[000:00:00;00] new specialties, such as a psychologist, an occupational therapist, etc. you can contact a psychiatrist. it is not necessary to immediately contact a psychologist. you can get advice. high and the pressure has risen, but this is the result of stress, this is due to stress, and at first it is possible that you should not only visit the family doctor or the cardiologist, but you must still find an opportunity to talk to a psychologist because today there are such doctors today there are we have such a profession and we can communicate

that's why i still do well, if you are our patients, first of all , prevention was done, it was important , they took medicine, er, adjusted their blood pressure, adjusted their heart rate, and, of course, everything they measured it, corrected it, took medicine because we have affordable medicine. we have a system of affordable medicine and every year a patient can get, well , cheap, good ones from our ukrainian manufacturer, but not exorbitant prices and you can get them or even for free. that's why it is very important, please love yourself, take care of yourself and consult a doctor in time and take yes, please tell me, and in general , fatigue can be related to

some kind of heart or vascular disease. fatigue, when it occurs, it does not occur from the beginning of the disease, it occurs already at the end of the disease, heart failure. at first , it will be arterial hypertension, hypertensive disease, then it may be coronary disease heart and therefore it is very important that when a person has such a feeling of fatigue, then to consult a doctor, but it is very important , you know, today to complain about cognitive problems and emotional problems, that's why a cardiologist and a psychologist, a psychiatrist, we work together, we work together well, because the psychiatrist calls very often and

he says that i have such a person, but this is not my e-e apparatus and please, this extrasystole is a para-paxigma frequency, for example , atrial fibrillation, this is already yours and he refers to me, and on the other hand, i refer to a psychologist to a psychiatrist because he says that i'm sorry, i did everything necessary for a cardiologist from the point of view of a cardiologist according to the recommendations . please, i need your help, so if a person feels tiredness because there is chronic fatigue syndrome , there is such a syndrome . we have to see, we have to treat and fight with it, but we still have to have to live. marina well, when we talk about the fact that the main and main reason is stress, very often it is against the background of this stress that people come to

the pharmacy and want to do something on their own help and do not turn to doctors and most often pharmacists because i recently spoke with a pharmacist friend of mine, she told me that they recommend people to buy vitamins, vitamins to improve the work of the heart there, to improve the work of the brain, do you advise me to do this now? and take the vitamins on my own. it is possible to do this in order to help to feel this stress less and worry less and that the cardiovascular system works absolutely normally and correctly, you know, i'm being honest with you i will say that the pharmacy's task is to sell these vitamins, but let's be honest, a person does not know what the composition of these vitamins is, and there may be an allergy, there may be an allergy even to vitamins

, and it may be against taking the vitamin here and there . i would still advise you first to contact to the family doctor to suggest which vitamins e-e would be indicated for this patient in case of which disease or for the prevention of cardiovascular disease, prevention of emotional burnout, because it is necessary to take a lot of artificial vitamins on your own of vitamins, this is not a guarantee of health. it is, after all, a little artificial . if there is an opportunity, it is better to eat food, eat fruits and vegetables. well, let's be honest . and there are beets. today i am talking about vegetables and nutrition, we will try and i think we will talk. and i have one more

question for you. it is quite interesting because er now is the time to observe the situation when people take energy drinks because er an alarm sounds, for example, they do not sleep all night they can't sleep, eh. in the morning, of course, they are exhausted and tired. they try to wake up somehow. they take energy drinks, and let's not deny, for example, that the military at the front also do this very often, because i have seen many times how volunteers from abroad hand over whole pallets of these energy drinks or do you advise me to do this? and if not, what can i replace them with, and is it worth replacing them at all and using something so energetic? please know. well, in my opinion, it’s terrible and it can’t be done because, for example, i

have a case where a 24-year-old young man was physical overload, he took these energy drinks at night in order to withstand this load from business and he died 24 years old, his only son died, and that's why, in my opinion , they are like that, i understand our armed forces, i understand how difficult it is, how difficult it is to have energy, but today, for example volunteers, for example, rotary, and the international organization makes energy bars that include raisins, dried apricots, nuts, and all these nutrients . this is an energetic situation. there should be an energy supplement, but these energy drinks are red bull and there are all kinds of others, well, it's not, it's very, very dangerous, it's very dangerous for the heart, it's definitely

for the kidneys, for the liver, but for the heart it can be terrible, it can be a heart failure , be careful ms. marina well, at the beginning of our conversation with you, eh you said that i completely agree with you, in fact, that it is impossible now, in the times and conditions in which we live during the war, it is impossible to set up your daily schedule correctly , it is impossible to work normally, to rest normally, we cannot always eat on time but still i want you to give advice to our viewers how to reduce all this to the maximum so as not to drive yourself because you understand that we still have to win and the war is not over yet and we still have to rebuild the country so we have to be

healthy and take care of our health so your advice on how to do the best for your body is good, first of all, first of all, support each other, communicate, communicate with family, communicate with friends , be on vkontakte, always with people, because the happiest people are those people who have the support of their loved ones at work and to communicate is very important firstly not to be alone secondly you know it is very important if there is an opportunity to wake up in the morning and do physical exercises as it is not said already uh banal but if you can run if you can do exercises and take care of yourself secondly

if there is medicine, if you need any medicine, please take the medicine that your doctor has offered you, it is very, very important, and thirdly, love yourself , love ukraine and everything will be fine, everything will be by force i want to thank you, mrs. maryna, that you were with us today at the we are connected we will definitely win, thank you heroes, glory and i want to remind our viewers that we were on the air today, maryna dovzhenko, cardiologist, honored doctor of ukraine , doctor of medical sciences, professor, head of the department of cardiology of the platon lukach shupyk national university of health, president of the ukrainian association of cardiovascular care of the family medicine well, as the family doctor said at the beginning of the program, if the cardiologist did not detect any pathology, then after that you should contact

an endocrinologist, because this is the fatigue that people feel can be a consequence of diabetes, which people may not know about. and diabetes, by the way, can also occur against the background of stress, or it can be a hormonal failure, which can also occur against the background of stress, so contact us now andriy kovalenko, onc surgeon endocrinologist, member-correspondent of the national academy of medical sciences of ukraine, professor, doctor of medical sciences, ms. andriyu, i congratulate you , thank you for inviting me to your program, it is very important to me and of course, i also have my own opinion about your disease population stress, experience, this is all over the past two years, the health of the population of ukraine is certainly changing, not for the better, it

was transferred by the consequences of the covid epidemic, which we are still observing in our patients, and a friend , i heard today, there are ongoing conversations, this continued psychological stress associated with military actions with which almost all of our population was seen today, no e-e mobilized, which soldiers and how and in the civilian population, of course, the first thing to ask is how often in general people turn to you with complaints that they feel tired and exhausted that they literally can't work and can't get out of bed in the morning. how often do you hear these complaints? it's every day, every day. it's all sick people. it's a slang term. they are people who are residents of kyiv, and especially people who survived the occupation , who came from the areas occupied by the occupation . they suffered the most and every day

these patients come to us , of course, of course, we observe these patients with a pathological reaction of the human endocrine system. situations, this is the activation of the function of the kidney glands and the activation of the thyroid gland, and the island is a period that is dangerous for a person later, after what period n - this is long-term chronic stress and already temporary long-term exhaustion of the reserve of the antithyroid glands is critical - this is what we see in life it looks like the glory of physical strength to constantly feel in that australia a bad mood and this is a complaint we see every day in the practicality of our larger patients the present day of course that these patients need to examine their

decrinologist, if we are talking about the fact that it is necessary to undergo an examination by an endocrinologist, for example, the symptoms of which endocrinological endocrinological pathologies can indicate that a person has fatigue. in the form of an increase in the level of the hormone - this is the purpose of toxicosis and without a chain - the constant development of pelvic diseases or vice versa, and on the contrary, the decrease of which patriotism is a whole didha shimota ochch vremya e second world war doctors saw in denmark and in the second flank in other countries of development goroby e-e games positive diseases in patients who brought stress and they called the tooth bomb shelters the same events were in vremya in vietnamy vremya of the yugoslav events in the balkan

countries, that is why we see it in our patients , chronic stress in the future causes more spare layers of things, it is the passive of cell proliferative processes , that is, the increased growth of flowers that over time can lead to the formation of tumors of benign quality, and sometimes not only the displayed bad points and the need for their treatment, and this time, uh, it is hidden for a long time, not visible to people, so it is always necessary to refer these patients to endocrinologists for thyroid function tests, mr. andrii and of course situations there are very different ones. i understood so much from our conversation with you that it is necessary to undergo an examination and only then the endocrinologist can

prescribe treatment already after the identified problems and it all depends of course, from the diagnosis, but can you give our viewers some general advice on what to change, for example, in the diet of your working day and life, and in general to get rid of this feeling of fatigue? examination hormones, which are profizarnye hormones , thyrotropin hormone is a peripheral vilny fraction of three to tetrayot tyrant and the most important for the detection of these hidden diseases and hidden tumors is the ultrasound examination of the thyroid gland the renal stress hormone is important - it is the main hormone cortisol , and it is necessary to examine it for our population, a relevant study d and the determination of the equivalent practice pumpkin, a modern laboratory, tests are done quickly within

a day and, of course, correction therapy from the medical should be prescribed in view of the objective result, that is, there was an examination between complex surgical association situations of tumors of the thyroid parathyroid glands of the adrenal glands require more where in the examination it is and on the fact that biopsy cytology immunocytochemistry and now we already have our end of the boots, the tumor is the most that allows us to get to know the nature of the tumor more deeply, that is, the treatment of the disease, the decision about the operation must be localized, it is a biological assessment of the process , and at the present time, this is highly qualified help, which in ukraine does not flow to the level of international european standards. available to all our patients

, what in life would i like to hear from you? to the doctor who are well, we understand what we would ideally like and we already in the process today said that all our viewers, all ukrainians, take care of their health and go to the doctors in time, but here are your life tips, what to do before people do not remote analyzes and do not know their diagnosis. thank you for life's human advice. it is necessary to try to beat the emotional tincture of a persistent person in overcoming the stress that is present in our lives. what is stress? stress is not what happened to us. and then how we experience it, stress is important - this is what we experience, the reaction is news , this is what we see now, now there is anxiety, this one from the tv channel, who answered the question , what did you say

? zhryh and this is a stable regimen of breakfast, lunch, dinner, control of the calorie content of food, weight control, the whole processor talked about military physical activity, fitness classes, and other important and full-fledged restful sleep, namely the sleep of the damn endocrine systems, which allows you to stabilize the function of the endocrine organs for more active work during the day, it is necessary to say about vitamins , microelements, they asked that it is a very important component of the normal function of the thyroid gland , it is primarily a diet rich in salt, it is to the sea products and windy products of the forces of ukraine, now we are going to talk about food and you just got up to it, and i thank you for being in touch with us today and

for your advice. i hope that our viewers listening thank you, i want to remind our viewers that we were contacted by andriy kovalenko, surgeon, oncologist, endocrinologist, member-correspondent of the national academy of medical sciences of ukraine , professor, doctor of medical sciences, and the family doctor, cardiologist, and endocrinologist all talked about the fact that nutrition is very important and without exaggeration of nutrition plays a decisive role in the function of our body and well-being . communication now halyna non-conspiratorial nutritionist gastroenterologist ms. halyna i welcome you today on our air glory to ukraine i congratulate

you glory to ukraine glory to the heroes eh i'm very glad to be present on your air even if it 's online but still, what about nutrition is very big the topic is clear that we will try to talk as concisely as possible about the main thing. so what about nutrition in such conditions in which we are, first of all , no matter what , we must maintain the diet, that is, at least twice eat with you and the food should be full. of course, it is better to eat three times, and some people need to eat four times. it all depends on the situation and the state of health. what foods are most important during this period and in order to prevent the occurrence of depressive states fatigue, etc., these are protein products, this is meat

, fish, e-e, chicken, e-e, it means poultry, e-e, these products must be low-fat and must be cooked in a non-fried form . and it is better to use baking , steaming, cooking, they must have this be groats, any groats that you like they like it, they should almost use hard varieties of pasta as well and it’s just not the time to limit yourself significantly , it is meant that now it is not recommended to use any very limited diets. two dessert spoons per day, and cereals - this is any porridge, we mean twice a day at least vegetables, we know with you one hundred percent that 70% of our diet should

be vegetables, it is clear that it is better now in season also use fermented foods, everything that is frozen will also be to our taste and varied. as they say, our preferences and our diet do not forget about the drinking regime, because an insufficient amount of liquid will also, unfortunately, contribute to the deterioration of well-being. that is, somewhere is desirable. well, at least letters there should be clean water, we should not abuse alcohol and coffee. by the way, what about coffee - it is a useful food product, but it should be within the limits of two maximum three cups per day, it is also not desirable, strong tea is not desirable use strong tea well, use it throughout the day, but as for pure water with the addition of, for example, even berries, you can squeeze it, put

frozen mint leaves and lemon balm , use decoctions of any teas to improve well-being, it can be any lemons citrus fruits, it is clear that food should be served if possible, of course, in nice dishes, because it improves our mood. and use any fruits and berries. frozen berries, please, can also be used at least every day, do not forget about nuts, about seeds, what we have and what we can use to improve our mood, it is desirable that the diet should include, you know, colorful food, because if bright colors come across to us, when we see them, it improves our mood, this is a technique food should preferably be accompanied, if possible, of course, by music and pleasant

conversation. i always advise, at least on the weekend , regardless of anxiety and anything , to arrange such things in yourself to reduce information such, you know, troubles and it means negative information, it reduces such informational detox, it's better to organize yourself, after all , it's better to pay attention to your relatives as much as possible, distracting yourself from your not-so -good ones. therefore, it's all clear, that is, the psychological state is better to distance yourself from your thoughts as much as possible and to engage in certain such good deeds, in particular , this also applies to cooking, each of us , especially women, we all understand that gifts

and we need to take care of our relatives in order to buy for them so that everything is delicious useful and also beautiful, if you call these the same top products that are best used to improve your well-being and improve your mood, i would call them the following : cereals, any vegetables, regardless of how they will be prepared, whether raw or stewed, baked in in the form of salads, these are fruits, berries, if we are talking about desserts, please, you can use not a small amount of sweets, it is better if they are dried fruits, dried fruits, chocolate, preferably more than 85%, which contains cocoa and this is understandable that

it is seafood and high-quality, high-quality meat, e-e, poultry, that is, the diet is varied, this is what i think - i think that this is the most important , that is, we do not forget to eat oh, and especially if we see that one of our relatives or acquaintances or relatives has we see that a person in such a bad emotional state is desirable, as they say, to distract her attention. maybe even invite her for a cup of coffee and something delicious . well, of course, without p- without abuse, that is , deny yourself for today of what you really love. i would not advise if you want to somehow dessert, it's better to eat it, well, if i want to thank you for your professional advice, i didn't even want to interrupt you , because it's very interesting, very professionally, you told all this, and thank you. i hope that our viewers heard us today, wrote down everything that you said and listened to it.

we still have a lot to talk about with you. therefore, we are waiting for you in our next broadcasts and will definitely include you. if you don't mind. thank you all the best, be healthy to each other. connection and the rebounds finally went away all over ukraine, you and i experienced stress, but we talked today about exhaustion and in order not to miss serious problems, you already understood that first you need to contact specialists. if you do not have any cardiovascular or hormonal problems you need to figure out what kind of fatigue you have, is it physical or emotional?

is it still cognitive for this? people, you will be helped by the banal solitude of a walk in the park near the lake, arrange a day off for yourself and just be alone if our problem is that we do not have a culture of recreation, no one taught us to rest and we do not know how to do it and we do not know how to do it correctly and what do we can help, find a place to rest and don't torment yourself with remorse. i even know people who, for example, are helped by cleaning the apartment or they are busy with flowers, something is being grown there, it distracts them, there are those who swimming in the pool helps, so follow all the advice we gave you today and remember that the war is going on, it will continue for an unknown amount of time and we don't know what awaits us tomorrow, but we are sure that you and i must live, work, win and rebuild our country for we should be both physically

and psychologically healthy, so take advantage of our advice and take care of yourself , iryna koval was with you and the program about health events , the most important events, events that are happening right now and affect our lives, of course the news feed informs about them, but it is not enough to know what is happening, you need to understand antin borkovskyi and the invitation experts soberly evaluate the events and analyze them by modeling our near future that saturdays at 1:00 p.m. with a repeat at 10:00 p.m. studio event with anton borkovskii nayspresso about so that ukrainians do not think about no matter what they say, the first place is still war, war, and our victory