15 myths and facts about the "medical home"

Let's face it: the Russians can not stand to go to the doctors. It is unclear whether the Soviet legacy frightens us images of endless queues, or the famous Russian "maybe" plays a role, but the fact remains: the doctor of our human Kalach not entice. And once! Meanwhile, on the threshold of winter, which means that many will have to remember that a runny nose and cough, as well as to think about how it would treat. And then in the course are proven methods for grandmother - honey vodka compress, nasal lavage with brine ... Ugh!

So whether the onions and garlic are effective in fighting the common cold? Whether rights were our mothers and grandmothers, when we were forced to breathe over a saucepan of hot potatoes to cure the common cold? On these and other issues associated with traditional treatments responded practitioners in Moscow, Website publish their answers.

Myth number 1: When colds need to drink tea with raspberry or honey h3> Jaroslav Ashihmin: «In this case, tea with raspberry or honey may be partially useful: a person gets a decent amount of liquid with various vitamins and protective substances. In the specific case of honey and raspberry, clear evidence that they help with colds, no. Thus there is no evidence to support this method denied organism. We can only say that the raspberries in large quantities has some antipyretic effect.

In the West, there is an analog of our tea with raspberry - chicken broth. And the foreign press published studies on the effectiveness of its use during a cold. So, according to some authors, the chicken soup really can help relieve symptoms of the disease ».

Anton Rodionov: «Raspberries contain a small amount of salicylic acid molecules which resemble in structure of the molecule of aspirin. With this and its connected modest antipyretic effect. But the use of honey in the people greatly exaggerated: some special fever-reducing components in it is not. Drink tea with honey for colds - age-old tradition of useless and harmless ».

Myth number 2: From cold symptoms helps foot bath with mustard h3> Jaroslav Ashihmin: «There is no evidence that this method can help the patient. Theoretically, the procedure can even be harmful. First, the patient strongly warms legs, and then a period of chilling, that hardly promotes healing ».

Anton Rodionov: «If the viral infection has developed, it is a significant impact on its duration is almost impossible. Until such time as the virus does not fully implement their program to stop the disease fail. Unfortunately, heat treatments that are applied after the onset of the disease, do not carry any good ».

Myth number 3: When colds and coughs have to put hot jars h3> Jaroslav Ashihmin: «Hot banks caused a strong increase in the rush of blood to the skin and involve the reflex mechanisms that could potentially help alleviate state. It is difficult to say whether this method is effective in the treatment of cough is. After all, there are different types of cough, and there is no guarantee that the hot jars will be useful in getting rid of any particular type. In the treatment of common cold, asthma or chronic bronchitis smokers I would definitely not recommend this method ».

Anton Rodionov: «The banks are not only not helpful, but can sometimes be harmful. Firstly, clumsy manipulation with open fire near the patient's skin threatens burns. Every doctor does not just have to see people who have lifelong scars remain after such procedures. Secondly, the banks at the expense of its powerful suction action can cause damage to internal organs. For example, known rare cases of lung rupture after such treatment

Myth number 4: Runny nose will heal inhalation of hot potato h3> Jaroslav Ashihmin: «Inhalation of warm moistened air can actually be useful for some types of rhinitis and some other ENT diseases. Today, many doctors prescribe nebulizer therapy with mineral water for treatment of the vocal cords and throat. And inhaled over a saucepan of potatoes - in effect replacing inhalation therapy, but is much less effective. It should be noted that the temperature during this procedure is difficult to control. And there is a risk of damage to the vocal cords by inhalation of vapors especially hot potato ».

Anton Rodionov: «Steam inhalation rather harmful than useful. Let's start with the fact that to carry out this procedure with a child is categorically forbidden: it can overturn the hot pot and a lifetime to become the owner of burn scar.

Runny nose itself - the trouble is small, it can be treated with vasoconstrictor agents. Unpleasant complications of the common cold, with one of the most common is sinusitis. Inhaling hot steam leads to an expansion of blood vessels and, consequently, to increased swelling of the nasal mucosa and a violation of the outflow of fluid from the maxillary sinus, that is the process exactly the opposite of what the patient wanted to achieve ».

Myth number 5: Garlic - effective means for the prevention of influenza h3> Jaroslav Ashihmin: «For the prevention of influenza is garlic - means very little. Nevertheless, there are certain prerequisites to ensure that volatile contained in garlic can actually protect us from some of the viruses that cause SARS.

But the problem fitontsidov garlic, as well as all other plant fitontsidov and other antimicrobial components of vegetable origin is that they act very short period of time. It is difficult to imagine a person who is willing to walk the whole day with the garlic in the cheek.

Anton Rodionov: «The conducted clinical studies have proven that the use of garlic for the prevention and treatment of influenza in its pure form, as well as in the form of dietary supplements ineffective. Often faced with such recommendations: with a cold chop the garlic cloves and put in the nose. It can not be done, because the procedure can cause chemical burns ».

Myth number 6: In order for the hurt place is not formed a bruise, you need to attach to it a cold h3> Jaroslav Ashihmin: «In severe injuries should not do it. Athletes, for example, are special types of freezing. As for just something cold, we do not know what the temperature and the mechanism of action, it is difficult to say, it is possible to apply or not. Additional cold can be a factor that will only aggravate the injury ».

Anton Rodionov: «This is absolutely correct recommendations. Cold leads to narrowing of blood vessels and reduce swelling. The main thing is not to overdo it just to not get frostbite. These cases also come in ».

Myth number 7: The patient's throat to help rinse with a solution of salt, soda and iodine h3> Jaroslav Ashihmin: «Salt and soda really are antiseptics. They, of course, less modern and less tasty, but can provide a disinfecting effect of reducing the number of bacteria that live on the mucous membrane. As for iodine to be very careful. Firstly, it can not swallow because delivery of high doses of iodine in the body can destabilize the function of the thyroid gland. And secondly, the alcohol solution of iodine is irritating substance and can cause serious damage to the mucosa.

If there is no better antiseptic, I would suggest a better solution is to use a soda and salt ».

Anton Rodionov: «From soda solution will not be big trouble. With regard to the salt solution, it depends on its concentration. Intensive saline solution can cause damage to the already inflamed mucous membrane of a sore throat.

With iodine it's much more difficult because it is very well absorbed. Rinse with a solution of iodine can lead to undesirable consequences for the thyroid gland. The accumulation of iodine, doing so in a way which is against the thyroid gland, can lead to a breach of its functions ».

Myth number 8: Drink starch solution diarrhea h3> Jaroslav Ashihmin: «Potentially water with starch can help with some types of diarrhea. But will it involve the use? Firstly, some types of diarrhea accompanied by bacterial growth or exposure of the infectious agent. In this case, the starch can further give them only medium. Secondly, the starch is not optimal tool for irritable bowel syndrome, diarrhea-predominant (that patients with this disease often used starch). Therefore, in most cases, it can result in either a temporary reduction of symptoms or cause more harm than good ».

Anton Rodionov: «Diarrhea - a symptom that can be caused by many things. Before fighting with the diarrhea, you need to understand what the cause of it is. Methods of treatment in each case will be different.

If we talk about the properties of absorbent starch, they are very small. So for the treatment of diarrhea have a much safer ways ».

Myth number 9: In the case of poisoning vomit help water with salt h3> Jaroslav Ashihmin: «When indigestion, poisoning with alcohol or food vomiting is better to call in a simpler way - with the help of the gag reflex, which is enough to tickle the toes back of the throat. After that you can drink a glass of water and repeat the process as many times as necessary. If there is a possibility that the food was contaminated with harmful bacteria, the water should be added to the antiseptic. Poisoning - is serious business, so if you have symptoms of intoxication, fever and abdominal pain you should always consult a doctor ».

Anton Rodionov: «A glass of water with salt can cause vomiting, not all. It is better to just drink water and induce the gag reflex in the traditional way. The principal difference between drinking salt water, and the ordinary in this case is not ».

Myth number 10: To wound or bruise attach plantain h3> Jaroslav Ashihmin: «Harm from plantain will be more than good. Psyllium can help a little quicker to clot blood when minor abrasions. But in this case it may comprise on its surface a large number of pathogenic bacteria that degrade wound healing in the future. So in any case it is impossible to do ».

Anton Rodionov: «If the wound is small and shallow, it's the use of a large plantain will not. If the wound is deep, the attachment of contaminated wild plants (you confident that you can wash in a plantain leaf near the creek?) Can lead to wound infections, including tetanus toxoid ».

Myth number 11: Iodine mesh on the back - a worthy response cough h3> Jaroslav Ashihmin: «Among the practitioners, there are those who argue that the iodine grid helps with some inflammatory diseases of soft tissues. But, nevertheless, it does not help cough. If we talk about injuries, inflammatory diseases, diseases of the skin and subcutaneous tissue - here you can still talk about the effect of iodine on the skin cells on fibroblasts. But as for the effect on the cough, it is a delusion ».

Anton Rodionov: «It absolutely can not do because iodine can be absorbed. If a person gets through the skin of high doses of iodine, it leads to its accumulation in the thyroid gland and can cause a violation of its functions ».

Myth number 12: Lubricate the oil burn h3> Jaroslav Ashihmin: «Burns not be lubricated with oil. First aid for burns involves as much as possible faster cooling. If you grabbed the hot frying pan, you need to dip his hand under running cold water. This is necessary to get done within a few seconds. In the future, we must act according to the stage of burn. Antiseptics are needed that do not contain alcohol. But conventional oil need not be applied ».

Anton Rodionov: «smear can not burn oil: it degrades the heat. The better the heat is removed from the burn, the less damaging impact. Lubrication burn oil will lead to the formation of a film which, on the contrary, slow heat, which, respectively, will increase tissue damage ».

Myth number 13: sunburn? Spread the skin cream or yogurt h3> Jaroslav Ashihmin: «Anyone safe fat-containing component can alleviate the condition after the scorching sun (though not the fact that speed healing of the skin). However, the danger may be in the fact that these products contain a large number of bacteria. It is not clear how they are applied to the burned skin will affect the future development of damage. It is better to use special oils or "Panthenol" ».

Anton Rodionov: «If this second degree burns with blisters, smear them does not need not to impair the heat and do not increase the risk of infection damaged skin. If we are talking about first-degree burns (redness, local), it is best to use a softening cream. The idea of ​​using dairy products goes back in time for the request to soften and moisturize the skin. In this case, no harm will not be ».

Myth number 14: If sore throat help hot milk with butter h3> Jaroslav Ashihmin: «If we mean by a sore throat sore throat when the throat dries and it requires humidification, the milk and Oil help because their application gives a feeling of moisture. But mixing milk and butter? I think it's too much. It is possible that in the lung during pharyngitis will simply warm milk or tea - no oil, of course ».

Anton Rodionov: «The general rule treat acute respiratory infections, including pharyngitis, - plentiful drink, because the body needs detoxification. To do this in any way the body fluid should flow. What will it be liquid - milk or juice - no difference. When it comes to angina, no milk and butter it is still not cured. In this case, milk and butter - it's just food ».

Myth number 15: Rub the alcohol from the body temperature h3> Jaroslav Ashihmin: «By the time a person has a fever, it usually has expanded vessels of the skin. Rubbing the skin with alcohol, is not likely to increase the heat transfer. As for beginning of the period of temperature rise , rubbing the skin with alcohol it is partly logical. The man takes the centralization of blood vessels of the skin constrict.

If we consider the sharp rise in temperature, blood flow to the skin is minimal, man literally shaking. In such cases it is better to use drugs that lower temperature. But if they are not at hand, rubbing the solution of ethyl alcohol (40-60%) could potentially help reduce the symptoms. The procedure leads to the fact that the vessels in the skin dilate and increases the heat transfer to the environment ».

Anton Rodionov: «The method is based on the idea that alcohol increases the heat transfer, thus reducing the temperature. On the other hand, the alcohol through the skin is very well absorbed. This method I would not recommend to anyone, and young children - absolutely. Rubbing alcohol causes the child to its absorption and subsequent alcohol intoxication. If you want to use the natural physical methods to reduce the temperature, better just sponge oneself down with a wet towel or a sheet ».

Our expert: h3> Jaroslav Ashihmin: MD, internist, cardiologist, member of the European Society of Cardiology, the American Heart Association, author of over 70 scientific publications

Anton Rodionov: therapist, PhD, Head of the outpatient department of the Clinic of MMA Sechenov



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