксперта

https://t.me/sudmednotes/9250?embed=1&mode=tme

https://t.me/

https://t.me/s/sudmednotes

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[{"ner":"2","lemma":"2","label":"NUM","start_pos":39,"end_pos":40}]

NEUTRAL

rus

NOT SPAM

На видео — матка в разрезе, видны маточные трубы и яичники . То, что доктор касается пальцем, — эндометрий в секреторной фазе . Секреторная фаза — ключевой момент менструального цикла, когда организм готовится к возможной беременности. В этот период матка ждет оплодотворенную яйцеклетку: эндометрий утолщается , становится мягким, богатым сосудами и наполненным кровью. Так сказать готовая почва, для гипотетически оплодотворенной яйцеклетки. НО! Если зачатие не наступает, организм получает сигнал, и уровень прогестерона снижается. Сосуды эндометрия спазмируются, что запускает процесс разрушения функционального слоя. Этот слой отделяется и выходит из организма в виде менструации . Цикл завершается и организм повторно подготавливает яйцеклетку и матку к возможному оплодотворению. Удивительный и тонкий процесс, чтобы подарить жизнь! Цените и берегите женщин! 🥰 💫

https://t.me/sudmednotes/9251?embed=1&mode=tme

https://t.me/

https://t.me/s/sudmednotes

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NEUTRAL

rus

NOT SPAM

Про желчекаменную болезнь. Про профилактику, лечение, операцию! Узи брюшной полости надо делать всем взрослым 1 раз в год обязательно! Камни в желчном бывают и в 20-30 лет! Это бомба замедленного действия!

https://t.me/DrAnshina/1230?embed=1&mode=tme

https://t.me/

https://t.me/s/DrAnshina

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Эмболизация маточных артерий (ЭМА) - хороший метод для лечения миомы матки, в частности ее неблагоприятных симптомов, таких как кровотечения и боль. Имеет свои показания и противопоказания, преимущества и ограничения. Но на сегодняшний день этот метод НЕ является предпочтительным вариантом лечения для женщин, имеющих репродуктивные планы в будущем. Я не так давно писала об этом, но сегодня поясню подробнее. 1️⃣ Некоторые исследования показали увеличение частоты выкидышей, более низкой частотой беременностей и меньшую частоту имплантаций при лечении бесплодия (проведении ЭКО) после ЭМА. Это связывают с негативным воздействием на перфузию (кровоток) в матке. Как ни крути, «блокировка» кровотока в сосудах, питающих миоматозные узлы, касается не только самих узлов, есть воздействие (пусть и в меньшей степени) ещё и на другие участки органа. 2️⃣ ЭМА может негативно влиять на овариальный резерв. Этому влиянию в большей степени подвержены женщины в возрасте 40 + лет. В меньшей степени женщины моложе 40 лет, потому как более молодые яичники обладают большей способностью к «восстановлению» после «повреждения». «Повреждением» для них является опять-таки воздействие на кровоток, который вероятнее всего в долгосрочной перспективе восстановится у молодых женщин, но если уже есть вопросы к овариальному резерву (он уже снижен, например) - задуматься о целесообразности и возможном негативном воздействии ЭМА 💯 стоит. 3️⃣ Есть ситуации, когда после ЭМА «субстанция», возникающая на месте узла, «прорывается» в полость матки, приводя к ее анатомическим дефектам, и делая малопригодной или вообще не пригодной для будущих беременностей. Конечно же, что все эти перечисленные моменты - это только РИСК. ⁃ Есть ли женщины, которые успешно забеременели, выносили и родили здорового ребёнка после ЭМА? Конечно, есть. ⁃ Так ли идеальна та же миомэктомия и неужели она не связана вообще ни с какими рисками ? Конечно, нет. Она тоже имеет свои риски. Но по имеющимся на сегодняшний день данным они МЕНЬШЕ, чем при ЭМА. Консервативная миомэктомия и ее влияние на фертильность, на течение беременности изучено ЛУЧШЕ, чем влияние ЭМА. Я уже говорила, что в клинике, где я стажировалась в Лондоне (там гинекологи работают в паре с репродуктологами и очень прислушиваются к мнению последних, и у репродуктологов на сегодняшний день опасений больше по поводу ЭМА, чем у гинекологов), та же клиника Mayo, абсолютное большинство ведущих экспертных акушерско-гинекологических сообществ единогласно заявляют о том, что это не метод выбора для лечения женщин, имеющих репродуктивные планы в будущем. Исключением могут быть те женщины, которые 🔹 имеют абсолютные противопоказания к хирургическому вмешательству 🔹 у кого очень высок риск удаления матки во время операции (рецидивирующие миомы, ранее уже были консервативные миомэктомии) 🔹 которые знают о возможных рисках и осознанно на них идут 🔹 кто согласился на участие в исследованиях по изучению влияния ЭМА на фертильность и течение беременности. Вы обязаны получить соответствующее консультирование о потенциальных рисках для вас и плода. ✅ Американский колледж акушеров и гинекологов пишет мягче, заявляя, что влияние ЭМА на беременность остается недостаточно изученным, но не дает рекомендаций относительно того, является ли желание будущей беременности противопоказанием. Нам нужно больше исследований и больше уверенности в том, что мы можем массово рекомендовать это женщинам. И на сегодняшний день, если у вас есть возможность воспользоваться другими, НЕ менее (а иногда и более) эффективными, лучше изученными методами лечения миомы матки среди женщин, имеющих репродуктивные планы в будущем, а НЕ методом ЭМА - я бы рекомендовала именно так и сделать ✅ Пока мнение такое. Как будет дальше? Поживём - увидим.

https://t.me/doctor_belokon/74?embed=1&mode=tme

https://t.me/

https://t.me/s/doctor_belokon

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NEUTRAL

rus

NOT SPAM

Вчера практически на всех новостных порталах Великобритании вышли статьи об обновленных рекомендациях NICE (Национального института здравоохранения и совершенствования медицинской помощи Великобритании) по внематочной беременности и выкидышу. https://www.nice.org.uk/guidance/ng126/resources/ectopic-pregnancy-and-miscarriage-diagnosis-and-initial-management-pdf-66141662244037#page26 BBC https://www.bbc.co.uk/news/health-59385621.amp The Guardian https://amp.theguardian.com/society/2021/nov/24/women-higher-risk-miscarriage-offered-hormone-drug-nhs BMJ https://www.bmj.com/content/375/bmj.n2896 University of Birmingham https://www.birmingham.ac.uk/news/latest/2021/11/miscarriage-guidance-progesterone-research-arri.aspx Написали все Что изменилось в рекомендациях? Что интересно будет вам? Женщины, у которых УЖЕ были необъяснимые потери беременности в прошлом (1 и более), и которые при НАСТОЯЩЕЙ беременности имеют угрозу прерывания беременности (признаки угрожающего выкидыша, а именно - кровянистые выделения), могут извлечь выгоду от дополнительного вагинального использования микронизированного прогестерона. Это вмешательство может увеличить шансы на успех настоящей беременности. В основу этих рекомендаций лег Кокрановский обзор 7 рандомизированных исследований, в которых оценивалась эффективность приема прогестерона у беременных женщин, с целью предотвращения выкидыша. Прогестерон по-прежнему НЕ рекомендован женщинам БЕЗ отягощенного акушерского анамнеза. То есть если у вас НЕ было выкидышей в прошлом, или были, но по ОБЪЯСНИМЫМ причинам (хромосомные аномалии эмбриона, из-за наличия перегородки в полости матки и т.д.) ✅ У вас первая беременность, которая протекает с «угрозой прерывания» ➡️ приём прогестерона НЕ эффективнее плацебо. ❌ Он НЕ работает. Поэтому дополнительный прием НЕ рекомендован. ❌ По-прежнему препараты прогестерона НЕ рекомендованы для «профилактики» выкидыша, то есть выкидыши в прошлом были, но при настоящей беременности НЕТ «угрозы прерывания» («Угроза» - это наличие кровянистых выделений, а не «тонус» матки на УЗИ или тянущие боли внизу живота). Это НЕэффективно. Приведу конкретные примеры ⬇️ Вариант 1 ❌ Были необъяснимые потери в прошлом, но при настоящей беременности НЕТ «угрозы прерывания» (НЕТ кровянистых выделений) ➡️ гормоны НЕ показаны, это НЕэффективно. Вариант 2 ✅ Были необъяснимые потери в прошлом и при настоящей беременности есть кровянистые выделения, которые связаны с возможной угрозой ее прерывания (а не с внематочной беременностью, например), ➡️ могут быть назначены препараты прогестерона. Это может увеличить ваши шансы на благоприятный исход беременности, но НЕ гарантирует его. Остаются вопросы в отношении оптимальной лекарственной формы. Но пока сошлись на использовании микронизированного прогестерона и его интравагинальном применении (т.е.гормоны вводятся во влагалище) Вероятнее всего, это наиболее эффективно. Еще 2 важных момента: 1)Применение прогестерона ограничено сроком ДО 16 недель беременности. НЕ БОЛЕЕ ТОГО. То есть с момента возникновения кровянистых выделений и до 16 недель беременности. 2)Чем больше необъяснимых потерь в пришлом - тем выше эффективность прогестерона при угрожающем выкидыше при настоящей беременности. Ну и последнее О преимуществах и рисках. Цитата https://www.nice.org.uk/guidance/ng126/evidence/evidence-review-c-pdf-10889099534 : «На сегодняшний день нет доказательств вреда микронизированного прогестерона, но возможность редких и отделенных неблагоприятных последствий не может быть полностью исключена.» Помним о соотношении риск - польза. Помним, что нулевого риска в медицине НЕ бывает никогда. Подводя итоги Ещё раз Все, что изменилось - ✅ прогестерон теперь может быть рекомендован женщинам с необъяснимыми потерями беременности в прошлом (1 и более, ранее было 2-3 и более) и наличием угрожающего выкидыша при настоящей беременности ✅ Всегда нужно помнить о возможных рисках и побочных эффектах ЛЮБОГО вмешательства ❌ Ну и , конечно, четко знать, когда принимать гормоны НЕ нужно Что является полным бредом

https://t.me/doctor_belokon/75?embed=1&mode=tme

https://t.me/

https://t.me/s/doctor_belokon

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NEUTRAL

rus

NOT SPAM

Приём гормонов из-за «тонуса» матки или миомы, «старшего» возраста, «маленького» желтого тела, «не такого» уровня прогестерона в крови и т.д. Вообще конец этого года + следующий год будут «урожайными» в отношении рекомендаций по ведению женщин с привычным невынашиванием. Вот-вот выйдут свежие рекомендации ESHRE. Обещали выпустить в конце 2021 года. Некоторые наши подходы изменятся кардинально в свете последних исследований. Статья в The Lancet еще в апреле этого года четко дала нам это понять https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)00681-4/fulltext Буду делиться с вами всеми новостями обязательно.

https://t.me/doctor_belokon/76?embed=1&mode=tme

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https://t.me/s/doctor_belokon

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NEUTRAL

rus

NOT SPAM

Питание при акне. Прочитать будет полезно всем, даже тем, кого нет акне. И начнем мы с молока и молочных продуктов (МП). Не первый год этот вопрос вызывает жаркие дискуссии и споры. Какой у вас опыт? Пьете/не пьете молоко? И как это влияет на состояние вашей кожи? Что говорят исследования? Метаанализ 2019 г показал связь потребления цельного коровьего молока любой жирности с увеличением количества очагов акне, при этом значительной связи с употреблением йогурта и сыра обнаружено не было. https://pubmed.ncbi.nlm.nih.gov/29778512/ В 2020 году исследование с участием более 11 000 человек (журнал Jama Dermatology) выявило связь с употреблением жирно-сладких продуктов, сладких напитков и молока. Американская Академия Дерматологии ставит вопросительный знак напротив коровьего молока и рекомендует вести дневник питания, чтобы отслеживать реакцию вашей кожи на те или иные продукты, а также пишет о том, что другие МП (натуральный йогурт, сыр) не связаны с акне. Почему молоко? Все дело в составе и его действии на организм. Молоко содержит инсулиноподобный фактор роста (ИФР-1) — гормон, похожий по своей структуре и функциям на инсулин. Повышение его уровня может приводить к увеличению выработки кожного сала и количеству клеток кожи, которые способствуют «закупориванию» волосяного фолликула и, как следствие, к возникновению акне. Молоко также содержит насыщенные жирные кислоты и предшественники мужских половых гормонов (андрогены), которые почти также, как и ИФР1, могут негативно влиять на состояние кожи. Вот вроде все логично и понятно, исключи молоко - пройдет акне, но на деле оказывается, что не все так просто. В 2018 году в журнале Nutrients были опубликованы результаты большого систематического обзора (14 исследований и более 78 тысяч участников). По итогам: 1.Исследования показали слабую связь между потреблением молочных продуктов и акне 2.Исследователи отметили предвзятость многих публикаций - научные журналы чаще и охотнее публикуют «положительные» результаты, чем «отрицательные» (исследования, в которых не удалось найти связь между потреблением молока и возникновением акне). https://www.acne.org 3.Многие из проведенных исследований были низкого качества и сделать какие-либо общие выводы сложно. Какие выводы сделать можно? Нет причин рекомендовать людям с акне исключать ВСЕ молочные продукты. Ферментированные МП (кефир, ряженка, айран, творог) благоприятно сказываются на кишечной флоре, работе вашей иммунной системы, снижают риски воспалительных процессов и способствуют нормальному функционированию желудочно-кишечного тракта. Это важный источник кальция и витаминов группы В. При этом вы можете ограничить употребление молока (или выбрать растительную альтернативу, например) и МП, богатых насыщенными жирами (сливочное масло, сливки), так как это может быть не только для вашей кожи, но и для здоровья в целом (выше риск сердечно-сосудистых заболеваний, сахарного диабета и пр.). 2. Диета по гликемическому индексу (ГИ) и акне Большинство исследований указывают на потенциальную связь между потреблением продуктов с высоким ГИ и акне. В основном речь идет о продуктах с большим количеством добавленного сахара (кондитерские изделия и пр.) Одно из самых крупных было проведено в США: 2258 пациентов были переведены на диету с низким гликемическим индексом с целью похудения.  Такая диета также сократила количество акне: 87% пациентов сказали, что у них было меньше прыщей, а 91% - что им требуется меньше лекарств для лечения кожи . https://www.aad.org/public/diseases/acne/causes/diet Французское исследование NutriNet-Santé с участием 24452 человек показало, что потребление жирных и сладких продуктов, сладких напитков и молока было связано с наличием акне у взрослых. Таким образом, так называемая “западная диета” (т. е. богатая продуктами животного происхождения, жирной и сладкой пищей) связана с наличием акне у взрослых. https://jamanetwork.com/journals/jamadermatology/fullarticle/2767075 Почему так происходит? Продукты с высоким ГИ значительно повышают концентрацию андрогенов и инсулина в сыворотке крови (что стимулирует ув

https://t.me/doctor_belokon/77?embed=1&mode=tme

https://t.me/

https://t.me/s/doctor_belokon

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NEUTRAL

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