we pour in, no need to worry. the system is designed to diagnose sleep with rather long electrodes. they are installed very firmly. you can roll over to the other side. in principle, all signals will be recorded bravely. this is a fairly unique institution for belarus, including why. because this is a multi-factorial team, a multidisciplinary approach, we say, where somnologists are gathered, of course, specialists who deal with problems and sleep disorders, a team of neurologists and epileptologists is assembled , including a psychotherapeutic block, that is, a lot of psychotherapists who work specifically with the characteristics of patients who have a sleep disorder, where we tried to gather those specialists who, er, to

whom patients come when they experience some kind of sleep problems. since, however, it is not known where the lichotherapist should go, whether it is a neurologist, or, well, who to contact is a lot of pathology, and we tried to make such a unified approach. sleep is a unique process that each of us experiences, which experiences many animals including mammals is what is a genetically determined process, this is our physiology. where do we spend 1/3 of our lives? uh, it would seem yes, but 8 hours, at least a person sleeps. and this is what is necessary for existence in the daytime, because, uh, people, these are daytime people, we will talk about ourselves, when we function and our life activity, the main day is rest, but i would not say that the brain just rests. there is no activity during sleep. it persists, a lot of physiological processes take place, uh,

which unfold, how to take off in a slow wave phase to restore our biological body, as i say, and the second is the paradoxical dream of ram-sung, where you become our mental reality and relaxation, including when we dream, when it happens consolidation of memory is a lot of other mental processes and plastic processes in terms of neurons, hence the somnology somnata sleep logos science. that is, this is the branch of medicine that deals with problems associated with sleep, it cannot be said that sleep more important than breathing. without sleep, man cannot exist. yes, that is, three is enough for three nights of sleep deprivation, deprivation of total sleep deprivation, so that irreversible processes, both of the psyche and human physiology, have already begun, unfortunately, everything works during sleep, yes, that is, we cannot say that something it disappears or dies in many teachings. i would like to think. yes, there

are tribes who believe that a person actually dies his sleep time, his uh, soul, flies away, and they practice short sleep for 20 minutes. it ohu pen tribes. eh, in order to take a little nap, well, you need to wake up in time to return in the first half of the night. after all, our body, therefore, the slow-wave sund dominates, then the ram-sleep slowly lengthens towards the morning and therefore we remember the dream. closer to the morning, when the efficiency and percentage of each phase is already changing. we suggest you go on a full-fledged tour of our country. st. sophia cathedral built the symbol of faith of power and independence in the 11th century. grand duke of poland, vseslav charodey this is the first stone temple on the territory of belarus to get acquainted with the best

guides. its even our famous baseball club took a name for themselves, because they have made great strides to see the unique nature. find time to take a walk, therefore, in an old park. exotic trees still grow here, planted during the time of german aristocrats. and visit the most unusual castles-estates. and now i will ask the operator to show us the opposite bank of the dnieper , this catholic church of st. joseph the betrothed was built on the site of a dominican church at the beginning of the 19th century. travel with us to belarus 24. happens the doctor will never say that the sick hopeless katya

come on, yes, i hear, i really get sick. i used to be stronger and could drive all day long. watch the melodrama bird on sunday on belarus 24 tv channel. so,

a somnologist is a specialist who works with patients with sleep disorders, those who do not sleep well, who have problems during this period of a unique physiological process sleep. before that, i wanted to become a completely different person to engage in a different profession, but circumstances so developed that i nevertheless came to medicine. uh, i graduated from university and my, uh, first specialty was not related to me taxes. i did cardiology. as a matter of fact. ah. then, when i saw that there are vacancies, a somnologist and a vacancy for a specialist who deals with the description of research conducted in a dream. well, i'm more interested in this. what is this examination? how does this happen? because it was new knowledge. out of bounds of the curriculum that was taught at the

medical university and, after going to the company, rather, the company that was engaged in the study of sleep, and the equipment for the treatment of sleep disorders, more and more began to study information courses. uh, directly practice related to this. so i got into som taxes and i wanted to get out of there . now the direction has become more popular, more neurologists come, and more narrow specialists. such as cardiologists internist endocrinologists refer patients to somnologists earlier it was something unknown because. uh, exactly. in my time there was no course on technology, there was no concept of the window syndrome at all. rather, the concept of the syndrome refers to the syndrome of respiratory arrest. this is the main syndrome, roughly speaking , of selfology, but no one talked about it, no one spoke about the methods of treating this direction, in principle, that is increasingly appearing in international communities.

strictly speaking, and hmm collaborators to some already existing community of the european society of cardiology. there are working groups on seminology, where e specialists. uh, narrowly focused discuss this this problem as well. and now it is planned to create a belarusian society of somnologists, yes, that is, some kind of platform. e like-minded people of the same profession, let's say so, where can you have a platform that teaches e, conferences of some kind of discussions seminars such on the regular were based. if i do not get enough sleep for 9-10 hours, then my morning will be very bad in the first half of the day. i work without patients. i have another specialty where you can drink coffee turn on the music and go about your work, and not when patients do not come for a

consultation. for me, this is a very big blessing, because while i am rocking in the morning with lack of sleep, i am a very angry person and, well, it is not always pleasant to make contact during this period, and then you have already become hot. you drank coffee, you entered the rhythm even then, mm, as if it were easier, if a large number of hours, i work out a day, then definitely. this e over time leads to burnout and a plus. uh, patient. patient rosemary. to one patient you give you a little bit of energy. yes, it’s quite a simple question to decide whether there are patients when you give all the best for the same half an hour 3-4 times more. and this, too, no matter how it is not taken into account anywhere, but you give a certain load and already burnout. and i try to take a vacation several times a year. yes, let's say three times or four times and already by the next vacation. i understand that, uh, people need to reduce the amount of work, or somehow make it easier, because the truth is, it's not

easy. we see how much sound there was. which snoring intensity, what numbers of oxygen concentration we see a detailed program, then we generate a report that also has a graphic image, including yes illustration to the patient and what we saw when he was sleeping, where the body position is displayed, for example, from 10 to 23 human. standing was either vertical, when the terminological system understood that he was vertical, then somewhere else he turned back on his back, and so on. i had some kind of interest, more due to some kind of respect for doctors. here i am finished uh, minsk medical university and i had a specialization in cardiology. i was in graduate school. e in cardiology. and somnology

is, as i always say, a hobby. e, this is what is insanely interesting, insanely captivating, and my own choice of taxes is more due to psychotherapy, but traditional sociology deals more, of course, with respiratory disorders, that is, this is a syndromic treatment of apnea syndrome, because. it is highly comorbid with cardiac patients. when you see, you can completely hide the question. yes, that is, to build a diagnostic strategy for the patient, and therapeutic support from cardiology, plus compensate for the window. this is true. it's great when specialists specialties work with a monologue in one team are in great demand, because, uh, there are a lot of patients with neuroses who experience sleep disorders. this is insomnia here. this is all the whole somniy spectrum, including this is a very

big problem of both modern society and modern belarusian society, including, here are many patients with snoring on in fact, somnologists are always in demand. eh, were there will be on the brain, in general. uh, here is the history of the graphic system is extremely interesting glued by munt and maternal, these are neurophysiologists who threw, uh, electrodes on the cat’s head and noticed that she had different brain activity in different phases of sleep and began to study based on the fact that this is how it was discovered brain activity, when we say that slow-wave and fast -wave sleep, yes, that is, it began from neurophysiologists, who activity, it was these waves that were already arranged then, that it was not bad to see how relaxed the muscles were in order to understand what phase of sleep it was, how the eyeballs moved, in order to understand again. in what phase of sleep is a person and from this

? he has been studied, er, very little. yes, all new new discoveries appear they will appear due to the fact that their visualization abilities. we are improving. that is, we have an emotional mri. yes, we can look at the pro. activity in certain ringing of the brain. wakefulness to you is now a state during sleep, neurobiology is being studied, genetics and epigenetics are being studied. that is, but everything that is being worked out. it's all very practical. due to the fact that new new neurotransmitters are being discovered, that is, those substances in the brain that regulate the interaction of certain zones and types of neurons, and the more these molecules are opened, the more the functional activity of certain

areas, structurally some areas are studied the limbic system of the brain, including, and the more new we will learn in the theory of the onset of sleep in theory, for example, why does sleep change wakefulness. here. recently it is. recently, probably five years ago, the nobel prize was given to those geneticists who discovered the gene that encodes a protein that changes cyclically in the drosophila fly during the day, that is, they looked into the biological clock. as we say, in general, the onset of sleep occurs under the influence of three factors, three components. the first is the temperature component, the second is the level. melatonin and the third is the level of cortisol. that is, cortisol is on the decline. melatonin begins to start the synthesis. it reaches its peak, an offensive occurs. as if the end of the wakefulness phase of the onset of the sleep phase, and the temperature also drops along with cortisol. that is, these three curves

change cyclically and determine that a person falls asleep, a person must sleep in the cold. this is, uh, the most adapted conditions, when, with a decrease environmental temperature, exacerbated by the decrease in our body temperature. and this contributes to the fact that the phase of sleep will come faster and it will be more complete to say so, that is, the temperature is one of the three curves that i spoke about when falling asleep occurs. this cooling of the frontal lobes contributes to the fact that sleep will come faster, therefore, a ventilated room is recommended. uh, the room. dark shaded curtains, yes. so that there are no sources of noise of light and heat, respectively, when we talk about problems with somnology, what problems are solved by many, then we certainly fall into several rubrics one of the rubrics. uh, the most common one is sleep apnea. this is snoring and

what follows it, stop apnea with suas syndrome of structural sleep apnea. uh, obstructive - it's mechanical, when the pharynx collapses for a while. and if this time is more than 10 seconds. this is already recognized as a stop and if these stops are more than five per hour. we say that this is already sleep apnea syndrome common problems that many work with, well, 70% of the time, well, again, depending on the specialization with me. there are a lot of these settings, and 40-60 per hour, that is, every minute a person holds his breath, and his oxygen concentration drops. it is probably the smallest that i have seen - 42%. that is, uh, with a decrease in concentration to 80 people can already turn blue. well, if it’s him during the day and a sudden state, but when a person lies in a dream, he doesn’t sharply

begins to snore and, roughly speaking, stops breathing there, because he goes to this by accumulating excess body weight ( anatomical features in some). so uh, the airway has such an anatomy that it is not prone to this excessive collapse delayed this kind of collapse, uh, that's all. it happens gradually, but it gets worse. plus, it gets worse, and alcohol at night, the muscles are positionally relaxed as much as possible, when a person is lying on his back, you are not behind. the muscles fall off as much as possible. relaxed pharynx collapses. this is a very big problem. this is indeed a problem that increases mortality. with the same set of factors. uh, the cardiovascular system, for example, dozens of times in the last century, studies were carried out, the largest studies on suas on apnea syndrome, which results showed that

these patients die on the truth, they die not because they do not forget to breathe they die because life doesn't happen, threatening arrhythmias, fatal heart attacks, and violations of cerebral circulation, because each episode of a decrease in oxygen concentration leads to the fact that the body does not wake up. they do not jump up with these stops of the patient's breathing. they are awakened from deep sleep into superficial sleep, enough to open the airways, and then the body tries to compensate for the lack. oxygen by the fact that it increases the pulse increases the pressure of the blood that is poor in oxygen. we wash, the myocardium is aggravated ischemia, that is oxygen starvation of the heart muscle itself, so this is a problem. e extremely common percentage of prevalence in the adult population is more than 12. this, for example , is more than type 2 diabetes mellitus or more than bronchial asthma. this is where it

gets worse. uh, the course of cardiovascular pathology of neurological pathology, including when we say that if a patient has arterial hypertension, there is obesity and there is apno syndrome, then this is already from the x syndrome from the metabolic syndrome goes into the back syndrome, that is, cardiovascular risk is much aggravated by their, unfortunately, mortality. a little bit forward, so raising the temperature to high numbers was also advised to make a program. what temperature is absolutely more than the back of the head and that's it. nothing else, the temperature quickly decreases the density of coffee nep, that is, when the coffee sandman is yes, that is, how coffee works on these inhibitory adenosine receptors, it blocks them and they are inhibited then more active recipes. and when we drink coffee for real, trying to compensate

sleep deprivation is when we violate our basic sleep hygiene. more and more of these receptors appear, and then you need to take breaks, and coffee shots are exactly what when a person gives himself 20-25 minutes of rest there in complete silence. uh, no bright lights. before that, after drinking coffee, to know that after 20 minutes it is. actively act and he is already a rested cop. on this one, on this wave, it supposedly wakes up, but in fact the person does not sleep. well, when we are talking about three. here he is not sleeping. he is just resting in this it is very important to set an alarm clock so as not to fall asleep there for 2-3 hours, and this will be aggravated by a departure. well, that is, he will not be able to fall asleep already at 11 o'clock, if he has two, and again, what are we doing? we reduce our e, the amount of sign that we need chronotypes. we are talking from a monologue, alas, in fact, only 10 percent is genetically determined. this is more than

what is passed down to us by inheritance. this is a family tradition, that is, roughly speaking, if the parents are owls, then the child absorb and integrate. e that system, and representations, e, the universe, this system of such a regimen of the day and rest, what are its parents? he will too. savoy, most likely, yes, this is about the fact that people are different in fact , but people can adapt if a person is an owl, but he needs to get up early to adapt here. yes, he will be without pleasure, for example, going to bed there at nine, but if he correctly organizes his working day in his rest, then he will still have the number of hours to sleep in order to live adequately normally and, well, to work roughly speaking, but now, when he gets on vacation, he will still become himself. for example, here i like to work in the evening at 2-3 o'clock in the morning. it's more productive for

me. than let's get up at eight and write an article there before ten. well no. well, i know about myself. i am not trying to rebuild myself in this. well, taxes themselves, in my opinion, are a very grateful profession when you can tell a person, especially a person who is in a neurosis. that your main problems lie in your psychic reality and give a start to the fact that a person sat in the chair of a psychotherapist, this brings maximum pleasure when you are that figure a person knows about it, as a rule, 90% of patients perfectly understand where insomnia comes from. yes, they are looking for some kind of magic pill. i say, well, i do n't have a magic wand again, and you will sleep well. you did not immediately lose, uh, able to fall asleep quickly, or sleep well. this is what you have come to and you are the one who confirms this and directs towards this, but

i mean psychotherapeutic correction because i'm from psychotherapy. as a matter of fact, i switched to selfology and began to do this. and it does carry over its results. a modern doctor, in my opinion, should have a lot of empathy and a desire to help a person and his neighbor unconditionally. here is a modern doctor who has an extremely high scientific potential. it is good, but perhaps not for an applied character, because when you come to a doctor who has literally all modern knowledge, but he cannot pass contact with you and adequately ask and identify the needs of a person, then this is not quite a practicing doctor in my opinion, yes, but

a practicing doctor who must, who knows how to build contact. with the patient, if necessary, redirect to a more highly qualified narrow specialist, because the doctor cannot know all the branches equally well, but find out in time what is happening? and if this is not your narrow specialty, then redirect colleagues to ask colleagues for help to get a second opinion from colleagues. the same specialty. in my opinion. it is extremely important that the doctor does not have the right not to develop. if you stop, then you can do more harm than help. since the current trends - they are extremely intensively changing approaches, views, even some pathogenetic moments are being revised. it should be all the time. well, on the wave, as soon as you stop doing it, you roll back. and you can even do harm, because this approach

may no longer be applicable. here is an opportunity to help. it is very important because to consume. something, as if we all consume, but there is also the need to highlight, yes, and when you realize that you can help this person, uh, then you have to do it, but this is already some kind of satisfaction. for me, the dream is probably to work outside the work schedule. that is, uh, at the time when you get the amount of work and, well, the period for which you must complete it without being attached. here to this routine schedule there from 8:00 to 2:00 or from 2:00 to 8:00, you must be like it or not, but you your physical body will sit in this office. now this is hard for me deal with it. i would like, well, more freedom to break guevara in my head always before victory that is, if you understand something that you want, then please, make it very difficult to decide what you want, in fact

. yes, it's not hard to understand this authentic need. you understand what you want, that there is no problem to do it, but to find this need. here is the problem. in my opinion. well, for me personally. enriching your erudition is not so difficult. for starters, you can refresh the school curriculum. i am i know long hair beard, and at the end u

started to think a little moved and how to think a little moved at the end to try your luck in a team game and time is ready. and you are already ready so, but if your answer turns out to be wrong, you will go and install, the third stone is fine, we understand. so this is the abduction of europe and the main thing to remember is the brain can be different in what year were the modern pentathlon competitions included in the olympic games program? watch the intellectual show on belarus

24 tv channel. the church chimes through the empty streets, a terrible seam with long noses walks think this is a description of the apocalypse, but this is a description of the eurasian motherland 14 their supporters. this is not a fantasy, a writer, the genre sighed. this is black death. so what was it, the punishment of god on foot bactrological failures. you are not to lack, hygiene to go. only the patsuks brought so many, they pack the whole continent, but most importantly, our lands have not experienced the black death from ramos. the

black death is such a terrible word , kawaisa, no less than a terrible word of noise here at least i have nothing to accept the fire. so i'm whining like this so much to go for everything. it was like that, what gtma is, but the speech itself is some kind of bacteria of noise, called narodnaya, it came to our language from the turkic and it means pimple bactera according to the medical passport of evseniya pestes name and she tore off from the scientist that he identified this pathogen and departed them. it was only on the xix side before that noise caught itself on the right in that the gtbokters lived with the help of a thousand dozen people.