[000:00:00;00] also here about bisfemina, anu, run, catch the microbiome, the champion caught a cold, quickly go to bed, and i will bring re zystol protects against viruses and bacteria, activates the body's defenses , promotes healing on a plant basis, time for resistol and in tablet form resistol , active life without a cold from arterium, autumn and winter peak in many viral diseases because cool weather can suppress our immune system and increase our vulnerability to infections viral infections are very easily transmitted especially when we are indoors and they

can be quite dangerous for the elderly, for children and for people with weak immunity, and prevention is of course the best way to protect yourself from any infectious diseases. greetings. i am iryna koval and this is a program about health. so today we will talk about is it possible to prepare for this cold season and how to survive it so as not to get sick and today we will have a kind of consultation , a team of doctors who will help us figure it out and reveal a lot of secrets to us and give a lot of advice so i want to introduce you to my guests: this is volodymyr horak, a doctor , a laryngologist, volodymyr . i congratulate you . thank you for inviting me to the laportak program

. oksana, a family doctor. as i have already said, we will have such a council today and we will understand how to prevent diseases in the autumn and winter period, and probably the first question i will ask will be to ms. oksana vygovska. since we have already we have known about covid -19 for five years and millions of people are revaccinated every year, but every year, in addition to covid, we also have the flu, er, various acute aspiration viral infections, and if we also say that we are already living in the third winter, we will experience the third winter in war conditions and during the war, our immunity drops because people are constantly under stress, so they want to know from you, ms. oksano, as an infectious disease doctor, what are the forecasts in general, or is anyone talking about what awaits ukraine and

ukrainians and what infectious diseases threaten we are here at this cold season of the year, thank you ms. iryna, well, after all, we are promised such a cold winter, taking into account the fact that the climate has changed , this is just to our advantage, but still, we expect a sub-normal increase in the incidence of influenza for this season and a number of respiratory viral infections that have a very similar systematics, that is, they have, in a different way, they are simply called colds, but in fact there are many of these viruses, it can be one for a virus characterized by conjunctivitis, it can also be a para virus flu, which is characterized by an obstructive component. that is, it is such a specific cough with shortness of breath, it is also a very common

irinovirus, that is, a runny nose, it is an enterovirus infection that we had in the summer, and now i will get more frequent manifestations in the form of hermetic angina or in the form of an exanthema of the hand, foot, mouth type, or the same catarrhal syndrome, that is, yes, we expect the traditional morbidity inherent in this period, but as for covid, is it somehow worth feeding here again do a revaccination because probably this question also worries a lot of ukrainians. thank you for the question about covid. despite the fact that we know that the pandemic is officially over, but still

the things that we remember happened with the virus, ms. iryna said many times in our interviews, uh, for our esteemed population, that is, the virus goes into the category of that uh, pathogen with which we meet all the time on a daily basis , just as in the format it had representatives of the hillocks that i spoke about. it also belongs to this family. yes maybe there may be a-a cases and cobites well, in the population, including, in principle, they were in the summer and are still continuing, but they are not massive, they are, well, a low-level disease, that is, as you and i talked about the fact that now covid-19 can be compared, for example, with the flu, with which we will have to meet not only there in winter and autumn, but also throughout the year, ms. oksana, please stay in touch with us and we will include you in our conversation, maybe you will have some comments or remarks during our

conversation because you can also talk together with our guests, the family doctor ms. oksano, i want to ask you why , after all, uh, people are more sick with acute respiratory viral infections, influenza , again, with covid and all these infections that i just listed, ms. oksana, precisely in the fall - the winter period is precisely in the cold season, because it would seem that we were all resting, it was summer, i mean how we rested , well, we enjoyed the warmth of the sun, so we were more energetic in the fresh air, and then autumn came and everyone starts to get sick sharply, people do not want lethargy waking up in the morning a kind of apathy, i want to sleep more. why is that so? you see, if it was only due to a change in temperature, then people at the north pole would get sick a lot, but it has been proven that they don't get sick

much more than those who live in middle latitudes, and how exactly and we therefore the temperature factor of course has its own meaning, although it is quite controversial and scientists are still arguing about this , but due to a direct connection with the increase in morbidity, the temperature, fortunately or unfortunately, is not there, it is still a little different factors, i.e., the humidity that changes during the autumn period is of great importance here, because ah , during the warm period. when we are warm, the sun shines, bacteria are well preserved, and when the humidity changes, they wake up and begin to actively multiply there, they can contribute to an increase in morbidity, but not only that, of course yes, you are right that in the summer people get sick much less. but in the summer, people rest. they go to work less, children do not

interact with each other so actively, and this is all such an increase in contact, this is the main factor that affects for diseases, that is, people are returning to work, on the one hand, on one side, this is the usual crowding of people in a closed space, because the temperature is decreasing, the windows are not opening, and people are spreading microorganisms among themselves, children are already returning to kindergarten and school , contact increases significantly, yes returning home from kindergarten and school, they bring these viral infections. well, of course. this is chronic stress, if you and i didn’t want to, but after returning from vacation, we go in minibuses in general city transport this is also an additional crowd of people, we don't know what respiratory etiquette is, how to cough and sneeze, and it seems to me that we need to teach the children about this in the kindergarten itself , we don't open additional windows for ventilation or it's cold outside, i

think we've already learned to do it all when covid-19 started, people learned to wash their hands, use antiseptics , and ventilate the rooms, they learned but forgot because the incidence decreased and mrs. oksana is quite right, it is now starting to actively increase, and the fear has passed because of that. well, er, sometimes we do not pay attention to the fact that we need to wash our hands, it is necessary to ventilate additionally, and this all affects the increase in morbidity . moreover, chronic stress itself, returning to work is chronic stress, increasing er, heating prices, this is also additional chronic stress, so we we all live in chronic stress now because there is a war in our country and we all know it, ms. oksana, for example, if we talk about an acute respiratory viral infection, they are different, and if we talk

about a cold, how are they different because very often people say on their own: you have caught a cold or vice versa. you have some kind of virus, that is, how to distinguish between them. well, actually, not as you know, because a cold is a viral infection, because the main cause of a cold is some kind of viral infection. at the moment, more than two hundred viruses are circulating in our country. air and we can get infected with any of it, so i would say that a cold is such a common human name for an acute acute respiratory disease or economic literary belief eve, for example, it is possible that you are debunking it again, now one of the myths, they say about the fact that if you have a viral infection, the temperature rises sharply, you feel sick very suddenly, and you literally lie down in a matter of hours or in one day , you

are already sick . well, in this way, each of the colds is the cause, this cause is a viral infection, because there are very, very many viruses , so doctors have to distinguish the beginning of the disease, and the beginning can be different , it can be acute with a very high temperature for example, as with flu and not as acute as a fever like i am with a common viral infection. that is, there will be a gradual onset , a slight increase in temperature, such a slight weakness. therefore, it still depends on the pathogen that caused this viral infection or cold, as people say, and possibly from immunity and invisibility , yes, of course, mr. volodymyr . please tell us why people most often snort in the autumn and winter period, feel a pain in the throat, and they say, for example, that a person lives

with chronic sinusitis, summer lives absolutely normal, in autumn, in winter, sinusitis begins , sinusitis , and here are all the concomitant manifestations of this. the patient came to us with complications. immunity and with the help of certain drugs prescribed by the family doctor, infectiousness, the person recovers, then everything remains ok, the virus itself is an irritant, not a mucous membrane, but an irritation of the upper respiratory tract, which causes swelling of the trachea and removal of mucus, if the person copes with his immunity, plus some minor

drugs in three days, everything becomes good, a person is healthy, if a person does not cope with this swelling, it actually causes a runny nose, causes pain and joins flora, which lives in our mucous membrane, according to this, there is swelling not only in the nose, but there is swelling in the paranasal sinuses , there is a blockage of natural openings and the mucus that is in our sinuses again joins the bacteria and pus is formed, and this often leads to the fact that a person already has a temperature with purulent pain from the nose, and then we try to do the following first of all, we examine a person, there are specialized methods of examination, this is a general blood test of bacpos and the main gold

standard for the treatment of acute or exacerbation of chronic sinusitis is computer tomography. in 7 days, the person becomes easier and, accordingly, he recovers. if we do not succeed with these methods, we use the methods of endoscopy, that is, these holes that do not give us pus oozing from the sinus from the current. we are expanding them, it should also be noted that what concerns the nose and paranasal sinuses is that the virus often causes a violation of the sense of smell, that is, it acts on the olfactory receptors. this was very clearly expressed during covitis. it was possible, although they took a certain treatment. in some

, it was 50x50, and in some, it returned in the same way. brothers, we already talked about the nose and the sinuses. runny nose and you see that there is purulent discharge on about the second or third day, in most cases there will be an ear infection, the child will complain of ear pain and high temperature, in this situation it is absolutely not necessary to neglect and immediately contact a specialist. this is catarrhal otitis, which still does not flow from the ear, because if pus flows from the ear, this is two more difficult cases, it involves a rupture of the eardrum and the removal of pus to the outside, that is, the body

gets rid of pus, but the patient has certain types of complications and this already requires long-term treatment . and is looking for where to say so, where to hit him harder, and if a person has any problems with, as they say, the ear, throat, nose , then, accordingly, she hits absolutely, you are absolutely right, especially people who have allergists, people who have problems with nasal discharge due to curvature, people who have chronic polyposis. for these people, it is imperative that if they see that a cold or sore throat does not go away in 3-4 days, they must consult a specialist on the third or fourth day , that is, an otolarin doctor it is necessary to contact why because the mechanism of attachment of a bacterial infection is then launched and in the best case it will be therapeutic treatment in the worst case it will already

be given surgical treatment swelling if we talked with you about the sinuses about the ear and sometimes the virus can also cause a decrease, there is an acute sensorineural deafness, that is, the virus itself, depending on its modification, can cause hearing impairment, that is, if you saw that your servant decreased or he immediately woke up or in three after four hours, it is necessary to consult an otrimagog who will perform an examination, it is differentiated, is it inflammation or is it a lesion of the auditory nerve with the help of audiometry, because within 5-7 days this hearing it is possible to restore it if you continue, it is started, damage to the auditory nerve by a virus occurs, such a situation occurs that after more than two weeks it will be very difficult to restore hearing, as well as during an acute viral

infection. what we talked about. there may be swelling on the first, second, or at most, the third day in the vocal cords, that is, a person who talks a lot, especially your profession , you have caught a cold and you feel that it is difficult for you to speak, so you should not neglect to come for an examination, there is the first option - these are certain anti-inflammatory drugs or inhalations, because all swellings that cause laryngitis, especially in children, can also cause seizures, that is, the child begins to breathe and suffocate , it should be remembered that a viral infection during the years when we were quarantined well, it changes the same way and we actually spent almost two and a half years of quarantine, in reality there were restrictions war has started, aggression is absolutely

of interest to us, everyone forgot about masks, everyone forgot about certain safety methods, i.e. hand disinfection, especially this period when it is winter, spring, autumn, we have low immunity, we have low vitamins for people who have chronic tonsillitis who have chronic sinusitis who have chronic tonsillitis at the moment it is necessary to be careful about the culture of prevention of their organic works . now everyone has already gone to school and kindergarten , so they have returned to study, they are in groups, and we just talked with the family doctor here that it is these closed rooms

that also provoke the fact that the children ended up in the team is starting to get sick more, exchange infections and viruses, tell me how or is it even possible to somehow reduce the incidence among children, what advice could you give to parents, thank you, mrs. iryna well, of course, the incidence is exactly the same as the transmission, and now it’s about preventing this disease, and we are talking about first of all, about non-formal ecological methods, yes. that is, we are talking about how to get by and not to take a psychologist in order not to get sick, that is , first of all, and we all understand that uh, do you get sick or not, or how much do you you will get seriously ill so that you will have the symptoms of an infection like a cold. after all , you will already have a more severe, severe course , severe symptoms and the development of complications, and you

will then have to contact specialists or an infectious disease specialist or an otolaryngologist or other doctor, everything depends on the state of one's immunity in the first place. that is, all preventive measures that can be carried out starting now today are aimed at increasing general immunity and local immunity by local immunity - we are talking about just the eyes, the mucous membranes of the mouth, nasopharynx, and eyes, which are the entrance barriers through which pathogens penetrate. this is the first component, and the second component is how much we are all in a state of chronic stress, and the state of chronic stress is is directly proportional to the state of our general immunity, so it is necessary to work on yourself , if there is a need to work together with a psychologist

, to use various methods of emotional relief, in order not to cause yourself or your child more stress plus, now it's a beautiful autumn of advice - this is the use of various vegetables and fruits. that is, these are vitamins that we will and the impossibility of us to take with food. therefore, right now there is a sea of ​​possibilities for children and for adults in order to strengthen their immunity as a whole and a local one in order to gain strength. of course, vaccination if we are talking about a mushroom, because no one has canceled the flu virus and it, uh, occurs regardless of whether we have a war, we don’t have a war , that is, we live with it according to its epidemic,

the law is logical, thank you, ma’am oksana, i know what you are from from the very beginning of the war to go to the de-occupied territories and there you treat people and help people, tell me that you went there most often last winter, autumn and the year before last . that is, you saw the whole spectrum, you saw what problems , what diseases and viruses people face, how they treat themselves, i read a lot of your posts about that parents very often well, it's not that they don't pay attention , but they start some childhood diseases and the children already have certain complications. maybe you can turn to people who are in some territories and do not have the same access to doctors and hospitals as people who live

in more or less peaceful cities, yes, absolutely , i continue to visit these territories together with my colleagues, but on these trips we returned from donetsk region, unfortunately already now the waves have started and the needles have started - just for colds and adults and children , well, what should you pay attention to, dear viewers, well, first of all, about your health, that is, if you feel that you are starting to get sick, and we are all the same we start to get sick, that is, we don't want to lie down, i want to sleep, i don't want to get up, my arms and legs hurt , someone's eyes start to swell, the nose starts to be blocked, or vice versa, there is a runny nose, that is, it runs, someone has a sore throat. someone is talking, so i immediately feel

that my lymph nodes are swollen. on the neck, these are the initial manifestations of the disease, that is, we must remember that we need to look at the temperature and behavior , it depends on whether there is hyperthermia or not, and we remember that a temperature of up to 38.5 is protective, and on the contrary, it is not necessary to reduce because the production of those antibodies that are designed to fight pathogens is going on accordingly, we must remember elementary things that are sufficient for one regimen, but the truth is that they forget about it because the temperature is because we sweat because we have a cold dear, it doesn't matter what severity is stress stress is accordingly, the cost of e-e and e-e with our need for water and electrolytes is increasing

, so yes, these are banal grandmother’s favorite recipes, that is , teas. many people have access to uh, just plain ordinary water, which can be made like sea water, that is, add salt to ordinary water and you will have a solution similar to physiological development or sea salt , remember i said that a little shell that needs to be instilled in a banal way your nose or wash it or rinse your mouth with this e-e water what is it for? in order to simply wash off the amount of the virus, accordingly, less virus will penetrate, there will be less load in the body, according to the connection and it will be much easier to work, this is necessary

several times a day, in principle, this is the main basic treatment, and all treatment should be symptomatic , depending on what the symptoms are, and it supports volodymyr . and a cold is also in seven days. it’s not invented just like that. that is, we take it, but now we have shifted a little. indeed, the first 3-4 days are significant if during this time you get sick and around the 4th day you feel much better, that is, there is a positive dynamics is it means that everything is fine with you, you are recovering , but if you see that, on the contrary, you have new symptoms, they are progressing, the temperature was, for example, 37.2, and it is already 38 for us, it is stable

every day, you already have symptoms well, you already have a toxic syndrome. you don't want to eat. you refuse to eat that. peter, you may have nausea. you may have diarrhea , that is, diarrhea. radii but it doesn't matter whether it is there will be a family doctor, then there will be a dear doctor to whom you can turn to for medical help , you need to be examined, you must be blown for the object if you cough , even without a cough , bronchitis is now quite often, pneumonia occurs by itself, and now every doctor should see a family doctor-pediatrician, he is methodologically proficient and can definitely examine the condition of the middle ear and nasopharynx in order to detect

complications. thank you, ms. oksano, i want to ask the family doctor about the advice given by ms. oksana. i still have some advice because very often people, as soon as they have a runny nose, their temperature rises, and it seems to me that this all happened exactly after we learned about covid- 19, they quickly start taking vitamin c in large doses , then after that they start taking zinc on their own without a doctor's prescription because i think i'm also taking zinc because i remember that they said something about covid, you need to take zinc. well, there is one more piece of advice. it will probably be very correct out of all of them, because the national health service the united states of america advises its people to take vitamin d from october to march, so tell us, ms. oksana, what you need to do as soon as you have

the first symptoms, what you need to drink, and what to do with all of this. what should be used, what is not, you know, in fact, this is a big problem that doctors are currently facing, such as freely prescribing the same vitamin c to oneself - really in large doses and zinc, vitamin d uncontrolled. that's right. i agree with the recommendations as well we recommend preventive dosing of vitamin d, especially from october to march, some sources write until may, and this is useful, especially in the education in which we live now, especially in our country. immunity , however, such arbitrary appointment of vitamin c causes a lot of complications for organisms, and currently we see the growth of a large number of nephritis associated precisely with the uncontrolled intake of vitamin c.