but we will meet, and i will tell you, all the words that i came up with for you, we will meet, i will tell you. all the words that i came up with for you.

a nagram is a phase of sleep, which is formed from several signals, one of the signals is the activity of the brain, the waveform of certain areas, this is how they change, this wave changes, and then there are movements of the eyeballs from here, the removal of these signals, this is the brain our system, the polysomographic system itself is attached here, all the sensors of this system are inserted into these ports, the sensors into depending on the purpose of the study, there can be many, the main sensors are sensors that we install on the head, they write a hypnogram for us, this happens at home, a nurse comes to the house, or a doctor sometimes depending.

all the goals of the research are to install a diagnostic system directly in those conditions for the patient, so that at his home , so that there are the most adapted ones, this equally important sensor is a snoring sensor, an incomplete set, but this is approximately what the diagnostic system looks like, four more things are installed sensor, pulse oximeter, chest movement and electrodes for recording... cardiogram, just like at home, we fall asleep, no need to worry, the system is designed for sleep diagnostics, the electrodes are quite long, they are installed very firmly, you can turn over to the other side, in principle, all the signals will be recorded adequately. this is a rather unique

institution for belarus, including why, because it is a multifactorial team, a multidisciplinary approach, we are talking about where somnologists are gathered, of course, specialists, who deal with problems and sleep disorders, where a team of neurologists, including epilepologists, is assembled, and where there is a large psychotherapeutic unit, that is , a lot of psychotherapists who work specifically with the characteristics of patients who... have a sleep disorder, where we tried to collect - those specialists who - to whom patients come when they experience some kind of problems with sleep, because the truth is that it is not known where to go, either to a therapist, or to a neurologist, or well, who to turn to, there are a lot of pathologies, and we tried to make such a unified approach, sleep is a unique process that each of us experiences, which many animals, including mammals, experience, this is a genetically determined process, this is

our physiology, this is where we spend 1/3 of our life, it would seem yes, but at least a person sleeps for 8 hours, and this is what is necessary. for existence in the daytime, since people are diurnal, we will say individuals, when we function, our main life activity is during the day, rest, but i i wouldn’t say that the brain rests during sleep, no, its activity remains, a lot of physiological processes take place that unfold as a slow wave phase is removed to restore our biological body, as i say, the second is paradoxical sleep, where the mental one is restored our reality and relaxation also occurs when we dream, when memory consolidation occurs, and many other mental processes of plastic processes in terms of neurons. hence samnology, doubtless this is a dream, logos is a science, that

is, this is the branch of medicine that deals with problems related to sleep. it cannot be said that sleep is more important than breathing, no, without sleep a person cannot exist, right? that is, three nights of sleep deprivation, deprivation, total sleep deprivation are enough for irreversible processes in both the psyche and physiology of a person to begin , unfortunately, everything works during sleep, yes, that is, we cannot say that something disappears or dies, many teachings would like to think, yes, there are tribes that they believe that a person actually dies during sleep, his soul flies away , they practice... sleep for 20 minutes, these are the pirahú tribes, in order to take a little nap, but have time to return, in the first half of the night we need to restore our body, so slowly -the wave sun dominates, then the ram sun gradually lengthens towards the morning, so we remember the dream closer to

the morning, when the effectiveness and percentage of each phase changes. is a specialist who works with patients with sleep disorders, those who sleep poorly, which there are problems, it was during this period of the unique physiological process of sleep, i before... but the circumstances turned out that i still came to medicine, graduated from the university and my first specialty was not related to omnology, i was engaged in cardiology, actually speaking, then, when

i saw that there were vacancies for a samnologist and vacancies for a specialist who is engaged in describing research conducted in a dream, i became more interested in this, what kind of ... research, how it happens, since this was new knowledge outside the framework of the curriculum that was taught at the medical university, and having gone to a company, or rather to a company that was engaged in sleep examinations, and equipment for the treatment of sleep disorders, i began to study more and more information, courses, direct practice related to this, and that’s how i ended up in samnology and didn’t want to leave. now the field has become more popular, more neurologists are coming, and more specialized specialists, such as cardiologists, therapists, endocrinologists they refer patients to somnologists, previously this was something unknown, because for sure , in my time there was no course on simonology

at all, there was no concept of apnea syndrome, or rather there was a concept of sleep apnea syndrome , respiratory arrest, this is the main syndrome, roughly speaking, of somanology , but no one talked about it, no one talked about methods... of treating this area in principle, more and more international communities are appearing, in fact, and collaborations with some already existing communities, there is a european society of cardiology working group on somanology, where narrowly focused specialists discuss this, this problem, among other things, now it is planned to create a belarusian society of somnologists, yes, that is, some kind of platform, like-minded people of the same profession, let’s say so, where you can have a training platform, conferences , some discussions, seminars, such on a more regular basis

, if i don’t get enough sleep for 9-10 hours, then my morning will be very bad, the first half of the day i work without patients, i have another specialty, where... i can to drink coffee, turn on the music to do your work, not when patients don’t come for consultations, this is a very big blessing for me, because while i’m rocking in the morning, with lack of sleep, i’m a very angry person and well, it’s not always pleasant to make contact during this period, and then you’ve already warmed up, you’ve drank coffee, you’ve gotten into a rhythm, it’s already easier, if i work a large number of hours a day, then of course this leads to burnout over time, plus, patient, there’s a difference between patients, for one patient you give a little -a little energy yes, you solve a fairly simple question, there are patients, when you give all your best in the same half hour, three to four times more, and this too, as if it is not taken into account anywhere, but this

gives a certain load, already burnout, i try to take a vacation several times a year, definitely, let’s say three or four times, and by the next vacation i understand that either the amount of work needs to be reduced, or somehow made easier, because the truth is it’s not easy, we see how much it was. sound, what is the intensity of snoring, what are the numbers oxygen concentration, we see a detailed hepnogram, then we generate a report, which also has a graphic image, including to illustrate to the patient what we saw when he was sleeping, where body positions are displayed, for example, from 10 to 23 people, standing was or vertically, when the diagnostic system understood...

such interest is more due to some kind of respect for doctors, so i graduated from minsk medical university, i had a specialization in cardiology, i studied in graduate school in cardiology, samnology is that’s how i say it all the time, a hobby is something that is incredibly interesting, incredibly captivating, and my, and this choice of self-monology is more due to psychotherapy, but in traditional self-monology i deal more, of course, with breathing disorders, that is, apnea syndrome, correction , treatment of apnea syndrome, since it is very comorbid with cardiac patients, when you see and can completely close the question, yes, that is, build a diagnostic strategy for the patient, therapeutic support. from the cardiology side, plus also compensate for apnea,

it’s really great when specialists of related specialties work with monologues in one team, it’s in demand, very much in demand , since there are a lot of patients with neuroses who experience sleep disorders, this is insomnia, that’s all, the whole insomnia spectrum, including, and this is very a big problem in modern society and modern belarusian society as well, there are many patients with snoring , in fact, and somnologists have always been in demand and will be in my opinion, in general, the history of the polycenographic system is extremely interesting. kleitmand and azirinsky are neurophysiologists who put electrodes on a cat's head and noticed that she had different brain activity in different phases of sleep, and began to study on the basis that this is how brain activity was discovered when we... sleep,

yes, that is, it started from neurophysiologists who studied exactly the activity, precisely these waves, then they had already put together that it was good to see how the muscles were relaxed in order to understand what phase of sleep it was, how the eyeballs moved, in order to understand again still in what phase of sleep a person is in, from this, strictly speaking, startanulagia as a science, as a branch of medicine, sleep has been studied very little, yes, more and more new discoveries are appearing, they will appear due to the fact that our visualization abilities are improving, that is we have a functional mri, where we can look at the activity of certain areas of the brain, in the best state during sleep, neurobiology is studied, genetics, epigenetics are studied, that is, everything that is being developed, it all has a very applied nature.

started due to the fact that new and 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 discovered, the more the functional activity of certain areas, sleep structures, what - areas of the brain , including the limbic system, especially... we will learn a lot in the theory of the onset of sleep, in the theory, for example, why sleep changes occur, cheerfulness, but recently, not recently, probably about five years, nobel. or precisely those geneticists who discovered the gene that encodes a protein that changes cyclically in muscrazophila during the day, that is, they looked into the biological clock, as we say, including, 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 of melatonin and

the third is the level of cortisol, that is , cortisol declines, melatonin begins to start synthesis, reaches its peak, an onset occurs, as if completion the waking phase, 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, these are the most adapted conditions when, when the ambient temperature decreases, the decrease in our body temperature is aggravated, and this contributes to the fact that the sleep phase will come faster and more fully, let’s say so, that is, temperature is one of these three curves that i talked about when falling asleep occurs, this cooling of the frontal lobes helps to ensure that sleep comes faster, therefore it recommends a ventilated room, a dark room, shaded by curtains, yes, that is, so that there are no sources of noise, light and heat,

respectively, when we talk about the problems of somonology , what problems are solved... samnologists, then we certainly fall into several headings, one of the headings, the most common one, is breathing disorder during sleep, this is khrab and what follows it, stopping sleeplessness, suas syndrome obstructive apnea, obstructive is mechanical, when the pharynx collapses for some time, and if this time is more than 10 seconds, this is already considered a stop, and if these stops... are more than 5 per hour, we say that this is already syndrome, sleep apnea syndrome, the most common problem with which sleep specialists work, well, 70 percent of the time, well, again, depending on the specialization of the sleep specialist, and there are a lot of sleep specialists, 40-60 per hour, that is, every minute a person holds his breath, and

its oxygen concentration drops, well, probably the minimum i’ve seen is 42%, that is... a decrease in concentration to eighty, a person can already turn blue, well, if it’s him during the day and a sudden state has arisen, but when a person is lying in sleep, he doesn’t abruptly begin to snore and, roughly speaking, stop breathing there, because he goes to this, through his accumulation of excess body weight, some have anatomical features, so the respiratory tract has such an anatomy that it is prone to this excessive collapse , delayed by this... variant of collapse, all this happens gradually, but all this is aggravated, plus alcohol at night is aggravated, the muscles are as relaxed as possible, positionally, when a person lies on his back, the smokehouse collapses, the muscles of the pharynx collapse as relaxed as possible, this is a very big problem, this is really a problem that increases mortality with

the same set of cardiovascular factors, for example, the system, dozens of times; back in the last century, studies were carried out, the largest studies on osa, on apnea syndrome, whose results demonstrated this - that in fact these patients die, they die not because they forget to breathe, they do not die because they experience life-threatening rhythm disturbances leading to death, heart attacks, cerebrovascular accidents, because every episode a decrease in oxygen concentration leads to the fact that the body ... does not wake up, they do not jump up with these stops in breathing, patients, they are awakened, they go out of deep fasnes into superficial ones, this is enough to open the airways, then the body tries to compensate for the lack of oxygen by increasing the pulse, increasing the pressure, on oxygen-depleted blood, washing the myocardium, worsening

ischemia occurs, that is, oxygen starvation of the heart muscle itself, so this problem is extremely ... common, percentage prevalence in the adult population is more than 12, this is, for example, more than type 2 diabetes mellitus or more than bronchial asthma, and this aggravates the course of cardiovascular pathology neurological pathology, including when we say that if a patient has arterial hypertension, obesity and apnea syndrome, then this goes from x-syndrome, from metabolic syndrome to z-syndrome, that is, the risk of cardiovascular disease is much worse unfortunately mortality.

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ether 24.7, watch on the tv channel belarus 24. a little bit. our temperature rises to high numbers, we did a mortem, they advised us to do something else, besides the temperature, something else is complaining at this moment, pain in the back of the head, that’s all, nothing more, and the temperature quickly decreases, well , relatively speaking, caffeinep, that is, when coffee droma, yes, that is, how coffee works here these adenosine receptors are inhibitory, it blocks them, they are inhibited, then there are more active receptors, when we drink... coffee in excess, trying to compensate for lack of sleep, when we violate our basic sleep hygiene, these receptors appear more and more, then we need to take breaks,

and a coffee nap is precisely that when a person gives himself 20-25 minutes of rest there in complete silence, without bright light, having drunk coffee before that, so that knowing that in 20 minutes it will begin to actively act and he, having already rested, hop on here ... it's on this one wave supposedly wakes up, but in reality the person is not sleeping, well, when we talk about dozing, he is not sleeping, he is just resting, so it is very important to set an alarm clock so as not to fall asleep there for 2-3 hours, and this will aggravate the withdrawal, well that is, he will not be able to fall asleep at 11 o’clock, he will fall asleep at 20, again, what are we doing, we are reducing our, the amount of sleep that we need, we talk about chronotypes in the comonology of owls and larks, in fact, only 10 percent are determined genetically. this is more of what is passed down to us by inheritance, this one here family tradition, that is, roughly speaking, if the parents are night owls, then the child

is unlikely to be a morning person; rather, he will absorb and integrate that system of ideas, that system of the universe, that system of day and rest, what his parents are like, and he too will yourself, most likely, but... this is about the fact that people are actually different, but people can adapt, if a person is a night owl, but he needs to get up early, he adapts, yes, he will not enjoy, for example, lying there at 90, but if he organizes it correctly his working day, his rest, then he will still sleep the number of hours in order to live normally, adequately, well, and work, roughly speaking, but when he goes on vacation, he will still become a night owl, for example, i like to work in the evening at 2 am, this is more productive for me than let’s say get up at 8 and write an article there before 10, well, no, well, i know this about myself and i’m not trying to change this, but samnology, in my

opinion, is a very rewarding profession when you can tell a person, especially a person who is in a neurosis, that your the main problems lie in your mental reality, and give a start to a person sitting in a psychotherapist’s chair. this brings maximum pleasure when you are that figure, a person knows about it, as a rule, 90% of patients understand perfectly well where insomnia comes from, yes, they are looking for some kind of magic pill, i say, well, i don’t have a magic wand, and you will sleep well, you have simultaneously lost the ability to fall asleep quickly or sleep well, this is what you have come to and you you are the one who... this will direct you towards this, i mean towards psychotherapeutic correction, since i , strictly speaking, moved from psychotherapy to samnology and began to do this, and this really brings

its own... a modern doctor, in my opinion, must have a lot of empathy and desire to help, yes, of course, to a person and his neighbor, here is a modern doctor who has an extremely high scientific potential, he is good, but perhaps not for an applied nature, because when you come to a doctor who is an arbiter, he has literally all modern knowledge, but he cannot get in touch with you and adequately question and identify a person’s needs, then this is not exactly a practicing doctor, in my opinion, yes, but a practicing doctor who should, who knows how to build contact with

the patient, redirect to a more highly qualified specialist , because a doctor cannot know all areas equally well, but figure out in time what is happening, and if this is not your narrow specialty, then redirect to colleagues, ask for help from colleagues, find out a second opinion from colleagues in the same specialty is, in my opinion, extremely important. a doctor has no right not to develop; if you stop, then you can do more harm than help, because. modern trends, they are extremely intense, approaches, views change, even some potogenetic moments are revised, you always have to be, well, on the wave, as soon as you stop doing this, then that’s it, you roll back and you can even do harm, because this approach may no longer be applicable, this opportunity to help is very important,

because to consume something, as if we all consume, but there is... there is also a need to allocate, yes, when you understand that you can help this person, then you should do it, but this is some kind of satisfaction, for my dream is probably to work outside of the work schedule, that is, at a time when you receive a volume of work, and well , the period during which you must complete it, without being tied to this routine schedule, there from eight to two or from two to eight you have to be, whether you want it or not, but you... the physical body will sit in this office, this is already kind of hard for me to cope with, i would like, well, more freedom. in my head it’s always about winning, that is, if you understand something that you want, then please do it, it’s very difficult to decide what you really want, it’s not hard to do, to understand this authentic need, you understand , what do you want, that there is no problem to do it, but find this one.

this is the problem, in my opinion, well, for me personally. everything that modern people live by. watch today on the belarus 24 tv channel. this is country news from abroad, broadcasts of particularly important events, live broadcasts from the scene, current interviews with famous belarusians,

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