[000:00:00;00] they have already hurried to say that it was not oleksandr matievskyi but timofiy shamshur that was on the video, it would be good to say, you know, we were in a hurry and made a mistake, we don’t know why we are seen unknown, actually something very short with us, with us, with us , with us, we have very long ones already, i don’t know, probably people divorce in a year yes, we have a very long , long and difficult relationship with the minister of defense, i have repeatedly said that oleksia you i hate you because i am your prosecutor's office and yes, we have very strong relations, but they are already long-lasting

, you know, they are so stable in extreme conditions, you know yes and if yes in extreme in extreme conditions yes, but you know, i don't have another minister of defense for you we work with that's why i still call everyone. if you want, please submit your documents and on march 21, don't sleep if you ask me if there will be. i will ask you to support my candidacy. thank you. thank you for everything you do. thank you for sharing with us. how is your work going? dana yarova, a volunteer and public figure, was with us, and now anna eva melnyk will be with us. colleagues, together with the news team , i will talk about the most important things, in particular, about enemy losses , about ukraine's prospects for getting aircraft, about this and not only

further, i will start with the situation in the kherson region: three dead , five wounded, such consequences of enemy shelling in the past day in the kherson region this was reported by the head of the regional military administration, oleksandr prokudin, the russians opened fire more than 70 times, fired 335 shells from heavy artillery and hailed kherson, the invaders shelled four times , hit private and apartment buildings , almost three dozen air strikes and four missile strikes were carried out by the russians over the past day in the donetsk region the general staff of the armed forces of ukraine also reports that the occupiers fired a hundred times with multiple rocket launchers

, civilians were injured , civil infrastructure and residential buildings were damaged the invaders continue to advance in the lyman, bakhmut, avdiyiv, marin, and mining areas, our soldiers repelled more than a hundred attacks by enemy forces, continue to defend bakhmut from a military point of view, there is no sense, the city should have been left three weeks ago , the major general of the armed forces of ukraine said on espresso serhii krivonos, from his point of view, despite the heroic resistance and destruction of the enemy, the ukrainian defenders are suffering unjustified losses on the battlefield, from a tactical point of view, it is better to move to more advantageous positions east of the city kryvonos believes that we should expect a full-scale offensive that has not yet begun, when they say about the offensive of russian troops

, it has not yet begun, and the russians have all engaged in all battles of local importance, and russian reserves are beyond the range of influence of our firepower at the front, and a huge number of groups of their reserves are in the voronezh region, therefore, they are still leading battles of local importance, probing our defenses and looking, after all, where it will be possible to increase efforts so much that they start an offensive . and now about the enemy's losses of more than 1,000 the invaders were eliminated by the ukrainian army during the past day at the front, our soldiers also destroyed 10 enemy tanks, 20 armored combat vehicles, eight art systems and two units of multiple rocket launchers, in total, since the beginning of the full-scale invasion of ukrainian lands, almost 158,000 invaders have been killed norway and the usa will give ukraine more two platoons

of sams anti-aircraft missile systems , the norwegian government reports that each platoon has 3-4 launchers with six missiles each, as well as a radar station point fire control and a unit of equipment with an electro-optical camera, as well as norway will train ukrainian personnel to service and operate the $7 billion system for 5 years, such a support program to fight against the aggressor was launched for ukraine by norway, president volodymyr zelenskyi said, according to him, thanks to norway, we also strengthened our air defense and artillery discussed additional steps that we can take together with norway to make this spring successful both for ukrainian

defense and for the prospects of the european security, by the way, we are starting to communicate with norway regarding the possibility of a training mission for our pilots. finland may consider the possibility of providing ukraine with a fighter jet, said the prime minister of the country, sanna marino, who visited kyiv the day before on an official visit, according to her , such a discussion could be raised in finland, especially that the country is now buying the latest fighters to replace the ones it has, according to marin, we are talking about hornet aircraft, it is known from open sources that finland has 55 such fighters and another two dozen training models finland has ordered 64 of the latest f-35 fighter jets from the usa to replace them, they must be delivered by 2026, it is necessary to strengthen control over compliance with sanctions against russia, the president

of the european commission, ursula fonderlein, stated this, she met with the president of the united states , joseph biden, in the white house, in particular, the leaders discussed issues of energy security and the war in ukraine during the meeting fonderlein expressed determination to jointly support our country in the struggle for freedom and force russia to pay a high price the price of our brutal war we will continue to support ukraine and reduce russia's ability to wage war we are strengthening our sanctions compliance to prevent evasion and circumvention we must cut off the supply routes that continue to feed the russian war machine and impose sanctions on those involved our main task - to continue to strengthen the defenders , the fifth president of ukraine petro

poroshenko is convinced of this, he and volunteers from the public organization for community affairs brought to the south a daf truck, tires, equipment, monitors, so that the targets can be better seen, because these soldiers are the first to know when enemy aircraft is rising on the other side, the defenders determine where a missile or a russian plane is flying and know how to make them explode in the air, why by the way , contact our american partners when you talk about tanks when you talk about ammunition when you talk about electronic warfare intelligence please with patriots for air defense don't forget simple measures yes or no very cool and correct weapons are here and they will search for targets and issue whole instructions and apply thanks to peter

oleksiiovich and his team we got everything we need today for our nearest victory thank you italian coast guard launched a large-scale rescue operation they discovered several boats with illegal migrants near the southern coast of the country, the head of the calabria region said that there were about 1,300 migrants on the boats; in the video published by the coast guard , an overcrowded boat can be seen in the sea near the coast calabria on the eve of friday, the coast guard detained almost 500 migrants near the island of lampedusa. recently, the police have recorded a new wave of migrants . fortunately, in the last three days alone, more than 3,000 people have arrived in the country. on march 8, 1,869 migrants arrived in lampedusa who arrived on 40 small boats

that is a record of disembarkation in one day, finally without moscow priests, the contract for the free use of the ukrainian orthodox church of kyiv-pechersk lavra will be terminated from march 29, this applies to all premises rented by the ukrainian lavra the orthodox church of the moscow patriarchate sent a notice of termination to the men's monastery from the national reserve, the reason being the violation of the terms of use of state property, the ministry of culture and information policy explained that, from tomorrow , working groups will work to check the condition of the property of buildings and structures in the chernivtsi region . norway reported to ukraine that the state agency for reconstruction and development

of infrastructure will help improve the crossing road connection between ukraine and romania, a temporary bridge will be installed in the village of hlynytsia on the road from kitzman to the vadul siret crossing point, specialists are combining a 120-meter crossing from metal structures , the emergency services of the australian state of queensland evacuated dozens of residents from the territory of the region, record floods caused by heavy rains, about 100 people stranded in gulf country town , police call for full evacuation as forecasters warn of rising water levels in local rivers for rescuers

a helicopter had to be used to evacuate the residents of the mining town of mount ice due to the la niña weather phenomenon australia has been suffering from storms and droughts for the third year now this is what i'm telling you see you at 11 o'clock read more about important things on our website espresso tv subscribe to our social media channels and in a few minutes veteria espresso program about health with iryna koval so be with us quiet thief of sight this is a rather insidious disease that has no warning signs so it is almost completely asymptomatic only when people start to lose sight, then they go to the doctor. i congratulate you. i'm iryna koval, and this is a program about health. today we will talk about an eye disease that occupies

a special place. according to the world health organization , more than 5 million people have lost their sight. due to glaucoma and in fact i think that this number can be much higher because not all people usually go to doctors and to draw attention to the need for timely diagnosis of this particular disease in the world world glaucoma week is being celebrated. we decided to also join the world trends and talk today about how not to miss this insidious disease and how to help people detect it in time and, if possible, warn and first of all, i want to introduce you to my guests . so today in our studio, a well-known ukrainian ophthalmologist, professor serhiy rykov , mr. serhiy, i greet you good day and iryna

, shargorod ophthalmologist, glaucomatologist, doctor of medical sciences and professor, ms. irina i greet you. good morning. it's a very interesting term. in fact, i'm a glaucomatologist . to be honest, i've been working in a health program for many years , but i've never heard of such a term, unfortunately, it's associated with very serious diseases, so let's talk about the term glaucoma, it's not just one. the disease, let's say, it combines a lot of pathology. as far as i understand. and today we will talk with you about glaucoma and we will give as many practical tips as possible so that people know where to turn and how to detect glaucoma in time as if it is possible to warn and well, since they say that it cannot be cured, today you also debunk some myths related to this, but i know what i want to start

with, after all, there is a war going on in our country and if you believe the statistics that i found , i personally it seems that there are currently 200,000 people with glaucoma in our country, but they say that this number increases by 25,000 every year. can you agree with this, since a full-scale war has been going on in our country for a year and we know that people are constantly in gadgets, because they constantly read the news, they are worried, this is again the stress in which people are constantly and the dark basements of shelters, can this provoke and cause again more glaucoma in our country , of course, we are talking about the fact that our population in ukraine is rapidly aging and glaucoma - this is a disease mainly of the old population in ukraine. there is mainly an old population left here. many young people have left abroad

, the children have left, and another drawback is the lack of money for people because they are waiting for something to happen tomorrow. go and they buy very cheap drugs, that is, they come to the pharmacy and they get drugs that are not the ones that we prescribe because we understand why we do it, it is not some kind of economy. and these are pathophysiologists of the process , and there they say that we will give you a cheaper drug because people do not have enough money and here we want glaucoma to be more in ukraine , so that it is detected more, because realistically you said there should be 2.5-3 times more , it is somewhere around half a million people, and it is wartime, tragically, that is what increases number of terminal glaucoma, people don't always have a place to be examined, people live in some villages, that is, they can't get to the doctor , they add the drops that are left, that is, and

in the case of glaucoma, yesterday we gave lectures to the people of lviv , it is clearly necessary to conduct a visual field examination there three times a year and only then we can understand what the dynamics are, what drugs should be prescribed , several glaucomas really increased in such a depressed time during the war, and there is one more factor that everyone should be reminded of, that it has been proven all over the world that glaucoma is genetic a deterministic disease it is impossible to prevent this multifactorial disease and there is no single method of its treatment or any one-drop remedy and today the war has caused a lot of stress factors and we get a lot of ophthalmic hypertension it is against the background of adrenal stress and what is most harmful that in young people and in children, glaucoma has rejuvenated all over the world, and

according to the latest standards, it is already juvenile glaucoma, think about it, it is not congenital, but classified as primary open-angle glaucoma, that is, we may have the debut of glaucoma not as we used to think after the age of 40, but already at the age of 13 or 15-18 years. that is, only timely detection can anticipate and prevent some kind of progression . the mother and father stayed to fight to defend our motherland and the child had complaints of fog in front of the eyes and only thanks to a very thorough examination it was found out that today she does not have glaucoma, that is, no optic neuropathy, but only from communication

the child started to cry. and against the background of stress, her eye pressure had already increased. when she was calmed down, an artificial tear was instilled and the pressure was measured . it was 14-13, and normal is the normal range. and when she was examined there at different stages , she had 30 and 35, that is, for due to the fact that the child was crying and she did not even allow herself to be touched, and there are many and many such attacks in children and young people, and especially in our soldiers who are fighting for our er freedom . if ophthalmic hypertension cannot be reduced, then after a year or two we will get optic neuropathy we will get glaucoma delayed, i.e. deterministic, it could occur in a person there after 40 or 60 years, but against the background of these stresses it can manifest itself much earlier. that is, genetically, we

receive a certain set of chromosomes from our parents but all factors, the surrounding environment and others , cause the factor that it all accelerates, and therefore all modern guidelines are aimed at a personalized approach to the treatment of glaucoma, not even just one person, and one person can have different types, different types of glaucoma and proceed in different ways, and that's why the main thing is timely modern equipment, so we'll talk about modern equipment now, because in fact, i want to turn to all our viewers right now, do you have this hear that if you previously knew that glaucoma really occurs after the age of 60, well, let's say at the earliest after the age of 40, then now you should forget about it and know that in our country there is war and stress and all this leads to the fact that glaucoma can

manifest like you and your children much earlier, and about the examination very often people do not know what the examination should be, very often even in small towns and villages there is no necessary equipment to conduct an examination and really find out that a person has glaucoma, which should to be an examination and how it should be passed, our ulya na hryshchuk found out, and just now i suggest you watch glaucoma is one of the most common eye diseases in the whole world, and blindness from it is often an irreversible process every year in ukraine more than 20,000 cases of the disease are registered, and glaucoma can appear both in adults and in children, and how to prevent the disease, we will try to find out today , dozens of people come to see ophthalmologist kateryna golovko every day, and among them there are always patients who are diagnosed with glaucoma, as a rule, these patients they apply for completely different

problems and glaucoma is already diagnosed as a concomitant pathology, patients may experience a narrowing of the field of vision, that is, they do not have enough peripheral vision, they look directly at them it is clearly visible that it remains dark at the edges, and people with glaucoma usually experience migraines, nausea and light dizziness, but many symptoms may not be the same, and doctors explain that it is an insidious disease, so it is necessary to periodically check your vision, it is possible to undergo preventive examinations if you have concomitant pathology if you have someone in your family who has glaucoma if you are over 40 years old if you have myopia, i.e. nearsightedness or farsightedness, the diagnosis

of glaucoma will take you about two hours thanks to a comprehensive study, doctors will be able to say whether there are risks of the development of the disease anyway, we decided to get checked and we first start with an apparatus for checking visual acuity, tell us if it's scary , it doesn't hurt, i'll just have to look at the picture, now they're determining the parameters of my cornea, try not to blink now look at the picture it may be blurry it's normal next everyone is familiar with the visual acuity test measuring the internal pressure and determining the field of vision during the examination i follow your eyes are you looking straight do you follow those lights and finally check on a tomograph using the device ophthalmologists determine the anatomical changes of the optic nerve some deformations may indicate the occurrence of glaucoma we conducted an examination on you there are no abnormalities, however if the patient is diagnosed with glaucoma you need to know that it is impossible to cure it instead that it did not get worse

, it is necessary to constantly undergo a course of treatment , the first function of an ophthalmologist according to the glaucoma treatment protocol is to destroy the internal eye pressure using drops, it often happens that the pressure that is not compensated by eye drops will require a transition to laser methods of glaucoma treatment, if the patient with us regularly undergoes examinations, regularly drips drops , regularly takes additional treatment prescribed by ophthalmologists, then in fact he did it, the nerve does not suffer, vanya gla ukoman has a reduction and control of the internal pressure, for this you need to visit your ophthalmologist at least once every six months and follow his recommendations. so today we

are talking about such insidious glaucoma and we will find out whether it is possible to warn her at all, what provokes it. how many times a year do people need to be examined in general, but now, in the conditions in which we live , i want to emphasize once again to ukrainians, because there is a war in our country, and they are helping me in this as a guest in the studio. i want to remind you who is this famous ophthalmologist serhiy rykov and by the way he is also a very famous professor in our country and iryna shargorod ophthalmologist glaucomatologist doctor of medical sciences and professor dear guests so you have just watched the story and agree with everything correct examinations, this is an ideal office, this is the gold standard of glaucoma. that is, this is a glaucoma office, and kateryna really correctly showed the main methods - this is the determination of vision, among other things, with glaucoma, vision is lost in the last and first of all, this is the field of vision and the angle of the anterior chamber is blocked, the most important thing is what iryna vasylivna said about hypertension, hypertension is only one symptom of glaucoma, and it may

not be glaucoma, it is high pressure, if a person is measured, for example, in an optician, there is high pressure, do not be afraid of it, because it can be due to the fact that you have a thick cornea, it is normal due to what we will say. there are certain structures of the eye, and therefore glaucoma in the world is now considered normotensive, i.e. if normal pressure and normal pressure is 19 and less and with increased pressure 50 to 50, i.e. people with normal pressure are not they know that they have glaucoma. and if those symptoms appear , which are written about all over the world, what happens when gala appears around the light bulb, if there is fogging, if flies appear and so on, then you need to go and measure the pressure and necessarily the field of vision and

if an ophthalmologist, and every ophthalmologist has the opportunity, because there is a slit lamp and a gonioscope, to instill drops and see the angle of the anterior chamber, what is glaucoma, if this angle is normal, the lens is normal, then the liquid drains out here, well, we need ocular zones. and if the angle is narrow, then it blocks the outflow here as well you need to look with a goneoscope if it is narrow, ruslan said perfectly what needs to be done, you need to do a colotomy, that is, make several holes with a laser and improve the outflow, that is , now ukraine has the opportunity in almost every region to do it, you just need to so that every person understands that the culture of attitude to one's health is saving money, prevention is very expensive in terms of medical prevention, because it literally takes two minutes to make a diagnosis of barley and prescribe something. and to make or rule out a diagnosis of glaucoma, it takes two hours to conduct full-fledged research ms.

irina i want to ask you. please tell me. is this really how a person loses his sight and does not understand it himself? there are no signs, but we say that it can be asymptomatic. this is also possible, yes, this is possible, as a rule, glaucoma is asymptomatic, only those types that are caused by angle-closure, that is, angle-closure glaucoma. it can be accompanied by a pain syndrome . that is, only an acute attack of glaucoma will hurt the eye, and sometimes it is not the eye that hurts, but the head is increased blood pressure, dizziness as a rule, open-angle glaucoma does not hurt and the patient does not feel it, and there may be complaints that are not patachnomenini at all, but there are some reasons for a decrease in functions, so we the main thing is that now we must convey to our population and understand that today

in ukraine there are opportunities, there are centers in almost every district in every city that will help us , we need to measure the intraocular pressure according to standards every three months and determine the visual fields every 8-10 months to determine optical coherence tomography or helderber's thorough tomography , that is, the posterior segment of the eye, because glaucoma can proceed in such a way that the morphometric indicators will change, that is , the optic nerve can change, and on the contrary, it can be preceded by what serhiy oleksandrovich told us that with normotensive glaucoma, it is the function that is, the central field of vision is lost and the coma appears. that is why it is the gold standard and must be examined . and only an experienced doctor can help and conduct the entire complex. neuropathy or

no neuropathy? i also read that glaucoma can actually progress due to the fact that a person has received a certain injury. and here we don't know what is troubling . we often talk about it in the news. you probably very often hear that during shelling, when something happens during the bombing of our ukrainian cities, people receive civilian injuries, as well as military personnel , they often receive injuries, it can also be contusions, and we hear that people were given medical assistance on the spot, that is, the person was examined it seems that everything is fine. similarly, there is no such injury in the military , and that ’s it . and here, with a concussion, especially with a concussion, irina, you know that a concussion is such a complex disease in terms of consequences. there is a contusion, the person fell and often ruptured