truanting which play. around the world of football in 10 minutes. in 60 minutes. i'm sure that it was. in some form. of words. to deliver. well come in good shape coming up one alcohol does to your body. rehab clinic for addicts in nigeria. and of recovering

alcoholic on why giving up is so hard. here's your host dr costin like you taught. hello and welcome to in good shape. if you ever said to yourself oh just another sip of wine. just one more. and tomorrow i will stop. and i that's not that easy sometimes alcohol can become a problem ok this is just grape juice. we met a young woman in berlin who told us what it's like when you try to wash away your problems with a call. by mia even as a kid i knew i had issues that i didn't deal very well with my emotions that i

always feel out of place i'm either on a total high or i'm completely miserable. been ordered to put a book group. stands out the glass eye the 1st time i had alcohol it was like falling in love for the 1st time. and it appears in the eye and i have such a feeling of exhilaration of lightness death. it wasn't the reason why i started drinking but i did have a traumatic experience my best friend who had studied with committed suicide and i was the one who found her. before the bar after that i could tell myself that i needed a drink because i'd had this terrible experience likely a. booklet at iffi absolute low point resulted in my 3rd visit to rehab i barricaded myself in

my apartment for 12 days and had 4 to 6 bottles of alcohol delivered every day. ordered i'm up from my partner at the time took me to the emergency room 3 times and they kept me in hospital. in cup of a dozen when you detox you deny your body what you've been bingeing on and you sweat your heart rate says alcohol withdrawal is one of the few with girls that can be deadly i couldn't sleep couldn't eat i shouldn't the whole time i was a physical wreck. i've been at that i haven't had a drink for 18 months and i don't think about alcohol at all i don't even want it i don't have any cravings and offered us all. if it was a self-help group from alcoholics anonymous i had

a gave me back my will to live and a sense of clarity joy and freedom. for. 2 myself i know i'm an alcoholic and that if i start drinking again i won't survive. luckily she managed to get a grip on herself and managed to change her life for the better and no meeting somebody was helping people to do this and they asked lots of. mentally as lapful is a social worker and education fair or pest for over 18 years he's worked as an addict cancelling center in berlin. we like to approach people as early as possible to find out whether alcohol reduction is still possible or sobriety is the better solution. he was lots of low and the woman we just saw in the report was in

her early twenties when she got addicted to alcohol and the city use an age here 1000000 that ya know that's pretty young that's really really young but we observe the people a common earlier stages and early ages to our counseling office one thing is that burden is the part of the capital right now there's a lot of drinking and drug taking going on but the other thing is also that people the might be a little early aware of that is something wrong with the arkle cancer. we'll continue to talk in just a moment and talk about how to. moderately drink alcohol but 1st let's take a look at what happens in your body and in the us and we think. alcohol affects the body from the moment the 1st sip passes your lips in your stomach it stimulates the production of gastric acids irritates the stomachs mucous lining. alcohol is then absorbed by the intestine and to

a large vessel called the portal vein and through that into the liver the liver is very close by and therefore especially at risk because a lot of alcohol flows directly from the stomach into the liver and through to. the liver lemonades almost all the alcohol and detox advised the body what it can't break down goes to the brain. within minutes the alcohol reaches the cerebrum 'd the organ responsible for thought processes 'd decision making and emotions. 'd intoxication depresses the central nervous system making the nerve cells working stream and slowly the brain is unable to cope. with alcohol attack the main control center leading eventually to completely collapse. alcohol also puts a strain on the heart survey of $3000.00 beer drinkers each with

a blood alcohol level of around 0.8 so that one in 3 gets cardiac arrhythmia. one and 4 suffer from a racing heart beat or tuckey cardio. after recovery period of half a day the heart rate normalizes again. when the heart stops pumping properly blood begins to build up in the liver if the liver is already damaged by alcohol the backlog of blood in the liver causes additional damage which worsens its condition. but. although the liver becomes spotty it can. when used to function the liver has one fatal flaw believe it needs to be liver doesn't hurt so many alcohol drink us don't realize if the liver is sick they can only find out if their check at the doctor is perhaps once a year if they're regularly drink high amounts of alcohol the doctor can do a blood test and see if the liver values are ok when shown the lead of the other.

after getting drunk the cerebellum is the 1st to recover after about 8 to 10 hours it coordinates movement in language. the frontal lobe controls judgment behavior and emotion it returns to normal 12 to 14 hours later. 2 days after being intoxicated the brain is fully recovered and works almost as well as before although some nerve cells are missing that's. just those missing cells because we have great ability to compensate for this loss in. the stomach to can absorb the damage even after a lengthy drinking career it recovers after one or 2 months off the booze what about the liver. the old friends are doing when people stop drinking the liver can regenerate it may not be quite as healthy as before but it can stabilize and that's a big advantage. likewise the heart recovers after 2 months of that alcohol.

drinking a lot of alcohol damages the brain there is memory loss and learning gets difficult but the 2 can be reversed after one to 2 months of abstinence the brain recovers healthy brain parts take on new functions. you haven't seen doesn't diminish that if you stop drinking alcohol in time most of the organs can regenerate when it's always good to stop drinking alcohol because it improves organ function. even with advanced liver disease survival rates are better than if you continue drinking. so at the end of the day it's best to quit the t.v. so. we just saw in the report that alcohol consumption can really harm our body but still people like to drink he says something like a healthy alcohol consumption well years back the world health organization said that 30 grams for man and 20 grams for women per day are ok if you

have 2 days in a week off about the last years the world health organization said that was actually good for nothing it's just poison for the body so drink as less as possible but sometimes it's not that easy not to drink so how important is social pressure developing to offer isn't it depends on the social group you live and the groups it's very important to drink alcohol maybe al gore is even in the center of pollock to tease but there are other groups especially of young people who have a very healthy and mindful lifestyle and also drink very mindful when somebody considered being an alcoholic when he has lost control that's one very important thing and today other thing is if our goal has already influenced many parts of your life and has damaged many parts of your life and still you go on drinking then

you are over the top we go to view a question and if you ask us up to what percentage of pure alcohol came a drink half so that it's not harmful it's not so easy to say we say just avoid hard alcohol i mean the stronger the alcohol is you drink the more influence it has it on the body and so just to stay with beer maximum wine what has to happen to become an alcoholic. you 1st thing is you have to lose control of it and then you start to use alcohol to solve problems and. regulate your emotions if you do this one time this might be not too harmful but if you do it again and again so that it becomes a pattern you are in a trap after a while so if i want to drink a little less in my life how can i start how you can make a list of pros and contrast and write down what would be the advantage

if you could be able to drink less then you can use a drink diary just write down when what which amount with whom you drink on which occasions you can have it is an app or an online guide also and there are also drink loss programs available in the web and last part of this to go to your kitchen counseling center with somebody there on this i've never idea whenever you like to drink don't drink but go to your computer and sent me a question is he likely to ask our experts. coming show we'll be talking about antibiotics prescription rates are on the rise and so it's resistant what are the consequences and what alternatives are there send your questions to in good shape back to you w dot com just find antibiotics in the subject line we look forward to hearing from you. at all abuse is

a worldwide problem and arkell consumption is on the rise over the last 30 years 70 percent especially in countries like india or in china but people are drinking here in europe too number one is the thruway here now let's take a look at africa there are people are drinking more in the south than in the north our d.w. correspondent flora's chukwurah was taking a look at one of the few rehabilitation centers in nigeria look how they're treating patients there. even him older brother has come to take him home. alcoholic spent more than a year living at this rehabilitation center. and then a key. no nation before i was brought to this center i was always coming back home drunk i used to take different types of drugs. my family was not happy and that's

why they brought me here why not she you know a brand new person now i've assured them that i will never go back to drugs or begin to hear joe. he got him says that thanks to the treatment he's received here he has now put his addiction behind him he's looking forward to starting his life afresh. the rehabilitation center and could do no in northern nigeria is one of the few in the country founded 13 years ago it houses more than 200 recovering addicts and it services are in high demand the people just keep coming. it is also a skill acquisition center so patients are undergoing treatment they are taught different skills so they can turn into small businesses once they're fully recovered. many also attend lessons in a makeshift classroom the teachers are themselves recovering addicts. the

founder haji material says he has helped found scenes of patients. and i've been using my knowledge of traditional undesigned make medicine to treat them. i see this as my contribution to reducing the problem of children getting into drugs. but the materials and methods are harsh. those living here have to wear uniforms their feet are also chained together all the time. we're only able to get a few shots of the chains because missouri doesn't want us to film them he also won't answer questions about the practice on camera leaves. he tells us it is to keep the inmates from running away some of them up brought in by their families and are not here of their own free will. we show the footage from the rehab

center to mental health physician dr maimane a deary for the wear uniform she's shocked by what she sees so this man is in circles that is dehumanizing. institutionalizing the dinner hour medic or medication that disappeared can't take will for what the court can occur restring that we have them evenly now we have dental managed anger that would restraint. she says nigeria lacks qualified mental health professional could help those with drug and alcohol problems there's a deficits huge one in that group comment professionals so would be surprised there's a lot of quackery or people that claim to. bring this is it pam bomb within 2 explored that meant dr derry says nigerians need to take the issue of drug and

alcohol addiction more seriously and. in the meantime many have no choice but to seek help from people like al-harbi material and his rehabilitation center in katrina. are there specific indicators for alcohol abuse and dependence. we speak of alcohol abuse if somebody is used to many platys feelings by oracle hole force good feelings. kick off bad feelings and if this. injurious. different. things in your life for example your social relationships or your birth abilities are something like this and you still can't stop or cut down your drinking then you are dependent ok in syria fine line when you can say that somebody is dicta i call it the number of rings or is it more what the best to you it's more what the article

does to you it's not always the amount of oracle who drink for example if you have other things that make you a life nice and. worth living you don't depend so much on alcohol somebody who is just sitting there maybe unemployed and has his bottle of wine this bottle of wine means a lot more to him ok and if somebody says ok i want to quit i want to kick the habit can he do this on his own or does he always end up it's difficult because most people tend to hide this problem and that's a trap you have to go out to talk to people and maybe your friends and related are not able to help you like a professional is able to under so it's best to go to a counseling center like ours as early as possible ok so it's better to seek some professional help but if i'm not a professional drug advisor so if somebody would come to me as

a friend can i help them. yes you can give feedback. how to warm critic of possible talk about your feelings your emotions you. does. try to avoid things like you should and you have and you must things like that you know so if somebody is addicted to alcohol it's a problem of the whole family because everybody suffers from that so like the kids small kids because even adolescents do they need help too in some cases yes in the perth thing should be that the family members talk with each other about the problem also with the addicted person possible but in some cases they should go to a counseling center also they can have a counseling for related as well and in some cases it's good to go to a self-help group ok so if you want to quit don't want to drink anymore and you

need professional help and there are several phases of the withdrawal process so do we have to start with a doctor even in the hospital for instance best would be to go to addiction counseling center because they know everything about all these processes but you need. a prescription from the doctor to go to a hospital and have a detox there but we can also tell somebody what's going on and what you can do after this detoxing process is it very important to do this inside the hospital or can you even do this like an outpatient if you're physically addicted you should go to hospital that it can be dangerous to do it by yourself because you can get cramps holds nations and all the bad things that you never want to experience one problem is that many a colleague so when successfully through a detox program still relapse even after years why is it so hard to get rid of.

some people don't take it so serious as they should because our caller the psych who act of substance that means it inflates your feelings and emotion. and people have to deal with this. to get really rid of this problem and many people are not ready for that one question remaining why are people getting addicted in the 1st place and researchers are trying to find this out and they're trying to cure the addiction using you reflect back on that. a nice drop even at lunchtime sometimes relaxed approach to intoxicating drinks is a bit too relaxed the world health organization says 3000000 people die every year worldwide from alcohol abuse. why is moderate drinking so difficult. to kick. drugs kidnap our system in

a very powerful way and then change the system you're a chemically not a molecular level but especially on an epi genetic level you're here drugs can cause very powerful effects and in some cases may start a program that lasts a lifetime you need to see. why do people become addicted. publish many studies on brain and addiction has come up with some answers he and his team mostly do research on addicted rats and mice. so to what extent can their results be applied to humans. even. when it comes to addiction it's been shown that animals ultimately show the same behavior patterns in the same progression of disease as humans means we can see many many processes in animals that are the same as in humans. he knows who see. when it comes to research involving humans were limited we can do sky we can do you

netta testing neuro imaging studies but after that you come up against ethical boundaries and i would say it is because. research has of found. the control center in the arctic sprain is no longer in control instead it is the reward system that starts to take over and increasingly takes the elite. thing consumed can create a craving for a drug so powerful that i can fight as the beast. the rat hair is addicted to alcohol it quickly learns to press the leave it to get more. when humans get to the stage they drink come all the patients and the whole parties in the office and also in front of the t.v. . they do this even though they know the alcohol homes the party department isn't

near a transmitter coots glutamate. if we find out the glutamate charge exists i'm overshoots it's like a powerful hyper excitability in the system which then paralyzes the control center . the scum now goes colleague pay to kids is looking to basically reprogram the brain. he's developing a kind of brain training to help alcoholics escape the vicious cycle the method is called neurofeedback during an m.r.i. scan the subjects are showing images of alcohol called cues and have to try to overcome that desire for it simply through the power of the mind. people. can have a subtext in the scanner or get the signal from their brains own reward system here they're seeing a picture of alcohol at the same time. i. believe that their job now is to bring down the activity and their reward system isn't sustainable. involves regulations

of how moms are from the hot red yellow colors to the blue green colors didn't blow and gordon. what happens in the brain during this process that's yet to be researched but the methods. as to what patients say they regained control. an initial round to my study was just a few subjects found that they have less desire for alcohol than the control very now is conducting a larger study with more than 100 alcohol dependent patients. to follow experience of being able to say i can regain control of my addiction and of my life i can that's a very very important part of the successful treatment of addiction patients. like my little ones with butts and. it's high time to have it children because to rethink before it's too late. that's it

for today see you again next weekend until then let's all try to stay in good shape . grape juice.

because. i'm going to dust off the old atlas and get ready for an entertaining lesson in global football economics of computing why do players switch to foreign teams where are they most drawn to and what role do culture and language play. around the world of football in 10 minutes.

30 minutes w. . everything will be different. mice with artificial intelligence. there's no stopping it no slowing of what must happen when machines the forecasts also start making more decisions. the great leap. to the 75. w. . climate change. sustainability. environmental projects. give globalization effect biodiversity species conservation exploitation.

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the real sense of the town. this is state of the news life. when counting gets underway in afghanistan's presidential election it took place in the shadow of violent threats by the tile you buy and several people were killed and dozens injured in last near polling stations also coming up. protesters mach 5 years of demonstrating for democracy in hong kong they were out on the streets as they have been for the last 4 months but

this time marking the anniversary of the so-called umbrella movement.