you work hard because you believe you died for the future for the sake of love for the sake of peace for the sake of victory ukraine!

zlotilo, strengthen the borders of ukraine for drones, join the gathering of the border guard, our weapon is the truth, the marathon, the only news, picks up on information, how it was, let's look further , the only news in the center of events in ukraine, 6 am is not worth the only marathon, ictv and stb channels stand in for me. my name is yuliya senyk. good morning and then the news release on the night of july 28 for ukrainians turned out to be relatively calm , but it temporarily burned the occupiers explosions rang out in the occupied mining district of donetsk region at around 3 o'clock in the morning, the fake city administration reported that a rocket hit the territory of the oil depot, another news came from moscow , the mayor of the russian capital said that the city was attacked by a drone at night, ukrainian soldiers step by step, meter by meter, are liberating their native

land from the rashish invaders the day before , president zelensky announced the liberation of the village of staro mayorske in the south of donetsk region and attached a video message of ukrainian soldiers from the de-occupied village 35 brigade also the battalion is friends with him thermoparlannaya area i am doing the task i like it she can do everything probiz femina - this is your useful microflora if you are a banana you can immediately see the skin hair for everything else it is just fire what is here probiz femina anu run grab microbes hemorrhoids phlebudia 600 pink french pills for hemorrhoids just drink it with water phlebudia 600 there are discounts on kombispasm and kombispasm gastrocomfort 10% in pharmacies traveller, bandashkad, only the state itself has

the best way to preserve life and development as a whole people, and every individual volodymyr vynnychenko, that is why today we are united by a great idea , the idea of ​​defeating the enemy, the idea of ​​protecting, defending our state, our statehood, because the state is us, the state, is every ukrainian what creates it right now with on the day of ukrainian statehood espre hello this is freedom morning informational project radio freedom top guests every day this is the shipbuilding district of kherson turn on live we are mining bahmut we tell the main thing on weekdays at 9:00 andriy

yanitsky keeps the economy under surveillance, so it's about economic news on the espresso channel, but it's not about dry numbers and clear terms, it's about the economy, it's about the ability to analyze, forecast and profit , about what currency rates will be, salaries and pensions, and how product prices will change, information about everything that affects our wallet, and informed means armed , watch the economy news project with andrii yanitsky on weekdays at 8:10 not espresso, so more than 280 million people in the world suffer from visual impairment, this is the data of the world health care organizations and ophthalmologists note that this number is increasing every year. for example, if we take our country , in 2017, according to statistics , about one and a half million cases

of eye diseases were registered, among them more than 300,000 cases were in children, but in our country there were more problems in connection with this, people need the help of ophthalmologists, and these people actually increased. i congratulate all viewers of the espresso channel. this is a program about health, and i am iryna koval, so i think you have already guessed that today we we will talk about our vision, how to preserve it, but not just in the context of such everyday problems, and the topic of our broadcast will be more important. today we will find out whether the vision of ukrainians really deteriorated during the war and talk about who provides ophthalmological surgical rehabilitation to soldiers of the armed forces of ukraine and also to civilians who suffered and let's talk about reconstructive surgical interventions and so, i want to introduce you to the guests who visited my studio today. well , you probably all know my favorite

ophthalmologist serhii rykov and serhii. i congratulate you. members correspondent of the national academy of medical sciences of ukraine professor head of the department of ophthalmology and optometry of postgraduate education of the national medical academy of ukraine named after bogomolets and iryna galinska p iryno i welcome you to our studio today candidate of medical sciences assistant of the department of ophthalmology and optometry of postgraduate education of the national medical academy of ukraine named after bogomolets plastic practitioner ophthalmologist surgeon so, first of all, my dear guests, what i want to ask you about today, is it really true that that during the war, the eyesight of ukrainians deteriorated. is it still a myth to take children even like that? i often consult children, and parents come and say that

the eyesight of young children has deteriorated very often. but in children a little older than his age, who have visual strain, who have had coronavirus strain on their eyes with e.e. ipads, then military situations, when we are already working online, you understand how big the visual strain of the accommodation apparatus is that the eye is built in such a way that it should look at a distance of more than 5 m, and we always find work from close up and the eyesight has really deteriorated, mainly this is a violation of accommodation, it is not catastrophic, the child will not be blind from this, you just need to give the right recommendations and follow certain rules to practice with an ipad, but the deterioration is felt in the adult population, especially 40+, people used to start using reading glasses earlier at the age of 45, and

now they are 38-40 years old, etc. and they think that this is, for example, a nervous situation psychologists and neurologists and psychiatrists also support us because when we say we show the statistics of vision deterioration, but it is important that there are no organic changes in the eye alone, you can get a reverse reaction and cure patients, this is very important, but realistically, because the president of ukraine said that he and his my wife began to see poorly after these nervous stresses, and then we thank god, journalists paid attention to yes, and ophthalmologists are simply very satisfied because more patients came to us who came for preventive examinations, it is very important for me, among 15 patients at the reception, e.e. last week, there were three children

, just parents brought them for a preventive examination, really . i would also like to add that, for example, since i am an adult ophthalmologist, i often see such pathology as glaucoma patients in connection with the war due to the fact that they are forced to leave their homes and have lost contact with their ophthalmologist in them decreases vision, they do not regularly instill, for example, antiglaucoma drops, they do not regularly visit their doctors and thermologists, because as you know, a patient with glaucoma must come for a comprehensive ophthalmological examination once every six months, and unfortunately, these patients are forced not to follow the doctor's recommendations and in connection with this, glaucoma is already a disabling disease , it leads to loss of vision. and this condition in others leads to the fact that in these patients the deterioration of vision progresses, and this is quite

such a difficult problem is a patient who has gone abroad, and who will help them there, who will prescribe the necessary drugs, for example , the necessary therapy was selected here, and this is also a very important component and cause of vision impairment, and i also want to add that there are diseases that require, for example, intravenous injections certain medical drugs inside the eye, and these drugs are designed so that it is necessary to follow a clear schedule of administration of these drugs, and when the patient does not receive this dose of the drug at the appointed time, it even leads to irreversible changes in the eye alone and also loss of vision, therefore, there are many components why our patients, unfortunately, really lose their vision with cataracts, for example, patients come already in the advanced stages . that is, we operate with modern technology - they have not been examined and do not know. they do not want to spend money on

but there are some patients who pay such money and want to come for surgery because the situation may be unstable tomorrow we have to run somewhere maybe to the basement maybe somewhere else and these patients are just the stage itself cataracts, it becomes from immature to mature well, it seems that it is good if it is mature then to operate no it is not good because the lens is then very dense and it is bad for the surgeon technologically to remove this lens and the patient 's postoperative period is much longer because of that i really want to appeal and tell our patients not to overstay there are a lot of ophthalmologists in all regions. there is a sufficient network , you just need to contact them in a timely manner .

if a haze appears in front of your eyes, you can see worse in the distance, but better up close, so then you have to go before that, not intervention . iryna said correctly about glaucoma, because exactly the regimen of using drops is broken in 95% of patients, and glaucoma is the main cause of blindness. so we have it is planned to be more blind people. well, in our country there is a war . engaged offers to watch just now everyone is engaged in his own business and military personnel protect us at the front and we, doctors, medics, uh, save them, help their families, iryna galinska knows firsthand how our defenders sacrifice their health for the sake of a free land, first the invasion, a doctor with colleagues they helped the defenders of zhytomyr

oblast after meals and brought many wounded soldiers to the clinic . the clinic has been cooperating since the beginning of 2014 . it is a pity that after 2022, the number of these victims and those military personnel who need medical assistance has increased many times, the medical facility cooperates with the local hospital, soldiers with the most serious injuries are admitted there. and to treat the illness of the military, they are sent to the clinic, although it is private, but the defenders are treated here for free, which means that we examine for free, about 80 servicemen every day receive such free examinations as laboratory diagnostics, i.e. blood tests, computer tomography

magnetic resonance imaging, x-rays of any department and also consultation of specialists. recently, there has been an increase in the number of requests from the military with ophthalmological problems to the doctors. vadym kalinchuk, a man, initially entered the service as a volunteer during the invasion and recently began to feel that the gray has worsened, and it has not worsened much, but it has worsened since then the moment when i was at the optician's, i once understood that i was driving with my eyes closed and my wife had to go to an ophthalmologist like vadim a lot. every day , an ophthalmologist takes up to four servicemen and soldiers are often referred for concussions, all the procedures related to the head and plus after the concussion, the vision falls, the left side of the hearing from the mirner has partially disappeared. therefore, i am currently undergoing an eye examination here for the time being, this is probably in the last four months, this is already the fourth

fantasy sharp vision at the front on the weight of gold , says fighter mykola vuzhanov, for a soldier eyes are the basis of all the basics everything you see everything you hear all this is especially thanks to modern equipment in the clinic they can make accurate diagnoses and later start treatment is necessary if it is just myopia or er that is myopia or some kind of astigmatism usually it is not corrected er only laser correction helps with this if it is some kind of post-traumatic impressions then usually so they often treat if it is not a severe injury and doctors not only diagnose ukrainian soldiers are immediately treated by specialized specialists who perform free surgical interventions, and doctors also treat the children of fallen servicemen; children undergo medical examinations until they reach adulthood ; therefore, in the clinic, they call on military personnel who

if you need the help of specialized specialists, contact the institution directly or through your hospital. so we are coming back to you, our viewers. this is a program about health. i am iryna kovalyu. today i am visiting serhiy rykov, a corresponding member of the national academy of medical sciences of ukraine, professor, head of the department of ophthalmology and optometry postgraduate education of the bogomolets national medical university and i want to introduce another guest who is on our air . this is iryna galinska, candidate of medical sciences , assistant of the department of ophthalmology and optometry postgraduate education of the bogomolets national medical university

, a practicing plastic ophthalmologist, a surgeon. military thank you for such a question , rehabilitation lasts for a long time, more than a year , and these patients must be dealt with comprehensively from the point of view of ophthalmology, from the point of view of neurology, and with the help of a psychologist and even with the help of a cosmetologist. as you know, in our country there is a lot of support from our foreign european e-e pharm pharmaceutical companies that help to do joint care because it is always facial reconstruction , eyelid reconstruction, these are combined injuries and they require not only surgical restoration, but also the restoration of work with scars, this is the administration of special drugs so that the products do not become hard, and they contribute to hard scars because, er, they violate the anatomy and physiology of the eyelids and

accordingly, the eyeball itself suffers, it is also laser grinding methods, and therefore i very sincerely thank everyone who participates in the comprehensive rehabilitation of our war wounded and even the civilian population by doctors of all specialties with symbiosis, that is, there is absolutely collegiality and support, this is the work of an ophthalmologist, a plastic surgeon , a cosmetologist, etc. it gives then the best result, of course, there is one more point, this rehabilitation is really up to a year or more . for example, valeris and i discussed the problem of eye prosthetics well, when a fragment just got into the eye, they removed the eye and there is a cavity. and when it needs to be formed, as oksana vasylivna petrenko says, it takes 3-4 stages, it can be more than two years, and a much

larger number of individual prosthesis prostheses is planned, that is, rehabilitation e- two-thirds of the work of ophthalmologists in polyclinics after the war will be the rehabilitation of primary patients, there will be less because the population is a little smaller and the treasure will be less, but the rehabilitation must be comprehensive and multidisciplinary. professor kobchak and i the department of maxillofacial surgery restores, for example, the septum of the eye, the lower part, that is, we do special 3d against e-e modeling and so on, that is, the recovery is almost complete, but the main thing is that these patients are difficult if there is no eye - this is a general contusion - this is a patient with brain problems, problems, problems that need care for this patient and here they are already performing at the next stage, these are long-term rehabilitation centers where patients can be, as you said

, where not only there, let's say two or three days, but a few months ago, i wanted to ask mr. sergius where this rehabilitation takes place in ukraine. are these some private hospitals ? these are special sanatoriums. these are state hospitals . what kind of bookmarks is the hospital in tziblakh, for example ? yes, he is from mozovsky, there are many hospitals from the ministry of internal affairs, the military, border guards, and so on. other, yes, state institutions, of course, because private institutions take for a certain period , for example, i know one clinic there, a private clinic in kyiv. in a week, what is needed is long-term rehabilitation, you understand, and private individuals are trying to do some high-tech, high-tech surgical intervention . still, this is a state affair, not the rehabilitation of soldiers, and here the training of personnel, especially

rehabilitation specialists, comes first. maxillofacial dentistry, let's say ent because it is combined damage and this is what our national medical university and the institute of postgraduate education deal with because we work with doctors post-graduate education and it is important that today there is a good, powerful staff of the institute, which practically the doctors are satisfied . they write now whatever you want, you are afraid, we love them and we are afraid they will write a nice review, you understand, and here there is an incentive to work even better, to convey something new, just something seen immediately by the doctors immediately by the doctors because the patients are injured, they come where they go to their mother's house or to the woman's because of that . well, it should be regionally. in fact, it is very important because the war is not over yet and we

we understand that these problems will be long and the post-war period is why it is important that these doctors, ophthalmologists, rehabilitators, they are in our country, mr. sergiivno, how many are there at the moment, you say that they are , but how many are there? well, according to the calculations, this is according to the european calculations because according to our statistics, there is now a bit of a problem because there is a shortage , er, about 30 percent of rehabilitators will be needed , that is, doctors, and about 50 percent of the middle level, that is, those who will do massages and perform various procedures something else, mrs. irina, and i want to hear what you still see, if it concerns both military and civilians, mainly what kind of injuries are these injuries? i would like to thank you for raising such an important topic, because if a military man is hospitalized and the doctors are rehabilitating him, the patient is a civilian. he doesn’t know who to turn to , and maybe this transfer will help and give the post

to go to the doctors, because there are such complex injuries that the patients of their civilian relatives are omitted hands, these injuries are related to the fact that they not only bring a decrease in vision. and where they form the face, and first of all, this is a psychological , significant, significant injury, because it is the absence of an aesthetic cosmetic effect. so this is a defect, and you rightly said serhii aleksandrovych about the fact that now cooperation in the termols of maxillofacial plastic surgeons has quite a lot of possibilities and it is very good that our patients, our ukrainian people, knew that they have hope to return to a healthy life thanks to the fact that 3d plates are actually being produced now. they are fully integrated into the skull, the skull is the bone base of our beautiful visual face, and from this it is already possible to build up soft tissues, and the results in

long-term and rehabilitation are usually more than a year, we must have patience for the patient , first of all, not for the doctor, we doctors have patience and for the patient and for his family is to bring this result to the maximum desired. and when the patient already sees the first positive steps, then it is easier to cooperate with him, but regarding the nature of these injuries . unfortunately, in most cases, they are fragmentary injuries, shrapnel injuries, these are also shrapnel injuries, eyelashes, orbits of the eyeball itself, shrapnel injuries, they usually carry contamination in addition to themselves. yes, these are infectious complications . that is, it is a severe combined trauma of burns , less, it is more work, after all, surgical , er, lanka rehabilitation, i wanted to say , is the best already after of the surgical stage. this is the family. why do patients come to me like

this? an almost blind warrior is almost blind, but how adapted is the family to this? do you understand? they understand what to expect. i tell them that there is a future, that there is a young person, there are special technologies, uh, there is an experiment now, for example, this is the growth of neuroepithelial cells themselves on the eye, if a person has atrophy of the optic nerve. yes , there are already such molecules, there is no such drug yet . but it will be in 5 years, you understand, and they they come calmly , they do not demand anything from the doctor. they are waiting for this information about the future of the wall. at home, they also treat psychologically. it is also very important . by the way, for example, some new technologies are good, even if it is impossible. for example, to restore some parts from a part of the skull, there are special silicone overlays that completely imitate how it is even

with the use of makeup. so when a person applies it, it completely imitates the other half of the face. if you communicate like this from afar, you will not even understand that a person is a defect, because a person really needs to be social adaptation she should not be afraid to go to the store to talk with friends, therefore it is important to convey information that all is not lost now there are many opportunities, the main thing is to find your specialist who will guide you along this path rehabilitation then and please tell me how expensive it is in general. does the state still cover all of this, maybe some sponsors, donors, or at whose expense, look at the military, there is no question at all. if a military man comes, he shows his ticket, and not a single clinic in ukraine will take the money, well, it’s immoral things and this everyone understands and they are even glad that they came to us, we even struggle, we want the patient to come to us well, if we are a high-tech clinic, then if we

say something that we can't, then so and so other companies, manufacturers and american, european, etc., they provide consumables for these surgical interventions for free, you just need to submit an application to examine the patient and in two weeks they provide us with these materials, and i want to, by the way, say that we ukrainians are such a strong nation that all private clinics, even they have rallied together and provide assistance to both the military and the civilian population for free or only for some small consumables, because we all understand that only we can help each other, and that's why contact a private clinic, many private clinics on their pages in social networks even make announcements about contacting us we will not give you reconstruction help free of charge and there are many associations there are associations of ophthalmoplastic surgeons oculoplastic surgeon there is an association of ukrainian e-e critical surgeons

wind cataract surgeons and they are supported by foreign sponsors and there are applications when surgeons come, and it seems to me that both in lviv and in poland when patients are usually selected and come from america and from large european centers , and absolutely free for the patient, they perform high-tech, low-cost operations. well, there are 9-hour long operations, so the main goal is to spread it, too, and give knowledge of where you can turn to for this, that is, i want you to have such an opportunity, just now turn to of all our viewers who have such problems and to the military and to the civilians who were injured so that they are not left alone with their problem and so that they can turn to doctors an extraordinary very important point the help of europe and america, e-e

, to the ophthalmologists themselves with knowledge, conferences, that is , earlier, to invite some european surgeon to give us a lecture , he had to be paid 3,000 €. now everyone is giving lectures for free, we are just initiating, conducting training, and now we have a very big euroretinal congress, and we have all gathered at the ophthalmologists of ukraine, and we now have half of the lecturers from abroad and excellent lectures , that is, european knowledge is being brought to the ophthalmologists of ukraine by european scientists today, and in such a difficult time we have a lot of young doctors, they continue to study and recently there was also a conference in prague and for ukrainians there was absolutely free registration and there was absolutely help both with the settlement and the transfer, so we are sincerely grateful to the association for the fact that all ukrainian young doctors had the opportunity to visit because