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dear friends, professor konovalov is measuring intraocular pressure in our studio. . here we are now measuring in our patient glaucoma, so we need to know how he has her pressure. we just measure the pressure how many times now, and now you are on the second eye , straight ahead, do not move your eyes well? the pressure is 22 mm hg, but this is, in principle, normal pressure. well, right upper bound. it seems to me the norm, and so let's, tell us about your fate. what happened to you and what about your

intraocular pressure vision? i've been bad for a long time. well, somewhere over the past year it has worsened even more, you know, it has appeared. that's eye pain. there is some kind of pain from within. and here's the side view. here, when you look, how everything blurs, as if in a fog, that is, i don’t see. i can see it directly, that is, your field of view is limited. yes , to put it correctly, yes, i propose to put an ellipsis here for the time being, because i want our viewers who cannot measure pressure at home. they made a simple test that allows you to understand if you have a field of vision limitation or not, and you will do it with us too. michael and our groups, because we we know that the condition of the optic nerve suffers from glaucoma the optic nerves are responsible for the field of view, that is, a normal person sees

everywhere, yes, from the right to the left by about 90 °. what we have to do is 90 sp-180°. yes, we close one eye with the palm of our hand, close it, take it about the finger at arm's length, take it to the side and start looking always straight, always hiding. and here you are, when you see this finger, you should understand where you fixed it. here you saw, always look straight ahead or here or right here, understand? yes, then we change the second eye, we move the hand away and we begin to move the finger. we always look straight ahead. this is a test that shows us how wide the field of view of patients in our patient is somewhere. approximately

here she sees, and i see, literally like this or not. yes, come on, by this point it's not the main symptom. roughly very rough it is, but the symptoms. in fact, there are still different ones, that is. first - it could be pain blurred vision what you told me, uh, an ache in the eye red eye pain in the temples, these are seizures, these are seizures, when the pressure is really already high. here we have such an eye holding a tonometer. yes, and we are well aware that normal blood pressure should be lower than 1280 mmhg. normal intraocular pressure should be lower than what normal intraocular pressure should be from 16 normal to 22 to 23 the upper limit of the norm

is that you have 22 the upper limit of the normal pressure is any it is created by fluid in the blood vessels arterial pressure. this is the blood vessels, and inside the eye. how many milliliters of fluid creates 5 mm of fluid is produced in the eye, but that fluid creates pressure. now i want to look inside the eye. how does this fluid circulate there and what is it for? so, the liquid is produced and there are special ways for the outflow of this liquid. it does not linger in the eye, and therefore does not cause us any harm. if for some reason. the outflow is disturbed, the pressure rises. and here we see, here is the optic nerve that departs from the eye. unfortunately, at intraocular pressure, the optic nerve dies, and

the optic nerve is the main substrate that the entire image carries to the brain, and with the brain we already form the whole picture absolutely, clearly. here we have such a picture as a person with glaucoma sees. let's show it, look. here is the full field of view, slowly narrowing, narrowing and narrowing, and then the center disappears and sometimes remains somewhat centric. this is the so-called blind spot. here there is no, here there is no visual. if the pressure were high and nothing suffered would, but god would be with him, you understand, but kohl suffers from the optic nerve, and eventually the full trophy of the optic nerve sets in stronger, reversible blindness. this is a very insidious disease. many patients ask, could i prevent this disease, or somehow you could. now, if i

would go to see you every week, no, this is a disease, if it is destined to arise, because it usually has a genetic basis, another question . that this disease needs to be diagnosed in time and adequately treated in our guests. told us that she went to the doctor and she was prescribed it correctly. that's right, of course, we start with drops, if this is not some kind of feature of the situation, we assign a drop. we don't watch everything at once. what is the effect, how much pressure is reduced. you took your blood pressure today. it is at the upper limit of normal. and she needs something, until she needs to do nothing. we can observe in dynamics and see whether the disease progresses or not. if we see that the disease is progressing, we add more treatment and lower the intraocular pressure, the principle is this. how

the more advanced the glaucoma, the lower the eye pressure should be, and so the first point of treatment is drops in the eyes. the professor looked at you today. continue to drip the second point of treatment, which is done to people like me, for example, is to make a hole to flow. fluid through this hole because i have a high degree of farsightedness. well, in general, a long story, in short, this camera i have a small laser surgery. this is the second stage, so there is laser surgery. now we will show you how i came to michael so that he could heal the liquid in the normal way in the eye. this is a small hole on the periphery of the iris so that there is an

additional passage from the posterior chamber of the eye to the anterior one. now we see how you healed me. this is a laser. you sit down and just poke with a laser. this is not a surgeon without a knife in the office in the usual. and now let's show graphically, what is happening what is being done is done literally with the help of a lazar channel, that is, here is a hole so that the liquid flows through it hole, look and the liquid begins to flow, of course there are other operations for more complex complex ones, but in general this is such a great modern thing. today's treatment is to speak rudely anyway. we have to lower the intraocular pressure with the help of laser therapy with the help of laser therapy or surgery, but the pressure should be normal only then the person can live the rest of his life without losing his sight. let's continue to

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with her, the movie odin tv presents from where he himself learns the cipher. so we were sleepy interested in the history of the decembrists, they were there in petropavlovka they tapped with this cipher . in petropavlovsk, in our studio, there is a trumpet of truth. so there is some kind of life story that can be looked at from a medical point of view. tell us your story. well, i have a daughter. she is 14 years old, a good, kind girl. that's no problem at all. we are doing great with her. she is now on vacation

at a summer school camp. well, i was suddenly called to school and the presence of the school the head teacher, physical education, said that my daughter confessed her love to him. she said she loves him. that he cannot live without him. she said that if he did not reciprocate, she would commit suicide. the class teacher advised her daughter to transfer to another school. of course, i told my wife everything. we are shocked. we don't know what to do. how to talk to your daughter, or scold her, or vice versa. we are now going to altai to rest. maybe this will help. i want to say that there are a lot of these school stories in general and in recently, everyone has been accused of pedophilia. very often, it is completely undeserved, so the first is very good that they are so kindly

trying to figure it out here. i want to start. here's how easy it is to put everything in its place at once. we have an absolutely medical view of this story. why because we have an international classification of diseases and such conditions such behavioral disorders are included in it mikhail in short , i want to give you the floor so that you tell in which section of the international classification of diseases these are described. not so they are characterized, of course, this is a mental disorder. this is a form of psychosis in fact and we must understand this because it is a disease and we must explain it to the child. she even issued a classification of mental disorders item f 603 disorder. when attracting phenomena, which are characterized by repeated actions that do not have a clear motivation, motivation is the reason, for example,

i want to marry a physical education teacher because he is rich or i want to marry a physical education teacher, because it’s not beautiful or at least something else , you just know how pushkin ’s heart beat happily about tatyana larina , it’s time to fall in love, and she was, according to various sources, from 13 to 17 years old. yes, this is this creepy adolescence, so the first thing parents should know. it's not stupid. this is not a whim. this may turn out to be a painful condition, which is now included in the international classification of diseases further. what parents should consider, because the child here is very different from an adult who suffered. i fell in love. i don't know why i don't know in whom and so on. this usually happens in men. here is a state, there are

45, plus 50 plus for the girl. it's much. everything could be more tragic. we live uh, the circle's social life is interesting. here is the child. now here is one circle of interests written. he is in that, in the center, he is this man. as an adult, it's all much more complicated, there are many aspects that there is work. the world of the child, i would even do this , he is small, he is small. he is here such in this world there is nothing now, except for one person in the adult in love world of parents. children while the machine is fishing. well, no matter what, that is, there are many hobbies, and therefore the wife has many areas of responsibility in the adult world. there is an understanding that death is terrible, there is a fear of death, that

is, the question is how we will take him out of the circle of her interests, firstly, we need to do justice to this teacher that he immediately reported this, because, unfortunately, there is a situation in life similar that men can and use it. what to do first, if you went and she agreed to go with you, maybe she will be distracted, something will happen there, she will give some peer, and everything will remain if she says no and threatening is already a situation that requires the intervention of a psychiatrist , because one of the reasons for children's suicides is precisely this unrequited love. the most important thing that parents should understand is that the child has no fear of death, because he does not have a

huge world of life, what to do? well, actually, it would be necessary to do earlier earlier, what is necessary to do, it is necessary to talk and prepare a young person a girl or a boy for what may come here is this emotional feeling, this love this feeling, can seem so all-encompassing what? in will block it further. if suddenly this happened, we must return to these conversations. and this will already be a serious help in order to give arguments. we talked about it , it has come, that is, to be ready for the onset of such an emotional and hormonal situation. i just wanna say, i'm with my boys about this was said. seriously. i said that you may be in such a state that you will fall in love. this is the first love that everyone has, maybe everything will be fine. and it will bring

joy to everyone. or maybe it will run like a disease. it's all long before that first love, when they were still able to listen and so forth, that if it's that it's bound to pass, i told them it would come and it would pass. they listened to this quite to themselves, merrily giggling. eh, over my all sorts of conclusions. but when it happened they were. they are synthetically ready for the fact that it can go in different ways, including very painful for the child, so the first thing to say and discuss such things with children is as soon as they come to teen age, and teenage is 13 years old. and what to do? now it must be emphasized that parents are always with you, we are with you, we are always with you.