[000:00:00;00] carried out in a dream, so i became more interested in this, what kind of examination this is, how it happens, since this was new knowledge outside the framework of the curriculum that was taught at the medical university, going to a company, or rather coming to a company that was engaged in sleep examinations, equipment for the treatment of sleep disorders, i began to study more and more information, courses, directly. practice related to this, that’s how i got into somonology 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, and endocrinologists , refer patients to a samnologist. previously, this was something unknown, because for sure, in my time there was no course on self-monology , there was no concept of apnea syndrome at all, or rather there was a concept of apnea

syndrome, respiratory arrest syndrome - this is the main syndrome... roughly speaking, self-monology, but no one talks about it did not speak, no one spoke about methods of treating this area in principle, but more and more international communities are appearing, in fact, and collaborations to some already existing community, the european society of cardiologists, has a working group on self-monology, where narrowly focused specialists discuss this, this problem, including, now it is planned: the establishment of a belarusian society of self-monologists, yes, that is, some kind of platform of like-minded people of the same profession, let’s say this, where you can have a training platform, conferences, some kind of discussions, a seminar, such on a 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 i work without patients, i have another specialty, where i can drink coffee, turn on music and do my work , uh, no, when patients don’t come for consultations, this is a very big benefit for me, because while i’m rocking in the morning, with lack of sleep, then i’m a very angry person, and it’s not always pleasant to make contact during this period, and then you warmed up, you drank coffee, you got into the rhythm, and then it seemed easier. if i work a large number of hours a day, then of course this leads to burnout over time, plus the patient, there is discord between the patient, one patient you give a little bit of energy, but you solve a fairly simple question, there are patients when you give all your best in the same half hour three, four times more, and this too, as if it is not taken into account anywhere, but it gives a certain workload, already burnout, i try to take vacation several

times a year, without fail, say, three or four times, and by the next vacation i understand that either i need to reduce the amount of work, or somehow make it easier, because really it’s not easy, we see how much sound there was, what the intensity of snoring, what the oxygen concentration numbers are, we see a detailed kitnogram, then we generate a report, which also has a graphic image. including for illustration to the patient - what we saw when he was sleeping, where body positions are displayed , for example, from 10 to 23 a person was standing either vertically, when the diagnostic system realized that he was vertical, then the person was on his back, turned over on the right side and so on, i had some kind of interest that was 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, and self-monology is, as i always say, a hobby, it’s something that is incredibly interesting, incredibly captivating, and my choice of this choice is more determined by psychotherapy , but in traditional selfonology i deal more 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, then there is also a diagnostic strategy for the patient to build, therapeutic support from cardiology, plus compensation for apnea, it’s really great when specialists of related specialties work in the same team, it’s in demand, very much in demand,

because... there are a lot of patients with neuroses who experience sleep disorder, this is insomnia, that’s all, the entire sleep spectrum, including, and this is a very big problem and... modern society and modern belarusian society as well, and there are many patients with snoring in fact, samnologists have always been in demand, are and will be, in my opinion, in general , the history of the polycymographic system is extremely interesting, kleitmand and azirinsky, these are neurophysiologists who put electrodes on a cat’s head and noticed that she had different brain activity in different phases of sleep and became from... based on the fact that this is how brain activity was discovered, when we say that slow-wave and fast-wave sleep, yes, that is, it started from neurophysiologists who studied exactly

activity, it was these waves that were already put together, that it was good 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 , what phase of sleep a person was in, from this, strictly speaking startupology as a science, as an industry. 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 activity certain areas of the brain, in the best state during sleep, are studied in neurobiology, genetics, epigenetics are studied, that is, everything that is being developed, it is all of a very applied nature. these taxes started due to the fact that more and more neurotransmitters are being discovered, that is, those substances in

the brain that regulate the interaction of certain areas and types of neurons, and the more of these molecules are discovered, the more the functional activity of certain areas and structures is studied sleep, some things about the brain, the limbic system, including , and the more we will learn new things in the theory of the onset of sleep, in the theory, for example, why there is a change in sleep and wakefulness, recently, but not recently, probably about five years , the nobel was awarded to precisely those geneticists who discovered the gene that encodes a protein that changes cyclically in drosophila flies during the day, that is, they looked into the biological clock, as we say, among other things, 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, the onset occurs, as if the wakefulness phase ends, the sleep phase begins, and temperature too falls along with cortisol, that is, these three curves change cyclically and determine that a person falls asleep, a person should sleep in the cold, this is the maximum, adapted conditions when, with a decrease ambient temperature is aggravated by a decrease in our body temperature, 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 spoke about when falling asleep occurs, this is it cooling of the frontal contribute to sleep coming faster, which is why they recommend a ventilated room, a dark room, blackout curtains, yes, that is, so that there are no sources

of noise, light and heat, respectively, when we we are talking about the problems of somonology, what problems are solved by somnologists, then we certainly fall into several headings, one of the headings is the most common, this is breathing disorder during sleep, this is snoring and the fact that it is followed by a stop of sleep suas obstructive sleep syndrome obstructive - this is mechanical, when the pharynx collapses for some time, and if this time is more than 10 seconds, this is already recognized as a stop, and if there are more than 5 of these stops per hour, we say that this is already a syndrome, opium syndrome breathing stops during sleep, the most common problem that samnologists work with, well, 70 percent of the time , well, again, depending on the samnologist , there are very many of these stops, 40-60 per hour, that is, every minute a person holds his breath, and concentration his oxygen level drops, well, probably the minimum

that i have seen is 42%, that is, when the concentration drops to eighty, a person can already turn blue, well, if it’s him during the day and a sudden state that arises, but when a person lies in his sleep, he’s doesn't start abruptly snore and speak rudely... after all, he comes to this through his accumulation of excess body weight, some have anatomical features, so that the respiratory tract has such a thing. the fact that it is prone to this excessive collapse, a delayed type of collapse, all this happens gradually , but all this is aggravated, plus alcohol at night is aggravated, the muscles are maximally relaxed, positionally, when a person lies on his back, the tongue curls up, the muscles are maximally relaxed , the throat collapses, this is a very big problem, it's true a problem that increases mortality with... the same set of cardiovascular factors, for example, the system

, tens of times, back in the last century , studies were carried out, the largest studies on oas, on apnea syndrome , the results of which demonstrated this in that that these patients actually die, they die not because they forget to breathe, they die because life-threatening rhythm disturbances leading to death, heart attacks, cerebrovascular accidents do not occur, because that 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 patients stopping breathing, they are awakened, go from deep to superficial, this is enough to open the airways, then the body tries to compensate for the lack of oxygen the fact that it increases the pulse, increases the pressure, and the oxygen-depleted blood, washing the myocardium, worsens ischemia, that is, acidic. starvation

of the heart muscle itself, so this problem is extremely common, the percentage of 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 there is arterial hypertension, there is obesity and there is apnea syndrome, then this already... from x -syndrome, from metabolic syndrome goes into z-syndrome, that is, the risk of cardiovascular disease is much aggravated, to unfortunately mortality. there are new heroes in each program, we are all united by the fact that we study at the belarusian state medical university, so we all dream of becoming doctors bko - this is the belarusian committee of youth organizations. we unite 35 youth public associations of our

country. unpredictable questions. where andrey makayonok recommends putting the pill in his comedy. under the tongue. under the tongue? is it that simple? and unexpected answers to them: build a tower. already three elements. three elements. unfortunately, for every wrong answer one element. you can throw something at him again. in general, let it be lor, this is the wrong answer. let it be lor, this is a completely wrong answer. watch in the intellectual show tower on the belarus 24 tv channel, we tell you how to choose quality products for healthy dishes. there should be no foreign impurities, the color of the couscous is creamy with a yellowish tint. take the nuts in your hands and evaluate their weight, do not take ones that are too light, such fruits either have no kernels at all, or they are dried out. correct

breakfast is a guarantee of health. and good mood, we will prepare chicken fillet steaks with a very unusual sauce and a very tasty salad, if you have a difficult day ahead and you know that you need a huge amount of energy, this is the breakfast that will really help you, not we also forget about invigorating exercises, we lie down, raise our arms up, raise our legs and do this cool exercise, cockroach, we start shaking our arms and legs. we are starting our lymph flow, see the breakfast of the champion project on the tv channel belarus24 a little forward so you have an increase in temperature in high numbers, they also advised you to do

something else in addition to the temperature in the back of your head. oh, that’s all, nothing more, and the temperature is quickly dropping, well, relatively speaking, caffeinep, that is, when coffee naps, yes, that is, how coffee works on these inhibitory adenosine receptors, 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 more and more receptors appear, then you need... to take breaks, and a coffee nap is precisely that when a person gives himself 20-25 minutes of rest in complete silence, without bright light, before that... after drinking coffee, so that he knows that in 20 minutes she will begin to actively act, and he, having already rested , hop, on this, on this 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 is resting, so it is very important to set an alarm clock so as not to fall asleep there

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 two, again, what are we doing, we are reducing our, the amount of sleep that we do not... need, we are chronotypes we speak in comonology of owls and larks, in fact, only 10 percent are determined genetically, this is more of what is passed on to us by inheritance , this is a family tradition, that is , roughly speaking, if the parents are owls, then the child is unlikely to be a lark, rather, it will absorb and integrate that system ideas, the universe, that system. this kind of daily routine and rest, what his parents are like, and he will also be himself , most likely, yes, 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 be happy, for example, to go to bed there at 90, but if he organizes his work

day and his rest correctly, then he will still have the number of hours of sleep in order to live normally, adequately, and, well, work, roughly speaking , but... he goes on vacation, he still will become himself, for example, i like to work in the evening at 2, at 3:00 in the morning, this is more productive for me than let’s say get up at eight and write an article until ten, well, no, well, i know this about myself and i don’t try to to rebuild in this, but samnology, in my opinion, is a very rewarding profession when you can tell a person, especially a person who is in neurosis, that your main problems lie: in your mental reality and give a start to the person sitting in the psychotherapist’s chair, this is what it brings maximum pleasure when you are that figure, the 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, once, and you will sleep well, you have simultaneously lost the ability to... sleep quickly or sleep well, this is what you have come to, and you are the one who will confirm this and refer you for this, i mean for psychotherapeutic correction, because i- then from psychotherapy , as a matter of fact, she moved into samnology and i started doing this, and it really brings results. a modern doctor, in my opinion, should have a lot of empathy and a 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 extremely intelligent, has literally all modern knowledge, but he cannot enter with you. contact 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 a patient, if necessary, redirect to a more highly qualified specialist, because a doctor cannot know all areas equally well, but can orient himself in time , what is happening and is... this is not your narrow specialty , then redirect to colleagues, ask for help from colleagues, get a second opinion from colleagues in the same specialty, in my opinion it is extremely important, a doctor has no right not to develop if you stopped, then you can do more harm than help, since

modern trends, they are extremely intense, approaches, views are changing , even some pathogenetic aspects are being revised, you must always be... something, as it were, we all consume, but there is there’s also the need to stand out, yes, when you realize that you can help this person, then you have to do it, but it’s something of your own. for me, the dream is probably to work outside of the work schedule, that is, at the time when you receive the amount of work and, well , the period during which you must complete it, not getting attached to this routine schedule there from eight to two or from two to 8 you have to be whether you want it or not, but you, your physical body will sit in this office,