[000:00:00;00] dear separately nobel prize but you have to understand, we have to fight for our own melatonin, which is produced enough and it will give so far during the communication that melatonin also affects high immunity, which allows you to overcome any infection, including the same cocci , give yourself a chance take your own melatonin, do not rush to reach for a pill if there is already a question, you need to deal with each patient individually, and an example of more than 10-15 years of reception and sleeping pills , they retreat when we discover everything that in the patient has snoring and apnea, he prevents himself from sleeping well, and such will be 50% of men, for example, aged from 19 to 60 years old, they have a mild degree of aploi, they have a zone that does not pay attention, and then millions will not have time to turn to a sad psychologist, they will catch a stroke, a heart attack, hypertensive moments, a set

of extra weight and depression therefore, the first step in the fight against post-traumatic syndrome among the population of displaced persons and military personnel is the elimination of sleep deficit, the fight against insomnia and breathing disorders in sleep, this is our job to bring to all functionalists already more than 40 years well, i understand what you are saying about snoring, but still , i have to disagree with you because the people i talk to now and who slept absolutely normally and they had a good sleep before the war , now they feel increased anxiety drops mood, they can't fall asleep on time not because they don't want to and not because they have snoring, but because they worry , for example, about their relatives who are there in uncontrolled territory , who worry about the military, that is, there are other

reasons why people do not sleep with these for other reasons, it is possible to knock out this wedge again and again, that is, it is impossible to block the information, it is not possible, so the experience is an intensified experience, and we are now looking for these formulas how to break it, but the standards of sleep culture , which has been establishing which for more than 40 years and the proven facts, we need to do an experiment, everyone himself conduct an experiment with yourself in 10 lie down six rise 10 lie down another rise - 3 5 days and the transition to this correct regime will lead to strengthening the duration of self and elimination of depression one hundred percent result of the transition of elimination depression e-e as well as neighboring thoughts and events if we adjust the sun, the fact is proven that long before the war and during the war - it is a stricter c- situation of control of modification of the lifestyle and culture of sleep walks yogel breathing exercises warm

and shower in the room silence in room and darkness, because melatomin likes darkness, don't watch tv, the light on the monitor knocks me into the cycle of the production of the hormone melatonin, 17th year , the nobel prize, church rhythms , nothing can be changed, nothing can be changed, go to bed late, get your eight hours of sleep, or learn to go to sleep catch your mechanism and a lot will change, and these are the results of your actions, such elements of culture during the war are very interesting to us, all ukrainians, it is interesting, and to us specialists, even more so. we must understand how people get out of the situation. from these situations, it is more optimism , more hugs, more kisses , pay more attention, now children have it, they need it, and you, too. can cope with this if you have accumulated problems and

do not succeed. for this there are sad logics and psychological support groups, contact yourself you said you said about children there is a study of changes in the lives of children during the war of the research company degree conducted in april 2022 and it shows that 50% of children aged from nu vin novo to the age of 18 had a severe deterioration in their level of mental health 75% of children had specific symptoms 45%, mood swings 49% increased anxiety 29% sleep disturbances 16% memory impairment attention, the ability to learn, and 14% even outbursts of aggression. do sleep disorders, for example, in children differ from sleep disorders in adults, what do you say? the fact is that adults, smart adults, can cope with this, they can do it on their own

, children need to be helped first of all, i repeat once more, it is more hugs and kisses and all these disorders that you mentioned can be eliminated if in childhood you adjust your sleep by your example with your leadership , stir up, show, demonstrate your own experience if you lie next to the baby at 9:00 turn off the lights, fairy tales, don't read tv, don't watch tv, don't overexcite the child in the evening, three hours before bedtime, start developing a ritual of calming teas , maybe, maybe, milk with honey, there is tryptophan, which allows you to produce the hormone melatonin, and lie down in the dark next to the baby, caress it and hold it close to you through 5-7 minutes, the child will begin to fall asleep, yes, no one canceled the air of intrigue, but if there is an opportunity, catch this moment so that the child at 9:00, small children will already be asleep until

the age of 18, sleep of 8:9 hours is even necessary a child can spend up to 10 hours implementing this moment when it is possible and sleep deprivation. i refer to doctors who have oak shifts , night shifts and other professions , rescuers, firefighters, policemen cannot change this schedule, which means that you do not have to work three shifts and work every night, you must have understanding doctors and in this group of psychological support also need to get enough sleep in order to be highly resilient and help everyone sleep by example children's problems adult problems chronic diseases hypertension arrhythmias, diabetes, depression, psychoneurology, this is the first step in the world, all medicines today are somnological problems, solutions for bodybuilders , modification of life support, but it is necessary to understand whether there are more serious, modern diagnostic technologies remotely, the first survey, then screening diagnostics at home or already in the sleep laboratory, there are few such laboratories

, military laboratories, i would call them where there are, but there are not enough of them, all servicemen who return for rotation must undergo a laboratory examination. well, give them recommendations for improving sleep and treating them at such a stage , mr. yurii. and tell me, please, are you talking about the diagnosis and how it is possible to restore sleep after the diagnosis, how it is possible to restore sleep during the war ? a person can’t do anything about it, he needs to contact psychologists and psychotherapists, are there any other ways to deal with it and fix it , after all, the sun, thank you, a very apt question , first of all, 85% of the causes of insomnia will be disorders breathing during sleep is surprisingly 85%, and

breathing disorders during sleep, pure insomnia, is only 15%. then if we rule out breathing disorders in sleep, if there are breathing disorders, we treat them successfully one hundred percent, there will be no snoring, there will be no apnea by itself, but pure insomnia, then in the first place we put recommendations to examine the mth level of thyroid hormones , self-stimulating hormone, and for women, we especially recommend examination for detecting the level of iron in the blood, i.e. ferritin, is enough to stabilize pure iron before raising it to a sufficient level and sleep can be restored, just a low level of iron leads to sleep disturbances, yes, serhiy should never do this, well, for some reason, he is doing it sadly, but there is , uh, you are doing it, wind, vegetarianism , a piece of meat, necessarily, apples

do not have iron, there is a medicinal option and raise iron level, thyroid gland with iron and cardiac issues, rhythm disturbances , hypertensive crises that can wake you up at night, this is mandatory even before the examination by psychoneurologists independently in the first place for all patients of our sleep laboratory on the first place is the moments of depression because as soon as we adjust the sun with the elements of sleep culture without medication, success is 100%. no one taught us how to properly take care of the accumulated problems that were provoked and strengthened by the war. they had to be eliminated even before the war. and now , at an accelerated pace, with accelerated standards, we can eliminate all the elements of sleep disturbance that lead to depression. thank you yuri for today's conversation. and

for your advice and on this topic, thank you yuriy pogretskyi somnolog cardiologist, candidate of medical sciences, president of the all-ukrainian public organization , the ukrainian association of sleep medicine, and many people are used to solving health problems with pills. so even now there are people who help themselves to sleep with various sleeping pills, and maybe even alcohol, when the use of sleeping pills is necessary and when it is unnecessary. this is the game let's find out now by contacting us svitlana netrusova candidate of medical sciences psychiatrist of the highest category ms. svitlana i congratulate you good day finally so let's talk with you are talking about medical treatment of sleep disorders, when sleeping pills are necessary. how would you say? and when it is unnecessary and how to determine this edge on the table is not necessary in the case

when other methods do not help to sleep well, because sleep is such a symptom of a mental disorder, a disorder, etc. of the mental work of a normal person and it is observed in various mental disorders, for example, such as depression, we have already talked about it today, it is anxiety disorders , other neurotic disorders , it is also observed in more serious mental disorders psychotic disorders, when a person is simply nervous, as it is customary to say in the surrounding space, when there are certain neurotic factors, negative stressors, some such moments that lead to increased anxiety, and we still cannot interpret it as anxiety, as a disorder, a certain a, as soon as

the reaction of adaptation to some uh some situation and in our country now such a situation is negative and quite negative and stressful - it's a war, it's the fact that people left their homes. they don't live at home, not in the usual conditions that are comfortable for them they are not realized and they are also worried because of this, and it is also the fact that people very often live together because of the fact that they huddle together to survive difficult conditions and come to their parents or somewhere else when they have they live extremely dangerously because they can be destroyed at home and there can be certain negative consequences, in this case there are many factors for a person not only to have increased anxiety, but also for

him to have a bad dream, if any that's all one thing life goes on . take it in this case, if it doesn't help , most likely it won't give you exhaustion , so let's talk physical, then you need to do some physical exercise, even if you are in not very good conditions, you can always find a place where you can sit down and do some a little physical exercise in order to fall asleep better. you need the right time, and i always say that because the circadian rhythms are very important, you should do it at least on the day when you don't have to get up and usually follow a certain time when you go to bed at the same time and when

you get up, even force yourself to get up and get used to the mode when it all doesn't work and there is only one bad dream , sleep disturbance, but there is no such thing as anxiety , there is no bad mood, other certain fear disorders, then you can try magnesium drink somewhere around 400 mg at night, not the 400 mg pill itself, namely magnesium that was 400 mg, you can also take melatonin, you can take melatonin up to 12 mg per day, but you don't need so much at first, you can start with five milligrams from 3 mg or add some non-prescription drugs if it does not help with sleep to normalize sleep , but also perform certain physical exercises not before sleep, and also perform some exercises at a certain time in order to avoid falling asleep and getting up, if this

does not help, then i highly recommend -e to apply after all, to a specialist because a bad judgment can be a symptom of a certain disease, the same depression, anxiety disorders and if you drink only sleeping pills in order to sleep, then you will not solve the main main types of be treated the main disease you will not cure you will not solve the main task of you is not to treat the disease that led to bad sleep, as long as sleep disturbances mean the same thing, it's not like treating and drinking painkillers when there is a stomach ulcer or a duodenal ulcer there that is, you won't treat the ulcer. well, you won't feel pain , but it won't help anything, so even here, although sleep is a good sleep for our patients who suffer , they don't necessarily have some psychological disorders, such as bipolar, effective schizophrenia, and even such as anxiety disorder

are there other neurotic disorders, sleep is as important for them as diet for those who suffer from an ulcer, i already told the stomach or light gastritis, i want to ask you how much they can worsen health, these sleep problems because for example, i personally have a friend who, uh, at the beginning of the war, she couldn't sleep because she worked a lot and she just didn't have time to sleep, and she spent 3-4 hours there in order to sleep because she couldn't help herself anymore allow and now she has more time, she can sleep, but she can't sleep, she goes to bed and can't fall asleep, and what can they lead to . these are the problems when a person does not sleep for a very long time and sleeps for 3-4 hours, well this same thing can lead to some definite uh no no no

mental disorders, even of the neurotic register, it used to be called neuroses there because sleep, er, is she your friend or other people who work a lot or are engaged in other work, but not sleep t- at the time when they should rest, the body should rest, they do not sleep, they they violate their circadian rhythm, they become actinized, there is such a thing as asthenia, when a person does not sleep for a long time, he can also become asenized, and in this case, uh, uh, the circadian rhythms are disturbed, and the person can no longer fall asleep because she lost these church rhythms and this can lead to the development of certain anxiety disorders and certain obsessive -compulsive disorders of asthenia certain and to certain side disorders and can even to some extent lead to other disorders what i want to say i want to say te hm if sometimes relatives notice that when you drink a little alcohol , you seem to sleep better. according to me, this is possible because

all alcoholic beverages in small quantities can have a certain sedative effect, like tablets and pills, but you can drink them, you know. drink a little, but regular use, especially for teenagers, especially for women, it can or for those people who are banamnesi , that is, or one of the parents or one of the relatives suffered from a mental disorder, they are also very high risks in the development of chronic alcoholism , slowly, little by little, you can slip like that before independence, and i also want to say something very important: the blue color of the screen or smartphones or televisions or computers, they interfere with the production of the hormone melatonin , which is very necessary for us to sleep and therefore, i advise you to insist that

you go to bed at least half an hour before the hour. we did not look at any information from these smartphones so that this blue color does not mark you in your melatonin , you need to go to bed not only at one time, you have to lie down in the dark, fast, in bed, in the criteria room, you have to use the bed not only for work and for eating or for spending time, but only for sleeping, and that's why it also acquires such and such habits that if you lie in bed then you have to sleep and that's why it's real it is important, that is, sports activities, do not drink coffee or other stimulating drinks before you go to bed. and it can and these certain moments are very important in order to regulate your sleep .

which can be drunk either for a short period or for a longer period, but the most important thing is to determine whether it is the sun and a manifestation of a certain mental disorder . and then you can drink these sleeping pills. but if you have not consulted a doctor and are doing it yourself, then you can first not knowing how long it will take you to take these drugs and then you will already have a withdrawal syndrome, this is also called taxomania , that is, addiction can develop, this is a certain risk that we may have a second risk, you will not solve the main question if sleep is a symptom disorder a manifestation of another disease, and thirdly, in addition to getting used to it and not solving the main problems, you can also harm yourself because certain sleeping pills can

have a sedative effect that is very pronounced for some they can lower patients a little and when changing cities in the morning eh places i thank you very much for all the advice you gave us today. take care of yourself and i want to remind you that we were contacted by svitlana nitrosova, a candidate of medical sciences , a psychiatrist of the highest category, so i hope you understand that the sun is a basic need for of each person, thanks to which the neurons rest and restore their efficiency , the duration of sleep for an adult should be 7-9 hours, we understand that under current conditions this is a luxury, but if there are sleep disorders, it means that something is seriously wrong in our body the number

of mental illnesses begins precisely with a sleep disturbance with difficulty falling asleep or waking up, so follow the advice that our experts gave you today on e-e and follow the sleep schedule before you fall asleep, please postpone gadgets, try to fall asleep at the same time and don't indulge in alcoholic beverages before going to bed. also, don't take pills on your own. no sleeping pills. i was with you. kovali 's health program. take care of yourself. look this week in the collaborators program. how the rashists celebrated may 9 on the bones of the killed people , the immortal floor for which the positions of traitors

were exchanged for the motherland i turn to ukraine and the swan song of the bandura collaborator, for which the mayor of sviatohirsk received suspicion every war gives birth to heroes unfortunately for the helpless, the special project of the espresso tv channel, the collaborators list, i am talking about the most despicable ones, about those who not only betrayed their state and people, but began to serve the occupiers, in this edition, collaborators from the donetsk region, the anti-leader in terms of the number of deputies of the traitors in donetsk region is mariupol city glad to see the city that gave us heroes from azovstali, the city that ukrainian defenders fought back with great blood in 2014, the city in which the state and private business have invested billions over the past 8 years

hryvnias and a completely destroyed city for the residents of which the rashists have set up filtration camps, it is simply teeming with collaborators at once, nine deputies of the city council from the opz have sworn allegiance to the russian-fascist regime aghibov valery , a local businessman, co-owner of a company tavriya, engaged in food tours, rental of real estate and repair of motor vehicles burlakov serhiy, an eternal servant of darkness and all evil, first he was elected to the district council from the party of regions, then about the cost of our region , now he is a businessman with a mandate from the regional government engaged in the construction business, repairing motor vehicles, helping russians to secure professional unemployment from mariupol olena, don't let the cute features of this deputy's face mislead you, after the full-scale invasion , this mandate holder handed over to the occupation administration the personal files of employees of cultural institutions in mariupol, where are the addresses , passport numbers, work books and mobile phone numbers mariupol city hall accused a deputy of high treason here's what was reported about karpenko in the security service

of ukraine, the attacker took a niche of patriotic education, currently under the leadership of the oku pants, is responsible for the agitation of local residents by organizing separatist and pro-russian mass events. in this photo, natalya sotnikova is also unemployed, also a collaborator. and actually corrected the shelling of critical civilian infrastructure from the first days of the war, the occupiers destroyed objects with aimed fire the life support of the city, communal enterprises and equipment, warehouses with food and medicines, it turned out that it was the traitors, the mps from the upsj, who helped the russians to quickly paralyze the city and create a humanitarian catastrophe among

the traitors of mariupol and yevgen kharmyshev, who earned for himself the post of secretary of the occupation council from the rashists, and dmytro khadzhinov was named in the buyer's list head of mariupol housing and communal services. and this is victoria kalachova, who before the full-scale invasion of russia was an atypical deputy from the local government because she had a job managed an art school and a modeling agency, and after the arrival of the occupiers, she became a full-fledged patron of the self-proclaimed mayor of the city, as befits such accomplices. she sincerely welcomed the may 9 march on the streets of devastated mariupol, where even yesterday the bodies of innocently killed ukrainians were lying - this is an event of the immortal floor, which is massive. i think the most important and most patriotic event, the second one, should take place this year on may 9, of course. and what else could

the residents of the occupied, defeated city expect without electricity, water and gas without products, medicines and other basic necessities parades until the ninth of may solve all problems and cities rebuild and bring back to life thousands of those who lie in mass graves and another deputy pseudo-mayor became vadym istratov, the owner and director of the alligator enterprise were entrusted with managing the financial affairs of mariupol and the main figure, a collaborator from the municipal police in mariupol, kostyantyn and vashchenko, his invaders appointed him the head of the city, he was in politics a long time ago, in 2010, he came to city ​​council as a deputy from the party of regions in the 15th tried to get into the council for the second time, but already from the party of our region, but did not collect votes, regained the mandate in 2020 already from the regional government, and as soon as russian troops occupied mariupol and vashchenko went to work closely with them, i

i rotate in the cake in the whole of ukraine, the national system is a cover, i plant this personal video myself. and also kostyantyn and vashchenko talk a lot about how russians are soldiers and the terrorist dnr is the breadwinner of the mariupol people, they invaded with their troops , destroyed the city, created a humanitarian crisis, and then they gave out a loaf of ukrainian bread and made several interesting videos for the propaganda moscow television, but it’s just interesting when we win back the whole of donbas together with mariupol, moscow will accept these traitors from the armed forces and will issue the same positions somewhere in the swamps or just throw them away as used junk one more ex-deputy of the mariupol city council should be added to this list of collaborators, but this time, from the servant of the people, it is serhiy kosenko who was entrusted with the position

of head of the legal service in one of the of occupying district administrations, the deputy of the lyman city council, oleksandr tokarchyk, also ex-regional and later a member of the opposition bloc, also added to my list of occupying district administrations. during the issuance of so-called humanitarian aid , the russo-fascists appointed him mayor of lyman, because the traitor has management experience, he was the director of the local water supply company. and finally , volodymyr bandura, the head of the infamous sviatohirska in the donetsk region of the infamous or sviatohirska and its monastery were for decades a spiritual outpost of the russian world in donbas, the burgo-city of sviatohirska bandura became thanks to the support of nataliya korolevska yuriy boyk and others, at first it was not easy to understand in whose favor bandura was playing, whether he was a prisoner of the militants. or maybe he eventually became a collaborator. until june 1, the man ran his facebook page in

ukrainian, calling the rashists occupiers. his video message in the style of russian propagandists, where he accuses the armed forces of ukraine of unprecedented stories of the nazis убивают свечность министрация мохаков и скрытые это факты все образов doing looting looting svyatohorsk under the leadership of bandura came under the control of racist troops on june 7, after which the leader of the occupation administration of donetsk region denys pushylin published in his telegram a joint photo with volodymyr bandura against the background of the tricolor. under the article treason this was the list of next wednesday's miklushka i will tell you about another dozen traitors and if there are collaborators in your city