greece experimentally as a result already in 2025 it will be able to produce at least 13.000 tons of artificial chicken and beef. animal cells will be used for their cultivation, until now the production of artificial meat has been held back by its high price obviously. this obstacle has been overcome, thus the era promised to us by the world economic forum in daus has become one step closer. the local experts offer mankind to eat soy meat and insects in the name of combating global warming. lower ward parliament is meeting today in its eighth session. the deputies adopted in the second reading a draft law on the rights of the disabled and their social integration. according to the document, in order to ensure the full inclusion of people with disabilities in society and improve their quality of life, a new information resource is planned to be created. this is an automated system for accounting for the accessibility of social infrastructure facilities for the disabled. first

of all, this project introduces new concepts such as sign language, universal design, as a system system and e, technology. uh, clear language, that is, these are the concepts that are needed today to ensure that, uh, the livelihoods of people with disabilities are provided today. i want to talk about such an innovation as the employment of people with disabilities, this project provides for the provision of jobs. so today, on the agenda of deputies, the draft law on appeals of citizens and legal entities, the document will help build a constructive dialogue between the state and society to resolve current issues and questions. you will be the information of my colleagues at 15:00. i say goodbye to you on this. all the best.

about 9% of the total population of europe, 13% of north america, 7% of asia and 20% of saudi arabia suffer from urolithiasis. each of you seated. now, at the screens of their tvs, they can also carry a stone in themselves for years and not know about it, stones are formed not for money. not even for a month. at the beginning of it, you do not feel anything, the symptoms appear when the stone begins to come out in the month of january. uh, acute kidney attack, colic. kidneys

found out that it is in the kidneys by feeling, how do they say the location of the kidneys? uh, there were very sharp pains on this side, if you compare the toothache to the most common after all, it is stronger or less than an incomparable pain. it’s me, i don’t know what pain to compare it with, but it hurts a lot , but i went to the clinic with urolithiasis . i have a pterygoid stone of 7 cm. starting from the fact that i didn’t even have a kidney, as it were, but below god well, like the intestines. i thought i had pain in my right side. and what did you think? well something ballet intestine. why? well, i don't know, it didn't look like

a kidney. my back didn't hurt, i didn't have any pain. no sharp ones. there was nothing more. this is how differently, but always unexpectedly, stones behave in the human body. at the first stage of the disease, the patient, as a rule, does not experience any unpleasant sensations of discomfort during urination. and he doesn’t even realize that stones appeared in his urinary tract, a manifestation of the disease, they may not be easily confused with manifestations of other diseases. sometimes. patients have lower back pain. maybe nauseous. sometimes the temperature rises slightly, there are more specific symptoms. the world of frequent urination to the toilet changes in the color of urine and pain when urinating, the main clinical manifestations of urolithiasis are painful and more occur when a stone. uh, starting to move and causing disruption to the outflow of the match.

as you block the normal outflow of urine from the kidney is blocked and this is the main source of pain, that is, the kidney and ureters. just physically bursting, you can say so, but how to find out about the presence in search of stones and ask you answer the main way to detect kidney stones is ultrasound, as a rule, ultrasound machines can see stones well. at the same time, these studies are painless and have no contraindications. patients may recommend doing a computed tomography. in addition, the urologist necessarily means blood and urine tests to find out the estimated composition of the calculi and the presence of an island of the inflammatory process. ultrasound showed that i have a rather large stone in my left kidney size 1.5 cm, somewhere. therefore, i had the same operation, they installed a stand so that there was no movement. yes, the outflow of urine, and

so that the stone does not bother the kidney, so that i no longer have such sharp ones , such an operation was performed, but it was not there, alas, the operation that was performed on vasily nikolayevich did not bring consolation. here is what the doctor treating our hero at the clinic, vasily nikolaevich, said, he came to us 3 days ago. e he came from the e-e of the minsk region, the city of soligorsk with diagnosed with ureters and the disease is a stone in the lower cup of the left kidney 15 mm, 15 cm each. he has been treated for a long time. e, it was installed at the place of residence of the internal stand, passed the session remotely or rags, but, unfortunately, as such fragmentation did not happen to me and the dynamics are positive. he turned to us for a consultation and after a consultative examination, it was decided to hospitalize him and perform

retrograde intron surgery. later we will pass on to you in a more understandable language what the doctor said, despite the fact that surgical treatment of patients with large and staghorn kidney stones has been used for more than a century. doctors are not always able to immediately understand and choose the best way to treat a patient. incorrect tactics, treatment increases the risk of complications and reduces the quality of life of patients, increases the rehabilitation period and can lead to disability, but do not rush to scold doctors. just find your doctor and trust his opinion, our hero vasily nikolaevich did not immediately, but came to the place where his problem was solved for the first time, patients turned to us for help. uh, a few weeks ago and the only test he had on hand. this is an overview. we are with him, which was made. in the same hospital where he had previously received treatment for the fact that this is a regular overview of the x-ray, in which we see the shadow of the calculus is such a

soft, i would say, shadow. yes, yes, but, in principle, it can be said that this stone is x-ray positive, that is, we can conclude approximately its localization, its size and against the background. also we can see the shadow of the endo is lying about the real stand, which was also installed in the same hospital where he had previously received treatment for the island of obstructive pyelonephritis, which he developed. yes, we read this complication and illness. and it seems to be such as judging by this picture, a small continent is a small problem. in this patient, it repeatedly led to the fact that he was forced to be urgently hospitalized in a hospital and not just hospitalized, but at the same time he was provided with emergency endoscopic care. uh, to install this stand for treatment of inflammatory complications speaking about the complication of urolithiasis, it is important to know that regardless of the size of the stone can

cause acute obstruction blockage of the urinary tract with the classic picture of renal colic stones of the lower activity can be manifested by painful frequent urination urge often there is nausea and vomiting can develop a urinary tract infection with high fever and sepsis. do not expect complications our hero found his doctor, whom he entrusted with his problems on the fourth day. he was hospitalized here on the 5th. we were already taken to the operating room, they didn’t order the newest operation. as they say, after i came to my senses, i felt like an absolutely repaired person, if i felt great, and in general, when i found out the result, everything went great.

the mood, of course, i am already awake and ready. i’m waiting to be pulled out, but before leaving the clinic, our hero will undergo a control study. our cameras filmed this solemn moment and are ready to share it with you. we are doing a control study. we we see, uh, the loop of the stent. if we can even see it here, plus cents and the absence of the presence of that large stone that was, that is, practically we have this entire space. it is fairly homogeneous. here are these stones, and we can tell the patients and meet in 2 weeks, when we remove the stand. that is, the awning, while standing, it will soften the load, as it were. yes, it is easier to get out of the kidney with that fragment of a small fragment. and if you have control, yes, the controller is finally in 2 weeks, we will remove its internal stand. after that, of course, the

patient would like to visit the sanatorium for a liquid diet, water, load, again, one and a half to two liters, in no case four, five, or six, as some enthusiasts want. yes show that they are a hero not needed here. heroism is needed here with a very clear positioning in relation to recommendations to doctors. the doctor said one and a half-dra, which means that this one and a half two liters will not give anything else. and here i would like to add one thing only with water and a diet free from stones, there will be no doubt decided in favor of doubts, go through scheduled examinations, if you have already had them. for some urological diseases , eat healthy foods, reduce the amount of spicy salty fat , exclude or minimize alcohol consumption as much as possible. drink the daily norm of water, do not break the drinking regimen every day, take time for physical

activity. and the fate of famous belarusians, who is a boy, we must accept in any case, because this phenomenal memory is musical. eh, the sense of rhythm and i was accepted into the folklore. i always knew that i will always be a singer, i never imagined where i can still show them here. that's your meaning of life only on stage. their song is laid down by the eternal meaning, this is what you need to tell a story in 3 minutes. i was told with the weather like this, but i decided to be in some kind of my own world, and at that moment i realized it, as far as you can express it, convey to the listener this emotion that is embedded in the song. here it is. basically, creativity. you know how, uh, i teach young artists when they call me or come on stage to way. i say you must leave in such a way that

you yourself like it, see the footage of life on our tv channel in the program. today we understand the secrets of urolithiasis. we have already introduced you to our hero vasily nikolaevich. one small stone in his body. delivered our hero a lot of pain today after a high-tech operation in his body. no stones, he is free from pain and is leaving home today. so the procedure is done and, of course, it is interesting to find out from our patient how he feels. again, lying on the operating table, minimally invasive operations take place here, which help a lot of people and often when other technologies are completely powerless.

tell me how you feel on this operating table? i feel not scared or not, not scared at all. well, at home on the bed. i think i will feel more confident this is a good story. that is, if there is something to strive for, there is something to strive for, it’s better not to get caught on such tables, but nevertheless, when they exist and can insure and can save you from the pain that finished off, that the fact is that the miracle of technology has reached such progress and was not expected. you didn't expect that about the little pebble. see what it will be like so many problems. yes? yes, yes, yes, it's good that these problems are being solved and positively, but at the same time it turns out that we do not fully know the reasons, i never thought that this could happen to me thinks so, each of us, but warned,

means armed. folk wisdom, therefore, if you find at least one of the following risk factors in yourself, it is better to go to doctor and find out more about yourself so there are many alleged causes of urolithiasis, the main ones boil down to the following consumption of water with a lot of minerals on a menu saturated with high-protein foods, as well as overly acidic and spicy dishes, deficiencies in individual vitamins. now belonging to group b and vitamin. and physical inactivity, addiction to alcohol, inflammation of the urinary tract, including rhetoritis, cystitis, and so on, regular dehydration of the body. unfortunately, so far. e reasons e. in general, the formation of stones in no single kidney was found. if suddenly this happens sometime, it will be unequivocal, a breakthrough today, there are a number of theories that can explain the formation of those

stones. well, or so to speak, which explain those changes in the urine, which allow the formation of these stones, but none of them can be applied to absolutely all patients with urolithiasis , because e stones of different chemical composition of different locations have different densities. and i would say that this is a polyethological genesis. that's all. he so diverse that in my opinion, in the near foreseeable future, we are unlikely to be able to find the only reason that leads to their formation. speaking about the chemical composition of the stones touched by the doctor, they mainly reveal calcium urate structures and cystine. in 80% of patients with urolithiasis, calcium stones are detected. they are usually composed of calcium excalate or, less commonly, calcium phosphate. an important

point is that calcium found in food does not increase the risk of developing stones. why is this happened to you? that's why you had these stones in your family? someone no one no one no one has . well, what do you think? what kind of story is this? what suddenly happened to you? i don't even know food. here they say you need to drink some water 1.5 liters 2 liters per hundred square meters. yes, i drink, even more up to three liters. although, you drink now, when already no, not now they constantly say, they say something has been violated in the diet or what is the problem, or they don’t say anything either . they say there is a problem. we will decide. yes, but we don't know the reason. or so not say, i didn’t ask anything, but i don’t know why it’s some kind of think, that’s something i did wrong in this life that

stones appeared, a spare one, probably, something will be connected with nutrition, if the reasons are not everything is as rosy as we would like, then with the elimination of problems of urolithiasis. in russia, they learned how to cope with the surgical method to open intervention determines less in 1% of cases when the stones are very large or not of complex shape. currently, most stones and kidneys and the upper third of the ureters thrips, stones are removed by remote elite, collapsing with the help of shock waves. these waves are transmitted through the water and are focused on the kidney stones of the ureter under the control of endoscopy or ultrasound due to the different density of the tissues of the kidneys and the stone, the energy is concentrated on its surface and the stone is destroyed remotely. thrips, it allows you to crush stones not only under x-ray and control, but also under ultrasound control and, for example, uh, we can compare two

pictures obtained using ultrasound x-ray radiation in the case where some patients, e, have a variant of enephrolesiasis, which is not visible on x-rays and thus with the help of ultrasound. we can focus on the stone and also help this category of patients in this one. well, that is, remotely, if i understand correctly, here we can obtain reliable diagnostic information of denmark as they are and moreover, after we have identified either by ultrasound or by x-ray. this stone, let's say. uh, we can assist right there. help, even other minimally invasive treatments. it is through the dermal non-flying, retrograde extraction elite. contact laser elitaripsia, witnesses of the latest method of treatment of urolithiasis. we ourselves can be seen right now on this screen. you see

the stone is in the ureter. to him under the video on the laser fiber and directly at the moment the crushing of the stone is being carried out. see how the laser crushing. yes, it's a golemium laser. here you can see in the gap a metal safety string in order to to navigate. well, let's say, where we are, yes, but here on parallel x-ray control is carried out. that is, the procedure is necessarily controlled and controlled under x-ray, contact lysatripsy consists in the destruction of calculi, with the help of a laser, this procedure is performed under spinal and epidural or general anesthesia. the advantages of the contact method include high efficiency and the ability to get rid of several stones in one procedure, as well as low trauma in most cases after contact repression procedure is very

established by the internal ureteral stand, which must be removed after a few days. here, for example, i see this for the first time, although i visited very different operating rooms, but here, of course, this is such a cosmic picture. see how many appliances. see how many different devices and all of them, e, are aimed at ensuring precisely safety and the main result. we remove stones and we do. it 's successful for all the optimism of this operation, one should not forget that any method. there are indications for laser lithotripsy: there are contraindications to the remote form of lithotripsy; the absence of a positive result from taking medications and the second session of remote destruction of stones; the occurrence of paths after the passage of the stone with a violation of the outflow of urine and the presence of multiple stones in the ureter and bladder, that is, fragmenting the stone. we can see, when the fragment is already

small enough to be safely removed, we then remove it. it has uh, the advantage, let's say the endoscopic method in comparison, let's say with remote or inside the whole crushing. uh-huh that is, when we crush remotely, we release the patient with stones so that they come out of him, but in a smaller form, in this case, we not only give birth, but we remove him and remove him , that is, already a person, let him go home without stones minimally invasive sparing yes progressive operation splinter, in general, the doctor is now trying to get the whole process of laser fragmentation occurs not only under under the supervision of our cameras, but also under the visual control of medical equipment, therefore, with visible visual limitations. doctor. can neutralize stone of any size and location. however, see for yourself this is a stone. or rather, what was left of it. these are small pieces. these

are the ones that get all that's left of the stone. now we will show these, which are so harmless. it would seem small in real life. yes, the patient had one more stone left on the operating table, less dangerous in terms of localization, but if doctors do not remove it today, it can block the lumen of the ureter for a short time and become a source of unbearable pain. you see a stone, see which stone is which. now it will be visible well for the middle cup, which also needs to be removed from the magnification. and as a result, at any moment, too, go and cause the same problems that caused that stone that was already in the match, thanks to all these technologies, a man. it is possible for one

procedure. well, let's just get rid of it as much as possible, some 10-20 more years ago, it all seemed like something out of the fantasy genre. and today it is already a regular operation. metro of belarusian music, he behaved very modestly, never boasted of his talent, but deep down he knew what he was worth. yes, i'll still have papers. i'm not a professor for you, that's all. and what do you think, as a result, he spat and left the conservatory with amazing facts, a happy person from their life and work, because he left behind such a melodic consonance. i came to work. he himself was and i realized that everything is in there. order, because oleg is silent there, which he should know should know, and

these are the songs that glorify our belarusian song culture, watch the belarusian composers project on our tv channel. you're watching doctor mystery plus. today we reveal the secrets of urolithiasis in the first part of the program. we have learned why do stones appear? what they lead to, how to diagnose and treat them, we have very little time left, and we will reveal the secret of the stones with the beautiful name korovin, the owner of such a stone our next heroine became in december , they saw that i had a stone, uh, five, that is

, after all. yes, yes, and we said it with a sigh, so it was disappointing. well , of course, 5 cm, then i went for a second one, only they said i was hungry. so that it was all and the stone was already six centimeters. that is, you did everything and found, again, yes, 6 cm 6 cm? your actions to the doctor are a diagnostician, yes, he stated the presence of a voluminous calculus mm, and as i understand it, he is referring to a surgeon and a urologist, a urologist directly to a urologist, because there may be surgeon initially to the urologist. you come to the urologist. show, as it were, what you have and the urologist says. they put me in the hospital, they put me right in the hospital. you go to the

hospital to the urology department to the urology department. and so i lay there, probably up to 9 days, and they advised me to give a referral, because there the equipment was not at all like that, they thought that the story was too complicated to get out of it for her treatment and decided to send you and your colleagues. yes, our heroine from grodno she had a choice and desire and she found her doctor and the treatment was successful. our patient came to us with a problem of a left kidney stone, but this stone was not quite simple. probably, mm, i'm not afraid of this word, the most complex variant of non -prolithiasis that occurs in people is the throat-shaped nephrodice. that is, this is the situation in which the calculus performs a completely private pelvic system of the kidney from the inside, that

is, it creates such a structure that is very difficult to get close and remove. yeah it's kinda cast, uh private hanna system kidneys, and which, so to speak, performs this entire system from the inside, thereby interfering with the normal outflow of urine, being a constantly constant source of infection and sooner or later. this gradually gradually leads to the death of the soil, because large cartilaginous stones are one of the most difficult forms of urolithiasis, high mortality and such patients up to 12%. associated with a belated surgical intervention, the severity of the course of the pathological process and its opinions, as well as a variety of concomitant diseases, in this case e such a multimodal approach to the treatment of pterygoid nephrolysis was carried out, that is , during one operation,

endoscopic intervention was initially performed; -e stone, which performed the bowl system, that is, a difficult story. yes, yes, this is such a rather complicated approach, which includes both endoscopic skills and a. there here interesting access doctor passionate about his profession. i could talk for a long time about the methods of successful treatment of our heroine. many years. we are doing a program about what everyone should know, we go on the air, so that through life stories. for you, the experience of a successful struggle for the life of not only patients, but also the experience of doctors, which has been accumulated for thousands of years. history, diseases of life history, learn more about yourself love yourself more trust yourself and your health

to professionals and live long and happy.