oksama, i understand that you are in touch with us and listened to everything we said, but i want to ask you, we know that viruses mutate and new strains of coronavirus infection appear, can you tell us whether it has changed, for example, currently the situation with the coronavirus infection, precisely with the symptoms and maybe new and some other complications have appeared? thank you, ma'am. irina, what is the current situation regarding the coronavirus disease? first of all, there is a decrease in morbidity, both among adults and among children. a strain that circulates is a strain omicron, which is known to us, which we have already encountered, which most of us have already fallen ill with, and therefore, accordingly, the clinical symptoms are much lighter than. at the first encounter with

the first serotype. cross- immunity is activated, so morbidity and disease are much easier. there are fewer complications in the form of pneumonia, in the form of the development of respiratory failure, and this should be remembered, but unfortunately, complications are noted more often from the side of the cardiovascular system, development. myocarditis, the development of endocarditis, this must also be remembered, therefore, i will agree with what my colleagues said , that is, if there is no improvement in the general condition within three days, the cough persists, or, for example, a cough appeared, shortness of breath appeared, a temperature is obtained, then it is necessary to seek medical help from the doctor, and that's it...

let's talk more, mr. volodymyr, about complications, how not to miss them, how not to miss this particular moment in order not to actually end up in a hospital, and do ukrainians really need to be able to understand where is the flu, where is covid, where is it just acute a respiratory viral infection, and as you say that, for example, complications may not necessarily appear, there after a week of illness, as before we all believed that a person is ill. a week and only then, if the illness has not passed, then you need to contact the doctors. in fact, uh, mundane things like loss of smell, loss of taste, and even loss of hearing can happen within two or three days. if a person feels this, he should immediately go to the doctor and prescribe this treatment. why, because the virus not only gives us complications of inflammation. mucosa, where

the bacterial infection joins, it has a direct effect on the nerve. how should we act in this situation? if you see that you are an adult or your child does not have a runny nose for three or four days, there are green discharges of different colors, they can be yellow, or there was an ear infection, or for example, if it concerns tonsillitis, then we may have swallowing is difficult. voice, this means that you should first of all, at least , contact your family doctor, with whom there are currently signed agreements everywhere, and in the future a series of examinations will be appointed by the council, but your question was a service question, what should those people do where they are, let's say, there is no access, so in reality we have the possibility of online consultation and in fact.. according to complaints

and certain symptoms, we can prescribe treatment, but there is one caveat: you can take anti-inflammatory drugs, we can take both local drops and lozenges for the throat . do not use antibiotics, because first of all it is not a fact whether this antibiotic is needed, and secondly it is necessary to... choose an antibiotic specifically for each type of this disease. when a person turns to us specialists, already narrow-minded specialists, it is clear that we fully examine him. unfortunately, now, in most cases, all problems addressed by patients are very difficult. this is due to the fact that for a longer period of time we were walking er... probably

protecting ourselves, now people have relaxed, and what you noted is definitely in order, now you have to treat your hands, wash your hands and wear masks, and this... applies not only to adults, but also to children. our older generation of our parents, grandfathers, who are even more impressed, should be noted. why? because their, let's say, the first symptoms of an acute viral disease can once again exacerbate the entire chronicity. this does not only apply to sinusitis and throat. the same applies to the lower respiratory tract, i.e. the lungs. it should be noted that people who smoke a lot, unfortunately, this is the biggest problem, very often densely when they come to us, and think that they have hoarse voices, we also detect in them certain oncological diseases, gurtans, and not only gurtans, but also

lungs, so everyone's desire to approach and understand their state of health and provide themselves with treatment. this is the priority of every person. ms. natalya, is it true that now, when people get sick with covid or the flu, most often the disease begins with a sore throat, that is, a person feels a very strong hoarseness in the throat, the voice may even disappear, and then only a cough appears . mostly yes, now it is like that the most characteristic symptom of the emergence or covid. or influenza, although in principle other sars also quite often start with a sore throat. unfortunately, once again, patients start self-medication at the very beginning , they come with somewhat neglected forms, so it is still necessary, even if a banal

sore throat appears, before taking any lozenges or sprays for sore throat, to consult a doctor even though b for the fact that the doctor competently carried out a banal express diagnosis for... flu or covid, now it is available, it can be done in any institution and after that choose a treatment method. well, i understand that ukrainians can do it on their own, because now these express tests are sold in many pharmacies, in every city, so it is not difficult to do, how to carry out a diagnosis, both for yourself and for your child, of course there is such a thing, but i still want to emphasize one point, it is necessary to follow the technique of taking it. of this express test, so it is still desirable that it be carried out by specially trained medical workers who really know how it is right to do after that, once the diagnosis is made, is the treatment the same for all these types that we're talking about today, and for influenza, and for covid, and for acute

respiratory viral infection, or is it still different? in most cases, of course, the treatment is symptomatic, that is, we look at the symptoms and prescribe treatment accordingly. but i will emphasize that the influenza virus has a specific treatment, there are drugs that are used exclusively for the treatment of diseases caused by the influenza virus, but there is one important nuance: therapy with these drugs must be started at least 48 hours after the onset of the first symptoms. in the future, there are already such evidentiary facts that it is ineffective, and then indeed we carry out treatment exclusively symptomatically, that is why in most cases. in the treatment regimens, we can say that they are similar, but still, when there is a suspicion of influenza, it is advisable to apply for a flu test and get a specific drug for the treatment of this disease. ms. oksana, i have a question for you, i know

that you often go to the de-occupied areas territory, you help, collect medicine for our military, and very often precisely in these autumn-winter seasons. the spring period, yes , everyone wants to help and very often buy those medicines that are not needed at all by the guys at the front, maybe we can do without names somehow, but give people advice on what can be done to help our military now, maybe what food products are there , yes, what berries or dried fruits are there that can help prevent diseases, these are seasonal. to increase immunity, let's say so, and yet a few words also about medicine. thank you, mrs. iryna, well, i will start with the medicines, dear friends, our dear viewers, i understand all of us, we are extraordinary, all ukrainians, we each want

to help our defenders, but let's leave the collection of medicines and the transfer of medicines to doctors, medical workers , who still... understand that it is better to hand over to our guys, because very often everything is handed over in a row, the guys take everything in a row, and then they already... turn to us, and we already treat complications, pro who spoke dear colleagues, that is, yes, if you pass antipyretic drugs, buprafen, paracetamol, or anti-influenza teas, drops in the nose, and some antiseptic means for the fusion of the throat, or pills for sore throat, there will be nothing wrong with this, but if you transfer drugs that are immunomodulatory. then you shouldn't do that, because you don't know, and we don't know, what is being done with

this person's chronic diseases, whether they can be given immunomodulating drugs and how they will react to them, so if we pass the drugs, then yes, i will cough up the mixture tablets, please, freely in the throat, tablets or a sprinkler, please, drops in the nose as well and no more - other drugs, antiviral, antibacterial drugs, let's leave it to specialists who will understand whether there is a need for them, whether there is a purpose or not , it is better to pass really foods that contain a lot of vitamin c or multivitamins, please pass mashed currants, mashed raspberries, in such things that the guys will use as teas, the same dried fruits, the same,

for example, nuts, thank you, ms. oxano, ms natalya, i want to ask you about that , since we already talked, and ms. oksana talked, and you said that now in our country both covid and flu are circulating at the same time, and is it possible to get sick with flu and flu at the same time covid, well, these cases... i can’t say that they are very frequent, but they really do exist, since the symptoms are quite similar in them, and with any disease, our immunity level immediately drops, so we are also prone to other diseases, just like during, let's say, a viral infection, it is also possible to get infected with a bacterial infection against the background of that decrease in immunity, so you need to very, very well, clearly... understand what is happening to your health, react to the first symptoms and at the first appearance

of manifestations immediately consult a doctor, but if, after all, there are such cases of simultaneous cases, so that a person is ill with both the flu and covid at the same time, is it somehow different in general from the fact that he is ill with only one viral infection or not? i cannot say that the symptoms have passed much worse or much better, it all depends on the individual. from the person himself, from the state of his immune system, from the state of whether his body has previously encountered any strains of the flu or the covid strain, again from whether he was vaccinated, which by the way, we have not yet talked about , but this is a very important factor, so it is quite such, let's say, an individual characteristic feature. well, you have already started talking about vaccination, i also wanted to ask you, is it not too late, do you think, my dear guests? it's not too late to vaccinate, right now, when we are talking about it already in december, because before

we were usually told that when the virus season started, it should not be done, because there the immunity decreases, or if you have had this vaccination, then at least try to stay at home for a few days and not be in contact with other people, you know, vaccination is something that is never too late to do, it is not... a necessity that must be done, of course, that we we recommend, all doctors recommend to do it in advance, that is, it is somewhere, let's say, the beginning september, october, that is, so that we have a certain time, at least two weeks, for our antibodies to develop, so that we have a good stable immune system, but if it does not work for some reason, and a person feels healthy for the moment, no has no symptoms, so why not do this vaccination, it is not even a question of why not do it, but it is necessary. to go and do it, whether it is november, whether it is december, or whether it is really the peak

of the incidence, but until a person gets sick, the vaccination must be done unequivocally, as to children and adults, both children and adults, and pregnant women, i also want to emphasize here, because we always place pregnant women in some other category, we always say children are adults, but there is also a category of pregnant women, so pregnant women also need to be vaccinated, ms. oxano, are there programs now, for example, when doctors go to the de-occupied territories and do vaccinations there, they vaccinate people, and maybe even now there is some kind of program. when is vaccination carried out among the military, do you know about such programs? well, ms. iryna, we carry out vaccinations, this is not a program, it is all done by those organizations that provide medical assistance, both to the civilian population and to the military, and since then, when volunteer organizations have the opportunity to either

purchase vaccines themselves, or, for example, these vaccines are given to.. . we , public organizations, then we vaccinate , yes, we are volunteer, well, i, as a member of one of the volunteer medical organizations, we vaccinate whenever possible, both children and adults, including flu vaccines, do you also think , which is not yet it's late, so get vaccinated and get vaccinated, maybe against the flu, absolutely, given that we don't have such an increase in the incidence of the flu at the moment, it's just the most important thing that the person who is going to be vaccinated, that he is healthy and that he does not come into contact with for a person who has acute respiratory symptoms, if contact has occurred, then you need to wait two or three days, that is, get vaccinated, but be healthy, how else can we prevent all

these seasonal diseases, is it possible? in general somehow prepare already, i understand we won't have time to prepare, if it were summer, we could harden our bodies there, but what can we do now, mr. volodymyr, in fact, it's a healthy lifestyle, it's proper nutrition, a minimum of any provoking factors, and most importantly - this is for people to understand that... the moment, as soon as they see any symptoms, to eliminate them little by little, that is , for a day or two, antipyretic drugs, maybe nasal drops, lozenges, if it does not go away, immediately contact specialists, but there are such questions, these are people who have chronic

diseases, these are chronic sinusitis, chronic otitis, chronic tonsillitis, chronic bronchitis. it is people who should understand that they should as much as possible limit contacts with those people who are sick, that is, if a person works at work and he knows very well that he is sick, that he has certain periodic diseases, that is, at this moment it is desirable for him to wear masko, if a person perfectly understands that he has chronic tonsillitis, which is difficult to treat, and which constantly aggravates it. she must come, be examined and receive preventive treatment at least twice a year year. prevention of any chronic diseases, this is the moment when a person was not sick. actually ,

it's hard to say who among us will get sick now, whether it's a perfectly healthy person who leads a healthy lifestyle or someone who has chronic diseases, but prevention uh... health, healthy lifestyle, vaccination , treatment of chronic diseases, at least their moment, to prevent them from developing, if necessary, so these chronic diseases, for example, nasal polyposis, whether there are problems with chronic otitis media, or problems with swallowing, if necessary, that means they need to be operated on and for the person to recover, i.e. the more we realize that we can eliminate some ... problems, the less we will try to get sick, the most important thing, in my opinion, is prevention, it is also there is one point that can be highlighted at the moment, it is still the point that we are under

a lot of stress, unfortunately, people are stressed now, and as my colleague ... said before, this is the biggest factor in that a person starts to get sick. and i still have such an applied question for you as before allergist, do you remember at the very beginning , when the coronavirus infection first started , everyone started buying, i won’t name which ointment for the nose, nasal ointment, and saline solutions, they were literally disassembled in pharmacies, there was nothing of this, does it help as a prevention in general? it is a valid question, why, because washing the nasal mucosa. that we partially wash away the virus, and especially the winter period of time, if all the diseases are around, if we use the correct

soy solution, that is, the factory solution, and it will be very good to wash from time to time nasal mucosa, i.e. to eliminate the causative agent of bacteria or virus, this is the first point, and the second point is to moisten the mucous membrane, it should be remembered that... we are now in rooms with centralized or individual heating, respectively, we have dryness there is air, and this hydration, especially in children, is very relevant, as for the ointment , it is undesirable to use the ointment if it is fat-based, because it disrupts the mucocellular clearance for when cleansing occurs. naked when we are spewing mucus nose, it is disturbed, and therefore it is desirable in that situation to use any ointments , only to use water-

based sprays. mrs. natalya, maybe you have something to add? i was very rightly told about saline solutions, i wanted to emphasize this too, and also as a therapist i would like to add such a trivial thing at first glance, which i actually try to convey every day. patients, it is the consumption of a sufficient amount of liquid, it is necessary every day, regardless of the state of health, health, ill-health, but such a banal the method, how to use a sufficient amount of redina, still gives us a fairly stable immunity, i emphasize that the daily norm for a healthy person is 30 ml per kg of body weight, this is with good physical well-being and health, respectively, during the disease and... the norm should increase, and sometimes i even joke with my patients, saying that now the most difficult method of treatment will probably be named for you, it is to drink a sufficient amount

of liquid, because we do not pay attention, the doctor told us to drink a pill, we drank it because we have it it is prescribed once, twice or three times a day, and we always forget the liquid, so i really want to emphasize that sufficient liquid consumption is already the first step to recovery, or to prevent something. inspiratory disease, so maintaining hydration is a must, and as we always say, simple rules, they save lives, and water is our best ally, that is, in diseases, and even in order not to get sick, so today we have given you all tips that are possible, but they are really simple, in order not to get sick, feel your work, rest, your rest must be from six to... eight hours mandatory, try not to stress, even now during the war, take the right amount of vitamins, let's say, enough for your body,

for an adult for a person and also for a child, and of course, do not take, do not abuse medicines yourself, and as soon as you feel the first signs of the disease, it is still better to consult a doctor in order to make a correct diagnosis, and i want to thank our guests who are here today. .. they were with us on communication, this is an infectious disease doctor oksana vygovska. ms. oksana, thank you for your advice. thank you, ms. irina, thank you, dear viewers. i want to thank the guests in our studio, natalya pekh, a therapist, a doctor of functional diagnostics. thank you, thank you, thank you viewers, thank you. and thank you, mr. volodymyr, volodymyr gurak, doctor of otolargol. thank you. it was a program about health, and i, iryna. take care of yourself, because simple rules save lives.

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what will be your vacation novel, vacation, vacation, novels, please pray to god, please drink, and tomorrow fly to your sunny italy. mykola, don't spill blood on

your wedding night, you don't have to.

stories of people who devoted themselves to the defense of the country. as a volunteer at first, i traveled, helped the boys, got to know the boys, and somehow everything started to spin. feel the christmas miracle, feel the power of the unity of caring people. volunteer christmas, december 24 at 6:15 p.m. at espresso. we meet the first star together. christmas eve at espresso. traditional and not so traditional carols travels through the christmas cities of our country. very special guests and extremely warm conversations. december 24. let's celebrate christmas together with espresso.

news time on the espresso tv channel. in the studio of iryna koval. greetings to all viewers. russia has fired 7,400 missiles at ukraine since the beginning of the invasion. we are talking about all types of missiles. a third of them are 300 and s-400. about 900 are iskander ballistic missiles, air force spokesman yuriy ignat said. according to him , our defenders of the sky destroyed 1,600 missiles. also ukrainian air defense systems neutralized 2,900 russian drones. communications for frontline areas. ukraine received 5,000 sterling from poland.

this was reported by the minister. mykhailo fedorov's transformation.