their work, however, one of the most effective means at the forefront is ordinary mobile loudspeakers. here is one of them based on an armored personnel carrier in these conditions. i propose to work, since it is daytime and we are in plain sight. it is best for us to do this in motion, that is, we will conduct a sound-broadcasting session in motion. how much time do we have, according to your experience, until the moment when we can get an answer no more than 5 minutes, because, uh, the enemy is also reconnaissance by means of unmanned aerial vehicles. here, maybe there are observers somewhere. therefore, we will need to accomplish, or rather, our task of broadcasting sound, exactly, as we call it, we will broadcast on the move in the process of movement. the armored personnel carrier slowly drives along the forest plantation, disguising itself behind the trees. our military they say that on this sector of the front we are confidently attacking. so this is the result of a psychological impact on the

enemy. as practice shows will be more successful. you must understand that further resistance. this is ridiculous suicide. you do not must go to certain death. think about your family and friends, we guarantee everyone who has stopped resisting the safety of life in your hands. this voice can be heard quite far for 3-5 km, depending on the direction of the wind. however, we have a little time soon, so the artillery of the enemy will hit the place. now the armored personnel carrier is directly in operation. you hear how loud the broadcast is on the other side, the enemy ukrainian troops are over there, but now i really want to move away from the apc because that at any second

shells can fly back, because for the ukrainian command. but it's like a red rag, and therefore a priority goal is a priority goal. now here's the sound of an armored personnel carrier broadcasting. better stay away from him . and leaflets can be distributed remotely, like this, the fighters of the people's militia of the lpr are scrolling through the positions of the apu. this is the name of this process in the army language with propaganda shells fired from a 122-mm self-propelled howitzer carnation. we, as planned, are using another combat carrier in positions pacific marine corps, we find a battery of multiple launch rocket systems. fire hail is dense. finally, we brought our campaign projectile to the final destination, i hand it over to the calculation of the grad combat vehicle. so guys, now the

projectile has been accepted to work with this ammunition for you, we will send it to its destination. i hope the enemy soldiers come to their senses , stop fighting for western values, surrender and soon go to their relatives. however, there is another sure and peaceful way to convey to the enemy. the only right thought with all the same drone and such an experiment was already carried out by a sentry at a common claim range . so, open the bomb bays. a week later, the

month of november, urologists sometimes call it usabr and the symbol of this month is a male mustache. why because this particular month is devoted to educating men and women about the two most common diseases in men, cancer and testicles and prostate cancer, we are starting this program in the urological clinic. this is a team of doctors carved from wood by one of whose patients in this clinic they saved say that the clinic is celebrating its fiftieth anniversary this year, and is running this famous urological clinic. the chief urologist of russia academician dmitry yuryevich

pushkar and today, like many years ago, the morning of the academician begins with a round of patients. this is resuscitation, all patients were operated on yesterday. victor will walk and get up today. this is understandable, it seems to me, yes, yes volodya today we are taking an ecg in the morning all the old facilities are looking and we also want to become more active the clinic based on an ordinary moscow city hospital is famous for everything world and are included in the top 100 best urological clinics in the world. not only men, but also women are treated here. for example, applying the most modern technologies and treatment of bladder cancer in women with bladder plastic surgery. here, many years ago, they installed the first robotic surgeon in the country house in russia, and here the surgeon is sitting. well, you see, no,

gloves absolutely it was a real miracle of 2008 . the tentacles of the assistant's robot are lowered into the patient's body, but these hands cannot work independently and cannot be controlled by the surgeon. since then in the russian surgery, a new era began at the work of a russian colleague, then watched the american lesson. may i ask you one question? how many of these procedures do you do each year for your blade in the us i will already do 2.400%. yearly. i have been doing 600-700 such operations since then 14 years have passed and with the light hand of professor pushkar, romantic operations have been put on stream in russia, and today he has the greatest experience in europe, his right hand is represented by monopolar electric scissors. have you seen this? the left hand is represented by bipolar forceps on the operating room.

man's table. he had advanced prostate cancer a few years ago. at best, the fate of a severely disabled person awaited him, but today this patient. after the operation, he will live normally. the pie works with a robot assistant, like an organism and fingers with all fingers and even feet, because the robot has a lot of pedals. and here, these armored robots clearly react to every movement and wait for the end of our program, because at the very end of our program the academician will answer your questions, but for now the program health begins, then in this harsh life endless passions boil in the morning to wake up healthy. there is real happiness strength nerves. if

you put everything inflicted on us, health will probably be with you again, dear friends. good morning. well, we started such a morning in a wonderful urological center, which is headed by the chief urologist of russia, academician. pushkar at the very end of our program. we will return to both male and female urological problems, and dmitry yuryevich pushkar will have time to come to us right from the operating room, so wait until the end program, because we will ask the most pressing questions to dr. pushkarev, in the meantime, our program begins. and as always, only the best doctors work in our program. and the measures help you here in the

television clinic of the program, health, what kind of immunity does your child have and how to strengthen fat and blood, how they help cure diseased joints, unique recovery technologies. this is the whole point, what do you feed your family with products that prolong and shorten life potentially unhealthy. which of the men is at risk of losing male power, and how can a urologist robot help you? natural activators of immunity new vitrum and active maximum for strong immunity so, dear friends, our first topic is devoted to immunity, i decided to consider immunity by age groups, immunity in children, immunity in

adults and immunity in the elderly. today we will talk about what constitutes immunity in children. and, of course, there is the most important person. in this topic, expert opinion, which probably, well, i personally value more than the expert opinion of all people in the field of immunity. this is an immunologist, professor, doctor of medical sciences, and even a children's doctor, andrei petrovich. so, the child lives for 9 months in the mother's body, then is born into the world. with what kind of immunity does he appear from what he is protected at this moment of birth and from what he is not protected, if we are talking now about a normal full-term pregnancy, then the child, of course, receives his first immunity from his mother, and it consists of

cells from cellular immunity and antibody proteins. these are mother's immunoglobulins, which just penetrate the placenta and enter the baby's bloodstream, namely antibodies. moms. the first six months of life usually protect the baby from most infections and problems if the mother is not vaccinated. if the child was born prematurely, if the mother has some diseases that reduce the level of her immunoglobulins, that is, antibodies, then the child will not receive this protection. why are these antibodies needed in the first six months of life, because the child does not knows how to produce them in utero, and he begins to make his own antibodies. only when he was born into the world, that is, globally, in the first six months, everything that the child has in terms of

immune protection was not given by the mother, so the pregnancy should be full-term. it is fundamentally that a mother should be vaccinated against all conceivable and inconceivable diseases. it is always the protection of the mother that will get to the child, because only these specific antibodies will get to the child born into the world was born the next. we must, of course, talk about breastfeeding. breastfeeding, because it's not just food breastfeeding is the formation of the child's immunity in many ways, about 80 ingredients of breast milk contribute to the development of the child's immunity and anti-infection protection. for example, there are such substances lactophilin, for example, which is found in breast milk - this is a substance that directly helps to kill bacteria, and if we do not get breastfeeding before

, then the child does not have these substances, plus the child continues to receive mother's antibodies, especially antibodies of group a, which help the immunity of the mucosa and protect the mucosa of the child from the invasion of viruses and bacteria. she remembers that it is in the mouth that the child during this period pulls everything that she can for everything, therefore, if the mother was breastfeeding, for example, she says, i will not breastfeed. i am committed to my job. i will eat at work. yes, poor baby, today even working mothers can express milk and leave breast milk to the baby. unfortunately, the so -called milk formulas are milk substitutes. these are meal replacements. these are food substitutes. breast milk immunity in them there is no immunity. it is found only in mother's breast milk.

really. even the best formulas can't come close to breast milk because that food is absolutely milk. it's not just food. and it's not so much the food that breast milk is, it's the immune protection that the mother passes on to the baby, and we come to vaccines before we talk about vaccinating children. i want to show you a graph of child mortality before vaccines appeared at all in the arsenal of doctors at the end of the 19th and beginning of the 20th century out of ten children, born into the world in six children, six children died from a variety of infections before the age of five there was infant mortality, you can imagine, and today we have infant mortality per thousandths . and in general, why do we say that vaccination is necessary, especially here it begins

at 2 1/2 months of the first vaccination. i do not take vaccinations at the maternity hospital now. why because we still have a supply of maternal protection of two in three in four months, but we need time for the child to develop its own immunity during this time, while maternal protection is present andrei petrovich and i are professors. we have children, i already have grandchildren. all of our children inside were vaccinated to age and even more and even more, because in russia there is a very decent vaccination calendar, but a little less than in other countries. we vaccinate ours against all that is, this is the only reasonable thing we can do. in the meantime, she is breastfeeding, milk has all dissolved. now. i want to say one more very important thing. the fact is that andrey petrovich is my favorite prodes, he is the creator of testing to detect congenital

immunodeficiency in children. there are children who are born without such cells. this is an immune cell, which should eat everyone with its teeth like this, there are children who are born with cells, but are not able to develop antibodies. they just don't have teeth. absolutely right, therefore, now i will show you the test that is already available in many regions of russia, and from the age of 23 it will be in russia in all maternity hospitals. let's see how this happens in a maternity hospital. so baby a small-small puncture was born in the heels and a blotter is applied to this heel. like this, like this, like this, he does not suspect anything, but the adults are ready. what are you to do? here, a drop of blood is a drop of blood on a blotter. here in these circles

the imprints of this drop of blood are made and then they scream at these circles, my, poor, of course, it’s disgusting with these people, and this drop of blood is used to analyze 36 diseases, among them children’s immunodeficiencies. therefore, if this is detected, the child will be treated right at the maternity hospital. well, that's how you think about the immunity of your children. donate, breastfeed and vaccinate. theirs is a fundamental question. thanks to the analysis of petrovich , let's stop for a while, and then we will continue the new formula for my active vitru, reinforced with beta-glucans, natural immunity activators, the new product vitrum and nails maximum for strong immunity. we selected the eight most talented companies that moved on to the next banquet stage, and then we realized this is outrageously few, because there are

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sars, regardless of the type of virus, therefore kagocel is the highest antiviral measure. good morning. lenochka here is such beauties. now they will also say that liana, the turkish wife of mikhail, is turkish to another. how many of you together believes that the family, in my opinion, or 21 or 22? 21 or 22 i have been married for 35 years and i know that this year is 35 years of turkish choir is true, yes, and most importantly this year was the jubilee khal borisovich but today is 60 years old. and by the way, for his age, i must say , the fit thin one is well preserved. yes, energetic yet cheerful. most importantly, this wonderful family has four children for two, liana. well, the family, in general, is all sports and mikhail and you go, i don’t

know, the girl is also a pen swimmer. yes, that is, we keep all the tight buttocks to us we, too , have already traveled experts. this i understood, sugar on cholesterol. i am waiting for you to visit us lenochka to paint all the tests will be done. i think it's all fast and i i run to you. thank you. health is with you again, dear friends. our program continues. one of the most important problems that exist in people's lives. this is joint pain. today we want to deal with injections for joint pain. at what stages of joint disease and what injections are indicated and what will help you? and where, in general, behind marketing and desire? a little money,

some don't. no benefit. i want to invite a person who is professionally engaged in all types of injections into the joints to visit us. this surgeon traumatologist danila sergeevich kovalenko so look, here is the joint - this is the life cycle of the joints from the norm to complete destruction in a normal joint. if you pay attention here, you can see that the cartilage is whole, there are no osteophytes and bone growths, when, for example, in the third fourth stage. here we already see the absence of cartilage, in the loaded zones we already see the bone growth of the island. and gradually progress is going on, unfortunately, these are stages. this destruction is accelerating, who will say under what circumstances. come on, let's get hurt injury not found overweight overweight, weight or heavy

exercise. the disappearance of cartilage, in the supporting places - this is overweight, it is tantamount to heavy physical exertion, because you are dragging yourself through life. now let's move on to injections into the joint, in general, injections into the joints of the joints to some extent. it was such a new approach. this is the approach of the twenty- first century, the approach of the xxi century, that is, injections of hyaluronic acid. where is it? it is hyaluronic acid and do we need it and why is acid one of the components of synovial fluid, which is located inside the joint, and it is inside the joint component and provides fluid contains hyaluronic acid. it provides rather uniform mobility. that is, in order to slide like this, it must be lubricated, but in the process of the development of arthrosis. unfortunately, it develops into inflammation and e, the biological properties are disturbed. may i show you? now we are moving

on to hyaluronic acid parata for intra-articular injection. so, all the first preparations that are introduced as intra-articular fluid substitutes are those or other varieties of hyaluronic acid. and now everything will be clear to everyone. so here it is just so you understand that it will be better to lubricate the joint. this is the question i am asking. just for our viewers. don't keep sergeevich. here such here such here such liquid will lubricate better or here such. what is better to lubricate and delay, of course, the second shouted all in unison, the second right? well, in this case, yes, but not everything is so simple, because hyaluronic acid varies in viscosity. there are less viscous medium viscosity and high density cross-linked hyaluronic acid. that is, hyaluronic acid, the less

there will be injections, it will simply remain, the less viscous, the more often it is necessary to give injections in general , the question arises of what to put them in. if you need to put them all the time, therefore, i personally developed such a principle for myself, this is the principle of six, you need six deltons six milliliters. once a year. is it normal or not? this is a very successful scheme. yes , so, then, danil sergeevich, here we showed everything, told everything. at what stages of joint destruction will hyaluron help to be, when the leaves have the best knittings of six, dalton, nothing will help. it must be assumed that it will work at stages when the cartilage is more or less preserved, therefore this is the first second stage of arthrosis. this is the maximum, this is the maximum, if there are signs of the initial third. its effectiveness will be very doubtful; its effectiveness will be doubtful,

because cartilage is already there. there is nothing to slide to slide, there must be another injection, firstly, pyrotherapy, this is the next breakthrough in the treatment of people. this is the next shot. let's see how it goes. so, at the first stage, blood is taken from the vein to do this danil sergeevich then put this blood in a special test tube, because there is an important component put in a centrifuge. and that you extract danil sergeevich as a result, after centrifugation, we separate the plasma and the erythrocyte mass separately, which means you are taking plasma. with active practices of platelets, yes further puncture we inject into the joint well done breathe a little burst in general the process is painless reminiscent of an intramuscular injection what does active plasma give? what can we count on, besides the fact that traffic will improve

here we already expect that active platelets secrete anti-inflammatory cytokines, which, e, eliminate inflammation in the joint, thereby relieving pain and, plus, cause the synovial membrane to secrete synovial fluid of normal viscosity. this is active plasma. we have a patient who underwent prp therapy four times, please come to us. six months ago, i had very sharp pains when moving, they said that i had arthrosis of the first second degree. well, after the second injection. i have there were already, as it were, well, the improvements are already serious, but now practically. i don't feel any pain. we are glad for you your plasma, not chemistry, everything is yours for you, in my opinion, beauty. really, sit down, please. thank you very much. thank you for an absolutely

breakthrough treatment and, in fact, for the finale. these are also injections into the joints. i say, well, the so-called introduction of fat, but in fact it is not the introduction of fat at all an introduction, but with dendritic cells of the normal scular fraction. that sounds smart. let's see how it goes. so you you take fat, we take fat from the patient’s anterior abdominal wall, the procedure itself is performed under local anesthesia, so the patient does not feel any pain, then the fat is processed in a special way using a centrifuge and a special fraction is released that contains these stromal popular fraction contains misochemical stem cells. that is, we roughly speaking, yes, we introduce active cells that are capable of causing growth, and what do we count on

, we count on the fact that these destroyed cartilage somehow recover properly? here is a very interesting picture. this is a pink vessel - this vessel is covered with just those same mesenchymal stem cells. we are used to talking about stem cells from the blood. basically, yes, only blood cells are obtained from artificial blood and blood stem cells, but from these mesenchymal cells, just all the rest of all other organs are obtained. this is what we are counting on. i know we have your patient, right? we have a patient, come to tells us what worried you, but my leg ached. here is the hip joint. it has already become difficult for me to walk, wandering pains, it is difficult to climb the stairs, in general. uh, well, after the intra-articular injection, the fat was also taken away from here. yes, it's a pity that not 3 kg. how many milliliters. when i look, i say how you belong. well, they would have taken it already, well, at least 500, but why

would we share 30 with people. yes, he behaved like a poor joint. and that and now after, we can say 2 weeks. i have a wonderful one. i am i have already begun to run with sticks and walk up the beautiful stairs and my mood is completely different. in general, i am very grateful and yes, it can be noted that these are the biological methods of using prp and swf, normal fraction yes of plasma and fat. they require some development. we do not see the effect immediately after the injection, this is important, yes, so the patient does not need to understand this, because this is not a blocker right away, a hole, this is not a golden process, so this is not the procedure that gives , i took an injection, went to get sick, but this was not right, but the doctor is good, true, thoughtful kind you know they say that a real

doctor, of course, must be a professional. but he must also love people. that's about danila sergeevich, it's just some kind of coming beautiful smile and golden hands. thank you, really danila sergeevich thank you very much, please sit down. well, i'm happy for you. yes, let's see how she walks. let's go together with the doctor, beauty will not last long, and then we will continue. own style and perfect technique against gravity unique skaters hot ice grand prix of russia live broadcast today on

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health is with you again, dear friends, our program continues. you know, i decided to create such a club, which consists of mothers of wives and grandmothers, sometimes a woman in one person is both a mother and a wife and a grandmother. for example, i have two sons, three grandchildren, a wonderful husband, whom i have been married to for 35 years and there are a lot of people like me and we all must have certain knowledge. this knowledge seems to be everyday, because this is our life, the basis of this knowledge is how to properly feed your family. why? because food can shorten life, or can life be extended? here you all probably know the brilliant turetsky choir. this is a male choir, a female choir, also of mikhail turkish soprano, in our visiting today will she be the turkish wife of mikhail

turetsky you, with whom they are raising four children, all girls, and they already have a granddaughter. there was a hurrah of mikhail the turkish, mikhail himself met his love in america, he was invited to hold a concert in dallas, and it was there that he saw liana, who became his wife at the time of the meeting with mikhail, the turkish girl was 25 years old. and behind him was already an unsuccessful brother. lena independently raised her daughter with arin in order to provide for herself and her daughter. she worked two jobs. this allowed her to own house car and live comfortably without you. after that first concert of the turetsky choir, she

went backstage to say thank you to the artist, but mikhail is turkish. fell in love with her at first sight. now liana mikhail is raising four daughters, two daughters from their first marriages, and two more common emmanuel and beat were born in the family. after the wedding, mikhail jokingly calls his family a harem, but at the same time, the master is not going to rest on his laurels, in order to maintain relationships, you need to work on them and looking at a friendly family turkish understand that they succeeded, but in this grief. of course, bibikhanul, the oldest beloved and beautiful. this is turkish liana, a liana to come to us, please. thank you so much. where will they tell me that this is a woman a mother of many children, yes, even more in addition, she is already a grandmother, but there is

nothing to add here. we want to talk about food today, but it seems to me that she knows this about food, everything is not there, then it is always useful to learn something new, because of this i watch your programs, sometimes it is very useful. from there, too, snatch. who is responsible for food mikhail turkish, because i think the female part of the seven, apparently, does not eat, judging by the orderliness, but mikhail borisovich was also set up. yes, his weight was also very monitored. i know that's why sometimes not, because of his food too. well, because he often goes on tour. it is clear that on tour in the life of any artist. these are restaurants. and of course, when there is an opportunity to be at home and hall borisovich doesn’t like the restaurant very much, and because it doesn’t taste good, because he gets up from her and , of course, at home. he loves simple homemade food. well here are your favorite dishes, here are the simplest, you won’t believe it. this is chicken, broth, preferably. there, with buckwheat porridge or pasta, chicken

cutlets, mashed potatoes, the only thing, of course, when i do it all we have our own. that is, if i make borscht, i do it without meat. i know a lot of people won't support me now. well there i don't like fried things, that is, the house is worse. well, everyone has different tastes. that is hot. i bypass all the beautiful principles, lanochka. here's what i want to say on the health program website. we published calculator. this calculator allows you to keep track of the food you eat at home on a typical day and see. it is food that prolongs your life and shortens it. he says directly, we don’t eat, in fact, soup without meat is without red meat. and when she said that they eat, they eat white meat, let's see, let's say, if a turkish man received red meat, he gave a turkish man a man 60

years old and if liana fed him 200 g of red meat a day, then you would shorten his life turkish for 11 months and eight years. here he needs to say about it, well, you are doing the right thing, what do not feed, now we are resetting the red meat. for example, a person does not eat red meat. let's go zero. on red meat put life will last for 10 months and 13 days, if red meat is eaten, rarely 50 grams per day to be exact, once a week you in life will last four months, so just abolishing red meat. once again, give us zero , you have extended life. saving mikhail barisovich life extended your creepers. now liana says he loves chicken cutlets, chicken is white meat. well, 100 g will give you a small cutlet plus 11 months and 19 days, so these are very good nutritional principles. and what about the salt in the

turkish family, but no, it does not add salt, no matter how we play with salt , that is, salt directly from me. well, first of all, here, i see you have salt salt. yes, if there is salt, uh, red himalayan salt, here is another white one. i don't use salt, and kind of try to keep it to a minimum as well. well, they didn’t stop. the fact is that with such figures, you can just close your eyes right away and say that there is a healthy image. she doesn’t eat salt in her life, practically what she remembers about the himalayan rose survived. we have it standing there three grains somewhere once licked sniffed, himalayan salt is no different from ordinary salt. we must admit. this is also sodium, chlorine. but this is so important. to live like you, that's why you are all so slim, amazing, i want to return to our calculator once again to show our viewers how salt shortens life.

let's see the salt in all foods, if you salt pickles, for example, 9 g per day is less in anything than two teaspoons shortens life by 2 years 1 month and 23 days. just salt was us shocked the most. yes, just salt. you salt. how do you salt regular soups. that's it, plus you eat, there's something with pickles, something with pickled tomatoes. i’m looking at this woman, who is sitting here with us, she laughs all the time and shakes her head in horror, analyzes her nutrition principles. and that is, the fact that you just took the salt and ruled out extended life for years. lian you studied somewhere, whether? no, you don’t know, or you took some courses about parents. no, this intuitive eating is more in your family no you know, i'm in a simple family

where i have. uh, dad loves to eat. that's how papa loves. dad loves to eat, mom loves to feed dad. that is, it’s all with us, dad loves everything salted and peppered. that is, i cook with him all the time, swear. yes, well, they have such a way of life. well , everyone chooses their own way of life and who wants to live with what and it seems, especially for women, this is very important, because salt, it's not only our health. this is our beauty. that is, if you don’t want to be swollen in the morning, it’s better to give up pickled tomatoes and cucumbers and everything salted and smoked, and by morning you will look much better 100%, and i’ll finish with terrible salt. here is the vessel. if you eat salt, this is sodium, then the vessel swells and fluid is retained. your blood pressure rises dramatically.

these vessels cannot be pushed through them once or twice; the essence increases twice as sharply the cancer of the animal. dad needs to watch my show. they take you too saturday. you won't believe it, everyone is looking at you . there are only girls in the family. yes, and i remember when the wedding was over. hey daughters. everyone thought that mikhail borisovna lay their hands on themselves. for some reason he was in such mourning. and in your feelings you resigned yourself to the fact that you were the first to get married. yes, since we had the first with arinochka and she was very close to dad for dad, of course, it was a tragedy, starting from the time they asked for her hand and to the end. no, thank god it's real. yes, it's real for him. it was terrible. he is very experienced was the impression as if he was just being taken away, but thank god she lives nearby. she sees almost every day. so she gave us another granddaughter. for barely a year, that is,

dad is now happy and every person who saw michael of turkey, before and after his daughter's wedding, seems to have calmed down to me. he understood that there was trouble in his father's life. well, the trouble is with the following. i think it will be easier. he already understood that no one takes his girls away from him far and for a long time then, it seems to me, the husbands of higher girls. too they understand that dad will give his life for these girls, but it seems to me that the girls still choose. husbands something similar to dad and of course the girls started watching to make dad mom comfortable with this man too. that is, we have such a common good family, in short, turkish and i repeat zero, of course, she looks. so that you can’t call it a large matter for me, in general, lyanochka. and here we sit, as they say, we are here with our

obesity and think, how can we be women of another, like, give us some advice on desire. well, there are no soviets here, no wishes. it has long been clear to everyone that the main thing is nutrition and sports, moreover, i need a gym, at least 10,000 steps a day for beginners, go for a walk in the fresh air. and it seems to me that this is the greatest. this is the happiness that you can give yourself for health, the best, except for food and sports. more. i don't think anything will help. turkish people also have a huge love for children, each other, and parents. hello mikhail borisovich to him and his wife. thanks a lot for a short time break and then continue. well, what about gingerbread?

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head she was saved by novosibirsk doctors remind friends. to you, with what our morning began. the month of november is sometimes referred to by urologists as usabr and the symbol of this month is the male mustache. why because this particular month is dedicated to enlightenment men and women for the two most common diseases in men, testicular cancer and prostate cancer, we are starting this program at the urology clinic. this team of doctors was carved out of wood by one of the patients who was saved in this clinic, it must be said that the clinic celebrates its fiftieth anniversary this year, and

the head of this famous urological clinic is the chief urologist of russia, academician dmitry yuryevich pushkar and today, like many years ago academician's morning begins with rounds of patients. this resuscitation all patients were operated on yesterday. victor will go to get up today, it’s understandable, it seems to me, yes, yes, volodya, today we are taking an ecg in the morning. all therapists are watching and we also want to become more active. the clinic based on an ordinary moscow city hospital is famous all over the world and is included in the top 100 best urological clinics in the world. not only men, but also women are treated here. for example, using the most modern technologies for the treatment of bladder cancer in women with bladder plastic surgery. here many years ago installed the first in russia robot surgeon da

vinci all this place of the surgeon is not there on the operating table. and here you see, no, gloves absolutely, it was a real miracle of 2008. the tentacles of the assistant's robot are lowered into the patient's body, but these hands cannot work independently; they are controlled by a human surgeon since then a new era began in russian surgery at the work of a russian colleague, then i watched the american lesson. may i ask you one question? how many of these procedures do you do each year at your clinic in the us i already i will make 2.000.400%. every year i do 66 such operations since then 14 years have passed and with the light hand of professor pushkar, romantic operations have been put on stream in russia, and today he has the most experience in europe right hand is represented. with monopolar electric

scissors, you see this. the left hand is represented by bipolar forceps on the operating table of a man. he had advanced prostate cancer a few years ago. at best, the fate of a severely disabled person awaited him, but today this patient will live normally after the operation. pie works with a robot assistant, like an organism and fingers with all fingers and even feet, because the robot has a lot of pedals. and here, these armored robots clearly react to every movement. again , this is not a robot. works for the person. this is a man leading a robot removes the chair gland, the operation lasts 30-40 minutes and the tumor is removed, the man's life is not in

danger. and at academician pushkar, the next operation, this time the patient of a woman with urinary incontinence, the operation takes place without anesthesia. lying down, urine is not lost. these boys couldn't to help anywhere, and professor pushkar was able to incontinence , prolapse, prolapse of the pelvic organs and other female urological problems, the team, pushkar, solves brilliantly. academician pushkar is finishing the operation. and we still have a minute. we decided to look into his office where he talks with patients after the operation. here are portraits of children, a portrait of a mother, and like this, among this creative mess. here is such a device, a golden endoscope, an endoscope is the main instrument of a urologist, with which he actually

works, so such an endoscope is handed to people, performed more than 10,000 operations alone. here in the clinic of professor pushkar, they have already stopped counting. how many operations they performed and how many lives were saved by tens and hundreds of thousands. well, maybe this is the great meaning of our profession to help and save, no matter what, we are returning to the studio of the program. health your questions are answered by the chief urologist of russia academician cannon so dear friends right now with us right from the operating rooms in the literal sense of the word, without having time to change their surgical pajamas, the chief urologist of russia academician professor doctor of medical sciences, head of the department of urology of the moscow medical and dental university dmitry yuryevich pushkar dmitrievich even for me

when i look at how you work, you do not swear, but for the inhabitants of our country you are celestials that you can never get to, so today i asked you to come so that we can ask you those questions that torment, which surprisingly came forward with questions. mostly women, from which i concluded that even a urologist, apparently, leads women by the hand of men. there are such statistics or men themselves are five percent today. men are brought by women, which is very nice, so we listen to your questions. please. please tell me about prostate cancer. which operation is better with or without a robot, we just saw how you operate with a robot ingeniously and the question arises that robots are not everywhere, although there are many, many women. do you understand what the situation is? well , this is a difficult question, i will explain why, because first of all you need to understand that prostate cancer glands. can i show you, yes, because the organ? small

at all. yes? you see, if we look at the prostate life is under the bladder, we can achieve to look at life with a finger through the rectum to the prostate gland, and we want, of course, today, that most of the diagnoses in patients with cancer, the prostate was made when the cancer is still inside , which is an operation. when you say which one is better. yes, the operation is better, which is done on time. better again. and which will save your loved one and any person from the problem of prostate cancer robotic surgery is more precise and is accompanied by less blood loss. but we saw it today. we saw it today, therefore, in this way, when inside it is a tumor inside. well, once again i tell you that there is an early diagnosis - it’s just that a man should measure this indicator every time and then you don’t need 50 years after fifty years, except for a dog, but we

talked about this again, how many times we talked about everything, but in many ways it did not help everyone so romantic operations. today the best they preserve the nerves and give a man a chance to maintain an erection. and then what the doctor will say, what will probably be absolutely correct. next question my husband has chronic prostatitis, the doctor is designed. parade longidase tell me how long to take it and will help you at some stage of development in a man some pelvic problems begin, fibrosis equals old age. so you said a drug called longidaza this is a special drug this is a drug that attacks throw fibrosis - this is a change in the filling vessel it is a change in muscle activity. it is much more than chronic prostatitis. this pelvic disorder in men is what will prescribe such a fit

. absolutely. this drug can be taken long enough. in short, the test was passed , the doctor did everything right. there are only troubles with the prostate, if you can live without it at all, maybe get rid of it, they removed it anyway, then why is it needed at all? we have passed this one. this is not the cursed prostate will catch involved in the formation of seminal fluid. yes, and a jaculator simplicity is an important organ and retains urine the prostate is what is interesting, some countries of the world, if there is a hereditary history, prostate cancer, from the father or older brother, and we take today the genetic analysis. it's called marriage. in our country, or bios, yes, 1 2, so, if a young man is 35-45 years old, there is a hereditary history of prostate cancer in the family, then what we said, and this genetic analysis is positive, he

has the right to demand a radical operation. in some countries this is not the case with us, and therefore no one will be prohibited from removing the prostate just like that. next question. i saw on tv that the most frequent cancer in young men. it's cancer and testicles, how to prevent it. the thing is , you understand what the situation is. one side. yes, on the other hand, just like the mammary gland. we can self-examine the testicle, testicular cancer does not hurt on our own. yes, there is such a symptom of a heavy, testicle, it becomes heavier, this is an old old urologist, somewhere they looked at a testicle and said this a heavy testicle should be done, ultrasound examinations ultrasound examination. together with the fingers, self-examination of the testicles helps to really detect a testicle at an early stage, palpation is really available, the testicles lie in the scrotum, they are smooth, they are

very smooth, therefore, if any roughness is found, an ultrasound scan should be done and this really will allow early diagnosis and such cancers there are cancers of young men, the next question. please name the three main figures about men's health that everyone should know a man to school at 6-7 years old. the baby must come with testicles. first digit. that is, the testicles should descend. it must be checked that two testicles in the scrotum are the second figure at the initial sexual life, when it now begins 16 17 18 gave 15. well, when differently yes, differently, the child must remember that today not be unprotected in one word. it's unprotected intercourse , it can't be intercourse, it must be the

second number. it seems to me, and the third digit, of course, is a specific antigen code zero to two and a half young age and here is zero to 3-4-5 already over 65-70 years of age last question. all of us all questions regarding was the girl still she left. i was shy, you know, there was a girl who left . in this case, it's not necessary. why because today i want to say that go to the urologist. it doesn't hurt, since it's not embarrassing, and the urologists in moscow, russia are equipped with all the possibilities and have special preparations. it is true that help our patients. not fear urologists. don't be afraid of the curologists. long life. thank you all very much. the chief urologist of russia

was our guest today, dmitry yurievich cannon . thank you dmitrievich you are brilliant health to all, because this is the most important fibrosis can be the cause of difficulty urinating pain in the groin sexual disorders lange even just against fibrosis with prostatitis. in fact, it seems to me that your program is watching the whole world and you are our folk doctor. and of course, come here. this is a great happiness, because you know that you will meet the brightest most positive doctor, in my opinion, not only in the russian federation, but you are watched everywhere and everyone loves you very much. i'll hang it. your photo next to amazing people stars who